Ese umuvuduko w'amaso yawe uri hejuru? Reka twige byose ku ikizamini cya Gonioscopy!

Ese wigeze upimwa amaso yawe? Muganga wawe w'amaso ashobora kuba yarakubwiye ibyerekeye ikizamini cyitwa "gonioscopy." Izina rishobora kumvikana nk'aho rigoye, ariko mu by'ukuri ni ikizamini cyoroshye cyane, kandi cy'ingenzi cyane. Uyu munsi, turabivugaho birambuye, nk'uko wabiganiraho n'inshuti yawe.

Gonioscopy ni iki? Kuki ari ingenzi cyane?

Muri make, gonioscopy ni uburyo budasaba ububabare bukoreshwa mu gusuzuma imiterere yoroshye cyane iri mu jisho ryawe. Inzobere mu by'amaso, cyane cyane, bakoresha iki kizamini kugira ngo barebe niba inzira yo gusohora amazi iri mu jisho ryawe ikora neza. Tekereza nk'inzira yo gusohora amazi mu nzu yacu. Iyo idakora neza, amazi ashobora kwiyongera agatera ibibazo, kandi niba amazi ari mu jisho ryawe adasohoka neza, ibibazo bishobora kuvuka.

Ikintu cy'ingenzi gishobora kugaragara muri iki kizamini ni indwara yitwa glaucoma . Glaucoma ni indwara iteje akaga ishobora kwangiza imitsi y'amaso bitewe no kwiyongera k'umuvuduko w'amaso ndetse igatuma umuntu atabona neza. Kubera ko akenshi nta bimenyetso igaragara mu ntangiriro, ishobora kugaragara hakiri kare binyuze mu bizamini nk'ibi.

Ni iki kindi gishobora kuboneka ukoresheje ikizamini cya gonioscopy?

Uretse glaucoma, iki kizamini gishobora gufasha gusuzuma cyangwa gukuraho izindi ndwara. Urugero:

• Glaucoma ifunguye: Ubu ni bwo bwoko bwa glaucoma bukunze kugaragara cyane.
• Glaucoma ifunga inguni: Iyi ni ikibazo cyihutirwa kandi igomba kuvurwa vuba.
• Indwara ya Pseudoexfoliation: Muri iki kibazo, ibintu bimeze nk'ifu y'umweru byirundanya mu jisho, bishobora kubuza amazi gutembera.
• Ibintu nka kanseri cyangwa ibibyimba bigira ingaruka ku mboni y'amaso cyangwa ibice bifitanye isano.

Ubu usobanukiwe akamaro k'iki kizamini, sibyo? Gukomeza umuvuduko mu jisho ku rwego rukwiye ni ingenzi mu kurinda amaso yawe.

Iki kizamini gikorwa gute? Ni iki kiba imbere mu jisho?

Gonioscopy yemerera umuganga w'amaso kureba mu cyumba cy'imbere cy'ijisho ryawe. Icyumba cy'imbere ni umwanya wuzuyemo amazi inyuma y'ijisho ryawe n'imbere y'amaso yawe.

Muganga azareba inguni y'amazi . Aha ni agace k'uruziga kameze nk'impeta. Niho umwijima w'ijisho ryawe n'igice cy'umweru cy'ijisho ryawe (sclera) bihurira. Uruhu rw'amazi, amazi agaragara imbere mu jisho, rusohoka mu jisho runyuze muri iyo nguni. Iyi nguni igomba kuba nini kandi ifunguye bihagije kugira ngo amazi asohoke neza.

Tekereza, ntushobora kubona ikintu mu mfuruka iyo urebye imbere, sibyo? Ariko ushobora kubibona iyo ufashe indorerwamo muri urwo cyerekezo. Uko ni ko bimeze kuri ibi. Umuganga ashobora kubona iyo nguni neza akoresheje indorerwamo cyangwa lenzi zo gukuza mu jisho ryabigenewe rikoreshwa muri gonioscopy.

Ese hari ubwoko butandukanye bw'indorerwamo za gonioscopy?

Yego, hari ubwoko bubiri bw'ingenzi bwa lenti za gonioscopy:

1. Indorerwamo zitagira aho zihuriye: Ubwo bwoko bw'indorerwamo bukoresha indorerwamo. Muganga abona inguni y'amazi anyuramo gusa iyo urumuri rugeze ku ndorerwamo kandi rukagaragara. Niyo mpamvu bitwa "indirect". Ubwo bwoko bw'indorerwamo bukunze gukoreshwa mu mavuriro asanzwe y'amaso.

2. Indorerwamo zigororotse: Izi ndorerwamo ntizigira indorerwamo. Izi ndorerwamo zirushaho gukura inguni no gukurura urumuri gato. Izi ndorerwamo zikunze gukoreshwa cyane mu gihe cyo gukora ibintu nko kubaga.

Ni gute nakwitegura gukora gonioscopy?

Kenshi na kenshi, ntukeneye gukora ikintu kidasanzwe kugira ngo witegure iki kizamini. Muganga wawe w'amaso arashobora kubikora igihe icyo ari cyo cyose.

Ariko, niba wambaye indorerwamo z’amaso (contact lenses ), ni byiza kubaza muganga wawe niba ukeneye kuzikuramo igihe runaka mbere yo gupimwa.

Hari igihe, niba gonioscopy irimo gukorwa nk'igice cy'ubundi buryo bwo kubaga amaso, muganga wawe azaguha amabwiriza yihariye y'uko wayitegura.

Ni iki wakwitega mu gihe cy'ikizamini?

Ubunararibonye bushobora gutandukana gato bitewe n'ubwoko bwa gonioscopy ufite.

Gonioscopy itaziguye

Ibi bikunze gukorwa mu bitaro. Akenshi, uzahabwa ikinya rusange . Ibi bivuze ko iki kizamini n'ibindi bijyana nacyo bikorwa mu gihe utazi kandi usinziriye.

Gonioscopy itaziguye

Ubu ni bwo bwoko bukunze gukorwa mu biro bya muganga w'amaso. Bikorwa kimwe cyane no gupima itara ry'umucanga . Wicaye mu ntebe, maze muganga agahagarara imbere yawe.

Mbere yuko ikizamini gitangira, muganga azagushyira ibitonyanga bibabaza ijisho. Ijisho ryacu rigira imiterere ikomeye, bityo iyo hari ikintu kigukozeho, wumva utameze neza kandi ijisho ryawe rirafunga. Iyo ukoresheje iki gitonyanga kibabaza ijisho, ntuzumva ubabaye cyangwa ngo ububabare, kandi ijisho ryawe ntirizafunga.

Nyuma yuko ijisho rimaze gucika intege, muganga azashyira ikintu cyitwa ibitonyanga byo kunywera ku buso bw'ikirahuri kiri gusuzumwa. Ibi bizarinda ko uduheri tw'umwuka dufatirwa munsi y'ikirahuri mu gihe kiri mu mwanya wacyo. Ibi bizatuma muganga abona neza imbere mu jisho. Bizafasha kandi kwimura ikirahuri ku jisho byoroshye.

Hanyuma muganga akoza witonze ikirahuri ku jisho ryawe, agifashe ukuboko kumwe hanyuma ikindi akoreshe itara rito.Igikoresho kirafunguye. Umucyo mwinshi uvamo ucana imbere mu jisho, kandi ikirahuri gikurura amenyo gikoreshwa mu kureba imbere mu jisho. Muganga azakubwira kureba imbere cyangwa mu cyerekezo runaka.

Hari igihe uburyo bwitwa "dynamic gonioscopy" bushobora gukoreshwa. Ibi bivuze ko muganga azakanda buhoro buhoro ubuso bw'ijisho ryawe akoresheje lens. Ibi bizatuma muganga areba niba iris yawe ifatana n'imboni cyangwa lens (synechiae).

Ijisho ryawe rimaze gusuzumwa neza, muganga azarikuraho. Ashobora no gukoresha ibitonyanga byo koza amaso yawe. Ni ibisanzwe ko amaso yawe aba afite amazi kandi arira muri iki gihe. Muganga azaguha ikintu kimeze nk'agatambaro ko guhanagura amarira yawe.

Iki kizamini gishobora kuba gisaba kwagura amaso yawe cyangwa kitagomba kuyagura. Hari igihe muganga ashobora kuba akeneye kureba imbere mu jisho ryawe mbere na nyuma yo kuyagura. Muganga azabikubwira.

Ese hari ingaruka cyangwa ingaruka mbi zishobora guterwa n'iki kizamini?

Nta ngaruka mbi cyangwa ibyago bitera kuri gonioscopy ubwayo. Ariko, imiti ikoreshwa mu gutinyura no kwagura ijisho ishobora gutera ingaruka nke (urugero: kutabona neza, kumva urumuri). Muganga wawe azakubwira byinshi kuri ibi.

Ikizamini kimeze gite? Ese kirababaza?

Kubera ko ijisho ryawe ritameze neza mu gihe cyo gupimwa, ntuzumva ububabare cyangwa ngo ugire ikibazo. Hari igihe ushobora kumva gusa ubabara gato, nko mu gihe urimo gukaraba amaso. Ibi ni ibisanzwe.

Ubona ute ibisubizo by'ibizamini? Bisobanura iki?

• Niba Gonioscopy yakozwe hakoreshejwe kubagwa, muganga azakubwira ibyavuye mu bushakashatsi nyuma yo kongera kugarura ubwenge.
• Niba wakorewe isuzuma rya gonioscopy mu buryo butaziguye kwa muganga wawe, muganga wawe azashobora kukubwira ibisubizo mu gihe cyo gupimwa cyangwa nyuma yaho. Azagusobanurira ibyo yabonye, ​​icyo bivuze, n'ubuvuzi bukenewe, niba buhari.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Muganga w'amaso aramutse asanze ufite inguni nto yo gusohora amazi cyangwa ko amazi adasohoka neza, azakubwira uburyo bwo kuvura.

Kuvura glaucoma ni ingenzi cyane kuko iyo umuvuduko uri imbere mu jisho ukabije, bishobora kwangiza imitsi y'ijisho burundu, bigatuma umuntu atabona neza burundu.

Muganga wawe asanze inguni aho amazi ava mu jisho ryawe ifunze burundu, yitwa glaucoma ifunga ijisho . Iyi ni ikibazo cyihutirwa cy’ubuvuzi.Kubera ko ibi bishobora gutera ububabare butunguranye bwo kutabona (kandi bishobora kubaho burundu). Ibi nibibaho, muganga wawe w'amaso azakugira inama yo kuvurwa byihutirwa kandi akwohereze ku kigo gifite ibikoresho bikenewe.

Ni ryari nkwiye kubonana n'umuganga w'amaso?

Glaucoma ni imwe mu mpamvu zikomeye zitera ububabare bwo kutabona ku isi yose. Abagera kuri 90% by'abarwayi ba glaucoma bafite iyi ndwara idakira. Ibi bivuze ko ibimenyetso bigenda bikura buhoro buhoro. Niyo mpamvu ari byiza ko ugenzurwa amaso yawe nibura rimwe mu mwaka cyangwa ibiri (cyangwa nibura rimwe mu mwaka niba urengeje imyaka 40).

Byongeye kandi, ni ngombwa ko ukorerwa isuzuma ry’amaso buri gihe, nka gonioscopy, niba ufite imwe muri izi ndwara cyangwa ibintu bishobora gutera ibyago:

• Niba ufite imyaka 65 cyangwa irenga.
• Niba urwaye diyabete yo mu bwoko bwa 2 .
• Niba hari umuntu wo mu muryango wawe ufite glaucoma (amateka y'umuryango wa glaucoma).
• Niba ufite umuvuduko mwinshi mu jisho (hypertension yo mu maso).
• Niba ufite inenge zo kuvuka cyangwa indwara z'amaso warazwe n'iz'uturemangingo.
• Niba ukoresha imiti nka corticosteroids igihe kirekire.
• Iyo umutsi w'amaso wangiritse cyangwa ufite ishusho iteye amakenga.
• Niba ufite ikibazo cyo kutareba hafi cyane cyangwa kutareba kure cyane.
• Niba urwaye indwara ya sickle cell .

Nanone, menya neza ko wagiye kwa muganga niba ugaragaje ibimenyetso bya glaucoma. Ibimenyetso nk'ibi birimo:

• Ubutukura bw'amaso.
• Umutwe.
• Isesemi no kuruka.
• Kumva igitutu cyangwa ububabare mu maso (ibi bikunze kubaho iyo igitutu mu maso kiri hejuru cyane).
• Kubona ishusho isa n'umukororombya iyo ureba amatara.
• Kugabanuka k'amaso, urugero , kureba mu muhanda (kubona nk'aho ureba mu muyoboro) cyangwa kugaragara kw'utudomo dushya tw'amaso (scotomas).

Ni ryari ugomba kujya kwivuza byihutirwa?

Hari ibimenyetso bimwe na bimwe bya glaucoma ugomba kwihutira gushaka abaganga mu gihe bigaragaye. Ibyo bimenyetso birimo:

• Gutakaza ubushobozi bwo kureba butunguranye.
• Gutangira kubabara cyane mu maso, kuribwa umutwe, isesemi no kuruka mu buryo butunguranye.

Niba ikintu nk'iki kibaye, ntugatinde.

Ese hari ingaruka mbi ziterwa na gonioscopy?

Gonioscopy ni ikizamini cy'ingirakamaro cyane. Ariko, iki kizamini cyonyine ntigihagije kugira ngo umenye neza niba ufite glaucoma cyangwa utayirwaye. Hari n'ibindi bintu byinshi bifasha mu gusuzuma glaucoma. Gonioscopy ni kimwe mu bintu by'ingenzi.

Ikizamini cya gonioscopy kimara igihe kingana iki?

Gusuzuma indwara ya gonioscopy mu buryo butaziguye bifata iminota itanu. Ariko, gahunda yawe ishobora gufata igihe kirekire kuko hari n'ibindi bizamini bishobora gukenerwa.

Igihe bifata kugira ngo upimwe na Direct Gonioscopy gishobora gutandukana cyane bitewe n'uburyo bikorwa. Muganga wawe ashobora kukubwira byinshi kuri ibi.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Gonioscopy ishobora kumvikana nk'aho igoye, ariko ikizamini ubwacyo cyoroshye cyane. Ni uburyo budatera indwara, butababaza kandi budatera ikibazo mu jisho. Bushobora gufasha kumenya indwara zishobora kwangiza amaso yawe burundu. Akenshi bushobora gukorerwa kwa muganga, kandi ibisubizo biraboneka vuba.

Niba ufite impungenge cyangwa ibibazo kuri iki kizamini, vugana na muganga w'amaso. Ashobora kugusobanurira ikizamini, akagabanya ubwoba bwawe, kandi akagufasha gusobanukirwa icyo ikizamini kizakwereka. Wibuke ko ikizamini nk'iki gishobora kugira uruhare runini mu kurinda amaso yawe y'agaciro.

Gonioscopy , isuzuma ry'amaso, glaucoma, ubuzima bw'amaso, ubuvuzi bw'amaso, umuvuzi w'amaso, umuvuduko w'amaso