Tonometry: Reka tuvuge kuri ibi mu buryo bworoshye!

Ese wigeze ukorerwa isuzuma ry'amaso? Igihe wabikoraga, birashoboka ko wakorewe ikizamini aho wahawe akadirishya gato k'umwuka cyangwa igikoresho gito cyo kureba ijisho ryawe. Ibyo ni byo dukunze kwita tonometry. Iki ni ikizamini cy'ingenzi cyane, cyane cyane kugira ngo hamenyekane hakiri kare indwara z'amaso nka glaucoma. None se, reka tubiganireho mu buryo burambuye uyu munsi, si byo se?

Tonometiri ni iki? Mu magambo make...

Tonometry ni ikizamini cyihariye cy’amaso gipima umuvuduko uri mu jisho ryawe, cyitwa umuvuduko w’amaso . Ni nko gusuzuma umuvuduko w’amaraso yawe, ariko ni umwihariko w’amaso yawe. Ni kimwe mu bizamini by’ingenzi cyane mu gusuzuma glaucoma. Hari uburyo bwinshi bwo gukora iki kizamini. Byose ni byihuse kandi nta bubabare.

Iki kizamini gikorwa saa ngahe?

Tonometry ikunze gukorwa n'inzobere mu by'amaso, ari bo baganga b'amaso n'abashinzwe amaso. Hari impamvu nyinshi zibitera:

• Suzuma kandi umenye glaucoma: Iyi ni yo mpamvu nyamukuru. Glaucoma ni indwara aho umuvuduko mwinshi mu jisho wangiza imitsi y'amaso kandi igatera kutabona neza.
• Nk'igice cy'isuzuma ry'amaso risanzwe: Niba usanzwe usuzuma amaso, ibi bishobora kuba igice cy'iryo suzuma.
• Iyo hari ibimenyetso cyangwa imvune zishobora kubaho mu maso: Iki kizamini gishobora gukorwa iyo hari ikintu kibaye ku jisho, cyangwa iyo ubonye ikintu gitandukanye n’ibisanzwe mu maso yawe.
• Mu gihe ufata imiti imwe n'imwe: Niba ufata imiti y'indi ndwara, ibi bikorwa no kureba niba umuvuduko w'amaso uri kwiyongera nk'ingaruka mbi z'uwo muti (umuvuduko ukabije w'amaso).
• Gukurikirana uburyo abantu barwaye glaucoma bavurwa: Niba usanzwe ufite glaucoma, iki kizamini gikorwa buri gihe kugira ngo harebwe niba uburyo uvurwa bukora kandi niba umuvuduko w'amaso yawe ugenzurwa. Hari igihe abaganga bakugira inama yo gukoresha ibikoresho ushobora gupima umuvuduko w'amaso yawe uri mu rugo.

Iki kizamini (Tonometry) gikora gite?

Byoroshye cyane. Tonometry ipima umuvuduko mu cyumba cy'imbere cy'ijisho ryawe. Iki cyumba kiri inyuma y'ijisho. Gifite amazi yitwa aqueous humor. Umuvuduko uva muri iki kinyabutabire ni wo utuma amaso yacu agumana uruziga. Igice cyo gupima iki gipimo ni milimetero za mercure (mmHg) . Ni kimwe gikoreshwa mu gupima umuvuduko w'amaraso.

Noneho reka turebe uburyo butandukanye bwo gukora iki kizamini.

Ni ubuhe buryo butandukanye bwo gupima toni?

Inzobere mu by'amaso ishobora gukoresha uburyo butandukanye kugira ngo ikore iki kizamini:

• Tonometeri ya Applanation:"Applanation" bivuze "guteranya." Muri ubu buryo, agakoresho gato kameze nk'agacupa gafite ibara ry'umuvuduko gashyirwa ku buso bw'ijisho ryawe. Ibi bipima igitutu ugomba gushyira mbere yuko ubuso bw'ijisho ryawe butangira kumera neza. Ubu buryo buvugwa ko ari bwo buryo bwiza cyane . Bukoreshwa mu kwemeza ibisubizo bidasanzwe bivuye mu bundi buryo.
• Gukurikirana buri gihe: Muri ubu buryo, wambara sensor, nka contact lens, ku jisho ryawe. Abashakashatsi barimo kandi gukora ubushakashatsi kuri iyi sensor ishobora kwambarwa, ndetse no ku buryo bwo kubaga sensor mu jisho.
• Tonemetiri y'imiterere y'ijisho: Ibi bikoresho bifite agace gato k'imashini ikora ku jisho, ariko ntigakore akantu ko guhagarara.
• Tonometry yo gupima imiterere y'ijisho hakoreshejwe ikoranabuhanga: Ibikoresho bikoreshwa muri ubu buryo bifite agakoresho gato gakorwaho ku buso bw'ijisho kugeza igihe habayeho gupima imiterere y'ijisho.
• Tonometeri idakora ku jisho: Iki ni cyo abantu benshi bazi nk'ikizamini cya "air puff". Ibi bikoresho biyobora umugezi w'umwuka ku mboni y'ijisho ryawe. Uko umwuka ukura kandi ukagaruka, bipima impinduka nto mu miterere y'imboni iba mu masegonda make. Tonometeri z'umwuka zikoresha umwuka muto, mu gihe imashini zisesengura amaso zikoresha umwuka muto.
• Gupima imiterere y'umubiri: Muri ubu buryo, ikintu gito, kimeze nk'umupira wa pulasitiki, gihita kigera mu jisho, maze kigahagarara kikimara gukora ku buso. Icyo gikoresho gipima umuvuduko w'imbere mu jisho iyo umupira ukoze ku buso buhoro kandi nta bubabare. Hari ibikoresho bimwe na bimwe bikoresha ubu buryo bishobora no kuba byiza ko ukoresha mu rugo.

Tekereza gato, ubu buryo bwose bwagenewe gupima umuvuduko w'amaso neza uko bishoboka kose, nta kubabara cyangwa ngo bigutere ububabare.

Twakwitegura dute ibi?

Ubusanzwe nta myiteguro yihariye isabwa kugira ngo habeho ikizamini cya tonometry. Ikintu kimwe gusa ugomba gukora ni ukudambara ikintu cyose kigabanya ijosi ryawe (urugero: ikariso ikomeye) mu gihe cy'ikizamini. Niba bishoboka, ambara indi shati cyangwa ufungure gato ikariso. Igitutu kiri ku ijosi ryawe kiva ku myenda gishobora gutuma igipimo cy'umuvuduko mu maso kigaragara nk'aho kiri hejuru gato.

Ni iki wakwitega mu gihe ugiye gukora ikizamini?

Ibyo uhura nabyo mu gihe cyo gupima tonimeteri bishobora gutandukana gato bitewe n'uburyo bwakoreshejwe. Urugero, niba uri gukora applanation tonometry, muganga wawe azagutera umuti ugabanya ububabare n'irangi ryitwa fluorescein mu maso. Ariko, ubundi buryo bwinshi, nka non-contact tonometry, ntibusaba na kimwe muri ibi.

Uburyo bwinshi bukoreshwa bufata amasegonda make gusa kugira ngo ikizamini kibe cyiza. Kugira ngo ubone ibisubizo byiza kuri ubu buryo bwihuse, ni byiza gufata ibipimo byinshi no kubipima mu buryo bungana. Bityo rero ntugatangare niba muganga wawe agupimye ibipimo byinshi cyangwa agatekereza ko hari ikintu kibi wakoze. Uburyo bumwe, nka applanation tonometry, bushobora gufata iminota myinshi. Umuganga wawe w’amaso azakubwira byinshi ku byo witeze mu gihe cy’ikizamini.

Nyuma y'ikizamini?

Muganga ashobora kukubwira ibisubizo ikizamini kikimara gukorwa.

Niba wahawe ibinini byo mu maso bigabanya ububabare, ntugashyiremo ikintu icyo ari cyo cyose kugeza igihe ububabare buzimiye. Ibinini bizakurinda kumva ububabare ubwo aribwo bwose, bityo ushobora gukomeretsa amaso yawe mu gihe afite ububabare.

Ibi birababaza?

Tonometry ntabwo ibabaza , nubwo uburyo bukoreshwa bushobora gusaba gukora ku mboni y'ijisho ryawe. Niba wumva ububabare ubwo aribwo bwose mu gihe cyo gupimwa, bwira umuganga w'amaso yawe. Ushobora kandi kumubaza ibijyanye n'ubu bubabare, igihe buzamara, n'icyo bwakorwaho.

Igipimo cy'umuvuduko w'amaraso gikwiye kuba kingana iki?

Ku bantu benshi, intera isanzwe ifatwa nk'aho iri hagati ya mmHg 10 na mmHg 21. Niba ibisubizo byawe biri hanze y'iyi ntera isanzwe, hari ibintu bike bishobora kuba biri kubaho.

Bite ho niba ibisubizo ari byinshi cyane?

Niba ibizamini byoroshye bigaragaza ko umuvuduko wawe uri hejuru, muganga w'amaso ashobora kukugira inama yo gukora ikizamini cya applanation tonometry kugira ngo yemeze igipimo. Niba umuvuduko wawe ukiri hejuru uturutse kuri applanation tonometry, muganga wawe ashobora kuwukurikirana neza cyangwa akakugira inama yo kuvura. Bashobora kandi kukwitabaza kugira ngo ukurikiranwe buri gihe.

Inzobere mu by'amaso ishobora kandi kukugira inama yo gupima umuvuduko w'amaso yawe mu rugo. Niba ari uko bimeze, menya neza ko ubaza icyo wakora niba ibipimo byawe biri hejuru gato y'ibipimo bisanzwe. Niba ibipimo byawe biri hejuru gato y'ibisanzwe, ushobora gukenera gukurikiranwa n'inzobere. Ariko, niba ibipimo byawe biri hejuru cyane y'ibyo, ushobora gukenera ubuvuzi bwihutirwa .

Icy'ingenzi: Kwiyongera k'umuvuduko mu jisho bitewe na glaucoma ifunga inguni ni ikibazo cyihutirwa gisaba kuvurwa vuba. Iyo idavuwe vuba, iyi ndwara ishobora guhita itera kwangirika kw'ijisho no kutabona neza burundu.

Izindi ntambwe zishobora gutandukana bitewe n'imimerere yawe n'ibyo ukeneye. Umuganga wawe w'amaso azakubwira byinshi ku byo witeze bitewe n'imimerere yawe.

Bite ho niba ibisubizo ari bike cyane?

Umuvuduko muke w'amaso na wo ni ikibazo, kuko ushobora no kwangiza ijisho no gutuma ritabona neza. Umuvuduko muke w'amaso ubusanzwe uba uri munsi ya 5 mmHg cyangwa 6 mmHg . Niba umuvuduko mu maso wawe uri hasi cyane, inzobere mu by'amaso izakubwira uburyo bwo kuvurwa no gukurikiranwa kugira ngo ikurikirane ubuzima bw'amaso yawe.

Ese nshobora gutwara imodoka nyuma y'ikizamini?

Ushobora cyangwa ntushobora gutwara imodoka nyuma yo gupimwa umuvuduko w'amaso. Ibi biterwa n'ibintu byinshi. Ikintu kimwe cy'ingenzi ni ukumenya niba amaso yawe yaragutse (mu isuzuma risanzwe ry'amaso, amaso arushaho kwaguka nyuma yo gupimwa tonimeteri). Kwagura amaso yawe bishobora gutuma wumva urumuri cyane, kandi bishobora kugorana kubona cyangwa gusoma ibintu neza. Ibi bikunze kubaho amasaha make.

Abaganga b'amaso bakunze kugira amabara ashobora gukoreshwa nyuma yo gupimwa (niba wambaye indorerwamo, aya mabara ashobora kwambarwa hejuru y'indorerwamo zawe). Aya mabara ashobora kugufasha kubona no kuguma neza mu buryo bworoshye binyuze mu kugabanya urumuri n'urumuri. Abantu benshi basanga bashobora gutwara imodoka nyuma yo kwagura amaso yabo. Ariko, niba ufite gushidikanya niba ushobora gutwara imodoka nyuma yo gupimwa amaso, ni byiza gutekereza ku bundi buryo bwo gutwara abantu mu rugendo rwawe ujya cyangwa uvuye kwa muganga w'amaso .

Amaherezo, ibintu byo kuzirikana

Yego, ushobora kudakunda umuyaga cyangwa igitekerezo cyo gufata igikoresho gifatirwa mu ntoki hafi y'amaso yawe. Ariko hari impamvu yumvikana. Glaucoma ni indwara ikunze kugaragara, ariko umuvuduko mwinshi mu jisho uyitera ushobora kumenyekana mbere yuko ugaragaza ibimenyetso cyangwa kwangirika burundu.

Niba ufite umuvuduko ukabije mu maso, inzobere mu by'amaso irahari kugufasha. Ubufasha bwabo bushobora kuba ari bwo buryo ukeneye bwo kugenzura umuvuduko uri mu maso yawe. Bishobora kandi kugufasha kugabanya umuvuduko wumva ku buzima bw'amaso yawe muri rusange. Kubwibyo, ni ngombwa kwisuzumisha amaso yawe buri gihe, nta bwoba cyangwa ubunebwe.

Glaucoma , Tonometry, Umuvuduko w'amaso, Isuzuma ry'amaso, Ubuzima bw'amaso, Indwara z'amaso, Umuganga w'amaso