Tauira Schirmer: tohu, tikanga o te mahi, hua

tikanga Test, ka e kia kōrero, kua ingoa i roto i te kororia o te ophthalmologist, kua hangaia ai - Otto Schirmer. Tenei anga matou whakatau te taumata o huna ana inu roimata, te tohu o te tiaki haumākū o te mata Corneal.

Tuhinga me contraindications

tono whakamātautau o Schirmer te te whakapae o ia:

• mumura Corneal o te kirikamo;
• syndrome o "mata maroke";
• syndrome o Sjögren (he mau tonu, mate ahu whakamua o te kiko tūhonohono e pā te repe e hua secretions waho - huware me te roimata);
• disorders slezoobrazovaniya tika te fariiraa i te mau faaineineraa hauora.

Te whakawhanake i te syndrome o "mata maroke" pea he maha o ngā take:

1. Maroketanga.
2. manawanui kaumātua.
3. Pīkaru atu mate kanohi ranei.
4. Huaora A hē (kore o te huaora A).
5. Tataramoa i roto i te kanohi.
6. pōauautanga Postoperative tūturu ranei i muri i te ako kite taiaho.
7. Na-ka karanga syndrome tuarua, e faaite ake i roto i te kaikōiwi, kanisā, lymphoma.

contraindicated whakamātautau o Schirmer te i roto i:

• ngā pūwatawata (pänga) o te 'Afio;
• fistula;
• whewhe Corneal whakawhanake apa;
• horo tauine o te corneum whāriki.

Methods o whakamātautau

takai Test mō te tauira Schirmer - tātari he rahi pepa paerewa motuhake: 5 mm i roto i te whanui, me te 35 mm te roa. Takahi 5 mm i te Unuhia mata kua tohua, tahuri ophthalmologist ona koki o 45 nga nekehanga, me Whakahekea mo te kamo o raro o te manawanui, e arotahi ana ki te wahi i waenganui i te waho, me te wahi waenganui. He mea nui i roto i te kore e kino ia i te tukanga o te taupoki io.

E ai ki etahi tikanga te manawanui i roto i te tukanga ki te kati i te kanohi, i runga i te tahi atu - ki te titiro i mua, me te paku whakarunga. Tahu i roto i te ruma kia whakamarie - e kore e puhoi, me te kore rawa kanapa.

Schirmer whakamātautau e meneti e pā ana ki e rima. I roto i tenei wa, mimiti nga takai pepa te prekornealnuyu kiriata roimata me te makuku i te roto lacrimal.

Ngā momo o tikanga whakamātautau

whakahaeretia Schirmer Tauira i roto i ara e rua:

1. Ki te whakamahi o te rehunga rohe. ekore rongoā tāpiri ki te pūpū tuku basal haehae inu ki te pepa whakaongaonga. I muri i instillation o whakarehu rohe raro fornix o te kirikamo maroke ki maturuturu kore te tarukino te taikaha i konatunatua ki te inu lacrimal, reira te whakanui ake tona rōrahi.
2. Te kore te whakamahi o āpiha whakarehu. he whakamātautau taua e whakaaro tika atu ophthalmologists muri no te faaore i te reira i te Mixing o roimata, me te raau taero faaterehia, whakaatu anake "ma" hua. āhuatanga tēnei momo o te tauira i roto i Tātaritia i te tohu "mata maroke".

Hoki te wahia whakamātautau o Schirmer ki ahau me II. kawea ana te tuatahi i roto i te whakamahi i te takai whakamātautau i whakapā o tikanga mea. tauturu te momo tuarua ki te tūhura ko te nui o te pūpū (tauhohenga ki whakaohooho) secretions lacrimal. whakahaere rite ia, engari whakaongaonga reira te lacrimal secretion tuku ophthalmologist e mau irava nasal o te kaupapa ki te ūkuia miro whakaongaonga.

Tauira Schirmer: täkupu me te ine

I roto i ngā take kino, kia waiho te syndrome o "mata maroke" mahi i runga i te Unuhia whakamātautau i te taumata o te kore. Ko te täkupu e ko hoki teina te whika taupori manawanui he nui ake i te 15 mm. Ki te he raro reiti - ka mamae te examinee i te momo o "mata maroke" syndrome:

• 14-9 mm - iti rerekētanga pehanga tohatoha roimata secretion;
• 8-4 mm - te taumata toharite o te whanaketanga o te syndrome;
• iti iho i te 4 mm - ngā momo nui o te syndrome maroke Corneal.

mahi tino pai: 10-30 mm. Ki te tau o te manawanui neke atu i 60 tau, te auau o te Unuhia whakamātautau ka e whakaaro iti iho i te 10 mm te täkupu hoki ia, Heoi, ahu ki te te kore kihai i whai ia ki.

Täkupu mō te tauira II, whakatau nga roimata pūpū nui tohatoha, e kore e iti iho i te 15 mm. Nui mō te momo e rua o ngā tauira e whakaaro ki te hei rerekētanga o te hua whakamātautau mō te rua o kanohi e neke atu i te 27%.

tātaritanga muri i muri i ngā whakamātautau Schirmer:

• whakamātautau rama wāwāhi;
• whakatika poke Bengal flyuores-kuri ranei;
• Rangahau i runga i te kimi i te wā roimata āputa kiriata whaturama.

Tauira Schirmer - ngāwari, me te nohopuku, tikanga whai hua mō te tātaritanga tuatahi o te syndrome o "mata maroke" me ngā kīanga rite ki a ia, mate e pa ana i te tohanga o te secretion roimata. tauturu te whakamātautau te ophthalmologist hohoro whakatau i te taumata o huna ana inu roimata (basal, pūpū) me o ratou tapeke i roto i te manawanui i raro i te whakamātautau.