Sample Schirmer: egosi, Usoro nke arụmọrụ, na-arụpụta

Test usoro, nke a ga-atụle, bụ aha ya bụ na nsọpụrụ nke ihe ophthalmologist, e mere ya - Otto Schirmer. Nke a nnwale na-ekpebi na ọkwa nke secreted adọka ọmụmụ, ogo iru mmiri mmezi nke corneal n'elu.

Egosi na contraindications

Schirmer si ule na-etinyere na-enyo enyo nke na-enwe:

• Corneal mbufụt nke conjunctiva;
• syndrome nke "akọrọ anya";
• Sjögren si syndrome (a-adịghị ala ala, na-aga n'ihu ọnwụ nke connective anụ ahụ na-na-emetụta ndị glands na-emepụta mpụga secretions - asu na dọkatụrụ adọka);
• ọrịa ruru slezoobrazovaniya anata ọgwụ preparations.

Zụlite a syndrome nke "akọrọ anya" nwere ike ịbụ a ọtụtụ ihe:

1. Akpịrị ịkpọ nkụ.
2. Agadi ndidi.
3. Conjunctivitis ma ọ bụ ndị ọzọ anya na-efe efe.
4. Vitamin A erughi (enweghị vitamin A).
5. Ogwu na anya.
6. Postoperative ma ọ bụ na-adịgide adịgide sikwuoro mgbe laser ọhụụ mgbazi.
7. Na-akpọ nke abụọ syndrome, nke na-egosipụta onwe ya na ọrịa ogbu ogbu na nkwonkwo, leukemia, lymphoma.

Schirmer si ule na-contraindicated na:

• perforations (reshaping) nke nwa anya;
• fistula;
• corneal ọnyá afọ na-emepe emepe oyi akwa;
• ọnụ ọgụgụ ozize nke stratum corneum.

Ụzọ nke ule

Test ibe maka sample Schirmer - a pụrụ iche ẹdụk ọkọlọtọ akwụkwọ size: 5 mm na obosara na 35 mm n'ogologo. N'itinyekwu 5 mm si na nsọtụ warara gosiri, ophthalmologist amama ya n'akuku nke 45 ogo, na lowers maka a ala nkuchianaya onye ọrịa, na-elekwasị anya na òkè n'etiti elu na n'etiti akụkụ. Ọ dị mkpa n'oge usoro dịghị-afụ ụfụ ndị cornea.

Dị ka ụfọdụ ụzọ ọrịa n'oge usoro imechi anya, na ndị ọzọ na - na anya n'ihu na ubé elu. Ọkụ na ụlọ ahụ kwesịrị inwe ntụsara - bụghị dull na bụghị nnọọ na-egbuke egbuke.

Schirmer ule na-ewe ihe nkeji ise. N'oge a, akwụkwọ akụkọ ibe banye na dọkatụrụ adọka film prekornealnuyu na mmiri si lacrimal ọdọ.

Ụdị ule usoro

Sample Schirmer mụụrụ na ụzọ abụọ:

1. Na ojiji nke obodo Nkụnwụ. Anestetiiki igbochigodị agbakwụnye na basal ntọhapụ mpiaji akwa ọmụmụ na mmalite akwụkwọ. Mgbe instillation nke anestetiiki ala fornix nke conjunctiva mịrị amị idebe ngafe ọgwụ na-adịghị agwakọta ya na lacrimal ọmụmụ, si otú amụba ya olu.
2. N'ejighị anestetiiki mmadụ. Ule dị otú ahụ na-esote ophthalmologists atụle ihe ezi n'ihi na ọ na eliminates Ịgwakọta nke na anya mmiri na ọgwụ ndinọ, na-egosi naanị "dị ọcha" N'ihi. Nke a na ụdị sample e ji na Ịchọpụta Otú Nsogbu mgbaàmà "akọrọ anya".

Ọzọkwa Schirmer si ule na-kewaa m na II. The mbụ a rụrụ iji ule ibe site na kọntaktị nke si usoro. The abụọ ụdị aka inyocha bụ ego nke mpiaji (mmeghachi omume stimuli) lacrimal secretions. Ọ mụụrụ N'otu aka ahụ, ma ọ na-akpali ntọhapụ ophthalmologist lacrimal secretion site na-akpali akpali ọ dịghị òkè amaokwu nke isiokwu na a owu swab.

Ịlele Schirmer: norm na ndiiche

Na oké ikpe, na syndrome nke "akọrọ anya" arụmọrụ na ule warara nwere ike ịbụ na a larịị nke efu. The norm bụ maka ndị na-eto ndidi bi ọgụgụ karịrị 15 mm. Ọ bụrụ na dị ala karị - ahụ na examinee arịa a ụdị "akọrọ anya" syndrome:

• 14-9 mm - nta mgbanwe suppression oke lachrymal secretion;
• 8-4 mm - nkezi larịị nke mmepe nke syndrome;
• erughị 4 mm - oké iche nke syndrome corneal nkụ.

Ezigbo ịrụ ọrụ: 10-30 mm. Ọ bụrụ na ọrịa na-afọ ihe karịrị afọ 60, na ọnụego nke ule warara erughị 10 mm ga-atụle norm maka ya, Otú ọ dị, agbasaghị efu o nwere.

Norm maka sample II, na-ekpebi oke ego mpiaji anya mmiri, ihe na-erughị 15 mm. Ịrịba Ama maka ma ụdị nke samples na-atụle ga-iche nke ule results for a ụzọ nke anya site karịa 27%.

Ụdi nchoputa mgbe ule Schirmer:

• ule nchawa oriọna;
• bilie Bengal Unyi ma ọ bụ flyuores-nkịta;
• Research na-achọta a nkeji oge adọka film agbawa.

Sample Schirmer - mfe na ngwa ngwa, dị irè usoro maka mbụ nchoputa nke syndrome nke "akọrọ anya" na okwu ndị yiri ya, ọrịa na-emetụta ndị oke nke lachrymal secretion. Ule na-enyere ndị ophthalmologist ngwa ngwa ikpebi larịị nke secreted adọka ọmụmụ (basal, mpiaji) na ha totals na ndidi n'okpuru ule.