Ophthalmoscopy

Ophthalmoscopy kuongororwa kwechikamu chekumashure cheziso (fundus), iyo inosanganisira iyo retina, optic disc, choroid, uye mitsipa yeropa.

Kune mhando dzakasiyana dze ophthalmoscopy.

• Kutungamira ophthalmoscopy. Iwe uchagara mukamuri ine rima. Anopa hutano anoita bvunzo iyi nekupenya mwenje wechiedza kuburikidza nemudzidzi achishandisa chiridzwa chinonzi ophthalmoscope. Ophthalmoscope inenge saizi yetochi. Iyo ine mwenje uye akasiyana madiki malenzi anotendera iwo mupi kuona kumashure kweziso reziso.
• Zvakananga ophthalmoscopy. Iwe unogona kunyepa kana kugara munzvimbo yakasarudzika. Anokupa anobata ziso rako rakavhurika uku uchipenya mwenje unopenya muziso uchishandisa chiridzwa chakapfekwa mumusoro. (Chishandiso ichi chinotaridzika sechiedza chemugodhi.) Anopa anotarisa kumashure kweziso kuburikidza nelenzi rakabatwa padyo neziso rako. Kumwe kumanikidza kunogona kuiswa paziso uchishandisa diki, isina kujeka probe. Iwe unozobvunzwa kuti utarise munzira dzakasiyana. Iyi bvunzo inowanzo shandiswa kutsvaga yakadzoserwa retina.
• Yakatsemurwa-mwenje ophthalmoscopy. Uchagara pachigaro chine chiridzwa chakaiswa pamberi pako. Iwe unozobvunzwa kuzorora chirebvu chako nehuma pane rutsigiro kuti musoro wako ugare wakadzikama. Iye mupi anoshandisa iyo microscope chikamu chemwenje wekutsemura uye diki lens yakaiswa padhuze nepamberi peziso. Iye mupi anogona kuona zvakafanana nezveiyi nzira sekusajeka indasitiri ophthalmoscopy, asi nekukwirisa kwepamusoro.

Ongororo ye ophthalmoscopy inotora maminetsi mashanu kusvika kugumi.

Yakananga ophthalmoscopy uye yakatemwa-mwenje ophthalmoscopy inowanzoitwa mushure mekuiswa kwemaziso kuti kuwedzere (kuwedzera) vadzidzi. Yakananga ophthalmoscopy uye yakatemwa-mwenje ophthalmoscopy inogona kuitwa pamwe kana pasina mudzidzi akawedzeredzwa.

Iwe unofanirwa kutaurira mupiki wako kana iwe:

• Inogadziriswa kune chero mishonga
• Vari kutora chero mishonga
• Iva neglaucoma kana nhoroondo yemhuri yeglaucoma

Chiedza chakajeka chinenge chisina kugadzikana, asi bvunzo haina kurwadza.

Unogona kuona muchidimbu mifananidzo mushure mekunge mwenje wavhenekera mumaziso ako. Chiedza chinopenya neasina kunangana ophthalmoscopy, saka manzwiro ekuona mushure-mifananidzo anogona kunge ari makuru.

Kumanikidzwa paziso panguva isina kunangana ophthalmoscopy kunogona kunge kusinganzwisisike, asi hakufanirwe kunge kuchirwadza.

Kana eyedrops ikashandiswa, vanogona kuruma zvishoma kana vakaiswa mumaziso. Iwe unogona zvakare kuve neakajairwa isina kujairika mumuromo mako.

Ophthalmoscopy inoitwa sechikamu cheyakajairwa kuongorora kwemuviri kana kukwana.

Inoshandiswa kuona uye kuongorora zviratidzo zvetetinal detachment kana maziso eziso senge glaucoma.

Ophthalmoscopy inogona zvakare kuitwa kana iwe uine zviratidzo kana zviratidzo zvekukwira kweropa, chirwere cheshuga, kana zvimwe zvirwere zvinokanganisa mitsipa yeropa.

Iro retina, tsinga dzeropa, uye dhisiki remawoneki zvinoita kunge zvakajairika.

Mhedzisiro isina kujairika inogona kuoneka pane ophthalmoscopy nechero ipi inotevera mamiriro:

• Utachiona hutachiona hweiyo retina (CMV retinitis)
• Chirwere cheshuga
• Glaucoma
• Kuwedzera kweropa
• Kurasikirwa kwekuratidzira kwakapinza nekuda kwezera-rakabatana macular degeneration
• Melanoma yeziso
• Optic matambudziko etsinga
• Kuparadzaniswa kweiyo yakajeka-inononoka membrane (retina) kumashure kweziso kubva kune ayo anotsigira matanda (retinal misodzi kana danda)

Ophthalmoscopy inoonekwa seye 90% kusvika 95% chaiyo. Iyo inogona kuona ekutanga matanho uye mhedzisiro yezvakawanda zvakakomba zvirwere. Kune mamiriro asingakwanise kuwanikwa neophthalmoscopy, kune mamwe maitiro uye zvishandiso zvinogona kubatsira.

Kana iwe ukatambira madonhwe ekuwedzeredza maziso ako kune ophthalmoscopy, chiratidzo chako chichave chisina kujeka.

• Pfeka magirazi ezuva kuti uchengetedze maziso ako kubva kunezuva, izvo zvinogona kukuvadza maziso ako.
• Ita kuti mumwe munhu akutyaire kumba.
• Iwo madonhwe anowanzo kupera mukati maawa akati wandei.

Muedzo wacho pachawo hauna njodzi. Muzviitiko zvisingawanzoitika, eyedrops anodzora anokonzera:

• Kurwiswa kweglaucoma yakatetepa
• Dzungu
• Kuoma kwemuromo
• Kumhanya
• Kusvotwa uye kurutsa

Kana glaucoma yakatetepa-kona ichifungidzirwa, madonhwe anodhonzwa haawanzoshandiswa.

Funduscopy; Funduscopic bvunzo

• Ziso
• Rutivi rwekutarisa kweziso (cheka chikamu)

Atebara NH, Miller D, Wakareba EH. Zviridzwa zveOphthalmic. Mune: Yanoff M, Duker JS, eds. Ophthalmology. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsiko 2.5.

Bhora JW, Dhayi JE, Flynn JA, Solomon BS, Stewart RW. Maziso. Mune: Bhora JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Nhungamiro yaSeidel kuPhysical Examination. 8th ed. St Louis, MO: Elsevier Mosby; 2015: chits. 11.

Feder RS, Olsen TW, Prum BE Jr, et al. Inonzwisisika yevakuru vekurapa ziso ongororo yakasarudzika tsika maitiro maitiro. Ophthalmology. 2016; 123 (1): 209-236. PMID: 26581558 www.ncbi.nlm.nih.gov/pubmed/26581558.