Chii chinonzi hypertensive retinopathy uye ndezvipi zviratidzo

Zvemukati

• Kupatsanura
• Mhando dzehypertensive retinopathy uye zviratidzo zvakabatana
• 1. Chisingaperi cheBP
• 2. Yakashata hypertensive retinopathy
• Chii chinonzi kuongororwa
• Kurapwa kunoitwa sei

Hypertensive retinopathy inoratidzirwa neboka reshanduko mune fundus, senge retinal artery, tsinga uye tsinga, izvo zvinokonzeresa arterial hypertension. Iyo retina chivakwa chiri kuseri kweziso reziso uye chine basa rekushandura iyo inosimudzira mwenje kuva inosimudzira yekutya, iyo inobvumidza kuona.

Kunyangwe shanduko idzi dzichiitika zvakanyanya muiyo retina, shanduko yechipiri kune arterial hypertension inogonawo kuratidzwa muiyo choroid uye neiyo optic nerve.

Kupatsanura

Nezve hypertensive retinopathy, inosanganisirwa chete neBP, inoiswa muzvidimbu.

• Bhuku 0: hapana kuchinja kwemuviri;
• Giredhi 1: zvine mwero arteriolar kudzikira kunoitika;
• Giredhi 2: yakamisikidzwa arteriolar kudzikira neakanyanya kutadza;
• Giredhi 3: yakafanana neyegiredhi 2, asi iine retinal hemorrhages uye / kana exudates;
• Giredhi 4: zvakafanana negiredhi 3, asi nekuzvimba kweiyo disc.

Mhando dzehypertensive retinopathy uye zviratidzo zvakabatana

Hypertensive retinopathy inogona kunge isingaperi, kana ichibatanidzwa nehutachiona hwehutachiona, kana hutsinye, kana huchibatanidza nehutachiona hwehutachiona hwehutachiona:

1. Chisingaperi cheBP

Iyo inowanzo asymptomatic uye inowoneka kune vanhu vane chirwere cheBP chisingaperi, umo arteriolar kudzikira inoratidzwa, shanduko mune arteriolar reflex, arteriovenous yekuyambuka chiratidzo, umo arteri inopfuura nechokunze kune tsinga. Kunyangwe zvisingawanzo, zviratidzo uye zviratidzo senge retinal hemorrhages, microaneurysms uye zviratidzo zvevascular kuvharirwa dzimwe nguva zvinogona kuoneka.

2. Yakashata hypertensive retinopathy

Malignant hypertensive retinopathy inosanganisirwa nekukwira kamwe-kamwe kweropa, ine systolic yeropa yakakosha kupfuura 200 mmHg uye diastolic yeropa kukoshesa kupfuura 140 mmHg, zvichikonzera matambudziko kwete paziso reziso chete, asiwo pamwoyo. , renal uye cerebral mazinga.

Kusiyana nehutachiona hwehutachiona husingaperi, hunowanzoita asymptomatic, yakaipa hypertensive retinopathy inowanzo kuve nechekuita nemusoro, kusaona zvakanaka, kuona kwakapetwa uye kuoneka kwenzvimbo ine rima muziso. Uye zvakare, shanduko mu pigmentation muziso, macular edema uye neuroepithelial detachment kubva munzvimbo yemacular uye ischemic papillary edema inogona kuitika mune iyi mhando ye retinopathy, ine hemorrhages uye mavara.

Chii chinonzi kuongororwa

Kuongororwa kwehypertensive retinopathy kunoitwa ne fundscopy, kunova kuongorora uko ophthalmologist inokwanisa kucheresa fundus yese yeziso uye zvivakwa zvetina, nerubatsiro rwechigadzirwa chinonzi ophthalmoscope, uye chinangwa chekuona shanduko. munharaunda ino inogona kukuvadza chiratidzo. Ona zvimwe nezve bvunzo iyi.

Fluorescein angiography inogona zvakare kushandiswa, iyo inowanzo kuve inongodiwa mune atypical kesi kana kusabvisa kuongororwa kwezvimwe zvirwere.

Kurapwa kunoitwa sei

Chirwere retinopathy kashoma chinoda kurapwa kwemaziso. Chido chekurapwa kwemaziso chinomuka kana matambudziko akaitika muitina.

Pane zvinopesana, yakaipa maltertensive retinopathy chirwere chekukurumidzira. Mune zviitiko izvi, kudzora kweropa kunofanirwa kuitwa nenzira inoshanda uye inodzorwa, kuitira kudzivirira kukuvara kusingadzoreke. Mushure mekukuvara kwedambudziko rehypertension kwakundwa, chiratidzo chinowanzo goneswa, zvachose kana zvishoma.