Sampole Schirmer: matšoao, mokhoa oa tshebetso, liphetho

Teko mokhoa, eo e tla tšohloa, e mong ea bitsoang ho tlotla ophthalmologist e, ho e reretsoe - Otto Schirmer. thlahlobo ena rerang boemo ba secreted mokelikeli eohle, tekanyo ea ho mongobo boloka holim corneal.

Ho bonahala le contraindications

teko Schirmer e sebelisoa e belaela ea ho ba le:

• Corneal ruruha conjunctiva ea;
• lefu la "leihlo omileng";
• lefu Sjögren ya (a sa foleng, e tsoelang pele ho lahleheloa ke dinama tse nyenyane tse connective e tsamaelanang le litsoelesa tse hlahisang maro Link - mathe le meokho eohle);
• mafu a loketseng slezoobrazovaniya fumana litokisetso tsa bongaka.

Hlahisa lefu la "leihlo omileng" e ka 'na mabaka a' maloa:

1. Dehydration.
2. Batho ba hōlileng ba le mamello.
3. Conjunctivitis kapa tšoaetso ea ba bang leihlo.
4. Vithamine A khaello (ho hloka oa vithamine ea A).
5. Moutloa leihlo.
6. Postoperative kapa ka ho sa feleng complication mora khalemelo tham mong bang laser Pono.
7. Seo ho thoeng ke lefu mahareng, e bontša ka boeona e ka ramatiki e ruruhisang, kankere ea mali, lymphoma.

teko Schirmer e contraindicated ka se:

• masoba (reshaping) ea leihlo la ka;
• fistula;
• corneal seso ntshetsa pele lera;
• khoholeho ea mobu tekanyo e sa stratum corneum.

Mekhoa ea teko

hlobolisa teko bakeng sa sampole Schirmer - e khethehileng e tlhotliloeng tekanyetso pampiri size: 5 limilimithara ka bophara le ho limilimithara tse 35 ka bolelele. Hata 5 limilimithara ho tloha moeling hlobolisa bontšitse, ophthalmologist fellang kateng angle lona tsa likhato 45, 'me lowers bakeng sa eyelid ka tlaase ea mokuli, ho lebisa tlhokomelo karolong ea pakeng tsa ka ntle' me karolo e mahareng. Ho bohlokoa nakong Tsamaiso ea ha e utloisa bohloko le cornea.

Ho ea ka ba bang mekhoa mokuli nakong Tsamaiso ho koala mahlo a ka, ka tse ling tse - ho sheba pele le hanyenyane holimo. Bonesa ka kamoreng e lokela ho ba phutholohile - se lerootho 'me a sa e khanyang haholo.

Schirmer teko nka tse ka bang hlano metsotso. Nakong ena, le pampiri hlobolisa monya eohle filimi prekornealnuyu le mongobo ho tswa ho letšeng lacrimal.

Mefuta ea mekhoa teko

Sampole Schirmer khanna ka litsela tse peli:

1. Le ho sebelisa ha thethebatso moo. Thethefatsa kgetholle phaella ka ho re ho ea basal ho lokolloa reflex tabola mokelikeli ho pampiri tlhotlheletso. Mora instillation tsa thethefatsa ea moo ka tlaase fornix tsa conjunctiva le omisitsoeng hore le tlohele lithethefatsi feteletseng e sa tsoakane le mokelikeli lacrimal, ka tsela eo e ntseng e eketseha molumo.
2. Ntle le ho sebelisa mahlahana a thethefatsa. Joalo teko ya e ophthalmologists latelang nkoa nepahetseng haholoanyane hobane e felisa ka ho tsoaka oa meokho le lithethefatsi laolwa, e bontša feela "hloekileng" lebaka. mofuta ona wa sampole e tšoauoa ka diagnosing le letšoao "omileng leihlo".

Hape teko Schirmer e aroha 'na le II. Pele e etsoa sebedisa hlobolisa teko ke ka ikopanya le tsa mokhoa buileng. The mofuta bobeli thusa ho hlahloba ke palo ea reflex (itsoara joang ho susumetsa ba bang) lacrimal maro. O khanna ka tsela e tšoanang, empa ho di hlohleletsago ho lokolloa ophthalmologist lacrimal secretion ke Stimulating litemana nasal la ka taba ena le swab k'hothone.

Latsoa Schirmer: ntho e tloaelehileng le ho kheloha

Maemong a matla, ka lefu la "omileng leihlo" tshebetso ka teko hlobolisa e ka be e le boemong ba lefela. Le ntho e tloaelehileng ke ea e monyenyane lipalo mamello baahi ba moholo ho feta 15 limilimithara. Ha ditefello tse ka tlaase - ka nako eo ho examinee le bothata ba ho mofuta o mong oa "omileng leihlo" lefu:

• 14-9 limilimithara - hanyenyane phetoho hatelloang kabo lachrymal secretion;
• 8-4 limilimithara - boemo karolelano ea ntshetsopele ya lefu ka;
• ka tlase ho 4 limilimithara - liforomo tse matla tsa lefu corneal omile.

Homolog tshebetso: 10-30 limilimithara. Ha lilemo mokuli a lilemo tse fetang 60, tekanyo ea ho hlobolisa teko ka tlase ho 10 limilimithara tla nkoa e le ntho e tloaelehileng bakeng sa hae, leha ho le joalo, ba atisa ho lefela ha aa ka a tlameha ho.

Norm bakeng sampole II, ea etsang qeto kabo chelete reflex meokho, seng ka tlase ho 15 limilimithara. Bohlokoa bakeng sa mefuta bobeli disampole ba nkoa e le ho se tšoane ba le liphello tse teko ka para ea mahlo ke ho feta 27%.

Morago ga moo e fumanoe ka mor'a liteko Schirmer:

• tlhlahlobo slit lebone;
• ema Bengal letheba kapa flyuores-ntja;
• Lipatlisiso ka fumana nako e karohano eohle filimi otlile.

Sampole Schirmer - le bonolo le e ka tieo, e atlehang mokhoa bakeng sa fumanoe ea pele ea ho lefu la "leihlo omileng" le lipoleloana tse tšoanang ho eena, mafu a amang le kabo ea secretion lachrymal. Teko thusa ophthalmologist potlako beha boemo ba secreted eohle mokelikeli (basal, reflex) le dipalogotlhe bona ka mamello tlas'a hlahloba.