Samfurin Schirmer: alamomi, dabara na yi, sakamakon

Test hanya, wanda da za a tattauna, an mai suna a cikin girmamawa da wani ophthalmologist, an tsara - Otto Schirmer. Wannan kima kayyade matakin na secreted hawaye ruwa, da mataki na zafi kula da corneal surface.

Alamomi da kuma contraindications

Schirmer ta gwajin ne amfani ne da ake zargi na da ciwon:

• Corneal kumburi da conjunctiva.
• ciwo na "bushe ido".
• Sjögren ta ciwo (a kullum, m asarar connective nama cewa rinjayar da gland da cewa samar da waje secretions - yau da hawaye).
• cuta saboda slezoobrazovaniya samun likita shirye-shirye.

Samar da wani ciwo na "bushe ido" na iya zama da dama dalilai:

1. Dehydration.
2. Tsofaffi haƙuri.
3. Conjunctivitis ko wasu ido cututtuka.
4. Vitamin A rashi (rashin bitamin A).
5. Ƙaya a ido.
6. Postoperative ko m wahala bayan Laser wahayi gyara.
7. Saboda haka abin da ake kira secondary ciwo, wanda bayyana kanta a rheumatoid amosanin gabbai, sankarar bargo, lymphoma.

Schirmer ta gwajin da aka contraindicated a cikin:

• perforations (reshaping) na eyeball.
• fitsari.
• corneal miki tasowa Layer.
• sikelin yashewa na sashen dutsen corneum.

Hanyoyin da gwajin

Test tube ga samfurin Schirmer - musamman tace misali takarda size: 5 mm a fadi da 35 mm a tsawon. Da fatar 5 mm daga gefen tsiri nuna, ophthalmologist jũya ta kwana na 45 digiri, kuma lowers ga ƙananan fatar ido na haƙuri, mayar da hankali a kan sashi tsakanin m da kuma tsakiyar part. Yana da muhimmanci a lokacin hanya ba ciwo da cornea.

A cewar wasu hanyoyin da mãsu haƙuri a lokacin hanya don rufe idanu, a kan wasu - don duba gaba da kuma dan kadan zuwa sama. Lighting a cikin dakin ya zama dadi - ba maras ban sha'awa da kuma ba sosai mai haske.

Schirmer gwajin daukan game da minti biyar. A wannan lokaci, da takarda tube sha da hawaye film prekornealnuyu da danshi daga lacrimal lake.

Nau'in na gwajin dabaru

Samfurin Schirmer gudanar a hanyoyi biyu:

1. Tare da yin amfani da maganin sa barci. M hana ƙara wa muhimmi saki reflex yaga ruwa zuwa ruri takarda. Bayan instillation na gida m ƙananan fornix na conjunctiva bushe don sauke haddi miyagun ƙwayoyi ba a gauraye da lacrimal ruwa, game da shi kara ta girma.
2. Ba tare da yin amfani da m jamiái. Irin wannan gwajin da aka gaba ophthalmologists dauke mafi m saboda yana gusar da hadawa da hawaye da kuma miyagun ƙwayoyi gudanar, ya nuna kawai "tsabta" sakamakon. Wannan irin samfurin ne halin a diagnosing da alama "bushe ido".

Har ila yau Schirmer ta gwajin da aka raba cikin I da na II. A farko ne da za'ayi amfani da gwajin tube ta lamba na ce hanya. Nau'i na biyu taimaka wajen gano ne adadin reflex (dauki ga samuwar kasashe) lacrimal secretions. Ya gudanar kamar wancan ne, amma shi stimulates saki ophthalmologist lacrimal mugunya ta haramta motsa hanci sassa na magana da auduga swab.

Samfurin Schirmer: kullum da kuma sabawa

A tsanani lokuta, da ciwo na "bushe ido" yi a kan gwajin tsiri iya zama a wani matakin na sifili. A kullum ne na ƙaramin haƙuri yawan Figures ne mafi girma daga 15 mm. Idan rates ne m - sa'an nan da examinee shan wahala daga irin "bushe ido" ciwo:

• 14-9 mm - kadan bambancin danniya kasafi lachrymal mugunya.
• 8-4 mm - da talakawan matakin na ci gaba da ciwo.
• kasa da 4 mm - m siffofin da ciwo corneal rashin ruwa.

Mafi kyau duka yi: 10-30 mm. Idan haƙuri da shekaru fiye da 60 shekaru, da kudi da gwajin tsiri kasa da 10 mm za a yi la'akari da kullum da shi, duk da haka, ayan ba kome ya ba dole.

Na kullum ga samfurin II, kayyade kasafi adadin reflex hawaye, ba kasa da 15 mm. Muhimmanci duka biyu iri daban-daban na samfurori an dauke su da bambance-bambance na gwajin results for idãnu biyu ta fiye da 27%.

M lifiya bayan gwaje-gwaje Schirmer:

• jarrabawa tsaguwa fitilar.
• ya tashi Bengal tabo ko flyuores-kare.
• Bincike a gano wani lokaci tazara hawaye film katsewa.

Samfurin Schirmer - sauki da kuma sauri, inganci hanya na farko ganewar asali na ciwo na "bushe ido" da kuma irin wannan maganganu masa, cututtuka da shafi da kasafi na lachrymal mugunya. A gwajin taimaka ophthalmologist sauri sanin matakin na secreted hawaye ruwa (muhimmi, reflex) da su TOTALS a cikin haƙuri a karkashin jarrabawa.