Sample Schirmer: izalathiso, ubuchule yokusebenza, iziphumo

test ndlela, nto leyo eza kuxoxwa, abizwa imbeko zamehlo, nto yenzelwe - Otto Schirmer. Le kulingwa limisela umgangatho secreted ulwelo iinyembezi, izinga kulondolozo ukufuma bobume kwenwebu.

Iimpawu kunye Izimo

test Schirmer xa lisetyenziswa kurhanelwa yokuba:

• ukudumba kwenwebu ye conjunctiva;
• syndrome of "iliso owomileyo";
• syndrome Sjögren (a esingapheliyo, ilahleko okuqhubekayo kwizicwili ochaphazela amadlala ezivelisa netuwa zangaphandle - namathe akuyichazi);
• ukuphazamiseka slezoobrazovaniya ngenxa abafumana amalungiselelo zonyango.

Phuhlisa syndrome 'yeso owomileyo' inokuba eziliqela yezizathu:

1. Emzimbeni.
2. isigulane Elderly.
3. Conjunctivitis okanye ezinye izifo zamehlo.
4. IVitamin A okubangelwa (Ukungabikho vitamin A).
5. Liva esweni.
6. ingxaki Postoperative okanye ngokusisigxina emva kokuba ulungiso laser umbono.
7. Ngoko-ebizwa syndrome lesibini, esizibonakalisa isifo samathambo, wegazi, lymphoma.

test Schirmer likaThixo contraindicated ku:

• perforations (zitshintsha) lweliso lakho;
• fistula;
• isilonda kwenwebu ekuphuhliseni umaleko;
• ukhukuliseko isikali le corneum ezinawo.

Iindlela test

iziqwengana Test for isampuli Schirmer - a ecociweyo ubungakanani ekhethekileyo Umgangatho bephepha: 5 mm ububanzi ne-35 mm ubude. Sehla 5 mm ukusuka zephetshana kwikona kubonisiwe, zamehlo ujika engile yayo degrees 45, kwaye zehlisa ukuba ijwabu esezantsi isigulane, ugxininise inxenye phakathi sangaphandle indawo ephakathi. Kubalulekile ngexesha nkqubo ayikho buhlungu i inwebu.

Ngokutsho kwezinye iindlela isigulana ngexesha inkqubo ukuvala amehlo, kwelinye - ukukhangela phambili kwaye phezulu kancinci. Abasa kwigumbi kufuneka malibe lelokuphumza - hayi buthuntu kwaye eliqaqambileyo kakhulu.

Schirmer test kuthatha malunga nemizuzu emihlanu. Ngeli xesha, oonotsheluza iphepha ukufunxa prekornealnuyu umboniso ukukrazuka kunye komisa echibini lacrimal.

Types of iindlela zovavanyo

Sample Schirmer olwenziwe ngeendlela ezimbini:

1. Ukubonakalisa ukusetyenziswa Ukubulawa yasekuhlaleni. angakwazi iintlungu nongeza ukukhululwa reflex carcinomas angazikrazuli fluid iphepha inkanuko. Emva instillation of lokudoma fornix esezantsi conjunctiva womisa ukuba uwise ichiza agqithisileyo singaxubeki kulwelo lacrimal, ukuze kwandiswe umthamo wayo.
2. Ngaphandle ukusetyenziswa arhente iintlungu. Loo uvavanyo ophthalmologists elandelayo ingqalelo echanileyo ngakumbi kuba ishenxisa ukuxuba iinyembezi kunye neziyobisi elawulwa, ibonisa kuphela japan "uhlambulukile". Olu hlobo sample ungachazwa zokufumanis uphawu 'iliso owomileyo ".

Kwakhona test Schirmer kaThixo wohlukana I and II. Le yokuqala ikhutshwa phandle usebenzisa iziqwenga uvavanyo kukudibana na indlela utshilo. Uhlobo lwesibini inceda ukuphonononga sisixa reflex (yokusabela kwizinto) netuwa lacrimal. Wayeqhuba ngokufanayo, kodwa kukhuthaza ukukhululwa zamehlo lacrimal secretion ngokuvuselela amarhanana zesifundo kunye kwasala cotton.

Isampula Schirmer: nanjengokwesimo kwaye ukutenxa

Kwiimeko kakhulu, syndrome 'yeso owomileyo "ukusebenza uvavanyo strip ibe kwinqanaba zero. Ummiselo yenzelwe amanani abancinane nomonde abantu mikhulu kwe-15 mm. Ukuba enzala asezantsi - ngoko ke examinee uphethwe uhlobo 'iliso owomileyo "syndrome:

• 14-9 mm - kancinane Umahluko ingcinezelo ulwabiwo lachrymal secretion;
• 8-4 mm --avareji inqanaba yophuhliso syndrome;
• ngaphantsi kwe-4 mm - iintlobo kakhulu le onaso nokoma kwenwebu.

lusebenze: 10-30 mm. Ukuba ubudala yomguli kwiminyaka engaphezu kwama-60, umlinganiselo lovavanyo strip ngaphantsi kwe-10 mm ziya kuqwalaselwa iqhelekile kuye, kunjalo, bakholisa ukuba kiswano akazange ukuba.

ISithethe isampula II, ligqiba iinyembezi reflex ulwabiwo mali, hayi ngaphantsi kwe-15 mm. Ebalulekileyo ukuze zombini iindidi zeesampuli zithathwa neeyantlukwano iziphumo zovavanyo ze ngeembadada amehlo ngaphezu kwe-27%.

exilongiwe emva iimvavanyo Schirmer:

• iimviwo noqhoqhoqho isibane;
• rose ibala Bengal okanye flyuores-inja;
• Uphando ukufumana ixesha lokuphumla iinyembezi film komsipha.

Sample Schirmer - lula kwaye fast, indlela ephumelelayo moshilongo yokuqala onaso 'yeso owomileyo "kunye nembonakalo efanayo kuye, izifo ezichaphazela ulwabiwo secretion lachrymal. Uvavanyo kunceda zamehlo ngokukhawuleza ukuqinisekisa inqanaba secreted ulwelo iinyembezi (Basal, reflex) kwaye iitotali zazo kwi enyamezela uviwo.