Ụkpụrụ oftalmotonometrii arọ. Tonometer Maklakova: ngwa na ngwaọrụ na

The mgbali n'ime anya ese foto kpebisiri ike site dị iche na ike ọsọ nke inflow na outflow nke mmiri mmiri therethrough. Ji adakarị omume ụzọ nke tonometry (nsogbu) na-anọ na-enye tonographic mgbali egosi.

N'ihe nke intraocular mgbali dị ezigbo mkpa maka nchoputa nke glaucoma na-adọ anya na-elekọta ndị ọrịa.

Tonometer Maklakova na oftalmotonometrii

Na anụ ụlọ ophthalmology kasị na-eji ụzọ nke ndị na-abụghị na kọntaktị tonometer na intraocular mgbali n'ihe site Maklakov. Nke ikpeazụ a chọrọ na 1884, na obosara omume wee a obere ka e mesịrị.

Tonometry on Maklakov dị mkpụmkpụ echichi sinker (tonometer) na cornea na inweta mkpisiaka kọntaktị n'elu. Na ya square Setịpụrụ intraocular nsogbu.

Na mgbakwunye na CIS, usoro na ọtụtụ-eji China.

Ocular tonometer Maklakova - zuru ezu na ngwá ngwaọrụ

Tonometer kit na-agụnye:

• abụọ cylindrical sinker ibu 10 g, akp na nsọtụ na ewepụghị ọgwụgwụ ihu;
• Njide maka nha, nke na-n'out oge idozi abụọ sinker;
• 3 Atụ andikara atụmatụ dayameta nke deputa akara ma ọ bụ Prọfesọ B. Polyak;
• ikpe.

Ibu oghere n'ime, nwere ụzọ weighting. Ọgwụgwụ ha na-ebupụta na-mere nke frosted iko, nke na-enye ohere uniformly jide staining ngwọta.

The njide dị mkpa, nke mere na n'oge n'ihe mkpịsị aka na-adịghị ike oké nsogbu na tonometer nke Maklakov.

Olee otú na-arụ ọrụ na tonometer

Tupu ị malite, gị mkpa iji chọpụta ọnọdụ nke tonometer. Mebiri ọgwụgwụ nyiwe ike imebi ike n'ezi ihe nke ọrịa cornea. Ke adianade do, cylinder kwesịrị mfe ije na ọdịiche njide.

Nhazi tonometers Maklakova tupu ojiji mejupụtara na rubbing mmanya pad, mgbe nke ngwá a mịrị amị nke 15-30 sekọnd.

Nwoke ịga ụlọ ọgwụ site esi na 2% mmiri soda 30 nkeji ihe ngwọta na-rụrụ naanị na ikpe nke oke nkpa:

• mgbe na-enyocha ọrịa na ihe ịrịba ama nke mbufụt nke conjunctiva;
• na ikpe nke a egwu egwu ka nkewa nke malitere ịrịa keratoconjunctivitis.

Ebe ọ bụ na tonometer Maklakova na-eri eri, site esi ya na mmiri nwere ike ịbanye. Iji oftalmotonometrii utịp e ekpu n'ihi mgbanwe unit uka ya n'ime awa ma ọ bụ karịa mịrị amị na akpali mmasị dị fere fere.

Agba etinyere jidesie Maklakova tonometer, na-pounded n'ime a ngwakọta nke glycerol na mmiri colloid silver (silver colloidal albumin). Ekwe Omume iji colorants Bismarck-aja aja ma ọ methylene acha anụnụ anụnụ. N'ihi na agba mkpuchi efere iji ink na mpe mpe akwa ma ọ bụ zigara a dobe nke e ji esiji ákwà kwadebere na a iko nkpa-n'aka na mgbe triturated na a owu swab. Nke ikpeazụ usoro bụ odi mfe na okwu nke ntiwapụ nke ọrịa.

Ụzọ nke ọmụmụ intraocular mgbali tonometer Maklakova

Tupu tonometry anya anesthetized ndidi. N'ihi nke a, na conjunctival nwa ugboro abụọ na otu nkeji nke 2 nkeji kụnyere dikaina ngwọta. Ọrịa n'etiti instillation ekpuchi ebi.

Ọzọ, ndị dọkịta ma ọ bụ nọọsụ ga-omume ndị na-esonụ iji:

1. Akuru tonometer Maklakova mmanya, ha na-Fikiere.
2. On saịtị ndị tonometer na-etinyere a mkpa oyi akwa nke agba.
3. Onye ọrịa dinara n'ihe ndina enweghị a ohiri isi, ubé welitere agba, anya idozi na index mkpịsị aka ọ gbatịrị aka elu. The akụkụ nke cornea ga-abụ na otu kehoraizin ọnọdụ.
4. The mkpịsị aka nke otu aka na-eme nchọpụta ịgbasa anya nchawa na mbubere-adịghị etinye nsogbu na nwa anya.
5. Na aka nke ọzọ site na njide si n'elu ala tonometer Maklakova acha ebe na center nke cornea. Sinker kwesịrị kpamkpam ala na ihu ya dum na ibu ibu.
6. Mgbe ahụ ibu ngwa ngwa bulie na-eme ka a akara na akwụkwọ, a gwara mmanya.
7. The ọmụmụ ihe ugboro ugboro n'ihi na nke abụọ anya.
8. The anya nke ọrịa na-asa site na agba saline na kụnyere Albucidum.

N'oge ẹsụhọde nke tonometer na cornea nke agba na kọntaktị ebe-na-asa pụọ na anya mmiri. Ihe echiche bụ a mgbanaka.

Interpretation of pụta oftalmotonometrii Maklakov

The n'obosara nke gburugburu nke ìhè na mpempe akwụkwọ bụ proportional ka ogo abadaba nke cornea n'oge ọmụmụ. Ntem, na elu nsogbu, ndị na-erughị ink ga-ewepụ na, ya, obere ìhè nke ebe mkpisiaka.

Uzo onye na-achị tụrụ n'obosara ìhè mpaghara. The na-eme nchọpụta ga-edebe ya akpịrịkpa ala zere distortion. Results inyocha binocular magnifier. Etinyere akara ọnụ ọgụgụ na-enye ohere nyefe ozugbo ịkpata millimeters nke mercury.

Mgbe odomo nkịtị akara (0,1 mm), nrụgide ruru na gbakọọ ka ruru nke arọ nke tonometer: mkpisiaka okirikiri há nhata site na ọnụ ọgụgụ nke "Pi" na site kpọmkwem arọ nke mercury (13.6).

Nkịtị intraocular mgbali site Maklakov bụ 18-26 mm HG nso. Art.

Emeli na atụmatụ nke usoro

Ọ bụghị na-atụ aro maka ojiji tonometry on Maklakov na-esonụ mgbe:

• mgbe emume ịwa ahụ na nwa anya;
• adịghị anabata ihe mgbochi ụfụ;
• na mbufụt nke anya na akpukpọ.

Maklakova Tonometer na nwa anya nwere a mgbali dị ukwuu karịa na na ụzọ ndị ọzọ, karị, n'ihi na ọnụego Nkea na a nnukwu ụzọ. N'ihi na ha tụnyere, nkịtị ocular mgbali Goldmann bụ 9-21 mm HG. Art. Ya mere, a tụnyere nke pụta nwetara site ụzọ dị iche iche, ga-ziri ezi.