Nzira yekugadzirisa sei kufambira mberi kwemyopia kuvana

Myopia pamusana pekuonekwa kwaro kusina kusimba mumagetsi e-opne we-cornea anteroposterior ukuru hweziso reziso. Zvose zvinowanzoonekwa mumaziso nepamusoro-soro, zvakanyanya kugadzirisa cornea uye zvakajairika, kana kunyange kutapudzwa kwemaziso, kana mumaziso asingaverengeki maziso. Mhando yekutanga ye myopia inowanzobatanidzwa nehutachiona hunotaridzika hwehupenyu hwekodeni uye ziso.

Uye zvinopesana nemaonero akakosha emeso maziso mumaziso evanhu ava madiki uye ane ruvara rukuru rwekuputika kwekonoa. Kazhinji, kukanganisa kwakadaro kunowanikwa munhengo dzepedyo dzemurwere, sezvo kazhinji inoparidzirwa kuburikidza nemotokari yakakura. Idzi vana vanozivikanwa nechepamusoro-soro maziso anooneka munzvimbo iri kunze kwegirazi, kunyange ne-high-degree myopia. Tsanangudzo pamusoro pechirwere ichi uye kufambira mberi kwayo - mune imwe nyaya pamusoro pehurukuro inoti "Ungadzivisa sei kufambira mberi kwemyopia kuvana."

Kazhinji kacho, vabereki vanocherechedza kuti mwana anotarisa mifananidzo kana matoyi, pedyo zvikuru nemeso avo, uye izvi zvinokonzerwa nekusvika pane imwe pfungwa yezvakaratidzwa zvakajeka. Pamusoro pemari, sezvinotonga, hapana maitiro ehutano hwehutano hwemaziso e-eye-myopic crescent, iyo koni kubva kune imwe nzvimbo yechipfupa chet optic nerve disk kana kunyange staphyloma inopoteredza. Hakuchina kupera kwemazamu eziso, apo midziyo mikuru yekrishoni inowanikwa kuburikidza nehutanda hwakatambanudzwa hwee pigment epithelium. Uyezve, hapana zviratidzo zvekuoma kwakaoma kwemyopia nechinoshandiswa munharaunda ye macular, kuponda kwe retina uye dystrophy kumativi ose. Muvana vezera rechikoro, kana kune myopia inofambira mberi, shanduko dzakadaro, somuenzaniso, dzakapoteredza optic nerve disc, inogona kunge iri, asi haibvumirane zvakasimba nechiyero chemyopia. Ophthalmometry icharatidza kuderera mumharayasi yekuputika kwe-cornea uye kuwedzerwa kwesimba rayo rekuenzanisa kana zvichienzaniswa nehuwandu hwemakore. Ultrasound kuongororwa icharatidza kuti ukuru kweziso PZO inofananidzwa nezera kana kunyange zvishoma. Zvinonyanya kukosha kuita bhiometric eziso muma ndege maviri: yakananga uye sagittal. Ne myopia, ziso rinochengetedza chimiro chinonzi ellipsoidal, chimiro chechirwere chine utano, sekunge chakave chakanyatsosimbiswa chigadziko cheziso. Nokudaro, mumeso ane hutano, horizontal axis ichave yakakura. Ihwo hukama hwakadaro hunowanikwa kune myopia. Rational optical kururamiswa kwemaziso evana vakadaro kunokurudzira kugadzikana kwekudzivisa uye hakudi chero chimwe chekuwedzera kurapwa kana kurapwa.

Kunyanya kukosha ndeyekuongorora kwe ultrasound kwechipiri chemyopia, zvichienderana nekukura kukuru kweziso reziso. Izvo zvinowanzoitirwa iyo sekuwedzera kwehurefu hweanteroposterior uye yakanyatsotarisa tsanangudzo yeziso. Uye nekuda kwemairiro ellipsoidal, ukuru hwechipiri kune imwewo yakakura. Zvinosuruvarisa, uye izvi zvakasiyana-siyana zvemyopia, kuwedzera kusingaenzaniswi mumamiriro eziso reziso kunogona kunge kwakakonzerwa kwete kungozvarwa chete, asiwo kune zvakagadzirwa ne-intrauterine zvinotungamirira mukuvhiringidzika pakuumbwa kweziso reziso. Muzviitiko zvakasiyana-siyana, zvinogona kuva utachiona hwomukomana hwekuberekwa, kudhakwa kwe fetus. Zviratidzo zvaro dzimwe nguva zvinowanikwa muchimiro chekare chinyorwa chorioretinal foci kana chisingaoneki chichena cheputi pane imwe nzvimbo ye retina. Zvinotendwa kuti pane izvi zviitiko zvinogona kuve nekuderera kwepamusoro pekuona maitiro nekururamisa, anonzi "amblyopia" (kazhinji asingatenderwi kurapwa). Mune varwere vane maziso asingaverengeki maziso makuru, chimiro chekuzvidzivirira chinodhaka chinowanzoonekwa, chinowanzokonzera kukura kwemyopia yakaoma. Zvakajeka kuti nzira chete yekugadzirisa vakadai vane myopia inonzwisisika kururamiswa nemagalasi asina kunaka kana kuti mavara lens (ane myopia yepamusoro) kuitira kudzivirira amblyopia uye kufambira mberi kwemyopia. Zvakakosha kusimbisa kuti ne myopia yevanopfuura 2 D, vanachiremba vakawanda vanomiririra kuvharwa kwekushandisa kwekugadzirisa zvishandiso pavanenge vachiita basa pedyo nepamusoro. Izvi zvinobatsira kudzivisa kuwedzera kwekutenderera kunobatanidza nekusungirirwa kwekuvhara kwemaziso akadaro, kunodzivirira kushaya simba kwekugara uye kufambira mberi kwemyopia. Zvechokwadi, munzvimbo yakamira ye myopia, vana ava havadi chero upiyona hwekuoma-kuoma. Zvinosuruvarisa, kusagadzirisa kwekuona kwemaonero uye zvakanyanya kutarisa zvinogona kukanganisa kufambira mberi kwemyopia. Uye nokukurumidza zvinoitika, iyo inowedzera yakaipa iyo uye inogona kutungamirira kune myopia yakaoma. Muzviitiko izvi zvakakosha kuita chirongwa chinangwa chekusimudzira kushandiswa kwekubvisa myopia inofambira mberi.

Mushure memakore mashanu neine myopia yakagadzikana, mibvunzo yekugadziriswa kwechiratidzo inogona kukurukurwa. Uye mhando yekutanga ye myopia inenge iga yega yepathogenetic orientation yemabasa keratorefrakion. Kunyanya, eximer laser correction, apo "chaiye" cornea inonyatsoparadzwa mukugadzirwa kwemyopia. Iye zvino tinoziva kuti tingamisa sei kufambira mberi kwemyopia kuvana.