Kodi hypertensive retinopathy ndi ziti ndipo zizindikiro zake ndi ziti?

Zamkati

• Gulu
• Mitundu ya hypertensive retinopathy ndi zizindikiro zina
• 1. Matenda a hypertensive retinopathy
• 2. Matenda oopsa otsegula m'mimba
• Kodi matendawa ndi ati?
• Momwe mankhwalawa amachitikira

Matenda a hypertensive amadziwika ndi gulu la kusintha kwa fundus, monga mitsempha ya m'mimba, mitsempha ndi mitsempha, yomwe imayambitsidwa ndi matenda oopsa. Diso ndi kapangidwe kamene kamakhala kumbuyo kwa diso ndipo kumakhala ndi ntchito yosintha kuyatsa kwamphamvu kukhala chidwi chamanjenje, chomwe chimalola masomphenya.

Ngakhale kusinthaku kumachitika makamaka mu diso, kusintha kwachiwiri mpaka kwamitsempha yamagazi kumawonekeranso mu choroid ndi mitsempha yamawonedwe.

Gulu

Pankhani ya hypertensive retinopathy, yomwe imangogwirizana ndi matenda oopsa, imagawidwa m'madigiri:

• Gulu 0: palibe kusintha kwakuthupi;
• Kalasi 1: kuchepa pang'ono kwa arteriolar kumachitika;
• Gawo 2: kutsekemera kwa arteriolar kuchepetsedwa ndi zovuta zina;
• Gulu 3: chimodzimodzi ndi grade 2, koma ndimataya a magazi m'maso ndi / kapena exudates;
• Kalasi 4: chimodzimodzi ndi kalasi 3, koma ndi kutupa kwa disc.

Mitundu ya hypertensive retinopathy ndi zizindikiro zina

Matenda opatsirana kwambiri amatha kukhala aakulu, ngati akuphatikizidwa ndi matenda oopsa, kapena oopsa, ngati ali ndi matenda oopsa kwambiri:

1. Matenda a hypertensive retinopathy

Nthawi zambiri imakhala yopanda tanthauzo ndipo imawonekera mwa anthu omwe ali ndi matenda oopsa kwambiri, momwe kuwonekera kwa arteriolar kumawonekera, kusintha kwa arteriolar reflex, chizindikiro chowoloka cham'mimba, momwe mtsempha wamagazi umadutsira kutsogolo kwa mtsempha. Ngakhale ndizosowa, zizindikilo monga kuwonongeka kwa magazi m'mitsempha, ma microaneurysms ndi zizindikilo za kutsekeka kwa mitsempha nthawi zina zimawonekera.

2. Matenda oopsa otsegula m'mimba

Matenda oopsa omwe amabwera chifukwa cha kuthamanga kwa magazi kumayambitsidwa ndi kuthamanga kwa magazi, komwe kumatulutsa magazi mopitirira 200 mmHg ndi kuthamanga kwa magazi kwa diastolic kuposa 140 mmHg, kumayambitsa mavuto osati pamaso okha, komanso pamtima , aimpso ndi ubongo.

Mosiyana ndi matenda a hypertensive retinopathy, omwe nthawi zambiri amakhala opanda ziwalo, kuwonongeka kwa magazi nthawi zambiri kumalumikizidwa ndi mutu, kusawona bwino, masomphenya awiriawiri komanso mawonekedwe amdima m'maso. Kuphatikiza apo, kusintha kwa pigment mu diso, macular edema ndi neuroepithelial detachment ochokera kudera la macular ndi ischemic papillary edema kumatha kuchitika mu retinopathy yamtunduwu, ndimatenda a magazi ndi mawanga.

Kodi matendawa ndi ati?

Matenda a hypertensive retinopathy amapangidwa ndi fundscopy, komwe ndikuwunika komwe ophthalmologist amatha kuwona fundus yonse ya diso ndi mawonekedwe a diso, mothandizidwa ndi chida chotchedwa ophthalmoscope, ndipo cholinga chake ndikuwona kusintha m'dera lino lomwe lingavulaze masomphenyawo. Onani zambiri zamayesowa.

Fluorescein angiography itha kugwiritsidwanso ntchito, yomwe nthawi zambiri imakhala yofunikira pazochitika zoyipa kapena kupatula matenda ena.

Momwe mankhwalawa amachitikira

Matenda opatsirana pogonana samasowa chithandizo chamaso. Kufunika kwa chithandizo cha ophthalmic kumachitika pakakhala zovuta mu diso.

M'malo mwake, matenda opatsirana oopsa kwambiri ndi azachipatala. Zikatero, kuthamanga kwa magazi kuyenera kuchitidwa moyenera komanso moyenera, kuti tipewe kuvulala kosasinthika. Vuto loopsa la matenda oopsa litatha, masomphenyawo amachira, kwathunthu kapena pang'ono.