Icyo Trypan Blue (Uburyo bwo mu jisho): Ibikoreshwa, Urugero rwo Gukoresha, Ingaruka, n'ibindi

Trypan blue ni irangi ryihariye ry'ubururu abaganga babaga amaso bakoresha mu gihe cyo kubaga amaso kugira ngo bibafashe kureba neza ibice byoroheje. Iri rangi rya muganga rikora nk'ikintu cyerekana ibintu byoroheje, rikagaragaza by'agateganyo imyenda yoroheje mu jisho ryawe kugira ngo umuganga abashe gukora neza kandi mu buryo bwizewe.

Niba umuganga wawe yaravuze ko azakoresha trypan blue mu gihe cyo kubaga amaso yawe, birashoboka ko wibaza icyo ibyo bivuze kuri wowe. Reka tugende mu bintu byose ukeneye kumenya kuri iki gikoresho cy'ubuvuzi gifasha mu buryo bworoshye kandi butanga icyizere.

Trypan Blue ni iki?

Trypan blue ni irangi ry'ubururu ryemewe kandi ryizewe na FDA ryagenewe gukoreshwa mu jisho mu gihe cyo kubaga. Tekereza nk'ikimenyetso cy'agateganyo gifasha umuganga wawe kureba imyenda yari kuba itagaragara ku jisho risanzwe.

Iri rangi rimaze imyaka myinshi rikoreshwa mu kubaga amaso kandi rifitanye isano n'ibintu byitwa amarangi y'ingenzi. Ijambo "ingenzi" aha risobanura ko rishobora gukorana neza n'imyenda nzima ritabangamiye. Umuganga wawe aterera urugero ruto rw'uyu muti w'ubururu mu jisho ryawe mu gihe cyo kubaga.

Iri rangi rikora rivanga ibice bimwe na bimwe by'umubiri w'ijisho ryawe, cyane cyane igice gikikije uruhu rwawe rwemewe. Iyi ngaruka yo kuvanga ni iy'agateganyo kandi irashira rwose uko ijisho ryawe risanzwe ritunganya kandi rikavana irangi.

Trypan Blue ikoreshwa mu iki?

Abaganga babaga amaso bakoresha cyane trypan blue mu gihe cyo kubaga indwara ya cataract kugira ngo bakore uruhu rwa lens rugaragara cyane. Uruhu rwa lens ni uruhu rworoshye cyane, rugaragara neza rukikije uruhu rwawe rwemewe, kandi birashobora kuba bigoye cyane kubona mu gihe cyo kubaga.

Mugihe cyo kubaga ijisho ryatewe n'ibicu, umuganga ubaga akeneye gukora umwobo uzengurutse neza muri iyi capsule kugirango akuremo uruhu ruzuye ibicu. Hatabayeho trypan blue, aka gace gashobora kuba katagaragara, cyane cyane niba ufite ijisho ryatewe n'ibicu ryuzuye cyangwa ryashaje cyane bituma kubona bigorana.

Iyi rangi ifasha cyane mu bihe byihariye. Niba ufite ijisho ryatewe n'ibicu ryera cyangwa ryuzuye cyane, urumuri rusanzwe rufasha abaganga kubona capsule rushobora kutaboneka. Kimwe niba ufite indwara zimwe na zimwe z'amaso zigira ingaruka ku mucyo wa korone yawe cyangwa niba warabazwe mu maso mbere, trypan blue irashobora gutanga ubushobozi bwo kubona umuganga wawe akeneye.

Abaganga bamwe kandi bakoresha trypan blue mu zindi nzira zoroheje zo kubaga ijisho, nko kubaga vitreoretinal, aho kugaragaza neza imiterere yoroheje ni ngombwa kugirango ibisubizo bigerweho neza.

Trypan Blue ikora ite?

Trypan blue ikora muguhuza no gusiga amabara mu buryo bwihariye mu maso yawe, cyane cyane imiterere yuzuye collagen nka capsule y'uruhu. Iyo iyi rangi igeze kuri iyi miterere, itanga ibara ryihariye ry'ubururu rituma bigaragara neza ku bindi bice.

Ibi bifatwa nk'inzira yoroheje yo kunoza imikorere yo kubaga. Iyi rangi ntihindura imiterere cyangwa imikorere y'ibice by'amaso yawe - itanga gusa ibara ry'agateganyo rifasha umuganga wawe gukora neza kandi neza.

Ingaruka zo gusiga amabara mubisanzwe zimara igihe gihagije kugirango inzira yo kubaga irangire. Inzira zisanzwe z'ijisho ryawe zikuraho buhoro buhoro iyi rangi muminsi n'ibyumweru bikurikira. Abarwayi benshi ntibabona ibara ry'ubururu rirambye mu iyerekwa ryabo nyuma yo kubagwa.

Ubwiza bukoreshwa mugukora mu maso butegurwa neza kugirango butange amabara meza mugihe cyose cyo kugumana umutekano wuzuye kubice by'amaso yawe. Ibi bituma trypan blue iba igikoresho cyizewe kandi giteganywa abaganga bashobora kwishingikiriza mugihe cyinzira zoroheje.

Nkwiriye Gufata Trypan Blue Nte?

Ntuzagomba kwifata trypan blue ubwawe – uyu muti utangwa gusa n'abaganga babaga amaso mugihe cyo kubaga. Irangi riterwa mu jisho ryawe hakoreshejwe uburyo bwihariye bwo kubaga n'ibikoresho.

Mbere yo kubagwa, ijisho ryawe rizagabanyirizwa ububabare hakoreshejwe amavuta yo mu maso kugirango wumve neza. Muganga wawe azakoresha urushinge ruto cyane cyangwa cannula atere umubare muto wa trypan blue mu mwanya ukwiye mu jisho ryawe.

Uburyo bwo gutera inshinge mubisanzwe burihuta kandi ntibubabaza bitewe n'umuti ugabanya ububabare. Ushobora kubona umwanya muto wo kuremererwa cyangwa kuzura mu jisho ryawe, ariko ibi birashira vuba. Umubare w'irangi ukoreshwa upimwa neza kandi uhagarariye umubare muto cyane.

Nyuma yo gutera urushinge, muganga wawe mubisanzwe azategereza umunota umwe cyangwa ibiri kugirango irangi ryose ribashe kwandura neza imyenda yagenewe mbere yo gukomeza n'intambwe nyamukuru zo kubaga. Iki gihe gito cyo gutegereza gituma habaho imbonerahamwe nziza mugihe cyose cyo kubaga.

Nkwiriye Gufata Trypan Blue Igihe Kingana Gite?

Trypan blue ikoreshwa rimwe gusa mugihe cyo kubaga – nta kuvura bikomeje cyangwa doze zisubirwamo zisabwa. Irangi ritanga akamaro karyo mugihe cyo kubaga ubwacyo hanyuma rigashira buhoro buhoro mu jisho ryawe mu buryo busanzwe.

Ingaruka nyazo zo kwandura zimara igihe gihagije kugirango muganga wawe arangize intambwe zikenewe zo kubaga, mubisanzwe ziguma zigaragara iminota 30-60 mugihe cyo kubaga. Iki gihe ni cyiza cyane kubaga amaso menshi, akenshi bifata iminota 15-30 kugirango birangire.

Nyuma yo kubagwa, ntugomba gutekereza kuri trypan blue. Ijisho ryawe rizisanzuramo kandi rikuraho irangi muminsi n'ibyumweru bikurikira nta gikorwa na kimwe gisabwa kuruhande rwawe.

Abantu bamwe baribaza niba bazabona ibara ry'ubururu mu iyerekwa ryabo nyuma yo kubagwa, ariko ibi biragoye cyane kandi mubisanzwe bikemuka mumunsi umwe cyangwa ibiri niba bibayeho.

Ni Ibihe Bikorwa Bigaragara Byatewe na Trypan Blue?

Trypan blue muri rusange ni umutekano mwinshi, kandi abarwayi benshi ntibagira ibikorwa bigaragara na gato bitewe no gukoreshwa kwayo mugihe cyo kubaga ijisho. Iyi rangi yigishijwe cyane kandi ikoreshwa mumihango ibihumbi yo mumaso hamwe numutekano mwiza.

Iyo utekereza kubikorwa bishobora kugaragara, ni ngombwa kumva ko bidakunze kubaho. Hano hari ibishoboka ugomba kumenya, uhereye kubisanzwe kandi ukora kubibazo bitamenyerewe:

Ibikorwa bisanzwe kandi byoroheje:

• Guhindura ibara ry'ubururu ry'agateganyo mumaso yawe nyuma y'ububabare, akenshi bigenda nyuma yamasaha
• Uburakari bworoheje bw'ijisho cyangwa kutumva neza, bisa nibyo witeze kubera kubaga ubwabyo
• Kuzamuka guto mumuvuduko w'ijisho, uwo muganga wawe akurikirana kandi agacunga niba bikenewe

Ibikorwa bitamenyerewe:

• Guhindura ibara ry'agateganyo ry'igice cyera cy'ijisho ryawe (sclera), rigenda buhoro buhoro
• Kumva umwanya muto wo gushyiramo ibintu cyangwa kumva ikintu cy'umubiri w'amahanga mumaso
• Ubworohe bw'umucyo buke urenze ibisanzwe nyuma yo kubaga ijisho

Ibikorwa bitamenyerewe ariko bikomeye:

• Urukurikirane rwa allergique kuri iyi rangi, rishobora gutera umutuku wiyongera, kubyimba, cyangwa kutumva neza
• Kwangiza endothelium ya koroni (igice cyimbere cya koroni yawe) niba ikoreshwa mumitabo myinshi cyane
• Guhindura ibara ry'ubururu ry'ibice by'ijisho, nubwo ibi bidakunze kubaho hamwe nubuhanga bukwiye
• Umuzuko wiyongereye imbere mumaso urenze urwego rusanzwe nyuma yo kubaga

Ibi bikorwa bigaragara muri rusange birashoboka kandi by'agateganyo. Muganga wawe azagukurikirana neza mugihe no nyuma y'inzira kugirango yemeze ko ibibazo byose bikemurwa vuba kandi neza.

Ninde Utagomba Gufata Trypan Blue?

Abenshi mu barwayi bashobora kwakirwa neza na trypan blue mu gihe cyo kubaga ijisho, ariko hariho ibintu bimwe na bimwe aho umuganga wawe ashobora guhitamo uburyo bundi. Ibi bitekerezo bifasha kumenya neza ko ibisubizo bizaba byiza ku miterere yawe yihariye.

Umuganga wawe azasuzuma neza uko ubuzima bwawe buhagaze mbere yo gufata icyemezo cyo kumenya niba trypan blue ari yo nziza kuri wowe. Dore ibintu by'ingenzi bazatekereza:

Ibitemewe rwose:

• Kumenya ko ufite allergie ya trypan blue cyangwa amarangi asa nayo
• Kudakora neza cyane kwa endothelial ya korone, aho urwego rw'imbere rwa korone yawe rwamaze kwangirika cyane
• Uburibwe bukomeye bukora imbere mu jisho bushobora kwiyongera n'irangi

Ibintu bisaba kwitonda cyane:

• Kugira ibisubizo bibi mbere ku miti y'amaso cyangwa amarangi
• Uburwayi bumwe na bumwe bwa genetike bugira ingaruka ku korone cyangwa lens
• Amaso afite umubare muto cyane wa selile za endothelial
• Glaucoma ikomeye aho kongera umuvuduko mu jisho byaba ikibazo
• Ubukomere bw'amaso buherutse cyangwa indwara zandura

Ibitekerezo byihariye:

• Gusama cyangwa konsa (nubwo gukururwa na sisitemu ari gake)
• Kubagwa amaso inshuro nyinshi mbere bishobora kuba byaragize ingaruka ku myanya isanzwe
• Uburwayi bumwe na bumwe bwo kwivumbura ku mubiri bugira ingaruka ku maso

Niba kimwe muri ibi bintu bikureba, ntugire impungenge – umuganga wawe afite ubundi buryo n'ibikoresho bihari kugira ngo akore kubaga kwawe neza. Icyemezo cyo gukoresha cyangwa kwirinda trypan blue ntizakumira kugira kubaga amaso neza.

Amazina y'ubwoko bwa Trypan Blue

Trypan blue yo kubaga amaso iboneka mu mazina y'ubwoko butandukanye, aho VisionBlue ari yo itegurwa ikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika. Iyi formulation yemewe na FDA yagenewe gukoreshwa imbere mu jisho mu gihe cyo kubaga amaso.

Izindi nyito z'amazina y'ubucuruzi ushobora guhura nazo zirimo MembraneBlue, ikoreshwa ku isoko mpuzamahanga, n'uburyo butandukanye bwa rusange buhura n'amabwiriza amwe yo kurengera umutekano n'isuku. Ibi bicuruzwa byose bikubiyemo ikintu kimwe gikora mu gipimo gikwiye cyo kubaga ijisho.

Umuvuzi wawe azahitamo izina ryihariye rishingiye ku bunararibonye bwe, uko biboneka, n'ibisabwa byihariye byo kubaga kwawe. Guhitamo izina muri rusange ntigira ingaruka ku mutekano cyangwa imikorere y'uburyo bwawe.

Ibikorwa bimwe na bimwe bitegura imiti yabo ya trypan blue hakurikijwe amabwiriza asanzwe, bakemeza urwego rumwe rw'umutekano n'imikorere nk'imiteguro y'ubucuruzi.

Uburyo bwo gusimbuza Trypan Blue

Mugihe trypan blue ari irangi rikoreshwa cyane mu kongera kugaragara mugihe cyo kubaga ijisho, umuganga wawe afite ubundi buryo butandukanye buboneka niba trypan blue idakwiriye kubera uko ubuzima bwawe bumeze.

Indocyanine green (ICG) ni irindi rangi ry'ingenzi rimwe na rimwe rikoreshwa mugihe cyo kubaga ijisho, cyane cyane mugusiga imbere imbere mugihe cyo gukora imikorere ya retinal. Ariko, ntirikoreshwa cyane mugihe cyo kubaga cataract capsule kuko ifite imiterere itandukanye yo gusiga irangi n'igihe.

Abaganga bamwe bakoresha uburyo bwa mashini kugirango barusheho kugaragara kwa capsule batagomba amabara. Ibi bishobora kuba birimo guhindura imiterere ya microscope yo kubaga, gukoresha uburyo bwihariye bwo kumurika, cyangwa gukoresha sisitemu zifoto zifite ubushobozi bwo hejuru zishobora kugaragaza neza imyenda itagaragara.

Muri bimwe mu bihe, abaganga bashobora gukoresha uburyo bwinshi, nko kwitondera amazi y'imyenda y'ijisho cyangwa ibikoresho byihariye byo kubaga bifasha kumenya imipaka y'imyenda batagombye gusiga irangi.

Umuvuzi wawe azahitamo uburyo bwiza bushingiye ku myanya y'ijisho ryawe, urugero rw'ubuvuzi bwawe, n'uburambe bwe mu buryo butandukanye. Intego ni ukugira ngo buri gihe hakoreshwe uburyo bwizewe kandi bufite akamaro ku miterere yawe.

Ese Trypan Blue iruta Indocyanine Green?

Trypan blue na indocyanine green (ICG) byombi ni amarangi akoreshwa mu kubaga, ariko akora neza ku mpamvu zitandukanye mu kubaga ijisho. Mu kubaga impumyi n'ibara ry'ikibuno, trypan blue ikunze gukundwa kandi ifatwa nk'ifite akamaro kurusha.

Trypan blue itanga ibara ryiza kandi riramba ry'ikibuno cy'urugingo rugaragara mu gihe cyose cy'ubuvuzi bw'impumyi. Ivara ry'ubururu ritanga itandukaniro rikomeye ku myanya y'ijisho risanzwe, bigatuma abaganga babona neza aho bakorera.

Indocyanine green, nubwo ifite akamaro mu buryo bumwe bwo mu mutsi w'ijisho, ikunze gutanga ibara ritajegajega ry'ikibuno kandi rishobora gushira vuba mu gihe cy'ubuvuzi. Bikoreshwa cyane cyane mu buryo bwihariye bujyanye n'imvubura yo mu mutsi w'ijisho aho gukoreshwa mu buryo busanzwe bwo kubaga impumyi.

Umutekano w'amarangi yombi ni mwiza, ariko trypan blue yigishijwe cyane cyane ku ibara ry'ikibuno. Ubu bushakashatsi bwagutse butanga icyizere ku baganga mu ngaruka zayo ziteganywa n'umutekano.

Uburyo umuganga wawe ahitamo hagati y'ibi bintu buterwa n'uburyo bwihariye burimo gukorwa n'uburambe bwe mu buvuzi. Mu kubaga impumyi bisanzwe, trypan blue iracyakomeza kuba urugero rwiza rwo kugaragaza ikibuno.

Ibikunze Kubazwa Kuri Trypan Blue

Ese Trypan Blue irakwiriye abarwayi ba diyabete?

Yego, trypan blue muri rusange irakwiriye abarwayi ba diyabete bakorerwa ubuvuzi bw'ijisho. Diyabete ntishobora gutera ibintu byihariye byo kutagomba gukoresha iri rangi, kandi abarwayi benshi ba diyabete bakoresha trypan blue neza mu gihe cyabo cy'ubuvuzi bw'impumyi.

Ariko, abarwayi ba diyabete bashobora kugira indwara z'amaso zikomeye zisaba ubuvuzi bwihariye. Muganga wawe azasuzuma ubuzima bw'amaso yawe muri rusange, harimo n'indwara ya diyabete y'amaso, igihe ategura kubagwa. Kuba ufite diyabete ntibibuza gukoresha neza trypan blue, ariko bishobora kugira uruhare mu bindi bice byo gutegura kubagwa kwawe.

Niba ufite indwara ya diyabete y'amaso ikomeye hamwe n'impinduka zikomeye kuri retina, muganga wawe ashobora gufata ingamba zinyongera mugihe cyo kubagwa, ariko ibi bireba indwara y'amaso yihishe aho gukoresha trypan blue ubwayo.

Nkwiriye gukora iki niba mbonye trypan blue mu jisho ryanjye hanze yo kubagwa?

Trypan blue igenewe gukoreshwa gusa mugihe cyo kubagwa nabaganga babihuguriwe, bityo guhura n'iyi substance hanze y'iyi gahunda ntibishoboka cyane. Niba waba warahuye na trypan blue, vugurura ijisho ryawe ako kanya n'amazi meza cyangwa umuti wa saline.

Vugana na muganga w'amaso yawe cyangwa usabe ubufasha bwihuse bw'ubuvuzi niba wumva ububabare bukomeye, impinduka mu iyerekwa, cyangwa kwishima kudahagarara nyuma yo guhura n'ijisho ry'ibintu bidasanzwe. Nubwo trypan blue itekanye iyo ikoreshejwe neza mugihe cyo kubagwa, guhura kwose kutunguranye n'amaso n'imiti bisaba isuzuma ry'umwuga.

Kwishima kwinshi kw'ijisho biturutse ku guhura n'ibintu byoroheje bikemuka no kuvugurura neza, ariko buri gihe biruta kugira umuganga usuzuma ijisho ryawe kugirango yemeze ko nta yangirika ryabaye.

Ese nzasanga ibara ry'ubururu mu iyerekwa ryanjye nyuma yo kubagwa?

Abantu benshi ntibabona ibara ry'ubururu mu iyerekwa ryabo nyuma yo kubagwa na trypan blue. Umubare muto w'irangi ukoreshwa mubisanzwe ukurwa mu jisho vuba, kandi irangi iryo ariryo ryose risigaye mubisanzwe rito cyane ku buryo ritagira ingaruka ku iyerekwa ryawe.

Mu bice bike, abarwayi bamwe bashobora kubona ibara ry'ubururu rito cyane mu maso yabo mu masaha make nyuma yo kubagwa, ariko ibi ni iby'igihe gito kandi birashira igihe iryo bara risohokeye mu buryo busanzwe mu jisho. Ibi ntibigira ingaruka kandi ntibigaragaza ikibazo icyo aricyo cyose cyangwa ikosa ryabaye mu kubagwa kwawe.

Niba ubonye impinduka z'amabara zihamye mu iyerekwa ryawe nyuma y'umunsi umwe cyangwa ibiri nyuma yo kubagwa, hamagara ibiro by'abaganga bakubaze. Nubwo ibi bidasanzwe cyane iyo hakoreshejwe trypan blue, impinduka zose z'iyerekwa nyuma yo kubagwa zigomba gusuzumwa kugirango hemejwe gukira neza.

Ni ryari nshobora gusubukura ibikorwa bisanzwe nyuma yo kubagwa hakoreshejwe Trypan Blue?

Gukoresha trypan blue mugihe cyo kubagwa kwawe ntigihindura igihe cyo gukira cyangwa imbogamizi z'ibikorwa. Urashobora gusubukura ibikorwa bisanzwe ukurikije amabwiriza asanzwe y'abaganga nyuma yo kubagwa, akenshi biterwa n'ubwoko bw'ubuvuzi wakoze aho gukoresha amarangi yo kubaga.

Kubagwa amaso menshi, uzashobora gusubira mu bikorwa byoroheje muminsi mike, hamwe no gusubukura ibikorwa byose muminsi mike ikurikira. Trypan blue ntizagira ingaruka kuri izi ngengabihe cyangwa ngo itange izindi mbogamizi ku gukira kwawe.

Kurikiza amabwiriza yihariye y'abaganga bawe yerekeye ibikorwa nk'ubuzima, gukora, koga, no gutwara imodoka. Izi ngamba zagenewe kurengera ijisho ryawe rikira no kumenya neza umusaruro mwiza wo kubaga, hatitawe niba trypan blue yakoreshejwe mugihe cyo kubagwa kwawe.

Ese Trypan Blue ishobora gutera ibibazo by'amaso by'igihe kirekire?

Oya, trypan blue ntigiteza ibibazo by'amaso by'igihe kirekire iyo ikoreshejwe neza mugihe cyo kubagwa. Iri rangi ryasuzumwe cyane kandi rikoreshwa mu buryo butekanye mu bihumbi by'ubuvuzi bw'amaso mumyaka myinshi nta gihamya cy'ibibazo by'igihe kirekire.

Iyi rangi ivanwa burundu mu jisho ryawe mu minsi mike cyangwa ibyumweru nyuma yo kubagwa, ntihasigara ibisigisigi cyangwa ingaruka ku bice by'ijisho ryawe. Imihagarikire y'amaso yawe n'ubuzima bw'amaso nyuma yo kubagwa biterwa n'uko kubagwa kwagenze neza, atari ukoresha trypan blue.

Ubushakashatsi bwakozwe ku gihe kirekire ku barwayi bakoresheje trypan blue mu gihe cyo kubagwa amaso ntibugaragaza ibyago byiyongereye byo kugira ibibazo ugereranije n'abatarakoresheje iyi rangi. Ibi bitera abarwayi n'abaganga icyizere mu mutekano wayo ku buzima bw'amaso bwihuse n'ubw'igihe kirekire.