Chii chinonzi Trypan Blue (Nzira Yemukati Meziso): Zvinoshandiswa, Mishonga, Migumisiro Yemuviri uye Zvimwe

Trypan blue idhayi yakakosha yebhuruu iyo vanachiremba vemaziso vanoshandisa panguva yekuvhiyiwa kwemaziso kumwechete kuti ivabatsire kuona zvimiro zvinyoro zvakajeka. Iyi dhayi yemishonga inoita seyakajeka, ichiita kuti matishu matete muziso rako aonekwe kwenguva pfupi kuti chiremba wako avhiye zvakanyatsonaka uye nekuchengeteka.

Kana chiremba wako akataura nezvekushandisa trypan blue panguva yekuvhiyiwa kwemaziso ako kuri kuuya, ungangove uchinetseka kuti izvi zvinorevei kwauri. Ngatifambei kuburikidza nezvose zvaunoda kuziva nezvechishandiso ichi chinobatsira chekuvhiya mumashoko akareruka, anovimbisa.

Chii chinonzi Trypan Blue?

Trypan blue idhayi yebhuruu yakachengeteka, yakatenderwa neFDA yakagadzirirwa kushandiswa mukati meziso panguva yekuvhiya. Funga nezvayo sechiratidzo chenguva pfupi chinobatsira chiremba wako kuona tishu iyo zvikasadaro yaizenge isingaonekwe neziso rakashama.

Iyi dhayi yanga ichishandiswa mukuvhiyiwa kwemaziso kwemakore mazhinji uye ndeyeboka rezvinhu zvinonzi vital dyes. Shoko rekuti "vital" pano rinoreva kuti rinogona kusangana zvakachengeteka netishu mhenyu pasina kukonzera kukuvadza. Chiremba wako anobaya huwandu hudiki hwemhinduro iyi yebhuruu zvakananga muziso rako panguva yekuita.

Dhayi inoshanda nekusvibisa zvikamu zvakati wandei zveanatomy yeziso rako, kunyanya capsule inotenderedza lens yako yechisikigo. Iyi mhedzisiro yekusvibisa inguva pfupi uye inonyangarika zvachose sezvo ziso rako richigadzirisa uye kubvisa dhayi.

Trypan Blue Inoshandiswa Kunei?

Vanachiremba vemaziso vanonyanya kushandisa trypan blue panguva yekuvhiyiwa kwecataract kuti vaite capsule yelensi ionekwe zvakanyanya. Iyo lens capsule imembrane yakatetepa zvisingaite, yakajeka inotenderedza lens yako yechisikigo, uye inogona kuve yakaoma kuona panguva yekuvhiya.

Panguva yekuvhiyiwa kwe cataract, chiremba wako anoda kugadzira buri rakarurama, rakaita denderedzwa mukati me capsule iyi kuti abvise lens ine makore. Pasina trypan blue, tishu iyi yakaoma inogona kunge isingaoneki, kunyanya kana uine cataract yakanyanya kuwanda kana yakakura inoita kuti kuona kuome.

Ruvara urwu runobatsira zvakanyanya mumamiriro akati wandei chaiwo. Kana uine cataract chena kana yakanyanya kuwanda, reflex tsvuku inowanzoita inobatsira machiremba kuti vaone capsule inogona kunge isipo. Saizvozvowo, kana uine mamwe mamiriro eziso anokanganisa kujeka kwe cornea yako kana kuti wakambovhiyiwa maziso, trypan blue inogona kupa kuona kwakawedzerwa kunodiwa nachiremba wako.

Vamwe machiremba vanoshandisawo trypan blue mune dzimwe nzira dzakaoma dzeziso, senge kuvhiyiwa kwe vitreoretinal, uko kuona kwakaringana kwemembrane yakatetepa kwakakosha kuti zvibudirire.

Trypan Blue Inoshanda Sei?

Trypan blue inoshanda nekusarudza kubatanidza uye kupenda matishu chaiwo muziso rako, kunyanya collagen-rich structures senge lens capsule. Kana ruvara rwasangana nematishu aya, runogadzira ruvara rwebhuruu rwakasiyana runoita kuti zviite zvakajeka zvichienzaniswa nezvimiro zvakapoteredza.

Izvi zvinoonekwa senzira yakapfava yekuvandudza kuona kwekuvhiya. Ruvara haruchinji chimiro kana basa rematishu ako eziso - rinongopa ruvara rwenguva pfupi runobatsira chiremba wako kushanda zvakanyatsojeka uye zvakachengeteka.

Mhedzisiro yekupenda inowanzo gara kwenguva yakakwana kuti nzira yekuvhiya ipedzwe. Maitiro ako echisikigo eziso anobva zvishoma nezvishoma abvise ruvara mumazuva anotevera uye mavhiki. Vazhinji varwere havacherechedzi chero ruvara rwebhuruu runogara muchiono chavo mushure mekuvhiyiwa.

Kuisa pfungwa kunoshandiswa mukuvhiya maziso kunogadzirwa zvakanyatsonaka kuti ipe kupenda kwakakwana uku uchichengetedza kuchengeteka kwakakwana kwematishu ako eziso. Izvi zvinoita kuti trypan blue ive chishandiso chakavimbika uye chinofungidzirwa icho machiremba anogona kuvimba nacho panguva yenzira dzakaoma.

Ndingatora Sei Trypan Blue?

Hauchazofaniri kutora trypan blue iwe pachako - mushonga uyu unopiwa chete nachiremba wako weziso panguva yekuvhiya kwako. Ruvara runoiswa zvakananga muziso rako uchishandisa nzira dzakakosha dzekuvhiya nemidziyo.

Usati wavhiyiwa, ziso rako richanyaradzwa nemadonhwe eanesthetic kuti uve nechokwadi chekuti unonzwa wakasununguka. Chiremba wako achashandisa tsono yakanaka kwazvo kana cannula kuisa huwandu hudiki hwe trypan blue solution munzvimbo yakakodzera mukati meziso rako.

Maitiro ekuisa anowanzo kukurumidza uye haana kurwadza nekuda kweanesthetic. Unogona kuona kunzwa kupfupi kwekumanikidzwa kana kuzara muziso rako, asi izvi zvinopfuura nekukurumidza. Huwandu hweruvara rinoshandiswa hunoyerwa zvakanyatsojeka uye rinomiririra huwandu hudiki.

Mushure mekuiswa, chiremba wako anowanzo mirira miniti kana maviri kuti ruvara rurege kupenda zvinyama zvinangwa zvakanaka asati aenderera mberi nematanho makuru ekuvhiya. Iyi nguva pfupi yekumirira inovimbisa kuona kwakanyanya panguva yese yekuita.

Ndingatora Trypan Blue Kwenguva Yakareba Sei?

Trypan blue inoshandiswa kamwe chete panguva yekuvhiya kwako - hapana kurapwa kuri kuenderera mberi kana madosi anodiwa. Ruvara runopa rubatsiro rwarwo panguva yekuvhiya pachayo uye ipapo zvishoma nezvishoma runobviswa muziso rako zvakasikwa.

Mhedzisiro chaiyo yekupenda inogara kwenguva yakareba zvakakwana kuti chiremba wako apedze matanho anodiwa ekuvhiya, anowanzoonekwa kwemaminitsi makumi matatu kusvika makumi matanhatu panguva yekuita. Iyi nguva yakakwana yekuvhiya kwakawanda kwecataract, izvo zvinowanzo tora maminitsi gumi nemashanu kusvika makumi matatu kuti apedze.

Mushure mekuvhiyiwa kwako, haufaniri kufunga nezve trypan blue zvakare. Ziso rako richagadzirisa uye kubvisa ruvara zvakasikwa mumazuva anotevera uye mavhiki pasina chero chiito chinodiwa parutivi rwako.

Vamwe varwere vanoshamisika kana vachaona ruvara rwebhuruu mukuona kwavo mushure mekuvhiyiwa, asi izvi hazviwanzoitiki uye zvinowanzo gadzirisa mukati mezuva kana maviri kana zvichiitika zvachose.

Ndezvipi Zvakaipa zveTrypan Blue?

Trypan blue inowanzova yakachengeteka, uye vazhinji varwere havawanzove nezvakaipa zvachose kubva mukushandiswa kwayo panguva yekuvhiya ziso. Ruvara urwu rwakaongororwa zvakanyanya uye rwuri kushandiswa muzviuru zvemaitiro emaziso aine chimiro chekuchengeteka chakanaka.

Paunenge uchifunga nezvezvinhu zvinogona kukonzera zvakaipa, zvakakosha kunzwisisa kuti hazviwanzoitika. Hezvino zvinogoneka zvaunofanira kuziva, kutanga nezvakajairika uye kushanda kune zvisingawanzoitiki:

Zvakajairika uye zvinyoro nyoro:

• Kupenya kwebhuruu kwenguva pfupi mukuona kwako nekukasira mushure mekuvhiwa, izvo zvinowanzoita kuti zviite mukati meawa
• Kutsamwa kweziso kana kusagadzikana, kwakafanana nezvaungatarisira kubva mukuvhiwa pachako
• Kuwedzera kudiki mukumanikidzwa kweziso, izvo chiremba wako anocherechedza uye anogadzirisa kana zvichidikanwa

Zvisingawanzoitiki:

• Kupenda kwenguva pfupi kwechikamu chichena cheziso rako (sclera), iyo inozopera zvishoma nezvishoma
• Kunzwa kwenguva pfupi kwekuoma kana kunzwa kwemuviri wekunze muziso
• Kunyanya kunzwisiswa kwechiedza kupfuura zvakajairika mushure mekuvhiwa ziso

Zvisingawanzoitiki asi zvakakomba:

• Kuita allergic kurwisa ruvara, izvo zvinogona kukonzera kuwedzera kutsvuka, kuzvimba, kana kusagadzikana
• Kukuvadza corneal endothelium (iyo yepakati pecornea yako) kana ichishandiswa mumakonzentiresheni akakwirisa
• Kupenda kwebhuruu kunoramba kuripo kwematishu emaziso, kunyangwe izvi zvisingawanzoitiki nemaitiro akakodzera
• Kuwedzera kuzvimba mukati meziso kupfuura mazinga akajairika mushure mekuvhiwa

Izvi zvakaipa zvinowanzoitika uye zvenguva pfupi. Chiremba wako achakucherechedza zvakanyanya panguva uye mushure mekuvhiwa kuti ave nechokwadi chekuti chero nyaya dzinoitwa nekukurumidza uye zvinobudirira.

Ndiani Asingafaniri Kutora Trypan Blue?

Vanhu vazhinji vanogona kugamuchira trypan blue zvakachengeteka panguva yekuvhiyiwa ziso, asi pane dzimwe nguva apo chiremba wako anogona kusarudza dzimwe nzira. Zvinhu izvi zvinobatsira kuona mhedzisiro yakachengeteka zvakanyanya kune mamiriro ako chaiwo.

Chiremba wako achanyatsoongorora mamiriro ako ega ega asati asarudza kana trypan blue yakakodzera iwe. Heano zvinhu zvikuru zvavanofunga nezvazvo:

Zvinopesana zvakajeka:

• Kuziva allergy ku trypan blue kana madhayi akafanana
• Kushanda kwakanyanya kwecorneal endothelial, uko rukoko rwemukati rwecornea yako rwakatoita zvakanyanya
• Kuzvimba kwakanyanya mukati meziso kunogona kuwedzerwa nedhayi

Mamiriro anoda kungwarira kwakawanda:

• Kare kuita zvisina kunaka kune chero mishonga yeziso kana madhayi
• Mamwe mamiriro ejeneti anokanganisa cornea kana lens
• Maziso ane nhamba shoma dze endothelial cell
• Glaucoma yakakomba uko chero kuwedzera kwekumanikidzwa kweziso kunogona kuve nedambudziko
• Kukuvara kwemaziso kana zvirwere zvichangoburwa

Zvimwe zvinhu zvekufunga:

• Kuzvitakura kana kuyamwisa (kunyangwe kunyudzwa kwesystemic kushoma)
• Kuvhiyiwa kwemaziso kwakawanda kwakamboitwa kungave kwakakanganisa anatomy yakajairika
• Mamwe mamiriro e autoimmune anokanganisa maziso

Kana chero mamiriro aya akakushandira, usanetseka - chiremba wako ane mamwe matekiniki uye maturusi anowanikwa kuti aite kuvhiyiwa kwako zvakachengeteka. Sarudzo yekushandisa kana kudzivirira trypan blue haizokutadzise kuve nekuvhiyiwa ziso kunobudirira.

Trypan Blue Mazita eBrand

Trypan blue yekuvhiyiwa ziso inowanikwa pasi pemazita akati wandei ebrand, neVisionBlue ichive iyo inonyanya kushandiswa muUnited States. Iyi FDA-yakabvumidzwa formulation yakanyatsogadzirirwa kushandiswa kweintraocular panguva yekuvhiyiwa ziso.

Mamwe mazita emhando yaungasangana nawo anosanganisira MembraneBlue, rinoshandiswa mune mamwe misika yepasi rose, uye akasiyana-siyana mafomula e generic anozadzisa zvakafanana zvekuchengetedza uye kuchena. Zvese izvi zvigadzirwa zvine chinhu chimwe chete chinoshanda mumakonzentiresheni akakodzera kuvhiyiwa kwemaziso.

Chiremba wako achasarudza mhando chaiyo zvichienderana neruzivo rwavo, kuwanikwa, uye zvinodiwa zvekuvhiya kwako. Kusarudzwa kwemhando kazhinji hakukanganisi kuchengeteka kana kushanda kwekuvhiya kwako.

Mamwe masangano anogadzirira ega trypan blue mhinduro zvinoenderana nemaprotocol akajairwa, achiita chokwadi chechiyero chimwe chekuchengetedza uye kushanda sezvakagadzirirwa zvekutengesa.

Zvimwe Zvinhu Zvitsva zveTrypan Blue

Nepo trypan blue iri ruvara runowanzo shandiswa kuwedzera kuoneka panguva yekuvhiya maziso, chiremba wako ane dzimwe nzira dzakawanda dziripo kana trypan blue isina kukodzera mamiriro ako.

Indocyanine green (ICG) ndirwo rumwe ruvara rwakakosha runoshandiswa mune kuvhiyiwa kwemaziso, kunyanya pakupenda nhengo dzemukati dzemukati panguva yekuvhiya retinal. Zvisinei, hazviwanzo shandiswa pakuvhiya katarakiti capsule staining nekuti ine zvakasiyana staining properties uye nguva.

Vamwe vanachiremba vanoshandisa nzira dzemuchina kuvandudza capsule visibility pasina dyes. Izvi zvinogona kusanganisira kugadzirisa marongero e surgical microscope, kushandisa nzira dzakakosha dzekuvhenekera, kana kushandisa high-definition imaging systems inogona kunyatsoona matishu akajeka.

Mune zvimwe zviitiko, vanachiremba vanogona kushandisa musanganiswa wenzira, senge kunyatsodzora hydration yematishu emaziso kana zvishandiso zvekuvhiya zvakakosha zvinobatsira kuziva miganhu yetishu pasina kuda dye staining.

Chiremba wako achasarudza nzira yakanakisa zvichienderana nemuviri wako weziso, kuoma kwekuvhiyiwa kwako, uye ruzivo rwavo nemaitiro akasiyana. Chinangwa nguva dzose ndechokuona kuti maitiro akachengeteka uye anoshanda zvakanyanya kune mamiriro ako ega.

Ko Trypan Blue Zviri Nani Pane Indocyanine Green?

Trypan blue uye indocyanine green (ICG) zvose zvinobatsira mavara ekuvhiya, asi zvinoshanda zviri nani kune zvinangwa zvakasiyana mukuvhiya ziso. Kune kuvhiya kwecataract uye capsule staining, trypan blue inowanzosarudzwa uye inofungidzirwa kuti inoshanda zvakanyanya.

Trypan blue inopa yakanaka, inogara kwenguva refu staining ye lens capsule iyo inoramba ichioneka mukati menguva yakajairika yekuvhiya kwecataract. Ruvara rwebhuruu runogadzira kusiyana kwakasimba pamusoro pezvinyama zvemaziso zvakasikwa, zvichiita kuti zvive nyore kuti machiremba aone chaizvo kwavanoshanda.

Indocyanine green, nepo ichikosha kune mamwe maitiro eretinal, inowanzo kupa isingawirirani capsule staining uye inogona kupera nekukurumidza panguva yekuvhiya. Inonyanya kuchengeterwa maitiro akakosha anosanganisira retinal membranes panzvimbo pekuvhiya kwecataract kwenguva dzose.

Maitiro ekuchengetedza emavara ese ari maviri akanaka, asi trypan blue yakanyatsoongororwa zvakanyanya kune capsule staining kunyanya. Iyi nzvimbo yakakura yekutsvagisa inopa machiremba chivimbo mumigumisiro yayo inofungidzirwa uye kuchengetedza margins.

Sarudzo yachiremba wako pakati pezvisarudzo izvi zvinoenderana nemaitiro chaiwo ari kuitwa uye ruzivo rwavo rwekurapa. Kune kuvhiya kwecataract kwakajairika, trypan blue inoramba iri goridhe standard yekuona capsule.

Mibvunzo Inowanzo Bvunzwa Nezve Trypan Blue

Ko Trypan Blue Yakachengeteka Kune Varwere vane Chirwere cheShuga?

Hongu, trypan blue inowanzova yakachengeteka kune varwere vane chirwere cheshuga vari kuenda kuvhiya ziso. Chirwere cheshuga hachigadziri chero contraindications chaiyo yekushandisa ruvara urwu, uye varwere vazhinji vane chirwere cheshuga vanogamuchira trypan blue zvakachengeteka panguva yavo ye cataract.

Asi, varwere vane chirwere cheshuga vanogona kuva nemamiriro ezvinhu emaziso akaoma anoda kutarisirwa kwekuvhiya kwakawanda. Chiremba wako achatarisa hutano hwemaziso ako hwese, kusanganisira chero chirwere chemaziso cheshuga, paanenge achironga kuvhiyiwa kwako. Kuvepo kwechirwere cheshuga hakudzivisi kushandiswa kwakachengeteka kwe trypan blue, asi zvinogona kukanganisa zvimwe zvezvinhu zvekugadzirira kuvhiyiwa kwako.

Kana uine chirwere chemaziso cheshuga chakanyanya chine shanduko huru dzeretinal, chiremba wako anogona kutora matanho ekuwedzera panguva yekuvhiya, asi izvi zvinoreva mamiriro ezvinhu emaziso pane kushandiswa kwe trypan blue pachayo.

Ndoita Sei Kana Ndikangoerekana Ndawana Trypan Blue Muziso Rangu Kunze Kwekuvhiyiwa?

Trypan blue inongofanirwa kushandiswa panguva yekuvhiya nevashandi vehutano vakadzidziswa, saka kusangana netsaona kunze kweiyi setting hakuiti. Kana iwe ukasangana ne trypan blue solution, geza ziso rako nekukasira nemvura yakachena kana saline solution.

Bata chiremba wako wemaziso kana kutsvaga rubatsiro rwekurapa nekukasira kana uine kurwadziwa kukuru, shanduko yekuona, kana kutsamwa kunoramba kuripo mushure mekusangana netsaona kweziso kune zvinhu zvisingazivikanwi. Kunyange trypan blue yakachengeteka kana ichishandiswa nemazvo panguva yekuvhiya, chero kusangana kwemaziso kusingatarisirwi nemakemikari kunoda kuongororwa kwenyanzvi.

Kutsamwa kwemaziso kwakawanda kubva pakusangana netsaona nezvinhu zvakapfava kunogadziriswa nekuchenesa zvakakwana, asi zvinogara zviri nani kuve nenyanzvi yezvokurapa inoongorora ziso rako kuti ive nechokwadi chekuti hapana kukuvadzwa kwakaitika.

Ndoona Ruvara rweBlue Mukuona Kwangu Mushure meKuvhiyiwa Here?

Varwere vazhinji havacherechedzi chero ruvara rwebhuruu mukuona kwavo mushure mekuvhiyiwa ne trypan blue. Iyo shoma shoma yedhayi inoshandiswa inowanzo bviswa muziso nekukurumidza, uye chero dhayi yasara inowanzo shoma kuti ikanganise kuona kwako.

Muzviitiko zvisingawanzoitiki, vamwe varwere vanogona kuona ruvara rwebhuruu rwakapfava kwemaawa mashoma mushure mekuvhiyiwa, asi izvi zvinongova zvenguva pfupi uye zvinopera sezvo ruvara urwu ruchibviswa zvisikwa muziso. Izvi hazvikuvadzi uye hazviratidzi matambudziko ekuvhiyiwa kwako.

Kana ukaona chero shanduko yeruvara inoramba iripo mukuona kwako kupfuura zuva rekutanga kana maviri mushure mekuvhiyiwa, taura nehofisi yechiremba wako anokuvhiya. Kunyange izvi zvisingawanzoitiki zvakanyanya ne trypan blue, chero shanduko mukuona mushure mekuvhiyiwa inofanira kuongororwa kuti ive nechokwadi chekupora zvakanaka.

Ndingadzokera Rinhi Kuzviitwa Zvangu Zvenguva Dzose Mushure meKuvhiyiwa Vachishandisa Trypan Blue?

Kushandiswa kwe trypan blue panguva yekuvhiyiwa kwako hakuchinji nguva yako yekupora kana zvirambidzo zvezviitwa. Unogona kudzokera kuzviitwa zvenguva dzose zvinoenderana nemirairo yechiremba wako mushure mekuvhiyiwa, iyo inowanzoenderana nerudzi rwekuvhiyiwa kwawakaita pane kushandiswa kwemavara ekuvhiya.

Kune akawanda ekuvhiyiwa kwecataract, unozokwanisa kudzokera kuzviitwa zvakareruka mukati mezuva rimwe kana maviri, nekudzoka kuzviitwa zvizere mumavhiki anotevera. Iyo trypan blue haizokanganisi nguva idzi kana kugadzira chero zvimwe zvirambidzo pakupora kwako.

Tevedza mirairo chaiyo yechiremba wako nezvezviitwa zvakaita sekusimudza, kukotama, kushambira, uye kutyaira. Nhungamiro idzi dzakagadzirirwa kudzivirira ziso rako rinopora uye kuona mhedzisiro yakanaka yekuvhiya, zvisinei nekuti trypan blue yakashandiswa panguva yekuita kwako.

Trypan Blue Inogona Kukonzera Matambudziko Emaziso Enguva Refu Here?

Aihwa, trypan blue haikonzeri matambudziko emaziso enguva refu kana ichishandiswa nemazvo panguva yekuvhiyiwa. Ruvara urwu rwakadzidzwa zvakanyanya uye rwakashandiswa zvakachengeteka muzviuru zvekuita maziso kwemakore mazhinji pasina humbowo hwezvinetso zvenguva refu.

Ruvara urwu runobviswa zvachose muziso rako mukati memazuva mashoma kusvika kumavhiki mushure mekuvhiyiwa, zvisina chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero chero 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