Yintoni i-hypertensive retinopathy kwaye zithini iimpawu

Umxholo

• Ukwahlulahlula
• Iindidi ze-hypertensive retinopathy kunye neempawu ezinxulumene noko
• 1.Ukuphinda uxinzeleleke emzimbeni
• 2. I-retinopathy enobungozi egazini
• Yintoni isifo
• Unyango lwenziwa njani

Uxinzelelo lwe-retinopathy oluphezulu lubonakaliswa liqela lotshintsho kwingxowa-mali, enjengee-retinal arteries, imithambo kunye nemithambo-luvo, ebangelwa luxinzelelo lwegazi. Iretina sisakhiwo esimi ngasemva kwibhola yamehlo kwaye sinomsebenzi wokuguqula ukukhanya kwesikhuthazi sibe sisikhuthazi semithambo-luvo, esivumela umbono.

Nangona olu tshintsho lwenzeka ikakhulu kwi-retina, utshintsho olusecaleni koxinzelelo lwegazi lunokubonakaliswa kwi-choroid kunye ne-optic nerve.

Ukwahlulahlula

Ngokubhekisele kwi-hypertension retinopathy, inxulunyaniswa kuphela noxinzelelo lwegazi, yahlulwe yaziidigri:

• IBakala 0: akukho lutshintsho lomzimba;
• IBakala 1: ukunciphisa i-arteriolar encinci kwenzeka;
• IBakala 2: uphawu lwe-arteriolar luyancipha ngokutenxa kwizitenxo;
• IBakala 3: ngokufanayo nakwibanga le-2, kodwa nge-retinal hemorrhages kunye / okanye nge-exudates;
• IBakala 4: ngokufanayo nakwibanga lesi-3, kodwa ngokudumba kwediski.

Iindidi ze-hypertensive retinopathy kunye neempawu ezinxulumene noko

Uxinzelelo lwe-retinopathy olunokuba noxinzelelo lwegazi lunokuba sisifo esinganyangekiyo, ukuba sinxulunyaniswa noxinzelelo lwegazi, okanye kubi, ukuba kunxulunyaniswa noxinzelelo lwegazi:

1.Ukuphinda uxinzeleleke emzimbeni

Ihlala ingenasifo kwaye ibonakala kubantu abanexinzelelo lwexinzelelo, apho kuboniswa khona ukunciphisa i-arteriolar, utshintsho kwi-arteriolar reflex, uphawu lokuwela olunqamlezayo, apho umthambo udlula ngaphambili uye emthanjeni. Nangona kunqabile, iimpawu kunye neempawu ezinje nge-retinal hemorrhages, ii-microaneurysms kunye neempawu zokuvaleka kwemithambo yegazi ngamanye amaxesha zinokubonakala.

2. I-retinopathy enobungozi egazini

I-retinopathy eneempawu ezibi kakhulu inxulunyaniswa nokunyuka okungxamisekileyo koxinzelelo lwegazi, kunye ne-systolic uxinzelelo lwegazi olungaphezulu kwe-200 mmHg kunye ne-diastolic yegazi xabiso elingaphezulu kwe-140 mmHg, ebangela iingxaki kungekuphela kwinqanaba lemehlo, kodwa nakwintliziyo. , amanqanaba e-renal kunye ne-cerebral.

Ngokungafaniyo ne-retinopathy enganyangekiyo yoxinzelelo lwegazi, edla ngokubakho ngokunganyangekiyo, isifo esibonisa uxinzelelo lwegazi esiqhelekileyo esibuhlungu sihlala sinxulunyaniswa nentloko, ukungaboni kakuhle, umbono ophindwe kabini kunye nokubonakala kwendawo emnyama kwiliso. Ukongeza, utshintsho kumbala kwiliso, i-macular edema kunye neuroepithelial detachment evela kummandla we-macular kunye ne-ischemic papillary edema enokwenzeka kolu hlobo lwe-retinopathy, enamachaphaza egazi namabala.

Yintoni isifo

Ukuxilongwa kwe-hypertensive retinopathy kwenziwa nge-fundscopy, eluviwo apho i-ophthalmologist inako ukujonga yonke imali yeliso kunye nolwakhiwo lwe-retina, ngoncedo lwesixhobo ekuthiwa yi-ophthalmoscope, kwaye ijolise ekufumaneni utshintsho kulo mmandla onokonakalisa umbono. Bona ngakumbi malunga nolu vavanyo.

I-Fluorescein angiography inokusetyenziswa, edla ngokufuneka kuphela kwiimeko ze-atypical okanye ukubekela ecaleni ukuxilongwa kwezinye izifo.

Unyango lwenziwa njani

I-retinopathy engapheliyo ifuna unyango lwamehlo. Isidingo sonyango lwamehlo luvela xa kukho iingxaki kwi-retina.

Ngokuchasene noko, i-retinopathy enobungozi egazini ingxamisekileyo kwezonyango. Kwezi meko, uxinzelelo lwegazi kufuneka lwenziwe ngendlela efanelekileyo nelawulwayo, ukuthintela ukwenzakala okungenakuguqulwa. Emva kokuba ingxaki yoxinzelelo lwegazi eyoyisiwe, umbono uhlala ubuyisiwe, ngokupheleleyo okanye ngokuyinxenye.