Qhov muag tuaj yeem ua rau menyuam yaus: cov lus qhia rau siv. Ncuav "Tropicamide"

Rau cov mob ntawm tej yam ocular teeb meem tus kws kho mob yuav tsum tau saib cov fundus, uas yog tsis yooj yim sua yam uas tsis tau dag mydriasis. Koj tuaj yeem ua qhov no tsuas yog koj siv cov tshuaj tshwj xeeb. Achieve tshaj plaws mydriasis cia rau ceev rau ntawm cov menyuam kawm ntawv. Cov tshuaj ntawm pawg no yog siv rau hauv kev tshuaj xyuas cov menyuam yaus thiab cov laus. Cia peb xav txog ntau yam kev nthuav dav uas yog siv los kuaj xyuas ntau yam kab mob hauv lub qhov muag.

Thaum twg kuv thiaj li yuav tsum tau noj tshuaj rau cov tub kawm ntawv?

Qhov loj ntawm tus tub ntxhais kawm yog hloov tas li thiab nyob ntawm lub teeb pom kev zoo. Los ntawm no qhov me me nrog kev pab los ntawm ib tug tshwj xeeb twj - ib qho kev ua rau lub qhov muag - ib qho chaw kws kho mob tuaj yeem ntsia sab hauv lub qhov muag thiab qhia txog pathology. Txawm li cas los xij, qee qhov teeb meem yuav tshwm sim thaum kuaj xyuas. Teeb, uas emits ntaus ua constriction ntawm tus menyuam kawm ntawv, uas zoo heev complicates tus txheej txheem ntawm tus mob. Yuav kom tsis txhob muaj teeb meem li no, cov kws kho mob tshwj xeeb siv cov tshuaj uas ua rau tus tub ntxhais kawm ntawv tuag.

Npaj uas tuaj yeem ua rau lub cheeb ntawm tus menyuam kawm ntawv, hu ua mydriatic. Txoj haujlwm tseem ceeb ntawm cov nyiaj no yog los so tej qhov muag nqaij. Cov kev ntsuas rau kev siv yog xws li pathologies li retinal detachment, dystrophic hloov. Midriatics pab soj ntsuam lub xeev ntawm cov hlab ntsha ntawm retina, lub lens, thiab cov paj hlwb.

Muab cov dlej nuav tuaj yeem ua rua lub hom phaj. Piv txwv li, thaum ib tug spasm ntawm kev pab medicament yuav pab tau tshem tawm voltage ocular nqaij. Thov lub qhov muag dauv ceev rau ntawm cov menyuam kawm ntawv nyob rau hauv inflammatory kev ntawm kabmob, thaum phais.

Yog tias tsim nyog rau kev txiav txim siab nyob rau hauv cov me nyuam yaus, nws tseem ceeb heev uas lub lens yuav tsis muaj kev tiv thaiv. Ua zoo li cov nyhuv no kuj tau pab los ntawm mydriatica. Tsis txhob ua yam tsis muaj cov tshuaj xws li kev kuaj mob astigmatism thiab hyperopia.

Siv dej khov zoo thiab nyab xeeb

Qhov muag tsom qhov muag cov tshuaj tua kab mob zoo tshaj plaws yog nyob ntawm qhov mechanism ntawm raug. Qee cov qoob - ncaj qha mydriatica - tuaj yeem ua rau tus mob ntawm cov leeg ua tus menyuam nce qib. Cov tshuaj xws li "Irifrin", "Phenylephrine".

Qhov thib ob pab pawg neeg ntawm cov tshuaj yog hu ua indirect mydriatics. Lawv khom cov leeg ua haujlwm rau lub voj voog ntawm tus tub ntxhais kawm. Zoo li cov teebmeem no cov tshuaj muaj lwm cov leeg, uas ua kom pom tseeb. Lawv tuaj yeem siv rau cov hom phiaj ntawm kev mob. Cov tshuaj xws li cov tshuaj qhov muag yog "Tropicamid", "Midrum", "Midratsil".

Atropine Ncws

Ua ntej tsis ntev los no, cov tshuaj no siv rau hauv kev xyaum ua qhov chaw nyob txhua qhov chaw. Txawm li cas los, rau hnub tim, nws tab tom hloov maj mam hloov vim muaj kev tiv thaiv ntev heev, ntau qhov kev tsis txaus siab thiab muaj feem ntau ntawm cov kev phiv tshuaj. Lub active feem ntawm qhov muag tee - atropine sulfate - yog ntawm keeb kwm zaub mov (alkaloid). Cov khoom ua rau cov tub ntxhais kawm tuaj yeem ua rau cov menyuam yaus siab tuaj yeem ua rau lub hlwb tsis zoo. Vim qhov no, tus kabmob ntawm kev pabcuam raug tsim thiab lub zeem muag tau txais me ntsis zuj zus nyob nrug deb.

Atropine yog ib qho uas ua rau me nyuam mob plab, Tsis tshua siv nyob rau hauv cov kab mob loj ntawm cov hlab plawv, cov hlab ntsha thiab digestive. Contraindicated tshuaj nyob rau hauv cev xeeb tub, lactation thiab ib co pathologies ntawm ophthalmic qhov.

Qhov siab tshaj plaws tshwm sim yog pom tom qab 30-40 feeb tom qab instillation ntawm tee thiab nws persists rau ob peb hnub. Yog hais tias qhov kev cuam tshuam ntawm cov tshuaj tsis nres rau 7-10 hnub, nws yog los ntawm cov kev mob tshwm sim. Cov tshuaj kuj tuaj yeem ua rau kiv taub hau, tachycardia, tawm ntawm daim tawv muag ntawm tawv muag.

Tropicamid: cov lus qhia rau siv

Kev siv tshuaj yog hais txog kev mob hlwb thiab cuam tshuam rau cov leeg ntawm lub qhov muag, lub luag hauj lwm hloov cov kabmob ntawm tus tub ntxhais kawm, nrog rau cov neeg ua haujlwm ntawm lub cev ntawm lub qhov muag ntawm lub cev. Raws li kev txiav txim ntawm kev kho mob, ib lub sij hawm luv luv ntawm tus tub ntxhais kawm tshwm sim, thiab nws txoj kev tiv thaiv tsis pub muaj.

Cov tshuaj tsuas yog muaj nyob rau hauv daim ntawv ntawm ib tug daws rau instillation mus rau hauv lub qhov muag. Cov khoom sib dhia yog tropicamide. Nyob rau hauv 1 ml dauv tuaj yeem muaj 5 los sis 10 mg ntawm cov khoom nquag. Kho cov kab mob tom qab daim ntawv thov ntawm dauv tshwm sim tom qab 5-10 feeb.

Muaj pes tsawg tus mob ntxiv rau cov menyuam kawm ntawv, "Tropicamide"? Lub sij hawm ntawm kev kho nyhuv nyob ntawm qhov concentration ntawm cov khoom muaj nyob hauv. Thaum ua ntawv thov 1% kev daws, cov nyhuv raug tswj tseg rau 60 feeb. Cov concentration no feem ntau yog siv los kuaj xyuas cov kab mob patholog hauv cov menyuam yaus. Cov neeg laus cov neeg mob yuav tsum tau xa ib qho "Tropicamide" hauv daim ntawv 2% tov. Hauv qhov no, cov tshuaj siv tsawg kawg yog 2 teev.

Daim ntawv thov kev cai

Raws li lub annotation, cov tshuaj siv tau nyob rau hauv cov nram qab no:

• Thaum kuaj pom lub lens;
• Thaum kuaj lub fundus;
• Txhawb kev nrheev;
• Nyob rau hauv lub chav kawm ntawm kev phais kev pab rau ntawm retina, lub lens;
• Nyob rau hauv txoj kev kho hauv kev kho mob ntawm qhov muag kab mob;
• Rau kev tiv thaiv ntawm o ntawm kev phais tom qab.

Qhov concentration ntawm cov tshuaj yog xaiv raws li qhov yuav tsum tau ceev ntawm kev kho cov nyhuv thiab lub hom phiaj ntawm kev siv. Cov tshuaj siv "Tropicamide" kev siv rau kev siv yog kom ncav nrog kev pab ntawm ib tug neeg poob qab, uas yog muaj lub raj mis, los yog siv lub raj dej. Cov tshuaj yuav tsum tau nkag mus rau hauv qis ib feem ntawm lub conjunctive sac.

Qhov siab kawg ntawm tus tub ntxhais kawm tuaj yeem ua tiav los ntawm kev xa tawm 1% ntawm 1 poob mus rau txhua qhov muag. Yog hais tias siv yeeb tshuaj nrog tsawg dua kev siv tshuaj yeeb dej caw, nws yog ib qho tsim nyog yuav tsum tso thawj ib qho thiab rov qab muab ntxig rau tom qab 5 nas this.

Tropicamid rau menyuam yaus

Ncos ceev rau ntawm cov menyuam kawm ntawv, muaj peev xwm yuav siv tau rau qhov mob ntawm txawm nyob rau hauv tus me nyuam mos cov me nyuam mos. Tsuas pub tau 0.5% kua. Txhawm rau tiv thaiv qhov tshwm sim ntawm cov kws kho mob pom zoo kom dilute cov tee nrog saline nyob rau hauv ib qho ntawm 1: 1 ua ntej siv sij hawm.

Feem ntau, cov tshuaj no tuaj yeem ua rau muaj kev phom sij hauv zos: photophobia, hlawv, ua rau pom kev tsis zoo, ua kom luv hauv siab tuaj.