Chirevo chekuita pupillary response test
Iwe unoshamisika kuti chiremba chako cheziso chiri kutarisa sei sezvaanopenya chiedza chakajeka mumaziso ako? Iva nechokwadi chokuti chiedza ichi hachirevi kukutsamwisa iwe-chinangwa uye chinokwanisa "kujekesa" kuti hurongwa hwako hwemitsipa hunoshanda zvakadini.
Kunyanya kunyanya, kuongorora kweziso, kunonzi pupillary response test, kunoshandiswa kuongorora kushanda kweganda rejinga rechipiri (rinonzi chirwere chema optic) uye mutsara wesimba III (unonzi oculomotor nerve). Iko tsvina inoshandisa zviratidzo zvinooneka kubva kune retina kuenda kuuropi. Kukuvadza kweropa re-optic (kufanana ne- optic neuritis ) kunogona kukonzera matambudziko ekuona.
Ioculomotor nerve inodzora zvese pamatanhatu emeso eziso uye rinodzorawo kunyunyisa kwevadzidzi uye kukwanisa kweziso kuisa pfungwa. Kukuvadza kwe oculomotor nerve (kufanana nekukuvadzwa musoro, utachiona, kukwiridzwa kweropa, kana uropi hwepfungwa) kunogona kukonzera kaviri chiono kana mwana akawedzerwa kana akaputika.
Chii chiri PERRLA?
Apo chiremba kana mukoti ari kuongorora maziso omurwere, PERRLA ishoko rechiito rinoshandiswa kurondedzera kutarisa nekushanda kwemaziso. Rinomirira:
- P mapils
- E qual
- R ound
- R anoshingaira ku
- L ight uye
- A ccommodation (zvinoreva kuti kukwanisa kwemaziso kuisa pfungwa pane zvinhu zviri pedyo uye kure)
Ziso rekuongorora (rakatsanangurwa na PERRLA) raizova risina kujairika kana vadzidzi vari:
- Kwete yehukuru hwakaenzana
- Kwete kumativi (misshapen)
- Usashandura (kwete reactive) apo chiedza chinovhenekera pavari (ivo vanofanira kunge vashoma)
- Usashandura (kwete kugara) paunotarisa chimwe chinhu chiri pedyo kana kure
Muedzo Wokupindurwa Kwepupillari Unotsanangurwa na PERRLA
Kuti uite pupillary test test , munhu anowanzobvunzwa kugara muchitsiko chakadzika kana nzvimbo kuti aite zvinotevera:
- Chiremba kana mukoti anotarisa kufanana pakati pevadzidzi vose uye anoona humiro uye chiyero pamberi pokutanga kuedzwa.
- Chinhu chiduku chechiedza chinosungirirwa chinotenderera mberi uye chakabuda pakati pemeso masikati maviri uye chakashandiswa kupenya chiedza mumeso. Ichi chiongorori chinonzi "kugovera flashlight test." Chiremba kana mukoti anotsvaga kupindura zvakananga kumhanya kwechiedza chechiedza, kuti aone kana vadzidzi vachiwana zvishoma (constrict) mukupindura kwechiedza chakananga, pasinei neziso ripi chiedza chinotungamirirwa.
- Panguva imwecheteyo, kusagadzikana kweimwe mudzidzi kunofanira kuitika (izvi zvinonzi kusununguka kwevadzidzi ).
- Chiremba kana mukoti angashandisa peni kana mucherechedzo wemunwe kuti aone kuti meso anogadzirisa sei pane chimwe chinhu. Munwe wacho unodzingwa, mberi uye kurutivi kune rumwe rutivi kuti uone kana maziso akakwanisa kutarisa. Kazhinji, vadzidzi vanomira pavanenge vakagadzirirwa pane chimwe chinhu chiri kuswededzwa pedo kana kure.
Chii icho PERRLA Testro Inoratidzira
Izvozvo zvishoma nezvishoma zvinopedzisira zvaitika kune chiedza muziso rimwe zvinogona kuva chiratidzo chehama yakashata pupillary defect (RAPD) . Izviwo dzimwe nguva zvinonzi Marcus Gunn mudzidzi.
Kune mamiriro ezvinhu akasiyana-siyana anotungamirira kuRAPD akadai se:
- Yakanyanya glaucoma
- Optic neuritis
- Optic nerve tumor
- Ischemic optic neuropathy (inonziwo "chirwere chendaneti")
- Kukuvadzwa kwemukoko kunokanganisa maronda emagetsi
- Kuparadzana kunopupurirwa kweropa re optic (nekuda kwekukuvadzwa kunokonzerwa neanesthesia, ziso, maitiro, sinus, kana chirwere chepurasitiki )
- Zvirwere zvakakomba zvetinal
Imba isina kugadziriswa reflex (kupindura kutarisa chimwe chinhu chinotarisana kumeso) kunogona kukonzerwa nemhando dzakasiyana-siyana, kusanganisira:
- Zvipfeko zvejinga re optic
- Zvipembenene zve oculomotor nerve
Shoko Rinobva
Ziso iri nhengo yakaoma sezvinongoita mitsipa iyo inoitungamirira. Zvinotoshamisa, kunyange zvakadaro, muedzo wakaita soro sepupillary test test inoshanda sewindo mukati mehutano hwenyu hwepamusoro.
Kunyange zvazvo kuedza kusina kukwana hakugone kupa zvakanyatsozivikanwa, zvinoratidza chiremba kuna chiremba kuti chimwe chinhu chisina kunaka uye kuti kunyatsoshanda kwekurapa kunodiwa.
Sezvo nguva dzose, iva nechokwadi chekubvunza chiremba wako pamusoro pezviratidzo zvako nemigumisiro yezvimwe zviongorori zvine chokuita neziso rako uye maonero.
Sources:
American Association for Pediatric Ophthalmology. Chechitatu Nerve Palsy.
Blumenfeld H. Neuroanatomy kuburikidza neKliniki Cases: Pupillary Responses (CN II, III).
> Broadway DC. (2012). Nzira yekuedza sei hama yakashata pupillary defect (RAPD). Community Eye Health, 25, 79-80, 58-59.
Kugadzirisa G, Palombi J. (September 2016). Zvaunotarisira Pakati Penguva Yokuongorora Eye.