{"id":77551,"date":"2017-02-10T16:00:57","date_gmt":"2017-02-10T16:00:57","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/kornealna-pahimetrija\/"},"modified":"2017-02-10T16:00:57","modified_gmt":"2017-02-10T16:00:57","slug":"kornealna-pahimetrija","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/treatments\/kornealna-pahimetrija\/","title":{"rendered":"Kornealna pahimetrija"},"content":{"rendered":"

Kornealna pahimetrija<\/h1>\n

 <\/p>\n

\u0160ta je kornealna pahimetrija?<\/h2>\n

Kornealna pahimetrija je ispitivanje koji meri debljinu ro\u017enja\u010de. Poznavanje debljine ro\u017enja\u010de se koristi za definisanje pouzdanosti merenja o\u010dnog pritiska. Ispitivanje se odvija kao sredstvo za procenu nekih patologija ro\u017enja\u010de kao \u0161to keratokonus, edem ro\u017enja\u010de i u dijagnostici glaukoma.<\/p>\n

Postoje razli\u010dite tehnike ispitivanja: tomografija ro\u017enja\u010de \u201eScheimpflug\u201d sobe (opti\u010dka pahimetrija) daje mapu pahimetrije ro\u017enja\u010de ili ultrazvu\u010dna sonda (pahimetrija akustike). U prvom slu\u010daju se mo\u017ee imati karta koja pokazuje pahimetrijsku debljinu ro\u017enja\u010de u svakom trenutku i omogu\u0107ava da odre\u0111i lokacija i vrednost najtanjeg dela.<\/p>\n

 <\/p>\n

Koja je svrha pahimetrija ro\u017enja\u010de?<\/h2>\n

Test slu\u017ei za merenje debljine ro\u017enja\u010de koji je prvi prirodni objektiv sa kojim se svetlo susre\u0107e na putu unutar oka.<\/p>\n

 <\/p>\n

Srandardna priprema<\/h2>\n

Ne postoje posebna pravila pripreme. Ultrazvuk je potreban za pregled koji se obavlja sa pahimetrijom. Pre pregleda, estetske kapi za o\u010di se stavljaju u o\u010di koriset\u0107i sondu koja je sli\u010dna maloj olovci. Estetske kapi za o\u010di nisu obavezne za pahimetriju (pogledajte proces akvizicije tomografije ro\u017enja\u010de).<\/p>\n

 <\/p>\n

Koji pacijenti mogu da urade ispitivanje?<\/h2>\n

Ispitivanje se mo\u017ee uraditi sa pacijenatima svih uzrasta uklju\u010duju\u0107i decu koja su u stanju da garantuju prihvatljivu koli\u010dinu saradnje kako bi osigurali pouzdani rezultat ispitivanja. Ovo ispitivanje se koristi u svim slu\u010dajevima sa dokumentovanim\u00a0 glaukomom ili ako postoji rizik glaukoma kod bolesnika sa bole\u0161\u0107u ro\u017enja\u010de i kod onih koji moraju da operi\u0161u kornealna umre\u017eavanja, transplantaciju ro\u017enja\u010de, ili refraktivnu hirurgiju.<\/p>\n

 <\/p>\n

Da li je ispit bolan ili opasan?<\/h2>\n

Ultrzvu\u010dna pahimetrija (nakon stavljenja anestetika u o\u010di) nije bolan pregled da se radi. Anestetik se koristi da se izbegne ose\u0107aj bola i neugodnosti dok se dodiruje povr\u0161ina ro\u017enja\u010de sa malom sondom. U slu\u010daju opti\u010dke pahimetrije, to je neinvazivno ispitivanje jer ne postoji kontakt sa povr\u0161inom oka.<\/p>\n

 <\/p>\n

Kako se radi ispitivanje?<\/h2>\n

Pacijent mora da sedi na stolici tokom ultrazvu\u010dnog pahimetrijskog pregleda. Anestetik je stavljeno u o\u010di, a onda doktor nasloni sondu na povr\u0161inu ro\u017enja\u010de da se vidi debljina ro\u017enja\u010de. Merenje se mo\u017ee ponavljati u razli\u010ditim delovima povr\u0161ine ro\u017enja\u010de ako je potrebno. Kada ispit po\u010dne, o\u010di pacijenta moraju uhvatiti izvor svetlosti u kontinuitetu od nekoliko sekundi tokom kojih instrument obavlja niz skeniranja ro\u017enja\u010de. Posve\u0107eni ra\u010dunar vr\u0161i morfolo\u0161ke i morfometrijske analize, ekstrahuje vrednost pahimetrije koje jw detektovan u nekoliko delova povr\u0161ine ro\u017enja\u010de i minimalna vrednost debiljine ro\u017enja\u010de je detektovana.<\/p>\n

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