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Importance of ophthalmological examination in pregnancy
Obstetricians interest to the eye pathology is connected with the choice of tactics while looking after women expecting babies and the way of their childbirth if the pregnant patients have any eye pathology. Nowadays this question is opened to discussion, according to the literature. The frequency of performing Caesarian section reaches 10-30% if expectant mothers have any eye disease. Nevertheless, the reason for surgical childbirth is retinal detachment or its threat in most cases. The most frequent reason for retinal detachment is vitreochorioretinal retinal dystrophy, that about 14,6% of women at childbearing age are often ill. In this article the facts concerning ophthalmologic inspections of pregnant women have been systematized. All the women expecting babies must be examined by ophthalmologist before 28-30 week of pregnancy and must be examined using ophthalmoscopy in condition of the highest possible medical midriatic. If retinal tears or retinal detachment are found, laser photocoagulation is strongly recommended. If pregnant women have from high to medium myopia, they must be examined every 3 months. The next ophthalmologic examination is recommended during 32-36 week of pregnancy . After that ophthalmologist makes the final conclusion about the choice of way of childbirth considering ophthalmologic indications. Despite the fact, that ophthalmologist makes the conclusion about the preferred method of childbirth, the decision in each specific case must be made advisory together with obstetrician-gynecologist, who supervises the pregnant woman.ΠΠ½ΡΠ΅ΡΠ΅Ρ Π°ΠΊΡΡΠ΅ΡΠΎΠ²-Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΎΠ² ΠΊ Π³Π»Π°Π·Π½ΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ ΡΠ²ΡΠ·Π°Π½ Ρ Π²ΡΠ±ΠΎΡΠΎΠΌ ΡΠ°ΠΊΡΠΈΠΊΠΈ Π²Π΅Π΄Π΅Π½ΠΈΡ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ ΠΈ ΡΠΏΠΎΡΠΎΠ±Π° ΡΠΎΠ΄ΠΎΡΠ°Π·ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΏΡΠΈ Π½Π°Π»ΠΈΡΠΈΠΈ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ. Π Π½Π°ΡΡΠΎΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ Π²ΠΎΠΏΡΠΎΡ ΠΎ ΡΠΏΠΎΡΠΎΠ±Π°Ρ
ΡΠΎΠ΄ΠΎΡΠ°Π·ΡΠ΅ΡΠ΅Π½ΠΈΡ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
Ρ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ ΠΎΡΠ³Π°Π½Π° Π·ΡΠ΅Π½ΠΈΡ ΠΎΡΡΠ°Π΅ΡΡΡ Π΄ΠΈΡΠΊΡΡΠ°Π±Π΅Π»ΡΠ½ΡΠΌ. Π§Π°ΡΡΠΎΡΠ° ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΠΊΠ΅ΡΠ°ΡΠ΅Π²Π° ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΏΡΠΈ Π½Π°Π»ΠΈΡΠΈΠΈ Π³Π»Π°Π·Π½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π΄ΠΎΡΡΠΈΠ³Π°Π΅Ρ 10-30%. ΠΡΠΈ ΡΡΠΎΠΌ Π² Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²Π΅ ΡΠ»ΡΡΠ°Π΅Π² ΠΏΡΠΈΡΠΈΠ½ΠΎΠΉ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΠΎΠ΄ΠΎΡΠ°Π·ΡΠ΅ΡΠ΅Π½ΠΈΡ ΡΠ»ΡΠΆΠΈΡ Π½Π°Π»ΠΈΡΠΈΠ΅ ΠΎΡΡΠ»ΠΎΠΉΠΊΠΈ ΡΠ΅ΡΡΠ°ΡΠΊΠΈ ΠΈΠ»ΠΈ Π΅Π΅ ΡΠ³ΡΠΎΠ·Ρ. Π ΡΠ²ΠΎΡ ΠΎΡΠ΅ΡΠ΅Π΄Ρ, Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎΠΉ ΠΏΡΠΈΡΠΈΠ½ΠΎΠΉ ΠΎΡΡΠ»ΠΎΠΉΠΊΠΈ ΡΠ΅ΡΡΠ°ΡΠΊΠΈ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠ°Ρ Π²ΠΈΡΡΠ΅ΠΎΡ
ΠΎΡΠΈΠΎΡΠ΅ΡΠΈΠ½Π°Π»ΡΠ½Π°Ρ Π΄ΠΈΡΡΡΠΎΡΠΈΡ, ΠΊΠΎΡΠΎΡΠ°Ρ Ρ ΠΆΠ΅Π½ΡΠΈΠ½ ΡΠ΅ΡΡΠΈΠ»ΡΠ½ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° Π΄ΠΎΡΡΠΈΠ³Π°Π΅Ρ 14,6%. Π ΡΠ°Π±ΠΎΡΠ΅ Π±ΡΠ»ΠΈ ΡΠΈΡΡΠ΅ΠΌΠ°ΡΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ Π΄Π°Π½Π½ΡΠ΅, ΠΊΠ°ΡΠ°ΡΡΠΈΠ΅ΡΡ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
. ΠΡΠ΅ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π΄ΠΎΠ»ΠΆΠ½Ρ Π±ΡΡΡ ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎ ΠΎΡΠΌΠΎΡΡΠ΅Π½Ρ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ΠΎΠΌ Π½Π° Π½Π΅ ΠΏΠΎΠ·Π΄Π½Π΅Π΅ 28-30-ΠΎΠΉ Π½Π΅Π΄Π΅Π»ΠΈ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ Ρ ΠΎΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΡΠΌ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ΠΌ ΠΎΡΡΠ°Π»ΡΠΌΠΎΡΠΊΠΎΠΏΠΈΠΈ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΎΠ·Π½ΠΎΠ³ΠΎ ΠΌΠΈΠ΄ΡΠΈΠ°Π·Π°. ΠΡΠΈ ΠΎΠ±Π½Π°ΡΡΠΆΠ΅Π½ΠΈΠΈ ΡΠ°Π·ΡΡΠ²ΠΎΠ² ΠΈΠ»ΠΈ ΠΎΡΡΠ»ΠΎΠΉΠΊΠΈ ΡΠ΅ΡΡΠ°ΡΠΊΠΈ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ ΠΎΡΠ³ΡΠ°Π½ΠΈΡΠΈΠ²Π°ΡΡΠ΅ΠΉ Π»Π°Π·Π΅ΡΠ½ΠΎΠΉ ΠΊΠΎΠ°Π³ΡΠ»ΡΡΠΈΠΈ. ΠΡΠΈ Π½Π°Π»ΠΈΡΠΈΠΈ ΠΌΠΈΠΎΠΏΠΈΠΈ ΡΡΠ΅Π΄Π½Π΅ΠΉ ΠΈ Π²ΡΡΠΎΠΊΠΎΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎ ΠΎΡΠΌΠ°ΡΡΠΈΠ²Π°ΡΡ Π² ΠΊΠ°ΠΆΠ΄ΠΎΠΌ ΡΡΠΈΠΌΠ΅ΡΡΡΠ΅. ΠΠΎΠ²ΡΠΎΡΠ½ΡΠΉ ΠΎΡΠΌΠΎΡΡ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ΠΎΠΌ ΠΏΠΎΠΊΠ°Π·Π°Π½ Π½Π° 32-36-ΠΉ Π½Π΅Π΄Π΅Π»Π΅ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ, ΠΏΡΠΈ ΡΡΠΎΠΌ Π΄Π΅Π»Π°ΡΡ ΠΎΠΊΠΎΠ½ΡΠ°ΡΠ΅Π»ΡΠ½ΠΎΠ΅ Π·Π°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅ ΠΎ Π²ΡΠ±ΠΎΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Π° ΡΠΎΠ΄ΠΎΡΠ°Π·ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΏΠΎ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΡΠΌ. ΠΠ΅ΡΠΌΠΎΡΡΡ Π½Π° ΡΠΎ, ΡΡΠΎ ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ Π΄Π°Π΅Ρ Π·Π°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅ ΠΎ ΠΏΡΠ΅Π΄ΠΏΠΎΡΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΌ ΡΠΏΠΎΡΠΎΠ±Π΅ ΡΠΎΠ΄ΠΎΡΠ°Π·ΡΠ΅ΡΠ΅Π½ΠΈΡ, ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π² ΠΊΠ°ΠΆΠ΄ΠΎΠΉ ΠΊΠΎΠ½ΠΊΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΈΡΡΠ°ΡΠΈΠΈ ΡΠ»Π΅Π΄ΡΠ΅Ρ ΠΏΡΠΈΠ½ΠΈΠΌΠ°ΡΡ ΠΊΠΎΠ½ΡΡΠ»ΡΡΠ°ΡΠΈΠ²Π½ΠΎ ΡΠΎΠ²ΠΌΠ΅ΡΡΠ½ΠΎ Ρ Π°ΠΊΡΡΠ΅ΡΠΎΠΌ-Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΎΠΌ, ΠΊΡΡΠΈΡΡΡΡΠΈΠΌ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ