Izindlela zokwelapha eziningi ziyatholakala lapho iziguli, ikakhulukazi abagqoka amalensi okuxhumana, zihlolwa ekuqaleni kwalesi sifo.
Isifo samehlo esomile (DED) sithinta cishe abantu abayizigidi eziyizinkulungwane ezingu-1.5 emhlabeni wonke futhi siyisifo esivame kakhulu samehlo.
Nakuba iziguli eziningi zigqoke ama-contact lens, lesi simo sihlala singatholakali kahle futhi ububanzi bezimpawu empeleni azinamkhawulo, njengoba iziguli zibona izimpawu ezibhekana nazo njengezivamile ngakho-ke azibiki izimpawu emehlweni azo.Umbiko Kadokotela Wezempilo.2
Ukuzwa ububomvu, ukuvutha, kanye nokuhwaqabala kuvamile kubantu abane-DED, kanye nokuzwela ukukhanya, ukungaboni kahle, namanzi kanye/noma amafinyila esweni.
Amalensi Okuxhumana Amehlo
Lezi zimpawu zivame ukuba nzima kakhulu kubantu abagqoka amalensi okuxhumana futhi zingaholela ekucasukeleni okungapheli, ubuhlungu kanye nokuncipha kwezinga lempilo.
Ebonakala ngokulahlekelwa kwe-homeostasis efilimu yezinyembezi yeso, abanye abacwaningi abayichaza ngokuthi "umjikelezo ononya wokulimala kwe-corneal epithelial nokuvuvukala"3, i-DED ikhushulwa ngesikhathi abantu abaningi abadala abachitha ezikrinini.Ngokombiko we-Nielsen we-2018 , isilinganiso sesikhathi sesikrini somuntu omdala waseMelika sikhuphuke saba ngaphezu kwamahora angu-11 ngosuku.4
Ukwengeza, ubhubhane oluqhubekayo lwe-COVID-19 lushiye uphawu lwalo ku-DED ngokwenza kube nzima ukugula ezigulini ezivame ukugqoka imaski.
Lo bhubhane uphinde waholela ekutheni iziguli eziningi zikhethe ukugqoka amalensi okuxhumana ngoba zigcwala inkungu lapho zigqoke imaski, okungase kwengeze esilinganisweni samanje seCDC sokuthi abantu abayizigidi ezingama-45 e-US bagqoka amalensi okuxhumana njalo.5
Okuhlobene: I-Q&A: Umthelela Wobhubhane Enanini Leziguli Zeso Lomile Ngenxa yalokho, lezi ziguli zivame ukungabekezelelani amalensi - omunye umphumela olimazayo we-DED.
Naphezu kwalezi zindlela ezikhathazayo, odokotela banamuhla bokunakekelwa kwamehlo banezinketho zokwelapha i-DED yobunzima obuhlukahlukene lapho iziguli zihlolwa kahle ekuqaleni kwesifo.
Isizathu esivame kakhulu seso elomile ezigulini iMeibomian Gland Dysfunction (MGD), evame ukwelashwa ngokuhlanzeka kwejwabu leso, ukususwa kwezindlala zeMeibomian, nokunciphisa noma ukuqedwa kokuvuvukala.
Ezinhlotsheni ezinzima kakhulu, iziguli zithola ukuphikelela, ukukhubaza ukungakhululeki ngezimpawu ezihambisanayo ezifana ne-conjunctival staining, ukuguguleka okukhulu kwe-punctate, i-filamentous keratitis, izilonda ze-cornea, i-trichiasis, i-keratosis, ne-symblepharon.
I-DED futhi iyimbangela enkulu yokungabekezelelani kwamalensi kubantu abasebenzisa amalensi okuxhumana, izimpawu ngokuvamile zihlanganisa ukungaboni kahle, ukungaphatheki kahle kwamehlo nokucasuka, ukukhathala kwamehlo, nokuzwa komzimba wangaphandle emehlweni.
Ukuze unikeze ngempumelelo amalensi okuxhumana ezigulini ezine-DED, odokotela kufanele bakwazi ukuthuthukisa indawo ye-ocular ukuze bathuthukise ukubekezelela lens.Amalensi okuxhumana njengoba imizimba yangaphandle ingase ikhulise izimpawu nezimpawu uma i-ocular surface yonakaliswa noma ifilimu yezinyembezi ayanele.
Imigomo kufanele kube ukunciphisa ukuvuvukala, ukubuyisela ukuzinza kwe-ocular surface kanye nokudabula i-homeostasis yefilimu, nokukhulula noma yikuphi ukuphazamiseka okuhlobene ne-MGD.
Ama-algorithms okwelapha ajwayelekile ayatholakala kwa-TFOS, 7 Corneal Extracorporeal Disease and Refractive Society, 8 kanye ne-American Society for Cataract and Refractive Surgery9. Kuye ngobunzima, izindlela nemikhiqizo elandelayo nayo iyatuswa ukunakekelwa kwe-DED futhi ingasetshenziswa ngokubambisana. , kuye ngempendulo yesiguli ekwelashweni.Okuhlobene: Q&A: Izinto Okufanele Zicatshangelwe Lapho Welapha Abantu Abaneso Lomile
Amalensi e-Scleral nawo ayindlela yokwelapha ephumelelayo, ikakhulukazi uma esetshenziswa njengenhlanganisela yokwelapha.Indawo yokugcina ifilimu yezinyembezi ivamise ukuba usawoti ovikelayo phakathi kweso kanye nelensi, ongashintshwa abe “i-cocktail” ye-DED uma ixutshwa noketshezi. kuyinzuzo engatholakali nanoma yiluphi olunye uhlobo lwamalensi okuxhumana.
Kumalensi okuxhumana avamile, i-Regene-Eyes iphumelela kakhulu uma isetshenziswa cishe imizuzu eyi-10 ngaphambi nasemizuzwini eyi-10 ngemva kokukhishwa ilensi.
Lapho i-steroids inqunyelwe ukukhululeka okusheshayo, i-Regene-Eyes iyinguquko ephumelelayo ngenxa yekhono layo lokugcoba iso nokunciphisa ukuvuvukala.Ama-Steroids asebenza kahle ezigulini ezineso elomile elimnene kuya kokulinganisela, kodwa izimo ezinzima zidinga izindlela zokuhlinzeka ngezinzuzo zesikhathi eside. .
Kubalulekile ukunquma izimo eziyisisekelo zokomisa - ukuntuleka kwamanzi kanye nokuhwamuka, noma mhlawumbe inhlanganisela.Related: Ingozi ephezulu yeso elomile ehambisana neziguli zangemva kwe-COVID-19 Umgomo wokwelashwa kwe-DED entula amanzi ukuthuthukisa izinyembezi. umthamo, kuyilapho umgomo we-DED ehwamukayo uwukuthuthukisa ikhwalithi yezinyembezi.
Amalensi Okuxhumana Amehlo
Kokubili ikhwalithi kanye nobuningi kubalulekile ukuze ube nefilimu yezinyembezi eyanele.Ku-DED ephelelwe amanzi, imithi eminingi yokwelapha ihlose ukwandisa umthamo, njengama-punctal plugs nezinyembezi zokwenziwa, kuyilapho ezinye zihlose ukunciphisa ukuvuvukala.Kunezinye izindlela eziklanyelwe ukusiza ukuvikela, ukubuyisela kanye nokubuyisela. phulukisa i-ocular surface, njengamalensi e-scleral namaconsi e-biological eye.
Ku-DED ye-evaporative, ukuhwamuka okuvamile kungabuyiselwa impilo yejwabu leso kanye nokuhlanzeka, njengokucindezelwa kokushisa nezinyembezi zokwenziwa ezinezingxenye ze-lipid.Lezi zindlela zokwelapha ngokungaqondile zinciphisa ukuvuvukala futhi zinciphise izimpawu nezimpawu zeso elomile.
Isikhathi sokuthumela: Jun-28-2022
