IBurkholderia cepacia bilateral microbial keratitis kanye nabafaka amalensi okuxhumana anemibala

IBurkholderia cepacia bilateral microbial keratitis ukutheleleka kwamehlo.Kuvela ku-cornea futhi kubangelwa ukuba khona kwamagciwane.Njengoba kuchazwe esihlokweni esanyatheliswa kuyi-Journal of Optometry, “[b] I-bacterial keratitis iyinkinga engathi sína, engase iphuphuthekise lokho. ngokuvamile kuvame ukugqoka amalensi okuxhumana ebusuku.”Ngokuqondile uthe, eminyakeni yamuva nje, i-bilateral microbial keratitis iye yahlotshaniswa nokusetshenziswa kwamalensi okuxhumana anombala.
Amalensi okuxhumana anombala amboza iris (ingxenye yeso enombala), futhi athengiswa phezu kwekhawunta naphezu kwekhawunta. Adumile njengokuthatha indawo yamalensi okuxhumana acacile, kanye nokusetshenziswa kwemfashini neholide. Ngeshwa, ngenkathi ama-contact lens anombala ekhula ngokuduma, ikakhulukazi phakathi kwentsha kanye nabantu abadala, abameli bethu besikweletu somkhiqizo waseFlorida bayazi ukuthi ukugqoka amalensi okuxhumana anombala kungadalula abantu abaningi eBurkholderia cepacia.Ingozi ye-bilateral microbial keratitis.

Amalensi Okuxhumana Anemibala

“Izinkinga ezihambisana nokusetshenziswa kwamalensi ezimonyo ziyafana nalezo ezihambisana nokusetshenziswa kwamalensi okuxhumana ajwayelekile.Kulokhu, i-microbial keratitis ehlobene ne-lens iyinkinga esatshwa kakhulu.I-microbial keratitis ingaba isifo esilimaza ngokubona , futhi ihlotshaniswa nezindleko ezibalulekile zomuntu siqu nezomphakathi….[A] Ucwaningo lokulawulwa kwezenzakalo lubonisa ukuthi abantu abagqoka amalensi ezimonyo banengozi ephindwe ka-16.5 yokutheleleka uma kuqhathaniswa nabagqoka amalensi. ukulungiswa kwe-refractive.”
Kungani amalensi anombala ogqamile ehlotshaniswa kakhulu ne-Burkholderia cepacia bilateral microbial keratitis kunamalensi acacile agqokwa ngenjongo yokulungisa?Isihloko esishicilelwe kumagazini Iso sikhomba izizathu ezingaba khona ezimbalwa.
Ezimweni eziningi, kuyinhlanganisela yezinto ezigcina ziholele ekuthelelekeni kwabagqoki belensi yokuxhumana egqamile.Ngokwesibonelo, indatshana eshicilele iCureus ixoxa ngodaba lowesifazane oneminyaka engu-19 owatholakala ene-keratitis ye-microbial bilateral evela eBurkholderia cepacia. Isihloko saphetha ngokuthi ukuxilongwa kwakhe kungenzeka kwakuwumphumela wazo zonke izigaba ezintathu zezici:
“Unamasampula amaningi ezimonyo ezinombala [contact lens] futhi akakaze athole izeluleko emtholampilo mayelana nokuwagqoka.Futhi akakayitholi imiyalelo yokunakekelwa kwelensi.Ngenxa yalokho, indlela yakhe yokunakekela ilensi ayifaneleki futhi akawahlanzi Amalensi nekesi lelensi.Futhi, akazange ashintshe [Isixazululo Senjongo Eningi (MPS)] endaweni yelensi.Ngokuqondene ne-MPS, umphumela uyancipha ngokuhamba kwesikhathi.Noma kunjalo, ukugqoka nokugcinwa kwelensi budedengu Kufakazelwa ukuthi kuyingozi, ukushukunyiswa kwe-cornea ngenxa yokugqoka okungafanele kuphazamisa umsebenzi we-epithelial barrier futhi kucatshangwa ukuthi kunesandla ekuthelelekeni kwe-Bacillus cepacia.”
Ukuze uqonde ukuxhumana phakathi kwama-contact lens anombala kanye ne-Burkholderia cepacia bilateral microbial keratitis, kubalulekile futhi ukuqonda uhlobo lwebhaktheriya ye-B. cepacia.Njengoba isihloko sikaCureus sichaza, “B.I-cepacia ikhetha izindawo ezinomswakama...[futhi] ibonise ukusebenza okuphezulu kanye nokumelana nokuvala inzalo nezixazululo zokuhlanza.Ngenxa yengaphakathi lekesi [le-lens yokuxhumana] lapho ugcina amalensi Ihlala imanzi, futhi ngisho nama-ejenti okunakekela amalensi afakwe inzalo, le microbe ingakhula ebhokisini.”
I-US Centers for Disease Control and Prevention (CDC) ngokuvamile iyakuvuma ukuxhumana phakathi kwama-contact lens kanye nokutheleleka kwe-bacterial keratitis. :
Nakuba ezinye izimo ze-Burkholderia cepacia bilateral microbial keratitis zibangelwa ukunganakeki nokunakekelwa okufanele kweziguli zamalensi azo okuxhumana, abameli bethu bezikweletu zomkhiqizo waseFlorida bayazi ukuthi amacala amaningi abangelwa izinkinga zamalensi okuxhumana ngokwawo.okubangelwayo.Eqinisweni, ngisho noma isiguli sithatha ukunakekela okufanele, lokhu akwanele ngempela ukuvimbela amagciwane ekukhuleni ngelensi yesiguli futhi abangele isifo.

Amalensi Okuxhumana Anemibala
Futhi, iziguli eziningi azikwazi ukunakekela amalensi azo ngenxa yokuthi azikutholi ukwelulekwa okwanele.Odokotela bamehlo nabanye odokotela abakwazi ukucabanga ukuthi iziguli ziyakwazi ukunakekela amalensi azo—ikakhulukazi amalensi anombala onezingozi eziyingqayizivele kanye nezidingo zokunakekelwa okuyingqayizivele.