Mankhwala angapo amapezeka pamene odwala, makamaka ovala lens, amawunikiridwa kumayambiriro kwa matendawa.
Matenda a maso owuma (DED) amakhudza anthu pafupifupi 1.5 biliyoni padziko lonse lapansi ndipo ndi matenda omwe amapezeka kwambiri pamtunda.1 Koma sikuti amafooketsa, makamaka kwa odwala omwe amavala lens.
Ngakhale kuti odwala ambiri amavala ma lens, matendawa amakhalabe osadziwikiratu ndipo zizindikiro zake zimakhala zopanda malire, chifukwa odwala amawona zizindikiro zomwe akukumana nazo ngati zachilendo ndipo samawonetsa zizindikiro m'maso mwawo.Lipoti la Dokotala Wazaumoyo.2
Kufiira, kuyaka, ndi kukhumudwa kumakhala kofala kwa anthu omwe ali ndi DED, komanso kumva kuwala, kusawona bwino, madzi ndi / kapena ntchentche m'maso.
Ma Lens a Maso
Zizindikirozi nthawi zambiri zimakhala zowopsa kwambiri mwa anthu omwe amavala ma lens olumikizana ndipo zimatha kuyambitsa kukwiya kosalekeza, kuwawa komanso kuchepa kwa moyo.
Amadziwika ndi kutayika kwa homeostasis mufilimu yamisozi ya diso, yomwe ofufuza ena amafotokoza kuti ndi "kuzungulira koopsa kwa cornea epithelial kuwonongeka ndi kutupa" 3, DED imakulitsidwa ndi nthawi yomwe akuluakulu ambiri amathera pazithunzi. Malingana ndi lipoti la 2018 Nielsen , nthawi yapakati pa munthu wamkulu waku America akuwonetsa nthawi yayitali kuposa maola 11 patsiku.4
Kuphatikiza apo, mliri wa COVID-19 womwe ukupitirirabe wasiya chizindikiro pa DED powonjezera matenda omwe amakhalapo kwa odwala omwe amakonda kuvala masks.
Mliriwu wapangitsanso kuti odwala ambiri azisankha kuvala magalasi olumikizana chifukwa amavala maski, zomwe zitha kuwonjezera pazomwe CDC ikuyerekeza kuti anthu 45 miliyoni ku US amavala magalasi olumikizana pafupipafupi.5
zokhudzana: Q&A: The Pandemic's Impact on the Number of Dry Diso Odwala Chifukwa chake, odwalawa nawonso amakonda kusalolera magalasi - zotsatira zina zowononga za DED.
Ngakhale zovuta izi, osamalira maso amasiku ano ali ndi njira zochizira DED mosiyanasiyana mosiyanasiyana odwala akawunikiridwa bwino matendawa atangoyamba.
Chomwe chimayambitsa diso louma kwa odwala ndi Meibomian Gland Dysfunction (MGD), yomwe nthawi zambiri imachiritsidwa ndi ukhondo wa m'mphepete mwa zikope, kuchotsa zotchinga za Meibomian gland, ndi kuchepetsa kapena kuthetsa kutupa.
Mu mitundu yoopsa kwambiri, odwala amakumana ndi kusakhazikika, kulepheretsa kukhumudwa ndi zizindikiro zotsatizana nazo monga madontho odziwika bwino a conjunctival, kukokoloka kwakukulu kwa punctate, filamentous keratitis, zilonda zam'maso, trichiasis, keratosis, ndi symblepharon.
DED imakhalanso chifukwa chachikulu cha kusalolera kwa lens kwa ovala lens, ndi zizindikiro nthawi zambiri kuphatikizapo kusawona bwino, kusokonezeka kwa maso ndi kupsa mtima, kutopa kwa maso, ndi kutengeka kwa thupi lachilendo m'maso.
Kuti afotokoze bwino magalasi okhudzana ndi odwala omwe ali ndi DED, madokotala ayenera kuwongolera mawonekedwe a ocular kuti apititse patsogolo kupirira kwa ma lens.Kulumikizana ndi ma lens monga matupi akunja angapangitse zizindikiro ndi zizindikiro ngati mawonekedwe a ocular awonongeka kapena filimu yamisozi sikwanira.
Zolinga ziyenera kukhala kuchepetsa kutupa, kubwezeretsa kukhazikika kwapamaso ndi kung'amba filimu ya homeostasis, ndikuchotsa zopinga zilizonse zokhudzana ndi MGD.
Ma algorithms ochizira ambiri amapezeka kuchokera ku TFOS, 7 Corneal Extracorporeal Disease and Refractive Society, 8 ndi American Society for Cataract and Refractive Surgery9. Malingana ndi kuopsa kwake, njira zotsatirazi ndi mankhwala amalimbikitsidwanso kuti asamalire DED ndipo angagwiritsidwe ntchito mogwirizana. , kutengera momwe wodwalayo akuyankhira chithandizo.Zokhudzana: Mafunso ndi A: Zomwe Muyenera Kuziganizira Pochiza Anthu Owuma Diso
Magalasi a scleral amakhalanso othandiza, makamaka akagwiritsidwa ntchito ngati mankhwala osakaniza.Nthawi ya misozi yosungiramo filimu nthawi zambiri imakhala saline yopanda madzi osungira pakati pa diso ndi mandala, omwe amatha kusinthidwa kukhala "modyera" wa DED akasakaniza ndi madzimadzi. ndi phindu lomwe silipezeka ndi mtundu wina uliwonse wa ma lens.
Kwa magalasi olumikizana pafupipafupi, Regene-Eyes ndi othandiza kwambiri akagwiritsidwa ntchito pafupifupi mphindi 10 isanachitike komanso mphindi 10 pambuyo pochotsa mandala.
Pamene ma steroids amaperekedwa kuti athandizidwe mofulumira, Regene-Eyes ndi kusintha kothandiza chifukwa cha mphamvu yake yopangira mafuta m'maso ndi kuchepetsa kutupa. .
Ndikofunika kudziwa zofunikira zowumitsa - kusowa kwa madzi ndi kutuluka kwa nthunzi, kapena kuphatikizika.Related: Kuopsa kwakukulu kwa maso owuma okhudzana ndi odwala omwe ali ndi COVID-19 Cholinga cha chithandizo cha DED chosowa madzi ndikuwongolera misozi. voliyumu, pomwe cholinga cha evaporative DED ndikukweza mtundu wamisozi.
Ma Lens a Maso
Zonse zabwino ndi kuchuluka kwake ndizofunikira kuti mukhale ndi filimu yolira yokwanira.Mu DED yopanda madzi, mankhwala ambiri amafuna kuonjezera voliyumu, monga mapulagi a punctal ndi misozi yochita kupanga, pamene ena amafuna kuchepetsa kutupa.Pali njira zina zomwe zimapangidwira kuteteza, kubwezeretsa ndi misozi kuchiritsa ocular pamwamba, monga scleral lens ndi biological maso madontho.
Mu DED evaporative, mpweya wabwino ukhoza kubwezeretsedwanso ndi thanzi la chikope ndi ukhondo, monga kutentha kwa kutentha ndi misozi yochita kupanga yokhala ndi zigawo za lipid. Mankhwalawa amachepetsa kutupa ndi kuchepetsa zizindikiro za diso louma.
Nthawi yotumiza: Jun-28-2022
