Burkholderia cepacia bilateral microbial keratitis ndi ovala ma lens a tinted

Burkholderia cepacia bilateral microbial keratitis ndi matenda a maso. Amapezeka mu cornea ndipo amayamba chifukwa cha kukhalapo kwa mabakiteriya. Monga momwe anafotokozera m'nkhani yofalitsidwa mu Journal of Optometry, "[b] Bacterial keratitis ndi vuto lalikulu, lomwe lingathe kuchititsa khungu. nthawi zambiri amavala ma lens usiku. ”Makamaka Anati, m'zaka zaposachedwa, bilateral microbial keratitis yakhala ikugwirizana ndi kugwiritsa ntchito magalasi olumikizana.
Magalasi achikuda amaphimba iris (gawo la diso), ndipo amagulitsidwa pa kauntala ndi pa kauntala. Amatchuka ngati m'malo mwa magalasi owoneka bwino, komanso kugwiritsa ntchito mafashoni ndi tchuthi. pomwe magalasi achikuda akuchulukirachulukira, makamaka pakati pa achinyamata ndi achikulire, maloya athu amilandu yaku Florida amadziwa kuti kuvala magalasi achikuda kumatha kuwonetsa anthu ambiri ku Burkholderia cepacia.Chiwopsezo cha bilateral microbial keratitis.

Ma Lens amitundu

“Mavuto okhudzana ndi kugwiritsa ntchito magalasi odzikongoletsera ndi ofanana ndi omwe amakhudzana ndi kugwiritsa ntchito magalasi wamba.Mwa izi, ma lens okhudzana ndi ma microbial keratitis ndiye vuto lomwe anthu amawopa kwambiri.Microbial keratitis ikhoza kukhala matenda owononga maso , ndipo imakhudzana ndi ndalama zambiri zaumwini komanso zamagulu….[A] Kafukufuku wowongolera zochitika akuwonetsa kuti anthu omwe amavala magalasi odzikongoletsera amakhala ndi chiopsezo chochulukitsa ka 16.5 poyerekeza ndi omwe amavala magalasi. kwa kukonza refractive.”
Kodi nchifukwa ninji ma lens a tinted amalumikizana kwambiri ndi Burkholderia cepacia bilateral microbial keratitis kuposa magalasi owoneka bwino omwe amavalidwa pofuna kukonza?
Nthawi zambiri, ndizophatikizana zomwe zimapangitsa kuti pakhale matenda omwe amavala ma lens a tinted.Mwachitsanzo, nkhani yomwe ili m'buku la Cureus ikufotokoza za mayi wazaka 19 yemwe adapezeka ndi matenda a microbial keratitis ochokera ku Burkholderia cepacia. Nkhaniyo inatsimikiza kuti matenda ake mwina anali chifukwa cha magulu atatu onsewa:
"Ali ndi zitsanzo zingapo za zodzikongoletsera zamitundu [magalasi olumikizirana] ndipo sanalandirepo upangiri kuchokera ku chipatala chokhudza kuvala.Sanalandirenso malangizo aliwonse osamalira magalasi.Zotsatira zake, njira yake yosamalira ma lens ndi yosayenera ndipo sakuyeretsa Magalasi ndi magalasi.Komanso, sanasinthe [Multi-Purpose Solution (MPS)] pamlandu wa lens.Ponena za MPS, zotsatira zake zimachepa pakapita nthawi.Komabe, kuvala ndi kukonza magalasi osasamala koteroko kumatsimikiziridwa kukhala chinthu chowopsa, kukondoweza kwa cornea chifukwa cha kuvala kosayenera kumasokoneza ntchito yotchinga epithelial ndipo imaganiziridwa kuti imathandizira ku matenda a Bacillus cepacia.
Kuti timvetse kugwirizana pakati pa ma lens amtundu wakuda ndi Burkholderia cepacia bilateral microbial keratitis, ndikofunikanso kumvetsetsa mtundu wa mabakiteriya a B. cepacia. Monga momwe nkhani ya Cureus inafotokozera, “B.cepacia imakonda malo achinyezi...[ndi] kuwonetsa kuthekera kwakukulu komanso kukana kutsekereza ndi njira zoyeretsera.Chifukwa cha mkati mwa chikwama cha [magalasi olumikizirana] posunga magalasi Kumakhala konyowa nthawi zonse, ndipo ngakhale ndi ma lens osabala, kachilomboka kamatha kukula m'bokosi."
Bungwe la US Centers for Disease Control and Prevention (CDC) nthawi zambiri limavomereza kugwirizana pakati pa ma lens okhudzana ndi matenda a bakiteriya keratitis. :
Ngakhale milandu ina ya Burkholderia cepacia bilateral microbial keratitis imachitika chifukwa chosasamalira bwino komanso kusamalidwa ndi odwala ma lens awo olumikizana nawo, maloya athu amilandu yaku Florida amadziwa kuti milandu yambiri imayamba chifukwa cha zovuta zamagalasi olumikizana nawo.zinayambitsa.M'malo mwake, ngakhale wodwalayo atasamala, izi sizokwanira kuti mabakiteriya asakule mu lens ya wodwalayo ndikuyambitsa matenda.

Ma Lens amitundu
Komanso, odwala ambiri sadziwa momwe angasamalire magalasi awo chifukwa salandira uphungu wokwanira.Madokotala a maso ndi madokotala ena sangaganize kuti odwala amadziwa kusamalira magalasi awo makamaka magalasi okhala ndi zoopsa zapadera komanso zofunikira za chisamaliro chapadera.