Mukukonzekera kugulitsa magalasi anu a maso kuti mukhale ndi makalenseni ? Anthu ambiri amapanga zokondwera kuti ayese ma lens kuti aziwauza kuti sayenera kuvala. Zifukwa zingapo zingapangitse kapena kuti zisakupangitseni kukhala woyenera. Katswiri wanu wamagetsi kapena ophthalmologist adzachita kafukufuku wamaso ndi kuyesa mayesero ena kuti mudziwe ngati makina ojambulira angakuthandizeni.
Pamene kuvala makalenseni ochezera si vuto kwa anthu ambiri, pali zinthu zingapo zomwe zingakulepheretseni.
Dry Eye Syndrome
Matenda a maso owopsa ndi amodzi mwa zinthu zomwe zimawoneka bwino kwambiri. Kuti mukhale omasuka mu makina opangidwira, munthu amafunika kukhala ndi filimu yowonongeka yokwanira. Misozi ya anthu imakhala ndi madzi, mafuta, ntchentche, mchere, maantibayotiki, mavitamini, mchere komanso zinthu zina zambiri. Nthawi zonse mukamamveka, mumayambitsanso misonzi ndikupukuta zitsulo zowopsya mumaso mwanu. Misozi imathandiza kusunga makilogalamu amadzimadzi ndi mafuta.
Ngati filimu yowonongeka ikusowa, makina othandizira amatha kukhala owuma kapena pamwamba pa mandala akhoza kuwonekera mlengalenga. Izi zidzachititsa kusinthasintha, masomphenya ophwanyika ndipo zidzachititsa kuti diso likhale louma. Mwinamwake mungamve ulensi wothandizana nawo m'diso lanu kapena mukumverera ngati pali mchenga m'diso lanu. Diso lanu lingamve ngati likuwotha kapena likuwotcha.
Zizindikiro zimenezi zingakupangitseni kuti mukhale otopa kwambiri patatha ma ola ochepa chabe ovala mauthenga.
Nchiyani chingachitike?
Kuwopsa kowopsa kwa maso kumayambitsa vuto lalikulu mwa kuvala makalenseni. Kwa odwala ambiri owuma owuma, kukhudzana ndi lens sivala bwino. Kuwopsa kwa khungu la maso kumapangitsa kuti munthu asamavutike kugwiritsira ntchito lens kuvala, koma akhoza kuyika munthu pangozi ya kuperewera kwa magazi ndi matenda omwe angathe.
Komabe, odwala omwe ali ouma pang'ono amakhala ovala malonda, mwina nthawi ina. Pofuna kuthandizira mavuto owopsa a maso ndi majekeseni, dokotala akhoza kuyesa zina kapena zotsatirazi kuti apange mawonekedwe a maso kapena kuchepetsa zizindikiro kuti zodzikongoletsera zamkati zikhale bwino:
Kukonza malo apadera a madzi, lens tsiku lililonse
Kuyika lenti lapadera lalikulu lamakina opangira makina
Kugwiritsiridwa ntchito kowonjezereka kwa makina opangidwira akugwiritsanso ntchito misozi
Kuika mapulagi mu ngalande yotsekemera ya misozi
Kupereka mankhwala ochiritsira monga mankhwala, Xiidra kapena Restasis
Kupereka mankhwala ovomerezeka a steroid akugwiritsidwa ntchito musanayambe makalenseni oyenerera
Blepharitis
Blepharitis ndi chinthu china chomwe chimachepetsa mpata wopambana ndi kuvala chovala cha lens. Blepharitis ndi kutupa kwa maso. Ngakhale izo zingakhudze anthu a msinkhu uliwonse, blepharitis amayamba kawirikawiri kumachitika mwa anthu omwe ali ndi khungu lamatenda. Blepharitis amaikidwa m'magulu awiri: anterior ndi posterior.
Anterior Blepharitis
Anterior blepharitis amakhudza kunja kwa khungu la khungu komwe maunyolo amamangiriza. Anterior blepharitis ikhoza kuchitika monga seborrheic kapena ulcerative. Seborrheic blepharitis ikuphatikizidwa ndi kuthamanga.
Mtundu uwu umapangitsa maso ake kukhala ofiira ndi kutulutsa masikelo osakaniza pa eyelashes. Zingasokonezenso maso. Masikelo amayamba kukula chifukwa cha kuchuluka kwake kwa mtundu wa filimu yomwe imapangidwa ndi glands za maso. Kuchepa kwa magazi kumakhala kosavuta kuposa seborrheic blepharitis ndipo kawirikawiri kumayamba mu ubwana. Amayambitsa mabakiteriya. Ulcerative blepharitis ndi mawonekedwe oopsa kwambiri omwe amachititsa kuti ziphuphu zolimba zizipangika kuzungulira ma eyelashes. Nthawi zambiri ziphuphuzi zimathamanga nthawi yogona, zimakhala zovuta kutsegula maso m'mawa.
Anterior blepharitis ingathe kuika chiopsezo chachikulu chotenga kachilombo koyang'anitsitsa pamene akuvala makalenseni chifukwa cha kuchuluka kwa mabakiteriya omwe akupachikika pafupi ndi khungu lawo.
Kuphatikizanso apo, zowonongekazi zimatha kutuluka mu filimu yowonongeka ndipo zimayambitsa kukwiya komanso mavuto okhudza kupukuta lens. Kuphatikizanso, kusunga maso awo poika ndi kuchotsa makina opangidwira kungachititse kuti zinyalala zifalikike pozungulira, kuwonjezereka kofiira.
Betapharitis
Mankhwala a mafuta otsika kwambiri amayamba pamene mafuta a m'thupi amatha kupatsa mabakiteriya kukula. Zitha kuchitika chifukwa cha zikopa za khungu monga acne rosacea ndi scalp dandruff. Mankhwala otsika a blepharitis amatchulidwanso kuti vuto lopweteka kwambiri m'mimba (MGD). Matenda a mtundu wa Meibomian gland ndi mtundu wambiri wa blepharitis. Zilonda za m'magazi zimagwiritsidwa ntchito popanga mtundu wa mafuta. Ndi mphamvu ya kununkhira, mafuta amaikidwa mkati mwa misonzi. Mafutawa amapangidwa kuti athetse kutuluka kwa filimu. Pamene ziphalaphalazi zimatuluka, mafuta ochepa kwambiri kapena ochepa kwambiri akubisika. Mankhwala otsika a blepharitis amachititsanso diso lopanda madzi. Kukhala ndi diso loluma kungapangitse kuvala malisitomala ovuta kwambiri.
Nchiyani chingachitike?
Kawirikawiri ndibwino kuchiza blepharitis musanafike poyenerera makilogalamu. Madokotala ambiri amapereka makina ophimba ndi mafunde otentha. Belepharitis imagwiritsidwa ntchito pogwiritsa ntchito makina othandizira otentha ndi nsalu yotentha kwambiri. M'mbuyomu, madokotala analimbikitsa kugwiritsa ntchito shampo la ana ndi nsalu yotentha. Diso liri lotsekedwa ndi kukupukuta ndi nsalu yotsamba pogwiritsa ntchito mofulumira kutsogolo. Mankhwala apakhungu akulimbikitsidwa chifukwa sichikugunda maso. Masiku ano, zowonongeka zogulitsa zamakono zimagwira ntchito bwino kwambiri. Njira zina zothandizira matenda a blepha ndi monga:
Zakudya zamatenda - Omega-3 fatty acids amasonyezedwa kuti azikhalitsa zofiira zam'mimba ndikupanga zotsutsana ndi zotupa pamaso. Zingatenge miyezi 3-6 kuti chitsimikizo chenichenicho chiwonedwe.
Ma antibiotics - Azithromycin amapezeka pamwambamwamba wotchedwa Azasite. Madokotala nthawi zambiri amauza odwala kuti agwiritse ntchito zochepa za Azas ku chikopa cha eyelid ndi chala chawo pogona. Azasite amakhala ndi anti anti-inflammatory effect komanso anti-infective. Mafuta a antibiotic monga erythromycin ndi bacitracin amapezedwanso ngakhale kuti ali ochepa kwambiri.
Maantibayotiki Ovomerezeka - Kwa milandu yowakakamiza, ma antibayotiki angalankhule. Tetracycline yamlomo, minocycline, kapena doxycycline yodulidwa kulikonse kuyambira masiku 30 mpaka nthawi yaitali ikhoza kukhala yothandiza kwambiri. Izi ndizothandiza makamaka kwa odwala omwe ali ndi mawonekedwe oopsa a blepharitis otchedwa ocular rosacea.
Corticosteroids - Ngakhale kuti steroids ikhoza kubweretsa zotsatira zosafunika ndi zoopsa, zimakhala zothandiza pakupuntha kutupa pamene njira zina sizikugwira ntchito. Madokotala adzawalamula kuti azikhala ndi matenda a blepharitis pofuna kuchepetsa kutentha kwa nthawi yayitali kuti athe kuchepetsa mavuto omwe angakhalepo.
Maso Oopsya Amaso
Kukhala ndi chifuwa chachikulu cha maso kungapangitse mavuto ovala malingaliro a contact. Zomwe zimawombera kapena kuchitapo kanthu nthawi zambiri zimagwirizanitsidwa ndi zovuta kapena ma antigen omwe amachititsa kuti chifuwa chisamveke. An antigen akhoza kukhala zilonda zamtundu monga mungu, phala, phulusa, nkhungu, utsi wa ndudu, zonunkhira kapena kutulutsa. Pogwiritsa ntchito mankhwalawa, maselo amamasula ma histamine ndi mankhwala ena pofuna kuteteza maso. Ndi mankhwala awa omwe amachititsa mitsempha ya m'maso mkati kuti maso aphule, ndipo maso akukhala otentha, ofiira ndi madzi. Pali mitundu yosiyanasiyana ya chifuwa monga:
Nyengo komanso osatha kugonana conjunctivitis
Vernal keratoconjunctivitis
Atopic keratoconjunctivitis
Mitundu yodziwika bwino ya kupsinjika kwa diso ndi nyengo yokhayokha conjunctivitis (SAC) ndipo imatha kusokoneza conjunctivitis (PAC). Mitundu iyi ya kupweteka kwa maso imayambitsa zizindikiro zomwe timadziwa monga kuyabwa, kufiira, kuvulaza, kutupa, kuyaka ndi kuyera kofiira.
Kuwopsa koopsa kwambiri monga nthendayi komanso atopic keratoconjunctivitis zimakhala ndi zoopsa zambiri. Ngakhale kuti sitinganene kuti anthu omwe akudwala matendawa ali ndi matendawa, sangathe kuvala malisitomala, zimakhala ndi mavuto ambiri, monga momwe nthawi zina izi zingakhudzire cornea mpaka kufika poyipa.
Nchiyani chingachitike?
Pamene mukudwala kwambiri, sizingakhale bwino kuti mukhale wothandizidwa kuti mukhale ndi makalenseni. Chithandizo chimodzi cha chifuwa chachikulu ndicho kutenga antihistamines. Antihistamines imagwira ntchito zodabwitsa kwa ife omwe tili ndi chifuwa, koma vuto limodzi ndilokuti amauma mimbulu, kuphatikizapo maso. Zotsatira zake ndizakuti, maso ndi owuma komanso owuma amachititsa kuti zikhale zovuta kuvala malisitomala bwino. Komabe, lero tili ndi mankhwala othandiza kwambiri kuti tisamapweteke maso, makamaka ngati madontho a maso. Steroids, antihistamines ndi maselo otsika kwambiri ndi mankhwala omwe angapangidwe ndi optometrist kapena ophthalmologist kuti achepetse zizindikiro.
Chifukwa chiwopsezo chimatha kumamatira makalenseni athu ndikuyambitsa chifuwa chathu, njira imodzi yochepetsera kupsinjika kwa maso ndizo kuti wobvala azikhala woyenera ndi makina osakaniza tsiku ndi tsiku. Mapulogalamu awa amabvala tsiku limodzi kapena osachepera kenaka amatayidwa. Tsiku lililonse mumapeza zatsopano, zitsulo zosagwiritsidwa ntchito.
Giant papillary conjunctivitis (GPC) ndi vuto limene nthawi zina limawoneka kuti ndilolera koma ndilosiyana kwambiri ndi chilengedwe. GPC ndi mkhalidwe umene diso limasokoneza mapuloteni omwe amachotsa misonzi komanso pamwamba pa lens. Minofu yomwe ili pansi pa khungu la pamwamba imakhala yowomba ndipo imatha kukuthandizani kupanga makalenseni ndi kuwatsogolera. Anthu omwe ali ndi GPC nthawi zambiri amadandaula chifukwa cha kukwiyitsa ndi kutuluka kwa ntchentche. GPC nthawi zambiri imayamba mwa anthu omwe amavala kale malonda. Matendawa amatha kuchiritsidwa bwino.
Zolemba Zosasangalatsa
Madokotala a maso ali ndi magawo osiyanasiyana osiyanasiyana omwe angasankhe kuti agwirizane ndi odwala omwe samangoyang'anitsitsa kapena akuyang'anitsitsa, komanso astigmatism ndi presbyopia. Othandizira ali ndi zinthu zabwino zomwe angathe. Komabe, anthu ambiri amayembekezera kuti adzalandira mtundu womwewo wa masomphenya omwe amawawona ndi magalasi awo. Malonda othandizira amapereka mtundu watsopano wa ufulu, koma kwa anthu ena iwo samapereka nthawi yowonjezereka ndi kuwunikira kuti magalasi awiri apamwamba amapereka.
Anthu osayang'anitsitsa , kuyang'anitsitsa komanso kuchuluka kwa astigmatism amadziwonekeranso ndi omvera monga momwe amachitira ndi magalasi. Komabe, kuchuluka kwa astigmatism nthawi zambiri kumakhala kovuta kukonza ndi makina othandizira. Masomphenya samawoneke ngati ophwima ngati momwe amachitira ndi magalasi. Ngakhale kuti tili ndi makalenseni okonzera masomphenya pafupi ndi masomphenya chifukwa cha presbyopia, monga monovision ndi multifocals, kawirikawiri nthawi zina amavomereza kutali kapena pafupi.
Nchiyani chingachitike?
Khalani okonzeka kuyesa malingaliro angapo osiyanitsira kapena kuyesera pamene mukuyenera. Oyamba awiri omwe mumayesa samachita bwino. Madokotala ochuluka a maso amayesetsa kuyesa makilogalamu 3-4 osasiya. Mvetserani kwa dokotala ngati akuvomereza njira ina yowonjezera malonda kupatulapo maselo amodzi opangidwa mosavuta. Zambiri mwa njirazi zimapereka masomphenya opambana poyerekeza ndi malonda omwe amasungunuka. Zina mwa mapulogalamu awa ndi awa:
Magetsi olemera kwambiri omwe amatha kulankhulana
Machitidwe opangidwa ndi astigmatism lenses ndi SpecialEyes.
Zilonda zamtambo (mbali yofewa, mbali yolimba) ndi Synergeyes.
Malonda a scleral
Kerasoft lens
> Zotsatira:
> Clinical Manual of Contact Lenses, Bennett, Edward, Henry, Vinita, Wolters Kluwer / Lippincott Williams & Wilkins, Apr 24, 2015.