A shekarar 2030, daya daga cikin Amurkawa biyar zai kai shekaru 65.1 Yayin da yawan jama'ar Amurka ke ci gaba da tsufa, haka kuma buƙatar zaɓuɓɓukan jiyya don presbyopia.Yawancin marasa lafiya suna neman zaɓuɓɓukan banda tabarau don gyara matsakaici da hangen nesa.Suna buƙatar zaɓi wanda ya dace da rayuwarsu ta yau da kullun kuma baya haskaka gaskiyar cewa idanunsu suna tsufa.
Multifocal lamba ruwan tabarau ne mai girma mafita ga presbyopia, kuma lalle ba sabon.Duk da haka, wasu likitocin ido har yanzu suna ƙoƙarin yin amfani da ruwan tabarau masu yawa a cikin aikin su.LABARI: Maganin ruwan tabarau yana da mahimmanci don cire alamun coronavirus Daidaitawa da wannan magani ba wai kawai tabbatar da cewa marasa lafiya sun sami damar yin amfani da sabbin fasahohin kula da ido ba, har ma yana haɓaka nasarar aikin ta fuskar kasuwanci.
1: Shuka iri iri-iri.Presbyopia kasuwa ce mai girma.Fiye da Amurkawa miliyan 120 suna da presbyopia, kuma da yawa daga cikinsu ba su gane cewa za su iya sanya ruwan tabarau na multifocal ba.2
Wasu marasa lafiya sun gano cewa ruwan tabarau na ci gaba, bifocals, ko kan-da-counter gilashin karantawa shine kawai zaɓin su don gyara kusa da nakasar hangen nesa wanda presbyopia ya haifar.
An gaya wa sauran marasa lafiya a baya cewa ruwan tabarau na multifocal ba su dace da su ba saboda ƙimar takardun magani ko kasancewar astigmatism.Amma duniyar ruwan tabarau mai lamba multifocal ta samo asali kuma akwai zaɓuɓɓuka da yawa don marasa lafiya na duk takaddun magani.Wani bincike da aka yi kwanan nan ya gano cewa mutane miliyan 31 suna sayen gilashin karatun OTC a kowace shekara, yawanci daga babban kanti ko kantin magani.3
A matsayin masu kula da ido na farko, masu lura da ido (OD) suna da ikon sanar da marasa lafiya duk zaɓuɓɓukan da ake da su don su iya gani da kyau kuma su inganta rayuwar su.
Fara da gaya wa marasa lafiya cewa ruwan tabarau na lamba multifocal na iya zama nau'i na farko na gyaran hangen nesa ko zaɓi na ɗan lokaci, sha'awa, ko lalacewa na karshen mako.Bayyana yadda abokan hulɗa ke aiki, yadda suke aiki, da yadda suka dace da rayuwar yau da kullum.Ko da ma marasa lafiya sun cire ruwan tabarau na lamba multifocal a wannan shekara, ƙila su so su sake tunanin zaɓin su a nan gaba.Mai alaƙa: Masu bincike suna gwada ruwan tabarau na bugu na 3D masu ɗanɗano kai
Likitocin ido sukan yi hulɗa da marasa lafiya a waje da ɗakin jarrabawa, wanda zai iya ba su damar ilmantar da marasa lafiya game da ruwan tabarau masu yawa.
2: Bi umarnin shigarwa.Yana da mahimmanci a bi umarnin dacewa waɗanda suka zo tare da kowane ruwan tabarau na lamba.Wannan gaskiya ne musamman ga ruwan tabarau na lamba multifocal, saboda nau'ikan iri daban-daban suna da yankuna na gani daban-daban da dabarun sawa.Kamfanoni akai-akai suna sake duba ruwan tabarau masu dacewa da shawarwari yayin da ƙarin bayanan ruwan tabarau ke samun samuwa ta hanyar amfani da haƙuri.Yawancin likitocin sun kirkiro hanyoyin gyare-gyaren kansu.Wannan na iya yin aiki na ɗan gajeren lokaci amma yawanci yana haifar da ƙarar lokacin kujera da ƙarancin nasara a cikin marasa lafiya tare da ruwan tabarau na multifocal.Ana ba da shawarar cewa ku yi bitar littafin lokaci-lokaci don ruwan tabarau na lamba da kuke sawa akai-akai.
Na koyi wannan darasi shekaru da yawa da suka gabata lokacin da na fara sanya Alcon Dailies Total 1 multifocal lenses.Na yi amfani da hanyar da ta dace daidai da sauran ruwan tabarau mai lamba multifocal akan kasuwa wanda ke danganta ƙananan / matsakaici / tsayi mai tsayi mai tsayi zuwa iyawar mai haƙuri don ƙara (ADD).Dabarun dacewata ba ta cika shawarwarin da suka dace ba, wanda ya haifar da tsawaita lokacin kujera, ziyarar ruwan tabarau da yawa, da marasa lafiya masu matsakaicin hangen nesa na ruwan tabarau.
Lokacin da na koma jagoran saitin kuma na bi shi, komai ya canza.Don wannan ruwan tabarau na musamman, ƙara +0.25 zuwa gyaran fuska kuma yi amfani da mafi ƙarancin yuwuwar ƙimar ADD don samun mafi dacewa.Wadannan sauye-sauye masu sauƙi sun haifar da sakamako mafi kyau bayan gwajin ruwan tabarau na farko kuma ya haifar da rage lokacin kujera da kuma inganta gamsuwar haƙuri.
3: Saita tsammanin.Ɗauki lokaci don saita sahihanci da kyakkyawan fata.Maimakon neman cikakken 20/20 hangen nesa kusa da nesa, aiki kusa da hangen nesa zai zama mafi dacewa ƙarshen ƙarshen.Kowane majiyyaci yana da buƙatun gani daban-daban, kuma hangen aikin kowane majiyyaci zai bambanta sosai.Yana da mahimmanci a sanar da marasa lafiya cewa nasara ta ta'allaka ne ga ikon yin amfani da ruwan tabarau don yawancin ayyukan yau da kullun.Mai alaƙa: Nazarin Ya Nuna Masu Amfani Ba Su Fahimtar Mahimmancin Tuntuɓi Lens Na kuma shawarci marasa lafiya da kada su kwatanta hangen nesa da ruwan tabarau masu yawa zuwa hangen nesa tare da tabarau saboda kwatancen apples-to-oranges ne.Ƙirƙirar waɗannan tsammanin tsammanin yana bawa majiyyaci damar fahimtar cewa ba daidai ba ne ya zama cikakke 20/20.Koyaya, marasa lafiya da yawa suna samun 20/20 duka a nesa da kusa tare da ruwan tabarau na multifocal na zamani.
A cikin 2021, McDonald et al.ya ba da shawarar rarrabuwa don presbyopia, yana rarraba yanayin zuwa nau'i mai laushi, matsakaici, da mai tsanani.4 Hanyarsu ta fi mayar da hankali kan rarraba presbyopia ta hanyar gyaran hangen nesa kusa maimakon shekaru.A cikin tsarin su, mafi kyawun gyaran gani na gani ya kasance daga 20/25 zuwa 20/40 don m presbyopia, daga 20/50 zuwa 20/80 don matsakaicin presbyopia, kuma sama da 20/80 don presbyopia mai tsanani.
Wannan rarrabuwa na presbyopia ya fi dacewa kuma yana bayyana dalilin da yasa wasu lokuta presbyopia a cikin mai haƙuri mai shekaru 53 na iya zama mai laushi, kuma ana iya rarraba presbyopia a cikin mai shekaru 38 a matsayin matsakaici.Wannan hanyar rarraba presbyopia tana taimaka mani zaɓar mafi kyawun ƴan takarar ruwan tabarau na multifocal da saita kyakkyawan fata ga majiyyata.
4: Samo sabbin hanyoyin maganin adjuvant.Ko da idan an saita abubuwan da suka dace kuma ana bin shawarwarin dacewa, ruwan tabarau na multifocal ba zai zama kyakkyawan tsari ga kowane mai haƙuri ba.Ɗayan dabarar warware matsalar da na samu nasara ita ce ta amfani da Vuity (Allergan, 1.25% pilocarpine) da ruwan tabarau masu yawa don marasa lafiya waɗanda ba za su iya cimma ma'anar da ake so a ko kusa da tsakiya ba.Vuity shine magani na farko da aka amince da FDA don maganin presbyopia a cikin manya.Abubuwan da ke da alaƙa: Magance Matsalar Lens Lens na Presbyopia Idan aka kwatanta da pilocarpine, haɓakar haɓakar pilocarpine na 1.25% haɗe tare da fasahar pHast mai haƙƙin mallaka ya sa Vuity ya bambanta kuma ya fi tasiri a cikin kulawar asibiti na presbyopia.
Vuiti agonist na muscarinic cholinergic tare da tsarin aiki biyu.Yana kunna sphincter iris da tsoka mai santsi mai santsi, don haka fadada zurfin filin da haɓaka kewayon masauki.Ta hanyar rage almajiri, kamar yadda yake a cikin na'urorin gani na pinhole, kusa da hangen nesa yana inganta.
Vuity ya kammala gwaje-gwaje na asibiti na 2 na layi daya na Phase 3 (Gemini 1 [NCT03804268] da Gemini 2 [NCT03857542]) a cikin mahalarta masu shekaru 40 zuwa 55 tare da daidaitawar gani na nesa tsakanin 20/40 da 20/100.Gwaje-gwaje na asibiti sun nuna cewa a cikin myopia (ƙananan haske) an sami ci gaba na akalla layi 3, yayin da hangen nesa nesa bai shafi fiye da 1 layi (5 haruffa).
A cikin yanayin hoto, 9 cikin 10 mahalarta binciken sun inganta kusa da hangen nesa fiye da 20/40 a cikin yanayin hoto.A cikin haske mai haske, kashi uku na mahalarta sun sami damar cimma 20/20.Gwaje-gwaje na asibiti kuma sun nuna haɓakawa a cikin hangen nesa na matsakaici.Abubuwan da suka fi dacewa tare da Vuiti sune hyperemia conjunctival (5%) da ciwon kai (15%).A cikin kwarewata, marasa lafiya da ke fama da ciwon kai suna ba da rahoton cewa ciwon kai yana da sauƙi, mai wucewa, kuma yana faruwa ne kawai a ranar farko ta amfani da Vuity.
Ana shan Vuiti sau ɗaya a rana kuma ya fara aiki a cikin mintuna 15 bayan an saka shi.Yawancin marasa lafiya suna ba da rahoton cewa wannan yana ɗaukar awanni 6 zuwa 10.Lokacin amfani da Vuity tare da ruwan tabarau na lamba, ya kamata a sanya digo a cikin idanu ba tare da ruwan tabarau na lamba ba.Bayan mintuna 10, ana iya shigar da ruwan tabarau na lamba a cikin idon mara lafiya.Vuiti magungunan ido ne na likita waɗanda za ku iya saya a kowane kantin magani.Kodayake ba a yi nazarin Vuity ba tare da ruwan tabarau mai lamba multifocal, na gano cewa a wasu lokuta wannan haɗin gwiwar haɗin gwiwa yana ba marasa lafiya da ruwan tabarau na multifocal damar samun ci gaban da ake so a kusa da hangen nesa.
Lokacin aikawa: Satumba 11-2022
