Akwai nau'ikan jiyya da yawa lokacin da aka tantance marasa lafiya, musamman masu amfani da ruwan tabarau a farkon cutar.
Busashen ciwon ido (DED) yana shafar kusan mutane biliyan 1.5 a duk duniya kuma shine cutar da aka fi sani da ido.1 Amma ba lallai ba ne ya raunana, musamman ga marasa lafiya masu sanye da ruwan tabarau.
Ko da yake ƙarin majiyyata suna sanye da ruwan tabarau na tuntuɓar juna, yanayin ya kasance ba a gano shi ba kuma adadin alamun da gaske ba shi da iyaka, kamar yadda majiyyata ke ganin alamun da suke fuskanta a matsayin al'ada don haka ba sa ba da rahoton alamun ga idanunsu.Rahoton Likitan Lafiya.2
Jajaye, ƙonawa, da ɓacin rai suna da yawa a cikin mutanen da ke da DED, tare da hankali ga haske, hangen nesa, da ruwa da / ko gamsai a cikin ido.
Ido Tuntuɓi Lens
Wadannan alamomin yawanci sun fi tsanani a cikin mutanen da ke sanye da ruwan tabarau na lamba kuma suna iya haifar da fushi, zafi da rage ingancin rayuwa.
An kwatanta shi da asarar homeostasis a cikin fim din hawaye na ido, wanda wasu masu bincike suka bayyana a matsayin "mummunan yanayin lalacewar corneal epithelial da kumburi" 3, DED ya kara tsanantawa lokacin da yawancin manya ke ciyarwa akan fuska. Bisa ga rahoton 2018 Nielsen. , Matsakaicin lokacin allo na manya na Amurka ya karu zuwa fiye da sa'o'i 11 a rana.4
Bugu da ƙari, cutar ta COVID-19 mai gudana ta bar alamarta akan DED ta hanyar rikitar da rashin lafiya a cikin marasa lafiya waɗanda ke yawan sanya abin rufe fuska.
Barkewar cutar ta kuma haifar da ƙarin marasa lafiya da ke zaɓar sanya ruwan tabarau na tuntuɓar juna saboda suna hazo lokacin da suke sanya abin rufe fuska, wanda zai iya ƙarawa a kiyasin CDC na yanzu cewa mutane miliyan 45 a Amurka suna sanya ruwan tabarau akai-akai.5
Mai alaƙa: Tambaya&A: Tasirin Cutar Cutar Kan Yawan Busassun Marasa lafiya Ido Saboda haka, waɗannan majiyyatan kuma sun fi dacewa da rashin haƙuri na ruwan tabarau - wani mummunan sakamako na DED.
Duk da waɗannan abubuwan da ke damun su, masu aikin kula da ido na yau suna da zaɓuɓɓuka don magance DED na tsanani daban-daban lokacin da aka kimanta marasa lafiya da kyau a farkon cutar.
Mafi yawan abin da ke haifar da bushewar ido a cikin marasa lafiya shine Meibomian Gland Dysfunction (MGD), wanda yawanci ana bi da shi tare da tsabtace gefen fatar ido, kawar da toshewar glandon Meibomian, da raguwa ko kawar da kumburi.
A cikin mafi tsanani siffofin, marasa lafiya fuskanci m, nakasa rashin jin daɗi tare da rakiyar bayyanar cututtuka kamar alamar conjunctival tabo, mai tsanani punctate yashwa, filamentous keratitis, corneal ulcers, trichiasis, keratosis, da kuma symblepharon.
DED kuma shine babban dalilin rashin haƙurin ruwan tabarau a cikin masu sanye da ruwan tabarau, tare da alamun bayyanar cututtuka sau da yawa ciki har da hangen nesa, rashin jin daɗin ido da haushi, gajiyawar ido, da jin jiki na waje a cikin ido.
Don samun nasarar rubuta ruwan tabarau na lamba ga marasa lafiya tare da DED, dole ne likitoci su iya inganta yanayin ido don inganta haɓakar ruwan tabarau.Tsarin ruwan tabarau kamar yadda jikin waje na iya kara yawan alamun da alamun bayyanar idan fuskar ido ta lalace ko kuma fim din hawaye bai isa ba.
Maƙasudin ya kamata su kasance don rage kumburi, dawo da kwanciyar hankali na ido da hawaye homeostasis, da sauƙaƙa duk wani cikas da ke da alaƙa da MGD.
Ana samun algorithms na jiyya na gabaɗaya daga TFOS, 7 Corneal Extracorporeal Disease and Refractive Society, 8 da American Society for Cataract and Refractive Surgery9.Ya danganta da tsananin, ana ba da shawarar hanyoyin da samfuran masu zuwa don kula da DED kuma ana iya amfani da su tare da haɗin gwiwa. , dangane da martanin majiyyaci ga jiyya.Mai alaƙa: Tambaya & A: Abubuwan da za a yi la'akari da su Lokacin Jiyya da Busassun Ido
Har ila yau, ruwan tabarau na Scleral magani ne mai mahimmanci, musamman idan aka yi amfani da shi azaman haɗin haɗin gwiwa.Tafkin fim ɗin hawaye yawanci shine saline marar kiyayewa tsakanin ido da ruwan tabarau, wanda za'a iya canza shi zuwa "Cocktail" na DED lokacin da aka haxa shi da ruwa. fa'ida ce da ba a samo ta da kowane nau'in ruwan tabarau na lamba ba.
Don ruwan tabarau na yau da kullun, Regene-Eyes sun fi tasiri idan aka yi amfani da su kamar mintuna 10 kafin kuma kamar mintuna 10 bayan an cire ruwan tabarau.
Lokacin da aka wajabta magungunan steroid don sauƙi mai sauri, Regene-Eyes yana da tasiri mai tasiri saboda ikonsa na sa mai ido da kuma rage kumburi. .
Yana da mahimmanci don ƙayyade ainihin yanayin bushewa - rashin ruwa da ƙashin ruwa, ko yiwuwar haɗuwa.Mai dangantaka: Haɗarin bushewar ido da ke hade da marasa lafiya bayan COVID-19 Manufar jiyya ga rashin ruwa DED shine inganta hawaye. ƙarar, yayin da manufar evaporative DED shine inganta ingancin hawaye.
Ido Tuntuɓi Lens
Dukansu inganci da yawa suna da mahimmanci don samun isasshen fim ɗin hawaye.A cikin DED mai bushewa, jiyya da yawa suna nufin ƙara ƙarar ƙararrawa, irin su matosai na punctal da hawaye na wucin gadi, yayin da wasu ke nufin rage kumburi.Akwai wasu hanyoyin da aka tsara don taimakawa kare, dawo da su warkar da fuskar ido, kamar ruwan tabarau na scleral da digon ido na halitta.
A cikin DED mai fitar da ruwa, ana iya dawo da ƙawancen al'ada ta hanyar lafiyar fatar ido da tsabta, irin su zafin zafi da hawaye na wucin gadi tare da abubuwan da ke cikin lipid.Waɗannan jiyya a kaikaice suna rage kumburi da rage alamun da alamun bushewar ido.
Lokacin aikawa: Juni-28-2022
