Ngaba ulungele ukuthengisa ama-glass yezilwanyana kwiilensi zokudibanisa ? Abantu abaninzi banomdla wokwenza i-aphoyintimenti ukuze bazame iilensi zokudibanisa kuphela ukuba baxelelwe ukuba akufanele bazigqoke. Zininzi izinto ezinokuthi zenze okanye ungenzi ukuba ube ngumviwa ofanelekileyo. I-optometrist yakho okanye i-ophthalmologist iya kwenza uvavanyo lweziliso olunzulu kwaye iqhube iimvavanyo ezithile ukuqinisekisa ukuba iilensi zokudibanisa ziya kukusebenzela.
Ngoxa ukugqoka ii-lens zokunxibelelana akuyona ingxaki kubantu abaninzi, kukho izinto ezimbalwa ezingenza kube nzima.
I-Eye Eye Syndrome
I-eye syndrome yamehlo yenye yeemeko eziqhelekileyo ezifumana indlela yokugqoka i-lens yempumelelo. Ukuze uzive ukhululekile kwiilensi zokunxibelelana, umntu kufuneka abe nemilinganiselo eninzi yefilimu yokulibala. Iinyembezi zomntu ziqukethe amanzi, ioli, i-muscus, ityuwa, i-antibiotics yendalo, iivithamini, izityela kunye nezinye izinto ezininzi. Njalo xa uqhafaza, uhlaziya iinyembezi zakho kwaye usule uluhlu olutsha lwesicombululo esinzima kwilihlo lakho. Iinyembezi zinceda ukugcina ii-lens ezimanzi ezinomsolo kwaye zihluthe.
Ukuba i-film ityhila ilahlekile, i-lens yokudibanisa iyomile okanye umphezulu we-lens ungabonakaliswa emoyeni. Oku kuya kubangela ukuguqulwa kombono, kunye nokubangela ukuba iso live lome. Unokuziva unxibelelwano lens iliso lakho okanye uvakalelwa ngathi kukho isiqatha sesanti elisesweni lakho. Iliso lakho lingaziva litshatsha okanye litshise.
Ezi zimpawu zenza ikhefu lenu live ludinwe emva kweeyure ezimbalwa zokugxiba oonxibelelwano.
Yintoni enokuyenza?
Isifo soomlomo esomeleleyo sibonisa ingxaki ebalulekileyo ngokugqoka ii-lens. Ngenxa yezigulane zamehlo ezinqabileyo, iingubo zentsimbi ayixhomekile. I-eye eye syndrome eyomileyo yomeleleyo ingabangela ukuba i-lens ingathinteki kakhulu, kodwa ingafaka umntu engozini yokutshatyalaliswa kwegazi kunye nokusuleleka.
Nangona kunjalo, izigulane zamehlo ezomileyo zincinci zikwazi ukugqoka ii-lens zoqhagamshelwano, ubuncinane inxalenye yexesha. Ukuphucula iingxaki zamehlo ezomileyo kunye neelensi zokudibanisa, ugqirha wakho uzama ezinye okanye zonke ezi zinto zilandelayo ukuphucula imeko yomlenze owomileyo okanye ubuncinane ukuphatha iimpawu ukuze unxibe i-lens ingubo ekhululekile:
Ukufakela i-special gradient yamanzi, i-lens yokulahlwa yansuku zonke
Ukufakela i-lens yokuqhafaza ekhethekileyo enkulu
Ukunyusa ukusetyenziswa kwamaconsi amacwecwe okudibanisa i-lens kwakhona
Ukufakela iiplagi kwi-canal ye-tear-shed (u-punct occlusion)
Ukunika imithi yonyango njenge- Xiidra okanye i-Restasis
Ukunika i-steroid yesigqirha ukuba isetyenziswe ngaphambi kokuba kufumaneke iilensi zokudibanisa
Blepharitis
I-blepharitis yenye imeko eqhelekileyo eyanciphisa ithuba lokuphumelela ngengubo yecala yokudibanisa. I-blepharitis kukuvuvukala kweebhokhwe. Nangona iyakuchukumisa abantu baluphi na ubudala, i-blepharitis ithambekele ngokuphindaphindiweyo kubantu abanesikhumba esikhulayo. I-blepharitis ihlelwa zibe zimbini iintlobo: i-anterior neyokugqibela.
Anterior Blepharitis
I-blepharitis yangaphambili ichaphazela ngaphandle kwesikhoselo apho i-eyelashes iqhotyoshelweyo. I-blepharitis yangaphambili ingenzeka njenge-seborrheic okanye isilonda. I-seborrheic blepharitis idibene ne-dandruff.
Olu hlobo lubangela ukuba iinkophe zenziwe zibe zibomvu kwaye zivelise izikali zecala kwi-eyelashes. Kwakhona kunokubangela ukuba amehlo akhoke. Izikali ziqale ziphuhliswe ngenxa yemali engavumelekanga kunye nefuthe lefilimu yokulila eveliswa zizigulane zeenkophe. I-blepharitis eyilwelwesi ayifani ngokuqhelekileyo kune-seborrheic blepharitis yaye iqala ngokuqala ebuntwaneni. Kubangelwa yiibhaktheriya. I-blepharitis engumlwelisi yindlela ebomeleleyo ebangela ukuba i-crusts enzima iqulunqe i-eyelashes. Ezi zikhuni zivame ukuhlutha ngexesha lokulala, okwenza kube nzima ukuvula amehlo kusasa.
I-blepharitis yangaphambili ingakwazi ukubeka umngcipheko wokwenza utyeshelo lwamehlo olona xa ulugqoba iilensi zokudibanisa ngenxa yenani lama-bacteria elenga kwi-ijwabu leso.
Ngaphezulu, i-debusty debris ingadlulela kwifilimu yokulila kwaye ibangele ukucasula kunye neengxaki zokuqhawula i-lens. Ukongeza, ukuxhaphaza iinkophelo xa ufaka kwaye ususe ii-lens zokudibanisa kunokubangela ukuba amaninzi amaninzi ajikeleze, atyule ubomvu.
I-Posterior Blepharitis
I-posterior blepharitis ikhula xa iifumba zeoli zihlala kwi-eyeridi yangaphakathi zivumela iibhaktheriya ukuba zikhule. Iyakwenzeka ngenxa yeemeko zesikhumba ezifana ne-acne rosacea kunye ne-scalp dandruff. I-postphapha ye-blepharitis iphinde ibhekiswe njenge-meibomian gland ukungasebenzi (MGD). I-Meibomian gland ukungasebenzi kakuhlobo oluqhelekileyo lwe-blepharitis. Iingqungquthela zeMeibomian zisebenza ukubethela uhlobo lweoli. Ngombutho we-blink, i-oli ifihliwe kwiinyembezi. Eli diliya yenzelwe ukukhusela i-film evaporation. Xa ezi zigulane zivutha, i-oyile okanye i-oyile encinane kakhulu ifihliwe. I-postphapha ye-blepharitis idala iso elomileyo elinyukayo. Ukuba neliso elomileyo lingenza ukugqithisa ii-lens ezinzima kakhulu kunzima.
Yintoni enokuyenza?
Ngokuqhelekileyo kulungele ukuphatha i-blepharitis ngaphambi kokulungelelanisa i-lens. Uninzi oogqirha baya kunika iipilisi kunye neentlungu ezifudumeleyo. I-blepharitis iphathwa ngokusetyenziswa ngokufudumalayo kunye nokuhlamba okufudumele kakhulu okulandelwa yizikhukuphuku. Kwixesha elidlulileyo, oogqirha bancoma ukusebenzisa i-shampoo ye-baby nge-clock yofudumele. Iso livaliwe kwaye lihlutswe ngendwangu yokuhlamba usebenzisa ukunyamezela nokuhamba. I-shampoo ye-Baby iyanconywa kuba ayikugubisi amehlo akho. Namhlanje, ukulungiswa kwempahla yokuthengisa ngokuqhelekileyo kubonakala kusebenza kangcono. Ezinye iindlela zokuphatha i-blepharitis ziquka:
I-acid acids - I-Omega-3 fatty acids iboniswa ukuzinzisa izilonda ze-meibomi kunye nokwenza umonakalo ochasayo kwilihlo. Kungathabatha inyanga ezi-3-6 ngaphambi kokuba kubonakale umphumo ozukileyo.
I-antibiotic ye-Topic - I-Azithromycin ifumaneka kwifom ye-topical ebizwa ngama-Azasite. Oogqirha baya kuhlala bexelela izigulane ukuba zisebenzise isixa esincinane se-Azas kwi-margin ye-eyelidi ngomnwe wabo ngexesha lokulala. I-Azas ijwayele ukuba nefuthe elichasayo kunye ne-anti-infective. Amagcoba e-Antibiotics afana ne-erythromycin kunye ne-bacitracin nayo inqunywe nangona ibancinci.
Amachiza okulwa neengxaki zomlomo - Kwiimeko ezinenkani, i-antibiotiki yomlomo ingachazwa. I-tetracycline yomlomo, i-minocycline, okanye i-doxycycline echazwe naphi na kwiintsuku ezingama-30 ukuya kwixesha elide linokusebenza kakuhle. Oku kunceda kakhulu kwizigulane ezineendlela ezibi kakhulu ze-blepharitis ebizwa ngokuba yi-ocsa rosacea.
I-Corticosteroids - Nangona i-steroids ingabangela imiphumo engathandekiyo kunye nemingcipheko, iphumelela kakhulu ekukhutsheni ukuvuvukala xa ezinye iindlela zendabuko zingasebenzi. Oogqirha baya kubanika i-blepharitis ukulawula ukukhawuleza kwexesha elifutshane ukwenzela ukunciphisa iingxaki ezinokwenzeka.
I-Eye Allergies Ebonakalayo
Ukuba neentlungu ezinzima zamehlo kunokudala iingxaki zokugqoka ii-lens. Ukuxhatshazwa kwamanzi okanye ukusabela kudla ukuxhatshazwa kunye neentshukumo okanye i-antigens eyenza ukunyuka kwesifo kuqhube. I-antigen ingaba izifo ezifana ne-pollen, i-pet dander, izilwanyana ezinothuli, isikhunta, umsi wecuba, ukuqhumisa okanye ukukhupha. Xa zibonakaliswe kulezi zithintelo, iiseli emehlweni zikhulula i-histamines kunye nezinye iikhemikhali kumzamo wokukhusela amehlo. Yiyo yempendulo yeekhemikhali eyenza imivenge yegazi ngaphakathi kwamehlo avule, kwaye amehlo ukuba abe yinto enobumba, obomvu namanzi. Kukho iintlobo ezahlukeneyo zokudityaniswa kwezifo ezifana nalezi zilandelayo:
I-conjunctivitis yexesha elilodwa kunye nexesha elingapheliyo
Vernal keratoconjunctivitis
Atopic keratoconjunctivitis
Iindidi eziqhelekileyo zonyameko zamehlo zi-conjunctivitis (i-SAC) ye-allergenic (SAC) kunye ne-conjunctivitis (PAC). Ezi ntlobo zamehlo zibangelwa iimpawu eziqhelekileyo esiziqhelana nazo ezifana nokubamba, ukubomvu, ukukrazula, ukuvuvukala, ukuvutha, ukutshisa kunye nomhlophe.
Ukugqithisa okunzima kunjenge-vernal kunye ne-atopic keratoconjunctivitis kuthwala ingozi. Nangona kungenakuthiwa ukuba abantu abachaphazelekayo kwezi zimbini izifo zesohlwayo zesohlwayo abanako ukugqoka ii-lens zokudibanisa, ngokuqinisekileyo zihamba nazo iingxaki ezininzi, njengamanye amaxesha le meko iyakuchukumisa i-cornea kwizinga elide kwaye lize lenze ubunzima.
Yintoni enokuyenza?
Xa kunzima kakhulu ukunyuka kwezilwanyana, ubuncinci uya kuba ngumviwa ofanelekileyo kwiilensi zokudibanisa. Olunye unyango lweengxaki eziqhelekileyo kukuthatha i-antihistamines. I-Antihistamines isebenza ezimangalisayo kubantu bethu ngokunyamezela, kodwa umphumo omnye onobungozi kukuba bayomisa imimbrane ye-mucus, kubandakanye nalawo amehlo. Ngenxa yoko, iliso elomileyo nelomileyo lime kwenza kube nzima ukugqoka iilensi zokudibanisa ngempumelelo. Nangona kunjalo, namhlanje sinamachiza asebenzayo ekulawuleni ukunyamezela kwamehlo, amaninzi kwimeko yehla. I-Steroids, i-antihistamines kunye ne-static anti-cell stabilizers ziyimithi enokumiselwa ngu-optometrist okanye i-ophthalmologist ukunciphisa iimpawu.
Ngenxa yokuba ukunyamezela kunganamathela kwii-lens zethu zoqhagamshelwano kwaye kusebenze ukunyamezela kwethu, enye indlela yokunciphisa ukunyamezela kwamehlo kukuba umntu ogqobileyo alungele iilensi zokunxibelelana ezilahla nsuku zonke. Ezi iilensi zigugile usuku okanye ngaphantsi kwaye zilahlwa. Nsuku zonke ufumana entsha ye-brand, i-lens-free-free lens ukugqoka.
I-conjunctivitis yamagada amakhulu (i-GPC) yimeko apho ngamanye amaxesha ithathwa njengengxaki yokungathandabuzeki kodwa ihluke ngokuthe ngqo kwimeko yokutya. I-GPC yimeko apho iliso liba yingozi kwiprotheyini enqanda iinyembezi kwaye ifike phezu komgca we-lens. Iimpawu ezingaphantsi kwekhusi eliphezulu liba lukhuni kwaye lukhuni kwaye lunokubamba iilensi zakho zoqhagamshelwano kwaye uzihambise. Abantu abaneGPC bahlala bekhalaza ngokucaphukisa kunye nokukhutshwa komgquba. I-GPC idla ngokuqhubekayo kubantu abahlala benxiba iilensi zokuxhumana. Le meko iyakwazi ukuphathwa ngempumelelo.
Odd Prescription
Oogqirha bamazondo banemibala eyahlukahlukeneyo yokukhetha ukuba bafanele ukudibanisa izigulane ezingabonakali nje kuphela okanye zibukele phambili, kodwa zibuye zibe njenge-astigmatism kunye ne-presbyopia. I-Optometrists inemveliso emikhulu. Nangona kunjalo, abaninzi abantu balindele ukuba baya kufumana umgangatho ofanayo weemboniselo abazifumanayo ngeeklasi zabo. I-lens zoqhagamshelwano zinikeza uhlobo olutsha lwenkululeko, kodwa kubantu abathile abahlala banika ubukhali kunye nokucaca ukuba iiplastiki zamagcisa eziphezulu zibonelela.
Abantu abanokungaboni kakuhle , ukujonga izinto kunye nexabiso elilinganayo le-astigmatism ngokubanzi banokubonana kunye noonxibelelwano njengoko benza ngeiglasi. Nangona kunjalo, inani eliphezulu le-astigmatism kaninzi kunzima ukulungiswa kunye neelenshi zokudibanisa. Umbono akukaze kubonakale njengento enjengeziglasi. Nangona sino-lens zoqhagamshelwano ukulungisa iingxaki zombono ezikufuphi ngenxa yokunyusa i-presbyopia, njenge-monovision kunye ne-multifocals, ngokuqhelekileyo kukho inqanaba lokunciphisa kumgama okanye kufuphi.
Yintoni enokuyenza?
Makube nokulungele ukuzama iilensi ezahlukeneyo zokuxilonga okanye ukuvavanya ngexesha elifanelekileyo. Inqanaba lokuqala ozama ngalo alisoloko lisebenza. Uninzi lwamehlo oogqirha bazimisele ukuzama ii-lens ezahlukeneyo ngaphambi kokuyeka. Mamela ugqirha ukuba ucebisa enye indlela yokuyila i-lens ngaphandle kwama-lens rhoqo. Uninzi lwezi zikhetho lubonelela ngombono ogqithisileyo xa kuthelekiswa nama-lens ahlaziyiweyo. Ezinye zee-lens ziquka ezi zilandelayo:
Igesi ephezulu eneenlingo ezinxulumene nazo
I-Customly designed astigmatism lenses yi-SpecialEyes.
Ii-lens ze-hybrid (inxalenye epholileyo; inxalenye eqinile) nguSynergeyes.
Iilense zee scleral
Kerasoft lens
> Imithombo:
> Incwadana yeCliniki yoLwazi loLwazi, uBennett, uEdward, uHenry, uWinita, uWolters Kluwer / uLippincott Williams noWilkins, ngoMatshi 24, 2015.