Matenda owuma
Muyenera misozi kuti musunthire m'maso ndikutsuka ma tinthu tomwe talowa m'maso mwanu. Kanema wathanzi wokutira m'maso ndikofunikira kuti muwone bwino.
Maso owuma amakula pomwe diso silingathe kukhalabe ndi misozi.
Diso louma limapezeka kwambiri mwa anthu omwe ali ndi thanzi labwino. Zimakhala zofala msinkhu. Izi zitha kuchitika chifukwa cha kusintha kwama mahomoni komwe kumapangitsa maso anu kutulutsa misozi yochepa.
Zina mwazomwe zimayambitsa maso owuma ndi monga:
- Malo owuma kapena malo ogwirira ntchito (mphepo, mpweya wabwino)
- Kutuluka kwa dzuwa
- Kusuta kapena kukoka utsi wachiwiri
- Ozizira kapena mankhwala osokoneza bongo
- Kuvala magalasi olumikizirana
Diso louma lingayambitsenso ndi:
- Kutentha kapena kutentha kwamankhwala
- Opaleshoni yamaso yam'mbuyomu
- Kugwiritsa ntchito madontho a diso kwa matenda ena amaso
- Matenda osowa mthupi momwe matumbo omwe amatulutsa misozi amawonongeka (Sjögren syndrome)
Zizindikiro zimaphatikizapo:
- Masomphenya olakwika
- Kutentha, kuyabwa, kapena kufiira m'maso
- Kumverera kolimba kapena kokanda m'maso
- Kumvetsetsa kuunika
Mayeso atha kuphatikiza:
- Kuyeza kwa ma acuity owoneka
- Dulani mayeso a nyali
- Kudziwitsa za khungu ndi kanema wolira
- Kuyeza kwa nthawi yosiya kutulutsa mafilimu (TBUT)
- Kuyeza kwa kuchuluka kwa misozi (Kuyesa kwa Schirmer)
- Kuyeza kwa misozi (osmolality)
Gawo loyamba la chithandizo ndi misozi yokumba. Izi zimabwera ngati zotetezedwa (botolo la kapu) komanso osasungidwa (kupotokola botolo lotseguka). Misozi yosungidwa ndiyosavuta, koma anthu ena amasamala ndi zotetezera. Pali zinthu zambiri zomwe zimapezeka popanda mankhwala.
Yambani kugwiritsa ntchito madontho osachepera 2 kapena 4 patsiku. Ngati zizindikiro zanu sizili bwino pakatha milungu ingapo mukugwiritsa ntchito:
- Lonjezerani kugwiritsa ntchito (mpaka maola awiri aliwonse).
- Sinthani madontho osasungidwa ngati mwakhala mukugwiritsa ntchito mtundu wosungidwa.
- Yesani mtundu wina.
- Lankhulani ndi omwe amakuthandizani ngati simukupeza mtundu womwe umagwira ntchito kwa inu.
Mankhwala ena atha kukhala:
- Mafuta a nsomba kawiri kapena katatu patsiku
- Magalasi, magalasi ogwiritsira ntchito magalasi kapena magalasi olumikizirana omwe amasunga chinyezi m'maso
- Mankhwala monga Restasis, Xiidra, topical corticosteroids, ndi oral tetracycline ndi doxycycline
- Timapulagi tating'onoting'ono tomwe timayikidwa m'mayenje otulutsa madzi kuti chinyezi chikhalebe kumtunda kwa diso
Njira zina zothandiza ndi monga:
- MUSASUTE ndikupewa utsi wa fodya, mphepo yolunjika, komanso mpweya wabwino.
- Gwiritsani ntchito chopangira chinyezi, makamaka m'nyengo yozizira.
- Chepetsani mankhwala osokoneza bongo komanso ozizira omwe angakuwumitseni ndikuwonjezera zizindikiro zanu.
- Kuphethira mwachangu nthawi zambiri. Pumulani maso anu kamodzi kanthawi.
- Sambani ma eyelashes pafupipafupi ndikugwiritsa ntchito ma compress ofunda.
Zizindikiro zina zowuma zamaso zimachitika chifukwa chogona ndi maso otseguka pang'ono. Mafuta opaka mafuta amagwira ntchito bwino pamavuto awa. Muyenera kuzigwiritsa ntchito pang'ono pokha popeza amatha kuwona bwino. Ndi bwino kuzigwiritsa ntchito musanagone.
Kuchita opaleshoni kungakhale kothandiza ngati zizindikiro zili choncho chifukwa zikope zili panjira yachilendo.
Anthu ambiri omwe ali ndi diso louma samangokhala ndi zovuta zokha, ndipo samataya masomphenya.
Zikakhala zovuta kwambiri, chophimba poyera cha diso (cornea) chitha kuwonongeka kapena kutenga kachilomboka.
Itanani omwe akukuthandizani nthawi yomweyo ngati:
- Muli ndi maso ofiira kapena owawa.
- Muli ndi zikopa, zotuluka, kapena zilonda m'diso lanu kapena chikope.
- Mwapwetekedwa ndi diso lanu, kapena ngati muli ndi diso lotupa kapena chikope chotsamira.
- Mukumva kupweteka molumikizana mafupa, kutupa, kapena kuuma ndi pakamwa pouma limodzi ndi zizindikilo zowuma zamaso.
- Maso anu sakhala bwino ndikudziyang'anira nokha patangotha masiku ochepa.
Khalani kutali ndi mapangidwe owuma ndi zinthu zomwe zimakhumudwitsa maso anu kuti zithandizire kupewa zizindikilo.
Matenda a chiwindi; Xerophthalmia; Keratoconjunctivitis sicca
- Kutulutsa kwamaso
- Chotupa cha Lacrimal
Bohm KJ, Djalilian AR, Pflugfelder SC, Starr CE. Diso lowuma. Mu: Mannis MJ, Holland EJ, olemba. Cornea. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 33.
Dorsch JN. Matenda owuma. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 475-477.
Goldstein MH, Rao NK. Matenda owuma a diso. Mu: Yanoff M, Duker JS, olemba. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019: chaputala 4.23.