Inzobere mu kubariza inzobere, Stephen Cohen, OD na Denise Whittam, OD basubiza bimwe mu bibazo byingutu byerekeranye n’uko abantu barwaye presbyopiya bahagarika imiyoboro y’itumanaho kandi batanga inama z’ukuntu inzobere mu kwita ku jisho zishobora kuvura aba baturage barwayi.
Co. ibibazo byo hejuru birashobora no gutuma abanyeshuri bata ishuri.Abarwayi benshi muriki cyiciro barinubira ko amaso yabo yumva atuje, kuburyo badashobora kwambara lens umunsi wose.Gutanga igipimo cyubu cyo guta ishuri, isoko ryitumanaho rirahari: nkuko abarwayi benshi bata ishuri nkuko hariho abambara bashya.
WHITTAM: Birababaje abaganga kumva abarwayi - bagiye bambara lens ya contact nkabantu bakuru - bavuga ko bahagaritse.Hari inzira nyinshi dushobora gufasha abantu barwaye presbyopiya kwambara lens.Tuzi ko mugihe abarwayi batakibona iyerekwa bategereje, igihe kirageze cyo kubigisha kubyerekeye amahitamo agezweho kubantu benshi.
WHITTAM: Muganga ni we ugomba kubaza ibibazo bikwiye no kuganira kuri presbyopiya.Ndabwira abarwayi ko guhindura iyerekwa ari igice gisanzwe cyubuzima, ariko ntabwo ari iherezo ryimyanya ndangagitsina yambara. Ntabwo bagomba kwambara ibirahuri byo gusoma hejuru yicyerekezo kimwe lens cyangwa uhindukire kumurongo utera imbere;lens nshya yo guhuza itanga ubugororangingo bwose bakeneye.Ndabibutsa ibyiza byinshi byo kwambara lens ya contact, kuva isura yubuntu nubusore kugeza icyerekezo cyiza cya periferique cyerekezo cyose no kugenda.
Birazwi cyane ubu kugirango wirinde guhuha ibirahuri kubera kwambara mask. Abarwayi benshi batangiye guta ishuri ntibumva lensike nyinshi. Abandi barabigerageje kera cyangwa bumvise inkuru mbi zinshuti. Birashoboka ko umuganga yagerageje gusa kugenzura ku jisho rimwe, ryambura umurwayi imyumvire yimbitse hamwe n’intera ndende. Cyangwa birashoboka ko bagerageje monovision bakumva barwaye cyangwa ntibashobora kubimenyera. Tugomba kwigisha abarwayi no kubizeza ko ikoranabuhanga rishya rya lens ryakemutse. ibibazo byahise.
COHEN: Abarwayi benshi bibwira ko badashobora kwambara lensike yo guhuza abantu benshi kubera gusa ko batigeze bagirwa inama na muganga wabo. Intambwe yambere nukubamenyesha ko dufite lensisiti yo guhuza abantu benshi kandi ni abakandida beza.Ndashaka abarwayi. kugerageza byinshi kandi urebe itandukaniro mubyerekezo byabo.
COHEN: Ntekereza ko ari ngombwa gukurikira iterambere rishya kandi tukaba twiteguye kugerageza amashusho mashya. Kuri presbyopia, dufite amahitamo akomeye nka Air Optix wongeyeho HydraGlyde na Aqua (Alcon);Bausch + Lomb Ultra na BioTrue UMUNSI umwe;na lens nyinshi za Johnson & Johnson Vision Acuvue, zirimo Moist Multifocal na Acuvue Oasys Multifocal hamwe nigishushanyo mbonera cyumunyeshuri.Nashimishijwe cyane niyi lens kandi ntegereje ko izaboneka kumurongo wa 1 wa Oasys.Ndatangirana ninzira yo guhitamo. ibyo bihuye nibyifuzo byabarwayi benshi.Niba umurwayi adahuye nuwo mutaka munini, noneho nahitamo ubundi buryo. Kugira ngo uhindure iyerekwa nijisho ryumye, lens igomba kuba yarateguwe kugirango ibungabunge amarira ya homeostasis hamwe n’ihungabana rito kuri Ubuso.
WHITTAM: Ntanga lens 2 zitandukanye zitandukanye - lens ya burimunsi hamwe nicyumweru 2 - ariko muriyi minsi nkunda kujyana na lisiti ya Acuvue Oasys yizewe cyane. Byatwaye abarwayi banjye bitarenze iminota 10 kugirango bamenyere lens. . ihangane hamwe nubujyakuzimu buhebuje bwo kwibanda kure.
WHITTAM: Ntekereza ko abaganga badashaka gushyira abarwayi babo ku ndimi nyinshi kubera inenge mu ikoranabuhanga rya kera. Nubwo twaba dukurikiza amabwiriza abereye, igishushanyo mbonera gisaba umurwayi kureka intera runaka cyangwa hafi yo kureba, agatera halos, kandi akenshi ntabwo itanga ibisobanuro umurwayi yiteze.Ubu ntidukeneye gutandukana kuko lens nshya yarayitunganije.
Nshyizeho lensifike nyinshi mugihe kimwe nkora lensike ya spherical, ndetse hamwe na lens-optimizes ya lisiti.Nabonye ihinduka ryiza mumucyo utangiza ibidukikije hamwe no gusuzuma amaso yiganje, hanyuma ninjiza nimero muri porogaramu ya Fitting Calculator kuri terefone yanjye iratubwira. njye lens nziza.Ntabwo bigoye gushira kurenza izindi lens.
COHEN: Ntangiriye kuri diopter y'ubu kuko n'impinduka nkeya irashobora kugira ingaruka ku ntsinzi yo guhuza lens.Ku bantu benshi, ndumiye gusa ku mabwiriza akwiye, akaba ari umusaruro w'ubushakashatsi bukomeye.Ibigeragezo byinshi n'amakosa byaduhaye iki twari dukeneye kubona neza kandi dukemura ibibazo vuba.
WHITTAM: Mugihe hari benshi bambara lens ya contact barengeje imyaka 40, bake cyane bambara lens ya contact nyinshi.Nidakemura ikibazo cyo guta ishuri kijyanye na presbyopiya, tuzabura abarwayi benshi ba lens.
Usibye kugumana abambara lens ya contact, dushobora kandi guteza imbere imyitozo ya lens ya contact duhuza optique itigeze yambara amadarubindi cyangwa lens ya contact.Ntibamenyereye ibibazo byo kureba kandi banga kwambara amadarubindi yo gusoma.Ndabashishikariza kugerageza lens zo kugerageza ko gukosora icyerekezo cyabo muburyo butagaragara.
Cohen: Ndatekereza ko guhindura abashobora guta ishuri mubantu bambara lens bishobora koroshya imyitozo kurwego rwinshi - ntabwo byinjiza gusa mumasanduku yo guhuza amakuru. Abambara lens ya kontakt bagaruka mugereranije buri mezi 15, ugereranije namezi 30 kubantu bambara.
Umurwayi wese waretse lens ya contact nayo asimbuka kimwe cya kabiri cyo gusura ibiro byabo.Iyo dukemuye ibibazo byabo, babwira inshuti kubyerekeye imibonano mishya bumva bameze neza umunsi wose.Turema ishyaka, ubudahemuka nubuhamya kubikorwa byacu.
Igihe cyo kohereza: Gicurasi-09-2022
