Tare da haɓakar myopia a duniya a cikin 'yan shekarun nan, babu ƙarancin marasa lafiya da ke buƙatar kulawa.Ƙididdigar yawan ƙwayar cuta ta Myopia ta yin amfani da ƙidayar jama'a ta Amurka ta 2020 ta nuna cewa ƙasar na buƙatar gwajin ido 39,025,416 ga kowane yaro da ke fama da myopia a kowace shekara, tare da jarrabawa biyu a kowace shekara.daya
Daga cikin kusan likitocin ido 70,000 da likitocin ido a duk faɗin ƙasar, kowane ƙwararren kula da ido (ECP) dole ne ya halarci yara 278 kowane wata shida don biyan buƙatun kula da ido na yanzu ga yaran da ke da myopia a Amurka.1 Wannan shine matsakaicin sama da yara 1 myopia da aka gano kuma ana sarrafa su kowace rana.Yaya aikinku ya bambanta?
A matsayin ECP, burinmu shine mu rage nauyin myopia mai ci gaba da kuma taimakawa hana nakasa na gani na dogon lokaci a duk marasa lafiya da myopia.Amma menene majinyatan mu suke tunani game da nasu gyara da sakamakonsu?
Lokacin da ya zo ga orthokeratology (Ortho-k), ra'ayoyin masu haƙuri game da yanayin rayuwarsu na hangen nesa yana da ƙarfi.
Nazarin Lipson et al., Ta amfani da Cibiyar Nazarin Ido ta Ƙasa tare da Tambayoyin Tambayoyin Kuskure na Rayuwa, idan aka kwatanta manya sanye da ruwan tabarau mai laushi mai laushi tare da manya sanye da ruwan tabarau na orthokeratology.Sun kammala cewa gamsuwa da hangen nesa gabaɗaya sun kasance daidai, duk da haka kusan 68% na mahalarta sun fi son Ortho-k kuma sun zaɓi ci gaba da amfani da shi a ƙarshen binciken.2 Batutuwa sun ba da rahoton zaɓi don hangen nesa mara kyau na rana.
Yayin da manya na iya fi son Ortho-k, menene game da kusanci ga yara?Zhao et al.kimanta yara kafin da kuma bayan watanni 3 na orthodontic lalacewa.
Yaran da ke amfani da Ortho-k sun nuna mafi kyawun rayuwa da fa'idodi a cikin ayyukansu na yau da kullun, sun fi iya gwada sabbin abubuwa, sun fi ƙarfin kai, sun fi aiki, kuma suna iya yin wasanni, wanda a ƙarshe ya haifar da ƙarin lokacin ciyarwa gabaɗaya. magani.akan titi.3
Zai yiwu cewa cikakken tsarin kula da myopia zai iya taimakawa wajen ci gaba da yin amfani da marasa lafiya da kuma taimakawa wajen gudanar da dogon lokaci ga tsarin kulawa da ake bukata don maganin myopia.
Ortho-k ya sami ci gaba mai mahimmanci a cikin ruwan tabarau da ƙirar kayan aiki tun lokacin amincewar FDA ta farko na ruwan tabarau na ortho-k a cikin 2002. Batutuwa biyu sun fito fili a cikin aikin asibiti a yau: Ortho-k ruwan tabarau tare da bambancin zurfin meridional da ikon daidaitawa. diamita na yankin hangen nesa na baya.
Yayin da ruwan tabarau na meridian orthokeratology yawanci ana wajabta wa marasa lafiya tare da myopia da astigmatism, zaɓuɓɓuka don dacewa da su sun wuce waɗanda ke gyara myopia da astigmatism.
Misali, daidai da shawarwarin masana'anta, a zahiri ga marasa lafiya tare da ƙwanƙwasa na 0.50 diopters (D), bambance-bambancen zurfin koma baya ɗaya za'a iya sanyawa ta zahiri.
Koyaya, ƙaramin adadin ruwan tabarau na toric akan cornea, haɗe tare da ruwan tabarau na Ortho-k wanda ke yin la’akari da bambancin zurfin meridional, zai tabbatar da magudanar hawaye mai kyau da ingantaccen tsakiya a ƙarƙashin ruwan tabarau.Don haka, wasu marasa lafiya na iya amfana daga kwanciyar hankali da kyakkyawan yanayin da aka bayar ta wannan ƙirar.
A cikin gwajin asibiti na kwanan nan, kothokeratology 5 mm diamita na yankin hangen nesa (BOZD) ya kawo fa'idodi da yawa ga marasa lafiya da myopia.Sakamakon ya nuna cewa 5 mm VOZD ya karu da gyaran myopia ta hanyar 0.43 diopters a ziyarar 1-rana idan aka kwatanta da 6 mm VOZD zane (lensin kulawa), yana ba da gyare-gyare mai sauri da haɓakawa a cikin hangen nesa (Figures 1 da 2).4, 5
Jung et al.Hakanan ya gano cewa yin amfani da ruwan tabarau na BOZD na 5 mm BOZD Ortho-k ya haifar da raguwa mai yawa a cikin diamita na yankin jiyya na topographic.Don haka, ga ECPs da ke son cimma ƙaramin adadin jiyya ga majiyyatan su, 5 mm BOZD ya tabbatar da yana da fa'ida.
Yayin da yawancin ECPs sun saba da dacewa da ruwan tabarau masu dacewa ga marasa lafiya, ko dai a zahiri ko a zahiri, yanzu akwai sabbin hanyoyin haɓaka damar samun dama da sauƙaƙe tsarin dacewa na asibiti.
An ƙaddamar da shi a cikin Oktoba 2021, Paragon CRT Calculator mobile app (Hoto 3) yana ba likitocin gaggawa damar ayyana sigogi ga marasa lafiya tare da Paragon CRT da CRT Biaxial (CooperVision Professional Eye Care) tsarin orthokeratology kuma zazzage su tare da dannawa kaɗan kawai.OdaJagoran magance matsalar samun dama ga sauri suna ba da kayan aikin asibiti masu amfani kowane lokaci, ko'ina.
A cikin 2022, babu shakka yaɗuwar myopia zai ƙaru.Koyaya, ƙwararrun ƙwararrun ido tana da zaɓuɓɓukan jiyya na ci gaba da kayan aiki da albarkatu don taimakawa yin canji a cikin rayuwar marasa lafiya na yara tare da myopia.