Hamwe no kwiyongera kwa myopiya kwisi yose mumyaka yashize, ntihabura abarwayi bakeneye kuvurwa.Ikigereranyo cy’ubwiyongere bwa Myopia ukoresheje Ibarura rusange ry’Amerika ryo muri 2020 ryerekana ko igihugu gisaba ibizamini by'amaso 39.025.416 kuri buri mwana urwaye myopiya buri mwaka, hakaba hakorwa ibizamini bibiri ku mwaka.imwe
Mu bantu bagera ku 70.000 b'abaganga b'amaso n'abaganga b'amaso mu gihugu hose, buri nzobere mu kwita ku jisho (ECP) agomba kwitabira abana 278 buri mezi atandatu kugira ngo yuzuze ibisabwa kugira ngo amaso y’abana bafite indwara ya myopiya muri Amerika.1 Iyo ni impuzandengo ya myopia yo mu bwana irenga 1 isuzumwa kandi igacungwa kumunsi.Nigute imyitozo yawe itandukanye?
Nka ECP, intego yacu nukugabanya umutwaro wa myopiya igenda itera imbere no gufasha kwirinda ubumuga bwigihe kirekire kubarwayi bose barwaye myopiya.Ariko abarwayi bacu batekereza iki kubikosora nibisubizo byabo?
Ku bijyanye na orthokeratology (Ortho-k), ibitekerezo byabarwayi kubitekerezo byabo bijyanye nubuzima bwabo birasakuza.
Ubushakashatsi bwakozwe na Lipson n'abandi, bwifashishije Ikigo cy'igihugu gishinzwe indwara z'amaso hamwe n'ikosa ryoroheje ry'ubuzima Bwabajijwe, wagereranije abantu bakuru bambaye icyerekezo kimwe cyoroshye cyo guhuza abantu hamwe n'abantu bakuru bambaye imitekerereze ya orthokeratology.Bashoje bavuga ko muri rusange kunyurwa no kwerekwa byagereranywa, icyakora abagera kuri 68% bitabiriye bahisemo Ortho-k bahitamo gukomeza kuyikoresha nyuma y’ubushakashatsi.2 Ibintu byatangaje ko ukunda icyerekezo cyo ku manywa kidakosowe.
Mugihe abantu bakuru bashobora guhitamo Ortho-k, bite byo kureba kure mubana?Zhao n'abandi.yasuzumye abana mbere na nyuma y'amezi 3 yo kwambara ortodontique.
Abana bakoresha Ortho-k berekanye ubuzima bwiza ninyungu mubikorwa byabo bya buri munsi, bakunze kugerageza ibintu bishya, bakigirira icyizere, bagakora cyane, kandi bagakina siporo, amaherezo bikavamo umwanya munini muri rusange bamara. kwivuza.ku muhanda.3
Birashoboka ko uburyo bwuzuye bwo kuvura myopiya bushobora gufasha gukomeza kwishora mu barwayi no gufasha mu buryo buhagije gucunga igihe kirekire uburyo bwo kuvura bukenewe mu kuvura myopiya.
Ortho-k yateye imbere cyane mubyuma no gushushanya ibikoresho kuva FDA yatangira kwemezwa bwa mbere na ortho-k yo guhuza amakuru mu 2002. Ingingo ebyiri zigaragara mubikorwa byubuvuzi uyumunsi: Lens ya Ortho-k ifite itandukaniro ryimbitse ya meridional hamwe nubushobozi bwo guhindura diameter ya zone yinyuma.
Mugihe inzitizi ya meridian orthokeratology isanzwe yandikiwe abarwayi barwaye myopiya na astigmatism, amahitamo yo kuyahuza arenze kure ayo gukosora myopiya na astigmatism.
Kurugero, ukurikije ibyifuzo byuwabikoze, muburyo bwuzuye kubarwayi bafite corneal toricite ya 0.50 diopters (D), itandukaniro ryimbitse rya zone rishobora gutangwa muburyo bwiza.
Nyamara, agace gato ka lens ya toric kuri cornea, ifatanije na Ortho-k lens yitaye kubutumburuke bwimbitse bwa meridional, bizatuma amarira akwirakwira neza hamwe na centre nziza munsi yinzira.Rero, abarwayi bamwe barashobora kungukirwa no guhagarara neza kandi neza bitangwa niki gishushanyo.
Mu igeragezwa rya kliniki iheruka, orthokeratology 5 mm yinyuma yinyuma ya diameter (BOZD) yazanye inyungu nyinshi kubarwayi barwaye myopiya.Ibisubizo byerekanye ko mm 5 VOZD yongereye myopia ikosora diopters 0.43 mugihe cyo gusura umunsi 1 ugereranije na mm 6 ya VOZD igishushanyo mbonera (kugenzura lens), itanga gukosora byihuse no kunoza ubushobozi bwo kubona neza (Ishusho 1 na 2).4, 5
Jung n'abandi.yasanze kandi gukoresha lens ya mm 5 ya BOZD Ortho-k yatumye igabanuka rikabije rya diametre y’ahantu havuwe.Rero, kuri ECPs igamije kugera kubunini buke bwo kuvura abarwayi babo, 5 mm BOZD byagaragaye ko ari ingirakamaro.
Mugihe ECP nyinshi zimenyereye guhuza abarwayi, haba mubisuzumabumenyi cyangwa muburyo bufatika, ubu hariho uburyo bushya bwo kongera uburyo bworoshye no koroshya uburyo bwo kuvura.
Yatangijwe mu Kwakira 2021, porogaramu igendanwa ya Paragon CRT Calculator (Isanamu 3) yemerera abaganga byihutirwa gusobanura ibipimo by’abarwayi bafite Paragon CRT na CRT Biaxial (CooperVision Professional Eye Care) sisitemu ya orthokeratology hanyuma ikayikuramo ukanze gusa.Tegeka.Ubuyobozi bwihuse bwo gukemura ibibazo bitanga ibikoresho byubuvuzi igihe icyo aricyo cyose, ahantu hose.
Mu 2022, nta gushidikanya ko ubwiyongere bwa myopiya buziyongera.Nyamara, umwuga w'amaso ufite uburyo bwo kuvura hamwe nibikoresho hamwe nibikoresho bifasha kugira icyo bihindura mubuzima bw'abarwayi b'abana barwaye myopiya.