Uma kuziwa ekunakekeleni amehlo anomile, iningi lethu lifinyelela ukuwa kwe-over-the-counter. Kodwa kungase kube khona indlela engcono yokwelapha izimpawu ezivamile zesifo somzimba esomile .
Amehlo omile, noma isifo se-iso esomile, ngokuvamile iyingxenye yenkinga enkulu kunazo zonke eyaziwa ngokuthi isifo somzimba, noma i-OSD. I-OSD imelela isifo se-eye esomile kanye neminye yemibandela eyenza ukuthi ubuso obusobala beso bungabi bubi.
Isifo se-eye esomile nesifo somzimba esibonakalayo singabangela izimpawu ezifana nombono ongenalutho, ukushisa, ukubomvu , isanti, noma ukuzwela emehlweni akho, ukucasuka, ngisho nobuhlungu. Iso elomile elinomile lingabangela ukulimala ngisho nokulahlekelwa umbono. Ukwelashwa okuyinhloko, kokuqala kwe-line ngokuvamile ku-OTC izinyembezi zokufakelwa, okwenziwe izikhathi eziningana ngosuku. Kodwa-ke, kunezinhlobo ezimbalwa zokwelashwa ezikwaziwa ukuthi ungathola inzuzo kakhulu.
Izinguquko zokuphila
Abantu abanamehlo omile ngokuvamile abahluleka ukuqonda ukuthi ukushintsha nje indlela yabo yokuphila noma imikhuba kungaba ngcono kakhulu izimpawu zamehlo ezomile. Ukuyeka ukubhema noma ukunciphisa izindawo oya kuzo lapho abanye ababhemayo beba khona kungaba nomthelela omkhulu ekunciphiseni izimpawu zamehlo ezomile. Omunye ongathandabuki ushintsho endleleni yokuphila enganciphisa kakhulu izimpawu ukuthola ukulingana okufanelekile kokulala, nokuqinisekisa ukuthi uhlanza ngokwanele ngokuphuza amanzi amaningi nsuku zonke.
Ikhofi ingakwazi ukuguqula umzimba wakho. Ukunciphisa indebe eyodwa yekhofi ekuseni kunokuthi kungasiza kakhulu. Futhi, uma ufunda okuningi noma usebenzisa ikhompiyutha ngaphezu kwamahora ambalwa ngesikhathi, thatha amakhefu amaningi futhi ucabange ngokucabangela kaningi.
I-Acupuncture
Imithi yaseNtshonalanga ivula kancane kancane kwezinye izindlela zokwelapha ngezimo ezithile ezifana nokukhwabanisa.
Ucwaningo oluthile lubonisa ukuthi izimpawu zamehlo ezomile zithuthukiswa nge-acupuncture, okubonakala kubhalisa isimiso sezinzwa esizimele esenza umphumela olwa nokuvuvukala ngokuthuthukisa umsebenzi wezinzwa.
Izithako Zokudla
Amehlo ethu aguga njengoba sikhula ngenxa yokunciphisa ekukhiqizeni amafutha athile emzimbeni. Ukungabi namafutha esweni kungaholela ekukhuphukeni okusheshayo kwezinyembezi. Izinhlayiya ze-meibomian ezinamajwabu amehlo zisiza ukukhiqiza amafutha ukuvimbela i- film evaporation yezinyembezi . Ama-fatty acids ama-omega-3 athuthukisa indlela lezi zinhlayiya ezenza ngayo futhi zifihle amafutha, okusiza ukuzinzisa izinyembezi. Ama-fatty acids ama-omega-3, afana nalawo atholakala enhlanzi, aboniswe ukunciphisa ingozi yokuthuthukisa amehlo omile. I-Omega-3 fatty acids nayo idlala indima ekunciphiseni ukuvuvukala okuvamile ngokukhulisa amazinga abaphili abaphikisanayo ehlokweni elinciphisa izimpawu zamehlo ezomile. Ama-fatty acids ama-omega-3 angatholakala ekudleni okufana nezinhlanzi, i-walnuts, ne-wheat germ.
I-Biologic Therapeutics
I-biologic therapeutic yindlela yokwelashwa etholakala egazini legazi. Amaconsi e-eye asuka egazini lonke ayaziwa nangokuthi ama-drog eye e-autologous eye drops, noma i-plasma-rich rich-plate. Ukudala amaconsi e-serum e-autologous, igazi lidonsa kusuka esigulini nase-centrifuged (spun ngokushesha kakhulu) ukuvumela ukuhlukaniswa kwe-serum egazini lonke.
Le serum isuke ihlanjululwe ngesisombululo sosawoti oluthile, njengo-saline. Ihlungwa futhi inzalo, futhi ibeke amabhodlela ukuze isiguli sisebenzise izikhathi ezingaba ngu-8 ngosuku. Isikhathi esisodwa senza cishe ukwelashwa kwezinyanga ezintathu. Amaconsi angenziwa aqhwaqwe kuze kudingeke.
Ukwelashwa kwamahomoni
AmaHormoni ayingxenye yokukhiqiza kwezinyembezi ezijwayelekile, njengoba kuboniswa ukukhula okukhudlwana kwe-OSD kumabhinqa ase-perimenopausal ne-postmenopausal. I-Estrogen ibonakala ibamba iqhaza ekugcineni izinyembezi ezinempilo. Kodwa-ke, i-androgens (ama-hormone wesilisa) manje athola ukunakekelwa okukhulu ekwelapheni kwe-eye eye syndrome.
I-DHEA, noma i-dehydroepiandrosterone, yinto ebalulekile ehilelekile ekugcinweni kwezingubo ze-secretory. E-estrogen-abantu abangenalutho, kukhona ukungabi khona kwe-DHEA. Ososayensi banomuzwa wokuthi kungasiza ekusizeni nge-DHEA yomlomo ukunciphisa izimpawu zeso elomile. Ucwaningo lwamuva lubonisa ukuthi izithako zomlomo azizisizi okuningi, kepha i-DHEA esebenzisa amakhondomu ifomu lokudonsa amehlo lingase lizuze.
Anti-Inflammatories
Imithi yokwelashwa evuthayo evuthayo iyaba yinto ethandwa kakhulu ekunakekisweni kokuqala kwe-OSD, njengoba ososayensi baqala ukuqonda kangcono indima yokuvuvukala kweso le-eye nesifo se-OSD. Odokotela bavame ukuncoma izinyembezi zokuzihlanganisa ngokuhambisana nesifundo sezinyosi ze-steroid ze-topical, ngokuvamile esinikezwa izikhathi eziningi ngosuku ngosuku oluthile lwamasonto ambalwa, futhi sithatha kancane kancane kuya kanye noma kabili ngosuku izinsuku eziningana. Inkambo ye-steroids ingadlulela inyanga eyodwa kuya kwezintathu, emva kwalokho odokotela abathile bathi u-Restasis (i-cyclosporin A). Nakuba abantu abaningi bangase bazuze kakhulu kulolu cwaningo, odokotela baqaphe kakhulu, njengoba i-steroids ingabangela imiphumela engadingeki. Yize ukusetshenziswa kwe-steroids kuyenziwa kakhulu, kufanele kushiwo ukuthi ukusetshenziswa kwe-steroid ye-topical ekwelapheni iso elomile kubhekwa ngaphandle-ilebula yi-FDA, okusho ukuthi kungaba yisinqumo sikadokotela sokusebenzisa izidakamizwa, kodwa kungenzeka ukuthi ayivunyelwe i-FDA yalesi simo. I-Restasis, engeyona i-steroid-kodwa i-immuno-modulatory-drug is considered safe.
NgoJulayi 2016 isidakamizwa sangena emakethe eyamehlo : i- Xiidra . U-Xiidra wayengowokuqala wohlobo lwawo emkhakheni omusha wezokwelapha okuthiwa i-lymphocyte function-ehlobene ne-antigen-1 (LFA-1).
Umthombo:
I-Reed K. Ukwelashwa Kwamajoka Okumama: Abasolwa Abangavamile. Ukubuyekeza kwe-Cornea & Lens Contact, March 2013, pg 24-26.