IBurkholderia cepacia bilateral microbial keratitis lusulelo lweliso lwenzeka kwicornea kwaye lubangelwa bubukho bebhaktheriya. Njengoko kucacisiwe kwinqaku elipapashwe kwiJournal of Optometry, “[b] Isifo sokukrala kwebhaktiriya yingxaki enzulu, enokumfamekisa. ikakhulu ibandakanya ukunxitywa kwelensi yasebusuku.”Ngokucacileyo ngakumbi, kwiminyaka yakutshanje, i-bilateral microbial keratitis inyanyaniswe nokusetyenziswa kweelensi zoqhagamshelwano ezinemibala.
Iilensi zokudibanisa ezinemibala zigquma iris (indawo enemibala yeliso), kwaye zithengiswa zombini phezu kwekhawuntara nangaphezulu kwekhawuntara.Ziyathandwa njengokutshintsha iilensi zoqhagamshelwano ezicacileyo, kunye nokusetyenziswa kwefashoni kunye neholide.Ngelishwa, Ngelixa iilensi ezinemibala zikhula ekuthandeni, ngakumbi phakathi kolutsha kunye nabantu abadala abancinci, amagqwetha ethu etyala lemveliso yaseFlorida ayazi ukuba ukunxiba iilensi zokudibanisa ezinemibala kunokuveza abantu abaninzi kwiBurkholderia cepacia.Umngcipheko we-bilateral microbial keratitis.
IiLensi zoQhagamshelwano ngombala
"Iingxaki ezinxulumene nokusetyenziswa kwee-cosmetic contact lens zifana nezo zihambelana nokusetyenziswa kweelensi eziqhelekileyo.Kwezi, i-lens-related microbial keratitis yeyona ngxaki yoyikwayo.I-Microbial keratitis inokuba sisifo esiyingozi ngokubona , kwaye inxulunyaniswe neendleko ezibalulekileyo zobuqu kunye nezentlalo….[A] Uphononongo lolawulo lwemeko lubonisa ukuba abantu abanxiba iilensi zokuthambisa basengozini yokusuleleka ngokuphindwe kayi-16.5 xa kuthelekiswa nabanxiba iilensi. ulungiso oluyirefraction.”
Kutheni le nto iilensi zoqhagamshelwano ezinemibala emibalabala zinxulunyaniswa ngokusondeleyo neBurkholderia cepacia bilateral microbial keratitis kuneelensi ezicacileyo ezinxitywa ngeenjongo zokulungisa?
Kwiimeko ezininzi, kukudityaniswa kwezinto ezikhokelela ekugqibeleni kwizifo kwi-tinted contact lens wearers.Ngokomzekelo, inqaku kwi-Cureus papasho lixoxa ngemeko yowesifazane oneminyaka eyi-19 ubudala ofunyenwe ene-bilateral microbial keratitis evela eBurkholderia cepacia. Inqaku ligqibe kwelokuba ukuxilongwa kwakhe kwakunokuba sisiphumo sazo zontathu iindidi zezinto:
“Uneisampulu ezininzi zezithambiso ezinemibala [iilensi zoqhagamshelwano] kwaye akakafumani ngcebiso evela ekliniki malunga nokunxiba.Kananjalo akakafumani miyalelo yokhathalelo lwelensi.Ngenxa yoko, indlela yakhe yokukhathalela iilensi ayifanelekanga kwaye akazicoci iiLens kunye necasi yelensi.Kwakhona, akazange atshintshe [i-Multi-Purpose Solution (MPS)] kwimeko ye-lens.Ngokuphathelele kwi-MPS, umphumo uyancipha ngokuhamba kwexesha.Ngapha koko, ukunxitywa kunye nokugcinwa kwe-lens ngokungakhathali kubonakaliswe njengomngcipheko, ukuvuselelwa ngoomatshini ngenxa yokunxiba ngokungafanelekanga kuphazamisa umsebenzi wesithintelo se-epithelial kwaye kucingelwa ukuba negalelo kusulelo lwe-Bacillus cepacia.
Ukuqonda ikhonkco phakathi kweelensi ezinemibala kunye neBurkholderia cepacia bilateral microbial keratitis, kukwabalulekile ukuqonda ubume bebhaktiriya ye-B. cepacia. Njengoko inqaku likaCureus licacisa, “B.I-cepacia ikhetha indawo ezingqongileyo ezifumileyo...[kwaye] ibonise ukusebenza okuphezulu kunye nokumelana nokuvalwa kokuvalwa kunye nezisombululo zokucoca.Ngenxa yombindi wecala [lokuqhagamshelwana nelens] xa ugcina iilensi Ihlala imanzi, kwaye nangee-arhente zokhathalelo lwelensi, le microbe ingakhula ebhokisini.”
I-US Centres for Disease Control and Prevention (CDC) ngokubanzi ivuma ikhonkco phakathi kwee-lens zoqhagamshelwano kunye ne-bacterial keratitis infections.I-CDC iphinda idwelise inani lezinye izinto ezinokunyusa umngcipheko wesigulane sokuphuhlisa i-bacterial keratitis ekusebenziseni i-lens yoqhagamshelwano.Ezi zinto ziquka :
Ngelixa ezinye iimeko ze-Burkholderia cepacia bilateral microbial keratitis zibangelwa kulondolozo olunganelanga kunye nokhathalelo ngabaguli beelensi zabo zoqhagamshelwano, amagqwetha ethu etyala lemveliso yaseFlorida ayazi ukuba iimeko ezininzi zibangelwa ziingxaki zeelensi zoqhagamshelwano ngokwazo.kubangelwa.Enyanisweni, nokuba isigulane sithatha unonophelo olufanelekileyo, oku akwanelanga ngokwaneleyo ukukhusela ibhaktheriya ekukhuleni kwi-lens yesigulane kwaye ibangele ukusuleleka.
IiLensi zoQhagamshelwano ngombala
Kwakhona, izigulane ezininzi aziyazi indlela yokunyamekela iilensi zazo ngenxa yokuba azifumani ngcebiso ngokwaneleyo. Oogqirha bamehlo kunye nabanye oogqirha abanakucingela ukuba izigulane ziyayazi indlela yokunyamekela iilensi zazo-ingakumbi iilensi ezinemibala enobungozi obukhethekileyo kunye neemfuno zokhathalelo olulodwa.
Ixesha lokuposa: Apr-24-2022
