貝復舒滴眼(yan)液經銷商提醒你:使用眼(yan)藥(yao)水注意(yi)以下(xia)6點(dian)
在日常生活(huo)中(zhong),由于兩者使用不(bu)當而釀成(cheng)惡果的事兒(er)時有耳(er)聞。那么該如何正確、合(he)理使用眼藥(yao)水和眼藥(yao)膏(gao)來預防近視呢?
很(hen)(hen)多(duo)人會不(bu)以(yi)(yi)為意的說,眼(yan)藥(yao)(yao)(yao)水(shui)和(he)眼(yan)藥(yao)(yao)(yao)膏不(bu)就是(shi)(shi)那么使(shi)(shi)用(yong)(yong)嗎?而且我在(zai)使(shi)(shi)用(yong)(yong)時(shi),已經仔細閱讀藥(yao)(yao)(yao)物的使(shi)(shi)用(yong)(yong)說明(ming)了,但(dan)是(shi)(shi)很(hen)(hen)多(duo)人都是(shi)(shi)只(zhi)關注(zhu)它的使(shi)(shi)用(yong)(yong)說明(ming)和(he)成分等,但(dan)是(shi)(shi)你們有(you)(you)注(zhu)意藥(yao)(yao)(yao)物的適應(ying)癥和(he)禁忌癥嗎?而且有(you)(you)嚴格(ge)按照醫生(sheng)的囑咐或使(shi)(shi)用(yong)(yong)說明(ming)合理應(ying)用(yong)(yong)嗎?在(zai)此再次講述一下滴用(yong)(yong)眼(yan)藥(yao)(yao)(yao)水(shui)和(he)眼(yan)藥(yao)(yao)(yao)膏需注(zhu)意以(yi)(yi)下事(shi)項:
1、眼(yan)藥(yao)水(shui)內包裝如果是(shi)由生理鹽水(shui)和(he)藥(yao)物粉劑所組成的,應自(zi)行(xing)混(hun)合(he)后使用,否則僅僅是(shi)滴生理鹽水(shui)而已(yi)。
2、由于眼(yan)藥水和眼(yan)藥膏開瓶后直接暴露在空氣中,滴(di)用(yong)時難免與眼(yan)部接觸造成污染,所以建(jian)議將(jiang)第一滴(di)藥水和藥膏去除后才滴(di)入(ru)眼(yan)內。
3、如果因為患(huan)者患(huan)有急性炎(yan)(yan)癥需要使用眼(yan)藥(yao)(yao)水和眼(yan)藥(yao)(yao)膏(gao),但(dan)是急性炎(yan)(yan)癥大(da)(da)多伴(ban)有眼(yan)部(bu)大(da)(da)量分泌(mi)物時,應清除分泌(mi)物后(hou)使用眼(yan)藥(yao)(yao)膏(gao)。
4、眼部炎癥局部充(chong)血明(ming)顯時(shi),可先進行(xing)熱敷,再滴用眼藥,效(xiao)果更(geng)佳。而對(dui)于某(mou)些過敏性角結膜炎則應采取(qu)冷敷或冰(bing)敷后點藥,眼用藥物(wu)冷藏后使用為宜。
5、滴(di)(di)眼(yan)(yan)(yan)藥(yao)(yao)(yao)時(shi),洗凈(jing)雙手,取仰臥或坐位,頭稍后仰,睜(zheng)開雙眼(yan)(yan)(yan)以一(yi)手食(shi)指輕(qing)輕(qing)固定下(xia)眼(yan)(yan)(yan)瞼于眼(yan)(yan)(yan)眶下(xia)緣(yuan)(請勿壓迫眼(yan)(yan)(yan)球(qiu))。可輕(qing)拉下(xia)眼(yan)(yan)(yan)皮,暴(bao)露(lu)穹窿(long)結膜(mo)后,將藥(yao)(yao)(yao)水(shui)(shui)或藥(yao)(yao)(yao)膏滴(di)(di)涂(tu)于結膜(mo)囊(nang)內,每次藥(yao)(yao)(yao)水(shui)(shui)1-2滴(di)(di),藥(yao)(yao)(yao)膏布(bu)滿(man)結膜(mo)囊(nang)即可。點滴(di)(di)時(shi),藥(yao)(yao)(yao)瓶口應(ying)適當距離眼(yan)(yan)(yan)約3cm高處,避(bi)免觸及睫毛造成污染(ran),如果一(yi)只眼(yan)(yan)(yan)睛患有炎(yan)癥,而(er)另一(yi)眼(yan)(yan)(yan)睛沒有,切勿使用同一(yi)支眼(yan)(yan)(yan)藥(yao)(yao)(yao)水(shui)(shui)和(he)眼(yan)(yan)(yan)藥(yao)(yao)(yao)膏,防止交叉感染(ran)。
6、未開封的藥水藥膏應置(zhi)于(yu)(yu)冰箱內(nei)(nei)貯存(cun)或安放于(yu)(yu)避光陰涼處(chu)。對于(yu)(yu)已過有效期或藥物顏色明顯改變的眼藥,千(qian)萬不可(ke)盲目使(shi)用。眼藥內(nei)(nei)的成(cheng)份往往已發生改變,滴用后可(ke)引起(qi)炎癥刺激或過敏反應。
近年來(lai),各(ge)類(lei)(lei)新藥(yao)制(zhi)劑層出不(bu)(bu)窮(qiong)。在大(da)量(liang)使(shi)用(yong)(yong)眼(yan)(yan)(yan)(yan)藥(yao)的同時(shi),醫務人員也越來(lai)越多地注意到各(ge)類(lei)(lei)藥(yao)物(wu)所帶(dai)來(lai)的并發癥。長(chang)期使(shi)用(yong)(yong)激(ji)素(su)類(lei)(lei)眼(yan)(yan)(yan)(yan)藥(yao)可(ke)造(zao)成激(ji)素(su)性青(qing)光眼(yan)(yan)(yan)(yan),眼(yan)(yan)(yan)(yan)壓升高(gao),視(shi)野損 害,視(shi)神經萎縮,最終導(dao)致視(shi)力(li)喪失。由于濫用(yong)(yong)該(gai)類(lei)(lei)藥(yao)物(wu)造(zao)成終身(shen)遺憾(han)的病例不(bu)(bu)勝(sheng)枚(mei)舉(ju)。病毒(du)性或真菌(jun)性角膜炎早期,因激(ji)素(su)類(lei)(lei)眼(yan)(yan)(yan)(yan)藥(yao)使(shi)用(yong)(yong)不(bu)(bu)當,可(ke)誘使(shi)病情加重(zhong),角膜潰(kui)瘍穿孔,眼(yan)(yan)(yan)(yan)球萎縮失明。另外,抗菌(jun)素(su)和抗病毒(du)眼(yan)(yan)(yan)(yan)藥(yao)也不(bu)(bu)可(ke)長(chang)期使(shi)用(yong)(yong),其惡果是(shi)藥(yao)物(wu)毒(du)性反應和干眼(yan)(yan)(yan)(yan),角膜上皮脫落經久不(bu)(bu)愈,后患無窮(qiong)。
臨床(chuang)上(shang),患(huan)有(you)(you)(you)各(ge)類青光眼(yan)(yan)(yan)的(de)病(bing)(bing)(bing)人逐步增多,降眼(yan)(yan)(yan)壓藥已成常規眼(yan)(yan)(yan)藥,尤其是噻(sai)嗎心安等一類?-受體阻滯劑使(shi)(shi)用(yong)(yong)更(geng)為普遍。使(shi)(shi)用(yong)(yong)這一類藥時,應特(te)別注意病(bing)(bing)(bing)人是否患(huan)有(you)(you)(you)嚴重(zhong)的(de)心臟病(bing)(bing)(bing)(心動過(guo)緩)和(he)哮喘,盲目滴用(yong)(yong),常可誘(you)發(fa)上(shang)述病(bing)(bing)(bing)癥,產生難以彌補(bu)的(de)后果(guo)。對于含有(you)(you)(you)氯霉素眼(yan)(yan)(yan)藥的(de)使(shi)(shi)用(yong)(yong)應謹慎,長期(qi)應用(yong)(yong)可抑(yi)制骨髓再生,特(te)別是小(xiao)兒(er)長期(qi)滴用(yong)(yong)后,可引起(qi)再生障礙性貧血的(de)發(fa)生。老(lao)年人和(he)前房較(jiao)淺者(zhe)的(de)眼(yan)(yan)(yan)病(bing)(bing)(bing)患(huan)者(zhe),應盡可能避免使(shi)(shi)用(yong)(yong)阿托品一類強效擴瞳藥。
其(qi)原因是由于這類藥(yao)(yao)使(shi)(shi)(shi)用后(hou)可(ke)使(shi)(shi)(shi)瞳孔散(san)大(da),堵塞房角,誘使(shi)(shi)(shi)閉角型(xing)青光眼(yan)(yan)發作,而且,此(ci)類眼(yan)(yan)壓(ya)(ya)升高往(wang)往(wang)難(nan)以控(kong)制。小(xiao)兒擴瞳驗光使(shi)(shi)(shi)用阿托(tuo)品時,一定要(yao)注意在滴(di)藥(yao)(yao)后(hou)按壓(ya)(ya)內眼(yan)(yan)角數分(fen)鐘(zhong),擦去(qu)過剩的溶液和眼(yan)(yan)膏,防止眼(yan)(yan)藥(yao)(yao)由鼻粘膜吸收入血,引起臉部潮紅、發熱、口干、心跳加速等阿托(tuo)品毒性反(fan)應(ying)。即便出(chu)現這些(xie)癥狀(zhuang)(zhuang),也(ye)不必驚慌(huang),可(ke)給小(xiao)孩多喝水,使(shi)(shi)(shi)藥(yao)(yao)物(wu)稀釋,促進其(qi)從尿中排 出(chu),減輕毒性癥狀(zhuang)(zhuang)。廈(sha)門眼(yan)(yan)科中心在此(ci)羅列上述例子并非危言聳聽,而意在忠告讀者(zhe)重視眼(yan)(yan)藥(yao)(yao)的正確使(shi)(shi)(shi)用。小(xiao)小(xiao)眼(yan)(yan)藥(yao)(yao)水,關系你我他(ta);要(yao)保眼(yan)(yan)無恙,合理(li)使(shi)(shi)(shi)用它。