Tỉ lệ cận thị ở học sinh đăng tăng rất nhanh

NHÃN KHOA.-Theo các chuyên gia nhãn khoa ở Bệnh viện Mắt TPHCM, bệnh cận thị học đường đang có xu hướng tăng nhanh tại Việt Nam. Nguyên nhân chính chưa được xác định rõ ràng. Nhưng qua nghiên cứu, người ta nhận thấy những công việc cần sự điều tiết của mắt trong thời gian dài (nhìn những con số nhỏ, đọc sách, tiếp xúc màn hình máy tính…) trong điều kiện không đủ ánh sáng có liên quan tới cận thị. Ngoài ra, những yếu tố di truyền, dinh dưỡng, trẻ sinh thiếu tháng cũng có liên quan tới bệnh này.

Thống kê tình hình sức khỏe thế hệ trẻ VN độ tuổi từ 7 – 17 trong những năm 1980-1990 cho thấy có 0,65% học sinh tiểu học bị cận thị, ở cấp THCS là 1,6% và THPT là 8,12%. Thế nhưng đến năm 1999, tại Hà Nội, khối tiểu học đã có đến 9,6% học sinh bị cận thị, khối THPT lên tới 24%. Tại TPHCM, hiện nay tỉ lệ học sinh đến khám những tật khúc xạ mắt (cận thị, viễn thị, loạn thị) tại Bệnh viện Mắt là 35%.


Cận thị ở trẻ em do yếu tố di truyền và điều kiện sinh hoạt gia đình chiếm tỉ lệ 7,41% – 24,46%. Nhưng nổi bật nhất vẫn là việc sử dụng quá mức đôi mắt trong việc nhìn gần.

Gánh nặng dồn lên đôi mắtf4eb8ba4ff34efb4746b33cc11dba1d8

Chương trình học tập hiện nay quá nặng, học sinh phải học cả 3 buổi (sáng, chiều, tối) buộc mắt phải làm việc liên tục. Việc tập trung nhìn kéo dài tạo điều kiện thuận lợi dẫn đến cận thị, nhất là ở học sinh cấp I (6 – 10 tuổi) do ở lứa tuổi này cơ quan thị giác chưa hoàn chỉnh cả về mặt cấu tạo và sinh lý. Vì thế, tỉ lệ cận thị mới mắc sau một năm ở học sinh cấp I cao 5 lần so với học sinh cấp III.

Chương trình học vốn đã nặng, ngoài giờ học các em còn giải trí bằng trò chơi điện tử đòi hỏi sự tập trung cao độ sự điều tiết của mắt khiến tình trạng trẻ bị cận thị gia tăng. Chuyên viên khúc xạ Trần Hoài Long, Khoa Khúc xạ Bệnh viện Mắt, cho biết do hình ảnh di chuyển liên tục và các em phải ngồi gần màn hình máy tính nên độ cận đã tăng lên nhanh chóng. Các truyện tranh, sách in chữ quá nhỏ cũng làm tăng gánh nặng đối với mắt.

Triển khai thí điểm khám, phát hiện cận thị học đường

Sở Y tế và Sở Giáo dục – Đào tạo đã phối hợp triển khai thực hiện thí điểm đề án tật cận thị học đường theo đề án của Bộ Y tế. Đề án triển khai theo 2 giai đoạn, kết quả của giai đoạn I sẽ là căn cứ để xây dựng kế hoạch cho giai đoạn II. Ba trường THPT chuyên Lê Hồng Phong, THPT chuyên Trần Đại Nghĩa và THCS Colette sẽ tổ chức thực hiện thí điểm (gồm tập trung khám, phát hiện cận thị học đường…) từ ngày 15-3 đến 15-5. Sau đó, chương trình sẽ được triển khai thực hiện cho toàn TP từ ngày 5-9 đến 30-12. Mục tiêu của đề án là đánh giá nhanh tình hình bệnh cận thị học đường lứa tuổi học sinh THPT và THCS, tăng cường công tác truyền thông giáo dục phòng chống bệnh cận thị học đường…

Hàng loạt bàn ghế không đúng kích cỡ

Từ năm 1998, Khoa Y tế lao động học đường thuộc Trung tâm Sức khỏe lao động môi trường TPHCM phối hợp với Sở Y tế TPHCM thực hiện chương trình cải thiện điều kiện vệ sinh phòng học nhằm khắc phục tình trạng cận thị và vẹo cột sống ở học sinh; tập trung giảng giải cho học sinh hiểu về những tác hại của cận thị. Tuy nhiên, theo bác sĩ Trần Quốc Hưng ở Khoa Y tế lao động học đường, chỉ có vấn đề ánh sáng là được cải thiện, còn bàn ghế vẫn chưa được thay thế do không có kinh phí. Bộ Y tế cũng đánh giá điều kiện học tập tại các trường tuy không còn thiếu thốn nhiều như trước nhưng vẫn chưa bảo đảm yêu cầu vệ sinh, chưa thực hiện theo quy định vệ sinh về thiết kế xây dựng. Nguồn sáng không bảo đảm yêu cầu, bảng viết quá bóng và bàn ghế đóng hàng loạt không theo kích cỡ quy định phù hợp với các cấp học. Để phòng chống sự gia tăng tỉ lệ cận thị trong học đường, bác sĩ Trần Quốc Hưng cho biết trong xây dựng thiết kế phòng học phải lấy đủ ánh sáng tự nhiên, có nhiều cửa, có hệ thống đèn chiếu sáng tốt. Hiện nay, tại TPHCM vẫn còn nhiều trường cũ có phòng nhỏ, ít cửa nên thiếu ánh sáng, không bảo đảm vệ sinh mắt cho trẻ. Và điều rất quan trọng là phụ huynh và giáo viên cần tăng cường giáo dục, tạo thói quen cho các em ngồi học đúng tư thế, không cúi đầu sát bàn hay học ở nơi tối quá.

Trẻ cận thị chịu nhiều thiệt thòi

Khi đã cận thị, nếu không được phát hiện sớm để điều trị sẽ gây mệt mắt, thậm chí nhức mắt hoặc nhức đầu ảnh hưởng đến sự phát triển của trẻ. Trẻ cận thị sẽ bị hạn chế trong nhiều lĩnh vực như sự nhanh nhạy, giao tiếp xã hội, nhận biết hình thể, sử dụng bàn tay cũng như việc lựa chọn một số nghề. Hơn nữa, cận thị còn có thể dẫn đến những bệnh lý như lé mắt, nhược thị, co quắp điều tiết… gây ảnh hưởng đến quá trình học tập của trẻ và còn để lại di chứng cho thế hệ sau (di truyền).

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