Yog koj yog ib tug neeg mob ntshav qab zib, tej zaum koj yuav nco ntsoov koj tus kws kho mob ib txwm hais rau koj tias, "Tswj koj cov ntshav qab zib kom zoo, lossis nws tsis zoo rau koj lub qhov muag." Qhov ntawd yog qhov tseeb tiag. Yog tias tsis tswj ntshav qab zib kom zoo, peb lub zeem muag yuav raug puas tsuaj loj heev. Qhov kev puas tsuaj loj tshaj plaws rau lub qhov muag hauv txoj kev no yog Diabetic Macular Edema , lossis (DME) luv luv. Qhov tshwm sim hauv qhov no yog tias qhov rhiab tshaj plaws ntawm retina hauv lub qhov muag o. Tab sis tsis txhob txhawj, tam sim no muaj kev kho mob zoo heev thiab siab heev rau qhov mob no. Qhov ntawd yog qhov peb tab tom tham txog hauv tsab xov xwm no hnub no.
Kauj ruam thawj zaug hauv kev kho mob: tswj qhov ua rau muaj tus kab mob
Cov kws kho mob ua raws li ob txoj hauv kev tseem ceeb thaum kho DME. Thawj qhov thiab qhov tseem ceeb tshaj plaws yog tswj qhov ua rau muaj teeb meem . Qhov ntawd txhais tau tias tswj koj cov ntshav qab zib thiab ntshav siab.
Xav txog lub ru tsev xau. Zoo dua los kho lub qhov hauv lub ru tsev dua li siv cov thoob los sau cov dej rau hauv av. Yog li ntawd nws yog li cas nrog qhov no. Thaum kho lub qhov muag ncaj qha, nws yog ib qho tseem ceeb kom tswj tau qhov mob ntshav qab zib thiab ntshav siab. Los ntawm kev ua raws li koj tus kws kho mob cov lus qhia raws nraim, koj tuaj yeem tiv thaiv kev puas tsuaj rau koj lub qhov muag thiab tiv thaiv kom tus mob tsis txhob hnyav zuj zus. Qhov no yog lub hauv paus ntawm kev kho mob.
Cov kev kho mob twg uas ua ncaj qha rau lub qhov muag?
Thaum twg nrhiav tsis tau qhov ua rau mob qhov muag lawm, koj tus kws kho mob yuav pib kho qhov puas tsuaj hauv koj lub qhov muag. Koj yuav raug xa mus rau kws kho qhov muag lossis kws kho qhov muag . Kev kho mob zoo tshaj plaws rau koj yuav nyob ntawm hom DME uas koj muaj.
Muaj ob txoj kev kho mob tseem ceeb.
1. Kev Txhaj Tshuaj Tiv Thaiv VEGF
2. Kev kho mob siv laser (Phais Mob Focal-Grid Macular Laser)
Tam sim no cia peb saib txhua yam no sib cais.
1. Kev Txhaj Tshuaj Tiv Thaiv VEGF
Vim li cas thiaj txhaj tshuaj no? VEGF yog dab tsi?
Hais yooj yim xwb, thaum koj muaj DME, koj lub qhov muag tsim cov protein hu ua VEGF (Vascular Endothelial Growth Factor) ntau dhau. Cov protein no ua rau cov hlab ntsha tshiab uas tsim hauv koj lub qhov muag tsis muaj zog heev, zoo li cov kav dej ua los ntawm cov yas pheej yig. Yog li, cov hlab ntsha tsis muaj zog no xau cov ntshav thiab kua dej, ua rau macula , thaj chaw rhiab heev hauv nruab nrab ntawm koj lub retina, o. Qhov ntawd yog qhov ua rau koj lub zeem muag tsis meej thiab tsaus ntuj.
Cov tshuaj tiv thaiv VEGF thaiv qhov kev tsim cov protein VEGF ntau dhau. Qhov no tswj kev tsim cov hlab ntsha tsis muaj zog, ua kom cov hlab ntsha uas twb muaj lawm muaj zog, thiab tiv thaiv cov ntshav thiab cov kua dej uas xau.
Cov tshuaj no yog dab tsi?
Muaj ntau hom tshuaj tseem ceeb uas siv rau kev kho mob no. Qee cov tshuaj tsuas yog cuam tshuam rau cov protein VEGF xwb, thaum cov tshuaj tshiab cuam tshuam rau ob qho tib si VEGF thiab lwm cov protein uas koom nrog kev tsim cov hlab ntsha, Angiopoietin-2 (Ang-2) .
| Pawg Tshuaj | Cov tshuaj kho mob |
|---|---|
| Cov tshuaj tiv thaiv VEGF | Aflibercept (Eylea) Bevacizumab (Avastin) Brolucizumab-dbll (Beovu) Ranibizumab (Lucentis) |
| Cov Tshuaj Tiv Thaiv VEGF/Ang-2 | Faricimab-svoa (Vabysmo) |
Yuav ua li cas txhaj tshuaj tiv thaiv kab mob thiab lub sijhawm kho mob
Tam sim no, thaum kuv hais tias 'Kuv yuav txhaj tshuaj rau hauv koj pob ntseg,' tej zaum koj yuav ntshai me ntsis. Tab sis qhov tseeb nws tsis txaus ntshai npaum li ntawd.
- Tsis mob: Tus kws kho mob yuav muab tshuaj loog rau koj ob lub qhov muag ua ntej txhaj tshuaj, yog li koj yuav tsis hnov mob dab tsi.
- Kev Kho Mob: Cov tshuaj no raug txhaj rau hauv lub qhov muag los ntawm qhov dawb ntawm lub qhov muag siv ib rab koob me me thiab nyias heev.
- Lub sijhawm kho mob: Feem ntau, koj yuav tsum tau txhaj tshuaj ib hlis ib zaug rau thawj 4-6 lub hlis. Tom qab ntawd, thaum koj qhov muag zoo dua, tus naj npawb ntawm kev txhaj tshuaj uas koj tau txais yuav maj mam nce ntxiv. Tej zaum koj yuav tsum tau txais kev kho mob no tsawg dua, txawm tias ntau xyoo los xij.
Thaum cov hlab ntsha tsis ntws lawm, koj qhov muag yuav maj mam pib zoo dua.
Tseem Ceeb: Yog tias koj qhov muag pom kev yog 20/50 lossis qis dua (tsis zoo heev), Aflibercept yuav ua haujlwm zoo dua li lwm yam tshuaj. Faricimab-svoa kuj tseem yuav ua haujlwm ntev dua li lwm yam tshuaj. Qhov no yog ib yam dab tsi uas koj yuav tsum tham nrog koj tus kws kho mob.
Nco ntsoov nco ntsoov:
Cov tshuaj tiv thaiv no tsis haum rau cov poj niam cev xeeb tub vim nws tuaj yeem ua rau tus menyuam raug mob. Yog li ntawd, yog tias koj cev xeeb tub lossis npaj yuav cev xeeb tub, koj yuav tsum nrog koj tus kws kho mob tham txog qhov no.
2. Kev kho mob siv laser (Phais Mob Focal-Grid Macular Laser)
Qhov no yog lwm txoj kev kho mob zoo uas siv rau DME.
- Nws ua dab tsi?: Qhov no suav nrog kev siv lub laser los 'kaw' cov hlab ntsha tsis muaj zog hauv koj lub retina uas xau. Nws zoo li cua sov thiab nplaum cov yas ua ke. Qhov no kaw cov hlab ntsha, txo cov ntshav thiab cov kua dej uas xau tawm ntawm lawv, thiab txo qhov o ntawm lub macula.
- Kev Kho Mob: Yog tias koj muaj DME hauv ob lub qhov muag, koj tus kws kho mob yuav tsis kho ob lub qhov muag ib zaug. Nws yuav kho ib lub qhov muag thiab tom qab ntawd kho lwm lub qhov muag ob peb lub lis piam tom qab. Feem ntau, ib qho kev kho mob laser rau ib lub qhov muag txaus.
- Thaum twg yuav siv: Qee zaum, yog tias tsis tau txais cov txiaj ntsig xav tau los ntawm kev txhaj tshuaj tiv thaiv VEGF xwb, tus kws kho mob yuav txiav txim siab ua qhov kev kho mob laser no nrog rau kev txhaj tshuaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qab zib macular degeneration (DME) yog ib qho mob hnyav heev, tab sis tam sim no nws tuaj yeem kho thiab tswj tau zoo heev. Tsis txhob tsis quav ntsej cov tsos mob xws li pom kev tsis meej.
- Qhov tseem ceeb tshaj plaws thiab tseem ceeb tshaj plaws uas koj ua tau yog tswj koj cov ntshav qab zib thiab ntshav siab kom zoo. Qhov no yog lub hauv paus ntawm txhua yam kev kho mob.
- Kev txhaj tshuaj tiv thaiv VEGF thiab kev kho mob laser yog cov kev kho mob zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws. Tsis txhob ntshai qhov 'txhaj tshuaj qhov muag', nws yog ib qho kev kho mob uas tsis mob.
- Tham nrog koj tus kws kho qhov muag txog kev kho mob zoo tshaj plaws rau koj, nws qhov zoo thiab qhov tsis zoo, thiab lwm yam mob uas koj muaj (tshwj xeeb tshaj yog cev xeeb tub). Nug thiab teb txhua lo lus nug uas koj muaj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus