Mena he mate huka koe, tera pea ka maumahara koe ki tā tō tākuta e kī tonu ana ki a koe, "Whakahaerehia ō taumata huka kia pai, ki te kore, kāore e pai mō ō kanohi." He pono rawa tēnā. Ki te kore e whakahaeretia tika te mate huka, ka tino kino te tirohanga. Ko te kino nui ki ngā kanohi i tēnei ara ko te Diabetic Macular Edema , arā, (DME) mō te poto. Ko te mea ka tupu i tēnei ko te pupuhi o te wāhanga tino tairongo o te retina i roto i te kanohi. Engari kaua e manukanuka, kei reira ngā maimoatanga tino whai hua me te matatau mō tēnei mate. Koinei tā tātou e kōrero nei i roto i tēnei tuhinga i tēnei rā.
Te taahiraa tuatahi i roto i te maimoatanga: te whakahaere i te pūtake o te mate
E rua ngā huarahi matua e whaihia ana e ngā tākuta ina rongoāhia ana te DME. Ko te mea tuatahi, ko te mea nui rawa atu, ko te whakahaere i te pūtake o te mate . Arā, ko te whakahaere i ō taumata huka toto tiketike me te toto toto tiketike.
Whakaarohia he turuturu o te tuanui. He pai ake te whakatika i te kōhao o te tuanui i te whakamahi i ngā peere hei kohi i te wai ki te whenua. Koinei te āhua o tēnei. I te mea e rongoatia ana te kanohi, he mea nui kia whakahaerea te mate huka me te toto toto tiketike. Mā te whai i ngā tohutohu a tō tākuta, ka taea e koe te aukati i te kino o ō kanohi, me te ārai hoki i te kino haere o te mate. Koinei te tūāpapa o te maimoatanga.
He aha ngā maimoatanga e mahia tika ana ki te kanohi?
Kia whakakorea te pūtake o te mate, ka tīmata tō tākuta i te maimoatanga hei whakatika i te kino o roto i tō kanohi. Ka tukuna koe ki tētahi tākuta kanohi , ki tētahi tohunga retina rānei. Ko te maimoatanga pai rawa atu māu ka whakawhirinaki ki te momo DME kei a koe.
E rua ngā tikanga maimoatanga matua.
1. Ngā Werohanga Anti-VEGF
2. Maimoatanga Reera (Pokanga Reera Macular Arotahi-Matiti)
Kia tirohia takitahitia ēnei e tātou katoa.
1. Ngā Werohanga Anti-VEGF
He aha i tukuna ai ēnei werohanga? He aha te VEGF?
Hei whakarāpopototanga, ina pāngia koe e te DME, ka nui rawa te pūmua e whakaputaina ana e tō kanohi e kiia nei ko te VEGF (Vascular Endothelial Growth Factor) . Mā tēnei pūmua ka ngoikore rawa ngā oko toto hou e puta mai ana i roto i tō kanohi, pērā i ngā paipa wai i hangaia ki te kirihou iti te utu. Nō reira, ka turuturu te toto me te wai i roto i ēnei oko toto ngoikore, ka pupuhi te macula , te wāhi tairongo i waenganui o tō retina. Koinei te mea ka pōuri, ka memeha hoki tō tirohanga.
Ka ārai te kano ārai-VEGF i te whakaputanga nui rawa o te pūmua VEGF. Ka whakahaere tēnei i te hanganga o ngā oko toto ngoikore, ka whakapakari i ngā oko toto o mua, ā, ka aukati i te turuturu o te toto me te wai.
He aha ēnei rongoā?
He maha ngā momo rongoā matua e whakamahia ana mō tēnei maimoatanga. Ko ētahi rongoā ka pā ki te pūmua VEGF anake, ko ngā rongoā hou ia ka pā ki te VEGF me tētahi atu pūmua e uru ana ki te hanganga o ngā uaua toto, ko te Angiopoietin-2 (Ang-2) .
| Kāwai Rongoā | Ngā rongoā |
|---|---|
| Ngā rongoā ārai-VEGF | Aflibercept (Eylea) Bevacizumab (Avastin) Brolucizumab-dbll (Beovu) Ranibizumab (Lucentis) |
| Ngā Rongoā Ārai VEGF/Ang-2 | Faricimab-svoa (Vabysmo) |
Me pēhea te tuku i te kano kano me te roa o te maimoatanga
Nā, ina kī atu ahau 'Ka werohia tō taringa ki roto i ahau,' tera pea ka mataku koe. Engari ehara i te mea tino whakamataku.
- Kāore he mamae: Ka pania e te tākuta he pata whakangote ki ō kanohi i mua i te werohanga, kia kore ai koe e mamae.
- Tikanga: Ka werohia tēnei rongoā ki roto i te kanohi mā te wāhanga mā o te kanohi mā te whakamahi i tētahi ngira angiangi, angiangi rawa.
- Te roa o te maimoatanga: I te nuinga o te wā, me whiwhi koe i te werohanga kotahi i te marama mō ngā marama tuatahi e 4-6. Kātahi, i te pai haere o te āhua o tō kanohi, ka piki haere te maha o ngā werohanga ka whiwhi koe. Tērā pea me whakaiti te auau o te whiwhi i tēnei maimoatanga, ahakoa mō ētahi tau.
Kia mutu te turuturu o ngā oko toto, ka tīmata mārire tō tirohanga ki te whakapai ake.
He mea nui: Mena he 20/50, he kino rawa atu rānei tō tirohanga (he tino kino), tera pea ka pai ake te mahi a Aflibercept i ētahi atu rongoā. Tērā pea ka roa ake te mahi a Faricimab-svoa i ētahi atu rongoā. He mea tēnei me kōrero koe ki tō tākuta.
Kia mahara:
Kāore tēnei kano ārai mate e pai mō ngā wāhine hāpu nā te mea ka pā kino ki te pēpi. Nō reira, ki te mea kei te hāpu koe, kei te whakaaro rānei koe kia hāpu, me kōrero koe ki tō tākuta mō tēnei.
2. Maimoatanga Reera (Pokanga Reera Macular Arotahi-Matiti)
Ko tētahi atu tikanga maimoatanga angitu tēnei e whakamahia ana mō te DME.
- He aha tāna mahi?: Ko te whakamahi i te rēseri hei 'hiri' i ngā oko toto ngoikore i roto i tō retina e turuturu ana. He rite ki te whakamahana me te whakapiri i te kirihou. Ka hiritia ngā oko toto, ka whakaiti i te nui o te toto me te wai e turuturu ana i roto i a rātou, ā, ka whakaiti i te pupuhi i roto i te macula.
- Maimoatanga: Mena kei a koe te DME i ngā kanohi e rua, kāore tō tākuta e rongoā i ngā kanohi e rua i te wā kotahi. Ka rongoā ia i tētahi kanohi, kātahi ka rongoā i tētahi atu kanohi i muri i ētahi wiki. I te nuinga o te wā, kotahi te maimoatanga taiaho mō ia kanohi ka rawaka.
- Āhea te whakamahi: I ētahi wā, ki te kore e tutuki ngā hua e hiahiatia ana mā te werohanga anti-VEGF anake, ka whakatau pea te tākuta ki te mahi i tēnei maimoatanga taiaho me te werohanga.
Karere Tangohia ki te Kāinga
- He mate kino te mate kanohi mate huka (DME), engari ka taea te rongoā me te whakahaere i tēnei wā me te tino whai hua. Kaua e warewarehia ngā tohu pēnei i te tirohanga pōuri.
- Ko te mea tino nui, ko te mea tino taketake hoki ka taea e koe te mahi, ko te whakahaere pai i ō taumata huka toto me te toto toto. Koinei te tūāpapa o ngā maimoatanga katoa.
- Ko ngā werohanga anti-VEGF me ngā maimoatanga taiaho ngā maimoatanga tino matatau me te haumaru e wātea ana. Kaua e wehi i te 'wero kanohi', he tikanga kore mamae.
- Kōrero ki tō tākuta kanohi mō te maimoatanga pai rawa atu māu, ōna painga me ōna huakore, me ētahi atu mate hauora ka pā ki a koe (ina koa ko te hāputanga). Pātai atu, ā, whakautua ō pātai katoa.
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