Ese ufite ikibazo cyo kutabona neza bitewe na diyabete? Reka tuvuge ku kuvura Vabysmo (Faricimab)

Niba urwaye diyabete, ushobora kuba uzi ko uko igihe kigenda gihita, bishobora kugira ingaruka ku maso yawe. Kutabona neza, kureremba, no kutabona amabara ni ibimenyetso bisanzwe by'iyi ndwara. Ushobora kuba warumvise iby'inshinge z'amaso nk'uburyo bwo kuvura iyi ndwara. Izi nshinge zishobora kunoza icyerekezo no guhagarika kwangirika kw'amaso yawe. Uyu munsi, tugiye kuvuga ku muti umwe mushya nk'uwo, ushobora kugufasha cyane.

Ni gute uyu muti wa Vabysmo ukora ku maso?

Mu magambo make, iyo umuntu urwaye diyabete afite isukari nyinshi mu maraso igihe kirekire, imiyoboro y'amaraso yoroshye iri mu jisho itangira kwangirika. Uku kwangirika kugaragara muri retina, urwego rw'ijisho rutunganya amashusho. Iyi ndwara twita diyabete retinopathy .

Iyi mitsi y'amaraso yangiritse igenda isohora amazi n'amaraso mu jisho rya retina. Uko indwara irushaho kuba mbi, ijisho rigerageza gukora imitsi mishya y'amaraso kugira ngo isimbuze iyangiritse. Ariko iyi mitsi mishya irakomeye cyane, kandi irushaho kuva amazi menshi.

None se edema ya macular ni iki?

Hari agace kihariye muri retina kitwa macula . Ibi nibyo bidufasha kubona ibintu imbere y'amaso yacu, ni ukuvuga kureba neza, neza. Nkuko byavuzwe mbere, iyo amazi ava mu mitsi y'amaraso, iyi macula itangira kubyimba. Ibi tubyita diyabete macular edema .

Iki ni cyo gihe amaso aba adasobanutse neza, amaso abiri areba, utudomo tw'umukara tugaragara, n'amabara asa n'aho adasobanutse neza. Hari n'abantu bashobora no guta ubwenge bwabo burundu.

Ni iki kidasanzwe kuri Vabysmo?

Intego nyamukuru yo kuvura iki kibazo ni uguhagarika kwangirika kwa retina. Hari ubwoko butandukanye bw'imiti iterwa mu jisho kubera ibi. Imiti myinshi ikora mu kuziba poroteyine yitwa VEGF . Muri make, VEGF ni ikintu cy'ingenzi gifasha imitsi mishya y'amaraso idakenewe kandi idakomeye gukora. Rero iyo VEGF ifunze, iremwa ry'imitsi mishya riragenzurwa.

Ikintu gikora muri Vabysmo ni Faricimab . Uyu muti, kimwe n'indi miti, ubuza VEGF. Ariko uretse ibyo, uyu muti ukora ikindi kintu. Ni ukuvuga ko ubuza indi poroteyine yitwa Ang-2 (angiopoietin-2) . Iyo iyi poroteyine ya Ang-2 yiyongera mu jisho, imiyoboro y'amaraso irahindagurika kandi amazi menshi asohoka.

Ni iki ubushakashatsi bwakozwe kuri uyu muti bwagaragaje?

Igeragezwa rinini ryakozwe ku rwego rwo hejuru kugira ngo hamenyekane umutekano n'ubushobozi bwa Vabysmo, rikorerwamo umubare munini w'abantu barwaye diyabete n'indwara yo kwangirika kw'amagufwa yo mu maso bakomoka mu bihugu bitandukanye n'amoko atandukanye yo hirya no hino ku isi.

Muri izi gerageza, Vabysmo yagereranyijwe n'umuti wari usanzwe uboneka witwa Aflibercept (Eylea) , ubuza VEGF gusa. Abitabiriye igerageza ntibari bazi umuti bahabwa. Buri wese yahawe inshinge nyinshi, ariko hari abantu bahawe inshinge nkeya kurusha abandi.

Ni ibihe bisubizo by'ubushakashatsi?

Ibisubizo birashimishije cyane.

Kunoza imikorere y'amaso

Nyuma y'umwaka umwe w'ubuvuzi, ubushobozi bwo kubona bw'abafashe Vabysmo na Aflibercept bwari bwarushijeho kuba bwiza kurusha ubwo ubushakashatsi bwatangiraga. Ibi bivuze ko iyo miti yombi yari ifite akamaro kangana mu kunoza ubushobozi bwo kubona .

Umubare w'inshinge zikenewe (iki ni cyo kintu cy'ingenzi cyane!)

Aha niho itandukaniro rikomeye ryagaragaye.

Mu mezi make ya mbere y’ubushakashatsi, buri wese yakingiwe rimwe mu kwezi, ariko nyuma gahunda yo gukingirwa yarahindutse.

• Abahawe Aflibercept bakomeje guhabwa urukingo buri byumweru 8 (ni ukuvuga buri mezi 2) nyuma y'amezi 5 ya mbere.
• Abahawe Vabysmo bavuwe hakurikijwe "ingengabihe y'isuzuma ry'amaso yabo bwite," bivuze ko indwara y'amaso ya buri muntu yasuzumwe kandi bagahabwa urukingo buri byumweru 4, 8, 12, cyangwa 16, uko bikwiye.

Ibisubizo byagaragaje ko abarenga 70% by'abahawe umuti wa Vabysmo bakeneye gukingirwa urushinge buri byumweru 12-16 (ni ukuvuga buri mezi 3-4) . Nanone, nta tandukaniro ryagaragaye mu kunoza amaso hagati y'abahawe umuti buri mezi 3-4 n'abahawe umuti buri mezi 2.

Ese umuti uzakomeza gukora nyuma y'umwaka wa mbere?

Yego. Ubu bushakashatsi bwakozwe mu myaka ibiri. Icyo basanze ni uko nyuma y'imyaka ibiri, abantu bagera kuri 78% bafashe Vabysmo bakeneye gusa uyu muti buri mezi 3-4 . Kandi icyerekezo cyabo cyakomeje kuba cyiza nkuko cyari kimeze mu mwaka wa mbere.

Kubera ko kwangirika kw'amaso guterwa na diyabete bigenda birushaho kwiyongera uko igihe kigenda gihita, ibi bisubizo bigaragaza ko Vabysmo na Aflibercept byombi bishobora gufasha mu gukumira kwangirika kw'amaso igihe kirekire. Vabysmo ishobora kandi kugera kuri uyu musaruro mu gihe habayeho kuvura bike.

Ni gute wabona ubu buvuzi?

Vabysmo ni amazi. Ni urushinge rwo mu maso rushyirwa mu maso na muganga wabyigiye . Ntushobora kubikora uri mu rugo.

Iyo utangiye kuvurwa, ubanza guhabwa inshinge 4 buri byumweru 4. Hanyuma muganga wawe azasuzuma amaso yawe maze afate umwanzuro niba uzakomeza gutera inshinge mu byumweru 4, 8, 12, cyangwa 16, bitewe n'uko amaso yawe ameze. Abantu benshi bazakenera guterwa inshinge buri mezi 3-4.

Mu gihe cyo gutera urushinge, muganga azakoresha agakoresho gato kugira ngo afungure ijisho ryawe. Hanyuma, bazagushyiramo ibitonyanga mu jisho kugira ngo ridatera indwara kandi birinde kwandura. Hanyuma, urushinge rutangwa n'urushinge ruto cyane. Nta bubabare uzumva muri iki gihe.

Ingaruka mbi n'uburyo bwo kuzirwanya?

Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi nto.

• Ingaruka zisanzwe: Kubona kwawe gushobora kuba kutagaragara neza mu gihe gito nyuma yo guterwa inshinge. Ibi ni ibisanzwe. Irinde gutwara imodoka cyangwa gukoresha imashini muri iki gihe. Kubona kwawe kuzasubira uko byari bisanzwe mu gihe gito.

• Ibimenyetso bikomeye ugomba kwitondera: Ni gake cyane, ibimenyetso by'indwara zimwe na zimwe zikomeye bishobora kugaragara. Ugomba kubimenya rwose.
• Uduce tw'umukara cyangwa imirongo isa n'aho ireremba imbere y'amaso.
• Imirasire y'urumuri nk'umurabyo .
• Kumva nk'aho hari umwenda uri gukururwa imbere y'amaso.
• Ububabare bukomeye bw'amaso .

Ese hari ibibazo biri mu yindi miti?

Kugeza ubu nta mibanire izwi iri hagati ya Vabysmo n'indi miti.

Ariko, ibi ni ingenzi cyane: Menya neza ko wabwiye muganga wawe indi miti yose ufata, harimo imiti yanditswe na muganga, vitamine, ibikomoka ku bimera, n'imiti gakondo.