Ese diyabete yangiza amaso yawe? Menya uburyo bwo kuvura indwara ya diyabete mu macular edema n'uburyo bwo kuvura Eylea

Niba urwaye diyabete , rimwe na rimwe ushobora kumva uhangayikishijwe n'amaso yawe , sibyo? Ese wumva umeze nkaho "Simbona neza nkuko nabikoraga mbere", "Ibintu ni bibi", cyangwa "Mfite utudomo tw'umukara imbere y'amaso yanjye"? Mu by'ukuri, glaucoma ni indwara ishobora gufata amaso yacu yombi. Ariko ntugahangayike, ubu hari uburyo bugezweho bwo kuvura ibi. Uyu munsi rero turimo kuvuga ku byago diyabete ishobora gutera amaso ndetse n'uburyo bwihariye bwo kuyitera inshinge bwitwa Eylea bukoreshwa muri yo.

Kuki diyabete igira ingaruka ku maso? Ni iki kigenda ku rukingo rwa Eylea?

Mu magambo make, iyo umuntu urwaye diyabete afite isukari nyinshi mu maraso idakora neza igihe kirekire, byangiza imiyoboro y'amaraso yoroshye cyane iri mu jisho. Uku kwangirika gutuma amazi n'amaraso biva muri iyo miyoboro y'amaraso. Iyi ndwara yitwa diyabete retinopathy .

Aha, retina ni cyo gice cy'ingenzi cyane kiri mu jisho gifata amashusho y'ibyo tubona, kimwe n'uko filime igaragara muri kamera.

Uko indwara irushaho kuba mbi, imiyoboro y'amaraso mishya ariko idakomeye cyane itangira gushingwa mu mwanya w'iyangiritse. Ibi bituma amaraso menshi n'amazi biva.

None se edema ya macular ni iki?

Muri retina yacu, hagati, hari ahantu hihariye haduha kureba neza kandi neza iyo tureba imbere. Byitwa macula . Nkuko byavuzwe mbere, iyo amazi ava mu mitsi y'amaraso, ayo mazi arundanya muri ako gace kitwa macula maze kikabyimba. Ibyo ni byo twita diyabete Macular Edema .

Uku kubyimba bishobora gutuma ugira ibimenyetso nk'ibi:

• Kureba nabi
• Kureba kabiri
• Kumva nk'aho utudomo tw'umukara turimo kureremba imbere y'amaso (Floaters)
• Amabara ntabwo agaragara neza, kureba ni bike cyane.

Urukingo rwa Eylea rukora rute?

Aha niho inshinge nka Eylea zinjira. Zishyirwa mu jisho mu buryo butaziguye. Umuti ukora muri ibi niaflibercept.

Hari imiti ibiri igira ingaruka cyane cyane ku iremwa ry'imitsi mishya y'amaraso idakomeye mu maso yacu ndetse no kuva kw'amazi muri yo. Iyo miti ni VEGF (Vascular Endothelial Growth Factor) na PlGF (Placental Growth Factor) .

Urushinge rwa Eylea ruhagarika ibi bintu byombi. Ibi bigabanya ikorwa ry'imitsi mishya y'amaraso no kuva kw'amazi. Ibi bigabanya kubyimba mu macula, bigatuma amaso yawe asubira mu buryo busanzwe, kandi bikayihagarika gukomeza kuba mabi.

Ubu buryo bwo kuvura bufite akamaro kangana iki?

Igeragezwa ribiri rya muganga ryo gupima ubushobozi bw'uyu muti ryakozwe ku barwayi ba diyabete bafite indwara yo kubyimba mu maso. Itsinda rimwe ryatewe inshinge za Eylea, mu gihe irindi tsinda ryakorewe igikorwa cya laser cyakoreshwaga icyo gihe (macular laser photocoagulation) .

Mu mpera z'igerageza, icyerekezo cy'abahawe urukingo rwa Eylea cyarushijeho kuba cyiza kurusha abahawe ubuvuzi bwa laser. Iri terambere ryakomeje kubaho nyuma y'umwaka n'imyaka hafi itatu. Ibi bivuze ko ubu buryo bwo kuvura butanoza gusa icyerekezo, ahubwo bunafasha gukomeza iryo terambere uko igihe kigenda gihita.

Ni gute nabona ubu buvuzi?

Eylea ni umuti uza mu buryo bw'amazi. Ni urushinge ruterwa mu jisho ryawe n'inzobere mu by'amaso . Ubu buryo bwo gutera urushinge twita Intravitreal Injection .

Nta mpamvu yo gutinya ibi. Iki ni ikintu gikorwa mu buryo burangwa no kugenzura no kwitonda cyane.

1. Ubwa mbere, igikoresho gito gikoreshwa kugira ngo ukomeze kureba neza.

2. Hanyuma, hashyirwamo ibitonyanga bike mu maso kugira ngo bigabanye uburyaryate no gukumira indwara zandura ziterwa na bagiteri.

3. Mbere yo gutera urukingo, ushobora kandi koza ijisho neza ukoresheje umuti wica udukoko.

4. Hanyuma urushinge rutangwa hakoreshejwe urushinge ruto cyane.

Ubusanzwe, iyo utangiye kuvurwa, uzahabwa urukingo buri byumweru 4. Nyuma y'amezi make, muganga wawe ashobora guhindura inshuro uhabwa buri byumweru 8, bitewe n'uko urwaye.

Ni ryari nshobora kubona ibisubizo?

Niba urukingo rwa Eylea rukubereye, uzatangira kubona iterambere rito mu kureba kwawe mu byumweru bike nyuma yo guterwa urushinge rwa mbere . Ubushobozi bwo kureba bushobora kurushaho kuba bwiza niba uhawe uru rukingo buri byumweru 4 mu mezi 5 ya mbere.

Igikuru ni ugukurikiza gahunda zose no kubona inkingo zose ukeneye. Niba bibaye ngombwa ko usibye gahunda, hamagara muganga wawe ako kanya hanyuma uhindure gahunda.

Reka tumenye ingaruka mbi zishobora kubaho.

Kimwe n'indi miti iyo ari yo yose, urukingo rwa Eylea rufite ingaruka mbi nto n'izikomeye. Ni ngombwa kumenya itandukaniro riri hagati yabyo.

Izi si ingaruka mbi zose zishobora kubaho. Niba ufite ibimenyetso biguhangayikishije, vugana na muganga wawe ku byerekeye izo ngaruka. Niba ubona ko ushobora kuba waragize ingaruka mbi zikomoka kuri uyu muti, ushobora no kubimenyesha Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu i Colombo .

Ese hari ibibazo biri mu yindi miti?

Nta mibanire ikomeye izwi hagati ya Eylea n'indi miti. Ariko, ni ngombwa kubwira muganga wawe w'amaso imiti iyo ari yo yose ufata—harimo imiti yanditswe na muganga, imiti igurishwa ku giciro cya OTC, vitamine, intungamubiri, ndetse n'imiti ikomoka ku bimera .