Ukuba unesifo seswekile, mhlawumbi uyakhumbula ugqirha wakho esoloko ekuxelela athi, "Lawula amanqanaba akho eswekile kakuhle, okanye ayilunganga emehlweni akho." Yiyo loo nto ngokwenene. Ukuba isifo seswekile asilawulwa kakuhle, ukubona kwethu kunokonakala kakhulu. Umonakalo omkhulu emehlweni ngale ndlela yiDiabetic Macular Edema , okanye (DME) ngamafutshane. Okwenzekayo koku kukuba inxalenye ebuthathaka kakhulu ye-retina ngaphakathi kweliso iyadumba. Kodwa ungakhathazeki, ngoku kukho unyango olusebenzayo noluphucukileyo lwale meko. Yiloo nto sithetha ngayo kweli nqaku namhlanje.
Inyathelo lokuqala kunyango: ukulawula unobangela wesifo
Oogqirha balandela iindlela ezimbini eziphambili xa benyanga i-DME. Eyokuqala neyona nto ibalulekileyo kukulawula unobangela oyintloko . Oko kuthetha ukulawula amanqanaba aphezulu eswekile egazini lakho kunye noxinzelelo lwegazi oluphezulu.
Khawucinge ngokuvuza kophahla. Kungcono ukulungisa umngxuma ophahleni kunokusebenzisa iibhakethi ukuqokelelela amanzi emhlabeni. Kunjalo ke ngale nto. Ngelixa unyanga iliso ngokuthe ngqo, kubalulekile ukulawula isifo seswekile kunye noxinzelelo lwegazi oluphezulu. Ngokulandela imiyalelo kagqirha wakho ngokuchanekileyo, unokuthintela umonakalo emehlweni akho kwaye uthintele imeko ukuba ingabi mandundu. Le sisiseko sonyango.
Ziziphi iindlela zonyango ezenziwa ngqo esweni?
Xa unobangela ususiwe, ugqirha wakho uza kuqala unyango lokulungisa umonakalo ongaphakathi kweliso lakho. Uza kuthunyelwa kwingcali yamehlo okanye kwingcali ye-retina . Unyango olungcono kuwe luya kuxhomekeka kuhlobo lwe-DME onayo.
Kukho iindlela ezimbini eziphambili zonyango.
1. Iinaliti ze-Anti-VEGF
2. Unyango lweLaser (Utyando lweLaser yeFocal-Grid Macular)
Ngoku makhe sijonge nganye kwezi ngokwahlukeneyo.
1. Iinaliti ze-Anti-VEGF
Kutheni le nto kunikwa ezi zitofu? Yintoni i-VEGF?
Ngamafutshane, xa une-DME, iliso lakho livelisa iproteni eninzi ebizwa ngokuba yi -VEGF (Vascular Endothelial Growth Factor) . Le proteni ibangela ukuba imithambo yegazi emitsha eyenziwe ngaphakathi kweliso lakho ibe buthathaka kakhulu, njengemibhobho yamanzi eyenziwe ngeplastiki engabizi kakhulu. Ngoko ke, le mithambo yegazi ibuthathaka ivuza igazi kunye nolwelo, nto leyo ebangela ukuba i-macula , indawo ebuthathaka embindini we-retina yakho, idumbe. Yiyo loo nto ibangela ukuba umbono wakho ufiphale kwaye ungabi mnyama.
I-anti-VEGF vaccine ithintela ukuveliswa okugqithisileyo kweproteni ye-VEGF. Oku kulawula ukwakheka kwemithambo yegazi ebuthathaka, komeleza esele ikho, kwaye kuthintele ukuvuza kwegazi kunye nolwelo.
Zithini ezi mithi?
Kukho iintlobo ezininzi eziphambili zamayeza asetyenziswa kolu nyango. Amanye amayeza achaphazela kuphela iproteni ye-VEGF, ngelixa amayeza amatsha echaphazela zombini i-VEGF kunye nenye iproteni ebandakanyeka ekwakhiweni kwemithambo yegazi, i-Angiopoietin-2 (Ang-2) .
| Udidi lweziyobisi | Amayeza |
|---|---|
| Amayeza okulwa ne-VEGF | I-Aflibercept (Eylea) I-Bevacizumab (i-Avastin) I-Brolucizumab-dbll (iBeovu) I-Ranibizumab (iLucentis) |
| Amayeza okuthintela i-VEGF/Ang-2 | I-Faricimab-svoa (Vabysmo) |
Indlela yokunika isitofu kunye nobude bonyango
Ngoku, xa ndisithi 'Ndiza kukufaka inaliti endlebeni yakho,' usenokuziva usoyika kancinci. Kodwa eneneni ayoyikisi kangako.
- Akukho ntlungu: Ugqirha uza kubeka amathontsi abangela ukuba ungabi nazintlungu emehlweni akho ngaphambi kokuba akunike inaliti, ukuze ungabi nantlungu.
- Inkqubo: Eli yeza lifakwa esweni kusetyenziswa inaliti encinci kakhulu nebhityileyo.
- Ubude bonyango: Ngokwesiqhelo, kuya kufuneka ufumane inaliti kanye ngenyanga kwiinyanga ezi-4-6 zokuqala. Emva koko, njengoko imeko yamehlo akho iphucuka, inani leenaliti ozifumanayo liya kwanda kancinci kancinci. Kusenokufuneka ufumane olu nyango rhoqo, nokuba yiminyaka eliqela.
Xa imithambo yegazi iyeka ukuvuza, umbono wakho uya kuqala ukuphucuka kancinci kancinci.
Kubalulekile: Ukuba umbono wakho ungaphezulu kwe-20/50 okanye ngaphezulu (uphantsi kakhulu), i-Aflibercept ingasebenza ngcono kunezinye amayeza. I-Faricimab-svoa ingasebenza ixesha elide kunezinye amayeza. Le yinto omele uyixoxe nogqirha wakho.
Qiniseka ukuba ukhumbula:
Olu gonyo alufanelekanga kubafazi abakhulelweyo kuba lunokulimaza umntwana. Ke ngoko, ukuba ukhulelwe okanye uceba ukukhulelwa, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngale nto.
2. Unyango lweLaser (Utyando lweLaser yeFocal-Grid Macular)
Le yenye indlela yonyango ephumelelayo esetyenziswa kwi-DME.
- Yintoni eyenzayo?: Oku kuquka ukusebenzisa i-laser 'ukuvala' imithambo yegazi ebuthathaka kwi-retina yakho evuzayo. Kufana nokufudumeza nokudibanisa iplastiki. Oku kuvala imithambo yegazi, kunciphisa inani legazi kunye nolwelo oluphuma kuyo, kwaye kunciphisa ukudumba kwi-macula.
- Unyango: Ukuba une-DME emehlweni omabini, ugqirha wakho akayi kunyanga omabini amehlo ngaxeshanye. Uza kunyanga elinye iliso aze emva koko anyange elinye emva kweeveki ezimbalwa. Ngokwesiqhelo, unyango olunye lwelaser kwiliso ngalinye lwanele.
- Ixesha lokusebenzisa: Ngamanye amaxesha, ukuba iziphumo ezinqwenelekayo azifumaneki ngonyango lwe-anti-VEGF injection kuphela, ugqirha unokugqiba ekubeni enze olu nyango lwe-laser kunye ne-injection.
Umyalezo Wokuya Ekhaya
- Ukuwohloka kwe-macular yesifo seswekile (i-DME) yimeko enzima, kodwa ngoku inokunyangeka kwaye ilawulwe ngempumelelo. Musa ukuyityeshela iimpawu ezifana nokungaboni kakuhle.
- Eyona nto ibalulekileyo nesisiseko onokuyenza kukulawula amanqanaba eswekile egazini lakho kunye noxinzelelo lwegazi kakuhle. Le sisiseko salo lonke unyango.
- Iinaliti ze-anti-VEGF kunye nonyango lwe-laser zezona ndlela zonyango ziphambili nezikhuselekileyo ezikhoyo. Musa ukoyika 'i-eye shot', yinkqubo engenabuhlungu.
- Thetha nogqirha wakho wamehlo malunga nonyango olungcono kuwe, izinto ezilungileyo nezingalunganga, kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo (ingakumbi ukukhulelwa). Buza kwaye uphendule nayiphi na imibuzo onokuba unayo.
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