Ukuba unesifo seswekile , ngamanye amaxesha ungaziva ukhathazekile okanye uxhalabile ngamehlo akho , akunjalo? Ngaba uvakalelwa kukuba "Andiboni kakuhle njengoko bendisoloko ndibona", "Izinto azicacanga", okanye "Ndinamabala amnyama ahamba phambi kwamehlo am"? Enyanisweni, i-glaucoma sisifo esinokuchaphazela amehlo ethu omabini. Kodwa ungakhathazeki, ngoku kukho unyango oluphambili kakhulu loku. Ngoko ke namhlanje sithetha ngomonakalo onokwenziwa sisifo seswekile emehlweni kunye nonyango olukhethekileyo olubizwa ngokuba yi-Eylea olusetyenziselwa lona.
Kutheni isifo seswekile sichaphazela amehlo? Kwenzeka ntoni ngegonyo le-Eylea?
Ngamafutshane, xa umntu onesifo seswekile enamazinga aphezulu eswekile egazini angalawulekiyo ixesha elide, yonakalisa imithambo yegazi ebuthathaka kakhulu engaphakathi kweliso. Lo monakalo ubangela ukuba ulwelo negazi kuphume kuloo mithambo yegazi. Le meko ibizwa ngokuba yi -diabetesic retinopathy .
Apha, i -retina yeyona nxalenye ibalulekileyo ngaphakathi kweliso erekhoda imifanekiso yoko sikubonayo, njengefilimu ekwikhamera.
Njengoko imeko isiya isiba mandundu, imithambo yegazi emitsha, kodwa ebuthathaka kakhulu, nengazinzanga iqala ukwakheka endaweni yeyo yonakeleyo. Ezi zinto zibangela ukuba kuphume igazi elininzi kunye nolwelo.
Ngoko ke yintoni i-macular edema?
Kwi-retina yethu, embindini, kukho indawo ekhethekileyo esinika umbono ocacileyo nobukhali xa sijonga phambili. Ibizwa ngokuba yi-macula . Njengoko bekutshiwo ngaphambili, xa ulwelo luvuza kwimithambo yegazi, olo lwelo luqokelelana kule ndawo ebizwa ngokuba yi-macula kwaye luyadumba. Yiloo nto siyibiza ngokuba yi-Diabetic Macular Edema .
Oku kudumba kunokubangela ukuba ufumane iimpawu ezifana nezi:
- Umbono ofipheleyo
- Umbono ophindwe kabini
- Ukuziva ngathi amabala amnyama ahamba phambi kwamehlo (iiFloaters)
- Imibala ayibonakali ngokucacileyo, umbono awubonakali kakuhle.
Ukuba le meko ayilawulwa, umbono ophakathi unokulahleka kancinci kancinci. Kungoko ke, kubaluleke kakhulu ukukwazi oku.
Isebenza njani i-Eylea vaccine?
Kulapho ke iinaliti ezifana ne-Eylea zingena khona. Zifakwa ngqo esweni. Iyeza elisebenzayo kwelii-aflibercept.
Kukho iikhemikhali ezimbini ezichaphazela kakhulu ukwakheka kwemithambo yegazi emitsha nebuthathaka emehlweni ethu kunye nokuvuza kolwelo oluvela kuwo. Ezi zii -VEGF (Vascular Endothelial Growth Factor) kunye ne-PlGF (Placental Growth Factor) .
Inaliti ye-Eylea ithintela zombini ezi khemikhali. Oku kunciphisa ukwakheka kwemithambo yegazi emitsha kunye nokuvuza kolwelo. Oku kunciphisa ukudumba kwi-macula, kuvumela umbono wakho ukuba ubuyele esiqhelweni, kwaye kuyithintele ekubeni ibe mandundu.
Lusebenza kangakanani olu nyango?
Izilingo ezimbini zeklinikhi zokuvavanya ukusebenza kakuhle kwale chiza zazibandakanya izigulane ezine-diabetesic macular edema. Elinye iqela lafumana inaliti ye-Eylea, ngelixa elinye iqela lenziwa inkqubo yelaser eyayisetyenziswa kakhulu ngelo xesha (macular laser photocoagulation) .
Ekupheleni kovavanyo, umbono wabo bafumene ugonyo lwe-Eylea uphucuke kakhulu kunabo bafumene unyango lwe-laser. Olu phuculo lugcinwe emva konyaka kunye neminyaka emithathu. Oku kuthetha ukuba olu nyango aluphuculi nje kuphela umbono, kodwa lukwanceda ukugcina olo phuculo ngokuhamba kwexesha.
Ndingalufumana njani olu nyango?
I-Eylea liyeza eliza likwimo yolwelo. Liliyeza elifakwa ngqo esweni lakho yingcali yamehlo . Le ndlela siyibiza ngokuba yi -Intravitreal Injection .
Akukho sizathu sokoyika oku. Le yinto eyenziwa ngolawulo olukhulu nangokucophelela.
1. Okokuqala, kusetyenziswa isixhobo esincinci ukugcina amehlo akho evulekile.
2. Emva koko, kufakwa amaconsi ambalwa emehlweni ukuze kuthomalaliswe ukurhawuzelelwa kwaye kuthintelwe ukosuleleka ziintsholongwane.
3. Ngaphambi kokuba ufake inaliti, ungahlamba iliso kakuhle ngesisombululo se-antiseptic.
4. Emva koko inaliti ifakwa ngenaliti encinci kakhulu.
Ngokwesiqhelo, xa uqala unyango, uza kufumana isitofu rhoqo emva kweeveki ezi-4 . Emva kweenyanga ezimbalwa, ugqirha wakho unokutshintsha imvamisa yaso rhoqo emva kweeveki ezi-8, kuxhomekeke kwimeko yakho.
Uxinzelelo olungaphakathi kweliso lunokunyuka kancinci emva nje kokufakwa inaliti, kodwa oku kudla ngokuncipha kwisithuba seyure. Ugqirha wakho uza kuhlola amehlo akho emva kokufakwa inaliti nganye.
Ndingazibona iziphumo nini?
Ukuba i-Eylea gonyo iyasebenza kuwe, uya kuqala ukubona ukuphucuka okuncinci ekuboneni kwakho kwiiveki ezimbalwa emva kwenaliti yokuqala . Umbono wakho ungaphucuka ngakumbi ukuba ufumana i-gonyo rhoqo kwiiveki ezi-4 kwiinyanga ezi-5 zokuqala.
Eyona nto ibalulekileyo kukugcina yonke imihla yokubonana nogqirha kwaye ufumane yonke imigonyo oyifunayo. Ukuba kufuneka uphoswe yintlanganiso yokubonana nogqirha, fowunela ugqirha wakho ngoko nangoko uze uhlengahlengise ixesha lokubonana nogqirha.
Masiqaphele iziphumo ebezingalindelekanga.
Njengayo nayiphi na imithi, ugonyo lwe-Eylea luneziphumo ebezingalindelekanga ezincinci nezimbi. Kubalulekile ukwazi umahluko phakathi kwezi zimbini.
| Uhlobo lwesiphumo esibi | Inkcazo kunye nento omawuyenze |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo nezexeshana | Kuqhelekile ukuba nombono ofipheleyo okwethutyana emva kokuba unikwe isitofu. Oku kuya kuphela emva kwexesha elithile. Kuphephe ukuqhuba okanye ukusebenzisa oomatshini ngeli xesha. |
| Iimpawu ezinzulu ezifuna ingqalelo ekhawulezileyo | Ukuba ufumana naziphi na kwezi mpawu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko okanye uxelele ugqirha wakho:
|
Ezi azizo zonke iziphumo ebezingalindelekanga ezinokubakho. Ukuba uneempawu ezikukhathazayo, thetha nogqirha wakho ngazo. Ukuba ucinga ukuba usenokuba neziphumo ebezingalindelekanga ezivela kweli yeza, ungaxela nakwiZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke eColombo .
Ngaba kukho naziphi na iingxaki ngamanye amayeza?
Akukho nxibelelwano lubalulekileyo phakathi kwe-Eylea kunye namanye amayeza. Nangona kunjalo, kubalulekile ukuxelela ugqirha wakho wamehlo malunga nayo nayiphi na imithi oyithathayo—kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwe-odolo (OTC), iivithamini, izongezo zesondlo, kwanamayeza emifuno .
Umyalezo Wokuya Ekhaya
- I-diabetic macular edema yimeko yamehlo enokubangelwa sisifo seswekile, kodwa ngoku inokunyangeka ngempumelelo.
- I-Eylea yinaliti efakwa ngqo elisweni. Ingamisa ukulahleka kokubona kwaye ibuyisele umbono.
- Ukuze olu nyango luphumelele, kubalulekile ukufumana ugonyo ngexesha elifanelekileyo ngokwemihla enikwe ngugqirha.
- Qaphela iziphumo ebezingalindelekanga eziqhelekileyo ezinokubakho emva kokugonywa kunye neempawu ezinzulu ezifuna ingqalelo ekhawulezileyo.
- Ukuba unemibuzo okanye iinkxalabo malunga nokubona kwakho, unyango, okanye iziphumo ebezingalindelekanga, thetha nogqirha wakho ngokukhululekileyo ngaloo nto.
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