Uma unesifo sikashukela, cishe uyakhumbula udokotela wakho ehlala ekutshela ukuthi, "Lawula amazinga akho kashukela kahle, noma akukuhle emehlweni akho." Lokho kuyiqiniso ngempela. Uma isifo sikashukela singalawulwa kahle, ukubona kwethu kungalimaza kakhulu. Umonakalo omkhulu emehlweni ngale ndlela yi -Diabetic Macular Edema , noma (DME) ngamafuphi. Okwenzekayo kulokhu ukuthi ingxenye ebucayi kakhulu ye-retina ngaphakathi kweso iyavuvukala. Kodwa ungakhathazeki, manje kunezindlela zokwelapha ezisebenza kahle kakhulu nezithuthukile zalesi simo. Yilokho esikhuluma ngakho kulesi sihloko namuhla.
Isinyathelo sokuqala ekwelashweni: ukulawula imbangela yesifo
Odokotela balandela izindlela ezimbili eziyinhloko lapho belapha i-DME. Into yokuqala nebaluleke kakhulu ukulawula imbangela eyisisekelo . Lokho kusho ukulawula amazinga akho aphezulu kashukela egazini kanye nomfutho wegazi ophakeme.
Cabanga ngokuvuza kophahla. Kungcono ukulungisa imbobo ophahleni kunokusebenzisa amabhakede ukuqoqa amanzi phansi. Kunjalo-ke ngalokhu. Ngesikhathi welapha iso ngqo, kubalulekile ukulawula isifo sikashukela esiyisisekelo kanye nomfutho wegazi ophakeme. Ngokulandela imiyalelo kadokotela wakho ngqo, ungamisa umonakalo emehlweni akho futhi uvimbele isimo ukuba singabi sibi kakhulu. Lesi yisisekelo sokwelashwa.
Yiziphi izindlela zokwelapha ezenziwa ngqo esweni?
Uma imbangela eyinhloko isisusiwe, udokotela wakho uzoqala ukwelashwa ukulungisa umonakalo ongaphakathi kweso lakho. Uzothunyelwa kudokotela wamehlo noma kuchwepheshe we-retina . Ukwelashwa okungcono kakhulu kuzoncika ohlotsheni lwe-DME onayo.
Kunezindlela ezimbili eziyinhloko zokwelapha.
1. Imijovo Elwa Ne-VEGF
2. Ukwelashwa nge-laser (Ukuhlinzwa kwe-Focal-Grid Macular Laser)
Ake sibheke ngayinye yalezi ngokwehlukana.
1. Imijovo Elwa Ne-VEGF
Kungani kunikezwa le mijovo? Iyini i-VEGF?
Kalula nje, uma une-DME, iso lakho likhiqiza iphrotheni eningi kakhulu ebizwa ngokuthi i-VEGF (Vascular Endothelial Growth Factor) . Le phrotheni ibangela ukuthi imithambo yegazi emisha eyakheka ngaphakathi kweso lakho ibe buthakathaka kakhulu, njengamapayipi amanzi enziwe ngepulasitiki eshibhile. Ngakho-ke, le mithambo yegazi ebuthakathaka ivuza igazi noketshezi, okwenza i-macula , indawo ebucayi enkabeni ye-retina yakho, ivuvuke. Yilokho okubangela ukuthi umbono wakho ufiphale futhi ufiphale.
Umuthi wokugomela i-anti-VEGF uvimba ukukhiqizwa ngokweqile kweprotheyini ye-VEGF. Lokhu kulawula ukwakheka kwemithambo yegazi ebuthakathaka, kuqinisa ekhona, futhi kuvimbele ukuvuza kwegazi noketshezi.
Yimiphi le mithi?
Kunezinhlobo eziningana eziyinhloko zemithi esetshenziswa kulokhu kwelashwa. Eminye imithi ithinta iphrotheni i-VEGF kuphela, kuyilapho imithi emisha ithinta i-VEGF kanye nenye iphrotheni ehilelekile ekwakhekeni kwemithambo yegazi, i-Angiopoietin-2 (Ang-2) .
| Isigaba Sezidakamizwa | Imithi |
|---|---|
| Imithi yokulwa ne-VEGF | I-Aflibercept (Eylea) I-Bevacizumab (i-Avastin) I-Brolucizumab-dbll (i-Beovu) I-Ranibizumab (i-Lucentis) |
| Izidakamizwa Zokuvimbela I-VEGF/Ang-2 | I-Faricimab-svoa (Vabysmo) |
Indlela yokunikeza umuthi wokugoma kanye nobude besikhathi sokwelashwa
Manje, uma ngithi 'Ngizokufaka umjovo endlebeni yakho,' ungase uzizwe wesaba kancane. Kodwa empeleni akukwesabisi kangako.
- Akukho buhlungu: Udokotela uzofaka amaconsi okubulala izinhlungu emehlweni akho ngaphambi kokukujova, ukuze ungezwa buhlungu.
- Inqubo: Lo muthi ufakwa esweni ngengxenye emhlophe yeso kusetshenziswa inalithi encane kakhulu nencane.
- Isikhathi sokwelashwa: Ngokuvamile, kuzodingeka uthole umjovo kanye ngenyanga ezinyangeni zokuqala ezi-4-6. Ngemuva kwalokho, njengoba isimo samehlo akho sithuthuka, inani lemijovo oyitholayo lizokhula kancane kancane. Kungase kudingeke ukuthi uthole lokhu kwelashwa kaningi, ngisho neminyaka eminingana.
Uma imithambo yegazi isiyekile ukuvuza, umbono wakho uzoqala ukuthuthuka kancane kancane.
Okubalulekile: Uma umbono wakho ungama-20/50 noma ngaphezulu (okubi kakhulu), i-Aflibercept ingasebenza kangcono kuneminye imithi. I-Faricimab-svoa ingasebenza isikhathi eside kuneminye imithi. Lokhu kuyinto okufanele uyixoxe nodokotela wakho.
Qiniseka ukuthi uyakhumbula:
Lo mjovo awufanele abesifazane abakhulelwe ngoba ungalimaza ingane. Ngakho-ke, uma ukhulelwe noma uhlela ukukhulelwa, kufanele ukhulume nodokotela wakho ngalokhu.
2. Ukwelashwa nge-laser (Ukuhlinzwa kwe-Focal-Grid Macular Laser)
Lena enye indlela yokwelapha ephumelelayo esetshenziswa kwi-DME.
- Kwenzani?: Lokhu kuhilela ukusebenzisa i-laser 'ukuvala' imithambo yegazi ebuthakathaka ku-retina yakho evuzayo. Kufana nokushisa nokuhlanganisa ipulasitiki ndawonye. Lokhu kuvala imithambo yegazi, kunciphisa inani legazi noketshezi oluphuma kuyo, futhi kunciphisa ukuvuvukala ku-macula.
- Ukwelashwa: Uma une-DME emehlweni womabili, udokotela wakho ngeke aphathe womabili amehlo ngesikhathi esisodwa. Uzophatha iso elilodwa bese elapha elinye ngemva kwamasonto ambalwa. Ngokuvamile, ukwelashwa okukodwa nge-laser ngeso ngalinye kwanele.
- Isikhathi Sokusebenzisa: Ngezinye izikhathi, uma imiphumela efiselekayo ingatholakali ngokwelashwa ngomjovo we-anti-VEGF kuphela, udokotela angase anqume ukwenza lokhu kwelashwa nge-laser kanye nomjovo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuwohloka kwe-macular yesifo sikashukela (i-DME) kuyisimo esibi kakhulu, kodwa manje singelashwa futhi siphathwe kahle kakhulu. Ungazinaki izimpawu ezifana nokungaboni kahle.
- Into ebaluleke kakhulu neyisisekelo ongayenza ukulawula amazinga kashukela egazini lakho kanye nomfutho wegazi kahle. Lesi yisisekelo sazo zonke izindlela zokwelapha.
- Imijovo yokulwa ne-VEGF kanye nokwelashwa nge-laser yizindlela zokwelapha ezithuthuke kakhulu neziphephile ezitholakalayo. Ungesabi 'i-eye shot', inqubo engenabuhlungu.
- Khuluma nodokotela wakho wamehlo mayelana nokwelashwa okungcono kakhulu kuwe, izinzuzo nezinkinga zako, kanye nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo (ikakhulukazi ukukhulelwa). Buza futhi uphendule noma yimiphi imibuzo ongase ube nayo.
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