Uma unesifo sikashukela , ngezinye izikhathi ungase uzizwe ukhathazekile noma ukhathazekile ngamehlo akho , akunjalo? Ingabe uzizwa sengathi "Angiboni kahle njengoba ngangibona ngaphambili", "Izinto azicacile", noma "Nginamabala amnyama antanta phambi kwamehlo ami"? Eqinisweni, i-glaucoma yisifo esingathinta amehlo ethu womabili. Kodwa ungakhathazeki, manje kunezindlela zokwelapha ezithuthukisiwe kakhulu zalokhu. Ngakho-ke namuhla sikhuluma ngomonakalo isifo sikashukela esingawubangela emehlweni kanye nokwelashwa okukhethekile okubizwa ngokuthi i-Eylea okusetshenziselwa kona.
Kungani isifo sikashukela sithinta amehlo? Kwenzekani ngomuthi wokugomela i-Eylea?
Kalula nje, uma umuntu onesifo sikashukela enamazinga aphezulu kashukela egazini angalawuleki isikhathi eside, kulimaza imithambo yegazi ebucayi kakhulu engaphakathi kweso. Lo monakalo ubangela uketshezi negazi ukuthi kuphume kuleyo mithambo yegazi. Lesi simo sibizwa ngokuthi i-diabetic retinopathy .
Lapha, i -retina yingxenye ebaluleke kakhulu ngaphakathi kweso eqopha izithombe zalokho esikubonayo, njengefilimu ekhamera.
Njengoba isimo siba sibi kakhulu, imithambo yegazi emisha, kodwa ebuthakathaka kakhulu, engazinzile iqala ukwakheka esikhundleni semithambo eyonakele. Lokhu kubangela ukuthi kuphume igazi eliningi kanye noketshezi oluningi.
Ngakho-ke kuyini i-macular edema?
Ku-retina yethu, phakathi nendawo, kunendawo ekhethekile esinika umbono ocacile nobukhali kakhulu uma sibheka phambili. Ibizwa ngokuthi i-macula . Njengoba kushiwo ngaphambili, lapho uketshezi luvuza emithanjeni yegazi, lolo ketshezi luqoqana kule ndawo ebizwa ngokuthi i-macula bese luvuvukala. Yilokho esikubiza ngokuthi i-Diabetic Macular Edema .
Lokhu kuvuvukala kungabangela ukuthi ube nezimpawu ezifana nalezi:
- Umbono ofiphele
- Umbono ophindwe kabili
- Ukuzizwa sengathi amabala amnyama ayantanta phambi kwamehlo (ama-Floaters)
- Imibala ayibonakali kahle, umbono awubonakali kahle.
Uma lesi simo singalawulwa, umbono ophakathi ungalahleka kancane kancane. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Usebenza kanjani umuthi wokugomela i-Eylea?
Yilapho imijovo efana ne-Eylea ingena khona. Ijovwa ngqo esweni. Umuthi osebenzayo kulokhui-aflibercept.
Kunamakhemikhali amabili athinta kakhulu ukwakheka kwemithambo yegazi emisha ebuthakathaka ngaphakathi kwamehlo ethu kanye nokuvuza koketshezi oluvela kuwo. Lawa yi -VEGF (Vascular Endothelial Growth Factor) kanye ne -PlGF (Placental Growth Factor) .
Umjovo we-Eylea uvimba womabili la makhemikhali. Lokhu kunciphisa ukwakheka kwemithambo yegazi emisha kanye nokuvuza koketshezi. Lokhu kunciphisa ukuvuvukala kwe-macula, kuvumela ukubona kwakho ukuthi kubuyele esimweni esijwayelekile, futhi kuvimbele ukuthi kube kubi kakhulu.
Kusebenza kangakanani lokhu kwelashwa?
Izivivinyo ezimbili zemitholampilo zokuhlola ukusebenza kahle kwalesi sidakamizwa zazihilela iziguli ezine-diabetic macular edema. Iqembu elilodwa lathola umjovo we-Eylea, kanti elinye iqembu lenziwa inqubo ye-laser eyayivame ukusetshenziswa ngaleso sikhathi (i-macular laser photocoagulation) .
Ekupheleni kokuhlolwa, umbono walabo abathole umuthi wokugomela i-Eylea wathuthuka kakhulu kunalabo abathole ukwelashwa nge-laser. Lokhu kuthuthuka kwagcinwa ngemva konyaka kanye neminyaka ecishe ibe mithathu. Lokhu kusho ukuthi lokhu kwelashwa akugcini nje ngokuthuthukisa umbono, kodwa futhi kusiza ekugcineni lokho kuthuthuka ngokuhamba kwesikhathi.
Ngingayithola kanjani le ndlela yokwelashwa?
I-Eylea umuthi oza ngesimo soketshezi. Umjovo ojovwa ngqo esweni lakho nguchwepheshe wamehlo . Lokhu sikubiza ngokuthi indlela yomjovo i-Intravitreal Injection .
Akukho sizathu sokwesaba lokhu. Lokhu kuyinto eyenziwa ngokulawula okukhulu nangokuqaphela.
1. Okokuqala, kusetshenziswa ithuluzi elincane ukugcina iso lakho livulekile.
2. Bese kufakwa amaconsi ambalwa emehlweni ukuze kuncishiswe ukulunywa futhi kuvinjelwe ukutheleleka ngamagciwane.
3. Ngaphambi kokufaka umjovo wokugoma, ungageza iso kahle ngesisombululo se-antiseptic.
4. Ngemuva kwalokho umjovo unikezwa ngenaliti encane kakhulu.
Ngokuvamile, uma uqala ukwelashwa, uzothola umuthi wokugoma njalo emavikini ama-4 . Ngemva kwezinyanga ezimbalwa, udokotela wakho angase alungise imvamisa ibe njalo emavikini ayi-8, kuye ngesimo sakho.
Ingcindezi engaphakathi kweso inganda kancane ngokushesha ngemva kokujova, kodwa lokhu kuvame ukwehla phakathi nehora. Udokotela wakho uzohlola amehlo akho ngemva kokujova ngakunye.
Ngingayibona imiphumela ngokushesha kangakanani?
Uma umuthi wokugomela i-Eylea usebenza kahle kuwe, uzoqala ukubona intuthuko encane embonweni wakho zingakapheli amasonto ambalwa kusukela ekujovweni kokuqala . Umbono wakho ungase uthuthuke kakhulu uma uthola umuthi wokugomela njalo emavikini ama-4 ezinyangeni ezi-5 zokuqala.
Into ebaluleke kakhulu ukugcina wonke ama-aphoyintimenti nokuthola yonke imijovo oyidingayo. Uma kufanele uphuthelwe yi-aphoyintimenti, shayela udokotela wakho ngokushesha bese uhlela kabusha.
Ake siqaphele imiphumela emibi.
Njenganoma yimuphi umuthi, umuthi wokugomela i-Eylea unemiphumela emibi emincane nemibi. Kubalulekile ukwazi umehluko phakathi kwalokhu okubili.
| Uhlobo lomphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi evamile neyesikhashana | Kuvamile ukuba nombono ofiphele isikhashana ngemuva kokunikezwa umuthi wokugoma. Lokhu kuzophela ngemva kwesikhashana. Gwema ukushayela noma ukusebenzisa imishini phakathi nalesi sikhathi. |
| Izimpawu ezinkulu ezidinga ukunakekelwa okusheshayo | Uma uhlangabezana nanoma yiziphi zalezi zimpawu, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha noma utshele udokotela wakho:
|
Lezi akuzona zonke imiphumela emibi engaba khona. Uma unezimpawu ezikukhathazayo, khuluma nodokotela wakho ngazo. Uma ucabanga ukuthi kungenzeka ukuthi ube nemiphumela emibi evela kulo muthi, ungabika futhi e-National Poisons Information Centre e-National Hospital eColombo .
Ingabe zikhona izinkinga ngeminye imithi?
Akukho ukuxhumana okungathi sína okwaziwayo phakathi kwe-Eylea neminye imithi. Kodwa-ke, kubalulekile ukutshela udokotela wakho wamehlo nganoma yimiphi imithi oyithathayo—kufaka phakathi imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela (OTC), amavithamini, izithasiselo zokudla okunempilo, ngisho nemithi yamakhambi .
Umlayezo Wokuya Nawe Ekhaya
- I-Diabetic macular edema yisimo samehlo esingabangelwa isifo sikashukela, kodwa manje singelashwa ngempumelelo.
- I-Eylea iwumjovo ofakwa ngqo esweni. Ingamisa ukulahleka kokubona futhi ibuyisele umbono.
- Ukuze lokhu kwelashwa kuphumelele, kubalulekile ukuthola imijovo ngesikhathi ngokwezinsuku ezinikezwe udokotela.
- Qaphela imiphumela emibi evamile engase ivele ngemva kokugonywa kanye nezimpawu ezimbi ezidinga ukunakekelwa okusheshayo.
- Uma unemibuzo noma ukukhathazeka mayelana nokubona kwakho, ukwelashwa, noma imiphumela emibi, khuluma nodokotela wakho ngokukhululekile ngakho.
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