Kune zvipatara zvakasiyana-siyana zvekuvhiringidza kwema macular , kana chii chinowanzozivikanwa sechizvarwa chakasvibiswa macular degeneration (AMD) -mamiriro ezvinhu anozobvisa zvishoma nezvishoma chiratidzo chekati. Muzvizhinji, kurapwa uku kunogona kudzivirira uye kunonoka kuwedzera kwekuona nekudzivirira kukanganisa kwe retina. Zvinosuruvarisa, hazviwanzogadzirisa kukanganisa ku macula kana kuwanazve chiratidzo chakatofa.
Zvichienderana nehuwandu hwemhosva yako, mavitamini, mishonga, kuvhiyiwa, uye / kana kurapwa kunogona kufungwa.
Over-the-Counter Therapies
Maererano neAmerican Academy of Ophthalmology, vitamini supplementation inogona kuderedza kufambira mberi kweA AMD, yekare, iyo inowanzo yakaoma ye AMD.
MuChirwere Chine Dambudziko Rekuona Chirwere Chekudzidza (iyo huru National Eye Institute-yakatsigirwa kuongororwa kwekliniki yakatevera vanhu vanenge 3 600 vane zvikamu zvakasiyana-siyana zveAmdi), vatsvakurudzi vakawana kuti kutora zvakanyanya zve antioxidants uye zinc zuva nezuva zvakaderedza dambudziko rekuvandudza AMD ne 25 muzana. Iko mavitamini ekugadzirisa akaitwa ne:
- 500 mg vitamini C
- 400 IU ye vitamini E
- 15 mg ye beta-carotene
- 80 mg ye zinc (se zinc oxide)
- 2 mg yemhangura (se cupric oxide)
Izvo zvinowedzera uye zviyero zvakakunakira iwe, kana zvakadaro, zvinofanira kuongororwa ne ophthalmologist yako. Tevedzera mazano uye regimen yakakurudzirwa iwe.
Mishonga
Ropa remvura rinoputika muziso ndiro chikamu chikuru chekuoma kwema macular, uye basa revascular endothelial kukura (VEGF) -protini-inogona kuita basa iyo.
Anti-VEGF mishonga yakaratidzwa kuti inoshanda mukudzivirira kupararira kwemidziyo yeropa isina simba iyo inogona kuvhiringidza uye inokonzera kukanganisa kune macula.
Mishonga inopesana neVEGF inosanganisira:
- Lucentis (ranibizumab)
- Avastin akashandiswa kure-label (bevacizumab)
- Eylea (aflibercept)
Chimwe nechimwe chinopiwa kuburikidza nejisi muziso, iyo inoshandiswa ne ophthalmologist.
Iwe unofanirwa kutarisira kugamuchira jekiseni rekushaya maitiro kunzvimbo yako isati yasvika kujekesa kwako neAn anti-VEGF. Vanhu vazhinji vanogona kuregerera nzira yacho zvakanaka uye pasina marwadzo kana kusagadzikana.
Migumisiro yekurwisa-VEGF nzira inowanzopedza inenge mwedzi umwe. Iwe unogona kuda kudzokorora nzira iyo kana ziso rako rekuongorora rinoratidza kuratidzira ropa mumvura.
Nyanzvi-Inzira Dzokufambisa
Kune maitiro akawanda ekuvhiya uye kurapa kunogona kudzivirira uye kunonoka kuwedzera kwekuwedzera kwema macular. Chiremba weziso rako kana muchengeti we retina achaongorora maziso ako nemaonero zvakanyatsogadzirisa kuti iwe kana kwete iwe ungabatsire kubva uye unorega izvozvi maitiro; chisarudzo ichi chakaoma.
Nzira dzinoshandiswa pakusvibisa macular dzinosanganisira:
Laser Kuvhiya: Laser chirwere chirongwa chinoshandiswa zvakananga lasers kudzivirira kupararira kwemidziyo yeropa isina simba muziso. Izvi zvinowanzoitwa mumararamiro ekunze, uye iyo inofanirwa kuitika kwemakore. Izvozvo zvakati, iyo nzira inogona kudzokororwa makore akazotevera pane dzimwe nguva kana zvichidikanwa.
Chirwere chePhotodynamic: Kurapa kwechirwere ichi kunosanganisira kuvhara muropa kwemishonga inokonzera midzi miduku yeropa iri muziso kuti igare yakasimba kuitira kuti irege kuvhara.
Mishonga inoshandiswa nechiedza, icho chinotarirwa kumidziyo isina simba yeropa ine laser. Iwe unofanirwa kutarisira kuva wakamuka panguva iyoyo uye kugamuchira manzwiro emunharaunda ekunyaradza nekurwadziwa kwekutambudzika. Mushure mekuita, maziso ako angava anonyanya kujeka pane chiedza, uye iwe uchapiwa mirairo pamusoro pekudzivirira maziso ako.
Retinal Implant: Retinal implants yakashandiswa kwezviitiko zvakawanda. Kana yakashandiswa nokuda kwe AMD, chigadzirwa chacho chinoshandiswa mushure memaziso eziso. Iko inogadzirisa inoshanda nekukwiridzira kwemaonero makuru uye kutumira mifananidzo kune chikamu chine utano hwetina. Ive yakashandiswa, asi haisi yakawanda yakawanikwa.
Complementary Medicine (CAM)
Nepo kune uchapupu hunoratidza kuti mamwe mavitamini anogona kudzivirira kufambira mberi kweAmD, kune uchapupu hushoma hunotsigira kushandiswa kwemishonga. Heano mamwe marapirwo akasiyana aunogona kunzwa pamusoro. Kana izvi zvisarudzo zvichikufadza iwe, taura iwe ophthalmologist usati waisa chero chipi zvacho muurongwa hwekurapa.
- Lutein uye Zeaxanthin: Nhamba inowedzera yeongororo inoratidza kuti idzi mbiri antioxidants dzinogona kuita basa mukuderedza kukura nekufambira mberi kwe AMD. Inowanikwa muhuwandu hwekuwedzera, lutein neyeaxanthin inowanikwawo zvakasvibirira mumuchero mashizha mashizha, broccoli, maBrussels, uye zvimwe zvokudya.
- Ginkgo Biloba: Zvidzidzo zvishomanana zvinoratidza kuti ginkgo biloba (mishonga yakataura kuti inokurudzira kupararira) inogona kubatsira kuchengetedza maonero kuvanhu vane AMD.
- Bilberry: Mukutsvakurudza kwezvipfuwo, vatsvakurudzi vakawana kuti nguva refu yekuwedzererwa nemabhandi ebhabheri yakabatsira kudzivirira AMD. Zvisinei, zvakakosha kuyeuka kuti migumisiro yezvidzidzo zvemhuka haigone kushandiswa zvakafanana kuvanhu.
Lifestyle
Kune zvikonzero zvehupenyu zvakasiyana siyana zvinogona kuderedza ngozi yako yekuvandudza AMD, uye inofanirawo kunge iri chikamu cherongwa hwako hwakakwana hwekurapa AMD:
- Tevera chikafu chakafuma mu antioxidants
- Gara uchiongorora maziso
- Kupfeka magirazi emasikati paunenge uri panze masikati masikati
- Dzivisa kusvuta
- Chengetedza ropa rako rehutano pahutano hwakanaka
- Chengetedza chikwata chako chehushutoriro pane zvakakwana
- Dzidzira nguva dzose
> Sources:
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> Bahadorani S, Singer M. Munguva pfupi yapfuura mukufambisa nekunyatsonzwisisa kwema macular degeneration. 2017 Apr 20; 6: 519. doi: 10.12688 / f1000research.10998.1. eCollection 2017, DOI: 10.12688 / f1000research.10664.1
> Evans JR. Ginkgo biloba yakabudiswa kwezera rinosangana neyakawanda macular degeneration. Cochrane Database Syst Rev. 2013 Jan 31; (1): CD001775. doi: 10.1002 / 14651858.CD001775.pub2.
> Hernández-Zimbrón LF, Zamora-Alvarado R, Ochoa-De Paz L, et al. Zuva-Rinoenderana Nekugadziriswa Kwemashoko: Paradigms Itsva yeMushonga uye Kutungamirirwa kwe AMD. Oxid Med Cell Longev. 2018 Feb 1; 2018: 8374647. doi: 10.1155 / 2018/8374647. eCollection 2018.
> Korobelnik JF, Rougier MB, Delyfer MN, et al. Migumisiro yeDetary Supplementation neLutein, Zeaxanthin, uye ω-3 paMacular Pigment: A Randomized Clinical Trial. JAMA Ophthalmol. 2017 Nov 1; 135 (11): 1259-1266. doi: 10.1001 / jamaophthalmol.2017.3398.
> Shusheng Wang uye Khrishen Cunnusamy. Traditional Chinese Medicine (TCM) yekurapwa kweAri-yakabatana Macular Degeneration-Kuongorora kweWor2012079419. Nyanzvi Opin Ther Pat. 2013 Feb; 23 (2): 269-272.Iyo yakabudiswa paIndaneti muna 2012 Dec 10. do: 10.1517 / 13543776.2013.751972
> Wang Y, Zhao L, Lu F, et al. Migumisiro yekudzorerazve yeBilberry Anthocyanins kuburikidza neAntioxidant, Anti-Inflammatory, uye Anti-Apoptotic Maitiro muChiedza Chinooneka-Chakakonzerwa Retinal Degeneration Murabwe Rakagadzirwa. Molecules. 2015 Nha. 14; 20 (12): 22395-410. doi: 10.3390 / molecules201219785.
Zvinonzwisisika: Mashoko anowanikwa pane ino yepaiti inoitirwa zvinangwa zvekudzidzisa chete uye haisi kutsiva mazano, kuongororwa kana kurapwa nechiremba ane chiremba. Hazvirevi kuvhara zvose zvinogona kumira, kushamwaridzana kwezvinodhaka, mamiriro ezvinhu kana zvinetso zvakashata. Iwe unofanirwa kutsvaga kurapwa nokukurumidza mune zvehutano kune chero hutano hwehutano uye bvunza chiremba wako usati washandisa mamwe mushonga kana kuita shanduko kune regimen yako.