Jekeseni wa Intravitreal

Jakisoni wa intravitreal ndiwombera mankhwala m'diso. Mkati mwa diso mumadzaza ndi madzi otsekemera (vitreous). Pochita izi, wothandizira zaumoyo wanu amalowetsa mankhwala mu vitreous, pafupi ndi diso kumbuyo kwa diso. Mankhwalawa amatha kuthana ndi mavuto amaso ndikuthandizira kuteteza masomphenya. Njirayi imagwiritsidwa ntchito popititsa patsogolo mankhwala ku diso.

Njirayi imachitika muofesi ya omwe amakupatsani. Zimatenga pafupifupi mphindi 15 mpaka 30.

• Madontho adzaikidwa m'maso mwanu kuti mufutukule (kuchepetsa) ophunzira.
• Mugona nkhope yanu ili bwino.
• Maso anu ndi zikope zanu zidzatsukidwa.
• Madontho okometsa adzayikidwa m'diso lako.
• Chida chaching'ono chimatsegulira zikope zanu panthawiyi.
• Mudzafunsidwa kuti muyang'ane diso linalo.
• Mankhwala adzalowetsedwa m'diso lako ndi singano kakang'ono. Mutha kumva kupanikizika, koma osati kupweteka.
• Madontho a maantibayotiki akhoza kuyikidwa m'diso lako.

Mutha kukhala ndi njirayi ngati muli:

• Kuperewera kwa macular: Matenda amaso omwe amawononga pang'onopang'ono masomphenya akuthwa
• Macular edema: Kutupa kapena kukulitsa kwa macula, gawo la diso lanu lomwe limapereka masomphenya akuthwa, apakatikati
• Matenda a matenda ashuga: Vuto la matenda ashuga lomwe lingayambitse mitsempha yatsopano, yachilendo kumera mu diso, kumbuyo kwa diso lanu
• Uveitis: Kutupa ndi kutupa mkati mwa diso
• Kutsekeka kwamitsempha ya m'mitsempha: Kutsekeka kwa mitsempha yomwe imanyamula magazi kuchoka ku diso ndi kutuluka m'maso
• Endophthalmitis: Kutenga matenda mkati mwa diso

Nthawi zina, jakisoni wa intravitreal wa maantibayotiki ndi ma steroids amaperekedwa ngati gawo la opaleshoni yanthawi zonse. Izi zimapewa kugwiritsa ntchito madontho pambuyo pa opaleshoni.

Zotsatira zoyipa ndizochepa, ndipo zambiri zimatha kuyendetsedwa. Zitha kuphatikiza:

• Kuchulukitsa kupanikizika m'diso
• Zoyandama
• Kutupa
• Magazi
• Kokanda cornea
• Kuwonongeka kwa diso kapena mitsempha yoyandikana nayo
• Matenda
• Kutaya masomphenya
• Kutayika kwa diso (kosowa kwambiri)
• Zotsatira zoyipa za mankhwala omwe amagwiritsidwa ntchito

Kambiranani za kuopsa kwa mankhwala omwe agwiritsidwa ntchito m'maso mwanu ndi omwe akukuthandizani.

Uzani wothandizira wanu za:

• Mavuto aliwonse azaumoyo
• Mankhwala omwe mumamwa, kuphatikiza mankhwala aliwonse omwe sapatsidwa
• Matenda aliwonse
• Zizolowezi zilizonse zotuluka magazi

Kutsatira ndondomekoyi:

• Mutha kumva zowawa pang'ono m'maso monga kukakamizidwa komanso kuwuma, koma sipayenera kukhala ululu.
• Pakhoza kukhala kutuluka pang'ono poyera pa diso. Izi ndi zachilendo ndipo zidzatha.
• Mutha kuwona zoyandama m'maso. Zidzasintha pakapita nthawi.
• MUSAMAPENYA maso anu kwa masiku angapo.
• Pewani kusambira kwa masiku atatu.
• Gwiritsani ntchito mankhwala oponya m'maso monga mwalamulidwa.

Nenani zowawa zamaso zilizonse kapena zovuta, kufiira, chidwi cha kuwala, kapena kusintha kwa masomphenya anu kwa omwe amakupatsani nthawi yomweyo.

Sanjani nthawi yotsatira yotsatira ndi wokuthandizani monga momwe awuzira.

Maganizo anu amadalira makamaka chithandizo chomwe akuchiritsidwa. Masomphenya anu atha kukhala osasunthika kapena kusintha pambuyo potsatira ndondomekoyi. Mungafunike jakisoni wopitilira umodzi.

Maantibayotiki - jekeseni wa intravitreal; Triamcinolone - jekeseni wa intravitreal; Dexamethasone - jekeseni wa intravitreal; Lucentis - jekeseni wa intravitreal; Avastin - jekeseni wa intravitreal; Bevacizumab - jakisoni wa intravitreal; Ranibizumab - jakisoni wa intravitreal; Mankhwala a anti-VEGF - jakisoni wa intravitreal; Edema wa macular - jakisoni wa intravitreal; Retinopathy - jakisoni wa intravitreal; Kutsekeka kwamitsempha - jakisoni wa intravitreal

Tsamba la American Academy of Ophthalmology. Kuperewera kwa macular kuchepa kwa PPP 2019. www.aao.org/preferred-practice-pattern/age-related-macular-degeneration-ppp. Idasinthidwa mu Okutobala 2019. Idapezeka pa Januware 13, 2020.

Kim JW, Mansfield NC, Murphree AL. Retinoblastoma. Mu: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, olemba. Retina wa Ryan. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: mutu 132.

Mitchell P, Wong TY; Ndondomeko Yogwira Ntchito Yothetsera Matenda a Ashuga. Ma paradigms oyang'anira matenda ashuga macular edema. Ndine J Ophthalmol. 2014; 157 (3): 505-513. PMID: 24269850 www.ncbi.nlm.nih.gov/pubmed/24269850. (Adasankhidwa)

Rodger DC, Shildkrot YE, Elliott D. Opatsirana endophthalmitis. Mu: Yanoff M, Duker JS, olemba. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019: chap 7.9.

[Adasankhidwa] Shultz RW, Maloney MH, Bakri SJ. Majakisoni a Intravitreal ndi makina opangira mankhwala. Mu: Yanoff M, Duker JS, olemba. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019: chap.