Pali mankhwala angapo omwe amachititsa kuti chiwerengero cha macular chiwonongeke , kapena chomwe chimatchulidwa kuti chibadwidwe (AMD), chomwe chimachotsa pang'onopang'ono masomphenya. Kawirikawiri, mankhwalawa amatha kuteteza ndi kuchepetsa kuwonongeka kwa masomphenya poteteza kuwonongeka kwa retina. Tsoka ilo, nthawi zambiri samawongolera kuwonongeka kwa macula kapena kubwezeretsa masomphenya omwe atha kale.
Malingana ndi kuchuluka kwa vuto lanu, mavitamini, mankhwala, opaleshoni, ndi / kapena mankhwala angaganizidwe.
Njira Zochiritsira Zambiri
Malingana ndi American Academy of Ophthalmology, vitamini supplementation ingachepetse kuwonjezereka kwa AMD yoyambirira, yofatsa yomwe nthaŵi zambiri imakhala mtundu wa AMD.
Phunziro Loyamba la Matenda a M'maso (lomwe ndilo lalikulu la National Eye Institute-lomwe linalimbikitsidwa ndi chiwerengero cha anthu omwe ali ndi matendawa) omwe anapeza anthu pafupifupi 3,600 omwe ali ndi magawo osiyanasiyana a AMD), ofufuza adapeza kuti kumwa mankhwala ophera antioxidants ndi zinc tsiku ndi tsiku kunachepetsa chiopsezo chokhala ndi AMD patsogolo 25 peresenti. Mapangidwe a vitamini a phunziroli ndi awa:
- 500 mg ya vitamini C
- 400 UU wa vitamini E
- 15 mg wa beta-carotene
- 80 mg ya zinc (monga zinc oxide)
- 2 mg wamkuwa (monga cupric oxide)
Chimene chimaphatikizapo ndi mlingo ndizolondola kwa inu, ngati zilipo, ziyenera kutsimikiziridwa ndi ophthalmologist wanu. Tsatirani malangizo ndi regimen omwe akukulimbikitsani.
Mankhwala
Chombo cha magazi chikukulira m'diso ndi mbali yaikulu ya kuchepa kwa macular, ndipo ntchito ya vasothe endalelial factor (VEGF) -puloteni-ikhoza kugwira nawo ntchito.
Mankhwala otsutsana ndi VEGF awonetsedwa kuti ali othandiza popewera kuchuluka kwa mitsempha ya mitsempha yofooka imene ingakhoze kufooka ndi kuwonongera ku macula.
Mankhwala osokoneza bongo ndi awa:
- Lucentis (ranibizumab)
- Avastin amagwiritsidwa ntchito patali (bevacizumab)
- Eylea (aflibercept)
Aliyense amapatsidwa kudzera mu jekeseni m'maso, omwe amachitidwa ndi ophthalmologist.
Muyenera kuyembekezera kulandira jekeseni wamagetsi am'deralo musanayambe jekeseni ndi anti-VEGF. Anthu ambiri amatha kulekerera ndondomekoyi bwino komanso popanda kupweteka kapena kupweteka.
Zotsatira za njira zotsutsana ndi VEGF zimatha pafupifupi mwezi umodzi. Mungafunike kubwereza njira ngati kafukufuku wamaso anu akuwonetsa kuti zowonjezera zowonjezera mitsempha ya magazi.
Ndondomeko Zoyendetsedwa ndi Zapadera
Pali njira zingapo zopangira opaleshoni ndi zothandizira zomwe zingalepheretse kuchepetsa kukula kwa macular. Dokotala wanu wa diso kapena katswiri wa retina adzafufuza maso anu ndi masomphenya mosamala kuti mudziwe ngati mungapindule kapena mulekerere njirazi; chisankho ndi chovuta.
Njira zomwe zimagwiritsidwa ntchito poyerekeza ndi macular zikuphatikizapo:
Opaleshoni ya Laser: Njira zochitira opaleshoni za Laser zimagwiritsa ntchito lasers kuti zisawonongeke kwa mitsempha yowopsya m'maso. Izi zimachitika pamtundu wapakati, ndipo zotsatira ziyenera kukhala zaka. Izi zinati, ndondomekoyi ikhoza kubwerezedwa patatha zaka zingapo ngati pakufunika.
Thandizo la Photodynamic: Kuchiza kumeneku kumaphatikizapo kulandira mankhwala omwe amachititsa kuti mitsempha yaing'ono m'maso ikhale yovuta kuti asayambe kugwedezeka.
Mankhwalawa amavomerezedwa ndi kuwala, komwe kumayang'ana mitsempha yowopsya ya magazi ndi laser. Muyenera kuyembekezera kukhala maso pa nthawiyi komanso kulandira mankhwala osokoneza bongo pofuna kutonthoza ndi kupweteka. Pambuyo pa njirayi, maso anu angakhale ovuta kuunika kusiyana ndi momwe amachitira, ndipo mudzapatsidwa malangizo a momwe mungatetezere maso anu.
Chombo cha Retinal: Implants retinal akhala akugwiritsidwa ntchito pazinthu zingapo. Pogwiritsidwa ntchito kwa AMD, chipangizochi chimayikidwa kumbuyo kwa diso. Kuyika kumagwira ntchito ndi masomphenya akuluakulu komanso kutumiza zithunzi ku gawo labwino la retina. Zagwiritsidwa ntchito, koma sizipezeka zambiri.
Mankhwala Ophatikiza (CAM)
Ngakhale pali umboni wosonyeza kuti mavitamini ena amalepheretsa kupita patsogolo kwa AMD, pali umboni wochepa wosonyeza kugwiritsa ntchito zitsamba. Nazi njira zina zochiritsira zomwe mungamvepo. Ngati zosankhazi zikukukhudzani, lankhulani ndi ophthalmologist musanalowetsedwe mu dongosolo lanu la mankhwala.
- Lutein ndi Zeaxanthin: Kafukufuku ochulukirapo amasonyeza kuti ma antioxidants awiriwa akhoza kuthandizira kuchepetsa chitukuko ndi kupita patsogolo kwa AMD. Zopezeka mu mawonekedwe owonjezera, lutein ndi zeaxanthin amapezedwanso mwachilengedwe mumdima wamdima wobiriwira, broccoli, ziphuphu za Brussels, ndi zakudya zina.
- Ginkgo Biloba: Kafukufuku angapo amasonyeza kuti ginkgo biloba (mankhwala omwe amachititsa kuti ayambe kufalikira) angathandize kusunga masomphenya mwa anthu omwe ali ndi AMD.
- Bilberry: Mu kafukufuku wa zinyama, ofufuza adapeza kuti nthawi yowonjezeredwa yowonjezeredwa ndi bilberry ya bilberry inathandiza kupewa AMD. Komabe, nkofunika kukumbukira kuti zotsatira za maphunziro a nyama sizingagwiritsidwe ntchito mofanana kwa anthu.
Moyo
Pali zifukwa zambiri zomwe zimachepetsa chiopsezo chanu chokhala ndi AMD, ndipo ziyeneranso kukhala mbali ya dongosolo lanu lonse la mankhwala a AMD:
- Tsatirani zakudya zokhudzana ndi antioxidants
- Pezani mayeso nthawi zonse
- Valani magalasi okhala kunja kunja masana
- Pewani kusuta
- Sungani kuthamanga kwanu kwa magazi pazomwe zili bwino
- Sungani mlingo wa cholesterol wanu pamtunda woyenera
- Muzichita masewera olimbitsa thupi nthawi zonse
> Zotsatira:
> Aruna Gorusupudi, Kelly Nelson, ndi Paul S Bernstein. Matenda a Diso Okhudza Zaka 2 Kuphunzira: Micronutrients mu Chithandizo cha Macular Degeneration. Malangizo Othandizira. 2017 Jan; 8 (1): 40-53. Lofalitsidwa pa Intaneti 2017 Jan 11. Kodi: 10.3945 / an.116.013177
> Bahadorani S, Singer M. Posachedwapa polojekitiyi ikupita patsogolo komanso kumvetsetsa kuipa kwa macular. 2017 Apr 20; 6: 519. lembani: 10.12688 / f1000research.10998.1. eCollection 2017, DOI: 10.12688 / f1000research.10664.1
> Evans JR. Ginkgo biloba extract kwa zaka zambiri zowonongeka kwa macular. Cochrane Database Rev Rev 2013, Jan 31; (1): CD001775. lembani: 10.1002 / 14651858.CD001775.pub2.
> Hernández-Zimbrón LF, Zamora-Alvarado R, Ochoa-De la Paz L, ndi al. Kusinthika kwa Macular Zokhudzana ndi Zakale: Paradigms Yatsopano ya Chithandizo ndi Kulamulira kwa AMD. Oxid Med Cell Longev. 2018 Feb 1; 2018: 8374647. onetsani: 10.1155 / 2018/8374647. eCollection 2018.
> Korobelnik JF, Rougier MB, Delyfer MN, et al. Zotsatira za Zakudya Zowonjezera ndi Lutein, Zeaxanthin, ndi ω-3 pa Macular Pigment: A Randomzed Clinical Trial. JAMA Ophthalmol. 2017 Nov 1; 135 (11): 1259-1266. lembani: 10.1001 / jamaophthalmol.2017.3398.
> Shusheng Wang ndi Khrishen Cunnusamy. Chikhalidwe cha Chinese Traditional Medicine (TCM) pochiza machitidwe okhudzana ndi Zaka za Macular Degeneration-Kufufuza kwa WO2012079419. Wofufuza Opin Ther Pat. 2013 Feb; 23 (2): 269-272.Kubisika pa 2012 Dec 10. Chitani: 10.1517 / 13543776.2013.751972
> Wang Y, Zhao L, Lu F, et al. Zotsatira za Retinoprotective za Bilberry Anthocyanins kudzera kudzera ku Antioxidant, Anti-Inflammatory, ndi Anti Antipoptotic Njira mu Kuwoneka Kuwala-Kwambiri Retinal Degeneration Model mu Akalulu Ng'ombe. Mamolekyuli. 2015 Dec 14; 20 (12): 22395-410. do: 10.3390 / molecules201219785.
Chodziwikiratu: Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.