Yuav Ua Li Cas Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular (nrog Duab)

Cov txheej txheem:

Yuav Ua Li Cas Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular (nrog Duab)
Yuav Ua Li Cas Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular (nrog Duab)

Video: Yuav Ua Li Cas Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular (nrog Duab)

Video: Yuav Ua Li Cas Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular (nrog Duab)
Video: Txoj Kev Av By XAI THAO [ Cover ] 2024, Tej zaum
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Macular degeneration lossis muaj hnub nyoog ntsig txog macular degeneration (DMU) yog qhov ua rau dig muag hauv cov tib neeg hnub nyoog 60 xyoo thiab tshaj saud. Tus kab mob no cuam tshuam rau macula, ib feem ntawm cov retina uas tsom mus rau qhov pom kev zoo. Cov neeg nrog DMU tseem tuaj yeem nyeem, tsav tsheb, thiab tsom mus rau lub ntsej muag thiab lwm yam khoom. Txawm hais tias txog tam sim no tseem tsis muaj kev kho rau DMU, koj tuaj yeem txo cov tsos mob ntawm tus kab mob los ntawm kev hloov qee txoj kev ua neej, kho qhov muag, thiab lwm yam kev tiv thaiv.

Kauj ruam

Ntu 1 ntawm 5: Nkag Siab DMU Penyakit

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 1
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 1

Kauj Ruam 1. Paub txog qib DMU

Koj tus kws kho qhov muag yuav txiav txim siab txog qib DMU uas koj tau ua raws li cov tshuaj drusen pom hauv koj lub qhov muag. Drusen yog cov xim dawb lossis daj ntawm lub qhov muag.

  • Qib pib: qhov nruab nrab drusen sib npaug rau qhov dav ntawm cov plaub hau uas tsis pom kev.
  • Qib nruab nrab: cov dej loj thiab/lossis cov xim hloov pauv, feem ntau tsis pom qhov muag.
  • Qib kawg: ntu no yog ob hom:

    • Geographic atrophy/qhuav macular degeneration: photoreceptors ntawm macula raug puas tsuaj. Lub qhov muag tsis tuaj yeem siv lub teeb pom kev pom lub paj hlwb. Cov neeg mob tuaj yeem pom cov tsos mob zuj zus hauv qhov xwm txheej no thiab ua rau lub qhov muag tsis pom kev.
    • Neovascular macular degeneration lossis ntub macular degeneration: tshwm sim los ntawm kev txawv txav ntawm cov hlab ntsha uas ua rau lawv o thiab tawg. Dej ua rau hauv thiab hauv qab macula thiab ua rau pom kev hloov pauv. Cov tsos mob hauv hom no ntev dua li qhuav macular degeneration.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 2
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 2

Kauj Ruam 2. Nkag siab qhov ua rau qhuav macular degeneration

Qhuav macular degeneration yog tshwm sim los ntawm kev degeneration ntawm cov cell hauv retina. Degeneration los yog qhuav ntawm cov cell no thiab tsis muaj kua ua rau nws raug xa mus ua qhuav degeneration. Cov hlwb no tseem muaj lub npe hu ua photoreceptors, lossis cov cell uas siv lub teeb uas nkag mus rau hauv lub qhov muag los pab peb lub hlwb pom cov khoom siv lub qhov muag pom. Feem ntau, ntu no - uas nkag siab lub teeb - pab peb nkag siab qhov peb pom.

  • Kev ploj zuj zus tshwm sim vim tias muaj cov kua qaub hu ua drusen tsim nyob hauv macula thaum peb muaj hnub nyoog. Ntawm kev kuaj qhov muag, kev tsim kho tuaj yeem pom raws li cov xim daj ntawm macula. Txawm hais tias DMU tsis ua rau tag nrho cov neeg dig muag, nws tuaj yeem txo qhov pom kev pom ntawm qhov muag.
  • Qhuav macular degeneration yog ntau dua li ntub macular degeneration. Nov yog cov cim thiab tsos mob ntawm qhuav macular degeneration:

    • Kev sau ntawv zoo li qhov muag plooj.
    • Xav tau ntau lub teeb los nyeem.
    • Nyuaj rau pom hauv qhov tsaus ntuj.
    • Nyuaj rau paub lub ntsej muag.
    • Txo qhov chaw pom.
    • Qhov muag tsis pom qhov pom kev.
    • Maj mam txo qhov peev xwm pom.
    • Ntau yam khoom tsis muaj sia lossis duab geometric qee zaum yuam kev rau tib neeg.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 3
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 3

Kauj Ruam 3. Paub txog ntub macular degeneration

Ntub dej DMU tshwm sim thaum cov hlab ntsha loj tuaj txawv txav hauv qab macula. Raws li macula nce qhov loj me, cov hlab ntshav yuav pib xau cov kua thiab cov ntshav mus rau hauv cov retina thiab macula lossis, qee zaum, tawg tag. Txawm hais tias ntub macular degeneration tsawg dua li qhuav macular degeneration, nws cov txiaj ntsig tau nrawm dua thiab tuaj yeem ua rau dig muag. Txog rau hnub tim, qhov ua rau macular degeneration tsis paub; txawm li cas los xij, ntau txoj kev tshawb fawb tau pom tias muaj qee yam tseem ceeb uas tuaj yeem ua rau txhua tus neeg raug tus kab mob thaum muaj hnub nyoog laus. Cov cim thiab cov tsos mob suav nrog:

  • Cov kab ncaj zoo li nthwv dej.
  • Qhov pom ntawm qhov muag tsis pom ntawm qhov muag.
  • Tsis pom kev sai.
  • Tsis mob.
  • Cov hlab ntsha raug mob uas tuaj yeem ua rau pom kev ploj mus tas li yog tias tsis kho sai li sai tau.

Ntu 2 ntawm 5: Paub Txog Qhov Raug Txais DMU

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 4
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 4

Kauj Ruam 1. Nkag siab txog txheej txheem kev laus

Macular degeneration yog ib yam kab mob ntsig txog hnub nyoog. Nrog hnub nyoog, kev pheej hmoo ntawm kev tsim DMU kuj nce ntxiv. Tsawg kawg ib ntawm peb tus neeg laus tshaj 75 xyoos muaj DMU.

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 5
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 5

Kauj Ruam 2. Paub lub luag haujlwm ntawm noob caj noob ces

Yog tias ib lossis ob leeg ntawm koj niam thiab txiv raug kev txom nyem los ntawm macular degeneration, muaj feem yuav yog, koj tseem yuav tau ntsib nws thaum koj muaj hnub nyoog tshaj 60 xyoo. Txawm li cas los xij, nco ntsoov tias cov noob tsis yog ib yam nkaus thiab qhov uas koj saib xyuas koj tus kheej yuav muaj txiaj ntsig zoo li cas.

Feem ntau, cov poj niam thiab cov neeg dawb muaj kev pheej hmoo kis tus kab mob ntau dua

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 6
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 6

Kauj Ruam 3. Nkag siab tias kev haus luam yeeb yog qhov ua rau muaj kev pheej hmoo siab

Cov neeg haus luam yeeb muaj kev pheej hmoo loj ntawm kev tsim tus kab mob no. Ntau qhov kev tshawb fawb tau pom kev koom tes ntawm kev haus luam yeeb thiab kev puas tsuaj macular. Cov pa luam yeeb kuj tseem cuam tshuam nrog kev puas tsuaj rau cov retina.

Yog tias koj haus luam yeeb (tshwj xeeb tshaj yog tias koj yog poj niam lossis neeg dawb), macular degeneration yog ib yam uas koj yuav tsum tau paub txog ntev ua ntej cov tsos mob tshwm sim

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 7
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 7

Kauj Ruam 4. Saib xyuas kev noj qab haus huv

Koj lub xeev kev noj qab haus huv tag nrho tuaj yeem yog qhov tseem ceeb hauv kev txhim kho DMU. Cov neeg uas raug kev txom nyem los ntawm qee yam kab mob xws li ntshav siab thiab ntshav qab zib muaj kev pheej hmoo loj ntawm kev tsim DMU.

Cov tib neeg uas tsis muaj ntshav qab zib thiab muaj kev noj zaub mov suav nrog cov carbohydrates nrog qhov ntsuas siab glycemic siab kuj tseem yuav muaj kev txhim kho DMU thaum laus. Nco ntsoov tias ib qho ntawm cov cim ntawm ntub macular degeneration yog cov ntshav ntws los ntawm cov hlab ntsha hauv cov retina. Qhov mob no yuav mob zuj zus yog tias koj muaj cov hlab ntshav txhaws vim cov quav hniav ntau dhau

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 8
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 8

Kauj Ruam 5. Txheeb xyuas thaj chaw ib puag ncig koj

Muaj pes tsawg zaus koj raug teeb pom kev zoo fluorescent? Cov kev tshawb fawb tau pom tias muaj qhov sib txheeb tau ntawm cov teeb pom kev zoo thiab qhov pheej hmoo ntawm kev txhim kho kab mob qhov muag. Ib qho ntxiv, yog tias koj nyob hauv ib cheeb tsam uas koj ob lub qhov muag feem ntau raug tshav ntuj, koj txoj kev pheej hmoo ntawm kev tsim DMU kuj tseem loj dua.

Ntu 3 ntawm 5: Tau Txais Kev Kho Mob rau DMU

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 9
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 9

Kauj Ruam 1. Mus ntsib tus kws kho qhov muag ze tshaj plaws

Hauv kev kuaj qhov muag tas li, tus kws kho mob yuav tshuaj xyuas qhov muag qhov muag kom nthuav dav cov tub ntxhais kawm. Yog tias koj muaj macular degeneration qhuav, koj tus kws kho qhov muag pom tau yooj yim tuaj yeem hnoos tau thaum lub sijhawm kuaj mob.

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 10
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 10

Kauj Ruam 2. Saib Amsler cov plaub fab

Koj tseem yuav raug nug kom pom cov nplais Amsler uas zoo li daim phiaj kab ntawv. Yog tias koj pom cov kab yog ntais, koj feem ntau yuav muaj kev puas tsuaj macular. Txhawm rau txheeb xyuas cov tsos mob no, luam tawm Amsler swath test los ntawm Qhov Chaw Tiv Thaiv Qhov Muag Tsis Pom thiab ua raws cov lus qhia no:

  • Muab daim duab tso rau ntawm qhov deb ntawm 61 cm ntawm qhov muag.
  • Muab koj lub tsom iav nyeem thiab npog ib lub qhov muag nrog ib txhais tes.
  • Ua kom pom tseeb ntawm cov ntsiab lus nyob hauv nruab nrab ntawm kab lus rau ib feeb. Rov ua dua nrog lwm lub qhov muag.
  • Yog tias ib txoj kab ntawm kab ntawv zoo li ntais, mus ntsib kws kho mob tam sim.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 11
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 11

Kauj Ruam 3. Nug koj tus kws kho qhov muag kom pom qhov muag angiogram

Txoj kev no yog ua los ntawm kev tso xim rau ntawm cov leeg ntawm caj npab. Raws li cov xim pleev xim rau hauv cov hlab ntsha hauv qhov muag, ntau daim duab yuav raug coj los tshuaj xyuas nws. Txoj hauv kev no tuaj yeem txheeb xyuas qhov muaj lossis tsis muaj qhov xau hauv cov hlab ntsha uas qhia pom tias muaj qhov ntub macular degeneration.,

  • Cov xim yuav raug soj ntsuam nkag mus rau qhov muag ntawm qhov muag txog li yim txog kaum ob vib nas this tom qab txhaj tshuaj.
  • Cov xim yuav pom nyob rau thaj tsam retinal txog kaum ib rau kaum yim thib ob tom qab txhaj tshuaj.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 12
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 12

Kauj Ruam 4. Ua qhov kev kuaj pom qhov sib thooj tomography

Qhov kev ntsuam xyuas no yog ua kom pom cov txheej txheej ntawm cov retina siv lub teeb nthwv dej. Qhov kev ntsuas no tuaj yeem tshuaj xyuas qhov tuab tuab ntawm cov hlab ntshav, txheej txheej ntawm cov hlab ntshav, thiab qhov txawv txav hauv cov hlab ntsha xws li kua, ntshav, lossis cov hlab ntshav tshiab.

  • Ua ntej, tus kws kho mob yuav nthuav koj lub qhov muag, txawm hais tias kho qhov muag sib xws tomography tuaj yeem ua tiav yam tsis tas yuav ua rau cov tub ntxhais kawm nthuav dav.
  • Tom qab ntawd, koj yuav raug hais kom tso koj lub puab tsaig ntawm kev txhawb nqa kom ruaj ntseg koj lub taub hau, tiv thaiv nws kom tsis txhob txav mus.
  • Lub nqaj ntawm lub teeb yuav qhia rau koj ob lub qhov muag.
  • Los ntawm kev siv lub teeb nthwv dej, tomography yuav tshuaj xyuas cov ntaub so ntswg sai sai yam tsis ua rau mob me me.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 13
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 13

Kauj Ruam 5. Xav txog kev txhaj tshuaj tiv thaiv tus neeg sawv cev tiv thaiv FPEV

Vascular endothelial growth factor (FPEV) yog tshuaj lom uas ua rau cov hlab ntsha loj tuaj txawv txav. Thaum FPEV raug txwv tsis pub siv anti-FPEV lossis antiangiogenic, cov hlab ntsha loj hlob tuaj yeem txo qis. Txawm hais tias koj yuav tau txhaj tshuaj tiv thaiv tus neeg sawv cev tiv thaiv FPEV yuav txiav txim siab los ntawm koj tus kws kho mob.

  • Ib qho piv txwv ntawm antiangiogenic yog bevacizumab. Feem ntau siv tshuaj txhaj yog nyob nruab nrab ntawm 1.25 txog 2.50 milligrams rau hauv cov kab noj hniav ntawm qhov muag. Cov tshuaj no feem ntau yog muab ib zaug txhua plaub lub lis piam dhau los ntawm plaub mus rau rau lub lim tiam. Cov tshuaj antiangiogenic ranibizumab tau muab ntawm koob tshuaj 0.50 mg, thaum aflibercept ntawm koob tshuaj 2 mg.
  • Kev txhaj tshuaj yog ua tiav nrog rab koob me me nrog rau tshuaj loog hauv zos los tiv thaiv qhov mob. Feem ntau, cov txheej txheem no ua rau tsis xis nyob me ntsis.
  • Qee qhov kev mob tshwm sim uas tuaj yeem tshwm sim suav nrog nce kev sib kis hauv siab, ntshav, thiab ua rau lub lens puas.
  • Koj yuav muaj qhov muag pom zoo dua hauv ib xyoos. Kev txhim kho lub zeem muag yuav pib ntawm ob lub lis piam thiab nce mus txog peb lub hlis tom qab txhaj tshuaj thib peb.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 14
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 14

Kauj Ruam 6. Tshawb nrhiav txog kev kho photodynamic

Hom no suav nrog kev siv tshuaj thiab kho lub teeb kom nres kev loj hlob ntawm cov hlab ntshav thiab tsuas yog ua tau zoo rau qhov ntub macular degeneration.

  • Txoj kev kho no muaj ob theem thiab ua tiav hauv ib hnub. Ua ntej, tshuaj hu ua verteporfin lossis visudyne yuav raug txhaj rau hauv cov hlab ntshav. Cov tshuaj no ua haujlwm kom tsis txhob loj hlob ntawm cov hlab ntshav ntxiv uas tshwm sim hauv qhov ntub macular degeneration thiab tau muab kaum tsib feeb ua ntej kho duab.
  • Tom qab ntawd, lub teeb nrog qee qhov nthwv dej yuav tso rau hauv qhov muag, tshwj xeeb tshaj yog ntawm cov hlab ntsha txawv txav. Lub teeb yuav qhib lub verteporfin uas tau muab los kaw cov hlab ntshav.
  • Vim tias lub teeb tau muab rau ntawm qhov tshwj xeeb nthwv dej, cov nqaij raug mob yuav tsis cuam tshuam.
  • Nrog koj tus kws kho mob tham seb txoj kev kho no puas yog rau koj. Anti-FPEV tam sim no dhau los ua tus txheej txheem kev kho mob. Kev kho cov duab hluav taws xob qee zaum kuj tseem siv ua ke nrog kev tiv thaiv FPEV.
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 15
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 15

Kauj Ruam 7. Yog tias koj muaj cov tsos mob hnyav, nrhiav kev kho mob tam sim

Yog tias koj mob taub hau tam sim ntawd, hloov koj lub peev xwm pom, lossis ntsib qhov mob uas piav tsis tau thaum kho macular degeneration, mus rau chav kho mob xwm txheej ze tshaj plaws thiab hu rau koj tus kws kho qhov muag.

Ntu 4 ntawm 5: Siv Cov Cuab Yeej Cuam Tshuam los Txhawb Lub Zeem Muag

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 16
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 16

Kauj Ruam 1. Siv lub iav tsom iav

Hauv macular degeneration, thaj chaw cuam tshuam feem ntau yog qhov nruab nrab ntawm kev pom kev, nrog lub zeem muag ib puag ncig tseem ua haujlwm ib nrab. Nrog rau qhov xwm txheej no, tib neeg raug kev txom nyem los ntawm macular degeneration tseem yuav muaj peev xwm siv lub zeem muag sab nraud pom. Lub iav tsom iav tuaj yeem pab ua kom pom qhov loj dua kom lawv pom yooj yim dua.

  • Cov kev hloov pauv loj uas muaj muaj nyob hauv thaj tsam ntawm 1.5 txog 20 npaug ntawm kev nthuav dav. Lub iav tsom iav kuj tseem yooj yim nqa ib ncig. Ntau yam ntawm cov no muaj nyob hauv qhov ntau thiab tsawg.
  • Sim ib lub iav tsom iav sawv. Hom iav tsom iav no txawv ntawm ob txog nees nkaum npaug ntawm qhov nthuav dav. Nws tseem tuaj yeem muab tso rau ntawm lub rooj yog li koj tsis tas yuav tuav nws txhua lub sijhawm. Hom iav tsom iav no tshwj xeeb tshaj yog pab tau rau cov neeg mob uas muaj tes tsis khov. Ib txhia ntawm lawv kuj muaj cov teeb pom kev zoo ntxiv los pab pom hauv qhov chaw tsaus.
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 17
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 17

Kauj Ruam 2. Sim siv lub monocular lossis lub tsom iav raj

Cov cuab yeej no sib txawv ntawm 2.5 thiab 10 npaug kev nthuav dav thiab muaj txiaj ntsig zoo rau saib cov khoom uas nyob deb heev.

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 18
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 18

Kauj Ruam 3. Siv lub tsom iav tsom iav

Nrog tib qhov kev hloov pauv loj ib yam li lub tsom iav, tsom iav tso cai rau koj siv ob lub qhov muag los saib cov khoom.

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 19
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 19

Kauj Ruam 4. Sim siv loupe rau tsom iav

Hom iav tsom iav no txuas rau tus neeg mob lub iav thiab muaj txiaj ntsig zoo rau kev pom kev deb. Cov cuab yeej no tso cai rau tus neeg mob kom pom kev deb nrog cov tsom iav tsom iav. Ib qho ntxiv, lo ntsiab muag rau qhov pom kev ib txwm muaj.

  • Cov cuab yeej no ua haujlwm zoo li bifocal.
  • Kev siv cov cuab yeej no tau pom zoo thiab sau tseg los ntawm tus kws kho qhov muag uas tshwj xeeb hauv kev pom kev qis.
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 20
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 20

Kauj Ruam 5. Siv daim vis dis aus loj

Lub koob yees duab yees duab no yuav nthuav cov ntawv mus rau qhov screen. Koj tuaj yeem siv cov cuab yeej no los pab koj nyeem, sau, ua haujlwm, thiab saib duab. Qee qhov ntawm no tuaj yeem siv los sau cov ntsiab lus. Cov cuab yeej no tseem tuaj yeem siv nrog lub khoos phis tawj.

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 21
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 21

Kauj Ruam 6. Siv tus nyeem ntawv nrog lub suab tawm

Lub tshuab no yuav nyeem cov ntawv uas tau ntaus.

Siv lub ntsej muag lees paub software kom tig koj lub computer mus rau lub tshuab nyeem ntawv.,

Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 22
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 22

Kauj Ruam 7. Nrhiav lub lens nqus dej

Hom lens no ua haujlwm los ntawm kev nqus lub teeb uas dhau los ntawm lub qhov muag, txo nws qhov kev siv thiab tiv thaiv lub qhov muag los ntawm kev ua rau lub teeb ci ultraviolet.

  • Cov lo ntsiab muag nqus tau tuaj yeem hloov pauv los ntawm lub teeb mus rau thaj chaw tsaus.
  • Cov tsom iav no tseem tuaj yeem hnav ua ke nrog tsom iav qhov muag.

Ntu 5 ntawm 5: Saib Xyuas Qhov Muag

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 23
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 23

Kauj Ruam 1. Mus kuaj qhov muag tas li

Macular degeneration tsis tuaj yeem tiv thaiv vim tias nws txuas nrog kev laus. Txawm li cas los xij, kev kuaj qhov muag tas li tuaj yeem kuaj pom cov tsos mob ntxov li sai tau thiab coj koj mus rau kev kho kom tsim nyog. Yog tias macular degeneration raug kuaj pom ntxov, koj tuaj yeem ncua ncua qhov tsis pom kev.

Pib txij hnub nyoog 40 xyoo, kev kuaj qhov muag tas li yuav tsum ua yam tsawg ib zaug txhua rau rau lub hlis lossis raws li koj tus kws kho mob qhia

Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 24
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 24

Kauj Ruam 2. Nug koj tus kws kho mob kom kuaj qhov muag tshwj xeeb

Tus kws kho qhov muag yuav ua ob peb hom kev kuaj qhov muag kom pom tias muaj cov dej ntws tawm, lub nkoj puas tsuaj, cov xim hloov pauv hauv lub qhov muag, lossis cuam tshuam rau qhov muag. Piv txwv ntawm cov tshev no yog:

  • Kev ntsuas qhov muag pom: qhov kev ntsuas no ntsuas koj lub zeem muag ntawm qee qhov nrug uas siv daim duab.
  • Amsler cov phiaj xwm: qhov kev ntsuas ntsuas no rau qhov muaj lossis tsis muaj qhov cuam tshuam hauv nruab nrab los ntawm kev nug tus neeg mob seb lawv puas pom cov kab ncaj los yog ntais ntawm daim phiaj. Yog tias tus neeg mob qhia tias lawv pom cov kab nthwv dej, nws tau qhia tias tus neeg mob muaj macular degeneration.
  • Kev ntsuam xyuas menyuam yaus: hauv qhov kev xeem no, cov tub ntxhais kawm tau nthuav dav kom tus kws kho mob tuaj yeem pom cov paj hlwb thiab qhov muag kom pom qhov puas. Tus kws kho mob tseem yuav tshuaj xyuas qhov hloov pauv xim hauv lub qhov muag. Lub xub ntiag ntawm cov xim nyob rau hauv lub retina qhia pom lub teeb tsis zoo.
  • Fluorescein angiogram: qhov kev ntsuas no yog ua los tshuaj xyuas cov hlab ntsha hauv qhov muag kom pom tias muaj lossis tsis muaj cov hlab ntshav xau. Tus kws kho mob yuav txhaj tshuaj pleev xim rau tus neeg mob caj npab.
  • Tomography kev sib haum xeeb tomography: qhov kev xeem no yog ua tom qab ua rau cov tub ntxhais kawm nthuav dav. Lub teeb pom kev siv hluav taws xob tau siv los tshuaj xyuas lub qhov muag kom pom thaj chaw puas.
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 25
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 25

Kauj Ruam 3. Tsis txhob haus luam yeeb

Sib nrug los ntawm lwm yam kev puas tsuaj nws muaj rau lub cev, kev haus luam yeeb kuj tseem tuaj yeem ua rau lub cev tsis zoo. Cov luam yeeb muaj cov tar uas tuaj yeem txhawb kev tsim cov drusen. Ib qho ntxiv, cov luam yeeb kuj muaj caffeine, uas ua rau muaj ntshav siab. Cov hlab ntshav hauv qab qhov retina thiab macula tuaj yeem tawg yooj yim yog tias koj cov ntshav siab.

  • Kev haus luam yeeb tuaj yeem ua rau koj ob npaug ntawm kev txhim kho macular degeneration. Cov luam yeeb tsis zoo rau koj, koj lub cev, koj lub qhov muag, thiab txhua tus neeg nyob ib puag ncig koj.
  • Txawm tias tom qab koj txiav luam yeeb, nws tuaj yeem siv ob peb xyoos rau qhov cuam tshuam los hnav tag. Yog li ntawd, yog koj tseem haus luam yeeb, nres sai li sai tau.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 26
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 26

Kauj Ruam 4. Tswj tus kab mob uas koj twb muaj lawm, xws li ntshav siab

Siv tshuaj noj, tshuaj xyuas tas mus li, thiab hloov koj txoj kev ua neej.

Yog tias koj muaj ntshav siab thiab tau kuaj pom tias ntub dej macular degeneration, cov hlab ntshav twb tau puas lawm hauv koj lub qhov muag yuav nyuaj rau kev daws cov ntshav siab. Qhov xwm txheej no yuav ua rau cov hlab ntshav tawg yooj yim dua, thiab yuav ua rau kom xau

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 27
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 27

Kauj Ruam 5. Ua ib ce tsis tu ncua

Kev tawm dag zog yuav ua rau muaj txiaj ntsig zoo rau kev noj qab haus huv, suav nrog rau lub qhov muag. Kev tsim cov drusen cuam tshuam nrog qib siab ntawm cov roj (cholesterol) thiab rog. Kev tawm dag zog tuaj yeem hlawv cov rog thiab txo qis cov roj (cholesterol) phem yog li tiv thaiv kev tsim cov pov tseg hauv qhov muag.

Koj yuav tsum qoj ib ce tsawg kawg peb zaug hauv ib lub lis piam. Nco ntsoov tias koj mloog zoo rau kev ua aerobic uas tuaj yeem ua rau koj hws thiab hlawv roj

Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 28
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 28

Kauj Ruam 6. Ua kom koj cov vitamin txaus

Koj ob lub qhov muag raug cuam tshuam los ntawm ultraviolet lub teeb los ntawm lub hnub thiab cov pa phem los ntawm cov pa luam yeeb. Kev qhib koj lub qhov muag rau cov ntsiab lus no tuaj yeem ua rau muaj kev puas tsuaj oxidative. Oxidation ntawm lub qhov muag ntawm tes tuaj yeem ua rau macular degeneration thiab lwm yam kab mob ntawm qhov muag. Txhawm rau daws qhov xwm txheej no, koj yuav tsum noj cov zaub mov uas muaj ntau cov tshuaj antioxidants. Feem ntau pom cov tshuaj tiv thaiv kab mob uas tuaj yeem pab koj suav nrog vitamin C, vitamin E, zinc, lutein, thiab tooj liab.

  • Vitamin C: qhov pom zoo koob tshuaj vitamin C txhua hnub yog 500 mg. Cov peev txheej zoo ntawm cov vitamin C yog zaub paj, cantaloupe, zaub paj, guava, tswb kua txob, txiv hmab txiv ntoo, txiv kab ntxwv, txiv hmab txiv ntoo, lychees, thiab squash.
  • Vitamin E: qhov pom zoo koob tshuaj vitamin E txhua hnub yog 400 mg. Piv txwv ntawm qhov muaj txiaj ntsig zoo ntawm cov vitamin E: almonds, noob paj noob hlis, noob nplej, zaub ntsuab, txiv ntseej butter, zaub ntsuab, avocado, txiv nkhaus taw, pecan, thiab beetroot.
  • Zinc: qhov pom zoo koob tshuaj zinc txhua hnub yog 25 mg. Qee qhov chaw zoo ntawm zinc yog: cov nqaij tsis muaj rog, nqaij tawv tsis muaj nqaij, yaj yaj tsis rog, noob taub dag, kua mis nyeem qaub, taum pauv, txiv ntseej, noob taum, noob paj noob hlis, paj noob hlis, pecans, lutein, kale, zaub ntsuab, zaub ntsuab, zaub xas lav, asparagus, okra, artichokes, watercress, persimmons, thiab taum ntsuab.
  • Cuprum, lutein, thiab zeaxanthin: Lutein thiab zeaxanthin tuaj yeem pom ib txwm nyob hauv qhov muag thiab lub qhov muag ntawm lub qhov muag. Ob leeg ua haujlwm tiv thaiv kab mob tiv thaiv kab mob, pab nqus cov teeb pom kev ntau thiab lub teeb ci ultraviolet. Ob leeg kuj tuaj yeem pom hauv cov zaub ntsuab.

    • Siv ob milligrams tooj liab txhua hnub.
    • Noj kaum milligrams ntawm lutein txhua hnub.
    • Noj ob milligrams ntawm zeaxanthin txhua hnub.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 29
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 29

Kauj Ruam 7. Txo kev noj cov beta carotene

Raws li kev tshawb fawb, beta carotene tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav hauv lub ntsws, tshwj xeeb tshaj yog tias koj haus luam yeeb. Kev tshawb fawb tseem tau qhia tias beta carotene tsis muaj txiaj ntsig hauv kev txo qis kev txhim kho DMU. Niaj hnub no, cov kws kho mob feem ntau sau tshuaj ntxiv uas tsis muaj beta carotene.

Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 30
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 30

Kauj Ruam 8. Hnav cov cuab yeej tiv thaiv qhov muag, xws li tsom iav tiv tshav ntuj

Kev kis ntau dhau mus rau lub teeb ci ultraviolet tuaj yeem ua rau lub qhov muag puas thiab txhawb nqa qhov muag tsis zoo. Xaiv cov iav tsom iav uas tau ntawv pov thawj tiv thaiv ultraviolet thiab lub teeb xiav rau kev tiv thaiv zoo tshaj plaws.

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 31
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 31

Kauj Ruam 9. Ua qee yam dej num nrog ceev faj

Qee cov dej num uas thaum xub thawj pom zoo li cov haujlwm ib txwm yuav tsum tau ntsib nrog kev ceev faj. Nyob ntawm qib koj qhov muag tsis pom kev, qee yam yuav tsum ua nrog kev pab los ntawm cov npoj yaig, phooj ywg, lossis tus neeg hauv tsev neeg. Hloov chaw ua rau koj tus kheej pheej hmoo, koj yuav tsum thov kev pab ua:

  • tsav tsheb
  • Caij tsheb kauj vab
  • Ua haujlwm cov cuab yeej hnyav
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 32
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 32

Kauj Ruam 10. Paub txog tias, ua ib tus neeg nrog DMU, koj yuav xav tias koj tab tom tswj koj lub neej

Txawm li cas los xij, raws li tus neeg mob, muaj qee yam uas koj tuaj yeem ua nrog kws kho qhov muag saib xyuas kom pab txhawb koj qhov xwm txheej. Tshawb nrhiav cov ntaub ntawv tsim nyog yog txoj hauv kev zoo tshaj plaws kom nkag siab txog tus kab mob thiab nrhiav seb koj tuaj yeem tau txais kev kho mob li cas. Pib los ntawm kev kawm paub txog DMU, muaj kev kho mob, thiab thev naus laus zis tshiab tshaj plaws uas tau tsim los pab kho kev kho kom rov zoo.

Pom zoo: