Yuav Ua Li Cas Thiaj Li Txo Cov Teeb Meem ntawm Macular Degeneration (nrog Duab)

Cov txheej txheem:

Yuav Ua Li Cas Thiaj Li Txo Cov Teeb Meem ntawm Macular Degeneration (nrog Duab)
Yuav Ua Li Cas Thiaj Li Txo Cov Teeb Meem ntawm Macular Degeneration (nrog Duab)

Video: Yuav Ua Li Cas Thiaj Li Txo Cov Teeb Meem ntawm Macular Degeneration (nrog Duab)

Video: Yuav Ua Li Cas Thiaj Li Txo Cov Teeb Meem ntawm Macular Degeneration (nrog Duab)
Video: pheej hmoo yaj yawm txiv los tham qhov tseeb ntawm pheej hmoo nkawv rau sawv daws 2024, Tej zaum
Anonim

Cov kev tshawb fawb pom tias macular degeneration, lossis muaj hnub nyoog ntsig txog macular degeneration (AMD), yog qhov ua rau pom kev tsis pom kev rau cov neeg hnub nyoog 60 thiab laus dua. Nws yog qhov mob tsis muaj mob uas cuam tshuam rau macula, uas yog ib feem ntawm cov retina uas tsom mus rau lub zeem muag nruab nrab. Nws tseem yog qhov uas tso cai rau koj nyeem, tsav tsheb thiab tsom mus rau lub ntsej muag thiab lwm yam duab. Cov kws tshaj lij sau tseg tias thaum tseem tsis tau paub kev kho mob macular degeneration, qee qhov kev hloov pauv hauv lub neej, kho qhov muag thiab lwm yam kev tiv thaiv tuaj yeem ua rau muaj mob hnyav.

Cov kauj ruam

Ntu 1 ntawm 5: Nkag Siab Kab Mob

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

Kauj Ruam 1. Paub cov theem sib txawv ntawm AMD

Ib tus kws kho qhov muag yuav txiav txim siab theem twg ntawm AMD koj tau ua raws li qhov drusen pom hauv koj lub qhov muag. Drusen yog cov xim dawb lossis daj pom hauv cov retina.

  • Cov theem pib: nruab nrab qhov drusen sib npaug rau qhov dav ntawm cov plaub hau thiab tsis pom kev ploj.
  • Cov theem nrab: Cov dej loj loj thiab/lossis hloov xim; feem ntau tsis pom kev.
  • Cov theem lig: Qhov no muaj ob hom:

    • Cheeb tsam atrophy/qhuav macular degeneration: Cov photoreceptors hauv macula puas lawm. Lub qhov muag tsis tuaj yeem siv lub teeb los qhia kev pom kev rau lub hlwb. Koj tuaj yeem raug kev txom nyem me ntsis pib ntawm tus mob. Koj yuav ntsib kev tsis pom kev.
    • Neovascular macular degeneration/ntub macular degeneration: Qhov no yog tshwm sim los ntawm cov hlab ntsha txawv txav, uas cov hlab ntsha tuaj yeem ua rau o tuaj thiab tawg. Dej ua rau hauv thiab hauv qab lub macula thiab ua rau pom kev hloov pauv. Qhov pib yog sai 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 li cas "qhuav" macular degeneration tshwm sim

Qhuav macular degeneration yog vim muaj kev puas tsuaj ntawm cov cell hauv retina. Kev puas tsuaj lossis qhuav ntawm cov cell no thiab tsis muaj kua ntau dhau muab nws nws lub npe "qhuav". Cov hlwb no tseem raug hu ua photoreceptors, lossis cov cell uas siv lub teeb nkag mus rau hauv lub qhov muag los pab peb lub hlwb nkag siab cov duab los ntawm qhov muag pom. Yeej yog cov teeb pom kev zoo no pab peb nkag siab qhov peb pom.

  • Qhov kev ploj zuj zus tshwm sim vim tias cov roj lipid hu ua drusen tsim nyob hauv macula thaum peb muaj hnub nyoog. Qhov kev txhim kho no tau pom thaum kuaj lub qhov muag raws li cov xim daj ntawm macula. AMD tsis ua rau tag nrho qhov muag tsis pom, tab sis nws tuaj yeem cuam tshuam qhov nruab nrab ntawm kev pom kev.
  • Daim ntawv "qhuav" ntawm macular degeneration ntau dua piv rau nws daim ntawv "ntub". Cov hauv qab no yog cov cim thiab tsos mob ntawm qhuav macular degeneration:

    • Qhov muag plooj ntawm cov lus luam tawm.
    • Xav tau ntau lub teeb thaum nyeem ntawv.
    • Nyuaj nyuaj pom hauv qhov tsaus ntuj.
    • Nyuaj rau kev paub lub ntsej muag.
    • Zoo heev tsis pom kev nruab nrab.
    • Pom qhov muag tsis pom qhov muag pom kev.
    • Tsis pom kev maj mam.
    • Cov duab geometric lossis cov khoom tsis muaj sia txhais tau yuam kev tias yog 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 tias "ntub" macular degeneration yog dab tsi

Hom AMD no tshwm sim thaum cov hlab ntshav loj tuaj txawv txav hauv qab macula. Vim tias macula loj zuj zus, cov hlab ntshav tuaj yeem pib xau lossis ntws dej thiab ntshav mus rau hauv cov retina thiab macula lossis, tsis tshua muaj, lawv yuav tawg tag. Txawm hais tias ntub macular degeneration tsawg dua li macula qhuav, nws yog qhov mob hnyav ntxiv uas tuaj yeem ua rau dig muag. Qhov ua rau macular degeneration tsis paub, tab sis ntau qhov kev tshawb fawb tau hais tias muaj qhov xwm txheej txaus ntshai uas tuaj yeem coj leej twg los txhim kho tus mob tom qab lub neej. Nws cov tsos mob thiab cov tsos mob muaj xws li:

  • Cov kab ncaj uas zoo li nthwv dej.
  • Qhov muag pom qhov muag.
  • Tsis pom kev nruab nrab.
  • Tsis pom kev sai.
  • Tsis mob.
  • Scarring ntawm cov hlab ntsha, uas tuaj yeem ua rau tsis pom kev ploj yog tias tsis hais sai.

Ntu 2 ntawm 5: Paub Qhov Risks rau Kev Tsim AMD

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

Kauj Ruam 1. Paub txog cov txheej txheem kev laus

Macular degeneration yog ib yam mob ntsig txog hnub nyoog. Thaum koj loj tuaj, qhov kev pheej hmoo ntawm kev tsim AMD nce ntxiv. Tsawg kawg ib feem peb ntawm cov neeg laus hnub nyoog tshaj 75 muaj qee qib ntawm AMD.

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

Kauj Ruam 2. Paub tias noob caj noob ces ua lub luag haujlwm tseem ceeb

Yog tias ib lossis ob leeg ntawm koj niam thiab txiv tau tsim kev puas tsuaj macular, tom qab ntawv koj yuav muaj peev xwm txhim kho tib yam mob thaum koj ntaus cim 60 xyoo. Txawm li cas los xij, nco ntsoov tias cov noob tsis yog txhua yam thiab koj saib xyuas koj tus kheej li cas, ib yam.

Feem ntau, cov poj niam thiab Caucasians muaj kev pheej hmoo loj hlob ntawm macular degeneration

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 loj

Cov neeg haus luam yeeb muaj kev pheej hmoo loj ntawm kev txhim kho qhov muag no. Muaj ntau txoj kev tshawb fawb uas tau txuas kev haus luam yeeb mus rau kev puas tsuaj ntawm macula. Cov pa luam yeeb tau txuas nrog kev puas tsuaj rau cov retina.

Yog tias koj yog neeg haus luam yeeb (tshwj xeeb tshaj yog tias koj yog poj niam lossis neeg Caucasian), kev puas tsuaj macular yog ib yam uas koj yuav tsum tau paub txog, txawm tias tsis muaj 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

Paub txog koj kev noj qab haus huv tag nrho tuaj yeem yog qhov tseem ceeb rau kev txhim kho AMD. Cov neeg uas raug tus mob xws li ntshav siab thiab ntshav qab zib yog qhov pheej hmoo.

Txawm tias tsis yog cov neeg mob ntshav qab zib uas nws cov zaub mov suav nrog cov carbohydrates ntau ntawm cov glycemic Performance index yuav txhim kho macular degeneration tom qab hauv lub neej. Nco ntsoov tias ib qho cim ntawm ntub macular degeneration yog ntshav los ntawm cov hlab ntsha hauv lub qhov muag. Qhov no yuav ua rau tsis zoo thaum koj muaj cov hlab ntshav txhaws vim cov quav hniav tso

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 koj ib puag ncig

Muaj pes tsawg zaus koj raug teeb pom kev zoo fluorescent? Muaj kev txhawj xeeb tias UV hluav taws xob los ntawm teeb pom kev zoo tuaj yeem ua rau koj muaj kev pheej hmoo ntawm 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, qhov no kuj tseem yuav ua rau koj muaj kev pheej hmoo.

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

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 koj tus kws kho qhov muag

Kev kuaj mob yog ua tiav thaum kuaj qhov muag tas li uas tus kws kho qhov muag yuav siv qhov muag qhov muag txhawm rau txhawm rau nthuav dav lossis nthuav koj cov tub ntxhais kawm. Yog tias koj raug kev txom nyem los ntawm macular degeneration qhuav, tus kws kho qhov muag tuaj yeem pom tau yooj yim pom tias muaj drusen thaum kuaj xyuas.

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

Kauj Ruam 2. Ua tibzoo saib ntawm Amsler daim phiaj

Koj tseem yuav raug nug kom saib ntawm Amsler daim phiaj, uas zoo li daim duab kab ntawv. Nws muaj peev xwm tias koj muaj macular degeneration thaum koj pom tias qee cov kab yog ntais. Txhawm rau txheeb xyuas yog tias koj muaj tsos mob, luam tawm Amsler daim phiaj ntsuas los ntawm Kev Tiv Thaiv Qhov Muag Tsis Pom lub vev xaib thiab ua raws cov lus qhia no:

  • Muab daim phiaj thim rov qab 24 ntiv tes deb ntawm qhov muag.
  • Muab koj lub tsom iav nyeem ntawv npog thiab npog ib lub qhov muag nrog koj txhais tes.
  • Ua kom pom tseeb ntawm qhov chaw nruab nrab rau ib feeb thiab rov ua cov kauj ruam nrog rau lwm lub qhov muag.
  • Yog tias ib txoj kab ntawm kab sib chaws zoo li ntais, hu rau koj tus kws kho qhov muag 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 txog lub qhov muag angiogram

Txoj kev no yuav koom nrog tso cov zas xim rau hauv cov leeg ntawm koj txhais caj npab. Cov zas xim tom qab ntawd yees duab thaum nws taug kev mus rau cov leeg ntawm cov retina. Nws tuaj yeem kuaj pom qhov xau, uas tuaj yeem qhia tias ntub macular degeneration.,

  • Cov zas xim yuav tsum pom hauv qhov muag ntawm lub paj hlwb txog yim txog 12 vib nas this tom qab txhaj tshuaj.
  • Cov zas xim yuav tsum pom hauv thaj tsam retinal li 11 txog 18 vib nas this 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. Tau txais qhov kev kuaj pom qhov sib thooj tomography

Qhov kev kuaj mob no yuav saib ntawm ntau txheej ntawm koj lub retina siv lub teeb ntais. Qhov kev ntsuam xyuas tuaj yeem ntsuas qhov tuab ntawm koj lub qhov muag, lub cev ntawm txheej txheej ntawm lub qhov muag, thiab yog tias muaj dab tsi txawv txav hauv cov retina xws li kua dej, ntshav lossis cov hlab ntshav tshiab.

  • Tus kws kho mob yuav xub nthuav koj ob lub qhov muag, txawm tias OCT tseem tuaj yeem ua los ntawm cov tub ntxhais kawm uas tsis nthuav dav.
  • Tom qab ntawd koj yuav tso koj lub puab tsaig rau ntawm lub puab tsaig kom ruaj koj lub taub hau, thiab tsis txhob txav mus.
  • Lub teeb nqaj yuav tsom rau qhov muag.
  • Siv lub teeb ntais, qhov kev kuaj mob tuaj yeem mob tsis tau cov ntaub so ntswg nyob hauv ob peb feeb.
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 kab mob VEGF

Vascular endothelial growth factor (VEGF) yog cov tshuaj tseem ceeb uas ua rau cov hlab ntsha loj tuaj txawv txav. Thaum cov tshuaj no raug txwv los ntawm cov tshuaj tiv thaiv VEGF lossis antiangiogenics, kev loj hlob ntawm cov hlab ntsha tuaj yeem cuam tshuam. Koj tus kws kho mob yuav paub yog qhov no yog qhov kev xaiv haum rau koj.

  • Ib qho piv txwv zoo ntawm antiangiogenics yog Bevacizumab. Qhov koob tshuaj ib txwm yog kev txhaj tshuaj ntawm 1.25 txog 2.5 milligrams ntawm cov tshuaj mus rau hauv qhov kab noj hniav ntawm qhov muag. Cov tshuaj no feem ntau yog muab txhua plaub lub lis piam dhau los ntawm plaub mus rau rau lub lim tiam. Antiangiogenics Ranibizumab tau muab rau ntawm 0.5 mg, thiab Aflibercept tau muab ntawm 2 mg
  • Cov txheej txheem yuav ua tiav nrog kev siv rab koob zoo heev ua ke nrog tshuaj loog hauv zos txhawm rau tiv thaiv qhov mob. Feem ntau, tag nrho cov txheej txheem tsis mob nrog tsuas yog me ntsis tsis xis nyob.
  • Qee cov kev mob tshwm sim suav nrog nce tus kab mob hauv siab, ntshav, thiab ua rau lub lens puas.
  • Koj yuav tsum tau txais qhov pom kev zoo dua hauv ib xyoos. Qhov no tuaj yeem pib ntxov li ob lub lis piam thiab feem ntau ncov los ntawm 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. Saib mus rau hauv kev siv kev kho duab photodynamic

Cov txheej txheem no siv tshuaj thiab kho lub teeb kom pab nres cov hlab ntsha loj hlob. Nws tuaj yeem yog kev kho mob zoo rau ntub macular degeneration nkaus xwb.

  • Nov yog txheej txheem ob kauj ruam ua tiav hauv ib zaug. Cov tshuaj hu ua verteporfin lossis Visudyne, yuav muab tshuaj txhaj tshuaj. Nws ua haujlwm los ntawm kev txwv tsis pub cov hlab ntsha loj hlob ntxiv, uas tshwm sim nyob rau hauv ntub macular degeneration, thiab ua tiav 15 feeb ua ntej kev kho tshuaj tua kab mob.
  • Tom qab ntawd, lub teeb nrog qhov yoj yoj kom raug yuav siv rau ntawm lub qhov muag, tshwj xeeb yog rau cov hlab ntsha txawv txav. Lub teeb yuav qhib lub verteporfin, uas tau ua yav dhau los txhawm rau kaw cov hlab ntshav uas xau.
  • Txij li lub teeb tau hloov mus rau qhov yoj yoj kom raug, nws tshem tawm qhov kev hem thawj ntawm qhov muag tsis pom kev.
  • Nug koj tus kws kho mob yog tias txoj kev kho mob no nyab xeeb rau koj. Anti-VEGF tam sim no yog tus qauv ntawm kev saib xyuas thawj kab, thiab PDT qee zaum siv nrog kev tiv thaiv VEGF.
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. Mus ntsib kws kho mob tam sim yog tias koj muaj cov tsos mob hnyav

Yog tias koj muaj mob taub hau tam sim ntawd, hloov pauv qhov muag lossis lwm yam mob uas piav tsis tau thaum tab tom kho macular degeneration, mus ntsib qhov chaw xwm txheej kub ceev tshaj plaws thiab hu rau koj tus kws kho qhov muag tam sim.

Ntu 4 ntawm 5: Siv Cov Cuab Yeej Cuam Tshuam los Pab Koj 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

Thaum nws los txog rau macular degeneration, thaj chaw cuam tshuam tshaj plaws yog lub zeem muag nruab nrab, nrog rau lub zeem muag ib puag ncig tseem nyob ib puag ncig. Vim li no, cov neeg uas muaj macular degeneration tseem tuaj yeem siv lawv lub zeem muag sab nraud los them nyiaj. Lub iav tsom iav tuaj yeem pab ua kom cov khoom zoo li loj dua kom lawv pom yooj yim dua.

  • Cov iav tsom iav sib txawv los ntawm 1.5 txog 20 zaug kev nthuav dav. Lawv yooj yim mus nrog. Ntau tus tuaj yeem quav mus txog qhov loj me.
  • Sim ib lub iav tsom iav sawv ntsug. Hom no txawv ntawm ob txog 20 zaug kev nthuav dav. Nws tuaj yeem ntsia tau kom koj txhais tes dawb. Nws muaj txiaj ntsig zoo rau cov neeg mob uas tseem yuav raug kev txom nyem los ntawm tes tsis khov lossis tshee hnyo. Qee hom muaj lub teeb pom kev zoo ntxiv los pab rau qhov teeb pom kev 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 ua ib lub monocular lossis tsom iav raj

Hom cuab yeej no txawv ntawm 2.5 txog 10 zaug kev nthuav dav. Nws tuaj yeem muaj txiaj ntsig los pab pom qhov deb.

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 ntawm kev nthuav dav li tsom iav, tsom iav muaj txiaj ntsig vim tias koj tuaj yeem 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 ua lub tsom iav tsom teeb pom kev zoo

Hom tsom iav no tau teeb tsa ntawm tus neeg mob lub iav thiab muaj txiaj ntsig zoo rau kev pom kev deb. Nws tso cai rau tus neeg mob hloov pauv ntawm kev saib nrug deb thiab lub zeem muag tsom iav. Kuj tseem muaj cov tsom iav qhov muag kom pom ib txwm muaj.

  • Cov no ua haujlwm zoo ib yam li bifocals.
  • Cov no tau pom zoo thiab sau tseg los ntawm Cov Kws Tshaj Lij Tsawg.
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. Tau txais daim vis dis aus loj

Lub koob yees duab yees duab no sawv ntsug nyeem ntawv lossis sau cov ntaub ntawv mus rau lub vijtsam video. Koj tuaj yeem siv hom tsom iav no los pab rau ntau yam haujlwm, xws li nyeem ntawv, sau ntawv, kos duab thiab saib duab. Qee tus kuj tseem tuaj yeem sau kab lus thiab nthuav qhia cov ntaub ntawv. Hom cuab yeej no 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 lub tshuab nyeem ntawv nrog lub suab tawm

Lub tshuab no yuav nyeem cov ntawv sau sau nrov nrov.

Siv Ocular Recognition (OCR) software los tig koj lub computer rau hauv lub tshuab nyeem ntawv

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 22
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 22

Kauj Ruam 7. Tshawb nrhiav txog lo ntsiab muag nqus dej

Cov hom iav no ua haujlwm los ntawm nqus lub teeb kis los ntawm lub qhov muag. Lawv txo qhov ci thiab teeb meem ultraviolet rays.

  • Cov iav no tuaj yeem hloov pauv ntawm thaj chaw tsaus thiab tsaus.
  • Lawv tuaj yeem hnav dhau tsom iav.

Ntu 5 ntawm 5: Saib Xyuas Koj Lub 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. Tau kuaj koj lub qhov muag tas li

Macular degeneration tsis tuaj yeem tiv thaiv tau vim nws cuam tshuam nrog kev laus. Txawm li cas los xij, tau txais kev tshuaj xyuas tas li tuaj yeem ua rau pom ntxov thiab tswj tau sai. Thaum koj qhov macular degeneration raug kuaj pom ntxov txaus, koj tuaj yeem ncua sijhawm ncua qhov tsis pom kev.

Pib thaum muaj hnub nyoog 40 xyoos, kev kuaj qhov muag tas li yuav tsum tau ua yam tsawg kawg txhua rau lub hlis lossis raws li koj tus kws kho qhov muag cov lus 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 qhov muag txog kev kuaj qhov muag tshwj xeeb

Koj yuav tsum cia siab tias tus kws kho mob qhov muag yuav ua ob peb yam sib txawv ntawm kev kuaj lub qhov muag kom saib rau qhov nqus dej, lub nkoj puas tsuaj, hloov pauv cov xim hauv lub qhov muag lossis cuam tshuam kev pom. Qee qhov piv txwv ntawm kev kuaj mob txhawm rau txhawm rau pom kev tsis zoo yog raws li hauv qab no:

  • Kev ntsuas qhov muag pom: Qhov no ntsuas koj lub zeem muag ntawm qhov deb siv daim duab.
  • Amsler daim phiaj: Qhov no txheeb xyuas qhov tsis pom kev nruab nrab los ntawm kev tso cai rau tus neeg mob hais qhia seb lawv puas saib cov kab ncaj ncaj ntawm kab sib chaws, lossis yog tias lawv zoo li nthwv dej. Cov kab nthwv dej qhia txog kev puas tsuaj ntawm macular.
  • Dilated qhov muag kuaj: Hauv qhov kev xeem no, cov tub ntxhais kawm tau nthuav dav yog li tso cai rau tus kws kho mob pom lub paj hlwb thiab qhov muag kom ntsuas qhov puas. Tus kws kho mob tseem yuav tshuaj xyuas lub qhov muag kom pom cov xim hloov. Cov xim hauv lub qhov muag qhia pom lub teeb tsis zoo.
  • Fluorescein angiogram: Qhov kev ntsuas no yuav ntsuas cov hlab ntsha hauv lub qhov muag txhawm rau txhawm rau kuaj pom cov hlab ntsha xau. Tus kws kho mob yuav txhaj tshuaj zas xim rau hauv caj npab tus neeg mob caj npab.
  • Tomography kev sib haum xeeb tomography: Qhov kev xeem no yog ua tiav tom qab nthuav dav ob lub qhov muag. Tom qab ntawd lub teeb infrared tau siv los ua duab retina, yog li tso cai rau tus kws tshuaj ntsuam xyuas txiav txim siab 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

Ib cag los ntawm ntau qhov kev puas tsuaj ntawm kev haus luam yeeb ntawm tag nrho lub cev, nws tseem tuaj yeem ua rau kev puas tsuaj ntawm macular. Kev haus luam yeeb muaj cov tar uas tuaj yeem txhawb kev tsim cov drusen (tso pov tseg ntawm qhov muag). Ntxiv rau qhov no, kev haus luam yeeb muaj caffeine uas yog qhov paub zoo uas tuaj yeem ua rau kom ntshav siab. Cov hlab ntshav hauv qab cov retina thiab macula tuaj yeem tawg yooj yim thaum cov ntshav siab.

  • Kev haus luam yeeb tuaj yeem ua rau koj ob npaug ntawm kev muaj mob macular degenerative, piv rau cov uas tsis haus luam yeeb. Nws tsis zoo rau koj, koj lub qhov muag, koj lub cev, thiab txawm tias cov nyob ib puag ncig koj.
  • Txawm hais tias koj tso tseg kev haus luam yeeb, nws yuav siv li ob peb xyoos ua ntej qhov cuam tshuam yuav ploj mus. Xav txog qhov kev caw kom pib txoj kev ntawm kev txiav tawm sai dua tom qab.
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 26
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 26

Kauj Ruam 4. Tswj cov xwm txheej yav dhau los xws li ntshav siab

Noj koj cov tshuaj, tuaj koom koj qhov kev kuaj mob uas tau teem tseg thiab hloov pauv txoj kev ua neej kom haum rau qhov no.

Yog tias koj raug kev txom nyem los ntawm kev mob ntshav siab thiab tau kuaj pom tias ntub dej macular degeneration, piv txwv li, cov hlab ntsha puas lawm hauv koj lub qhov muag muaj teeb meem them nyiaj nrog ntshav siab. Qhov no tuaj yeem ua rau muaj peev xwm nce ntxiv rau cov hlab ntsha tawg, yog li ua rau muaj dej ntau ntxiv

Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 27
Txo Cov Teeb Meem ntawm Kev Txhim Kho Macular Step 27

Kauj Ruam 5. Qoj ib ce tsis tu ncua

Kev tawm dag zog muaj ntau cov txiaj ntsig kev noj qab haus huv, thiab suav nrog cov txiaj ntsig rau koj lub qhov muag. Kev tsim Drusen muaj feem cuam tshuam nrog qib roj cholesterol thiab roj ntau. Kev tawm dag zog tuaj yeem hlawv roj thiab tshem tawm cov roj (cholesterol) phem, tiv thaiv qhov pov tseg no.

Nws raug nquahu kom ua haujlwm tsawg kawg peb zaug hauv ib lub lis piam. Nco ntsoov tias koj mloog zoo rau kev ua aerobics uas tuaj yeem ua rau koj hws thiab hlawv roj

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 28
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 28

Kauj Ruam 6. Ua kom koj tau txais cov vitamins ntau ntxiv

Ob lub qhov muag raug nthuav tawm hnyav hnyav ultraviolet (UV) lub teeb los ntawm lub hnub thiab cov pa phem los ntawm pos huab. Kev nthuav tawm tas li ntawm lub qhov muag rau cov ntsiab lus no tuaj yeem ua rau muaj kev puas tsuaj oxidative. Kev oxidation ntawm cov cell hauv lub qhov muag tuaj yeem ua rau macular degeneration thiab lwm yam kab mob ntawm qhov muag. Raws li txoj hauv kev los tawm tsam cov txheej txheem no, koj yuav tsum tau noj cov zaub mov uas muaj cov tshuaj antioxidants. Cov tshuaj tiv thaiv kab mob feem ntau uas tuaj yeem pab koj yog Vitamin C, vitamin E, zinc, lutein, thiab tooj liab.

  • Vitamin C: Qhov pom zoo koob tshuaj vitamin C txhua hnub yog 500 milligrams. Qee qhov txiaj ntsig 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 milligrams. Qee qhov chaw zoo ntawm cov vitamin E yog: almonds, noob paj noob hlis, noob nplej, zaub ntsuab, txiv laum huab xeeb, zaub ntsuab, avocados, txiv nkhaus taw, hazelnuts, thiab Swiss chard.
  • Zinc: Qhov pom zoo koob tshuaj zinc txhua hnub yog 25 milligrams. Qee qhov chaw zoo ntawm zinc yog: nqaij nyug tsis muaj nqaij, nqaij tawv, nqaij yaj, noob taub dag, kua mis nyeem qaub, taum pauv, txiv laum huab xeeb, taum pauv hmoov, paj noob hlis, paj noob hlis, pecans, lutein, kale, zaub ntsuab, zaub ntsuab, zaub xas lav, zaub qhwv, okra, artichokes, watercress, persimmons, thiab taum ntsuab.
  • Tooj liab, lutein thiab zeaxanthin: Ob lub lutein thiab zeaxanthin tau pom ib txwm nyob hauv qhov muag thiab lub lens. Lawv ua haujlwm raws li cov tshuaj tiv thaiv kab mob ntuj, pab txhawb kev nqus ntawm lub teeb hnyav thiab UV duab ci. Ob leeg tuaj yeem pom hauv cov zaub ntsuab nplooj.

    • Tau txais ob milligrams tooj liab txhua hnub.
    • Tau txais 10 milligrams ntawm lutein txhua hnub.
    • Tau txais 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. Ua kom koj tau txais beta carotene tsawg

Raws li kev tshawb fawb, beta carotene tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav, tshwj xeeb tshaj yog tias tus neeg mob haus luam yeeb tib lub sijhawm. Kev tshawb fawb tseem qhia tau tias beta carotene tsis muaj kev cuam tshuam los txo qib kev nce qib ntawm AMD. Tam sim no, cov kws kho mob feem ntau pom zoo cov npe tshuaj uas tsis suav nrog beta carotene.

Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 30
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 30

Kauj Ruam 8. Hnav cov khoom tiv thaiv qhov muag, suav nrog looj tsom iav dub

Kev kis dhau los ntawm UV lub teeb los ntawm lub hnub tuaj yeem ua rau lub qhov muag puas tsuaj thiab tuaj yeem pab txhawb kev txhim kho macular degeneration. Siv cov looj tsom iav uas tau ntawv pov thawj nrog lub teeb xiav thiab tiv thaiv UV rau qhov ua tau 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 raws qee yam dej num nrog ceev faj

Qee yam dej num uas yuav zoo li cov haujlwm txhua hnub yuav tsum tam sim no nrog kev saib xyuas. Nyob ntawm qhov hnyav ntawm koj lub zeem muag, qee yam haujlwm yuav xav tau kev pab ntawm tus neeg saib xyuas, phooj ywg lossis tus neeg hauv tsev neeg. Nws yog qhov zoo dua los thov kev pab hauv cov xwm txheej no, ntau dua li cuam tshuam nrog qhov ua rau muaj kev phom sij. Ceev faj thaum koom nrog cov dej num no:

  • Tsav tsheb
  • Caij tsheb kauj vab
  • Ua haujlwm hnyav tshuab
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 32
Txo Cov Teeb Meem ntawm Macular Degeneration Kauj Ruam 32

Kauj Ruam 10. Ua kom paub

Raws li tus neeg mob AMD, nws yuav zoo li zoo li koj lub neej tam sim tsis muaj kev tswj hwm koj. Txawm li cas los xij, raws li tus neeg mob, muaj ntau yam uas koj tuaj yeem ua nrog kev saib xyuas ntawm koj tus kws saib xyuas qhov muag kom pab tswj koj qhov xwm txheej. Tau txais kev ceeb toom yog txoj hauv kev zoo tshaj plaws kom nkag siab zoo txog tus kab mob nrog rau ua raws li txoj cai kev kho mob. Pib los ntawm kev kawm txog AMD, kev xaiv kho mob, thiab thev naus laus zis tshiab txhawm rau pab kho kom rov zoo.

Pom zoo: