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Kev Noj Qab Haus Huv Thawj Colorado thiab CHP + yuav rov qab mus rau cov txheej txheem rov ua dua tshiab.
Tshawb xyuas koj tus email, xa ntawv, thiab PEAK inbox. Ua haujlwm thaum koj tau txais cov lus raug cai. Koj tuaj yeem pom koj hnub rov ua dua tshiab no thaum twg los tau. Yog tias koj tau txais daim ntawv txuas ntxiv, nco ntsoov sau nws. Nco ntsoov kos npe rau nws thiab xa rov qab los ntawm hnub kawg.
Kawm ntxiv ntawm no

Tsawg Tsis Pom Kev

By Bill W, MD

Duab qhov chaw: department.washington.edu/chudler/armd.html

Dab tsi? Tsis pom kev, qee zaum hu ua qhov tsis pom kev tsis pom kev, yog ib yam uas kuv tuaj yeem pab sau ntawv blog txog. Raws li tus kws kho mob thawj zaug, kuv lees txim kuv qhov kev nyiam feem ntau sib piv rau theem ntawm lub neej kuv nyob.

Tam sim no thaum kuv tab tom nkag mus rau theem "laus dua" ntawm lub neej, koj twv nws; cov xwm txheej lossis kab mob uas cuam tshuam rau kuv pawg hnub nyoog muaj kuv qhov kev xav.

Tsawg Lub Zeem Muag / Hnub nyoog ntsig txog Macular Degeneration Awareness Lub hli yog pom txhua xyoo thoob plaws lub Ob Hlis. Nws yog lub hli paub txog lub hom phiaj ntawm kev nthuav tawm cov ntaub ntawv ntau ntxiv txog Age-related macular degeneration (AMD) thiab cov kab mob cuam tshuam rau lub qhov muag uas tuaj yeem ua rau pom kev tsis pom kev.

Cov lej yog dab tsi?

Qhov kev kwv yees zoo tshaj plaws yog tias muaj 196 lab tus tib neeg thoob ntiaj teb nrog AMD. Nws zoo nkaus li tias cov neeg muaj hnub nyoog tshaj 50 xyoo yog cov neeg raug mob tshaj plaws. Qhov tseeb, AMD yog qhov thib 1 ua rau tsis pom kev rau cov neeg muaj hnub nyoog 50 xyoo. Muaj ob "hom" ntawm AMD, tab sis peb yuav tau mus rau qhov ntawd ib pliag. Kaum peb feem pua ​​​​ntawm cov neeg muaj hnub nyoog 85 xyoos muaj tus mob. Nws yog ntau dua nyob rau hauv cov neeg ntawm dawb European caj ces thiab cov poj niam raug cuam tshuam ntau dua li txiv neej. Nws yog qhov ua rau pom kev tsis pom kev thiab tsis pom kev hauv cov teb chaws tsim kho.

Cov tsos mob zoo li cas?

Feem ntau yog:

  • Tej yam zoo li qhov muag plooj ntawm qhov nruab nrab ntawm ib yam dab tsi.
  • Nws nyuaj dua los nyeem lossis ua lwm yam haujlwm zoo hauv lub teeb qis.
  • Koj yuav pom cov kab ncaj nraim li wavy.
  • Tej zaum yuav muaj qhov chaw dawb huv hauv koj qhov chaw pom qhov nruab nrab.
  • Cov tsos mob txawv nyob ntawm seb hom AMD koj muaj:
  • Cov neeg nrog AMD qhuav (85-90%)poob lawv lub zeem muag maj mam. Tej zaum lawv yuav pom muaj teeb meem nrog ib lossis ob lub qhov muag thaum nyeem ntawv lossis tsav tsheb. Los yog lawv yuav paub tias tam sim no lawv xav tau lub teeb ci lossis lub iav tsom iav kom pom zoo li lawv tau siv. Cov neeg uas muaj AMD qhuav qee zaum kuj pom cov chaw uas zoo li qhov muag plooj.
  • Cov neeg nrog AMD ntub dej (10-15%)tuaj yeem muaj kev hloov pauv sai sai ntawm kev pom. Thaum lawv xub pom cov tsos mob, lawv yuav muaj teeb meem hauv ib lub qhov muag xwb. (Tom qab ntawd, ob lub qhov muag feem ntau tsim teeb meem.) Thaum cov neeg ntub dej AMD saib cov kab ncaj, cov kab zoo li khoov lossis wavy.
  • Cov mob no tau txuas nrog kev ntog ntau zaus lossis raug mob.

Yog tias koj txhawj xeeb thiab xav tias koj yuav muaj AMD

  • Koj qhov kev ntsuam xyuas thawj zaug yuav suav nrog cov lus nug txog cov khoom uas pom tias muaj cov duab tsis zoo, tsis pom kev, flashing lub teeb lossis floaters hauv lub zeem muag, qhov muag tsis pom kev, thiab nyuaj rau hloov mus rau qhov tsaus ntuj. Koj yuav raug nug txog cov teeb meem qhov muag dhau los; tsev neeg keeb kwm ntawm cov kab mob qhov muag; tshuaj keeb kwm, suav nrog kev siv tshuaj aspirin thiab antioxidant; thiab keeb kwm kev sib raug zoo, suav nrog keeb kwm kev haus luam yeeb.
  • Koj yuav tsum tau kuaj xyuas qhov muag los ntawm ib tus kws kho mob ophthalmologist.
  • Yog tias koj muaj AMD thaum ntxov, nws zoo li koj yuav raug qhia rau tus kheej saib xyuas koj lub zeem muag nrog Amsler daim phiaj (saib hauv qab no rau cov piv txwv li qub thiab txawv txav).
  • Yog koj haus luam yeeb…STOP! Kev haus luam yeeb yog qhov muaj peev xwm hloov kho tau zoo tshaj plaws. Cov ntshav siab thiab cov lipids siab kuj tau txuam nrog AMD. Txawm li cas los xij, tsis muaj pov thawj tias kev siv "statins" (cov tshuaj txo cov roj cholesterol) muaj kev cuam tshuam.
  • Lwm yam yuav tsum tau xav txog suav nrog kev nce cov khoom noj uas muaj omega-3. Cov no suav nrog txiv ntseej, ntses xws li tuna, salmon, mackerel, lossis lwm yam.
  • Kev siv qhov muag tiv thaiv ib txwm muaj nyob rau hauv lub teeb pom kev zoo. (Ua kom koj lub looj tsom iav kom zoo!)
  • Cov pov thawj ntau ntxiv qhia tias cov tib neeg nrog AMD kuj tseem muaj kev pheej hmoo ntawm cov kab mob xws li mob stroke. Koj tus kws kho mob thawj zaug yuav xav saib xyuas koj li kev noj qab haus huv tag nrho.

Kev kho mob

Tsis muaj kev kho mob rau qhuav, lossis tsis-neovascular, AMD. Cov neeg mob uas qhuav AMD yuav tsum tau txais kev txhawb nqa; qhia txog kev hloov pauv kev ua neej, kev haus luam yeeb, thiab kev noj qab haus huv antioxidant; thiab saib xyuas tsis tu ncua.

Kev Kawm Txog Hnub Nyoog Txog Kab Mob Qhov Muag (AREDS) pom tias cov tshuaj tiv thaiv kab mob hauv qhov ncauj ntau cov vitamin (piv txwv li, vitamins C thiab E, beta carotene) thiab zinc supplementation txo qis kev nce qib ntawm nruab nrab lossis siab AMD los ntawm kwv yees li 25%. Yog li, cov ntaub ntawv pov thawj txhawb kev siv cov tshuaj antioxidant vitamin thiab minerals uas txhawb kev ua haujlwm ntawm lub qhov muag, xws li cov uas tau kawm hauv AREDS, kom ncua qhov tsis pom kev hauv cov neeg mob AMD.

Vitamin E, beta carotene, vitamin C, thiab multivitamin tshuaj tsis tau pom tias tiv thaiv lossis ncua AMD txoj kev loj hlob.

Cov neeg mob uas ntub dej, lossis neovascular, AMD yuav tsum raug xa mus rau tus kws kho qhov muag rau kev tswj hwm. Kev kho thawj kab yog tshuaj tiv thaiv VEGF. Qhov no yog cov tshuaj uas yog ib qho kev tiv thaiv kev loj hlob ntawm cov hlab ntsha. Cov tshuaj no yog siv los ntawm kev txhaj tshuaj ncaj qha rau hauv lub qhov muag txhua hli lossis txhua peb lub hlis. Cov tshuaj no xaiv ua kom cov hlab ntsha loj hlob txawv txav ntawm lub qhov muag tom qab. Qhov no tuaj yeem ua rau pom kev zoo dua rau cov neeg mob neovascular AMD. Muaj cov neeg uas pib nrog qhuav macular degeneration thiab tom qab ntawd tsim cov hom ntub dej.

Thaum kawg

Kev kho qhov muag pom kev (feem ntau hu ua kev pom kev zoo) yog ib lo lus siv lub ntsiab lus kho kom zoo dua qub thaum tsis pom kev. Hauv lwm lo lus, nws yog cov txheej txheem ntawm kev rov ua kom muaj peev xwm ua haujlwm thiab txhim kho lub neej zoo thiab kev ywj pheej ntawm tus neeg uas tau poob qhov pom kev ua haujlwm los ntawm kev mob lossis raug mob. Kev tsom mus rau cov kev puas tsuaj uas tsis tuaj yeem tau txais txiaj ntsig los ntawm tsom iav, tiv thaiv lub lens, tshuaj, lossis kev phais. Lub hom phiaj yog los pab tib neeg ua haujlwm txhua hnub. Lub zeem muag rov kho dua tau pom tias muaj txiaj ntsig zoo tshaj plaws hauv kev pab tib neeg tswj lawv txoj kev ywj pheej.

 

Cov Kev Pab Rau Cov Lag Luam

macular.org

uptodate.com/contents/age-related-macular-degeneration-the-basics?search=age related macular degeneration&source=search_result&selectedTitle=1~72&usage_type=default&display_rank=1

en.wikipedia.org/wiki/Vision_rehabilitation

aafp.org/pubs/fpe/editions/519-adult-eye-conditions/diabetic-retinopathy-and-age-related-macular-degeneration.html

Cheung CMG, Wong TY. Puas yog hnub nyoog ntsig txog macular degeneration yog qhov tshwm sim ntawm cov kab mob hauv lub cev? Kev cia siab tshiab rau kev cuam tshuam ntxov thiab kev kho mob. J Intern Med. 2014; 276(2): 140-153

amslergrid.org/AmslerGrid.pdf