He aha ka Aflibercept-yszy: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau ʻo Aflibercept-yszy e kōkua ana i ka mālama ʻana i nā maʻi maka koʻikoʻi e hiki ke hoʻoweliweli i kou ʻike. He injection i hāʻawi pololei ʻia i loko o kou maka e hoʻōki i ka ulu ʻana o nā kīʻaha koko ʻano ʻole a e hōʻemi i ka pehu ʻana i loko o kou retina.

No ka hui o nā lāʻau lapaʻau i kapa ʻia ʻo anti-VEGF kēia lāʻau lapaʻau, e hana ana ma ka pale ʻana i nā protein e hoʻoulu ai i nā kīʻaha koko e ulu i kahi e pono ʻole ai lākou. E noʻonoʻo e like me ka waiho ʻana i kahi pale mālie e pale ai i nā ʻiʻo palupalu o kou maka mai ka pōʻino.

He aha ka Aflibercept-yszy?

He mana biosimilar ʻo Aflibercept-yszy o ka lāʻau lapaʻau aflibercept kumu. ʻO ka biosimilar ke ʻano e hana kokoke like me ka lāʻau kumu akā hana ʻia e kahi mea hana ʻē aʻe e hoʻohana ana i kahi hana ʻokoʻa iki.

Hele mai ka lāʻau lapaʻau ma ke ʻano he hopena maopopo e hoʻokomo ai kāu kauka maka i loko o ka gel vitreous i loko o kou maka. He mea hopohopo paha kēia, akā hana ʻia ke kaʻina hana me ka mālama nui ʻia i kahi kaiapuni sterile me nā kulu numbing e hōʻoluʻolu iā ʻoe.

E hoʻohana kāu kauka i kēia lapaʻau ke hana ʻole nā koho ʻē aʻe i ka maikaʻi. Manaʻo ʻia he lāʻau lapaʻau i manaʻo ʻia no ka mea e hele pololei ana i kahi e hana nei ka pilikia i kou maka.

No ke aha e hoʻohana ʻia ai ʻo Aflibercept-yszy?

Mālama kēia lāʻau lapaʻau i kekahi mau maʻi maka koʻikoʻi e pili ana i kou ʻike waena. ʻO ke kumu maʻamau e kauoha ai nā kauka iā ia no ka degeneration macular e pili ana i ka makahiki, kahi e ulu ai nā kīʻaha koko ʻano ʻole ma lalo o kou retina.

Eia nā kūlana nui e hiki ai i ka aflibercept-yszy ke kōkua i ka mālama ʻana:

• ʻO ka degeneration macular e pili ana i ka makahiki (AMD) - i ka wā e kahe ana nā kīʻaha koko i ka wai i loko o kāu macula
• ʻO ka edema macular diabetic - ka pehu ʻana i loko o kou retina i hoʻokumu ʻia e ka maʻi diabetes
• ʻO ka retinopathy diabetic - ka pōʻino i nā kīʻaha koko i loko o kou retina mai ke kiʻekiʻe o ke kō koko
• ʻO ka occlusion vein retinal - i ka wā e ālaina ʻia ai nā kīʻaha koko i loko o kou retina
• ʻO ka myopic choroidal neovascularization - ka ulu ʻana o nā kīʻaha koko ʻokoʻa i nā kānaka me ka nearsightedness koʻikoʻi

Hiki i kēlā me kēia o kēia mau maʻi ke hoʻopilikia nui i kou hiki ke ʻike maopopo, ʻoiai no ka heluhelu ʻana, ka hoʻokele ʻana, a i ʻole ka ʻike ʻana i nā maka. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e kōkua pinepine i ka mālama ʻana i ka ʻike hou aku.

Pehea e hana ai ʻo Aflibercept-yszy?

Ua manaʻo ʻia ʻo Aflibercept-yszy he lāʻau lapaʻau ikaika a maikaʻi e hana ana ma ka ālaina ʻana i nā protein kikoʻī i kapa ʻia ʻo VEGF (vascular endothelial growth factor). Kōkua maʻamau kēia mau protein i ka ulu ʻana o nā kīʻaha koko, akā i kekahi manawa e hana lākou i nā pilikia i kou maka.

I ka wā e loaʻa ai iā ʻoe kekahi mau maʻi maka, hana kou kino i ka nui o VEGF, e alakaʻi ana i ka ulu ʻana o nā kīʻaha koko ʻokoʻa a me ka kahe ʻana o ka wai. Hana kēia lāʻau lapaʻau e like me ka sponge, e hoʻomoʻa ana i nā protein VEGF nui ma mua o ka hiki iā lākou ke hōʻeha.

Noho ka lāʻau lapaʻau i loko o kou maka no kahi o 6 a 8 mau pule, ʻo ia ke kumu e pono ai ʻoe i nā injections i kēlā me kēia mahina a i ʻole ʻelua. Ua hoʻolālā ʻia e lawa ka ikaika e kāohi i nā maʻi maka koʻikoʻi i ka wā e palupalu ana no ka hoʻohana hou ʻana.

Pehea wau e lawe ai iā Aflibercept-yszy?

ʻAʻole ʻoe e lawe maoli i kēia lāʻau lapaʻau iā ʻoe iho - e hāʻawi kāu kauka maka iā ʻoe i ka injection i ka wā o ke kipa ʻana i ke keʻena. E hele pololei ka injection i loko o kou maka ma kahi nila lahilahi loa.

Ma mua o kāu manawa, ʻaʻole pono ʻoe e pale i ka meaʻai a i ʻole nā mea inu, akā pono ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home. Hiki ke ʻano ʻino a i ʻole ka ʻike ʻana i ka mālamalama no kekahi mau hola ma hope o ka injection.

E hoʻomaʻemaʻe maikaʻi kāu kauka i kou maka a hoʻohana i nā kulu hōʻoluʻolu e pale ai i ka pilikia. He mau kekona wale nō ka paʻi maoli ʻana, akā hiki i ka manawa holoʻokoʻa ke lōʻihi mai 30 a 60 mau minuke me ka hoʻomākaukau a me ka nānā ʻana.

Ma hope o ka paʻi ʻana, hiki iā ʻoe ke hoʻi i ka hapa nui o nā hana maʻamau i ka lā hoʻokahi. Eia naʻe, e pale i ka hamo ʻana i kou mau maka a e hahai i nā ʻōlelo kikoʻī a kāu kauka e hāʻawi ai iā ʻoe e pili ana i nā kulu maka a i ʻole nā palena hana.

Pehea ka lōʻihi e lawe ai au i ka Aflibercept-yszy?

Pono ka hapa nui o nā kānaka i nā paʻi aflibercept-yszy no nā mahina a i ʻole nā makahiki, ma muli o ke ʻano o ka pane ʻana o ko lākou maʻi maka i ka lāʻau. E hoʻomaka kāu kauka me nā paʻi mahina no nā mahina mua e hoʻomalu i kou maʻi.

Ma hope o ka mālama mua ʻana, hiki i ka nui o nā kānaka ke hoʻokaʻawale i kā lākou mau paʻi i kēlā me kēia 6 a 8 pule. Pono paha kekahi poʻe i nā paʻi i ka manawa liʻiliʻi, aʻo nā mea ʻē aʻe e pono paha iā lākou i nā manawa pinepine.

E nānā kāu kauka i kou ʻike a e nānā mau i kou retina e hoʻoholo ai i ka papa manawa maikaʻi loa nāu. ʻO ka pahuhopu ka hoʻohana ʻana i ka helu liʻiliʻi o nā paʻi e pono ai e mālama i kou ʻike a pale i ka pōʻino hou.

ʻO ka hoʻōki ʻana i ka lāʻau i ka wā mua e alakaʻi pinepine i ka hōʻino ʻana i kou maʻi maka, no laila he mea nui e hahai i ka papa manawa i ʻōlelo ʻia e kāu kauka inā ʻoe e maikaʻi ana.

He aha nā hopena ʻaoʻao o Aflibercept-yszy?

E like me nā lāʻau lapaʻau a pau, hiki i ka aflibercept-yszy ke hana i nā hopena ʻaoʻao, akā ʻae ka hapa nui o nā kānaka iā ia. ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a he manawa pōkole, e pili ana i kou maka ma hope koke o ka paʻi ʻana.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:

• ʻEha maka maʻalahi a i ʻole ka pilikia no kekahi mau hola
• ʻIke pōʻeleʻele no ka manawa pōkole
• Manaʻo e like me ka mea i loko o kou maka
• Piʻi ka waimaka a i ʻole nā maka wai
• ʻIke i ka mālamalama
• Nā kiko liʻiliʻi a i ʻole nā mea lana i kou ʻike
• ʻUlaʻula a puni ka wahi paʻi

E maikaʻi maʻamau kēia mau hōʻailona i loko o hoʻokahi a ʻelua paha lā. Hiki i ka hoʻohana ʻana i nā waimaka hana ke kōkua i ka maloʻo a i ʻole ka huhū.

Hiki ke loaʻa nā hopena ʻaoʻao ʻaʻole maʻamau akā ʻoi aku ka koʻikoʻi, ʻoiai he kakaikahi lākou. Aia kēia mau mea:

• Maʻi maka (endophthalmitis) - loaʻa i loko o ka liʻiliʻi ma mua o 1 i loko o 1,000 injections
• Retinal detachment - ke huki ka retina mai ka hope o kou maka
• Piʻi ke kaomi maka
• Nalo ʻike nui
• Huhu i loko o ka maka

I nā manawa kakaikahi loa, hiki i kekahi poʻe ke ʻike i nā hopena ʻōnaehana no ka mea hiki i nā mea liʻiliʻi o ka lāʻau lapaʻau ke komo i loko o kou kahe koko. Hiki i kēia mau mea ke komo i ka hahau, ka puʻuwai puʻuwai, a i ʻole nā ​​pilikia koko, akā ʻaʻole maʻamau kēia mau hanana.

E hoʻokaʻaʻike koke i kāu kauka inā ʻoe e ʻike i ka ʻeha maka nui, nā loli ʻike koke, nā kukui uila, a i ʻole nā ​​hōʻailona o ka maʻi e like me ka ʻulaʻula a i ʻole ka hoʻokuʻu ʻana.

ʻO wai ka mea ʻaʻole pono e lawe iā Aflibercept-yszy?

Hiki i ka hapa nui o nā poʻe me nā maʻi maka e mālama ʻia e kēia lāʻau lapaʻau ke loaʻa palekana i nā injections aflibercept-yszy. Eia nō naʻe, aia kekahi mau kūlana kahi e koho ai kāu kauka i kahi lāʻau lapaʻau ʻē aʻe.

ʻAʻole pono ʻoe e loaʻa i kēia lāʻau lapaʻau inā loaʻa iā ʻoe kahi maʻi maʻi i loko a i ʻole a puni kou maka. E mālama mua kāu kauka i nā maʻi ma mua o ka noʻonoʻo ʻana i nā injections aflibercept-yszy.

Pono nā poʻe i maʻi i ka aflibercept a i ʻole kekahi mea i loko o ka lāʻau lapaʻau e pale aku iā ia. Inā loaʻa iā ʻoe nā hopena maʻi koʻikoʻi i nā lāʻau lapaʻau maka like, e hōʻoia e haʻi i kāu kauka.

E mālama nui kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi:

• Ka ʻoki maka a i ʻole ka ʻeha hou
• Mōʻaukala o ka hahau a i ʻole nā ​​pilikia o ka puʻuwai
• Nā maʻi koko
• Ke koko kiʻekiʻe ʻole
• Hāpai a i ʻole nā ​​plana e hāpai
• Hānai umauma

Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai, e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kāu kauka. ʻAʻole i aʻo nui ʻia ka lāʻau lapaʻau i nā wahine hāpai, no laila e loiloi kāu kauka inā ʻoi aku ka maikaʻi ma mua o nā pilikia.

Nā inoa inoa o Aflibercept-yszy

Loaʻa ʻo Aflibercept-yszy ma lalo o ka inoa inoa Byooviz. ʻO kēia ka mana biosimilar o ka lāʻau lapaʻau aflibercept kumu, i kūʻai ʻia ma lalo o ka inoa inoa Eylea.

Hana like nā lāʻau lapaʻau ʻelua a ua hōʻike ʻia he like ka maikaʻi no ka mālama ʻana i nā maʻi maka. Hiki i kāu kauka a i ʻole ka ʻoihana ʻinikua ke makemake i kekahi ma mua o kekahi ma muli o ka loaʻa a i ʻole nā kumu kūʻai.

Ke kiʻi ʻoe i kāu kauoha a i ʻole e loaʻa ai kāu injection, hiki iā ʻoe ke ʻike i kekahi inoa ma kāu palapala. Mai hopohopo - pili nā mea ʻelua i ka lāʻau lapaʻau like me nā pōmaikaʻi a me nā hopena ʻaoʻao.

Nā koho ʻē aʻe o Aflibercept-yszy

Nui nā lāʻau lapaʻau ʻē aʻe e hana like me ka aflibercept-yszy no ka mālama ʻana i nā maʻi maka. Hiki i kāu kauka ke noʻonoʻo i kēia mau koho ʻē aʻe ma muli o kāu kūlana kikoʻī, ka uhi ʻinikua, a i ʻole ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau.

ʻO nā koho nui e pili ana:

• Ranibizumab (Lucentis) - kekahi injection anti-VEGF i hāʻawi ʻia i kēlā me kēia mahina
• Bevacizumab (Avastin) - i ka wā mua he lāʻau lapaʻau maʻi, hoʻohana ʻia ma waho o ka lepili no nā maʻi maka
• Brolucizumab (Beovu) - he lāʻau lapaʻau anti-VEGF hou e hiki ke lōʻihi
• Faricimab (Vabysmo) - e kuhikuhi ana i nā ala he nui a hiki ke hoʻolōʻihi i ka manawa ma waena o nā injections

Loaʻa i kēlā me kēia lāʻau lapaʻau nā pōmaikaʻi a me nā hopena ʻaoʻao like ʻole. Pane maikaʻi kekahi poʻe i kekahi lāʻau lapaʻau ma mua o kekahi, no laila hiki i kāu kauka ke ʻōlelo e hoʻololi inā ʻaʻole ʻoe e loaʻa nā hopena āu e pono ai.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka laser therapy a i ʻole nā kaʻina hana ʻē aʻe me a i ʻole ma kahi o nā injections, ma muli o kāu maʻi maka.

Ua ʻOi Aku ka Aflibercept-yszy ma mua o Ranibizumab?

He mau lāʻau lapaʻau maikaʻi ʻo Aflibercept-yszy a me ranibizumab no ka mālama ʻana i nā maʻi maka, a hōʻike nā haʻawina e hana like lākou no ka mālama ʻana i ka ʻike. ʻO ka koho ma waena o lākou e pili pinepine ana i nā mea e pono ai ma mua o ka maikaʻi loa o kekahi.

He mea maikaʻi paha ʻo Aflibercept-yszy i ka lōʻihi o ka noho ʻana i loko o kou maka, e ʻae ana i nā manawa lōʻihi ma waena o nā injections. Nui ka poʻe e hiki ke loaʻa nā injections i kēlā me kēia 6 a 8 pule ma kahi o kēlā me kēia mahina ma hope o ka mālama mua.

Ua loaʻa ʻo Ranibizumab no ka lōʻihi a he nui aku nā ʻikepili noiʻi, a makemake kekahi mau kauka. He liʻiliʻi nō hoʻi ia, e hiki ai ke hoʻoulu i ka mumū liʻiliʻi, akā ʻaʻole kēia e hana i kahi ʻokoʻa.

E noʻonoʻo kāu kauka i kou maʻi maka, pehea ʻoe e pane ai i ka mālama ʻana, kāu ʻinikua, a me kāu mau makemake i ke koho ʻana ma waena o kēia mau lāʻau lapaʻau. Ua manaʻo ʻia lāua he mau lapaʻau mua.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Aflibercept-yszy

He Palekana ʻo Aflibercept-yszy no ka poʻe me ka maʻi diabetes?

ʻAe, palekana ʻo aflibercept-yszy a hoʻohana pinepine ʻia no ka poʻe me ka maʻi diabetes i loaʻa ka maʻi maka diabetic. ʻO ka ʻoiaʻiʻo, ʻo ia kekahi o nā lapaʻau mua no ka edema macular diabetic a me ka retinopathy diabetic.

ʻAʻole pili ka lāʻau lapaʻau i kou pae kōpaʻa koko a i ʻole ke keakea ʻana i nā lāʻau lapaʻau diabetes. Eia naʻe, ʻo ka mālama ʻana i kou kōpaʻa koko e kōkua i ka aflibercept-yszy e hana maikaʻi a pale i kou mau maka mai ka pōʻino hou.

E hana pili kāu kauka maka me kāu hui mālama diabetes e hōʻoia i ka loaʻa ʻana o ka lapaʻau maikaʻi loa no kāu maʻi diabetes a me kou maʻi maka.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o Aflibercept-yszy?

Inā ʻoe e hala i kahi manawa hoʻopaʻa ʻia no ka hoʻokomo ʻana, e kelepona i kāu kauka maka i ka wā hiki loa e hoʻonohonoho hou. Mai kali a hiki i kāu manawa maʻamau e hiki mai ana, no ka mea, ʻo ka hoʻopaneʻe ʻana i ka lāʻau lapaʻau hiki ke ʻae i kou maʻi maka e ʻino.

Hiki i ka hapa nui o nā kauka ke hoʻokō i ka hoʻonohonoho hou ʻana i loko o hoʻokahi a ʻelua paha pule o kāu manawa i hala. ʻO ka wikiwiki āu e hoʻi ai i ke ala me ka lāʻau lapaʻau, ʻo ka maikaʻi o kāu hopena.

E hoʻāʻo e hoʻonohonoho i nā mea hoʻomanaʻo ma kāu kelepona a i ʻole ka kalena e kōkua iā ʻoe e hoʻomanaʻo i nā manawa e hiki mai ana. Manaʻo kekahi poʻe he mea kōkua ke hoʻonohonoho i kekahi mau manawa ma mua.

He aha kaʻu e hana ai inā loaʻa iaʻu nā hopena ʻaoʻao koʻikoʻi?

Inā loaʻa iā ʻoe ka ʻeha maka nui, ka nalowale ʻana o ka ʻike koke, nā kukui uila, a i ʻole nā ​​hōʻailona o ka maʻi ma hope o kāu injection, e kelepona koke i kāu kauka maka a i ʻole e hele i ka lumi pilikia.

ʻO nā hōʻailona o kahi pilikia koʻikoʻi e pili ana i ka ʻulaʻula nui e ʻino ana ma mua o ka maikaʻi, ka hoʻokuʻu ʻana mai kou maka, ka ʻeha nui ʻaʻole e hoʻomaikaʻi me nā mea hōʻoluʻolu ʻeha ma luna o ka counter, a i ʻole ka nalowale ʻana o ka ʻike e like me ka pale.

ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a he manawa pōkole, akā ʻoi aku ka maikaʻi o ka palekana a me ka loiloi koke ʻana i nā hōʻailona e pili ana.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Aflibercept-yszy?

Pono ʻoe e hooki i nā injections aflibercept-yszy ke hoʻoholo kāu kauka maka he palekana ke hana pēlā. Hoʻokumu ʻia kēia hoʻoholo i ke ʻano paʻa o kou ʻike a me ka mea a kāu mau hoʻokolohua maka e hōʻike ai i ka manawa.

Hiki i kekahi poʻe ke hooki i ka lāʻau lapaʻau inā paʻa ko lākou maʻi no nā mahina he nui, ʻoiai ʻo nā mea ʻē aʻe e pono ai nā injections e pale ai i ka nalowale ʻana o ka ʻike. E nānā pono kāu kauka iā ʻoe a e hoʻolōʻihi mālie i ka manawa ma waena o nā injections inā hiki.

Mai hooki i ka lāʻau lapaʻau ma kāu iho, ʻoiai inā manaʻo ʻoe ua maikaʻi kou ʻike. Nui nā maʻi maka e hiki ke ʻino koke me ka ʻole o ka lāʻau lapaʻau, a ʻo ka hopu ʻana i nā pilikia i ka wā mua he mea nui ia no ka mālama ʻana i kou ʻike.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o kahi Aflibercept-yszy Injection?

ʻAʻole pono ʻoe e kalaiwa koke ma hope o ka loaʻa ʻana o ka injection aflibercept-yszy no ka mea e pōpō iki ana kou ʻike a e ʻike paha kou mau maka i ka mālamalama.

E hoʻolālā e loaʻa i kekahi e kalaiwa iā ʻoe i kāu manawa a mai kāu manawa mai, a i ʻole e hoʻonohonoho i kahi kaʻa ʻē aʻe e like me ke kaʻa kaʻa a i ʻole ka lawelawe kaʻa kaʻana. ʻIke ka hapa nui o nā kānaka i ka hoʻi ʻana o ko lākou ʻike i ka maʻamau i loko o kekahi mau hola.

Hiki iā ʻoe ke hoʻomau i ke kalaiwa ʻana i ka lā aʻe inā ua hoʻi kou ʻike i kona kūlana maʻamau. Inā hoʻomau ʻoe i nā pilikia ʻike i ka lā ma hope o kāu injection, e kelepona i kāu kauka ma mua o ke kalaiwa ʻana.