He aha te Ocriplasmin: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Ocriplasmin he werohanga kanohi motuhake hei āwhina i te rongoā i tētahi āhuatanga motuhake e kīia ana ko te piri o te vitreomacular. E mahi ana tēnei rongoā mā te whakakore i te hononga hē i waenga i ngā wāhanga e rua o tō kanohi - te wai karaihe me te macula (te wāhanga o tō retina e kawenga ana mō te tirohanga koi, pokapū).

Mēnā kua tūtohu tō tākuta i te ocriplasmin, kei te raru pea koe i ngā huringa tirohanga e pā ana ki āu mahi o ia rā. He tohu tēnei rongoā i tētahi ahunga whakamua nui i roto i te tiaki kanohi, e tuku ana i tētahi huarahi iti ake te whakaeke i te pokanga kanohi tuku iho mō ētahi tūroro.

He aha te Ocriplasmin?

Ko te Ocriplasmin he rongoā e hāngai ana ki te enzyme ka werohia tika ki tō kanohi hei rongoā i te piri o te vitreomacular. He pūmua tōna i purea, e mahi ana pēnei i te kutikuti ngota, e wawahi ana i ngā pūmua e hanga ana i ngā hononga e kore e hiahiatia i roto i tō kanohi.

Nō tētahi enzyme nui ake, ko te plasmin, te rongoā nei, e hangaia ana e tō tinana. Kua whakarerekētia e ngā kaipūtaiao tēnei enzyme kia kaha ake ai te whai i te whāinga me te whai hua mō te rongoā i ngā āhuatanga kanohi motuhake. Whakaarohia he taputapu tika i hangaia mō te kiko kanohi ngawari.

He rongoā hou tēnei i te ao o te tiaki kanohi, i whakaaetia e te FDA i te tau 2012. E hokona ana i raro i te ingoa waitohu Jetrea, ā, he ahunga whakamua nui tēnei mō te hunga i mua i te iti o ngā kōwhiringa rongoā.

He aha te Ocriplasmin e whakamahia ana mō?

E rongoā ana te Ocriplasmin i te piri o te vitreomacular, tētahi āhuatanga e piri hē ana te matū rite-wai i tō kanohi (wai karaihe) ki tō macula. Ka taea e tēnei hononga e kore e hiahiatia te raru o te tirohanga, tae atu ki te tirohanga pokapū pōkaikaha, rānei.

Ka tohutohu pea tō tākuta i tēnei rongoā ki a koe mēnā kei te pā mai ngā tohumate pēnei i te āhua o ngā rārangi tika e pīkau ana, te uaua ki te pānui, te raruraru rānei ki ngā mahi taipitopito. Ko te tikanga nei e pā ana ki ngā tāngata neke atu i te 65 tau, ahakoa ka puta mai i ngā tau katoa.

I ētahi wā, ka āwhina hoki te ocriplasmin ki ngā rua macular iti - ngā roimata iti i roto i te macula ka nui te pānga ki tō tirohanga matua. Heoi, he tino whai hua mō ngā rua iti iho i te 400 micrometers te whānui.

Me pēhea te mahi a te Ocriplasmin?

Ka mahi te Ocriplasmin mā te wawahi i ngā pūmua motuhake e pupuri ana i te wai karaihe ki tō macula. E aro ana ki ngā pūmua e kiia nei ko te fibronectin me te laminin, ko rātou ngā mea nui e hanga ana i tēnei piri kino.

Kia werohia ki roto i tō kanohi, ka tīmata te rongoā ki te mahi i roto i ngā hāora ki ngā rā. Ka rewa te

Kāore koe e hiahia kia nohopuku i mua i te tikanga, ā, ka taea e koe te kai noa i mua. Heoi, me whakarite e koe tētahi hei taraiwa i a koe ki te kāinga, nā te mea ka pāpōuri, ka kore rānei te kite i muri i te werohanga.

I muri i te werohanga, ka tohutohu pea tō tākuta i ngā pata kanohi paturopi hei whakamahi mō ngā rā maha. Ka whakarite hoki rātou i ngā tūāpono whai muri hei aroturuki i tō ahunga whakamua me te whakarite kia whai hua te rongoā.

Kia Pēhea te Roa e Whakamahi ai au i te Ocriplasmin?

Ko te tikanga ka hoatu te Ocriplasmin hei werohanga kotahi, ā, kāore e hiahiatia e te nuinga o ngā tūroro ngā rongoā tukurua. Ka haere tonu te rongoā i roto i tō kanohi mō ngā wiki maha i muri i te werohanga, ka whakakore haere i te piri koretake.

Ka aroturukihia e tō tākuta tō ahunga whakamua mā ngā whakamātautau kanohi i ngā marama e whai ake nei. Ko te tikanga ka puta ēnei tūāpono i te wiki kotahi, te marama kotahi, me te toru marama i muri i te werohanga. Ka hiahia pea ētahi tūroro i ngā tūāpono whai muri anō i runga i tō rātou urupare ki te rongoā.

Mēnā kāore te werohanga tuatahi e whakatutuki i ngā hua e hiahiatia ana i muri i te toru marama, ka kōrero pea tō tākuta i ngā rongoā kē. Heoi, he mea noa ngā werohanga tukurua o te ocriplasmin, nā te mea ka whai hua te rongoā i roto i ngā marama tuatahi, ka whakaarohia rānei ngā huarahi kē.

He Aha ngā Pānga taha o te Ocriplasmin?

Ka pā tētahi taha pānga ngawari ki te nuinga o ngā tāngata i muri i te werohanga ocriplasmin, he mea noa tēnā i te wā e whakatika ana tō kanohi ki te rongoā. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe kia rite ake, kia kore ai e māharahara ki te tukanga.

Ngā pānga taha noa ka pā ki a koe:

• Te mamae kanohi, te kore rānei o te pai (he ngawari te tikanga, ka ngaro i roto i ngā rā ruarua)
• Te kite i ngā wāhi iti e mānu ana, i ngā "maunu" rānei i tō kite
• Te kite pōuri, te pōhēhē rānei
• Te whero, te riri rānei o te kanohi
• Te tairongo ki te mārama mō ngā rā ruarua
• Te āhua nei kei tētahi mea i tō kanohi

Ko ēnei pānga noa ka pai ake i roto i te wiki, he tohu hoki e urupare ana tō kanohi ki te rongoā. Ka hoatu e tō tākuta ngā tohutohu motuhake mō te whakahaere i ngā raruraru.

Ko ngā pānga taha nui ake, he iti noa iho te kitea, engari me toro tonu te rongoā. Ko ēnei raruraru onge ka uru:

• Te mamae nui o te kanohi kāore e pai ake ki ngā rongoā mamae e hokona ana
• Te ngaronga ohorere, nui o te tirohanga
• Ngā rama kimo, te piki ohorere rānei o ngā 'floaters'
• Ngā tohu o te mate, pērā i te whero nui, te wai, te kirika rānei
• Te wehenga o te retina (e pā ana ki te iti iho i te 1% o ngā tāngata)
• Te pikinga nui o te pēhanga o te kanohi

Ahakoa he onge ēnei raruraru nui, he mea nui kia whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe ēnei tohu. Mā te rongoā tere ka ārai i ngā raruraru tirohanga tūturu.

Ko wai kāore e tika kia tango Ocriplasmin?

Kāore a Ocriplasmin e tika ana mō te katoa e piri ana te vitreomacular. Ka arotake tō tākuta i tō āhuatanga motuhake kia kite mēnā he pai koe mō tēnei rongoā.

Kāore koe e tika kia whiwhi ocriplasmin mēnā kei a koe:

• He mate kanohi kaha, he mumura rānei
• Ngā rua macular nui (nui ake i te 400 micrometers)
• Te myopia nui (te tata-kite nui) me ngā huringa retinal e pā ana
• Te pokanga kanohi tata, te wharanga rānei
• Ētahi mate retinal e pā ana ki te macula
• Te retinopathy huka whakaputa me te tipu kaha o ngā oko toto

Ka whakaaro hoki tō tākuta ki tō hauora whānui me ētahi atu rongoā e tango ana koe. Ahakoa ka werohia a ocriplasmin ki roto tonu i te kanohi, he mea nui kia kōrero mō tō hītori rongoā katoa kia mōhio ai he haumaru te rongoā mōu.

Me kōrero ngā wāhine hapū me te whāngai i ngā pēpi ki ngā tākuta mō ngā tūponotanga me ngā painga, nā te mea he iti noa ngā pārongo mō ngā pānga o te ocriplasmin i te wā e hapū ana, e whāngai ana rānei.

Ingoa Waitohu Ocriplasmin

Ka hokona a Ocriplasmin i raro i te ingoa waitohu Jetrea i Amerika me te maha atu o nga whenua. Koinei anake te ahua o te ocriplasmin e wātea ana i runga i te tauhokohoko hei rongoa i te piri o te vitreomacular.

Na Oxurion (i mua ko ThromboGenics), he kamupene rongoa Belgian e tohunga ana ki nga rongoa kanohi, i hanga a Jetrea. Ka tae mai te rongoa i roto i te pounamu kotahi-whakamahi kei roto 0.1 mL o te otinga.

Ka taea e to taakuta te korero ki te rongoa ma te ingoa - ocriplasmin, Jetrea ranei - engari he rite tonu te rongoa. He maha nga wa e whakamahia ana te ingoa waitohu i roto i nga waahi rongoa me nga tuhinga inihua.

Nga Whakaaro ke atu ki a Ocriplasmin

Ki te kore a ocriplasmin e pai mo to ahuatanga, kare ranei e whai hua, he maha nga rongoa ke atu e wātea ana. Ka awhina to taakuta i a koe ki te mohio ko wai te whiringa ka pai mo to ahuatanga motuhake.

Ko te mea nui ke atu ko te vitrectomy, he tikanga pokanga ka tangohia e to taakuta pokanga te wai vitreous mai i to kanohi ka whakakapi ki te otinga tote. He nui ake tenei pokanga i te werohanga ocriplasmin engari he nui ake te reiti angitu mo te rongoa i te piri o te vitreomacular.

Mo etahi turoro, he pai pea te maataki tupato, ina koa he ngawari nga tohu. He maha nga keehi o te piri o te vitreomacular ka ngaro noa iho i te wa kaore he rongoa.

Kei te rangahaua etahi atu rongoa mo nga ahuatanga rite, engari ko te ocriplasmin tonu te rongoa rongoa anake i whakaaetia e te FDA mo te piri o te vitreomacular. Ka taea e to tohunga retinal te korero ko wai te huarahi e tika ana mo to keehi.

He pai ake a Ocriplasmin i te pokanga Vitrectomy?

He painga motuhake te ocriplasmin me te pokanga vitrectomy, a ko te whiringa pai rawa atu ka whakawhirinaki ki to ahuatanga me o hiahia. Karekau he rongoa e pai ake ana - he rereke nga turoro me nga ahuatanga e mahi ana.

He maha ngā painga o te Ocriplasmin hei kōwhiringa iti ake te pokanga. He meneti noa te roa o te werohanga, kāore e hiahiatia he rongoā whānui, ā, he poto ake te wā whakaora. Ka taea e koe te hoki ki ngā mahi o ia rā i roto i ngā rā torutoru, ā, kāore he tūponotanga o te hanganga o te katarata, e puta ana i muri i te vitrectomy.

Heoi anō, he nui ake te angitu o te pokanga vitrectomy, e mahi ana i te 90-95% o ngā tūponotanga i te whakataurite ki te 25-40% o te angitu o te ocriplasmin. Ka taea hoki e te pokanga te tākuta te whakatika i ētahi atu raruraru o te kanohi i te wā kotahi, ā, ka whai hua ngā hua e kitea ana.

Ka whakaarohia e tō tākuta ngā āhuatanga pēnei i te rahi o te rua macular, te kaha o te piri o te vitreomacular, tō tau, me tō hauora whānui i te wā e tūtohu ana i te rongoā. He maha ngā tākuta e whakamātau ana i te ocriplasmin i te tuatahi i te wā e tika ana, he iti ake te pokanga, ā, ka taea te karo i te hiahia mō te pokanga.

Ngā Pātai e Pātai pinepine ana mō te Ocriplasmin

He Haumaru te Ocriplasmin mō te hunga mate huka?

Ka taea te haumaru te Ocriplasmin mō te hunga mate huka, engari me āta arotake e tō tākuta tō āhuatanga kanohi. Ki te whai koe i te retinopathy diabetic, otirā te momo whakaputa me te tipu o ngā oko toto hou, kāore pea te ocriplasmin e tūtohutia.

Ka taea e te mate huka te pā ki tō retina i ngā huarahi e iti ake ai te whai hua o te ocriplasmin, e tūpono ana rānei te tūpono. Ka mahi tō tākuta i te whakamātau kanohi tino whānui, ā, ka tono pea i ngā whakamātau whakaahua motuhake hei arotake mēnā e tika ana te ocriplasmin mōu.

Ki te whai koe i te mate huka e whakahaere pai ana, kāore he huringa nui o te retinal, ka waiho tonu te ocriplasmin hei kōwhiringa. Ko te mea nui ko te whai kōrero pono ki tō tohunga retinal mō tō whakahaere mate huka me te hauora kanohi whānui.

Me aha au ki te pā mai te mamae nui i muri i te werohanga Ocriplasmin?

Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā mai te mamae nui o te kanohi kāore e pai ake mā te rongoā mamae kaore i te tohua, ka kino rānei i te roanga o te wā. Ahakoa he āhua pāwera noa i muri i te werohanga, ko te mamae nui pea he tohu mō tētahi raruraru e hiahia ana kia rongoā wawe.

Tera pea ka hiahia tō tākuta ki te tirotiro i tō kanohi kia kitea ai ngā tohu o te mate, te pēhanga kanohi kua piki ake, ētahi atu raruraru rānei. Tera pea ka tohua e rātou he rongoā mamae kaha ake, ētahi atu rongoā rānei i runga i tā rātou e kite ai.

Kaua e tatari kia kite mena ka pai ake te mamae nui i a ia anō. Mā te wawaotanga wawe ka ārai i ngā raruraru nui ake, ka āwhina i te tiaki i tō tirohanga. He maha ngā whare haumanu kanohi he nama whakapā i ngā hāora wāhi mō ngā āwangawanga ohorere.

Āhea Āhau e Mōhio ai kei te Mahi a Ocriplasmin?

Tera pea ka tīmata koe ki te kite i ngā whakapainga i tō tirohanga i roto i ngā wiki tuatahi i muri i te werohanga, ahakoa ka kite ētahi tāngata i ngā huringa i mua atu. Ka haere tonu te rongoā ki te mahi mō ētahi wiki, no reira kaua e māharahara mēnā kāore koe e kite i ngā hua tonu.

Ka aroturukihia e tō tākuta tō haere mā ngā tūtohinga whai-whai tonu, e whakaritea ana i te wiki kotahi, te marama kotahi, me ngā marama e toru i muri i te werohanga. Ka whakamahia e rātou ngā whakamātautau whakaahua motuhake kia kitea ai mēnā kei te tuku te piri o te vitreomacular.

Nō te tohu e toru marama, ka taea e tō tākuta te whakatau mēnā i angitu te rongoā. Mēnā kāore a ocriplasmin i tutuki i ngā hua e hiahiatia ana i tērā wā, tera pea ka kōrerohia e rātou ngā kōwhiringa rongoā kē atu ki a koe.

Ka Taea e Āhau te Taraiwa i Muri i te Whiwhinga Ocriplasmin?

Kāore koe e taraiwa i muri tonu i te whiwhinga werohanga ocriplasmin, nā te mea ka āhua pāwera, ka kore rānei tō tirohanga. Whakaritea kia whai tangata hei taraiwa i a koe ki te kāinga mai i te tūtohinga.

Ka taea e te nuinga o ngā tāngata te hoki ki te taraiwa i roto i te rā, e rua rānei, i te wā e mārama ana tō rātou tirohanga, kua mutu hoki te pāwera. Heoi, me tatari koe kia tae ra ano ki te wā e whakaaro ana koe he haumaru tō tirohanga mō te taraiwa, ā, ka taea e koe te pānui i ngā tohu rori mārama.

Ka tohutohu tō tākuta i ngā tohutohu mō te wā ka taea e koe te hoki ki te taraiwa i runga i te urupare o tō kanohi ki te rongoā. Ki te mea he āwangawanga āu mō tō tirohanga i muri i te werohanga, kaua e whakaroa ki te whakapā atu ki te tari o tō tākuta.

He Pānga Wā-roa Ētahi o te Ocriplasmin?

Kāore te nuinga o ngā tūroro e pā ana ki ngā pānga taha wā-roa mai i te rongoā ocriplasmin. I hangaia te rongoā kia mahi mō te wā poto, ā, ka whakawāteahia mai i tō kanohi mā te taiao i te roanga o te wā.

Ka kite pea ētahi tūroro i ngā huringa pūmau i roto i ā rātou mānu, i te rerekētanga iti rānei o te kounga o te tirohanga, engari e pā ana ēnei ki te āhuatanga i raro iho, kaua ki te rongoā tonu. Ko te whāinga he whakapai ake i tō tirohanga whānui me te kounga o te oranga.

Ka haere tonu tō tākuta ki te aroturuki i te hauora o tō kanohi i ngā wā whakarite whai muri kia mōhio ai kāore he pānga wā-roa e kore e pā. Ki te kite koe i ngā huringa āwangawanga i roto i tō tirohanga i ngā marama, i ngā tau rānei i muri i te rongoā, whakapā atu ki tō kaiwhakarato tiaki kanohi mō te arotake.