Yini i-Dexamethasone Intraocular: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Dexamethasone intraocular iyisidakamizwa esinamandla se-steroid udokotela wakho wamehlo asijova ngqo esweni lakho ukwelapha ukuvuvukala okukhulu. Lokhu kwelashwa okukhethekile kunikeza imithi elwa nokuvuvukala lapho idingeka kakhulu, okusiza ukuthulisa ukuvuvukala nokucasuka ngaphakathi kweso lakho ukuthi okunye ukwelashwa kungase kungafinyeleli ngempumelelo.

Ngokungafani namaconsi esweni ahlala ngaphezulu, lo mjovo uthola imithi ijule ezicutshini zamehlo akho. Ngokuvamile isetshenziswa uma unezimo ezibangela ukuvuvukala okukhulu ngaphakathi kweso lakho, futhi udokotela wakho udinga indlela eqondile yokukusiza ukuthi uphole.

Yini i-Dexamethasone Intraocular Esetshenziselwa Yona?

Udokotela wakho uzoncoma lokhu kwelashwa uma unokuvuvukala okukhulu ngaphakathi kweso lakho okudinga ukunakekelwa okuqondiwe. Isizathu esivamile kakhulu yi-diabetic macular edema, eyenzeka lapho ushukela wegazi ophezulu ulimaza imithambo yegazi emincane ku-retina yakho, okubangela ukuthi uketshezi luvele futhi umbono wakho ube mnyama.

Lo muthi futhi usiza nezinye izimo ze-retinal ezibangela ukuvuvukala nezinkinga zombono. Lokhu kungase kuhlanganise i-retinal vein occlusion, lapho umthambo wegazi ku-retina yakho uvinjelwa, noma i-uveitis, okuyisifo sokuvuvukala kwesendlalelo esimaphakathi kweso lakho.

Ngezinye izikhathi udokotela wakho angase akusebenzise ngemva kokuhlinzwa kwamehlo ukuvimbela noma ukwelapha ukuvuvukala okungase kuphazamise ukuphola kwakho. Umjovo usiza ukunciphisa ukuvuvukala okungenzeka kuholele ezinkingeni noma ukululama okuhamba kancane.

Isebenza Kanjani i-Dexamethasone Intraocular?

Lo muthi usebenza ngokulingisa i-cortisol, i-hormone yemvelo umzimba wakho uyenza ukuze ulawule ukuvuvukala. Uma ijojwe esweni lakho, itshela amasosha akho omzimba ukuthi athule futhi ayeke ukudala ukuvuvukala nokucasuka okukhulu.

Umjovo unikeza ukukhululwa okuqhubekayo, okulawulwayo komuthi ezinyangeni eziningana. Lokhu kusho ukuthi uthola ukwelashwa okuqhubekayo ngaphandle kokudinga imithamo ejwayelekile, okusiza ikakhulukazi ezimweni ezingamahlalakhona ezidinga ukuphathwa kwesikhathi eside.

Njenge-corticosteroid, i-dexamethasone ithathwa njengomuthi onamandla wokulwa nokuvuvukala. Inamandla kakhulu kunezinye izidakamizwa eziningi, yingakho udokotela wakho ekhetha zona ezimweni zamehlo ezingathi sína ezingaphendulanga kahle ekwelashweni okuthambile.

Kufanele Ngiyithathe Kanjani I-Dexamethasone Intraocular?

Awuwuthathi ngempela lo muthi ngokwakho - udokotela wakho wamehlo uzokunika umjovo ngesikhathi sokuvakasha ehhovisi. Inqubo ngokuvamile ithatha imizuzu embalwa nje, futhi udokotela wakho uzonhlanganisa iso lakho ngaphambi kwesikhathi ukunciphisa ukungakhululeki.

Ngaphambi kokuqokwa kwakho, udokotela wakho angase akucele ukuthi uyeke imithi ethile noma ugweme ukudla amahora ambalwa, nakuba lokhu kungadingeki ngaso sonke isikhathi. Kufanele uhlele ukuthi othile akuqhubele ekhaya, njengoba umbono wakho ungase ube mnyama okwesikhashana ngemuva komjovo.

Udokotela wakho uzohlanza indawo ezungeze iso lakho ngokucophelela futhi asebenzise izindlela eziyinyumba ukuvimbela ukutheleleka. Uzodinga ukugcina iso lakho linganyakazi ngesikhathi somjovo, kodwa amathonsi okuthulisa abangela ukuthi inqubo ibe ntofontofo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Dexamethasone Intraocular?

Ukufakelwa noma umjovo ngokuvamile ukhipha umuthi cishe izinyanga ezi-3 kuya kwezi-6, kuye ngohlobo olusetshenziswa udokotela wakho. Ngeke udinge imithamo yansuku zonke njengamaconsi wamehlo, kodwa uzodinga ukuqokwa okulandelayo ukuqapha ukuthi ukwelashwa kusebenza kahle kangakanani.

Udokotela wakho uzoqapha inqubekela phambili yakho ngokuhlolwa kwamehlo okuvamile futhi angase ancome imijovo eyengeziwe uma isimo sakho sidinga ukwelashwa okuqhubekayo. Abanye abantu badinga imijovo ephindwayo njalo ezinyangeni ezimbalwa, kanti abanye bangase badinge ukwelashwa okukodwa noma okubili kuphela.

Isikhathi sokwelashwa

Isikhathi sokwelashwa sincike esimweni sakho kanye nokuthi usabela kanjani emithini. Udokotela wakho uzosebenza nawe ukuthola uhlelo olungcono kakhulu olususelwe ezidingweni zakho kanye nokuthi iso lakho liphila kanjani.

Yiziphi Izimo Ezingezinhle Zokwelashwa Nge-Dexamethasone Intraocular?

Abantu abaningi bayakwazi ukumelana nalolu hlobo lokwelashwa, kodwa njenganoma imuphi umuthi, kungadala imiphumela engemihle. Inkinga evame kakhulu ukwanda kwengcindezi ngaphakathi kweso lakho, okwenzeka ngoba ama-steroid angathinta indlela uketshezi oluphuma ngayo esweni lakho.

Nansi imiphumela engemihle ongase uyithole, kusukela kweyona evame kakhulu:

• Ukukhuphuka kwengcindezi yeso, okuzoqashwa ngudokotela wakho eduze
• Ukubona okungacacile okwesikhashana ngemuva komjovo
• Ukuphatheka kabi kweso okuncane noma ukuzwa sengathi kukhona okuthile esweni lakho
• Amaphuzu amancane noma ama-floater embonweni wakho
• Ububomvu ngase site of injection

Imiphumela engemihle engavamile kodwa ebucayi ihlanganisa ukwakheka kwe-cataract, ikakhulukazi uma udinga imijovo eminingi ngokuhamba kwesikhathi. Udokotela wakho uzobheka lokhu ngesikhathi sokuhlolwa kwakho okulandelayo futhi angakwazi ukwelapha ama-cataracts uma evela.

Izinkinga ezingavamile kodwa ezinzima zingabandakanya ukutheleleka ngaphakathi kweso noma ukuhlukana kwe-retinal. Lokhu akuvamile, kodwa udokotela wakho uzokuchazela izimpawu zokuxwayisa okufanele uzibheke nokuthi kufanele ushayele nini ngokushesha.

Ubani Ongafanele Athole I-Dexamethasone Intraocular?

Lolu hlobo lokwelashwa alufanele wonke umuntu, futhi udokotela wakho uzohlola ngokucophelela ukuthi lukufanele yini. Akufanele uthole lo mjovo uma unokutheleleka okusebenzayo esweni lakho noma ngalo, njengoba ama-steroid angenza izifo zibe zimbi kakhulu.

Abantu abanezifo ezithile ze-viral zeso, njenge-herpes simplex keratitis, ngokuvamile akufanele bathole lolu hlobo lokwelashwa. Umuthi ungacindezela amasosha akho omzimba endaweni ethile, okungenzeka ukuthi kuvumele lezi zifo ukuthi ziqhume noma zisakale.

Uma unengcindezi yamehlo ephezulu kakhulu noma i-glaucoma ebucayi okunzima ukuyilawula, udokotela wakho angase akhethe ukwelashwa okuhlukile. Njengoba lo muthi ungakhuphula ingcindezi yamehlo, ungenza lezi zimo zibe zimbi kakhulu.

Udokotela wakho uzobheka nempilo yakho yonke, okuhlanganisa noma yiziphi izifo zokuphuma kwegazi noma imithi ethinta ukujiya kwegazi, njengoba lokhu kungakhuphula izingozi ngesikhathi senqubo yokujova.

Amagama Omkhiqizo we-Dexamethasone Intraocular

Igama elivamile lomkhiqizo walo muthi yi-Ozurdex, eza njengento encane efakwa ngudokotela wakho esweni lakho. Lokhu kufakwa kuncibilika kancane kancane ngokuhamba kwesikhathi, kukhulula umuthi kancane kancane.

Ungase futhi uzwe udokotela wakho emane akubize ngokuthi i-intravitreal dexamethasone injection. Abakhiqizi abahlukene bangase bakhiqize izinguqulo ezivamile, kodwa zonke zisebenza ngendlela efanayo.

Udokotela wakho uzokhetha umkhiqizo othile ngokusekelwe esimweni sakho kanye nolwazi lwabo ngamafomula ahlukene. Zonke izinguqulo ezivunyelwe zihambe ekuhlolweni okuqinile ukuze kuqinisekiswe ukuthi ziphephile futhi ziyasebenza.

Ezinye izindlela ze-Dexamethasone Intraocular

Uma lokhu kwelashwa kungakulungele, udokotela wakho unezinye izinketho eziningana zokuzicabangela. Ezinye izijovo ze-steroid, njenge-triamcinolone, zisebenza ngendlela efanayo kodwa zingase zifaneleke kangcono ezimweni ezithile noma uma uke waba nemiphumela emibi nge-dexamethasone.

Izijovo ze-Anti-VEGF, ezifana ne-ranibizumab noma i-aflibercept, zisebenza ngendlela ehlukile ngokuvimba amaprotheni abangela ukukhula kwemithambo yegazi nokuvuza. Lezi zingase zibe izinqumo ezingcono zezinye izinhlobo ze-macular edema noma izimo ze-retinal.

Ngezimo ezithile, udokotela wakho angase ancome ukwelashwa nge-laser noma ukuhlinzwa esikhundleni sezijovo. Lezi zindlela zingase zisebenze ezinhlotsheni ezithile zezinkinga ze-retinal futhi zingase zikhetheke uma ungafaneleki kahle ekwelashweni ngokujova.

Ingabe i-Dexamethasone Intraocular ingcono kune-Triamcinolone?

Imithi yomibili iyizidakamizwa eziphumelelayo zokwelapha ukuvuvukala kwamehlo, kodwa zinezinye izinto ezibalulekile ezihlukile. I-Dexamethasone ngokuvamile ihlala isikhathi eside esweni lakho, ngokuvamile inikeza izinyanga ezi-3-6 zokwelashwa uma kuqhathaniswa nezinyanga ezi-2-3 nge-triamcinolone.

I-Dexamethasone iza futhi ngohlobo olulawulwayo olukhishwa ngokuqhubekayo oluncibilika ngokuphelele, kanti i-triamcinolone ivame ukunikezwa njengomjovo oqondile womuthi. Lokhu kusho ukuthi i-dexamethasone ingase ibangele ukuhlukahluka okuncane emazingeni emithi ngokuhamba kwesikhathi.

Kodwa-ke, i-triamcinolone isetshenziswe isikhathi eside futhi ingase ibize kancane. Udokotela wakho uzocabangela isimo sakho esithile, umshwalense, kanye nezimpendulo zokwelashwa zangaphambilini lapho ekhetha phakathi kwalezi zinketho.

Akukho nomuthi oyedwa ongcono ngokujwayelekile - ukukhetha okungcono kuncike esimweni sakho ngasinye nokuthi usabela kanjani ekwelashweni.

Imibuzo Evame Ukubuzwa Nge-Dexamethasone Intraocular

Ingabe i-Dexamethasone Intraocular iphephile kubantu abanesifo sikashukela?

Yebo, lo muthi uvame ukusetshenziswa kubantu abanesifo sikashukela, ikakhulukazi i-diabetic macular edema. Kodwa-ke, udokotela wakho uzokuqapha eduze ngoba ama-steroid ngezinye izikhathi angathinta ukulawulwa kukashukela egazini.

Inani lomuthi olungena egazini lakho emjovweni wamehlo lincane kakhulu, ngakho-ke akunakwenzeka ukuthi lithinte kakhulu ukuphathwa kwesifo sakho sikashukela. Noma kunjalo, yazisa udokotela wakho uma uqaphela noma yiziphi izinguquko kumaphethini akho kashukela ngemva kokwelashwa.

Kufanele ngenzeni uma ngizwa izinguquko embonweni ngemva komjovo?

Ukubona okungahlali isikhathi esithile noma ukungakhululeki ngemva komjovo kujwayelekile futhi kufanele kulunge ngosuku olulodwa noma ezimbili. Kodwa-ke, kufanele uxhumane nodokotela wakho ngokushesha uma uzwa ubuhlungu obukhulu, ukulahlekelwa ngokuphazima kweso, noma izibani ezikhanyayo.

Noma yiziphi izimpawu zokutheleleka, njengokubomvu okwanda, ukukhishwa, noma ubuhlungu obanda ezinsukwini eziningana, nazo zidinga ukunakekelwa kwezokwelapha ngokushesha. Udokotela wakho uzokunikeza imiyalelo ethile mayelana nezimpawu zokuxwayisa okufanele uzibheke.

Kuzodingeka Ngivakashele Udokotela Kaningi Kangakanani?

Ngokuvamile uzodinga ukubona udokotela wakho phakathi nesonto ngemuva komjovo ukuze uhlole noma yiziphi izinkinga eziphuthumayo. Ngemuva kwalokho, ukuvakashelwa okulandelayo kuvame ukwenzeka njalo ezinyangeni eziyi-1-2 ukuze kuqashwe ingcindezi yamehlo akho futhi kulandelwe ukuthi ukwelashwa kusebenza kahle kangakanani.

Udokotela wakho angase adinge ukukubona kaningi uma unezici eziyingozi zezinkinga noma uma isimo sakho sidinga ukuqashwa okuseduze. Lokhu kuvakasha okuvamile kubalulekile ekubambeni noma yiziphi izinkinga kusenesikhathi nokuqinisekisa ukuthi uthola imiphumela engcono kakhulu.

Ngingashayela Ngemuva Kokuthola Umjovo?

Akufanele ushayele ngokushesha ngemuva komjovo ngoba umbono wakho cishe uzofiphala okwesikhashana ngenxa yamaconsi okubulala ubuhlungu kanye nenqubo uqobo. Hlela ukuthi kube khona umuntu ozokushayela ekhaya, futhi linda kuze kube yilapho umbono wakho usucacile ngokuphelele ngaphambi kokushayela futhi.

Lokhu kuvame ukuthatha amahora ambalwa, kodwa kungahluka kumuntu nomuntu. Uma umbono wakho usafiphale kakhulu ngosuku olulandelayo, xhumana nodokotela wakho ngaphambi kokuqhubeka nokushayela noma eminye imisebenzi edinga umbono ocacile.

Ngizodinga Yini Imithombo Eminingi?

Abantu abaningi badinga imithombo ephindwayo ngoba imithi iyancipha kancane kancane ngokuhamba kwesikhathi. Udokotela wakho uzonquma isikhathi esisekelwe ekutheni usabela kahle kangakanani ekwelashweni nokuthi ngabe isimo sakho singesingapheli noma sesikhashana.

Abanye abantu bangase badinge umjovo owodwa kuphela, kanti abanye bazuza ekwelashweni okuvamile njalo ezinyangeni ezimbalwa. Udokotela wakho uzosebenza nawe ukuthola isimiso esihlinzeka ukulawula okungcono kakhulu isimo samehlo akho ngemiphumela emibi embalwa.