Lākena Lutsentis: nā loiloi o nā mea maʻi a me nā kauka, nā ʻōlelo aʻoaʻo no ka hoʻohana

ʻĀina hana ranHizumab ʻO ia kahi pīpī o kahi antibody hoʻomohala e kūʻē i ka mea ulu endothelial A, kahi i hōʻike ʻia e kahi kumu loiloi i kapa ʻia ʻo Escherichia coli.

Eia kekahi, ua hoʻomaopopo ʻia ke kamaʻilio koho.ranibizumaba a me isoforms o vascular ulu endothelial factor, VEGF-A a me nā mea ʻē aʻe, e pale ana i kā lākou pilina me nā mea hopena i loaʻa ma ka papa o nā cell endothelial. Hāʻawi kēia i ka pale ʻana i ka neovascularization a me ka proliferation vascular. Ke pale ʻole nei ka hoʻohana ʻana i kēia lāʻau mālama i ka ulu ʻana o nā moku koko hou, akā hiki no ke kāpae i ka hoʻomohala ʻana o ka ʻano exudative-hemorrhagic o AMD - ka maʻi degularation macular age, a me ka edular macular hoʻi i nā mea maʻi me ka maʻi maʻi a thrombosis uaua veinal.

E like me ka hoʻolaha o ka mea hana i loko ʻO ke kino Vitreous, ke kūlike pono nei kona kaila ʻana i ka dosis i loaʻa. Wahi a ka loiloi pharmacokinetic a me ka ʻikepili i ka wehe ʻana o ranibizumab mai ka hui ʻana pili kokoʻO ka hapalua (vitreous half-life) kahi ma kahi o 9 mau lā.

ʻO ka lawelawe o ka mahina o ranibizumab i loko o ka vitreous e kōkua i ka hoʻokō ʻana i ka plasma kiʻekiʻe e lawa ai no ka hopena therapeutic lōʻihi.

Nā hōʻailona no ka hoʻohana ʻana iā Lucentis

ʻO nā hōʻailona nui no ka hoʻohana ʻana o Lucentis:

• ʻano kahawai neovascular o AMD i ka poʻe maʻi makua,
• ʻike lohi ʻikekumu e kū ai maʻi edema maʻiʻa a i ʻole thrombosis uaua veinali ke ano o monotherapy, me ka puʻuwai paʻakikī,
• kaomi ʻana i ke kōkōʻā ʻike ʻike i kumu neilascularization choroidalma muli o ke pathological myopia.

Nā Hoʻohui

ʻAʻole kuhikuhi ʻia ka lāʻau lapaʻau no ka hoʻokele me nā:

• hoʻoweliweli kiʻekiʻe i ranibizumab a i ʻole nā ​​mea ʻē aʻe,
• ua hōʻoia a ʻāpono paha i nā maʻi maka, nā ʻōnaehana o ka manawa.
• lactation, hapai,
• hoʻopilikia ʻole ʻana,
• malalo o ke 18 makahiki, mai ka hopena o ka lāʻau lapaʻau ma kēia pūʻulu o nā maʻi ʻaʻole i aʻo ʻia.

Nā hopena hopena

Ke mālama nei iā Lucentis, hiki mai nā hopena hopena like ʻole o nā ʻano paʻakikī o ka paʻakikī.

Hoʻokomo ʻia nā hōʻino koʻikoʻi: endophthalmitis, detachment retinalogen retinal a cataracti hōʻeha ʻia e ka iatrogen trauma, maʻi intraocular, he nui ke hoʻonui ʻana i ke kaomi intraocular a pēlā aku.

Hoʻohui ʻia, ʻaʻole i hoʻokaʻawale ʻia ka hoʻomohala ʻana o nā mea hūnā i ka hana o nā nane, digestive, respiratory a me nā ʻōnaehana ʻē aʻe. Hiki i nā pilikia hōʻeha i ka hana o ke kahe o ke koko, nā kino o ka ʻike, ka ʻōnaehana musculoskeletal a me nā mea ʻē aʻe.

No laila, i ka wā o ka mālamaʻana, hiki iā ʻoe ke loaʻa: anemia, hopohopo, hōʻeha, hōʻeha, kele a me nā ʻano like ʻole nā hopena kūlohelohe.

Inā loaʻa i kahi mea maʻi ka hoʻopiʻi o kekahi o kēia mau mea a i ʻole ka hoʻomohala ʻana o kekahi ʻano ʻē aʻe, e pono e hoʻomaopopo koke i kāu kauka.

Nā ʻōkuhi no Lucentis (Ke ʻano a me ka anaana)

Wahi a nā ʻōlelo kuhikuhi no ka lāʻau lapaʻau, hoʻohana wale ʻia ʻo ia ma ke ʻano o nā injections i hoʻopaʻa ʻia i loko o ke kino vitreous.

I kēia hihia, ua hoʻolālā ʻia hoʻokahi pahu ke hana i hoʻokahi maʻi. Pono e hoʻolauna he mea hoʻokele kūlohelohe o Lucentis hiki ke hana ʻia e kahi maʻi maʻi me ka ʻike pono. Pono e waiho i ka wā ma waena o nā inikini o ka lāʻau lapaʻau ma ka liʻiliʻi o hoʻokahi mahina.

Kuhi ʻia ʻo Lucentis ma kahi waihona lāʻau o 0.05 ml hoʻokahi i ka mahina. I hoʻokahi hālāwai, ke mālama ʻia nei ka lāʻau i ka maka hoʻokahi. I ka wā o ka mālama ʻana, pono e nānā pono ʻia ke ʻano heu bulike.

I kekahi hihia, ʻike ʻia ka alapine o ka mālama ʻana me ka lāʻau lapaʻau i ka wā o ka makahiki e hele ana i ke kauka, e noʻonoʻo ana i ka hoʻopiʻi a me nā ʻano o ke kino o ka mea maʻi.

Ke keu

I nā hihia o ka overdose, hiki i ke hoʻonui nui ke loaʻa. hoʻoikaika i ka paʻakaike ʻano o ke kaumaha a me ka ʻeha ma loko o ka maka.

Ma kēia hihia, lawe ʻia ka hana i loko o kahi haukapila, ʻoiai ka mālama pinepine ʻana o ka paila intraocular a me ke ʻano nui o nā mea maʻi.

Nā ʻōlelo kikoʻī

Hiki ke ʻae ʻia ka lawelawe ʻana i ka lāʻau lapaʻau wale nō e ka ophthalmologist me ka ʻike ma ka injections intravitreal. Hoʻohana ʻia ke kaʻina hana ma lalo o nā kūlana aseptic. I loko o hoʻokahi hebedoma, pono ke nānā ʻia o ka mea maʻi i ka nānā ʻana i ke ʻano e hiki ke pale i ka hiki ʻana mai o kahi hanana maʻi no ke kamaʻāina. Inā manaʻo ka mea maʻi i nā loli ʻaʻole makemake, a laila e nīnau koke ʻoe i kekahi kauka.

ʻAʻole mālama ʻia ka lāʻau Lutsentis i nā maka ʻelua, ʻoiai hiki ke hoʻonui ʻia ka hopena o ka hopena o ka lāʻau a me ka hoʻomohala ʻana i nā hopena ʻaoʻao.

I ka wā mālama, ʻaʻole i haʻalele ʻia ka ʻike maka pōkole, ka mea e hoʻopilikia maikaʻi i ka hiki ke pana i nā kaʻa a hana me nā ʻano like ʻole. No laila ua ʻōlelo ʻia e hoʻēmi iki kēia mau hana a hoʻopau ʻia ka hōʻemi ʻana o nā mea ʻike ʻike pōkole.

Nā Hōʻike e pili ana iā Lucentis

ʻO ka hapa nui, nā loiloi o Lucentis e pili ana i ke kaʻina hana. Ma kahi kokoke i nā hui ophthalmological a loaʻa nā leka mai nā mea hoʻohana e pono ai ka mālama ʻana, akā hopohopo lākou e hele no kēia kaʻina hana.

Eia nō naʻe, ua ʻōlelo ka nui o nā mea i loaʻa iā Lucentis i mālama ʻia no ka hoʻomākaukau mua ʻana no ka hiki ʻana. ʻO ke kaʻina hana ʻo ia ʻaʻole ʻeha. I ka manawa like, ke ho'āʻo nei lākou e kākoʻo a hōʻoia hou i kēlā poʻe e kali nei no ka hana ʻana.

I waena o nā mea leʻaleʻa maikaʻi, ʻike ʻia kekahi mau mea ʻoluʻolu ma loko o ka maka, i hiki ke hoʻomau i kekahi manawa.

E pili ana i ka hopena o ka mālama ʻana, hōʻike ka hapanui o nā maʻi i ka hoʻomaikaʻi nui i ka hihiʻo, hoʻonui i ka nui a me ka pololei o nā laina. No kekahi poʻe, ʻoiai he hopena like ʻole.

Wahi a nā poʻe loea, hoʻomohala ʻia kēia ʻano me ka ʻike ʻana. ʻO kaʻoiaʻiʻo, ʻaʻole i nā kūlana āpau e aoga ka mālama. ʻO nā kumu o ka hoʻomohala ʻana i ka hopena o ka hopena o ka lāʻau lapaʻau, ʻike ʻia nō naʻe, akā no nā maʻi he nui i kōkua ke lapaʻau e hoʻomaikaʻi i ka ʻike a hoʻihoʻi i ke ʻano o ke ola.

Eia kekahi i ka makaʻu i kēia ʻano paʻakikī, ua kāpae ʻia nā kānaka e ke kumukūʻai kiʻekiʻe. No laila, hiki iā ʻoe ke ʻike i ka hōʻike ʻana ua mākaukau nā maʻi no ka mālama ʻana, akā ʻaʻohe kālā no kēia.

Ka hoʻonohonoho ʻana a me ke ʻano o ka hoʻokuʻu ʻana

He ʻike a i ʻole ka ʻāʻī paha o ka opalescent no ka hoʻoponopono kūloko o ka lāʻau lapaʻau ʻo "Lucentis" (nā loiloi e hōʻoia nei i kēia).

ʻO ka mea hoʻoikaika nui o ka lāʻau ranibizumab. ʻO kona mea kikoʻī i ka pahu 1 o ka lāʻau lapaʻau he 2.3 mg. Eia kekahi, ʻo kēia mau māhele hoʻohui lalo o nā ʻāpana o Lucentis:

• α-trehalose dihydrate,
• mololopoli
• L-histidine hydrochloride monohidate,
• wai.

Hoʻokahi ka pahu pahu pahu me ka lāʻau lapaʻau e:

• 0.23 ml ipu wai aniani me ka lāʻau lapaʻau,
• kānana kānana
• syilee sterile me kahi pono.

ʻAe ʻia ka lāʻau i loko o nā lāʻau lapaʻau ma o ka lāʻau lapaʻau wale nō.

Kuhi me nā helu o nā maʻi ophthalmic "Lucentis". Hōʻike iki ka loiloi o nā mea maʻi e pili ana i kona pono - e kōkua ka lāʻau lapaʻau i kekahi, a ʻike ʻole kekahi i kona hopena. Eia naʻe, ʻōlelo ʻia ʻo "Lutsentis" no kēia maʻi:

• wet (neovascular) ʻano hana o ka macular degeneration,
• kaomi i ka acuity ʻike ma muli o ka hoʻomohala ʻana i ka edema maʻi o ka macula - i hoʻokahi manawa a hui pū ʻia me ka laser coagulation,
• hōʻemi ʻia ka ʻike maka ʻana ma muli o ka macular edema i hana ʻia e retinal vein occlusion,
• ka hoemi ʻia ʻana o ka ʻike ma muli o ka neovascularization choroidal i hoʻoneʻe ʻia e ka myopia pathological.

I loko o nā hihia i hoʻopau ʻia ka hopena

Aia kekahi mau pilikia e neʻe koke a hoʻokolohua ʻia i ke ʻano hou ʻole ʻana;

• nā hoʻololi i ke kaomi intraocular a i 30 mm a i ʻole. Art.,
• ho'ēmi i ke aniani loiloi e 30 a keu paha mau leka i hoʻohālikelike ʻia me ke ana hope aku,
• oki kua wāwahi
• hemorrhage subretial e pili ana i ka fossa waena, a i ʻole ma ke ʻano o ka 50% o ka wahi,
• ka hana ʻana i ka hana maʻa intraocular.

Ma ke ʻano o nā injections i ke kino vitreous ka hoʻohana ʻana ʻo "Lucentis". Hoʻike nā loiloi hoʻomanawanui no ka hōʻeha ʻole o ke kaʻina hana.

Ma ke ʻano o ka mālama ʻana i nā inikina he nui, pono e hoʻomanaʻo ia i kahi manawa e mālama ʻia ma kahi o 1 ka mahina ma waena o lākou. ʻO ka paipai ʻona ʻana iā Lucentis no hoʻokahi maʻi he 0.5 mg. I ka wā o ka papa hana, e mālama mau ʻia ka nānā ʻana o ke ʻano ʻike.

I ke koho ʻana i ka lāʻau lapaʻau i nā mea maʻi ma luna o 65 mau makahiki he nui, ʻaʻole pono ke hoʻoponopono ʻia.

"Lucentis": kuhikuhi i ka hoʻohana

Hōʻike i nā loiloi ponoʻī a me nā hana a nā kauka e hōʻike pono i ka mea maʻi i ka mākaukau no ke kaʻina hana e pale ai i ka hōʻalo.

No laila, ma mua o ka hoʻomakaʻana o ka lāʻau lapaʻau, pono ʻoe e ʻike i ka hoʻokō ʻana o ka hoʻoponopono i ka ʻono - kala, kūlike, ka nele o ka ʻōpū. Inā hoʻololi ʻoe i ka pale a i ʻole ka hele ʻana o nā mea hilahila, "Lucentis" pāpā ʻia i hoʻohana ʻia.

Pono e mālama ʻia ka lāʻau lapaʻau ma lalo o nā kūlana maikaʻi loa: pono e hoʻopili pono ʻia nā lima o ka mea mālama ola, pono nā pulupulu wale nō, a me nā holoi, nā mea kuʻi ʻula a me nā mea hana a pau e hoʻohana ʻia.

Ma mua o kahi o ka hoʻonāukiuki, ʻike ʻia ka ʻili a puni ka maka a me ka maka. A laila hana ʻia anesthesia a lawe ʻia ka antimicrobials. Pono e hoʻomanaʻo e pono e hoʻokomo ʻia nā antimicrobials i 3 mau manawa i ka lā ma mua a ma hope o ke kaʻina hana no ʻekolu lā.

Ma ka nānā ʻana i kēia mau lula e hiki ai ke mālama iā "Lucentis" e kūleʻa. ʻO nā loiloi o ka poʻe i kākau ʻia e hōʻike ana aia he mau hihia i ka wā e paʻi ai ke kauka i kahi lāʻau maʻi me nā mea maʻi ʻelua me ka pūliki like. ʻAʻole kūpono kēia a hiki ke alakaʻi i ka maʻi me nā maʻi a me nā maʻi e like me ka AIDS.

Hoʻokomo ʻia ka lāʻau pono i loko o ke kino vitreous, e kuhikuhi ana i ke kihi o ka pūkaʻe i ke kikowaena o ka maka. Pono e kiʻi ʻia ka maʻi ʻeha ma kēlā hapa o ka sclera i loaʻa ʻole i ka maʻi mua.

Mai ka piʻi ʻana o ka paʻai intraocular i loko o hoʻokahi hola ma hope o ke kaʻina hana, pono ia e nānā ʻia a me ka hoʻonaninani ʻana o ke poʻo kelepona mālamalama e nānā. Inā kūpono, pono ke mālama i ka hoʻohaʻahaʻa ʻana i ka pilikia.

No kahi hana hoʻokahi, ua ʻae ʻia e lawelawe i ka lāʻau i ka maka hoʻokahi.

Hoʻopili pū me nā lāʻau ʻē aʻe

ʻAʻole i ʻike ʻia pehea e pili ai ka lāʻau lapaʻau "Lucentis" me nā lāʻau lapaʻau ʻē aʻe. ʻO ka loiloi o nā mea maʻi (ka hapa nui o lākou) e ʻae iā mākou e manaʻo ai ʻaʻole i kuhikuhi nā kauka i nā lāʻau lapaʻau ʻē aʻe me Lucentis koe wale nō me nā mea hoʻohālikelike a me nā lāʻau anti-infectious.

ʻO kēia ma muli o ka loaʻa ʻole o nā haʻawina i pili e pili ana i ka pilina o Lucentis me nā lāʻau lapaʻau ʻē aʻe. No laila, ʻaʻole i kauoha ʻia ka lāʻau lapaʻau no ka hoʻohana ʻana me nā lāʻau ʻē aʻe a i ʻole nā ​​lāʻau lapaʻau.

I ka wā hāpai a me ka lactation

Ua hoʻonoho ʻia ka injection Lucentis no nā wahine hāpai a me ka lactating (nā hōʻoia ʻana i hōʻoia i kēia). ʻO kēia pili i ka loaʻa ʻana o ka lāʻau lapaʻau e like me nā lāʻau lapaʻina teratogenic a me ka embryotoxic, ʻo ia hoʻi, e hoʻonāukiuki i ka hoʻopuka ʻana o ka pūpū.

A ʻo nā wahine o ka hānau ʻana o ka makahiki hānau, ʻo ka manawa ma waena o ka hopena o ka mālama a me ka ʻono ʻana pono e liʻiliʻi i nā mahina 3 mau mahina - i kēia manawa, ua hoʻopau loa ʻia ka ranibizumab. A hiki i kēia manawa, pono ʻoe e hoʻohana i ka contraceptives hilinaʻi.

Nā kūlana mālama

Pono e mālama ʻia ʻo "Lucentis" i ke mahana o 2 a 8 degere Celsius, akā inā ʻaʻohe ʻaʻa. E mālama i ka huahana ma kahi wahiʻeleʻele a maloʻo kahi i loaʻa ʻole ai nā keiki. ʻO 3 mau makahiki mai ka lā i hana ʻia ai ke ola o ka noho o ka lāʻau. Pāpā ʻia ka hoʻohana ʻana o "Lucentis" i pau i ka hala.

"Lutsentis": mau manaʻoʻike a nā kauka

"Lutsentis" pinepine ʻia a kuhikuhi ʻia e nā kauka, no ka mea, ua manaʻo ʻia he lāʻau maikaʻi loa ia. Ma ka lima ʻē aʻe, ʻaʻole hiki i ka mea maʻi ke uku i ka uku ʻana i ka helu i helu ʻia o nā inikina: ʻo ke ʻano o ke ʻano o ka lā o Lucentis. I kēia mau hihia, ʻōlelo ʻia e nā kauka e hoʻohuli me ia me ka meaʻala haʻahaʻa, Avastin. Eia nō naʻe, ʻaʻole i ʻike nui ka mea hope, no laila ke hoʻomau nei ka loiloi mua o nā kauka a hoʻāʻo ʻia ʻo Lucentis. Ua ʻike pinepine nā Ophthalmologist i kēia meahana, ʻike lākou i nā hopena e hiki ke kiʻi ʻia, a ʻike pono i kāna hana pono.

Nā Hōʻike Hoʻomaʻi

Ma kēia e kamaʻilio e pili ana i ka mea e maʻi ai ka poʻe maʻi e pili ana i ka lāʻau lapaʻau "Lucentis". Wahi a nā loiloi ʻaʻole mau ka hopena i ka hopena. Eia naʻe, ʻo ka hapa nui o nā mea maʻi e hoʻokō nei i ka hele ʻana ua holomua ka ʻike a ua oki paha i ka emi. Ma ka manawa like, ua hōʻike ʻia nā hopena pale e like me ka hōʻeha a me ka loaʻa ʻana o ka maʻi maʻi, akā hiki i nā antibiotika ke maʻalahi me ka hakakā i kēia. Eia kekahi, ʻoi aku ka nui o nā poʻe maʻi e loaʻa nā hopena maikaʻi ʻole.

Eia nō naʻe, aia kekahi mau hihia i ka maikaʻi ʻole o ka lāʻau. ʻO ka manaʻo ʻo "Lutsentis" kōkua i ka 100% o nā hihia, ʻōlelo nō nā kauka. ʻOiai ke koʻikoʻi koʻikoʻi loa, e like me ka poʻe maʻi, ʻo ia ke kumu o ka huahana. ʻAʻole hiki i nā kānaka āpau ke loaʻa i kahi papa holoʻokoʻa o nā injections.

I waena o nā pono kūpono, ʻoi aʻe ka mālamalama, ua kapa ʻia ka hoʻohana ʻia ʻana o "Lucentis" painless (ʻae ʻia nā loiloi e pili ana i kēia pilikia). ʻO ka pilikia wale nō ka pilikia ma mua a ma hope o ka hoʻokele ʻana o ka lāʻau. Eia nō naʻe, ʻoluʻolu lākou, a ʻaʻole maopopo ka ʻōlelo a pau. Ma hope o ka pau ʻana o ka anesthesia, ʻike ʻia nā ʻeha iki.

Eia nō naʻe, manaʻo ʻo "Lutsentis" i kahi hāmeʻa maikaʻi loa ma hope o ka hoʻohana ʻana o nā mea maʻi e ʻike ai i kahi holomua ma ka hihiʻo.

Nā hana hana i ka hana

ʻO Ranibizumab kahi pīpī o nā antibodies monoclonal kanaka e hoʻopau i ka ulu mea ulu endothelial A. Ua hanaʻia me ka hoʻohana ʻana i kahi mana o ka mea e nānā ai ʻo Escherichia coli.

Loaʻa iā Lucentis kahi hopena antiangiogenic ma muli o ka paʻa ʻana i ka ulu ulu ʻana o ka viva endothelial. Pale aku i kēia i ka hoʻopili ʻana o ka hopena me nā mea ʻona ma ka ʻaoʻao o ka endothelium a pale i ka wili vascular a me ka neovascularization.

Ma muli o ke ʻano o ka neoangiogenesis retinal i lalo, ke pale aku nei ka lāʻau lapaʻau i nā loli pathological i ka ʻano exudative-hemorrhagic e pili ana i ka mau makahiki a me ka macula edema i ka heleʻana o ka maʻi mellitus a me ka thrombosis urinal retinal.

ʻLoe a me ke kākele

Hoʻohana ʻia ʻo Lucentis no ka hoʻokō intraocular, ʻo ia hoʻi, intravitreal (pololei i loko o ke kino vitreous). ʻO ka paona maʻamau no ka maʻi maʻi he 0.5 mg, a i ʻole,05 ml. Hoʻomaopopo ka hoʻomaka ʻana i ka manawa i kēlā me kēia mahina. I kēia hihia, pono nā optometry o kēlā me kēia mahina e mālama i ka acuity ʻike.

Ke mālama nei i ka hoʻoneʻe ʻana o ka macular pili pili i ka makahiki, ka hana ʻana i kēlā me kēia mahina ka lāʻau lapaʻau e hana ʻia ana i ka hoʻokūpaʻa ʻana o ka ʻike ʻike nui i nā waiwai nui. Hoʻomaopopo ʻia e ka optometry no ʻekolu mau mahina ma ke ʻano o ke koho ʻana iā Lucentis.

Ina hoi e emi hou ana ka ike makai ana e 1 a oi aku paha i na laina, oia, e oi aku ana ma mua o 5 mau leta, alaila hoomau hou ka laau lapaau. I ka manawa like, ʻo ka hele ʻana o ka mau makahiki e pili ana i ka macular degeneration i ʻike ʻia i ka wā e nānā ana he kauoha. Hoʻomau ka hoʻomaʻamaʻa ʻana a hiki i ka ʻike pono ʻana o ka ʻike ʻike.

Inā hōʻemi ʻia ka hāʻule ʻana o ka hihio e nā edema diabetes o ka macula, a laila hoʻomau ka paʻa o ke ʻano ʻo Lucentis a hiki i ka hopena optometry mau ke loaʻa no nā mahina ʻekolu. Pono e hoʻomau ʻia ka mālama ʻana me kahi hoʻohaʻahaʻa i ka acuity ʻike ma muli o ka edula maʻi macular. E hoʻokuʻu ʻia ka Therapy inā loaʻa kahi hopena optometry paʻa.

Hiki ke hoʻohui i ke kumu o ka lāʻau Lucentis me ka hoʻohana ʻana i ka coagulation laser a hoʻohana ʻia ma hope o ia mea (ma nā mea maʻi me ka maʻi maʻi macular edema). Inā hele kēia mau hana ma ka lā hoʻokahi, a laila ʻoi aku ka manawa ma waena o ka hoʻokele intraocular o ka lāʻau a me ka laser coagulation i ʻoi aku ma mua o ka hapalua hola.

No ka poʻe maʻi me ka retinal vein occlusion a me ka emi ʻana o ka hihiʻo, ke mālama ʻia nei ka lāʻau i hoʻokahi manawa i ka mahina a hoʻomau a hiki i ke wā hoʻi i ʻōkō mau ka optometry no ʻekolu mau mahina. Ma hope o kēia, pono ka nānā ʻana i ka lāʻau lapaʻau a me ka emi ʻana o ke koikoi ʻike, hoʻomau ʻia ka hana maʻi. Hiki ke hoʻohui pū ʻia ke mālama ʻana i nā mea maʻi me ka maʻi retinal vein me ka coagulation laser, a hoʻohana ʻia ma hope o ia mea. Pono e hali ʻia i ka intraocular injection e hana ʻia ʻole ma mua o ka hapalua hola ma hope o ka pau ʻana o ka hālāwai hoʻokūkū laser.

Ma mua o ka hiki ʻana i ka inikua, pono ke aʻo ʻia ka hopena hopena (sediment, ʻulaʻula). ʻAʻole hiki ke hoʻohana ʻia ka hopena i ka wā e hele mai kahi neʻe i loko o ke ʻano o nā mea palaka a i ʻole nā ​​kala kala.
Ke lawe nei ʻoe i ka mālama ʻana, pono e mālama pono nā lula o ka aseptic a me antiseptic, e komo me ka hoʻopili pono ʻana i nā lima, e hoʻohana wale i nā kūlohelohe lima pono, nā ʻokiʻoki a me nā maka, a me nā mea hana no ka paracentesis.

Ma mua o ka alakaʻi intraocular o ka lāʻau, pono ia e wehe i ka ʻili a puni ka maka a me nā maka. A laila e mālama i ka conjunctiva me kahi anesthetic a me kahi ākea ākea antibiotic. ʻO ka papa o ka antibiotic therapy e pono ke noho me 6 mau lā (3 mau lā ma mua a me 3 mau lā ma hope o kahi maʻi intraocular).

ʻO ke ʻano o ka hōʻike ʻana iā Lucentis ka mea nui e pono ai ka luʻu o ke ana ma ke kino vitreous ma 3.5-4 mm posterior i ka limu. I kēia hihia, pono e pale ʻia ka meridian a pono ke alakaʻi pono ʻia i ka puhaka o ka maka. ʻO ka nui o ka hopena i hoʻonā ʻia ai he 0.05 ml. Pono ka ʻōlaʻi hou ʻana o ka lāʻau e lawe i kahi ʻāpana ʻē aʻe o ka sclera o ka maka.

Ma muli o ke kumu i hoʻokomo ʻia ai ka hypertension intraocular i loko o hoʻokahi hola ma hope o ka hōʻemi ʻia ʻana o Lucentis, pono ia e kaohi i ke kaomi ma ke kuʻekuʻe a me ka hoʻonaninani o ke poʻo nerve optic. Inā kūpono, pono e kuhikuhi ʻia ka mālama. Ke hoʻoikaika intraocular ma hope o ka noi ʻana a Lucentis hiki ke hoʻonui pinepine ʻia.

I hoʻokahi hālāwai, hiki ke lawelawe ʻia ka lāʻau lapaʻau ma ka maka hoʻokahi. ʻAʻole pono ka hoʻoponopono ʻana o ka maʻi maʻi no nā maʻi no nā makahiki he 64.

Nā hopena hopena

ʻO nā hopena koʻikoʻi a me ka pōʻino e pili ana i ka lawe ʻana i ka maʻi intraocular o kahi lāʻau i loko.

• mauʻohana
• nā cataract traumatic iatrogen,
• ka detachogen retinal detinalment.

ʻO nā hoʻololi hou aku ka neʻe i ka ʻāpana o ka hāmeʻa optical i hana i ka wā i koho ʻia ai ʻo Lucentis e hoʻohui i ka hoʻonui ʻana i ke kaomi intraocular a me kahi hana maʻi intraocular.

ʻO nā hopena aʻe nā mea i nānā ʻia i loko o nā mea maʻi me ka koho ʻana i ka lāʻau lapaʻau Lucentis (make o 0.5 mg). ʻO kā lākou pinepine ma mua o 2% o nā hihia i hoʻohālikelike ʻia i ka pūʻulu mana (placebo a i ʻole terapi photodynamic).
Ua koho ʻia ke alapine e like me ka hoʻolālā maʻamau (pinepine pinepine - 10%, pinepine pinepineʻo 1-10%, infrequently 0.1-1%, aʻai ʻole 0,01-0.1%).
Nā hanana maʻi hopohopo: he maʻamau maʻamau ka nasopharyngitis, maʻi a me ka maʻi o ka ʻōnaehana genitourinary.

Mai ka hemopoiesis, pinepine kahi maʻi maʻa.

Ma waena o nā pilikia noʻonoʻo, ulu pinepine nā mea maʻi i ka hopohopo.

ʻO ka pohō o ka pūnaehana hoʻonāukiuki i ukali pinepine ʻia e ka mākaukau, a me ka pinepine - he hōʻeha.
Loaʻa ke kino o ka hihiʻo i ka hapa nui o nā hihia:

• ka hopena pinepine o ka intraocular, detachment, clouding a me ka mumū o ke kino vitreous, ʻike hoʻolauna, retinal a conjunctival hemorrhages, ʻeha a me ka ʻāwili ʻana o ke ʻano haole i nā maka, ko lākou ʻulaʻula a me ka ʻeha, hoʻonui i ke kaomi intraocular, hoʻonui lacrimation, a i ʻole nā ​​ʻōpū ʻē aʻe o ka ʻōpū o ka maʻi, nā maʻi blepharitis ,
• ka nui o ka loli o ka retina, ka uha a me ka waimaka, pohihihi a me ka wehe ʻana o ka epithelium retinal pigment, lesion a me ka hemorrhages ma ka ʻāina vitreous, hoʻēmi i ka acuity ʻike, hoʻololi i ka maʻi (iritis, uveitis, iridocyclitis), a me ka uhi ʻana o ka pūpū limahana posterior, cataract, i e komo pū me ka ʻōpopapsular, erosive corneal ulery, point keratitis, blurred vision, ocular hemorrhage, a me ka wahi no ka ʻōlelo, cell opalescence, photopsy, conjunctivitis, in all allergies eskoy ano, photophobia, conjunctival redness, maka hookuuia, no ka palupalu, a haanou ana o na lihilihi,
• piha ka hiʻona (makapō), endophthalmitis, edema, striae, ka waiho ma ka kornea, ʻeha a me ka huhū ma ka wahi i hoʻopaʻa ʻia, hypopion, hyphema, nā lihi o ka iris, ʻokoʻa ma loko o ka eyeball, hoʻonāukiuki ʻia o nā maka e ulu pinepine ʻole i ka ulu ʻana.

Hōʻike pinepine ʻia nā hopena mai ka ʻōpū o ka ʻōpū ʻana i ka huhū, a mai ka pūnaehana ʻana - ma ka ʻōpū.

Hōʻike pinepine ʻia nā allergic ma ka ʻili (erythema a me pruritus, ʻū a me urticaria).

ʻO ka ʻōnaehana musculoskeletal i pane pinepine aku i ka hoʻoponopono a Lucentis me ka arthralgia.

Inā, ma ke ʻano o ke hoʻohana ʻana i ka lāʻau lapaʻau, hoʻomaka koke kekahi o kēia mau hopena ʻaoʻao, a i ʻole i hōʻike ʻia nā ʻano kīnā ʻole, e hoʻomaopopo koke ʻoe i ke kauka kauka.

ʻO ke kumu kūʻai o ka laʻana ʻo Lucentis

ʻO ke kumukūʻai o ka lāʻau lapaʻau i nā lāʻau lapaʻau ma Moscow a me Rūsia mai 52,000 rubles. (10 mg / ml 0.23 ml vial). ʻAʻole pili kēia i ke kumukūʻai o ka hoʻokele intravitrial. Hiki i ka mea maʻi ke kūʻai i ka lāʻau lapaʻau ma ka lāʻau lapaʻau ma luna o ia iho, a i ʻole hiki iā ia ke hoʻohana i ka lāʻau lapaʻau i loaʻa i nā haukapila o ka maka (ʻoi loa ka maikaʻi ʻoi aku ka maikaʻi, no ka mea hiki ke hoʻohana ʻia kahi hue wai no ka hoʻokele ʻana i kekahi mau maʻi.

ʻO ke kumukūʻai o ka hoʻokele intravitrial o Lucentis (me ke kumu kūʻai o ka lāʻau lapaʻau) ma ka Moscow Eye Clinic he 19,000 rubles. A uku ka lāʻau pono iā lākou iho (50,000 rubles) hiki iā ʻoe ke wehewehe i ka pilina o ka ʻike i hāʻawi ʻia ma ka pauku "Prices"

Avastin (Avastin, bevacizumab) - kahi pākele hoʻohana maʻamau o Lucentis i ka mālama ʻana i nā maʻi like.

I ka manawa like, loaʻa iā Avastin ke kumukūʻai haʻahaʻa, ʻo ia paha kekahi o nā mea i makemake iā ia. Hoʻolālā wale ʻia ʻo Lucentis no ka hoʻohana ʻana i ka ophthalmology, hoʻohana ʻia ʻo Avastin i ka oncology.

ʻO nā wikiō o ka hoʻomakaʻana o Lucentis:

Ke huli nei i ka "Moscow Eye Clinic", hiki iā ʻoe ke hōʻike i ka lāʻau maʻi ʻomaʻomaʻo loa i kēia wā, a e like me kona mau hopena - e kiʻi i nā ʻōmole holoʻokoʻa mai ke alakaʻi ʻana i nā loea i ʻike ʻia.

E mālama ʻia ana ke kikowaena ʻehiku mau lā o ka hebedoma, ʻehiku mau lā i ka hebedoma, mai 9 a.m. a hiki i ka 9 p.m. E hana i kahi manawa hana a nīnau i nā poʻe loea i kāu mau nīnau āpau ma ke kelepona 8 (495) 505-70-10 a 8 (495) 505-70-15 aiʻole i ka pūnaewele, e hoʻohana ana i ka palapala kūpono ma ka pūnaewele.

E hoʻopihapiha i ka palapala a loaʻa i ka uku hoʻoliʻina 15% i nā diagnostics!

E hoʻokuʻu i ke ʻano a me ka ʻano

Hōʻike ʻia ʻo Lucentis ma ke ʻano o ka hopena no ka hoʻokō kūloko. ʻAno ke keʻokeʻo a ʻeleʻele paha ke kala o ka wai wai. Hoʻokahi ka hue nui o nā mea ikaika nui - ranibizumab, 2.3 mg. Mea Hana - Switzerland.

Eia kekahi, ʻo ka hoʻonohonohoʻana o ka lāʻau ua hoʻokomo ʻia nā mea kōkua: polysorbate, wai, α-trehalose dihydrate, L-histidine monohidate hydrochloride.

Hoʻokahi pahu pahu pahu me ka lāʻau lapaʻau:

• kānana kānana,
• ʻOhe o ka lāʻau lapaʻau me ka nui o 0.23 ml,
• sterring syringe me kahi pono,
• kuhikuhi no ka hoʻohana ʻana iā lucentis.

Kaukaila ka lawena i nā lāʻau lapaʻau ma luna o ka lāʻau lapaʻau.

Nā Hoʻohui

E like me nā lāʻau ʻē aʻe, ʻaʻole hiki ke hoʻohana ʻia ka lucentis e nā maʻi āpau. I kekahi mau hihia, ʻike ikaika ʻia ka lāʻau lapaʻau:

• nā mea maʻi me ka maʻi intraocular,
• nā poʻe me nā maʻi maʻi ophthalmic,
• malalo o 18 makahiki,
• hapai a me nā wahine i ka wā o ka lactation,
• me ka hypersensitivity i hoʻokahi a keu aʻe paha o ka lāʻau.

Me ka mālama aka a ma lalo o ka mālama pono ʻana. kuhikuhi i nā papa inoa o nā maʻi maʻi e hiki mai ana:

• me ka luuluu,
• inā aia he koʻikoʻi ʻeha,
• i nā mea maʻi me ka maʻi maʻi o DME a me ka ischemia cerebral,
• inā ke lawe nei ka mea maʻi i nā lāʻau e hana ma ka ulu ulu endothelial.

Aia nā kūlana i kahi kauka ke kauka ke kau hoʻoluhi paʻa i ke ʻano maʻi me Lucentis, ʻaʻohe manawa e hoʻomau:

• nā loli pathological i ke kaomi intraocular,
• oki kua wāwahi
• ke emi wikiwiki ʻana me ka ʻike maka like me nā ʻōmole hou,
• Wawaola intraocular
• ka hemorrhage subretial e pili ana i ka 50% o ka ʻāpana a i ʻole ka hopena i ka fossa waena.

Nā ʻōlelo hāpai ʻana

Hoʻohana wale nā ​​Ophthalmologists i nā lucentis no ka injections i ke kino vitreous. ʻO ke kaʻina hana ʻoi loa ʻole ka ʻeha. Kuhi ʻia ka hopena o kahi pahu hoʻokahi no ka manawa hoʻokahi wale nō intravitreal.

ʻO ke kaʻina hana ophthalmologist wale nō, i ka home, hiki i kēlā mau hoʻokolohua ka hopena i ke kīnā.

ʻO ka ʻoi aku ka lāʻau lapaʻau i kekahi mau inikua, pono e hoʻomanaʻo ʻia i waena o lākou aia kekahi pono waena o 1 mahina aoeou. Ma ke kahua holoʻokoʻa o ka mālama ʻana, mālama mau ke kauka i ka mea maʻi a hoʻomaʻamaʻa pinepine ʻo ia i kona ʻano ʻike. ʻAʻole pono ka hoʻoponopono ʻana o nā maʻi maʻi no nā maʻi no nā makahiki he 65.

Hoʻolaha kaʻina

I mea e hōʻalo ai i ka haʻalele ʻana ma ke ʻaha o ke kauka, pono ka mea maʻi e nānā i ka maʻemaʻe o nā kaʻina hoʻonā.

Ma mua o ka hoʻomaka ʻana o ka hoʻoweliweli, pono ka mea maʻi e hōʻoia ʻo ia ka maʻi maoli, ʻae ʻokoʻa ka kala a me nā ʻano. ʻAʻole pāpā ʻia ʻo Lucentis inā ua loaʻa ka wai i kahi melemele a melemele paha, ua hele mai nā mea heterog heterogeneous.

Pono ke hana inikahi hoʻomaʻemaʻe maikaʻi ʻole, ʻaʻole wale nā ​​lima a ke kauka a me ke kōkua i ʻōleʻa, akā no ka holo ʻana o ka maka, a me kekahi mau mea hana.

Ma mua o ka ʻōlelo i kaʻi ʻia, alakaʻi ke kauka ka hoʻomaʻemaʻe ʻana i ka ʻili o ka maka a me kahi ʻāpana a puni i nā maka. ^ E Ha yM. Ma hope o ka hoʻopuka ʻana o ka anesthesia, hōʻike ka wai lāʻau hoʻōla i nā lāʻau anti-inflammatory a me ka antimicrobial. Pono ka mea maʻi e hoʻomanaʻo i ka pono e hoʻokomo i nā lāʻau antimicrobial hou i loko o 3 mau lā ma mua, a me nā lā 2-3 ma hope o ke kaʻina hana.

Ma ka nānā wale ʻana i kēia mau lula e hiki iā mākou ke hilinaʻi i ka hopena maikaʻi o Lucentis. Pono e hoʻonā ʻia aku ka hoʻonā i loko o ke kino vitreous, a ʻo ka ʻili o ka pono kuhikuhi i ke kikowaena o ka maka. ^ E Ha yM. Injections hou e pono e hele i ka hapalua o ka sclera.

Pono ka hoʻokō ʻia o intraocular e holo a puni ka hoʻopunipuni ʻana, no ka hiki ke piʻi i kahi koʻikoʻi. A kapu nō hoʻi ke kauka kaohi ʻana i ka mana o ka disc opt. ^ E Ha yM. Inā kū mai ka pono, pono ke mākaukau e kuhi i ka hoʻohaʻahaʻa ʻana i ke kaomi. Ma kekahi papa hana, hiki ke lawelawe ʻia ka lāʻau lapaʻau ma ka maka hoʻokahi.

Nā hihia keu

I ka wā mālama ʻana i nā lāʻau lapaʻau, ua ʻike ʻia nā hihia o ka waiho ʻana a me ke ʻano o ka hopena o ke kino iā lākou. ʻO nā ʻōuli maʻamau ka nui: hoʻonui i ke kaomi kūloko, hōʻeha nui i ka maka.

Inā ʻike ka mea maʻi i nā hōʻailona like ʻole, pono ʻo ia e hōʻike i kēia i ka ophthalmologist, e kāpae koke i ka maʻi.

ʻŌpū a me ka lactation

Ua hoʻonāukiuki ʻia ʻo Lucentis no nā wahine i kahi kūlana, a no nā makuahine hānai.

ʻO kēia ma muli o ka loaʻaʻana o nā huahana i ka māhele o nā lāʻau lapaʻau embryotoxic a me teratogenic. I nā huaʻōlelo ʻē aʻe ʻO ka lucentis kahi mea hoʻomohala i ka maʻi hānai.

No nā wahine o ka hānau ʻana o ka wā hānau, ʻo ka manawa ma waena o ka ʻāʻī ʻana a me ka hoʻopau ʻana o ka mālama ʻana e pono ma mua o 3 mau mahina. Ua manaʻo ʻia aia i kēia manawa ua pau loa nā mea o ke kino mai ke kino. I ka manawa, pono ʻoe e hoʻohana i nā contraceptives hilinaʻi.

Loaʻa nā hopena maikaʻi loa

Lele loa nā ʻano hopena mai kahi inokohu, no laila ʻaʻole hopohopo nā poʻe loea e kuhikuhi i ka lucentis.

Nā ʻōkuhi no ka hoʻohana wehewehe he mau hopena maikaʻiʻole paha ma hope o ka hoʻomōhala ʻana o ka lāʻau lapaʻau: detinalment detachment, endophthalmitis, cataracts, intraocular inflammation, hoʻonui i ke ʻano intraocular.

Hoʻokomo ʻia nā hopena e pili ana i ka hoʻohana ʻana i kahi inikini intraocular:

• ʻeha ka maka
• huakaʻi
• huehu
• heminal heminal,
• huakai
• hui ʻia hemorrhage,
• hoʻonāukiuki maka
• hoʻomālamalama papa maka
• waimaka
• uveitis
• irit
• spike o iris
• ka emi ʻana o ke ʻano ʻike,
• ʻulaʻulaʻula o ka maka
• nā hanana helehelena ma nā retina.

ʻO nā hopena ʻaoʻao ʻaʻole i pili me ka organo o ka hihiʻo i loaʻa:

• maʻi uila
• nasopharyngitis,
• anemia
• hopohopo
• poʻomanaʻo
• ninini
• huhū
• pohō
• aolaila
• ʻohiʻe a me ka ʻeha
• nalowale o ka ike ana.

Nā hopena āpau āpau ʻolua, kahi wale o 2% o nā maʻi. ʻO ka maʻi maʻamau ka maʻi ʻeha a me ke ʻulaʻula hoʻi, akā, ke holo koke nei.

Nā hiʻohiʻona o ka lāʻau

Koho ʻia nā mea hoʻonāukiuki no ka nui o nā lāʻau lapaʻau.

No laila, ea Avastin mai Roche lilo i mea hoʻohana ma hope o lucentis. He lāʻau lapaʻau kēia e pili ana i ka bevacizumab, i hoʻohana ʻole ʻia i ka maʻi ophthalmology wale nō, akā no ka mālama ʻana i kekahi mau maʻi o ka maʻi oncological.

ʻO ka ʻokoʻa nui ma waena o kēia mau lāʻau ʻelua ke kumukūʻai. Inā kūʻai nā lucentis mai ka 50 tausani mau rubles i ka pālākiō, U ke kumukūʻai o Avastin i ka 20-30 tausani rubles.

ʻOi aku ka paʻakikī, hoʻohana nā kauka no ka hoʻokō intraocular Dexamethasone lāua ʻo Vizudin Ozurdexi hoʻohanaʻia no neovascularization.

I ka wā o ka mālama ʻana me ka lucentis, hiki i ka mea maʻi ke hōʻeha i nā mea hoʻonā manuahi e hoʻopilikia i ka hiki i ka mea maʻi ke hoka i kahi kaʻa a hana pū me nā mea paʻakikī. Inā ʻike ʻia nā hōʻailona o ka malaise, ʻaʻole ia e ʻōlelo i ka neʻe. Ke hala nei nā hōʻailona, ​​hiki iā ʻoe ke hoʻomau i ke alakaʻi ʻana i kahi kaina holoʻokoʻa.

Kauka mai ʻōlelo e laha aku i ka kaʻa koke koke o ka ʻōkuhi, ʻoiai inā ʻaʻole i ʻike ʻia nā mea pono ʻole. Hiki ke noʻonoʻo i nā hopena kūpono i loko o hoʻokahi hola a i ʻole ma hope o ke kū ʻia ʻana, a i ʻole ma hope o ka pau ʻana o ka lāʻau lapaʻau ʻeha.

Hōʻikeʻike i nā kauka a me nā maʻi

No ka mea, ʻo ka lucentis e manaʻo ʻia he lāʻau maikaʻi maikaʻi, ua kuhikuhi pinepine ʻia e nā ophthalmologists. Ma muli o ke kumukūʻai nui o ka lāʻau lapaʻau, ʻaʻole hiki i nā mea āpau ke kūʻai aku i kēlā lāʻau lapaʻau.

I ia mau kūlana, ke kauka nei ke kauka iā Avastin, ʻoi aku ka manawa 2 me ka uku. Loaʻa i kēia lāʻau lapaʻau kona minamina - kū mau ʻaʻole i noiʻi pono ʻia. ^ E Ha yM. I kēia manawa ke hoʻohana nui ʻia nei ka lāʻau lapaʻau ma nā haukapila o ka maʻi, avastin i ka ophthalmology e hoʻohana nui ʻia.

Hoʻike nā loiloi maʻi maʻi i ka hopena pinepine ʻole o lucentis. Akā mau, ʻo ka hapa nui o nā poʻe maʻi e hele nei i ka papa e ʻōlelo e pili ana i ka lāʻau lapaʻau me ka hilinaʻi, ʻoiai ʻo ka hihiʻo, ma mua o kēia hāʻule wikiwiki e hoʻomaka ana, e hoʻomaka i ka holomua, a i ʻole i ka pae like ʻana, e haʻalele ana i ka hoʻomāloino nui ʻana. E like me nā hopena ʻaoʻao, ʻike ka mea maʻi i ka hiki o ka maʻi, ʻeha a me ka ʻeha. ʻO nā lāʻau lapaʻau hou, nā mea lapaʻau, e hoʻopau koke i kēia mau hemahema. Eia kekahi, uaʻike nā mea maʻi e hiki i kekahi mau pilikia ma muli o ke ʻano maikaʻi ʻole ka hopena i loaʻa i ka hopena hope loa.

I waena o nā lāʻau lapaʻau no ka hana intraocular hoʻokele, ʻo lucentis paha ke kumu alakaʻi. Wahi a ka quota, pono wau e hana 3 injections, kahi o ka 200 tausani mau rubles. I ka wā i hāʻawi ʻia ai iaʻu e koho i ka lucentis me ka lāʻau kūʻai maʻalahi, ua hōʻole wau, no ka mea, ʻoiai ke kiʻekiʻe ke ʻano o ka lāʻau lapaʻau, ʻoi aku ka nui o ke olakino. Ma hope o 3 mau mahina, hoʻomaka wau e ʻike maopopo maoli. ʻAʻole i ʻike maka ʻole ʻia, ʻike maka wale nā ​​maka.

Ua kau ʻia ka lāʻau lapaʻau ʻo Lucentis iaʻu e ke kauka o ka ʻoma ophthalmological o ke kikowaena me kahi maʻi o ka chorioretinopathy center serous. ʻOiai ke kumukūʻai o ka lāʻau lapaʻau, ʻaʻohe mea e hoʻohālikelike ʻia i nā ʻōlelo a ke kauka "kahi mahina ʻē aʻe me ka ʻole o kēia lāʻau lapaʻau a waiho ʻia ʻoe me ka maka ʻole." E wehewehe wau i ke ʻano like o kēia maʻi: kahi pōkole uliuli ke nānā aʻe a laha hoʻolōʻihi i ka alo i mua o ka maka, ke emi iki ke kiʻi, hoʻomaka ka maka. Loaʻa ka lāʻau lapaʻau i 55 tausani no hoʻokahi ampoule, a ʻekolu mau manawa hoʻohālikelike.

ʻAʻohe mea hōʻeha, ke kaʻina nei inā ʻaʻole wale nō no ka mea he nānā pono ma ke alo o ka maka, e kokoke ana e komo i ka pūnao koʻikoʻi paha. Hoʻomaopopo ʻia ka maʻi injection ma lalo o ka anesthesia kūloko i ka ʻina o ka ʻoihana, akā liʻiliʻi naʻe kēia akā he hana ia. 2 mau lā ma mua a 2 mau lā ma hope o ke kaʻina hana, hoʻonoho ʻia nā kipi anti-inflammatory.

Maʻa ka lāʻau maikaʻi loa, ʻoi loa ʻole ke kūpaʻa ʻana. Inā i kekahi lā, pono wau e hoʻāʻo hou i kēia ʻano ho'āʻo me ka noʻonoʻo ʻole i ke kumukūʻai, e kūʻai mai wau i ka lucentis.

Lapaʻau lāʻau

C_max (ka uila plasma nui) o ranibizumab ma nā hihia o ka manawa 1 i kēlā me kēia mahina i loko o ke kino vitreous me ke ʻano o ke ʻano hou ʻana o AMD i haʻahaʻa a ʻaʻole i lawa ʻole ka pale ʻana i ka hana ola o VEGF-A e ka 50%, C_max i ka wā i hoʻokomo ʻia i ka vitreous i loko o kahi pupu o 0.05 a i 1 mg ua hoʻohālikelike ʻia me ka ʻona i hoʻohana ʻia.

ʻO ka hapa hapalua o ke ola o ka waiwai (nui o 0,5 mg) mai ka vitreous, e like me nā hopena o ka hōʻike pharmacokinetic a me ka noʻonoʻo ʻana i kona pau ʻana mai ka pili koko, a me nā mea he 9 mau lā.

ʻO ka paʻa ʻana o ranibizumab i loko o ke koko koko ke hoʻoili ʻia ʻia hoʻokahi manawa i ka malama i loko o ke kino vitreous a hiki i kona waiwai nui no ka 1 lā ma hope o ka maʻi ʻaina a aia ma waena o 0.79 a hiki i 2.9 ng i 1 ml. Ka hoʻololi iki loa ma ka plasma mai 0,07 a i 0.49 o ka 1 ml. I loko o ka serum koko, ʻo ka ʻike nui o nā mea e like me 90,000 mau manawa haʻahaʻa ma mua o ka vitreous.

Nā ʻōkuhi no ka hoʻohana ʻana iā Lucentis: ʻano a me ka helu ʻana

ʻO ka kūleʻa (0,05 ml), ma o ka inikua intravitreal, ua hoʻokomo ʻia i loko o ka kino vitreous 3.5-4 mm posterior i ka limu, e kuhikuhi ana i ka pono ma ke kikowaena o ka laha a me ka pale aku i ka meridian kūhelu. Ke hoʻokō ʻia nei ke ʻano ma ka ʻāpana ʻē aʻe o ka sclera. No ka mea i loko o 1 h ma hope o ka hiki o ka hoʻonā i ke ala o ke neʻe ʻana i ke kaomi intraocular e hiki, he mea nui ka kahe o ke kaila intraocular, hoʻomaʻemaʻe i ke poʻo o ke aila optic a pili i ka therapy kūpono (inā pono). Aia nā lono e pili ana i ka hoʻonui pinepineʻana i ka hoʻoikaika intraocular ma hope o ka hoʻokomoʻana o Lucentis.

Hoʻokahi wale nō pahu me ka mea lapaʻau no hoʻokahi maʻi wale nō. I hoʻokahi hālāwai, ke mālama ʻia nei ka hopena i hoʻokahi maka wale.

Ke hoʻokō ʻia nei ka maʻi ma lalo o nā kūlana aseptic, ka hoʻopili ʻia ʻana o nā lima o nā limahana lapaʻau, ka hoʻohana ʻana i ka napkins, nā mea kūniki maikaʻi, nā mea kuʻuna eyelid a i ʻole nā ​​analogue, a me nā pono paracentesis (inā pono).

Ma mua o ka ʻōlelo ʻana, hana lākou i ka disinfection kūpono o ka ʻili o nā makihili a me ka wahi e puni ana i nā maka, conjunctival anesthesia a me ka pālahalaha antimicrobial ākea ākea (ua kau ʻia lākou i loko o ka conjunctival sac 3 mau manawa i ka lā no 3 mau lā ma mua a ma hope o ka noi ʻana o Lucentis).

ʻO ka hoʻomaka ʻana o ka lāʻau lapaʻau e pono ke lawe ʻia e ka ophthalmologist me ka ʻike ʻana i ka hana ʻana i nā injections intravitreal.

He mea nui e nānā i kahi manawa o 1 mahina (liʻiliʻi) ma waena o ka hoʻomakaʻana o ʻelua mau wai o ka lāʻau.

ʻO ka ʻōlelo i ʻōlelo ʻia he 0.05 ml (0.000 5 g) o Lucentis hoʻokahi manawa i ka mahina.

Ma mua o ka hoʻopuka ʻana i nā kālā e mālama i kona kala a me ka maikaʻi o ka luku. Ke hoʻololi nei i ka waihoʻoluʻu a me ke ʻano o nā mea ʻike ʻole ʻike ʻole ʻia, ʻaʻole hiki ke hoʻohana ʻia ʻo Lucentis.

Uhai AMD

Ke hoʻomau nei ka hoʻopuka ʻana iā Lucentis a hiki i ka hoʻokō ʻia o ka ʻike nui ʻana i ka ʻike kiʻekiʻe. Hoʻoholo ʻia ia i nā wā o ke kipa ʻakolu mau lā i ka wā o ka hoʻohana ʻana i ka lāʻau lapaʻau.

ʻO ke kōkōlō ʻike ma ka mālama ʻana me ka lāʻau lapaʻau e nānā ʻia ʻo ia ma ka mahina. Hoʻomau ka Therapy me ka hoʻokaʻawale o ka acuity ʻike maka ʻia e 1 a i ʻole mau laina i pili ʻia me AMD, ka mea i hoʻoholo ʻia e ka nānā ʻana a hoʻomau a hiki i ke kiʻi mau i nā ʻike kūlohelohe i loaʻa mau i nā kipa heʻe i kū like ʻia.

Kāohi i ka ʻike ʻohiʻaka e pili ana me DME

ʻO ka hoʻomaka ʻana o ka lāʻau e hana ʻia ana i kēlā me kēia mahina a hoʻomau a hiki i ka ʻike ʻia ʻana o ka ʻike ʻike nui ʻana i ʻekolu mau hōʻaipio e like me ka wā o ka lapaʻau ʻana.

I nā maʻi me ka maʻi edema maʻi maʻi, hiki ke hoʻohana ʻia me Lucagis me ka coagulation laser, i loko o nā mea maʻi me ka hoʻohana mua ʻana i ka coagulation laser. Inā hoʻoholo ʻia nā ʻano lāʻau ʻelua no hoʻokahi lā, ʻoi aku ka maikaʻi o ka lāʻau ma hope o ka hapalua hola ma hope o ka coagulation laser.

Hōʻemi ʻia ka ʻike ʻili ʻia e ka edema macular ma muli o ka ʻalīalelo ʻana i nā vein retinal (central retinal vein a me kāna mau lālā)

Hoʻohana ʻia ʻo Lucentis i kēlā me kēia mahina, hoʻomau ʻia ka mālama ʻana a hiki i ka hoʻokō nui ʻana o ka ʻike maka, ʻike ʻia e ʻekolu mau hopena i kipa ʻia ma ka manawa o ka lāʻau lapaʻau.

I ka wā e mālama ai, e mālama ana ʻo Lucentis i ka malama o ke kō.

Inā hōʻike ka mālamaʻana i kēlā me kēia mahina i ka emi ʻana o ka mauʻu ʻike ma muli o ka komo ʻana o nā veins retinal, hoʻomau ʻia ka hoʻonā ʻia i ke ʻano o nā inikina o nā mahina, a hoʻomau a hiki i ka hana ʻike ʻia ʻana o nā ʻike maka i ʻekolu mau kipa.

Hiki i ka lāʻau lapaʻau ke hoʻohui pū me ka coagulation laser. Inā ke kuhikuhi ʻia nā ʻano lāʻau ʻelua i loko o hoʻokahi lā, e mālama ʻia ʻo Lucentis ma hope o ka hapalua hola (palena liʻiliʻi) ma hope o ka hoʻomānoʻi ʻana o ka laser. Hiki i ka lāʻau lapaʻau ke hoʻohana i nā mea maʻi me ka hoʻohana mua ʻana i ka ʻaihue laser.

Hōʻemi ka ʻike ʻike ʻia e ka CVD ma muli o ka myopia pathological

Hoʻomaka ka Therapy i kahi maʻi o hoʻokahi lāʻau lapaʻau. Inā i ka wā o ka nānā ʻana o ke kūlana o ka mea maʻi (me ka hōʻike loiloi hauoli, angiography fluorescence a me tomical coherence tomography), hoʻomau ka mālama ʻana.

I ka makahiki mua o ka mālama ʻana, pono ka nui o nā poʻe maʻi e loaʻa iā 1 a 2 paha injections o ka hoʻonā ʻana. Eia nō naʻe, no kekahi mau maʻi, makemake pinepine ka hoʻohana ʻana o Lucentis. I kēlā mau hihia, i ka mau mahina 2 mua, ua mālama ʻia ke kūlana i kēlā me kēia mahina, a laila, i kēlā me kēia ʻekolu mahina (ma ka liʻiliʻi loa) i ka makahiki mua o ka lapaʻau.

Eia kekahi, ʻo ka pinepine o ka kaohi ma luna o kēlā me kēia kanaka e hoʻoholo e ke kauka hele mai.