Bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0 bi\u1ebfn ch\u1ee9ng m\u1ea1n t\u00ednh, kh\u00f4ng th\u1ec3 h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n, v\u00ec v\u1eady ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n hi\u1ec3u bi\u1ebft c\u1eb7n k\u1ebd v\u1ec1 bi\u1ebfn ch\u1ee9ng n\u00e0y \u0111\u1ec3 ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3.<\/p>\r\n\r\n\r\n\r\n\r\n\r\n
Bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0 g\u00ec?<\/strong><\/h2>\r\n\r\n\r\n\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft th\u01b0\u1eddng di\u1ec5n ti\u1ebfn l\u1eb7ng l\u1ebd, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n t\u1eeb giai \u0111o\u1ea1n s\u1edbm khi m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft ch\u01b0a cao v\u01b0\u1ee3t m\u1ee9c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. V\u00ec v\u1eady, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng kh\u00f3 ph\u00e1t hi\u1ec7n c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft, d\u1eabn \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ch\u1eadm tr\u1ec5, l\u00e0m t\u0103ng nguy c\u01a1 suy gi\u1ea3m hay th\u1eadm ch\u00ed l\u00e0 m\u1ea5t th\u1ecb l\u1ef1c<\/a>.<\/p>\r\n\r\n\r\n\r\nTheo th\u1ed1ng k\u00ea, c\u00f3 t\u1eeb 30 – 40% b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 v\u00f5ng m\u1ea1c, t\u1ec9 l\u1ec7 n\u00e0y t\u0103ng d\u1ea7n theo th\u1eddi gian m\u1eafc b\u1ec7nh, kh\u00f4ng ph\u00e2n bi\u1ec7t ti\u1ec3u \u0111\u01b0\u1eddng type 1 hay type 2. Ngo\u00e0i v\u00f5ng m\u1ea1c, bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f2n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u00ean th\u1ee7y tinh th\u1ec3, ho\u00e0ng \u0111i\u1ec3m hay l\u00e0m t\u0103ng nh\u00e3n \u00e1p.<\/p>\r\n\r\n\r\n\r\n\r\n\r\n
C\u00e1c bi\u1ebfn ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf m\u1eaft th\u01b0\u1eddng g\u1eb7p<\/strong><\/h2>\r\n\r\n\r\n\r\nNg\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng nh\u01b0ng kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u1ed1t s\u1ebd d\u1ec5 g\u1eb7p bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft, bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n
B\u1ec7nh <\/strong>v\u00f5ng m\u1ea1c<\/strong><\/a><\/h3>\r\n\r\n\r\n\r\nKhi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao, qu\u00e1 tr\u00ecnh stress oxy h\u00f3a v\u00e0 s\u1ef1 k\u1ebft d\u00ednh c\u00e1c ti\u1ec3u c\u1ea7u trong l\u00f2ng m\u1ea1ch g\u00e2y b\u00edt t\u1eafc s\u1ebd l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf \u1edf v\u00f5ng m\u1ea1c, t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u v\u00e0 tho\u00e1t d\u1ecbch v\u00e0o v\u00f5ng m\u1ea1c g\u00e2y ph\u00f9 n\u1ec1. Kh\u00f4ng nh\u1eefng v\u1eady, l\u00f2ng m\u1ea1ch b\u1ecb t\u1eafc s\u1ebd gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u v\u00e0 dinh d\u01b0\u1ee1ng nu\u00f4i v\u00f5ng m\u1ea1c, l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng v\u00f5ng m\u1ea1c.<\/p>\r\n\r\n\r\n\r\n
C\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf tr\u00ean v\u00f5ng m\u1ea1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00f2n d\u1eabn \u0111\u1ebfn t\u0103ng sinh ra c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi, tuy nhi\u00ean c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi n\u00e0y l\u1ea1i r\u1ea5t m\u1ecfng manh n\u00ean d\u1ec5 v\u1ee1, l\u00e0m t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n c\u00e0ng nguy hi\u1ec3m do nguy c\u01a1 xu\u1ea5t huy\u1ebft v\u00f5ng m\u1ea1c.<\/p>\r\n\r\n\r\n\r\n
B\u1ec7nh nh\u00e2n m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft tr\u00ean v\u00f5ng m\u1ea1c th\u01b0\u1eddng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee5 th\u1ec3 \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u, \u0111\u1ebfn kho\u1ea3ng giai \u0111o\u1ea1n 2 – 3 s\u1ebd c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ru\u1ed3i bay (th\u1ea5y c\u00e1c \u0111\u1ed1m \u0111en bay tr\u01b0\u1edbc m\u1eaft).<\/p>\r\n\r\n\r\n\r\n\r\n\r\n
\u0110\u1ee5c th\u1ee7y tinh th\u1ec3<\/strong><\/a><\/h3>\r\n\r\n\r\n\r\n<\/ol>\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f2n x\u1ea3y ra tr\u00ean th\u1ee7y tinh th\u1ec3, khi ng\u01b0\u1eddi b\u1ec7nh ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng t\u1ed1t s\u1ebd l\u00e0m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao, l\u00e2u ng\u00e0y l\u00e0m l\u1eafng c\u00e1c ch\u1ea5t c\u1eb7n b\u00e3 v\u00e0 thay \u0111\u1ed5i c\u1ea5u tr\u00fac trong su\u1ed1t c\u1ee7a th\u1ee7y tinh th\u1ec3.\u00a0<\/p>\r\n\r\n\r\n\r\n
Th\u00f4ng th\u01b0\u1eddng, ng\u01b0\u1eddi t\u1eeb 40 – 50 tu\u1ed5i th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1ee5c th\u1ee7y tinh th\u1ec3. Tuy nhi\u00ean, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng ki\u1ec3m so\u00e1t t\u1ed1t s\u1ebd g\u1eb7p bi\u1ebfn ch\u1ee9ng n\u00e0y s\u1edbm h\u01a1n r\u1ea5t nhi\u1ec1u. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecb nh\u00ecn m\u1edd, c\u1ea3m gi\u00e1c nh\u01b0 c\u00f3 m\u00e0n s\u01b0\u01a1ng m\u00f9 tr\u01b0\u1edbc m\u1eaft v\u00e0 l\u00f3a m\u1eaft khi ra n\u1eafng.<\/p>\r\n\r\n\r\n\r\n![\"\"](\"https:\/\/lh7-us.googleusercontent.com\/docsz\/AD_4nXc_ey1Rw3o0_0_yV4s7v4VfjvZHrnbN9a72V596P3ill3HZ0J4b9OGLSBY03ED_O1__nBd5JVIsAWC-iA7WBi7RFnNqk75l44xsnmCn2W4YYKsedTLsUAGVSYhLiu1yoMdAmmv49sID56uyCBqS6GLbBmH2?key=slX5E9eHI0f6GXilsIraig\")
<\/figure>\r\n\r\n\r\n\r\nT\u0103ng nh\u00e3n \u00e1p<\/strong><\/a> (glaucoma)<\/strong><\/h3>\r\n\r\n\r\n\r\nNg\u01b0\u1eddi b\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u0169ng th\u01b0\u1eddng b\u1ecb t\u0103ng nh\u00e3n \u00e1p, nguy\u00ean nh\u00e2n l\u00e0 do \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng cao l\u00e0m th\u1ee7y d\u1ecbch trong m\u1eaft l\u01b0u th\u00f4ng kh\u00f4ng t\u1ed1t, d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c th\u1ee7y t\u0129nh trong m\u1eaft. Ngo\u00e0i ra, c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf \u1edf m\u1eaft b\u1ecb t\u1eafc ngh\u1ebdn c\u0169ng l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u v\u00e0 dinh d\u01b0\u1ee1ng nu\u00f4i v\u00f5ng m\u1ea1c, ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c n\u00ean th\u1ecb l\u1ef1c b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng s\u1ebd ng\u00e0y c\u00e0ng suy gi\u1ea3m.<\/p>\r\n\r\n\r\n\r\n
Khi g\u1eb7p bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0m t\u0103ng nh\u00e3n \u00e1p, b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u suy gi\u1ea3m t\u1ea7m nh\u00ecn, xu\u1ea5t hi\u1ec7n c\u00e1c kho\u1ea3ng \u0111en tr\u01b0\u1edbc m\u1eaft v\u00e0 c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n.<\/p>\r\n\r\n\r\n\r\n![\"Bi\u1ebfn](\"https:\/\/lh7-us.googleusercontent.com\/docsz\/AD_4nXdOB8GQ2Gjo7fb1AIc0vwdV4KbtTibuWOZf2_N7ts8stCV6NYLPWNzUqrkwaWkZ_WO5Oz6ZM2rrDeJE3ClmsnYDo9Iax4fJXQWlxz2FM1qN2iAsFVC5T2zoppZA7m5MXgkCnN0lKhE0mIdNrFtQUIbZ4HBi?key=slX5E9eHI0f6GXilsIraig\")
<\/figure>\r\n\r\n\r\n\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\r\n\r\n\r\n\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m n\u00ean ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm, d\u1eabn \u0111\u1ebfn th\u1ecb l\u1ef1c ng\u00e0y c\u00e0ng suy gi\u1ea3m. H\u1eadu qu\u1ea3 c\u1ee7a bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n
\r\n- V\u1ec1 th\u1ec3 ch\u1ea5t: B\u1ec7nh nh\u00e2n b\u1ecb b\u1ea5t ti\u1ec7n trong sinh ho\u1ea1t, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t th\u1ecb l\u1ef1c ho\u00e0n to\u00e0n.<\/li>\r\n\r\n\r\n\r\n
- V\u1ec1 t\u00e2m l\u00fd: B\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean lo \u00e2u, ch\u00e1n n\u1ea3n, c\u00f3 xu h\u01b0\u1edbng mu\u1ed1n t\u1eeb b\u1ecf \u0111i\u1ec1u tr\u1ecb v\u00ec kh\u00f4ng nh\u00ecn th\u1ea5y k\u1ebft qu\u1ea3 t\u00edch c\u1ef1c.<\/li>\r\n\r\n\r\n\r\n
- V\u1ec1 chi ph\u00ed: Bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0m gia t\u0103ng th\u1eddi gian n\u1eb1m vi\u1ec7n v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ph\u1eabu thu\u1eadt, t\u0103ng chi ph\u00ed \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n g\u1ea5p nhi\u1ec1u l\u1ea7n.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
![\"\"](\"https:\/\/lh7-us.googleusercontent.com\/docsz\/AD_4nXd7x8t0Gffh_LcasF3N9jI6szICRvBPUuOCSA6iR0ZhpsYLAVIcyNtG4oIUXVSnRqjP3w9zDZr4LbUt8xmn1QIFP439BSeuJuK-1IriT1slXUfWjNB3o1P08hg8sb279ocPvP187hFKAMDK4uF3V9YH8mIw?key=slX5E9eHI0f6GXilsIraig\")
<\/figure>\r\n\r\n\r\n\r\nH\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft<\/strong><\/h2>\r\n\r\n\r\n\r\nD\u00f9ng thu\u1ed1c<\/strong><\/h3>\r\n\r\n\r\n\r\nB\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ti\u00eam thu\u1ed1c n\u1ed9i nh\u00e3n: corticoid ho\u1eb7c anti-VEGF (PEGAPTANlD (MACCUGEN), BEVAClZUMAB (AVASTlN), RANIBlZUMAB (LUCENTlS), AFLlBERCEPT (Eyle)) \u0111\u1ec3 \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh s\u1ea3n sinh m\u1ea1ch m\u00e1u m\u1edbi v\u00e0 ch\u1ed1ng ph\u00f9 ho\u00e0ng \u0111i\u1ec3m. Ngo\u00e0i ra, c\u00e1c lo\u1ea1i thu\u1ed1c nh\u1ecf m\u1eaft<\/a> v\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn trong \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft.<\/p>\r\n\r\n\r\n\r\n![\"\"](\"https:\/\/lh7-us.googleusercontent.com\/docsz\/AD_4nXemhLZfbb7x6SLTgrlsnWYZXNZqkxkplUsoydk-OYFOrUaTm7ILth0zyxxR-WUlBtrNIBKE27uCaUKgKOolavq3dcI25JdMfV4o3jfPYjmnJ7m_rL0Sh7tpTUgtcXg6zfGSQFt5Gy7RncqOClwGVIwLE-g?key=slX5E9eHI0f6GXilsIraig\")
<\/figure>\r\n\r\n\r\n\r\nLaser<\/strong><\/h3>\r\n\r\n\r\n\r\nKhi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p laser hay c\u00f2n g\u1ecdi l\u00e0 quang \u0111\u00f4ng v\u00f5ng m\u1ea1c, b\u00e1c s\u0129 s\u1ebd x\u1eed l\u00ed c\u00e1c vi m\u1ea1ch b\u1ecb t\u1ed5n th\u01b0\u01a1ng b\u1eb1ng laser \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft v\u00e0 t\u0103ng sinh m\u1ea1ch m\u1edbi. \u0110i\u1ec1u n\u00e0y s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng l\u1ea5y l\u1ea1i th\u1ecb l\u1ef1c, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng sau khi m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft.<\/p>\r\n\r\n\r\n\r\n![\"\"](\"https:\/\/lh7-us.googleusercontent.com\/docsz\/AD_4nXcP6ndKLjQilhZf_Q6kwehlRXwvxdwptX6g-VZNO0wr2jknHHhReFthOdRovl-NQdvZ2tOhW2dORpzTgLZ079zkQKstTmXbJ4jkwuFVcqeEwdlKgI4fTOw8wljlHACcneOJtG6yedmsHpv0BauMMWKqTq--?key=slX5E9eHI0f6GXilsIraig\")
<\/figure>\r\n\r\n\r\n\r\nThay d\u1ecbch k\u00ednh<\/strong><\/h3>\r\n\r\n\r\n\r\nThay d\u1ecbch k\u00ednh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf to\u00e0n b\u1ed9 m\u00e1u, d\u1ecbch ti\u1ebft th\u1eeba v\u00e0 c\u00e1c m\u00f4 s\u1eb9o t\u00edch t\u1ee5 t\u1ea1i v\u00f5ng m\u1ea1c. T\u1eeb \u0111\u00f3, v\u00f5ng m\u1ea1c \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch gi\u00fap h\u1ea1n ch\u1ebf nguy c\u01a1 m\u00f9 l\u00f2a c\u1ee7a ng\u01b0\u1eddi m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft. Ngo\u00e0i ra, thay d\u1ecbch k\u00ednh c\u00f2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p bong v\u00f5ng m\u1ea1c nh\u1eb1m s\u1eeda c\u00e1c l\u1ed7 h\u1ed5ng ho\u1eb7c v\u1ebft r\u00e1ch tr\u00ean v\u00f5ng m\u1ea1c.\u00a0<\/p>\r\n\r\n\r\n\r\n
Thay th\u1ee7y tinh th\u1ec3<\/strong><\/h3>\r\n\r\n\r\n\r\nTh\u00eam m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft hi\u1ec7u qu\u1ea3 l\u00e0 thay th\u1ee7y tinh th\u1ec3. B\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh thay th\u1ee7y tinh th\u1ec3 m\u1edd \u0111\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng th\u1ee7y tinh th\u1ec3 nh\u00e2n t\u1ea1o. B\u1eb1ng c\u00e1ch n\u00e0y, b\u1ec7nh nh\u00e2n m\u1eafc bi\u1ebfn ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf m\u1eaft s\u1ebd c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c th\u1ecb l\u1ef1c. M\u1ee9c \u0111\u1ed9 c\u1ea3i thi\u1ec7n th\u1ecb l\u1ef1c v\u00e0 h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed9 n\u1eb7ng c\u1ee7a bi\u1ebfn ch\u1ee9ng tr\u00ean m\u1eaft v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng m\u1eafc k\u00e8m kh\u00e1c.<\/p>\r\n\r\n\r\n\r\n![\"\"](\"https:\/\/lh7-us.googleusercontent.com\/docsz\/AD_4nXewBTxwwkD_EonCFV9ZqQADfsQDsxf-W8qc-BkQyAqPc3FxtR64ofLvPhjTrL-LCOqnFEjOKs2dnWDqSyWHiGSPfVozcn-gtGNMcLO4D-SLF9jdrWd3F6m9yyu2y12GnuMoiyzUKVVWuxDRJwILaXZxCL0?key=slX5E9eHI0f6GXilsIraig\")
<\/figure>\r\n\r\n\r\n\r\nC\u00e1ch ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft hi\u1ec7u qu\u1ea3<\/strong><\/h2>\r\n\r\n\r\n\r\nTuy hi\u1ec7n nay \u0111\u00e3 c\u00f3 kh\u00e1 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a s\u1ef1 xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng, \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea3n th\u00e2n:<\/p>\r\n\r\n\r\n\r\n
\r\n- Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb: D\u00f9ng \u0111\u00fang thu\u1ed1c, \u0111\u00fang li\u1ec1u, \u0111\u00fang c\u00e1ch k\u1ebft h\u1ee3p v\u1edbi thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/li>\r\n\r\n\r\n\r\n
- T\u00e1i kh\u00e1m \u0111\u00fang h\u1eb9n, \u0111i ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3.<\/li>\r\n\r\n\r\n\r\n
- Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft \u1edf m\u1ee9c \u1ed5n \u0111\u1ecbnh.<\/li>\r\n\r\n\r\n\r\n
- Ki\u1ec3m so\u00e1t c\u00e1c ch\u1ec9 s\u1ed1 \u0111i k\u00e8m: huy\u1ebft \u00e1p, lipid m\u00e1u, c\u00e2n n\u1eb7ng<\/a>.<\/li>\r\n\r\n\r\n\r\n
- R\u00e8n luy\u1ec7n th\u00f3i quen s\u1ed1ng l\u00e0nh m\u1ea1nh: t\u1eadp th\u1ec3 d\u1ee5c<\/a> th\u01b0\u1eddng xuy\u00ean, \u0103n nhi\u1ec1u ch\u1ea5t x\u01a1<\/a>, gi\u1ea3m ch\u1ea5t b\u00e9o, b\u1ecf h\u00fat thu\u1ed1c l\u00e1 v\u00e0 h\u1ea1n ch\u1ebf u\u1ed1ng r\u01b0\u1ee3u bia.<\/li>\r\n\r\n\r\n\r\n
- Theo d\u00f5i ch\u1eb7t ch\u1ebd c\u00e1c bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng \u1edf m\u1eaft: nh\u00ecn m\u1edd, nh\u00ecn th\u1ea5y \u0111\u1ed1m \u0111en, hoa m\u1eaft, h\u00ecnh \u1ea3nh dao \u0111\u1ed9ng,…<\/li>\r\n<\/ul>\r\n
Vitamin v\u1edbi \u0111\u1eb7c t\u00ednh ch\u1ed1ng oxy h\u00f3a m\u1ea1nh m\u1ebd, \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c b\u1ea3o v\u1ec7 c\u00e1c t\u1ebf b\u00e0o m\u1eaft kh\u1ecfi t\u1ed5n th\u01b0\u01a1ng v\u00e0 h\u1ed7 tr\u1ee3 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng. B\u1ed5 sung DIAVIT<\/a>\u00a0m\u1ed7i ng\u00e0y gi\u00fap duy tr\u00ec s\u1ee9c kh\u1ecfe \u0111\u00f4i m\u1eaft v\u00e0 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\r\n\r\n\r\n\r\n![\"\"](\"https:\/\/lh7-us.googleusercontent.com\/docsz\/AD_4nXcMZvaJvZ-mWj42MWKOpZ94rct-UKW3l6iy0h-gPFWJTaEgKVo7hIFl-ArMyU9UCNjLuuWMW2Eae_E3UcquuHmQZV4AxaRkFfxsaaHtq16Q3yRPg7QTJhL0K_KwiL79IoYsdAkGjHsMKccKwYTmWSIH7Q_b?key=slX5E9eHI0f6GXilsIraig\")
<\/figure>\r\nV\u1edbi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean khoa h\u00e0ng \u0111\u1ea7u, trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i, ph\u1ee5c v\u1ee5 \u0111a d\u1ea1ng c\u00e1c d\u1ecbch v\u1ee5 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1eaft, m\u1eddi b\u1ea1n tham kh\u1ea3o<\/span> B\u1ec7nh Vi\u1ec7n M\u1eaft S\u00e0i G\u00f2n<\/b><\/a><\/p>\r\n\r\n\r\n\r\n
Theo th\u1ed1ng k\u00ea, c\u00f3 t\u1eeb 30 – 40% b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 v\u00f5ng m\u1ea1c, t\u1ec9 l\u1ec7 n\u00e0y t\u0103ng d\u1ea7n theo th\u1eddi gian m\u1eafc b\u1ec7nh, kh\u00f4ng ph\u00e2n bi\u1ec7t ti\u1ec3u \u0111\u01b0\u1eddng type 1 hay type 2. Ngo\u00e0i v\u00f5ng m\u1ea1c, bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f2n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u00ean th\u1ee7y tinh th\u1ec3, ho\u00e0ng \u0111i\u1ec3m hay l\u00e0m t\u0103ng nh\u00e3n \u00e1p.<\/p>\r\n\r\n\r\n\r\n\r\n\r\n
C\u00e1c bi\u1ebfn ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf m\u1eaft th\u01b0\u1eddng g\u1eb7p<\/strong><\/h2>\r\n\r\n\r\n\r\nNg\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng nh\u01b0ng kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u1ed1t s\u1ebd d\u1ec5 g\u1eb7p bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft, bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n
B\u1ec7nh <\/strong>v\u00f5ng m\u1ea1c<\/strong><\/a><\/h3>\r\n\r\n\r\n\r\nKhi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao, qu\u00e1 tr\u00ecnh stress oxy h\u00f3a v\u00e0 s\u1ef1 k\u1ebft d\u00ednh c\u00e1c ti\u1ec3u c\u1ea7u trong l\u00f2ng m\u1ea1ch g\u00e2y b\u00edt t\u1eafc s\u1ebd l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf \u1edf v\u00f5ng m\u1ea1c, t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u v\u00e0 tho\u00e1t d\u1ecbch v\u00e0o v\u00f5ng m\u1ea1c g\u00e2y ph\u00f9 n\u1ec1. Kh\u00f4ng nh\u1eefng v\u1eady, l\u00f2ng m\u1ea1ch b\u1ecb t\u1eafc s\u1ebd gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u v\u00e0 dinh d\u01b0\u1ee1ng nu\u00f4i v\u00f5ng m\u1ea1c, l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng v\u00f5ng m\u1ea1c.<\/p>\r\n\r\n\r\n\r\n
C\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf tr\u00ean v\u00f5ng m\u1ea1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00f2n d\u1eabn \u0111\u1ebfn t\u0103ng sinh ra c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi, tuy nhi\u00ean c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi n\u00e0y l\u1ea1i r\u1ea5t m\u1ecfng manh n\u00ean d\u1ec5 v\u1ee1, l\u00e0m t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n c\u00e0ng nguy hi\u1ec3m do nguy c\u01a1 xu\u1ea5t huy\u1ebft v\u00f5ng m\u1ea1c.<\/p>\r\n\r\n\r\n\r\n
B\u1ec7nh nh\u00e2n m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft tr\u00ean v\u00f5ng m\u1ea1c th\u01b0\u1eddng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee5 th\u1ec3 \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u, \u0111\u1ebfn kho\u1ea3ng giai \u0111o\u1ea1n 2 – 3 s\u1ebd c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ru\u1ed3i bay (th\u1ea5y c\u00e1c \u0111\u1ed1m \u0111en bay tr\u01b0\u1edbc m\u1eaft).<\/p>\r\n\r\n\r\n\r\n\r\n\r\n
\u0110\u1ee5c th\u1ee7y tinh th\u1ec3<\/strong><\/a><\/h3>\r\n\r\n\r\n\r\n<\/ol>\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f2n x\u1ea3y ra tr\u00ean th\u1ee7y tinh th\u1ec3, khi ng\u01b0\u1eddi b\u1ec7nh ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng t\u1ed1t s\u1ebd l\u00e0m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao, l\u00e2u ng\u00e0y l\u00e0m l\u1eafng c\u00e1c ch\u1ea5t c\u1eb7n b\u00e3 v\u00e0 thay \u0111\u1ed5i c\u1ea5u tr\u00fac trong su\u1ed1t c\u1ee7a th\u1ee7y tinh th\u1ec3.\u00a0<\/p>\r\n\r\n\r\n\r\n
Th\u00f4ng th\u01b0\u1eddng, ng\u01b0\u1eddi t\u1eeb 40 – 50 tu\u1ed5i th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1ee5c th\u1ee7y tinh th\u1ec3. Tuy nhi\u00ean, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng ki\u1ec3m so\u00e1t t\u1ed1t s\u1ebd g\u1eb7p bi\u1ebfn ch\u1ee9ng n\u00e0y s\u1edbm h\u01a1n r\u1ea5t nhi\u1ec1u. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecb nh\u00ecn m\u1edd, c\u1ea3m gi\u00e1c nh\u01b0 c\u00f3 m\u00e0n s\u01b0\u01a1ng m\u00f9 tr\u01b0\u1edbc m\u1eaft v\u00e0 l\u00f3a m\u1eaft khi ra n\u1eafng.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nT\u0103ng nh\u00e3n \u00e1p<\/strong><\/a> (glaucoma)<\/strong><\/h3>\r\n\r\n\r\n\r\nNg\u01b0\u1eddi b\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u0169ng th\u01b0\u1eddng b\u1ecb t\u0103ng nh\u00e3n \u00e1p, nguy\u00ean nh\u00e2n l\u00e0 do \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng cao l\u00e0m th\u1ee7y d\u1ecbch trong m\u1eaft l\u01b0u th\u00f4ng kh\u00f4ng t\u1ed1t, d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c th\u1ee7y t\u0129nh trong m\u1eaft. Ngo\u00e0i ra, c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf \u1edf m\u1eaft b\u1ecb t\u1eafc ngh\u1ebdn c\u0169ng l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u v\u00e0 dinh d\u01b0\u1ee1ng nu\u00f4i v\u00f5ng m\u1ea1c, ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c n\u00ean th\u1ecb l\u1ef1c b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng s\u1ebd ng\u00e0y c\u00e0ng suy gi\u1ea3m.<\/p>\r\n\r\n\r\n\r\n
Khi g\u1eb7p bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0m t\u0103ng nh\u00e3n \u00e1p, b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u suy gi\u1ea3m t\u1ea7m nh\u00ecn, xu\u1ea5t hi\u1ec7n c\u00e1c kho\u1ea3ng \u0111en tr\u01b0\u1edbc m\u1eaft v\u00e0 c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\r\n\r\n\r\n\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m n\u00ean ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm, d\u1eabn \u0111\u1ebfn th\u1ecb l\u1ef1c ng\u00e0y c\u00e0ng suy gi\u1ea3m. H\u1eadu qu\u1ea3 c\u1ee7a bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n
\r\n- V\u1ec1 th\u1ec3 ch\u1ea5t: B\u1ec7nh nh\u00e2n b\u1ecb b\u1ea5t ti\u1ec7n trong sinh ho\u1ea1t, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t th\u1ecb l\u1ef1c ho\u00e0n to\u00e0n.<\/li>\r\n\r\n\r\n\r\n
- V\u1ec1 t\u00e2m l\u00fd: B\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean lo \u00e2u, ch\u00e1n n\u1ea3n, c\u00f3 xu h\u01b0\u1edbng mu\u1ed1n t\u1eeb b\u1ecf \u0111i\u1ec1u tr\u1ecb v\u00ec kh\u00f4ng nh\u00ecn th\u1ea5y k\u1ebft qu\u1ea3 t\u00edch c\u1ef1c.<\/li>\r\n\r\n\r\n\r\n
- V\u1ec1 chi ph\u00ed: Bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0m gia t\u0103ng th\u1eddi gian n\u1eb1m vi\u1ec7n v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ph\u1eabu thu\u1eadt, t\u0103ng chi ph\u00ed \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n g\u1ea5p nhi\u1ec1u l\u1ea7n.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
<\/figure>\r\n\r\n\r\n\r\nH\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft<\/strong><\/h2>\r\n\r\n\r\n\r\nD\u00f9ng thu\u1ed1c<\/strong><\/h3>\r\n\r\n\r\n\r\nB\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ti\u00eam thu\u1ed1c n\u1ed9i nh\u00e3n: corticoid ho\u1eb7c anti-VEGF (PEGAPTANlD (MACCUGEN), BEVAClZUMAB (AVASTlN), RANIBlZUMAB (LUCENTlS), AFLlBERCEPT (Eyle)) \u0111\u1ec3 \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh s\u1ea3n sinh m\u1ea1ch m\u00e1u m\u1edbi v\u00e0 ch\u1ed1ng ph\u00f9 ho\u00e0ng \u0111i\u1ec3m. Ngo\u00e0i ra, c\u00e1c lo\u1ea1i thu\u1ed1c nh\u1ecf m\u1eaft<\/a> v\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn trong \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nLaser<\/strong><\/h3>\r\n\r\n\r\n\r\nKhi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p laser hay c\u00f2n g\u1ecdi l\u00e0 quang \u0111\u00f4ng v\u00f5ng m\u1ea1c, b\u00e1c s\u0129 s\u1ebd x\u1eed l\u00ed c\u00e1c vi m\u1ea1ch b\u1ecb t\u1ed5n th\u01b0\u01a1ng b\u1eb1ng laser \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft v\u00e0 t\u0103ng sinh m\u1ea1ch m\u1edbi. \u0110i\u1ec1u n\u00e0y s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng l\u1ea5y l\u1ea1i th\u1ecb l\u1ef1c, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng sau khi m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nThay d\u1ecbch k\u00ednh<\/strong><\/h3>\r\n\r\n\r\n\r\nThay d\u1ecbch k\u00ednh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf to\u00e0n b\u1ed9 m\u00e1u, d\u1ecbch ti\u1ebft th\u1eeba v\u00e0 c\u00e1c m\u00f4 s\u1eb9o t\u00edch t\u1ee5 t\u1ea1i v\u00f5ng m\u1ea1c. T\u1eeb \u0111\u00f3, v\u00f5ng m\u1ea1c \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch gi\u00fap h\u1ea1n ch\u1ebf nguy c\u01a1 m\u00f9 l\u00f2a c\u1ee7a ng\u01b0\u1eddi m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft. Ngo\u00e0i ra, thay d\u1ecbch k\u00ednh c\u00f2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p bong v\u00f5ng m\u1ea1c nh\u1eb1m s\u1eeda c\u00e1c l\u1ed7 h\u1ed5ng ho\u1eb7c v\u1ebft r\u00e1ch tr\u00ean v\u00f5ng m\u1ea1c.\u00a0<\/p>\r\n\r\n\r\n\r\n
Thay th\u1ee7y tinh th\u1ec3<\/strong><\/h3>\r\n\r\n\r\n\r\nTh\u00eam m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft hi\u1ec7u qu\u1ea3 l\u00e0 thay th\u1ee7y tinh th\u1ec3. B\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh thay th\u1ee7y tinh th\u1ec3 m\u1edd \u0111\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng th\u1ee7y tinh th\u1ec3 nh\u00e2n t\u1ea1o. B\u1eb1ng c\u00e1ch n\u00e0y, b\u1ec7nh nh\u00e2n m\u1eafc bi\u1ebfn ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf m\u1eaft s\u1ebd c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c th\u1ecb l\u1ef1c. M\u1ee9c \u0111\u1ed9 c\u1ea3i thi\u1ec7n th\u1ecb l\u1ef1c v\u00e0 h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed9 n\u1eb7ng c\u1ee7a bi\u1ebfn ch\u1ee9ng tr\u00ean m\u1eaft v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng m\u1eafc k\u00e8m kh\u00e1c.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nC\u00e1ch ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft hi\u1ec7u qu\u1ea3<\/strong><\/h2>\r\n\r\n\r\n\r\nTuy hi\u1ec7n nay \u0111\u00e3 c\u00f3 kh\u00e1 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a s\u1ef1 xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng, \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea3n th\u00e2n:<\/p>\r\n\r\n\r\n\r\n
\r\n- Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb: D\u00f9ng \u0111\u00fang thu\u1ed1c, \u0111\u00fang li\u1ec1u, \u0111\u00fang c\u00e1ch k\u1ebft h\u1ee3p v\u1edbi thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/li>\r\n\r\n\r\n\r\n
- T\u00e1i kh\u00e1m \u0111\u00fang h\u1eb9n, \u0111i ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3.<\/li>\r\n\r\n\r\n\r\n
- Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft \u1edf m\u1ee9c \u1ed5n \u0111\u1ecbnh.<\/li>\r\n\r\n\r\n\r\n
- Ki\u1ec3m so\u00e1t c\u00e1c ch\u1ec9 s\u1ed1 \u0111i k\u00e8m: huy\u1ebft \u00e1p, lipid m\u00e1u, c\u00e2n n\u1eb7ng<\/a>.<\/li>\r\n\r\n\r\n\r\n
- R\u00e8n luy\u1ec7n th\u00f3i quen s\u1ed1ng l\u00e0nh m\u1ea1nh: t\u1eadp th\u1ec3 d\u1ee5c<\/a> th\u01b0\u1eddng xuy\u00ean, \u0103n nhi\u1ec1u ch\u1ea5t x\u01a1<\/a>, gi\u1ea3m ch\u1ea5t b\u00e9o, b\u1ecf h\u00fat thu\u1ed1c l\u00e1 v\u00e0 h\u1ea1n ch\u1ebf u\u1ed1ng r\u01b0\u1ee3u bia.<\/li>\r\n\r\n\r\n\r\n
- Theo d\u00f5i ch\u1eb7t ch\u1ebd c\u00e1c bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng \u1edf m\u1eaft: nh\u00ecn m\u1edd, nh\u00ecn th\u1ea5y \u0111\u1ed1m \u0111en, hoa m\u1eaft, h\u00ecnh \u1ea3nh dao \u0111\u1ed9ng,…<\/li>\r\n<\/ul>\r\n
Vitamin v\u1edbi \u0111\u1eb7c t\u00ednh ch\u1ed1ng oxy h\u00f3a m\u1ea1nh m\u1ebd, \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c b\u1ea3o v\u1ec7 c\u00e1c t\u1ebf b\u00e0o m\u1eaft kh\u1ecfi t\u1ed5n th\u01b0\u01a1ng v\u00e0 h\u1ed7 tr\u1ee3 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng. B\u1ed5 sung DIAVIT<\/a>\u00a0m\u1ed7i ng\u00e0y gi\u00fap duy tr\u00ec s\u1ee9c kh\u1ecfe \u0111\u00f4i m\u1eaft v\u00e0 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\nV\u1edbi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean khoa h\u00e0ng \u0111\u1ea7u, trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i, ph\u1ee5c v\u1ee5 \u0111a d\u1ea1ng c\u00e1c d\u1ecbch v\u1ee5 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1eaft, m\u1eddi b\u1ea1n tham kh\u1ea3o<\/span> B\u1ec7nh Vi\u1ec7n M\u1eaft S\u00e0i G\u00f2n<\/b><\/a><\/p>\r\n\r\n\r\n\r\n
Khi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao, qu\u00e1 tr\u00ecnh stress oxy h\u00f3a v\u00e0 s\u1ef1 k\u1ebft d\u00ednh c\u00e1c ti\u1ec3u c\u1ea7u trong l\u00f2ng m\u1ea1ch g\u00e2y b\u00edt t\u1eafc s\u1ebd l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf \u1edf v\u00f5ng m\u1ea1c, t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u v\u00e0 tho\u00e1t d\u1ecbch v\u00e0o v\u00f5ng m\u1ea1c g\u00e2y ph\u00f9 n\u1ec1. Kh\u00f4ng nh\u1eefng v\u1eady, l\u00f2ng m\u1ea1ch b\u1ecb t\u1eafc s\u1ebd gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u v\u00e0 dinh d\u01b0\u1ee1ng nu\u00f4i v\u00f5ng m\u1ea1c, l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng v\u00f5ng m\u1ea1c.<\/p>\r\n\r\n\r\n\r\n
C\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf tr\u00ean v\u00f5ng m\u1ea1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00f2n d\u1eabn \u0111\u1ebfn t\u0103ng sinh ra c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi, tuy nhi\u00ean c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi n\u00e0y l\u1ea1i r\u1ea5t m\u1ecfng manh n\u00ean d\u1ec5 v\u1ee1, l\u00e0m t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n c\u00e0ng nguy hi\u1ec3m do nguy c\u01a1 xu\u1ea5t huy\u1ebft v\u00f5ng m\u1ea1c.<\/p>\r\n\r\n\r\n\r\n
B\u1ec7nh nh\u00e2n m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft tr\u00ean v\u00f5ng m\u1ea1c th\u01b0\u1eddng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee5 th\u1ec3 \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u, \u0111\u1ebfn kho\u1ea3ng giai \u0111o\u1ea1n 2 – 3 s\u1ebd c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ru\u1ed3i bay (th\u1ea5y c\u00e1c \u0111\u1ed1m \u0111en bay tr\u01b0\u1edbc m\u1eaft).<\/p>\r\n\r\n\r\n\r\n\r\n\r\n
\u0110\u1ee5c th\u1ee7y tinh th\u1ec3<\/strong><\/a><\/h3>\r\n\r\n\r\n\r\n<\/ol>\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f2n x\u1ea3y ra tr\u00ean th\u1ee7y tinh th\u1ec3, khi ng\u01b0\u1eddi b\u1ec7nh ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng t\u1ed1t s\u1ebd l\u00e0m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao, l\u00e2u ng\u00e0y l\u00e0m l\u1eafng c\u00e1c ch\u1ea5t c\u1eb7n b\u00e3 v\u00e0 thay \u0111\u1ed5i c\u1ea5u tr\u00fac trong su\u1ed1t c\u1ee7a th\u1ee7y tinh th\u1ec3.\u00a0<\/p>\r\n\r\n\r\n\r\n
Th\u00f4ng th\u01b0\u1eddng, ng\u01b0\u1eddi t\u1eeb 40 – 50 tu\u1ed5i th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1ee5c th\u1ee7y tinh th\u1ec3. Tuy nhi\u00ean, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng ki\u1ec3m so\u00e1t t\u1ed1t s\u1ebd g\u1eb7p bi\u1ebfn ch\u1ee9ng n\u00e0y s\u1edbm h\u01a1n r\u1ea5t nhi\u1ec1u. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecb nh\u00ecn m\u1edd, c\u1ea3m gi\u00e1c nh\u01b0 c\u00f3 m\u00e0n s\u01b0\u01a1ng m\u00f9 tr\u01b0\u1edbc m\u1eaft v\u00e0 l\u00f3a m\u1eaft khi ra n\u1eafng.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nT\u0103ng nh\u00e3n \u00e1p<\/strong><\/a> (glaucoma)<\/strong><\/h3>\r\n\r\n\r\n\r\nNg\u01b0\u1eddi b\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u0169ng th\u01b0\u1eddng b\u1ecb t\u0103ng nh\u00e3n \u00e1p, nguy\u00ean nh\u00e2n l\u00e0 do \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng cao l\u00e0m th\u1ee7y d\u1ecbch trong m\u1eaft l\u01b0u th\u00f4ng kh\u00f4ng t\u1ed1t, d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c th\u1ee7y t\u0129nh trong m\u1eaft. Ngo\u00e0i ra, c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf \u1edf m\u1eaft b\u1ecb t\u1eafc ngh\u1ebdn c\u0169ng l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u v\u00e0 dinh d\u01b0\u1ee1ng nu\u00f4i v\u00f5ng m\u1ea1c, ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c n\u00ean th\u1ecb l\u1ef1c b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng s\u1ebd ng\u00e0y c\u00e0ng suy gi\u1ea3m.<\/p>\r\n\r\n\r\n\r\n
Khi g\u1eb7p bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0m t\u0103ng nh\u00e3n \u00e1p, b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u suy gi\u1ea3m t\u1ea7m nh\u00ecn, xu\u1ea5t hi\u1ec7n c\u00e1c kho\u1ea3ng \u0111en tr\u01b0\u1edbc m\u1eaft v\u00e0 c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\r\n\r\n\r\n\r\nBi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m n\u00ean ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm, d\u1eabn \u0111\u1ebfn th\u1ecb l\u1ef1c ng\u00e0y c\u00e0ng suy gi\u1ea3m. H\u1eadu qu\u1ea3 c\u1ee7a bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n
\r\n- V\u1ec1 th\u1ec3 ch\u1ea5t: B\u1ec7nh nh\u00e2n b\u1ecb b\u1ea5t ti\u1ec7n trong sinh ho\u1ea1t, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t th\u1ecb l\u1ef1c ho\u00e0n to\u00e0n.<\/li>\r\n\r\n\r\n\r\n
- V\u1ec1 t\u00e2m l\u00fd: B\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean lo \u00e2u, ch\u00e1n n\u1ea3n, c\u00f3 xu h\u01b0\u1edbng mu\u1ed1n t\u1eeb b\u1ecf \u0111i\u1ec1u tr\u1ecb v\u00ec kh\u00f4ng nh\u00ecn th\u1ea5y k\u1ebft qu\u1ea3 t\u00edch c\u1ef1c.<\/li>\r\n\r\n\r\n\r\n
- V\u1ec1 chi ph\u00ed: Bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0m gia t\u0103ng th\u1eddi gian n\u1eb1m vi\u1ec7n v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ph\u1eabu thu\u1eadt, t\u0103ng chi ph\u00ed \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n g\u1ea5p nhi\u1ec1u l\u1ea7n.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
<\/figure>\r\n\r\n\r\n\r\nH\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft<\/strong><\/h2>\r\n\r\n\r\n\r\nD\u00f9ng thu\u1ed1c<\/strong><\/h3>\r\n\r\n\r\n\r\nB\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ti\u00eam thu\u1ed1c n\u1ed9i nh\u00e3n: corticoid ho\u1eb7c anti-VEGF (PEGAPTANlD (MACCUGEN), BEVAClZUMAB (AVASTlN), RANIBlZUMAB (LUCENTlS), AFLlBERCEPT (Eyle)) \u0111\u1ec3 \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh s\u1ea3n sinh m\u1ea1ch m\u00e1u m\u1edbi v\u00e0 ch\u1ed1ng ph\u00f9 ho\u00e0ng \u0111i\u1ec3m. Ngo\u00e0i ra, c\u00e1c lo\u1ea1i thu\u1ed1c nh\u1ecf m\u1eaft<\/a> v\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn trong \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nLaser<\/strong><\/h3>\r\n\r\n\r\n\r\nKhi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p laser hay c\u00f2n g\u1ecdi l\u00e0 quang \u0111\u00f4ng v\u00f5ng m\u1ea1c, b\u00e1c s\u0129 s\u1ebd x\u1eed l\u00ed c\u00e1c vi m\u1ea1ch b\u1ecb t\u1ed5n th\u01b0\u01a1ng b\u1eb1ng laser \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft v\u00e0 t\u0103ng sinh m\u1ea1ch m\u1edbi. \u0110i\u1ec1u n\u00e0y s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng l\u1ea5y l\u1ea1i th\u1ecb l\u1ef1c, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng sau khi m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nThay d\u1ecbch k\u00ednh<\/strong><\/h3>\r\n\r\n\r\n\r\nThay d\u1ecbch k\u00ednh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf to\u00e0n b\u1ed9 m\u00e1u, d\u1ecbch ti\u1ebft th\u1eeba v\u00e0 c\u00e1c m\u00f4 s\u1eb9o t\u00edch t\u1ee5 t\u1ea1i v\u00f5ng m\u1ea1c. T\u1eeb \u0111\u00f3, v\u00f5ng m\u1ea1c \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch gi\u00fap h\u1ea1n ch\u1ebf nguy c\u01a1 m\u00f9 l\u00f2a c\u1ee7a ng\u01b0\u1eddi m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft. Ngo\u00e0i ra, thay d\u1ecbch k\u00ednh c\u00f2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p bong v\u00f5ng m\u1ea1c nh\u1eb1m s\u1eeda c\u00e1c l\u1ed7 h\u1ed5ng ho\u1eb7c v\u1ebft r\u00e1ch tr\u00ean v\u00f5ng m\u1ea1c.\u00a0<\/p>\r\n\r\n\r\n\r\n
Thay th\u1ee7y tinh th\u1ec3<\/strong><\/h3>\r\n\r\n\r\n\r\nTh\u00eam m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft hi\u1ec7u qu\u1ea3 l\u00e0 thay th\u1ee7y tinh th\u1ec3. B\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh thay th\u1ee7y tinh th\u1ec3 m\u1edd \u0111\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng th\u1ee7y tinh th\u1ec3 nh\u00e2n t\u1ea1o. B\u1eb1ng c\u00e1ch n\u00e0y, b\u1ec7nh nh\u00e2n m\u1eafc bi\u1ebfn ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf m\u1eaft s\u1ebd c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c th\u1ecb l\u1ef1c. M\u1ee9c \u0111\u1ed9 c\u1ea3i thi\u1ec7n th\u1ecb l\u1ef1c v\u00e0 h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed9 n\u1eb7ng c\u1ee7a bi\u1ebfn ch\u1ee9ng tr\u00ean m\u1eaft v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng m\u1eafc k\u00e8m kh\u00e1c.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\n\r\n\r\n\r\nC\u00e1ch ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft hi\u1ec7u qu\u1ea3<\/strong><\/h2>\r\n\r\n\r\n\r\nTuy hi\u1ec7n nay \u0111\u00e3 c\u00f3 kh\u00e1 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a s\u1ef1 xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng, \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea3n th\u00e2n:<\/p>\r\n\r\n\r\n\r\n
\r\n- Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb: D\u00f9ng \u0111\u00fang thu\u1ed1c, \u0111\u00fang li\u1ec1u, \u0111\u00fang c\u00e1ch k\u1ebft h\u1ee3p v\u1edbi thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/li>\r\n\r\n\r\n\r\n
- T\u00e1i kh\u00e1m \u0111\u00fang h\u1eb9n, \u0111i ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3.<\/li>\r\n\r\n\r\n\r\n
- Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft \u1edf m\u1ee9c \u1ed5n \u0111\u1ecbnh.<\/li>\r\n\r\n\r\n\r\n
- Ki\u1ec3m so\u00e1t c\u00e1c ch\u1ec9 s\u1ed1 \u0111i k\u00e8m: huy\u1ebft \u00e1p, lipid m\u00e1u, c\u00e2n n\u1eb7ng<\/a>.<\/li>\r\n\r\n\r\n\r\n
- R\u00e8n luy\u1ec7n th\u00f3i quen s\u1ed1ng l\u00e0nh m\u1ea1nh: t\u1eadp th\u1ec3 d\u1ee5c<\/a> th\u01b0\u1eddng xuy\u00ean, \u0103n nhi\u1ec1u ch\u1ea5t x\u01a1<\/a>, gi\u1ea3m ch\u1ea5t b\u00e9o, b\u1ecf h\u00fat thu\u1ed1c l\u00e1 v\u00e0 h\u1ea1n ch\u1ebf u\u1ed1ng r\u01b0\u1ee3u bia.<\/li>\r\n\r\n\r\n\r\n
- Theo d\u00f5i ch\u1eb7t ch\u1ebd c\u00e1c bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng \u1edf m\u1eaft: nh\u00ecn m\u1edd, nh\u00ecn th\u1ea5y \u0111\u1ed1m \u0111en, hoa m\u1eaft, h\u00ecnh \u1ea3nh dao \u0111\u1ed9ng,…<\/li>\r\n<\/ul>\r\n
Vitamin v\u1edbi \u0111\u1eb7c t\u00ednh ch\u1ed1ng oxy h\u00f3a m\u1ea1nh m\u1ebd, \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c b\u1ea3o v\u1ec7 c\u00e1c t\u1ebf b\u00e0o m\u1eaft kh\u1ecfi t\u1ed5n th\u01b0\u01a1ng v\u00e0 h\u1ed7 tr\u1ee3 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng. B\u1ed5 sung DIAVIT<\/a>\u00a0m\u1ed7i ng\u00e0y gi\u00fap duy tr\u00ec s\u1ee9c kh\u1ecfe \u0111\u00f4i m\u1eaft v\u00e0 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\r\n\r\n\r\n\r\n<\/figure>\r\nV\u1edbi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean khoa h\u00e0ng \u0111\u1ea7u, trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i, ph\u1ee5c v\u1ee5 \u0111a d\u1ea1ng c\u00e1c d\u1ecbch v\u1ee5 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1eaft, m\u1eddi b\u1ea1n tham kh\u1ea3o<\/span> B\u1ec7nh Vi\u1ec7n M\u1eaft S\u00e0i G\u00f2n<\/b><\/a><\/p>\r\n\r\n\r\n\r\n
Bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f2n x\u1ea3y ra tr\u00ean th\u1ee7y tinh th\u1ec3, khi ng\u01b0\u1eddi b\u1ec7nh ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng t\u1ed1t s\u1ebd l\u00e0m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao, l\u00e2u ng\u00e0y l\u00e0m l\u1eafng c\u00e1c ch\u1ea5t c\u1eb7n b\u00e3 v\u00e0 thay \u0111\u1ed5i c\u1ea5u tr\u00fac trong su\u1ed1t c\u1ee7a th\u1ee7y tinh th\u1ec3.\u00a0<\/p>\r\n\r\n\r\n\r\n
Th\u00f4ng th\u01b0\u1eddng, ng\u01b0\u1eddi t\u1eeb 40 – 50 tu\u1ed5i th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1ee5c th\u1ee7y tinh th\u1ec3. Tuy nhi\u00ean, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng ki\u1ec3m so\u00e1t t\u1ed1t s\u1ebd g\u1eb7p bi\u1ebfn ch\u1ee9ng n\u00e0y s\u1edbm h\u01a1n r\u1ea5t nhi\u1ec1u. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecb nh\u00ecn m\u1edd, c\u1ea3m gi\u00e1c nh\u01b0 c\u00f3 m\u00e0n s\u01b0\u01a1ng m\u00f9 tr\u01b0\u1edbc m\u1eaft v\u00e0 l\u00f3a m\u1eaft khi ra n\u1eafng.<\/p>\r\n\r\n\r\n\r\n Ng\u01b0\u1eddi b\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u0169ng th\u01b0\u1eddng b\u1ecb t\u0103ng nh\u00e3n \u00e1p, nguy\u00ean nh\u00e2n l\u00e0 do \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng cao l\u00e0m th\u1ee7y d\u1ecbch trong m\u1eaft l\u01b0u th\u00f4ng kh\u00f4ng t\u1ed1t, d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c th\u1ee7y t\u0129nh trong m\u1eaft. Ngo\u00e0i ra, c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf \u1edf m\u1eaft b\u1ecb t\u1eafc ngh\u1ebdn c\u0169ng l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u v\u00e0 dinh d\u01b0\u1ee1ng nu\u00f4i v\u00f5ng m\u1ea1c, ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c n\u00ean th\u1ecb l\u1ef1c b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng s\u1ebd ng\u00e0y c\u00e0ng suy gi\u1ea3m.<\/p>\r\n\r\n\r\n\r\n Khi g\u1eb7p bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft l\u00e0m t\u0103ng nh\u00e3n \u00e1p, b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u suy gi\u1ea3m t\u1ea7m nh\u00ecn, xu\u1ea5t hi\u1ec7n c\u00e1c kho\u1ea3ng \u0111en tr\u01b0\u1edbc m\u1eaft v\u00e0 c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n.<\/p>\r\n\r\n\r\n\r\n Bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m n\u00ean ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm, d\u1eabn \u0111\u1ebfn th\u1ecb l\u1ef1c ng\u00e0y c\u00e0ng suy gi\u1ea3m. H\u1eadu qu\u1ea3 c\u1ee7a bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ti\u00eam thu\u1ed1c n\u1ed9i nh\u00e3n: corticoid ho\u1eb7c anti-VEGF (PEGAPTANlD (MACCUGEN), BEVAClZUMAB (AVASTlN), RANIBlZUMAB (LUCENTlS), AFLlBERCEPT (Eyle)) \u0111\u1ec3 \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh s\u1ea3n sinh m\u1ea1ch m\u00e1u m\u1edbi v\u00e0 ch\u1ed1ng ph\u00f9 ho\u00e0ng \u0111i\u1ec3m. Ngo\u00e0i ra, c\u00e1c lo\u1ea1i thu\u1ed1c nh\u1ecf m\u1eaft<\/a> v\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn trong \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft.<\/p>\r\n\r\n\r\n\r\n Khi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p laser hay c\u00f2n g\u1ecdi l\u00e0 quang \u0111\u00f4ng v\u00f5ng m\u1ea1c, b\u00e1c s\u0129 s\u1ebd x\u1eed l\u00ed c\u00e1c vi m\u1ea1ch b\u1ecb t\u1ed5n th\u01b0\u01a1ng b\u1eb1ng laser \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft v\u00e0 t\u0103ng sinh m\u1ea1ch m\u1edbi. \u0110i\u1ec1u n\u00e0y s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng l\u1ea5y l\u1ea1i th\u1ecb l\u1ef1c, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng sau khi m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft.<\/p>\r\n\r\n\r\n\r\n Thay d\u1ecbch k\u00ednh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf to\u00e0n b\u1ed9 m\u00e1u, d\u1ecbch ti\u1ebft th\u1eeba v\u00e0 c\u00e1c m\u00f4 s\u1eb9o t\u00edch t\u1ee5 t\u1ea1i v\u00f5ng m\u1ea1c. T\u1eeb \u0111\u00f3, v\u00f5ng m\u1ea1c \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch gi\u00fap h\u1ea1n ch\u1ebf nguy c\u01a1 m\u00f9 l\u00f2a c\u1ee7a ng\u01b0\u1eddi m\u1eafc bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft. Ngo\u00e0i ra, thay d\u1ecbch k\u00ednh c\u00f2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p bong v\u00f5ng m\u1ea1c nh\u1eb1m s\u1eeda c\u00e1c l\u1ed7 h\u1ed5ng ho\u1eb7c v\u1ebft r\u00e1ch tr\u00ean v\u00f5ng m\u1ea1c.\u00a0<\/p>\r\n\r\n\r\n\r\n Th\u00eam m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft hi\u1ec7u qu\u1ea3 l\u00e0 thay th\u1ee7y tinh th\u1ec3. B\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh thay th\u1ee7y tinh th\u1ec3 m\u1edd \u0111\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng th\u1ee7y tinh th\u1ec3 nh\u00e2n t\u1ea1o. B\u1eb1ng c\u00e1ch n\u00e0y, b\u1ec7nh nh\u00e2n m\u1eafc bi\u1ebfn ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf m\u1eaft s\u1ebd c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c th\u1ecb l\u1ef1c. M\u1ee9c \u0111\u1ed9 c\u1ea3i thi\u1ec7n th\u1ecb l\u1ef1c v\u00e0 h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed9 n\u1eb7ng c\u1ee7a bi\u1ebfn ch\u1ee9ng tr\u00ean m\u1eaft v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng m\u1eafc k\u00e8m kh\u00e1c.<\/p>\r\n\r\n\r\n\r\n Tuy hi\u1ec7n nay \u0111\u00e3 c\u00f3 kh\u00e1 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a s\u1ef1 xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng, \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea3n th\u00e2n:<\/p>\r\n\r\n\r\n\r\n Vitamin v\u1edbi \u0111\u1eb7c t\u00ednh ch\u1ed1ng oxy h\u00f3a m\u1ea1nh m\u1ebd, \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c b\u1ea3o v\u1ec7 c\u00e1c t\u1ebf b\u00e0o m\u1eaft kh\u1ecfi t\u1ed5n th\u01b0\u01a1ng v\u00e0 h\u1ed7 tr\u1ee3 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng. B\u1ed5 sung DIAVIT<\/a>\u00a0m\u1ed7i ng\u00e0y gi\u00fap duy tr\u00ec s\u1ee9c kh\u1ecfe \u0111\u00f4i m\u1eaft v\u00e0 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\r\n\r\n\r\n\r\n V\u1edbi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean khoa h\u00e0ng \u0111\u1ea7u, trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i, ph\u1ee5c v\u1ee5 \u0111a d\u1ea1ng c\u00e1c d\u1ecbch v\u1ee5 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1eaft, m\u1eddi b\u1ea1n tham kh\u1ea3o<\/span> B\u1ec7nh Vi\u1ec7n M\u1eaft S\u00e0i G\u00f2n<\/b><\/a><\/p>\r\n\r\n\r\n\r\nT\u0103ng nh\u00e3n \u00e1p<\/strong><\/a> (glaucoma)<\/strong><\/h3>\r\n\r\n\r\n\r\n
Bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\r\n\r\n\r\n\r\n
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H\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft<\/strong><\/h2>\r\n\r\n\r\n\r\n
D\u00f9ng thu\u1ed1c<\/strong><\/h3>\r\n\r\n\r\n\r\n
Laser<\/strong><\/h3>\r\n\r\n\r\n\r\n
Thay d\u1ecbch k\u00ednh<\/strong><\/h3>\r\n\r\n\r\n\r\n
Thay th\u1ee7y tinh th\u1ec3<\/strong><\/h3>\r\n\r\n\r\n\r\n
C\u00e1ch ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng ti\u1ec3u \u0111\u01b0\u1eddng \u1edf m\u1eaft hi\u1ec7u qu\u1ea3<\/strong><\/h2>\r\n\r\n\r\n\r\n
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