{"id":1235,"date":"2021-07-22T11:22:37","date_gmt":"2021-07-22T04:22:37","guid":{"rendered":"https:\/\/cdchaiphong.gov.vn\/?p=1235"},"modified":"2021-07-22T11:22:37","modified_gmt":"2021-07-22T04:22:37","slug":"cach-dieu-tri-bien-chung-mat-cua-benh-tieu-duong","status":"publish","type":"post","link":"https:\/\/cdchaiphong.gov.vn\/index.php\/2021\/07\/22\/cach-dieu-tri-bien-chung-mat-cua-benh-tieu-duong\/","title":{"rendered":"C\u00e1ch \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng m\u1eaft c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng"},"content":{"rendered":"
\n
\u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng v\u1ec1 m\u1eaft c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u1ea7n ph\u1ed1i h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p, bao g\u1ed3m ki\u1ec3m so\u00e1t t\u1ed1t ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft, d\u00f9ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u.<\/div>\n<\/div>\n
\n
Ki\u1ec3m so\u00e1t ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft<\/strong>
\n\u1ed4n \u0111\u1ecbnh \u0111\u01b0\u1eddng huy\u1ebft\u00a0trong gi\u1edbi h\u1ea1n an to\u00e0n l\u00e0 \u0111i\u1ec1u \u0111\u1ea7u ti\u00ean c\u1ea7n th\u1ef1c hi\u1ec7n trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh v\u1ec1 m\u1eaft cho ng\u01b0\u1eddi ti\u1ec3u \u0111\u01b0\u1eddng. Vi\u1ec7c n\u00e0y s\u1ebd gi\u00fap ng\u0103n ch\u1eb7n m\u1ea1ch m\u00e1u ti\u1ebfp t\u1ee5c b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 l\u00e0m n\u1eb7ng th\u00eam bi\u1ebfn ch\u1ee9ng m\u1edd m\u1eaft c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. \u0110\u1ec3 \u0111\u01b0\u1eddng huy\u1ebft \u1ed5n \u0111\u1ecbnh, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ea3m b\u1ea3o th\u1ef1c hi\u1ec7n t\u1ed1t ba \u0111i\u1ec1u c\u01a1 b\u1ea3n, bao g\u1ed3m ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khoa h\u1ecdc, t\u1eadp th\u1ec3 d\u1ee5c h\u00e0ng ng\u00e0y v\u00e0 d\u00f9ng thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh.<\/p>\n
\"\"<\/div>\n

D\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/strong>
\nBi\u1ebfn ch\u1ee9ng m\u1eaft ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng VEGF (thu\u1ed1c ch\u1ed1ng t\u0103ng sinh m\u1ea1ch m\u00e1u). Lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u VEGF, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m s\u1ef1 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi, gi\u1ea3m r\u00f2 r\u1ec9 ch\u1ea5t d\u1ecbch t\u1ea1i m\u1eaft ng\u01b0\u1eddi ti\u1ec3u \u0111\u01b0\u1eddng. M\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng VEGF th\u01b0\u1eddng g\u1eb7p l\u00e0 PEGAPTANlD (MACCUGEN), BEVAClZUMAB (AVASTlN), RANIBlZUMAB (LUCENTlS), AFLlBERCEPT (Eyle). C\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd ti\u00eam tr\u1ef1c ti\u1ebfp thu\u1ed1c ch\u1ed1ng VEGF v\u00e0o d\u1ecbch k\u00ednh c\u1ee7a m\u1eaft.
\nC\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u<\/strong>
\nV\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ecb bi\u1ebfn ch\u1ee9ng m\u1eaft do ti\u1ec3u \u0111\u01b0\u1eddng n\u1eb7ng, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea7n ph\u1ea3i can thi\u1ec7p s\u00e2u h\u01a1n b\u1eb1ng laser ho\u1eb7c thay d\u1ecbch k\u00ednh, th\u1ee7y tinh th\u1ec3.
\n\u0110i\u1ec1u tr\u1ecb b\u1eb1ng laser<\/strong>
\nBi\u1ebfn ch\u1ee9ng m\u1eaft c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p laser. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1ebd x\u1eed l\u00fd c\u00e1c vi m\u1ea1ch t\u1ed5n th\u01b0\u01a1ng b\u1ecb r\u00f2 r\u1ec9 m\u00e1u. K\u1ebft qu\u1ea3 l\u00e0 c\u00f3 th\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c c\u1ee7a ti\u1ec3u \u0111\u01b0\u1eddng l\u00ean m\u1eaft, l\u1ea5y l\u1ea1i th\u1ecb l\u1ef1c \u0111\u00e3 gi\u1ea3m s\u00fat v\u00e0 ng\u0103n ng\u1eeba nguy c\u01a1 m\u00f9 l\u00f2a.Tuy nhi\u00ean, nhi\u1ec1u nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y, t\u00e1c d\u1ee5ng c\u1ee7a laser kh\u00f4ng cao b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng VEGF.
\nPh\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb laser c\u00f3 2 lo\u1ea1i ch\u00ednh:<\/strong>
\n– Ph\u01b0\u01a1ng ph\u00e1p laser t\u1eadp trung (Focal laser): gi\u00fap l\u00e0m ch\u1eadm, ng\u0103n c\u1ea3n s\u1ef1 r\u00f2 r\u1ec9 m\u00e1u v\u00e0 c\u00e1c ch\u1ea5t trong m\u00e1u t\u1eeb vi m\u1ea1ch t\u1ed5n th\u01b0\u01a1ng ra v\u00f5ng m\u1ea1c b\u1eb1ng c\u00e1ch \u0111\u1ed1t c\u00e1c m\u1ea1ch m\u00e1u v\u1edbi laser t\u1eadp trung. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u1ec9 c\u1ea7n th\u1ef1c hi\u1ec7n 1 l\u1ea7n.
\n– Ph\u01b0\u01a1ng ph\u00e1p laser t\u00e1n x\u1ea1 (Scatter laser): Gi\u00fap co c\u00e1c m\u1ea1ch m\u00e1u t\u0103ng sinh b\u1ea5t th\u01b0\u1eddng b\u1eb1ng c\u00e1c v\u1ebft \u201cb\u1ecfng laser\u201d tr\u00ean di\u1ec7n r\u1ed9ng. Sau khi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 nh\u00ecn m\u1edd trong v\u00e0i tu\u1ea7n nh\u01b0ng sau \u0111\u00f3 th\u1ecb l\u1ef1c s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n.
\nL\u1ea5y b\u1ecf d\u1ecbch th\u1ee7y k\u00ednh<\/strong>
\nL\u1ea5y b\u1ecf d\u1ecbch th\u1ee7y k\u00ednh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf to\u00e0n b\u1ed9 m\u00e1u, d\u1ecbch th\u1eeba, v\u00e0 c\u00e1c m\u00f4 s\u1eb9o t\u00edch t\u1ee5 t\u1ea1i v\u00f5ng m\u1ea1c. V\u00f5ng m\u1ea1c \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 an to\u00e0n gi\u00fap ng\u01b0\u1eddi b\u1ec7nh ph\u00f2ng tr\u00e1nh nguy c\u01a1 m\u00f9 l\u00f2a. Trong su\u1ed1t qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt l\u1ea5y b\u1ecf d\u1ecbch th\u1ee7y k\u00ednh; thu\u1ed1c t\u00ea v\u00e0 n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd \u0111\u01b0\u1ee3c b\u01a1m nh\u1eb9 nh\u00e0ng v\u00e0o m\u1eaft ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 duy tr\u00ec \u00e1p l\u1ef1c \u1edf m\u1eaft khi m\u00e1u, d\u1ecbch th\u1eeba v\u00e0 m\u00f4 s\u1eb9o \u0111\u00e3 \u0111\u01b0a ra ngo\u00e0i.
\nPh\u1eabu thu\u1eadt thay th\u1ee7y tinh th\u1ec3
\n\u0110\u00e2y l\u00e0 ph\u1eabu thu\u1eadt trong \u0111\u00f3 b\u00e1c s\u0129 s\u1ebd th\u00e1o th\u1ec3 th\u1ee7y tinh m\u1edd \u0111\u1ee5c do ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 thay th\u1ebf n\u00f3 b\u1eb1ng m\u1ed9t th\u1ec3 th\u1ee7y tinh nh\u00e2n t\u1ea1o m\u1edbi. Ng\u01b0\u1eddi b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng sau khi ph\u1eabu thu\u1eadt thay th\u1ee7y tinh th\u1ec3 th\u1ecb l\u1ef1c s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t. Tuy nhi\u00ean, m\u1ee9c \u0111\u1ed9 c\u1ea3i thi\u1ec7n c\u00f3 th\u1ec3 kh\u00e1c nhau \u1edf m\u1ed7i ng\u01b0\u1eddi, ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c ng\u01b0\u1eddi \u0111\u00f3 c\u00f3 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng m\u1eaft ti\u1ec3u \u0111\u01b0\u1eddng kh\u00e1c hay kh\u00f4ng.
\nPh\u01b0\u01a1ng ph\u00e1p ph\u00f2ng v\u00e0 c\u1ea3i thi\u1ec7n bi\u1ebfn ch\u1ee9ng v\u1ec1 m\u1eaft c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/strong>
\n\u0110\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 c\u1ea3i thi\u1ec7n bi\u1ebfn ch\u1ee9ng m\u1eaft c\u1ee7a ti\u1ec3u \u0111\u01b0\u1eddng, ng\u0103n ch\u1eb7n nguy c\u01a1 m\u00f9 l\u00f2a v\u0129nh vi\u1ec5n, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn nh\u1eefng gi\u1ea3i ph\u00e1p gi\u00fap t\u00e1c \u0111\u1ed9ng s\u00e2u v\u00e0o m\u1ea1ch m\u00e1u nh\u1ecf b\u1ecb t\u1ed5n th\u01b0\u01a1ng t\u1ea1i m\u1eaft. Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y, s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p c\u00e1c th\u1ea3o d\u01b0\u1ee3c t\u1ef1 nhi\u00ean nh\u01b0 C\u00e2u k\u1ef7 t\u1eed, Ho\u00e0i s\u01a1n, M\u1ea1ch m\u00f4n, Nh\u00e0u s\u1ebd gi\u00fap d\u1ecdn d\u1eb9p s\u1ea1ch y\u1ebfu t\u1ed1 g\u00e2y h\u1ea1i do \u0111\u01b0\u1eddng huy\u1ebft cao g\u00e2y ra tr\u00ean m\u1ea1ch m\u00e1u, gi\u00fap t\u0103ng c\u01b0\u1eddng l\u01b0u th\u00f4ng m\u00e1u \u0111\u1ebfn c\u00e1c m\u1ea1ch nh\u1ecf t\u1ea1i m\u1eaft, ng\u0103n ch\u1eb7n suy gi\u1ea3m th\u1ecb l\u1ef1c \u1edf ng\u01b0\u1eddi ti\u1ec3u \u0111\u01b0\u1eddng.<\/div>\n

Anh Th\u01a1<\/strong><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng v\u1ec1 m\u1eaft c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u1ea7n ph\u1ed1i h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p, bao g\u1ed3m ki\u1ec3m so\u00e1t t\u1ed1t ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft, d\u00f9ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u. Ki\u1ec3m so\u00e1t ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft \u1ed4n \u0111\u1ecbnh \u0111\u01b0\u1eddng huy\u1ebft\u00a0trong gi\u1edbi h\u1ea1n an to\u00e0n l\u00e0 \u0111i\u1ec1u \u0111\u1ea7u ti\u00ean c\u1ea7n th\u1ef1c hi\u1ec7n trong \u0111i\u1ec1u […]<\/p>\n","protected":false},"author":21,"featured_media":1236,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[112],"tags":[],"class_list":{"0":"post-1235","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-phong-chong-benh-khong-lay-nhiem"},"_links":{"self":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/1235","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/comments?post=1235"}],"version-history":[{"count":0,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/1235\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media\/1236"}],"wp:attachment":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media?parent=1235"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/categories?post=1235"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/tags?post=1235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}