Isticmaalka Muddada-dheer ee Prednisone ama Meelo kale oo Stero-yada ah waxay u horseedi karaan Cataracts
Daawooyinka steroids, oo ay ku jiraan prednisone , ayaa badanaa loo isticmaalaa in lagu daaweeyo cudurka mindhicirka ee caabuqa (IBD) . Mid ka mid ah saameynta daawada prednisone ee ku dhici kara qadar sare ama isticmaalka dheeraadka ah waa horumarinta ciriqyada.
Cataracts waxaa guud ahaan loo arkaa inay yihiin xaalad dadka waayeelka ah. Si kastaba ha noqotee, steroids waxay sababi kartaa caadka si ay u kobcaan dadka yaryar. Si ka duwan saameynaha qaarkood, sida wajiga "daying," ayaa kordhay cunto xumo, korriin timo, iyo finan, cataract ma quusan doonto kaddib marka daaweynta steroid ay dhammaato.
Si kastaba ha noqotee, haddii qiyaasta steroid loo yareeyo ama la joojiyo, cataract-ka hadda jira ma heli karo wax weyn.
Kaadi-socodka ayaa nasiib u leh in la daaweyn karo. Ma aha qof kasta oo u baahan daawoyinka steroids in uu ku dhaco catsakt. Saameyntan xun ee steroids ayaa si fiican loo yaqaan, si kastaba ha ahaatee, iyo qof kasta oo qaadaya daawooyinkan waa inuu si joogto ah u arka dhakhtarka isha.
Guudmarka
Dadka guud ahaan Mareykanka, waxaa lagu qiyaasay in 31% dadka da'doodu u dhaxayso 65 iyo 74 jir, iyo 53% dadka da'doodu tahay 75 sano, ugu yaraan hal cataract. Catarta caanaha ku dhasha waxay ku dhici kartaa dhaladka cusub (qiyaas ahaan 10,000 sannadkii), laakiin guud ahaan natiijada caabuqa, ama daroogada ama khamriga xadgudubka inta lagu jiro uurka.
Ka dib markuu iftiinka ka soo baxo ardayga isha, wuxuu ka gudbayaa muraayada, kaas oo ka kooban biyo iyo borotiin. Muraayaddu waxay u shaqeysaa sida kamarad, xooga saara iftiinka indhaha.
Muraayada indhahaaga ayaa dhab ahaantii bedeli karta qaabka diirada saaraya walxaha dhow ama fog. Inta lagu jiro habka caadiga ah ee gabowga, qaar ka mid ah borotiinka ku jira lens ayaa isku dhajin kara, taas oo keeneysa aag of opacity - cataract. Meelahaasi waxay noqon doonaan kuwo ballaadhan oo marmarsiiyo badan oo soo noqnoqda ah, kaarbaaxaya lensada oo adkeeynaya in la arko.
Noocyada
Waxaa jira saddex nooc oo ah caadka : nukliyeenta, kortikal, iyo subcapsular hoose. Prednisone, ama afka ama indhaha indhaha, waxay sababi karaan qanjidhada hoose ee hoosta.
- Nukukada: Noocaan cataractka ah ayaa si tartiib ah u kobcaya, wuxuu ku badan yahay dadka waayeelka ah, wuxuuna isha siinayaa tinge jaale ah.
- Cortical: Nooca cataractka badanaa wuxuu ku badan yahay dadka qaba sonkorowga. Foomka cortical cortex ee kortens lens, iyo ugu dambeyntii waxay u fidisaa dibadda sida afduubyada.
- Astaamaha Subcapsular: noocyadan cataract waxaa laga yaabaa inay keenaan qadar sare ama isticmaalka dheer ee prednisone, farsighted , iyo retinitis pigmentosa. Noocyada foomamka cataract ee dhabarka dambe ee muraayada, iyo calaamadaha ayaa u muuqda in ay si dhakhso ah u kobcaan (bilo, halkii sanooyin). Sida iftiinka ka soo baxa qaybta dambe ee qolfaha leh cataract, waa kala firdhisan halkii diiradda la saarayo. Qofka qaba cataractka hoose ee hooseeya waxaa laga yaabaa in uu dhibaato badan u arko walxaha dhaw.
Astaamaha
Astaamaha cataracts waxaa ka mid ah:
- Aragtida sharafta
- Noocyo (gaar ahaan buluug) ayaa muuqda
- Dhibaato aragto qolalka dhalaalaya ama iftiin leh
- Aragga labaliga ah
- Filimada muuqaalka ah (oo la mid ah in la eego marawaxad wasakhaysan)
- Isbeddellada dawada ee isbitaallada oo joogto ah
- Kordhinta sinnaanta
- Halkaan ka daawo halos hareeraha nalalka
- Aragtida habeenkii la dhimay
Waxyaabaha Halista ah
Isticmaalka prednisone, oo lagu qaato qiyaaso badan ama mudo dheer, waa arrin khatar ah oo ku saabsan cataracts. Hase yeeshee, waxaa jira dhowr waxyaabood oo kale oo halis ah, oo ay ku jiraan da'da, qalliinka indhaha ee hore ama shooga, xaalado dabadheeraad ah, iyo daawooyin gaar ah.
Xaalado dabadheeraad ah oo halis ugu jira caadka:
- Sonkorowga
- Cilladda Down syndrome
- Galactosemia
- Cudurka arthritis-ka ee dhallinyarada
- Dhoobada murqaha
- Dystrophy Myotonic
- Retinitis pigmentosa
- Uveitis
- Cudurka Wilson
Daawooyinka laga yaabo inay kordhiyaan halista cataractka waxaa ka mid ah:
- Amiodarone (antiarrhythmic)
- Chlorpromazine (sedion)
- Lovastatin (daroogada hoos loo dhigo)
- Phenytoin (qalabixin)
Ma jirto daawo loo yaqaanno si looga hortago cataract. Si kastaba ha ahaatee, waxaa loo maleynayaa in cuntada sare ee antioxidants (beta-carotene, vitamin C, iyo fitamiin E) ay ka caawin karto ka hortagga cataract, iyo sidoo kale xaalado caafimaad oo kale. Iftiinta Ultraviolet waa cilad khatar ah oo la og yahay; xirtaan muraayadaha indhoolayaasha ama koofiyad leh wiishka si loo yareeyo soo-gaadhista. Dhibaatada indhaha waxa kale oo ay tahay arrin khatar ah; xiro indho-indhee-ilaaliye markaad taabatid waxqabadyo halka dhaawac ku yimaado ay suuragal tahay.
Daaweynta
Marxaladaha hore ee cataract, aragti waa la hagaajin karaa iyada oo loo marayo isticmaalka muraayadda indhaha, iftiinka ku habboon, iyo muraayada weyn ee akhrinta ama shaqo kale oo dhow. Si kastaba ha noqotee, haddii cataractu uu ku sii socdo meel ay dhaqdhaqaaqyada maalinlaha ah noqdaan kuwo adag, qaliin waa lagama maarmaan. Nasiib wanaag, qaliinka cataract waa mid caadi ah oo badbaado leh, iyada oo inta badan dadka bukaanka ah ee warbixinta soo xaadiraya indhaha iyo tayada nolosha kadib.
Waxaa jira laba nooc oo kala duwan oo qalliinka cadka loogu talagalay : fioemulsification iyo extracapsular . Qalitaanka phacoemulsifying, baaritaan yar oo ka soo baxa hirarka ultrasound ayaa lagu galiyaa isha ilaa meeshii la jeexay. Mowjadaha ultrasound ayaa keena cataract si ay u jajabaan googooyo, kuwaas oo markaas ka soo saareen indhaha.
Qalliinka furka dheeraadka ah ee 'cataract', qoorgooyaha leh cataract ayaa laga saaraa isha waxaana lagu badalayaa lenska indhashareeriga ah. Lanshanka macmalka ah wuxuu u egyahay oo dareemaa caadi, inkasta oo aanu bedeli karin qaabka muraayadda dabiiciga ah. Dadka leh qolfaha dhegeysiga indhaha ayaa u baahan doona muraayad indhaha si loo akhriyo ama u shaqeeyo.
Ilaha:
Jobling AI, Augusteyn RC. "Maxaa keena caleenta steroid? Dib u eegis lagu sameeyo qanjirada hoose ee ilmagaleenka". Clin Opt Optimum Mar 2002. 2; 61-75.
Li J, Tripathi RC, Tripathi BJ. "Maqnaanshaha Daawooyinka Maqalka ah." Nabdoonaanta Daroogada 2008. 2; 127-141.
Prouix AA. "Cudurka steroids ma keenaa catsakt?
Ryskulova A, Turczyn K, Makuc D, Janiszewski R. "Cudurrada indhaha ee la xiriirta da'da ee la xiriirta cudurka iyo isbedelka muuqaalka ee Maraykanka: Natiijooyinka Sahanka Sahanka Wareysiga Caafimaadka Qaranka 2002 Am J Public Health 2008 March; 98: 454-461.