新凤凰

糖尿病引发眼底黄斑水肿

时间:2017-09-26 10:13 来源 jn2009may.com 点击:次

  发病:初期“躲猫猫”,后期可致盲

  福新凤凰眼新凤凰医院何建忠主任表示,糖尿病黄斑水肿作为糖尿病视网膜病变的特殊类型,在患者新凤凰出现年轻化趋势,其新凤凰以II型糖尿病人较为明显。他说:“不少新凤凰国人等到眼睛出现问题,感觉视力下降,到医院就诊才发现患上糖尿病。”

  JUHEZHURENJIESHAO,TANGNIAOBINGNENGYINQIQUGUANGBUZHENG、SHANGJIANXIACHUI、BAINEIZHANG、SHIWANGMOBINGBIANDENGYANJI,YITANGNIAOBINGSHIWANGMOBINGBIANWEIYANZHONG,HUANGBANSHUIZHONGYOUSHIQIJINCHENGXINFENGHUANGDEYANZHONGBINGZHENG。HUANGBANSHIRENYANDEGUANGXUEXINFENGHUANGXINQU、SHILIMINRUIDEDIFANG。TANGNIAOBINGHUANZHETANGDAIXIEJIZHIWENLUAN,YINQISHIWANGMOXUEGUANDEWEIXUNHUANZHANGAI,XIAOXUEGUAN、MAOXIXUEGUANTONGTOUXINGZENGJIA,XUEJIANGDANBAISHENJINHUANGBANQU,YINQISHUIZHONG。ZAIBINGBIANCHUQI,HUANZHEYIBANGANJUEBUDAOMINGXIANZHENGZHUANG,ERHUSHIZHILIAO。SUIBINGQINGFAZHAN,KEYINQIBUTONGCHENGDUDESHILIXIAJIANG,RUGANDAOXINFENGHUANGXINFENGHUANGXINANYING、SHILIXIAJIANG、SHIWUBIANXINGDENG,YANZHONGZHEKENENGSHIMING。

  预防:控制血糖+眼底检查

  “YANDIJIANCHAJIAYANDIYINGGUANGXUEGUANZAOYING,SHIBENBINGZHONGYAODEJIANCHASHOUDUAN。”HEZHURENBIAOSHI,GUANGXUEXIANGGANDUANCENGSAOMIAO(OCT)GENGNENGQUEDINGSHIWANGMOSHUIZHONGCHENGDU,FUYILITIYANDIZHAOPIANKEQUANMIANLEJIEHUANGBANQINGKUANG。

  TANGNIAOBINGHUANGBANSHUIZHONGSHIYIXUENANTI,MUQIANRENGWEIXINFENGHUANGXINFENGHUANGXIAOFANGFA。TANGNIAOBINGBINGCHENGXINFENGHUANGDUAN、XUETANGKONGZHIXINFENGHUANGHUAISHIYINQIHUANGBANSHUIZHONGDELIANGDAYINSU。“TEBIESHIXINFENGHUANGFUXUETANGZHIXINFENGHUANGQIZAI8mmol/LYISHANGDETANGYOU,JIUYAOZHUYILE。”HEJIANZHONGZHURENSHUO,“XINFENGHUANGQIKONGZHIBUXINFENGHUANGDETANGNIAOBING,SUIZHEBINGQINGYANXINFENGHUANG,JIHUCHUXIANSHIWANGMOBINGBIAN。DANSHI,BUFENTANGNIAOBINGHUANZHE,RUGUOBAXUETANGKONGZHIZAIZHENGXINFENGHUANGSHUIPING,TANGNIAOBINGSHIWANGMOBINGBIANKEYIZHONGSHENGBUFASHENG。”

  “KONGZHIXUETANG,SHI‘ZHIBEN’ZHIFA;ER‘ZHIBIAO’,ZEKETONGGUOYANNEIZHUSHEYAOWU、JIGUANGZHILIAOKONGZHIBINGQING。”HEJIANZHONGZHURENBIAOSHI,ZHUSHEXUEGUANNEIPISHENGXINFENGHUANGYINZI(VEGF)YIZHIJI,XINFENGHUANGZHUXIAOCHUSHUIZHONGJIYIZHIXUEGUANYIXINFENGHUANGSHENGXINFENGHUANG。SHIWANGMOJIGUANGGUANGNINGSHUSHITONGGUOXISHENGBUFENZHOUBIANSHILILAIBAOQUANXINFENGHUANGXINSHILIDEFANGFA,SHUHOUSHILIHUOXINFENGHUANGSUOXIAJIANG。DANRUGUOCUOGUOLEJIGUANGZHILIAOSHIJI,SHIWANGMOBINGBIANFAZHANDAOZENGZHIQI(JIDI4~6QI),JIANGXINGXINFENGHUANGDALIANGXINSHENGXUEGUAN、SHIWANGMOZENGZHIMO、SHENZHIQIANLAXINGSHIWANGMOTUOLI,BIXUJINXINGXINFENGHUANGXINFENGHUANGTIQIEGESHOUSHU。“SHOUSHUMUDESHIQINGCHUCHUXUE、BOCHUZENGZHIMO,JIANGSHIWANGMOFUWEI,ZHENGQUJIHUIJINXINGJIGUANGZHILIAO。”

  CIWAI,TANGNIAOBINGHUANZHEMEIBANNIANZHISHAOJINXINGYICIYANBUQUANMIANJIANCHA,XUETANGKONGZHIBUXINFENGHUANGDEHUANZHEXUYAOMEI3GEYUESHENZHI1GEYUEFUCHAYANDI。TANGNIAOBINGFUNVZAIJIHUAHUAIYUNQIAN12GEYUENEIJIQUEDINGHUAIYUNSHI,YINGCHAYANDI。

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