{"id":6056,"date":"2018-08-03T10:13:06","date_gmt":"2018-08-03T03:13:06","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/08\/03\/thoai-hoa-hoang-diem-tuoi-gia\/"},"modified":"2024-03-17T04:20:48","modified_gmt":"2024-03-16T21:20:48","slug":"thoai-hoa-hoang-diem-tuoi-gia","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/thoai-hoa-hoang-diem-tuoi-gia\/","title":{"rendered":"Tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0"},"content":{"rendered":"<p>Tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 (Age- related Macular Degeneration \u2013 AMD ho\u1eb7c ARMD) l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t (t\u1ea1i M\u1ef9) g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i. B\u1ec7nh g\u00e2y s\u1ee5t gi\u1ea3m d\u1ea7n th\u1ecb l\u1ef1c trung t\u00e2m (trong khi th\u1ecb l\u1ef1c ngo\u1ea1i bi\u00ean v\u1eabn b\u00ecnh th\u01b0\u1eddng). Th\u1ecb l\u1ef1c trung t\u00e2m r\u1ea5t quan tr\u1ecdng trong nh\u1eefng c\u00f4ng vi\u1ec7c li\u00ean quan \u0111\u1ebfn s\u1ef1 quan s\u00e1t c\u00e1c chi ti\u1ebft t\u1ec9 m\u1ec9 v\u00e0 nh\u1eefng vi\u1ec7c th\u00f4ng th\u01b0\u1eddng nh\u01b0 \u00a0\u0111\u1ecdc, l\u00e1i xe. B\u1ec7nh n\u00e0y kh\u00f4ng g\u00e2y m\u00f9 ho\u00e0n to\u00e0n. M\u1ea5t th\u1ecb l\u1ef1c c\u00f3 th\u1ec3 di\u1ec5n ra t\u1eeb t\u1eeb trong v\u00e0i th\u00e1ng ho\u1eb7c trong nhi\u1ec1u n\u0103m t\u00f9y thu\u1ed9c v\u00e0o d\u1ea1ng v\u00e0 \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. C\u00f3 2 th\u1ec3 b\u1ec7nh tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0: th\u1ec3 \u201c\u01b0\u1edbt\u201d v\u00e0 th\u1ec3 \u201ckh\u00f4\u201d. AMD th\u1ec3 \u01b0\u1edbt l\u00e0 d\u1ea1ng n\u1eb7ng nh\u1ea5t tuy nhi\u00ean \u0111\u00e3 c\u00f3 nh\u1eefng bi\u1ec7n ph\u00e1p ch\u1eefa tr\u1ecb t\u1ed1t h\u01a1n g\u1ea7n \u0111\u00e2y. Th\u1ecb l\u1ef1c b\u1ecb m\u1ea5t do AMD kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i v\u1ec1 nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Nhi\u1ec1u lo\u1ea1i thu\u1ed1c m\u1edbi \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 ngo\u1ea1n m\u1ee5c trong AMD \u201c\u01b0\u1edbt\u201d gi\u00fap ng\u0103n ch\u1eb7n ho\u1eb7c tr\u00ec ho\u00e3n s\u1ef1 m\u1ea5t th\u1ecb l\u1ef1c n\u00e0y.<\/p>\n<h2><strong>Nh\u1eefng hi\u1ec3u bi\u1ebft v\u1ec1 c\u1ea5u tr\u00fac b\u00e1n ph\u1ea7n sau c\u1ee7a m\u1eaft<\/strong><\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-10246 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/04\/hinh-anh-mat-nhin-ben-cat-doc.jpg\" alt=\"h\u00ecnh \u1ea3nh m\u1eaft nh\u00ecn b\u00ean c\u1eaft d\u1ecdc\" width=\"445\" height=\"350\" \/><\/p>\n<p><img decoding=\"async\" class=\"size-full wp-image-10247 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/04\/cau-truc-chi-tiet-hoang-diem.jpg\" alt=\"c\u1ea5u tr\u00fac chi ti\u1ebft ho\u00e0ng \u0111i\u1ec3m\" width=\"340\" height=\"302\" \/><\/p>\n<ul>\n<li><strong>V\u00f5ng m\u1ea1c<\/strong> c\u1ea5u t\u1ea1o g\u1ed3m 2 l\u1edbp ch\u00ednh. L\u1edbp trong g\u1ed3m nh\u1eefng \u201ct\u1ebf b\u00e0o nh\u00ecn th\u1ea5y\u201d g\u1ecdi l\u00e0 t\u1ebf b\u00e0o n\u00f3n v\u00e0 t\u1ebf b\u00e0o que. Nh\u1eefng t\u1ebf b\u00e0o n\u00e0y ph\u1ea3n \u1ee9ng v\u1edbi \u00e1nh s\u00e1ng v\u00e0 g\u1eedi nh\u1eefng t\u00edn hi\u1ec7u \u0111i\u1ec7n xu\u1ed1ng nh\u1eefng s\u1ee3i th\u1ea7n kinh nh\u1ecf t\u00ed x\u00edu, nh\u1eefng s\u1ee3i n\u00e0y sau \u0111\u00f3 t\u1eadp trung l\u1ea1i th\u00e0nh d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c v\u00e0 \u0111i l\u00ean n\u00e3o. L\u1edbp ngo\u00e0i &#8211; <strong>l\u1edbp t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 s\u1eafc t\u1ed1 (Retinal pigment epithelium- RPE) <\/strong>&#8211; l\u00e0 l\u1edbp t\u1ebf b\u00e0o n\u1eb1m sau t\u1ebf b\u00e0o n\u00f3n v\u00e0 t\u1ebf b\u00e0o que. <strong>RPE<\/strong> l\u00e0 l\u1edbp m\u00e0ng ng\u0103n c\u00e1ch gi\u1eefa v\u00f5ng m\u1ea1c v\u00e0 h\u1eafc m\u1ea1c. Nh\u1eefng t\u1ebf b\u00e0o n\u00e0y cung c\u1ea5p dinh d\u01b0\u1ee1ng v\u00e0 h\u1ed7 tr\u1ee3 cho t\u1ebf b\u00e0o n\u00f3n v\u00e0 que. Ch\u00fang v\u1eadn chuy\u1ec3n ch\u1ea5t dinh d\u01b0\u1ee1ng t\u1eeb m\u1ea1ch m\u00e1u trong h\u1eafc m\u1ea1c \u0111\u1ebfn t\u1ebf b\u00e0o n\u00f3n v\u00e0 que. Ch\u00fang c\u0169ng mang c\u00e1c ch\u1ea5t th\u1ea3i t\u1eeb t\u1ebf b\u00e0o n\u00f3n v\u00e0 que v\u00e0o m\u1ea1ch m\u00e1u trong h\u1eafc m\u1ea1c. C\u00f3 th\u1ec3 coi m\u00e0ng RPE nh\u01b0 m\u1ed9t m\u00e0ng l\u1ecdc, quy\u1ebft \u0111\u1ecbnh nh\u1eefng ch\u1ea5t n\u00e0o s\u1ebd t\u1edbi \u0111\u01b0\u1ee3c v\u00f5ng m\u1ea1c. R\u1ea5t nhi\u1ec1u th\u00e0nh ph\u1ea7n c\u1ee7a m\u00e1u c\u00f3 h\u1ea1i cho v\u00f5ng m\u1ea1c v\u00e0 s\u1ebd \u0111\u01b0\u1ee3c gi\u1eef cho tr\u00e1nh xa kh\u1ecfi v\u00f5ng m\u1ea1c b\u1edfi m\u00e0ng RPE kh\u1ecfe m\u1ea1nh b\u00ecnh th\u01b0\u1eddng. T\u1ebf b\u00e0o n\u00f3n v\u00e0 que ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 th\u1ecb l\u1ef1c trong nhi\u1ec1u \u0111i\u1ec1u ki\u1ec7n kh\u00e1c nhau. T\u1ebf b\u00e0o que nhi\u1ec1u h\u01a1n t\u1ebf b\u00e0o n\u00f3n r\u1ea5t nhi\u1ec1u, v\u00e0 t\u1ebf b\u00e0o que nh\u1ecf h\u01a1n t\u1ebf b\u00e0o n\u00f3n.\n<ul>\n<li><strong>T\u1ebf b\u00e0o n\u00f3n<\/strong> gi\u00fap ch\u00fang ta nh\u00ecn th\u1ea5y trong \u00e1nh s\u00e1ng ban ng\u00e0y, t\u1ea1o n\u1ec1n t\u1ea3ng cho th\u1ecb gi\u00e1c m\u00e0u s\u1eafc.<\/li>\n<li><strong>T\u1ebf b\u00e0o que<\/strong> gi\u00fap ch\u00fang ta nh\u00ecn trong t\u1ed1i \u2013 \u201cth\u1ecb l\u1ef1c ban \u0111\u00eam\u201d.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Ho\u00e0ng \u0111i\u1ec3m<\/strong> l\u00e0 m\u1ed9t v\u00f9ng tuy nh\u1ecf nh\u01b0ng quan tr\u1ecdng trong v\u00f5ng m\u1ea1c. N\u00f3 c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 5 mm. Ho\u00e0ng \u0111i\u1ec3m l\u00e0 ph\u1ea7n v\u00f5ng m\u1ea1c t\u1eadp trung t\u1ebf b\u00e0o n\u00f3n v\u00e0 que d\u00e0y \u0111\u1eb7c nh\u1ea5t. Ho\u00e0ng \u0111i\u1ec3m r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi th\u1ecb l\u1ef1c trung t\u00e2m. V\u00f9ng n\u1eb1m \u1edf gi\u1eefa ho\u00e0ng \u0111i\u1ec3m g\u1ecdi l\u00e0 h\u1ed1 ho\u00e0ng \u0111i\u1ec3m, t\u1ea1i \u0111\u00e2y ch\u1ec9 c\u00f3 c\u00e1c t\u1ebf b\u00e0o n\u00f3n.<\/li>\n<li><strong>H\u1eafc m\u1ea1c<\/strong> l\u00e0 l\u1edbp m\u00f4 n\u1eb1m sau v\u00f5ng m\u1ea1c ch\u1ee9a r\u1ea5t nhi\u1ec1u m\u1ea1ch m\u00e1u t\u00ed hon. Ch\u00fang gi\u00fap mang oxy v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111\u1ebfn v\u00f5ng m\u1ea1c.<\/li>\n<li><strong>M\u00e0ng Bruch<\/strong> l\u00e0 m\u1ed9t m\u00e0ng m\u1ecfng gi\u00fap t\u1ea1o th\u00e0nh h\u00e0ng r\u00e0o gi\u1eefa h\u1eafc m\u1ea1c v\u00e0 v\u00f5ng m\u1ea1c m\u1ecfng manh.<\/li>\n<li><strong>C\u1ee7ng m\u1ea1c<\/strong> l\u00e0 m\u00e0ng tr\u1eafng d\u00e0y b\u00ean ngo\u00e0i c\u1ee7a m\u1eaft.<\/li>\n<\/ul>\n<p>Khi b\u1ea1n nh\u00ecn m\u1ed9t v\u1eadt, \u00e1nh s\u00e1ng t\u1eeb v\u1eadt \u0111\u00f3 \u0111i qua gi\u00e1c m\u1ea1c, th\u1ee7y tinh th\u1ec3 r\u1ed3i \u0111\u1ebfn v\u00f5ng m\u1ea1c. \u00c1nh s\u00e1ng t\u1eeb v\u1eadt s\u1ebd t\u1eadp trung t\u1ea1i ho\u00e0ng \u0111i\u1ec3m. Do \u0111\u00f3 b\u1ea1n c\u1ea7n m\u1ed9t ho\u00e0ng \u0111i\u1ec3m m\u1ea1nh kh\u1ecfe \u0111\u1ec3 c\u00f3 th\u1ecb l\u1ef1c trung t\u00e2m r\u00f5 n\u00e9t.<\/p>\n<h2><strong>Tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 (AMD) l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>AMD l\u00e0 t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi c\u00e1c t\u1ebf b\u00e0o trong ho\u00e0ng \u0111i\u1ec3m b\u1ecb tho\u00e1i h\u00f3a. \u0110i\u1ec1u n\u00e0y x\u1ea3y ra c\u00f9ng v\u1edbi s\u1ef1 t\u1ed5n h\u1ea1i c\u1ee7a l\u1edbp t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 s\u1eafc t\u1ed1 v\u00e0 c\u00e1c t\u1ebf b\u00e0o b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 ch\u1ebft. Ho\u00e0ng \u0111i\u1ec3m b\u1ecb t\u1ed5n h\u1ea1i s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ecb l\u1ef1c trung t\u00e2m c\u1ee7a b\u1ea1n, g\u00e2y kh\u00f3 kh\u0103n khi \u0111\u1ecdc s\u00e1ch, vi\u1ebft, l\u00e1i xe, nh\u1eadn di\u1ec7n khu\u00f4n m\u1eb7t m\u1ecdi ng\u01b0\u1eddi v\u00e0 nh\u1eefng c\u00f4ng vi\u1ec7c \u0111\u00f2i h\u1ecfi s\u1ef1 t\u1ec9 m\u1ec9 kh\u00e1c. Ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a v\u00f5ng m\u1ea1c \u0111\u01b0\u1ee3c d\u00f9ng cho th\u1ecb l\u1ef1c ngo\u1ea1i bi\u00ean \u2013 th\u1ecb l\u1ef1c \u201cb\u00ean\u201d- l\u00e0 nh\u1eefng v\u00f9ng kh\u00f4ng \u0111\u01b0\u1ee3c t\u1eadp trung nhi\u1ec1u. Do \u0111\u00f3, n\u1ebfu kh\u00f4ng c\u00f3 ho\u00e0ng \u0111i\u1ec3m b\u1ea1n v\u1eabn c\u00f3 th\u1ec3 nh\u00ecn \u0111\u1ee7 \u0111\u1ec3 nh\u1eadn bi\u1ebft s\u01a1 l\u01b0\u1ee3c v\u1ec1 kh\u00f4ng gian xung quanh, nh\u1eadn th\u1ea5y \u0111\u01b0\u1ee3c ng\u01b0\u1eddi v\u00e0 v\u1eadt v\u00e0 kh\u00f4ng b\u1ecb ph\u1ee5 thu\u1ed9c. Tuy nhi\u00ean, m\u1ea5t th\u1ecb l\u1ef1c trung t\u00e2m s\u1ebd \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn t\u1ea7m nh\u00ecn b\u00ecnh th\u01b0\u1eddng. C\u00f3 2 th\u1ec3 AMD: \u201c\u01b0\u1edbt\u201d v\u00e0 \u201ckh\u00f4\u201d, \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 d\u01b0\u1edbi d\u00e2y.<\/p>\n<h2><strong>Ai c\u00f3 th\u1ec3 b\u1ecb tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 (AMD)?<\/strong><\/h2>\n<p>AMD l\u00e0 d\u1ea1ng tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m th\u01b0\u1eddng\u00a0 g\u1eb7p nh\u1ea5t v\u00e0 x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi l\u1edbn tu\u1ed5i. C\u00f3 nh\u1eefng d\u1ea1ng tho\u00e1i h\u00f3a h\u00e0ng \u0111i\u1ec3m kh\u00e1c hi\u1ebfm g\u1eb7p x\u1ea3y ra \u1edf ng\u01b0\u1eddi tr\u1ebb. AMD c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi b\u1ea5t c\u1ee9 ai. N\u00f3 l\u00e0\u00a0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y c\u00e1c v\u1ea5n \u0111\u1ec1 th\u1ecb l\u1ef1c tr\u1ea7m tr\u1ecdng\u00a0 \u1edf Anh v\u00e0 c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n. N\u00f3 c\u00e0ng ph\u1ed5 bi\u1ebfn h\u01a1n khi tu\u1ed5i t\u00e1c t\u0103ng l\u00ean nh\u01b0 t\u00ean g\u1ecdi. Hi\u1ebfm g\u1eb7p \u1edf ng\u01b0\u1eddi d\u01b0\u1edbi 60 tu\u1ed5i. N\u1ebfu b\u1ea1n b\u1ecb AMD th\u1ec3 \u201c\u01b0\u1edbt\u201d (m\u00f4 t\u1ea3 \u1edf ph\u1ea7n d\u01b0\u1edbi) \u1edf m\u1ed9t m\u1eaft th\u00ec nguy c\u01a1 b\u1ecb \u1edf m\u1eaft b\u00ean kia l\u00e0 25%.<\/p>\n<p>Kho\u1ea3ng 5 trong 100 ng\u01b0\u1eddi tr\u00ean 65 tu\u1ed5i v\u00e0 kho\u1ea3ng 1 trong 8 ng\u01b0\u1eddi tr\u00ean 80 tu\u1ed5i b\u1ecb AMD n\u1eb7ng \u0111\u1ebfn m\u1ee9c m\u1ea5t th\u1ecb l\u1ef1c tr\u1ea7m tr\u1ecdng. Ph\u1ee5 n\u1eef tr\u00ean 75 tu\u1ed5i b\u1ecb AMD nhi\u1ec1u g\u1ea5p 2 l\u1ea7n nam gi\u1edbi c\u00f9ng tu\u1ed5i.<\/p>\n<h2><strong>Hai th\u1ec3 c\u1ee7a tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0<\/strong><\/h2>\n<h3><strong>Th\u1ec3 kh\u00f4<\/strong><\/h3>\n<p>L\u00e0 d\u1ea1ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t v\u00e0 x\u1ea3y ra \u1edf 9 trong 10 ca. \u1ede th\u1ec3 n\u00e0y, t\u1ebf b\u00e0o trong l\u1edbp bi\u1ec3u m\u00f4 s\u1eafc t\u1ed1 c\u1ee7a ho\u00e0ng \u0111i\u1ec3m d\u1ea7n d\u1ea7n tr\u1edf n\u00ean \u201c\u1ed1m\u201d hay \u201cg\u1ea7y\u201d \u0111i (teo l\u1ea1i) v\u00e0 tho\u00e1i h\u00f3a. L\u1edbp t\u1ebf b\u00e0o n\u00e0y r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ch\u1ee9c n\u0103ng c\u1ee7a t\u1ebf b\u00e0o n\u00f3n v\u00e0 t\u1ebf b\u00e0o que, do \u0111\u00f3 t\u1ebf b\u00e0o n\u00f3n v\u00e0 que c\u0169ng s\u1ebd tho\u00e1i h\u00f3a v\u00e0 ch\u1ebft. AMD th\u1ec3 kh\u00f4 \u0111i\u1ec3n h\u00ecnh l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh ti\u1ebfn tri\u1ec3n t\u1eeb t\u1eeb khi s\u1ed1 t\u1ebf b\u00e0o b\u1ecb t\u1ed5n th\u01b0\u01a1ng t\u0103ng d\u1ea7n. Th\u01b0\u1eddng m\u1ea5t nhi\u1ec1u n\u0103m th\u00ec th\u1ecb l\u1ef1c m\u1edbi suy gi\u1ea3m tr\u1ea7m tr\u1ecdng. Nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb AMD th\u1ec3 kh\u00f4 v\u1eabn kh\u00f4ng b\u1ecb m\u1ea5t th\u1ecb l\u1ef1c trung t\u00e2m ho\u00e0n to\u00e0n khi \u0111\u1ecdc s\u00e1ch.<\/p>\n<h3><strong>Th\u1ec3 \u01b0\u1edbt<\/strong><\/h3>\n<p>AMD th\u1ec3 \u01b0\u1edbt\u00a0 c\u0169ng c\u00f3 th\u1ec3 g\u1ecdi l\u00e0 AMD th\u1ec3 t\u00e2n m\u1ea1ch ho\u1eb7c th\u1ec3 xu\u1ea5t ti\u1ebft. X\u1ea3y ra v\u1edbi 1 trong 10 ca. Tuy nhi\u00ean n\u00f3 th\u01b0\u1eddng g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c tr\u1ea7m tr\u1ecdng trong m\u1ed9t th\u1eddi gian kh\u00e1 ng\u1eafn- \u0111\u00f4i khi ch\u1ec9 trong v\u00e0i th\u00e1ng. R\u1ea5t hi\u1ebfm tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u (xu\u1ea5t huy\u1ebft) t\u1eeb t\u00e2n m\u1ea1ch g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c \u0111\u1ed9t ng\u1ed9t trong v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y.\u00a0 Trong AMD th\u1ec3 \u01b0\u1edbt, b\u00ean c\u1ea1nh s\u1ef1 tho\u00e1i h\u00f3a \u00a0c\u1ee7a c\u00e1c t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 s\u1eafc t\u1ed1 v\u00f5ng m\u1ea1c c\u00f2n c\u00f3 nh\u1eefng m\u1ea1ch m\u00e1u m\u1edbi t\u00ed hon ph\u00e1t tri\u1ec3n t\u1eeb c\u00e1c m\u1ea1ch m\u00e1u trong h\u1eafc m\u1ea1c. \u0110\u00e2y g\u1ecdi l\u00e0 t\u00e2n m\u1ea1ch h\u1eafc m\u1ea1c. Nh\u1eefng m\u1ea1ch m\u00e1u m\u1edbi n\u00e0y ph\u00e1 v\u1ee1 m\u00e0ng Bruch v\u00e0 \u0111i v\u00e0o v\u00f9ng ho\u00e0ng \u0111i\u1ec3m c\u1ee7a v\u00f5ng m\u1ea1c. Tuy nhi\u00ean nh\u1eefng m\u1ea1ch m\u00e1u n\u00e0y kh\u00f4ng nh\u01b0 nh\u1eefng m\u1ea1ch m\u00e1u b\u00ecnh th\u01b0\u1eddng. Ch\u00fang m\u1ecfng manh v\u00e0 c\u00f3 xu h\u01b0\u1edbng g\u00e2y tho\u00e1t m\u00e1u v\u00e0 d\u1ecbch. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o n\u00f3n v\u00e0 que v\u00e0 g\u00e2y s\u1eb9o ho\u00e0ng \u0111i\u1ec3m, l\u00e0m cho th\u1ecb l\u1ef1c c\u00e0ng gi\u1ea3m th\u00eam.<\/p>\n<p>C\u1ea3 AMD th\u1ec3 \u01b0\u1edbt v\u00e0 kh\u00f4 c\u00f2n \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a v\u00e0o \u0111\u1ed9 n\u1eb7ng. Th\u1ec3 s\u1edbm, trung b\u00ecnh ho\u1eb7c n\u1eb7ng t\u00f9y thu\u1ed9c m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng ho\u00e0ng \u0111i\u1ec3m. 6 trong 10 ca b\u1ecb AMD trung b\u00ecnh\/ n\u1eb7ng \u0111\u1ec1u l\u00e0 do AMD th\u1ec3 \u01b0\u1edbt.<\/p>\n<h2><strong>Nguy\u00ean nh\u00e2n tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>\u1ede nh\u1eefng ng\u01b0\u1eddi b\u1ecb AMD, t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 s\u1eafc t\u1ed1 v\u00f5ng m\u1ea1c kh\u00f4ng c\u00f2n l\u00e0m vi\u1ec7c t\u1ed1t khi tu\u1ed5i t\u00e1c t\u0103ng l\u00ean. Ch\u00fang th\u01b0\u1eddng kh\u00f4ng l\u1ea5y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng cho t\u1ebf b\u00e0o n\u00f3n v\u00e0 que, c\u0169ng kh\u00f4ng l\u00e0m s\u1ea1ch c\u00e1c ch\u1ea5t th\u1ea3i v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m trung gian t\u1ea1o ra b\u1edfi t\u1ebf b\u00e0o n\u00f3n v\u00e0 que. K\u1ebft qu\u1ea3 l\u00e0 nh\u1eefng l\u1eafng \u0111\u1ecdng b\u1ea5t th\u01b0\u1eddng nh\u1ecf g\u1ecdi l\u00e0 drusen ph\u00e1t tri\u1ec3n d\u01b0\u1edbi v\u00f5ng m\u1ea1c. Cu\u1ed1i c\u00f9ng nh\u1eefng t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 s\u1eafc t\u1ed1 v\u00f5ng m\u1ea1c v\u00e0 nh\u1eefng t\u1ebf b\u00e0o n\u00f3n v\u00e0 que l\u00e2n c\u1eadn tho\u00e1i h\u00f3a, ng\u01b0ng l\u00e0m vi\u1ec7c v\u00e0 ch\u1ebft. \u0110\u00e2y l\u00e0 AMD th\u1ec3 kh\u00f4.<\/p>\n<p>Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, m\u1ed9t y\u1ebfu t\u1ed1 n\u00e0o \u0111\u00f3 \u0111\u00e3 k\u00edch th\u00edch c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi ph\u00e1t tri\u1ec3n t\u1eeb h\u1eafc m\u1ea1c t\u1ea1o th\u00e0nh AMD th\u1ec3 \u01b0\u1edbt. Y\u1ebfu t\u1ed1 n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c t\u00ecm ra. C\u00f3 th\u1ec3 l\u00e0 nh\u1eefng s\u1ea3n ph\u1ea9m th\u1ea3i ra \u0111\u00e3 kh\u00f4ng \u0111\u01b0\u1ee3c d\u1ecdn s\u1ea1ch b\u1edfi RPE \u0111\u00e3 k\u00edch th\u00edch c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi ph\u00e1t tri\u1ec3n \u0111\u1ec3 c\u1ed1 g\u1eafng l\u00e0m s\u1ea1ch ch\u00fang.<\/p>\n<p>Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u00e1c t\u1ebf b\u00e0o RPE ng\u01b0ng l\u00e0m vi\u1ec7c \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb AMD ch\u01b0a r\u00f5.<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb AMD g\u1ed3m:<\/p>\n<ul>\n<li>H\u00fat thu\u1ed1c l\u00e1<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/nhung-dieu-can-biet-ve-cao-huyet-ap\/\" target=\"_blank\" rel=\"noopener\">T\u0103ng huy\u1ebft \u00e1p<\/a> (c\u00f3 th\u1ec3)<\/li>\n<li>Ti\u1ec1n c\u0103n gia \u0111\u00ecnh b\u1ecb AMD. (AMD kh\u00f4ng ph\u1ea3i l\u00e0 t\u00ecnh tr\u1ea1ng di truy\u1ec1n tr\u1ef1c h\u1ec7. Tuy nhi\u00ean nguy c\u01a1 b\u1ea1n b\u1ecb AMD t\u0103ng l\u00ean n\u1ebfu c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c trong gia \u0111\u00ecnh \u0111\u00e3 b\u1ecb b\u1ec7nh n\u00e0y).<\/li>\n<li>\u00c1nh n\u1eafng m\u1eaft tr\u1eddi. \u0110i\u1ec1u n\u00e0y ch\u01b0a d\u01b0\u1ee3c ch\u1ee9ng minh, nh\u01b0ng c\u00e1c nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m cho th\u1ea5y v\u00f5ng m\u1ea1c b\u1ecb ph\u00e1 h\u1ee7y b\u1edfi tia n\u1eafng m\u1eb7t tr\u1eddi (tia UVA v\u00e0 UVB).<\/li>\n<\/ul>\n<p>AMD c\u00f3 v\u1ebb ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng ch\u1ee7ng ng\u01b0\u1eddi da tr\u1eafng (ph\u01b0\u01a1ng T\u00e2y) h\u01a1n l\u00e0 ch\u1ee7ng t\u1ed9c kh\u00e1c.<\/p>\n<pre>Xem th\u00eam b\u00e0i\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/muoi-bi-quyet-de-bao-ve-doi-mat-cua-ban\/\" target=\"_blank\" rel=\"noopener\">M\u01b0\u1eddi b\u00ed quy\u1ebft \u0111\u1ec3 b\u1ea3o v\u1ec7 \u0111\u00f4i m\u1eaft c\u1ee7a b\u1ea1n<\/a>\u00a0c\u1ee7a<a href=\"https:\/\/yhoccongdong.com\/profile\/trinh-ngoc-thuy-an\/\" target=\"_blank\" rel=\"noopener\">\u00a0BS. Tr\u1ecbnh Ng\u1ecdc Thu\u1ef3 An<\/a>\u00a0v\u00e0\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/pham-nguyen-quy\/\" target=\"_blank\" rel=\"noopener\">BS.TS. Ph\u1ea1m Nguy\u00ean Qu\u00fd<\/a><\/pre>\n<h2><strong>Tri\u1ec7u ch\u1ee9ng c\u1ee7a tho\u00e1i h\u00f3a \u00a0ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 l\u00e0 g\u00ec?<\/strong><\/h2>\n<ul>\n<li>Tri\u1ec7u ch\u1ee9ng s\u1edbm ch\u1ee7 y\u1ebfu l\u00e0 m\u1edd th\u1ecb l\u1ef1c trung t\u00e2m m\u1eb7c d\u00f9 \u0111\u00e3 \u0111eo k\u00ednh nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Trong nh\u1eefng giai \u0111o\u1ea1n s\u1edbm c\u1ee7a b\u1ec7nh n\u00e0y b\u1ea1n c\u00f3 th\u1ec3 l\u01b0u \u00fd th\u1ea5y:\n<ul>\n<li>B\u1ea1n c\u1ea7n nhi\u1ec1u \u00e1nh s\u00e1ng h\u01a1n \u0111\u1ec3 \u0111\u1ecdc.<\/li>\n<li>C\u00e1c t\u1eeb trong s\u00e1ch ho\u1eb7c t\u1ea1p ch\u00ed c\u00f3 th\u1ec3 nh\u00f2e \u0111i.<\/li>\n<li>M\u00e0u s\u1eafc b\u1edbt t\u01b0\u01a1i s\u00e1ng h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>Kh\u00f3 kh\u0103n trong nh\u1eadn bi\u1ebft g\u01b0\u01a1ng m\u1eb7t.<\/li>\n<\/ul>\n<\/li>\n<li>M\u1ed9t tri\u1ec7u ch\u1ee9ng s\u1edbm \u0111\u1eb7c tr\u01b0ng n\u00ean l\u01b0u \u00fd l\u00e0 h\u00ecnh \u1ea3nh bi\u1ebfn d\u1ea1ng. \u0110i\u1ec3n h\u00ecnh l\u00e0 \u0111\u01b0\u1eddng th\u1eb3ng s\u1ebd tr\u1edf n\u00ean l\u01b0\u1ee3n s\u00f3ng ho\u1eb7c g\u1ea5p kh\u00fac. V\u00ed d\u1ee5 c\u00e1c \u0111\u01b0\u1eddng k\u1ebb trong t\u1edd gi\u1ea5y k\u1ebb li, c\u00e1c \u0111\u01b0\u1eddng gi\u1eefa c\u00e1c h\u00e0ng g\u1ea1ch trong ph\u00f2ng t\u1eafm ho\u1eb7c b\u1edd c\u1ee7a b\u1ea5t k\u1ef3 v\u1eadt th\u1eb3ng n\u00e0o\u2026<\/li>\n<li>\u201c\u0110i\u1ec3m m\u00f9\u201d s\u1ebd xu\u1ea5t hi\u1ec7n \u1edf ngay gi\u1eefa t\u1ea7m nh\u00ecn c\u1ee7a b\u1ea1n. N\u00f3 c\u00f3 xu h\u01b0\u1edbng l\u1edbn d\u1ea7n theo th\u1eddi gian khi ng\u00e0y c\u00e0ng nhi\u1ec1u t\u1ebf b\u00e0o n\u00f3n v\u00e0 que b\u1ecb tho\u00e1i h\u00f3a \u1edf ho\u00e0ng \u0111i\u1ec3m.<\/li>\n<li>\u1ea2o \u1ea3nh th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb m\u1ea5t th\u1ecb l\u1ef1c tr\u1ea7m tr\u1ecdng do b\u1ea5t c\u1ee9 nguy\u00ean nh\u00e2n g\u00ec. \u1ea2o \u1ea3nh (hay c\u00f2n g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng Charles Bonnet) c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu b\u1ea1n b\u1ecb AMD n\u1eb7ng. Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd th\u1ea5y nh\u1eefng h\u00ecnh \u1ea3nh kh\u00e1c nhau, t\u1eeb nh\u1eefng h\u00ecnh \u0111\u01a1n gi\u1ea3n cho \u0111\u1ebfn nh\u1eefng khung c\u1ea3nh chi ti\u1ebft h\u01a1n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m b\u1ea1n kh\u00f3 ch\u1ecbu nh\u01b0ng s\u1ebd \u00edt \u0111\u00e1ng s\u1ee3 h\u01a1n n\u1ebfu b\u1ea1n bi\u1ebft r\u1eb1ng n\u00f3 c\u00f3 th\u1ec3 x\u1ea3y ra trong b\u1ec7nh AMD. Quan tr\u1ecdng l\u00e0 n\u00f3 kh\u00f4ng c\u00f3 ngh\u0129a r\u1eb1ng b\u1ea1n \u0111ang b\u1ecb r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n nghi\u00eam tr\u1ecdng. N\u1ebfu b\u1ea1n b\u1ecb \u1ea3o \u1ea3nh th\u1ecb gi\u00e1c th\u00ec ch\u00fang th\u01b0\u1eddng c\u1ea3i thi\u1ec7n sau 18 th\u00e1ng, nh\u01b0ng \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi th\u00ec c\u00f3 th\u1ec3 b\u1ecb k\u00e9o d\u00e0i h\u00e0ng n\u0103m.<\/li>\n<\/ul>\n<p>AMD kh\u00f4ng g\u00e2y \u0111au. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a AMD th\u1ec3 kh\u00f4 th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n t\u1eeb t\u1eeb \u0111\u1ebfn n\u1eb7ng trong 5- 10 n\u0103m. Tuy nhi\u00ean m\u1ea5t th\u1ecb l\u1ef1c tr\u1ea7m tr\u1ecdng do AMD th\u1ec3 \u01b0\u1edbt c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n nhanh h\u01a1n.<\/p>\n<p><strong>\u0110<\/strong><strong>i kh\u00e1m b\u00e1c s\u1ef9 ngay n\u1ebfu b\u1ea1n b\u1ecb m\u1edd m\u1eaft ho\u1eb7c nh\u00ecn h\u00ecnh bi\u1ebfn d\u1ea1ng. <\/strong>\u0110\u00e2y l\u00e0 l\u1eddi khuy\u00ean kh\u00f4ng ch\u1ec9 trong tr\u01b0\u1eddng h\u1ee3p b\u1ea1n lo l\u1eafng v\u1ec1 AMD. Nhi\u1ec1u b\u1ec7nh l\u00fd \u0111e d\u1ecda th\u1ecb l\u1ef1c kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c \u0111\u1ed9t ng\u1ed9t nh\u01b0 bong v\u00f5ng m\u1ea1c. Th\u1ecb l\u1ef1c ngo\u1ea1i bi\u00ean kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng trong AMD do \u0111\u00f3 n\u00f3 kh\u00f4ng g\u00e2y m\u00f9 tuy\u1ec7t \u0111\u1ed1i.<\/p>\n<p><strong>L\u01b0u \u00fd: <\/strong>N\u1ebfu ch\u1ec9 m\u1ed9t m\u1eaft b\u1ecb m\u1edd, b\u1ea1n c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ec3 \u00fd b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o, do con m\u1eaft t\u1ed1t c\u00f2n l\u1ea1i th\u01b0\u1eddng b\u00f9 tr\u1eeb cho m\u1eaft b\u1ec7nh. Khi c\u1ea3 2 m\u1eaft b\u1ecb \u1ea3nh h\u01b0\u1edfng, b\u1ea1n d\u1ec5 th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng h\u01a1n. Nh\u1eefng ng\u01b0\u1eddi l\u1edbn tu\u1ed5i n\u00ean th\u01b0\u1eddng xuy\u00ean kh\u00e1m m\u1eaft \u0111\u1ec3 ki\u1ec3m tra t\u1eebng m\u1eaft ri\u00eang bi\u1ec7t nh\u1eb1m ph\u00e1t hi\u1ec7n AMD s\u1edbm (v\u00e0 c\u0169ng ki\u1ec3m tra c\u00e1c b\u1ec7nh m\u1eaft kh\u00e1c nh\u01b0 glaucoma).<\/p>\n<h2>Ch\u1ea9n \u0111o\u00e1n tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>N\u1ebfu b\u1ea1n c\u00f3 tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd AMD, b\u00e1c s\u0129 \u0111a khoa ho\u1eb7c k\u1ef9 thu\u1eadt vi\u00ean kh\u00fac x\u1ea1 s\u1ebd chuy\u1ec3n b\u1ea1n \u0111\u1ebfn b\u00e1c s\u0129 chuy\u00ean khoa m\u1eaft c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, \u0111\u1eb7c bi\u1ec7t n\u1ebfu nghi ng\u1edd AMD th\u1ec3 \u01b0\u1edbt. B\u00e1c s\u0129 m\u1eaft s\u1ebd \u0111\u1ec1 ngh\u1ecb b\u1ea1n nh\u00ecn v\u00e0o m\u1ed9t t\u1edd gi\u1ea5y \u0111\u1eb7c bi\u1ec7t c\u00f3 c\u00e1c \u0111\u01b0\u1eddng k\u1ebb ngang v\u00e0 d\u1ecdc \u0111\u1ec3 ki\u1ec3m tra th\u1ecb tr\u01b0\u1eddng c\u1ee7a b\u1ea1n. N\u1ebfu b\u1ea1n th\u1ea5y b\u1ea5t k\u1ef3 v\u00f9ng n\u00e0o c\u1ee7a c\u00e1c \u0111\u01b0\u1eddng k\u1ebb b\u1ecb m\u1edd ho\u1eb7c m\u00e9o m\u00f3 th\u00ec c\u00f3 kh\u1ea3 n\u0103ng l\u00e0 b\u1ea1n \u0111\u00e3 b\u1ecb AMD. B\u00e1c s\u0129 m\u1eaft s\u1ebd ki\u1ec3m tra \u0111\u00e1y m\u1eaft b\u1ea1n b\u1eb1ng m\u00e1y sinh hi\u1ec3n vi. \u0110\u00e2y l\u00e0 m\u1ed9t thi\u1ebft b\u1ecb ph\u00f3ng \u0111\u1ea1i gi\u00fap b\u00e1c s\u0129 m\u1eaft quan s\u00e1t v\u00f5ng m\u1ea1c b\u1ec7nh nh\u00e2n qua th\u1ecb k\u00ednh nh\u00ecn gi\u1ed1ng nh\u01b0 \u1ed1ng nh\u00f2m. V\u00f5ng m\u1ea1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ee5p \u1ea3nh k\u1ef9 thu\u1eadt s\u1ed1. B\u00e1c s\u0129 M\u1eaft s\u1ebd t\u00ecm nh\u1eefng bi\u1ebfn \u0111\u1ed5i \u0111i\u1ec3n h\u00ecnh c\u1ee7a AMD th\u1ec3 kh\u00f4 v\u00e0 th\u1ec3 \u01b0\u1edbt.<\/p>\n<p>M\u1ed9t x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh kh\u00e1c c\u0169ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 ch\u1ee5p c\u1eaft l\u1edbp quang h\u1ecdc nh\u00e3n c\u1ea7u (OCT- <strong>ocular coherence tomography<\/strong>). \u0110\u00e2y l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n s\u1eed d\u1ee5ng nh\u1eefng tia s\u00e1ng \u0111\u1ec3 qu\u00e9t v\u00f5ng m\u1ea1c. N\u00f3 c\u00f3 th\u1ec3 cung c\u1ea5p nh\u1eefng h\u00ecnh \u1ea3nh \u201c3D\u201d r\u1ea5t chi ti\u1ebft c\u1ee7a ho\u00e0ng \u0111i\u1ec3m v\u00e0 c\u00f3 th\u1ec3 cho bi\u1ebft n\u1ebfu ho\u00e0ng \u0111i\u1ec3m b\u1ecb d\u00e0y l\u00ean hay b\u1ea5t th\u01b0\u1eddng. X\u00e9t nghi\u1ec7m n\u00e0y r\u1ea5t h\u1eefu d\u1ee5ng trong ph\u00e2n bi\u1ec7t gi\u1eefa AMD th\u1ec3 kh\u00f4 v\u00e0 AMD th\u1ec3 \u01b0\u1edbt, c\u0169ng nh\u01b0 d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>N\u1ebfu AMD th\u1ec3 \u01b0\u1edbt \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ho\u1eb7c nghi ng\u1edd, m\u1ed9t x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh kh\u00e1c g\u1ecdi l\u00e0 ch\u1ee5p m\u1ea1ch v\u00f5ng m\u1ea1c hu\u1ef3nh quang (FFA- fundusfluorescein angiography) s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. \u0110\u1ec3 th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m n\u00e0y, m\u1ed9t ch\u1ea5t nhu\u1ed9m m\u00e0u s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch \u1edf tay b\u1ea1n. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd quan s\u00e1t v\u00f5ng m\u1ea1c c\u1ee7a b\u1ea1n qua k\u00ednh ph\u00f3ng \u0111\u1ea1i v\u00e0 ch\u1ee5p \u1ea3nh b\u1eb1ng m\u1ed9t lo\u1ea1i camera \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 t\u00ecm xem ch\u1ea5t nhu\u1ed9m m\u00e0u c\u00f3 b\u1ecb r\u00f2 r\u1ec9 t\u1eeb nh\u1eefng m\u1ea1ch m\u00e1u b\u1ea5t th\u01b0\u1eddng v\u00e0 tho\u00e1t v\u00e0o trong ho\u00e0ng \u0111i\u1ec3m kh\u00f4ng. X\u00e9t nghi\u1ec7m n\u00e0y gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 lan r\u1ed9ng v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh.<\/p>\n<h2><strong>C\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 kh\u00f4ng?<\/strong><\/h2>\n<p>\u0110\u1ed1i v\u1edb AMD th\u1ec3 kh\u00f4, ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u. Tuy nhi\u00ean c\u00f3 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p c\u00f3 th\u1ec3 gi\u00fap t\u1ed1i \u01b0u h\u00f3a th\u1ecb l\u1ef1c m\u00e0 b\u1ea1n \u0111ang c\u00f3 v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eaft. C\u00e1c d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 ng\u01b0\u1eddi c\u00f3 th\u1ecb l\u1ef1c th\u1ea5p c\u00f3 trong khoa m\u1eaft c\u1ee7a c\u00e1c b\u1ec7nh vi\u1ec7n, b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 t\u00ecm th\u00f4ng tin t\u1ea1i H\u1ed9i b\u1ec7nh l\u00fd ho\u00e0ng \u0111i\u1ec3m (Macular Disease Society- M\u1ef9) v\u00e0 vi\u1ec7n ng\u01b0\u1eddi m\u00f9 qu\u1ed1c gia (Royal National Institute of Blind People (RNIB)- M\u1ef9). Kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1 v\u00e0 b\u1ea3o v\u1ec7 m\u1eaft kh\u1ecfi tia m\u1eb7t tr\u1eddi b\u1eb1ng c\u00e1ch \u0111eo k\u00ednh r\u00e2m l\u00e0 r\u1ea5t quan tr\u1ecdng. Ch\u1ebf \u0111\u1ed9 \u0103n l\u00e0nh m\u1ea1nh, c\u00e2n b\u1eb1ng, gi\u00e0u c\u00e1c ch\u1ea5t ch\u1ed1ng oxy h\u00f3a c\u00f3 th\u1ec3 gi\u00fap \u00edch c\u0169ng nh\u01b0 vi\u1ec7c b\u1ed5 sung th\u00eam\u00a0 c\u00e1c ch\u1ea5t \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea chi ti\u1ebft b\u00ean d\u01b0\u1edbi. Nh\u1edb r\u1eb1ng v\u1edbi AMD th\u1ec3 kh\u00f4, th\u1ecb l\u1ef1c c\u00f3 khuynh h\u01b0\u1edbng s\u1ee5t gi\u1ea3m t\u1eeb t\u1eeb trong kho\u1ea3ng 5-10 n\u0103m.<\/p>\n<p>\u0110\u1ed1i v\u1edbi AMD th\u1ec3 \u01b0\u1edbt \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n, \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n ho\u1eb7c l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a m\u1ea5t th\u1ecb l\u1ef1c \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi h\u01a1n th\u1eadm ch\u00ed c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c ph\u1ea7n n\u00e0o ti\u1ebfn tr\u00ecnh m\u1ea5t th\u1ecb l\u1ef1c. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay g\u1ed3m \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng y\u1ebfu t\u1ed1 t\u0103ng sinh n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u (anti- VEGF: <strong>anti-vascular endothelial growth factor<\/strong>), li\u1ec7u ph\u00e1p quang \u0111\u1ed9ng v\u00e0 laser quang \u0111\u00f4ng.<\/p>\n<h3>C\u00e1c thu\u1ed1c Anti-VEGF<\/h3>\n<p>Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, m\u1ed9t nh\u00f3m thu\u1ed1c ch\u1ed1ng y\u1ebfu t\u1ed1 t\u0103ng sinh n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u g\u1ecdi l\u00e0 anti- VEGF \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n. Y\u1ebfu t\u1ed1 t\u0103ng sinh n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u l\u00e0 m\u1ed9t ch\u1ea5t li\u00ean quan \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a nh\u1eefng m\u1ea1ch m\u00e1u m\u1edbi \u1edf ho\u00e0ng \u0111i\u1ec3m c\u1ee7a nh\u1eefng ng\u01b0\u1eddi b\u1ecb AMD th\u1ec3 \u01b0\u1edbt. Ng\u0103n ch\u1eb7n t\u00e1c \u0111\u1ed9ng c\u1ee7a ch\u1ea5t n\u00e0y s\u1ebd gi\u00fap ch\u1ed1ng l\u1ea1i vi\u1ec7c h\u00ecnh th\u00e0nh nh\u1eefng m\u1ea1ch m\u00e1u b\u1ea5t th\u01b0\u1eddng trong AMD th\u1ec3 \u01b0\u1edbt. Thu\u1ed1c Anti- VEGF hay c\u00f2n g\u1ecdi l\u00e0 thu\u1ed1c ch\u1ed1ng sinh m\u1ea1ch c\u00f3 ngh\u0129a l\u00e0 ch\u00fang ho\u1ea1t \u0111\u1ed9ng ch\u1ed1ng l\u1ea1i c\u00e1c ch\u1ea5t k\u00edch th\u00edch s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi.<\/p>\n<p>Thu\u1ed1c anti- VEGF g\u1ed3m <strong>ranibizumab<\/strong>,\u00a0<strong>pegaptanib<\/strong>\u00a0v\u00e0\u00a0<strong>aflibercept<\/strong>. M\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1c l\u00e0 <strong>bevacizumab<\/strong> d\u00f9 ch\u01b0a \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p nh\u01b0ng c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb AMD.<\/p>\n<p>C\u00e1c thu\u1ed1c anti- VEGF \u0111\u01b0\u1ee3c ti\u00eam tr\u1ef1c ti\u1ebfp v\u00e0o trong d\u1ecbch pha l\u00ea th\u1ec3 c\u1ee7a m\u1eaft b\u1eb1ng m\u1ed9t kim nh\u1ecf. Ranibizumab c\u1ea7n \u0111\u01b0\u1ee3c ch\u00edch l\u1eb7p l\u1ea1i m\u1ed7i 4 tu\u1ea7n. Vi\u1ec7n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe qu\u1ed1c gia \u0111\u00e3 \u0111\u01b0a ra c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m r\u1ea5t chuy\u00ean bi\u1ec7t \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0o c\u1ea7n \u0111i\u1ec1u tr\u1ecb. S\u1ef1 c\u00e2n b\u1eb1ng gi\u1eefa l\u1ee3i \u00edch v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc th\u1eadn tr\u1ecdng. B\u1eb1ng ch\u1ee9ng \u0111\u01b0\u1ee3c \u0111\u01b0a ra t\u1eeb c\u00e1c th\u1eed nghi\u1ec7m y h\u1ecdc, so s\u00e1nh gi\u1eefa c\u00e1c nh\u00f3m thu\u1ed1c v\u00e0 v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 c\u00f3. Anti- VEGF l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n m\u1edbi \u0111\u1ea7y kh\u00edch l\u1ec7 trong \u0111i\u1ec1u tr\u1ecb AMD th\u1ec3 \u01b0\u1edbt.<\/p>\n<p>Ranibizumab s\u1ebd c\u1ea3i thi\u1ec7n th\u1ecb l\u1ef1c \u1edf 1 trong 3 ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean, \u0111i\u1ec1u tr\u1ecb \u1edf h\u1ea7u h\u1ebft ng\u01b0\u1eddi b\u1ec7nh s\u1ebd l\u00e0 gi\u00fap duy tr\u00ec th\u1ecb l\u1ef1c hi\u1ec7n c\u00f3 v\u00e0 ng\u0103n ch\u1eb7n th\u1ecb l\u1ef1c ti\u1ebfn tri\u1ec3n x\u1ea5u h\u01a1n. Kho\u1ea3ng 1 trong 10 ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb s\u1ebd kh\u00f4ng \u0111\u00e1p \u1ee9ng g\u00ec v\u1edbi thu\u1ed1c. C\u00e1c th\u1eed nghi\u1ec7m thu\u1ed1c l\u00e2m s\u00e0ng v\u1eabn \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c v\u00e0 \u0111\u00e1nh gi\u00e1 c\u1ea3 nh\u1eefng thu\u1ed1c anti- VEGF kh\u00e1c. M\u1ed9t lo\u1ea1i thu\u1ed1c anti- VEGF kh\u00e1c l\u00e0 aflibercept c\u0169ng \u0111\u01b0\u1ee3c Vi\u1ec7n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe qu\u1ed1c gia khuy\u1ebfn ngh\u1ecb trong \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3>\u0110i\u1ec1u tr\u1ecb quang \u0111\u1ed9ng<\/h3>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n v\u00e0o cu\u1ed1i nh\u1eefng n\u0103m 1990. M\u1ed9t lo\u1ea1i thu\u1ed1c l\u00e0 verteporfin \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch \u1edf tay. Trong v\u00e0i ph\u00fat, verteporfin s\u1ebd g\u1eafn k\u1ebft v\u1edbi protein trong c\u00e1c t\u00e2n m\u1ea1ch b\u1ea5t th\u01b0\u1eddng t\u1ea1i ho\u00e0ng \u0111i\u1ec3m. M\u1ed9t tia s\u00e1ng c\u00f3 b\u01b0\u1edbc s\u00f3ng \u0111\u1eb7c bi\u1ec7t s\u1ebd \u0111\u01b0\u1ee3c chi\u1ebfu v\u00e0o m\u1eaft\u00a0 ch\u1ec9 trong h\u01a1n m\u1ed9t ph\u00fat. Verteporfin l\u00e0 m\u1ed9t thu\u1ed1c nh\u1ea1y v\u1edbi \u00e1nh s\u00e1ng. Do \u0111\u00f3 khi \u00e1nh s\u00e1ng \u0111\u01b0\u1ee3c chi\u1ebfu v\u00e0o c\u00e1c m\u1ea1ch m\u00e1u \u0111\u01b0\u1ee3c bao ph\u1ee7 b\u1eb1ng verteporfin, verteporfin s\u1ebd k\u00edch ho\u1ea1t v\u00e0 g\u00e2y t\u1ed5n th\u01b0\u01a1ng, ph\u00e1 h\u1ee7y c\u00e1c m\u1ea1ch m\u00e1u t\u00e2n sinh b\u1ea5t th\u01b0\u1eddng (kh\u00f4ng ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o n\u00f3n, que hay b\u1ea5t c\u1ee9 m\u1ea1ch m\u00e1u b\u00ecnh th\u01b0\u1eddng n\u00e0o l\u00e2n c\u1eadn).<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb quang \u0111\u1ed9ng ch\u1ec9 ph\u00f9 h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 ca. N\u00f3 ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed ch\u00ednh x\u00e1c c\u1ee7a t\u00e2n m\u1ea1ch \u1edf \u0111\u00e2u v\u00e0 lan r\u1ed9ng t\u1edbi \u0111\u00e2u. N\u00f3 kh\u00f4ng hi\u1ec7u qu\u1ea3 trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u00f9 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb cao. Th\u00e0nh c\u00f4ng ngh\u0129a l\u00e0 s\u1ef1 m\u1ea5t th\u1ecb l\u1ef1c \u0111\u01b0\u1ee3c ng\u0103n ch\u1eb7n \u0111\u1ec3 kh\u00f4ng x\u1ea5u h\u01a1n ch\u1ee9 kh\u00f4ng ph\u1ea3i ph\u1ee5c h\u1ed3i l\u1ea1i th\u1ecb l\u1ef1c \u0111\u00e3 m\u1ea5t. \u0110i\u1ec1u tr\u1ecb c\u1ea7n thi\u1ebft ph\u1ea3i \u00a0l\u1eb7p l\u1ea1i m\u1ed7i v\u00e0i th\u00e1ng \u0111\u1ec3 ti\u1ebfp t\u1ef1c \u1ee9c ch\u1ebf c\u00e1c t\u00e2n m\u1ea1ch. \u01afu \u0111i\u1ec3m ch\u00ednh c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y so v\u1edbi laser quang \u0111\u00f4ng l\u00e0 \u00edt t\u1ed5n th\u01b0\u01a1ng v\u00f5ng m\u1ea1c b\u00ecnh th\u01b0\u1eddng h\u01a1n.<\/p>\n<h3>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c<\/h3>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 x\u1ea1 tr\u1ecb, thu\u1ed1c v\u00e0 ph\u1eabu thu\u1eadt tr\u00ean v\u00f5ng m\u1ea1c v\u1eabn \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u. V\u00ed d\u1ee5 nh\u01b0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt l\u1ea5y m\u1ed9t ph\u1ea7n v\u00f5ng m\u1ea1c \u1edf ngo\u1ea1i bi\u00ean gh\u00e9p v\u00e0o v\u00f9ng ho\u00e0ng \u0111i\u1ec3m b\u1ecb b\u1ec7nh \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u. Gi\u00e1 tr\u1ecb c\u1ee7a nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi n\u00e0y ch\u01b0a r\u00f5 r\u00e0ng. \u0110i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m \u0111ang l\u00e0 m\u1ed9t l\u0129nh v\u1ef1c \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u m\u1ea1nh m\u1ebd v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00f3 c\u00f3 th\u1ec3 s\u1ebd c\u1ea3i thi\u1ec7n trong t\u01b0\u01a1ng lai g\u1ea7n.<\/p>\n<h2>Ch\u1ebf \u0111\u1ed9 \u0103n, c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m li\u00ean quan tu\u1ed5i gi\u00e0<\/h2>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb AMD (c\u1ea3 th\u1ec3 kh\u00f4 v\u00e0 th\u1ec3 \u01b0\u1edbt) c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i \u00edch t\u1eeb c\u00e1c ngu\u1ed3n b\u1ed5 sung vitamin v\u00e0 kho\u00e1ng ch\u1ea5t. Vi\u1ec7c b\u1ed5 sung n\u00e0y c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a AMD. Ng\u01b0\u1eddi ta cho r\u1eb1ng ch\u00fang c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n nh\u01b0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb AMD n\u1eb7ng ho\u1eb7c b\u1ecb m\u1ea5t th\u1ecb l\u1ef1c do AMD \u1edf m\u1ed9t m\u1eaft. C\u00f3 r\u1ea5t nhi\u1ec1u ch\u1ebf ph\u1ea9m \u0111\u01b0\u1ee3c b\u00e1n t\u1ea1i c\u00e1c nh\u00e0 thu\u1ed1c kh\u00f4ng c\u1ea7n k\u00ea toa. C\u00e1c ch\u1ebf ph\u1ea9m b\u1ed5 sung n\u00e0y kh\u00f4ng ph\u1ea3i thu\u1ed1c v\u00e0 n\u00f3i chung th\u01b0\u1eddng kh\u00f4ng th\u1ea5y trong c\u00e1c \u0111\u01a1n thu\u1ed1c. M\u1ed9t s\u1ed1 nh\u00f3m v\u1eadn h\u00e0nh l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 t\u00e0i tr\u1ee3 ch\u00fang nh\u01b0ng \u0111\u1ec1u c\u00f3 \u0111i\u1ec1u kho\u1ea3n t\u1ea1i ch\u1ed7 nh\u01b0 ch\u00fang ch\u1ec9 \u0111\u01b0\u1ee3c k\u00ea toa d\u1ef1a tr\u00ean l\u1eddi t\u01b0 v\u1ea5n c\u1ee7a c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa.<\/p>\n<p>S\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa vitamin v\u00e0 kho\u00e1ng ch\u1ea5t li\u1ec1u cao \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m v\u00e0 cho th\u1ea5y kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3. M\u1ed9t s\u1ed1 quan ni\u1ec7m cho r\u1eb1ng vitamin v\u00e0 kho\u00e1ng ch\u1ea5t li\u1ec1u cao c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi. M\u1ed9t s\u1ed1 lo\u1ea1i vitamin c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh l\u00fd. Beta- caroten \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0m t\u0103ng nguy c\u01a1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-phoi\/\" target=\"_blank\" rel=\"noopener\">ung th\u01b0 ph\u1ed5i<\/a>\u00a0\u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1, do \u0111\u00f3 nh\u1eefng ch\u1ea5t b\u1ed5 sung n\u00e0y kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 h\u00fat ho\u1eb7c \u0111ang h\u00fat thu\u1ed1c l\u00e1. Vitamin E l\u00e0m gia t\u0103ng nguy c\u01a1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/suy-tim\/\" target=\"_blank\" rel=\"noopener\">suy tim<\/a> \u1edf nh\u1eefng ng\u01b0\u1eddi <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cac-thuat-ngu-benh-tieu-duong\/\" target=\"_blank\" rel=\"noopener\">\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> ho\u1eb7c c\u00f3 b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u. K\u1ebdm c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ec7nh l\u00fd b\u00e0ng quang v\u00e0 th\u1eadn. Do c\u00f3 nh\u1eefng v\u1ea5n \u0111\u1ec1 ti\u1ec1m \u1ea9n nguy c\u01a1 k\u1ec3 tr\u00ean b\u1ea1n n\u00ean n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 \u0111a khoa ho\u1eb7c b\u00e1c s\u0129 m\u1eaft tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng c\u00e1c ch\u1ebf ph\u1ea9m b\u1ed5 sung n\u00e0y.<\/p>\n<h2>Tr\u1ee3 gi\u00fap thi\u1ebft th\u1ef1c<\/h2>\n<p>Khi th\u1ecb l\u1ef1c c\u1ee7a b\u1ea1n k\u00e9m \u0111i, b\u00e1c s\u0129 m\u1eaft th\u01b0\u1eddng chuy\u1ec3n b\u1ea1n \u0111\u1ebfn ph\u00f2ng kh\u00e1m th\u1ecb l\u1ef1c th\u1ea5p. Nh\u00e2n vi\u00ean t\u1ea1i ph\u00f2ng kh\u00e1m n\u00e0y s\u1ebd cung c\u1ea5p s\u1ef1 tr\u1ee3 gi\u00fap v\u00e0 l\u1eddi khuy\u00ean th\u1ef1c t\u1ebf \u0111\u1ec3 b\u1ea1n th\u00edch \u1ee9ng v\u1edbi t\u00ecnh tr\u1ea1ng th\u1ecb l\u1ef1c th\u1ea5p v\u00e0\/ ho\u1eb7c th\u1ecb l\u1ef1c \u0111ang suy gi\u1ea3m.<\/p>\n<p>S\u1ef1 tr\u1ee3 gi\u00fap bao g\u1ed3m:<\/p>\n<ul>\n<li>K\u00ednh l\u00fap ph\u00f3ng \u0111\u1ea1i, s\u00e1ch ch\u1eef in l\u1edbn v\u00e0 c\u00e1c lo\u1ea1i \u0111\u00e8n s\u00e1ng h\u1ed7 tr\u1ee3 vi\u1ec7c \u0111\u1ecdc.<\/li>\n<li>C\u00e1c v\u1eadt d\u1ee5ng nh\u01b0 \u0111\u1ed3ng h\u1ed3 bi\u1ebft n\u00f3i v\u00e0 c\u00e1c d\u1ee5ng c\u1ee5 h\u1ed7 tr\u1ee3 trong nh\u00e0 b\u1ebfp c\u00f3 th\u1ec3 c\u1ea7n khi th\u1ecb l\u1ef1c h\u1ea1n ch\u1ebf.<\/li>\n<li>N\u1ebfu b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c minh l\u00e0 ch\u1ec9 th\u1ea5y m\u1ed9t ph\u1ea7n ho\u1eb7c m\u00f9, b\u00e1c s\u0129 m\u1eaft s\u1ebd ho\u00e0n t\u1ea5t \u201cGi\u1ea5y ch\u1ee9ng nh\u1eadn khi\u1ebfm th\u1ecb\u201d. Sau \u0111\u00f3 b\u1ea1n s\u1ebd c\u00f3 m\u1ed9t s\u1ed1 l\u1ee3i \u00edch x\u00e1c \u0111\u1ecbnh.<\/li>\n<\/ul>\n<h2>T\u00f4i c\u00f2n c\u00f3 th\u1ec3 l\u00e0m g\u00ec kh\u00e1c kh\u00f4ng?<\/h2>\n<ul>\n<li>N\u1ebfu b\u1ea1n h\u00fat thu\u1ed1c l\u00e1 h\u00e3y c\u1ed1 g\u1eafng b\u1ecf. N\u1ebfu b\u1ea1n l\u00e0 ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1, c\u00f3 r\u1ea5t nhi\u1ec1u l\u00ed do l\u1ee3i \u00edch s\u1ee9c kh\u1ecfe \u0111\u1ec3 b\u1ecf h\u00fat thu\u1ed1c. H\u00fat thu\u1ed1c l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a nhi\u1ec1u b\u1ec7nh l\u00ed trong \u0111\u00f3 c\u00f3 AMD.Vi\u1ec7n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe qu\u1ed1c gia c\u00f3 th\u1ec3 cung c\u1ea5p s\u1ef1 gi\u00fap \u0111\u1ee1, h\u1ed7 tr\u1ee3 v\u00e0 thu\u1ed1c gi\u00fap cai h\u00fat thu\u1ed1c l\u00e1.<\/li>\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n c\u00e2n b\u1eb1ng l\u00e0nh m\u1ea1nh gi\u00fap b\u1ea1n c\u00f3 ngu\u1ed3n cung c\u1ea5p vitamin d\u1ed3i d\u00e0o v\u00e0 c\u00f3 th\u1ec3 c\u00f3 \u00edch trong AMD.<\/li>\n<li>Gi\u1eef an to\u00e0n li\u00ean quan \u0111\u1ebfn l\u00e1i xe. N\u1ebfu b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh th\u1ecb l\u1ef1c b\u1ecb suy gi\u1ea3m, b\u1ea1n kh\u00f4ng n\u00ean l\u00e1i xe v\u00e0 n\u00ean th\u00f4ng b\u00e1o cho chi nh\u00e1nh ki\u1ec3m so\u00e1t b\u1eb1ng l\u00e1i v\u00e0 t\u00e0i x\u1ebf. N\u01a1i \u0111\u00e2y s\u1ebd cung c\u1ea5p cho b\u1ea1n nh\u1eefng h\u01b0\u1edbng d\u1eabn chi ti\u1ebft \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi l\u00e1i xe v\u00e0 ti\u00eau chu\u1ea9n t\u1ed1i thi\u1ec3u c\u1ee7a th\u1ecb l\u1ef1c trong l\u00e1i xe. \u0110i\u1ec1u n\u00e0y bao g\u1ed3m: khi \u0111eo k\u00ednh \u0111ang s\u1eed d\u1ee5ng, b\u1ea1nc\u00f3 th\u1ec3 \u0111\u1ecdc bi\u1ec3n s\u1ed1 xe \u1edf kho\u1ea3ng c\u00e1ch 20 met.<\/li>\n<li>L\u01b0u \u00fd ki\u1ec3m tra th\u1ecb l\u1ef1c \u0111\u1ecbnh k\u1ef3 th\u01b0\u1eddng xuy\u00ean khi b\u1ea1n l\u1edbn tu\u1ed5i.B\u1ea1n n\u00ean g\u1eb7p k\u1ef9 thu\u1eadt vi\u00ean kh\u00fac x\u1ea1 m\u1ed7i 2 n\u0103m ngay c\u1ea3 khi th\u1ecb l\u1ef1c kh\u00f4ng \u0111\u1ed5i. B\u1edfi ki\u1ec3m tra m\u1eaft s\u1ebd gi\u00fap ph\u00e1t hi\u1ec7n ra b\u1ec7nh s\u1edbm h\u01a1n l\u00e0 \u0111\u1ebfn khi b\u1ea1n t\u1ef1 nh\u1eadn th\u1ea5y th\u1ecb l\u1ef1c c\u1ee7a m\u00ecnh thay \u0111\u1ed5i. K\u1ef9 thu\u1eadt vi\u00ean kh\u00fac x\u1ea1 c\u00f3 th\u1ec3 khuy\u00ean b\u1ea1n n\u00ean bao l\u00e2u kh\u00e1m m\u1eaft m\u1ed9t l\u1ea7n d\u1ef1a v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t, ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. Ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm th\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 h\u01a1n.<\/li>\n<\/ul>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"http:\/\/patient.info\/health\/age-related-macular-degeneration-leaflet\" target=\"_blank\" rel=\"noopener\">http:\/\/patient.info\/health\/age-related-macular-degeneration-leaflet<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 (Age- related Macular Degeneration \u2013 AMD ho\u1eb7c ARMD) l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t (t\u1ea1i M\u1ef9) g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i. <\/p>\n","protected":false},"author":114,"featured_media":6057,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5155,3306,5298,5164,5152,5148,5153,5170,5151],"tags":[3467,4531,4532],"series":[812],"coauthors":[2329],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 (Age- related Macular Degeneration \u2013 AMD ho\u1eb7c ARMD) l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t (t\u1ea1i M\u1ef9) g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/thoai-hoa-hoang-diem-tuoi-gia\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Tho\u00e1i h\u00f3a ho\u00e0ng \u0111i\u1ec3m tu\u1ed5i gi\u00e0 (Age- related Macular Degeneration \u2013 AMD ho\u1eb7c ARMD) l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t (t\u1ea1i M\u1ef9) g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/thoai-hoa-hoang-diem-tuoi-gia\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/tathuylinh\" \/>\n<meta property=\"article:published_time\" content=\"2018-08-03T03:13:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:20:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2016\/04\/thoai-hoa-hoang-diem-tuoi-gia.png\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"BS. 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