Được viết: Thứ tư, 27-09-2017

Cườm mắt vốn là tên gọi chung của hai bệnh lý về mắt hoàn toàn khác nhau, đó là đục thủy tinh thể (cườm khô) và glôcôm (cườm ướt), bởi vậy thật khó để có một phác đồ điều trị chung nào cho cả hai dạng bệnh này. Các bác sỹ sẽ cân nhắc dựa trên thể bệnh, mức độ nghiêm trọng, tình trạng sức khỏe và điều kiện kinh tế để lựa chọn giải pháp chữa trị thích hợp nhất để nhanh chóng khôi phục lại thị lực cho người bệnh.

Điều trị bệnh cườm mắt dạng ướt – glôcôm

Việc lựa chọn phương pháp điều trị cườm ướt phải dựa trên từng giai đoạn, mức độ của bệnh cũng như khả năng đáp ứng của từng người. Sau đây là một số phương pháp tối ưu nhất hiện nay:

Sử dụng thuốc nhỏ mắt

Thuốc nhỏ mắt có tác dụng hạ nhãn áp bằng cách tăng cường khả năng lưu thông hoặc giảm lượng thủy dịch tích tụ trong mắt. Các bác sỹ thường phối hợp 1-3 loại thuốc để tăng hiệu quả điều trị. Tuy nhiên việc dùng thuốc dài ngày có thể dẫn đến một số tác dụng phụ như: dị ứng, đỏ mắt, nhức mắt, giảm thị lực, nhìn mờ…. một số loại còn có thể ảnh hưởng không tốt tới tim và phổi của người bệnh.

Trị cườm mắt bằng phẫu thuật

Phẫu thuật được chỉ định khi không đáp ứng với thuốc điều trị hoặc gặp một số tác dụng phụ nghiêm trọng của thuốc nhỏ mắt. Một số biện pháp phẫu thuật có thể được áp dụng nhằm khơi thông dòng chảy của thủy dịch trong mắt, chẳng hạn như:

- Phẫu thuật tạo hình vùng bè (Trabeculoplasty): áp dụng với người bị glôcôm góc mở. Việc chiếu tia laser có thể mở rộng góc thoát thủy dịch nhằm giảm áp lực trong mắt.

Điều trị cườm mắt bằng phẫu thuật tia laser

Điều trị cườm mắt bằng phẫu thuật tia laser

- Phẫu thuật cắt mống mắt chu biên (Iridotomy): áp dụng với người bị glôcôm góc đóng. Phương pháp này dùng năng lượng tia laser để tạo lỗ nhỏ trong mống mắt, nhằm tăng khả năng lưu thông của thủy dịch.

- Phẫu thuật cắt bè củng giác mạc (Trabeculectomy): áp dụng cho hầu hết trường hợp bị glôcôm, đây cũng là phương pháp được áp dụng phổ biến nhất với tỷ lệ thành công khá cao.

- Phẫu thuật cấy ống thoát dịch vào mắt: việc cấy ống thoát này sẽ dẫn thủy dịch dư thừa vào các mạch máu xung quanh để giảm áp lực trong mắt.

Bên cạnh các phương pháp điều trị cườm mắt kể trên, việc sử dụng viên bổ mắt Minh Nhãn Khang sẽ giúp tăng cường thị lực và làm chậm lại quá trình tiến triển của bệnh cườm mắt, tránh nguy cơ mù lòa. Hãy gọi cho chúng tôi qua số: 0971.003.903 để được tư vấn về sản phẩm.

Điều trị cườm khô – đục thủy tinh thể

Hiện nay chưa có một loại thuốc nào có thể chữa khỏi hoàn toàn bệnh cườm khô. Phẫu thuật thay thủy tinh thể nhân tạo sẽ là phương pháp cuối cùng được chỉ định khi thị lực giảm nghiêm trọng. Hai loại phẫu thuật thông dụng đó là:

Phẫu thuật phaco

Là phương pháp được lựa chọn hàng đầu bởi độ an toàn và khả năng thành công cao. Thủ thuật này được các bác sỹ thực hiện theo các bước sau:

- Đưa một đầu dò siêu âm vào mắt qua vết mổ ở giác mạc khoảng 2.8 – 3.2 mm

- Thủy tinh thể bị đục được sóng siêu âm tán nhuyễn và được hút ra khỏi mắt qua đầu dò này.

- Chất nhân được lấy hết ra ngoài để lại bao thủy tinh thể, lúc này các phẫu thuật viên sẽ đặt thủy tinh thể nhân tạo vào trong bao này vĩnh viễn.

Do vết mổ nhỏ nên người bệnh không cần khâu cũng có thể tự lành và biến chứng loạn thị cũng ít xảy ra.

Phẫu thuật phaco được áp dụng nhiều trong điều trị cườm khô

Phẫu thuật phaco được áp dụng nhiều trong điều trị cườm khô

Phẫu thuật thay thủy tinh thể bằng Laser - Femtosecond

Thay vì dùng dao, phương pháp này sử dụng năng lượng laser sẽ tạo vết mổ kín hơn, khỏe hơn, độ chính xác và an toàn cao, thị lực nhanh được khôi phục trong khi vết mổ cũng mau liền hơn.

Lời khuyên của các chuyên gia trong phòng ngừa bệnh cườm mắt

Sau đây là một số lời khuyên của các chuyên gia trong việc phòng ngừa bệnh cườm mắt:

Xây dựng một lối sống khoa học, lạnh mạnh để tránh bị cườm mắt

- Tăng cường rau, củ, quả có màu xanh, đỏ, vàng chẳng hạn như cà chua, cà rốt, đu đủ, rau chân vịt, cải xoăn… Hạn chế hút thuốc lá, uống rượu bia và các chất kích thích bởi chúng có thể làm tăng áp lực lên mắt.

- Ngủ đúng giờ, đủ giấc, dành thời gian nghỉ ngơi, massage giúp mắt được thư giãn.

- Hạn chế sử dụng các thiết bị điện tử như máy tính, tivi, ipad, điện thoại… trong một thời gian dài

- Vệ sinh mắt hằng ngày, sử dụng kính bảo hộ cho mắt, tránh ảnh hưởng của ánh sáng mặt trời, khói bụi tới mắt.

Sử dụng các sản phẩm bổ mắt từ thảo dược

Theo các chuyên gia Nhãn khoa, bên cạnh chế độ ăn uống, sinh hoạt khoa học, việc sử dụng một số sản phẩm bổ mắt hàng ngày sẽ là giải pháp ưu tiên hàng đầu trong phòng và điều trị bệnh cườm mắt. Nổi bật nhất là những sản phẩm có chứa nhóm chất chống oxy hóa mạnh như Alpha lipoic acid với lợi thế thấm tốt vào mô mắt, kích thích cơ thể tái tạo lại các chất chống oxy nội sinh giúp bảo vệ mắt hiệu quả. Khi kết hợp thêm Hoàng đằng chứa những hoạt chất kháng sinh tự nhiên, sẽ ngăn ngừa được nguy cơ viêm và nhiễm khuẩn, giúp nâng cao hiệu quả trong việc bảo vệ và tăng cường thị lực, làm chậm lại quá trình tiến triển của bệnh cườm mắt.

Xem thêm: Viên uống bổ mắt tốt nhất cho người bệnh cườm mắt

Cườm mắt là một trong những bệnh lý nguy hiểm, khó điều trị và dễ gây biến chứng mù lòa nhất hiện nay. Tuy nhiên việc phòng ngừa chứng bệnh này lại không hề khó, vì vậy ngay từ bây giờ, hãy chủ động bảo vệ đôi mắt của mình bằng cách thực hiện theo những lời khuyên hữu ích trên.

Cao Thủy

Nguồn tài liệu:

http://www.webmd.com/eye-health/glaucoma-eyes#3

https://www.agingcare.com/articles/cataract-surgery-options-108284.htm

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Or any relations have a rare heart condition generally known as prolongation of the QT interval
. Take anny medicines known as “nitrates” (See “What immportant info ought to you know about
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Countless medical breakothroughs on the institute havbe changed
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Take 1 LEVITRA pill about 1 hour earlier than sexual exercise.
Some form of sexual stimulation is needed for aan erection to happen with LEVITRA.


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Stop utilizing this medicine and call your well being care provider right
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Following a single oral dose oof three mg/kg, three.three% of the administered
dose was excreted into the milk within 24 hours.
No evidence of specific potential for teratogenicity, embryotoxicity
or fetotoxicity was noticed in rats and rabbits that obtained vardenafil at up to 18 mg/kg/day
during organogenesis. This dpse iis roughly a hundred fold and 29
fold hhigher than the AUC values for unbound vardenafil
andd its major metabolite in people given the maximum recommended humawn dose oof 20 mg.
Inform patients that the beneficial starting dose of LEVITRA is 10
mg. The dose could also be elevated to a most beneficial dose of 20
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plasma proteins and never significantly eradicated within the urine.

When forty mg of vardenafil was administered twice day by day, cases
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Do not use LEVITRA in patients with extreme hepatic
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The tissue concentration of cGMP is regulated by both the charges
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is the cGMP-specific phosphodiesterase type 5 ; therefore, the inhibition of PDE5 enhances erectile operate by growing the amount of cGMP.
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initiate the native release of nitric oxide, the inhibition of PDE5 has no effect
in the absence of sexual stimulation. Do not use LEVITRA in sufferers on renal dialysis as vardenafil has not been evaluated in such
patients. Vardenafil was secreted into the milk of
lactating rats at concentrations roughly 10-fold greater than discovered within the plasma.


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Placebo-controlled trials instructed a dose effect within the incidence of some opposed reactions over the 5 mg,
10 mg, and 20 mg doses of LEVITRA. b) All the occasions listed
in the above table were deemed to be opposed drug reactions aside from accidental damage.
When LEVITRA was taken as recommended in placebo-controlled medical trials, the next adverse reactions have been reported .
In placebo-managed clinical trials, the discontinuation rate because of adverse events was three.4% for LEVITRA
in comparison with 1.1% for placebo. LEVITRA was administered to over 4430 men (mean age 56,
range years; 81% White, 6% Black, 2% Asian,
2% Hispanic and 9% Other) throughout managed and uncontrolled scientific trials worldwide.

It isn't possible to find out whether these events are
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3357, and 1350 sufferers have been treated for at least 1 yr.
For patients with moderate hepatic impairment (Child-Pugh B), a beginning dose of 5 mg LEVITRA
is really helpful. The most dose in sufferers with moderate hepatic impairment shouldn't exceed 10 mg.

Over 2200 sufferers had been handled for 6 months or longer and 880 sufferers have been handled for no less than 1 yr.
Do not use LEVITRA in patients with severe hepatic impairment (Child-Pugh C) .
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