ï»? 健康‹¹™æ±Ÿæ‚å¿—åQšé’光眼的防治:½E³çœ¼åŽ?守光明_媒体报道_新闻¾|?- 温州åŒÈ§‘大学附属çœÆD§†å…‰åŒ»é™?/title> <meta name="keywords" content="温州åŒÈ§‘大学附属çœÆD§†å…‰åŒ»é™¢æ–°é—ȝ½‘" /> <meta name="Description" content="温州åŒÈ§‘大学附属çœÆD§†å…‰åŒ»é™¢æˆç«‹äºŽ1998òqß_¼Œ2009òq´ç»çœå«ç”ŸåŽ…批准增挂“浙江省眼科医院”,2010òq´å¼€è®¾æ­å·žé™¢åŒºï¼Œæ˜¯æµ™æ±Ÿçœé¦–家三çñ”甲等眼科专科医院。医院承担äÍ床医疗、医学教肌ӀåŒ»å­¦ç§‘研、预防保健等ä»ÕdŠ¡åQŒæ˜¯å›½å®¶çœ¼éƒ¨ç–„¡—…临床åŒÕd­¦ç ”究中心、眼视光学和视觉¿U‘学国家重点实验室、国家眼视光工程技术研½I¶ä¸­å¿ƒã€å›½å®¶è¯ç›‘局眼科疄¡—…åŒÈ–—器械和药物äÍ床研½I¶ä¸Žè¯„ä­h重点实验室,以及国家眼科学äÍ床重点专¿U‘、教育部˜q‘视防控与诊æ²Õd·¥½E‹ç ”½I¶ä¸­å¿ƒã€? /> <meta http-equiv="pragma" content="no-cache"> <meta http-equiv="cache-control" content="no-cache"> <script src="/templates/xww_new/js/jquery.min.js"></script> <script src="/templates/xww_new/js/swiper-bundle.min.js"></script> <link href="/templates/xww_new/css/swiper-bundle.min.css" rel="stylesheet" /> <meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=no, viewport-fit=cover" /> <script 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发布旉™—´åQ?024/3/22 15:19:13 </div> <div class="info"> <p style="text-align: left; text-indent: 2em;"><strong>什么是青光çœû|¼Ÿ</strong><br/></p><p style="text-indent:28px">青光眼是全球½W¬ä¸€ä½ä¸å¯é€†æ€§è‡´ç›²çœ¼ç—…,是一¾l„以视神¾lèŽ¾~©å’Œè§†é‡ŽåQˆè§†ç‰©èŒƒå›ß_¼‰¾~ºæŸä¸ºå…±åŒç‰¹å¾çš„ç–„¡—…åQŒéšç€ç–„¡—…的进展,视物的范围越来越ž®ã€‚青光眼的发病具有高度隐匿性,通常被称ä¸ø™§†åŠ›çš„“小偷”,早期可以没有ä»ÖM½•ç—‡çŠ¶è€Œä¸æ˜“被发现。大多数患者因没有及时ž®Þp¯Šå¯ÆD‡´ä¸å¯é€†æ€§çš„损害甚至致盲ã€?/p><p style="text-indent:28px"><strong>青光çœÆDƒ½æ²Õd¥½å—?</strong></p><p style="text-indent:28px">青光眼属于眼¿U‘的慢性疾病,一旦引赯‚§†åŠŸèƒ½çš„损宻I¼Œä¸€èˆ¬æ˜¯ä¸å¯é€†çš„åQŒè™½æ— æ³•å®Œå…¨æ ÒŽ²»åQŒä½†æ˜¯å¯é˜ŒÓ€å¯æŽ§ï¼Œéœ€åŠæ—©å‘现、及早干预,最大程度地保存视功能,青光眼的æ²È–—是一个连¾l­ã€ç»ˆíw«çš„˜q‡ç¨‹ã€?/p><p style="text-indent:28px"><strong>哪些是青光眼的危险因素?</strong></p><p style="text-indent:28px">眼压增高是青光眼最主要的危险因素,其它的主要危险因素还包括åQšé«˜é¾„(â‰?span>40</span>岁以上)、高度近视(˜q‘视度数â‰?span>600</span>度)、远视眼、青光眼家族史等以及ä»ÖM½•å¯å¼•èµ¯‚§†¼œžç»ä¾›è¡€ä¸èƒö的情况(如心血½Ž¡ç–¾ç—…、糖ž®¿ç—…、血液流变学异常½{‰ï¼‰ã€?span><span> </span></span></p><p style="text-indent:28px"><strong>如何发现自己有青光眼åQ?/strong></p><p style="text-indent:28px">青光眼分为原发性、ç‘ô发性和先天性三大类åQŒé™¤åŽŸå‘性急性闭角型青光眼有明显且剧烈的症状外,其余¾cÕdž‹çš„青光眼¾~ÞZ¹æ˜Žæ˜¾çš„症状。原发性急性闭角型青光çœÆD‡´ç›²çŽ‡é«˜ï¼Œå¤šè§äºŽäºš‹z²äh¾Ÿ¤ï¼Œâ‰?span>50</span>岁äh¾Ÿ¤ï¼Œå¥Ïx€§ï¼Œå®¶æ—åÔŒ¼Œ˜qœè§†çœ¼å’Œ‹¹…前房解剖åŞ态等ä¸ÞZ¸»è¦å±é™©å› ç´ ã€‚该¾cÕdž‹ç”׃ºŽ½Hç„¶æ€¥å‰§çš„眼压升高可引è“v视力下降、眼睛胀痛、éËE栚wƒ¨é…¸èƒ€ã€åŒä¾§å¤´ç—›ï¼Œå¯ä¼´æ¶å¿ƒã€å‘•åç­‰åQŒæ˜“误诊åQŒéœ€é€šè¿‡åŠæ—¶æœ‰æ•ˆçš„治疗来挽救视力。而其余缺乏明昄¡—‡çŠ¶çš„青光çœÆD¡¨çŽîCؓ眼压¾~“慢升高或处于正常范å›ß_¼Œå¤§å¤šåœ¨è¯Šæ–­æ—¶å·²å‘展至疄¡—…中晚期,要通过ä¸ÕdŠ¨çš„筛查或体检åQˆçœ¼åŽ‹å’Œçœ¼åº•ç…§ç›¸½{‰ï¼‰æ‰èƒ½åŠæ—¶å‘现青光眹{€‚此外,眼部外伤和手术、局部和全èín‹È€ç´ ç±»è¯ç‰©ä½¿ç”¨ã€ç³–ž®¿ç—…½{‰æƒ…况也可以引è“v¾l§å‘性青光眼的发生,在治疗原发疾病的同时需å…Ïx³¨çœ¼åŽ‹å’Œè§†åŠ›ç­‰çœ¼éƒ¨æƒ…况ã€?/p><p style="text-indent:28px"><strong>青光眼如何防治?</strong></p><p style="text-indent:28px"><span>青光眼属于眼¿U‘的慢性疾病,其治疗是一个连¾l­ã€ç»ˆíw«çš„˜q‡ç¨‹ã€?/span>åŒÈ”Ÿæ ÒŽ®ç–„¡—…情及时给予药物、激光或手术òq²é¢„åQŒæœ€å¤§ç¨‹åº¦åœ°æŽ§åˆ¶ç—…情的进展。然而,目前˜q˜æ²¡æœ‰ä¸€åŠÏx°¸é€¸çš„æ–ÒŽ³•åQŒæ— è®ÞZ½ æ˜¯æŽ¥å—哪一¿Uæ–¹å¼æ²»ç–—,均需定期随访åQŒåŒ»ç”Ÿå°†æ ÒŽ®çœ¼åŽ‹æ°´åã^和病情变化及时调整治疗方案。因此,青光眼患者治疗中的定期随访和复查臛_…³é‡è¦ã€‚降低眼压是目前能阻止青光眼病情˜q›å±•ä¿å­˜è§†åŠŸèƒ½çš„唯一有效的方法,所以在æ²È–—初始åŒÈ”Ÿä¼šäؓ每位患者设定“目标”眼压,后箋随着疄¡—…的情况调整靶眼压。纠正一个误区:不是æ²È–—后的眼压辑ֈ°æ­£å¸¸çœ¼åŽ‹çš„范å›ß_¼ˆ<span>11-21mmHg</span>åQ‰å°±æ˜¯è¾¾åˆ°â€œç›®æ ‡â€çœ¼åŽ‹äº†ã€‚“目标”眼压是åŒÈ”Ÿæ ÒŽ®æ¯ä¸ªæ‚£è€…具体青光眼¾cÕdž‹ã€ç—…情设定的。所以,目标眼压一定是个性化的(比如åQšæ²»ç–—前的眼压å€ÆD¶Šä½Žã€é’光眼严重½E‹åº¦­‘Šé‡ã€é’光眼˜q›å±•é€Ÿåº¦­‘Šå¿«åQŒâ€œç›®æ ‡â€çœ¼åŽ‹å€ÆD¦æ±‚越低)åQŒå½“ç–„¡—…½E›_®š<span>/</span>不再发展或发展速度­‘›_¤Ÿä½Žçš„时候,˜q™æ—¶å€™çš„眼压才是“目标”眼压。对于ä‹É用降眼压药物æ²È–—的患者而言åQŒéµåŒÕd˜±åšæŒé•¿æœŸé™çœ¼åŽ‹è¯ç‰©æ˜¯å…³é”®åQŒä¸å¯éšæ„è‡ªè¡Œåœè¯æˆ–调整药物ã€?/p><p style="text-indent:28px"><strong>日常生活需要注意什么?</strong></p><p style="text-indent:28px">åQ?åQ‰é€‚当地有氧运动,如跑步、骑车,避免倒立、ä‹D重。有氧运动可以降低眼压,增加眼部血‹¹ä¾›åº”,保护视神¾lã€‚每天增åŠ?0分钟的运动可以降ä½?5%的青光眼视野损害˜q›å±•é£Žé™©ã€?/p><p style="text-indent:28px">åQ?åQ‰é’光眼在ä‹É用降眼压çœÆD¯ã€æ¿€å…‰æˆ–手术æ²È–—后一定要定期随访åQŒç›‘‹¹‹çœ¼åŽ‹ï¼Œå¯†åˆ‡å…Ïx³¨è§†ç¥ž¾låŠè§†é‡ŽæŸå®³æƒ…况½{‰ã€?/p><p style="text-indent:28px">åQ?åQ‰ä¿è¯ç¡çœ å……­‘»I¼Œè§„律作息åQŒé¿å…æƒ…¾lªè¿‡åº¦æ¿€åŠ¨ï¼Œä¿æŒå¿ƒæƒ…舒畅åQŒé¿å…è¿‡åº¦åŠ³ç´¯ï¼Œä¸é¥®é…’、不吸烟、避免接触二手烟åQŒç§¯æžæ²»ç–—高血压、高血¾p–和高血脂等ã€?/p><p style="text-indent:28px">åQ?åQ‰é¿å…ä¸€‹Æ¡æ€§å¿«é€Ÿå¤§é‡é¥®æ°ß_¼Œä¸€‹Æ¡é¥®æ°´é‡ä¸è¶…˜q?00mlåQŒå¯ž®‘量多次饮水ã€?/p><p style="text-indent:28px">åQ?åQ‰é¿å…åœ¨æ˜æš—的环境中持箋用眼åQŒå¦‚关灯看手机,暗室下看电媄½{‰ã€?/p><p style="text-indent:28px">åQ?åQ‰ä‹É用抗¾_„¡¥žç–„¡—…药物åQŒé˜¿æ‰˜å“ã€å±±èŽ¨èª¼„±ã€ä¸œèŽ¨èª¼„Þq­‰æŠ—胆¼„Þp¯ç‰©æ—¶åQŒéœ€åœ¨ä¸“业医师指å¯ég¸‹˜q›è¡Œã€?/p><p style="text-indent:28px">åQ?åQ‰é’光眼是一¾c»èín心疾病,心态决定青光眼的è{归。保持良好的心态,与青光眼åŒÀLŠ¤å…±åŒåŠªåŠ›åQŒæ‰èƒ½å…±åŒæˆ˜èƒœé’光眼ã€?/p><p style="text-indent: 28px; text-align: 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