Unele boli vasculare generale, precum diabetul zaharat, hipertensiunea arterial\u0103, complicat\u0103 cu accident vascular retinian, au complica\u021bii la nivelul ochiului. Alteori, boli oculare evolueaz\u0103 spre complica\u021bii vasculare: miopia forte sau degenerescen\u021ba macular\u0103. \u00cen cazul acestor boli, arterele mici, care irig\u0103 retina, \u021besutul nobil al ochiului ce con\u021bine nervii cu care vedem, se \u00eemboln\u0103vesc. Circula\u021bia este deficitar\u0103, nivelul de oxigenare al \u021besuturilor oculare se reduce, iar astfel apare ischemia ocular\u0103. \u021aesuturile care sufer\u0103 de lips\u0103 de oxigenare produc substan\u021be VEGF (Vascular endothelial growth factor), care au rolul de a crea noi vase de s\u00e2nge care s\u0103 asigure buna oxigenare. Din p\u0103cate, \u00eens\u0103, aceste noi vase nu au un rol benefic pentru ochi. Ele au pere\u021bi slabi, se rup cu u\u0219urin\u021b\u0103 \u0219i umplu ochiul de s\u00e2nge.<\/p>\n\n\n\n
Exist\u0103 tratamente care neutralizeaz\u0103 VEGF, oprind evolu\u021bia bolii sau chiar \u00een cazurile diabetului duc\u00e2nd la reversia stadiilor retinopatiei diabetice. Injec\u021biile intravitreene (anti-VGF) au fost aprobate \u00een Statele Unite ale Americii din 2006, pentru degenerescen\u021ba macular\u0103 legat\u0103 de v\u00e2rst\u0103, forma umed\u0103, apoi pentru edemul macular din obstruc\u021biile venoase retiniene, edemul macular diabetic \u0219i retinopatia diabetic\u0103. <\/p>\n\n\n\n
Datorit\u0103 acestei \u00eendelungate experien\u021be a colegilor oftalmologi din SUA \u0219i, mai nou, Uniunea European\u0103 putem spune c\u0103 acest tratament este benefic pentru pacien\u021bi men\u021biona\u021bi. O bun\u0103 parte din ei \u00ee\u0219i recupereaz\u0103 vederea \u00een urma tratamentului. De asemenea, unui alt procent important reu\u0219im s\u0103 le stabiliz\u0103m vederea \u0219i s\u0103 oprim progresia bolii. Este important ca pacien\u021bii care sufer\u0103 de afec\u021biunile men\u021bionate s\u0103 fac\u0103 verific\u0103ri periodice pentru a se depista la timp posibilele complica\u021bii. <\/p>\n\n\n\n
Recomand\u0103ri pentru consulta\u021bii, \u00een func\u021bie de tipul bolii:<\/p>\n\n\n\n
Pentru pacien\u021bii cu diabet zaharat tip 2 \u2013 control la depistarea bolii apoi anual;<\/p>\n\n\n\n
Pacien\u021bii cu diabet zaharat tip 1, (insulinonecesitant) \u2013 control la cinci ani de la debut \u0219i apoi anual;<\/p>\n\n\n\n
Pacien\u021bii cu hipertensiune arterial\u0103, stenoz\u0103 carotidian\u0103 \u2013 control la 1-2 ani sau imediat dac\u0103 apar simptome oculare precum: sc\u0103derea vederii, dureri etc.;<\/p>\n\n\n\n
Pacien\u021bii peste 55 de ani, care au avut \u00een familie cazuri de degenerescen\u021b\u0103 macular\u0103, fum\u0103torii, cei care au stat mult \u00een soare \u2013 control o dat\u0103 la 1-2 ani;<\/p>\n\n\n\n
Pacien\u021bii care au miopie forte, dioptrii mai mari de -6 \u2013 control la 1-2 ani sau \u00een cazul \u00een care apare o modificare a vederii;<\/p>\n\n\n\n
\u00cen cazul \u00een care medicul specialist constat\u0103 c\u0103 pacientul poate beneficia de tratament cu anti-VEGF injectabil i se prescrie re\u021beta gratuit, \u00een ambulatoriul de specialitate al Spitalului Jude\u021bean de Urgen\u021b\u0103 Alba Iulia, apoi se face tratament \u00een blocul operator. Injec\u021bia se administreaz\u0103 \u00een ochi, \u00een sala de opera\u021bii, \u00een condi\u021bii de maxim\u0103 siguran\u021b\u0103 \u0219i sterilitate printr-o internare de zi.<\/p>\n\n\n\n
Din cauza situa\u021biei pandemice, pacien\u021bilor li se recolteaz\u0103 test COVID-19, \u00een mod gratuit, cu o zi \u00eenaintea tratamentului injectabil intraocular.<\/p>\n\n\n\n
\u201dSuntem bucuro\u0219i c\u0103 putem administra locuitorilor municipiului Alba Iulia \u0219i a celor din jude\u021b acest tratament inovativ, \u00een mod gratuit. \u00cenainte ca Spitalul Jude\u021bean de Urgen\u021b\u0103 Alba Iulia s\u0103 ofere aceste servicii medicale, pacien\u021bii erau nevoi\u021bi s\u0103 mearg\u0103 la Cluj sau \u00een alte jude\u021be, la unit\u0103\u021bi sanitare private, ceea ce reprezenta un real efort, at\u00e2t financiar, c\u00e2t \u0219i fizic, av\u00e2nd \u00een vedere c\u0103 vorbim \u00een mare parte despre oameni v\u00e2rstnici cu diverse comorbidit\u0103\u021bi sau patologii. Dorim s\u0103 punem pacientul pe primul plan, s\u0103 \u00eei \u00eembun\u0103t\u0103\u021bim starea de s\u0103n\u0103tate, s\u0103 \u00eel vindec\u0103m \u0219i s\u0103 fie mul\u021bumit de serviciile oferite\u201d,<\/p>a spus dr. Violeta Laz\u0103r, medic primar specialist oftalmolog.<\/cite><\/blockquote>\n\n\n\n
Aceste injec\u021bii se fac periodic, conform indica\u021biilor medicului de specialitate, \u00een func\u021bie de evolu\u021bia clinic\u0103 a bolii \u0219i de tipul afec\u021biunii.<\/p>\n\n\n\n
SJU Alba Iulia anun\u021b\u0103 c\u0103 toate persoanele care au suspiciuni privind existen\u021ba vreunei afec\u021biuni oculare au posibilitatea s\u0103 se programeze la o consulta\u021bie, la policlinica situat\u0103 pe strada Mu\u0219e\u021belului, nr. 2. Planific\u0103rile se fac la nr. de telefon 0766 373 624, de luni p\u00e2n\u0103 vineri, \u00eentre orele 13.00 \u2013 15.00. Medicul oftalmolog este singurul \u00een m\u0103sur\u0103 s\u0103 se pronun\u021be cu privire la conduita, diagnosticul, tratamentul medical pentru pacient.<\/p>\n\n\n\n
Biroul de pres\u0103 al SJU Alba Iulia<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"
Medicii oftalmologi de la Spitalul Jude\u021bean de Urgen\u021b\u0103 Alba Iulia administreaz\u0103 injec\u021bii intravitreene, pentru controlul unor afec\u021biuni oculare grave, care afecteaz\u0103 \u00een special persoanele cu boli vasculare generale. Tratamentul inovativ se realizeaz\u0103 gratuit la SJU Alba Iulia, fiind prescris de mediul specialist \u00een ambulatoriu \u0219i administrat \u00een sala de opera\u021bii, cu internare de o zi. …<\/p>\n","protected":false},"author":17,"featured_media":22360,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[255],"tags":[23001,23002,23000,9089,23003],"class_list":["post-96060","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sanatate","tag-afectiuni-oculare-grave","tag-boli-vasculare-generale","tag-injectii-intravitreene","tag-spitalul-judetean-de-urgenta-alba-iulia","tag-tratament-inovativ"],"yoast_head":"\n
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