{"id":579,"date":"2023-01-17T13:53:20","date_gmt":"2023-01-17T11:53:20","guid":{"rendered":"https:\/\/ocvision.eu\/?post_type=jaunumi&p=579"},"modified":"2023-02-16T13:49:38","modified_gmt":"2023-02-16T11:49:38","slug":"nelauj-glaukomai-nozagt-redzi","status":"publish","type":"jaunumi","link":"https:\/\/ocvision.eu\/lv\/jaunumi\/nelauj-glaukomai-nozagt-redzi\/","title":{"rendered":"Ne\u013cauj glaukomai nozagt redzi"},"content":{"rendered":"\n
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Janv\u0101ris ir glaukomas kontroles m\u0113nesis<\/strong><\/p>\n\n\n\n

Glaukoma ir acu saslim\u0161ana, kas ierodas nemanot un nepiesakoties, t\u0101p\u0113c ir svar\u012bgi to atkl\u0101t savlaic\u012bgi un s\u0101kt \u0101rst\u0113\u0161anu. Diem\u017e\u0113l, \u0161\u012b slim\u012bba m\u0113dz progres\u0113t, pat tikt\u0101l, ka cilv\u0113ks k\u013c\u016bst akls. P\u0113c Pasaules Vesel\u012bbas organiz\u0101cijas datiem \u0161\u012b slim\u012bba ir otrais bie\u017e\u0101kais akluma c\u0113lonis pasaul\u0113 p\u0113c kataraktas. Janv\u0101ris ir glaukomas kontroles m\u0113nesis[1]<\/a>. Pla\u0161\u0101k par glaukomu, t\u0101s simptomiem un iesp\u0113j\u0101m to aptur\u0113t st\u0101sta \u0101rsts oftalmologs O\u013cegs Ku\u010derenko un optometriste Je\u013cena St\u016bri\u0161ka.<\/p>\n\n\n\n

Kas ir glaukoma un k\u0101di ir t\u0101s agr\u012bnie simptomi?<\/strong><\/p>\n\n\n\n

\u201eVairum\u0101 gad\u012bjumu \u0161\u012b slim\u012bba ir asimptom\u0101tiska un nav nek\u0101du paz\u012bmju vai saj\u016btu, p\u0113c kur\u0101m pats cilv\u0113ks var\u0113tu saprast, ka vi\u0146am ir glaukoma,\u201d skaidro \u201eOC VISION\u201d galven\u0101 optometriste Je\u013cena St\u016bri\u0161ka. \u201eRetos gad\u012bjumos, ja ir \u013coti liels acu spiediens, var s\u0101p\u0113t galva pieres da\u013c\u0101. T\u0101tad, ja ir \u0161\u0101das galvas s\u0101pes, tad vajadz\u0113tu ar\u012b acu spiedienu p\u0101rbaud\u012bt.<\/p>\n\n\n\n

Katrs no mums, kur\u0161 ir bijis pie acu \u0101rsta vai optometrista, ir dzird\u0113jis par acu spiedienu, kuru m\u0113ra ar gaisa pl\u016bsmas tonometru. Tie\u0161i paaugstin\u0101ts acu spiediens var liecin\u0101t par glaukomu.<\/p>\n\n\n\n

Paaugstin\u0101ts acs spiediens veidojas no t\u0101, ka izjaukts l\u012bdzsvars starp acs iek\u0161\u0113j\u0101 \u0161\u0137idruma veido\u0161anos un atteci, proti, \u0161\u0137idrums ac\u012b veidojas par daudz vai tas netiek pietiekami izvad\u012bts.<\/p>\n\n\n\n

K\u0101ds no t\u0101 sliktums? Lielais acu spiediens nospie\u017e acs dzi\u013cum\u0101 eso\u0161o redzes nervu, kur\u0101 ir nervu \u0161\u0137iedras. Nervu \u0161\u0137iedras iet boj\u0101, t\u0101s, diem\u017e\u0113l, nav atjaunojamas \u2013 l\u012bdz ar to sa\u0161aurin\u0101s redzes lauks un slikt\u0101kajos gad\u012bjumos var pat iest\u0101ties neatgriezenisks aklums. Ja savlaic\u012bgi tiek konstat\u0113ta glaukoma, tad, to \u0101rst\u0113jot, spiediens tiek l\u012bdzsvarots, lai tas maz\u0101k ietekm\u0113tu redzes nervu \u0161\u0137iedras,\u201d nor\u0101da Je\u013cena St\u016bri\u0161ka, piebilstot, ka spiedo\u0161a smaguma saj\u016bta ac\u012bs no ilgsto\u0161as redzes slodzes gan nenoz\u012bm\u0113, ka ir paaugstin\u0101ts acu spiediens.<\/p>\n\n\n\n

K\u0101 atkl\u0101t glaukomu?<\/strong><\/p>\n\n\n\n

Lai savlaic\u012bgi atkl\u0101tu \u0161o acu saslim\u0161anu, nepiecie\u0161ams vismaz reizi gad\u0101 izm\u0113r\u012bt acu spiedienu. To var izdar\u012bt ar\u012b optikas veikalos. L\u012bdz janv\u0101ra beig\u0101m izmekl\u0113jumam ir atlaide veikalos:<\/p>\n\n\n\n

OptiO optika – https:\/\/optio.lv\/lv\/akcijas\/glaukomas-kontroles-menesis\/<\/a><\/p>\n\n\n\n

VIZIONETTE – https:\/\/www.vizionette.lv\/piedavajumi\/akcijas\/acs-spiediena-merijumam-50-220<\/a><\/p>\n\n\n\n

Vision Express – https:\/\/www.visionexpress.lv\/akcijas\/acs-spiediena-merijumam-50-185<\/a><\/p>\n\n\n\n

Glaukomas diagnostikai ir nepiecie\u0161ama aparat\u016bra, ar kuru var p\u0101rbaud\u012bt redzes nerva disku un nov\u0113rt\u0113t redzes lauku, vai tas nav sa\u0161aurin\u0101ts. Optometriste Je\u013cena St\u016bri\u0161ka uzskata, ka glaukomas diagnostik\u0101 redzes lauka noteik\u0161anai ir \u013coti liela noz\u012bme, jo izmai\u0146as s\u0101kotn\u0113ji parasti skar vienu aci. \u201eT\u0101 k\u0101 mums ir divas acis, tad viena otru kompens\u0113 un cilv\u0113ks nej\u016bt, ka kaut kas iztr\u016bkst redzes lauk\u0101. Nov\u0113rt\u0113jot redzes lauku, \u0101rsts paman\u012bs, kur\u0101 viet\u0101 ir zudis acs j\u016bt\u012bgums un izkr\u012bt redzes lauks. Redzes lauka zudums s\u0101kas no \u0101r\u0113j\u0101m mal\u0101m, t\u0101tad pirm\u0101 z\u016bd perif\u0113r\u0101 redze. T\u0101lu aizg\u0101ju\u0161as saslim\u0161anas gad\u012bjum\u0101 cilv\u0113ks redz t\u0101 k\u0101 caur caurul\u012bti, tikai pavisam mazu laukumi\u0146u.\u201d<\/p>\n\n\n\n

K\u0101 rodas glaukoma?<\/strong><\/p>\n\n\n\n

\u0100rsts oftalmologs O\u013cegs Ku\u010derenko atz\u012bst: \u201eDiem\u017e\u0113l v\u0113l arvien nav \u012bsti skaidrs glaukomas ra\u0161an\u0101s c\u0113lonis. Pirms tr\u012bsdesmit gadiem bija vienas teorijas, tagad citas. Glaukoma ir vair\u0101k izplat\u012bta cilv\u0113kiem liel\u0101k\u0101 vecum\u0101, s\u0101kot no 40, 50 gadiem, l\u012bdz ar to ir pie\u0146\u0113mums, ka t\u0101s ra\u0161an\u0101s ir saist\u012bta ar noveco\u0161an\u0101s procesu. Tai pa\u0161\u0101 laik\u0101 glaukoma nav visiem cilv\u0113kiem gados, kas \u0161o pie\u0146\u0113mumu neapstiprina k\u0101 galveno. \u0145emot v\u0113r\u0101 nov\u0113rojumus, ka saslim\u0161ana par\u0101d\u0101s v\u0113l\u0101kos gados, iesaka acis regul\u0101ri p\u0101rbaud\u012bt, s\u0101kot 40 gadiem, ja iesp\u0113jams, ar\u012b \u0101tr\u0101k,\u201d skaidro \u0101rsts.<\/p>\n\n\n\n

K\u0101 \u0101rst\u0113 glaukomu?<\/strong><\/p>\n\n\n\n

\u201e\u0100rst\u0113\u0161ana ir gan konservat\u012bva, gan operat\u012bva,\u201d st\u0101sta oftalmologs O\u013cegs Ku\u010derenko. \u201eKad ir skaidra diagnoze un skaidra saslim\u0161anas forma, tad s\u0101kotn\u0113ji \u0101rsti iesaka lietot z\u0101les pilienu veid\u0101. Vien\u0101 gad\u012bjum\u0101 nepiecie\u0161ams papla\u0161in\u0101t visus novadce\u013cus. Cit\u0101 gad\u012bjum\u0101 \u2013 samazin\u0101t \u0161\u0137idruma atteci. T\u0101p\u0113c ir divu grupu acu pilieni, ko izmanto glaukomas \u0101rst\u0113\u0161anai, atkar\u012bb\u0101 no konkr\u0113t\u0101 pacienta situ\u0101cijas. No t\u0101 ar\u012b atkar\u012bgs, vai j\u0101pilina ac\u012bs z\u0101les vienu vai divas reizes dien\u0101. \u0100rsts var noz\u012bm\u0113t ne tikai vienu z\u0101\u013cu veidu, bet ar\u012b kombin\u0113tus prepar\u0101tus.<\/p>\n\n\n\n

Tikai tad, ja no pilienu lieto\u0161anas nav efekta, tiek pied\u0101v\u0101ta operat\u012bva \u0101rst\u0113\u0161ana, kas ir gan \u0137irur\u0123ija, gan l\u0101zer\u0137irur\u0123ija. L\u0101zeroper\u0101cija parasti tiek veikta saist\u012bb\u0101 ar kan\u0101li\u0146iem, kas atrodas acs dzi\u013cum\u0101, lai ievietotu mazas drenas novadce\u013cu probl\u0113mas viet\u0101, vai ar\u012b izveidotu caurumu un l\u012bdz ar to palielin\u0101tu \u0161\u0137idruma dren\u0101\u017eu. Kad tiek veicin\u0101ta notece, normaliz\u0113jas ar\u012b spiediens. P\u0113d\u0113jos gadus tiek pielietota v\u0113l viena jauna metode \u2013 implantu ievieto\u0161ana, kuros ir z\u0101les. T\u0101s no implantiem pak\u0101peniski izpl\u016bst acs dobum\u0101 un pal\u012bdz normaliz\u0113t acu spiedienu.\u201d<\/p>\n\n\n\n

Regul\u0101ra \u0101rstniec\u012bba un uzraudz\u012bba.<\/strong><\/p>\n\n\n\n

Oftalmologs O\u013cegs Ku\u010derenko skaidro, ka pateicoties p\u0113d\u0113j\u0101m tehnolo\u0123ij\u0101m ir iesp\u0113jams prec\u012bzi diagnostic\u0113t glaukomu, lai saprastu vai \u0161\u012b slim\u012bba jau ir, vai tikai ir uz robe\u017eas. \u201cAr\u012b robe\u017esitu\u0101cij\u0101s j\u0101turpina regul\u0101ras p\u0101rbaudes. Glaukomas pacientiem iesaka r\u016bp\u012bgi iev\u0113rot \u0101rsta rekomend\u0101cijas par acu pilienu lieto\u0161anas bie\u017eumu un divas reizes gad\u0101 p\u0101rbaud\u012bt gan spiedienu, gan ar\u012b acu pamatfunkcijas \u2013 redzes asumu un redzes lauku. Ja ir ba\u017eas, spiedienu dr\u012bkst p\u0101rbaud\u012bt katru m\u0113nesi. Glaukoma ir slim\u012bba, ko nevar piln\u012bb\u0101 iz\u0101rst\u0113t, t\u0101 paliek ar cilv\u0113ku l\u012bdz p\u0113d\u0113j\u0101m dz\u012bves dien\u0101m, t\u0101p\u0113c j\u0101seko un j\u0101dara viss, lai t\u0101 neprogres\u0113tu. \u0100rst\u0113jot glaukomu, var saglab\u0101t to situ\u0101ciju, kas ir glaukomas diagnostic\u0113\u0161anas br\u012bd\u012b, bet ne uzlabot situ\u0101ciju.\u201d<\/p>\n\n\n\n

Glaukomai ir da\u017e\u0101das formas, t\u0101 nav viena saslim\u0161ana. Ir sekund\u0101r\u0101 glaukoma, kas rodas no cit\u0101m acu saslim\u0161an\u0101m, piem\u0113ram, no iekaisumiem. Ir ar\u012b jaundzimu\u0161o glaukoma, kas tiek diagnostic\u0113ta p\u0113c dzemd\u012bb\u0101m. Ja glaukoma nav saist\u012bta ar acu spiedienu, t\u0101pat tiek boj\u0101tas nervu \u0161\u0137iedras un z\u016bd redze, jo ir ar\u012b norm\u0101la acu spiediena glaukoma.<\/p>\n\n\n\n

Daudz\u0101s darba viet\u0101s noteiktu funkciju veik\u0161anai nos\u016bta uz oblig\u0101to vesel\u012bbas p\u0101rbaudi, kuras laik\u0101 nereti secina, ka cilv\u0113kam paaugstin\u0101ts acu spiediens. \u0160\u0101dos gad\u012bjumos ir svar\u012bgi v\u0113rsties pie acu \u0101rsta, lai preciz\u0113tu, vai t\u0101 ir glaukoma. Paaugstin\u0101ts acu spiediens var b\u016bt saist\u012bts ar da\u017e\u0101d\u0101m vesel\u012bbas probl\u0113m\u0101m, piem\u0113ram, reiz\u0113m augsta asinsspiediena vai stresa laik\u0101 var uz \u012bsu br\u012bdi paaugstin\u0101ties intraokul\u0101rais spiediens.<\/p>\n\n\n\n

Diem\u017e\u0113l, Latvij\u0101 joproj\u0101m ir daudz nediagnostic\u0113tu glaukomas gad\u012bjumu, nav ar\u012b izstr\u0101d\u0101ta skr\u012bninga sist\u0113ma agr\u012bnai glaukomas diagnostikai.<\/p>\n\n\n\n

Bie\u017e\u0101k\u0101s ir prim\u0101ras atv\u0113rta kakta glaukomas (augsta un zema spiediena) formas, ko nov\u0113ro Latvij\u0101, saist\u012btas ar vecumu \u2014 slim\u012bba liel\u0101koties att\u012bst\u0101s pusm\u016b\u017e\u0101, progres\u0113 l\u0113ni, bet nemit\u012bgi. Sprie\u017eot p\u0113c Vesel\u012bbas un darbsp\u0113ju ekspert\u012bzes \u0101rstu valsts komisijas (9. VDE\u0100VK) datiem, ar katru gadu palielin\u0101s pirmreiz\u0113jo redzes inval\u012bdu skaits tie\u0161i glaukomas d\u0113\u013c. No 2005. l\u012bdz 2015. gadam \u0161\u0101du indiv\u012bdu skaits ir gandr\u012bz divk\u0101r\u0161ojies.[1]<\/a> 2017. gad\u0101 darbsp\u0113j\u012bga vecuma iedz\u012bvot\u0101ju grup\u0101 pirmreiz\u0113ja invalidit\u0101te glaukomas d\u0113\u013c noteikta, pie\u0161\u0137irot III invalidit\u0101tes grupu (69 % gad\u012bjumu) un II invalidit\u0101tes grupu (31 %), bet pensijas vecuma iedz\u012bvot\u0101jiem 42 % gad\u012bjumu pie\u0161\u0137irta I invalidit\u0101tes grupa, kas liecina par \u013coti smagu invalidit\u0101ti, 35 % gad\u012bjumu pie\u0161\u0137irta II invalidit\u0101tes grupa, kas liecina par smagu invalidit\u0101ti, bet III invalidit\u0101tes grupa noteikta 23 % gad\u012bjumu.[2]<\/a><\/p>\n\n\n\n

Glaukoma aiz\u0146em 36 % kop\u0113j\u0101 pirmreiz\u0113j\u0101s invalidit\u0101tes strukt\u016br\u0101, ie\u0146emot pirmo vietu (2. un 3. viet\u0101 ar 25 % katra seko invalidit\u0101te t\u012bklenes slim\u012bbu d\u0113\u013c (galvenok\u0101rt t\u012bklenes distrofiju un acs traumu seku d\u0113\u013c). 2018. gad\u0101 invalidit\u0101te glaukomas d\u0113\u013c pirmreiz\u0113ji noteikta 272 person\u0101m (14 % darbsp\u0113j\u012bg\u0101 vecum\u0101, 86 % valsts vecuma pensijas vecumu sasniegu\u0161\u0101m person\u0101m).[3]<\/a><\/p>\n\n\n\n

Glaukoma rada nopietnu slogu sabiedr\u012bbas vesel\u012bb\u0101 pasaul\u0113, t\u0101 ir otrais galvenais akluma c\u0113lonis p\u0113c kataraktas, un \u0161is aklums parasti ir neatgriezenisks. Tiek l\u0113sts, ka prim\u0101r\u0101 atv\u0113rt\u0101 kakta glaukoma skar 57,5 miljonus cilv\u0113ku vis\u0101 pasaul\u0113. Paaugstin\u0101ts glaukomas risks ir cilv\u0113kiem, kas vec\u0101ki par 60 gadiem, to \u0123imenes locek\u013ciem, kuriem jau diagnostic\u0113ta glaukoma, stero\u012bdu lietot\u0101jiem, cukura diab\u0113ta slimniekiem, k\u0101 ar\u012b tiem, kuriem ir augsta tuvredz\u012bba, hipertensija, centr\u0101l\u0101s radzenes biezums <5 mm un acu traumas. Paredzams, ka l\u012bdz 2040. gadam aptuveni 111,8 miljoni cilv\u0113ku ciet\u012bs no glaukomas.[4]<\/a><\/p>\n\n\n\n

Izmantotie avoti: <\/p>\n\n\n\n

[1]<\/a> Ausekle, S. 05.12.2015. Redzes lauks un invalidit\u0101tes ekspert\u012bze. 9.VDE\u0100K<\/p>\n\n\n\n

[2]<\/a> Ausekle, S. 27.02.2019. Glaukoma un invalidit\u0101te 2018. gad\u0101. 9.VDE\u0100VK<\/p>\n\n\n\n

[3]<\/a> Ausekle, S. 13.03.2018. Glaukoma un invalidit\u0101te 2017. gad\u0101. 9.VDE\u0100VK<\/p>\n\n\n\n

[4]<\/a> Allison, K., Patel, D., & Alabi, O. 2020. Epidemiology of Glaucoma: The Past, Present, and Predictions for the Future. Cureus, 12(11), e11686. https:\/\/doi.org\/10.7759\/cureus.11686<\/p>\n\n\n\n

[1]<\/a> https:\/\/glaucoma.org\/january-is-glaucoma-awareness-month\/<\/p>\n","protected":false},"template":"","tags":[4,54,55],"class_list":["post-579","jaunumi","type-jaunumi","status-publish","hentry","tag-redzesveseliba","tag-glaukoma","tag-acsspiediens","r_category-preses-relize"],"acf":[],"_links":{"self":[{"href":"https:\/\/ocvision.eu\/lv\/wp-json\/wp\/v2\/jaunumi\/579","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ocvision.eu\/lv\/wp-json\/wp\/v2\/jaunumi"}],"about":[{"href":"https:\/\/ocvision.eu\/lv\/wp-json\/wp\/v2\/types\/jaunumi"}],"wp:attachment":[{"href":"https:\/\/ocvision.eu\/lv\/wp-json\/wp\/v2\/media?parent=579"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ocvision.eu\/lv\/wp-json\/wp\/v2\/tags?post=579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}