Qua \u0111i\u1ec1u tra RAAB (Rapid Assessment of Avoidable Blindnes) n\u0103m 2007, t\u1ec9 l\u1ec7 m\u00f9 hai m\u1eaft do gl\u00f4c\u00f4m \u1edf ng\u01b0\u1eddi > 50 tu\u1ed5i chi\u1ebfm 6,5%, \u0111\u1ee9ng th\u1ee9 hai trong c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y m\u00f9 \u1edf Vi\u1ec7t Nam. Hi\u1ec7n nay, ch\u00fang ta c\u00f3 kho\u1ea3ng 24.800 ng\u01b0\u1eddi m\u00f9 do gl\u00f4c\u00f4m. Trong c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y m\u00f9 2 m\u1eaft, b\u1ec7nh gl\u00f4c\u00f4m \u0111\u1ee9ng v\u1ecb tr\u00ed th\u1ee9 3 (chi\u1ebfm 4%) sau b\u1ec7nh \u0111\u1ee5c th\u1ec3 th\u1ee7y tinh (7,4%) v\u00e0 c\u00e1c b\u1ec7nh b\u00e1n ph\u1ea7n sau (6,3%). B\u1ec7nh gl\u00f4c\u00f4m l\u00e0 g\u00ec?
\nGl\u00f4c\u00f4m l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh l\u00fd g\u00e2y t\u1ed5n h\u1ea1i th\u1ea7n kinh th\u1ecb gi\u00e1c qua c\u01a1 ch\u1ebf l\u00e0m t\u0103ng \u00e1p l\u1ef1c (nh\u00e3n \u00e1p) trong m\u1eaft. N\u1ebfu kh\u00f4ng ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, th\u1ea7n kinh th\u1ecb gi\u00e1c s\u1ebd b\u1ecb t\u1ed5n th\u01b0\u01a1ng ng\u00e0y c\u00e0ng tr\u1ea7m tr\u1ecdng v\u00e0 cu\u1ed1i c\u00f9ng d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng m\u1ea5t th\u1ecb l\u1ef1c kh\u00f4ng h\u1ed3i ph\u1ee5c.
\nAi d\u1ec5 m\u1eafc b\u1ec7nh?
\nT\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i v\u00e0 m\u1ecdi ch\u1ee7ng t\u1ed9c \u0111\u1ec1u c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh gl\u00f4c\u00f4m. M\u1ed9t s\u1ed1 nh\u00f3m ng\u01b0\u1eddi sau \u0111\u00e2y c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh gl\u00f4c\u00f4m v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean g\u1ed3m ng\u01b0\u1eddi tr\u00ean 40 tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng hay cao huy\u1ebft \u00e1p, ng\u01b0\u1eddi c\u00f3 ti\u1ec1n c\u0103n gia \u0111\u00ecnh \u0111\u00e3 m\u1eafc b\u1ec7nh gl\u00f4c\u00f4m, ng\u01b0\u1eddi b\u1ecb vi\u1ec5n th\u1ecb, gi\u00e1c m\u1ea1c (tr\u00f2ng \u0111en) nh\u1ecf, ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u00f9ng thu\u1ed1c nh\u00f3m steroid \u0111\u01b0\u1eddng to\u00e0n th\u00e2n ho\u1eb7c tra m\u1eaft trong th\u1eddi gian d\u00e0i, c\u1eadn th\u1ecb n\u1eb7ng, c\u00f3 ti\u1ec1n c\u0103n ch\u1ea5n th\u01b0\u01a1ng hay ph\u1eabu thu\u1eadt m\u1eaft,\u2026
\nNh\u1eefng tri\u1ec7u ch\u1ee9ng s\u1edbm \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh gl\u00f4c\u00f4m
\nB\u1ec7nh gl\u00f4c\u00f4m c\u00f3 nhi\u1ec1u th\u1ec3 b\u1ec7nh v\u00e0 nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, do v\u1eady tri\u1ec7u ch\u1ee9ng bi\u1ec3u hi\u1ec7n c\u0169ng r\u1ea5t kh\u00e1c nhau t\u00f9y th\u1ec3 lo\u1ea1i b\u1ec7nh.Trong \u0111\u00f3, gl\u00f4c\u00f4m ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c chia l\u00e0m 2 th\u1ec3 b\u1ec7nh ch\u00ednh l\u00e0 gl\u00f4c\u00f4m g\u00f3c \u0111\u00f3ng v\u00e0 gl\u00f4c\u00f4m g\u00f3c m\u1edf. Nguy hi\u1ec3m h\u01a1n, \u1edfgiai \u0111o\u1ea1n s\u1edbm c\u1ee7a 2 th\u1ec3 b\u1ec7nh n\u00e0y tri\u1ec7u ch\u1ee9ng bi\u1ec3u hi\u1ec7n kh\u00f4ng r\u00f5 r\u00e0ng v\u00e0 th\u01b0\u1eddng b\u1ecb b\u1ecf qua.<\/p>\n
– Nh\u1ee9c m\u1eaft, n\u1eb7ng m\u1eaft tho\u00e1ng qua
\nB\u1ec7nh gl\u00f4c\u00f4m xu\u1ea5t hi\u1ec7n \u00e2m th\u1ea7m, ti\u1ebfn tri\u1ec3n ch\u1eadm trong th\u1eddi gian d\u00e0i, nhi\u1ec1u b\u1ec7nh nh\u00e2n kh\u00f4ng c\u1ea3m th\u1ea5y \u0111au nh\u1ee9c m\u1eaft, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u00f4i khi th\u1ea5y m\u1eaft c\u0103ng t\u1ee9c nh\u1eb9 tho\u00e1ng qua ho\u1eb7c nh\u1ee9c quanh h\u1ed1c m\u1eaft.
\n– M\u1edd m\u1eaft tho\u00e1ng qua
\n\u1ede giai \u0111o\u1ea1n s\u1edbm khi t\u00ecnh tr\u1ea1ng nh\u00e3n \u00e1p t\u0103ng l\u00ean c\u00f3 th\u1ec3 l\u00e0m nh\u00ecn m\u1edd nh\u01b0 s\u01b0\u01a1ng m\u00f9 ho\u1eb7c nh\u00ecn nho\u00e8 trong 1 th\u1eddi gian ng\u1eafn. sau \u0111\u00f3, khi \u00e1p l\u1ef1c m\u1eaft gi\u1ea3m xu\u1ed1ng b\u1ec7nh nh\u00e2n nh\u00ecn r\u00f5 tr\u1edf l\u1ea1i.Tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 g\u1eb7p \u1edf nhi\u1ec1u b\u1ec7nh kh\u00e1c nh\u01b0ng m\u1edd m\u1eaft tho\u00e1ng qua x\u1ea3y ra c\u00f9ng l\u00fac v\u1edbi nh\u1ee9c m\u1eaft l\u00e0 d\u1ea5u hi\u1ec7u nghi ng\u1edd r\u00f5 nh\u1ea5t c\u1ee7a b\u1ec7nh gl\u00f4c\u00f4m.
\n– Nh\u00ecn th\u1ea5y h\u00e0o quang
\nKhi nh\u00e3n \u00e1p trong m\u1eaft t\u0103ng, b\u1ec7nh nh\u00e2n \u0111\u00f4i khi s\u1ebd th\u1ea5y qu\u1ea7ng s\u00e1ng xanh \u0111\u1ecf khi nh\u00ecn v\u00e0o \u0111\u00e8n. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 k\u00e9o d\u00e0i c\u1ea3 bu\u1ed5i v\u00e0 l\u1eadp \u0111i l\u1eadp l\u1ea1i trong m\u1ed9t kho\u1ea3ng th\u1eddi gian.
\n– Nh\u1ee9c \u0111\u1ea7u
\nNh\u1ee9c \u0111\u1ea7u l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a r\u1ea5t nhi\u1ec1u b\u1ec7nh trong \u0111\u00f3 cao huy\u1ebft \u00e1p l\u00e0 b\u1ec7nh th\u01b0\u1eddng hay ngh\u0129 \u0111\u1ebfn h\u01a1n l\u00e0 b\u1ec7nh gl\u00f4c\u00f4m. V\u00ec v\u1eady, khi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u1ee9c \u0111\u1ea7u k\u00e8m theo nh\u1ee9c m\u1eaft, m\u1edd m\u1eaft th\u00ec c\u1ea7n ph\u1ea3i \u0111i kh\u00e1m th\u00eam b\u00e1c s\u0129 chuy\u00ean khoa m\u1eaft \u0111\u1ec3 ki\u1ec3m tra c\u00f3 b\u1ec7nh gl\u00f4c\u00f4m k\u00e8m theo hay kh\u00f4ng<\/p>\n
B\u1ec7nh nh\u00e2n c\u1ea7n l\u00e0m g\u00ec?
\nKhi c\u00f3 m\u1ed9t hay c\u00f9ng m\u1ed9t l\u00fac xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1ebfn ngay c\u00e1c c\u01a1 s\u1edf y t\u1ebf c\u00f3 chuy\u00ean khoa m\u1eaft \u0111\u1ec3 ki\u1ec3m tra. B\u00e1c s\u0129 s\u1ebd cho \u0111o th\u1ecb l\u1ef1c, nh\u00e3n \u00e1p, kh\u00e1m th\u1ea7n kinh th\u1ecb gi\u00e1c, soi g\u00f3c ti\u1ec1n ph\u00f2ng v\u00e0 cho l\u00e0m c\u00e1c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh nh\u01b0 \u0111o th\u1ecb tr\u01b0\u1eddng, ch\u1ee5p h\u00ecnh \u0111\u00e1nh gi\u00e1 l\u1edbp s\u1ee3i th\u1ea7n kinh \u2026 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ea1n c\u00f3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng do gl\u00f4c\u00f4m hay kh\u00f4ng.
\nNh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 m\u1eafc b\u1ec7nh nh\u01b0 v\u1eeba k\u1ec3 tr\u00ean c\u0169ng c\u1ea7n \u0111i kh\u00e1m m\u1eaft \u0111\u1ecbnh k\u1ef3 m\u1ed7i n\u0103m m\u1ed9t l\u1ea7n \u0111\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n gl\u00f4c\u00f4m s\u1edbm.
\nV\u00ec b\u1ec7nh gl\u00f4c\u00f4m l\u00e0 g\u00e2y gi\u1ea3m th\u1ecb l\u1ef1c v\u0129nh vi\u1ec5n n\u00ean vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh \u1edf giai \u0111o\u1ea1n s\u1edbm khi th\u1ea7n kinh th\u1ecb gi\u00e1c ch\u01b0a b\u1ecb t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n b\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c th\u1ecb l\u1ef1c t\u1ed1t h\u01a1n.<\/p>\n","protected":false},"excerpt":{"rendered":"
Qua \u0111i\u1ec1u tra RAAB (Rapid Assessment of Avoidable Blindnes) n\u0103m 2007, t\u1ec9 l\u1ec7 m\u00f9 hai m\u1eaft do gl\u00f4c\u00f4m \u1edf ng\u01b0\u1eddi > 50 tu\u1ed5i chi\u1ebfm 6,5%, \u0111\u1ee9ng th\u1ee9 hai trong c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y m\u00f9 \u1edf Vi\u1ec7t Nam. Hi\u1ec7n nay, ch\u00fang ta c\u00f3 kho\u1ea3ng 24.800 ng\u01b0\u1eddi m\u00f9 do gl\u00f4c\u00f4m. Trong c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y m\u00f9 2 […]\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/494"}],"collection":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=494"}],"version-history":[{"count":1,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/494\/revisions"}],"predecessor-version":[{"id":496,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/494\/revisions\/496"}],"wp:attachment":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=494"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=494"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}