{"id":2171,"date":"2020-03-16T16:12:44","date_gmt":"2020-03-16T16:12:44","guid":{"rendered":"http:\/\/gvcoftalmologia.com\/retinopatia-diabetica\/"},"modified":"2020-03-16T16:12:44","modified_gmt":"2020-03-16T16:12:44","slug":"retinopatia-diabetica","status":"publish","type":"post","link":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/","title":{"rendered":"Retinopatia diab\u00e8tica"},"content":{"rendered":"<p><em>Article de la Dra. Miriam Carbajal<\/em><\/p>\n<hr \/>\n<p class=\"p1\"><strong>Qu\u00e8 \u00e9s?<\/strong><\/p>\n<p class=\"p4\">La retinopatia diab\u00e8tica \u00e9s una complicaci\u00f3 de la diabetis i una de les causes principals de ceguesa.<\/p>\n<p class=\"p4\">Els nivells elevats de sucre en sang danyen els vasos sanguinis petits produint m\u00faltiples alteracions en la retina.<\/p>\n<p class=\"p1\"><strong>Quins tipus existeixen?<\/strong><\/p>\n<p class=\"p4\">La retinopatia diab\u00e8tica es divideix en la no proliferativa (estadis m\u00e9s incipients) i la proliferativa (estadis m\u00e9s avan\u00e7ats).<\/p>\n<p class=\"p4\">La retinopatia diab\u00e8tica no proliferativa pot ser des de lleu a greu segons el grau d&#8217;afectaci\u00f3 dels vasos sanguinis i la retina. En estadis incipients els vasos sanguinis es dilaten produint micro aneurismes que poden causar edema i hemorr\u00e0gies a mesura que la malaltia progressa. En els casos m\u00e9s greus els vasos sanguinis es danyen i es tapen provocant isqu\u00e8mia, \u00e9s a dir la falta d&#8217;aportaci\u00f3 sangu\u00ednia a la<br \/>\nretina.<\/p>\n<p class=\"p4\">La retinopatia proliferativa es produeix quan existeixen \u00e0rees d&#8217;isqu\u00e8mia extenses en la retina i l&#8217;ull genera vasos sanguinis an\u00f2mals o neovassos. Els neovassos tenen tend\u00e8ncia a trencar-se produint grans hemorr\u00e0gies a l&#8217;interior de l&#8217;ull. A mesura que progressa la malaltia aquests neovassos creixen tirant de la retina provocant un despreniment de retina.<\/p>\n<p class=\"p1\"><strong>Quins s\u00edmptomes produeix?<\/strong><\/p>\n<p class=\"p4\">En els primers estadis de la malaltia, fins i tot en casos molt avan\u00e7ats, cap. Quan existeix edema en la zona central de la retina (m\u00e0cula) apareixer\u00e0 visi\u00f3 borrosa i deformitat de la imatge.<\/p>\n<p class=\"p4\">En la retinopatia proliferativa, quan hi ha sagnats, es poden veure mosques negres o fins i tot perdre la visi\u00f3 per complet. En els casos m\u00e9s greus pot existir dolor i p\u00e8rdua de visi\u00f3 de manera permanent.<\/p>\n<p class=\"p1\"><strong>Qu\u00e8 podem fer per a evitar la malaltia?<\/strong><\/p>\n<p class=\"p4\">Per a evitar l&#8217;aparici\u00f3 de la retinopatia \u00e9s important mantenir un bon control de la diabetis, s&#8217;aconsella que l&#8217;hemoglobina glicosilada estigui per sota del 7%.<\/p>\n<p class=\"p4\">S&#8217;han de fer controls del fons d&#8217;ull de manera anual per a detectar els casos incipients i iniciar el tractament de manera preco\u00e7 quan la retinopatia progressi.<\/p>\n<p class=\"p1\"><strong>Com es diagnostica?<\/strong><\/p>\n<p class=\"p4\">El diagn\u00f2stic inicial es realitza valorant el fons d&#8217;ull amb la pupil\u00b7la dilatada.<\/p>\n<p class=\"p4\">Disposem d&#8217;altres proves com la retinografia per a poder comparar l&#8217;evoluci\u00f3 de la malaltia, la OCT que ens ajuda a detectar i quantificar l&#8217;edema macular i la angiografia fluoresc\u00e8ncia<span class=\"Apple-converted-space\">\u00a0 <\/span>per a detectar els neovassos i la isqu\u00e8mia.<\/p>\n<p class=\"p1\"><strong>T\u00e9 tractament?<\/strong><\/p>\n<p class=\"p4\">Existeixen m\u00faltiples tractaments, injeccions amb f\u00e0rmacs antiinflamatoris o corticoides, l\u00e0ser o cirurgia en els casos m\u00e9s greus.<\/p>\n<p class=\"p4\">Cada cas ha de ser avaluat per un especialista i aplicat de forma personalitzada a cada pacient.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Article de la Dra. Miriam Carbajal Qu\u00e8 \u00e9s? La retinopatia diab\u00e8tica \u00e9s una complicaci\u00f3 de la diabetis i una de les causes principals de ceguesa. Els nivells elevats de sucre en sang danyen els vasos sanguinis petits produint m\u00faltiples alteracions en la retina. Quins tipus existeixen? La retinopatia diab\u00e8tica es divideix en la no proliferativa [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1482,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[60,64],"tags":[],"class_list":["post-2171","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-dra-miriam-carbajal-ca"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Retinopatia diab\u00e8tica - gvcoftalmologia.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Retinopatia diab\u00e8tica - gvcoftalmologia.com\" \/>\n<meta property=\"og:description\" content=\"Article de la Dra. Miriam Carbajal Qu\u00e8 \u00e9s? La retinopatia diab\u00e8tica \u00e9s una complicaci\u00f3 de la diabetis i una de les causes principals de ceguesa. Els nivells elevats de sucre en sang danyen els vasos sanguinis petits produint m\u00faltiples alteracions en la retina. Quins tipus existeixen? La retinopatia diab\u00e8tica es divideix en la no proliferativa [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/\" \/>\n<meta property=\"og:site_name\" content=\"gvcoftalmologia.com\" \/>\n<meta property=\"article:published_time\" content=\"2020-03-16T16:12:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/gvcoftalmologia.com\/wp-content\/uploads\/2020\/02\/REP-DIABETICA.png\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"500\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"H2O\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"H2O\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/\"},\"author\":{\"name\":\"H2O\",\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/#\\\/schema\\\/person\\\/42663d7de1276d3aa5167f4d821fa7b6\"},\"headline\":\"Retinopatia diab\u00e8tica\",\"datePublished\":\"2020-03-16T16:12:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/\"},\"wordCount\":454,\"image\":{\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/gvcoftalmologia.com\\\/wp-content\\\/uploads\\\/2020\\\/02\\\/REP-DIABETICA.png\",\"articleSection\":[\"Articles\",\"Dra Miriam Carbajal\"],\"inLanguage\":\"ca\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/\",\"url\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/\",\"name\":\"Retinopatia diab\u00e8tica - gvcoftalmologia.com\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/gvcoftalmologia.com\\\/wp-content\\\/uploads\\\/2020\\\/02\\\/REP-DIABETICA.png\",\"datePublished\":\"2020-03-16T16:12:44+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/#\\\/schema\\\/person\\\/42663d7de1276d3aa5167f4d821fa7b6\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/#primaryimage\",\"url\":\"https:\\\/\\\/gvcoftalmologia.com\\\/wp-content\\\/uploads\\\/2020\\\/02\\\/REP-DIABETICA.png\",\"contentUrl\":\"https:\\\/\\\/gvcoftalmologia.com\\\/wp-content\\\/uploads\\\/2020\\\/02\\\/REP-DIABETICA.png\",\"width\":600,\"height\":500},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/retinopatia-diabetica\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/home\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Retinopatia diab\u00e8tica\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/#website\",\"url\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/\",\"name\":\"gvcoftalmologia.com\",\"description\":\"Just another WordPress site\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ca\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/#\\\/schema\\\/person\\\/42663d7de1276d3aa5167f4d821fa7b6\",\"name\":\"H2O\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/cbc6b888d060aae2ec9027062f7b645c42cd755cf93f1ea236674d6411589021?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/cbc6b888d060aae2ec9027062f7b645c42cd755cf93f1ea236674d6411589021?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/cbc6b888d060aae2ec9027062f7b645c42cd755cf93f1ea236674d6411589021?s=96&d=mm&r=g\",\"caption\":\"H2O\"},\"url\":\"https:\\\/\\\/gvcoftalmologia.com\\\/ca\\\/author\\\/h2o\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Retinopatia diab\u00e8tica - gvcoftalmologia.com","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/","og_locale":"ca_ES","og_type":"article","og_title":"Retinopatia diab\u00e8tica - gvcoftalmologia.com","og_description":"Article de la Dra. Miriam Carbajal Qu\u00e8 \u00e9s? La retinopatia diab\u00e8tica \u00e9s una complicaci\u00f3 de la diabetis i una de les causes principals de ceguesa. Els nivells elevats de sucre en sang danyen els vasos sanguinis petits produint m\u00faltiples alteracions en la retina. Quins tipus existeixen? La retinopatia diab\u00e8tica es divideix en la no proliferativa [&hellip;]","og_url":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/","og_site_name":"gvcoftalmologia.com","article_published_time":"2020-03-16T16:12:44+00:00","og_image":[{"width":600,"height":500,"url":"https:\/\/gvcoftalmologia.com\/wp-content\/uploads\/2020\/02\/REP-DIABETICA.png","type":"image\/png"}],"author":"H2O","twitter_card":"summary_large_image","twitter_misc":{"Escrit per":"H2O","Temps estimat de lectura":"2 minuts"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/#article","isPartOf":{"@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/"},"author":{"name":"H2O","@id":"https:\/\/gvcoftalmologia.com\/ca\/#\/schema\/person\/42663d7de1276d3aa5167f4d821fa7b6"},"headline":"Retinopatia diab\u00e8tica","datePublished":"2020-03-16T16:12:44+00:00","mainEntityOfPage":{"@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/"},"wordCount":454,"image":{"@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/#primaryimage"},"thumbnailUrl":"https:\/\/gvcoftalmologia.com\/wp-content\/uploads\/2020\/02\/REP-DIABETICA.png","articleSection":["Articles","Dra Miriam Carbajal"],"inLanguage":"ca"},{"@type":"WebPage","@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/","url":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/","name":"Retinopatia diab\u00e8tica - gvcoftalmologia.com","isPartOf":{"@id":"https:\/\/gvcoftalmologia.com\/ca\/#website"},"primaryImageOfPage":{"@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/#primaryimage"},"image":{"@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/#primaryimage"},"thumbnailUrl":"https:\/\/gvcoftalmologia.com\/wp-content\/uploads\/2020\/02\/REP-DIABETICA.png","datePublished":"2020-03-16T16:12:44+00:00","author":{"@id":"https:\/\/gvcoftalmologia.com\/ca\/#\/schema\/person\/42663d7de1276d3aa5167f4d821fa7b6"},"breadcrumb":{"@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/#breadcrumb"},"inLanguage":"ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/"]}]},{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/#primaryimage","url":"https:\/\/gvcoftalmologia.com\/wp-content\/uploads\/2020\/02\/REP-DIABETICA.png","contentUrl":"https:\/\/gvcoftalmologia.com\/wp-content\/uploads\/2020\/02\/REP-DIABETICA.png","width":600,"height":500},{"@type":"BreadcrumbList","@id":"https:\/\/gvcoftalmologia.com\/ca\/retinopatia-diabetica\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/gvcoftalmologia.com\/ca\/home\/"},{"@type":"ListItem","position":2,"name":"Retinopatia diab\u00e8tica"}]},{"@type":"WebSite","@id":"https:\/\/gvcoftalmologia.com\/ca\/#website","url":"https:\/\/gvcoftalmologia.com\/ca\/","name":"gvcoftalmologia.com","description":"Just another WordPress site","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/gvcoftalmologia.com\/ca\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ca"},{"@type":"Person","@id":"https:\/\/gvcoftalmologia.com\/ca\/#\/schema\/person\/42663d7de1276d3aa5167f4d821fa7b6","name":"H2O","image":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/secure.gravatar.com\/avatar\/cbc6b888d060aae2ec9027062f7b645c42cd755cf93f1ea236674d6411589021?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/cbc6b888d060aae2ec9027062f7b645c42cd755cf93f1ea236674d6411589021?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/cbc6b888d060aae2ec9027062f7b645c42cd755cf93f1ea236674d6411589021?s=96&d=mm&r=g","caption":"H2O"},"url":"https:\/\/gvcoftalmologia.com\/ca\/author\/h2o\/"}]}},"_links":{"self":[{"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/posts\/2171","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/comments?post=2171"}],"version-history":[{"count":0,"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/posts\/2171\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/media\/1482"}],"wp:attachment":[{"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/media?parent=2171"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/categories?post=2171"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gvcoftalmologia.com\/ca\/wp-json\/wp\/v2\/tags?post=2171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}