Adalimumab (Humira) being used for non-infectious uveitis is a big advance. In the past steroids were the main option and had big side effects, while Humira reduces inflammation by inhibiting TNF-α. Clinical data show it can reduce inflammation and protect vision, providing a better option for long-term control. For many difficult patients, this is an […]
阿达木单抗（Humira）在非感染性葡萄膜炎上的应用是个大进步。过去只能靠激素控制，激素副作用大，而Humira通过抑制TNF-α来减少炎症，临床数据显示它能减少炎症和保护视力，为长期控制提供了更好的选择。对很多难治患者来说，这是多了一个重要的武器。
A special reminder: never trust folk remedies. Some herbs or folk secrets have no evidence and sometimes interfere with standard drugs or cause allergies or worsen inflammation. Standard drugs have gone through clinical trials and have safety and efficacy data to support them. Biological agents like Humira are research-supported and cannot be casually replaced.
特别要提醒的是，千万别信偏方。某些草药或民间秘方不仅没证据，有时还会干扰正规药物或造成过敏、炎症加重。正规药物经过临床试验，有安全性和效果的数据支持。像Humira这样的生物制剂是有研究支撑的，不是咱们随便能代替的。我身边有人听信偏方结果病情加重，那段经历警醒了我：健康别拿来试运气，医生的话和证据更值得信赖。
感染性葡萄膜炎更好治，因为有明确的病原可以治疗；结核性、梅毒性、病毒性或寄生虫性在对症治疗下常能好转或治愈。自身免疫型就没那么容易根除，但生物制剂可以显著降低复发。研究显示感染性治愈率可达70%，非感染性只有10–20%。接受现实预期、配合治疗，很多人还是能过上相对正常的生活。
Infectious uveitis is easier to treat because there is a clear pathogen to target; tuberculosis-related, syphilis-related, viral or parasitic uveitis often improve or cure with targeted treatment. Autoimmune types are not so easy to eradicate, but biologics can significantly reduce relapses. Studies show infectious cure rates can reach 70%, while non-infectious only 10–20%. Accept
Whether it can be completely cured mainly depends on the cause. Infectious uveitis can usually be cured because you can treat the cause specifically; non-infectious (mostly autoimmune) is hard to eradicate, and the goal is long-term control. For example, bacterial causes may be treated with antibiotics, but Behçet’s disease or ankylosing spondylitis–related uveitis needs
能不能彻底治愈主要看原因。感染性的通常能治好，因为可以对症下药；非感染性的（多数是自身免疫）难以根治，目标是长期控制。比如细菌引起的可能用抗生素就好，但白塞病或强直性脊柱炎引发的就需要长期免疫抑制。总体上大约20%的病例可能完全治愈，非感染性多数是长期管理。早诊断、早针对治疗，生活质量能恢复到不错的状态，只是需要持续监测。