Uveitis

  确诊和随访常用血检有血常规、血沉、C-反应蛋白（CRP）来评估炎症，类风湿因子和抗核抗体用来筛查风湿性疾病，HLA-B27用于判断遗传相关型。比如CRP升高提示病情活动，HLA-B27阳性会提示某些类型的免疫相关葡萄膜炎更可能出现。

  Common blood tests for diagnosis and follow-up include complete blood count, erythrocyte sedimentation rate, C-reactive protein (CRP) to assess inflammation; rheumatoid factor and antinuclear antibodies to screen for rheumatic diseases; HLA-B27 to judge genetic-related types. For example, elevated CRP suggests active disease; HLA-B27 positivity suggests some types of immune-related uveitis are more likely.

  Habits are really important. Rules like 20-20-20 (look at something 20 meters away for 20 seconds every 20 minutes) can relieve eye fatigue; don’t rub your eyes, use a clean towel, eat more antioxidant foods (blueberries, carrots), exercise appropriately and ensure sleep to lower relapse risk. Also have regular check-ups (every 3–6 months), so

  生活习惯真的很重要，像20-20-20规则（每20分钟看远20米20秒）能缓解眼疲劳；别揉眼、用干净毛巾、饮食多吃抗氧化食物（蓝莓、胡萝卜），适当运动和保证睡眠也能降低复发风险。还有就是定期检查（每3–6个月），早发现早处理。研究表明这些好习惯能把复发率降低20–30%。把保养当日常小习惯，而不是负担，能让我感觉更有掌控感。

  Humira is a biologic that blocks TNF-α and can lower the inflammatory response. Studies show about 60–70% of patients have obvious symptom improvement after use, vision stabilizes or improves, and the risk of vision loss can be reduced by about 30%. Of course there are side effects, the most common being infections or rashes,

  Humira是阻断TNF-α的生物制剂，能让炎症反应降下来。研究显示大约60–70%患者使用后症状明显改善，视力稳定或好转，视力下降风险能降低约30%。当然也有副作用，最常见的是感染或皮疹，需要医生随访和监测。当医生讲机制时，我就想象体内的“报警器”被调小了，效果直观又容易接受。

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。