Ni sukarodunbana bɛ aw la, aw ka kan fana ka kɛnɛya gɛlɛya wɛrɛw dɔn minnu bɛ na ni a ye, tiɲɛ tɛ? Fɛn caman bɛ yen minnu ka kan ka jateminɛ, i n’a fɔ tansiyɔn, kolosinsinnan, ani sugunɛ kɛnɛya. Olu cɛma, ɲɛ kɛnɛya ye fɛn ye mɔgɔ caman bɛ se ka ɲinɛ min kɔ, nka a nafa ka bon kosɛbɛ. Tiɲɛ na, ni sukaro hakɛ cayara waati jan kɔnɔ k’a sɔrɔ a ma kunbɛn, o bɛ daminɛ ka joli sira nɔgɔlenw tiɲɛ an fari la. Farikolo yɔrɔ minnu ka teli ka nin tiɲɛni in sɔrɔ, olu dɔ ye an ɲɛw ye.
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Fɔlɔ, an k’a lajɛ sukarodunbana ye mun ye.
Okey, an k’a fɔ cogo nɔgɔman na. An ɲɛ bɛ i ko kamera. Membrane dɔ bɛ yen min bɛ se ka sɛgɛsɛgɛ kosɛbɛ, min bɛ kɛ i n’a fɔ filimu min bɛ nin kamera in kɔfɛ. Furakɛcogo dɔnniya la, an b’o wele ko ɲɛkisɛ . Ni yeelen min bɛ Bɔ an bɛ fɛn minnu Ye, o Bìnna o ɲɛkisɛ in kan, a b’o yeelen taamaʃyɛnw Yɛlɛma ka Kɛ kuran taamaʃyɛnw ye k’u Ci kùnkolo ma. O taamasiɲɛw bɛ ci ka taa hakili la ni nɛrɛ kɛrɛnkɛrɛnnen dɔ ye min bɛ bɔ ɲɛ kɔfɛ ka taa kunsɛmɛ na, n’o bɛ wele ko ɲɛkisɛ .
Joli siraw bɛ ni ɲɛkisɛw ye minnu ka ɲi kosɛbɛ, minnu bɛ joli sɔrɔcogo ɲuman di. Ni sukaro hakɛ tora ka caya sukarodunbana fɛ, o joli sira finmanw kogow bɛ tiɲɛ. Aw ye miiri a la i n’a fɔ jibolisira min, waati tɛmɛnen kɔfɛ, a bɛ sɛgɛn, a bɛ kari, ka ji daminɛ ka bɔ. O cogo la, joli ni ji bɛ daminɛ ka bɔ o joli sira tiɲɛnenw na ka taa ɲɛkisɛ la. an bɛ min wele ko sukarodunbana ɲɛda .
O tiɲɛni in jaabi la, ɲɛ b’a ɲini ka joli sira kura dilan. Nka jolisira kura minnu bɛ bɔ, olu barika ka dɔgɔ kosɛbɛ, wa u kogow ka fin kosɛbɛ. O la, u bɛ joli ni ji caman bɔ.
O bɛ ɲɛ, o la, Diabetic Macular Edema (DME) ye mun ye?
Diabetic Macular Edema , walima DME ni a surunyalen don, o ye sukarodunbana ɲɛdalabana gɛlɛyaba ye. DME ye yelibaliya sababuba ye sukarodunbanabagatɔw la.
Sisan, a lajɛ, i n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, ɲɛda ɲɛkisɛ ye ɲɛ kɔnɔfɛn ye min bɛ se ka a sɛgɛsɛgɛ. O ɲɛkisɛ in cɛmancɛ yɛrɛ la, yɔrɔba dɔ bɛ yen min b’an dɛmɛ an ka yeli nɔgɔlen na, o kɔrɔ ye ka gafe kalan, ka mɔgɔ ɲɛda dɔn, ka pikirijikɛlan siri. An b' a wele ko macula .
Ni ji, joli ani kolosinsinnan minnu bɛ bɔ joli siraw la sukarodunbana ɲɛda la, olu bɛ dalajɛ ɲɛda lamini na ani ɲɛda la, ɲɛda ɲɛkisɛ bɛ daminɛ ka funu. A bɛ i n’a fɔ ɛponji min bɛ ji minɛ. O macula funu in bɛ wele ko Diabetic Macular Edema (DME).Ni macula fununa, a tɛ se k’a ka baara kɛ ka ɲɛnayeli nɔgɔlen di ka ɲɛ. O de y’a to DME bɛ mɔgɔ min na, o tigi bɛ fɛnw ye i n’a fɔ u ɲɛnafinw ani u bɛ sɔgɔsɔgɔ.
Min nafa ka bon kosɛbɛ, o ye ko hali ni sukarodunbana bɛ mɔgɔ min na, taamasiɲɛ si tɛ a la, a nafa ka bon ka a ɲɛw lajɛ ɲɛdɔnbaga fɛ siɲɛ kelen san kɔnɔ . O cogo la, nin cogoya suguw bɛ se ka dɔn u daminɛ na.
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O ye gɛlɛya ye min bɛ mɔgɔ caman kan. Waati latigɛlen tɛ DME bɛna taa ɲɛ joona cogo min na. A bɛ danfara don mɔgɔ ni mɔgɔ cɛ. Tuma dɔw la, sukarodunbana misɛnniw bɛ se ka kɛ mɔgɔ la, nka a bɛ se ka DME jugumanba sɔrɔ.
Ni aw ɲɛdɔgɔtɔrɔ bɛ aw ɲɛw sɛgɛsɛgɛ, u bɛ u sinsin fɛnba fila kan:
1. Funu hakɛ : Makula bɛ funu hakɛ min.
2. Funu yɔrɔ : Funu bɛ surunya ɲɛdawolo cɛmancɛ la cogo min.
Ni funu bɛ gɛrɛ ɲɛdawolo cɛmancɛ la ka taa a fɛ, a nɔ bɛna juguya ka taa a fɛ aw ka yeli la. O de kama a nafa ka bon kosɛbɛ ka taa dɔgɔtɔrɔso la tuma bɛɛ .
Yala nin taamasiɲɛ ninnu fana bɛ aw la wa?
DME bɛ mɔgɔ minnu na, olu bɛɛ tɛna kɛ ni taamasiɲɛ kelenw ye. A bɛ se ka kɛ ko taamasiɲɛ foyi tɛ mɔgɔ dɔw la a daminɛ na. Nka, mɔgɔ fanba bɛna nin taamasiɲɛ ninnu dɔ walima caman sɔrɔ:
| Taamaʃyɛn | Kɔrɔ ani a bɛ kɛ cogo min na |
|---|---|
| Yelikɛcogo min tɛ ye | Kɛrɛnkɛrɛnnenya la, i bɛ min lajɛ, o cɛmancɛ yɔrɔ bɛ i n’a fɔ a ma jɛya ani a ma jɛya. A bɛ iko i bɛ ka i lajɛ sisi kɔnɔ . Ni i bɛ gafe kalan, lɛtɛrɛw bɛ kɛ fɛn ye min tɛ ye. |
| Yeli min bɛ kɛ ni ondulation ye | Fɛn tilennenw, i n’a fɔ finɛtiriw ni da laminiw, olu bɛ se ka kɛ i n’a fɔ u kurulen don ani u sɔgɔlen don. |
| Kulɛri minnu kolen don | Hali kulɛri jɛmanw bɛ se ka kɛ i n’a fɔ u bɛ kɛ fɛn ye min tɛ ɲɛ ani ka kɛ fɛn ye min tɛ ye. Kulɛriw bɛ se ka kɛ i n’a fɔ u fanga banna. |
| Gɛlɛya minnu bɛ ɲɛ kelen walima ɲɛ fila bɛɛ la | Tuma dɔw la, nin taamasiɲɛ ninnu bɛ se ka kɛ ɲɛ kelen dɔrɔn de la, o la a bɛ se ka kɛ aw tɛ danfara kɔlɔsi ɲɛ tɔ kelen na barisa aw bɛ se ka ɲɛ kelen ye ka jɛya. |
Aw ye aw janto o yɛlɛmaw la.
Ni nin taamasiɲɛ ninnu dɔ bɛ aw la, aw kana a miiri dɔrɔn ko “Nin bɛ ban tile damadɔ kɔnɔ.” O ye lasɔmini taamasiɲɛ ye min nafa ka bon kosɛbɛ. Aw ka kan ka taa dɔgɔtɔrɔso la joona, kɛrɛnkɛrɛnnenya la ɲɛdɔgɔtɔrɔ dɔ. Ni a ma furakɛ, o bana in bɛ se ka kɛ sababu ye ka ɲɛnayeli kɛ kudayi. Ni aw ye furakɛli daminɛ joona, aw bɛ se ka aw ka yeli kisi.
Take-Home cikan
- Sukarodunbana ye bana ye min bɛ se ka tiɲɛniba lase aw ɲɛw ma, hali ni a taamasiɲɛ foyi tɛ a daminɛ na.
- Jabɛtibana ɲɛkisɛw (DME) ye ɲɛkisɛ cɛmancɛ yɔrɔ (macula) funu ye. O bɛ se ka kɛ sababu ye ka aw yeli kɛ ka ɲɛ ani ka a tiɲɛ.
- Ni sukarodunbana bɛ aw la, a nafa ka bon aw ka ɲɛw sɛgɛsɛgɛ ɲɛdɔnbaga fɛ siɲɛ kelen san kɔnɔ .
- Ni aw ye fɛn misɛnniw ye aw ka yeli la (a bɛ yelikɛ, ka ɲɛji bɔ, a ɲɛ bɛ yɛlɛma), aw kana aw ɲɛmajɔ o la ka taa dɔgɔtɔrɔso la joona.
- Nin bana in kunbɛncogo ɲuman ani a kunbɛncogo ɲuman ye ka aw ka sukaro, tansiyɔn ani kolosinsinnan hakɛ to a la.
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