Pehea ka hopena o ka maʻi diabetes i kou ʻike maka (ka maʻi diabetes a me nā pilikia maka)

Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e hopohopo e pili ana i kēia pilikia. Manaʻo ka poʻe he nui ʻo ka maʻi diabetes e pili ana i nā pae kō koko. Akā ʻo ka ʻoiaʻiʻo, ʻo ka maʻi diabetes, inā ʻaʻole i kāohi pono ʻia, hiki ke hana i nā mea ʻino i kou mau maka makamae ma mua o kou manaʻo. ʻO ka ʻoiaʻiʻo, ʻo ka maʻi diabetes ke kumu nui o ka makapō i nā pākeke ma waena o 20 a me 74 mau makahiki. No laila e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.

ʻO ka hōʻailona maʻamau mua: ʻike maka pōwehiwehi

Inā manaʻo koke ʻoe ua pohihihi iki kou maka, mai hopohopo a holo i waho e kūʻai i mau aniani hou. He mea manawa pōkole paha kēia i hoʻokumu ʻia e kou kō koko kiʻekiʻe.

I ka ʻōlelo maʻalahi, ke piʻi aʻe kou pae kō koko, hiki i ka lens kūlohelohe i loko o kou maka ke pehu. Ke hana ʻia kēia, ʻaʻole hiki i kou maka ke kālele pono a lilo kou ʻike i mea pōuliuli.

ʻO ka hopena, ʻo ia ka hoʻihoʻi ʻana i kou pae kō koko i loko o ka pae i manaʻo ʻia . ʻOi aku ka maikaʻi o ka mālama ʻana iā lākou ma waena o 70-130 mg/dL ma mua o ka ʻai ʻana a ma lalo o 180 mg/dL 1-2 mau hola ma hope o ka ʻai ʻana. Ke kāohi ʻia kou kō koko, hiki ke hala a hiki i ʻekolu mahina no ka hoʻi piha ʻana o kou ʻike i ka maʻamau.

Nā Cataracts

E noʻonoʻo e pili ana i ia mea, e like me ke kāmela, he aniani kūlohelohe ko ko kākou mau maka e kōkua iā kākou e ʻike maopopo i nā kiʻi. Ke lilo kēia aniani i ao, e like me ka puka makani lepo, kapa mākou ia he "cataract." Hiki i kekahi ke loaʻa i kēia maʻi.

Eia nō naʻe, ʻoi aku ka nui o ka poʻe me ka maʻi diabetes i ka loaʻa ʻana o nā cataracts i ka wā ʻōpiopio a ulu wikiwiki iā lākou ma mua o ka heluna kanaka maʻamau.

Ke lilo ka lens i ao, ʻaʻole hiki i ka maka ke hoʻokū pono i nā kiʻi. Hoʻoulu kēia i nā hōʻailona e like me ka ʻike pōwehiwehi a me ka ʻālohilohi i ka nānā ʻana i ka mālamalama. ʻO ka lāʻau lapaʻau no kēia, ʻo ia ke ʻoki ʻana e wehe i ka lens ao a hoʻololi iā ia me kahi lens hana.

Glaucoma: Hoʻonui ʻia ke kaomi i loko o ka maka

ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes i ka loaʻa ʻana o ka glaucoma. Hana ʻia kēia i ka wā ʻaʻole hiki i ka wai i hana ʻia i loko o ka maka (ua kapa ʻia e nā kauka he 'aqueous humor') ke kahe pono, e hōʻiliʻili ai ke kaomi i loko o ka maka. Hiki i kēia kaomi hoʻonui ke hōʻino i nā aʻalolo a me nā kīʻaha koko i loko o ka maka, e hoʻololi ai i ka ʻike.

Nā ʻano a me nā hiʻohiʻona o ka glaucoma

• ʻO ke ʻano maʻamau (Glaucoma kihi hāmama):ʻO ka mea weliweli loa e pili ana i kēia, ʻaʻohe hōʻailona a hiki i ka wā e holomua loa ai ka maʻi a hōʻino nui ʻia ka ʻike. ʻO ia ke kumu he mea nui loa ka nānā ʻana i kou mau maka i kēlā me kēia makahiki . Hiki i ke kauka ke ʻike mua i kēia. Hiki ke mālama ʻia kēia ʻano me nā lāʻau lapaʻau a me nā kulu maka kūikawā.
• Nā ʻano laha ʻole: Ma kēia mau ʻano, hiki iā ʻoe ke hōʻike i nā hōʻailona e like me:
• ʻEha poʻo
• ʻEha a ʻeha paha ka maka
• ʻIke pōwehiwehi
• Nā maka waimaka
• Ke ʻike nei i nā halo a puni nā kukui
• Ka nalowale o ka ʻike

Hiki i nā kānaka me ka maʻi diabetes ke loaʻa i kahi maʻi laha ʻē aʻe i kapa ʻia ʻo "Neovascular Glaucoma." ʻO kēia ka wā e hana ʻia ai nā kīʻaha koko hou, makemake ʻole ʻia ma ka ʻaoʻao kala o ka maka (iris). Ke ālai nei kēia i ke kahe ʻana o ka wai a hoʻonui i ke kaomi i loko o ka maka. Hoʻōla ʻia kēia me nā lāʻau laser a i ʻole kahi inikini i kapa ʻia ʻo "Anti-VEGF."

ʻO ka Retinopathy Diabetic

ʻO kēia ka pōʻino maka koʻikoʻi loa a hopohopo hoʻi i hana ʻia e ka maʻi diabetes.

I ka ʻōlelo maʻalahi, ʻo ka retina kahi hōʻiliʻili o nā cell i ʻike i ka mālamalama ma ke kua o ko kākou mau maka. Hoʻololi kēia mau cell i ka mālamalama i mau kiʻi a hoʻouna iā lākou i ka lolo ma o ke aʻalolo optic.

ʻO ke kiʻekiʻe o ke kō koko kiʻekiʻe i kāohi ʻole ʻia e hōʻino i nā kīʻaha koko palupalu i loko o ka retina. Kāhea mākou i kēia "Diabetic Retinopathy." Inā ʻaʻole i ʻike ʻia a mālama ʻia i ka wā mua, hiki iā ia ke alakaʻi i ka makapō piha . ʻO ka lōʻihi o kou loaʻa ʻana i ka maʻi diabetes, ʻoi aku ka nui o kou pilikia o kēia maʻi.

Pehea lā wau e pakele ai i kēia?

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kāohi i kou kō koko, ke koko, a me nā pae cholesterol . Inā ʻoe e puhipaka, he kōkua nui ka haʻalele ʻana i ka puhipaka no kou mau maka a me ke olakino holoʻokoʻa.

Nā pae like ʻole o ka retinopathy diabetic

• ʻO ka Retinopathy Hope: ʻO kēia ka pae mua. ʻOiai ua hōʻino ʻia nā kīʻaha koko, maikaʻi nō paha kou ʻike. Eia nō naʻe, hiki ke ʻoi aku ka ʻino inā ʻaʻole i kaohi ʻia kāu maʻi diabetes.
• Maculopathy: Hana ʻia kēia kūlana ke hoʻopilikia ka maʻi diabetes i ka ʻāpana o ka retina i kapa ʻia ʻo macula. ʻO ka macula kahi e hāʻawi mai ai iā mākou i ka ʻike maopopo loa no nā mea maikaʻi e like me ka heluhelu ʻana a me ka hoʻokele kaʻa. Hiki ke mālama maʻalahi ʻia ka pehu ma aneʻi, akā hiki nō hoʻi ke lilo i kūlana koʻikoʻi e paʻakikī ke mālama.
• ʻO ka Retinopathy Proliferative:ʻO kēia ka hihia ʻino loa. Ke loaʻa ʻole i nā ʻāpana ma ke kua o ka maka ka oxygen lawa, hoʻomaka nā kīʻaha koko hou a nāwaliwali e hana. He palupalu loa kēia mau mea. No laila hiki iā lākou ke kahe koko maʻalahi, paʻa, a me ka ʻeha. Hiki i kēia mau ʻeha ke hoʻokaʻawale i ka retina mai ke kua o ka maka. Inā hana ʻia kēia, hiki iā ʻoe ke nalowale kou ʻike no ka wā pau ʻole . Akā aia nā lāʻau lapaʻau no kēia ʻano. Hiki i ke ʻoki kino a me nā lāʻau lapaʻau laser ke luku i kēia mau kīʻaha koko i makemake ʻole ʻia a pale i ka makapō.

Nā kūlana i ka wā e pono ai ʻoe e ʻike koke i ke kauka

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, he pilikia paha ia. No laila e ʻimi koke i ke kōkua lapaʻau . Inā pono, e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.