Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui loa kēia ʻatikala iā ʻoe. I kekahi manawa, manaʻo paha ʻoe he palupalu iki kou ʻike a ʻaʻole maopopo e like me ka mea maʻamau. Hiki paha kēia ma muli o kahi pilikia me nā kīʻaha koko liʻiliʻi i loko o kou mau maka. Inā ʻaʻole mālama ʻia, hiki i kēia ʻano ke alakaʻi i ka nalowale mālie a piha paha o kou ʻike. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻano koʻikoʻi i hoʻokumu ʻia e ka maʻi diabetes, akā hiki ke ʻike koke ʻia a kāohi ʻia.
No ke aha lā kēia e hana nei? He aha nā kumu?
I ka ʻōlelo maʻalahi, hoʻomaka ia me ka hoʻomalu pono ʻole ʻia o kou pae kō koko. Ke kiʻekiʻe kou pae kō koko no ka manawa lōʻihi, hōʻino ia i nā kīʻaha koko ma kou kino. Hoʻopilikia kēia i nā mea āpau mai nā kīʻaha koko i loko o kou puʻuwai a hiki i nā kīʻaha koko liʻiliʻi ma hope o kou mau maka.
ʻO ka retina ka papa lahilahi ma ke kua o ka maka e hoʻouna i nā kiʻi i ka lolo, e like me ke kiʻiʻoniʻoni ma ke kāmela. Me ka ʻole o nā kīʻaha koko olakino, ʻaʻole hiki i ka retina ke hana pono.
I kēia manawa, ke hōʻino ʻia kēia mau kīʻaha koko, hoʻāʻo ke kino e hoʻoponopono iā lākou. No ka hana ʻana i kēia, hoʻomaka ke kino e hana hou i kahi protein kūikawā i kapa ʻia ʻo VEGF (Vascular Endothelial Growth Factor) . ʻOiai ʻaʻole kēia he pilikia no nā maka olakino, i ka wā e hana hou ai nā maka o kekahi me ka maʻi diabetes i kēia VEGF, e nāwaliwali loa nā kīʻaha koko i hōʻino ʻia.
I ka hala ʻana o ka manawa, pohā kēia mau kīʻaha koko nāwaliwali, e hoʻoheheʻe ana i ke koko a me ka wai i loko o ka retina, ka papa o loko o ka maka . Ua kapa ʻia kēia pehu o ka retina he diabetic retinopathy .
Ke hōʻiliʻili kēia wai e kahe ana i loko o ka macula, ka ʻāpana o ka retina e kōkua iā mākou e ʻike maopopo a ʻoi i nā mea, pehu pū ia. ʻO ia ka mea a mākou e kapa nei he diabetic macular edema, a i ʻole Diabetic Macular Edema (DME) .
ʻO Edema ka huaʻōlelo lapaʻau no ka pehu ʻana i hoʻokumu ʻia e ka wai nui. No laila, ʻo DME kahi kūlana kahi e piha ai ka macula me ka wai a pehu ma muli o ka maʻi diabetes.
ʻO ka maʻi diabetes ke kumu nui o kēia, akā hiki ke hana ʻia i kekahi manawa e nā kumu ʻē aʻe, e like me ke ʻoki cataract, nā ʻoki maka ʻē aʻe, a me ka macular degeneration.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
Aia kekahi mau kumu e hiki ke hoʻonui i kou pilikia, a he mea nui e ʻike i kēia mau mea.
| Kumu pilikia | He aha kēlā manaʻo? |
|---|---|
| Nā kūlana olakino i kāohi ʻole ʻia | Noho kiʻekiʻe kou kō koko, ke koko, a me nā pae cholesterol. |
| ʻAno nohona | Ka puhipaka a me ka noho ʻana ma kahi hoʻokahi me ka ʻole o ka hoʻoikaika kino. |
| Nā kūlana olakino ʻē aʻe | Ua loaʻa iā ʻoe ka diabetic retinopathy no ka manawa lōʻihi. |
| Nā hanana kūikawā | Hiki ke piʻi iki aʻe ka pilikia o kēia ʻano i ka wā hāpai. |
Ua aneane nā kānaka a pau me ka maʻi diabetes i ka pilikia. No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ka makaʻala i kēia a mālama i kou olakino.
He aha nā ʻano nui o DME?
Hiki ke hoʻokaʻawale nui ʻia ka DME i ʻelua ʻano.
| ʻAno DME | Nā ʻano |
|---|---|
| DME Kūikawā | Loaʻa nā kahe liʻiliʻi o ka wai i loko o ka macula. |
| Hoʻolaha DME | Hohola ka wai kahe a me ka pehu ma loko o ka macula. Ma kēia ʻano, hiki i ka ʻike ke lilo i mea ʻoi aku ka hemahema. |
No laila he aha kā mākou e hana ai? Āhea mākou e ʻike ai i ke kauka?
ʻO kēia ka mea nui loa. Inā loaʻa iā ʻoe ka maʻi diabetes, ʻoiai inā ʻaʻohe ou hōʻailona, he mea nui e nānā ʻia kou mau maka e ke kauka maka ma ka liʻiliʻi hoʻokahi i ka makahiki . ʻAʻole paha e hōʻike kēia ʻano i nā hōʻailona i nā pae mua.
Akā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka.
- ʻIke pōwehiwehi.
- ʻIke ʻia ke ʻano o nā mea āu e ʻike ai (e like me nā mōlina o ka puka a me ka puka makani) ua kīkoʻo ʻia a ua ʻāwili ʻia.
- ʻAʻole i ʻike ʻia nā waihoʻoluʻu me ka mōakāka a me ka ʻōlinolino e like me ka wā ma mua.
- Ke ʻike nei i nā kiko ʻeleʻele a i ʻole nā kiko lana i loko o kou ʻike.
Ma kahi o ke kali ʻana a me ka ʻōlelo ʻana, "E kali iki kāua," e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka nui o kou manawa e mālama ai i kou ʻike maka makamae.
Leka Lawe-Home
- ʻO ka DME kahi maʻi e pehu ai ka macula o ka maka ma muli o ka maʻi diabetes. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka nalowale mau loa o ka ʻike.
- ʻO ke kumu nui o kēia, ʻo ia ka noho kiʻekiʻe ʻana o ke kō koko a hiki ʻole ke kāohi ʻia no ka manawa lōʻihi.
- E mālama pono i kou kō koko, ke koko kiʻekiʻe, a me nā pae cholesterol. E pale loa i ka puhipaka.
- Inā loaʻa iā ʻoe ka maʻi diabetes, ʻoiai inā ʻaʻohe ou hōʻailona, e hōʻoia e nānā ʻia kou mau maka e kahi ophthalmologist ma ka liʻiliʻi hoʻokahi i ka makahiki .
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻike maka ʻole a i ʻole ka ʻike maka ʻole, e kamaʻilio koke me kāu kauka me ka hoʻokaʻulua ʻole.
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