Inā loaʻa iā ʻoe ka maʻi diabetes, ua ʻike paha ʻoe ua palupalu iki kou ʻike i kēia mau lā, ʻaʻole maopopo e like me ka wā ma mua. Hiki iā ʻoe ke ʻike maopopo i nā mea ma kahi kokoke, akā hiki ke palupalu iki kou ʻike peripheral. I ka manawa pinepine, ke hoʻomaka ʻoe e ʻike i kēia ʻano pilikia ʻike, ua ulu paha ʻoe i kahi maʻi i kapa ʻia ʻo Diabetic Macular Edema (DME), kahi maʻi maka i hoʻokumu ʻia e ka maʻi diabetes. Akā, mai hopohopo. Inā ʻike mākou i kēia, ʻike mua iā ia, a hoʻomaka e mālama iā ia, hiki iā mākou ke pale i kēia ʻano mai ka ʻino ʻana, a i kekahi manawa hoʻohuli iā ia.
He aha ka mea e hana maoli ana i ka maka? Diabetic Retinopathy
I ka ʻōlelo maʻalahi, inā loaʻa iā ʻoe ka DME, ʻo ke kumu nui he maʻi i kapa ʻia ʻo Diabetic Retinopathy . ʻO kēia ka mea e hana ʻia.
Ma ke kua o ko kākou mau maka he papa koʻikoʻi loa i kapa ʻia ʻo ka retina . Ua like ia me ke kiʻiʻoniʻoni i loko o ke kāmela. Hoʻopaʻa ʻia nā kiʻi o nā mea a kākou e ʻike ai ma ʻaneʻi. Hoʻolako ʻia ka retina me ke koko e nā kīʻaha koko liʻiliʻi loa. Ke kiʻekiʻe ke kiʻekiʻe o ke kō koko no ka manawa lōʻihi ma muli o ka maʻi diabetes, e hōʻino ʻia kēia mau kīʻaha koko liʻiliʻi.
Hoʻopulu kēia mau kīʻaha koko i hōʻino ʻia a hoʻomaka e hoʻokahe i ka wai. I kekahi manawa ua ālai loa ʻia kēia mau kīʻaha koko, e ʻoki ana i ke kahe koko i nā ʻāpana o ka retina.
Inā loaʻa kēia kahe koko ma ka macula, ka ʻāpana o ka retina e kōkua iā mākou e ʻike maopopo i ka wā e nānā pololei ai mākou i mua, hōʻiliʻili ka wai ma laila a pehu. ʻO ia ka mea a mākou e kapa nei he DME (Diabetic Macular Edema) .
Akā, ʻaʻole i pau ka pilikia ma laila. I ka holomua ʻana o ka maʻi, hoʻāʻo ke kino e hoʻoponopono i ka pōʻino ma o ka hana ʻana i nā kīʻaha koko hou. Akā, ua nāwaliwali loa a palupalu kēia mau kīʻaha koko hou. Hiki iā lākou ke pohā maʻalahi, e kahe ai ke koko i loko o ka maka. Hoʻopilikia kēia mau mea a pau i kou ʻike ma nā ʻano like ʻole.
| Nā hōʻailona āu e ʻike ai | I ka ʻōlelo maʻalahi, ʻo ia hoʻi ... |
|---|---|
| Nā mea lana | Ke ʻike ʻana i nā kiko ʻeleʻele liʻiliʻi a i ʻole nā pōpō kaula e lana ana i mua o ka maka. He mau ʻūpā koko liʻiliʻi paha kēia i kahe i loko o ka maka. |
| ʻIke Pōwehiwehi | ʻAʻole wale ka hihiʻo pololei i mua i pohihihi, akā, ua pohihihi a maopopo ʻole hoʻi ka hihiʻo a puni. |
| Ka Wehe ʻana o ka Retinal | Ma muli o ka huki ʻia ʻana e nā kīʻaha koko nāwaliwali, hiki i ka retina ke hemo mai ka paia o ka maka. He pilikia kēia a hiki ke alakaʻi i ka nalowale loa o ka ʻike. |
ʻO kekahi pilikia i loko o ka maka: Vitreomacular Traction Syndrome (VMT)
He pilikia ʻē aʻe kēia. E noʻonoʻo i loko o kou maka, aia kahi jelly maopopo e like me ka hua manu keʻokeʻo, e hoʻopiha ana i ka maka. Ma nā ʻōlelo lapaʻau, kapa mākou ia he vitreous . Hoʻopili ʻia kēia jelly i ka paia o loko o ka maka, ʻo ia ka retina.
I ko kākou ʻelemakule ʻana, e emi mālie ana kēia jelly, e lilo i mea wai, a hoʻomaka e hoʻokaʻawale mai ka retina. ʻO ka maʻamau, inā hemo loa ia, ʻaʻohe pilikia.
Eia nō naʻe, i kekahi manawa, ʻoi aku hoʻi i ka poʻe me nā maʻi macular e like me DME, ʻaʻole i hoʻokaʻawale loa ʻia kēia jelly a paʻa i ka macula, aia ma waenakonu o ka retina.
ʻO ka mea e hana ʻia ana, ʻo ia ka huki ʻana o ka jelly contracting i ka macula i kekahi ʻaoʻao. ʻO kēia traction ke kumu o ka macula e hoʻololi i ke ʻano, lilo i wrinkles, a ʻo nā mea āu e ʻike ai ke nānā pololei ʻoe i mua hiki ke lilo i mea ʻino a ʻike ʻia ua huki ʻia . Ua kapa ʻia kēia ʻo Vitreomacular Traction (VMT) .
Hiki paha ke nalowale kou ʻike ma muli o kēia?
ʻAe, ʻo kēia ka mea a mākou e makaʻu nei. ʻO DME ke kumu nui o ka nalowale ʻana o ka ʻike hapa a piha paha i ka poʻe maʻi diabetes. Hoʻopilikia nui ia i ka ʻike waena i hoʻohana ʻia no ka nānā pololei ʻana i mua, ka heluhelu ʻana, a me ka ʻike ʻana i nā helehelena.
Hiki ke hala nā makahiki ma mua o ka nalo loa ʻana o ka ʻike ma muli o DME, akā inā ua hōʻino ʻia ka ʻaoʻao waena o ka macula, hiki ke hana koke ʻia kēia kaʻina hana.
Inā ua pilikia kou ʻike maka, mai hoʻokuʻu iā ia e hoʻopilikia iā ʻoe. E kamaʻilio me kāu kauka maka a nīnau e pili ana i nā mea e like me nā aniani a me nā aniani hoʻonui e hiki ke kōkua iā ʻoe e ʻike maikaʻi.
No laila pehea mākou e pale ai i ko mākou mau maka?
ʻO kēia ka ʻāpana koʻikoʻi loa. Pono kākou e hana e pale i ko kākou mau maka.
ʻO ka mea mua a me ka mea nui loa, ʻo ia ke kāohi pono i kāu maʻi diabetes . ʻO ke ʻano kēia o ka mālama ʻana i kou pae kō koko e like me ka maʻamau. I kekahi manawa hiki i kēia wale nō ke lawa e hoʻohuli i nā loli o ka maka.
He mea nui loa hoʻi e mālama i kou koko a me nā pae cholesterol i loko o nā waiwai i manaʻo ʻia. No ka hoʻokō ʻana i kēia mau pahuhopu,
- ʻAi ʻana i kahi papaʻai kūpono
- Hoʻoikaika kino mau
- Kaohi kaumaha
E kōkua nā mea e like me kēlā iā ʻoe.
ʻO kekahi mea nui e nānā i kou mau maka i ka manawa kūpono . Mai hōʻalo i kēia no kekahi kumu.
E hoʻomanaʻo, ʻo ke ala maikaʻi loa e pale ai i kou ʻike, ʻo ia ke nānā ʻia kou mau maka e kahi kauka maka ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki inā loaʻa iā ʻoe ka maʻi diabetes, ma mua o ke kali ʻana a ʻike ʻia nā hōʻailona.
Hiki i kēia hoʻāʻo ke ʻike i nā kūlana e like me DME ma mua o ka puka ʻana o kekahi mau hōʻailona. Kōkua nō hoʻi ia i kāu kauka e nānā i ka maikaʻi o kāu lāʻau lapaʻau.
Leka Lawe-Home
- ʻOiai he maʻi koʻikoʻi ka diabetic retinopathy (DME), hiki ke kaohi maikaʻi ʻia inā ʻike ʻia a mālama ʻia i ka wā mua.
- ʻAʻole hoʻokahi wale nō ʻāpana o ka maka ka maʻi diabetes. Hiki iā ia ke hōʻino i nā kīʻaha koko ma loko o ka retina (Diabetic Retinopathy).
- ʻO ka mālama ʻana i kāu maʻi diabetes, ke koko, a me ka cholesterol ma lalo o ke kaohi he mea kōkua nui ia i ka pale ʻana i kou mau maka.
- ʻOiai inā ʻaʻohe ou hōʻailona, inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui e ʻike i kāu kauka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka hoʻokolokolo maka.
- Inā ʻike ʻoe i kahi loli koke i kou ʻike (e laʻa me ka blurring, nā kiko ʻeleʻele, ka ʻike ʻino), e ʻike koke i kāu kauka.
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