Ua pilikia anei kou ʻike ma muli o ka maʻi diabetes? E aʻo kākou e pili ana i nā lāʻau lapaʻau DME! (Diabetic Macular Edema Treatments)

Inā he maʻi diabetes ʻoe, e hoʻomanaʻo paha ʻoe i kāu kauka e ʻōlelo mau ana iā ʻoe, "E kāohi pono i kāu pae kō, a i ʻole, ʻaʻole ia he mea maikaʻi no kou mau maka." He ʻoiaʻiʻo nō ia. Inā ʻaʻole i kāohi pono ʻia ka maʻi diabetes, hiki ke hōʻino nui ʻia ko kākou ʻike maka. ʻO ka pōʻino nui i nā maka ma kēia ʻano, ʻo ia ka Diabetic Macular Edema , a i ʻole (DME) no ka pōkole. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka pehu ʻana o ka ʻāpana koʻikoʻi loa o ka retina i loko o ka maka. Akā, mai hopohopo, aia i kēia manawa nā lāʻau lapaʻau kūpono a holomua hoʻi no kēia ʻano. ʻO ia ka mea a mākou e kamaʻilio nei ma kēia ʻatikala i kēia lā.

ʻO ka hana mua i ka mālama ʻana: ke kāohi ʻana i ke kumu o ka maʻi

Hana nā kauka i ʻelua mau ʻano hana nui i ka mālama ʻana iā DME. ʻO ka mea mua a koʻikoʻi loa, ʻo ia ke kāohi ʻana i ke kumu kumu . ʻO ia hoʻi ke kāohi ʻana i kou pae kō koko kiʻekiʻe a me ke koko kiʻekiʻe.

E noʻonoʻo i kahi liki o ka hale. ʻOi aku ka maikaʻi o ka hoʻoponopono ʻana i ka lua ma ka hale ma mua o ka hoʻohana ʻana i nā bākeke e hōʻiliʻili i ka wai ma ka honua. Pēlā nō ia me kēia. ʻOiai e mālama pololei ana i ka maka, he mea nui e kāohi i ka maʻi diabetes a me ke koko kiʻekiʻe. Ma ka hahai pono ʻana i nā ʻōlelo a kāu kauka, hiki iā ʻoe ke hoʻōki i ka hōʻino ʻana i kou mau maka a pale i ka ʻino ʻana o ke kūlana. ʻO kēia ke kumu o ka mālama ʻana.

He aha nā lāʻau lapaʻau e hana pololei ʻia i ka maka?

Ke kāpae ʻia ke kumu kumu, e hoʻomaka kāu kauka i ka lāʻau e hoʻoponopono i ka pōʻino i loko o kou maka. E kuhikuhi ʻia ʻoe i kahi kauka maka a i ʻole ka loea retina . ʻO ka lāʻau lapaʻau maikaʻi loa nāu e pili ana i ke ʻano o ka DME āu e loaʻa ai.

ʻElua mau ʻano lapaʻau nui.

1. Nā inikini Anti-VEGF

2. Lapaʻau Laser (Focal-Grid Macular Laser Surgery)

E nānā kākou i kēia mau mea a pau.

1. Nā inikini Anti-VEGF

No ke aha i hāʻawi ʻia ai kēia mau inikini? He aha ka VEGF?

I ka ʻōlelo maʻalahi, ke loaʻa iā ʻoe ka DME, hoʻopuka nui kou maka i kahi protein i kapa ʻia ʻo VEGF (Vascular Endothelial Growth Factor) . ʻO kēia protein ke kumu o nā kīʻaha koko hou e hana ʻia i loko o kou maka e lilo i mea nāwaliwali loa, e like me nā paipu wai i hana ʻia me ka plastic makepono. No laila, hoʻokahe kēia mau kīʻaha koko nāwaliwali i ke koko a me ka wai, e hoʻoulu ai i ka macula , ka wahi koʻikoʻi ma waenakonu o kou retina, e pehu. ʻO ia ke kumu e lilo ai kou ʻike i mea pōuliuli a pouli.

He aha kēia mau lāʻau lapaʻau?

Aia kekahi mau ʻano lāʻau lapaʻau nui i hoʻohana ʻia no kēia lāʻau lapaʻau. Hoʻopilikia wale kekahi mau lāʻau i ka protein VEGF, ʻoiai ʻo nā lāʻau hou e hoʻopilikia i ka VEGF a me kekahi protein ʻē aʻe e pili ana i ka hoʻokumu ʻana o nā kīʻaha koko, ʻo Angiopoietin-2 (Ang-2) .

Pehea e hāʻawi ai i ka lāʻau lapaʻau a me ka lōʻihi o ka mālama ʻana

I kēia manawa, ke ʻōlelo aku nei au 'Ke hoʻokomo ʻia nei au i loko o kou pepeiao,' e makaʻu iki paha ʻoe. Akā, ʻaʻole ia he mea weliweli loa.

• ʻAʻohe ʻeha: E hoʻopili ke kauka i nā kulu hoʻomānoino i kou mau maka ma mua o ka hāʻawi ʻana i ka inikini, no laila ʻaʻole ʻoe e ʻeha.
• Ke Kaʻina Hana: Hoʻokomo ʻia kēia lāʻau lapaʻau i loko o ka maka ma o ka ʻāpana keʻokeʻo o ka maka me ka hoʻohana ʻana i kahi nila lahilahi a lahilahi loa.
• Ka lōʻihi o ka lāʻau lapaʻau: ʻO ka maʻamau, pono ʻoe e loaʻa i kahi pana i hoʻokahi manawa i ka mahina no nā mahina 4-6 mua. A laila, i ka holomua ʻana o kou kūlana maka, e piʻi mālie ka nui o nā pana āu e loaʻa ai. Pono paha ʻoe e loaʻa pinepine i kēia lāʻau lapaʻau, ʻoiai no kekahi mau makahiki.

Ke pau ke kahe ʻana o nā kīʻaha koko, e hoʻomaka mālie ana kou ʻike e hoʻomaikaʻi.

E hoʻomanaʻo pono:

ʻAʻole kūpono kēia lāʻau pale no nā wahine hāpai no ka mea hiki ke hōʻeha i ka pēpē. No laila, inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, pono ʻoe e kamaʻilio me kāu kauka e pili ana i kēia.

2. Lapaʻau Laser (Focal-Grid Macular Laser Surgery)

ʻO kēia kekahi ʻano lapaʻau holomua i hoʻohana ʻia no DME.

• He aha kāna hana?: Pili kēia i ka hoʻohana ʻana i ka laser e 'sila' i nā kīʻaha koko nāwaliwali i loko o kou retina e liki ana. Ua like ia me ka hoʻomehana ʻana a me ke kāpili ʻana i ka palakiko. Sila kēia i nā kīʻaha koko, e hōʻemi ana i ka nui o ke koko a me ka wai e liki ana mai loko mai o lākou, a e hōʻemi ana i ka pehu ʻana ma ka macula.
• Lapaʻau: Inā loaʻa iā ʻoe ka DME ma nā maka ʻelua, ʻaʻole e mālama kāu kauka i nā maka ʻelua i ka manawa hoʻokahi. E mālama ʻo ia i hoʻokahi maka a laila e mālama i kekahi maka i kekahi mau pule ma hope. ʻO ka maʻamau, hoʻokahi lāʻau laser no kēlā me kēia maka ua lawa.
• Ka manawa e hoʻohana ai: I kekahi manawa, inā ʻaʻole i hoʻokō ʻia nā hopena i makemake ʻia me ka lāʻau inikini anti-VEGF wale nō, hiki i ke kauka ke hoʻoholo e hana i kēia lāʻau laser me ka inikini.