Pehea e pili ai ka maʻi diabetes i nā maka (Diabetic Retinopathy) - E ʻike pono kākou e pili ana i kēia mau hihia

Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e mālama pono i kou mau maka. Hiki i ka maʻi diabetes ke hōʻino i kou mau maka. Ua kapa ʻia kēia he diabetic retinopathy. I ka ʻōlelo maʻalahi, ʻo ia ka wā e hōʻino ai ke kō koko kiʻekiʻe i nā kīʻaha koko palupalu ma ka ʻāpana koʻikoʻi o ka maka i kapa ʻia ʻo ka retina i ka wā lōʻihi. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i ka nalowale o ka ʻike a me ka makapō. No laila he mea nui e makaʻala i kēia.

ʻO ka mea maikaʻi loa, hiki iā kākou ke pale aku i kēia maʻi mai ka hanana ʻana a i ʻole e hoʻolohi iā ia. ʻAʻole nā ​​kānaka a pau me ka maʻi diabetes e loaʻa iā ia. Akā, kokoke i ka hapalua o ka poʻe me ka maʻi diabetes e loaʻa iā ia i kekahi ʻano. ʻO ka pilikia nui loa, i nā pae mua, ʻaʻohe hōʻailona. No laila, ʻaʻole paha ʻoe e ʻike he maʻi kou.

ʻO nā pae ʻehā o ka retinopathy diabetic

Hoʻomohala ʻia ka Diabetic Retinopathy i ʻehā mau pae nui. E kūkākūkā pōkole kākou i kēlā me kēia o kēia mau pae. E maʻalahi iā ʻoe ke hoʻomaopopo i kēia ʻike ma kahi papa.

E nānā kākou i kēia kahua me nā kikoʻī hou aku.

Nā Pae 1 a me 2 (Retinopathy ʻoluʻolu a me ka maʻalahi)

I nā pae mua, ʻaʻole paha ʻoe e ʻike i kekahi loli. Akā ua hoʻomaka mua ka hōʻino ʻana i loko o ka maka. I ka lua o ka pae, pehu nā kīʻaha koko, e alakaʻi ana i kahi kūlana i kapa ʻia ʻo Diabetic Macular Edema (DME) . ʻO kēia ka wā e hōʻiliʻili ai ke koko a me ka wai i loko o ka ʻāpana o ka maka i kapa ʻia ʻo ka macula. E hoʻomanaʻo, ʻo ka macula ka mea e kōkua iā mākou e ʻike maopopo, e like me ka heluhelu ʻana, ka hoʻokele ʻana, a me ka ʻike ʻana i nā kānaka. Ke pehu ia, hoʻomaka kou ʻike e pohihihi.

Nā Pae ʻEkolu a me ʻEhā (Retinopathy Koʻikoʻi a me ka Proliferative)

I ka hiki ʻana i ke kolu o ka pae, ʻoi aku ka koʻikoʻi o ke kūlana. Ua ālai ʻia ka nui o nā kīʻaha koko. ʻO ia hoʻi, ʻaʻole i loaʻa i ka retina ka oxygen a me nā meaʻai e pono ai. I kēlā manawa, hoʻouna ka retina i kahi hōʻailona i ka lolo, e ʻōlelo ana, "ʻAʻole lawa koʻu koko, e hana i nā kīʻaha koko hou."

I ke kahua ʻehā, a i ʻole ke kahua koʻikoʻi loa (PDR), ʻo kēia mau kīʻaha koko hou ka pilikia. He nāwaliwali lākou e like me nā lau a haki maʻalahi. Paha lākou a kahe ke koko i loko o ka maka. Hoʻoulu kēia i ka ʻeha, a i ka emi ʻana o ka ʻeha, hiki i ka retina ke hemo mai ke kua o ka maka. Kāhea mākou i kēia he retinal detachment . Inā hana ʻia kēia, hiki iā ʻoe ke nalowale mau loa kou ʻike.

Pehea e ʻike ai au i ke kahua aʻu e noho nei?

ʻAʻole hiki iā ʻoe ke hoʻoholo i kēia ma kāu iho. No kēia, pono ʻoe e nānā i kou maka e kahi loea. Hiki i ke kauka ke hana i kekahi mau hoʻokolohua e ʻike pono ai i kou kūlana:

• Hoʻokolokolo maka laulā: Nānā i ka maikaʻi o kāu ʻike ʻana ma nā mamao like ʻole.
• Ke ana ʻana i ke kaomi intraocular: Ke ana kēia i ke kaomi i loko o ka maka.
• Hoʻonui ʻana i ka Pupil: Pili kēia i ka hoʻonui ʻana i kāu pupil me nā kulu maka a me ka nānā ʻana i loko o kou maka me kahi mea hana kūikawā. ʻO kēia ke ala maikaʻi loa e ʻike ai inā he pōʻino i nā kīʻaha koko i loko o kou retina.
• ʻO ke kiʻi ʻana o OCT (Optical Coherence Tomography): Ua like kēia me ke kiʻi ʻana i nā kiʻi o loko o ka maka. Hoʻohana ia i nā nalu māmā e kiʻi i nā kiʻi o kahi ʻāpana kea o ka retina e nānā i nā kūlana e like me DME.
• ʻO ka Fluorescein Angiogram: ʻO kēia ke komo ʻana i kahi waihoʻoluʻu kūikawā i loko o kahi aʻa koko ma kou lima. I ka hele ʻana o ka waihoʻoluʻu me ke koko i kou maka, hoʻohana kāu kauka i kahi kāmela kūikawā e kiʻi i nā kiʻi o nā kīʻaha koko i loko o kou maka. ʻAe kēia iā lākou e ʻike maopopo inā he koko e kahe ana mai nā kīʻaha koko a inā paha ua ālai ʻia.

Ma hope o kēia mau hoʻokolohua, e wehewehe ke kauka iā ʻoe i ke kahua āu i kēia manawa.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka maʻamau, i nā pae mua, e nānā kāu kauka i kou kūlana. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kāu maʻi diabetes, ke koko, a me nā pae cholesterol ma lalo o ka kaohi maikaʻi.

Inā ʻino aʻe ke kūlana a ulu paha ʻo DME, pono paha ka lāʻau lapaʻau.

• Nā inikini maka: Hāʻawi ʻia nā inikini i loko o ka maka e hoʻōki i ka ulu ʻana o nā kīʻaha koko hou ʻē.
• ʻO ke ʻoki kino Laser: Hoʻohana ʻia nā kukuna laser e sila i nā kīʻaha koko e kahe ana a kaohi i ke kūkulu ʻia ʻana o nā kīʻaha koko hou.
• Nā Lāʻau Steroid: Hoʻokele ʻia ka pehu ʻana me nā inikini steroid a i ʻole nā ​​​​mea liʻiliʻi (implants) i kau ʻia i loko o ka maka.

I kekahi manawa, pono paha ma mua o hoʻokahi o kēia mau lāʻau lapaʻau i ka manawa like. E hoʻomanaʻo, na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe. No laila e wehe a ʻoiaʻiʻo me kāu kauka e pili ana i nā mea āpau.