Yog koj muaj ntshav qab zib, tej zaum koj paub tias koj yuav tsum tau saib xyuas koj ob lub qhov muag tshwj xeeb. Tab sis vim li cas koj thiaj hais li ntawd? Ntshav qab zib tuaj yeem ua rau koj lub qhov muag puas tsuaj li cas? Qhov ntawd yog qhov peb tab tom tham txog hnub no. Qhov no yog qhov peb hu ua mob ntshav qab zib retinopathy . Qhov no yog ib qho ntawm cov teeb meem tseem ceeb uas los nrog ntshav qab zib. Yog li nws tseem ceeb heev uas yuav tsum paub txog qhov no.
Kab mob ntshav qab zib Retinopathy yog dab tsi?
Hais yooj yim xwb, qhov no yog ib yam mob uas cuam tshuam rau lub qhov muag vim yog ntshav qab zib. Nyob tom qab ntawm peb lub qhov muag muaj ib daim nyias nyias uas tseem ceeb heev hu ua retina . Nws zoo li daim zaj duab xis hauv lub koob yees duab. Nws yog qhov chaw uas lub teeb los ntawm cov khoom peb pom tau hloov mus ua cov duab. Yog li ntawd, txhawm rau kom lub retina no noj qab nyob zoo, nws muaj cov hlab ntsha uas muab ntshav rau nws.
Thaum ib tug neeg uas muaj tus kab mob ntshav qab zib tsis tswj tau cov ntshav qab zib ntau ntev lawm, cov hlab ntsha me me no yuav puas tsuaj. Lawv yuav o, xau dej los yog ntshav, los yog raug thaiv tag. Qhov no yog ib qho mob uas peb hu ua diabetic retinopathy.
Qhov no feem ntau cuam tshuam rau ob lub qhov muag. Yog tias tsis kho kom zoo, lub retina tuaj yeem ua rau muaj qhov txhab, maj mam poob qhov muag, thiab thaum kawg ua rau dig muag tag . Qhov mob no yog qhov ua rau pom kev tsis meej hauv cov neeg mob ntshav qab zib.
Cov tsos mob tseem ceeb ntawm tus kab mob no yog dab tsi?
Peb tuaj yeem tham txog tus kab mob no ua ob theem tseem ceeb: theem pib thiab theem nyuaj uas tshwm sim thaum tus kab mob hnyav zuj zus.
Theem Pib (Non-proliferative Diabetic Retinopathy - NPDR)
Qhov no yog theem pib ntawm tus kab mob. Qhov tshwm sim hauv qhov no yog tias cov kua dej lossis me ntsis ntshav tawm ntawm cov hlab ntsha me me hauv retina uas kuv tau hais ua ntej. Qhov no tuaj yeem ua rau retina o. Qee zaum cov hlab ntsha no o thiab tsim cov pob me me zoo li lub npas (microaneurysms).
Tam sim no, tej zaum koj yuav tsis pom qhov txawv loj hauv koj qhov kev pom. Koj qhov kev pom yuav tsis meej me ntsis. Tab sis feem ntau, cov kev hloov pauv no thawj zaug pom los ntawm koj tus kws kho qhov muag thaum lub sijhawm kuaj qhov muag txhua xyoo.
Mob hnyav lossis mob hnyav (Proliferative Diabetic Retinopathy - PDR)
Qhov no yog theem txaus ntshai tshaj plaws ntawm tus kab mob. Qhov tshwm sim ntawm no yog tias thaum cov hlab ntsha qub raug thaiv, cov hlab ntsha tshiab, tab sis tsis zoo li qub, tsis muaj zog pib tsim hauv lub qhov muag. Vim tias cov hlab ntsha tshiab no tsis tau tsim kom zoo, lawv tsis muaj zog heev thiab tawg yooj yim.
Thaum cov no tawg, cov ntshav ntws mus rau hauv cov khoom zoo li jelly hauv lub qhov muag (vitreous humor). Yog tias qhov kev los ntshav me me, koj yuav pom cov pob dub me me lossis cov khoom zoo li xov ntab rau ntawm koj lub qhov muag (floaters).Koj pom tau. Tab sis yog tias qhov ntshav los heev, koj yuav pom tsis meej kiag li.
Cov nqaij caws pliav tsim nyob ib puag ncig cov hlab ntsha tshiab no. Thaum cov nqaij caws pliav no me me, nws tuaj yeem ua rau lub retina cais tawm ntawm sab nraub qaum ntawm lub qhov muag (retinal detachment) . Cov hlab ntsha tsis zoo no kuj tuaj yeem ua rau muaj kev ntxhov siab hauv lub qhov muag, ua rau muaj mob hu ua glaucoma .
Koj puas muaj cov tsos mob no thiab?
Tej zaum yuav muaj coob tus neeg tsis pom muaj tsos mob dab tsi thaum pib mob. Yog vim li ntawd nws thiaj txaus ntshai heev. Tab sis thaum tus mob hnyav zuj zus, tej zaum koj yuav muaj tej yam xws li:
- Pom kev tsis meej.
- Lub zeem muag hloov pauv mus los zoo li nws pom tseeb, ces rov tsis meej dua.
- Cov kab dub uas ntab yog cov tsos ntawm cov pob dub lossis cov xov uas ntab rau hauv pem hauv ntej ntawm lub qhov muag.
- Pom cov qhov khoob lossis cov xim dub nyob nruab nrab ntawm koj qhov muag pom kev.
- Tsis muaj peev xwm paub cov xim kom zoo.
- Pom kev tsis zoo thaum hmo ntuj.
- Nyuaj nyeem phau ntawv thiab pom kev deb.
- Tej zaum yuav muaj qhov mob lossis muaj qhov nias hauv qhov muag.
Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob yam tsis muaj kev ncua.
Leej twg muaj feem yuav mob no tshaj?
Qhov tseem ceeb tshaj plaws yog tias yog koj muaj hom ntshav qab zib twg los xij, txawm tias nws yog Hom 1, Hom 2, lossis ntshav qab zib thaum cev xeeb tub , koj muaj feem yuav mob no. Koj muaj ntshav qab zib ntev npaum li cas, koj muaj feem yuav mob ntau npaum li ntawd.
Ntxiv rau, cov yam no kuj ua rau muaj kev pheej hmoo ntxiv:
- Ntshav siab
- Cov roj cholesterol ntau
- Kev siv luam yeeb
- Cev xeeb tub
- Kev rog dhau
- Kab mob raum
- Kev Tshawb Fawb Txog Genetics
| Kev kuaj mob | Kev Kho Mob |
|---|---|
| Koj tus kws kho qhov muag tuaj yeem kuaj mob no thaum lub sijhawm kuaj qhov muag tas li. Nws yuav nthuav lub qhov muag thiab saib sab hauv lub qhov muag. | Txoj kev kho mob sib txawv nyob ntawm theem ntawm tus kab mob. Muaj ntau txoj kev kho mob tseem ceeb. |
| Ib qho kev kuaj tshwj xeeb hu ua Fluorescein Angiogram tuaj yeem qhia qhov chaw tseeb ntawm cov qhov xau hauv cov hlab ntsha. | Kev txhaj tshuaj tiv thaiv VEGF: Yuav txhaj tshuaj tshwj xeeb rau hauv lub qhov muag. Qhov no yuav tiv thaiv cov hlab ntsha tsis zoo uas tsim los. (Piv txwv li: Aflibercept, Bevacizumab, Ranibizumab) |
| Ib qho kev luam theej hu ua Optical Coherence Tomography (OCT) xyuas seb qhov tuab ntawm lub retina puas muaj kua dej sib sau ua ke. | Kev Phais Mob Los Ntawm Laser: Cov teeb laser siv los "kaw" cov hlab ntsha uas xau. |
| Kev phais mob Vitrectomy: Yog tias ntshav nkag mus rau hauv lub qhov muag thiab ua rau pom kev tsis meej, kev phais mob no yog ua los tshem cov ntshav tawm. |
Peb yuav ua li cas thiaj tiv thaiv peb tus kheej ntawm qhov xwm txheej txaus ntshai no?
Qhov no yog qhov tseem ceeb tshaj plaws. Muaj ntau yam uas koj ua tau los tiv thaiv koj tus kheej ntawm tus kab mob no.
- Qhov tseem ceeb tshaj plaws: Tswj koj cov ntshav qab zib thiab ntshav siab . Ua haujlwm nrog koj tus kws kho mob kom ua qhov no. Noj koj cov tshuaj raws li tau qhia.
- Tseeb tiag: Mus ntsib kws kho qhov muag kom kuaj qhov muag tag nrho tsawg kawg ib xyoos ib zaug. Tsis txhob tos kom cov tsos mob tshwm sim. Yog tias kuaj pom ntxov, kev kho mob tuaj yeem pab khaws koj qhov muag pom kev.
- Yog tias koj yog niam cev xeeb tub: Yog tias koj yog niam cev xeeb tub uas muaj ntshav qab zib, nco ntsoov kuaj qhov muag hauv peb lub hlis thawj zaug ntawm cev xeeb tub.
- Tsis txhob haus luam yeeb: Kev haus luam yeeb ua rau qhov mob no hnyav zuj zus.
- Kev tswj cov roj cholesterol: Tswj cov roj cholesterol hauv cov ntshav.
- Kev ua neej noj qab nyob zoo: Noj zaub mov kom sib npaug thiab tawm dag zog.
Nco ntsoov tias, tus kab mob no tej zaum yuav tsis kho tau tag nrho. Txawm li cas los xij, yog tias koj kuaj pom thaum ntxov thiab kho kom zoo, koj yeej yuav tiv thaiv tau tus kab mob kom tsis txhob loj zuj zus thiab khaws koj lub zeem muag zoo .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qab zib yog ib yam kab mob uas cuam tshuam ncaj qha rau lub qhov muag, yog li ntawd, yuav tsum saib xyuas koj lub qhov muag tas li.
- Txoj kev tiv thaiv zoo tshaj plaws uas koj ua tau yog tswj koj cov ntshav qab zib thiab ntshav siab.
- Txawm tias koj tsis muaj tsos mob los xij, nws yog ib qho tseem ceeb uas koj yuav tsum tau mus ntsib kws kho qhov muag kuaj koj ob lub qhov muag tsawg kawg ib xyoos ib zaug.
- Yog koj pom muaj kev hloov pauv hauv koj qhov muag (piv txwv li pom tsis meej, muaj tej daim dub), tsis txhob tsis quav ntsej. Mus ntsib kws kho mob sai sai.
- Kev kho mob sai sai tuaj yeem tiv thaiv koj lub zeem muag mus tas li.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus