Yu yay dɛnsɛf de sɔfa wit dayabitis? Yu dɔn yɛri bɔt dis sik we dɛn kɔl Dayabitis-Related Macular Edema?

If yu gɛt dayabitis, yu fɔ tek kia ɔf yu yay mɔ, nɔto so? Bikɔs, as yu no, dayabitis na sik we kin afɛkt wi yay di we aw wi nɔ bin de ɛkspɛkt. Tide, wi go tɔk bɔt jɔs dis kayn tin, swɛlin we kin apin insay wi yay, mɔ na wan rili impɔtant pat pan wi yay, bikɔs ɔf dayabitis. Dis na wetin dɔktɔ dɛn kin kɔl `(Diabetes-Related Macular Edema)` ɔ `DME`.

Wetin na Dayabitis-Rɛlayt Makula Ɛdima (DME)?

Fɔ tɔk am simpul wan, DME na swɛlin we kin apin na di sɛntrɔm pan di retina, di say we de insay yu yay we dɛn kɔl makula, we na di pat pan di yay we wi kin yuz fɔ si tin klia wan. Tink bɔt am lɛk se yu yay tan lɛk kamɛra, ɛn di retina tan lɛk di fim we de insay da kamɛra de. Dis na di say we di sεl dεm we de fil fכ fכs de. So dis pat na di retina we dɛn kɔl makula, na in de ɛp wi fɔ rid smɔl smɔl tin dɛn ɛn si tin dɛn we de fa fawe klia wan.

Yu kin gɛt DME mɔ if yu gɛt retinopathy we gɛt fɔ du wit dayabitis. Dayabitis kin mek di smɔl smɔl blɔd vesel dɛn na yu yay wik. Dɔn dɛn kin lik blɔd ɛn wata. Sɔntɛnde, nyu, rili wik blɔd vesel dɛn kin fɔm we nɔ de de. Dɛn tin ya kin lik izi wan bak. we dis wata we de lik kכlכp na di makula, i de swel.

Aw dis sik kin kɔmɔn?

Nɔto ɔlman wae gɛt dis sik kin gɛt dis sik. Bɔt dɛn kin se lɛk wan pan ɛvri fɔtin pipul dɛn we gɛt dayabitis kin gɛt dis `DME` kɔndishɔn. Bikɔs di nɔmba fɔ pipul dɛn we gɛt dayabitis de bɔku na Sri Lanka, i rili impɔtant fɔ no bɔt dis.

Wetin na di sayn dɛm fɔ dis? Si if yu get dis tu...

Di sayn dɛm fɔ DME nɔ kin kam wantɛm wantɛm, ɛn sɔntɛnde dɛn kin kam smɔl smɔl. Bɔt una fɔ no bɔt dɛn tin ya:

• Blɔr vishɔn ɔ dabl vishɔn: Dis na kɔmɔn sayn. Yu go si se yu yay nɔ de si ɔ yu de si we yu de rid, wach TV, ɔ luk sɔntin we de fa.
• Flota: Na we yu de fil smɔl blak dɔt ɔ spayda wɛb we de muv bak ɛn go bifo di yay.
• I nɔ kin izi fɔ no difrɛn kɔlɔ dɛn: Sɔm kɔlɔ dɛn kin dak pas aw dɛn kin gɛt ɔ i nɔ kin izi fɔ difrɛns frɔm dɛnsɛf.
• Skɔtomas: Yu kin si blak ples na di midul ɔ na di sayd we yu de luk.
• Stret layn ɛn kruk we yu luk: If yu luk sɔntin lɛk stret ed na domɔt ɔ winda sil ɛn i luk kruk, strɛch, ɔ rɔtin, dat na sayn bak.
• Fɔ fil lɛk brayt layt: I kin at fɔ si na di san ɔ brayt layt, ɛn di yay kin tan lɛk blu.
• Wetin yu de si wit wan yay, dɛn kin si am difrɛn we wit di ɔda yay: Pan ɔl we dis na sɔm kayn strenj sayn, i kin apin to sɔm pipul dɛn.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ we de mɛn yu yay ɛn nɔ de te.

Wetin mek dis de apin? Wetin na di rizin fɔ dis?

As a bin dɔn tɔk bifo tɛm, di men tin we kin mek dis apin na we di blɔd shuga we dɛn nɔ kin kɔntrol fɔ lɔng tɛm. Dis kin pwɛl di dilik blɔd vesel dɛn we de insay di yay.

Wi kin kɔl di damej we di blɔd vesel dɛm na di yay kin kam wit dayabitis ``Diabetes-Related Retinopathy (DRR)``. Tu men tin dɛn de we kin apin to dis:

1. `Non-proliferative DRR`: insay dis, di bכdi vεsεl dεm de wik εn sכm sכm sכm sכm sכm bכdi dεm we lεk balכn (maycroaneurysms) de fכm na do na di wכl dεm. Dɛn tin ya kin mek blɔd ɛn wata lik insay di makula.

2. `Proliferative DRR`: Dis na smɔl mɔ siriɔs kes. na ya, insay di ples fכ di bכdi we dεn dכn pwεl, nyu bכdi we rili wik de bigin fכ fכm insay di yay we nכ de de. Dɛn nyu blɔd vesel ya kin rili brok, so i kin izi fɔ lɛ blɔd ɛn wata lik, ɛn dis kin mek di makula swel.

Di tin we impɔtant pas ɔl na dat if dɛn nɔ trit dis `DME` kɔndishɔn fayn ɛn na di rayt tɛm, i kin mek yu nɔ de si fayn smɔl smɔl. So dis nɔto sɔntin we wi fɔ tek am layt.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Sɔntɛm yu nɔ go si dis swɛlin frɔm os. Bɔt, ay dɔktɔ kin no am we dɛn de chɛk yu yay. Na dat mek pipul dɛm wae gɛt shuga fɔ de chɛk dɛn yay ɔltɛm. If dɛn no am kwik, i izi fɔ trit.

Apat frɔm we di dɔktɔ de chɛk yu yay, i kin du spɛshal tɛst dɛn bak lɛk:

• Optical Coherence Tomography (OCT): Dis tan lɛk we dɛn de skan di insay pat pan yu yay. I kin mɛzhɔ di tik we yu retina ɛn makula tik kɔrɛkt wan. I kin si klia wan if ɛni swel de ɛn aw bɔku.
• Fluorescein Angiography: Insay dis tɛst, dɛn kin put spɛshal day insay wan vein na yu an. Dɔn, wan spɛshal kamɛra kin tek pikchɔ dɛn fɔ di day we i de travul tru di blɔd vesel dɛn na yu yay. Ɛni lik na di blɔd vesel dɛn go de klia wan na di pikchɔ dɛn.
• `Amsler Grid` Test: Dis na wan rili simpul tɛst. Dɛn aks yu fɔ luk wan grid we gɛt skwea ɛn si if di layn dɛn strɛch, bɛn, ɔ nɔ de. If prɔblɛm de wit di makula, yu kin si chenj na dɛn layn ya.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

Di gud nyus na dat naw, tritmɛnt dɛn de we rili fayn fɔ DME. Wit sɔm nyu mɛrɛsin, if dɛn no di sik kwik kwik wan, i pɔsibul fɔ rivɛns sɔm pan di damej we dɛn dɔn du.

Bɔku men we dɛn de fɔ trit pɔsin:

1. Anti-VEGF tɛrapi: .wan protin de we dεn kכl Vascular Endothelial Growth Factor (VEGF) we de εp nyu bכdi vεsul dεm fכ gro insay wi yay. dis tritmεnt involv fכ gi mεdisin we de blכk di akshכn fכ di VEGF protin as injεkshכn insay di yay. Dɛn kin gi dis injɛkshɔn wan tɛm insay di mɔnt, ɔ ɔltɛm we dɛn nid am. Dɛn mɛrɛsin ya na dɛn kin yuz mɔ:

• `Aflibersɛpt (Eylea®)`
• `Bɛvasizumab (Avastin®)`
• `Farisimab-svoa (VABYSMO®)`
• `Ranibizumab (Lusɛntis®)`

2. Stɛroyd tritmɛnt: Dɛn kin yuz stɛroyd bak fɔ ridyus di swɛlin. Dɛn kin gi dɛn tin ya as injɛkshɔn na di yay ɔ as smɔl implant (wan mɛrɛsin we kin las fɔ lɔng tɛm) we dɛn kin put insay di yay. Ɛgzampul dɛn:

• `Dɛksamɛtazɔn (Ozurdex®)` (dis na `implant`)
• `Fluocinolone acetonide (Iluvien®)` (dis na `implant` bak)

3. Laser tritmεnt (Laser Photocoagulation): insay sכm kayn we dεn kin yuz laser layt fכ "sial" di bכdi we de lik εn stכp di lik.

4. Vitrectomy: Dis na ɔpreshɔn. Dɛn kin du dis ɔpreshɔn fɔ pul blɔd, wata, ɔ ska tisu we de insay di yay we de pul di makula. Nɔto ɔlman nid dis.

Wit ɛni wan pan dɛn tritmɛnt ya, i impɔtant fɔ kip yu blɔd shuga ɛn blɔd prɛshɔn ɔnda rili gud kɔntrol, ɔdasay di rizɔlt fɔ di tritmɛnt kin ridyus.

Ɛni sayd ɛfɛkt ɔ kɔmplikeshɔn de fɔ di tritmɛnt?

Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin, bɔt bɔku tɛm di prɔblɛm dɛn we kin apin kin smɔl.

• biכs fכ di `injεkshכn`, sכm chans de fכ mek wan jεm go insay di yay. fכ mek dis nכ apin, dεn kin klin di yay fayn fayn wan bifo di `injεkshכn`.
• Afta di injεkshכn, sכm sכm εya bכbul dεm kin fכm insay di yay. Dɛn tin ya go dɔnawe fɔ dɛnsɛf insay sɔm dez.
• Rɛd ɛn it smɔl kin apin. Dis kin bi bak bikɔs ɔf di sɔlv we dɛn yuz fɔ klin di yay bifo di injɛkshɔn. If yu yuz atifishal kray wata, dat kin ɛp fɔ ridyus dɛn tin ya we kin mek yu nɔ fil fayn.
• Sɔntɛnde, stɛroyd tritmɛnt kin mek yu gɛt katarakt ɔ i kin mek yu gɛt mɔ prɛshɔn na yu yay. So, di dɔktɔ go de chɛk fɔ dis ɔltɛm.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Bɔku tɛm, DME nɔ kin mek pɔsin fil pen na di yay. so pas fכ fil "bεtε" afta injεkshכn, di damej pan di makula εn rεtina de stכp כ pat pan am de rivεs. Yu vishɔn kin bigin fɔ klia smɔl smɔl.

Afta di `Injection` tritmɛnt, yu nɔ go ebul fɔ go wok ɔ skul. Bɔt if yu gɛt `Vitrectomy` ɔpreshɔn, i kin tek lɛk tu to 4 wiks fɔ mek yu wɛl.

Wetin dɛn kin du fɔ ridyus ɔ fɔ mek dis nɔ apin?

If yu gɛt dayabitis, yu nɔ go ebul fɔ pul yu risk fɔ gɛt DME kpatakpata. Bɔt bɔku tin dɛn de we yu kin du fɔ mek yu nɔ gɛt bɔku prɔblɛm:

• Kɔntrol yu dayabitis fayn fayn wan: Kip yu blɔd shuga lɛk aw yu dɔktɔ se. Tek yu mɛrɛsin fayn ɛn kɔntrol di it we yu de it.
• If yu gɛt ɔda sik dɛn we nɔ de mɛn lɛk ay blɔd prɛshɔn, kɔntrol dɛn fayn fayn wan.
• Mek shɔ se yu de chɛk yu yay to dɔktɔ we de mɛn yu yay ɔltɛm. Dɛn kin se pipul dɛn we gɛt dayabitis fɔ chɛk dɛn yay wan tɛm insay di ia.
• If yu de smok, stɔp tide. Smok kin rili bad bak to di blɔd vesel dɛn na di yay.
• It tin dɛn we go mek yu gɛt wɛlbɔdi. It mɔ frut ɛn vɛjitebul dɛn.
• Ɛksesaiz ɔltɛm.

If a gɛt dis sik, aw tumara bambay go tan lɛk?

If dɛn no se yu gɛt DME ɛn dɛn trit yu fayn, di we aw yu de si tin kin fayn. Ɛspɛshali if dɛn no di sik ɛn trit am kwik, sɔm nyu mɛrɛsin dɛn kin ivin mek sɔm pan di vishɔn we dɔn lɔs kam bak.

Bɔt if dɛn nɔ trit am, i kin rili fayn fɔ si, ɛn dis kin mek i nɔ izi fɔ mek i wok ɛvride. Na dat mek i impɔtant fɔ no am kwik kwik wan ɛn fɔ trit am.

Aw a fɔ kia fɔ misɛf?

Pan ɔl we DME na sik we de afɛkt di yay, if yu tek kia ɔf yu wan ol bɔdi fayn fayn wan, dat kin ɛp fɔ kɔntrol di sik.

• If yu gɛt sik dɛn we nɔ de mɛn lɛk dayabitis, ay blɔd prɛshɔn, ay kɔlɔstrel, ɔ fat, tray yu bɛst fɔ kɔntrol dɛn fayn fayn wan.
• It fayn it ɛn du ɛksɛsayz inof.
• Nɔ smok.
• Mek dɛn chɛk yu yay ɔltɛm, lɛk aw yu yay dɔktɔ se.
• If yu nɔ de si fayn wantɛm wantɛm, yu yay de fil bad bad wan, ɔ yu si blak skrin wantɛm wantɛm bifo yu yay, go to dɔktɔ ɔ go na ɔspitul wantɛm wantɛm.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:

• "Wetin ɔda tin a fɔ no bɔt dis kɔndishɔn `(Diabetes-Related Macular Edema)`?"
• "Us tritmɛnt we yu de kɔmɛnt we bɛtɛ fɔ mi?"
• "Wetin na di sayd ɛfɛkt ɔ kɔmplikeshɔn dɛm fɔ dis tritmɛnt?"
• "Aw often a fɔ mek dɛn chɛk mi yay?"
• "Us kayn simptom dɛn kin tek as imejensi na dis `DME` sityueshɔn?"

Di las tin we a fɔ tɔk na dis...

Dayabitis na sik we kin ambɔg bɔku pat na wi bɔdi. Pan dɛn tin ya, di yay dɛn de ple wan impɔtant pat. If yu gɛt dayabitis, mɔ if yu gɛt wan sik bak we dɛn kɔl `diabetes-related retinopathy`, yu de pan risk fɔ gɛt `DME`. Dis risk kin go ɔp di mɔ we yu gɛt dayabitis.

So, i rili impɔtant fɔ mek yu de chɛk yu yay ɔltɛm ɛn fɔ no if yu gɛt ɛni swel ɔ nyu blɔd vesel na di yay kwik kwik wan. Bikɔs if dɛn no di sik kwik kwik wan ɛn bigin fɔ trit am, chans de fɔ sev yu valyu vishɔn. Sɔntɛnde, if dɛn bigin fɔ trit am kwik, di damej we `DME` dɔn mek kin chenj.

So, tek kia ɔf yu yay. We yu de liv wit dayabitis, mek fɔ kia fɔ yu yay bi wan pan yu men wok dɛn.

` dayabitis, makular ɛdima, rεtinopati, ay hεlth, vishכn lכs, ay tritmεnt, dayabitis, ay sik, rεtina