If yu gɛt dayabitis, yu no aw yu fɔ kɔntrol am. Bɔku tin dɛn de we yu fɔ du, lɛk fɔ kɔntrol di shuga we yu gɛt na yu blɔd, fɔ kia fɔ di tin dɛn we yu de it, ɛn fɔ du ɛksɛsayz. Insay ɔl dis, sɔntɛnde wi kin fɔgɛt bɔt wi yay. Bɔt wan pan di siriɔs prɔblɛm dɛn we kin apin bikɔs ɔf dayabitis na we pɔsin nɔ de si fayn igen. Pan dɛn wan ya, di tin we kin apin mɔ ɛn we kin mek pɔsin nɔ ebul fɔ si fayn na Dayabitik Makyula Ɛdima, ɔ DME fɔ shɔt tɛm. We yu yɛri dis nem, i kin mek yu fred smɔl. Bɔt nɔ wɔri. If dɛn tɛl yu gud gud wan bɔt dis ɛn gɛt tritmɛnt di rayt tɛm, yu go ebul fɔ protɛkt yu valyu yay.
Fɔ tɔk am simpul wan, wetin na Dayabitik Makyula Ɛdima (DME)?
Okay, mek wi put am dis we. Na di bak pat na yu yay, wan say de we rili sɛnsitiv we de akt lɛk di fim we de na kamɛra. Wi kin kɔl am di retina . Dɛn kin rayt di pikchɔ dɛn we wi kin si na dis retina. We yu gɛt dayabitis, mɔ if yu nɔ de kɔntrol di shuga na yu blɔd fɔ lɔng tɛm, di smɔl smɔl blɔd vesel dɛn we de insay yu yay kin bigin fɔ pwɛl. Lɛk ol wata paip, dɛn blɔd vesel ya kin wik ɛn bigin fɔ lik blɔd ɛn wata. Wi kin kɔl dis kɔndishɔn Dayabitik Rɛtinopati .
Naw, we dis wata we de lik gɛda na di retina, i kin bigin fɔ swel. Wan rili impɔtant pat de na di retina we de ɛp wi fɔ si klia wan, rayt na di midul, we dɛn kɔl di makula . We da wata we de lik de bɔku na di makula ɛn i swel, na dat wi kin kɔl Dayabitik Makula Ɛdima (DME) . We di makula swel, i kin afɛkt wi shap ɛn klia vishɔn dairekt wan.
Yu gɛt sayn dɛn lɛk dis?
Wan prɔblɛm wit DME na dat sɔmtɛm i nɔ kin sho ɛni simptom na di fɔs stej. Bɔt as di sik de go bifo, yu kin notis tin dɛn lɛk:
- Blurred vision: We yu de rid buk, wach TV, ɔ luk pɔsin in fes, di midul pan di pikchɔ nɔ kin klia ɛn i nɔ kin klia.
- Imajin dɛn kin tan lɛk se dɛn strɛch ɔ wev: Ivin wan stret layn kin tan lɛk se i strɛch lɛk wev.
- Faded colors: I tan lɛk se di kɔlɔ dɛn dɔn lɔs dɛn braytnɛs ɛn klia, i tan lɛk se dɛn "wash aut."
If yu gɛt ɛni wan pan dɛn sik ya, nɔ de te . Si yu dɔktɔ kwik kwik wan. If yu gɛt dayabitis, i impɔtant fɔ mek yu du yu yay ɛgzam wan tɛm insay di ia , ilɛksɛf yu nɔ gɛt ɛni sayn.
Aw dɔktɔ kin no se i gɛt DME?
We yu go to dɔktɔ, i go aks yu sɔm kwɛstyɔn dɛn fɔs ɛn afta dat i go du yu yay ɛgzam.
Kwɛstyɔn dɛn we yu fɔ aks di dɔktɔ
- Yu dɔn notis ɛni chenj na yu vishɔn dis biɛn tɛm?
- Aw lɔng dɛn dɔn no se yu gɛt dayabitis? Ɛnibɔdi na yu famili gɛt am?
- Aw yu blɔd shuga ɛn A1c lɛvɛl de?
- Yu gɛt ay blɔd prɛshɔn ɔ yu gɛt ay kɔlɔstrel?
- Ɛni ɔda tin dɛn de we kin mek pɔsin sik?
Afta dat, dɛn kin du dɛn tɛst ya mɔ we dɛn de chɛk dɛn yay.
| Nem fɔ di tɛst | Fɔ tɔk am simpul wan, wetin yu de du wit dis? |
|---|---|
| Visual Acuity Test fɔ di pɔsin we de si | Dis na di ridin vishɔn tɛst we wi ɔl no. I de mɛzhɔ aw yu kin si klia wan na difrɛn distans dɛn. |
| Dilayt Ay Ɛgzam | Di dɔktɔ go put drɔp na yu yay fɔ mek di blak ol na yu yay big. Dɔn, dɛn go yuz spɛshal tin fɔ luk insay yu yay fɔ chɛk aw yu retina de, if wata de lik frɔm di blɔd vesel dɛn, ɛn if ɛnitin de swel. |
| Fluorescen Angiogram (FA) we dɛn kɔl Fluorescein. | Dis na spɛshal tɛst. Dɛn kin put spɛshal day insay wan vein we de na yu an. As di day de travul tru di blɔd vesel dɛn we de insay yu yay, wan spɛshal kamɛra de tek pikchɔ dɛn. Dis kin ɛp fɔ no usay di blɔd vesel dɛn de lik. |
| Optik kohɛrɛns Tomografi (OCT) . | Dis tan lɛk we dɛn de skan di insay pat na di yay. Wan spɛshal kamɛra de tek pikchɔ fɔ wan krɔs-sekshɔn na di retina. dis kin mכsu bכku bכku wan we de swεla na di makula εn כl di wata we dεn dכn gɛda. |
Afta dɛn tɛst ya, di dɔktɔ go no if yu gɛt DME ɛn aw i siriɔs.
Wetin na di tritmɛnt dɛm fɔ DME?
Laki, naw, tritmɛnt dɛn de we rili fayn fɔ DME. Yu dɔktɔ go tɛl yu fɔ gi yu di tritmɛnt we fit yu pas ɔl bay aw yu sik.1. Anti-VEGF Injɛkshɔn dɛn
Dis na di men ɛn di bɛst tritmɛnt we de naw. VEGF na protin we de ɛp nyu ɛn wik blɔd vesel dɛn fɔ mek insay wi yay. dis injεkshכn dεm de blכk da VEGF protin de. Dis kin mek nyu blɔd vesel dɛn nɔ de fɔm ɛn wata we de kɔmɔt na di vesel dɛn we dɔn de nɔ de lik kɔmɔt. Dɛn kin injekt dɛn injɛkshɔn ya dairekt insay di yay. Pan ɔl we i kin tan lɛk se i de mek pɔsin fred smɔl, i kin mek di yay nɔ gɛt bɛtɛ trɛnk so i nɔ kin at bɔku. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na:
- Aflibercept (Eylea) we de wok fɔ di kɔmni.
- Bevacizumab (Avastin) we dɛn kɔl di .
- Ranibizumab (Lusɛntis) we dɛn kɔl .
- Faricimab-svoa (Vabysmo) - Dis na nyu dכg we de blכk כl tu di VEGF εn Ang-2 protin dεm.
2. Laser tritmɛnt (Laser Fɔtokoaguleshɔn) .
If di kɔndishɔn rili bad, dɛn kin yuz lɛsa fɔ "sial" ɔ bɔn di blɔd vesel dɛn we de lik. Dis kin ɛp fɔ kɔntrol di swɛlin. Yu kin nid fɔ gɛt bɔku tritmɛnt dɛn.
3. Ɔda tritmɛnt dɛn
Sɔntɛnde, dɛn kin yuz stɛroyd injɛkshɔn. Dɔn bak, if di wata we de insay di yay (vitreous humor) de blɔd ɛn mek yu nɔ de si fayn, dɛn kin du ɔpreshɔn we dɛn kɔl vitrectomy fɔ pul di wata ɛn put klia sɔlvushɔn insay am.
Tin dɛn we yu kin du fɔ kia fɔ yusɛf
Apat frɔm di tritmɛnt dɛn we yu dɔktɔ de gi yu, bɔku tin dɛn de we yu kin du yusɛf. If yu du dɛn tin ya kɔrɛkt wan, dat kin ɛp fɔ mek di sik nɔ wɔs.
- Kɔntrol yu dayabitis: Dis na di tin we impɔtant pas ɔl. Kip yu blɔd shuga, blɔd prɛshɔn, ɛn kɔlɔstrel lɛvɛl na di bɛst lɛvɛl we yu dɔktɔ tɛl yu fɔ du. Tek di mɛrɛsin we dɛn tɛl yu fɔ tek jɔs lɛk aw dɛn tɛl yu fɔ tek am.
- Fɔ liv fayn layf: It fayn it, kɔntrol yu wet, ɛn ɛksesaiz ɛvride. Tɔk to yu dɔktɔ bɔt dis ɛn kam wit wan plan we go fayn fɔ yu.
- Nɔ skip fɔ chɛk yu yay: Nɔ put fɔ mek dɛn chɛk yu yay bikɔs yu tink se natin nɔ bad. Yu dɔktɔ go want fɔ si yu ɔltɛm fɔ si aw yu tritmɛnt de wok fayn ɛn fɔ chɛk fɔ ɛni ɔda prɔblɛm.
- Tink bɔt yu maynd wɛl bɔdi: Na nɔmal tin fɔ fil bad ɛn wɔri we yu gɛt prɔblɛm wit yu yay. Tɔk bɔt aw yu de fil wit yu famili, yu padi we yu kin abop pan, ɔ yu dɔktɔ. Aks ɛp frɔm pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs if nid de.
Mɛmba se DME na wan sik we de mek pɔsin nɔ ebul fɔ si if dɛn no am kwik ɛn trit am fayn. So nɔ fred, fes am wit maynd.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt dayabitis, fɔ kɔntrol yu blɔd shuga, blɔd prɛshɔn, ɛn kɔlɔstrel lɛvɛl na di bɛst we fɔ protɛkt yu yay.
- Ivin if yu nɔ gɛt ɛni sayn, mek shɔ se yu du kɔmplit dilated ay ɛgzam wan tɛm insay di ia.
- If yu gɛt sɔm sayn dɛn lɛk we yu nɔ de si fayn, yu nɔ de si fayn, ɔ yu gɛt kɔlɔ we dɔn fayn, go to dɔktɔ wantɛm wantɛm.
- Naw, tritmɛnt dɛn de we rili wok fɔ DME (Anti-VEGF injɛkshɔn, lɛsa). Di mɔ we dɛn bigin fɔ trit am, na di mɔ di chans fɔ mek dɛn nɔ si fayn.
- Nɔto yu wan de pan dis waka. Gɛt sɔpɔt frɔm yu dɔktɔ, fambul, ɛn padi dɛn.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt