Yu gɛt dayabitis? Dɔn wi nid fɔ kia fɔ wi yay smɔl mɔ. Bikɔs sɔm prɔblɛm dɛn we kin kam wit dayabitis kin pwɛl di yay we nɔ kin sho ɛni sayn we i bigin. Wan pan dɛn kayn tin ya we kin afɛkt di we aw pɔsin de si kwayɛt wan na Dayabitik Makyula Ɛdima, ɔ DME fɔ shɔt tɛm. If na so i bi, wata kin lik frɔm di dilik blɔd vesel dɛn we de insay di yay bikɔs ɔf dayabitis, we kin mek di yay swel insay di yay. If dɛn no dis kwik kwik wan, dɛn kin trit am ɛn nɔ de si fayn. Tide, lɛ wi tɔk bɔt aw fɔ no ɛksaktɔli if yu gɛt dis DME kɔndishɔn.
Wan we fɔ gɛt smɔl aidia na os
Bifo yu go to dɔktɔ, yu kin du smɔl tɛst na os. Wi kɔl dis di ``Amsler grid`` tɛst. I rili simpul.
Imajin wan chɔt we tan lɛk pej frɔm bɔksin lɔ buk. I gɛt wan blak dɔt na di midul. Wetin yu nid fɔ du na:
- Kip dis chɔt na say we gɛt layt, na di distans we yu go rid buk.
- If yu wɛr glas, put am.
- Naw kɔba wan yay wit yu an ɛn luk di blak dɔt nɔmɔ we de na di midul pan di chɔt wit di ɔda yay.
- As yu de luk di dɔt, si if yu kin si di skwea lɔ dɛn na di chɔt.
Nɔmal wan, yu fɔ si dɛn layn dɛn ya stret ɛn klia. Bɔt if yu gɛt kɔndishɔn lɛk DME , dɛn skwea layn ya kin tan lɛk se dɛn strɛch, rɔtin, ɔ ivin blɔk na say dɛn. Dɔn, tɛst di ɔda yay di sem we.
Bɔt mɛmba dis: Di Amsler grid tɛst na smɔl tin nɔmɔ fɔ sho if yu gɛt prɔblɛm. I nɔ de tek ples fɔ ful ay ɛgzam. If yu notis ɛni chenj, yu fɔ rili go to dɔktɔ.
Wetin kin apin we yu go to dɔktɔ?
If yu gɛt dayabitis, di bɛst we fɔ mek dɛn chɛk yu yay na fɔ go to dɔktɔ we de mɛn yu yay, we na dɔktɔ we gɛt spɛshal trenin fɔ kia fɔ yu yay we gɛt dayabitis. Dɛn go du wan kɔmplit ay ɛgzam. Dis ɛgzam gɛt sɔm impɔtant tin dɛn fɔ du.
1. Tɛst fɔ di Visual Acuity
Dis na di ay tɛst we wi ɔl no. Dɛn kin put bɔd we gɛt lɛta, nɔmba, ɔ simbul dɛn we gɛt difrɛn saiz pan am fa fawe ɛn aks yu fɔ rid am. Dis na di kayn tɛst we di dɔktɔ kin yuz fɔ gɛt di bɛsis aidia bɔt aw yu de si ɛn if ɛni wikɛd tin de.
2. Dilayt Ay Ɛgzam
Dis na di impɔtant tɛst we dɛn kin yuz fɔ no DME.
- Fɔs, di dɔktɔ go put spɛshal ay drɔp dɛn na yu yay.
- Dis wata go mek di pupil na yu yay big. Nɔ wɔri, dis na fɔ shɔt tɛm nɔmɔ.
- We di pupil na di yay big, di dɔktɔ kin yuz wan spɛshal tin we dɛn kɔl slit-lamp fɔ shayn layt insay di yay ɛn si ɔl di pat dɛn we de insay di yay klia wan.
- di men tin we wi de pe atɛnshɔn pan ya na di pat pan di yay we dɛn kɔl di retina. Fɔ tɔk am simpul wan, dis na di pat we de insay wi yay we tan lɛk di fim we kamɛra de sho. Di imej fɔ wetin wi de si, na ya dɛn mek am.
- di men pat pan di retina we de gi wi shap vishכn na di makula. Insay DME, na di makula de swel.
- So, we dɛn de du dis tɛst, di dɔktɔ kin tek tɛm chɛk fɔ si if wata de lik frɔm di blɔd vesel dɛn na di retina, if i dɔn swel, ɔ if ɛni smɔl blɔd de kɔmɔt.
3. Fɔ tek pikchɔ insay di yay (Retinal Imaging) .
Dis na wan we bak we dɛn de yuz tide. I tan lɛk we yu tek foto fɔ di insay pat na yu yay. Wan spɛshal kamɛra kin tek pikchɔ dɛn fɔ yu retina ɛn sɛn dɛn to kɔmpyuta. Dɔn wan dɔktɔ we de mɛn yay kin chɛk dɛn pikchɔ ya fɔ si if ɛni sayn de fɔ se pɔsin gɛt sik. Pan ɔl we dis nɔ de ditayli lɛk fɔ du ful ay ɛgzam, na fayn fɔs tɛst fɔ pɔsin we nɔ go ebul fɔ go to ay dɔktɔ.
Speshal tɛst dɛn we dɛn fɔ du if dɛn sɔprayz se DME de
Afta di tɛst dɛm we wi dɔn tɔk bɔt, if yu dɔktɔ sɔprayz se yu gɛt DME, dɛn go du sɔm ɔda spɛshal tɛst dɛm fɔ kɔnfirm am. Tu men tɛst dɛn de.
| Nem fɔ di tɛst | Wetin kin jɔs apin | Wetin yu go fɛn pan dis? |
|---|---|---|
| Fluorescein Angiografi we dɛn kɔl Fluorescein | Dɛn kin put spɛshal day insay wan vein we de na yu an. We dis day rich na yu yay, i de mek di blɔd vesel dɛn we de insay yu yay klia. Dɔn dɛn kin tek sɔm pikchɔ dɛn wit wan spɛshal kamɛra. | I kin no klia wan usay wata de lik frɔm di blɔd vesel dɛn we de insay di yay, if di blɔd vesel dɛn dɔn pwɛl, ɔ if nyu blɔd vesel dɛn we wik dɔn fɔm. |
| Optik kohɛrɛns Tomografi (OCT) . | Dis tan lɛk we dɛn de skan di yay wit ɔltra saund. Bɔt instead fɔ yuz sawnd wev, i de yuz layt wev fɔ tek rili ditayli, krɔs-sekshɔn pikchɔ dɛn fɔ di tisu dɛn we de insay di yay. I nɔ de mek pɔsin fil pen. | Dɛn kin tek dis as di bɛst ɛn kɔrɛkt we fɔ no bɔt DME. I kin ebul fɔ mɛzhɔ di tik we ɛni layt na di retina tik kɔrɛkt wan, so i kin no klia wan pas ɔda tɛst dɛn aw bɔku swel de. |
Afta dɛn tɛst ya, yu dɔktɔ kin no kɔrɛkt wan if yu gɛt DME ɔ yu nɔ gɛt am, ɛn if na so i gɛt, aw i rili bad. Dɔn i kin tɛl yu di tritmɛnt we fit yu pas ɔl.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt dayabitis, i impɔtant fɔ mek dɔktɔ we de mɛn yu yay chɛk yu yay wan tɛm insay di ia, ilɛksɛf yu nɔ gɛt ɛni sayn.
- If yu si ɛni chenj na yu yay, lɛk we yu nɔ de si fayn, pikchɔ dɛn we nɔ klia, ɔ blak spat we de flɔt , go to dɔktɔ wantɛm wantɛm ɛn nɔ de te.
- Pan ɔl we di Amsler grid tɛst na os na fayn tin, i nɔto fɔ tek ples fɔ di mɛdikal ɛgzam.
- DME na wan kכndyushכn we dεn kin kכntro fayn fayn wan εn dεn kin kip di vishכn if dεn no am kwik. So nɔ fred, ɛn fala di advays we dɔktɔ gi yu di rayt tɛm.
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