If yu gɛt dayabitis, yu go mɛmba se yu dɔktɔ kin tɛl yu ɔltɛm se, "Kɔntrol yu shuga lɛvɛl fayn fayn wan, ɔ i nɔ fayn fɔ yu yay." Dat na tru tru tin. If dɛn nɔ kɔntrol dayabitis fayn, wi yay kin pwɛl bad bad wan. Di men tin we kin pwɛl di yay dis we na Dayabitik Makula Ɛdima , ɔ (DME) fɔ shɔt tɛm. wetin de apin insay dis na di pat we de sεnsitiv pas כl na di rεtina insay di yay de swel. Bɔt nɔr wɔri, naw tritmɛnt dɛn de we rili fayn ɛn we dɔn go bifo fɔ dis sik. Na dat wi de tɔk bɔt na dis atikul tide.
Di fɔs tin we yu fɔ du fɔ trit am: fɔ kɔntrol wetin de mek yu gɛt di sik
Dɔktɔ dɛn kin fala tu men we dɛn we dɛn de trit DME. Di fɔs ɛn impɔtant tin na fɔ kɔntrol di tin we de mek yu gɛt dis sik . Dat min se yu fɔ kɔntrol di ay shuga we yu gɛt na yu blɔd ɛn di ay blɔd prɛshɔn.
Imajin se di ruf de lik. I bɛtɛ fɔ fiks di ol na di ruf pas fɔ yuz bɔkit fɔ gɛda di wata na grɔn. Na so i bi wit dis. Pan ɔl we yu de trit di yay dairekt wan, i impɔtant fɔ kɔntrol di ɔndalayn dayabitis ɛn ay blɔd prɛshɔn. If yu fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, yu go ebul fɔ stɔp di damej we de na yu yay ɛn mek di sik nɔ wɔs. Dis na di fawndeshɔn fɔ tritmɛnt.
Wetin na di tritmɛnt dɛm wae dɛn kin du dairekt to di yay?
We dɛn dɔn no di rizin we mek yu gɛt di sik, yu dɔktɔ go bigin fɔ trit yu fɔ mek di tin we dɔn pwɛl insay yu yay fayn. Dɛn go sɛn yu to dɔktɔ we de mɛn yu yay ɔ we sabi bɔt yu retina . Di bɛst tritmɛnt fɔ yu go dipen pan di kayn DME we yu gɛt.
Tu men we dɛn de fɔ trit pɔsin.
1. Anti-VEGF Injɛkshɔn dɛn
2. Laser tritmɛnt (Focal-Grid Macular Laser Surgery) .
Naw, lɛ wi luk ɛni wan pan dɛn wan ya.
1. Anti-VEGF Injɛkshɔn dɛn
Wetin mek dɛn kin gi dɛn injɛkshɔn ya? Wetin na VEGF?
Fɔ tɔk am simpul wan, we yu gɛt DME, yu yay de mek tumɔs pan wan prɔtin we dɛn kɔl VEGF (Vascular Endothelial Growth Factor) . Dis protin de mek di nyu blɔd vesel dɛn we de insay yu yay wik bad bad wan, lɛk wata paip dɛn we dɛn mek wit plastic we nɔ dia. So, dɛn wik blɔd vesel ya kin lik blɔd ɛn wata, we kin mek di macula , we na di sɛnsitiv eria we de na di sɛntrɔm pan yu retina, kin swel. Na dat de mek yu yay nɔ de si fayn ɛn nɔ de shayn bɛtɛ.
di anti-VEGF vaksin de blכk di כvaprodakshכn fכ di VEGF protin. Dis kin kɔntrol di we aw di blɔd vesel dɛn we wik kin mek, i kin mek di wan dɛn we dɔn de, strɔng, ɛn i kin mek di blɔd ɛn wata nɔ de rɔn.
Wetin na dɛn mɛrɛsin ya?
Bɔku men kayn mɛrɛsin dɛn de we dɛn kin yuz fɔ dis tritmɛnt. sכm dכg dεm nכmכ de afekt di protin VEGF, we nyu dכg dεm de afekt כl tu di VEGF εn כda protin we de involv fכ fכm di bכdi vεsεl, Angiopoietin-2 (Ang-2) .
| Di Kategori fɔ Drug | Mɛrɛsin dɛn we dɛn kin yuz |
|---|---|
| Anti-VEGF drɔgs dɛn | Aflibercept (Eylea) we de wok fɔ di kɔmni. Bevacizumab (Avastin) we dɛn kɔl di . Brolucizumab-dbll (B ɔ v ɔ r) . Ranibizumab (Lusɛntis) we dɛn kɔl . |
| VEGF/Ang-2 Inhibitɔ Drug dɛn | Faricimab-svoa (Vabysmo) we de na di wɔl. |
Aw fɔ gi di vaysin ɛn aw fɔ tek di tritmɛnt
Naw, we a se ‘A de gɛt injɛkshɔn na yu yes,’ yu kin fil fred smɔl. Bɔt fɔ tru, i nɔ de mek pɔsin fred so.
- Nɔ pen: Di dɔktɔ go put yu yay drɔp we de mek yu nɔ fil fayn bifo yu gi yu di injɛkshɔn, so yu nɔ go fil ɛni pen.
- Aw fɔ du am: Dɛn kin injɛkt dis mɛrɛsin insay di yay tru di wayt pat na di yay bay we dɛn de yuz wan rili fayn, tin nidul.
- Di tɛm we yu fɔ tek di tritmɛnt: Bɔku tɛm, yu go nid fɔ gɛt shot wan tɛm insay di mɔnt fɔ di fɔs 4-6 mɔnt. Dɔn, as yu yay de bɛtɛ, di nɔmba fɔ di shot dɛn we yu go gɛt go bɔku smɔl smɔl. Yu kin nid fɔ gɛt dis tritmɛnt smɔl smɔl, ivin fɔ sɔm ia.
We di blɔd vesel dɛn dɔn stɔp fɔ lik, smɔl smɔl yu go bigin fɔ si fayn fayn wan.
Impɔtant: If yu vishɔn na 20/50 ɔr wɔs (rili po), Aflibercept kin woke bɛtɛ pas ɔda mɛrɛsin dɛm. Faricimab-svoa kin wok bak fɔ lɔng tɛm pas ɔda mɛrɛsin dɛn. Dis na sɔntin we yu fɔ tɔk to yu dɔktɔ.
Mek shɔ se yu mɛmba:
Dis vaysin nɔ fayn fɔ uman dɛn we gɛt bɛlɛ bikɔs i kin ambɔg di pikin. So, if yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ, yu fɔ rili tɔk to yu dɔktɔ bɔt dis.
2. Laser tritmɛnt (Focal-Grid Macular Laser Surgery) .
Dis na ɔda saksesful tritmɛnt we dɛn kin yuz fɔ DME.
- Wetin i de du?: Dis min se yu de yuz lɛsa fɔ ‘sial’ di wik blɔd vesel dɛn na yu retina we de lik. I tan lɛk se yu de ɔt ɛn glu plastic togɛda. dis de sial di bכdi vεsul dεm, i de rεdכks di bכdi εn wata we de lik kכmכt, εn i de rεdכks di swεl na di makula.
- Tritmɛnt: If yu gɛt DME na yu tu yay, yu dɔktɔ nɔ go trit yu tu yay wan tɛm. I go trit wan yay ɛn afta dat i go trit di ɔda yay afta sɔm wiks. Bɔku tɛm, wan laser tritmɛnt fɔ wan yay kin du fɔ am.
- Ustɛm fɔ yuz: Sɔntɛnde, if dɛn nɔ gɛt di rizɔlt we dɛn want wit anti-VEGF injɛkshɔn tritmɛnt nɔmɔ, di dɔktɔ kin disayd fɔ du dis lɛsa tritmɛnt wit di injɛkshɔn.
Mɛsej we dɛn kin kɛr go na os
- Dayabitik makula dijɛnɛreshɔn (DME) na siriɔs sik, bɔt naw dɛn kin trit am ɛn manej am fayn fayn wan. Nɔ ignore di symptom dɛm lɛk blurred vision.
- Di impɔtant ɛn impɔtant tin we yu kin du na fɔ kɔntrol yu blɔd shuga lɛvɛl ɛn blɔd prɛshɔn fayn fayn wan. Dis na di fawndeshɔn fɔ ɔl di tritmɛnt dɛn.
- Anti-VEGF injεkshכn εn laser tritmεnt na di mכst advans εn sef tritmεnt dεm we de. Nɔ fred di ‘ay shot’, na prosidur we nɔ gɛt pen.
- Tɔk to yu ɔftalmɔlɔjis bɔt di bɛst tritmɛnt fɔ yu, di gud ɛn bad tin dɛn we i gɛt, ɛn ɛni ɔda mɛrɛsin we yu go gɛt (espɛshali we yu gɛt bɛlɛ). Aks ɛn ansa ɛni kwɛstyɔn we yu gɛt.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt