Bɔku tin dɛn de fɔ manej as pɔsin we gɛt dayabitis, nɔto so? Blɔd shuga lɛvɛl, blɔd prɛshɔn, kɔlɔstrel... Insay ɔl dis, sɔntɛnde wi kin fɔgɛt fɔ pe atɛnshɔn to wi yay. Bɔt i rili impɔtant fɔ mek wi no bɔt di bad tin dɛn we dayabitis kin du to di yay. Bikɔs if wi no am kwik, wi go ebul fɔ protɛkt wi valyu vishɔn.
Fɔ tɔk am simpul wan, wetin na Dayabitik Makyula Ɛdima (DME)?
Pan ɔl we dis na kɔmplikɛt nem smɔl, lɛ wi jɔs ɔndastand wetin de apin.
We yu gɛt dayabitis, if yu gɛt bɔku blɔd shuga as tɛm de go, dat kin pwɛl di dilik blɔd vesel (blɔd vesel) we de insay yu yay. Dɛn kɔl dis sik dayabitik retinopathy .
Fluid kin bigin fɔ lik frɔm dɛn blɔd vesel ya we dɔn pwɛl. dis wata de kכlekt pan di rεtina, we na di pat we de sεnsitiv fכ layt na di bak pat na di yay. di rεtina gεt bak wan rili imכtant sεntri pat we de gi wi klia, shap vishכn, we dεn kכl di makula . di wata we de lik de kכlekt na di εria we di makula de εn mek i swel. Dɛn kɔl dis swɛlin Dayabitik Makyula Ɛdima (DME) .
Imajin, we di lens, we na di men say we di retina de pe atɛnshɔn pan, we tan lɛk di fim we de na kamɛra, swel, di pikchɔ we wi kin gɛt kin blɔk. I tan lɛk se yu de luk sɔntin tru wan glas we gɛt wata.
Yu gɛt dɛn kwaliti dɛn ya?
Di tin we denja pas ɔl bɔt DME na dat sɔm tɛm i nɔ kin sho ɛni sayn we i de bigin. Na dat mek i impɔtant fɔ mek ɔlman we gɛt dayabitis chɛk dɛn yay wan tɛm insay di ia. Bɔt, wach fɔ dɛn sayn ya:
- Blurred vision: Tin dɛn we yu de luk dairekt wan, lɛk pɔsin in fes, tɛks na buk, ɔ pikchɔ dɛn na TV, kin tan lɛk se i nɔ klia.
- I kin tan lɛk se tin dɛn we gɛt stret layn (lɛk winda frem ɛn domɔt frem) kin tan lɛk se dɛn rɔtin ɔ strɛch.
- Faded colors: Kɔlɔ dɛn we bin de sho brayt trade naw de sho "faded," faded.
If yu gɛt ɛni wan pan dɛn sayn ya, go to yu dɔktɔ wantɛm wantɛm. Di kwik we yu bigin fɔ trit, na di mɔ yu go gɛt chans fɔ mek yu nɔ si yu yay fɔ ɔltɛm.
Aw di dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ, i go aks yu sɔm kwɛstyɔn dɛn. Fɔ ɛgzampul, yu de gɛt ɛni chenj na yu yay, yu gɛt dayabitis, wetin na yu blɔd shuga ɛn A1c lɛvɛl, blɔd prɛshɔn, ɛn kɔlɔstrel lɛvɛl?
Afta dat, dɛn kin du wan kɔmplit ay ɛgzamin, we mɔ kin gɛt fɔ du bɔku tɛst dɛn.
| Nem fɔ di tɛst | Wetin jɔs de apin? |
|---|---|
| Visual Acuity Test fɔ di pɔsin we de si | Di ridin tɛst we wi ɔl dɔn du, usay yu de luk wan bod ɛn rid. I de mɛzhɔ aw yu kin si klia wan na difrɛn distans dɛn. |
| Dilayt Ay Ɛgzam | Dɛn kin put spɛshal wata (ay drɔp) insay di yay fɔ mek di yay big . Dɔn, dɛn kin yuz spɛshal tin fɔ luk insay di yay ɛn chɛk aw di retina de, if wata de lik frɔm di blɔd vesel dɛn, ɛn if i de swel. |
| Fluorescen Angiogram (FA) we dɛn kɔl Fluorescein. | Dɛn kin put spɛshal day insay wan vein we de na di an. As dis day de travul along di blɔd vesel dɛn we de insay di yay, dɛn kin tek pikchɔ dɛn wit spɛshal kamɛra. Dis kin sho di rayt say we di blɔd vesel de lik. |
| Optik kohɛrɛns Tomografi (OCT) . | Dis tan lɛk we dɛn de skan di insay pat pan di yay we dɛn krɔs. i de yuz spεshal layt bim dεm fכ mכsu di tik, swel, εn di כmכnt fכ wata we de kכlכp na di rεtina εn sklera fayn fayn wan. |
Afta dɛn tɛst ya, di dɔktɔ go no if yu gɛt DME ɛn aw i bad.
Wetin na di tritmɛnt dɛm fɔ dis?
Laki, naw, tritmɛnt dɛn de we rili fayn fɔ DME. Di men gol fɔ tritmɛnt na fɔ stɔp wata we de lik frɔm di blɔd vesel ɛn ridyus di swel.1. Anti-VEGF Injɛkshɔn dɛn
Dis na di tritmɛnt we dɛn kin gɛt ɛn we kin wok fayn pas ɔl. I kin mek yu fred smɔl fɔ tink bɔt fɔ gɛt injɛkshɔn na yu yay, bɔt dɛn kin du am wit wan fayn fayn nidul ɛn mɛrɛsin we de mek yu nɔ fil fayn. So i nɔ de fil bɔku pen.
Dɛn injɛkshɔn ya kin wok bay we dɛn kin mek nyu blɔd vesel dɛn we wik ɛn we kin lik izi wan nɔ gro. Dɛn drɔgs ya (ɛgzampul: Aflibercept, Bevacizumab, Ranibizumab, Faricimab) de mek di blɔd vesel dɛn stebul ɛn stɔp di wata we de lik. Bɔku tɛm, yu nid fɔ gɛt bɔku tritmɛnt dɛn, lɛk wan tɛm insay di mɔnt.
2. Laser tritmɛnt (Laser Fɔtokoaguleshɔn) .
insay sכm siriכs kes dεm, dεn kin yuz lεzεr bim fכ "sial" כ kכt di blכd vεsul dεm we de lik. Dis kin mek dɛn nɔ gɛt mɔ damej.
3. Stɛroyd Injɛkshɔn
Dɛn kin gi sɔm sik pipul dɛn stɛroyd injɛkshɔn fɔ kɔntrol di swɛlin.
4. Ɔpreshɔn (Vitrectomy) .
Bɔku tɛm, dɛn nɔ kin du dis, mɔ if bɔku blɔd de kɔmɔt na di yay ɛn i nɔ de si igen. Dis min se yu fɔ pul di wata we gɛt klawd insay di yay ɛn put klia sɔlvushɔn insay am.
Yu dɔktɔ we de mɛn yu yay go disayd us tritmɛnt go fayn fɔ yu.
Aw yu fɔ kia fɔ yusɛf?
Apat frɔm di tritmɛnt we yu dɔktɔ de gi yu, fɔ kia fɔ yusɛf rili impɔtant fɔ kɔntrol dis sik.
- Kɔntrol Dayabitis: Dis na di tin we impɔtant pas ɔl . Kip yu blɔd shuga, blɔd prɛshɔn, ɛn kɔlɔstrel lɛvɛl ɔnda kɔntrol lɛk aw yu dɔktɔ tɛl yu. I impɔtant fɔ it fayn, fɔ du ɛksɛsayz, ɛn fɔ tek di mɛrɛsin dɛn we dɛn tɛl yu fɔ du.
- Nɔ skip fɔ chɛk yu yay: Ilɛksɛf yu nɔ gɛt di sik, mek dɛn chɛk yu yay akɔdin to di schedule we yu dɔktɔ se. Dis impɔtant bak fɔ wach aw yu tritmɛnt dɛn de wok fayn.
- If yu nɔ de si bɛtɛ, tink bɔt tin dɛn we go ɛp yu: If glas nɔmɔ nɔ go du fɔ yu, tɔk to yu dɔktɔ bɔt tin dɛn lɛk magnifying glas.
Mental wɛlbɔdi bak rili impɔtant.
Na nɔmal tin fɔ fil bad, wɔri, ɛn fred we yu gɛt prɔblɛm wit yu yay. Yu nɔ nid fɔ fɛt dɛn filin ya yu wan.
- Tɔk bɔt aw yu de fil: Tɔk bɔt dis wit yu fambul ɛn padi dɛn. Tɛl yu dɔktɔ aw yu de fil.
- Go to advays: If nid de, aks yu dɔktɔ fɔ ɛp frɔm pɔsin we sabi bɔt mɛntɛl wɛlbɔdi biznɛs we de wok wit pipul dɛn we gɛt dayabitis ɔ pipul dɛn we nɔ de si fayn.
- Join sɔpɔt grup dɛm: Yu go fil bɔku trɛnk we yu de tɔk to ɔda pipul dɛm we de go tru di sem tin lɛk yu.
Mɛsej we dɛn kin kɛr go na os
- Dayabitik Makyula Ɛdima (DME) na siriɔs sayd ɛfɛkt fɔ dayabitis, bɔt if dɛn no ɛn trit am kwik, dɛn kin kɔntinyu fɔ si.
- If yu gɛt sɔm sayn dɛn lɛk we yu nɔ de si fayn, yu pikchɔ nɔ de chenj, ɔ yu kɔlɔ de chenj , go to dɔktɔ wantɛm wantɛm.
- Di impɔtant tin we yu kin du na fɔ kɔntrol yu dayabitis fayn fayn wan. Kɔntrol yu blɔd shuga, blɔd prɛshɔn, ɛn kɔlɔstrel.
- Nɔ ɛva mis di ay ɛgzam ɛn tritmɛnt dɛn we yu dɔktɔ tɛl yu fɔ du.
- Nɔto yu wan de pan dis waka. Dɔktɔ dɛn, famili, ɛn sɔpɔt grup dɛn de fɔ ɛp yu. Fɔ de pɔsitiv tin bak na pat pan di tritmɛnt.
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