If yu gɛt dayabitis, yu go mɔs no se yu nid fɔ tek kia ɔf yu yay spɛshal wan. Bɔt wetin mek yu tɔk dat? Aw dayabitis kin pwɛl yu yay? Na dat wi de tok abaut tide. Dis na wetin wi kin kɔl dayabitik retinopathy . Dis na wan pan de men prɔblɛm wae kin kam wit dayabitis. So i rili impɔtant fɔ no bɔt dis.
Wetin na Dayabitik Rɛtinopati?
Fɔ tɔk am simpul wan, dis na sik we kin afɛkt di yay bikɔs ɔf dayabitis. Na di bak pat na wi yay, wan impɔtant mɛmbran de we rili dilik ɛn we dɛn kɔl di retina . I tan lɛk di fim we de insay kamɛra. Na de di layt we de kɔmɔt na di tin dɛn we wi de si kin chenj to pikchɔ dɛn. So fɔ mek dis retina gɛt wɛlbɔdi, i gɛt blɔd vesel dɛn we rili dilik we de gi am blɔd.
We pɔsin we gɛt dayabitis gɛt ay shuga na in blɔd fɔ lɔng tɛm we i nɔ ebul fɔ kɔntrol, dɛn smɔl smɔl blɔd vesel dɛn ya kin pwɛl. Dɛn kin swel, wata ɔ blɔd kin lik, ɔ dɛn kin blok ɔl. Dis na wan sik wae wi kin kɔl dayabitik retinopathy.
Dis kin afɛkt ɔl tu di yay dɛn. If dɛn nɔ trit am fayn, di retina kin gɛt skata, smɔl smɔl i nɔ kin si igen, ɛn leta i kin mek i blaynd ɔl . Dis sik na de big tin wae kin mek pipul dɛm wae gɛt shuga nɔr de si fayn fayn wan.
Wetin na di men sayn dɛm fɔ dis sik?
Wi kin tɔk bɔt dis sik na tu men stej: di fɔs stej ɛn di kɔmplikɛt stej we kin apin we di sik kin kam tranga.
Di fɔs stej (Nɔn-proliferativ Dayabitik Rɛtinopati - NPDR) .
Dis na di fɔs stej fɔ di sik. Wetin kin apin pan dis na dat wata ɔ smɔl blɔd kin lik kɔmɔt na di smɔl smɔl blɔd vesel dɛn na di retina we a bin dɔn tɔk bɔt. Dis kin mek di retina swel. sכmtεm dεn blכd vesel dεm ya kin swel εn fכm sכm sכm sכm sכm bכdi dεm we lεk balכn (maycroaneurysms).
Dis tɛm ya, yu nɔ go notis big difrɛns pan yu vishɔn. Yu vishɔn kin blɔk smɔl. Bɔt bɔku tɛm, na yu yay dɔktɔ kin no dɛn chenj ya fɔs we dɛn de du yu yay ɛgzam ɛvri ia.
Siviɔs ɔ kɔmplikɛt kes (Proliferative Diabetic Retinopathy - PDR) .
Dis na di stej we denja pas ɔl pan di sik. Wetin kin apin ya na we di ol blɔd vesel dɛn kin blok, nyu, bɔt abnɔmal, wik blɔd vesel dɛn kin bigin fɔ fɔm insay di yay. Bikɔs dɛn nyu blɔd vesel ya nɔ de fɔm fayn, dɛn kin wik bad bad wan ɛn i kin bɔs izi wan.
we dεn ya rכp, bכdi de lik insay di tin we lεk jεli insay di yay (vitreous humor). If di blɔd we de kɔmɔt smɔl, yu kin si smɔl blak dɔt ɔ tin dɛn we tan lɛk trɛd we de flɔt bifo yu yay (floaters).Yu kin si. Bɔt if di blɔd de kɔmɔt bad bad wan, yu nɔ go ebul fɔ si am igen wantɛm wantɛm.
Ska tisu de fכm rawnd dεn nyu bכdi vεsul dεm ya. we dis ska tisu shrink, i kin mek di retina kכmכt frכm di bak pat pan di yay (retina detachment) . Dɛn blɔd vesel dɛn ya we nɔ de wok kin mek di prɛshɔn we de insay di yay go ɔp bak, ɛn dis kin mek pɔsin gɛt wan sik we dɛn kɔl glaukoma .
Yu gɛt dɛn sik ya bak?
Bɔrku pipul nɔr kin gɛt ɛni sayn wae de sik kin bigin. Na dat mek i rili denja. Bɔt as de sik de kam siriɔs, yu kin gɛt tin dɛn lɛk:
- Di vishɔn we nɔ klia.
- Vishɔn de shift bak ɛn go bifo lɛk se i de klia, dɔn i de blur bak.
- Flɔta na di we aw blak spat ɔ trɛd dɛn de we de flɔt bifo di yay.
- We yu si gap ɔ blak spat na di midul pan yu vishɔn.
- Nɔ ebul fɔ no di kɔlɔ dɛn fayn fayn wan.
- I nɔ kin si fayn na nɛt.
- I nɔ izi fɔ rid buk ɛn si fa fawe.
- Sɔntɛm na filin fɔ pen ɔ prɛshɔn na di yay.
If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ ɛn nɔ de te.
Udat de pan denja fɔ gɛt dis sik?
Di men tin na dat if yu gɛt ɛni kayn dayabitis, ilɛksɛf na Tayp 1, Tayp 2, ɔ gestational diabetes , yu de pan denja fɔ gɛt dis sik. Di mɔ yu gɛt dayabitis fɔ lɔng tɛm, na di mɔ yu go gɛt dis sik.
Apat frɔm dat, dɛn tin ya kin mek di prɔblɛm kin bɔku bak:
- Di ay blɔd prɛshɔn
- Kɔlestɔl we bɔku
- Yuz fɔ smok
- We uman gɛt bɛlɛ
- Fat
- Kidni sik
- Jɛnɛtiks
| Diagnosis we dɛn kin gɛt | Tritmɛnt |
|---|---|
| Yu yay dɔktɔ kin no dis sik we dɛn de du yu yay ɛgzam ɔltɛm. I go dilayt di pupil ɛn luk insay di yay. | Di we aw dɛn kin trit am kin difrɛn difrɛn wan bay di stej we di sik de. Bɔku men we dɛn de fɔ trit pɔsin. |
| Wan spɛshal tɛst we dɛn kɔl Fluorescein Angiogram kin sho di rayt say we di blɔd vesel dɛn de lik. | Anti-VEGF injεkshכn: Dɛn kin injεkt wan spɛshal injεkshכn na di yay. Dis kin stɔp di fɔmɛshɔn fɔ abnɔmal blɔd vesel dɛn. (Ɛks: Aflibersɛpt, Bɛvasizumab, Ranibizumab) |
| wan skan we dεn kכl Optical Coherence Tomography (OCT) de chεk di tik we di rεtina tik εn if wata de bכku. | Laser Surgery: Dɛn kin yuz laser bim fɔ "sial" di blɔd vesel dɛm we de lik. |
| Vitrectomy surgery: If blɔd go insay di yay ɛn mek i nɔ ebul fɔ si fayn, dɛn kin du dis ɔpreshɔn fɔ pul di blɔd. |
Aw wi go protɛkt wisɛf frɔm dis denja?
Dis na di pat we impɔtant pas ɔl. Bɔrku tin de wae yu kin du fɔ protɛkt yusɛf frɔm dis sik.
- Di tin we impɔtant pas ɔl: Kɔntrol yu blɔd shuga ɛn blɔd prɛshɔn . Wok wit yu dɔktɔ fɔ du dis. Tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek.
- Fɔ tru: Yu fɔ go to ay dɔktɔ fɔ mek dɛn du kɔmplit ay ɛgzam wan tɛm insay di ia. Nɔ wet fɔ mek di sayn dɛn sho. If dɛn no am kwik, tritmɛnt kin ɛp fɔ mek yu nɔ si fayn.
- If yu na mama we gɛt bɛlɛ: If yu na bɛlɛ mama we gɛt dayabitis, mek shɔ se yu du yu yay ɛgzam insay di fɔs tri mɔnt we yu gɛt bɛlɛ.
- Nɔ smok: Smok kin mek dis sik wɔs.
- Kɔntrol di kɔlɔstrel: Kɔntrol di kɔlɔstrel lɛvɛl na di blɔd.
- Wɛlbɔdi layf: It fayn it ɛn ɛksesaiz.
Mɛmba se dis sik nɔ go ebul fɔ wɛl ɔl. Bɔt if yu no di sik kwik kwik wan ɛn trit yu fayn fayn wan, yu go mɔs mek di sik nɔ wɔs ɛn nɔ go ebul fɔ si di valyu tin we yu gɛt .
Mɛsej we dɛn kin kɛr go na os
- Dayabitis na sik we kin afɛkt di yay dairekt wan, so tek kia ɔf yu yay ɔltɛm.
- Di bɛst tin fɔ protɛkt yu na fɔ kɔntrol yu blɔd shuga ɛn blɔd prɛshɔn.
- Ivin if yu nɔ gɛt ɛni sayn, i impɔtant fɔ mek dɔktɔ we de mɛn yu yay chɛk yu yay wan tɛm insay di ia.
- If yu notis ɛni chenj na yu yay (e.g. blurred vision, blak spat), nɔ ignore am. Si dɔktɔ ɛn nɔ de te.
- If yu trit yu kwik kwik wan, dat kin protɛkt yu valyu vishɔn fɔ yu layf.
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