Yu tink se dayabitis kin afɛkt yu yay? (Diabetes-Related Retinopathy) Lɛ wi lan bɔt am.

Yu gɛt dayabitis? Ɔ pɔsin we yu sabi gɛt dayabitis? Dɔn wetin a de kam tɔk rili impɔtant to yu. Dayabitis na sik wae de mek di blɔd shuga na di bɔdi de go ɔp. Dis kin mek wi yay pwɛl di we aw wi nɔ bin de tink. Dɛn kɔl da damej de `(Diabetes-Related Retinopathy)` ɔ dayabitis-rilayt rεtina sik. Mek wi tok abaut dis ditail tide, okay?

Wetin na Dayabitis-Rɛtinopathy?

Fɔ tɔk am simpul wan, `(Diabetes-Related Retinopathy)` min se dayabitis de wik ɛn pwɛl di blɔd vesel dɛm na di retina insay yu yay. Tink bɔt am lɛk kamɛra. Di retina de wok lɛk di fim we de insay dis kamɛra. Na ya dɛn kin no pikchɔ dɛn we layt fɔdɔm. So, we dɛn smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Dis kin mek i nɔ de si fayn, i nɔ kin si fayn, ɛn leta i kin ivin blaynd .

Nɔto ɔlman wae gɛt dis sik go gɛt dis sik. Ɛn, tin dɛn de we wi kin du fɔ delay fɔ bigin, ɔ ivin ridyus in impak if i du am. So nɔ fred, okay? Lɛ wi tɔk bɔt dat bak.

Tu stej de fɔ dis sik.

`(Diabetes-Related Retinopathy)` nɔ kin wɔs wan tɛm. I gɛt tu men stej dɛn.

1. Di fɔs stej: Nɔnproliferativ dayabitis-rilayt rɛtinopati (NPDR) .

Dis na di fɔs stej fɔ di sik. Insay dis stej, di blɔd vesel dɛn na di retina kin bigin fɔ lik blɔd. Tink bɔt am lɛk wata paip we dɔn brok. Dis damej kin mek sɔm pan di blɔd vesel dɛn blok. Dis kin apin as di bɔdi de tray fɔ mek di tin dɛn we dɔn pwɛl. Yu nɔr kin gɛt ɛni big big sayn na dis stej.

2. Sivεr kes: Proliferativ dayabεtis-rεlatεd rεtinopathy (PDR) .

NPDR de go bifo to di stej we dεn kכl PDR we di bכdi we dεn dכn pwεl de bi mכr siriכs. Dis na we nyu blɔd vesel dɛn we wik, bɔt we wik, kin bigin fɔ mek insay di ples fɔ di wan dɛn we dɔn pwɛl. dεn nyu vεsεl dεm ya de fכm fכ tray fכ mek di bכdi fכ fכlכ mכr to di rεtina. Bɔt dɛn nyu vessel ya kin rili wik ɛn i kin izi fɔ bɔs ɛn blɔd. dis bכdi kin kכlekt insay di tin we lεk jεli insay di yay we dεn kכl vitreous. biכs dεn nyu vεsεl dεm ya de fכm na di sεf fכ di rεtina, as tεm de go di jεli kin stik pan dεn vεsεl dεm ya εn di rεtina kin kכmכt (retina detachments) . If dis apin, di chans fɔ mek pɔsin blaynd kin bɔku.

Wetin na di sayn dɛm fɔ dis sik?

Na di fɔs stej dɛm fɔ Dayabitis-Rɛlayt Rɛtinopathy, yu nɔr kin notis ɛni sayn. Dat na di pat we de mek pɔsin fred. Yu nɔ go notis ɛni chenj na yu yay te di damej go bɔku. Bɔt wans di sayn dɛm bigin fɔ sho, dɛn kin inklud:

• Yu nɔ de si fayn ɔ yu nɔ de si fayn: I kin tan lɛk se yu de luk tru fɔg, ɔ i tan lɛk se tin dɛn dɔn strɛch.
• Di chenj we dɛn kin chenj di we aw pipul dɛn kin si kɔlɔ: Di kɔlɔ dɛn we dɛn bin de si klia wan trade kin tan lɛk se dɛn dɔn fayn ɔ dɛn nɔ kin si dɛn igen. Yu kin ivin gɛt nyu kɔlɔ blayndnɛs.
• Nayt blayndnɛs (nyctalopia): Di vishɔn kin ridyus bad bad wan na nɛt.
• Ay flota (myodesopsias): Na we yu de si smɔl blak dɔt ɔ trɛd dɛn we de flɔt bifo di yay.
• Blaynd spat (scotomas): Sɔm pat pan wetin yu de si nɔ de si.
• Visual field defects: Di amount of vision na di eria we de rawnd de ridyus.
• We yu nɔ de si fayn ɛn leta yu nɔ de si fayn igen.

If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go to dɔktɔ we de mɛn yu yay wantɛm wantɛm .

Wetin mek dis tin kin apin?

Di men tin we kin mek i sik na dayabitis . Dis sik kin kam bikɔs ɔf difrɛn kayn shuga sik.

• Tayp 1 dayabitis `(Tayp 1 dayabitis)`
• Tayp 2 dayabitis `(Tayp 2 dayabitis)`
• Tayp 3c dayabitis `(Tayp 3c dayabitis)`
• Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ

Dayabitis na wan sik wae kin bigin wae yu blɔd shuga lɛvɛl de ɔp fɔ lɔng tɛm . We dis shuga bɔku, i kin pwɛl di insay wɔl dɛn na di blɔd vesel dɛn ɔlsay na yu bɔdi. I kin afɛkt bak di dilik blɔd vesel dɛn na yu yay.

Blɔd vesel dɛn we dɔn pwɛl kin tray fɔ mek dɛnsɛf fayn ɛn fɛn ɔda we dɛn fɔ mek blɔd kɔntinyu fɔ flɔ. Dis kin mek dɛn wik, nyu blɔd vesel dɛn we a bin dɔn tɔk bɔt kin mek na di say we di retina de. dis kin izi fכ bכs εn bכdi go insay di tin we lεk jεli insay di yay (vitreous). כlso, wata kin lik frכm di bכdi we dεn dכn pwεl εn mek di sεntri pat pan di rεtina, di pat we wi de si klia wan εn difrεnt kכla dεm (macula), swel. Dɛn kɔl dis makula ɛdima . Dɔn, di vishɔn kin bi blɔk.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

sεvεra כda risk fכs dεm de we kin afekt di divεlכpmεnt fכ `(Diabetes-Related Retinopathy)`.

• Dayabitis we at fɔ kɔntrol: Di risk kin bɔku if di blɔd shuga lɛvɛl ɔltɛm.
• Ay blɔd prɛshɔn (haypa prɛshɔn) .
• di ay kכlestכl lεvεl na di bכdi (hyperlipidemia) .
• Sik dɛm wae gɛt fɔ du wit at lɛk at sik ɛn korona at sik
• Kidni sik we nɔ de mɛn ɛn di kidni we nɔ de wok fayn

If dɛn kayn tin ya de, di risk fɔ mek yu yay pwɛl kin bɔku mɔ we dɛn kam togɛda wit dayabitis.

Sɔm prɔblɛm dɛn we kin apin to dis sik

If dɛn nɔ kɔntrol di Dayabitis-Rɛlayt Rɛtinopathy fayn fayn wan, ɔda prɔblɛm dɛn kin apin.

• Makula ɛdima we gɛt fɔ du wit dayabitis (we de swel na di sɛntrɔm pan di retina we dayabitis kin mek i gɛt) .
• Di rεtina dεtachmεnt dεm
• Blɔd we de kɔmɔt na di yay we tan lɛk jeli (vitreous hemorrhage) .
• Glaukoma (we de mek di yay prɛshɔ go ɔp) .
• di bכdi we de rεdכks to di pat pan di rεtina we de gi kכla εn shap vishכn (macular ischemia) .

Afta sɔm tɛm, dɛn prɔblɛm ya kin mek di sɛl dɛn we de no di layt insay di yay, we dɛn kɔl fotorɛsɛptɔ, stɔp fɔ wok fayn fayn wan. Dis kin mek i nɔ de si fayn ɔltɛm ɛn i kin mek i blaynd.

Aw dɛn kin no dis sik?

As a bin dɔn tɔk bifo tɛm, bɔku chenj dɛn na di yay we `(Diabetes-Related Retinopathy)` kin mek nɔ kin sho di sayn dɛn na di fɔs stej. Bɔt, dɔktɔ we de mɛn yu yay kin no dɛn chenj ya kwik kwik wan. Dɛn kin du dis bay we dɛn de yuz spɛshal tin dɛn ɛn yuz mɛrɛsin fɔ mek di yay big. Dɛn kin kɔl dis bak `(dilated eye exam)` .

We dɛn de du dis ɛgzam, di dɔktɔ kin si tin dɛn lɛk:

• Kɔtɔn wul spat dɛn insay di yay
• Ɛmoraji we de kɔmɔt na di retina
• Smɔl blɔd vesel dɛn we dɔn swel ɛn bɔs (maycroaneurysms) .
• Niovaskulεrayzeshn fכ di yay (nyu bכdi vεsul dεm we de fכm insay di yay) .
• di swεla na di sεntri pat pan di rεtina (macular edema) .
• fεt dεposit dεm na di rεtina (rεtina εksudate) .
• di blɔd vesel dɛn we de luk lɛk nɔmal na di retina
• bכdi de bכn insay di tin we lεk jεli insay di yay (vitreous hemorrhage) .

So, if yu gɛt dayabitis, ivin if yu nɔ gɛt ɛni sayn, i rili impɔtant fɔ mek dɔktɔ we de mɛn yu yay chɛk yu yay wan tɛm insay di ia.

Aw dɛn kin trit `(Diabetes-Related Retinopathy)`?

Dis na di pat we impɔtant pas ɔl. `(Diabetes-Related Retinopathy)` na wan sik we dɛn kin trit, bɔt dɛn nɔ kin ebul fɔ mɛn am ɔl . Sɔm pan di sayn dɛm ɛn chenj dɛm na di retina kin trit. Bɔt wans di damej dɔn tu bad, sɔm tin dɛn nɔ kin ebul fɔ chenj.

Tu men tritmɛnt dɛn de: fɔ kɔntrol yu dayabitis ɛn fɔ trit yu yay.

1. Fɔ manej yu dayabitis

Risach dɔn sho klia wan se di mɔ yu blɔd shuga ɛn ɛmoglobin A1C de bɔku, na di mɔ yu go gɛt Dayabitis-Retinopathy . So, fɔ kɔntrol yu blɔd shuga lɛvɛl – we min fɔ kip am smɔl ɛn stebul – rili impɔtant fɔ delay fɔ mek dis sik bigin ɛn fɔ ridyus di bad we aw i de.

Fɔ kɔntrol dayabitis, yu fɔ du dɛn tin ya:

• Fɔ chɛk yu blɔd shuga ɔltɛm:dis kin bi wit finga-stik tεst כ kכntinyu fכ mכnitor di glukכs.
• Yu fɔ mɛmba di it we yu de it: Wetin yu de it de afɛkt yu blɔd shuga lɛvɛl ɛn A1C valyu dairekt wan.
• Fɔ tek di mɛrɛsin dɛn we dɛn dɔn gi yu kɔrɛkt wan: Tek yu dayabitis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek. Dis go go fa fɔ mek yu blɔd shuga nɔ rich di say we dɛn se yu fɔ gɛt.
• Go fɔ chɛk-ap ɔltɛm: Dis rili impɔtant fɔ no bɔt yu jenɛral wɛlbɔdi. Yu kin no di chenj dɛn ivin bifo di sayn dɛn de sho.
• Fɔ gɛt ɛgzam fɔ yu yay ɔltɛm lɛk aw dɛn se: Dis impɔtant if yu gɛt dayabitis ɔ yu gɛt prɛdiabɛtis. Dɛn kin bigin fɔ trit am bifo di damej kin bi fɔ ɔltɛm.
• Fɔ mek yu gɛt wɛl bɔdi we fit yu: Dis kin ɛp bak fɔ kɔntrol dayabitis. Yu famili dɔktɔ go gayd yu pan dis.

2. Di tritmɛnt dɛn we dɛn kin du fɔ mek dɛn yay

Di gol fɔ di ay tritmɛnt na fɔ kɔntrol di vishɔn ɛn di ay simptom dɛm ɛn fɔ stɔp ɔ ridyus di damej pan di retina. Sɔm patikyula tritmɛnt fɔ Dayabitis-Rɛlayt Rɛtinopathy na:

• Mεdikeshכn dεm: fכ egzampl, dεn kin yuz anti-vaskulεr εndoteyl growth fכktכ (anti-VEGF) dεm כ kכtikostεroyd. Dɛn kin injekt dɛn tin ya na di yay. Yu yay dɔktɔ go ɛksplen ɔda mɛrɛsin dɛn we yu kin yuz.
• Laser ɔpreshɔn: We dɛn de du tin dɛn lɛk laser photocoagulation , wan dɔktɔ we sabi bɔt di yay kin yuz lɛsa fɔ trit yu retina. Dis kin mek di nyu blɔd vesel dɛn we nɔ de gro, i kin mek dɛn smɔl, ɔ i kin mek di blɔd nɔ lik. Bɔt sɔm tɛm dis kin mek yu nɔ ebul fɔ si sɔm tin dɛn na nɛt ɔ yu nɔ de si tin dɛn we yu de si na di say we yu de si.
• Ɔpreshɔn fɔ yu yay: If yu retina dɔn kɔmɔt (retina detachment), if blɔd dɔn gɛda insay di yay (vitreous hemorrhage) ɛn i nɔ go kɔmɔt, ɔ if ɔda bad bad tin dɔn pwɛl di retina, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn we dɛn kɔl vitrectomy .

Ustɛm a fɔ go to mi dɔktɔ?

If yu gɛt dayabitis, ɔr dɛn dɔn no se yu gɛt Dayabitis-Retinopathy, i rili impɔtant fɔ go to pɔsin we sabi bɔt yu yay ɔltɛm. I go tɛl yu aw ɔltɛm yu fɔ kam insay fɔ chɛk-ap. If yu fala dis schedule, i go ɛp yu fɔ no ɛni siriɔs chenj bifo i siriɔs.

Dɔn bak, go to dɔktɔ wantɛm wantɛm if yu notis ɛni wan pan dɛn chenj ya we yu de si smɔl smɔl :

• I nɔ de si fayn ɔ i nɔ de si fayn lɛk aw i bin de si bifo.
• Di vishɔn we nɔ klia ɔ we nɔ de si fayn.
• If sɔm pat pan di tin dɛn we yu de luk dak, dɔn fayn, ɔ luk difrɛn frɔm aw dɛn bin de luk bifo.

Bɔt if yu gɛt chenj na yu yay wantɛm wantɛm lɛk dis, yu fɔ go na di ɔspitul ɔ imejensi rum we de nia yu wantɛm wantɛm:

• Di pen we de mek yu yay bad bad wan.
• Wantɛm we yu nɔ de si fayn fayn wan ɔ yu nɔ de si bad bad wan.

Us kayn fiuja pɔsin we gɛt `(Diabetes-Related Retinopathy)` kin ɛkspɛkt?

Diabetes-Related Retinopathy na wan sik we go de sote go, we go de fɔ ɔl in layf. No mɛrɛsin nɔ de fɔ am. Bɔt yu kin du tin fɔ kɔntrol am ɛn fɔ mek yu nɔ ebul fɔ si fayn.

Pipul wae gɛt shuga kin gɛt dis sik, bɔt nɔr to ɔlman wae gɛt shuga go gɛt dis sik. Bɔt, e kin gɛt big impak pan yu layf, so i impɔtant fɔ du ɔl wetin yu ebul fɔ mek yu nɔ gɛt am ɔr fɔ delay.

If yu no di sik kwik ɛn gɛt tritmɛnt di rayt tɛm, yu kin mek yu nɔ ebul fɔ si ɛn delay fɔ mek di sik go bifo. Ivin afta yu dɔn gɛt tritmɛnt, if yu kɔntrol yu dayabitis fayn fayn wan ɛn kip yu blɔd shuga insay di lɛvɛl we yu dɔktɔ dɛn se, yu gɛt di bɛst chans fɔ stɔp di bad tin dɛn we dis sik kin du.

Bɔt i sɔri fɔ no se sɔm pipul dɛn kin gɛt siriɔs prɔblɛm dɛn. Bɔt we dɛn de fɔ delay dɛn prɔblɛm dɛn de as yu ebul ɛn fɔ manej di chenj dɛn we pɔsin kin si we i gɛt dayabitis.

Yu tink se dɛn kin ebul fɔ avɔyd Dayabitis-Retinopathy?

Yɛs, fɔ kɔntrol yu blɔd shuga lɛvɛl ɛn fɔ mek yu gɛt smɔl ɛmoglobin A1C lɛvɛl kin ɛp fɔ mek yu nɔ gɛt Dayabitis-Retinopathy. We yu du dɛn tin ya, sɔmtɛm di retinopathy kin go bak.

Nɔto ɔlman we gɛt dayabitis gɛt dis, bɔt di wan dɛn we nɔ gɛt blɔd shuga lɛvɛl ɛn di wan dɛn we gɛt dayabitis fɔ lɔng tɛm kin gɛt ``Dayabetes-Related Retinopathy''.

Ivin if yu nɔr gɛt dayabitis, if yu de pan big risk fɔ gɛt am (fɔ ɛgzampul, if yu gɛt prɛdiabɛtis), yu kin tek akshɔn bifo dɛn no se yu gɛt dayabitis. If yu tek akshɔn kwik kwik wan, dat kin mek yu nɔ gɛt dayabitis ɔ i kin mek yu nɔ gɛt dis sik. I kin afɛkt bak di divɛlɔpmɛnt fɔ di rεtinopathy we gɛt fɔ du wit dayabitis.

Egzam fɔ yu yay kin ɛp yu fɔ no di fɔs sayn dɛm fɔ Dayabitis-Rɛlayt Rɛtinopathy lɔng bifo yu gɛt di sayn dɛm. If pɔsin na yu famili, mɔ yu mama ɛn papa, yu brɔda ɛn sista, ɔ pikin dɛn gɛt dayabitis, yusɛf go gɛt dis sik. Na dat mek i impɔtant fɔ mek yu de chɛk yu yay ɔltɛm.

I nɔ mata aw yu kin kɔntrol yu dayabitis fayn fayn wan, sɔmtɛm i nɔ kin du fɔ mek yu nɔ gɛt ``Dayabetes-Related Retinopathy''. Bɔt fɔ kɔntrol yu dayabitis, fɔ de chɛk yu yay ɔltɛm, ɛn fɔ kia fɔ yu yay stil rili impɔtant. Dɛn kin ɛp fɔ protɛkt yu vishɔn.

Yu dayabitis dɔktɔ kin gayd yu pan dis ɛn rifer yu to ay spɛshal dɔktɔ. If yu de kia ɛn sɔpɔt yu ɔltɛm, bɔku tin dɛn de we yu kin du fɔ protɛkt yu valyu vishɔn.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so na sɔm tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• If yu gɛt dayabitis, tek kia ɔf yu yay spɛshal wan. Diabetes-Related Retinopathy kin bi wan siriɔs sik.
• Kip yu blɔd shuga ɛn ``Hemoglobin A1C`` lɛvɛl ɔnda kɔntrol. Dis na di tin we impɔtant pas ɔl.
• Ivin if yu nɔ gɛt ɛni sayn, yu fɔ rili mek dɔktɔ chɛk yu yay wan tɛm insay di ia (dilated eye exam). If yu no am kwik kwik wan, i izi fɔ trit.
• If yu notis ɛni chenj na yu yay (blurring, blak spat, discoloration), go to dɔktɔ wantɛm wantɛm.
• If yu de smok, stɔp. Smok kin mek dis sik wɔs bak.
• Kɔntrol tin dɛn lɛk ay blɔd prɛshɔn ɛn kɔlɔstrel.

Mɛmba se nɔto yu wangren de. Dɔktɔ ɛn famili mɛmba dɛn de we go ɛp yu. If yu nɔ panik, gɛt di rayt tritmɛnt, ɛn liv fayn layf, yu kin protɛkt yu yay.

` Dayabitis, dayabitis ay damej, retinopathy, ay wɛlbɔdi, vishɔn protɛkshɔn, dayabitis tritmɛnt, ay ɛgzam