Zunthlum i vei a nih chuan he thuziak hi i tan a pawimawh hle ang. A châng chuan i mit chu tlem a fiah lo va, a hma angin a fiah lo niin i hria mai thei. Hei hi i mit chhunga thisen kalna kawng te te a buai vang a ni thei. He natna hi enkawl loh chuan zawi zawiin emaw, i mit a bo vek emaw a ni thei. Vawiin hian he natna khirh tak, zunthlum avanga lo awm, mahse hriatchhuah leh thunun theih thuai kan sawi dawn a ni.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
A awlsam zawngin, i thisen sugar level dik taka control loh atanga tan a ni. I thisen sugar level rei tak a san chuan i taksa pum puia thisen kalna kawng a tichhia a ni. Hei hian i thinlunga thisen kalna kawng atanga i mit hnung lama thisen kalna kawng te tak te thlengin a nghawng vek a ni.
Retina hi mit hnung lama layer te tak te, thluaka thlalak thawntu a ni a, camera-a film ang chiah a ni. Thisen kalna kawng hrisel a awm loh chuan mit (retina) hian hna a thawk tha thei lo.
Tunah chuan heng thisen kalna kawngte hi a chhiat chuan taksain siam that a tum thin. Chutiang ti tur chuan taksa chuan protein bik VEGF (Vascular Endothelial Growth Factor) tih chu a siam chhuak tam tan ta a ni. Hei hi mit hrisel tan chuan harsatna a nih loh laiin, zunthlum vei mit atanga he VEGF hi a siam tam chuan thisen kalna kawng chhia chu a chak lo lehzual thin.
Hun a kal zel a, heng thisen kalna chak lote hi a puak darh a, chu chuan thisen leh tui chu mit chhung lam layer retina-ah a luang lut ta a ni . Hetianga retina a hring hi diabetic retinopathy an ti a .
He tui leak hi retina-a thil chiang tak leh na taka kan hmuh theihna tura min puitu macula-ah a lo awm khawm chuan a lo hring bawk. Chu chu diabetic macular edema, emaw Diabetic Macular Edema (DME) kan tih chu a ni.
Edema tih hi medical term a ni a, tui tam lutuk avanga hring dup tihna a ni. Chuvangin DME hi zunthlum vangin macula chu tuiin a khat a, a hring chhuak thin.
Diabetes hi a chhan ber a ni a, mahse a chang chuan thil dang, mitdel surgery, mit surgery dang, leh macular degeneration te vang a ni thei.
He natna hi tu nge vei thei ber?
I risk tipung thei thil engemaw zat a awm a, hengte hi hriat chian a pawimawh hle.
| Risk factor a ni | Chu chu eng nge a awmzia? |
|---|---|
| Hriselna dinhmun thunun loh | I thisen sugar, thisen sang leh cholesterol level te chu a sang reng a ni. |
| Nunphung | Meizial zuk leh taksa tihchakna tel lova hmun khata thut. |
| Hriselna lama harsatna dangte | Diabetic retinopathy i nei rei tawh hle. |
| Hun bik atan | Naupai lai hian he natna hi a hlauhawmna a sang deuh thei a ni. |
Zunthlum vei zawng zawng deuhthaw hi an hlauhawm hle. Chuvangin a tha ber chu hei hi hriat chian a, i hriselna enkawl hi a ni.
DME chi hrang hrangte chu engte nge ni?
DME hi chi hnih ah then theih a ni ber.
| DME type a ni | Ziarang |
|---|---|
| Focal DME a ni | Macula-ah hian tui leak te te a awm thin. |
| Diffuse DME a ni | Fluid leakage leh swelling chu macula zawng zawngah a darh vek a. Hetiang chiah hian mit hmuhna a tichhe nasa zawk thei. |
Chuti a nih chuan engtin nge kan tih ang? Engtikah nge Doctor kan hmuh ang?
Hei hi a pawimawh ber a ni. Diabetes i vei a nih chuan, symptoms nei lo mah la, kum khatah vawi khat tal mit lam doctor hnenah i mit enfiah tir a pawimawh . He natna hian a tir lamah chuan symptom a nei lo thei.
Mahse heng symptoms te hi i neih chuan doctor pan nghal rawh .
- Mit hmuh a fiah lo.
- I thil hmuh (e.g. kawngkhar leh kawngkhar frame) pianzia chu a inzawm khawm leh a hrual ang maiin a lang.
- Hmanlai angin rawng chi hrang hrang a lang lo va, a eng em em bawk.
- I mit hmuhnaah hian black spot emaw floater emaw hmuh.
Nghah a, "Tlem tal nghak ila," tih ai chuan heng natna lan chhuah dan hi i hriat chuan doctor thurawn zawng nghal rawh. Enkawlna i tan hma poh leh i mit hmuhna hlu tak i humhim theihna chance a sang zawk.
Take-Home Thuchah a ni
- DME hi zunthlum vangin mit macula a inflamed thin a ni. Enkawl loh chuan mitdelna a thlen thei a ni.
- A chhan ber chu thisen sugar level sang leh thunun loh rei tak a awm vang a ni.
- I thisen sugar, thisen sang leh cholesterol level te chu control la. Meizial zuk loh vek tur a ni.
- Zunthlum i vei a nih chuan, a lan chhuahna nei lo mah la, kum khatah vawi khat tal mit lam doctor hnenah i mit enfiah tir ngei ang che .
- Mit hmuh fiah lo emaw, mit fiah lo emaw ang chi symptom i neih chuan doctor nen inbia nghal vat rawh.
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