Diabetic i nih chuan i doctor-in, "I sugar level kha control tha la, chuti lo chuan i mit tan a tha lo" a tih fo che kha i hre reng mai thei. Chu chu a dik tak zet a ni. Zunthlum hi kan thunun tha lo a nih chuan kan mit a tichhe nasa thei hle. Hetianga mit chhiatna ber chu Diabetic Macular Edema , a tawi zawngin (DME) a ni. Hemi a thil thleng chu mit chhunga retina sensitive ber chu a lo hring chhuak thin. Mahse lungngai suh, tunah chuan he natna hi enkawlna tha tak leh hmasawn tak tak a awm ta. Chu chu vawiina he thuziak-ah hian kan sawi tum chu a ni.
Enkawlna hmasa ber: natna thlentu thunun
Doctor-te chuan DME enkawlnaah hian kawng pawimawh pahnih an zawm a ni. A hmasa ber leh pawimawh ber chu a chhan bulpui thunun hi a ni . Chu chu i thisen sugar level sang leh thisen sang control tihna a ni.
Roof leak a awm tih han ngaihtuah teh. Bucket hmanga leia tui khawlkhawm ai chuan inchung chhunga khur awm chu siamthat a tha zawk. Hei hi chutiang chu a ni. Mit direct-a enkawl lai hian a hnuaia zunthlum leh thisen sang awmte control a pawimawh hle. I doctor thupek dik taka zawm chuan i mit chhiatna chu i titawp thei a, natna a zual zel loh nan i veng thei bawk. Hei hi enkawlna lungphum a ni.
Mit lama direct-a tih tur enkawlnate chu engte nge ni?
A chhan bulpui ber a nih loh chuan i doctor chuan i mit chhunga chhiatna awm chu siam\hat tumin enkawlna a tan ang. Mit lam doctor emaw retina specialist emaw hnenah refer i ni ang . I tana enkawlna tha ber chu DME i neih chi hrang hrangah a innghat ang.
Enkawl dan tlangpui pahnih a awm a.
1. Anti-VEGF Injection hmanga tihdam theih a ni
2. Laser hmanga enkawlna (Focal-Grid Macular Laser Surgery) hmanga enkawl a ni.
Tunah chuan hengte hi a hranin han thlir ila.
1. Anti-VEGF Injection hmanga tihdam theih a ni
Engvangin nge heng injection te hi pek a nih? VEGF chu eng nge ni?
A awlsam zawngin DME i neih hian i mit hian VEGF (Vascular Endothelial Growth Factor) tih protein a siam tam lutuk a ni. He protein hian i mit chhunga thisen kalna kawng thar lo awmte chu a tichak lo hle a, plastic man tlawm tak atanga siam tui pipe ang maiin a tichak lo hle. Chuvangin, heng thisen kalna kawng chak lo tak takte hian thisen leh tui an leak a, chu chuan i retina lairil a sensitive area macula , chu a ti hring chhuak thin. Chu chuan i mit a ti fiah lo va, a ti thim bawk.
Anti-VEGF vaccine hian VEGF protein siam chhuah tam lutuk chu a titawp a ni. Hei hian thisen kalna kawng chak lo siamna a control a, a awm tawhte a tichak a, thisen leh tui luang chhuak a titawp bawk.
Heng damdawi te hi engte nge ni?
He enkawlna atana hman tur damdawi chi hrang hrang a awm a. Damdawi thenkhat chuan protein VEGF chauh a nghawng a, damdawi thar zawk erawh chuan VEGF leh thisen kalna kawng siamna atana inrawlh protein dang Angiopoietin-2 (Ang-2) te pawh a nghawng thung.
| Ruihhlo chi hrang hrang | Damdawi chi hrang hrang |
|---|---|
| Anti-VEGF damdawi te a ni | Aflibercept (Eylea) chuan a rawn ti a. Bevacizumab (Avastin) a ni a, a damdawi hi a tha hle. Brolucizumab-dbl (Beovu) hmanga enkawl a ni. Ranibizumab (Lucentis) tih hi a awm a. |
| VEGF/Ang-2 Inhibitor damdawi te hi a awm a | Faricimab-svoa (Vabysmo) chuan a rawn ti a. |
Vaccine pek dan leh enkawl hun chhung
Tunah chuan ‘I beng ah injection ka la’ ka tih hian i hlauthawng deuh mai thei. Mahse a takah chuan chutiang chuan a hlauhawm lo.
- Natna a awm lo: Doctor chuan injection a pek hmain i mitah numbing drops a hnawih ang a, chuvang chuan natna engmah i hre lo ang.
- Thiltih dan: He damdawi hi mit a var lam kaltlangin mit chhungah hian needle te tak te, te tak te hmangin an inject thin.
- Enkawl hun chhung: A tlangpuiin, thla 4-6 hmasa berah thla khatah vawi khat shot i lak a ngai ang. Tichuan, i mit dinhmun a ṭhat deuh deuh chuan shot i dawn zat pawh a pung zauh zauh ang. He enkawlna hi kum engemaw zat chhung pawh ni se, i dawng tlem a ngai mai thei.
Thisen kalna kawngte a leak tawh loh chuan i mit chu zawi zawiin a lo tha chho tan ang.
Pawimawh: I mit chu 20/50 emaw a aia chhe zawk (a chhe hle) a nih chuan Aflibercept hian damdawi dang aiin hna a thawk tha zawk thei. Faricimab-svoa hian damdawi dang aiin hna a thawk rei thei bawk. Hei hi doctor nen in sawiho tur a ni.
Hriat reng tur chu:
He vaccine hi naupai tan a tha lo hle a, a chhan chu naute a tichhe thei a ni. Chuvangin naupai emaw, naupai tum emaw i nih chuan he thu hi i doctor nen inbia ngei ngei tur a ni.
2. Laser hmanga enkawlna (Focal-Grid Macular Laser Surgery) hmanga enkawl a ni.
Hei hi DME enkawlna atana hman hlawhtling dang a ni.
- Eng nge a tih?: Hei hian i retina-a thisen kalna kawng chak lo tak tak, leak chhuakte ‘seal’ turin laser hman a huam a ni. Plastic lum leh glue khawm ang mai a ni. Hei hian thisen kalna kawngte chu a seal a, thisen leh tui chhuak chu a ti tlem a, macula-a a hring (swelling) a ti tlem bawk.
- Enkawl dan: Mit pahnihah DME i neih chuan i doctor chuan mit pahnih hi vawi khatah a enkawl lovang. Mit pakhat a enkawl ang a, kar engemaw zat hnuah mit dang chu a enkawl leh ang. A tlangpuiin mit khatah laser hmanga enkawl vawi khat chauh a tawk.
- Engtikah nge hman tur: A chang chuan anti-VEGF injection treatment chauh hmanga duhthusam result a awm loh chuan doctor chuan he laser treatment hi injection nen hian tih a rel thei a ni.
Take-Home Thuchah a ni
- Diabetic macular degeneration (DME) hi natna khirh tak a ni a, mahse tunah chuan enkawl leh enkawl theih a ni tawh hle. Blurred vision ang chi symptoms te hi ngaihthah suh.
- I tih theih pawimawh leh bulpui ber chu i thisen sugar level leh thisen sang control tha hi a ni. Hei hi enkawlna zawng zawng lungphum a ni.
- Anti-VEGF injection leh laser hmanga enkawlna hi a hmasawn ber leh him ber a ni. ‘Eye shot’ hi hlau suh, natna nei lo procedure a ni.
- I mit lam doctor nen i tan enkawlna tha ber, a thatna leh that lohna, leh damdawi lam harsatna dang i neih theih zawng zawng (a bik takin naupai lai) te sawipui rawh. Zawhna i neih apiang zawt la, chhang rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh