Zunthlum hian mit a tichhe thei em? Diabetic Macular Edema (DME) chungchang hi han sawi ila!

Zunthlum vei anga enkawl tur tam tak a awm a ni lawm ni? Thisen thlum level, thisen sang, cholesterol... Heng zawng zawng karah hian a chang chuan kan mit ngaihsak hi kan theihnghilh thei. Mahse zunthlum natnain mit a nghawng theih dan hi kan hriat chian a pawimawh hle. A chhan chu kan hriat hmasak chuan kan vision hlu tak chu kan humhim thei a ni.

A awlsam zawngin, Diabetic Macular Edema (DME) hi eng nge ni?

Hei hi hming buaithlak deuh mahse, thil awmdan hi i hrethiam mai ang u.

Zunthlum i neih hian hun kal zelah thisen sugar level sang chuan i mit chhunga thisen kalna (blood vessels) nalh tak takte chu a tichhe thei a ni. Hetiang dinhmun hi diabetic retinopathy an ti a .

Heng thisen kalna kawng chhia atang hian tui a chhuak tan thin. He tui hi mit hnunglam êng hriatna hmun retina -ah a khawlkhawm a ni. Retina hian central part pawimawh tak a nei bawk a, chu chuan mit chiang leh fiah tak min pe a, chu chu macula . Leaking fluid chu macula awmna hmunah a awm khawm a, a ti hring chhuak thin. He hliam hi Diabetic Macular Edema (DME) an ti a.

Ngaihtuah teh, camera-a film ang maia retina-a main focus point, lens a lo hring chhuah chuan kan image hmuh chu a blurry ta a ni. Tui glass khat atanga thil thlir ang mai a ni.

Heng mizia te hi i nei em?

DME chungchanga hlauhawm ber chu a chang chuan a tir lamah symptom a lang lo . Chuvang chuan zunthlum vei zawng zawng tan kum khatah vawi khat tal mit endik vek a pawimawh. Mahse, heng chhinchhiahnate hi fimkhur rawh:

• Blurred vision: Mi pakhat hmel, lehkhabu-a thuziak, TV-a thlalak te ang chi, direct-a i en thilte chu a hlimthla angin a lang.
• Wrinkled appearance: Thil line dinglam nei (window frame leh kawngkhar frame ang chi) chu wrinkled emaw stretched emaw angin a lang thei.
• Faded colors: Tun hmaa rawng eng tak anga lang thin kha tunah chuan "faded," faded a ni ta.

He natna hi Doctor hian engtin nge a hriat chian?

Doctor i pan hunah zawhna tlem a zawt ang che. Entirnan, i mit hmuh danah inthlak danglamna i nei em, zunthlum i nei em, i thisen sugar leh A1c level, thisen sang, leh cholesterol level engzat nge ni?

Chumi hnuah mit enfiahna kimchang tak neih a ni a, a bik takin test eng emaw zat neih a ni.

Heng test neih zawhah hian doctor chuan DME i vei em tih leh a nasat zia a hriat chian ang.

Hei hi eng enkawlna nge ni?

Vanneihthlak takin tunah hian DME enkawlna tha tak tak a awm ta. Enkawlna tum ber chu thisen kalna kawng atanga tui chhuak tihtawp a, a hring (swelling) tihziaawmna a ni.

1. Anti-VEGF Injection hmanga tihdam theih a ni

Hei hi enkawlna hmanraw hman tlanglawn leh tangkai ber a ni. Mit chhunga injection lak tum hi a hlauhawm deuh thei a, mahse needle te tak te hmanga tih a ni a, chu chuan mit a ti na vek. Chuvangin a hrehawm vak lo.

Heng injection te hian thisen kalna kawng thar, chak lo, awlsam taka leak thin te lo thang lian lo turin hna a thawk a ni. Heng damdawi (entirnan: Aflibercept, Bevacizumab, Ranibizumab, Faricimab) te hian thisen kalna kawng a ti nghet a, tui chhuahna a titawp bawk. Enkawlna engemaw zat neih a ngai tlangpui a, a tlangpuiin thla khatah vawi khat i nei thin.

2. Laser hmanga enkawlna (Laser Photocoagulation) hmanga enkawl a ni.

Thil na tak tak thenkhatah chuan laser beam hmangin thisen kalna kawng leak te chu "seal" emaw cauterize emaw nan an hmang thin. Hei hian chhiatna dang a veng thei a ni.

3. Steroid injection pek thin a ni

Damlo thenkhat chu steroid injection pek an ni a, chu chu an hring chhuak thunun thei a ni.

4. Zai (Vitrectomy) tih a ni.

Hei hi tih a tlem tlangpui a, a bik takin mit chhunga thisen chhuak tam tak a awm a, mit a hloh vek a nih chuan. Hei hian mit chhunga tui chhum (cloudy fluid) chu paih chhuakin, chu chu solution chiang tak hmanga thlak a ni.

I mit lam doctor chuan eng damdawi nge i tan a tha ber tih a rel ang.

Engtin nge i in enkawl ang?

I doctor-in enkawlna a pek ang bawkin, he natna dona kawngah hian mahni in enkawl hi a pawimawh hle.

• Control Diabetes: Hei hi a pawimawh ber a ni . Doctor thupek angin i thisen sugar, thisen sang, leh cholesterol level te chu control la. Ei leh in mumal tak, exercise tha tak neih te, leh damdawi ei tur dik tak ei te hi a pawimawh hle.
• Mit enfiahna hi skip suh: Symptoms i nei lo a nih pawhin i doctor-in a rawt schedule angin i mit enfiah tir rawh. Hei hi i enkawlna hlawhtlinna enfiah nan pawh a pawimawh hle.
• Mit i hmuh tlem chuan assistive devices ngaihtuah rawh: Glasses chauh hi a tawk lo a nih chuan magnifying glasses ang chi thilte chu i doctor nen sawiho rawh.

Rilru hriselna pawh a pawimawh hle.

Mit lama harsatna i neih hian lungngaihna, lungkhamna leh hlauhna i neih hi thil pangngai tak a ni. Heng rilru natnate hi nangmah chauhin i do a ngai lo.

• I rilru put hmang sawi rawh: Hemi chungchang hi i chhungte leh i thiante nen sawipui rawh. I doctor hnenah i rilru put hmang hrilh rawh.
• Counselling zawng rawh: A tul chuan i doctor hnenah zunthlum vei emaw, mitdel emaw te nena thawk ho thin mental health professional hnen atangin tanpuina dil rawh.
• Support group-ah tel ve rawh: Nangmah ang bawka dinhmun tawk mek midangte i biak hian chakna nasa tak i nei ang.

Diabetes Mit Enkawlna, DME Enkawlna, Zunthlum leh Mit, Macular Degeneration, Mit tan Laser, Retina, Mit Exam