Zunthlum i vei a nih chuan i mit hi a bik taka i enkawl a ngai tih i hre ngei ang. Mahse, engvangin nge chutiang chu i sawi? Engtin nge zunthlum hian i mit a tihchhiat theih? Chu chu vawiina kan sawi tum chu a ni. Hei hi diabetic retinopathy kan tih chu a ni . Hei hi zunthlum natna avanga harsatna awm ber pakhat a ni. Chuvangin hei hi hriat chian a pawimawh hle.
Diabetic Retinopathy hi eng nge ni?
A awlsam zawngin sawi ila, hei hi zunthlum avanga mit tichhe thei dinhmun a ni. Kan mit hnung lamah hian membrane nalh tak, pawimawh tak, retina . Camera chhunga film awm ang mai a ni. Kan thil hmuh atanga êng lo chhuak chu lem-ah a chantirna hmun a ni. Chuvangin he retina hi a hrisel theih nan thisen kalna kawng nalh tak tak a nei a, chu chuan thisen a pe a ni.
Zunthlum vei chuan thunun theih loha thisen sugar level sang tak a neih rei chuan heng thisen kalna kawng te tak te te hi a chhe vek thin. An hring chhuak a, tui emaw thisen emaw an leak a, an inkharkhip vek bawk. Hei hi diabetic retinopathy kan tih hi a ni.
Hei hian mit pahnih a nghawng tlangpui. Enkawl that loh chuan mit (retina) chu a hliam a, zawi zawiin mit a hloh thei a, a tâwpah chuan mitdelna a thlen thei a ni . Hetiang dinhmun hi zunthlum vei te mit hmuh lohna thlentu lian ber a ni.
He natna lan chhuah dan berte chu engte nge ni?
He natna chungchang hi a bulpui ber pahnih-ah kan sawi thei a, chungte chu: a bul tanna leh natna a nasat huna lo awm thin a buaithlak hle.
A tir lamah chuan (Non-proliferative Diabetic Retinopathy - NPDR) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
Hei hi natna intan tirh a ni. Hemi kawngah hian thil thleng chu ka sawi tawh ang khan retina chhunga thisen kalna kawng te tak te atang hian tui emaw thisen tlem emaw a chhuak thin. Hei hian mit (retina) a ti na thei a ni. A châng chuan heng thisen kalna kawngte hi a lo hring chhuak a, balloon ang chi (microaneurysms) te te an siam thin.
Hetih lai hian i mit hmuh danah danglamna lian tak i hmu lo mai thei. I mit hmuh chu a fiah lo deuh mai thei. Mahse a tam zawkah chuan heng inthlak danglamna hi kum tin mit enfiahnaah i mit doctor-in a hmu hmasa ber thin.
A natna khirh tak emaw, a buaithlak emaw (Proliferative Diabetic Retinopathy - PDR) .
Hei hi natna stage hlauhawm ber a ni. Heta thil thleng chu thisen kalna hlui a inkharkhip chuan mit chhungah thisen kalna kawng thar, mahse a pangngai lo, chak lo tak tak a lo piang tan ta a ni. Heng thisen kalna kawng tharte hi a siam that loh avangin an chak lo hle a, an puak awlsam hle bawk.
Hengte hi an inthen chuan mit chhunga jelly ang chi thil (vitreous humor) ah thisen a luang lut thin. Thisen chhuahna a tlem chuan i mit hmaah hian dot dum te te emaw, thread ang chi thil emaw a lo inphah (floaters) i hmu thei.I hmu thei ang. Mahse thisen chhuah a nasat chuan rang takin i mit a hloh vek thei.
Heng thisen kalna kawng thar vel ah hian scar tissue a lo awm thin. He scar tissue hi a lo tlem chuan mit hnunglam atanga retina a inthlak danglam thei (retinal detachment) . Heng thisen kalna kawng dik lote hian mit chhunga pressure a tisang thei bawk a, glaucoma an tih natna a thlen thei bawk.
Nang pawhin heng symptoms te hi i nei ve em?
Mi tam tak chuan natna lan chhuah tirh lamah engmah an nei lo mai thei. Chuvang chuan a hlauhawm em em a ni. Mahse, chu natna chu a na zual zel chuan, hetiang hi i tawng thei a ni:
- Mit hmuh a fiah lo.
- Vision a chiang a, chutah chuan a blur leh ang maiin a shift leh ta a ni.
- Floater tih chu mit hmaa hmun dum emaw, thread emaw lo inphah ang maia lang a ni.
- I mit hmuhna lai takah gap emaw, black spot emaw hmuh.
- Rangkachak hriat chian theih lohna.
- Zanah mit hmuhna tha lo.
- Lehkhabu chhiar leh hla taka hmuh harsa.
- Mit natna emaw, nawrna emaw a awm pawh a ni thei.
Heng symptoms zinga pakhat tal i neih chuan Doctor pan hmasa phawt ang che.
He natna vei theihna hlauhawm ber chu tute nge ni?
A pawimawh ber chu zunthlum chi hrang hrang i neih chuan, Type 1 emaw, Type 2 emaw, gestational diabetes emaw pawh ni se, he natna hi i vei theihna tur a ni. Diabetes i vei rei poh leh i risk a sang zawk.
Chu bakah, heng thilte hian a hlauhawmna a tipung bawk:
- Thisen sang a sang
- Cholesterol sang tak a ni
- Zuk leh hmuam hman
- Naupai lai
- Thau lutuk
- Kal natna
- Genetics lam thil a ni
| Diagnosis tih a ni | Tihdamna |
|---|---|
| I mit doctor chuan he natna hi mit enfiahna pangngaiah a hmu thei a ni. A mitmeng chu a dilate ang a, mit chhung lam a en ang. | Enkawl dan hi natna stage a zirin a inang lo. Enkawl dan tlangpui engemaw zat a awm. |
| Fluorescein Angiogram an tih test bik hmangin thisen kalna kawnga leak awmna hmun dik tak chu a hriat theih a ni. | Anti-VEGF injection: Mit chhungah injection bik an inject thin. Hei hian thisen kalna kawng pangngai lo siam chu a titawp a ni. (Ex: Aflibercept, Bevacizumab, Ranibizumab) te hi a tha ber pawl a ni. |
| Scan Optical Coherence Tomography (OCT) tih hian retina thickness leh fluid buildup a awm leh awm loh a enfiah thin. | Laser Surgery: Laser beam hmangin thisen kalna kawng leak te chu "seal" nan an hmang thin. |
| Vitrectomy surgery: Mit chhungah thisen a lut a, mit a tichhe a nih chuan he surgery hi thisen lakchhuah nan tih a ni. |
Engtin nge he dinhmun hlauhawm tak lakah hian kan inven theih ang?
Hei hi a pawimawh ber a ni. He natna laka inven nan hian thil tam tak a awm a.
- A pawimawh ber chu: I thisen thlum leh thisen sang thunun tlat tur a ni. Chutiang ti tur chuan i doctor nen thawk ho rawh. I damdawi ei tur chu a tih angin ei thin ang che.
- Tih tak zetin: Kum khatah vawi khat tal mit enfiahna kimchang nei turin mit doctor hmu thin ang che. Symptoms a lan hun nghak suh. A hmaa hriat chhuah a nih chuan enkawlna hian i mit hmuhna a humhim thei a ni.
- Nu naupai i nih chuan: Nu naupai, zunthlum vei i nih chuan naupai atanga thla thum chhungin mit enfiah ngei ngei tur a ni.
- Meizial zuk loh tur: Meizial zuk hian he dinhmun hi a ti na zual hle.
- Cholesterol control: Thisen cholesterol level control.
- Nun hrisel: Ei leh in inthlau tak ei la, exercise la.
He natna hi a dam kim lo mai thei tih hre reng ang che. Mahse, a hmaa hriatchhuah leh enkawl dan dik tak chuan natna chu a zual zel loh nan i veng thei ngei ang a, i mit hmuhna hlu tak chu i humhim thei bawk ang .
Take-Home Thuchah a ni
- Diabetes hi natna a ni a, direct-in mit a nghawng a, chuvangin i mit hi enkawl reng ang che.
- Invenna tha ber chu i thisen sugar level leh thisen sang control hi a ni.
- Symptoms nei lo mah la, kum khatah vawi khat tal mit lam doctor hnenah i mit enfiah a pawimawh hle.
- I mit hmuhnaah inthlak danglamna (e.g. blurred vision, black spots) i hmuh chuan ngaihthah suh. Dam lova doctor pan rawh.
- Enkawlna rang tak chuan i mit hmuhna hlu tak chu dam chhung atan a humhim thei a ni.
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