Zunthlum i vei chuan i mit hmuh danah i lungkham mai thei. ‘Engtikah emaw chuan ka mit chungah thil a thleng dawn em ni?’ tiin i ngaihtuah mai thei. Diabetes hi a nihna takah chuan kan mit tichhe thei natna a ni. Chuvangin vawiin hian zunthlum avanga mit natna khirh ber leh lian ber, ‘Diabetic Retinopathy’ tih chu kan sawi dawn a ni. Ngaihtuah buai suh u, hei hi kan hriat chian chuan hei hian chhiatna a thlen theih chu nasa takin kan veng thei a ni.
Engvangin nge zunthlum hian mit a nghawng nasa em em?
A awlsam zawngin sawi ila, zunthlum hi kan taksaa thisen kalna kawng te tak te te tichhe thei natna a ni. Kan mit hnung lama retina awm hi han ngaihtuah teh. Hei hi camera-a film ang chi, kan thil hmuhte thluak lama thawn chhuaktu a ni. He retina hi thisen kalna kawng network tha tak takin a chawm a ni. Tui phurtu pipe ang mai a ni.
Zunthlum avanga thisen sugar level rei tak a control loh chuan heng thisen kalna (reed) nalh tak takte hi a chhe vek a ni. Tichuan an chak lo va, thisen leh plasma ang chi tui te chu zawi zawiin a chhuak tan ta a ni. Heng leak te hi retina ah an pung khawm thin. Chuvângin, mit (retina) chu a lo hring chhuak a, kan hmuh chu a hlim lo va, a chiang lo hle bawk. Tin, he chhiatna hian retina-in oxygen leh nutrition a dawn chu a ti tlem bawk.
A châng chuan, taksain he harsatna hi chinfel a tum ṭhin. Engtin nge tih i hria em? Thisen kalna kawng thar siamin. Mahse buaina chu, heng thisen kalna kawng tharte hi a chhe hle a, a chak lo hle bawk. awlsam takin an puak thei a, thisen an chhuak thei bawk. A nih loh leh, an chhehvelah hliam tissue a lo awm thei a, chu hliam chuan mit bang atanga mit (retina) chu a inthlak danglam thei bawk. Heng zawng zawng a tawpah chuan mitdelna leh mitdelna a ni.
Hemi chungchanga thil hlauhawm ber chu: a tir lamah chuan chhinchhiahna engmah a lantir lo!
Hei hi diabetic retinopathy-a harsatna lian ber a ni. He natna hian a tir lamah symptom a nei lo fo thin. Mit tha i nei a nih pawhin i mit chhung lam a chhiat zauh zauh thei. Hei vang hian zunthlum vei zawng zawng hian kum khatah vawi khat tal mit enfiah vek tur a ni kan ti fo thin .
Mi tam tak chuan symptoms a lan hnuah doctor an pan thin. Chu chu mit hmuh a fiah lo emaw, mit hmaah hmun dum a lo lang emaw tihna a ni. Mahse chutih lai chuan chhiatna ṭhenkhat chu a thleng tawh a ni.
Chuvangin hre reng ang che, symptoms a lan hun nghak suh. Kum tin mit endik hi i mit venhimna tha ber a ni.
Natna a zual zel chuan a lan chhuah dan te chu i nei thei ang:
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Mit hmuh a fiah lo | A chhehvel chiang taka hmuh theih lohna dinhmun. |
| Vision a inthlak danglam a, a chiang leh a fiah lo. | A chang chuan a mawi a, a chang chuan a blurry bawk. |
| Hmuh theihna hmuna hmun dum emaw, hmun hring emaw hmuh | I thil en lai vel hmun thenkhat chu hmuh theih lohvin a lo awm ta a ni. |
| Mit hmaa hmun dum a lo inphah (Floaters) . | Mit hmaa spider web emaw dots emaw a lo inphah ang maia hriatna. |
| Zanah mit hmuhna a tlahniam | Eng hniam takah thil hriat harsa. |
| Fading of colors | A rawng eng leh a fiahna a tlahniam a. |
Thu lawmawm: hei hi enkawl theih a ni!
Mi tam tak chuan mit enfiah laiin heng chhinchhiahnate hi an hmuh hian an hlauthawng hle. An zawt a, "Tunah hian ka mit ka hloh dawn em ni?" Mahse, a tam zawkah chuan he natna hi a tir lamah hmuhchhuah a ni. Tichuan kan tih theih tam tak a awm.
Step hmasa ber pawimawh ber
Mit chak lohna venna kawng tha ber leh pawimawh ber chu i thisen thlum leh thisen sang control tha tak hi a ni. Chu chu i doctor-in damdawi a pekte chu a hun taka ei te, i ei leh in thunun te, leh exercise lak te a ni. A châng chuan doctor-te chuan i mit chhung lam thlalak an la ang a, damlo hnenah an entir ang a, "Diabetes hian i mit a tihchhiat dan hi en rawh," an ti ang. Chu chu mi tam takin an hmuh chuan an sugar leh thisen sang thunun a pawimawh zia an hrechhuak thin.
Natna hi tlem a na deuh a nih chuan engtin nge ni ang?
I dinhmun chu a na deuh hlek ang tih han ngaihtuah teh. A nih pawhin lungngai suh. Tunlai hian hei hi enkawlna tha tak tak a awm a.
1. Anti-VEGF injection: Hengte hi enkawlna hman hmasak ber zinga mi a ni. Heng injection te hi mit chhunga inject te hi mit chhunga hliam tihziaawmna tur leh thisen kalna atanga tui chhuak tur tihtawp nan an hmang thin. Hei hian mit hmuh lohna control nan a pui thei a , a chang chuan mit hloh thenkhat chu a siam tha leh thei bawk . Heng injection te hi a office-a mit specialist-in a pe thin a ni.
2. Laser Surgery: Laser surgery hmang hian thisen kalna kawng chhia atanga thisen chhuak chu "seal" emaw close off emaw theih a ni. Thisen kalna kawng thar, duh loh, chak lo lo awm apiang a ti tlem thei bawk.
3. Vitrectomy: Hei hi natna khirh tak takah tih thin a ni. Hetah hian mit surgeon pakhat chu mit chhungah lutin thisen leh tui awmkhawm chu a paih chhuak thin. Tin, retina-a scar tissue lo awm tawh chu a paih chhuak bawk. He surgery hnuah hian mit fiah tak a awm leh thei a ni.
A pawimawh ber chu: i mit exam kha lo thlir ve suh!
Hei hi a tawk lo. Zunthlum vei zawng zawng, mit tha tak nei pawh ni se, kum khatah vawi khat mit mithiam (eye specialist)-in an mit an endik vek tur a ni.
Mit enfiah laiin i doctor chuan i mitmeng chu a tizau turin mittui tlakna (eye drops) a dah ang. Hei hian i mit chhunga retina leh thisen kalna kawngte chu chiang takin a enfiah thei ang.
Engtikah nge i mit i enfiah tur?
- Zunthlum i vei tih hriat hmasak ber hunah: Zunthlum i vei tih i hriat veleh mit enfiah tir la, mit chhungah chhiatna a awm tan tawh mai thei.
- Tichuan kum tin: Kum khatah vawi khat tal check thin ang che. Diabetic Retinopathy i neih tawh chuan i doctor chuan check tam zawk (thla 3 danah, thla 6 danah) a rawt thei ang.
- Naupai lai: Zunthlum vei hmeichhiain nau a pai a nih chuan a naupai chhung zawngin vawi tam tak a mit enfiah tir tur a ni a, he hun chhunga taksaa hormone leh stress inthlak danglamna hian zunthlum kaihhnawih mit natna a tizual thei a ni.
- Sugar control tha tak a nih hnuah: Hei hi a mak deuh. Kum tam tak chhung sugar thunun loh hnua sugar chu a thunun tha thut a nih chuan mi thenkhat mit chu rei lo te chhungin a na deuh thei a ni. Hei hi a chhan dik tak hriat ni lo mah se, hun rei tak chhung buaina atana hman thin taksa leh mit hian he inthlak danglamna rang tak hi a tha zawngin a insiamrem thei lo niin an ngai. Chuvangin, chutiang hunah pawh i mit enkawl a pawimawh.
Thu lawmawm tak chu zunthlum vei mah la, a hun taka i mit i enfiah a, a tul anga enkawl a, i thisen thlum leh thisen sang i thunun chuan i mit a tha ang.Kan dam chhungin hriselna tha kan nei thei a, mahse nang leh doctor leh damlo te pahnih in thawhhona a ngai a ni.
Take-Home Thuchah a ni
- Zunthlum hi i mit hmuhna direct-a tichhe thei natna a ni. Hetiang dinhmun hi Diabetic Retinopathy kan ti a.
- Symptoms a lan hun nghak suh. He natna hi a tir lamah chhinchhiahna awm lovin a lo awm thei a ni.
- Zunthlum vei zawng zawng hian kum khatah vawi khat mit enfiah vek tur a ni .
- I mit venhimna tha ber chu i thisen thlum leh thisen sang thunun hi a ni.
- I doctor thupek ang chiah kha zawm rawh. Thawhhona hmang hian nang leh i doctor hian i mit hmuhna hlu tak chu dam chhung zawngin i humhim thei a ni.
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