Zunthlum i vei chuan i mit hi a bik taka i enkawl a ngai a ni. Zunthlum hian i mit a tichhe thei a ni. Hei hi diabetic retinopathy an ti a. A awlsam zawngin, hei hi hun rei tak chhunga thisen sugar level sang hian mit sensitive part retina an tih-a thisen kalna kawng nalh tak takte a tihchhiat hian a ni. Hun a kal zel a, hei hian mitdelna leh mitdelna thlengin a thlen thei a ni. Chuvangin hei hi hriat chian a pawimawh.
A tha ber chu he dinhmun hi kan veng thei a, kan ti hniam thei bawk. Zunthlum vei zawng zawngin an vei vek dawn lo. Mahse zunthlum vei zinga a chanve vel chuan eng emaw chen chu an nei ve tho. Buaina lian ber chu a tir lamah chuan symptoms a awm lo. Chuvangin chu natna chu i nei tih i hre lo mai thei.
Diabetic retinopathy stage pali te hi a ni
Diabetic Retinopathy hi stage lian paliah a lo awm a. Tunah chuan heng stage tinte hi tawi te tein han sawi ila. He thu hi table pakhata hriatthiam a awlsam zawk ang.
| Dawhsan | Mit chhunga thil thleng | Vision leh tih tur a nghawng dan |
|---|---|---|
| 1. Retinopathy natna (Mild Nonproliferative Retinopathy) a awm thei lo | Mit retina-a thisen kalna kawng te tak teah microaneurysm a lo awm thin. Chungte chuan thisen chhuak te te a thlen thei a ni. | Mit hmuhna lamah harsatna a awm lo tlangpui. Zunthlum, thisen sang leh cholesterol te uluk takin control rawh. Kum khatah vawi khat i mit enfiah tir thin ang che. |
| 2. Nonproliferative Retinopathy natna nei tha lo (moderate) a ni | Thisen kalna kawngte chu a khuh a, a then chu a inkhar a, chu chuan mit (retina)-a thisen kalna chu a ti tlem a ni. | Vision a nghawng thei a ni. DME (Diabetic Macular Edema) tih hming pu natna a awm thei. Doctor chuan thla 3-6 danah mit enfiah tir thin turin a rawt a ni. |
| 3. Nonproliferative Retinopathy na tak a awm thei | Thisen kalna kawng tam zawk chu a inkharkhip thin. Retina hian thisen a neih loh avangin thisen kalna kawng thar siam turin signal a thawn chhuak thin. Scar tissue a lo awm thei. | Mit hmuh hloh theihna a sang hle. Vision a blur thei a, floater a lo lang thei bawk. Enkawlna hian chhiatna dang a titawp thei a ni. |
| 4. Proliferative Diabetic Retinopathy (PDR) natna a awm thei lo. | Thisen kalna (neovascularization) siam tharte chu a chak lo a, a rupture a, thisen a chhuak awlsam hle. Hei hian scar tissue a siam thei a, retinal detachment a thlen thei bawk. | Hei hi dinhmun pawi tak a ni. Permanent vision loss a awm thei. Inenkawl vat a ngai a ni. |
He stage hi chipchiar deuhin han thlir ila.
Stage 1 leh 2 (Mild leh Moderate Retinopathy) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
A tir lamah chuan inthlak danglamna i hmu lo mai thei. Mahse mit chhungah chhiatna a thleng tan tawh a ni. Stage hnihnaah chuan thisen kalna kawng a lo hring a, chu chuan Diabetic Macular Edema (DME) tih natna a thlen a ni. Hei hi mit chhunga macula an tih hmuna thisen leh tui a awm khawm hian a ni. Macula hi fiah taka hmuh theihna min puitu a ni tih hre reng ang che, chu chu lehkha chhiar te, lirthei khalh te, leh mi hriat theihna te hi a ni. A hring chhuah chuan i mit a fiah tan thin.
A pawimawh ber chu zunthlum vei zawng zawngin kum khatah vawi khat tal mit endik vek tur a ni. Hetiang hian natna hi a tir lamah hriat theih a ni.
Stage thum leh palina (Severe leh Proliferative Retinopathy) 1.1.
Stage thumna a lo thlen chuan thil awmdan hi a pawi deuh hlek a ni. Thisen kalna kawng tam tak a inkhar a. Chumi awmzia chu retina hian a mamawh oxygen leh nutrients a dawng lo tihna a ni. Chutih lai chuan retina chuan thluak lamah signal a thawn a, "Thisen ka nei tlem a, thisen kalna kawng thar siam rawh," a ti a.
Palina, a nih loh leh a nasat ber (PDR)-ah chuan heng thisen kalna kawng tharte hi buaina a ni. An hnah ang maiin an chak lo va, a chhe awlsam hle. An puak darh a, mit chhungah thisen an chhuak. Hei hian scarring a siam a, scarring a tihtlem deuh deuh chuan mit hnunglam atang hian retina chu a inthen thei a ni. Hei hi retinal detachment kan ti a ni . Chutiang a nih chuan i mit hmuhna chu i hloh vek thei a ni.
Engtin nge eng stage-ah nge ka awm tih ka hriat theih ang?
Hei hi nangmah chauhin i rel thei lo. Chumi atan chuan specialist-in mit enfiah a ngai a ni. Doctor chuan i dinhmun dik taka hriat theih nan test engemaw zat a ti thei a:
- General eye exam: Hmun hrang hranga i hmuh that dan a enfiah thin.
- Intraocular pressure tehna: Hei hian mit chhunga pressure tehna a ni.
- Pupil Dilation: Hei hi mittui tlakna hmanga i mitmeng tihzauh a, hmanraw bik hmanga i mit chhung lam enfiah a ni . Hei hi i mit (retina) chhunga thisen kalna kawng (blood vessels) a chhiatna a awm leh awm loh hriatna tha ber a ni.
- OCT scan (Optical Coherence Tomography): Hei hi mit chhung lam thlalak lak ang a ni. Light wave hmangin retina cross-section thlalak a la a, DME ang chi condition a enfiah thin.
- Fluorescein Angiogram: Hei hi i kut vein pakhatah dye bik inject a ni. Dye hian thisen chu i mit thlenga a kal lai hian i doctor chuan camera bik hmangin i mit chhunga thisen kalna kawngte chu thlalak a la thin. Hei hian thisen kalna kawng atanga thisen chhuak a awm leh awm loh emaw, a block em tih emaw chiang takin a hmu thei a ni.
Heng test neih zawh hian doctor chuan eng stage-ah nge i awm tih a hrilhfiah ang che.
Hei hi eng enkawlna nge ni?
A tlangpuiin, a tir lamah chuan i doctor chuan i dinhmun a enfiah ang. A pawimawh ber chu i zunthlum, thisen sang, leh cholesterol level te hi control tha taka vawn reng hi a ni.
A natna a zual emaw DME a lo awm emaw chuan enkawl a ngai mai thei.
- Mit injection: Mit chhungah thisen kalna kawng pangngai lo thar lo thang lian zel tur tihtawp nan injection pek thin a ni.
- Laser Surgery: Laser rays hi thisen kalna kawng seal nan leh thisen kalna kawng thar siam dan control nan an hmang thin.
- Steroid Drugs: Mit chhunga steroid injection emaw, hmanraw te tak te (implants) dahin a hring hi control a ni.
A châng chuan heng enkawlna pakhat aia tam hi a rualin a ngai thei bawk. I doctor chuan eng damdawi nge i tan a tha ber tih a rel ang tih hre reng ang che. Chuvangin i doctor hnenah engkim ah hian inhawng tak leh rinawm takin sawi rawh.
Take-Home Thuchah a ni
- I mit venhimna tha ber chu i zunthlum hi uluk taka control hi a ni. I thisen sugar level chu a range dik takah dah la.
- Diabetes i vei chuan kum khatah vawi khat tal mit enfiah a pawimawh a, symptoms i neih loh pawhin .
- If this condition is detected early , mit hmuh lohna venna chance a sang zawk hle.
- I doctor-in diabetic retinopathy i nei tih a hrilh che chuan hlau suh. I test te chu a hun takah tih tir la, i doctor thupek zawm rawh.
- Eng enkawlna pawh i rel hmain i doctor nen uluk takin sawipui hmasa phawt ang che.
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