Diabetes Mellitus natna vei i nih chuan i thisen sugar level control hi i ngaihtuah fo mai thei. Mahse, zunthlum natnain i mit hlu tak a tihchhiat theih dan tur chu i ngaihtuah em? Mi tam tak chuan symptoms a lan hma loh chuan hei hi an hre lo. Chuvangin, vawiin hian he natna khirh ber, zunthlum avanga mit tichhe thei, chu chu ‘Diabetic Retinopathy’ tih hi kan sawi dawn a ni.
Engvangin nge zunthlum hian mit a nghawng nasa em em?
A awlsam zawngin kan mit chu thisen kalna kawng te tak te, te tak te in a khat a. Hengte hian mit mamawh chaw tha leh oxygen a thlen thin. Zunthlum vei chuan thisen sugar level rei tak a neih chuan he sugar hi rulhut ang mai a ni a, chu thisen kalna kawng tha tak takte bang chu a tichhe tan thin.
Tui pipe chhunga rust lo awm ang maiin han ngaihtuah teh. Heng thisen kalna kawngte pawh hi chutiang bawk chu a ni.
- An thik thei.
- Thisen emaw tui emaw an leak thei.
- Thisen zam a lo awm thei.
- Thisen kalna kawng thenkhat chu a inkhar vek thei.
A châng chuan, heng thisen kalna kawngte bangte hi a chak lo va, balloon ang chi hnah te te (microaneurysms) a lo awm ṭhin. Chu aia hlauhawm zawk chu kan mit hmuhna atana pawimawh tak, retina peng macula-a tui a lo awm a, chiang taka chhiar leh hmuh theihna min puitu hi a ni. Hei hi macular edema an ti a . Hei hian mit a ti fiah lo thei a ni.
A dinhmun a zual chuan mit hian thisen kalna kawng thar siam a tum a, a chhan chu mit a thisen kalna tur a tihbuai vang a ni. Hetiang kalphung hi neovascularization an ti a . Mahse, heng thisen kalna kawng tharte hi a chak lo hle a, a chhe thei hle bawk. An puak darh awlsam a, mit chhung thisen chhuak (hemorrhages) a thlen thei bawk. Hei hian scar tissue leh retinal detachment a thlen thei a ni. Hei hi emergency a ni a, mit hmuhna hloh vek thei a ni. Heng thisen kalna kawng tharte hian mit chhunga tui luang chhuak chu a tikhawlo thei bawk a, mit pressure a tisang a, glaucoma a thlen thei bawk .
Engtin nge he natna hi hriat hmasak theih ang?
Hetah hian a pawimawh ber. Zunthlum vei tu pawh, symptom nei lo pawh nise, kum khatah vawi khat mit lam doctor pan ngei ngei tur a ni a, an mit enfiah tur a ni. Hei hi theihnghilh ngai suh.
Doctor i pan hunah hengte hi a lo thleng dawn a ni:
1. A chipchiar zawka zawh: A hmasain i medical history te, i zunthlum i control dan te, i mit hmuh danah danglamna a awm leh awm loh te an sawi ang.
2. Vision test: I vision level chu eye chart chhiar tir a ni ang.
3. Mit chhung lam en: A dawtah chuan, .Mit chhunga retina chu hmanraw bik ophthalmoscope an tih hmangin an enfiah thin.
4. Special test: A chang chuan exam pangngaia hmuh theih loh thil danglam zawng zawng zawn nan special test neih a ngai thin. I mit chu tui tlain a zau thei a, i mit chhung lam chu slit lamp an tih hmanrua hmangin an enfiah thei bawk.
Test bik dang chu fluorescein angiography tih a ni . Hei hian i kut zungtang pakhatah yellow dye inject a ngai a, camera bik chuan i mit chhunga thisen kalna kawng a kal laiin thlalak hrang hrang a la a ni. Hei hian thisen kalna hmun, thisen chhuahna hmunte chhiatna chu chiang takin a lantir thei a ni.
Heng test te bakah hian doctor hian zunthlum vei te zingah a awm fo thin cataract leh glaucoma te pawh a enfiah thin.
Hei hi eng enkawlna nge ni?
Diabetic retinopathy enkawlnaah hian i medical doctor leh mit lam doctor te chu an thawhhona a ngai a ni. Khawthlang lamah chuan i thisen sugar level, thisen sang leh cholesterol level i control a ngai a ni. A lehlamah chuan mit lam doctor chuan mit chu direct-in a enkawl a.
Laser hmanga enkawlna (Laser Photocoagulation) hmanga enkawl a ni.
Hei hi damdawi hman tlanglawn ber a ni. I mit hmuh danah danglamna i hriat hma pawhin i doctor chuan he damdawi hi a rawt thei ang. Hei hi a chhan chu a chhiatna hmasa berah enkawlna hian rah tha ber a chhuah vang a ni.
Hei hian mit chhunga thisen kalna kawng thisen chhuak mekte "seal" turin laser beam tha tak tak hman a huam a ni. Hei hian swelling a tihziaawm bawk. I dinhmun a nasat dan azirin enkawlna vawi engemaw zat neih a ngai mai thei. Enkawlna hnua result hmuh theih nan thla engemaw zat a ngai thei.
Vitrectomy tih a ni
Mit chhungah thisen chhuak tam tak a awm a, chu chu a mah chauhin a bo lo a nih chuan, mit (retina) a lo inthen tawh a nih chuan, emaw, laser hmanga thisen kalna kawng thar siam a titawp thei lo a nih chuan, doctor chuan he surgery hi a rawt ang.
He surgery-ah hian mit chhunga jelly ang chi (vitreous) chu lakchhuah a ni a, thisen tihfai a ni a, scar tissue chu lakchhuah a ni. Tichuan, a thlakna tur tui chu mit chhungah a khat ta a ni.
A pawimawh ber chu heng enkawlnate hian mit hmuhna hloh chu a siam tha thei lo tlangpui. Mahse, mit hmuhna hloh belh zel tur an veng thei a, a tikhawtlai thei bawk. Chu chu heng enkawlnate tum ber a ni.
Hetiang dinhmun hi pumpelh theih a ni em?
Ni e, a ti thei ngei ang. Chutiang laka invenna kawng tha ber pahnih chu:
1. I thisen sugar level tha takin control rawh: Damdawi, insulin, ei leh in leh exercise lak dan tur doctor-in a pek dan zawm tur a ni. I thisen sugar level enfiah fo thin ang che. Heng step te zawm harsatna i neih chuan doctor nen inbiakna leh tanpuina dil hi zak suh.
2. Kum tin i mit enfiah tir rawh: Hei chauh hi natna kai hma theihna awmchhun a ni. Type 1 diabetes vei te chu an hriat chhuah atanga kum 5 chhungin an mit enfiah tir tur a ni a, Type 2 diabetes vei te chu an hriat chhuah hnu lawkah an mit enfiah nghal tur a ni. Chumi hnuah chuan kum tin an mit enfiah tir tur a ni.
Thil dang ngaihtuah tur
- Naupai: Zunthlum vei hmeichhiain nau pai a tum a nih chuan a doctor nena inbiakna neih a pawimawh. Hetiang dinhmun hi naupai lai hian a zual thei hle.
- Thisen sang, cholesterol, leh thau lutuk: Hengte hian Diabetic Retinopathy dinhmun a tichhe zual bawk. Chuvangin, control tha rawh.
- Meizial zuk: Meizial i zuk chuan i zuk loh nan doctor hnenah tanpuina dil rawh.
- Cataract surgery: Cataract surgery neih i tum a nih chuan i doctor nen diabetic retinopathy a nghawng dan tur sawipui rawh.
| Hetiang a nih chuan doctor pan ngei ngei tur a ni. | |
|---|---|
| Nang emaw i fa emaw hian zunthlum i nei a, mahse kum tin mit enfiah chungchangah i doctor nen in inbia lo a nih chuan. | Mit lam doctor hmuh nghal turin appointment siam nghal rawh. |
| I mit hmuhna chu zawi zawiin emaw, rang takin emaw a lo chhe zel ang tih i hriat chuan (e.g. blurring, black spots floating around hmuh). | Hei hi emergency a ni thei. Doctor emaw hospital emergency room (ETU)-ah a rang thei ang bera kal rawh. |
| Zunthlum i vei a, naupai i tum a nih chuan. | Naupai hmain mit enfiah hmasa phawt ang che. |
| I thisen sugar level control turin i doctor thupek zawm harsa i tih chuan. | Zak lo la, i doctor nen sawiho la, i tana awlsam zawk tur method sawipui rawh. |
| I mit a chhe tawh a, i mit hmuhna tihchangtlunna tur kawng hrang hrang hriat i duh chuan. | I doctor hnenah mitdelna atana hmanraw leh thurawn awmte zawt rawh. |
Take-Home Thuchah a ni
- Diabetes hian i mit a tichhe thei a, a tir lamah chuan symptoms a lan loh pawhin i mit a tichhe thei a ni.
- Hei hi pumpelh dan tha ber chu i thisen sugar level, thisen sang leh cholesterol te control hi a ni.
- Zunthlum i neih chuan kum khatah vawi khat mit lam doctor hnenah i mit enfiah tir ngei ang che .
- Natna hi i hriat hmasak a, i enkawl tan chuan i mit hmuhna hlu tak chu i humhim thei a ni.
- I mit hmuh danah rinhlelhna emaw, harsatna emaw tlem ber i neih chuan, chu chu i doctor nen inbiakna neih chu tikhawtlai ngai suh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh