Ki te mea he mate huka tōu, e mōhio ana koe ki te nui o te mahi hei whakahaere i tēnei mate. He maha ngā mea hei mahi, pērā i te whakahaere i te taumata huka toto, te tiaki i tō kai, me te whakakori tinana. I waenganui i ēnei mea katoa, ka wareware pea tātou ki ō tātou kanohi. Engari ko tētahi o ngā raruraru tino kino ka puta mai i te mate huka ko te ngaronga o te tirohanga. I roto i ēnei, ko te mate tino noa, ā, ka mōrearea pea te tirohanga ko te Diabetic Macular Edema, arā, ko te DME. He ahua whakamataku pea te rongo i tēnei ingoa. Kaua e manukanuka. Ki te mōhio tika koe ki tēnei mea, ā, ki te whiwhi maimoatanga i te wā tika, ka taea e koe te tiaki i ō kanohi utu nui.
He aha te Diabetic Macular Edema (DME)?
Āe, me kī pēnei. Kei muri o tō kanohi, he wāhi tino tairongo e mahi ana pērā i te kiriata i roto i te kāmera. Ka kiia e mātou ko te retina . Ko ngā whakaahua e kitea ana e mātou ka tuhia ki runga i tēnei retina. Ina pāngia koe e te mate huka, inā koa mēnā kāore i te whakahaeretia ō taumata huka toto mō te wā roa, ka tīmata te pakaru o ngā oko toto iti i roto i tō kanohi. Pērā i te paipa wai tawhito, ka ngoikore ēnei oko toto ka tīmata te turuturu toto me te wai. Ka kiia e mātou tēnei āhuatanga ko te Diabetic Retinopathy .
Ina, ina nui haere te wai e turuturu ana i roto i te retina, ka tīmata te pupuhi. He wāhanga tino nui o te retina e āwhina ana i a tātou ki te kite mārama, i waenganui tonu, e kiia nei ko te macula . Ina nui haere te wai e turuturu ana i roto i te macula, ā, ka pupuhi, koia te mea e kiia nei e tātou ko te Diabetic Macular Edema (DME) . Ina pupuhi te macula, ka pā tika ki tō tātou tirohanga koi, mārama.
Kei a koe ēnei tohumate?
Ko tētahi raruraru o te DME ko te kore e whakaatu i ngā tohu i ngā wāhanga tōmua. Engari i te whanaketanga haere o te mate, ka kite pea koe i ngā mea pēnei i:
- Te tirohanga pōuri: Ina pānui pukapuka, ina mātaki pouaka whakaata, ina titiro rānei ki te mata o tetahi, ka pōuri, ka kore e mārama te pokapū o te ahua.
- He āhua totoro, he pōrearea rānei ngā whakaahua: Ahakoa he rārangi tika, ka āhua totoro anō he rite ki te ngaru.
- Ngā tae memeha: Te āhua nei kua ngaro te kanapa me te mārama o ngā tae, ā, kua "horoia" te āhua.
Ki te mea kei a koe tētahi o ēnei tohu, kaua e whakaroa . Tirohia tō tākuta i te wā e taea ai. Ki te mea he mate huka tōu, he mea nui kia tirohia ō kanohi i te iti rawa i te kotahi i te tau , ahakoa kāore he tohu.
Me pēhea te tātaritanga a te tākuta i te DME?
Ina haere koe ki te tākuta, ka pātai tuatahi ia i ētahi pātai ki a koe, kātahi ka tirotirohia ō kanohi.
Ngā pātai hei pātai atu ki te tākuta
- Kua kite koe i ētahi panonitanga o tō tirohanga i ngā wā tata nei?
- Kia pēhea te roa kua kitea tō mate huka? Kei roto i tō whānau tetahi e pāngia ana e tēnei mate?
- Kei te pēhea te āhua o tō huka toto me ō taumata A1c?
- He toto toto tiketike tōu, he cholesterol tiketike rānei?
- He mate hauora anō kei reira?
Whai muri i tēnā, ka mahia ēnei whakamātautau i te wā o ngā whakamātautau kanohi.
| Ingoa o te whakamātautau | Hei whakarāpopototanga, he aha tāu e mahi ai ki tēnei? |
|---|---|
| Whakamātautau Tirohanga Matakite | Koinei te whakamātautau tirohanga pānui e mōhiotia ana e tātou katoa. E ine ana i te mārama o te tirohanga i ngā tawhiti rerekē. |
| Whakamātautau Kanohi Whānui | Ka tāpirihia e te tākuta he pata ki roto i tō kanohi hei whakawhanui i te karu. Kātahi, mā te whakamahi i tētahi taputapu motuhake, ka tirohia e rātou te āhua o tō retina, mēnā kei te turuturu te wai mai i ngā oko toto, me te mea kei te pupuhi. |
| Angiogram Fluorescein (FA) | He whakamātautau motuhake tēnei. Ka werohia he tae motuhake ki roto i tētahi uaua i roto i tō ringa. I te haere o te tae i roto i ngā oko toto i roto i te kanohi, ka tangohia ngā whakaahua e tētahi kāmera motuhake. Ka āwhina tēnei ki te tautuhi i te wāhi e turuturu ana ngā oko toto. |
| Tomography Whārite Whatu (OCT) | He rite tēnei ki te matawai i te roto o te kanohi. Ka tangohia e te kāmera motuhake he pikitia o te wāhanga whakawhiti o te retina. Ka taea e tēnei te ine tika i te nui o te pupuhi i roto i te macula me te nui o te wai kua kohia. |
I muri i ēnei whakamātautau, ka whakatauhia e te tākuta mēnā kei a koe te DME me te kaha o tōna mate.
He aha ngā maimoatanga mō te DME?
Waimarie, he tino whai hua ngā maimoatanga mō te DME i nāianei. Mā tō tākuta e tūtohu te maimoatanga tino tika i runga i tō āhua.1. Ngā Werohanga Anti-VEGF
Koinei te maimoatanga matua, ā, ko te mea tino whai hua rawa atu e wātea ana i tēnei wā. Ko te VEGF he pūmua e āwhina ana i te hanganga o ngā oko toto hou, ngoikore hoki i roto i ō tātou kanohi. Ka āraihia e ēnei werohanga taua pūmua VEGF. Ka āraihia te hanganga o ngā oko toto hou, me te turuturu o te wai mai i ngā oko toto o mua. Ka werohia tika ēnei werohanga ki roto i te kanohi. Ahakoa he ahua whakamataku, ka whakangoikore i te kanohi, kia kore ai e tino mamae. Ko ngā rongoā e whakamahia whānuitia ana ko:
- Aflibercept (Eylea)
- Bevacizumab (Avastin)
- Ranibizumab (Lucentis)
- Faricimab-svoa (Vabysmo) - He rongoā hou tēnei e aukati ana i ngā pūmua VEGF me Ang-2.
2. Maimoatanga reera (Whakakorikori Reera)
Mena he kino rawa atu te āhua, ka whakamahia ngā taiaho hei "hiri" hei tahu rānei i ngā oko toto e turuturu ana. Ka āwhina tēnei ki te whakahaere i te pupuhi. Tērā pea me whai koe i ētahi maimoatanga.
3. Ētahi atu maimoatanga
I ētahi wā, ka whakamahia ngā werohanga steroid. Waihoki, ki te toto te wai i roto i te kanohi (vitreous humor) ā, ka pōuri te tirohanga, ka mahia he pokanga e kiia nei ko te vitrectomy hei tango i te wai, hei whakakapi hoki ki tētahi wai mārama.
Ngā mea ka taea e koe te mahi hei tiaki i a koe anō
Haunga ngā maimoatanga e hoatu ana e tō tākuta ki a koe, he maha ngā mea ka taea e koe te mahi māu ake. Mā te mahi tika i ēnei mea ka āwhina i te ārai i te kino haere o te mate.
- Whakahaerehia tō mate huka: Koinei te mea nui rawa atu. Kia mau tonu te huka toto, te toto toto, me te cholesterol ki ngā taumata tino pai kua tohua e tō tākuta. Tangohia te rongoā kua tohua kia rite ki te mea kua tohua.
- He momo noho hauora: Kai i te kai taurite, whakahaere i tō taumaha, me te whakakori tinana i ia rā. Kōrero ki tō tākuta mō tēnei, ka whakatakoto i tētahi mahere e tika ana māu.
- Kaua e whakaroa i ngā whakamātautau kanohi: Kaua e whakaroa te tirotiro i ō kanohi nā te mea kei te whakaaro koe kāore he he. Ka hiahia tō tākuta ki te kite i a koe i ia wā, kia kite ai koe i te pai o te mahi a tō maimoatanga, me te tirotiro anō hoki mō ētahi atu raruraru.
- Whakaarohia tō hauora hinengaro: He mea noa te pōuri me te manukanuka ina pāngia koe e ngā raruraru tirohanga. Kōrerohia ō kare ā-roto ki tō whānau, ki tētahi hoa pono, ki tō tākuta rānei. Rapua he āwhina mai i tētahi kaitohutohu hauora hinengaro mēnā e tika ana.
Kia maumahara, he mate tiaki tirohanga te DME mēnā ka kitea wawetia, ā, ka rongoatia tika. Nō reira kaua e mataku, me anga atu ki te māia.
Karere Tangohia ki te Kāinga
- Mena he mate huka koe, ko te pupuri i te huka toto, te toto toto tiketike, me te taumata cholesterol kia kore e neke ake te kino ki te kanohi.
- Ahakoa kāore he tohu, kia tino tirotirohia ō kanohi (whakamātautau kanohi whānui) i te iti rawa kotahi i te tau.
- Ki te pāngia koe e ngā tohu pēnei i te tirohanga pōuri, te ahua hē, te tae memeha rānei, me toro atu ki te tākuta tonu.
- He tino whai hua ngā maimoatanga inaianei mō te DME (ngā werohanga Anti-VEGF, ngā taiaho). Mā te wawe o te tīmatanga o te maimoatanga, ka nui ake te tūponotanga kia ora tonu te tirohanga.
- Kāore koe i te mokemoke i tēnei haerenga. Rapua te tautoko a tō tākuta, tō whānau, me ō hoa.
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