He tini ngā mea hei whakahaere mā te tangata mate huka, tika? Te taumata huka toto, te toto toto tiketike, te cholesterol... I waenganui i ēnei mea katoa, ka wareware pea tātou ki te aro ki ō tātou kanohi. Engari he mea tino nui kia mōhio tātou ki ngā pānga o te mate huka ki ngā kanohi. Nā te mea ki te kite wawe tātou, ka taea e tātou te tiaki i tō tātou tirohanga utu nui.
He aha te Diabetic Macular Edema (DME)?
Ahakoa he ingoa uaua tēnei, kia mārama tātou ki te āhua o te take.
Ina pāngia koe e te mate huka, ka taea e ngā taumata huka toto tiketike te kino i ngā oko toto ngawari (ngā oko toto) i roto i ō kanohi i roto i te wā. Ka kiia tēnei mate ko te retinopathy mate huka .
Ka tīmata te turuturu o te wai mai i ēnei oko toto kua pakaru. Ka kohia tēnei wai ki te retina, te wāhanga o muri o te kanohi e aro ana ki te mārama. He wāhanga nui anō hoki kei waenganui o te retina e homai ana ki a tātou he tirohanga mārama, koi, e kiia nei ko te macula . Ka kohia te wai e turuturu ana ki te wāhi kei reira te macula, ā, ka pupuhi. Ka kiia tēnei pupuhi ko te Diabetic Macular Edema (DME) .
Whakaarohia, ina pupuhi te arotahi matua o te retina, he rite ki te kiriata i roto i te kāmera, ka pōuri te ahua e puta mai ana. He rite ki te titiro ki tētahi mea mā roto i tētahi karāhe wai.
Kei a koe ēnei āhuatanga?
Ko te mea tino mōrearea mō te DME ko te kore e whakaatu i ngā tohu i ētahi wā i ngā wāhanga tōmua. Koia te mea nui kia tirohia ngā kanohi o te hunga mate huka katoa i te iti rawa i te kotahi i te tau. Heoi, kia tūpato ki ēnei tohu:
- Te tirohanga pōuri: Ko ngā mea e tirohia tika ana e koe, pērā i te kanohi o tētahi, ngā tuhinga i roto i te pukapuka, ngā whakaahua rānei i runga i te pouaka whakaata, ka āhua pōuri.
- Te āhua miro: Ko ngā mea he rārangi tika (pērā i ngā anga matapihi me ngā anga tatau) ka āhua miro, ka totoro rānei.
- Ngā tae memeha: Ko ngā tae i ahua kanapa i mua kua ahua "meha" inaianei, kua memeha.
Ki te pā mai tētahi o ēnei tohu ki a koe, me toro atu ki tō tākuta tonu. Mā te wawe o te tīmatanga o te maimoatanga, ka nui ake te tūponotanga ka āraihia e koe te kino tuturu o te tirohanga.
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ina haere koe ki te tākuta, ka pātai atu ia ki a koe i ētahi pātai. Hei tauira, kei te pāngia koe e ētahi panonitanga o tō tirohanga, kei a koe te mate huka, he aha ō taumata huka toto me te A1c, te toto toto tiketike, me ngā taumata cholesterol?
Whai muri i tēnā, ka whakahaerehia he whakamātautau kanohi katoa, ko te nuinga o tēnei ko te whakauru i ētahi whakamātautau.
| Ingoa o te whakamātautau | He aha te mea e tupu noa ana? |
|---|---|
| Whakamātautau Tirohanga Matakite | Ko te whakamātautau pānui kua oti i a tātou katoa, arā, te tirotiro i te papa, ka pānui. Ka ine i te mārama o te tirohanga i ngā tawhiti rerekē. |
| Whakamātautau Kanohi Whānui | Ka tāpirihia he wai motuhake (he pata kanohi) ki roto i te kanohi hei whakanui i te kamo . Kātahi ka whakamahia he taputapu motuhake hei tirotiro i roto i te kanohi, hei tirotiro i te āhua o te retina, mēnā kei te turuturu te wai mai i ngā oko toto, me te mea kei te pupuhi. |
| Angiogram Fluorescein (FA) | Ka werohia he tae motuhake ki roto i te uaua o te ringa. I a tēnei tae e haere ana i roto i ngā oko toto i roto i te kanohi, ka tangohia ngā whakaahua mā te kāmera motuhake. Mā tēnei ka taea te tohu i te wāhi tika o ngā turuturu o ngā oko toto. |
| Tomography Whārite Whatu (OCT) | He rite tēnei ki te matawai whakawhiti-wāhanga o roto o te kanohi. Ka whakamahia he hihi mārama motuhake hei ine tika i te matotoru, te pupuhi, me te nui o te wai e kohia ana i roto i te retina me te sclera. |
I muri i ēnei whakamātautau, ka whakatauhia e te tākuta mēnā kei a koe te DME me tōna kaha.
He aha ngā maimoatanga mō tēnei?
Waimarie, he tino whai hua ngā maimoatanga mō te DME ināianei. Ko te whāinga matua o te maimoatanga he aukati i te turuturu o te wai mai i ngā oko toto me te whakaiti i te pupuhi.1. Ngā Werohanga Anti-VEGF
Koinei te maimoatanga tino noa, tino whai hua hoki e wātea ana. Tērā pea he āhua whakamataku te whakaaro ki te werohanga ki te kanohi, engari ka mahia mā te ngira tino angiangi me te rongoā whakangote. Nō reira, kāore e tino mamae.
Ka mahi ēnei werohanga mā te aukati i te tipu o ngā oko toto hou, ngoikore e turuturu ngāwari ana. Mā ēnei rongoā (hei tauira: Aflibercept, Bevacizumab, Ranibizumab, Faricimab) ka whakau i ngā oko toto, ka mutu hoki te turuturu o te wai. I te nuinga o te wā me maha ngā maimoatanga e hiahiatia ana, tata ki te kotahi i te marama.
2. Maimoatanga reera (Whakakorikori Reera)
I ētahi wā tino kino, ka whakamahia ngā hihi laser hei "hiri" hei tahu rānei i ngā oko toto e turuturu ana. Mā tēnei ka ārai i ngā kino atu anō.
3. Ngā Werohanga Steroid
Ka werohia ētahi tūroro ki te steroids hei whakahaere i te pupuhi.
4. Pokanga (Vitrectomy)
He onge noa iho tēnei mahi, inā koa mēnā he nui te toto e rere ana ki roto i te kanohi, ā, ka ngaro katoa te tirohanga. Ko te tikanga o tēnei ko te tango i te wai kapua i roto i te kanohi, ka whakakapia ki tētahi wai mārama.
Mā tō tākuta kanohi e whakatau ko tēhea te maimoatanga e pai ana māu.
Me pēhea koe e tiaki ai i a koe anō?
Haunga te maimoatanga e tukuna ana e tō tākuta, he mea tino nui anō hoki te tiaki i a koe anō hei whakahaere i tēnei mate.
- Te Whakahaere i te Mate Huka: Koinei te mea nui rawa atu . Kia mau tonu te huka toto, te toto toto, me te taumata cholesterol kia rite ki ngā tohutohu a tō tākuta. He mea nui te kai tika, te whakakori tinana, me te tango i ngā rongoā kua tohua.
- Kaua e whakarērea ngā whakamātautau kanohi: Ahakoa kāore he tohu, me tirotiro ō kanohi kia rite ki te wātaka kua tohua e tō tākuta. He mea nui anō hoki tēnei hei aroturuki i te angitu o ō maimoatanga.
- Mena he iti tō tirohanga, whakaarohia ngā taputapu āwhina: Ki te kore e ranea ngā mōhiti anake, kōrero ki tō tākuta mō ngā mea pēnei i ngā mōhiti whakanui.
He mea tino nui anō hoki te hauora hinengaro.
He mea noa te pōuri, te manukanuka, me te mataku ina pāngia koe e te raruraru tirohanga. Kāore koe e hiahia ki te whawhai ki ēnei kare ā-roto ko koe anake.
- Kōrerohia ō kare ā-roto: Kōrerohia tēnei ki tō whānau me ō hoa. Kōrerohia ō kare ā-roto ki tō tākuta.
- Rapua he tohutohu: Ki te tika, tonoa he āwhina mai i tētahi tohunga hauora hinengaro e mahi tahi ana me te hunga mate huka, te hunga tiro pōuri rānei, ki tō tākuta.
- Hono atu ki ngā rōpū tautoko: Ka tino kaha koe ina kōrero koe ki ētahi atu e pāngia ana e te āhuatanga kotahi ki a koe.
Karere Tangohia ki te Kāinga
- He pānga kino o te mate huka te Diabetic Macular Edema (DME), engari ki te kitea, ka rongoātia wawe, ka taea te pupuri i te tirohanga.
- Ki te pāngia koe e ngā tohu pēnei i te tirohanga pōuri, te hē o te ahua, te memeha rānei o te tae , me toro atu ki te tākuta tonu.
- Ko te mea nui rawa atu ka taea e koe ko te whakahaere pai i tō mate huka. Whakahaerehia tō huka toto, tō toto toto tiketike, me te cholesterol.
- Kaua rawa e wareware ki ngā whakamātautau kanohi me ngā maimoatanga kua tohua e tō tākuta.
- Kāore koe i te mokemoke i tēnei haerenga. Kei reira ngā tākuta, te whānau, me ngā rōpū tautoko hei āwhina i a koe. Ko te noho pai he wāhanga anō hoki o te maimoatanga.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero