Te Pānga o te Mate Huka ki ngā Kanohi (Diabetic Retinopathy) - Kia Mōhio Tātou mō ēnei Take

Mena he mate huka tōu, me tino tiaki koe i ō kanohi. Ka taea e te mate huka te kino i ō kanohi. Ka kiia tēnei ko te retinopathy diabetic. He whakarāpopototanga noa iho, koinei te wā e kino ai ngā oko toto ngawari i te wāhanga tairongo o te kanohi e kiia nei ko te retina i roto i te wā roa, nā te nui o te huka toto. I roto i te wā, ka arahi pea tēnei ki te ngaronga o te tirohanga, tae atu ki te matapo. Nō reira, he mea nui kia mōhio koe ki tēnei.

Ko te mea pai rawa atu ko te ārai i tēnei mate kei puta, kei whakaroa rānei i tōna whanaketanga. Ehara i te mea ka pāngia te katoa e te mate huka. Engari tata ki te haurua o te hunga e pāngia ana e te mate huka ka pāngia e tēnei mate. Ko te raruraru nui ko te korenga o ngā tohu i ngā wāhanga tōmua. Nō reira, kāore pea koe e mōhio kei a koe te mate.

Ngā wāhanga e whā o te retinopathy mate huka

E whā ngā wāhanga matua o te whanaketanga o te Diabetic Retinopathy. Me matapaki poto tātou i ia wāhanga. Ka māmā ake te mārama ki ēnei mōhiohio i roto i tētahi ripanga.

Kia tirohia tēnei wāhanga me ētahi atu taipitopito.

Ngā Wāhanga 1 me te 2 (Retinopathy Ngāwari me te Retinopathy Waenga)

I ngā wāhanga tōmua, kāore pea koe e kite i tētahi huringa. Engari kua tīmata kē te kino ki roto i te kanohi. I te wāhanga tuarua, ka pupuhi ngā oko toto, ka puta he mate e kiia nei ko te Diabetic Macular Edema (DME) . Koinei te wā e kohia ai te toto me te wai ki te wāhanga o te kanohi e kiia nei ko te macula. Kia mahara, ko te macula te mea e āwhina ana i a tātou ki te kite mārama, pērā i te pānui pukapuka, te taraiwa, me te mōhio ki te tangata. Ina pupuhi, ka tīmata te pōuri o tō tirohanga.

Ngā Wāhanga Tuatoru me te Tuawhā (Retinopathy Nui me te Pūtake)

Ina tae ki te wāhanga tuatoru, he ahua kino ake te āhua. He maha ngā oko toto kua āraia. Ko te tikanga tēnei kāore te retina e whiwhi i te hāora me ngā matūkai e hiahiatia ana e ia. I taua wā, ka tukuna e te retina he tohu ki te roro, e mea ana, "Kāore i te nui ōku toto, hangaia he oko toto hou."

I te wāhanga tuawhā, arā, te wāhanga tino kino rawa atu (PDR), ko ēnei uaua toto hou te raruraru. He ngoikore pērā i ngā rau, ā, he ngāwari te whati. Ka pakū, ka toto ki roto i te kanohi. Ka puta he whara, ā, i te mea ka mimiti te whara, ka taea e te retina te wehe atu i te tuara o te kanohi. Ka kiia tēnei ko te wehenga retina . Ki te tupu tēnei, ka ngaro pea tō tirohanga mō ake tonu atu.

Me pēhea taku mōhio kei tehea taumata ahau?

Kāore e taea e koe te whakatau i tēnei mea ko koe anake. Mō tēnei, me tirotirohia ō kanohi e te tohunga. Ka taea e te tākuta te mahi i ētahi whakamātautau hei tātaritanga tika i tō mate:

• Whakamātautau kanohi whānui: Ka tirohia te pai o tō tirohanga i ngā tawhiti rerekē.
• Te ine i te pēhanga o roto i te kanohi: Ka ine tēnei i te pēhanga o roto i te kanohi.
• Te Whakawhanui i te Ātaahua: Ko te whakamahi i ngā pata kanohi hei whakawhanui i te ātaahua , me te tirotiro i te roto o tō kanohi me tētahi taputapu motuhake. Koinei te huarahi pai ki te kite mēnā he kino kei ngā oko toto i roto i tō retina.
• Matawai OCT (Optical Coherence Tomography): He rite tēnei ki te tango pikitia o roto o te kanohi. Ka whakamahia ngā ngaru mārama hei tango pikitia o te wāhanga whakawhiti o te retina hei tirotiro mō ngā āhuatanga pēnei i te DME.
• Angiogram Fluorescein: Ko te werohanga i tētahi tae motuhake ki roto i tētahi uaua i tō ringaringa. I te haere o te tae me te toto ki tō kanohi, ka whakamahia e tō tākuta tētahi kāmera motuhake hei tango pikitia o ngā oko toto i roto i tō kanohi. Mā tēnei ka taea e rātou te kite mārama mēnā he toto e turuturu ana mai i ngā oko toto, mēnā rānei kua āraia.

I muri i ēnei whakamātautau, ka whakamārama atu te tākuta ki a koe kei tehea taumata koe.

He aha ngā maimoatanga mō tēnei?

I te nuinga o te wā, i ngā wāhanga tōmua, ka aroturukihia tō āhua e tō tākuta. Ko te mea nui ko te pupuri i tō mate huka, tō toto toto tiketike, me tō taumata cholesterol kia pai te whakahaere.

Mena ka kino haere te āhua, ka puta rānei te DME, me whai maimoatanga pea.

• Werohanga kanohi: Ka tukuna ngā werohanga ki roto i te kanohi hei aukati i te tipu o ngā uaua toto hou kāore i te rite.
• Pokanga Reera: Ka whakamahia ngā hihi reera hei hiri i ngā oko toto e toto ana, hei whakahaere hoki i te hanganga o ngā oko toto hou.
• Ngā Rongoā Steroid: Ka whakahaerea te pupuhi mā te werohanga steroid, mā te whakamahi rānei i ngā taputapu iti (ngā mea tāpiri) ka whakanohoia ki roto i te kanohi.

I ētahi wā, ka hiahiatia pea he maha atu i te kotahi o ēnei maimoatanga i te wā kotahi. Kia maumahara, mā tō tākuta e whakatau ko tēhea maimoatanga te mea pai mōu. Nō reira, kia tuwhera, kia pono hoki ki tō tākuta mō ngā mea katoa.