Ka pāngia ō kanohi e te mate huka? (Retinopathy e pā ana ki te mate huka) Me ako tātou mō tēnei.

He mate huka tōu? He mate huka rānei tō tētahi e mōhio ana koe? He mea nui rawa atu ki a koe taku e kōrero nei. He mate te mate huka e piki ake ai te taumata huka toto i roto i te tinana. Ka taea e tēnei te kino ki ō tātou kanohi i ngā huarahi ohorere. Ko te ingoa o taua kino ko te `(Diabetes-Related Retinopathy)`, arā, ko te mate retina e pā ana ki te mate huka. Me kōrero taipitopito tātou mō tēnei i tēnei rā, āe?

He aha te Retinopathy e pā ana ki te mate huka?

Ki te kī ngāwari, ko te tikanga o te `(Retinopathy e pā ana ki te mate huka)` ka ngoikore te mate huka, ka kino hoki ngā oko toto i roto i te retina i roto i ō kanohi. Whakaarohia he rite ki te kāmera. He rite te mahi a te retina ki te kiriata i roto i tēnei kāmera. I konei ka kitea ngā whakaahua ina taka te mārama. Nō reira, ina pakaru ēnei oko toto iti e tuku toto ana ki te retina nā te mate huka, ka mutu te mahi tika a te retina. Ka taea e tēnei te arahi ki te tirohanga ngoikore, te tirohanga pōuri, ā, i te mutunga, tae noa ki te matapo .

Ehara i te mea ka pāngia te katoa e te mate huka. Ā, he mea anō tā tātou e taea ai te mahi hei whakaroa i tōna tīmatanga, hei whakaiti rānei i tōna pānga mēnā ka pā mai. Nō reira kaua e mataku, kei te pai? Me kōrero anō hoki tātou mō tēnā.

E rua ngā wāhanga o tēnei mate.

Kāore te '(Retinopathy e pā ana ki te mate huka)' e kino haere i te wā kotahi. E rua ngā wāhanga matua.

1. Wāhanga tōmua: Retinopathy e pā ana ki te mate huka kore-whakatipu (NPDR)

Koinei te wāhanga tōmua o te mate. I tēnei wāhanga, ka tīmata te turuturu toto mai i ngā oko toto i roto i te retina. Whakaarohia he rite ki te paipa wai pakaru. Ka taea e tēnei kino te ārai i ētahi o ngā oko toto. Ka puta tēnei i te wā e ngana ana te tinana ki te whakatika i te kino. Tērā pea kāore he tohu nui e pā mai ana i tēnei wāhanga.

2. Kēhi kino: Te retinopathy e pā ana ki te mate huka e horapa ana (PDR)

Ka neke haere te NPDR ki te wāhanga e kiia nei ko te PDR ina kaha haere ngā oko toto kua pakaru. Koinei te wā ka tīmata te hanga o ngā oko toto hou, engari he ngoikore, hei whakakapi i ngā mea kua pakaru. Ka hangaia ēnei oko toto hou hei ngana ki te whakanui ake i te rere o te toto ki te retina. Heoi, he tino ngoikore ēnei oko toto hou, ā, ka tere te pakaru me te toto. Ka kohia pea tēnei toto ki roto i te matū rite ki te tiēre i roto i te kanohi e kiia nei ko te vitreous. Nā te mea ka hangaia ēnei oko toto hou ki te mata o te retina, i roto i te wā ka piri te tiēre ki ēnei oko toto, ā, ka taea e te retina te wehe (te retina wetewete) . Ki te tupu tēnei, he nui te tūponotanga o te matapo.

He aha ngā tohu o tēnei mate?

I ngā wāhanga tōmua o te Retinopathy e pā ana ki te mate huka, tērā pea kāore koe e kite i tētahi tohu. Koinei te wāhanga whakamataku. Tērā pea kāore koe e kite i tētahi huringa o tō tirohanga kia nui rawa atu rā anō te kino. Heoi, ina tīmata te puta mai o ngā tohu, ka uru atu ēnei ki:

• Te tirohanga pōuri, te tirohanga hē rānei: Me te mea kei te titiro koe i roto i te kohu, me te mea rānei kei te totoro haere ngā mea.
• Ngā panonitanga o te tirohanga tae: Ko ngā tae i kitea mārama i mua, tērā pea ka memeha, ka kore rānei e tino kanapa. Tērā pea ka pāngia koe e te matapo tae hou.
• Matapo pō (nyctalopia): Ka tino heke te tirohanga i te pō.
• Ngā kanohi e mānu ana (myodesopsias): Ko te ahua o te kitenga i ngā ira pango iti, i ngā miro rānei e mānu ana i mua i ngā kanohi.
• Ngā ira matapo (scotomas): Kāore e kitea ētahi wāhanga o te mea e kitea ana e koe.
• Ngā hapa o te tirohanga: Ka iti haere te tirohanga o te wāhi e karapoti ana.
• Te ngoikore o te tirohanga, ā, ka ngaro te tirohanga i te mutunga.

Mena kei a koe tētahi o ēnei tohu, me toro atu koe ki tētahi tākuta kanohi tonu .

He aha i puta ai tēnei āhuatanga?

Ko te mate huka te tino take. Ka taea tēnei mate te puta mai i ngā momo mate huka rerekē.

• Mate huka momo 1 `(Mati huka momo 1)`
• Mate huka momo 2 `(Mati huka momo 2)`
• Mate huka momo 3c `(Mati huka momo 3c)`
• Mate huka hāputanga

He mate te mate huka e tīmata ana ina noho teitei tonu ō taumata huka toto mō te wā roa . Ina nui haere te huka, ka kino ngā pakitara o roto o ngā uaua toto puta noa i tō tinana. Ka pāngia hoki ngā uaua toto ngawari o ō kanohi.

Ka ngana ngā oko toto kua pakaru ki te whakatika i a rātou anō, me te kimi huarahi kē atu hei pupuri i te rere o te toto. Nō reira, ka puta ake aua oko toto ngoikore, hou i kōrerotia e au i mua ake nei ki te mata o te retina. Ka taea e ēnei te pakaru me te toto ki roto i te matū rite ki te tiēre i roto i te kanohi (vitreous). Waihoki, ka taea e te wai te turuturu mai i ngā oko toto kua pakaru, ka pupuhi te wāhanga pokapū o te retina, te wāhanga e kite mārama ai tātou, e wehewehe ai hoki i ngā tae (macula). Ka kiia tēnei ko te edema macular . Kātahi ka pōuri te tirohanga.

He aha ngā āhuatanga mōrearea?

He maha atu anō ngā āhuatanga mōrearea ka pā ki te whanaketanga o te `(Retinopathy e pā ana ki te mate huka)`.

• Te mate huka uaua ki te whakahaere: Ka nui ake te mōrearea mena he teitei tonu te taumata huka toto.
• Te toto toto tiketike (te toto toto tiketike)
• Te taumata cholesterol teitei i roto i te toto (hyperlipidemia)
• Ngā mate e pā ana ki te ngākau pērā i te mate ngākau me te mate pūkahukahu
• Te mate tākihi mau tonu me te ngoikore o te tākihi

Mena kei te kitea ēnei āhuatanga, ka nui ake te mōrearea o te kino o ngā kanohi ina honoa ki te mate huka.

Ngā raruraru pea o tēnei mate

Ki te kore e tika te whakahaere i te Retinopathy e pā ana ki te mate huka, ka puta ake pea ētahi atu raruraru.

• Te edema macular e pā ana ki te mate huka (te pupuhi i waenganui o te retina i puta mai i te mate huka)
• Ngā wehenga o te retina
• Te toto ki roto i te wāhanga rite ki te tiēre o te kanohi (te toto vitreous)
• Glaucoma (te pikinga o te pēhanga kanohi)
• Te whakahekenga o te rere o te toto ki te wāhanga o te retina e whakarato ana i te tae me te tirohanga koi (macular ischemia)

Ā tōna wā, ka mutu te mahi tika a ngā pūtau e kite ana i te mārama i roto i te kanohi, e kiia nei ko ngā photoreceptors, nā ēnei raruraru. Ka taea e tēnei te arahi ki te ngaronga tirohanga tuturu me te matapo.

Me pēhea te tautuhi i tēnei mate?

E ai ki taku kōrero i mua, he maha ngā huringa o te kanohi i puta mai i te `(Retinopathy e pā ana ki te mate huka)` kāore e whakaatu i ngā tohu i ngā wāhanga tōmua. Heoi, ka taea e te tākuta kanohi te kite wawe i ēnei huringa. Ka mahia tēnei mā te whakamahi i ngā taputapu motuhake me te whakamahi rongoā hei whakawhanui i te kanohi. Ka kiia hoki tēnei ko te `(whakamātautau kanohi whakawhanui)` .

I tēnei whakamātautau, ka kitea pea e te tākuta ngā mea penei:

• Ngā ira huruhuru miro i roto i te kanohi
• Ngā toto toto o te retina
• Ngā oko toto iti e pupuhi ana, e pakū ana (microaneurysms)
• Te hanganga o ngā oko toto hou i roto i te kanohi (te hanganga o ngā oko toto hou i roto i te kanohi)
• Te pupuhi o te taha waenga o te retina (edema macular)
• Ngā putunga ngako i roto i te retina (ngā waikura retina)
• Ngā oko toto āhua rerekē i roto i te retina
• Te toto e rere ana ki roto i te mea rite ki te tiēre i roto i te kanohi (te toto vitreous)

Nō reira, ki te mea he mate huka tōu, ahakoa kāore he tohu, he mea tino nui kia tirohia ō kanohi e te tākuta kanohi i te iti rawa kotahi i te tau.

Me pēhea te rongoā i te `(Retinopathy e pā ana ki te mate huka)`?

Koinei te wāhanga tino nui. Ko te `(Retinopathy e pā ana ki te mate huka)` he mate ka taea te rongoā, engari kāore e taea te whakaora katoa . Ka taea te rongoā i ētahi o ngā tohu me ngā huringa o te retina. Heoi, ina tino kino te kino, kāore e taea te whakakore i ētahi mea.

E rua ngā kōwhiringa maimoatanga matua: te whakahaere i tō mate huka me te rongoā i ō kanohi.

1. Te whakahaere i tō mate huka

Kua mārama te whakaatu a ngā rangahau, ko te teitei ake o te taumata huka toto me te hemoglobin A1C, ka nui ake te tūponotanga ki te whakawhanake i te Diabetes-Retinopathy . Nō reira, he mea nui te whakahaere i ō taumata huka toto – arā, kia iti, kia pumau – hei whakaroa i te tīmatanga o tēnei mate me te whakaiti i tōna kaha.

Hei whakahaere i te mate huka, me mahi e koe ēnei mea:

• Te tirotiro i ō taumata huka toto i ia wā:Ka taea tēnei mā te whakamātautau i te huka toto mā te whakamahi i te taputapu matimati, mā te aroturuki tonu rānei i te huka toto.
• Kia tūpato ki tāu e kai ana: Ka pā tika te mea e kainga ana e koe ki ō taumata huka toto me ō uara A1C.
• Te tango tika i ō rongoā kua tohua: Tangohia te rongoā mate huka kia rite ki tā te tākuta i tohutohu ai. Mā tēnei ka noho tonu te taumata huka o tō toto ki roto i te awhe kua tohua.
• Te tirotiro i tō hauora i ia wā: He mea nui tēnei kia mōhio koe ki tō hauora whānui. Ka taea e koe te kite i ngā huringa i mua i te puta mai o ngā tohu.
• Te tirotiro i ngā kanohi i ia wā e ai ki te taunakitanga: He mea nui tēnei mēnā he mate huka tōu, he mate huka rānei. Ka taea te tīmata i te maimoatanga i mua i te pumau o te kino.
• Te pupuri i te taumaha hauora e tika ana mōu: Ka āwhina anō hoki tēnei ki te whakahaere i te mate huka. Mā tō tākuta whānau koe e ārahi ki tēnei.

2. Ngā maimoatanga kanohi

Ko te whāinga o te maimoatanga kanohi he whakahaere i te tirohanga me ngā tohu o te kanohi, me te whakawhāiti, te whakaiti rānei i te kino o te retina. Ko ētahi maimoatanga motuhake mō te Retinopathy e pā ana ki te mate huka ko:

• Ngā Rongoā: Hei tauira, ka whakamahia ngā rongoā anti-vascular endothelial growth factor (anti-VEGF) me ngā corticosteroids. Ka werohia ēnei ki roto i te kanohi. Ma tō tākuta kanohi e whakamārama ētahi atu kōwhiringa rongoā.
• Pokanga reera: I roto i ngā tikanga pēnei i te whakapūngao reera , ka whakamahia e te tohunga kanohi he reera hei rongoā i tō retina. Ka taea e tēnei te aukati i te tipu o ngā oko toto hou, rerekē, te whakaiti i a rātou, te aukati rānei i te turuturu o te toto. Heoi, i ētahi wā ka ngaro te tirohanga pō, te tirohanga taha rānei.
• Ngā pokanga kanohi: Mena kua motuhia tō retina (te wehenga o te retina), mena kua kohia te toto ki roto i te kanohi (te toto o te vitreous) ā, kāore e rere, mena rānei he kino kino kē atu ki te retina, ka tūtohu pea tō tākuta i tētahi pokanga e kiia nei ko te vitrectomy .

Āhea ahau me toro atu ki taku tākuta?

Mena he mate huka tōu, kua tāpaetia rānei koe he mate Retinopathy e pā ana ki te mate huka, he mea tino nui kia toro atu koe ki tētahi tohunga kanohi i ia wā, i ia wā. Māna koe e kī atu ki te auau o tō haerenga mai ki te tirotiro kanohi. Mā te whai i tēnei kaupapa ka āwhina i a koe ki te tautuhi i ngā huringa nui i mua i te kino haere.

Me toro atu hoki ki te tākuta tonu mēnā ka kite koe i tētahi o ēnei huringa ātaahua o te tirohanga :

• Te ngoikore o te tirohanga, te kore rānei e kite pai pērā i mua.
• Te tirohanga pōuri, te tirohanga hē rānei.
• Mena he pouri, he memeha, he rerekē rānei te āhua o ētahi wāhanga o ngā mea e tirohia ana e koe i tō mua.

Heoi, ki te pāngia koe e ngā panonitanga tirohanga ohorere pēnei i ēnei, me haere tonu koe ki te hōhipera tata, ki te rūma whawhati tata rānei:

• Te mamae nui o te kanohi.
• Te ngaronga ohorere o te tirohanga, te ngaronga nui rānei o te tirohanga.

He aha te momo āpōpō ka taea e te tangata e pāngia ana e te `(Retinopathy e pā ana ki te mate huka)` te tumanako?

He mate pumau te Retinopathy e pā ana ki te mate huka, mō te wā katoa. Kāore he rongoā mōna. Heoi, ka taea e koe te mahi i ngā mahi hei whakahaere me te whakawhāiti i te ngaronga o te tirohanga.

He nui ake te tūponotanga ka pāngia te hunga mate huka e tēnei mate, engari kāore e pāngia te katoa e te mate huka. Heoi anō, ka pā nui pea ki tō oranga, nō reira he mea nui kia mahia ngā mea katoa hei ārai, hei whakaroa rānei i tēnei mate.

Ki te kitea wawetia e koe te mate, ā, ka whiwhi maimoatanga i te wā tika, ka taea e koe te ārai i te ngaronga o te tirohanga, me te whakaroa i te haere whakamua o te mate. Ahakoa i muri i te maimoatanga, ki te whakahaere pai koe i tō mate huka, ā, kia mau tonu ō taumata huka toto ki roto i ngā taumata i tūtohutia e ō tākuta, ko te tūponotanga pai rawa atu kei a koe te whakawhāiti i ngā pānga o tēnei mate.

Engari, ka pāngia ētahi tāngata e ngā raruraru kino. Heoi anō, he huarahi hei whakaroa i aua raruraru i te mea ka taea, me te whakahaere i ngā panoni tirohanga i puta mai i te mate huka.

Ka taea te ārai i te Retinopathy e pā ana ki te mate huka?

Ae, mā te whakahaere i ō taumata huka toto me te pupuri i te taumata hemoglobin A1C iti ka āwhina i te ārai i te Retinopathy e pā ana ki te Mate Huka. Ina mahi koe i ēnei mea, ka hoki whakamuri te retinopathy i ētahi wā.

Ehara i te mea ko te katoa he mate huka tēnei, engari ko te hunga kāore e taea te whakahaere i ngā taumata huka toto, me te hunga kua roa e pangia ana e te mate huka, ka nui ake te tūponotanga ka pāngia e te "Retinopathy e pā ana ki te mate huka".

Ahakoa kāore koe i te mate huka, ki te mea he nui te tūponotanga ki te pāngia koe e te mate huka (hei tauira, ki te mea he mate huka tōu), ka taea e koe te mahi i mua i te tautuhi i a koe he mate huka koe. Mā te mahi wawe ka ārai, ka whakaroa rānei i te whanaketanga o te mate huka. Ka pā hoki ki te whanaketanga o te retinopathy e pā ana ki te mate huka.

Mā ngā whakamātautau kanohi koe e āwhina ki te tautuhi i ngā tohu tōmua o te Retinopathy e pā ana ki te mate huka i mua noa atu i tō kitenga i ngā tohu. Mena kei te pāngia tētahi o tō whānau e te mate huka, inā koa ō mātua, ō tuākana, tuākana rānei, ō tamariki rānei, he nui ake te tūponotanga ka pāngia koe e te mate huka. Koia te mea nui kia tirohia tonutia ō kanohi.

Ahakoa te pai o tō whakahaere i tō mate huka, i ētahi wā, kāore pea e ranea hei ārai i te whanaketanga o te "Retinopathy e pā ana ki te mate huka". Heoi, he mea nui tonu te whakahaere i tō mate huka, te tirotiro kanohi i ia wā, me te tiaki i ō kanohi. Ka taea e ēnei te āwhina ki te tiaki i tō tirohanga.

Ka taea e tō tākuta mate huka te ārahi i a koe mō tēnei mea, me te tuku atu hoki i a koe ki tētahi tohunga kanohi. Mā te tiaki me te tautoko auau, he maha ngā mea ka taea e koe te mahi hei tiaki i tō tirohanga utu nui.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, anei ētahi mea hei maumahara māu mai i ngā mea kua kōrerohia e tātou:

• Ki te mea he mate huka tōu, kia tino tiakina ō kanohi. He mate kino pea te Retinopathy e pā ana ki te mate huka.
• Kia mau tonu te huka toto me te taumata o te hemoglobin A1C. Koinei te mea tino nui.
• Ahakoa kāore he tohu, me tirotirohia ō kanohi e te tākuta kanohi i te iti rawa kotahi i te tau (whakamātautau kanohi whānui). He māmā ake te rongoā i te kitenga wawe.
• Ki te kite koe i ētahi panonitanga o tō tirohanga (te pōuri, te ira pango, te rerekētanga o te tae), me toro atu ki te tākuta tonu.
• Ki te kai paipa koe, kati. Ka taea hoki e te kai paipa te whakararu i tēnei āhuatanga.
• Whakahaerehia ngā mea pēnei i te toto toto tiketike me te cholesterol.

Kia maumahara, kāore koe i te mokemoke. Kei reira ngā tākuta me ngā mema o te whānau hei āwhina i a koe. Ki te kore koe e mataku, ki te whiwhi i te maimoatanga tika, me te noho i tētahi oranga hauora, ka taea e koe te tiaki i ō kanohi.

` Mate huka, te kino o te kanohi i te mate huka, te retinopathy, te hauora o te kanohi, te tiaki tirohanga, te maimoatanga mate huka, ngā whakamātautau kanohi