Kuyesa kwa Matenda a Maso a Matenda a Shuga (DME) - Kodi izi ndi zoyenera kwa inu?

Ngati muli ndi matenda a shuga, mwina mumada nkhawa ndi thanzi la maso anu. Dokotala wanu mwina anakuuzani kuti matenda a shuga amakhudza maso anu, matenda otchedwa Diabetic Macular Edema (DME). Ndiye, pankhani yochiza vutoli, kodi munamvapo za 'kuyesa kuchipatala'? Kumva dzinali kungakhale koopsa pang'ono. Mwina mukuganiza kuti, "Kodi ndikuyesedwa?" Koma si chinthu choopa. Lero, tiyeni tikambirane za momwe lilili, ubwino wake, komanso ngati ndi loyenera kwa inu.

Mwachidule, kodi mayeso azachipatala ndi chiyani?

Ganizirani za mankhwala aliwonse omwe mumagula ku pharmacy. Kuyambira mankhwala a malungo ndi chifuwa mpaka mankhwala a matenda anu a shuga ndi kuthamanga kwa magazi, chilichonse chimayesedwa mwamphamvu chisanafike m'manja mwanu. Kuyesedwa kumeneko ndi komwe timatcha 'Clinical Trial'.

Mwachidule, iyi ndi njira yoyesera mankhwala atsopano musanawapatse anthu kuti aone ngati akugwiradi ntchito (yogwira ntchito) komanso ngati ndi otetezeka kugwiritsa ntchito (yotetezeka) . Izi zimachitika mwadongosolo kwambiri, motsogozedwa ndi madokotala ndi ofufuza. Pachifukwa ichi, gulu la odwala omwe amadzipereka kuti apatsidwe chithandizo chatsopanochi komanso momwe alili limayang'aniridwa mosamala kwambiri. Chifukwa chake izi sizili ngati kukhala "kanyama kakang'ono" konse. Izi zimachitika motsatira malamulo ovomerezeka, amakhalidwe abwino, komanso chitetezo cha odwala chili patsogolo.

Kodi ubwino wa mayeso azachipatala ndi wotani kwa munthu amene ali ndi DME?

Mwina mukuganiza kuti, "Chabwino, ndi zimenezo, koma n’chifukwa chiyani ndikuchita izi? Kodi phindu lake ndi lotani kwa ine?" Pali zabwino zingapo. Tiyeni tiwone.

Kodi zolinga za ofufuza ndi ziti?

Pali zolinga zazikulu zingapo za kafukufuku wamakono pa DME.

• Kuchepetsa kuchuluka kwa maulendo opita ku chipatala: Tangoganizirani momwe zingakhalire zosavuta ngati simunapite kuchipatala pafupipafupi kuti mukalandire jakisoni wa maso. Ofufuza akuyesera kupeza mankhwala omwe amakhala nthawi yayitali.
• Mapiritsi m'malo mwa jakisoni: Anthu ena amavutika kulowetsa jakisoni m'diso. Nanga bwanji ngati matendawa angathetsedwe ndi piritsi lomwe limatengedwa tsiku lililonse? Iyi ndi gawo lina lalikulu lofufuza.
• Kuonjezera mphamvu ya chithandizo: Cholinga china ndikupeza mankhwala abwino komanso ogwira mtima kuposa mankhwala omwe alipo kale.

Kodi mayeso azachipatala amagwira ntchito bwanji?

Mayeso awa akhoza kugawidwa m'mitundu iwiri ikuluikulu. Koma tiyeni tikambirane za mtundu wofala kwambiri. Umatchedwa `Interventional Trial`.

Izi zikuphatikizapo ofufuza kupereka chithandizo (monga mankhwala kapena jakisoni) ndikuphunzira zotsatira zake. Izi zitha kuchitika m'njira zosiyanasiyana.

Koma nthawi zambiri, njira yotchedwa 'Randomized Controlled Trial' imagwiritsidwa ntchito. Ngakhale kuti dzinali ndi lovuta pang'ono, lingaliro lake ndi losavuta.

Tangoganizani kuti anthu 100 anadzipereka pa mayeso awa.

1. Gawani m'magulu:Anthu 100 awa amagawidwa mwachisawawa m'magulu awiri a anthu 50 aliyense, popanda kusankha.

2. Kupereka chithandizo:

• Gulu loyamba (anthu 50): lidzapatsidwa chithandizo chomwe changoyesedwa kumene.
• Gulu lachiwiri (ena 50): lipitiliza kulandira chithandizo chabwino kwambiri, chokhazikika chomwe chikugwiritsidwa ntchito pakali pano pa DME. Gulu ili limatchedwa `Control Group`.

3. Kuyerekeza: Pakapita nthawi inayake, zotsatira za magulu onse awiri zimayerekezeredwa. Kodi chithandizo chatsopano chili bwino bwanji kuposa chithandizo chakale? Kodi chili ndi zotsatirapo zochepa? Kodi ndi chotetezeka? Chilichonse chikhoza kuyezedwa molondola kudzera mu izi.

Kodi ndingachite bwanji zinthu ngati zimenezi?

Funso lofunika kwambiri ndi ili. Ngati mukufuna kudziwa zambiri, choyamba komanso chofunikira kwambiri chomwe muyenera kuchita ndikulankhula ndi dokotala wa maso kapena dokotala wa matenda a shuga amene akukuthandizani.

• Dokotala wanu amadziwa bwino matenda anu komanso mbiri yanu ya thanzi, kotero angakupatseni upangiri wabwino kwambiri ngati kuli koyenera kuti muchite nawo mayeso otere kapena ayi.
• Kafukufuku woterewu amachitika nthawi zonse m'zipatala zazikulu za boma ku Sri Lanka, makamaka zomwe zimagwirizana ndi masukulu azachipatala. Dokotala wanu adzatha kudziwa ngati pali mayeso omwe akuchitidwa omwe akuyenererani ndipo adzakutumizirani kuti mukayesedwe.
• Musapange zisankho zotere nokha popanda kufunsa dokotala wanu.

Musanatenge nawo mbali, gulu lomwe likuyang'anira kafukufukuyu lidzakufotokozerani zonse (zomwe zidzachitike, zoopsa zomwe zingachitike, ndi ubwino wake). Chilolezo chanu cholembedwa chidzapezeka pokhapokha mutafunsa mafunso aliwonse ndipo mwakhutira mokwanira. Komanso, ngati simukumva bwino nthawi iliyonse panthawi ya kafukufukuyu, muli ndi ufulu wonse wochoka.