Kodi matenda a shuga amachititsa kuti maso asaone bwino? Tiyeni tikambirane za matenda a shuga otchedwa Diabetic Macular Edema (DME)!

Pali zinthu zambiri zoti munthu wodwala matenda a shuga azitha kuchita, sichoncho? Kuchuluka kwa shuga m'magazi, kuthamanga kwa magazi, cholesterol ... Pakati pa zonsezi, nthawi zina timatha kuiwala kuyang'ana maso athu. Koma ndikofunikira kwambiri kuti tidziwe zotsatira zomwe matenda a shuga angayambitse m'maso. Chifukwa ngati tizindikira msanga, tingateteze maso athu amtengo wapatali.

Mwachidule, kodi matenda a shuga otchedwa Diabetic Macular Edema (DME) ndi chiyani?

Ngakhale kuti dzinali ndi lovuta pang'ono, tiyeni timvetse zomwe zikuchitika.

Mukakhala ndi matenda a shuga, shuga wambiri m'magazi pakapita nthawi ukhoza kuwononga mitsempha yamagazi yofooka (mitsempha yamagazi) yomwe ili m'maso mwanu. Matendawa amatchedwa diabetesic retinopathy .

Madzi amayamba kutuluka m'mitsempha yamagazi yowonongekayi. Madzi awa amasonkhana pa retina, gawo lakumbuyo kwa diso lomwe limaona kuwala. Retina ilinso ndi gawo lofunika kwambiri pakati lomwe limatipatsa masomphenya omveka bwino komanso akuthwa, lotchedwa macula . Madzi otuluka amasonkhana pamalo omwe macula ili ndipo amachititsa kuti itupa. Kutupa kumeneku kumatchedwa Diabetic Macular Edema (DME) .

Tangoganizirani, pamene lenzi, yomwe ndi malo ofunikira kwambiri a retina, yomwe ili ngati filimu yomwe ili mu kamera, ikutupa, chithunzi chomwe timapeza chimakhala chosawoneka bwino. Zili ngati kuyang'ana chinthu kudzera mu kapu yamadzi.

Kodi muli ndi makhalidwe amenewa?

Choopsa kwambiri pa matenda a shuga ndichakuti nthawi zina sasonyeza zizindikiro zilizonse kumayambiriro kwa matendawa. Ichi ndichifukwa chake ndikofunikira kuti aliyense amene ali ndi matenda a shuga azipimidwa maso osachepera kamodzi pachaka. Komabe, samalani ndi zizindikiro izi:

• Kuona molakwika: Zinthu zomwe mumaziona mwachindunji, monga nkhope ya munthu, mawu m'buku, kapena zithunzi pa TV, zimaoneka zosawoneka bwino.
• Mawonekedwe a makwinya: Zinthu zokhala ndi mizere yowongoka (monga mafelemu a mawindo ndi mafelemu a zitseko) zingawoneke ngati zakwinya kapena zotambasuka.
• Mitundu yotha: Mitundu yomwe kale inkaoneka yowala tsopano ikuwoneka "yotha," yotha.

Kodi dokotala amazindikira bwanji matendawa?

Mukapita kwa dokotala, adzakufunsani mafunso angapo. Mwachitsanzo, kodi mukukumana ndi kusintha kulikonse m'maso mwanu, kodi muli ndi matenda a shuga, kodi shuga m'magazi mwanu ndi milingo ya A1c, kuthamanga kwa magazi, ndi milingo ya cholesterol m'magazi mwanu?

Pambuyo pake, kuyezetsa maso kwathunthu kumachitika, komwe kumaphatikizapo mayeso angapo.

Pambuyo pa mayeso awa, dokotala adzadziwa ngati muli ndi DME komanso momwe ilili yoopsa.

Kodi mankhwala ochizira izi ndi otani?

Mwamwayi, tsopano pali mankhwala othandiza kwambiri a DME. Cholinga chachikulu cha chithandizo ndikuletsa kutuluka kwa madzi m'mitsempha yamagazi ndikuchepetsa kutupa.

1. Jakisoni Woletsa Kudya kwa Veg

Uwu ndiye mankhwala ofala komanso ogwira mtima kwambiri omwe alipo. Zingakhale zoopsa pang'ono kuganiza zolandira jakisoni m'diso, koma zimachitika ndi singano yopyapyala kwambiri, yomwe imachititsa dzanzi diso lonse. Choncho silikumva kupweteka kwambiri.

Jakisoni imeneyi imagwira ntchito poletsa kukula kwa mitsempha yatsopano yofooka yamagazi yomwe imatuluka mosavuta. Mankhwalawa (zitsanzo: Aflibercept, Bevacizumab, Ranibizumab, Faricimab) amalimbitsa mitsempha yamagazi ndikuletsa kutuluka kwa madzi. Nthawi zambiri mumafunika kulandira chithandizo kangapo, nthawi zambiri kamodzi pamwezi.

2. Chithandizo cha laser (Laser Photocoagulation)

Nthawi zina zoopsa, kuwala kwa laser kumagwiritsidwa ntchito "kutseka" kapena kuwotcha mitsempha yamagazi yomwe ikutuluka. Izi zimaletsa kuwonongeka kwina.

3. Jakisoni wa Steroid

Odwala ena amapatsidwa jakisoni wa steroid kuti achepetse kutupa.

4. Opaleshoni (Vitrectomy)

Izi nthawi zambiri zimachitika kawirikawiri, makamaka ngati pali kutuluka magazi ambiri m'diso ndipo maso sakuona bwino. Izi zimaphatikizapo kuchotsa madzi amtambo omwe ali mkati mwa diso ndikuyikamo mankhwala omveka bwino.

Dokotala wanu wa maso adzasankha chithandizo chomwe chili chabwino kwa inu.

Kodi muyenera kudzisamalira bwanji?

Kuwonjezera pa chithandizo chomwe dokotala wanu amapereka, kudzisamalira nokha n'kofunika kwambiri polimbana ndi matendawa.

• Lamulirani Matenda a Shuga: Ichi ndiye chinthu chofunikira kwambiri . Sungani shuga m'magazi mwanu, kuthamanga kwa magazi, ndi cholesterol m'thupi lanu motsatira malangizo a dokotala wanu. Zakudya zoyenera, masewera olimbitsa thupi, komanso kumwa mankhwala olembedwa ndi dokotala ndizofunikira.
• Musalumphe mayeso a maso: Ngakhale mutakhala kuti mulibe zizindikiro, pitani kukayezetsa maso anu malinga ndi nthawi yomwe dokotala wanu akulangiza. Izi ndizofunikiranso kuti muwone ngati chithandizo chanu chapambana.
• Ngati muli ndi vuto la maso, ganizirani zipangizo zothandizira: Ngati magalasi okha sakwanira, lankhulani ndi dokotala wanu za zinthu monga magalasi okulitsira.

Thanzi la maganizo nalonso ndi lofunika kwambiri.

Ndi zachilendo kumva chisoni, nkhawa, komanso mantha mukakhala ndi vuto la masomphenya. Simuyenera kulimbana ndi malingaliro amenewa nokha.

• Kambiranani za momwe mukumvera: Kambiranani za izi ndi banja lanu komanso anzanu. Uzani dokotala wanu momwe mukumvera.
• Funsani uphungu: Ngati kuli kofunikira, funsani dokotala wanu kuti akuthandizeni ndi katswiri wa zamaganizo amene amagwira ntchito ndi anthu odwala matenda a shuga kapena ofooka maso.
• Lowani m'magulu othandizira: Mudzamva mphamvu zambiri mukalankhula ndi ena omwe akukumana ndi vuto lomwelo ngati lanu.

Kusamalira Maso a Shuga, Chithandizo cha DME, Matenda a Shuga ndi Maso, Kuwonongeka kwa Macular, Laser ya Maso, Retina, Kuyezetsa Maso