Ngati muli ndi matenda a shuga, mwina mukudziwa kuti muyenera kusamala kwambiri maso anu. Koma n’chifukwa chiyani mukunena zimenezo? Kodi matenda a shuga angawononge bwanji maso anu? Ndicho chimene tikukamba lero. Ichi ndi chimene timachitcha matenda a shuga otchedwa diabetesic retinopathy . Ichi ndi chimodzi mwa mavuto akuluakulu omwe amabwera ndi matenda a shuga. Choncho ndikofunikira kwambiri kudziwa izi.
Kodi matenda a shuga otchedwa Diabetic Retinopathy ndi chiyani?
Mwachidule, uwu ndi vuto lomwe limakhudza maso chifukwa cha matenda a shuga. Kumbuyo kwa maso athu kuli nembanemba yofewa komanso yofunika kwambiri yotchedwa retina . Ili ngati filimu yomwe ili mu kamera. Ndi komwe kuwala kwa zinthu zomwe timaona kumasandulika kukhala zithunzi. Chifukwa chake kuti retina iyi ikhale yathanzi, ili ndi mitsempha yamagazi yofewa kwambiri yomwe imaipatsa magazi.
Munthu wodwala matenda a shuga akakhala ndi shuga wambiri m'magazi kwa nthawi yayitali, mitsempha yamagazi ing'onoing'ono imeneyi imawonongeka. Imatupa, imatuluka madzi kapena magazi, kapena imatsekeka kwathunthu. Imeneyi ndi matenda omwe timatcha matenda a shuga otchedwa diabetesic retinopathy.
Izi nthawi zambiri zimakhudza maso onse awiri. Ngati sizikuthandizidwa bwino, retina imatha kukhala ndi zipsera, pang'onopang'ono kutaya masomphenya, kenako n’kupangitsa khungu lonse . Matendawa ndi omwe amachititsa kuti anthu omwe ali ndi matenda a shuga asaone bwino.
Kodi zizindikiro zazikulu za matendawa ndi ziti?
Tikhoza kukambirana za matendawa m'magawo awiri akuluakulu: gawo loyamba ndi gawo lovuta lomwe limachitika matendawa akakula kwambiri.
Gawo loyambirira (Non-proliferative Diabetic Retinopathy - NPDR)
Iyi ndi gawo loyamba la matendawa. Chomwe chimachitika pamenepa ndi madzi kapena magazi pang'ono omwe amatuluka m'mitsempha yaying'ono yamagazi mu retina yomwe ndatchula kale. Izi zingayambitse retina kutupa. Nthawi zina mitsempha yamagazi iyi imatupa ndikupanga tinthu tating'onoting'ono tonga mabaluni (microaneurysms).
Pakadali pano, simungaone kusiyana kwakukulu m'maso mwanu. Maso anu angakhale osawoneka bwino pang'ono. Koma nthawi zambiri, kusintha kumeneku kumayamba kuzindikirika ndi dokotala wa maso anu panthawi yoyezetsa maso chaka chilichonse.
Matenda ovuta kapena ovuta (Proliferative Diabetic Retinopathy - PDR)
Iyi ndi nthawi yoopsa kwambiri ya matendawa. Chomwe chimachitika apa ndi chakuti mitsempha yakale yamagazi ikatsekeka, mitsempha yatsopano yamagazi, koma yosazolowereka, imayamba kupangika mkati mwa diso. Chifukwa mitsempha yatsopanoyi yamagazi siipangidwa bwino, imakhala yofooka kwambiri ndipo imaphulika mosavuta.
Pamene izi zikuphulika, magazi amatuluka mu chinthu chonga jelly mkati mwa diso (vitreous humor). Ngati kutuluka magazi kuli kochepa, mutha kuwona madontho ang'onoang'ono akuda kapena zinthu zonga ulusi zikuyandama patsogolo pa maso anu (floaters).Mungathe kuona. Koma ngati kutuluka magazi kwakula kwambiri, mungataye maso anu mwadzidzidzi.
Minofu ya zipsera imapangika mozungulira mitsempha yatsopano yamagazi iyi. Minofu ya zipsera iyi ikachepa, ingayambitse retina kuchoka kumbuyo kwa diso (retinal detachment) . Mitsempha yamagazi yosazolowereka iyi imathanso kuwonjezera kuthamanga kwa magazi mkati mwa diso, zomwe zimayambitsa vuto lotchedwa glaucoma .
Kodi inunso muli ndi zizindikiro izi?
Anthu ambiri sangaone zizindikiro zilizonse kumayambiriro kwa matendawa. Ndicho chifukwa chake ndi choopsa kwambiri. Koma pamene matendawa akukulirakulira, mungakumane ndi zinthu monga:
- Maso osawoneka bwino.
- Masomphenya amakhala omveka bwino, kenako amasinthasintha ngati kuti ayambanso kuoneka ngati akuona zinthu molakwika.
- Ma Floaters ndi mawonekedwe a madontho akuda kapena ulusi woyandama patsogolo pa maso.
- Kuona mipata kapena madontho akuda pakati pa maso anu.
- Kulephera kuzindikira mitundu moyenera.
- Kusaona bwino usiku.
- Kuvutika kuwerenga mabuku ndi kuwona patali.
- Mwina kumva ululu kapena kupsinjika m'maso.
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo.
Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?
Chofunika kwambiri ndichakuti ngati muli ndi matenda a shuga amtundu uliwonse, kaya ndi mtundu woyamba, wachiwiri, kapena matenda a shuga a mimba , muli pachiwopsezo chotenga matendawa. Mukadwala matenda a shuga kwa nthawi yayitali, chiopsezo chanu chimakhala chachikulu.
Kuphatikiza apo, zinthu izi zimawonjezeranso chiopsezo:
- Kuthamanga kwa magazi
- Cholesterol yambiri
- Kugwiritsa ntchito fodya
- Mimba
- Kunenepa kwambiri
- Matenda a impso
- Majini
| Kuzindikira matenda | Chithandizo |
|---|---|
| Dokotala wanu wa maso akhoza kuzindikira vutoli panthawi yowunika maso nthawi zonse. Iye adzakulitsa diso ndikuyang'ana mkati mwa diso. | Njira yochiritsira imasiyana malinga ndi gawo la matendawa. Pali njira zingapo zazikulu zochiritsira. |
| Kuyezetsa kwapadera kotchedwa Fluorescein Angiogram kungathandize kudziwa malo enieni omwe magazi amatuluka m'mitsempha yamagazi. | Jakisoni woletsa VEGF: Jakisoni wapadera amalowetsedwa m'diso. Izi zimaletsa mapangidwe a mitsempha yamagazi yolakwika. (Mwachitsanzo: Aflibercept, Bevacizumab, Ranibizumab) |
| Kujambula kotchedwa Optical Coherence Tomography (OCT) kumafufuza makulidwe a retina komanso ngati pali madzi omwe akusonkhana. | Opaleshoni ya Laser: Miyendo ya laser imagwiritsidwa ntchito "kutseka" mitsempha yamagazi yomwe ikutuluka. |
| Opaleshoni ya Vitrectomy: Ngati magazi alowa m'diso ndipo amayambitsa kulephera kuona, opaleshoniyi imachitika kuti ichotse magaziwo. |
Kodi tingadziteteze bwanji ku vuto loopsa ili?
Iyi ndi gawo lofunika kwambiri. Pali zinthu zambiri zomwe mungachite kuti mudziteteze ku matendawa.
- Chofunika kwambiri: Sungani shuga m'magazi mwanu ndi kuthamanga kwa magazi . Gwirani ntchito ndi dokotala wanu kuti muchite izi. Imwani mankhwala anu monga mwalangizidwira.
- Ndithudi: Pitani kwa dokotala wa maso kuti akakupime maso anu kamodzi pachaka. Musayembekezere kuti zizindikiro ziwonekere. Ngati zapezeka msanga, chithandizo chingathandize kusunga maso anu.
- Ngati ndinu mayi woyembekezera: Ngati ndinu mayi woyembekezera yemwe ali ndi matenda a shuga, onetsetsani kuti mwapita kukayezetsa maso mkati mwa miyezi itatu yoyambirira ya mimba.
- Pewani kusuta: Kusuta kumapangitsa kuti vutoli liipireipire.
- Kulamulira cholesterol: Kulamulira kuchuluka kwa cholesterol m'magazi.
- Moyo Wathanzi: Idyani zakudya zoyenera komanso kuchita masewera olimbitsa thupi.
Kumbukirani, matendawa sangakhale ochiritsika kwathunthu. Komabe, mukawazindikira msanga komanso kulandira chithandizo choyenera, mutha kupewa matendawa kuti asakule kwambiri ndikusunga masomphenya anu amtengo wapatali .
Uthenga Wopita Nawo Kunyumba
- Matenda a shuga ndi matenda omwe amakhudza maso mwachindunji, choncho nthawi zonse muzisamalira maso anu.
- Chitetezo chabwino kwambiri chomwe mungachite ndikuwongolera kuchuluka kwa shuga m'magazi ndi kuthamanga kwa magazi.
- Ngakhale mutakhala kuti mulibe zizindikiro zilizonse, ndikofunikira kuti maso anu azifufuzidwa ndi dokotala wa maso kamodzi pachaka.
- Ngati muwona kusintha kulikonse m'maso mwanu (monga kusawona bwino, mawanga akuda), musanyalanyaze zimenezo. Pitani kwa dokotala mwamsanga.
- Chithandizo chachangu chingateteze masomphenya anu amtengo wapatali a moyo wanu wonse.











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