Tiyeni tiphunzire bwino za mavuto omwe amabwera chifukwa cha matenda a shuga otchedwa diabetesic retinopathy.

Ngati muli ndi matenda a shuga a mtundu woyamba kapena wachiwiri, mwina mukudziwa kale kuti matenda a shuga angayambitse mavuto a maso. Chofala kwambiri mwa izi, ndipo chomwe tiyenera kuda nkhawa nacho kwambiri, ndi matenda a diabetic retinopathy. Mwachipatala, izi zimatchedwa matenda a diabetic retinopathy. Mwachidule, ndi kuwonongeka kwa minofu yomwe imakhudzidwa ndi kuwala kumbuyo kwa diso lanu, retina. Pamene shuga m'magazi mwanu ili pamwamba komanso yosalamulirika kwa nthawi yayitali, mitsempha yaying'ono yamagazi yomwe imapereka mpweya ndi michere ina ku retina imawonongeka. Zotsatira zake, maso anu sangathenso kugwira ntchito bwino, ndipo pang'onopang'ono maso anu amakhala osawoneka bwino.

Poyamba vutoli, simungazindikire zizindikiro zilizonse. Koma pakapita nthawi, ngati simunalandire chithandizo choyenera, matenda a Diabetic Retinopathy amatha kuipiraipira ndikuyambitsa mavuto ena akuluakulu omwe angayambitse kutayika kwa masomphenya. Tiyeni tikambirane za iwo limodzi ndi limodzi tsopano.

Kodi matenda a shuga ndi matenda aakulu otani omwe amawononga maso?

Matenda a shuga akayamba kuwononga maso anu, samatha pomwepo. Ngati sakulamuliridwa bwino, angayambitse mavuto ena ambiri.

Kutupa kwa retina chifukwa cha matenda a shuga (Diabetic Macular Edema - DME)

Pafupifupi theka la anthu omwe ali ndi matenda a shuga otchedwa diabetes retinopathy amadwala matenda otchedwa DME. Pamene makoma a mitsempha yamagazi mu retina yanu afooka chifukwa cha matenda a shuga, madzi ndi magazi zimayamba kutuluka. Madzi ndi magazi amenewa zimasonkhana pakati pa retina yanu, yotchedwa macula. Taganizirani izi, macula ndiye gawo lofunika kwambiri la diso lomwe limatithandiza kuwona bwino, kuwerenga mabuku, ndi kuzindikira anthu. Choncho pamene derali likutupa, mwadzidzidzi mumayamba kuona zinthu zosawoneka bwino , kuona zinthu ziwiri , ndi madontho ang'onoang'ono akuda akuyandama patsogolo pa maso anu (maeye floaters) .

Chithandizo chachikulu cha izi ndi jakisoni wa mankhwala oletsa VEGF. Mankhwalawa amagwira ntchito poletsa chinthu chotchedwa VEGF (Vascular Endothelial Growth Factor), chomwe chimalimbikitsa kukula kwa mitsempha yamagazi, ndikuchepetsa kutupa kwa macula. Izi zimatha kulamulira kwambiri kupita patsogolo kwa matendawa.

Kutuluka magazi m'diso (Vitreous Hemorrhage)

Matenda a shuga amachititsa kuti mitsempha yatsopano yamagazi m'diso ikhale yofooka kwambiri. Ili ngati mapaipi opangidwa ndi zinthu zotsika mtengo. Chifukwa chake imatha kuphulika mosavuta ndikutulutsa magazi mu chinthu chonga jelly mkati mwa diso (vitreous). Kenako magazi awa amatseka njira ya kuwala kuchokera kunja kupita ku retina.

Tangoganizirani, ngati magazi akutuluka pang'ono, mungaone madontho akuda (ma floaters) akuyandama patsogolo pa maso anu. Koma ngati magazi akutuluka kwambiri, magaziwo akhoza kudzaza dzenje lonse mkati mwa diso lanu, zomwe zingakupangitseni kuti musamaone bwino .

Neovascular Glaucoma (kuwonjezeka kwa kuthamanga kwa magazi m'maso)

Nthawi zina, mitsempha yatsopano yamagazi imayamba kupangika pa diso lanu. Mitsempha iyi imatseka njira yoti madzi atuluke m'diso lanu. Izi zili ngati ngalande yotsekedwa ndi zinyalala. Madzi amasonkhana mkati mwa diso lanu, zomwe zimapangitsa kuti kuthamanga kwa magazi kukwere kwambiri. Uwu ndi mtundu woopsa wa glaucoma.

Uwu ndi vuto lalikulu kwambiri. Ngati simulandira chithandizo choyenera, mutha kutaya masomphenya anu kwathunthu pasanathe masiku angapo. Dokotala angagwiritse ntchito chithandizo cha laser ndi mankhwala kuti abwezeretse kayendedwe ka madzi, kuchepetsa kuthamanga kwa maso, ndikusunga masomphenya anu.

Kuchotsa Retinal

Pamene matenda a Diabetic Retinopathy akupita patsogolo, mitsempha yamagazi mu retina imatha kutsekeka kwathunthu. Thupi limayankha popanga mitsempha yatsopano yamagazi mu retina. Monga tafotokozera kale, mitsempha yatsopanoyi imakhala yofooka kwambiri. Imataya magazi ndikupanga minofu ya zipsera. Pamapeto pake, minofu iyi ikachepa, imapangitsa kuti retina ichotsedwe pakhoma lakumbuyo la diso. Izi zili ngati chithunzi chomwe chikuchotsa khoma.

Izi ndi zadzidzidzi zachipatala . Ngati muli ndi zizindikiro zotsatirazi, pitani kwa dokotala wa maso nthawi yomweyo . Apo ayi, pitani ku Dipatimenti Yothandiza (ETU) ya chipatala chapafupi.

Koma musadandaule. Pali njira zochizira izi. Ngati pali dzenje laling'ono kapena kung'ambika mu retina, madokotala angagwiritse ntchito chipangizo choziziritsa kapena laser kuti alimangenso. Ngati gawo lalikulu la retina lachoka, opaleshoni ingafunike. Nkhani yabwino ndi yakuti ngati vutoli litapezeka msanga, chiwongola dzanja cha chithandizocho chimakhala chokwera kufika pa 90%.

Kodi tiyenera kuchita chiyani kuti tipewe mavuto amenewa?

Pali zinthu zingapo zomwe mungachite kuti muteteze maso anu ku mavuto aakulu awa.

• Wongolerani bwino matenda anu a shuga: Mukawongolera bwino kuchuluka kwa shuga m'magazi mwanu, mumakhala ndi mwayi wopewa matenda a retinopathy a shuga kuti asakule kwambiri. Chifukwa, monga tafotokozera, kuchuluka kwa shuga kosalamulirika ndi komwe kumawononga mitsempha yaying'ono yamagazi iyi.
• Samalani ndi kuthamanga kwa magazi: Kuthamanga kwa magazi kungathenso kuwononga mitsempha yamagazi, kuphatikizapo yomwe ili m'maso.
• Lankhulani ndi dokotala wanu za chithandizo: Kafukufuku wasonyeza kuti ngati chithandizo chayamba msanga, kupita patsogolo kwa matendawa kumatha kuchepetsedwa kwambiri. Chifukwa chake, ngakhale mutakhala ndi matenda a shuga ndipo mulibe zizindikiro, ndikofunikira kupita kwa dokotala kuti akakuyezeni maso nthawi zonse.