Momwe Matenda a Shuga Amakhudzira Maso (Diabetic Retinopathy) - Tiyeni Tidziwe Bwino Zokhudza Milandu Iyi

Ngati muli ndi matenda a shuga, muyenera kusamala kwambiri maso anu. Matenda a shuga amatha kuwononga maso anu. Izi zimatchedwa diabetic retinopathy. Mwachidule, izi zimachitika pamene kuchuluka kwa shuga m'magazi kwa nthawi yayitali kumawononga mitsempha yamagazi yofewa yomwe ili m'dera lodziwika bwino la diso lotchedwa retina. Pakapita nthawi, izi zingayambitse kutayika kwa masomphenya komanso khungu. Chifukwa chake ndikofunikira kudziwa izi.

Chabwino kwambiri ndichakuti titha kupewa vutoli kapena kulichedwetsa. Si aliyense amene ali ndi matenda a shuga amene angadwale matendawa. Koma pafupifupi theka la anthu omwe ali ndi matenda a shuga amakhala nalo pamlingo winawake. Vuto lalikulu ndilakuti kumayambiriro, palibe zizindikiro. Chifukwa chake simungadziwe kuti muli ndi vutoli.

Magawo anayi a matenda a shuga a retinopathy

Matenda a shuga otchedwa Diabetic Retinopathy amakula m'magawo anayi akuluakulu. Tiyeni tikambirane mwachidule gawo lililonse mwa magawowa. Zidzakhala zosavuta kuti mumvetse izi mu tebulo.

Tiyeni tiwone gawo ili mwatsatanetsatane.

Gawo 1 ndi 2 (Retinopathy Yofatsa komanso Yapakati)

Poyamba, simungazindikire kusintha kulikonse. Koma kuwonongeka kwayamba kale kuchitika mkati mwa diso. Mu gawo lachiwiri, mitsempha yamagazi imatupa, zomwe zimapangitsa kuti munthu akhale ndi matenda otchedwa Diabetic Macular Edema (DME) . Apa ndi pamene magazi ndi madzi zimasonkhana m'dera la diso lotchedwa macula. Kumbukirani, macula ndi yomwe imatithandiza kuona bwino, monga kuwerenga, kuyendetsa galimoto, ndi kuzindikira anthu. Ikatupa, maso anu amayamba kusokonekera.

Gawo Lachitatu ndi Lachinayi (Kukula Kwambiri ndi Kufalikira kwa Retinopathy)

Pankhani ya gawo lachitatu, vutoli limakhala lalikulu pang'ono. Mitsempha yambiri yamagazi yatsekedwa. Izi zikutanthauza kuti retina silandira mpweya ndi zakudya zomwe zimafunikira. Pa nthawi imeneyo, retina imatumiza uthenga ku ubongo, kuti, "Ndilibe magazi okwanira, pangani mitsempha yatsopano yamagazi."

Mu gawo lachinayi, kapena lovuta kwambiri (PDR), mitsempha yatsopano yamagazi iyi ndi yomwe imayambitsa vutoli. Imakhala yofooka ngati masamba ndipo imasweka mosavuta. Imaphulika ndikutuluka magazi m'diso. Izi zimayambitsa zipsera, ndipo pamene zipsera zikuchepa, retina imatha kuchoka kumbuyo kwa diso. Timatcha izi kuti retina detachment . Ngati izi zitachitika, mutha kutaya masomphenya anu kwamuyaya.

Ndingadziwe bwanji gawo lomwe ndili?

Simungathe kusankha nokha izi. Pachifukwa ichi, muyenera kuyesedwa maso ndi katswiri. Dokotala akhoza kuchita mayeso angapo kuti adziwe bwino vuto lanu:

• Kuyezetsa maso nthawi zonse: Kumayesa momwe mumaonera bwino patali zosiyanasiyana.
• Kuyeza kuthamanga kwa magazi m'maso: Izi zimayesa kuthamanga kwa magazi mkati mwa diso.
• Kukulitsa kwa Mwana: Izi zimaphatikizapo kukulitsa mwana wanu ndi madontho a m'maso ndikuyang'ana mkati mwa diso lanu ndi chida chapadera. Iyi ndiyo njira yabwino kwambiri yowonera ngati pali kuwonongeka kulikonse kwa mitsempha yamagazi mu retina yanu.
• Kujambula kwa OCT (Optical Coherence Tomography): Izi zili ngati kujambula zithunzi za mkati mwa diso. Kumagwiritsa ntchito mafunde a kuwala kujambula zithunzi za gawo lozungulira la retina kuti liwone ngati pali matenda monga DME.
• Fluorescein Angiogram: Izi zimaphatikizapo kubaya utoto wapadera mu mtsempha womwe uli m'dzanja lanu. Pamene utotowo ukuyenda ndi magazi kupita m'diso lanu, dokotala wanu amagwiritsa ntchito kamera yapadera kujambula zithunzi za mitsempha yamagazi yomwe ili m'diso lanu. Izi zimathandiza dokotalayo kuona ngati pali magazi aliwonse omwe akutuluka m'mitsempha yamagazi kapena ngati yatsekeka.

Pambuyo pa mayeso awa, dokotala adzakufotokozerani momwe mulili.

Kodi mankhwala ochizira izi ndi otani?

Kawirikawiri, kumayambiriro, dokotala wanu amawunika momwe mulili. Chofunika kwambiri ndikusunga kuchuluka kwa shuga, kuthamanga kwa magazi, ndi cholesterol m'thupi lanu kukhala koyenera.

Ngati vutoli likuipiraipira kapena DME ikukula, chithandizo chingafunike.

• Jakisoni wa m'maso: Jakisoni amaperekedwa m'maso kuti aletse kukula kwa mitsempha yatsopano yamagazi yolakwika.
• Opaleshoni ya Laser: Laser ray imagwiritsidwa ntchito kutseka mitsempha yamagazi yomwe imatuluka magazi ndikulamulira kupangika kwa mitsempha yatsopano.
• Mankhwala Oletsa Kutupa: Kutupa kumayendetsedwa ndi jakisoni wokhala ndi ma steroid kapena zida zazing'ono (implants) zomwe zimayikidwa mkati mwa diso.

Nthawi zina mankhwala opitilira amodzi mwa awa angafunike nthawi imodzi. Kumbukirani, dokotala wanu ndiye adzasankha chithandizo chomwe chili chabwino kwa inu. Choncho khalani omasuka komanso oona mtima ndi dokotala wanu pa chilichonse.