Kodi matenda a shuga amakhudza maso anu? (Retinopathy Yokhudzana ndi Matenda a Shuga) Tiyeni tiphunzire za izi.

Kodi muli ndi matenda a shuga? Kapena kodi munthu amene mumamudziwa ali ndi matenda a shuga? Ndiye zomwe ndikufuna kunena ndizofunikira kwambiri kwa inu. Matenda a shuga ndi matenda omwe shuga m'magazi amawonjezeka m'thupi. Izi zitha kuwononga maso athu mwanjira zosayembekezereka. Kuwonongeka kumeneko kumatchedwa `(Diabetes-Related Retinopathy)` kapena matenda a retina okhudzana ndi shuga. Tiyeni tikambirane izi mwatsatanetsatane lero, chabwino?

Kodi matenda a shuga otchedwa retinopathy ndi chiyani?

Mwachidule, `(Diabetes-Related Retinopathy)` amatanthauza kuti matenda a shuga amafooketsa ndikuwononga mitsempha yamagazi mu retina mkati mwa maso anu. Taganizirani ngati kamera. Retina imagwira ntchito ngati filimu mu kamera iyi. Apa ndi pomwe zithunzi zimazindikirika kuwala kukagwa. Chifukwa chake, mitsempha yaying'ono iyi yomwe imapereka magazi ku retina ikawonongeka chifukwa cha matenda a shuga, retina imasiyanso kugwira ntchito bwino. Izi zitha kubweretsa kuchepa kwa kuwona, kusawona bwino, komanso pamapeto pake, ngakhale khungu .

Si aliyense amene ali ndi matenda a shuga amene adzadwala matendawa. Ndipo pali zinthu zomwe tingachite kuti tichedwetse kuyamba kwake, kapena kuchepetsa zotsatira zake ngati zitachitika. Choncho musachite mantha, chabwino? Tiyeni tikambiranenso za vutoli.

Pali magawo awiri a matendawa.

`(Diabetes-Related Retinopathy)` siikula nthawi imodzi. Ili ndi magawo awiri akuluakulu.

1. Gawo loyambirira: Nonproliferative diabetes-related retinopathy (NPDR)

Iyi ndi nthawi yoyambirira ya matendawa. Pa nthawi imeneyi, mitsempha yamagazi mu retina imayamba kutuluka magazi. Taganizirani ngati chitoliro chamadzi chosweka. Kuwonongeka kumeneku kungayambitse mitsempha ina yamagazi kutsekeka. Izi zimachitika pamene thupi likuyesera kukonza kuwonongekako. Mwina simungakhale ndi zizindikiro zazikulu panthawiyi.

2. Mlandu woopsa: Proliferative diabetes-related retinopathy (PDR)

NPDR imapita patsogolo kufika pa siteji yotchedwa PDR pamene mitsempha yamagazi yowonongeka imakula kwambiri. Apa ndi pamene mitsempha yamagazi yatsopano, koma yofooka, imayamba kupangidwa m'malo mwa yowonongekayo. Mitsempha yatsopanoyi imapangidwa pofuna kuwonjezera kuyenda kwa magazi kupita ku retina. Komabe, mitsempha yatsopanoyi ndi yofooka kwambiri ndipo imatha kuphulika mosavuta ndikutuluka magazi. Magazi awa amatha kusonkhana mu chinthu chonga jelly mkati mwa diso chotchedwa vitreous. Popeza mitsempha yatsopanoyi imapanga pamwamba pa retina, pakapita nthawi jelly imatha kumamatira ku mitsempha iyi ndipo retina imatha kusweka (retinal detachments) . Ngati izi zitachitika, mwayi wa khungu ndi waukulu.

Kodi zizindikiro za matendawa ndi ziti?

Poyamba matenda a shuga otchedwa Diabetes-Related Related Retinopathy, simungazindikire zizindikiro zilizonse. Ndiko kuopsa kwake. Simungazindikire kusintha kulikonse m'maso anu mpaka kuwonongeka kwakukulu. Komabe, zizindikiro zikayamba kuonekera, zitha kuphatikizapo:

• Kuona molakwika kapena molakwika: Kumamveka ngati mukuyang'ana kudzera mu chifunga, kapena zinthu zikuoneka ngati zatambasuka.
• Kusintha kwa mawonekedwe a mitundu: Mitundu yomwe kale inkaoneka bwino tsopano ingawoneke ngati yazimiririka kapena yosawoneka bwino kwenikweni. Mutha kukhala ndi vuto latsopano la khungu.
• Khungu la usiku (nyctalopia): Kuona kumachepa kwambiri usiku.
• Ma diodesopsias: Zimakhala ngati madontho ang'onoang'ono akuda kapena ulusi ukuyandama patsogolo pa maso.
• Mabala osawona (scotomas): Zigawo zina za zomwe mukuwona siziwoneka.
• Zofooka m'munda wowona: Kuchuluka kwa masomphenya m'dera lozungulira kumachepa.
• Kufooka kwa masomphenya ndi kutayika kwa masomphenya pamapeto pake.

Ngati muli ndi zizindikiro izi, muyenera kuwona dokotala wa maso nthawi yomweyo .

N’chifukwa chiyani vutoli limachitika?

Chifukwa chachikulu ndi matenda a shuga . Matendawa angayambitsidwe ndi mitundu yosiyanasiyana ya matenda a shuga.

• Matenda a shuga amtundu 1 (mtundu 1 wa shuga)
• Matenda a shuga amtundu wa 2 (mtundu wa 2 shuga)
• Matenda a shuga amtundu wa 3c (mtundu wa 3c shuga)
• Matenda a shuga a mimba

Matenda a shuga ndi matenda omwe amayamba pamene shuga m'magazi mwanu amakhala okwera kwa nthawi yayitali . Shuga akamaunjikana, amawononga makoma amkati mwa mitsempha yamagazi m'thupi lanu lonse. Amakhudzanso mitsempha yamagazi yofewa m'maso mwanu.

Mitsempha yamagazi yowonongeka imayesa kudzikonza yokha ndikupeza njira zina zopititsira magazi kuyenda. Zotsatira zake, mitsempha yatsopano yamagazi yofooka yomwe ndatchula kale imapangika pamwamba pa retina. Izi zimatha kuphulika mosavuta ndikutuluka magazi mu chinthu chonga jelly mkati mwa diso (vitreous). Komanso, madzi amatha kutuluka m'mitsempha yamagazi yowonongeka ndikupangitsa kuti gawo lapakati la retina, gawo lomwe timawona bwino ndikusiyanitsa mitundu (macula), lizitupa. Izi zimatchedwa macular edema . Kenako, masomphenya amakhala osawoneka bwino.

Kodi zinthu zoopsa ndi ziti?

Pali zinthu zina zingapo zomwe zingakhudze kukula kwa `(Diabetes-Related Retinopathy)`.

• Matenda a shuga omwe ndi ovuta kuwathetsa: Chiwopsezo chimakhala chachikulu ngati shuga m'magazi ali pamwamba nthawi zonse.
• Kuthamanga kwa magazi (kuthamanga kwa magazi)
• Kuchuluka kwa cholesterol m'magazi (hyperlipidemia)
• Matenda okhudzana ndi mtima monga matenda a mtima ndi matenda a mitsempha ya mtima
• Matenda a impso osatha komanso kulephera kwa impso

Ngati pali mavuto amenewa, chiopsezo cha kuwonongeka kwa maso chimawonjezeka kwambiri chikaphatikizidwa ndi matenda a shuga.

Mavuto omwe angakhalepo chifukwa cha matendawa

Ngati matenda a shuga a Retinopathy sakulamuliridwa bwino, mavuto ena angabwere.

• Matenda a shuga otchedwa macular edema (kutupa pakati pa retina komwe kumachitika chifukwa cha matenda a shuga)
• Kugawanika kwa retinal
• Kutuluka magazi m'diso longa jelly (kutuluka magazi m'thupi)
• Glaucoma (kuthamanga kwa magazi m'maso)
• Kuchepa kwa magazi kupita ku gawo la retina lomwe limapereka mtundu ndi masomphenya akuthwa (macular ischemia)

Pamapeto pake, mavuto amenewa angayambitse maselo ozindikira kuwala omwe ali mkati mwa diso, otchedwa photoreceptors, kusiya kugwira ntchito bwino. Izi zingayambitse kutayika kwa masomphenya kosatha komanso khungu.

Kodi matendawa amapezeka bwanji?

Monga ndanenera kale, kusintha kwakukulu m'diso komwe kumachitika chifukwa cha `(Diabetes-Related Retinopathy)` sikuonetsa zizindikiro kumayambiriro. Komabe, dokotala wa maso amatha kuzindikira kusinthaku msanga. Izi zimachitika pogwiritsa ntchito zida zapadera komanso kugwiritsa ntchito mankhwala kuti atambasule diso. Izi zimatchedwanso `(dilated eye exam)` .

Pa nthawi ya mayeso awa, dokotala angaone zinthu monga:

• Madontho a ubweya wa thonje mkati mwa diso
• Kutuluka magazi m'maso
• Mitsempha yaing'ono yamagazi yomwe imatupa ndi kuphulika (microaneurysms)
• Kutsegula mitsempha yamagazi m'diso (mitsempha yatsopano yamagazi yomwe imapanga mkati mwa diso)
• Kutupa kwa gawo lapakati la retina (macular edema)
• Mafuta ochulukirapo mu retina (ma exudates a retina)
• Mitsempha yamagazi yooneka ngati yosazolowereka mu retina
• Kutuluka magazi m'thupi la munthu ngati jelly mkati mwa diso (kutuluka magazi m'thupi mwa munthu)

Choncho, ngati muli ndi matenda a shuga, ngakhale mutakhala kuti mulibe zizindikiro zilizonse, ndikofunikira kwambiri kuti dokotala wa maso azikuyang'anirani maso anu kamodzi pachaka.

Kodi `(Diabetes-Related Retinopathy)` imachiritsidwa bwanji?

Iyi ndi gawo lofunika kwambiri. `(Diabetes-Related Retinopathy)` ndi matenda omwe angathe kuchiritsidwa, koma sangachiritsidwe kwathunthu . Zizindikiro zina ndi kusintha kwa retina zitha kuchiritsidwa. Komabe, kuwonongeka kukakula kwambiri, zinthu zina sizingasinthe.

Pali njira ziwiri zazikulu zothandizira: kulamulira matenda anu a shuga ndi kuchiza maso anu.

1. Kusamalira matenda anu a shuga

Kafukufuku wasonyeza momveka bwino kuti shuga m'magazi mwanu ikakwera komanso hemoglobin A1C ikakwera, chiopsezo chanu chotenga matenda a shuga ogwirizana ndi matenda a shuga chimakwera . Chifukwa chake, kuwongolera kuchuluka kwa shuga m'magazi mwanu - kutanthauza kuti kumakhala kochepa komanso kokhazikika - ndikofunikira kwambiri kuti muchepetse kuyambika kwa matendawa ndikuchepetsa kuopsa kwake.

Kuti muchepetse matenda a shuga, muyenera kuchita izi:

• Kuyang'ana kuchuluka kwa shuga m'magazi mwanu nthawi zonse:Izi zitha kuchitika poyesa ndi chala kapena kuyang'anira shuga nthawi zonse.
• Samalani ndi zomwe mumadya: Zimene mumadya zimakhudza mwachindunji kuchuluka kwa shuga m'magazi mwanu komanso kuchuluka kwa A1C.
• Kumwa mankhwala anu moyenera: Imwani mankhwala anu a shuga monga momwe dokotala wanu wanenera. Izi zidzakuthandizani kwambiri kuti shuga m'magazi mwanu ikhalebe m'malo oyenera.
• Kupita kukayezetsa nthawi zonse: Izi ndizofunikira kwambiri kudziwa za thanzi lanu lonse. Mutha kuzindikira kusintha ngakhale zizindikiro zisanawonekere.
• Kuyezetsa maso nthawi zonse monga momwe akulangizidwira: Izi ndizofunikira ngati muli ndi matenda a shuga kapena matenda a shuga asanakwane. Chithandizo chimayamba kuwonongeka kusanayambe.
• Kusunga kulemera koyenera: Izi zimathandizanso kuchepetsa matenda a shuga. Dokotala wa banja lanu adzakutsogolerani pa izi.

2. Mankhwala a maso

Cholinga cha chithandizo cha maso ndikuwongolera zizindikiro za maso ndi maso ndikuchepetsa kapena kuchepetsa kuwonongeka kwa retina. Mankhwala ena apadera a matenda a shuga a Retinopathy ndi awa:

• Mankhwala: Mwachitsanzo, mankhwala oletsa kukula kwa mitsempha yamagazi (anti-VEGF) kapena corticosteroids amagwiritsidwa ntchito. Izi zimabayidwa m'diso. Dokotala wanu wa maso adzakufotokozerani njira zina zamankhwala.
• Opaleshoni ya laser: Mu njira monga laser photocoagulation , katswiri wa maso amagwiritsa ntchito laser pochiza retina yanu. Izi zitha kuletsa kukula kwa mitsempha yatsopano yamagazi, kuichepetsa, kapena kuletsa magazi kutuluka. Komabe, nthawi zina izi zingayambitse kutayika kwa masomphenya ausiku kapena masomphenya a m'mbali.
• Opaleshoni ya maso: Ngati retina yanu yapatukana (retinal detachment), ngati magazi asonkhana mkati mwa diso (vitreous hemorrhage) ndipo satuluka, kapena ngati pali kuwonongeka kwina kwakukulu kwa retina, dokotala wanu angakulangizeni opaleshoni yotchedwa vitrectomy .

Ndiyenera kupita kwa dokotala liti?

Ngati muli ndi matenda a shuga, kapena mwapezeka ndi matenda a shuga otchedwa Diabetes-Related Related Retinopathy, ndikofunikira kwambiri kuonana ndi dokotala wa maso nthawi zonse. Iye adzakuuzani kangati komwe muyenera kubwera kudzayezetsa. Kutsatira ndondomekoyi kungakuthandizeni kuzindikira kusintha kulikonse kwakukulu kusanachitike.

Komanso, pitani kwa dokotala nthawi yomweyo ngati muwona kusintha kulikonse kwa masomphenya pang'onopang'ono :

• Kusawona bwino kapena kusawona bwino monga kale.
• Masomphenya osawoneka bwino kapena osokonekera.
• Ngati mbali zina za zinthu zomwe mukuziona zili zakuda, zozimiririka, kapena zikuoneka mosiyana ndi kale.

Komabe, ngati maso anu asintha mwadzidzidzi ngati awa, muyenera kupita kuchipatala chapafupi kapena kuchipinda chodzidzimutsa nthawi yomweyo:

• Kupweteka kwambiri kwa maso.
• Kutaya mwadzidzidzi masomphenya kapena kutayika kwakukulu kwa masomphenya.

Kodi munthu amene ali ndi matenda a shuga (Diabetes-Related Retinopathy) angayembekezere tsogolo lotani?

Matenda a shuga otchedwa retinopathy ndi matenda osatha komanso a moyo wonse. Palibe mankhwala ake. Komabe, mutha kuchitapo kanthu kuti muwachepetse ndikuchepetsa kutayika kwa masomphenya.

Anthu omwe ali ndi matenda a shuga ali ndi mwayi waukulu wopeza matendawa, koma si aliyense amene ali ndi matenda a shuga amene angawapeze. Komabe, akhoza kukhudza kwambiri moyo wanu, choncho ndikofunikira kuchita zonse zomwe mungathe kuti mupewe kapena kuchedwetsa matendawa.

Ngati mwazindikira matendawa msanga ndikupeza chithandizo pa nthawi yake, mutha kupewa kutayika kwa masomphenya ndikuchedwetsa kupita patsogolo kwa matendawa. Ngakhale mutalandira chithandizo, ngati muwongolera bwino matenda anu a shuga ndikusunga shuga m'magazi mwanu molingana ndi zomwe madokotala anu amalangiza, muli ndi mwayi wabwino wochepetsa zotsatira za matendawa.

Mwatsoka, anthu ena amatha kukhala ndi mavuto aakulu. Komabe, pali njira zochedwetsera mavuto amenewo momwe zingathere komanso kuthana ndi kusintha kwa masomphenya komwe kumachitika chifukwa cha matenda a shuga.

Kodi matenda a shuga otchedwa retinopathy angapewedwe?

Inde, kuwongolera kuchuluka kwa shuga m'magazi mwanu ndikukhala ndi hemoglobin yotsika ya A1C kungathandize kupewa matenda a shuga otchedwa Retinopathy. Mukachita izi, nthawi zina matenda a retinopathy amatha kubwerera m'mbuyo.

Si anthu onse odwala matenda a shuga omwe ali ndi izi, koma anthu omwe ali ndi shuga wambiri m'magazi komanso omwe ali ndi matenda a shuga kwa nthawi yayitali ali ndi mwayi waukulu wokhala ndi "Diabetes-Related Retinopathy".

Ngakhale mutakhala kuti mulibe matenda a shuga, ngati muli pachiwopsezo chachikulu chotenga matendawa (monga ngati muli ndi matenda a shuga omwe ali kale m'thupi), mutha kuchitapo kanthu musanapezeke ndi matenda a shuga. Kuchitapo kanthu msanga kungalepheretse kapena kuchedwetsa kukula kwa matenda a shuga. Kungakhudzenso kukula kwa retinopathy yokhudzana ndi matenda a shuga.

Kuyezetsa maso kungakuthandizeni kuzindikira zizindikiro zoyambirira za matenda a shuga a Retinopathy kale kwambiri musanayambe kuona zizindikiro. Ngati wina m'banja mwanu, makamaka makolo anu, abale anu, kapena ana anu, ali ndi matenda a shuga, muli pachiwopsezo chachikulu chotenga matendawa. Ichi ndichifukwa chake ndikofunikira kuyezetsa maso nthawi zonse.

Kaya mukuwongolera bwanji matenda anu a shuga, nthawi zina sizingakhale zokwanira kupewa matenda a "Diabetes-Related Retinopathy". Komabe, kuwongolera matenda anu a shuga, kupita kukayezetsa maso nthawi zonse, komanso kusamalira maso anu ndikofunikira kwambiri. Zingathandize kuteteza maso anu.

Dokotala wanu wa matenda a shuga angakutsogolereni pa izi ndikukutumizani kwa katswiri wa maso. Ndi chisamaliro ndi chithandizo chanthawi zonse, pali zinthu zambiri zomwe mungachite kuti muteteze maso anu amtengo wapatali.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, nazi zinthu zina zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Ngati muli ndi matenda a shuga, samalirani maso anu kwambiri. Matenda a shuga otchedwa Retinopathy akhoza kukhala vuto lalikulu.
• Sungani shuga m'magazi mwanu ndi hemoglobin A1C yanu motsatira malangizo. Ichi ndiye chinthu chofunikira kwambiri.
• Ngakhale mutakhala kuti mulibe zizindikiro zilizonse, muyenera kukaonana ndi dokotala wa maso kamodzi pachaka (kuyezetsa maso mozama). Kuzindikira msanga n'kosavuta kuchiza.
• Ngati muwona kusintha kulikonse m'maso mwanu (kuoneka ngati chizungulire, mawanga akuda, kusintha kwa mtundu), pitani kwa dokotala nthawi yomweyo.
• Ngati mukusuta, siyani. Kusuta kungathenso kuipitsa vutoli.
• Lamulirani zinthu monga kuthamanga kwa magazi ndi cholesterol.

Kumbukirani, simuli nokha. Pali madokotala ndi achibale omwe angakuthandizeni. Ngati simuchita mantha, kupeza chithandizo choyenera, ndikukhala ndi moyo wathanzi, mutha kuteteza maso anu.

Matenda a shuga , kuwonongeka kwa maso ndi matenda a shuga, retinopathy, thanzi la maso, chitetezo cha maso, chithandizo cha matenda a shuga, kuyezetsa maso