Kodi mukudziwa za matenda a shuga otchedwa diabetesic retinopathy (kuwonongeka kwa maso komwe kumachitika chifukwa cha matenda a shuga)?

Ngati mukukhala ndi matenda a shuga m'magazi, mwina mumaganiza zowongolera kuchuluka kwa shuga m'magazi nthawi zonse. Koma kodi mumaganizira za kuwonongeka komwe matenda a shuga angayambitse m'maso mwanu? Anthu ambiri sadziwa izi mpaka zizindikiro zitayamba kuonekera. Ichi ndichifukwa chake, lero tikambirana za matenda oopsa kwambiri omwe amakhudza maso chifukwa cha matenda a shuga, omwe ndi 'Diabetic Retinopathy'.

N’chifukwa chiyani matenda a shuga amakhudza maso kwambiri?

Mwachidule, maso athu ali ndi mitsempha yamagazi yaying'ono kwambiri komanso yopyapyala. Izi ndi zomwe zimapatsa maso michere ndi mpweya womwe amafunikira. Munthu wodwala matenda a shuga akakhala ndi shuga wambiri m'magazi kwa nthawi yayitali, shuga uyu amakhala ngati poizoni ndipo amayamba kuwononga makoma a mitsempha yamagazi yabwinoyo.

Taganizirani ngati dzimbiri lomwe limapangika mkati mwa chitoliro cha madzi. Chinthu chomwecho chimachitikanso ndi mitsempha yamagazi iyi.

• Zitha kukhala zokhuthala.
• Zingatulutse magazi kapena madzi.
• Magazi amaundana.
• Mitsempha ina yamagazi ingatsekeke kwathunthu.

Nthawi zina, makoma a mitsempha yamagazi iyi amafooka ndipo timabowo tating'onoting'ono tonga mabaluni (microaneurysms) timapangika. Choopsa kwambiri ndi pamene madzi akuunjikana mu macula, gawo la retina lomwe ndi lofunikira pa masomphenya athu, kutithandiza kuwerenga ndi kuwona bwino. Izi zimatchedwa macular edema . Izi zingayambitse kusawona bwino.

Matendawa akakula kwambiri, diso limayesetsa kukulitsa mitsempha yatsopano yamagazi chifukwa magazi omwe amalowa m'diso amasokonekera. Njira imeneyi imatchedwa neovascularization . Komabe, mitsempha yatsopano yamagazi iyi ndi yofooka kwambiri komanso yofooka. Imatha kuphulika mosavuta ndikuyambitsa kutuluka magazi mkati mwa diso (kutuluka magazi). Izi zingayambitse minofu ya zipsera ndi kusweka kwa retina. Ichi ndi vuto ladzidzidzi lomwe lingayambitse kutayika kwathunthu kwa masomphenya. Mitsempha yatsopano yamagazi iyi imathanso kuletsa kuyenda kwa madzi mkati mwa diso, kuwonjezera kuthamanga kwa maso ndikuyambitsa glaucoma .

Kodi mungazindikire bwanji vutoli msanga?

Chofunika apa ndi ichi. Aliyense amene ali ndi matenda a shuga, ngakhale atakhala kuti alibe zizindikiro zilizonse, ayenera kupita kwa dokotala wa maso kamodzi pachaka kuti akayezedwe maso ake. Musaiwale izi.

Mukapita kwa dokotala, izi ndi zinthu zomwe zidzachitike:

1. Kufunsa zambiri: Choyamba, adzakambirana za mbiri yanu yachipatala, momwe mumawongolera matenda anu a shuga, komanso ngati pali kusintha kulikonse m'masomphenya anu.

2. Kuyesa kuwona: Kuchuluka kwa maso anu kudzawunikidwa powerenga tchati cha maso.

3. Kuyang'ana mkati mwa diso: Kenako,Retina yomwe ili mkati mwa diso imafufuzidwa ndi chipangizo chapadera chotchedwa ophthalmoscope.

4. Mayeso apadera: Nthawi zina, mayeso apadera amafunika kuti ayang'ane kusintha komwe sikungawonekere poyesedwa nthawi zonse. Mphuno yanu ikhoza kutsegulidwa ndi madontho, ndipo mkati mwa diso lanu mutha kuyesedwa ndi chipangizo chotchedwa slit lamp .

Kuyesa kwina kwapadera kumatchedwa fluorescein angiography . Izi zimaphatikizapo kubaya utoto wachikasu mumtsempha womwe uli m'dzanja lanu, ndipo kamera yapadera imatenga zithunzi zingapo pamene ikuyenda m'mitsempha yamagazi yomwe ili m'diso lanu. Izi zitha kuwonetsa kuwonongeka kwa mitsempha yamagazi, monga malo omwe magazi amatuluka, momveka bwino.

Kodi mankhwala ochizira izi ndi otani?

Pochiza matenda a shuga a retinopathy, dokotala wanu ndi dokotala wa maso ayenera kugwira ntchito limodzi. Kumbali imodzi, muyenera kuwongolera kuchuluka kwa shuga m'magazi mwanu, kuthamanga kwa magazi, ndi kuchuluka kwa cholesterol m'magazi mwanu. Kumbali ina, dokotala wa maso amachiritsa maso mwachindunji.

Chithandizo cha laser (Laser Photocoagulation)

Uwu ndiye mankhwala omwe amagwiritsidwa ntchito kwambiri. Dokotala wanu angakulangizeni chithandizochi ngakhale musanazindikire kusintha kulikonse m'maso mwanu. Izi zili choncho chifukwa chithandizocho chimayamba msanga kwambiri mukangowonongeka chimabweretsa zotsatira zabwino kwambiri.

Izi zimaphatikizapo kugwiritsa ntchito kuwala kwa laser kosalala kwambiri kuti "titseke" mitsempha yamagazi mkati mwa diso yomwe ikutuluka magazi. Izi zimathandizanso kuchepetsa kutupa. Kutengera ndi kuopsa kwa vuto lanu, mungafunike kukhala ndi nthawi zingapo zochizira. Zingatenge miyezi ingapo kuti muwone zotsatira mutatha kulandira chithandizo.

Kuchotsa Vitrectomy

Ngati pali kutuluka magazi ambiri m'diso koma sikutha kokha, ngati retina yapatuka, kapena ngati chithandizo cha laser sichingalepheretse kupangika kwa mitsempha yatsopano yamagazi, dokotalayo angalimbikitse opaleshoni iyi.

Pa opaleshoni iyi, chinthu chonga jelly chomwe chili mkati mwa diso (vitreous) chimachotsedwa, magazi amatsukidwa, ndipo minofu ya chilonda imachotsedwa. Kenako, madzi ena amadzadzidwa m'diso.

Kodi vutoli lingapewedwe?

Inde, zingathekedi. Njira ziwiri zabwino kwambiri zopewera izi ndi izi:

1. Kuwongolera shuga m'magazi mwanu bwino: Tsatirani malangizo a dokotala wanu okhudza mankhwala, insulin, zakudya, ndi masewera olimbitsa thupi. Yang'anani shuga m'magazi mwanu nthawi zonse. Ngati mukuvutika kutsatira njira izi, musachite manyazi kulankhula ndi dokotala wanu ndikupempha thandizo.

2. Yendani kukayezetsa maso anu chaka chilichonse: Iyi ndiyo njira yokhayo yopezera matendawa msanga. Anthu omwe ali ndi matenda a shuga amtundu woyamba ayenera kuyezetsa maso awo pasanathe zaka 5 kuchokera pamene apezeka ndi matendawa, ndipo anthu omwe ali ndi matenda a shuga amtundu wachiwiri ayenera kuyezetsa maso awo nthawi yomweyo atapezeka ndi matendawa. Pambuyo pake, ayenera kuyezetsa maso awo chaka chilichonse.

Zinthu zina zofunika kuziganizira

• Mimba: Ngati mayi yemwe ali ndi matenda a shuga akukonzekera kutenga pakati, ndikofunikira kulankhula ndi dokotala wake za vutoli. Matendawa amatha kukulirakulira panthawi ya mimba.
• Kuthamanga kwa magazi, cholesterol, ndi kunenepa kwambiri: Izi zimawonjezeranso vuto la matenda a shuga otchedwa Diabetic Retinopathy. Choncho, samalani bwino.
• Kusuta: Ngati mukusuta, funsani dokotala wanu kuti akuthandizeni kusiya.
• Opaleshoni ya cataract: Ngati mukukonzekera kuchitidwa opaleshoni ya cataract, lankhulani ndi dokotala wanu za momwe izi zingakhudzire matenda a shuga a retinopathy.