Ese diyabete irarwaye amaso? Reka twige ku kuvura DME! (Ubuvuzi bwa Diabete Macular Edema)

Niba urwaye diyabete, ushobora kuba wibuka ko muganga wawe yahoraga akubwira ati "Geza neza isukari yawe, bitabaye ibyo si byiza ku maso yawe." Ibyo ni ukuri mu by'ukuri. Iyo diyabete idacunzwe neza, amaso yacu ashobora kwangirika cyane. Kwangirika gukomeye ku maso muri ubu buryo ni Diabetic Macular Edema , cyangwa (DME) mu magambo ahinnye. Ikibaho muri ibi ni uko igice cy’ijisho cy’imbere mu jisho kibyimba cyane. Ariko ntugahangayike, ubu hari uburyo bwiza kandi bugezweho bwo kuvura iyi ndwara. Ibyo ni byo turimo kuvugaho muri iyi nkuru uyu munsi.

Intambwe ya mbere mu kuvura: kugenzura icyateye indwara

Abaganga bakurikiza uburyo bubiri bw'ingenzi mu kuvura DME. Ikintu cya mbere kandi cy'ingenzi ni ukugenzura impamvu nyamukuru . Ibyo bivuze kugenzura urugero rw'isukari mu maraso yawe n'umuvuduko w'amaraso ukabije.

Tekereza ku gisenge cy'umuntu cyamenetse. Ni byiza gufunga umwobo uri ku gisenge kuruta gukoresha indobo mu gukusanya amazi hasi. Uko ni ko bimeze kuri ibi. Mu gihe uvura ijisho mu buryo butaziguye, ni ngombwa kugenzura diyabete n'umuvuduko ukabije w'amaraso. Ukurikije amabwiriza ya muganga neza, ushobora guhagarika kwangirika kw'amaso yawe no gukumira ko indwara irushaho kwiyongera. Iyi ni yo shingiro ry'ubuvuzi.

Ni ubuhe buryo bwo kuvura bukorerwa mu jisho?

Iyo impamvu nyamukuru imaze gukurwaho, muganga wawe azatangira kuvura kugira ngo asane ibyangiritse biri mu jisho ryawe. Uzoherezwa kwa muganga w'amaso cyangwa inzobere mu by'amaso . Uburyo bwiza bwo kuvura buzaterwa n'ubwoko bwa DME ufite.

Hari uburyo bubiri bw'ingenzi bwo kuvura.

1. Inshinge zo kurwanya VEGF

2. Ubuvuzi bwa Laser (Focal-Grid Macular Laser Surgery)

Reka turebe buri kimwe muri ibi ukwacyo.

1. Inshinge zo kurwanya VEGF

Kuki izi nshinge zitangwa? VEGF ni iki?

Mu magambo make, iyo ufite DME, ijisho ryawe rikora poroteyine nyinshi yitwa VEGF (Vascular Endothelial Growth Factor) . Iyi poroteyine ituma imiyoboro mishya y'amaraso ikora imbere mu jisho ryawe icika intege cyane, nk'imiyoboro y'amazi ikozwe muri pulasitiki ihendutse. Rero, iyi miyoboro y'amaraso idakomeye iva amaraso n'amazi, bigatuma macula , agace ko hagati muri retina yawe, ibyimba. Ibyo nibyo bituma kureba kwawe kugaragara nabi kandi kugaragara nabi.

Iyi miti ni iyihe?

Hari ubwoko bwinshi bw'imiti ikoreshwa muri ubu buryo bwo kuvura. Imiti imwe igira ingaruka kuri poroteyine ya VEGF gusa, mu gihe imiti mishya igira ingaruka kuri VEGF ndetse n'indi poroteyine igira uruhare mu mikorere y'imitsi y'amaraso, Angiopoietin-2 (Ang-2) .

Uburyo bwo gutanga urukingo n'igihe cyo kuvurwa

Noneho, iyo mvuze ngo 'Ndagutera urushinge mu gutwi,' ushobora kumva ufite ubwoba gato. Ariko mu by'ukuri ntabwo biteye ubwoba cyane.

• Nta bubabare: Muganga azagutera ibitonyanga bigabanya ububabare mu maso mbere yo kugutera urushinge, bityo ntuzumva ububabare ubwo aribwo bwose.
• Uburyo: Uyu muti uterwa mu jisho unyuze mu gice cy'ijisho cyera hakoreshejwe urushinge ruto cyane kandi rugufi.
• Igihe cyo kuvurwa: Ubusanzwe, uzakenera gusigwa inshuro imwe mu kwezi mu mezi 4-6 ya mbere. Hanyuma, uko imiterere y'amaso yawe igenda irushaho kuba myiza, umubare w'inkoni uhabwa uzakomeza kwiyongera buhoro buhoro. Ushobora gukenera guhabwa ubu buvuzi gake, ndetse no mu gihe cy'imyaka myinshi.

Iyo imiyoboro y'amaraso ihagaritse kuva, kureba kwawe kuzatangira kuba kwiza buhoro buhoro.

Wibuke neza:

Uru rukingo ntirukwiriye abagore batwite kuko rushobora kwangiza umwana. Kubwibyo, niba utwite cyangwa uteganya gutwita, ugomba kuvugana na muganga wawe kuri ibi.

2. Ubuvuzi bwa Laser (Focal-Grid Macular Laser Surgery)

Ubu ni ubundi buryo bwo kuvura bwakoreshejwe neza kuri DME.

• Bikora iki?: Ibi bikubiyemo gukoresha laser kugira ngo 'ufunge' imiyoboro y'amaraso idakomeye iri muri retina yawe irimo kuva. Ni nko gushyushya no gufatanya plastiki. Ibi bifunga imiyoboro y'amaraso, bigabanya ingano y'amaraso n'amazi ava muri yo, kandi bigabanya kubyimba mu macula.
• Uburyo bwo kuvura: Niba ufite DME mu maso yombi, muganga wawe ntazavura amaso yombi icyarimwe. Azavura ijisho rimwe hanyuma avure irindi nyuma y'ibyumweru bike. Ubusanzwe, ubuvuzi bumwe bwa laser kuri buri jisho burahagije.
• Igihe cyo gukoresha: Hari igihe, niba ibisubizo byifuzwa bitabonetse hakoreshejwe uburyo bwo gutera inshinge za VEGF gusa, muganga ashobora gufata icyemezo cyo gukora ubu buryo bwo kuvura hakoreshejwe laser hamwe n'urushinge.