Ese uzi indwara ya diyabete yitwa retinopathy (kwangirika kw'amaso guterwa na diyabete)?

Niba ubana na Diyabete Mellitus, ushobora kuba utekereza kugenzura urugero rw'isukari mu maraso yawe igihe cyose. Ariko se, utekereza ku ngaruka diyabete ishobora gutera ku maso yawe y'agaciro? Abantu benshi ntibabimenya kugeza igihe ibimenyetso bigaragaye. Niyo mpamvu, uyu munsi tuzaganira kuri iyi ndwara ikomeye cyane ifata amaso iterwa na diyabete, ari yo 'Diabete Retinopathy'.

Kuki diyabete igira ingaruka ku maso cyane?

Muri make, amaso yacu yuzuye imiyoboro mito y'amaraso. Iyi ni yo izanira amaso intungamubiri na ogisijeni akeneye. Iyo umuntu urwaye diyabete afite isukari nyinshi mu maraso igihe kirekire, iyi sukari iba nk'uburozi igatangira kwangiza inkuta z'iyo miyoboro mito y'amaraso.

Tekereza nk'ingese zigaragara mu muyoboro w'amazi. Ikintu kimwe kibaho kuri iyi miyoboro y'amaraso.

• Bishobora kuba binini.
• Bishobora kuva amaraso cyangwa amazi.
• Amaraso ashobora kubyimba.
• Imitsi imwe n'imwe y'amaraso ishobora kuziba burundu.

Hari igihe inkuta z'iyi miyoboro y'amaraso zicika intege maze hagatera utubyimba duto tumeze nk'udupira (microaneurysms). Akaga kurushaho ni iyo amazi yirundanyije muri macula, igice cya retina gikenewe cyane mu kureba kwacu, kidufasha gusoma no kubona neza. Ibi byitwa edema ya macular . Ibi bishobora gutera kutabona neza.

Iyo indwara irushijeho gukomera, ijisho rigerageza gukura imiyoboro mishya y'amaraso kuko amaraso ajya mu jisho ahagarara. Iyi nzira yitwa neovascularization . Ariko, iyi miyoboro mishya y'amaraso iba ifite intege nke cyane kandi yoroshye kuyikuramo. Ishobora guturika byoroshye igatera kuva amaraso mu jisho (kuva amaraso mu jisho). Ibi bishobora gutera inkovu no gucika kw'ijisho. Iki ni ikibazo cyihutirwa gishobora gutuma umuntu atabona neza. Iyi miyoboro mishya y'amaraso ishobora kandi kubuza amazi gutembera mu jisho, bigatuma umuvuduko w'amaso wiyongera ndetse bigatera glaucoma .

Ni gute wamenya iyi ndwara hakiri kare?

Dore ikintu cy'ingenzi. Umuntu wese urwaye diyabete, nubwo nta bimenyetso afite, agomba kujya kwa muganga w'amaso rimwe mu mwaka kugira ngo asuzumwe amaso ye. Ntuzigere wibagirwa ibi.

Iyo ugiye kwa muganga, ibi nibyo bizakubera:

1. Kubaza ibisobanuro birambuye: Ubwa mbere, bazakubwira amateka yawe y'ubuzima, uburyo ugenzura diyabete yawe, ndetse niba hari impinduka mu miterere yawe y'amaso.

2. Ikizamini cyo kureba: Igipimo cy'amaso yawe kizagenzurwa ukoresheje imbonerahamwe y'amaso.

3. Kureba imbere mu jisho: Ibikurikira,Retina iri imbere mu jisho ipimwa hakoreshejwe igikoresho cyihariye cyitwa ophthalmoscope.

4. Ibizamini byihariye: Hari igihe biba ngombwa ko hakorwa ibizamini byihariye kugira ngo harebwe impinduka zitagaragara mu isuzuma risanzwe. Imboni yawe ishobora kwagukamo ibitonyanga, kandi imbere mu jisho ryawe hashobora gusuzumwa hakoreshejwe igikoresho cyitwa itara ry'urumuri .

Ikindi kizamini cyihariye cyitwa fluorescein angiography . Ibi bikubiyemo gutera irangi ry'umuhondo mu mitsi iri mu kuboko kwawe, kandi kamera yihariye ifata amafoto menshi uko inyura mu mitsi iri mu jisho ryawe. Ibi bishobora kwerekana ko imitsi y'amaraso yangiritse, nko mu bice by'amaraso yavaga, bigaragara neza.

Ni ubuhe buryo bwo kuvura ibi?

Mu kuvura indwara ya diyabete retinopathy, umuganga wawe n'inzobere mu by'amaso bagomba gukorana. Ku ruhande rumwe, ugomba kugenzura urugero rw'isukari mu maraso yawe, umuvuduko ukabije w'amaraso, n'urugero rwa cholesterol. Ku rundi ruhande, inzobere mu by'amaso ivura amaso mu buryo butaziguye.

Uburyo bwo kuvura hakoreshejwe laser (Laser Photocoagulation)

Ubu ni bwo buryo bukunze gukoreshwa cyane. Muganga wawe ashobora kukugira inama yo kuvura ubu buryo mbere yuko ubona impinduka mu maso yawe. Ibi biterwa nuko kuvura mu gihe cya mbere cy'ibyangiritse bitanga umusaruro mwiza.

Ibi bikubiyemo gukoresha umuyoboro muto cyane wa laser kugira ngo "ufunge" imiyoboro y'amaraso iri mu jisho irimo kuva amaraso. Ibi kandi bifasha kugabanya kubyimba. Bitewe n'uburemere bw'indwara yawe, ushobora gukenera kuvurwa inshuro nyinshi. Bishobora gufata amezi menshi kugira ngo ubone umusaruro nyuma yo kuvurwa.

Kubaga Vitrectomy

Iyo hari amaraso menshi mu jisho adashira ubwayo, niba retina yaracitse, cyangwa niba kuvurwa na laser bidashobora guhagarika ikorwa ry'imitsi mishya y'amaraso, muganga azakugira inama yo kubaga.

Muri ubu buvuzi, ikintu kimeze nk'umusemburo kiri mu jisho (vitreous) kirakurwaho, amaraso agakurwaho, hanyuma inkovu zikavanwaho. Hanyuma, amazi asimbura ayo ashyirwa mu jisho yuzura.

Ese iki kibazo gishobora kwirindwa?

Yego rwose birashoboka. Uburyo bubiri bwiza bwo kwirinda ibi ni ubu:

1. Genzura neza urugero rw'isukari mu maraso yawe: Kurikiza amabwiriza ya muganga wawe ku miti, insuline, indyo, n'imyitozo ngororamubiri. Suzuma urugero rw'isukari mu maraso yawe buri gihe. Niba ufite ikibazo cyo gukurikiza izi ntambwe, ntugatinye kuvugana na muganga wawe no gusaba ubufasha.

2. Suzuma amaso yawe buri mwaka: Ubu ni bwo buryo bwonyine bwo gufata iyi ndwara hakiri kare. Abantu barwaye diyabete yo mu bwoko bwa 1 bagomba gusuzumwa amaso yabo mu myaka 5 nyuma yo kuyirwara, naho abantu barwaye diyabete yo mu bwoko bwa 2 bagomba gusuzumwa amaso yabo ako kanya nyuma yo kuyirwara. Nyuma y'ibyo, bagomba gusuzumwa amaso yabo buri mwaka.

Ibindi bintu byo kuzirikana

• Gutwita: Niba umugore urwaye diyabete ateganya gutwita, ni ngombwa kubiganiraho na muganga we. Iyi ndwara ishobora gukomera mu gihe atwite.
• Umuvuduko ukabije w'amaraso, cholesterol, n'umubyibuho ukabije: Ibi nabyo birushaho kubangamira indwara ya diyabete yitwa Retinopathy. Bityo rero, genzura neza.
• Kunywa itabi: Niba unywa itabi, saba muganga wawe ubufasha bwo kurireka.
• Kubagwa kwa cataract: Niba uteganya kubagwa cataract, ganira na muganga wawe uburyo bizagira ingaruka kuri retinopathy ya diyabete.