Chirwere cheshuga chinokanganisa maziso ako here? (Retinopathy Inokonzerwa Nechirwere cheshuga) Ngatidzidzei nezvazvo.

Une chirwere cheshuga here? Kana kuti mumwe munhu waunoziva ane chirwere cheshuga here? Saka zvandiri kuda kutaura zvakakosha kwauri. Chirwere cheshuga chirwere umo huwandu hweshuga mumuviri hunowedzera. Izvi zvinogona kukonzera kukuvara kwemaziso edu nenzira dzisingatarisirwi. Kukuvadzwa ikoko kunonzi `(Diabetes-Related Retinopathy)` kana chirwere cheshuga-related retinal disease. Ngatitaurei nezvazvo zvakadzama nhasi, zvakanaka here?

Chii chinonzi Retinopathy Inokonzerwa neShuga?

Zvichitaurwa zviri nyore, `(Diabetes-Related Retinopathy)` zvinoreva kuti chirwere cheshuga chinopedza simba uye chinokuvadza mitsipa yeropa iri mu retina iri mukati memaziso ako. Funga nezvazvo sekamera. Retina inoshanda sefirimu iri mukamera iyi. Ndipo panoonekwa mifananidzo kana chiedza chadonha. Saka, kana mitsipa midiki iyi inopa ropa ku retina ikakuvara nekuda kwechirwere cheshuga, retina inomirawo kushanda nemazvo. Izvi zvinogona kukonzera kudzikira kwekuona, kuona zvisizvo, uye pakupedzisira, kutoona .

Havasi vese vane chirwere cheshuga vachabatwa nechirwere ichi. Uye, pane zvatinogona kuita kuti chinonoke kutanga kwacho, kana kutoderedza kukanganiswa kwacho kana chikaitika. Saka musatya, zvakanaka here? Ngatitaurei nezvazvo zvakare.

Kune matanho maviri echirwere ichi.

`(Diabetes-Related Retinopathy)` hainyanyi kuipa panguva imwe chete. Ine matanho maviri makuru.

1. Danho rekutanga: Nonproliferative diabetes-related retinopathy (NPDR)

Iyi ndiyo nhanho yekutanga yechirwere. Munguva iyi, mitsipa yeropa iri mu retina inotanga kubuda ropa. Funga nezvazvo sepombi yemvura yakatyoka. Kukuvara uku kunogona kukonzera kuti mimwe mitsipa yeropa ivharike. Izvi zvinoitika muviri paunenge uchiedza kugadzirisa kukuvara kwacho. Ungasava nezviratidzo zvikuru panguva ino.

2. Nyaya yakakomba: Proliferative diabetes-related retinopathy (PDR)

NPDR inofambira mberi kusvika padanho rinonzi PDR apo tsinga dzeropa dzakakuvara dzinowedzera kuoma. Apa ndipo apo tsinga dzeropa itsva, asi dzisina simba, dzinotanga kuumbwa panzvimbo pedzakakuvara. tsinga idzi itsva dzinoumbwa mukuyedza kuwedzera kuyerera kweropa kuenda ku retina. Zvisinei, tsinga idzi itsva hadzina simba uye dzinogona kuputika nekubuda ropa zviri nyore. Ropa iri rinogona kuungana muchinhu chakaita sejelly chiri mukati meziso chinonzi vitreous. Sezvo tsinga idzi itsva dzichiumbwa pamusoro pe retina, nekufamba kwenguva jelly inogona kunamira patsinga idzi uye retina inogona kubva (retinal detachments) . Kana izvi zvikaitika, mikana yekuona bofu yakakura.

Ndezvipi zviratidzo zvechirwere ichi?

Pakutanga kwechirwere cheDiabetes-Related Retinopathy, ungasaona zviratidzo. Ndiyo nzvimbo inotyisa. Ungasaona shanduko mukuona kwako kusvika kukuvara kwanyanya. Zvisinei, kana zviratidzo zvatanga kuoneka, zvinogona kusanganisira:

• Kuona kusina kujeka kana kusanyatsojeka: Zvinoita sekunge uri kutarisa nepamusana pemhute, kana kuti zvinhu zvinoita sekunge zvakatambanudzwa.
• Kuchinja kwemaonero eruvara: Mavara aionekwa zvakajeka kare anogona kuoneka seasina kujeka kana kuti asina kujeka zvakanyanya. Unogona kutotanga kuona ruvara rutsva.
• Kusaona husiku (nyctalopia): Kuona kushoma zvakanyanya husiku.
• Zvidhori zvinoyangarara mumaziso (myodesopsias): Zvinoita sekuti madotsi madiki matema kana shinda dziri kuyangarara pamberi pemaziso.
• Mavara asingaonekwe (scotomas): Zvimwe zvikamu zvezvaunoona hazvionekwe.
• Zvikanganiso zvemumunda wekuona: Huwandu hwekuona munzvimbo yakapoteredza hunoderera.
• Kushaya simba kwekuona uye pakupedzisira kurasikirwa nekuona.

Kana uine chimwe chezviratidzo izvi, unofanira kuona chiremba wemaziso nekukasika .

Sei mamiriro ezvinhu aya achiitika?

Chikonzero chikuru chirwere cheshuga . Chirwere ichi chinogona kukonzerwa nemarudzi akasiyana echirwere cheshuga.

• Chirwere cheshuga cherudzi rwekutanga `(chirwere cheshuga cherudzi rwekutanga)`
• Chirwere cheshuga cherudzi rwechipiri `(chirwere cheshuga cherudzi rwechipiri)`
• Chirwere cheshuga cherudzi rwechitatu (Type 3c Diabetes)`
• Chirwere cheshuga chepamuviri

Chirwere cheshuga chirwere chinotanga kana huwandu hweshuga muropa rako hukaramba hwakakwira kwenguva yakareba . Kana shuga iyi ikawanda, inokuvadza madziro emukati metsinga dzeropa mumuviri wako wese. Inokanganisawo tsinga dzeropa dzakatetepa dziri mumaziso ako.

Mitsipa yeropa yakakuvara inoedza kuzvigadzirisa yoga uye kutsvaga dzimwe nzira dzekuchengetedza ropa richiyerera. Nekuda kweizvozvo, mitsipa mitsva yeropa isina simba yandambotaura kare inoumbwa pamusoro pe retina. Iyi inogona kuputika nyore nyore yobuda ropa ichipinda muchinhu chakaita sejelly chiri mukati meziso (vitreous). Uyewo, mvura inogona kubuda mutsinga dzeropa dzakakuvara yoita kuti chikamu chepakati che retina, chikamu chatinoona zvakajeka uye chatinosiyanisa mavara (macula), chizvimbe. Izvi zvinonzi macular edema . Zvadaro, kuona kunova kusina kujeka.

Ndezvipi zvinhu zvinokonzera njodzi?

Kune zvimwe zvinhu zvakawanda zvinogona kukanganisa kukura kwe `(Diabetes-Related Retinopathy)`.

• Chirwere cheshuga chinonetsa kudzora: Njodzi yacho yakakura kana huwandu hweshuga muropa hwakakwira nguva dzose.
• Kukwira kweropa (BP)
• Kuwanda kwemafuta muropa (hyperlipidemia)
• Zvirwere zvine chekuita nemoyo zvakaita sechirwere chemwoyo uye chirwere chetsinga dzeropa
• Chirwere cheitsvo chisingaperi uye kutadza kushanda zvakanaka kweitsvo

Kana zvirwere izvi zviripo, njodzi yekukuvara kwemaziso inowedzera zvakanyanya kana ikabatanidzwa nechirwere cheshuga.

Matambudziko angangoitika echirwere ichi

Kana chirwere cheDiabetes-Related Retinopathy chikasadzorwa nemazvo, mamwe matambudziko anogona kuitika.

• Kuzvimba kwemaziso kunokonzerwa nechirwere cheshuga (kuzvimba pakati pe retina kunokonzerwa nechirwere cheshuga)
• Kubviswa kweRetinal
• Kubuda ropa muchikamu cheziso chakaita sejelly (vitreous hemorrhage)
• Glaucoma (kumanikidzwa kwemaziso kwakawedzera)
• Kuderera kweropa rinosvika kuchikamu che retina chinopa ruvara uye kuona kwakapinza (macular ischemia)

Pakupedzisira, matambudziko aya anogona kukonzera masero anoona chiedza ari mukati meziso, anonzi maphotoreceptor, kuti arege kushanda zvakanaka. Izvi zvinogona kukonzera kurasikirwa nekuona zvachose uye upofu.

Chirwere ichi chinoonekwa sei?

Sezvandambotaura, shanduko dzakawanda muziso dzinokonzereswa ne `(Diabetes-Related Retinopathy)` hadziratidzi zviratidzo pakutanga. Zvisinei, chiremba wemaziso anogona kuona shanduko idzi nekukurumidza. Izvi zvinoitwa nekushandisa michina yakakosha uye kushandisa mushonga wekuwedzera ziso. Izvi zvinonziwo `(dilated eye exam)` .

Munguva yekuongororwa uku, chiremba anogona kuona zvinhu zvakaita se:

• Mavara ekotoni mukati meziso
• Kubuda ropa mu retinal
• Mitsipa midiki yeropa yakazvimba uye yakaputika (microaneurysms)
• Kugadziriswa kwetsinga dzeropa muziso (tsinga itsva dzeropa dzinoumbwa mukati meziso)
• Kuzvimba kwechikamu chepakati che retina (macular edema)
• Mafuta ari mu retina (retinal exudates)
• Mitsipa yeropa inoratidzika zvisina kujairika mu retina
• Kubuda ropa muchinhu chakaita sejelly chiri mukati meziso (vitreous hemorrhage)

Saka, kana uine chirwere cheshuga, kunyangwe usina zviratidzo, zvakakosha kuti maziso ako aongororwe nachiremba wemaziso kanenge kamwe chete pagore.

`(Diabetes-Related Retinopathy)` inorapwa sei?

Ichi ndicho chikamu chakakosha. `(Diabetes-Related Retinopathy)` chirwere chinogona kurapwa, asi hachigone kurapwa zvachose . Zvimwe zvezviratidzo nekuchinja kuri mu retina zvinogona kurapwa. Zvisinei, kana kukuvara kwacho kwanyanya, zvimwe zvinhu hazvigone kugadziriswa.

Pane nzira mbiri huru dzekurapa: kudzora chirwere cheshuga chako uye kurapa maziso ako.

1. Kutarisira chirwere chako cheshuga

Tsvagiridzo yakaratidza pachena kuti kana huwandu hweshuga muropa rako uye hemoglobin A1C yakakwira, njodzi yako yekubatwa nechirwere cheshuga-Related Retinopathy inowedzera . Saka, kudzora huwandu hweshuga muropa rako - zvichireva kuti hunoramba hwakaderera uye hwakagadzikana - kwakakosha zvikuru kunonotsa kutanga kwechirwere ichi uye kuderedza kuoma kwacho.

Kuti uderedze chirwere cheshuga, unofanira kuita zvinhu zvinotevera:

• Kuongorora huwandu hweshuga muropa rako nguva dzose:Izvi zvinogona kuitwa nekuyedzwa kweminwe kana kuongororwa kweglucose nguva dzose.
• Chenjerera zvaunodya: Zvaunodya zvinokanganisa zvakananga huwandu hweshuga muropa rako uye kukosha kweA1C.
• Kutora mishonga yako yawakanyorerwa nemazvo: Inwa mishonga yako yeshuga sezvawakaudzwa nachiremba wako. Izvi zvinobatsira zvikuru pakuchengetedza huwandu hweshuga muropa rako huri mukati mehuwandu hunokurudzirwa.
• Kuenda kunoongororwa nguva dzose: Izvi zvakakosha kuti uzive nezvehutano hwako. Unogona kuona shanduko kunyangwe zviratidzo zvisati zvaonekwa.
• Kuongororwa maziso nguva dzose sezvinokurudzirwa: Izvi zvakakosha kana uine chirwere cheshuga kana chirwere cheshuga chisati chatanga. Kurapwa kunogona kutanga kukuvara kusati kwapera zvachose.
• Kuchengeta huremu hwakanaka hunokunakira: Izvi zvinobatsirawo kudzora chirwere cheshuga. Chiremba wemhuri yako achakutungamirira pane izvi.

2. Kurapa maziso

Chinangwa chekurapa maziso ndechekudzora zviratidzo zvekuona nemaziso uye kuderedza kana kuderedza kukuvara kwe retina. Mamwe marapirwo chaiwo echirwere cheshuga-Related Retinopathy anosanganisira:

• Mishonga: Semuenzaniso, mishonga yekudzivirira vascular endothelial growth factor (anti-VEGF) kana corticosteroids inoshandiswa. Izvi zvinobayiwa muziso. Chiremba wemaziso achatsanangura mimwe mishonga.
• Kuvhiyiwa neLaser: Munzira dzakadai seLaser photocoagulation , nyanzvi yemaziso inoshandisa laser kurapa retina yako. Izvi zvinogona kumisa kukura kwetsinga dzeropa itsva, dzisina kujairika, kudzitetepa, kana kumisa kubuda kweropa. Zvisinei, izvi dzimwe nguva zvinogona kukonzera kurasikirwa nekuona husiku kana kuona kwekunze.
• Kuvhiyiwa kwemaziso: Kana retina yako yaparara (retinal detachment), kana ropa raungana mukati meziso (vitreous hemorrhage) uye harizobudi, kana kana paine kumwe kukuvara kwakanyanya kweretina, chiremba wako anogona kukurudzira kuvhiyiwa kunonzi vitrectomy .

Ndinofanira kuona chiremba wangu rini?

Kana uine chirwere cheshuga, kana kuti wakamboonekwa uine chirwere cheDiabetes-Related Retinopathy, zvakakosha kuti uone chiremba wemaziso nguva nenguva. Iye/iye achakuudza kuti unofanira kuuya kuzoongororwa kangani. Kutevedzera purogiramu iyi kunogona kukubatsira kuona chero shanduko dzakakomba dzisati dzanyanya kuipa.

Uyewo, enda kuna chiremba nekukasika kana ukaona chimwe chezvinotevera zvichichinja zvishoma nezvishoma maonero ako :

• Kusaona zvakanaka kana kusaona zvakanaka sezvazvaive kare.
• Kuona kusina kujeka kana kusanyatsoona zvakanaka.
• Kana zvimwe zvikamu zvezvinhu zvauri kutarisa zvakasviba, zvadzikira, kana kuti zvichitaridzika zvakasiyana nezvazvaive kare.

Zvisinei, kana ukaona shanduko dzekuona seizvi , unofanira kuenda kuchipatara chiri pedyo kana kuchipatara chekukurumidzira nekukasika:

• Kurwadziwa kwakanyanya kwemaziso.
• Kurasikirwa nekuona zvachose kamwe kamwe kana kurasikirwa nekuona zvakanyanya.

Munhu ane chirwere cheDiabetes-Related Retinopathy angatarisira remangwana rerudzii?

Retinopathy ine chekuita nechirwere cheshuga chirwere chisingaperi, chinogara kwenguva refu. Hapana mushonga wechirwere ichi. Zvisinei, unogona kutora matanho ekuchidzora uye kuderedza kurasikirwa nekuona.

Vanhu vane chirwere cheshuga vane mukana mukuru wekuwana chirwere ichi, asi havasi vese vane chirwere cheshuga vanochiwana. Zvisinei, chinogona kukanganisa hupenyu hwako zvakanyanya, saka zvakakosha kuita zvese zvaunogona kuti udzivise kana kunonotsa chirwere ichi.

Kana ukaona chirwere ichi nekukurumidza uye ukawana kurapwa nenguva, unogona kudzivirira kurasikirwa nekuona uye kunonotsa kufambira mberi kwechirwere. Kunyangwe mushure mekurapwa, kana ukadzora chirwere chako cheshuga zvakanaka uye ukachengeta huwandu hweshuga muropa rako huri mukati memazinga anokurudzirwa navanachiremba vako, une mukana wakanakisa wekuderedza migumisiro yechirwere ichi.

Zvinosuwisa kuti vamwe vanhu vanogona kuva nematambudziko akakomba. Zvisinei, kune nzira dzekunonotsa matambudziko iwayo zvakanyanya sezvinobvira uye kugadzirisa shanduko dzekuona dzinokonzerwa nechirwere cheshuga.

Retinopathy ine chekuita nechirwere cheshuga inogona kudzivirirwa here?

Ehe, kudzora huwandu hweshuga muropa rako uye kuchengetedza huwandu hwakaderera hwehemoglobin A1C kunogona kubatsira kudzivirira Retinopathy Inokonzerwa neShuga. Paunoita zvinhu izvi, retinopathy inogona dzimwe nguva kudzokera shure.

Havasi vese vane chirwere cheshuga vane izvi, asi avo vane huwandu hweshuga muropa husingadzoreki uye avo vane chirwere cheshuga kwenguva yakareba vane mukana wakakura wekuva ne "Diabetes-Related Retinopathy".

Kunyangwe usina chirwere cheshuga, kana uri panjodzi huru yekuchibata (semuenzaniso, kana uine prediabetes), unogona kutora matanho usati waonekwa kuti une chirwere cheshuga. Kutora matanho nekukurumidza kunogona kudzivirira kana kunonotsa kukura kwechirwere cheshuga. Zvinogonawo kukanganisa kukura kwe retinopathy inokonzerwa nechirwere cheshuga.

Kuongororwa kwemaziso kunogona kukubatsira kuona zviratidzo zveDiabetes-Related Retinopathy kare usati waona zviratidzo. Kana mumwe munhu mumhuri yako, kunyanya vabereki vako, vanun'una vako, kana vana, aine chirwere cheshuga, uri panjodzi huru yekuchiwanawo. Ndosaka zvichikosha kuti ugare uchiongororwa maziso.

Kunyangwe ukanyatsodzora chirwere chako cheshuga, dzimwe nguva zvingasava zvakakwana kudzivirira kukura kwe "Diabetes-Related Retinopathy". Zvisinei, kudzora chirwere chako cheshuga, kuongororwa maziso nguva dzose, uye kutarisira maziso ako zvichiri kukosha. Zvinogona kubatsira kuchengetedza kuona kwako.

Chiremba wako wechirwere cheshuga anogona kukutungamira pane izvi uye kukutumira kuna chiremba wemaziso. Nekurapwa nguva dzose uye kutsigirwa, pane zvakawanda zvaunogona kuita kuchengetedza kuona kwako kunokosha.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka hezvino zvimwe zvinhu zvaunofanira kuyeuka kubva pane zvatataura nezvazvo:

• Kana uine chirwere cheshuga, nyatso tarisira maziso ako. Retinopathy ine chekuita nechirwere cheshuga inogona kuva chirwere chakakomba.
• Chengetedza huwandu hweshuga muropa rako uye huwandu hwe "Hemoglobin A1C" huri pasi pesimba rako. Ichi ndicho chinhu chakakosha.
• Kunyangwe kana usina zviratidzo, unofanira kuongororwa maziso ako nachiremba wemaziso kanenge kamwe chete pagore (kuongororwa kwemaziso kwakakura). Kuonekwa kwemaziso ako nekukurumidza kuri nyore kurapa.
• Kana ukaona shanduko mukuona kwako (kusviba, mavara matema, kusviba kweruvara), enda kuna chiremba nekukasika.
• Kana uchisvuta, rega. Kusvuta kunogonawo kuwedzera dambudziko iri.
• Dzora zvinhu zvakaita seBP yakakwira uye cholesterol.

Yeuka kuti hausi wega. Kune vanachiremba nevemhuri vanogona kukubatsira. Kana usingatyi, ukawana kurapwa kwakakodzera, uye uchirarama hupenyu hune hutano, unogona kuchengetedza maziso ako.

Chirwere cheshuga , kukuvara kwemaziso ane chirwere cheshuga, retinopathy, hutano hwemaziso, dziviriro yekuona, kurapwa kwechirwere cheshuga, kuongororwa kwemaziso