Ngaba unesifo seswekile? Emva koko kufuneka sinyamekele amehlo ethu ngakumbi. Kuba ezinye iingxaki ezibangelwa sisifo seswekile zingonakalisa amehlo ngaphandle kokubonisa zimpawu kumanqanaba okuqala. Enye imeko enjalo echaphazela umbono buthule yiDiabetic Macular Edema, okanye i-DME ngamafutshane. Kwimeko enjalo, ulwelo luphuma kwimithambo yegazi ethambileyo engaphakathi kweliso ngenxa yesifo seswekile, nto leyo ebangela ukudumba ngaphakathi kweliso. Ukuba oku kufunyenwe kwangethuba, kunokunyangeka kwaye umbono ungagcinwa. Namhlanje, masithethe ngendlela yokwazi ngokuchanekileyo ukuba unale meko ye-DME.
Indlela yokufumana umbono omncinci ekhaya
Ngaphambi kokuba uye kugqirha, ungenza uvavanyo oluncinci ekhaya. Olu vavanyo silubiza ngokuba yi-"Amsler grid". Lulula kakhulu.
Khawucinge ngetshathi efana nephepha elivela kwincwadi yemithetho yebhokisi. Inechaphaza elimnyama embindini. Okufuneka ukwenze yile:
- Gcina le tshathi kwindawo ekhanyiswe kakuhle, mgama oqhele ukuyifunda incwadi.
- Ukuba unxiba iiglasi, zinxibe.
- Ngoku gquma iliso elinye ngesandla sakho uze ujonge ichaphaza elimnyama kuphela embindini wetshathi ngelinye iliso.
- Njengoko ujonge ichaphaza, jonga ukuba ungayibona na imithetho yesikwere kwitshathi.
Ngokwesiqhelo, kufuneka ubone le migca ithe tye kwaye icacile. Kodwa ukuba unesifo esifana ne -DME , le migca yesikwere ingabonakala yoluliwe, imibimbi, okanye ingabonakali kakuhle kwezinye iindawo. Emva koko, vavanya elinye iliso ngendlela efanayo.
Kodwa khumbula oku: Uvavanyo lwegridi ye-Amsler luphawu oluncinci nje lokuba unengxaki na. Aluthathi indawo yovavanyo lwamehlo olupheleleyo. Ukuba ubona naluphi na utshintsho, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Kwenzeka ntoni xa uye kugqirha?
Ukuba unesifo seswekile, eyona ndlela ilungileyo yokujonga amehlo akho kukubona ugqirha wamehlo, ugqirha oqeqeshwe ngokukodwa ekunyamekeleni amehlo abantu abanesifo seswekile. Baza kwenza uvavanyo olupheleleyo lwamehlo. Olu vavanyo lubandakanya amanyathelo aliqela abalulekileyo.
1. Uvavanyo lokuBonakala koBukrelekrele bokuBonakala
Olu luvavanyo lwamehlo esilwaziyo sonke. Babeka ibhodi enoonobumba, amanani, okanye iimpawu zobukhulu obahlukeneyo kuyo kude baze bakucele ukuba uyifunde. Olu luhlobo lovavanyo olunokusetyenziswa ngugqirha ukuze afumane umbono osisiseko wokuba umbono wakho unjani na nokuba kukho na ubuthathaka.
2. Uvavanyo lwamehlo oluDibeneyo
Olu lolona vavanyo lubalulekileyo olusetyenziswayo ukufumanisa i-DME.
- Okokuqala, ugqirha uza kubeka amaconsi akhethekileyo emehlweni akho.
- Olu lwelo luza kubangela ukuba iliso lakho likhule. Musa ukukhathazeka, oku kungokwexeshana nje.
- Xa iliso likhulu, ugqirha usebenzisa isixhobo esikhethekileyo esibizwa ngokuba sisibane esincinci ukuze akhanyisele iliso aze abone zonke iindawo ezingaphakathi kweliso ngokucacileyo.
- Eyona nto iphambili apha ikwicala leliso elibizwa ngokuba yi-retina. Kalula nje, le yinxalenye engaphakathi kweliso lethu efana nefilimu yekhamera. Umfanekiso wento esiyibonayo wenziwa apha.
- Eyona nxalenye iphambili ye-retina esinika umbono ocacileyo yi-macula. Kwi-DME, yi-macula evuvukalayo.
- Ngoko ke, ngeli xesha lovavanyo, ugqirha uhlola ngononophelo ukuba imithambo yegazi kwi-retina ivuza ulwelo, idumba, okanye kukho na ukopha okuncinci.
3. Ukufota ngaphakathi kweliso (Umfanekiso weRetinal)
Le yindlela esetyenziswayo kule mihla. Ifana nokuthatha ifoto yangaphakathi kweliso lakho. Ikhamera ekhethekileyo ithatha imifanekiso ye-retina yakho ize iyithumele kwikhompyutha. Ugqirha wamehlo emva koko uhlola le mifanekiso ukuze abone ukuba kukho naziphi na iimpawu zesifo esithile. Nangona oku kungachazwanga njengovavanyo lwamehlo olupheleleyo, luvavanyo lokuqala oluhle kumntu osenokungakwazi ukuya kugqirha wamehlo.
Uvavanyo olukhethekileyo oluza kwenziwa ukuba kukho i-DME erhanelekayo
Emva kovavanyo olungasentla, ukuba ugqirha wakho ukrokrela ukuba une-DME, uza kwenza olunye uvavanyo olukhethekileyo ukuqinisekisa oko. Kukho iimvavanyo ezimbini eziphambili.
| Igama lovavanyo | Kwenzeka ntoni nje | Yintoni onokuyifumana koku? |
|---|---|---|
| I-Angiography yeFluorescein | Idayi ekhethekileyo ifakwa emthanjeni osengalweni yakho. Xa le dayi ifika elisweni lakho, yenza imithambo yegazi engaphakathi kweliso lakho ibonakale ngokucacileyo. Emva koko uthotho lwemifanekiso luthathwa ngekhamera ekhethekileyo. | Iyakwazi ukubona ngqo apho ulwelo luphuma khona kwimithambo yegazi engaphakathi kweliso, nokuba imithambo yegazi yonakele, okanye ukuba imithambo yegazi emitsha nebuthathaka yenziwe. |
| I-Optical Coherence Tomography (OCT) | Oku kufana nokuskena iliso nge-ultrasound. Kodwa endaweni yamaza esandi, isebenzisa amaza okukhanya ukuthatha imifanekiso eneenkcukacha ezininzi, enqamlezileyo yezicubu ezingaphakathi kweliso. Ayinabuhlungu. | Le yindlela engcono nechanekileyo yokuxilonga i-DME. Ingalinganisa ngokuchanekileyo ubukhulu bomaleko ngamnye we-retina, ukuze ikwazi ukubona ngokucacileyo kunezinye iimvavanyo ukuba kukho ukudumba okungakanani. |
Emva kwezi mvavanyo, ugqirha wakho unokwenza uxilongo oluchanekileyo lokuba unayo na i-DME, kwaye ukuba kunjalo, nokuba inzima kangakanani. Emva koko unokucebisa unyango olufanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- Ukuba unesifo seswekile, kubalulekile ukuba amehlo akho ahlolwe ngugqirha wamehlo ubuncinane kanye ngonyaka, nokuba awunazo iimpawu.
- Ukuba ufumana naluphi na utshintsho embonweni wakho, njengokubona okufipheleyo, imifanekiso efipheleyo, okanye amabala amnyama ahambayo , bonana nogqirha ngokukhawuleza ngaphandle kokulibazisa.
- Nangona uvavanyo lwegridi ye-Amsler ekhaya luyinto entle, aluthathi indawo yovavanyo lwezonyango.
- I-DME yimeko enokulawulwa kakuhle kwaye umbono ungagcinwa ukuba ufunyenwe kwangethuba. Ngoko ke ungoyiki, kwaye ulandele iingcebiso zonyango ngexesha elifanelekileyo.
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