Ukuba uphila neDiabetes Mellitus, mhlawumbi ucinga ngokulawula amanqanaba eswekile egazini lakho ngalo lonke ixesha. Kodwa ngaba ucinga ngomonakalo onokwenziwa sisifo seswekile emehlweni akho axabisekileyo? Abantu abaninzi abazi oku de kuvele iimpawu. Yiyo loo nto, namhlanje siza kuthetha ngesi sifo sinzima kakhulu esichaphazela amehlo ngenxa yesifo seswekile, esibizwa ngokuba yi-'Diabetic Retinopathy'.
Kutheni isifo seswekile sichaphazela amehlo kangaka?
Ngamafutshane, amehlo ethu azele yimithambo yegazi emincinci necolekileyo. Ezi zezona zinto zinika amehlo izondlo kunye neoksijini azidingayo. Xa umntu onesifo seswekile enamazinga aphezulu eswekile egazini ixesha elide, le swekile iba njengetyhefu ize iqale ukonakalisa udonga lwemithambo yegazi emincinci.
Cinga ngayo njengomhlwa owenzeka ngaphakathi kumbhobho wamanzi. Kwenzeka into efanayo nakwezi mithambo yegazi.
- Zingaba nkulu.
- Zinokuvuza igazi okanye ulwelo.
- Kunokwenzeka ukuba kubekho amahlwili egazi.
- Eminye imithambo yegazi isenokuvaleka ngokupheleleyo.
Ngamanye amaxesha, iindonga zale mibhobho yegazi ziyabuthathaka kwaye kwakheka amaqhuma amancinci afana neebhaluni (ii-microaneurysms). Okuyingozi ngakumbi kuxa ulwelo luqokelelana kwi-macula, inxalenye ye-retina ebalulekileyo ekuboneni kwethu, esinceda ukuba sifunde kwaye sibone ngokucacileyo. Oku kubizwa ngokuba yi-macular edema . Oku kunokubangela umbono ofipheleyo.
Xa imeko iba mandundu, iliso lizama ukukhulisa imithambo yegazi emitsha kuba ukuhanjiswa kwegazi elisweni kuyaphazamiseka. Le nkqubo ibizwa ngokuba yi -neovascularization . Nangona kunjalo, le mithambo yegazi mitsha ibuthathaka kakhulu kwaye ibuthathaka. Inokugqabhuka lula kwaye ibangele ukopha ngaphakathi kweliso (i-hemorrhages). Oku kunokukhokelela kwizicubu ezibomvu kunye nokuqhekeka kwe-retina. Le yimeko engxamisekileyo enokubangela ukulahleka ngokupheleleyo kombono. Le mithambo yegazi mitsha inokuthintela ukuhamba kolwelo ngaphakathi kweliso, inyuse uxinzelelo lwamehlo kwaye ibangele i-glaucoma .
Ungayibona njani le meko kwangethuba?
Nantsi into ebalulekileyo. Nabani na onesifo seswekile, nokuba akanazo iimpawu, ngokuqinisekileyo kufuneka abonane nogqirha wamehlo kanye ngonyaka ukuze ahlolwe amehlo akhe. Ungaze ulibale oku.
Xa usiya kugqirha, nazi izinto eziza kwenzeka:
1. Ukucela iinkcukacha: Okokuqala, baza kuthetha ngembali yakho yezonyango, indlela olawula ngayo isifo sakho seswekile, kunye nokuba kukho naluphi na utshintsho embonweni wakho.
2. Uvavanyo lokubona: Inqanaba lakho lokubona liza kuhlolwa ngokukucela ukuba ufunde itshati yamehlo.
3. Ukujonga ngaphakathi kweliso: Okulandelayo,I-retina engaphakathi kweliso ihlolwa ngesixhobo esikhethekileyo esibizwa ngokuba yi-ophthalmoscope.
4. Uvavanyo olukhethekileyo: Ngamanye amaxesha, kufuneka uvavanyo olukhethekileyo ukuze kukhangelwe utshintsho olungabonakaliyo ngovavanyo oluqhelekileyo. Umfundi wakho unokuvuleka ngamaconsi, kwaye ingaphakathi leliso lakho linokuhlolwa ngesixhobo esibizwa ngokuba sisibane esiqhekekayo .
Olunye uvavanyo olukhethekileyo lubizwa ngokuba yi -fluorescein angiography . Oku kuquka ukufaka idayi emthubi emthanjeni osesandleni sakho, kwaye ikhamera ekhethekileyo ithatha uthotho lwemifanekiso njengoko ihamba ngemithambo yegazi esesweni lakho. Oku kunokubonisa umonakalo kwimithambo yegazi, njengeendawo apho igazi livuza khona, ngokucacileyo.
Kunye nezi mvavanyo, ugqirha ukwajonga neemeko ezifana ne-cataracts kunye ne-glaucoma, ezixhaphakileyo kwizigulana ezinesifo seswekile.
Zithini iindlela zonyango zoku?
Xa unyanga i-retinopathy yesifo seswekile, ugqirha wakho kunye nogqirha wamehlo kufuneka basebenzisane. Kwelinye icala, kufuneka ulawule amanqanaba eswekile egazini lakho, uxinzelelo lwegazi oluphezulu, kunye namanqanaba e-cholesterol. Kwelinye icala, ugqirha wamehlo unyanga amehlo ngokuthe ngqo.
Unyango lweLaser (iLaser Photocoagulation)
Olu lolona nyango lusetyenziswa kakhulu. Ugqirha wakho angacebisa olu nyango nangaphambi kokuba uqaphele naluphi na utshintsho embonweni wakho. Oku kungenxa yokuba unyango olukwinqanaba lokuqala lomonakalo luvelisa iziphumo ezilungileyo.
Oku kuquka ukusebenzisa umqadi welaser ocolekileyo kakhulu "ukuvala" imithambo yegazi engaphakathi kweliso evuza igazi. Oku kunceda ekunciphiseni ukudumba. Ngokuxhomekeke kubukhali bemeko yakho, kunokufuneka ukuba ube neeseshoni zonyango ezininzi. Kungathatha iinyanga ezininzi ukubona iziphumo emva konyango.
Utyando lweVitrectomy
Ukuba kukho ukopha okukhulu ngaphakathi kweliso okungazipheli ngokwako, ukuba i-retina ihlukanisiwe, okanye ukuba unyango lwelaser alunakumisa ukwakheka kwemithambo yegazi emitsha, ugqirha uya kucebisa olu tyando.
Kolu tyando, into efana nejeli engaphakathi kweliso (i-vitreous) iyasuswa, igazi liyacocwa, kwaye kususwe izicubu ezibomvu. Emva koko, kuzaliswa ulwelo oluzaliswayo elisweni.
Into ebalulekileyo kukuba olu nyango alunakubuyisela umbono olahlekileyo. Nangona kunjalo, lunokuthintela ukulahleka kombono okanye lunciphise isantya salo. Leyo yeyona njongo iphambili yolu nyango.
Ngaba le meko ingaphetshwa?
Ewe, ngokuqinisekileyo inokwenzeka. Iindlela ezimbini ezilungileyo zokuthintela oku zezi:
1. Lawula amanqanaba eswekile egazini lakho kakuhle: Landela ulwalathiso lukagqirha wakho malunga namayeza, i-insulin, ukutya okunempilo, kunye nokuzilolonga. Jonga amanqanaba eswekile egazini lakho rhoqo. Ukuba unengxaki yokulandela la manyathelo, ungabi nazintloni zokuthetha nogqirha wakho ucele uncedo.
2. Jonga amehlo akho minyaka le: Le yindlela ekuphela kwayo yokufumana esi sifo kwangethuba. Abantu abanesifo seswekile sohlobo loku-1 kufuneka bahlolwe amehlo abo kwisithuba seminyaka emi-5 emva kokuba bexilongiwe, kwaye abantu abanesifo seswekile sohlobo lwesibini kufuneka bahlolwe amehlo abo kwangoko emva kokuba bexilongiwe. Emva koko, kufuneka bahlolwe amehlo abo minyaka le.
Ezinye izinto ekufuneka ziqwalaselwe
- Ukukhulelwa: Ukuba umfazi onesifo seswekile uceba ukukhulelwa, kubalulekile ukuthetha nogqirha wakhe ngaloo nto. Le meko inokuba mandundu ngexesha lokukhulelwa.
- Uxinzelelo lwegazi oluphezulu, i-cholesterol, kunye nokutyeba kakhulu: Ezi zinto ziyenza mandundu imeko ye-Diabetic Retinopathy. Ngoko ke, zilawule kakuhle.
- Ukutshaya: Ukuba uyatshaya, cela uncedo kugqirha wakho ukuze uyeke.
- Utyando lwe-cataract: Ukuba uceba ukwenza utyando lwe-cataract, thetha nogqirha wakho malunga nendlela oluya kuyichaphazela ngayo i-diabetesic retinopathy.
| Kwimeko ezinjalo, qiniseka ukuba ubona ugqirha. | |
|---|---|
| Ukuba wena okanye umntwana wakho unesifo seswekile, kodwa anithethanga nogqirha wakho malunga novavanyo lwamehlo lonyaka. | Yenza idinga lokubonana nogqirha wamehlo ngokukhawuleza. |
| Ukuba uziva ngathi umbono wakho uya usiba mbi kancinci kancinci okanye ngequbuliso (umz. ukufiphala, ukubona amabala amnyama ejikeleza). | Oku kungaba yingxamiseko. Yiya kugqirha okanye kwigumbi likaxakeka lesibhedlele (ETU) ngokukhawuleza. |
| Ukuba unesifo seswekile kwaye uceba ukukhulelwa. | Qiniseka ukuba uhlola amehlo ngaphambi kokuba ukhulelwe. |
| Ukuba unengxaki yokulandela imiyalelo kagqirha wakho yokulawula amanqanaba eswekile egazini lakho. | Musa ukuba neentloni, thetha nogqirha wakho ngayo kwaye uxoxe ngendlela elula kuwe. |
| Ukuba umbono wakho awubonakali kakuhle kwaye ufuna ukwazi ngeendlela zokuphucula umbono wakho. | Buza ugqirha wakho malunga nezibonelelo kunye neengcebiso ezikhoyo zokulungisa umbono. |
Umyalezo Wokuya Ekhaya
- Isifo seswekile singonakalisa amehlo akho, nokuba asibonakalisi zimpawu ekuqaleni.
- Eyona ndlela ingcono yokuphepha oku kukugcina amanqanaba eswekile egazini lakho, uxinzelelo lwegazi, kunye ne-cholesterol iphantsi kolawulo.
- Ukuba unesifo seswekile, qiniseka ukuba ujongwa amehlo akho ngugqirha wamehlo kanye ngonyaka .
- Ukuba ufumanisa isifo kwangethuba uze uqale unyango, ungakhusela umbono wakho oxabisekileyo.
- Ukuba unamathandabuzo okanye ingxaki encinci malunga nokubona kwakho, ungaze ulibazise ukuthetha nogqirha wakho ngayo.











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