Ingabe unesifo sikashukela? Khona-ke sidinga ukunakekela amehlo ethu kakhudlwana. Ngoba ezinye izinkinga ezihambisana nesifo sikashukela zingalimaza amehlo ngaphandle kokubonisa izimpawu ezigabeni zokuqala. Esinye isimo esinjalo esithinta kancane ukubona yi-Diabetic Macular Edema, noma i-DME ngamafuphi. Kulesi simo, uketshezi luvuza emithanjeni yegazi ethambile esweni ngenxa yesifo sikashukela, okubangela ukuvuvukala ngaphakathi kweso. Uma lokhu kutholakala kusenesikhathi, kungelashwa futhi umbono ungagcinwa. Namuhla, ake sixoxe ngendlela yokwazi kahle ukuthi unalesi simo se-DME.
Indlela yokuthola umbono omncane ekhaya
Ngaphambi kokuba uye kudokotela, ungenza ukuhlolwa okuncane ekhaya. Lokhu sikubiza ngokuthi ukuhlolwa kwe-"Amsler grid". Kulula kakhulu.
Cabanga ngeshadi elifana nekhasi elivela encwadini yemithetho yebhokisi. Linechashazi elimnyama phakathi. Okudingeka ukwenze:
- Gcina leli shadi endaweni ekhanyiswe kahle, lapho ungafunda khona incwadi.
- Uma ugqoka izibuko, zifake.
- Manje mboza iso elilodwa ngesandla sakho bese ubheka kuphela ichashazi elimnyama eliphakathi neshadi ngelinye iso.
- Njengoba ubheka ichashazi, bona ukuthi ungayibona yini imithetho yesikwele eshadini.
Ngokuvamile, kufanele ubone le migqa iqondile futhi icacile. Kodwa uma unesifo esifana ne -DME , le migqa eyisikwele ingase ibonakale inwetshiwe, imibimbi, noma ifiphele kwezinye izindawo. Bese uhlola elinye iso ngendlela efanayo.
Kodwa khumbula lokhu: Ukuhlolwa kwegridi ye-Amsler kuyinkomba encane nje yokuthi unenkinga yini. Akuyona indawo yokuhlolwa kwamehlo okuphelele. Uma ubona noma yiziphi izinguquko, kufanele nakanjani ubone udokotela.
Kwenzekani uma uya kudokotela?
Uma unesifo sikashukela, indlela engcono kakhulu yokuhlola amehlo akho ukubona udokotela wamehlo, udokotela oqeqeshwe ngokukhethekile ekunakekelweni kwamehlo onesifo sikashukela. Bazokwenza ukuhlolwa kwamehlo okuphelele. Lokhu kuhlolwa kuhilela izinyathelo eziningana ezibalulekile.
1. Ukuhlolwa Kokubona Okubonakalayo
Lokhu ukuhlolwa kwamehlo esikwaziyo sonke. Babeka ibhodi elinezinhlamvu, izinombolo, noma izimpawu zobukhulu obuhlukene kulo kude bese becela ukuthi ulifunde. Lolu uhlobo lokuhlolwa udokotela angalusebenzisa ukuthola umbono oyisisekelo wokuthi umbono wakho unjani nokuthi kukhona yini ubuthakathaka.
2. Ukuhlolwa Kwamehlo Okuvulekile
Lolu uhlobo lokuhlola olubaluleke kakhulu olusetshenziswa ukuxilonga i-DME.
- Okokuqala, udokotela uzofaka amaconsi akhethekile emehlweni akho.
- Lolu ketshezi luzokwenza ukuthi inhlamvu yeso lakho ikhule. Ungakhathazeki, lokhu kungokwesikhashana nje.
- Uma inhlamvu yeso inkulu, udokotela usebenzisa idivayisi ekhethekile ebizwa ngokuthi isibani esivulekile ukuze akhanyise iso futhi abone zonke izingxenye ezingaphakathi kweso ngokucacile.
- Ukugxila okuyinhloko lapha kusengxenyeni yeso ebizwa ngokuthi i-retina. Kalula nje, lena yingxenye engaphakathi kweso lethu efana nefilimu yekhamera. Isithombe salokho esikubonayo sakhiwa lapha.
- Ingxenye eyinhloko ye-retina esinika umbono obukhali yi-macula. Ku-DME, yi-macula evuvukalayo.
- Ngakho-ke, phakathi nalolu vivinyo, udokotela uhlola ngokucophelela ukuze abone ukuthi uketshezi luyavuza yini emithanjeni yegazi e-retina, ukuthi luvuvukele yini, noma kukhona ukopha okuncane.
3. Ukuthatha izithombe ngaphakathi kweso (Ukuthwebula Izithombe Ze-Retinal)
Lena futhi indlela esetshenziswa kulezi zinsuku. Kufana nokuthatha isithombe sengaphakathi leso lakho. Ikhamera ekhethekile ithatha izithombe ze-retina yakho izithumele kukhompyutha. Udokotela wamehlo ube esehlola lezi zithombe ukuze abone ukuthi zikhona yini izimpawu zesimo sempilo. Nakuba lokhu kungeyona imininingwane njengokuhlolwa kwamehlo okugcwele, kuyindlela enhle yokuqala yokuhlola umuntu ongase angakwazi ukuya kudokotela wamehlo.
Ukuhlolwa okukhethekile okufanele kwenziwe uma kusolwa ukuthi i-DME iyasebenza
Ngemva kokuhlolwa okungenhla, uma udokotela wakho esola ukuthi une-DME, uzokwenza ezinye izivivinyo eziningana ezikhethekile ukuze akuqinisekise. Kunezivivinyo ezimbili eziyinhloko.
| Igama lokuhlolwa | Kwenzekani nje | Yini ongayithola kulokhu? |
|---|---|---|
| I-Fluorescein Angiography | Idayi ekhethekile ifakwa emthanjeni osengalweni yakho. Uma ledayi ifika esweni lakho, yenza imithambo yegazi engaphakathi kweso lakho ibonakale ngokucacile. Bese kuthathwa uchungechunge lwezithombe ngekhamera ekhethekile. | Ingabona ngqo ukuthi uketshezi luvuza kuphi emithanjeni yegazi engaphakathi kweso, ukuthi imithambo yegazi yonakele, noma ukuthi imithambo yegazi emisha nebuthakathaka yakhekile. |
| I-Optical Coherence Tomography (OCT) | Lokhu kufana nokuskena iso nge-ultrasound. Kodwa esikhundleni samaza omsindo, isebenzisa amaza okukhanya ukuthatha izithombe ezinemininingwane eminingi, ezihlanganisa izingxenye zezicubu ezingaphakathi kweso. Akubuhlungu. | Lokhu kubhekwa njengendlela engcono kakhulu nenembile kakhulu yokuxilonga i-DME. Kungalinganisa ngokunembile ubukhulu bengqimba ngayinye ye-retina, ngakho-ke kungasho ngokucacile kunezinye izivivinyo ukuthi kungakanani ukuvuvukala. |
Ngemva kwalezi zivivinyo, udokotela wakho angenza ukuxilongwa okunembile kokuthi une-DME noma cha, futhi uma kunjalo, ukuthi inzima kangakanani. Angabe esencoma ukwelashwa okufanele kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Uma unesifo sikashukela, kubalulekile ukuthi amehlo akho ahlolwe udokotela wamehlo okungenani kanye ngonyaka, noma ngabe awunazo izimpawu.
- Uma uhlangabezana nanoma yiziphi izinguquko embonweni wakho, njengokubona okufiphele, izithombe ezifiphele, noma amabala amnyama antantayo , bona udokotela ngokushesha ngaphandle kokulibala.
- Nakuba ukuhlolwa kwegridi ye-Amsler ekhaya kungumqondo omuhle, akusikho neze okungathatha indawo yokuhlolwa kwezokwelapha.
- I-DME yisimo esingalawulwa kahle futhi umbono ungagcinwa uma sitholakala kusenesikhathi. Ngakho-ke ungesabi, futhi ulandele iseluleko sezokwelapha ngesikhathi esifanele.
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