Diabetic Retinopathy Chii? Zviratidzo, Zvinokonzera, Nekurapa

Diabetic retinopathy chirwere chemaziso chinotapura vanhu vane chirwere cheshuga kana huwandu hweshuga muropa hwakakonzera kukuvara kwema capillaries maduku ari muretina. Retina ndiro ganda rinonzwa chiedza riri kumashure kwemaziso ako rinokubatsira kuona zvakanaka. Kana aya ma capillaries akakuvara, anogona kubudisa mvura kana ropa, izvo zvinogona kukanganisa kuona kwako nekufamba kwenguva.

Ichi chirwere chinokura zvishoma nezvishoma uye kazhinji pasina zviratidzo zvepakutanga, ndosaka kuongororwa kwemaziso nguva dzose kuri kukosha kana uine chirwere cheshuga. Mashoko akanaka ndeawo ekutonga zvakanaka chirwere cheshuga nekutsvaga pakutanga, unogona kuderedza zvakanyanya njodzi yematambudziko akaoma okuona.

Zviratidzo zveDiabetic Retinopathy Ndezvipi?

Mumakore ekutanga, diabetic retinopathy kazhinji haina zviratidzo, ndosaka dzimwe nguva inonzi chirwere “chisina ruzha”. Ungasazive chero shanduko mukuona kwako kusvika chirwere chacho chafambira mberi zvakanyanya.

Sezvo diabetic retinopathy ichifambira mberi, unogona kutanga kuona zviratidzo zvekutyisidzira izvo zvisingafanirwe kuregererwa:

• Kuona kusapfava kana kuchinja-chinja kunouya nekunoenda
• Mabhuru matema kana mafloaters anofamba-famba mukuona kwako
• Kuomerwa kuona usiku kana mumamiriro ezvinhu ane chiedza chiduku
• Macolor anotaridzika akashaya simba kana asinganyanyi kupenya sezvaanofanira
• Nzvimbo dzekuona dzinoita sekushaya kana kudzivirirwa
• Kurasikirwa nekuona kwakanyanya kamwe kamwe mumaziso rimwe kana maviri
• Kuona chiedza chinopenya kana kuona zvinhu zviviri

Aya maratidzo anogona kubva pane asinganyanyi kukosha uye anouya nguva nenguva kusvika kune anogara aripo uye anokonzera kunetseka. Kana ukaona chero shanduko yakakurumidza mukuona kwako, zvakakosha kuti ubate chiremba wemaziso ako nekukurumidza, sezvo mamwe marudzi eDiabetic retinopathy anogona kufambira mberi nekukurumidza uye anoda kutarisirwa nekukurumidza.

Marudzi eDiabetic Retinopathy Ndezvipi?

Diabetic retinopathy inokamurwa kuva marudzi maviri makuru zvichienderana nekuti chirwere chacho chafambira mberi sei. Kunzwisisa aya matanho kunogona kukubatsira kunzwisisa zviri kuitika mumaziso ako.

Non-proliferative diabetic retinopathy (NPDR) ndiyo fomu rekutanga, risina simba rechirwere. Munzvimbo ino, ma capillaries ari muretina ako anorasikirwa nesimba uye anogona kuumba mabhuru maduku anonzi microaneurysms. Aya ma capillaries akakuvara anogona kubudisa mvura kana ropa mune tishu dzeretina dziri pedyo, asi hapana ma capillaries matsva ari kukura.

Proliferative diabetic retinopathy (PDR) ndiyo nhanho yakakwira apo retina yako inotanga kukura ma capillaries matsva kuti edze kudzora akakuvara. Zvisinei, aya ma capillaries matsva anokurumidza kupwanya uye haana kunaka, kazhinji anokura munzvimbo dzisina kunaka uye anogona kukonzera matambudziko akaoma sekubuda ropa kana kuumbwa kwema scars.

Panewo chirwere chinobatanidzwa chinonzi diabetic macular edema, chinogona kuitika chero nhanho apo mvura inobuda mumacula (chikamu chepakati cheretina yako chinokonzera kuona kwakajeka, kwakajeka). Kuchema uku kunogona kukanganisa zvakanyanya kugona kwako kuverenga, kuchovha, kana kuona zvinhu zvidiki.

Chii Chinokonzera Diabetic Retinopathy?

Diabetic retinopathy inokura kana huwandu hweshuga muropa hwakakwira nguva dzose hwakakonzera kukuvara kwema capillaries maduku anodyisa retina yako. Funga nezve aya ma capillaries sema hoses edzimba anogona kupera simba uye kubudisa mvura kana akatarisana neshuga yakawanda kwenguva yakareba.

Zvinhu zvakati wandei zvinokonzera kukuvara uku uye zvinoita kuti uve nenjodzi yekuwana chirwere ichi:

• Kusadzora zvakanaka shuga muropa kwemwedzi kana makore
• Kuderera kweropa kunowedzera kunetseka kuma capillaries
• Huwandu hwe cholesterol hunogona kuwedzera kukuvara kwema capillaries
• Nguva yaunenge wava nechirwere cheshuga (nguva yakareba inowedzera njodzi)
• Kukura, kunogona kukurumidza kukuvara kwe retina kwakatovepo
• Kusvuta, kunoderedza kuyerera kweoksijeni kuenda kuretina
• Zvinhu zvemagwenya zvinogona kuita kuti vamwe vanhu vave nenjodzi yakawanda

Maitiro acho kazhinji anoitika zvishoma nezvishoma kwemakore, ndosaka kuchengetedza kutonga kwakanaka kwechirwere cheshuga kubva pakutanga kuri kukosha kwazvo. Kunyangwe kana wava nechirwere cheshuga kwenguva yakareba, kuvandudza kutonga kwako kweshuga muropa kunogona kukubatsira kudzikamisa kukuvara kwe retina.

Rini Unofanira Kuona Chiremba Nezve Diabetic Retinopathy?

Kana uine chirwere cheshuga, unofanira kuona chiremba wemaziso kuti aongorore maziso ako zvizere kamwe chete pagore, kunyangwe kuona kwako kuchitaridzika zvakanaka. Kuwana chirwere pakutanga ndicho chombo chako chakanakisisa chekudzivirira kurasikirwa nekuona kwakanyanya.

Zvisinei, mamiriro ezvinhu akati wandei anoda kutarisirwa nekukurumidza kwechiremba. Bata chiremba wemaziso ako nekukurumidza kana ukaona chero shanduko yakakurumidza mukuona kwako, kusanganisira mafloaters matsva, chiedza chinopenya, kana nzvimbo dzinoita sekushaya kana kudzivirirwa.

Unofanirawo kuronga kuonana nachiremba kana ukaona kuona kwako kuchinja-chinja, kunyanya kana kusina kuvanduka kana wabwinya kana kupumhidza maziso ako. Kana uri nepamuviri uye une chirwere cheshuga, uchada kuongororwa kwemaziso kazhinji sezvo pamuviri unogona kukurumidza diabetic retinopathy.

Mune mamiriro ekukurumidza, senge kurasikirwa nekuona kwakanyanya kamwe kamwe, mumvuri wakaita segomba pamberi pekuona kwako, kana kurwadziwa kwakanyanya kwemaziso, tsvaga rubatsiro rwekukurumidza muchipatara kana kuenda kuchipatara chekurapa nekukurumidza.

Zvinhu Zvinowedzera Njodzi yeDiabetic Retinopathy Ndezvipi?

Kunzwisisa zvinhu zvinowedzera njodzi kunogona kukubatsira kutora matanho ekudzivirira kuona kwako. Zvimwe zvinhu zvaunogona kudzora, nepo zvimwe zviri chikamu chenhoroondo yako yekurapa.

Zvinhu zvinowedzera njodzi zvaunogona kudzora zvinosanganisira:

• Kutonga kweshuga muropa (chinhu chakakosha chaunogona kudzora)
• Kuderera kweropa
• Huwandu hwe cholesterol
• Zvishuwo zvekusvuta
• Kuronga kuongororwa kwemaziso nguva dzose
• Kutonga kwese kwechirwere cheshuga

Zvinhu zvinowedzera njodzi zvausingakwanisi kuchinja zvinosanganisira kuti wava nechirwere cheshuga kwenguva yakareba sei, zera rako, magwenya, uye kana uine Type 1 kana Type 2 diabetes. Kunyangwe usingakwanisi kuchinja izvi zvinhu, kuziva nezvazvo kunokubatsira kunzwisisa kuti nei kuongororwa nguva dzose kuri kukosha kwazvo.

Pamuviri inoda kutaurwa zvakanyanya sezvo inogona kuwedzera njodzi yako kana watova nechirwere cheshuga. Izvi hazvirevi kuti pamuviri une njodzi, asi zvinoreva kuti uchada kuongororwa kwemaziso kazhinji panguva ino kuti uone chero shanduko.

Matambudziko Anogona Kuitika eDiabetic Retinopathy Ndezvipi?

Kunyangwe diabetic retinopathy inogona kutongwa zvakanaka kana yakawanikwa pakutanga, kuisiya isina kurapwa kunogona kukonzera matambudziko akaoma anogona kukanganisa kuona kwako zvachose. Kunzwisisa aya magumisiro anobatsira kusimbisa kuti nei kuongororwa nguva dzose kuri kukosha kwazvo.

Matambudziko akajairika anosanganisira:

• Vitreous hemorrhage, apo ropa rinobuda mune gel yakajeka iri mukati memaziso ako
• Retinal detachment, apo scar tissue inobvisa retina kubva kumashure kwemaziso ako
• Neovascular glaucoma, rudzi rwakakomba reglaucoma rwakakonzerwa nekukura kwema capillaries asinganzwisisiki
• Kurasikirwa nekuona kwakanyanya kana kuburira mumaziso akabatwa
• Macular edema isingapindure kurapwa

Mune zviitiko zvisingawanzoitika, diabetic retinopathy yakakwira kwazvo inogona kukonzera kuburira zvachose, kunyangwe mugumisiro uyu usingawanzoitika nhasi nekuda kwekuvandudzwa kwemishonga uye nzira dzekutsvaga chirwere pakutanga. Kunyangwe paine matambudziko, mishonga yakawanda iripo inogona kubatsira kuchengetedza kuona kwako kwakasara.

Mashoko akanaka ndeawo ekuti mazhinji eaya matambudziko akaoma anogona kudzivirirwa kana kuderedzwa nekutonga kwakanaka kwechirwere cheshuga nekutarisira maziso nguva dzose. Kuita chimwe chinhu pakutanga kazhinji kunounza migumisiro iri nani kupfuura kumirira kusvika maratidzo akanyanya.

Diabetic Retinopathy Inogona Kudzivirirwa Sei?

Nzira inonyanya kushanda yekudzivirira diabetic retinopathy ndeyekuchengetedza kutonga kwakanaka kweshuga muropa kwenguva yakareba. Izvi zvinoreva kushanda pedyo nechikwata chako chekurapa kuchengetedza A1C yako iri munzvimbo yako yakatarwa.

Mazano ekurarama akati wandei anogona kuderedza njodzi yako zvakanyanya:

• Ongorora shuga yako muropa nguva dzose uye tora mishonga sezvakarayirwa
• Chengetedza kudya kwakanaka kunotsigira shuga yakagadzikana muropa
• Ita zvemitambo nguva dzose kuti uvandudze insulin sensitivity uye kuyerera kweropa
• Chengetedza kuderera kweropa kwako
• Tonga huwandu hwe cholesterol yako nekudya nemishonga kana zvichidiwa
• Usasvute, kana kumira kana uchivuta iye zvino
• Ronga kuongororwa kwemaziso zvizere pagore

Kudzivirira kunorevawo kuva akangwara nezveutano hwako hwese. Izvi zvinosanganisira kutora mishonga yako ye diabetes nguva dzose, kuenda kune zvese zvaunofanira kuenda nazvo, uye kutaurirana zvakanaka nevanachiremba vako nezve chero zvinokunetsa kana shanduko dzaunoona.

Yeuka kuti kunyangwe kana ukawana zviratidzo zvepakutanga zve diabetic retinopathy, kutora aya matanho ekudzivirira kunogona kudzikamisa kufambira mberi kwayo uye kubatsira kuchengetedza kuona kwako kwemakore mazhinji ari kutevera.

Diabetic Retinopathy Inoziviswa Sei?

Kuziva diabetic retinopathy kunoda kuongororwa kwakazara kwemaziso kunopfuura bvunzo yekuona yakapfava. Chiremba wemaziso ako achashandisa matekinoroji akati wandei kuti aone zvakajeka ma capillaries netishu dziri muretina yako.

Nzira huru dzekuongorora dzinosanganisira:

• Kuongororwa kwemaziso kwakazara, apo madonhwe emaziso anowedzera vadzidzi vako kuti uone retina zviri nani
• Fluorescein angiography, inoshandisa dye chaiyo kusimbisa matambudziko ema capillaries
• Optical coherence tomography (OCT), scan isina kurwadza inoumba mifananidzo yakajeka yeretina
• Fundus photography kunyorera uye kutevera shanduko nekufamba kwenguva

Panguva yekuongororwa kwako, unogona kuona kuona kusapfava kwechinguva uye chiedza chinopenya kubva kumadonhwe anowedzera vadzidzi, asi izvi zvinowanzopera mukati memaawa mashoma. Maitiro acho haana kurwadza, kunyangwe ungangoona chiedza chinopenya panguva yemimwe miedzo.

Chiremba wemaziso ako achazotarisawo nhoroondo yako yekurapa, kusanganisira kuti wava nechirwere cheshuga kwenguva yakareba sei uye kuti shuga yako muropa yakagadziriswa zvakanaka sei. Aya mashoko anovabatsira kunzwisisa njodzi yako yese uye kuumba purogiramu yekutarisa yakakodzera.

Kurapa kweDiabetic Retinopathy Ndeapi?

Kurapa kwe diabetic retinopathy kunoenderana nenhamba uye kukomba kwechirwere chako. Munzvimbo dzekutanga, kurapa kwakakosha ndiko kutonga kwakanaka kwechirwere cheshuga kudzivirira kukuvara kukuru.

Kune zviitiko zvakakomba, mishonga yakawanda inoshanda iripo:

• Anti-VEGF injections inobatsira kuderedza kukura kwema capillaries asinganzwisisiki uye kubuda kwemvura
• Laser photocoagulation kuvhara ma capillaries anobudisa mvura
• Steroid injections kuderedza kuzvimba uye kuchema
• Vitrectomy surgery yezviitiko zvakakomba nekuenda ropa kana retinal detachment

Anti-VEGF injections kazhinji ndiwo kurapa kwakakosha kwe diabetic retinopathy yakakomba. Aya mishonga inoiswa zvakananga mumaziso ako uchishandisa tsono diki kwazvo, uye kunyangwe izvi zvingaita sekusagadzikana, varwere vazhinji vanogona kutsungirira maitiro acho zvakanaka nemadhonhwe anobvisa kurwadziwa.

Kurapa kwe laser kunogona kubatsira kwazvo pakuvhara ma capillaries anobudisa mvura uye kudzivirira kukura kwema capillaries matsva asinganzwisisiki. Maitiro acho kazhinji anoitwa muhofisi yechiremba wako uye anogona kuda zvikamu zvakati wandei kuti uwane migumisiro yakanaka.

Purogiramu yako yekurapa ichagadzirirwa zvichienderana nemamiriro ako chaiwo, uye chiremba wako achakukurukura njodzi uye mabhenefiti emusarudzo imwe neimwe newe zvizere.

Maitiro ekutonga Diabetic Retinopathy pamba?

Kunyangwe kurapwa kwakakosha kwe diabetic retinopathy, pane zvakawanda zvaunogona kuita pamba kuti utsigire utano hwako hwemeso uye kudzikamisa kufambira mberi kwechirwere ichi. Zviito zvako zvezuva nezuva zvine basa rakakosha pakuchengetedza kuona kwako.

Mazano ekutonga pamba anosanganisira:

• Kuongorora shuga yako muropa nguva dzose uye kuchengetedza rekodhi yakazara
• Kutora mishonga yese yakarayirwa nguva dzose uye panguva yakatarwa
• Kutevera kudya kwakanaka kwechirwere cheshuga kwakapfuma mumamiriro uye kushoma mune shuga yakagadzirwa
• Ita zvemitambo nguva dzose kuti uvandudze kuyerera kweropa uye kutonga kweshuga muropa
• Kuongorora kuderera kweropa kwako pamba kana zvakarayirwa
• Kudzivirira maziso ako kubva muchiedza chezuva chakajeka nemagirazi akanaka
• Kudzivisa kusvuta uye kuderedza kushandisa doro

Cherechedza chero shanduko mukuona kwako uye chengetedza rekodhi yakapfava yezvaunoona. Aya mashoko anogona kubatsira chikwata chako chekurapa pakugadzirisa purogiramu yako yekurapa.

Kuumba nharaunda inotsigira pamba kwakakoshawo. Izvi zvinogona kureva kuvandudza chiedza chekuverenga, kushandisa zvinhu zvinowedzera kana zvichidiwa, kana kuronga nzvimbo yako yekugara kuderedza njodzi yekuwa kana kuona kwako kukanganiswa.

Unofanira Kugadzirira Sei Kuonana Nachiremba?

Kugadzirira kuonana kwako kunogona kukubatsira kushandisa nguva yako zvakanaka ne chiremba wemaziso ako uye kuve nechokwadi chekuti unowana ruzivo rwose rwaunoda. Kuronga zvishoma zvinobatsira kwazvo.

Usati waenda kuonana nachiremba,unganidza ruzivo rwakakosha:

• Rondedzero yemishonga yese yaunotora iye zvino, kusanganisira zvinowedzerwa
• Mazuva ano eshuga muropa uye A1C migumisiro
• Chero shanduko dzekuona kana maratidzo aune
• Mibvunzo yaunoda kubvunza chiremba wako
• Ruzivo rweinshurensi uye marekodhi ekupedzisira ekuongororwa kwemaziso

Sezvo vadzidzi vako vangangova vakakura panguva yekuongororwa, gadzira kuti mumwe munhu akutakure kumba kana kuronga kushandisa kutakura veruzhinji. Migumisiro yekukura inogona kugara kwemaawa mashoma, zvichiita kuti kuchovha kusave kuchengeteka.

Funga nezvekutora shamwari yakavimbika kana nhengo yemhuri kuti ikubatsire kuyeuka ruzivo rwakakosha rwakakurukurwa panguva yekuonana. Vanogonawo kupa rutsigiro rwemanzwiro kana uri kunzwa kunetseka nezvekuongororwa kana kuziva chirwere.

Nyora mibvunzo yako usati waenda kuonana nachiremba kuti usakanganwa kuibvunza panguva yekuonana. Iyi ndiyo mukana wako wekunzwisisa mamiriro ako ezvinhu uye sarudzo dzekurapa zvizere.

Chii Chinonyanya Kukosha Nezve Diabetic Retinopathy?

Chinhu chakakosha chaunofanira kunzwisisa nezve diabetic retinopathy ndechekuti inonyanya kudzivirirwa uye inogona kutongwa kana ukatora basa rakakosha mukutarisira chirwere chako cheshuga. Kuwana chirwere pakutanga kuburikidza nekuongororwa kwemaziso nguva dzose, pamwe nekutonga kwakanaka kweshuga muropa, kunogona kuchengetedza kuona kwako kwemakore mazhinji ari kutevera.

Yeuka kuti diabetic retinopathy kazhinji inokura pasina maratidzo munzvimbo dzayo dzekutanga, zvichiita kuti kuongororwa kwemaziso pagore kuve kukosha kwazvo. Usamirire kusvika waona matambudziko ekuona kuti uone chiremba wemaziso kana uine chirwere cheshuga.

Kunyangwe kuziva chirwere che diabetic retinopathy kunogona kunzwa kusingafadzi, mishonga yakawanda inoshanda iripo nhasi yaisava sarudzo kunyange makore gumi apfuura. Nekutarisirwa kwakakodzera kwemishonga uye kuzvipira kwako pakutonga chirwere chako cheshuga zvakanaka, unogona kuchengetedza kuona kwakanaka uye kuramba uchiita zvinhu zvaunoda.

Chinhu chikuru ndechekuramba uchiita chimwe chinhu nezveutano hwako hwemeso uye kushanda pedyo nechikwata chako chekurapa. Kuona kwako kunokosha, uye kuita chimwe chinhu iye zvino kunogona kuita musiyano mukuru mumigumisiro yako yenguva refu.

Mibvunzo Inonyanya Kubvunzwa Nezve Diabetic Retinopathy

Diabetic Retinopathy Inogona Kugadziriswa Here?

Kunyangwe diabetic retinopathy isingagone kugadziriswa zvachose, kufambira mberi kwayo kunogona kazhinji kudzikamisa kana kumiswa nekurapa kwakakodzera uye kutonga kwechirwere cheshuga. Kukuvara kwepakutanga kunogona kugadzikana nekutonga kwakanaka kweshuga muropa, uye kurapwa kwakakomba kunogona kubatsira kuchengetedza kuona kwakasara. Chinhu chikuru ndechekuwana chirwere pakutanga uye kuchengetedza kutarisirwa kwenguva dzose.

Ndinofanira kuongororwa maziso kazhinji sei kana ndine chirwere cheshuga?

Vanhu vazhinji vane chirwere cheshuga vanofanira kuongororwa maziso zvizere kamwe chete pagore. Zvisinei, kana watova ne diabetic retinopathy kana zvimwe zvinhu zvinowedzera njodzi, chiremba wemaziso ako anogona kukurudzira kushanya kazhinji, mwedzi mitatu kusvika mitanhatu. Vakadzi vane pamuviri vane chirwere cheshuga vanowanzodiwa kuongororwa kwega kwega trimester.

Ndichabvura here nekuda kwe diabetic retinopathy?

Kuburira nekuda kwe diabetic retinopathy hakusi chinhu chakaoma uye chave chichiva chisingawanzoitika nemishonga yemazuva ano uye kutonga kwakanaka kwechirwere cheshuga. Vanhu vazhinji vanowana kutarisirwa kwakakodzera uye vanochengeta kutonga kwakanaka kweshuga muropa vanogona kuchengetedza kuona kwavo. Kunyangwe paine kurasikirwa nekuona, kurapwa kunogona kazhinji kudzivirira kuwedzera kukanganisa.

Diabetic retinopathy inorwadza here?

Diabetic retinopathy pachayo kazhinji haina kurwadza, ndosaka kuongororwa kwemaziso nguva dzose kuri kukosha kwazvo pakutsvaga chirwere pakutanga. Zvisinei, mamwe matambudziko anobatanidzwa senge kuwedzera kukurumidza kweropa mumaziso kunogona kukonzera kusagadzikana. Kana ukaona kurwadziwa kwemaziso pamwe chete neshumo dzekuona, bata chiremba wemaziso ako nekukurumidza.

Ndingadzivirira diabetic retinopathy here kana ndatova nechirwere cheshuga?

Hongu, unogona kuderedza njodzi yako yekuwana diabetic retinopathy kana kudzikamisa kufambira mberi kwayo nekutonga kwakanaka kweshuga muropa, kutonga kuderera kweropa uye cholesterol, kuita zvemitambo nguva dzose, uye kuongororwa kwemaziso pagore. Kunyangwe vanhu vakava nechirwere cheshuga kwemakore mazhinji vanogona kubatsirwa nekugadziriswa kwakanaka kwechirwere cheshuga.