ʻO nā hoʻokolohua maka diabetes

Hiki i ke kuni ke hōʻeha i kou mau maka. Hiki iā ia ke hōʻino i nā kīʻaha koko liʻiliʻi i kāu retina, ka paia o hope o kāu ʻōpeʻe. Kāhea ʻia kēia ʻano he retinopathy diabetic.

Hoʻonui pū ka diabetes i kou makaʻi i ka glaucoma a me nā pilikia maka ʻē aʻe.

ʻAʻole paha ʻoe e ʻike i ka hōʻino ʻia o kou maka a maikaʻi ʻole ka pilikia. Hiki i kāu kauka ke hopu i nā pilikia i ka wanaʻao inā loaʻa iā ʻoe nā hōʻike maka maka mau. He mea nui loa kēia. ʻAʻole hoʻomaka nā pae mua o ka retinopathy diabetic i nā loli i ka hihi a ʻaʻole ʻoe e loaʻa i nā ʻōuli. Hiki i kahi hoʻokolohua maka ke ʻike wale i ka pilikia, i mea e hiki ai ke hana i mea e pale aku ai i ka hōʻino ʻana o ka maka.

ʻOiai ʻo ke kauka nāna e mālama i kāu maʻi diabetes e nānā i kou mau maka, pono ʻoe i kahi hoʻokolokolo maka i kēlā me kēia 1 a 2 mau makahiki e ke kauka maka nāna e mālama i ka poʻe me ka maʻi kō. He lako ka kauka maka hiki ke nānā i ka hope o kou maka ma mua o ka hiki i kāu kauka maʻamau.

Inā pilikia ʻoe i ka maka no ka maʻi diabetes, ʻike pinepine paha ʻoe i kāu kauka kauka. Pono ʻoe i kahi lapaʻau kūikawā e pale i nā pilikia o kou maka mai ka ʻino ʻana.

Hiki paha iā ʻoe ke ʻike i ʻelua ʻano ʻelua o nā kauka maka:

• ʻO kahi ophthalmologist he kauka lapaʻau ʻo ia ka loea o ka maka.
• ʻO ke optometrist he kauka no optometry. Aia a loaʻa iā ʻoe ka maʻi o ka maka i hoʻokumu ʻia e ka maʻi kō, ʻike paha ʻoe i ka ophthalmologist.

E nānā ke kauka i kou ʻike e hoʻohana ana i ka pakuhi o nā leka uila o nā nui like ʻole. Kapa ʻia kēia o ka pakuhi Snellen.

E hāʻawi ʻia ʻoe i nā kulu maka e hoʻonui ai (dilate) i nā haumāna o kou mau maka i hiki i ke kauka ke ʻike pono i ka hope o ka maka. Hiki paha iā ʻoe ke ʻūlū ke kau mua ʻia nā kulu. Loaʻa paha iā ʻoe kahi ʻono metallic i kou waha.

E ʻike ai i ka maka o kou maka, nānā ke kauka ma o ke aniani hoʻonui kuʻuna e hoʻohana ana i kahi kukui mālamalama. Hiki i ke kauka ke ʻike i nā wahi i hōʻino ʻia e ka maʻi diabetes:

• Nā kīʻaha koko i mua a i ʻole nā ​​ʻāpana waena o ka maka
• Ka hope o ka maka
• Kahi ʻāpana optic

Hoʻohana ʻia kekahi mea hana i ke kukui slit e ʻike i ka maka o ka maka (kornea).

Lawe paha ke kauka i kiʻi o ke kua o kou maka e kiʻi i kahi hōʻike kikoʻī. Kapa ʻia kēia hoʻokolohua he scan retinal digital (a i ʻole kiʻi). Hoʻohana ʻia kahi kāmela kūikawā e kiʻi i nā kiʻi o kāu retina me ka ʻole o ka dilat ʻana o kou mau maka. Nānā ke kauka i nā kiʻi a hōʻike iā ʻoe inā ʻoe e makemake hou i nā hoʻokolohua a i ʻole ka mālama ʻana.

Inā he kulu kāu e hoʻonui i kou mau maka, e pōpō ka ʻike ʻana ma kahi o 6 mau hola. E paʻakikī ka nānā ʻana i nā mea kokoke. Pono ʻoe e hoʻokele iā haʻi i kou home.

Eia nō naʻe, hiki i ka lā ke hōʻino i kou maka i ka maʻalahi ke pālahalaha ʻia kāu mau haumana. E komo i nā aniani ʻeleʻele a i ʻole e hoʻomalu i kou mau maka a hiki i ka hopena o nā kulu.

Retinopathy diabetic - hōʻike i nā maka; Diabetes - hōʻike i ka maka; Glaucoma - hōʻike i ka maka diabetic; Edema makala - hoʻāʻo maka maka diabetic

• Retinopathy diabetic
• Anatomy maka kūwaho a me loko

Pūnaewele ʻAmelika Hui Pū ʻIa Ophthalmology. Retinopathy diabetic PPP 2019. www.aao.org/preferred-practice-pattern/diabetic-retinopathy-ppp. Hoʻohou ʻia ʻOkakopa 2019. Loaʻa iā Nowemapa 12, 2020.

ʻAhahui Diabetes ʻAmelika. 11. ʻO nā pilikia Microvascular a me ka mālama wāwae: nā kūlana o ka mālama olakino ma ka maʻi diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S135-S151. PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

Brownlee M, Aiello LP, Sun JK, et al. Nā pilikia o ka maʻi diabetes. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 37.

Skugor M. Diabetes mellitus. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 49.

• Nā Pilikia o ka maka Diabetes