He aha kāu e ʻike ai e pili ana i ka maʻi ʻaʻai a me nā hoʻokolohua maka
Anter
- Nā ʻōuli o retinopathy diabetic
- Nā kumu o ka retinopathy diabetic
- Nā kumu weliweli no ka retinopathy diabetic
- Hapai keiki
- Lōʻihi o ka manawa me ka maʻi kō
- Mālama maikaʻi ʻole i ka maʻi
- Nā kūlana olakino ʻē aʻe
- Lāhui
- Puhipaka
- Diabetes a me kou mau maka
- Pehea e hōʻoia ai i ka retinopathy diabetic?
- ʻO ka tomography coherence optical (ʻOCT)
- ʻO Fluorescein angiography
- Ke hoʻomākaukau nei no kāu koho
- Lawe mai i nā kikoʻī
- Lawe mai i kahi papa inoa o nā nīnau
- Pehea e mālama ai i ka retinopathy diabetic?
- Ke kali kiaʻi nei
- Nohona olakino
- Lapaʻau kukuna koʻikoʻi
- Lāʻau hoʻowalewale laser
- ʻO Vitrectomy
- Nā hāmeʻa kōkua kōkua hihiʻo
- He aha ka manaʻo no ka poʻe me retinopathy diabetic?
- Kāohi
Hōʻike Overview
ʻO ka maʻi diabetes kahi maʻi e hoʻopili nui i nā wahi he nui i kou kino, me kou mau maka. Hoʻonui ia i kou makaʻu no nā kūlana maka, e like me glaucoma a me nā cataract. ʻO ka hopohopo mua no ke olakino o ka maka i ka poʻe me ka maʻi diabetes ka ulu ʻana o ka retinopathy diabetic.
ʻO ka retinopathy diabetic kahi kūlana e ulu ke hana ʻia nā kīʻaha koko i kāu retina. ʻO ka retina ka ʻāpana māmā o ke kua o kou maka. Ke piʻi nei ka ʻino, hoʻomaka paha ʻoe e nalo i kāu ʻike. E lilo paha kāu maka i blurry, emi ikaika, a hoʻomaka e nalo.
Hiki i kēia ʻano ke hoʻololi i ka poʻe me ka maʻi diabetes 1 a ʻano 2 paha. ʻO ka lōʻihi o kou noho ʻana me ka maʻi diabetes, ʻo ka nui o ka hoʻomohala ʻana i nā pilikia e like me ka diabetic retinopathy. ʻO kēia ke kumu e lawe ai i nā loli nohona a me ke aʻo ʻana e mālama i ka maʻi diabetes he mea nui.
Nā ʻōuli o retinopathy diabetic
I nā papa mua loa, hiki i ka retinopathy diabetic ke kumu ʻole i nā ʻōuli. ʻAʻole ʻike iki ʻia a akahai paha nā ʻōuli mua. I ka hala ʻana o ka manawa, hiki i ke ʻano ke ʻino a alakaʻi i ka hapa a laila makapō piha.
Pono ʻoe e ʻike i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli.
- nā float, a i ʻole nā kiko a me nā kaula ʻeleʻele, i kāu māla o ka hihiʻo
- nā wahi pouli a hakahaka paha i kāu māla o ka hihiʻo
- ʻike hihi
- paʻakikī paʻakikī ke nānā aku
- hoʻololi i ka hihiʻo e ʻano fluctuate ana
- ʻike maka kala i hoʻololi ʻia
- nalowale hapa a hihi paha
Hoʻololi pinepine ka retinopathy diabetic i nā maka ʻelua i ka manawa like a me ke ana like. Inā ʻoe e ʻike nei i nā pilikia me hoʻokahi maka wale nō, ʻaʻole ia he manaʻo ʻaʻohe ou diabetic retinopathy. Eia naʻe, hōʻike paha ia i kahi pilikia o ka maka. E hana i kahi manawa e ʻike ai i kāu kauka e ʻike i kahi hoʻolālā lapaʻau kūpono.
Nā kumu o ka retinopathy diabetic
ʻO ke kūkulu ʻana o ke kō i loko o kou koko i hiki ke alakaʻi i kekahi mau pilikia olakino.I kou mau maka, nui ka glucose i hiki ke hōʻino i nā moku liʻiliʻi e hāʻawi i ke koko i kāu retina. I ka hala ʻana o ka manawa, hiki i kēia ʻino ke ālai i kou kahe o ke koko.
Hoʻopilikia ka ʻinoʻino i nā kīʻaha koko retinal i kāu ʻike. Ke hoʻemi ʻia kou kahe o ke koko, hoʻāʻo kou maka e hoʻoponopono i ke kūlana ma ka ulu ʻana i nā kīʻaha koko hou. ʻO ke kaʻina o ka ulu ʻana i nā kīʻaha koko hou ua kapa ʻia ʻo neovascularization. ʻAʻole maikaʻi a ikaika paha kēia mau moku e like me nā mea mua. E kulu paha lākou a haki paha, kahi e hopena ai i kāu ʻike.
Nā kumu weliweli no ka retinopathy diabetic
ʻO ka retinopathy diabetic kahi hopohopo no kēlā me kēia mea he maʻi kō. Aia kekahi mau kumu pilikia no ka hoʻomohala ʻana i ka retinopathy diabetic:
Hapai keiki
Hiki paha i nā wahine hāpai a loaʻa i ka maʻi diabetes ke ʻike i nā pilikia hou aʻe me ka retinopathy diabetic ma mua o nā wahine i loaʻa i ka maʻi diabetes a hāpai ʻole. E ʻōlelo paha kāu kauka he loaʻa hou nā loiloi maka i kou hāpai ʻana.
Lōʻihi o ka manawa me ka maʻi kō
ʻO ka lōʻihi o kou loaʻa ʻana i ka maʻi diabetes, ʻo ka nui o kāu makaʻu i nā pilikia, e like me ka retinopathy diabetic.
Mālama maikaʻi ʻole i ka maʻi
ʻOi aku kou makaʻu no ka hoʻomohala ʻana i nā pilikia inā ʻaʻole i kaohi ʻia kāu maʻi diabetes. ʻO ka kaohi glycemic koʻikoʻi ka mea pono loa i ka pale ʻana i ka retinopathy diabetic. ʻIke mua a hana pū me kāu kauka e mālama i kāu maʻi diabetes he mea nui.
Nā kūlana olakino ʻē aʻe
Hiki i nā kūlana olakino ʻē aʻe a i ʻole nā maʻi ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i ka retinopathy. Hoʻopili pū lākou i ke koko kiʻekiʻe, nā maʻi puʻuwai, a me ka kiʻekiʻe o ke kō.
Lāhui
ʻOi aku ka makaʻu o ʻAmelika-ʻAmelika a me nā Hispanics i ka hoʻomohala ʻana i ka retinopathy diabetic ma mua o ka lehulehu.
Puhipaka
ʻO ka poʻe me ka maʻi diabetes nāna e puhipaka e hoʻomohala i ka retinopathy.
Diabetes a me kou mau maka
ʻO ke ala ʻoi loa e lawelawe ai i nā pilikia o ka maka e pili ana i ka maʻi diabetes ma o ka ʻike mua ʻana i nā pono ʻole o ka retinal, ka mālama pinepine ʻana, a me ka mālama koke ʻana. Hoʻomaka ka ʻike mua a me ka mālama ʻana me ka hōʻike retinal.
Paipai ka American Diabetes Association (ADA) i ka poʻe me ka maʻi diabetes type 1 i kā lākou ʻike maka mua ma waena o ʻelima mau makahiki ma hope o ka ʻike ʻia. Inā loaʻa iā ʻoe ka maʻi ʻaʻano 2, paipai ka ADA iā ʻoe i kāu hōʻike maka mua ma hope koke iho o ka loaʻa ʻana o kahi hōʻailona. ʻO kēia no ka hele pinepine ʻole ʻia o ka maʻi ʻaʻano 2 a ʻike ʻole ʻia no nā makahiki. Ua hoʻomaka paha ʻo Retinopathy i kēlā manawa. E kōkua kahi hoʻokolohua maka i kāu kauka e hoʻoholo inā loaʻa mua kahi ʻino.
Paipai ka ADA iā ʻoe i kahi hoʻokolohua maka i kēlā me kēia makahiki ma hope o kāu hōʻike mua. Inā komo ʻoe i nā aniani a i ʻole nā mea hoʻopili, pono paha ʻoe i kahi hoʻokolokolo maka maka makahiki no ka mālama ʻana i kāu kuhikuhi. Ma loko o kēlā hōʻike, e alakaʻi ana kāu kauka i kekahi mau hoʻokolohua liʻiliʻi e ʻike inā ua loli kāu hihiʻo ma muli o ka maʻi diabetes.
Hiki paha iā ʻoe ke hoʻomohala i ka retinopathy a ʻike i ka holo ʻole o kāu mau ʻōuli a kū ʻole paha. Inā kū kēlā, e nānā paha ʻoe i kou mau maka no nā loli no ke koena o kou ola he kiʻekiʻe. Inā hōʻoia kāu kauka iā ʻoe me retinopathy a mālama iā ʻoe no ia mea, noi paha lākou i nā hoʻokolokolo i nā manawa he nui i kēlā me kēia makahiki. ʻO ka helu o nā hoʻokolokolo maka e pono ai i kēlā me kēia makahiki e hilinaʻi nui ia i ka paʻakikī o ka retinopathy.
Pehea e hōʻoia ai i ka retinopathy diabetic?
ʻO ke ala wale nō e hōʻoia ai i ka retinopathy diabetic ka loaʻa ʻana o kahi hōʻike hoʻokolokolo dilated. No kēia hoʻāʻo, e kau kāu ophthalmologist i nā kulu i kou mau maka e hoʻonui ai, a i ʻole ia e hoʻonui ai, i kāu poʻe haumāna. Kōkua ka dilating o kāu poʻe haumāna i kāu kauka e ʻike i loko o kou mau maka me ka maʻalahi a nānā no ka hōʻino o ka retinopathy.
ʻOiai e hoʻomālamalama ʻia kou mau maka, hiki i kāu kauka ke alakaʻi i hoʻokahi o nā hoʻokolohua diagnostics ʻelua.
ʻO ka tomography coherence optical (ʻOCT)
Hāʻawi ʻo ʻOCT i nā kiʻi o kou mau maka. Lawe ʻia kēia mau manaʻo mai kahi ʻāpana keʻa i hiki i kāu kauka ke ʻike i nā kikoʻī maikaʻi loa o kou mau maka. Hōʻike kēia mau kiʻi i ka mānoanoa o kāu retina a ma kahi e kulu ai ka wai mai nā kīʻaha koko i hōʻino ʻia.
ʻO Fluorescein angiography
Hiki i kāu kauka ke kiʻi i nā kiʻi o loko o kou mau maka ke hoʻonui ʻia. A laila, i ka wā e hoʻomālamalama mau ʻia nei kou mau maka, e hoʻokomo ke kauka i kahi kala kūikawā i kou lima. E kōkua kēia kala i kāu kauka e ʻike i nā kīʻaha koko i nā paʻa a nā kīʻaha e hoʻokahe i ke koko.
Ke hoʻomākaukau nei no kāu koho
E hele mai i kāu manawa i mākaukau e kamaʻilio e pili ana i nā mea āu e ʻike nei.
Lawe mai i nā kikoʻī
Kākau i kēia mau kikoʻī a lawe pū me lākou:
- nā ʻōuli āu e ʻike nei
- ke hiki mai nā ʻōuli
- he aha nā pae glucose o kou koko i ka manawa o ka hanana
- kahi papa inoa o nā pilikia olakino ʻē aʻe āu e loaʻa nei me ka hoʻohui ʻana i nā pilikia o ka ʻike, ke hiki mai ia, a he aha ka mea e hoʻokū ai
- i kekahi ʻike ʻē aʻe āu e manaʻo ai he mea nui e ʻike ai kāu kauka
Lawe mai i kahi papa inoa o nā nīnau
E nīnau ana kāu kauka i nā nīnau a me nā ʻike nāu. E mākaukau me ka papa inoa o kāu mau nīnau e pili ana i nā mea āu e ʻike nei a me nā ʻanuʻu e hiki mai ana.
Pehea e mālama ai i ka retinopathy diabetic?
Hoʻolālā ka hoʻomaʻamaʻa no ka retinopathy diabetic e hoʻolohi a kū i ka holomua o ke ʻano. ʻO ka mālama pololei ʻana i ka retinopathy āu e loaʻa ai, pehea ke koʻikoʻi o kou ʻano, a me ka mālama pono ʻana i kou maʻi diabetes. ʻO nā ʻano hana hiki ke hoʻopili ʻia penei:
Ke kali kiaʻi nei
ʻAʻole paha ʻoe e pono i ka lāʻau lapaʻau inā ʻaʻole koʻikoʻi kāu retinopathy a i ʻole ke kumu ʻana i nā ʻōuli. He mea nui nō naʻe nā hōʻike maka maka makahiki. ʻO ka hele ʻana i nā hoʻokolohua makahiki wale nō ke ala e nānā ai kāu kauka i nā loli.
Nohona olakino
Pono ʻoe e hoʻokele i kāu maʻi diabetes a lawe i ka kaohi o kāu glucose koko e hōʻemi i ka likelike o ka retinopathy e lilo i ʻino.
Lapaʻau kukuna koʻikoʻi
Pono ʻoe i kahi lāʻau kukuna kikowaena inā ʻoe i loaʻa i ka retinopathy diabetic holomua. Hiki i kēia lapaʻau ke hōʻoki a hoʻolohi paha i ke kahe o ke koko mai kou kīʻaha koko ma o ka puhi ʻana i nā kīʻaha koko maʻamau. Pono kēia hana e ho'ōki i nā hōʻailona a hiki ke hoʻohuli iā lākou.
Lāʻau hoʻowalewale laser
Hiki i kēia ʻano lapaʻau laser ke hōʻemi i nā kīʻaha koko kūpono ʻole a hōʻeha iā lākou no laila ʻaʻole lākou e ulu a ulu paha i ka wā e hiki mai ana.
ʻO Vitrectomy
Hōʻike paha kāu kauka i kahi ʻoki liʻiliʻi i kapa ʻia he vitrectomy e hōʻoluʻolu i nā ʻōuli o retinopathy inā ʻaʻole holo ka nohona a me nā hana laser. I loko o kēia kaʻina hana, e hana kāu kauka i kahi ʻoki liʻiliʻi i kou maka e wehe i ke koko i kahe mai kāu mau moku koko. E kāpae hoʻi kāu kauka i nā ʻili scar e huki nei i kāu retina a hopena i kāu ʻike.
Nā hāmeʻa kōkua kōkua hihiʻo
Hoʻoponopono pinepine nā pilikia o ka hihi iā lākou iho ke pau ka lāʻau lapaʻau a loaʻa i kou mau maka ka manawa e hoʻōla ai. Hiki i kāu kauka ke mālama i nā loli mau o ka hihi me nā ʻike kōkua kōkua, e like me ka hoʻopili ʻana a i ʻole nā aniani.
He aha ka manaʻo no ka poʻe me retinopathy diabetic?
ʻO nā mālama ʻana no retinopathy diabetic he mea kūleʻa loa, akā ʻaʻole ia he lāʻau. ʻO ka maʻi diabetes kahi maʻi hoʻomau, ʻo ia hoʻi ʻike ʻoe i nā pilikia o ke ʻano no ke koena o kou ola. Hoʻopili kēia i nā pilikia ʻike.
Inā hoʻomohala ʻoe i ka retinopathy diabetic, ʻike paha ʻoe i ke kōkua me ka mālama ʻana, akā pono ʻoe i nā hoʻokolohua maka maʻamau e kiaʻi no nā pilikia e ulu ana. Hiki paha iā ʻoe ke hana hou aʻe no ka retinopathy.
Kāohi
ʻO ke ala ʻoi loa e hōʻemi ai i nā hopena o ka maʻi kō i kou mau maka a me ke koena o kou kino e kaohi i kāu kiʻekiʻe kō kō a mālama i kahi nohona olakino. Hiki iā ʻoe ke hana i ka mea aʻe e pale aku ai i ka nalo ʻana o ka ʻike a me nā pilikia ʻē aʻe mai ka maʻi kō.
- Hele i nā manawa hoʻopaʻa me kāu kauka e nānā i kou olakino, me ke olakino o kou mau maka.
- Mai hōʻalo i nā wā koho no ka mea ʻaʻole ʻoe e ʻike i kekahi pilikia. ʻO kekahi o nā hōʻailona maʻa mau loa he hōʻailona liʻiliʻi paha ia o kahi pilikia nui aʻe.
- Kāhea koke aku i kāu kauka inā hoʻololi kekahi mea i kou olakino a i ʻole kāu ʻike.
- E haʻalele i ka puhi inā uahi.
- Lilo kaupaona inā ʻoi nui ʻoe. He mea nui ke kaupaona ʻana i ka kaohi ʻana i kāu kō kō.
- Mālama i kahi kaupaona olakino e kōkua i ka hoʻomaikaʻi ʻana i kou ʻike insulin a hoʻohaʻahaʻa i kāu pae kō kō.
- ʻAi i kahi papaʻai olakino, kaulike kaulike e kōkua iā ʻoe e hoʻokō a mālama i kahi kaupaona kino kūpono.
E kamaʻilio me kāu kauka inā pilikia ʻoe i ka lilo ʻana o ka kaumaha a i ʻole ka haʻalele ʻana i ka puhipaka. Hiki iā lākou ke kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā mālama. E kuhikuhi paha kāu kauka iā ʻoe i kahi kaukaʻai hiki ke kōkua iā ʻoe e hoʻomohala i kahi papaʻai e paipai ai i ka pohō a me ke ʻano olakino olakino.