Mphaka ndi nthenda yamaso yodziwika ndi kuyendetsa ma mandala. Nthawi zambiri, mandala amatha kuwonekera poyera chifukwa amatsogolera kuwala ku retina ndipo amakhala ngati mandala opepuka. Ngati gawo ili la zida za maso limakhala lamitambo, masomphenya a munthu amatsika kwambiri. Popanda chithandizo, wodwalayo amatha kukhala wakhungu chifukwa cha kuchepa kwa cataract. Popeza kuti ndi matenda ashuga njira zonse zopweteka mthupi zimakhala zovuta kwambiri, ndikofunikira kuzindikira matendawa munthawi ndikuyamba chithandizo.
Mitundu yamatenda ndi zoyambitsa
Zomwe zimayambitsa kukula kwa matenda othandizira odwala matenda ashuga (monga, mwadzidzidzi, m'magulu ena a odwala) sizikudziwika. Koma pali zinthu zina zodziwikiratu zomwe zitha kupangitsa kudwala. Zambiri zimaphatikizapo zaka komanso cholowa. 50% ya anthu opitilira 60 apezeka ndi matenda a mandala, ndipo zaka zopitilira 80, matendawa amapezeka mwa 90-100% ya odwala. Ma Cataralog omwe ali ndi matenda ashuga amatha kugawidwa m'mitundu iwiri:
- matenda omwe amayamba chifukwa cha ukalamba.
- matenda omwe adayamba chifukwa cha kusokonezeka kwa kagayidwe kazakudya.
Mtundu woyamba wamatumbo nthawi zambiri umapezeka mtundu wachiwiri wa matenda ashuga, chifukwa thanzi la munthu limakulirakulira ndi ukalamba. Poyerekeza ndi kuchuluka kwa shuga m'magazi, njira zonse za thupi zopangidwira zimayenda kwambiri. Chifukwa cha matenda ashuga, magazi abwinobwino amaso samasokonekera ndipo mapangidwe ake a minyewa ya m'mitsempha m'derali amawonongeka. Popanda kuwongolera komanso kuthandizira, izi zimatha kuyambitsa kuwonongeka kwakukuru, mpaka khungu.
Matenda enieni a matenda ashuga amatha kupezekanso ngakhale mwa achinyamata omwe ali ndi matenda a shuga omwe amadalira insulin. Nthawi zina matendawa amaphatikizidwa ndi retinopathy (kusintha kowawa mu retina) kapena amayamba yekha. Nthawi zambiri, ma opacities amapanga khoma lakumbuyo kwa mandala, ndipo ndi chithandizo cha panthawi yake, sichikula. Chifukwa cha kugwiritsidwa ntchito kwa madontho othandizira maso ndi kusintha kwa magazi m'thupi, matendawa atha kuyimitsidwa pomwe adayamba kukula.
Ngati zisokonezo zoyambirira sizikupezeka munthawi yake, matendawa amatha kufalikira ku magalasi ambiri ndikuyambitsa mavuto akulu m'maso. Chiwopsezo cha kuwonongeka kwamawonekedwe kwa odwala omwe ali ndi matenda amtundu wa 1 ndikuwonjezeka katatu kuposa amphaka kuposa matenda a shuga.
Mayeso a Ophthalmologist mayeso amafunika kwa onse odwala matenda ashuga, osatengera zaka komanso kuopsa kwa njira ya matendawa
Zizindikiro
Kumayambiriro kwa matendawa, matendawa amatha kukhala osaneneka kapena amatha kupezeka kwathunthu. Matendawa akamakula, wodwalayo amayamba kusokonezedwa ndi mawonekedwe:
- mawonekedwe a mawanga ndi zotuwa patsogolo pa maso;
- kuchepa kowoneka bwino;
- chidwi chowonjezereka pakuwala kowala;
- kuphatikiza kosalekeza kwa zinthu;
- masomphenya opanda pake akamagwira ntchito pakompyuta, kuwerenga mabuku ndi kulemba;
- kuchepa kwamadzulo masana;
- kumverera kwa chophimba pamaso.
Ndi malo owonongeka ambiri, amkati amatha kudziwonetsa ndi zowopsa:
- kuchepa kwakuthwa kwa zowoneka bwino;
- kusefukira kwa mwana, mapangidwe oyera m'malo mwake;
- kuthekera kokuwona ma silhouette okha a zinthu;
- khungu.
Chithandizo cha Conservative
Ndizosatheka kubwezeretsa mawonekedwe a mandala ndi madontho kapena mankhwala ena wamba. The turbidity chifukwa sichitha kuthetsa kugwiritsa ntchito wowerengeka azitsamba, samakhudzidwa ndi physiotherapy ndi kutikita m'maso. Koma chifukwa cha njira zosamalitsa zamankhwala, mungachepetse kuthamanga kwa matendawa ndikuwongolera kayendedwe ka metabolic mu minofu yapafupi.
Ndi gawo liti la matenda a shuga omwe madontho apadera ayenera kugwiritsidwa ntchito? Kuchita bwino kwambiri kumatheka pogwiritsa ntchito magawo oyambilira kuti mupeze vuto, pomwe kukula kwa mpweya komanso malo okwanira a zotupa ndi ochepa. Palinso mankhwala apadera apamwamba omwe angagwiritsidwe ntchito kupewa. Amachepetsa chiwopsezo cha zovuta za mandala kwa okalamba ndi achinyamata odwala.
Mankhwala, mankhwala a mavitamini, ma amino acid ndi zinthu zamafuta zomwe zimapangitsa kuti minye yokhala ndi matenda a minyewa imagwiritsidwa ntchito kwambiri. Pofuna kuthana ndi njala ya okosijeni, madontho okhala ndi antioxidants ndi ma enzyme amagwiritsidwa ntchito pokonzanso magwiridwe antchito a kusintha kwa gasi. Mankhwala oterewa amatha kuthandizira polimbana ndi kupitilira kwa matenda oyambitsidwa ndi matenda am'kati, komanso matenda ashuga retinopathy, ngati ayamba kale.
Pogwiritsa ntchito mwadongosolo komanso kuyambitsa chithandizo munthawi yake, madontho amaso amathandizira kupewa kuwonongeka kwa khungu.
Kodi opaleshoni imafunikira nthawi zonse?
Kuchita opareshoni sikofunikira nthawi zonse kuchiza matenda amkati, ngakhale, kwenikweni, iyi ndi njira yokhayo yothetsera vutoli kwambiri. Pakupanga opaleshoni, mandala amasinthidwa ndi othandizira anzawo, chifukwa chomwenso mawonekedwe a wodwalayo amabwezeretsedwa. Koma koyambirira, mothandizidwa ndi mankhwala komanso kuwongolera shuga, mutha kuyesa kuyimitsa matendawa. Ngati khungu silikupita, ndiye kuti wodwalayo amakhala ndi mwayi wokhala ndi masanjidwe abwinobwino kwa nthawi yayitali osachitidwa opaleshoni.
Kuthandizira opaleshoni kumakuthandizani kuti muthane ndi zovuta muzochitika zapamwamba, koma kukhazikitsa kwake ndizotheka pokhapokha ngati pali contraindication. Mwachitsanzo, retinopathy yovuta, yomwe imakhudza ambiri a retina, imatha kukhala chopinga chachikulu pakuchita opareshoni. Zovuta zimatulukanso ndi kukula kwa mitsempha yamagazi yaying'ono pa iris ya maso. Pazifukwa izi, funso la kuyenera kwa chithandizo chamankhwala opangira opaleshoni liyenera kuganiziridwa ndi akatswiri angapo azachipatala pamaziko a mayeso oyenera ndi mayeso othandizira.
Chinanso chomwe chikuyipitsa opaleshoni ndimatenda a maso. Poyamba, ndikofunikira kuti muchepetse zovuta pachimake mothandizidwa ndi chithandizo chamankhwala, ndikuti pokhapokha mukonze ma lens. Njira zamakono za opaleshoni zimalola kulowererapo pansi pa opaleshoni yam'deralo komanso malo ocheperako. Pachifukwa ichi, zida za laser ndi ma analogi opanga ma lens omwe amapangidwa ndi zinthu zodalirika za polima amagwiritsidwa ntchito.
Kupewa
Popeza zomwe zimayambitsa ndere sizikudziwikiratu, kupewa matendawa kumayamba kukhala ndi moyo wathanzi, kuwongolera shuga ndi kugwiritsa ntchito othandizira. Pali madontho amaso omwe angagwiritsidwe ntchito osati kokha pochizira, komanso kupewa matenda. Katswiri wodziwa zam'maso ndi yemwe ayenera kuwatenga atawunika mwatsatanetsatane zida zamakono ndi mbiri yakale. Kuyesera kulikonse pakudziyesa nokha (kuphatikiza kugwiritsa ntchito mankhwala azikhalidwe) kungakhale koopsa, ndipo nthawi zambiri kumayambitsa kuwonongeka kwa mawonekedwe.
Onse odwala matenda ashuga amafunika kukayezetsa matenda a ophthalmologist kamodzi pa miyezi isanu ndi umodzi. Matenda a shuga m'magazi angayambitse kupita kwa dokotala pafupipafupi, koma ndikofunikira kuti akhale ndi maso komanso kuti akhale ndi maso athanzi. Kuthana ndi zakudya komanso kukhazikitsidwa kwa malingaliro ena a adotolo kumachepetsa chiopsezo chokhala ndi zovuta zambiri za matenda a shuga, kuphatikizapo matenda a maso.