The weather is starting to get hotter
After exercise
Have a can of chilled ice coke
What a pleasure
However, Xiaobian wants to remind everyone here
Drinks delicious
But you can't "covet the cup"
Drink Coke and Sprite as water
Not only may it be "half a month" day by day
It can also cause blindness!
Is it that scary?
22-year-old Xiao Jie (pseudonym)
17-year-old Lily (pseudonym)
All were recruited
I am writing my graduation thesis
But suddenly "blind"
"I don't dare to drink Coke like this again!" In the ophthalmology clinic area of the Zhijiang Branch of the First Hospital of Zhejiang University, a fashionably dressed lady nodded at the head of a young boy and frowned.
The young man is called Xiao Jie, 22 years old this year, studying at a university in Hangzhou, about to graduate, he has been busy writing a graduation thesis, looking for a job, one day at the end of February this year, he was writing a graduation thesis in the school library, and suddenly felt that his right eye was black, like being blocked by a black cloth. Xiao Jie hurriedly called home, and his mother accompanied him to the ophthalmology department of the Zhijiang Branch of the First Hospital of Zhejiang University.
Sheng Yan chief physician received Xiao Jie, after examination Xiao Jie's right eye only left the in front of the manual vision (can only feel the hand shaking in front of the eye), the right eye vitreous body has a large area of blood, can not see the fundus condition, the left eye situation is not optimistic, you can see the retina on the exudation, bleeding and abnormal neovascularization.
"Do you have diabetes?" Because the symptoms manifest as typical of diabetic retinopathy, it is a common complication of diabetes. Although Xiao Jie said that he did not have diabetes, Sheng Yan's chief physician was initially diagnosed with diabetic retinopathy, and the subsequent blood glucose test results showed that Xiao Jie's blood glucose index greatly exceeded the normal standard range. After consultation with the Department of Endocrinology, Xiao Jie was diagnosed with type 2 diabetes mellitus and diabetic retinopathy.
Diabetic retinopathy, referred to as "sugar net", in layman's terms, diabetic patients with hyperglycemia will lead to systemic microangiopathy, often affecting the eyes and kidneys, retinal microvessels for a long time in a high sugar environment, microvessels change, become fragile, just like a cracked water pipe, easy to leak, bleeding, thereby triggering retinal bleeding, oozing.
Development, these microvascular will be blocked, causing retinal ischemia and hypoxia, the surface of the retina grows abnormal neovascularization, these neovascular walls are thin and fragile, very easy to rupture resulting in a large amount of bleeding in the eye, resulting in a situation in front of the eyes like being obscured by a black cloth, serious loss of vision.
Further development, the concurrent proliferative changes of neovascularization will "pull" the retina, forming a retinal detachment, and eventually lead to blindness.
Xiao Jie's right eye "sugar net" already belongs to the 4th stage ("sugar net" is divided into 6 stages), and if it is not operated on in time, there will be a risk of blindness. Soon, Sheng Yan's chief physician performed surgery on Xiao Jie's right eye, removed the blood accumulation in front of the vitreous and retina, stripped the retinal neovascular proliferation membrane, and carried out a full retinal photocoagulation; because his left eye also reached the sugar network stage 4, Sheng Yan's chief physician performed retinal laser treatment on his left eye.
After the operation, the vision of Xiao Jie's right eye returned to 1.0, and then he will continue to receive treatment for diabetes, and regularly review the eye condition to ensure that the lesions of the fundus are found and controlled in time.
It's a habit
This leads to diabetes
"Doctor, my child is only 22 years old, how can he have diabetes, and none of our family has diabetes!" In addition to the pain, Xiao Jie's mother asked incomprehensibly.
After a detailed inquiry of medical history, one of Xiao Jie's habits caught the attention of Chief Physician Sheng Yan.
It turns out that Xiao Jie has loved drinking drinks since he was a child, especially love ice Coke, before living in high school, he also relented under the supervision of his parents, and when he arrived at high school and university, he almost drank the drink as water, especially when it was hot, he could even drink six or seven bottles of 500ml cola a day. Entering the graduation season of the senior year, Xiao Jie often eats supper with his classmates, crayfish with Coke, and sings all night...
Xiao Jie recalled carefully that he usually did occasionally have fatigue, more urine, and easy thirst, but how could he associate himself with diabetes at the age of 22, plus he had not been fat all along, let alone pay attention.
"Over the years, diabetes does have a clear trend of rejuvenation, and they are all type 2 diabetes, a few days ago, the Secretion Department Clinic in the Zhijiang Campus also received two children who were only 15 years old, all of which were closely related to eating a lot of high-sugar foods, high-sugar drinks, never exercising and other bad living habits." Experts from the Department of Endocrinology of the First Hospital of Zhejiang University said, "These two children came to the doctor because they were always thirsty and urinated, and after examination, there have been vascular lesions, indicating that the child has been persistently high blood sugar for at least a period of time." ”
"Sugar mesh" is one of the most common complications of diabetes, and in general, the longer the course of diabetes, the higher the rate of retinopathy. But like Xiao Jie so young to develop into a "sugar net" patients, in recent years is actually not uncommon, experts infer that Xiao Jie may have been entangled in "diabetes", or lasted for a long time in a state of high blood sugar, but because young do not pay attention, no physical examination, so has not been found, until the emergence of "sugar net" this complication of diabetes, only to find.
The "first killer" of blinding working-age people
The age of onset is constantly getting younger
"The 'sugar net' is the first factor in blindness among working-age people." Sugar reticulum often does not have any clinical symptoms in the early stages, and patients often wait until severe bleeding causes vision to plummet, or retinal detachment causes blindness before coming to the doctor. Professor Cui Hongguang, director of the Department of Ophthalmology of the First Hospital of Zhejiang University, introduced.
The elderly attach importance to physical examination, blood glucose, blood lipids and other indicators are very concerned, young and middle-aged people do not pay much attention, Sheng Yan chief physician told us that she can receive patients who have developed to a moderate and severe "sugar net" every week, some have never paid attention to blood glucose testing, some have known that they are diabetic, but do not pay attention. "Especially men in their thirties and forties, even if they know that their blood sugar is high, but because of their work relationship, they have to socialize, drink, fish and meat, and their blood sugar control is not good, and they wait until they can't see it, so they pay attention."
Experts also tell us that in fact, diabetes on the eyes of the damage is far more than this, almost all eye diseases, the probability of occurrence of diabetic patients is more than the average ordinary person, such as cataracts, glaucoma, extraocular muscle paralysis and other eye diseases, diabetes is a high-risk group.
A few days ago, the ophthalmology department of the Zhijiang Branch of the First Hospital of Zhejiang University also received a 17-year-old high school girl Lily, who turned out to be a cataract in both eyes! After examination, the girl was also diagnosed with type 2 diabetes. Through consultation, it was found that this girl also drank as water every day.
Diabetes and "sugar nets" in young people are often associated with poor eating habits, which could have been prevented! The most important thing is to have regular physical examinations, pay attention to detecting blood sugar, blood lipids, etc., maintain good living habits, stay up late, avoid long-term high-oil, high-sugar, high-fat diets, and never drink as water.
Zhejiang University First Hospital Zhijiang Branch Ophthalmology Fundus Expert Team, has a wealth of experience in the treatment of "sugar net", cataracts and other fundus diseases, experts suggest that when patients are diagnosed with diabetes, it is recommended to go to the hospital in time to check the fundus, early screening, early intervention, and then under the premise of controlling blood sugar, a detailed fundus examination should be carried out every six months to a year to the specialty. Fundus examination can detect early retinopathy such as early microvascularoma and spot hemorrhage, and take measures such as laser therapy to delay the progression of the lesion. As long as scientific treatment and timely review are carried out, the "sugar net" is not terrible.