Yu gɛt blɔd vesel we dɔn blok na yu yay? Lɛ wi lan bɔt di Retina Vein Occlusion (RVO)!

Yu dɔn ɛva tink bɔt wetin go apin if wan smɔl blɔd vesel we de insay wi yay blo? Dis kin bi nyu tin to yu smɔl. Bɔt, i kin rili apin. Tide wi go tɔk bɔt wan sik we dɛn kɔl Retinal Vein Occlusion , ɔ RVO. Nɔ wɔri, if yu ɔndastand dis fayn, i go rili ɛp yu fɔ du di tin dɛn we yu nid.

Wetin na di Rɛtina Vein Ɔklushɔn?

Fɔ tɔk am simpul wan, dis na we wan vein ɔ blɔd vesel we de pul blɔd na di retina insay yu yay kin blok ɔl ɔ sɔm pat pan am. Tink bɔt am dis retina we de biɛn wi yay tan lɛk di fim we de na kamɛra. We layt hit di yay, i kin ɛp fɔ mek pikchɔ dɛn ɛn mek wi ebul fɔ si. So, we di blɔd we de kɔmɔt na di retina kin blok, di blɔd kin bigin fɔ gɛda de. Dis kin mek di prɛshɔn we de insay di yay go ɔp ɛn swel . If dɛn nɔ trit dis kayn prɔblɛm kwik, wi kin lɔs ɔ wi nɔ kin si bɛtɛ igen . Naw, no sef we nɔ de fɔ opin dis blɔd vesel we dɔn blok ɔltogɛda bak. Bɔt, nɔ giv ɔp fɔ op! Tritmɛnt dɛn de we kin kɔntrol di sayd ɛfɛkt dɛn ɛn protɛkt yu yay . Di dɔktɔ dɛn we de mɛn yu yay go mek yu tritmɛnt plan fɔ yu kɔndishɔn. Yu kin nid mɔ pas wan tritmɛnt, frɔm injɛkshɔn to ɔpreshɔn .

Eni kayn dis `(RVO)` de?

yes, tu men tכp dεm de fכ RVO: 1. Sεntri rεtina vein oklushכn (CRVO) : Dis na di say we di men bכdi vεsεl na di rεtina de blכk. 2. Branch retina vein occlusion (BRVO) : na dis we wan כ mכr pan di sכm sכm branch vein dεm we kכnekt to di men bכdi vεsεl de blok. Dis kayn tin na di wan we bɔku pipul dɛn kin gɛt.

Aw kɔmɔn dis `(RVO)` kɔndishɔn?

Infakt, RVO na di sɛkɔn tin we kin afɛkt wi retina, afta di retinopathy we gɛt fɔ du wit dayabitis. Risach pipul dɛn dɔn kam fɔ no se ɔlsay na di wɔl:

• Dis sik (Retinal Vein Occlusion) dɔn afɛkt pas 16 milyɔn pipul dɛm.
• sεntri rεtina vein oklushכn (CRVO) de afekt bitwin 1 εn 4 pan εvri 1,000 pipul dεm.
• di branch rεtina vein oklushכn (BRVO) de afekt bitwin 6 εn 12 pan εvri 1,000 pipul dεm.

Dɛn statystik ya sho se, pan ɔl we dis na sɔntin we nɔ kin rili kɔmɔn, i kin afɛkt bɔku pipul dɛn.

Wetin na di simptom dɛm fɔ wan `(RVO)`?

di simptom dεm fכ `(RVO)` kin כnli apin na wan yay. Dis na di men sayn dɛm:

• Blurred vision or loss of vision : Dis kin apin wan wan, ɔr i kin go ɔp smɔl smɔl fɔ sɔm awa ɔr dez.
• Flota : Dis na smɔl blak spat ɔ streak we kin tan lɛk se dɛn de muv rawnd we yu luk dɛn.
• Fɔ fil pen ɔr prɛshɔn insay di yay : Dis kin apin mɔ pan di kayn sik dɛm wae gɛt siriɔs sik.

Bɔt na sɔntin we wi fɔ mɛmba. Sɔmtɛm, yu nɔ kin gɛt ɛni sayn te di sayd ɛfɛkt dɛn apin. Fɔ sɔm pipul dɛn, di dɔktɔ nɔ kin ivin no se dɛn gɛt di prɔblɛm te dɛn go fɔ du rutin ay ɛgzam.

Wetin mek dis `(RVO)` kin apin? Wetin na di rizin dɛn?

di men tin we de mek dis kכndyushכn na we di bכdi de nכmal fכ fכlכ tru di rεtina vein. Dis tin we de ambɔg kin apin fɔ difrɛn rizin dɛn:

• Wan blɔd we de klɔt .
• Di blɔd we de go sloslo .
• di rεtina vein εn di rεtina at de kכros dεn wan dεm, usay di at de kכmprεs. Tink bɔt dis, dis at de gi di retina klin blɔd we gɛt bɔku ɔksijɛn. as yu de ol, כ biכs fכ di plek dεm we de bכku na di at in wכl dεm, dis at kin sכmtεm sכmtεm εn kכmprεs di vein we de כnda am. Dis kin pwɛl di insay wɔl na di vein, ɛn dis kin mek di blɔd klɔt mɔ ɛn mɔ.

Udat de pan ay risk fɔ gɛt dis `(RVO)`?

Di ej we pas 40 ia na wan big tin we kin mek pɔsin gɛt dis sik. RVO kin afɛkt pipul dɛm wae dɔn pas 50 ɛn 60 ia. Bɔt sɔm tɛm dɛn kin afɛkt pipul dɛn we nɔ rich 40. Dɔn bak, if yu gɛt ɛni wan pan dɛn tin ya, yu risk fɔ gɛt RVO kin bɔku:

• Atɛrosklɛrosis ɛn di at dɛn we de at
• Dayabitis
• Glaukoma kɔndishɔn we pɔsin kin gɛt
• Di ay blɔd prɛshɔn

Wan ɔda tin na dat, if yu dɔn gɛt RVO na wan yay bifo, chans de fɔ mek di ɔda yay sɛf gɛt am.

Wetin na di poshubul sayd ifekt dɛm fɔ `(RVO)`?

di rεtina vein oklushכn (RVO) kin mek kכmplikεshכn dεm lεk:

• Cystoid macular edema : Dis na we di sεntrכm fכ yu rεtina, di makula, de swel. Dis kin mek yu nɔ ebul fɔ si fayn ɔ ivin nɔ ebul fɔ si fayn igen.
• Niovaskulεrayzeshn fכ di yay : Nyu, wik bכdi vεsul dεm kin fכm na difrεn ples dεm insay di yay, spεshal wan rawnd di ayris (rubeosis iridis). Dis sik kin afɛkt lɛk wan pan ɔl 4 pipul dɛm wae gɛt RVO. di nyu vaskulεrayzeshn na di yay nכ kin kכmכn bכku na di rεtina.
• Vitreous hemorrhage: Dis na we bכdi de lik insay di tin we lεk jεli insay di yay (vitreous humor). Di nyu, abnɔmal blɔd vesel dɛn we de fɔm kin rili wik, ɛn dɛn kin lik blɔd.
• Niovaskul glaukoma : Dis nyu bכdi we de fכm insay di yay kin mek di ay prεshכn we denja, we kin mek i fil pen bak.
• di rεtina dεtachmεnt : bikoz fכ nyu bכdi vεsul dεm we de fכm na di rεtina, di rεtina kin pul kכmכt frכm in sכpכt tisu dεm.

Pipul wae gɛt RVO kin gɛt bɔrku risk fɔ gɛt sik dɛm wae de kam pan dɛn at ɛn blɔd , lɛk strok , pas di wan dɛm wae nɔr gɛt RVO. Dis kin bi bikɔs ɔf di kɔmɔn ɔndalayn risk factor dɛm, lɛk ay blɔd prɛshɔn ɛn atherosclerosis.

Aw yu no dis `(RVO)` kɔndishɔn?

Ɔftalmɔlɔjis dɛn kin no RVO tru wan ay ɛgzam ɛn retina imej tɛst. Dɛn kin wok bak wit yu praymari kia dɔktɔ (PCP) fɔ no wetin mek dis prɔblɛm we de wit yu blɔd flɔ.

Ay ɛgzam

Yu yay dɔktɔ go dilayt yu pupil ɛn luk insay yu yay. Dis go mek yu si klia wan wetin de biɛn yu yay. Dɛn go yuz spɛshal maykroskɔp ɛn ɔftalmoskɔp, we dɛn kin wɛr na dɛn ed, fɔ luk insay yu yay. Dɔn dɛn go ebul fɔ luk insay yu yay fɔ ɛni prɔblɛm ɔ damej pan yu yay. Dis tɛst kin tɛl yu se:

• Identify if dis na ``Sɛntral RVO'' ɔ ``Branch RVO''.
• Fɔ no if di sɛntrɔm we yu de si dɔn swel (macular edema) ɛn if nyu abnɔmal blɔd vesel dɛn dɔn fɔm.
• ases di mak we di blכd saplai to di rεtina dεn dכn dכn.

I kin nid fɔ no di `(RVO)` kɔndishɔn kɔrɛkt wan, no ɔmɔs di damej dɔn kɔz, ɛn du ɔda tɛst.

Test fɔ no `(RVO)`

Yu yay dɔktɔ kin yuz wan ɔ mɔ pan dɛn tɛst ya fɔ no di rayt sik we yu gɛt:

• Fɔtografi fɔ di fundus: Dɛn kin yuz dis fɔ si if ɛni nyu blɔd vesel de insay di yay ɛn ɔmɔs blɔd dɔn lɔs.
• Optical coherence tomography (OCT) : Dis na hεy-rεsכlushכn imej tεknik. Yu kin yuz am fɔ chɛk fɔ mek yu gɛt makula ɛdima. i de mכsu di tik we di rεtina tik εn i de gi prεsis valyu dεm. Dɛn valyu ya rili impɔtant fɔ trit yu sik fɔ lɔng tɛm.
• Fluorescein angiography : Insay dis tɛst, dɛn kin injɛkt wan spɛshal day insay wan vein na yu an. We di day travul go na di blɔd vesel dɛn we de insay di yay, dɛn kin apia klia wan na di pikchɔ dɛn. dis tεst dεn de yuz fכ si aw bכku pan di rεtina vein dεn blכk. I kin sho bak aw bɔku pan di retina nɔ de gɛt inof blɔd.

Kɔdinɛt tritmɛnt

Yu yay dɔktɔ ɛn yu praymari kia dɔktɔ (PCP) go wok togɛda fɔ fɛn wetin mek yu RVO ɛn ridyus yu risk fɔ gɛt prɔblɛm dɛn tumara bambay. Dɛn go du blɔd tɛst bak fɔ chɛk impɔtant tin dɛn lɛk yu kɔlɔstrel lɛvɛl ɛn yu blɔd shuga lɛvɛl .

Wetin na di tritmɛnt dɛm fɔ `(RVO)`?

naw, no we nכ de fכ kכmplit kכl כ rivεs di rεtina vein oklushכn. Bɔt di dɔktɔ dɛn we de mɛn di yay kin avɔyd ɛn trit di bad tin dɛn we kin apin we di retina vein kin stɔp. Dɛn kin du dɛn tin ya:

• Anti-VEGF injεkshכn dεm
• Sterɔyd injɛkshɔn dɛn
• Laser tritmɛnt we dɛn kɔl Panretinal photocoagulation (PRP) .
• Vitrectomy ɔpreshɔn we dɛn kin du
• Mεdikeshכn dεm fכ mεnεj di risk fכktכr dεm

Di men gol dɛm fɔ dɛn tritmɛnt ya na:

• I nɔ bad fɔ mek yu si fayn, ɔ fɔ mek i nɔ wɔs.
• No ɛn trit di sayd ɛfɛkt dɛm we kin ambɔg yu yay ɛn yu yay wɛlbɔdi.
• Fɔ kɔntrol di tin dɛn we kin mek pɔsin gɛt prɔblɛm fɔ mek dɛn nɔ gɛt prɔblɛm dɛn tumara bambay.

Yu dɔktɔ go jɔyn di tritmɛnt dɛn as nid de ɛn ɛksplen to yu di tɛm fɔ ɛni tritmɛnt.

Anti-VEGF injεkshכn dεm

Dis na di fɔs layn tritmɛnt fɔ pipul dɛm wae gɛt makula ɛdima. VEGF de tinap fכ vaskulכr εndoteyl gכt fכktכ. dis na protin we de εp nyu bכdi vεsul dεm fכ gro (angiogenesis). Bɔt if VEGF tu ay, i kin mek blɔd vesel dɛn we nɔmal, we de lik, fɔm, we kin mek i swel. di anti-VEGF injεkshכn dεm de wok bay we dεn de stכp di prodakshכn fכ VEGF insay di yay εn rεdכks di swel. Yu dɔktɔ go mek yu yay nɔ gɛt bɛtɛ trɛnk ɛn injɛkt di mɛrɛsin insay di vitreous humor, we na di tin we tan lɛk jeli insay yu yay. Dipen pan yu kɔndishɔn, yu kin nid fɔ gɛt dɛn injɛkshɔn ya ɔltɛm fɔ wan ɔ tu ia. Sɔm patikyula mɛrɛsin dɛn we dɛn kin put insay dɛn injɛkshɔn ya na:

• `Aflibersept`
• `Bɛvasizumab`
• `Ranibizumab we de na di bɔdi`

Sterɔyd injɛkshɔn dɛn

Stɛroyd injɛkshɔn na di yay kin ɛp bak fɔ ridyus di swɛlin. Bɔt, stɛroyd injɛkshɔn kin mek di yay prɛshɔn go ɔp ɛn mek sɔm pipul dɛn gɛt katarakt . So, dεn de yuz dεm as sεkכn layn tritmεnt we anti-VEGF injεkshכn nכ de wok.

Panretina fכtokoagulεshכn (PRP) .

Dis na ɔpreshɔn we dɛn kin du wit lɛsa. I min fɔ mek smɔl smɔl bɔn dɛn na di say dɛn na yu retina usay blɔd nɔ de flɔ bɛtɛ. dis de ridyus di amoun fכ wan protin we dεn kכl VEGF we de εp nyu bכdi vεsul dεm fכ gro. fכ ridyus di VEGF de εp fכ mek nyu bכdi vεsul dεm nכ fכm (neovascularization) εn dat mek i de bכn insay di yay. i de εp bak fכ mek di prεshכn insay di yay (intraocular prεshכn) stebul.

Vitrectomy ɔpreshɔn we dɛn kin du

Posterior pars plana vitrectomy (PPV) na ɔpreshɔn we de ɛp pipul dɛn we gɛt retina vein occlusion (RVO) we gɛt dɛn prɔblɛm ya:

• If blɔd de kɔmɔt bad bad wan insay di yay (siviɔs vitreous hemorrhage).
• If di blɔd de te pas 4 wiks.
• If di blɔd kɔntinyu fɔ kam bak.
• if di rεtina dεn dכn kכl am, dεn kכl am `(Retina detachment)`.

dis כpεrayshכn involv fכ pul di tin we lεk jεli insay di yay (vitreous humor) εn ripεr di damej pan di retina.

Mɛrɛsin fɔ kɔntrol di tin dɛn we kin mek pɔsin gɛt prɔblɛm

Bɔrku pipul dɛm wae gɛt retina vein occlusion (RVO) gɛt ɔndalayn mɛdikal kɔndishɔn dɛm, lɛk ay blɔd prɛshɔn, dayabitis, ɔr ay kɔlɔstrel. Dɛn tin ya kin mek yu gɛt prɔblɛm wit yu blɔd vesel. Yu ɔftalmolɔg go wok wit yu praymari kia dɔktɔ (PCP) fɔ plan wan tritmɛnt plan we go mek yu nid. Yu PCP kin gi yu mɛrɛsin fɔ tin dɛn lɛk:

• Lɔs yu blɔd prɛshɔn.
• Kɔntrol yu kɔlɔstrel lɛvɛl.
• If ɔda prɔblɛm dɛn de, adrɛs dɛn.

A kin mek dis `(RVO)` sityueshɔn nɔ apin?

Fɔ no se yu de pan denja fɔ gɛt retina vein occlusion (RVO) na di fɔs tin we yu fɔ du fɔ mek yu nɔ gɛt am. Tɔk to yu ɔftalmolɔg ɔ optometrist bɔt yu risk ɛn wetin yu kin du fɔ ridyus am. I impɔtant bak fɔ tɔk to yu praymari kia dɔktɔ (PCP) bɔt ɛni ɔndalayn kɔndishɔn we kin de afɛkt yu blɔd flɔ. Dɛn kin tɛl yu bɔt tritmɛnt fɔ ɛp fɔ kɔntrol dɛn sik dɛn de ɛn ɛp fɔ mek yu yay ɛn yu ɔl bɔdi gɛt wɛlbɔdi. Na sɔm patikyula tin dɛn we yu kin du fɔ ridyus yu risk:

• Fɔ fala di it we fayn fɔ yu at ɛn yu blɔd vesel dɛn wɛlbɔdi .
• Mek ɛksesaiz bi pat pan di tin dɛn we yu kin du ɛvride.
• Mek yu gɛt wɛlbɔdi wet fɔ yu.
• Nɔ smok ɛn ɔl di tin dɛn we dɛn kin yuz fɔ smok.

If a gɛt dis sik, wetin a fɔ ɛkspɛkt?

Yu prɔgnosis de dipen pan bɔku tin dɛn. Fɔ ɛgzampul, usay di blɔk de ɛn di sayd ɛfɛkt dɛn we i kin mek. Sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn yay fɔ ɔltɛm. Ɔda pipul dɛn kin gɛt vishɔn we kin bɛtɛ smɔl smɔl as tɛm de go. Yu yay dɔktɔ na di bɛst pɔsin fɔ tɛl yu di rayt tin fɔ ɛkspɛkt bay yu wan wan sityueshɔn. Yu dɔktɔ kin rifer yu bak to vision rehabilitation , we de tich yu teknik fɔ liv wit low vision. Fɔ ɛgzampul, aw fɔ yuz magnifying glas ɛn ɛp-kɔmpyuta tɛknɔlɔji. Dɛn kin sɛn yu bak to soshal woka we go ɛp yu fɔ bia wit di chenj dɛn we de apin na yu layf.

Aw a kin kia fɔ misɛf?

Liv wit retina vein occlusion (RVO) kin strɛs smɔl. Yu go nid dɛn tin ya:

• Gi injɛkshɔn na yu yay bɔku tɛm.
• Aw many tɛm yu kin gɛt laser tritmɛnt?
• Go na di fɔs apɔntinmɛnt dɛn ɔltɛm.
• If yu nɔ ebul fɔ drayv sef wan bikɔs ɔf di sik we yu gɛt ɔ di tritmɛnt we yu gɛt, i go fayn fɔ go na di dɔktɔ apɔntinmɛnt.

Ɔl dis kin mek yu fil bad ɛn yu kin fil bad. Mɛmba se yu wɛlbɔdi tim de ya fɔ ɛp yu. Tɔk to yu dɔktɔ dɛn bɔt wetin yu de fil. Dɛn kin ebul fɔ gi yu sɔm kayn tin wae go ɛp yu fɔ no mɔr bɔt yu sik ɛn wetin mek ɔl dis tray impɔtant. Dɛn kin kɔnɛkt yu bak to sɔpɔt grup ɔ kɔmyuniti risɔs usay yu kin tɔk to pipul dɛn we de go tru di sem tin lɛk yu. We yu lan frɔm ɔda pipul dɛn ɛkspiriɛns ɛn tɛl yu yone, dat kin ɛp yu fɔ ebul fɔ kɔntrol dis ɔltin izi wan.

Ustɛm a fɔ go to dɔktɔ?

Yu yay dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ kam insay fɔ chɛk ɔr tritmɛnt. Tɔk to dɛm if yu gɛt nyu sik, if yu sik chenj, ɔr if yu gɛt kwɛstyɔn bɔt yu tritmɛnt plan.

Ustɛm a fɔ go na di imejensi rum?

If yu gɛt sayn dɛm fɔ se yu retina nɔ de wok fayn, kɔl 911 ɔ yu lokal imejensi nɔmba. Dis na mɛdikal imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu ay dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin kin mek mi retina vein ɔklushɔn?
• Us tritmɛnt we bɛtɛ fɔ mi?
• Wetin na di bɛnifit ɛn bad tin dɛn we ɛni tritmɛnt gɛt?
• Us kayn fɔlɔp a go nid?
• Aw dis sik kin afɛkt mi yay?
• Wetin na di we aw a de si tin?

I izi fɔ fɔgɛt aw di blɔd vesel dɛn impɔtant to wi vishɔn. Dat na bikɔs bɔku tɛm wi kin jɔs tɔk bɔt di vein ɛn at we de kɔnɛkt to wi at, bren, ɛn ɔda men ɔgan dɛn. Bɔt di retina vein dɛn na yu retina smɔl, bɔt dɛn impɔtant jɔs lɛk dat. If dɛn kin blok, dɛn kin mek yu gɛt siriɔs prɔblɛm fɔ yu yay ɛn yu yay wɛlbɔdi. Apat frɔm dat, dɛn kin bi sayn fɔ wɔn yu fɔ no se prɔblɛm de wit di blɔd we de flɔ ɔlsay na yu bɔdi we nid fɔ pe atɛnshɔn.

Fɔ tek kia ɔf yu yay wɛlbɔdi nɔr kin jɔs protɛkt yu vishɔn, bɔt i kin protɛkt yu ɔl wɛl bɔdi. Si dɔktɔ fɔ yu yay ɔltɛm fɔ chɛk yu yay. Tɛl dɛn bɔt ɛni prɔblɛm we yu gɛt wit yu yay ɔ sɔm sayn dɛn we yu gɛt. If dɛn du dat, i kin ɛp dɛn fɔ no prɔblɛm dɛn lɛk di retina vein occlusion (RVO) kwik kwik wan, fɔ mek dɛn nɔ gɛt prɔblɛm dɛn, ɛn fɔ trit dɛn kwik kwik wan.

Mɛsej we dɛn kin kɛr go na os

Okay, so frɔm wetin wi dɔn tɔk bɔt, yu fɔ ɔndastand wetin na retina vein occlusion (RVO), wetin i kin mek, ɛn us tritmɛnt dɛn de fɔ am. Nɔ fred, nɔ panik. De tin wae impɔtant pas ɔl na, if yu gɛt dɛn kayn sik ya, e minIf yu si wantɛm wantɛm se yu nɔ de si fayn, yu nɔ de si fayn, ɔ yu de flot, go to dɔktɔ we de mɛn yu yay wantɛm wantɛm. If dɛn no am kwik, bɔku tɛm di tritmɛnt kin sev yu yay. Dɔn bak, if yu gɛt tin dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, i impɔtant fɔ kɔntrol dɛn fayn fayn wan. Dis kin ridyus yu risk fɔ gɛt RVO. Fɔ liv fayn layf ɛn fɔ avɔyd fɔ smok kin fayn bak fɔ yu yay ɛn ɔl yu wɛlbɔdi. So, tek kia ɔf yu yay, bikɔs na yu valyu pas ɔl, we de alaw yu fɔ si di wɔl!