Sɔntɛnde, wi kin fred smɔl we wi notis smɔl chenj dɛn na wi yay, nɔto so? Ɛspɛshali we tin bigin fɔ luk difrɛn smɔl. Wan pan dɛn kayn tin ya na di wan we dɛn kɔl
macular pucker . Bɔt nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.
Wetin na dis rili (Macular Pucker)?
Tink bɔt yu yay lɛk kamɛra. Wan wɔl de biɛn dis kamɛra, we wi kɔl
di retina . Ɛni pikchɔ we yu si, dɛn kin rɛkɔd am na dis retina, lɛk fim. Insay di midul pan dis retina, wan smɔl say de we rili sɛnsitiv we dɛn kɔl
di makula . Wi de si tin klia, shap, rid buk, no lɛta, bikɔs ɔf dis makula. naw, insay dis kכndishכn we dεn kכl ``Macular Pucker``, wetin de apin na dat oba di makula, wan layt de fכ sεlofan, כ wan rili tכn mεmbran, כ
ska tisu . Dɔktɔ dɛn kin kɔl dis bak
``Epiretinal Membrane (ERM)`` , ɛn sɔm pipul dɛn kin kɔl am bak
``Cellophane Maculopathy`` . as dis mεmbran de shrink sכmtεm, di makula we de כnda de strεch εn wrinkles bak, lεk wan pat pan klos. Na dat dεn kכl ``Macular Pucker'' כ 'macular puckering.'' Dis nכ kin mek כlman gεt big prכblεm fכ si, bכt sכmtεm i kin chenj di we aw yu de si tin, mek i tan lεk se dεn dכn sכmtεm.
Aw dis sik kin kɔmɔn?
Dis kכndyushכn we dεn kכl `(Macular Pucker)` na in rili kכmכn pas aw yu kin tink. Sɔv we dɛn jɔs dɔn du dɔn sho se bɔku pan di pipul dɛn na sɔm kɔntri dɛn kin gɛt dis sik.
Di risk fɔ dis sik kin go ɔp wit di ej. Bɔt di gud nyus na dat nɔto ɔlman we gɛt `(Macular Pucker)` go gɛt vishɔn lɔs.
Wetin na di sayn dɛm fɔ dis? Aw yu go no if yu gɛt am?
Di men sayn fɔ dis na dat yu
sɛntral vishɔn kin chenj. Speshal, stret layn dɛn, lɛk winda frem, domɔt frem, ɛn di layn dɛn na buk,
kin tan lɛk se dɛn strɛch ɔ rɔtin. dכkta dεn kin kכl dis bak
``mεtamorphopsia.'' Imajin se yu de luk pan wan tayl fכs, εn di strεt layn dεm bitwin di tayl dεm i tan lεk se dεn rכn. Pan ɔl we dis kin afɛkt ɔl tu di yay dɛn, bɔku tɛm i kin afɛkt wan yay nɔmɔ. Ivin if i de na ɔl tu di yay dɛn, wan yay kin wɔs smɔl pas di ɔda wan. Apat frɔm di we aw yu de luk rɔtin, yu kin gɛt bak:
- I nɔ klia lɛk aw i bin de bifo, ilɛksɛf yu kam nia wetin yu de luk.
- Sɔntɛnde , wan pikchɔ kin apia as tu (dabul pikchɔ).
- Di pikchɔ we yu si na wan yay kin fil big pas di ɔda yay.
di tin we impɔtant pas ɔl na dat di vishɔn we dis ``Macular Pucker'' kin mek
nɔ kin kɔrɛkt bay we yu wɛr glas. Wetin mek dis de apin? Wetin na di rizin dɛn?
Fɔ tɔk am simpul wan, bɔku tin dɛn de we kin mek wan fim de na di makula. Na sɔm pan di men tin dɛn we kin apin:
- Ol ɔ kray wata na di retina.
- Fɔ gɛt histri bɔt di retina detachment insay di past.
- Di ɔpreshɔn we dɛn bin dɔn du fɔ di yay bifo (fɔ ɛgzampul, ɔpreshɔn we dɛn bin dɔn du fɔ mek pɔsin in yay).
- Ay Trauma we dɛn kɔl Ay Trauma.
- Infεkshכn dεm we de apin insay di yay.
- Sik dɛm wae de kam wit yay wae gɛt shuga (Diabetes-related retina disease / Diabetic Retinopathy) .
- Inflammatory kondishכn dεm we de apin insay di yay (Eye inflammation / Uveitis ) .
כda tin na dat sכmtεm dis `(Macular Pucker)` kin apin witout eni klia rizin. Dɛn kɔl am `(Idiopathic Macular Pucker)`, we min se dɛn nɔ go ebul fɔ fɛn ɛni kɔz.
Dis na sik we pɔsin kin pas?
Nɔ, nɔto so atɔl. `(Macular Pucker)` nɔto sik we pɔsin kin gɛt. Yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin, ɛn yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin.
Udat de pan big risk fɔ gɛt dis?
Wi dɔn tɔk se we pɔsin ol na big big tin we kin mek i gɛt prɔblɛm. Apat frɔm dat, yu risk fɔ gɛt macular pucker kin go ɔp if yu:
- if yu gεt ``Posterior Vitreous Detachment (PVD)``, usay di vitreous humor ( di tin we lεk jεli insay yu yay) de separet frכm di retina. Dis na tin we kin apin we yu de ol.
- If yu bin dɔn gɛt lɛsa ay tritmɛnt , ɔ ɔda ɔpreshɔn pan yu yay , lɛk ɔpreshɔn fɔ mek yu gɛt katarakt.
- If yu bin dɔn gɛt retina tear ɔ detachment bifo .
- If yu gɛt wan sik we de mek yu yay inflamɛns lɛk uveitis .
- If yu gɛt dayabitik retinopathy .
- If bad bad injuri dɔn de na di yay .
Us prɔblɛm dɛn dis kin mek?
`(Macular Pucker)` kin mek
sɔm pipul dɛn nɔ de si fayn . Dat min se yu vishɔn kin bi smɔl smɔl ɔ i nɔ kin shayn bɛtɛ. Bɔt
Di chans fɔ go blaynd ɔltogɛda frɔm dis rili smɔl. So natin nɔ de fɔ wɔri bɔt. Bɔt if yu notis se yu de si chenj, i go fayn fɔ mek yu go to dɔktɔ. Aw dɔktɔ kin no dis?
We yu go to dɔktɔ we de mɛn yu yay, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt ɛn di mɛdikal istri. Dɔn, i go put ay drɔp dɛn we de dilayt na yu yay ɛn chɛk di insay pat pan yu yay. Dɛn kin yuz dɛn drɔp ya fɔ mek di dɔktɔ si yu retina ɛn makula klia wan. Us tɛst dɛn de du?
We yu de du yu yay ɛgzam, yu dɔktɔ go yuz spɛshal layt ɛn magnifying lens fɔ luk yu yay. Apat frɔm dat, dɛn kin du tɛst dɛn lɛk dis fɔ ɛp fɔ no if yu gɛt macular pucker:- Amsler Grid Eye Test: Insay dis tɛst, dɛn kin gi yu wan smɔl pepa we dɛn drɔ skwea pan am. I gɛt ɔrizɔntal ɛn vertikal layn dɛn. We yu luk dɛn layn ya, if i tan lɛk se dɛn strɛch, rɔtin, ɔ if sɔm skwea dɛn nɔ de, dis kin ɛp fɔ no if yu gɛt ɛni prɔblɛm wit yu yay.
- Optical Coherence Tomography (OCT) scan: Dis na skan we dɛn kin du wit spɛshal kamɛra. I de tek pikchɔ dɛn we rili klia bɔt yu retina ɛn makula, lɛk we dɛn krɔs kek. I tan lɛk se yu de luk tru wan pat pan kek. Dis OCT skan kin no if di makula, ɔ makula pucker, wrinkling de ɛn aw i bad.
Aw dɛn kin trit am? Wetin wi go du?
Nɔto ɔl di makula puckers nid tritmɛnt. If yu sik nɔr tranga ɛn yu nɔr de si bɛtɛ, yu dɔktɔ kin tɛl yu fɔ wach de sik fɔ sɔm tɛm . Dis min se yu fɔ kam insay fɔ chɛk yu yay ɔltɛm. Bɔt if dɛn nid fɔ gɛt tritmɛnt, ɔda tin dɛn de we dɛn nɔ kin du fɔ ɔpreshɔn ɛn we dɛn kin du ɔpreshɔn. Tritmɛnt we nɔ gɛt ɔpreshɔn (tritmɛnt we nɔ de invayv) .
Fɔ macular pucker we nɔ nid ɔpreshɔn, yu kin du dɛn tin ya fɔ mek yu ɛvride layf izi:- Nyu glas: Pan ɔl we glas nɔ kin ebul fɔ kɔrɛkt di we aw yu de si di tin dɛn we yu de si we yu nɔ de si fayn bikɔs yu gɛt nyu glas, wan nyu prɛskrishɔn kin ɛp fɔ mek yu si ɔltin fayn fayn wan.
- Gud layt: We yu de rid buk ɔ du dilɛkt wok, fɔ du am na say we layt fayn, ɛn yuz lamp fɔ rid kin ɛp fɔ mek yu yay nɔ strɛs .
- Divays dɛn we de mek pɔsin big:If i nɔ izi fɔ yu fɔ rid smɔl smɔl tin dɛn, yu kin yuz magnifying glas ɔ ɔda tin dɛn.
Ɔspitul tritmɛnt
If makula pucker dɔn afɛkt yu yay bad bad wan, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Dɛn kɔl dis ɔpreshɔn vitrectomy wit mɛmbran we dɛn kin pul .- Dis na ɔutpatient prosidur , we min se yu nɔ nid fɔ de na ɔspitul, ɛn yu kin go na os di sem de afta di ɔpreshɔn.
- dis ɔpreshɔn na fɔ mek sɔm rili smɔl smɔl say dɛn na di yay, pul smɔl pan di tin we tan lɛk jɛlɛ insay di yay (vitreous humor), ɛn tek tɛm pul di ska tisu ɔ mɛmbran we dɔn fɔm oba di makula. Dis na ɔpreshɔn we rili dilik.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn? A fɔ fred?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin we dɛn pul di vitrectomy. Bɔt yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ mek dɛn prɔblɛm dɛn de nɔ bɔku. Na sɔm pan di prɔblɛm dɛn we kin apin:- Blɔd we de kɔmɔt .
- Sik we de prɛd .
- Retina tear ɔ detachment .
- If yu gɛt katarakt, dɛn go wɔs.
- wan ol na di makula (makula ol) de apin (dis kin rili rare).
- Di prɛshɔn we de go ɔp na di yay, we min se i de gɛt glaukoma .
Bɔt mɛmba se di chans fɔ mek dɛn tin ya apin rili smɔl, ɛn dɔktɔ dɛn go tɛl yu gud gud wan bɔt dis. Aw kwik a go wɛl afta dɛn dɔn trit mi?
If dɛn du yu ɔpreshɔn fɔ pul di vitrectomy, yu kin si smɔl fɔ sɔm dez afta di ɔpreshɔn. Yu yay kin at ɛn nɔ kin fil fayn. Dis na nɔmal tin. Yu nɔ go ebul fɔ go wok ɔ skul fɔ lɛk tu to 4 wiks afta di ɔpreshɔn. I impɔtant fɔ mek yu rɛst yu yay insay dis tɛm. Yu nɔ fɔ drayv bak wantɛm wantɛm afta di ɔpreshɔn. I kin tek tri mɔnt fɔ mek yu si fayn fayn wan ɛn fɔ mek yu si di ful bɛnifit dɛn we di ɔpreshɔn go gi yu. So na fɔ peshɛnt. Yu tink se we de fɔ mek dis nɔ apin?
Sɔntɛnde, mɔ we yu gɛt idiopathic macular pucker, no klia we nɔ de fɔ mek i nɔ apin. Bɔt tin dɛm lɛk fɔ protɛkt yu yay sik wae gɛt fɔ du wit dayabitis ( i.e., fɔ kip yu dayabitis ɔnda kɔntrol) ɛn fɔ avɔyd fɔ gɛt ay trauma kin ɛp fɔ ridyus yu risk fɔ gɛt dis sik. Wetin a fɔ ɛkspɛkt if a de pan dis kayn tin?
Wi dɔn tɔk se bɔku pan di kes dɛm fɔ `(Macular Pucker)` nɔ nid spɛshal tritmɛnt. Na wetin yu fɔ du na fɔ du yu yay ɛgzam ɔltɛm akɔdin to di schedule we yu dɔktɔ tɛl yu fɔ du. Dɔn, yu dɔktɔ kin si if ɛni chenj de na yu yay ɛn yu yay wɛlbɔdi. Yu kin gɛt sɔm prɔblɛm wit yu yay bikɔs ɔf `(Macular Pucker)`, bɔt nɔ wɔri se i go mek yu blaynd kɔmplit wan. Di chans dɛn rili smɔl. If a gɛt dis sik, aw a go kia fɔ misɛf?
Wae yu no se yu gɛt macular pucker, sɔm tin dɛn de we yu kin du fɔ protɛkt yu yay:- Nɔ mis di ay ɛgzam deti we di dɔktɔ gi yu.
- Mek yu gɛt gud wɛlbɔdi ɔlsay. Dat min se yu fɔ it tin dɛn we gɛt fayn fayn tin dɛn ɛn yu fɔ de du ɛksɛsayz ɔltɛm.
- Fɔ fala gud abit dɛn fɔ gɛt wɛlbɔdi na yu yay. Fɔ ɛgzampul, wɛr sanglas we yu de na di san, was yu an fayn fayn wan bifo yu tɔch yu yay, ɛn if yu wɛr kɔntakt lens , yuz am sef wan lɛk aw yu dɔktɔ tɛl yu.
- If yu de smok , tray fɔ lɛf fɔ smok. Smok nɔ fayn fɔ yu yay. If yu nid ɛp fɔ lɛf fɔ wok, aks dɔktɔ.
Ustɛm a fɔ go to dɔktɔ?
If yu notis ɛni chenj we de apin wantɛm wantɛm na yu yay , fɔ ɛgzampul, we yu nɔ de si fayn wantɛm wantɛm, we yu de si bɔku bɔku wrinkles, ɔ tin dɛn we de flɔt lɛk blak spat, go to yu yay dɔktɔ wantɛm wantɛm. If yu fil wantɛm wantɛm se yu nɔ de si yu igen, ɔ if yu gɛt siriɔs pen na yu yay, go na imejensi rum wantɛm wantɛm, ɔ na Sri Lanka, kɔl di 1990 Rescue Ambulance Service.
Yɛs, dɛn tin ya na tu difrɛn tin dɛn. Bɔt sɔntɛnde, de sik kin tan lɛk dis. כl tu di makula pכkכr εn di ej-rεlatεd makula dεjεnεreshכn (AMD) na kכndishכn dεm we de afekt di makula. Insay dɛn tu kɔndishɔn ya, yu periferik vishɔn nɔ kin afɛkt, bɔt yu sɛntral vishɔn kin afɛkt. insay AMD, di sεl dεm na di makula de wik εn dεn de dכn wit di ej. insay makula pucker, wan layt de fכm pan di makula, we de mek i wrinkle. Di tritmɛnt dɛn difrɛn. So, yu tink se macular pucker ɛn macular hol na di sem tin?
Nɔ, dɛn na tu difrɛn tin dɛn. ``macular pucker`` na di wrinkling fכ di tisu dεm na di rεtina. b כt wan ol na di makula na ``makula ol.``I min, as di nem sho, se rili smɔl ol de na di makula. sכmtεm, we yu gεt `(Macular Pucker)` de mek yu gεt `(Macular Hole)` leta, bכt i nכto garanti. di vishכnal simptom dεm fכ wan `(Macular Hole)` kin bכku pas di wan dεm fכ wan `(Macular Pucker)`. כlso, wan `(Macular Hole)` kin nid כpεrayshכn bכku tεm. Fɔ dɔn, sɔm impɔtant tin dɛn we wi fɔ mɛmba:
Na nɔmal tin fɔ fil smɔl frayd ɛn wɔri we yu fɔs yɛri se yu gɛt wan sik we dɛn kɔl `(Macular Pucker)`, ɛn se i kin afɛkt yu vishɔn. Bɔt mɛmba se, bɔku pan di `(Macular Pucker)` kɔndishɔn dɛn nɔ nid spɛshal tritmɛnt. Yu dɔktɔ go tɔk to yu bɔt di tin dɛn we yu go ebul fɔ du ɛn ɛp yu fɔ disayd wetin na di bɛst nɛks tin fɔ yu. Di tin we impɔtant pas ɔl na fɔ de chɛk yu yay ɔltɛm. Yu yay dɔktɔ go tɛl yu aw ɔltɛm yu fɔ chɛk yu yay. Nɔ fɔgɛt fɔ mek yu dɔktɔ no bɔt ɛni chenj we de apin na yu yay, ivin di smɔl wan dɛn. Da we de, if ɛnitin de we dɛn nid fɔ du, yu kin mek dɛn trit am kwik kwik wan. So, a op se dis infɔmeshɔn go ɛp yu. Tek kia ɔf yu yay!
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