Yu nɔ de si fayn na di midul? Dis kin bi makula ol!

Yu dɔn ɛva tink bɔt wetin go apin if smɔl ol fɔm insay di yay, rayt usay wi de si klia wan? Na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl makula ol . Pan ɔl we dis na wɔd we de mek yu fred fɔ yɛri, we yu dɔn no mɔ bɔt am, bɔku tin go klia to yu. Lɛ wi si wetin na in, wetin mek i kin apin, aw fɔ no am, ɛn wetin na di tritmɛnt dɛm.

Wetin rili na makula ol?

Fɔ tɔk am simpul wan, makula ol na ol we de na di sɛntral say we yu de si (Macula) na yu yay. Tink bɔt yu yay lɛk kamɛra. Di retina tan lɛk di fim we de na di kamɛra, usay dɛn kin kech layt. Na di midul pan di retina, usay wi de pe atɛnshɔn pan sɔntin, wan smɔl pat de we rili impɔtant. Na dat di makula bi. We wi rid buk, wach TV, ɔ luk pɔsin in fes, i kin ɛp wi fɔ si tin klia wan.

So, we ol de fכm na dis (Macula), yu sεntri vishכn , we na aw yu de si tin dεm stret bifo, na in dεn kin afekt mεntal. Dis kin ambɔg tin dɛn lɛk fɔ drayv motoka ɛn fɔ rid buk. Bɔrku tɛm, dis kin apin na wan yay, bɔt sɔmtɛm, smɔl chans kin de fɔ mek i apin na ɔl tu di yay.

Insay di yay, wan tin de we tan lɛk jɛlɛ we dɛn kɔl di vitreous humor . sכmtεm, we dis jεli de chenj in nεchכr, εn as i de kכntrakt, i kin pul pan di makula, we de mek wan ol lεk dis.

Aw dis sik kin kɔmɔn?

Naw yu go de tink se, ‘O, dis kin apin to bɔku pipul dɛn?’ Infakt, wan stɔdi we dɛn du na Amɛrika se lɛk 7-8 nyu kes dɛm we gɛt makula ol kin apin pan ɛvri 100,000 pipul dɛm ɛvri ia. I kin apin mɔ pan uman dɛn . Dɔn bak, pan ɔl we i kin apin mɔ to pipul dɛn we dɔn pas 55 ia, i kin rili apin to ɛnibɔdi.

Yu tink se kayn makula ol dɛn de?

Yɛs, na tu kayn dɛn de mɔ.

1. Praymari (Macular Hole): Dis kin apin bay insɛf, ɛn i nɔ kin gɛt ɛni denja to di yay ɔ ɛni ɔda sik.

2. Sεkכndari (Macular Hole): Dis kin apin bikoz fכ di ay injuri כ כda mεdikal kכndyushכn lεk inflameshn insay di yay (( Uveitis )).

כda we dεm de we di כftalmכlכg dεm kin klas di makula ol dεm, we dεn k כl stej sistεm.wan sistεm gεt fכ stej dεm, stej wan na di wan we nכ siriכs, εn stej fכ na di wan we siriכs pas כl. Wan nyu sistɛm gɛt tri stej dɛn, we dɛn kin no bay di tɛst rizɔlt. Yu yay dɔktɔ go tɛl yu aw yu makula ol rili bad.

Wetin na di sayn dɛm fɔ dis?

Di fɔs sayn dɛm fɔ makula ol kin bi:

• Blurred vision : Na tin wae yu nɔr kin si klia wan.
• Di we aw yu de si tin: Stret layn dɛn kin tan lɛk se dɛn kɔba ɛn wev, lɛk we yu de luk sɔntin na di ɔda say na glas wata.
• I nɔ izi fɔ rid smɔl smɔl tin dɛn.

As tɛm de go, di men sayn na we yu de si dak ɔ blak ples na di sɛntrɔm pan yu yay .

If yu gɛt ɛni wan pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ we de mɛn yu yay kwik kwik wan .

Wetin mek dis (macular hole) kin apin? Wetin na di tin dɛn we kin mek i apin?

fכ bכku pipul dεm, di makula ol dεm de divεlכp as dεn de ol bikoz f כ trakshכn pan di vitreous humor . dis min se di jεli we de insay di yay de shrink we i de ol εn dεn de pul am kכmכt frכm di makula, we na di sεntri pat pan di rεtina.

Apat frɔm dat, sɔntɛnde dɛn tin ya kin apin:

• Bikɔs ɔf trauma to di yay.
• Bikɔs ɔf ɔda mɛdikal kɔndishɔn we de afɛkt di yay. Fɔ ɛgzampul, pipul dɛn we gɛt inflamɛns insay dɛn yay ((Uveitis)) ɔ we nɔ de si nia ((Myopia)) .

Udat de pan ay risk fɔ gɛt makula ol?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:

• Aging : Na di men tin we kin mek pɔsin ol.
• Bi di uman sayd.
• Bikɔs i bin dɔn gɛt injuri na in yay bifo dis tɛm .
• Fɔ gɛt shɔt-shɔt (Myopia) .
• We dɛn bin dɔn du ɔpreshɔn pan yu yay bifo ɔ yu bin dɔn gɛt sik dɛn we de mek yu yay wam .

Wetin na di prɔblɛm dɛn we kin apin if dɛn nɔ trit dɛn?

If dɛn nɔ trit wan makula ol, prɔblɛm dɛn lɛk:

• Lɔs fɔ si , mɔ di sɛntral vishɔn.
• Makular ol kin mek di rεtina dεtachmεnt .
• Di makula ol de big ɛn big.

Aw yu kin no dis ɛksaktɔli?

We yu go to ay dɔktɔ, i go aks yu fɔs bɔt yu famili mɛdikal istri ɛn ɛni ɔda mɛrɛsin we yu go gɛt. Yu go nid fɔ tɛl dɛn bak bɔt ɛni mɛrɛsin we yu de tek (ɔl tu di mɛrɛsin we yu de tek ɛn we yu de tek yu na di kɔwnta). Dɔn di dɔktɔ go du wan kɔmplit ay ɛgzam, we go gɛt fɔ du wit slit lamp ɛgzam . Yu yay dɛn go big, ɛn yu yay dɛn go big, ɛn dɛn go tek tɛm chɛk yu retina.

Us tɛst dɛn de du?

Bɔku tɛm, yu yay dɔktɔ go ɔda wan ɔ mɔ pan dɛn tɛst ya fɔ chɛk yu retina:

• Optical Coherence Tomography (OCT): dis de mek yu tek kכros-sekshכnal imej dεm fכ di insay pat pan di yay εn si di kכndishכn fכ di makula.
• Fundus Fluorescein Angiography: Dis na fɔ injekt spɛshal wata insay wan vein na yu an ɛn tek pikchɔ fɔ di blɔd vesel dɛn we de insay di yay.
• Fundus Photography: Dis kin tek pikchɔ fɔ di retina.

Wetin na di tritmɛnt dɛn?

Di men ɛn kɔmɔn tritmɛnt fɔ makula ol na ɔpreshɔn we dɛn kɔl vitrectomy . insay dis, wan כftalmכlכg de pul di tin we lεk jεli insay yu yay (vitreous humor). pan di sem tεm, dεn kin pul εni tisu we pasmak we de mek di makula prεshכn pasmak.

Dɔn, yu dɔktɔ go put wan stɛriyl gas bɔbul insay yu yay. dis go mek prεshכn pan di εria we di makula ol de εn kip am de te i hεl. Yu go nid fɔ ledɔm fes dɔŋ fɔ wan to sɛvin dez . Dis na we di gas bɔbul go sɛtul na in ples ɛn ɛp di ol fɔ lɔk.

Tink bɔt am lɛk se wi put plasta pan wund, ɛn dis gas bɔbul na in de ɛp di ol fɔ wɛl.

Sɔntɛnde, if di makula ol rili smɔl, yu ɔftalmolɔg kin se yu fɔ wet fɔ sɔm tɛm instead fɔ trit am. Dis na bikɔs insay sɔm fɔs tɛm dɛn, wan makula ol kin lɔk insɛf .

Us kɔmplikɛshɔn dɛn kin apin afta dɛn dɔn du di ɔpreshɔn we dɛn kɔl vitrectomy?

Smɔl chans de fɔ mek kɔmplikeshɔn dɛn lɛk dis kin apin afta dɛn dɔn pul di vitrektomi:

• Di retina we de kɔmɔt na di bɔdi.
• Sik we de prɛd.
• Glaucoma ( prɛshɔn we de go ɔp na di yay).
• Blɔd we de kɔmɔt.
• di makula ol kin opin bak כ nכ de kכlכs.

Dɔn bak, ɛnibɔdi we dɛn dɔn du ɔpreshɔn pan katarakt kin gɛt katarakt.Dɛn kin tink bak se chans de fɔ mek yu gɛt ɔ fɔ mek yu gɛt katarakt we de wɔs.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

If yu gɛt vitrectomy, yu go nid fɔ kip yu ed tilt dɔŋ fɔ lɛk wan wik so fɔ mek di gas bɔbul kɔntinyu fɔ de. Di gas bɔbul kin de na yu yay fɔ lɛk tri to et wiks . Insay dis tɛm, yu nɔ go de si fayn. I kin tek sɔm mɔnt fɔ mek yu si tin fayn ɛn fɔ mek yu nɔ ebul fɔ si fayn. Di tin we impɔtant pas ɔl na fɔ peshɛnt.

Yu tink se we de fɔ mek dis nɔ apin?

No we nɔ de fɔ mek di makula ol nɔ fɔm ɔltogɛda . Bɔt tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt:

• Yuz ay kɔva we de protɛkt yu we yu de wok ɔ ple kɔntakt spɔt.
• Fɔ mek dɛn de chɛk yu yay ɔltɛm . Pan ɔl we dis nɔ kin ebul fɔ mek di makula ol dɛn nɔ apin, i kin ɛp yu dɔktɔ fɔ no dɛn kwik kwik wan.
• If yu gɛt dayabitis , kɔntrol di shuga we yu gɛt na yu blɔd, ɛn if yu gɛt ay blɔd prɛshɔn, tek kia ɔf yu yay.

Wetin yu kin ɛkspɛkt if yu gɛt makula ol?

Vitrectomy ɔpreshɔn gɛt sakses rɛt we pas 90% . If di kray wata smɔl ɛn dɛn no am ɛn trit am kwik, di ɔpreshɔn go wok fayn. Yu kin ebul fɔ gɛt bɔku ɔ sɔm pan di vishɔn dɛn we yu bin dɔn lɔs.

Ustɛm a kin go bak na wok/skul?

Yu go nid fɔ tek sɔm tɛm fɔ lɛf fɔ wok ɔ skul. Dis tɛm kin difrɛn difrɛn wan bay di kayn wok we yu de du. Aks yu dɔktɔ we de du ɔpreshɔn wetin yu fɔ du ɛn wetin yu nɔ fɔ du afta dɛn dɔn du yu ɔpreshɔn.

Sɔntɛm yu nɔ go ebul fɔ drayv fɔ siks to et wiks , ɛn yu nɔ go ebul fɔ flay bak da tɛm de . Dis na bikɔs i kin tek yu bɔdi da lɔng tɛm de fɔ tek di gas. Di chenj we di briz de chenj kin mek di bɔbul we de insay di yay big, ɛn di prɛshɔn we de na di yay kin bi denja. So, nɔ du ɛnitin we go mek di briz prɛshɔn chenj insay dis tɛm.

Ustɛm yu fɔ go to dɔktɔ?

I impɔtant fɔ mek ɔlman de du dɛn yay ɛgzam ɔltɛm. Apat frɔm dat, if yu notis ɛni chenj na yu yay, go to dɔktɔ fɔ yu yay wantɛm wantɛm . If yu fil bad bad wan ɔ yu nɔ ebul fɔ si wantɛm wantɛm, go na ɔspitul imejensi rum wantɛm wantɛm.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

If yu gɛt makula ol, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn tritmɛnt yu kin advays?
• Wetin na de sayd ɛfɛkt ɔr kɔmplikeshɔn wae kin kam wit dis tritmɛnt?
• Dis (macular hole) kin kam bak?
• Wetin a fɔ du fɔ protɛkt mi yay?
• A go ebul fɔ drayv bak?

Di yay dɛn na ɔgan dɛn we rili dilik ɛn we rili impɔtant. I nɔmal fɔ fil wɔri we yu kam fɔ no se yu gɛt ay sik lɛk makula ol. Bɔt bɔku tɛm, ɔpreshɔn fɔ dis kin wok fayn. Di tin dɛn we kin kɔmɔt frɔm am kin bɛtɛ if di ol nɔ tu te yet ɛn i smɔl. Na dat mek i impɔtant fɔ go to dɔktɔ fɔ yu yay ɔltɛm.

Fɔ dɔn, tin dɛn we yu fɔ mɛmba

Okay, so, a op se yu geht gud aidia boht macular hols from wetin wi don tok boht.

Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ we de mɛn yu yay wantɛm wantɛm if yu notis ɛni chenj na yu yay, mɔ di sɛntral vishɔn we nɔ klia ɔ di stret layn dɛn we de sho se i kruk.

If dɛn no am kwik, i go mɔs bi se di tritmɛnt go wok fayn. Na yu wok fɔ kia fɔ yu yay. Nɔ wɔri, mɔdan mɛrɛsin gɛt gud tritmɛnt fɔ dɛn sik ya.