Yu yay dɛnsɛf de fil dis kayn we? Mek wi tɔk bɔt Uveitis!

Yu dɔn ɛva si yu yay we rɛd, we de mek yu fil pen, ɛn we nɔ de shayn smɔl? Ɔ yu dɔn ɛva fil lɛk se tin de flɔt bifo yu yay? Dis na sayn dɛm wae sɔmtɛm wi nɔr kin pe atɛnshɔn to, bɔt dɛn kin bi sayn fɔ sɔm ɔda inflammatory condition insay di yay. Na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl uveitis. Dis kin rili siriɔs, so i impɔtant fɔ no bɔt am.

Wetin na Uveitis? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, uveitis na inflamɛns, ɔ swel, na di uvea, we na di midul layt na di yay. Tink bɔt am lɛk kamɛra. Di uvea na wan rili impɔtant pat pan di kamɛra. Sɔmtɛm, dis inflamɛns kin bi idiopathic, we min se i kin bi bikɔs ɔf bɔku tin dɛn we dɛn no. Dis sik kin afɛkt wan say nɔmɔ na di yay , ɔ i kin afɛkt sɔm say dɛn. De sayn dεm kin difrεn difrεn dipεnd pan usai dεn kin afekt am. Yu kin gɛt pen na yu yay, yu kin rɛd, ɔ yu kin gɛt inflamɛns. Ɔ i kin afɛkt di we aw yu de si tin. I kin afɛkt jɔs wan yay, ɔ ɔl tu di yay dɛn wan tɛm. Naw, luk, nɔto bɔku ples de fɔ swel insay wi yay. So ivin smɔl swɛlin kin chenj di shep we di insay pat na di yay gɛt. Yu no se di shep we de insay di yay rili impɔtant fɔ mek wi si? So ivin smɔl chenj bikɔs ɔf dis swɛlin kin gɛt big impak pan di vishɔn.

Sɔm kayn bad bad kes dɛm, uveitis kin mek yu nɔr de si fayn ɔltɛm ɔr ivin blaynd. So dis nɔto sɔntin we wi fɔ tek am layt.

Aw kɔmɔn tin fɔ gɛt Uveitis?

Dis na rili kɔmɔn kɔndishɔn. Ɔlsay na di wɔl, na lɛk 4 milyɔn nyu wan dɛn we gɛt dis sik, ɔ lɛk 4 milyɔn pipul dɛn kin gɛt dis sik ɛvri ia. Ivin na kɔntri lɛk Amɛrika, dɛn kin ripɔt bitwin 80,000 to 168,000 pipul dɛn we gɛt di sik ɛvri ia. Dis kin apin mɔ pan big pipul dɛn. Di risk fɔ gɛt dis sik kin bɔku wit di ej. I nɔ kin bɔku smɔl pan yɔŋ pikin dɛm, wit pikin dɛm we de bitwin 2% ɛn 20% pan ɔl di sik pipul dɛm.

Wetin na di sayn dɛm fɔ uveitis?

di simptom dεm fכ uveitis rili dipכnt pan us pat pan di yay we di inflameshn de afekt. di spεshal pipul dεm kin sheb am to tri men pat dεm: anterior, intermediate, εn posita. Sɔntɛnde, ɔl di tri pat dɛn kin afɛkt, ɛn dɛn kin kɔl dis panuveitis.

Di simptom dɛm fɔ Anterior Uveitis

pan dis tri , na di antεriכr uveitis na di wan we kכmכn pas כl.Dis kin afɛkt di ayris ɛn di ciliary bɔdi na di yay. Bɔku tɛm, yu ɔ ɔda pipul dɛn kin si di sayn dɛn. Dɛn sayn ya na:

• Ay pen: I kin rili bad.
• Rɛd ɔ bɔn na di yay: Di yay kin fil rɛd, it, ɛn bɔn.
• Blurred vision: Na tin wae yu nɔr kin si klia wan.
• Sensitivity to light (photophobia): I nɔ kin izi fɔ si layt, fil lɛk se di yay de tɔn blu.
• di wayt mεmbran na di yay de swεla (swollen conjunctiva).
• Di chenj we di blak ring shep de chenj: Di blak ring we kin bi rawnd, kin tek shep we nɔ rɛgyula.
• wan wayt wata we de kכlekt na di fכnt pat pan di yay (hypopyon) כ wan wayt ring we de rawnd di blak yay.

Karakta dεm fכ Intamεdiεt εn Posita Yuveitis

If yu gɛt midul ɛn posita uveitis, i nɔ kin izi fɔ yu ɔ ɔda pipul dɛn fɔ si di sayn dɛm. Bifo dat, de sik kin afɛkt mɔr wetin yu de si ɛn aw yu kin si fayn fayn wan. Di sayn dɛm fɔ dɛn kayn sik ya kin bi:

• di apinεns fכ sכm sכm tin dεm we de fכlכt bifo di yay ( floaters כ myodesopsias) de inkrεs, כ dεn de bi mכr prominεnt pas aw i bin de bifo.
• Visual field defects: Sɔm say dɛn na di yay nɔ kin si we yu si am frɔm di yay we di sik afɛkt.
• Di we aw pɔsin nɔ de si bɛtɛ .

Wetin na di tin dɛn we kin mek pɔsin gɛt Uveitis?

Bɔku tin dɛn de we kin mek pɔsin gɛt uveitis. I sɔprayz fɔ no se insay 50% to 70% pan di kes dɛm, wan dɔktɔ we de mɛn di yay nɔ kin ebul fɔ fɛn di tin we mek i apin. Dis min se na ``idiopathic`` kכndishכn. Bɔt di men tin dɛn we kin mek pɔsin gɛt dis sik na:

• Infεkshכn dεm
• Sik kכndishכn dεm wae de afekt di כl bכdi (Systemic causes) .
• Ay Injuri dɛn
• Sɔm mɛrɛsin dɛn

1. Infɛkshɔn dɛn

Infεkshכn na we sכmtin, lεk jεm, go insay di bכdi εn mek i pwεl. Yuveitis we infεkshכn kin kam wit kin afekt wan yay nכmכ. Difrɛn kayn jem kin kam wit am:

• Vayrɔs: Vayrɔs lɛk Hɛpi Simpleks Vayrɔs (HSV), Varisɛla-Zɔsta Vayrɔs (VZV), we kin mek pɔsin gɛt chukchuk ɛn hεpi zosta, ɛn Saytomegalovayrɔs (CMV). Dɛn kin kam bak wit sik dɛn we vaysin kin avɔyd lɛk rubɛla.
• Baktri dɛn: .Baktri dɛm wae kin kam wit sik dɛm lɛk sifilis ɛn TB.
• Fɔngi: Mold lɛk Candida (we kin mek pɔsin gɛt kandidiasis) ɛn Aspergillus (we kin mek pɔsin gɛt aspergillosis).
• Parasayt: Dɛn kin pas dɛn tin ya to yu frɔm animal dɛn we yu kin mɛn, mɔ di pusi (toxoplasmosis, we kin pas tru di pusi in fes we gɛt di sik) ɛn dɔg (toxocariasis). Yu kin gɛt dis kɔndishɔn bak we yu it bɔd we nɔ kuk fayn (cysticercosis ɔ toxoplasmosis).

2. Kכz dεm we de afekt di כl bכdi (Systemic causes) .

Sɔmtɛm, uveitis nɔr kin kam bikɔs ɔf sɔmtin wae kin afɛkt jɔs di yay. I kin bi wan sayd ɛfɛkt fɔ mɛrɛsin ɔr wan sayn fɔ wan mɛrɛsin we de afɛkt di wan ol bɔdi. Insay dis kes , bɔku tɛm i kin afɛkt ɔl tu di yay dɛn. Na sɔm ɔtoimyun ɛn inflammatory kɔndishɔn dɛn we gɛt fɔ du wit uveitis:

• `Inflammatory Bowel Disease ( IBD )`
• `Sarkoidosis`
• ` Behçet in sik `
• `Lupus (Sistemik Lupus Ɛritɛmatosɔs - SLE)`
• Tubulo-intεrstitial nεfrayt (TINU) .

Pipul dεm we gεt spεsifi k DNA mכtεshכn we dεn kכl `HLA-B27` kin gεt inflammatory joyn sik dεm bak we de inkrεs di risk fכ divεlכp uveitis. Sɔm ɛgzampul dɛn na:

• `Juvenile Idiopatik Atraytis`
• Ankylosing Spɔndylitis we de mek pɔsin gɛt sik
• `Psoriatik Atraytis`
• `Aksial Spɔndilɔ-arthritis`
• `Ɛnteropatik Atraytis`
• `Rɛaktiv Atraytis`

3. Injuri dɛn

di ay injuri kin damej di mכsul dεm εn/כ di bכdi vεsεl dεm na di uvea. We injuri apin, wi imyun sistεm de yuz wan prכsεs we dεn kכl inflameshn fכ hεl am. Fɔ dis rizin , uveitis kin apin bak afta dɛn dɔn ɔpreshɔn di yay. ivin sכm sכm chenj dεm na di strכkchכ insay di yay, lεk di chenj dεm we de kכz fכ inflameshn, kin mek di sayn dεm fכ uveitis. Aw di sik kin tranga kin dipen pan tin dɛm lɛk usay di injury de ɛn aw i kin tranga.

4. Di mɛrɛsin dɛn we dɛn kin yuz

Di risk fɔ gɛt uveitis kin bɔku we yu de yuz sɔm mɛrɛsin dɛn. Sɔm ɛgzampul dɛn na:

• `Sidofovir`
• `Rifabutin`
• `Bisfosfonat dɛn`
• `Brimonidine ay drop`
• `Tyrosin kinase Inhibitɔ dɛn`

Dis na sik we pɔsin kin pas?

Uveitis nɔ kin pas frɔm pɔsin to ɔda pɔsin. Bɔt sɔm infɛkshɔn (e.g. vayrɔs, baktri dɛm) we kin mek i gɛt am kin pas. כlso, i kin kכz fכ sik dεm we kin kכmכt frכm animal to mכtalman (e.g. toxoplasmosis), so yu fכ no dat bak.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt Uveitis?

Di men ɛn denja kɔmplikeshɔn fɔ uveitis na we yu nɔ de si fayn ɛn we yu blaynd. Dis kכndyushכn kin mek chenj dεm insay di yay, εn dεn chenj dεm de kin mek di kכmplikεshכn dεm. Sɔm pan dɛn chenj ya na:

• Katarakt we pɔsin kin gɛt
• Sistoid Makular Ɛdima
• Di retina we dɔn kɔmɔt ɔ di retina we dɔn pwɛl
• Glaukoma (dεmεj to di optik nεv bikoz fכ di ay prεshכn we de go כp) .
• Ay prɛshɔn we de insay yu yay
• Makular pucker - di epiretinal membran
• Optik nerve de swel ɛn damej
• Synechiae (dis kin apin we di ayris na di yay stik to di lens ɔ di kɔnia) .

Aw dɛn kin no se yu gɛt Uveitis?

Wan dɔktɔ we de mɛn yu yay kin no if yu gɛt uveitis. I go aks yu bɔt yu sik, inklud yu mɛdikal histri ɛn ɛni infɛkshɔn ɔ injury we yu jɔs gɛt. Apat frɔm dat, i kin chɛk yu yay ɛn du spɛshal tɛst fɔ si if yu gɛt sayn dɛn we de sho se yu gɛt uveitis. Di tɛst fɔ uveitis kin bigin wit ay ɛgzam. Dɛn tin ya na fɔ tɛst fɔ no aw pɔsin de si ɛn fɔ ɛgzam fɔ slit lamp . Yu dɔktɔ kin ɔda bak fɔ mek dɛn du tonomɛtri tɛst fɔ no di prɛshɔn na yu yay ɛn fɔ mek dɛn du optik kɔhɛrɛns tomografi (OCT) skan fɔ luk fɔ chenj dɛn na di bak pat na yu yay. Dɛn kin ɔda ɔda tɛst dɛn bak, i kin dipen pan di sayn dɛn we yu gɛt ɛn di tin dɛn we yu tink se kin mek yu gɛt dis sik. Fɔ ɛgzampul:

• Blɔd tɛst: Dɛn tin ya kin no di chenj dɛn we de apin na di blɔd we de sho se pɔsin gɛt di sik, sayn dɛn we de sho se di bɔdi de fɛt di sik, ɔ ɔda tin dɛn we de apin to am.
• Imajin skan: Tin dɛn lɛk ɛkstrem rayt na di chɛst ɔ MRI (Magnetic Resonance Imaging) skan fɔ di bren kin ɛp fɔ luk fɔ prɔblɛm dɛn ɔdasay. Sɔm imej skan dɛn kin yuz spɛshal day lɛk fluorescein fɔ sho di blɔd vesel dɛn we de insay di yay. Di chenj we dɛn chenj di we aw dɛn de day kin gi dɔktɔ dɛn impɔtant tin dɛn bɔt wetin kin mek pɔsin gɛt uveitis.

Bikɔs di tɛst kin difrɛn difrɛn wan bay di sayn dɛm ɛn di sik we yu gɛt, yu yay spɛshal dɔktɔ na di bɛst pɔsin fɔ ɛksplen am to yu. I kin tɛl yu mɔ bɔt dɛn tɛst ya ɛn wetin mek dɛn kin tɛl yu fɔ du dɛn.

Aw dɛn kin trit Uveitis?

Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt uveitis, di tritmɛnt dɛn kin difrɛn bad bad wan. No patikyula mɛrɛsin nɔ de fɔ uveitis. Bɔt sɔm pan di tin dɛn we kin mek i apin, dɛn kin trit am. If na so, fɔ trit di kɔz kin ɛp fɔ mek di uveitis klia. If dɛn nɔ ebul fɔ no ɛni rizin, yu yay dɔktɔ kin yuz standad tritmɛnt dɛn. Di tritmɛnt kin bi fɔ tek mɛrɛsin, ɔpreshɔn, ɛn ɔda we fɔ ɛp fɔ ridyus yu sik ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn tumara bambay. Di tritmɛnt dɛn we dɛn kin gi bay di sayn dɛm kin pe atɛnshɔn pan:

• Kɔntrol di pen: Bikɔs uveitis kin mek yu fil pen, tritmɛnt fɔ ridyus pen na kɔmɔn tin. dis kin inklud mεdikeshכn dεm (cycloplegics) we de paralayz di mכsul dεm na di ayris (especially di pupil) fכ sכm tεm.
• Fɔ ridyus di inflamɛns: Mɛrɛsin lɛk stɛroyd ɛn nɔ-stɛroyd anti-inflammatory drugs (NSAID) kin ɛp fɔ ridyus di pen ɛn inflamɛns we uveitis kin mek.
• Tritmɛnt dɛn we gɛt fɔ du wit di kɔndishɔn: Fɔ ɛgzampul, di mɛrɛsin dɛn we de agens di vayrɔs we de trit di vayrɔs nɔ de ɛp fɔ gɛt baktri, fɛns, ɔ parasayt infɛkshɔn.

Bikɔs bɔku tritmɛnt dɛn de, yu ɔftalmolɔg na di bɛst pɔsin fɔ tɔk to bɔt yu opshɔn dɛn.

Yu kin ebul fɔ mek yu nɔ gɛt uveitis?

Bɔt i sɔri fɔ no se dɛn nɔ kin ebul fɔ protɛkt uveitis ɔltogɛda. Bɔrku pan de tin wae kin kam wit am na tin wae yu nɔr kin ɛkspɛkt ɔr kin woke wae masta sabi pipul dɛm stil nɔr kin ɔndastand gud gud wan. Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt kɔndishɔn ɔ tin dɛn we kin mek yu gɛt uveitis. Di men tin dɛn we yu kin du na:

• Gɛt ɛgzam fɔ yu yay ɔltɛm fɔ no yu yay prɔblɛm kwik kwik wan (dat min se at le tu tɛm insay di ia, ɔ mɔ if yu gɛt wan sik we yu nid fɔ du mɔ ɛgzam).
• Wear ay protɛkshɔn fɔ mek yu nɔ gɛt ɔ ridyus di bad bad tin dɛn we de apin na yu yay.
• If yu gɛt infɛkshɔn (if i pɔsibul), mek dɛn trit am bifo dɛn wɔs ɔr skata.

Wetin a fɔ ɛkspɛkt if a gɛt Uveitis?

If yu gɛt uveitis, yu ɛkspiriɛns go dipen pan sɔm tin dɛn. Sɔm pan di tin dɛn we impɔtant pas ɔl na:

• Aw lɔng i kin tek fɔ gɛt diagnosis ɛn tritmɛnt.
• Di patikyula pat na di yay we di sik afɛkt.
• Di ɔndalayn kɔz (if yu dɔktɔ ebul fɔ fɛn am).
• Yu ɔl wɛl bɔdi ɛn ɛni ɔda sik we yu go gɛt.

Bikɔs dɛn tin ya kin gɛt big impak, yu yay spɛshal pɔsin kin tɛl yu di bɛst we fɔ ɛkspɛkt. I kin mek di infɔmeshɔn akɔdin to yu patikyula sityueshɔn ɛn di ditil dɛn bɔt di kes. I kin advays yu bak bɔt tin dɛn we yu go du fɔ ɛp yusɛf.

Wetin na de lukin-grɔn fɔ uveitis?

Yuveitis na wan kɔmɔn tin wae kin mek pɔrsin nɔr de si fayn ɛn blaynd ligal. Na Amɛrika, te to 10% pan di pipul dɛm wae kin blaynd bay lɔ, na bikɔs ɔf ɔr gɛt fɔ du wit uveitis. If dɛn delay fɔ no di sik ɛn tritmɛnt, dat kin mek dɛn nɔ gɛt bɛtɛ tin fɔ du. Na dat mek i impɔtant fɔ nɔ ignore di simptom dɛm fɔ uveitis ɔr "jɔs peshɛnt." If dɛn no bɔt yu sik ɛn trit yu kwik, yu nɔ go gɛt prɔblɛm wit yu yay fɔ lɔng tɛm. If yu du dat, yu go ebul fɔ wɛl ɛn nɔ gɛt prɔblɛm wit yu yay fɔ ɔltɛm.

Aw a kin kia fɔ misɛf?

If yu gɛt uveitis, yu ay spɛshal dɔktɔ go gayd yu fɔ di tritmɛnt ɛn tɛl yu wetin yu nid fɔ du as pat pan yu tritmɛnt. I rili impɔtant fɔ fala yu ay spɛshal dɔktɔ in instrɔkshɔn, bikɔs dis kin ridyus di risk fɔ lɛ yu nɔ si yu yay ɔltɛm.

Ustɛm a fɔ go to mi dɔktɔ?

Yu yay dɔktɔ go sɛtul fɔ go fɔ yu fɔ fala yu, ɛn i impɔtant fɔ kip dɛn. Dɛn apɔntinmɛnt ya kin mek yu dɔktɔ ebul fɔ wach yu sik dɛn ɛn aw yu tritmɛnt go wok fayn. Yu dɔktɔ go tɛl yu bak us sayn ɔ simptom yu fɔ go to dɔktɔ fɔ ɔ go to dɔktɔ kwik kwik wan if yu gɛt ɛni wan. Na sɔm sayn dɛn we de sho se yu fɔ go to dɔktɔ ɔ go to dɔktɔ kwik kwik wan:

• If di pen de bɔku.
• If yu vishɔn wɔs ɔ yu lɔs yu vishɔn wantɛm wantɛm (kɔmplit ɔ pat pan am).
• If yu si layt we de flash bifo yu yay.
• If yu bigin fɔ si flota dɛn wantɛm wantɛm, ɔ if di flota dɛn we dɔn de de wɔs ɔ dɛn de sho mɔ.
• If yu gɛt fotophobia, we min se yu yay de at ɔ yu nɔ de fil fayn we yu de shayn brayt layt.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

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

• "Us kayn Uveitis a gɛt?"
• "Yu sabi di rizin fo dis? So wetin bi am?"
• "Us tritmɛnt opshɔn dɛn a gɛt? Wetin yu rikɔmɛnd?"
• "Ɛni risk ɔ sayd ifɛkt de fɔ di tritmɛnt?"
• "Dis kin kam bak afta tritmɛnt?"
• "Wetin a kin du fɔ protɛkt mi vishɔn, fɔ mek a nɔ si fayn, ɔ fɔ mek dis nɔ apin igen?"
• "A fɔ no bɔt sayn dɛn we de sho se a gɛt prɔblɛm? If na so, wetin na dɛn sayn dɛn de?"

Na nɔmal tin fɔ fil frayd we yu yɛri bɔt wan sik lɛk uveitis, ɛn fɔ yɛri se yu kin lɔs yu yay. Bɔt bɔku tin dɛn de we yu kin du fɔ mek yu sik bɛtɛ. If yu no am kwik kwik wan ɛn trit yu, dat kin mek yu nɔ gɛt siriɔs prɔblɛm lɛk we yu nɔ de si fayn ɔltɛm. So, if yu gɛt sayn dɛm fɔ uveitis, nɔr ignore dɛm. Afta dɛn dɔn no se yu gɛt di sik, fɔ fala wetin yu yay dɔktɔ tɛl yu na di bɛst we fɔ gɛt di bɛst rizɔlt. If ɛnitin de we yu nɔ ɔndastand, aks yu dɔktɔ. We una wok togɛda na di bɛst we fɔ ɛp una ɛn mek una nɔ gɛt prɔblɛm dɛn tumara bambay.

Wetin na di impɔtant tin dɛn we wi fɔ mɛmba frɔm dis stori?

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we wi dɔn tɔk bɔt we yu nid fɔ mɛmba:

• Yuveitis na inflameshn na di midul layt na di yay (di uvea). I kin rili afɛkt di we aw yu de si tin.
• If yu gɛt sɔm sayn dɛn lɛk yu yay rɛd, yu yay de pen, yu nɔ de si fayn, yu nɔ de si layt, ɔ yu de si tin dɛn we de flɔt bifo yu yay , nɔ ɛva ignore dɛn. Si dɔktɔ we de mɛn yu yay kwik kwik wan.
• Bɔku rizin dɛn kin de fɔ dis; infεkshכn, כda sik dεm na di bכdi, injuri, sכm mεdikeshכn, εn כda tin dεm sכmtεm, dεn n כ kin fכnshכn kכz.
• De tin wae impɔtant pas ɔl na fɔ no di sik kwik kwik wan ɛn bigin di rayt tritmɛnt. Dis kin go fa fɔ mek yu nɔ gɛt prɔblɛm dɛn we denja lɛk we yu nɔ de si fayn ɔltɛm.
• Fɔ fala yu ay dɔktɔ in instrɔkshɔn ɛn tritmɛnt ɛksaktɔli. Yuz yu mɛrɛsin kɔrɛkt wan, ɛn nɔ skip yu dɔktɔ in apɔntinmɛnt.
• Pan ɔl we dɛn nɔ go ebul fɔ stɔp am ɔltogɛda, fɔ du ɛgzam fɔ yu yay ɔltɛm, fɔ wɛr tin fɔ protɛkt yu yay (espɛshali we yu de du wok we de mek yu gɛt prɔblɛm), ɛn fɔ trit infɛkshɔn na yu bɔdi kwik kwik wan, dat kin ɛp fɔ mek yu nɔ gɛt dis sik te to sɔm mak.

Mɛmba se yu yay rili valyu, so na yu wok fɔ kia fɔ dɛn.