Di prɛshɔn we de na yu yay ay? Lɛ wi lan ɔltin bɔt di Gonioscopy tɛst!

Yu dɔn ɛva mek dɛn chɛk yu yay? Yu yay dɔktɔ kin dɔn tɛl yu bɔt wan tɛst we dɛn kɔl "gonioscopy." Di nem kin tan lɛk se i kɔmplikt smɔl, bɔt fɔ tru, na tɛst we rili simpul, ɛn we rili impɔtant. Tide, wi go tɔk bɔt am ditayli, jɔs lɛk aw yu go tɔk to yu padi.

Wetin na Gonioscopy? Wetin mek i rili impɔtant?

Fɔ tɔk am simpul wan, gonioscopy na wan we we nɔ de mek yu fil pen fɔ chɛk di rili dilik strɔkchɔ dɛn we de insay yu yay. Mɔtalman dɛn we sabi bɔt di yay kin yuz dis tɛst fɔ chɛk if di drenaj sistɛm we de insay yu yay de wok fayn. Tink bɔt am lɛk di drenaj sistɛm na wi os. If i nɔ de wok fayn, wata kin gɛda ɛn mek prɔblɛm, ɛn if di wata we de insay yu yay nɔ de kɔmɔt fayn, prɔblɛm kin kam.

Di men tin we dɛn kin no wit dis tɛst na wan sik we dɛn kɔl glaukoma . Glɔkoma na wan denja sik we kin pwɛl di optik nɛv bikɔs ɔf di prɛshɔn we de go ɔp insay di yay ɛn smɔl smɔl i kin mek i nɔ de si fayn igen. Bikɔs bɔku tɛm i nɔ kin gɛt ɛni sayn we i bigin, dɛn kin no am kwik kwik wan tru tɛst lɛk dis.

Wetin ɔda tin dɛn kin fɛn wit gonioscopy tɛst?

Apat frɔm glaukoma, dis tɛst kin ɛp fɔ no ɔr nɔr gɛt ɔda sik. Fɔ ɛgzampul:

• Open-angle glaucoma: Dis na di kayn glaukoma we kin apin pas ɔl.
• Angle-closure glaucoma: Dis na smɔl imejensi ɛn i nid fɔ trit am kwik.
• Pseudoexfoliation syndrome: Insay dis kכndyushכn, tin dεm we lεk wayt pauda kin bכku insay di yay, we kin mek di wata nכ fכ fכlכ.
• Tin dɛm lɛk kansa ɔr tumbu wae kin afɛkt di ayris ɔr ɔda pat dɛm wae gɛt fɔ du wit di yay.

Naw yu dɔn ɔndastand aw dis tɛst impɔtant, nɔto so? Fɔ kip di prɛshɔn insay di yay na di rayt lɛvɛl impɔtant fɔ protɛkt yu yay.

Aw dɛn kin du dis tɛst? Wetin kin apin insay di yay?

Gonioscopy de alaw yu yay dɔktɔ fɔ luk dairekt insay di anterior chamber na yu yay. di antεriכr chεmba na di spεs we fulכp wit wata bihayn yu kכnia εn bifo yu ayris.

Di dɔktɔ go luk di drenaj angle . Dis na say we gɛt sɛkɔndari we tan lɛk ring. na de yu ayris εn di wayt pat pan yu yay (sclera) de mit. di aqueous humor, we na wan wata we de fכm insay di yay, de drεn kכmכt na di yay tru dis angle. Dis angle nid fɔ wayd ɛn opin fɔ mek di wata kɔmɔt fayn fayn wan.

Imajin, yu nɔ go ebul fɔ si sɔntin na kɔna we yu luk stret bifo, nɔto so? Bɔt yu kin si am we yu ol miro na da say de. Na so i bi wit dis. Di dɔktɔ kin si da angul de klia wan jɔs bay we i yuz miro ɔ magnifying lens dɛn na spɛshal lens we dɛn kin yuz fɔ gonioscopy.

Difrɛn kayn gonioscopy lens dɛn de?

Yɛs, tu men kayn gonioscopy lens dɛn de:

1. Indaykt lens: Dɛn kayn lens ya kin yuz miro. Di dɔktɔ kin si di angul we di wata de flɔ nɔmɔ we layt hit di miro dɛn ɛn i de sho. Na dat mek dɛn kɔl dɛn "indaykt". Dɛn kin yuz dɛn kayn lens ya mɔ na di ay klinik dɛn we dɛn kin gɛt ɔltɛm.

2. Dairekt lens: Dɛn lens ya nɔ gɛt miro. Dɛn lens dɛn ya kin mek di angul big dairekt wan ɛn dɛn kin bɛn (rifrakt) di layt smɔl. Dɛn kin yuz dɛn tin ya mɔ we dɛn de du tin dɛn lɛk ɔpreshɔn.

Aw a fɔ pripia fɔ gonioscopy?

Bɔrku tɛm, yu nɔr nid fɔ du ɛni spɛshal tin fɔ rɛdi fɔ dis tɛst. Yu yay dɔktɔ kin du am ɛnitɛm.

Bɔt if yu wɛr kɔntakt lens , i go fayn fɔ aks yu dɔktɔ if yu nid fɔ pul am fɔ sɔm tɛm bifo yu du di tɛst.

Sɔntɛnde, if dɛn de du gonioscopy as pat pan ɔda ay ɔpreshɔn, yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt aw fɔ rɛdi fɔ am.

Wetin fɔ ɛkspɛkt we dɛn de du di tɛst?

Di ɛkspiriɛns kin difrɛn smɔl dipen pan di kayn gonioscopy we yu gɛt.

Dairekt Gonioskopi

Bɔku tɛm, dɛn kin du dis na ɔspitul. Bɔku tɛm, dɛn go gi yu jenɛral anestezi . Dis min se dɛn kin du dis tɛst ɛn ɔda tin dɛn we gɛt fɔ du wit am we yu nɔ no natin ɛn we yu de slip.

Indaykt Gonioskopi we dɛn kɔl

Dis na di kayn we we dɛn kin du mɔ na ay dɔktɔ in ɔfis. Dɛn kin du am di sem we aw dɛn kin du am lɛk slit lamp ɛgzam . Yu sidɔm na chia, ɛn di dɔktɔ tinap bifo yu.

Bifo di tɛst bigin, di dɔktɔ go put drɔp dɛn we de mek yu nɔ fil fayn na yu yay. Di kɔnia na wi yay kin rili sɛnsitiv, so if ɛnitin tɔch am, i nɔ kin fil fayn ɛn yu yay kin lɔk. We yu put dis numbing drop, yu nɔ go fil ɛni diskɔmfɔt ɔ pen, ɛn yu yay nɔ go lɔk.

Afta di yay dɔn swɛt, di dɔktɔ go put sɔntin bak we dɛn kɔl wetin drɔp na di say we di lens de we dɛn de chɛk. dis go mek di briz bכbul dεm nכ trכp כnda di lens we i de insay in ples. Dis go mek di dɔktɔ ebul fɔ si insay di yay klia wan. I go ɛp bak fɔ muv di lens rawnd na di yay izi wan.

Dɔn di dɔktɔ tɔch di lens jisnɔ to yu yay, i ol am wit wan an ɛn yuz di slit lamp wit di ɔda wan.Di divays dɔn on. Di brayt layt we de kɔmɔt de de mek di insay pat pan di yay shayn, ɛn dɛn kin yuz magnifying glas fɔ luk insay di yay. Di dɔktɔ go tɛl yu fɔ luk stret bifo ɔ na wan patikyula say.

sכmtεm dεn kin yuz wan prכsidכm we dεn kכl "dynamic gonioscopy" . Dis min se di dɔktɔ go pres di say we yu yay de smɔl smɔl wit di lens. Dis go mek di dɔktɔ si if yu ayris dɔn stɔp na di kɔnia ɔ di lens (synechiae).

We dɛn dɔn chɛk yu yay ɔlsay, di dɔktɔ go pul di lens. I kin yuz sɔntin bak lɛk wet drɔp fɔ was yu yay. Na nɔmal tin fɔ mek yu yay wata ɛn kray insay dis tɛm. Di dɔktɔ go gi yu sɔntin lɛk tisu fɔ was yu kray wata.

Dis tɛst kin min fɔ mek yu yay big ɔ nɔ kin mek yu yay big. Sɔntɛnde, di dɔktɔ kin nid fɔ luk insay yu yay bifo ɛn afta di dilayshɔn. Di dɔktɔ go tɛl yu bɔt dis.

Ɛni risk ɔ sayd ɛfɛkt de fɔ dis tɛst?

Nɔ sayd ɛfɛkt ɔ risk nɔ de wit di gonioscopy insɛf. Bɔt di mɛrɛsin dɛn we dɛn kin yuz fɔ mek di yay nɔ gɛt bɛtɛ trɛnk ɛn dilayt kin mek sɔm smɔl smɔl sayd ɛfɛkt dɛn (e.g., we pɔsin nɔ de si fayn, we i kin fil fɔ layt). Yu dɔktɔ go tɛl yu mɔ bɔt dɛn tin ya.

Aw di tɛst kin fil? Yu tink se i de mek pɔsin fil bad?

Bikɔs yu yay nɔ gɛt bɛtɛ trɛnk we yu de du di tɛst, yu nɔ go fil ɛni pen ɔ nɔ fil fayn. Sɔntɛnde, yu kin jɔs fil smɔl smɔl, lɛk we yu de rɔb yu yay. Dis na nɔmal tin.

Aw yu kin gɛt di tɛst rizɔlt? Wetin dɛn min?

• If dɛn bin du Dairekt Gonioscopy wit ɔpreshɔn, di dɔktɔ go tɛl yu bɔt di rizɔlt afta yu dɔn gɛt kɔnshɛns bak.
• If yu gɛt indaykt gonioscopy we dɛn du na yu dɔktɔ in ɔfis, yu dɔktɔ go ebul fɔ tɛl yu di rizɔlt we dɛn de du di tɛst ɔ afta di tɛst. I go ɛksplen to yu wetin dɛn si, wetin dɛn min, ɛn us tritmɛnt dɛn nid, if ɛni wan de.

If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?

If yu yay dɔktɔ si se yu gɛt smɔl drenaj angle ɔ di wata nɔ de drain fayn, i go tɔk to yu bɔt di tritmɛnt opshɔn dɛn.

Fɔ trit glaukoma rili impɔtant bikɔs if di prɛshɔn we de insay di yay tu ay, i kin mek di optik nɛv we de biɛn di yay pwɛl fɔ ɔltɛm, we kin mek i nɔ de si fayn ɔltɛm.

If yu dɔktɔ si se di angul usay di wata de kɔmɔt na yu yay dɔn lɔk ɔl, dɛn kin kɔl am angle-closure glaucoma . Dis na mɛdikal imejensi.Bikɔs dis kin mek yu nɔ de si fayn wantɛm wantɛm (ɛn i kin de fɔ ɔltɛm). If dis apin, yu yay dɔktɔ go tɛl yu fɔ trit yu kwik kwik wan ɛn sɛn yu to say we gɛt di tin dɛn we yu nid.

Ustɛm a fɔ go to mi dɔktɔ we de mɛn mi yay?

Glaukoma na wan big tin we kin mek pipul dɛn nɔ de si fayn ɔlsay na di wɔl. Na lɛk 90% pan di wan dɛn we gɛt glaukoma gɛt di kayn we we nɔ de mɛn. Dis min se di sayn dɛm kin kam smɔl smɔl. Na dat mek i fayn fɔ mek dɛn chɛk yu yay wan tɛm insay di ia ɔ tu tɛm (ɔ wan tɛm insay di ia if yu dɔn pas 40 ia).

Apat frɔm dat, i impɔtant fɔ mek yu de chɛk yu yay ɔltɛm, lɛk gonioscopy, if yu gɛt ɛni wan pan dɛn tin ya ɔ tin dɛn we kin mek yu gɛt dis sik:

• If yu ol 65 ia ɔ pas dat.
• If yu gɛt tayp 2 dayabitis .
• If pɔsin na yu famili gɛt glaukoma (family history of glaucoma).
• If yu gɛt ay prɛshɔn insay di yay (okular haypatɛnshɔn).
• If yu gɛt prɔblɛm we yu bɔn wit ɔ yu gɛt prɔblɛm wit yu yay we yu gɛt frɔm yu mama ɛn papa ɛn we yu gɛt jɛnɛtiks.
• If yu yuz mɛrɛsin lɛk kɔtikosterɔyd fɔ lɔng tɛm.
• If di optik nerve dɔn pwɛl ɔ i gɛt sɔntin we pɔsin kin tink bɔt.
• If yu gɛt siriɔs tin fɔ si nia ɔ fɔ si fa.
• If yu gɛt siklɛt sik .

Dɔn bak, mek shɔ se yu go to dɔktɔ if yu gɛt sɔm sayn dɛn fɔ gɛt glaukoma. Dɛn kayn sayn ya na:

• Di yay dɛn we de rɛd.
• Ed de at.
• Nɔs ɛn vɔmit.
• Fɔ fil prɛshɔn ɔ pen na di yay (dis kin apin we di prɛshɔn na di yay tu ay).
• Fɔ si wan halo we tan lɛk renbo we yu de luk layt.
• di dכn vishכn, fכ egzampl , tכnel vishכn (we yu si lεk se yu de luk tru wan tכb) כ di divεlכpmεnt fכ nyu blaynd spat dεm (skotomas).

Ustɛm yu fɔ go fɔ tritmɛnt we yu go gɛt kwik kwik wan?

Sɔm sayn dɛn de we de sho se yu gɛt glaukoma we yu fɔ go to dɔktɔ wantɛm wantɛm if dɛn apin. Dɛn sayn ya na:

• I nɔ de si fayn wantɛm wantɛm.
• Wantɛm wantɛm, i kin bigin fɔ gɛt bad bad yay pen, ed we kin at, nɔs, ɛn vɔmit.

If sɔntin lɛk dis apin, nɔ delay.

Ɛni bad tin dɛn de we gonioscopy kin du?

Gonioscopy na wan tɛst we rili valyu. Bɔt dis tɛst nɔmɔ nɔ go du fɔ no fɔ tru if yu gɛt glaukoma ɔ yu nɔ gɛt am. Bɔku ɔda tin dɛn de we kin go fɔ no if pɔsin gɛt glaukoma. Gonioscopy na jɔs wan pat pan di pazl.

Aw lɔŋ gonioscopy tɛst kin tek?

Indaykt gonioscopy kin tek lɛk fayv minit. Bɔt yu apɔntinmɛnt kin tek lɔng tɛm bikɔs dɛn kin nid fɔ du ɔda tɛst dɛn bak.

di tεm we i tek fכ du Dayrekt Gכnioskopi kin difrεn bכku dipכnt pan di prכsidכm we dεn de du. Yu dɔktɔ kin tɛl yu mɔ bɔt dis.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Gonioscopy kin tan lɛk se i kɔmplikt, bɔt di tɛst insɛf rili simpul. Na tin we nɔ de ambɔg pɔsin, we nɔ de mek pɔsin fil pen ɛn we nɔ de ambɔg di yay. I kin ɛp fɔ no di tin dɛn we kin mek yu yay pwɛl fɔ ɔltɛm. Bɔku tɛm dɛn kin du am na di dɔktɔ in ɔfis, ɛn di tin dɛn we dɛn kin fɛn kin apin kwik kwik wan.

If yu gɛt ɛnitin fɔ wɔri bɔt ɔ kwɛstyɔn bɔt dis tɛst, tɔk to yu yay dɔktɔ. I kin ɛksplen to yu di tɛst, mek yu nɔ fred, ɛn ɛp yu fɔ ɔndastand wetin di tɛst go sho. Mɛmba se, tɛst lɛk dis kin mek big difrɛns fɔ protɛkt yu valyu vishɔn.

` Gonioscopy, ay ɛgzam, glaukoma, ay wɛlbɔdi, vishɔn kia, ɔftalmɔlɔjis, ay prɛshɔn