Lɛ wi lan mɔ bɔt di makula, we de ɛp wi fɔ si klia wan.

Yu dɔn ɛva wɔnda aw wi kin rid di lɛta dɛn we de na buk klia wan, ɔ no wi padi na strit, ɔ ɛnjɔy di fayn fayn tin dɛn bɔt wan flawa we gɛt fayn fayn kɔlɔ? Wan smɔl pat we de insay wi yay bɔt we rili impɔtant de ɛp ɔl dis. Na dat wi kin kɔl di ‘macula’ . Yu go dɔn yɛri bɔt dis nem ɔ yu nɔ yɛri bɔt dis nem. So, tide wi go tɔk bɔt wetin na dis makula, aw i impɔtant to wi vishɔn, ɛn aw fɔ kip am wɛl.

Wetin na di makula? Wetin i rili de du?

fכ simpul wan, di makula na sכmכl, rawnd εria insay yu yay, spεshal wan na di sεntrכm pan di rεtina – di tכn, layt-sεnsitiv layεr na di bak pat pan di yay. Tink bɔt am dis retina de na di bak wɔl na yu aybɔl. Rayt na di midul pan am na di makula. Sɔm pipul dɛn kin kɔl am bak ‘macula lutea’ bikɔs i gɛt smɔl yɔlɔ kɔlɔ.

Naw, luk, in men wok na fɔ ɛp yu fɔ si tin dɛn we yu de si stret bifo, yu sɛntral vishɔn , klia wan ɛn shap wan. We yu rid buk, yu kin si di lɛta dɛn klia wan, we yu wach TV, yu kin no di pɔsin dɛn fes klia wan, we yu de drayv motoka, yu kin si klia wan di rod we de bifo, ɛn tin dɛn lɛk dat nɔ pɔsibul if yu nɔ gɛt di makula.

We layt kam insay di yay, i kin pas na di lens we de bifo di yay ɛn nak di retina. di rεtina gεt spεshal sεl dεm we dεn kכ l fכto rεsεptor . Dɛn sɛl dɛn ya kin chenj layt ɛnaji to ilɛktrik signal. afta dat dεn kin sεnd dis signal to di bren tru di optik nεv . di bren de analכz dis signal εn kכnvכlt am to di imej we wi de si. So, di makula de kapchɔ di fayn fayn tin dɛn we yu de si dairekt bifo yu ɛn sɛn dɛn to di bren. Dat na:

• I kin ɛp fɔ rid di lɛta dɛn we de na buk ɔ nyuspepa klia wan .
• I kin ɛp fɔ no pipul dɛn fes .
• I de ɛp fɔ no di muvmɛnt dɛn we rili smɔl .
• I kin ɛp fɔ no difrɛn kɔlɔ dɛn ɛn no difrɛn kɔlɔ dɛn .

Wetin mek dis makula impɔtant so?

Yu go mɔs si aw di makula smɔl, bɔt i de du big wok. Na wetin de mek wi ebul fɔ si fayn fayn tin dɛn ɛn pe atɛnshɔn pan di patikyula pat dɛn we wi de luk fɔ. di wan ol rεtina de tek layt εn sεnd di infכmeshכn to di bren. Bɔt di makula spɛshal.

Tink bɔt am dis we, lɛk we yu wata gadin wit hos, di wan ol retina kin gɛda infɔmeshɔn. Di makula tan lɛk smɔl drɔp we de drɔp mɛrɛsin. I de fos wan rili spεsifi k, subtil amount of infכmeshכn (dat na wetin yu si dairekt fכ yu εn di sכm sכm sכm tin dεm fכ am) εn sεnd am to di bren.

If yu nɔ gɛt makula, ɔ if di makula dɔn pwɛl, yu yay go stil wok (dat min se i go mek layt kam), bɔt yu nɔ go si fayn ɛn di ditil dɛn go lɔs . I tan lɛk se kamɛra de kɔmɔt na di say we i nɔ de pe atɛnshɔn.

Aw di makula tan lɛk? Wetin dɛn mek am wit?

di makula na wan sכmכl, yכlכsh, oval shep spat we de na di sεntrכm pan di rεtina. כl di mכst pipul dεm in makula de lεk 5 milimita kכros. Dat nɔ rich wan kwata inch! Yu nɔ tink se i wɔndaful aw sɔntin we smɔl kin afɛkt wi vishɔn so?

Naw lɛ wi luk wetin dɛn mek di makula wit. di makula (εn di כl rεtina) na di layt-sεnsitiv sεl dεm we wi bin tכk bכt fכs we dεn kכl am ‘fכto rεsεptor' . Tu men kayn sɛl dɛn de:

• Rod: Na dɛn wan ya kin mek dɛn no blak ɛn wayt layt mɔ. Na dɛn bak de ɛp wi fɔ si na nɛt ɛn we layt nɔ de shayn.
• Kɔn: Na dɛn sɛl ya de ɛp wi fɔ no di kɔlɔ. Dɛn kin kɔntrol bɔku pan di klia ɛn shap vishɔn dɛn we wi kin si insay di de.

dis na di imכtant tin: di makula gεt bכku bכku kכn sεl dεm. Na dat mek di makula ebul fɔ kech di fayn fayn tin dɛn ɛn di kɔlɔ dɛn we de na wi vishɔn kɔrɛkt wan.

Wetin na di kɔmɔn tin dɛn we kin afɛkt di makula?

Ɛni kɔndishɔn we de pwɛl di yay kin afɛkt di makula. Bɔt sɔm tin dɛn de we kin afɛkt di makula spɛshal wan. Dɛn tin ya na:

• Macular Degeneration (AMD) we gɛt fɔ du wit di ej: Dis na di men tin we kin mek big pipul dɛn nɔ de si na di sɛntral vishɔn.
• Macular Pucker: Dɛn kin kɔl am bak ‘Epiretinal Membrane’, dis na tin film we de fɔm oba di macula, we kin mek pɔsin nɔ si fayn.
• Makula Hol dεm: As di nem sho, wan sכmכl ol de fכm na di makula.
• Cystoid Macular Edema: Insay dis, wata kin gɛda na di makula ɛn i kin swel, we kin mek yu nɔ si fayn.

Apat frɔm dat, sɔm prɔblɛm dɛn we kin afɛkt di wan ol retina kin pwɛl di makula bak. Fɔ ɛgzampul:

• Jɛnɛtik kɔndishɔn dɛn lɛk Retinitis Pigmentosa .
• Ay flota ɛn flash – dis kin bi sayn fɔ siriɔs prɔblɛm sɔmtɛm.
• Rɛtina Vein Ɔklushɔn.
• Posita Vitreous Detachment: insay dis, di tin we lεk jεli insay di yay de separet frכm di rεtina.
• Retina Detachment: Dis na imejensi.

Aw yu go no if yu gɛt prɔblɛm wit yu makula? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

If yu gɛt wan ɔ mɔ pan dɛn yay simptom ya, mek shɔ se yu go to dɔktɔ. Dis kin bi sayn dɛm fɔ prɔblɛm wit di makula ɔ ɔda pat na di yay:

• Fɔ fil lɛk se yu de si tin de kam blu .
• We yu si wan tin as tu, dɛn kɔl am diplopia.
• I tan lɛk se dɛn drɔ ɛn kɔl stret layn dɛn.
• Na nyu kayn yay pen wae nɔr kin stɔp fɔ sɔm dez.
• Fɔ swɛt yu yay te yu nɔ ebul fɔ luk di layt dɛn kɔl am ‘Photophobia’.
• I kin tan lɛk se yu vishɔn de wɔs smɔl smɔl .
• We yu si wan dak ɔ blank ples na di sɛntrɔm pan yu vishɔn.

If yu notis sɔntin lɛk dis, nɔ panik, bɔt nɔ ignore am bak. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ wantɛm wantɛm.

Aw dɛn kin chɛk di makula?

Yu yay dɔktɔ go chɛk yu makula bak (di plɛnti plɛnti makula na makula) we dɛn de du yu ay ɛgzam ɔltɛm. Bɔku tɛm dɛn go yuz wan spɛshal tin we dɛn kɔl ɔftalmoskɔp fɔ luk yu makula. Dis kin mek dɛn ebul fɔ luk insay yu yay ɛn chɛk ɔl pat pan am, ivin di makula.

Sɔntɛnde, if dɛn tink se prɔblɛm de wit di makula, di dɔktɔ kin nid fɔ du mɔ spɛshal tɛst dɛn. Fɔ ɛgzampul, wan skan we dɛn kɔl OCT (Optical Coherence Tomography) . dis kin tek ditayl imej fכ di makula, lεk kכros-sekshכn. כlso, sכmtεm dεn kin du tεst lεk Fluorescein Angiography.

Aw a go kip mi makula wɛlbɔdi?

Bɔku tin dɛn de we wi kin du fɔ protɛkt wi makula:

• If yu notis ɛni chenj na yu yay , tɛl yu dɔktɔ wantɛm wantɛm. Ivin smɔl tin kin impɔtant.
• If yu wɛr glas ɔ kɔntakt lens, du yu yay ɛgzam ɔltɛm ɛn ɔpdet yu prɛskrishɔn as nid de.
• Nɔ smok. Smok na big tin we kin mek di makula pwɛl, mɔ di makula dijeneshɔn we gɛt fɔ du wit di ej (AMD).
• Wear aywea we de protɛkt yu we yu de du spɔt ɔ ɔda tin dɛn we go mek yu yay de pan denja.
• Wear gud sanglas wit UV protɛkshɔn we yu de go na do na di san. Di san in bad bad rayt kin pwɛl di makula.
• It tin we balans ɛn we gɛt fayn fayn tin dɛn fɔ it. Tin dɛn lɛk grɛn vɛjitebul, frut, ɛn fish we gɛt omega-3 ɔyl kin fayn fɔ mek yu yay gɛt wɛlbɔdi.
• Tek kia ɔf yu ɔl wɛlbɔdi biznɛs. Kɔntrol kɔndishɔn lɛk dayabitis ɛn ay blɔd prɛshɔn. Dɛn tin ya kin afɛkt yu yay bak.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

Dis na tin we rili simpul. Si dɔktɔ jɔs afta yu notis ɛni chenj na yu yay. I kin bi sɔntin we simpul lɛk fɔ nid nyu glas, ɔ i kin bi di fɔs sayn fɔ se yu gɛt mɔ sik. So, i bɛtɛ fɔ mek dɛn chɛk yu yay bifo yu wet fɔ di sayn dɛm fɔ wɔs. If yu kech am kwik, yu kin trit bɔku prɔblɛm ɛn sev yu vishɔn.

If yu nɔ de si fayn wantɛm wantɛm, yu yay de fil bad bad wan, ɔ yu bigin fɔ si flash ɔ flota wantɛm wantɛm, go na ɔspitul imejensi rum wantɛm wantɛm. Dɛn tin ya kin bi tin dɛn we kin apin kwik kwik wan.

Mɛsej we dɛn kin kɛr go na os

Okay, so wi tok plenti abaut di macula tide, no bi so?

• Di makula na wan fayn smɔl pat insay di yay, bɔt i tan lɛk supahiro we de ɛp wi fɔ si stret bifo wi klia wan ɛn shap shap wan .
• Di makula impɔtant fɔ rid lɛta dɛn, fɔ no fes, ɛn fɔ si kɔlɔ.
• Ilɛksɛf yu tink bɔt am ɔ yu nɔ tink bɔt am, wi kin yuz am ɔltɛm.
• So, i rili impɔtant fɔ mek yu de chɛk yu yay ɔltɛm fɔ mek shɔ se yu makula (ɛn yu ɔl yay) gɛt wɛlbɔdi.
• Si dɔktɔ jɔs afta yu notis ɛni smɔl chenj na yu yay, mɔ di we aw yu de si. Ivin smɔl chenj kin bi sayn fɔ sɔntin we big we kin afɛkt yu yay leta.

Yu yay na di prɔpati we yu gɛt we valyu pas ɔl. So, na yu wok fɔ kia fɔ dɛn. A op se dis no bɔt di makula go ɛp yu wit dat!

` Makula, retina, ay hεlth, vishכn, ay sik, sεntri vishכn, ay egzam