Wi go tɔk bɔt Birdshot Chorioretinopathy tide?

Yu dɔn ɛva fil lɛk se yu de si smɔl blak tin dɛn we de flɔt bifo yu yay? Ɔ sɔntɛm yu vishɔn nɔ klia smɔl? Dɛn tin ya kin bi nɔmal tin, bɔt sɔmtɛm dɛn kin bi sayn fɔ prɔblɛm insay yu yay. Tide wi go tɔk bɔt wan pan dɛn kayn yay sik ya we nɔ kin apin so ɔltɛm we dɛn kin kɔntrol if dɛn trit am fayn.

Wetin na dis (Birdshot Chorioretinopathy)?

Fɔ tɔk am simpul wan, Birdshot Chorioretinopathy, ɔ BSCR fɔ shɔt, na wan sik we nɔ kin apin so ɔltɛm we kin apin insay di yay. Nɔr kin gɛt sik wae de mɛk pɔrsin nɔr de mɛn, dat min se e nɔr kin bɛtɛ insay shɔt tɛm, bɔt na sik wae de kɔntinyu fɔ de. If dɛn nɔ trit am fayn, i kin mek i chenj di we aw i de si fɔ ɔltɛm ɔ i kin ivin mek i nɔ ebul fɔ si igen .

(BSCR) na wan siriכs kכndyushכn we de pan wan grup fכ sik dεm we dεn kכl ``Uveitis'', we de pwεl di tisu dεm we de insay di yay. I men wan involv fɔ swel fɔ:

• Retina : Dis na di layt-sεnsitiv mεmbran we de na di bak pat pan wi yay. I tan lɛk di fim we de insay kamɛra. Dɛn rayt di pikchɔ dɛn we wi de si na ya.
• Choroid : Dis de ɔnda di retina. dis na di mεmbran we de kכnekt di rεtina to di wayt pat na di yay, εn de gi bכdi to di rεtina, dat na fכ gi am tin fכ it.

di mכst kכntribyushכn fכ dis sik na we i de sho s כm sכm, oval, krim kכla spat dεm na di dip pat na di rεtina εn di כp layεr na di kכroyd. Bɔrku tɛm, di fɔs sayn dɛm na blak tin dɛm wae de flɔt bifo di yay (floaters) , blurred vision , ɔr ɔl tu. Dis sik kin afɛkt ɔl tu di yay dɛn .

As tɛm de go, dis damej kin mek pɔsin gɛt tin dɛn lɛk sistoid makula ɛdima ɔ glaukoma . Pan ɔl we no mɛrɛsin nɔ de fɔ mɛn am, Birdshot Chorioretinopathy na sik we pɔsin kin mɛn . I impɔtant fɔ no am kwik kwik wan fɔ mek di tritmɛnt go bifo.

Udat kin gɛt Birdshot Chorioretinopathy?

Fɔ tru, dis sik kin kam pan ɛnibɔdi. Bɔt i kin mɔs bi pan midul ej, wayt big pipul dɛn we ol bitwin 40 ɛn 60. I nɔ kin izi fɔ mek pikin dɛn gɛt dis sik.

Ɔda sik dɛn de we fiba dis (Birdshot Chorioretinopathy)?

Yes, sɔm ɔda sik dɛm, inklud ɔda sik dɛm na di Uveitis grup, kin gɛt di sem kayn sayn dɛm lɛk Birdshot Chorioretinopathy. So, i rili impɔtant fɔ gɛt kɔrɛkt diagnosis so dat yu go gɛt di rayt tritmɛnt. Sɔm pan di sik dɛm wae kin tan lɛk BSCR na:

• Limfoma (wan kayn kansa) .
• Sarcoidosis (na sik we de mek smɔl smɔl swɛlin na difrɛn pat dɛn na di bɔdi) .
• `(Sympathetic ophthalmia)` (Na wan kayn uveitis we nɔ kin bɔku we pɔsin in yay injuri)
• Sifilis (na sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs wit ɔda pɔsin) .
• `(Presumed ocular histoplasmosis syndrome (POHS))` (Na wan kכndyushכn we de afekt di yay dεm we fכn infεkshכn kכz)
• `(Tubkulɔs)` (Tubkulɔs) .
• `(Vogt-Koyanagi-Harada syndrome)` (na sik we de afɛkt di nervɔs sistɛm, we de afɛkt di we aw pɔsin de si ɛn yɛri)

wan grup de bak fכ inflammatory sik dεm we dεn kכl ``White dot syndromes'', we kin sho bak di simptom dεm fכ BSCR. dis dεm de mek ``lεshכn'' to di rεtina εn di kכroyd. Sɔm ɛgzampul dɛn na:

• `(Akyu posita mכltifokal plakoid pigmεnt εpitεliכpati (APMPPE))`
• `(Mכltifokal kכroydεtis εn panuveitis (MCP))`
• `(Mכltipl evanesεnt wayt dכt sεndrכm (MEWDS))`
• `(Punktat insay kɔroidopati (PIC))`

Wetin mek dɛn kɔl dis (Birdshot Chorioretinopathy)?

Dis na rili nyu sik, dεn bin dεskrεb am fכs insay 1949. Na insay 1980 tu כftalmכlכg dεm gi am di nem "(Birdshot Chorioretinopathy)". di rizin na dat krim εn כrεnj oval spat dεm de we skata כlsay na di rεtina. Di nem kɔmɔt frɔm di we aw dɛn spat dɛn ya de tan lɛk di we aw smɔl bulɛt dɛn (bɔd shot) dɛn kin yuz fɔ shot bɔd dɛn. Imajin, spat dɛn de insay di yay, lɛk di bulɛt dɛn we kin skata we dɛn de faya gɔn.

Ɔda nem dɛn de fɔ dis?

Yɛs, sɔm ɔda nem dɛn de we dɛn kin yuz fɔ di sik (Birdshot Chorioretinopathy):

• `(Bɔd shot kɔriɔrɛtinitis)`
• `(Birdshot rεtinochoroiditis)`
• `(Bɔd shot rɛtinokɔroidopati)`
• `(Bɔd shot uveitis)`
• `(BSCR)` (shɔt nem)
• `(Posterior uveitis)` (uveitis we de apin biɛn di yay) .
• `(Vitiliginous choroiditis)`

Aw kɔmɔn tin na Birdshot Chorioretinopathy?

Dis na sik we nɔ kin apin so ɔltɛm . Di wan dɛn we de stɔdi bɔt dis biliv se i nɔ kin afɛkt wan pan ɛvri ɔndrɛd tawzin pipul dɛn. Dis min se ivin na Sri Lanka, pipul dɛn kin de we gɛt dis sik, bɔt di nɔmba rili smɔl.

Wetin kin mek pɔsin gɛt Birdshot Chorioretinopathy?

Di wan dɛn we de stɔdi bɔt dis stil nɔ no di rayt tin we kin mek pɔsin gɛt dis sik, bɔt dɛn tink se na sik we pɔsin kin gɛt we i de fɛt insɛf . Fɔ tɔk am simpul wan, wi bɔdi in yon difens sistɛm, we na di imyun sistɛm, kin mistek atak wi yon wɛlbɔdi tisu dɛn.

mכr dan 90% pan di pipul dεm we dεn no se dεn gεt (BSCR) gεt wan antibodi jin (wan mכlikul we de mek di imyun sistεm) we dεn kכl `(HLA-A29)` na dεn bכdi. Dis na sɔntin we mama ɛn papa kin gɛt. כltu, `(HLA-A29)` nכ nid fכ divεlכp (Birdshot Chorioretinopathy). Dɔn bak, i pɔsibul fɔ gɛt dis antibodi jin bɔt nɔ fɔ gɛt di sik.

Wetin na di sayn dɛm fɔ Birdshot Chorioretinopathy?

De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. DisDi sik we de go bifo na sik we kin wɔs smɔl smɔl fɔ sɔm mɔnt to sɔm ia.

Di fɔs sayn dɛm fɔ Birdshot Chorioretinopathy bɔku tɛm na:

• We yu si blak tin dɛn we de flɔt bifo yu yay (floaters) .
• Di vishɔn we nɔ klia

Dis sik nɔ kin mek yu yay fil pen ɔ rɛd . Bɔt yu kin gɛt dɛn tin ya:

• Di vishɔn de chenj ɔ di vishɔn we de go dɔŋ.
• Di periferik vishɔn we de dɔŋ ɔ i nɔ izi fɔ jɔj di distans.
• di ay prεshכn na di yay (okul haypatεnshכn).
• Nayt blayndnɛs (nyctalopia) (we yu nɔ de si fayn na nɛt).
• Kכla vishכn prכblεm (`(kכla blayndnɛs)`), difεlεns fכ difrεnt sכm kכla dεm (`(dyschromatopsia)`.
• Sεnsitiviti to brayt layt ɔ glare (fotophobia).

Sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn yay we nɔ kin izi fɔ si ɔ dɛn kin gɛt prɔblɛm wit dɛn maynd. Fɔ ɛgzampul:

• Siling fan ifɛkt : We yu lɔk yu yay, i kin tan lɛk se siling fan ɔ windmil de spin.
• We yu si layt ɔ glare we de flash (fotopsia) ɔ we yu si shep dɛn we dɔn chenj (mɛtamɔrfɔpsia) .
• Di vishɔn we nɔ klia, we de shayn, lɛk se i de luk tru wata ɔ dɔti glas .

If i siriɔs, tin dɛn lɛk katarakt ɔ glaukoma kin kam. Dɛn tin ya kin mek pɔsin nɔ ebul fɔ si bad bad wan ivin afta dɛn dɔn trit di swel. bכdshכt Chorioretinopathy kin mek bak prכblεm na di sεntri pat pan di rεtina, lεk cystoid macular edema εn epiretinal mεmbran dεm.

Aw dɛn kin no se pɔsin gɛt Birdshot Chorioretinopathy?

Sɔmtɛm dis sik kin tranga smɔl fɔ no bikɔs na sik wae nɔr kin bɔrku ɛn di difrɛn say dɛm nɔr kin si am na di fɔs stej dɛm fɔ di sik.

Bɔku tɛm, ɔftalmolɔg dɛn kin no BSCR tru wan ay ɛgzam. Dɛn kin du blɔd tɛst bak fɔ chɛk if yu gɛt di HLA-A29 antibodi.

Dɔktɔ dɛn kin yuz difrɛn tɛst dɛn fɔ wach yu as tɛm de go. I impɔtant fɔ de tɔk to yu dɔktɔ fɔ gɛt di kia we yu nid.

Yu tink se kɔmplit mɛrɛsin de fɔ Birdshot Chorioretinopathy?

Bɔt i sɔri fɔ no se, no kɔmplit mɛrɛsin nɔ de fɔ dis sik. Bɔt if dɛn no di sik ɛn trit am kwik , di sayn dɛn kin ridyus ɛn dɛn kin mek di sik nɔ wɔs.

Mɛmba: di tin we impɔtant pas ɔl na fɔ no di sik kwik kwik wan ɛn bigin fɔ trit am!

Udat kin de na mi tritmɛnt tim?

Di tim we de kia fɔ yu go tɛl yu aw fɔ trit yu, wach yu, ɛn ajɔst yu mɛrɛsin dɛn bay aw yu sik ɛn di sayd ɛfɛkt dɛn we yu gɛt. Yu tim kin gɛt:

• Ophthalmologist : Na di men dɔktɔ we de dil wit yay.
• Nephrologist : Bikɔs sɔm tritmɛnt dɛn kin afɛkt di kidni dɛn.
• Ocular immunologist: Na dɔktɔ we gɛt spɛshal trenin fɔ prɔblɛm dɛn we de na di yay in imyun sistɛm.
• Riumatɔlɔjis: Na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit inflamɛns na di bɔdi, bikɔs dis na sik bak we gɛt inflamɛns.
• Ɔtopɛdist : Bikɔs sɔm tritmɛnt dɛn kin afɛkt di bon dɛn.

Aw dɛn kin trit Birdshot Chorioretinopathy?

Di tritmɛnt fɔ dis sik kin dipen pan aw yu sik kin tranga ɛn aw e kin chenj as tɛm de go. Di men gol fɔ tritmɛnt na fɔ ridyus di swɛlin na yu yay ɛn fɔ mek yu nɔ si ɔ mek sɔm pan di vishɔn we dɔn lɔs kam bak .

Bɔku tɛm, dɔktɔ dɛn kin fɔs gi dɛn bɔku bɔku kɔtikosterɔyd (wan kayn mɛrɛsin we dɛn kin yuz stɛroyd) fɔ kɔntrol di yay we de swel. Dɔn, dɛn kin ridyus di doz smɔl smɔl fɔ mek dɛn nɔ gɛt bɔku sayd ɛfɛkt dɛn. Yu kin gɛt stɛroyd dɛn we ya:

• Ay drop dɛn
• Mɛrɛsin dɛn we dɛn kin tek bay mɔt
• Wan smɔl tin we dɛn kin du ɔpreshɔn pan insay di yay (intravitreal implant) .
• Injɛkshɔn we dɛn kin gi
• Dɛn gi am insay wan vein (IV - insay wan vein) .

Bɔku pipul dɛn nid bak fɔ tek di mɛrɛsin dɛn we de mek dɛn nɔ ebul fɔ fɛt dɛnsɛf fɔ lɔng tɛm . Dɛn mɛrɛsin ya kin stɔp yu imyun sistɛm fɔ atak yu yay. Yu kin yuz wan ɔ mɔ pan dɛn tin ya:

• `(Alkylating ejen dɛn)`
• `(Antimetabolite drɔgs)`
• `(Bayolojikal ɛjɛn)` (bayolojikal drɔgs)
• `(T-sεl transdyushכn/kalsinyurin inhibito dεm)`

Yu tink se di tritmɛnt fɔ Birdshot Chorioretinopathy (Birdshot Chorioretinopathy) kin mek yu gɛt sayd ɛfɛkt?

Yɛs, if yu yuz stɛroyd ɛn tin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi fɔ lɔng tɛm, dat kin mek yu gɛt siriɔs sayd ɛfɛkt dɛn . fכ egzampl, gεstrointestinal prכblεm (ulsa, כlsa) כ bon prכblεm (osteoporosis) kin apin. Dɛn mɛrɛsin ya kin mek bak di risk fɔ gɛt katarakt ɔ glaukoma.

Yu dɔktɔ go wach yu fɔ ɛni sayd ɛfɛkt ɛn gi yu ɔda mɛrɛsin if nid de. If yu de tek ɔral stɛroyd, yu dɔktɔ go chɛk yu fɔ si if yu bon dɔn lɔs (ɔstioporosis) ɛn if yu gɛt prɔblɛm fɔ brok.

Yu dɔktɔDɛn kin advays bak fɔ mek dɛn du bon dɛnsiti skan. Dɛn kin gi mɛrɛsin bak (bisphosphonates) fɔ mek di bon nɔ lɔs.

Us kayn lɔng tɛm monitarin a nid fɔ (BSCR)?

Yu fɔ no bɔt ɛni chenj ɔr prɔblɛm we de na yu kɔndishɔn. Yu dɔktɔ go du blɔd ɛn urine tɛst fɔ chɛk aw yu kidni, liva, ɛn bon mɛro de wok fayn. I go mɔs bi se yu go nid bak fɔ du yu yay ɛgzam ɔltɛm, fɔ tɛst yu yay, ɛn fɔ du optical coherence tomography (OCT) skan.

A kin ridyus di risk fɔ gɛt Birdshot Chorioretinopathy?

Naw, dɛn nɔr no aw fɔ protɛkt dis sik. Bɔku tɛm, dɛn biliv se na wan patikyula antibodi jin (antijen) we dɛn kin gɛt frɔm di famili mɛmba dɛn kin mek am.

We yu de chɛk yu yay ɔltɛm, dat kin ɛp fɔ no di sayn dɛn we de sho se yu gɛt sik kwik kwik wan, so yu kin gɛt tritmɛnt di rayt tɛm if nid de. Tɛl yu dɔktɔ if ɛnibɔdi na yu famili gɛt prɔblɛm wit yu yay.

Wetin na di lukin-grɔn fɔ Birdshot Chorioretinopathy?

Di we aw pipul dɛn kin si dis sik kin difrɛn frɔm wan pɔsin to ɔda pɔsin . I dipen pan aw de sik tranga ɛn aw di tritmɛnt go wok fayn. If yu nɔr de si bɛtɛ, tritmɛnt kin ɛp fɔ mek yu ebul fɔ si ɔ ivin fɔ mek yu si fayn fayn wan.

Ustɛm a fɔ go to dɔktɔ fɔ (Birdshot Chorioretinopathy)?

I impɔtant fɔ mek yu go fɛn di sik ɛn tritmɛnt kwik kwik wan frɔm wan dɔktɔ we de mɛn yu yay fɔ Birdshot Chorioretinopathy. Ivin if i tan lɛk se yu de si fayn, we yu de chɛk yu yay, yu go no se yu nɔ gɛt bɛtɛ swɛlin.

Tɛl yu dɔktɔ bɔt ɛni sayd ɛfɛkt, chenj pan di sayn dɛm, ɔr di vishɔn frɔm yu mɛrɛsin. Dɛn kin gi yu ɔda mɛrɛsin if nid de. Yu dɔktɔ go tɔk to yu bɔt di tin dɛn we yu go ebul fɔ du we go fayn fɔ yu.

Faynal Mɛsej fɔ Tek-Hom

(Birdshot Chorioretinopathy) na wan sik we nɔ kin bɔku bɔt we pɔsin kin trit . So nɔ panik. Di tin we impɔtant pas ɔl na fɔ de chɛk yu yay ɔltɛm ɛn fala wetin yu dɔktɔ tɛl yu . As tɛm de go, yu dɔktɔ go tɛl yu aw fɔ protɛkt yu yay ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn. Dɔn yu go ebul fɔ si di wɔl klia wan fɔ lɔng tɛm. Tek kia ɔf yu yay, bikɔs dɛn rili valyu!

` Birdshot Chorioretinopathy, Ay Sik, Yu nɔ de si fayn, Uveitis, Rɛtina, Ɔtoimyun Sik, Ay Tritmɛnt