Yu gɛt dis kayn prɔblɛm wit yu yay? Mek wi tɔk bɔt Chorioretinitis!

Yu dɔn ɛva notis se yu yay kin rɛd wantɛm wantɛm, yu kin si smɔl, ɛn sɔntɛnde yu kin si smɔl smɔl blak dɔt dɛn we de flɔt insay yu yay? Yu kin si se i nɔ kin izi fɔ yu fɔ luk di layt? Dɛn tin ya nɔ kin jɔs apin. Dɛn tin ya kin apin bikɔs tu pat dɛn na yu yay we rili impɔtant, we na di kɔroyd ɛn di retina we de inflamɛns, ɔ we de swel . Insay mɛrɛsin, wi kin kɔl dis sik kɔriɔrɛtinitis . Dis kin bi siriɔs sik, so e fayn fɔ no bɔt am.

Wetin na Kɔriɔrɛtinitis?

Fɔ tɔk am simpul wan, chorioretinitis na inflamɛns na di bak pat na yu yay, di choroid ɛn retina . Fɔ tru, na wan pan wan big grup fɔ sik dɛn we dɛn kɔl uveitis , we na inflamɛns na di insay pat na di yay.

Tink bɔt yu yay lɛk smɔl kamɛra. Dis kamɛra gɛt difrɛn pat dɛn.

• di choroid na wan mεmbran we de insay di yay. I gɛt di blɔd vesel dɛn we de gi di yay blɔd. i de bitwin di rεtina εn di wayt pat pan di yay (sclera). Jɔs lɛk di grɔn we de gi wata ɛn it to tik, di kɔroyd na di wan we de gi di retina tin fɔ it. So if prɔblɛm de wit am, di vishɔn kin pwɛl.
• di rεtina na wan mεmbran we rili sεnsitiv na di bak pat pan di yay. Di pikchɔ dɛn we wi de si, na ya dɛn mek dɛn. I tan lɛk di fim we de insay kamɛra. Na wetin de sɛn layt signal to di bren, so wi de si tin.

So, we di kכroyd εn di rεtina כl tu de inflam di sem tεm, wi kin kכl dat kכndishכn kכriכrεtinitis. We dis inflamɛns bigin fɔ pwɛl di yay, dɛn kin kɔl am bak chorioretinopathy . Di pat ‘-pathy’ min damej. If yu gɛt sɔm sayn dɛn lɛk we yu nɔ de si fayn, yu yay de pen, ɛn yu fɔ fil lɛk layt, yu fɔ go to dɔktɔ we de mɛn yu yay wantɛm wantɛm.

Wetin na di sayn dɛm fɔ Chorioretinitis?

Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin gɛt wan ɔr mɔr pan dɛn sik ya.

• We yu si blak spat, flota, ɔ layt we de flash bifo yu yay: Imajin se yu jɔs sidɔm ɛn wantɛm wantɛm yu si smɔl smɔl spayda wɛb ɔ blak spat dɛn we de muf ya ɛn de bifo yu yay. Sɔntɛnde, yu kin ivin si layt we de shayn lɛk laytin.
• di yay dεm we de rεd: Di wayt pat pan di yay kin tכn rεd.
• Blurred vision: Yu nɔ go ebul fɔ si tin klia wan, lɛk se yu de luk tru fɔg. Yu kin fil bak se di lɛta dɛn kin rɔsh we yu de rid.
• Ay pen: Pen kin kɔmɔt insay ɔ rawnd di yay.
• Fɔtofɔbia: I nɔ kin izi fɔ si ivin we di san ɔ layt dɔn ɔt, ɛn di yay kin fil lɛk se i de tɔn blu.
• Fɔ kray pasmak: Kray wata kin jɔs kɔmɔt na di yay lɛk wata.
• I nɔ kin izi fɔ no di kɔlɔ dɛn: Sɔm kɔlɔ dɛn kin tan lɛk se dɛn difrɛn frɔm ɔda wan dɛn, ɔ i kin at fɔ no di kɔlɔ dɛn.

If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. Go to dɔktɔ fɔ yu yay wantɛm wantɛm.

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

Tu men kayn tin dɛn de we kin mek pɔsin gɛt dis sik: tin dɛn we kin mek pɔsin gɛt dis sik ɛn we nɔ kin gɛt dis sik.

Chorioretinitis we kin kam bikɔs ɔf infɛkshɔn (Infectious causes) .

Sɔm pan dɛn infɛkshɔn ya kin de we dɛn bɔn am (we dɛn bɔn am) ɔ i kin gɛt am we i de liv.

• Toxoplasmosis: Dis na di tin we kin mek pɔsin gɛt kɔriɔrɛtinitis. Na infεkshכn we wan parasayt de kכz. I kin pas tru pusi fes ɛn mit ɛn fish we nɔ kuk fayn.
• Tuba: Yɛs, di TB we wi ɔl no kin afɛkt di yay bak dis kayn we.
• Cytomegalovirus (CMV): Dis na vayral infεkshכn we kin afekt pipul dεm we dεn imyun sistεm wik.
• Sifilis: Dis na sik we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs ɛn i kin pwɛl di yay bak.

Apat frɔm dat, vayrɔs dɛn lɛk di Zika vayrɔs, rubɛla vayrɔs, vayrɔs-zosta vayrɔs, we kin mek pɔsin gɛt chukchuk , ɛn sɔm fɛns infɛkshɔn kin mek dis apin.

Di tin dɛn we nɔ de mek pɔsin gɛt di sik

Sɔntɛnde, kɔriɔrɛtinitis kin apin we yu nɔ gɛt infɛkshɔn.

• Ay injury: If sɔntin hit di yay ɛn wund am, dis kayn inflamɛns kin apin.
• Awtoimyun ɛn inflammatory sik dɛm: Dis na sik dɛm we wi bɔdi in yon imyun sistɛm kin atak wi yon sɛl dɛm. Sɔm ɛgzampul dɛn na tin dɛn lɛk rεumatoid arthritis , sarcoidosis , ɛn Behçet in sik .
• Sɔm kayn kansa: Dis sik kin kam bak bikɔs ɔf kansa lɛk limfoma , ɔ kansa we dɔn skata to di yay frɔm ɔda say na di bɔdi (mɛtastatik sik) .
• Sɔm jɛnɛtik kɔndishɔn: Nɔr kin bɔrku, dis sik kin kam bak frɔm sɔm jɛnɛtik kɔndishɔn dɛm wae kin pas to jɛnɛreshɔn.

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

If dɛn nɔ trit dis sik fayn, i nɔ go ebul fɔ si fayn ɛn ivin blaynd pɔsin fɔ ɔltɛm.So, i rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho.

Aw dɛn kin no se pɔsin gɛt Chorioretinitis?

We yu go to dɔktɔ we de mɛn yu yay, i go chɛk yu yay. Dis kin min fɔ mek yu yay big wit ay drɔp, ɛn tek tɛm luk di bak pat na yu yay. Dɔn di dɔktɔ kin chɛk aw yu retina ɛn yu kɔroyd de. Sɔmtɛm, dɛn kin si tin dɛn bak lɛk ol skata (chorioretinal ska).

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

Apat frɔm we di dɔktɔ de chɛk yu yay, i kin du tɛst dɛn bak lɛk:

• Lab test pan matirial we dɛn swab frɔm yu yay: Dɛn kin sɛn smɔl sampul we dɛn tek frɔm insay yu yay to lab fɔ no if infɛkshɔn de ɛn if na so, us kayn.
• Optical Coherence Tomography (OCT): Dis tan lɛk 3D skan fɔ di insay pat pan di yay. I de yuz layt fɔ tek krɔs-sekshɔn pikchɔ dɛn fɔ di layers dɛn we de biɛn di yay. Dis kin ɛp fɔ no aw di inflamɛns de ɛn if wata de bɔku.
• Fluorescein angiography: Dis na fɔ injɛkt spɛshal day insay wan vein na yu an ɛn tek pikchɔ fɔ di blɔd vesel dɛn we de insay yu yay. Dis kin ɛp fɔ chɛk if yu gɛt prɔblɛm wit yu blɔd vesel dɛn.
• Indocyanine green (ICG) angiography: Dis na tεst we de yuz di sem day we di wan we bin de bifo, bכt i de mεnli luk di bכdi vεsul dεm na di choroid, we de כnda di rεtina.

If na ɔda tin we de mek i gɛt kɔriɔrɛtinitis, di dɔktɔ go nid fɔ du ɔda tɛst fɔ no if i gɛt da sik de.

Aw dɛn kin trit Chorioretinitis?

Bɔku tɛm, ay dɔktɔ dɛn kin trit dis sik bay we dɛn kin gi dɛn stɛroyd fɔ ridyus di inflamɛns . Dɛn kin gi dɛn tin ya as ay drɔp, pils, ɔ sɔntɛnde injɛkshɔn. Bɔt yu nɔ fɔ yuz stɛroyd fɔ lɔng tɛm, bikɔs i kin mek yu gɛt sayd ɛfɛkt.

So, yu ɔftalmolɔg kin wok wit wan rεumatɔlɔjis, we na dɔktɔ we spɛshal pan jɔyn pen ɛn ɔtoimyun sik dɛn, fɔ gi yu mɛrɛsin dɛn we nɔ de tek stɛroyd we de kɔntrol yu imyun sistɛm.

If na infεkshכn kכz chorioretinitis, dεn kin trit am bay di jεm we mek di infεkshכn.

• Antibayɔtik if na baktriyal infɛkshɔn
• Antifungals if na fכngal infεkshכn
• Antiparasitics if parasayt infεkshכn de
• If vayral infɛkshɔn deAntivayrɔs dɛn

I rili impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, fɔ di ful tɛm we dɛn tɛl yu fɔ tek. Nɔ stɔp fɔ tek di mɛrɛsin jɔs bikɔs yu fil fayn.

Na smɔl tɛm nɔmɔ dɛn kin nid ɔpreshɔn we dɛn kɔl vitrectomy fɔ pul wata ɛn dɔti tin dɛn we de insay di yay.

Us kayn op pɔsin we gɛt kɔriɔrɛtinitis kin gɛt?

If yu gɛt chorioretinitis, ɛn yu trit am fayn, ɛn bak di ɔndalayn kɔz, di autkam kin fayn . Bɔt yu go nid fɔ go to dɔktɔ fɔ yu yay ɔltɛm fɔ mek dɛn chɛk yu yay.

Bɔrku pipul nɔr kin gɛt prɔblɛm wit dɛn yay fɔ ɔltɛm afta dɛn dɔn trit dɛn.

Bɔt if dɛn nɔ trit yu, kɔriɔrɛtinitis kin afɛkt yu yay. Wan kɔmplikeshɔn na di kɔriɔrɛtina atrofi . dis min se di pat dεm we di yay afekt – di rεtina εn di choroid – de shrink εn stכp fכ wok fayn fayn wan. If dɛn nɔ trit am, i kin mek i nɔ ebul fɔ si igen (blayndnɛs) .

Yu tink se dɛn kin ebul fɔ avɔyd Chorioretinitis?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp am kpatakpata, yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:

• Protɛkt yusɛf frɔm infɛkshɔn:
• Wash yu an fayn fayn wan wit sop ɔltɛm .
• Stay away frɔm pipul dɛn we sik.
• Praktis mami ɛn dadi biznɛs we sef .
• Fɔ mek yu nɔ gɛt toxoplasmosis, wɛr glɔv we yu de ol pusi fes, ɛn kuk mit ɛn fish fayn fayn wan.
• Si yu yay dɔktɔ ɔltɛm: If yu gɛt ɔda tin dɛn lɛk dayabitis, i impɔtant fɔ mek dɛn chɛk yu yay.
• If yu notis ɛni chenj na yu yay, go to ay dɔktɔ wantɛm wantɛm: Nɔ wet fɔ di tɛm we yu dɔn plan fɔ go.
• Tek kia ɔf yu ɔl wɛl bɔdi: it fayn fayn it, ɛksɛsayz, ɛn kɔntrol ɛni sik we yu gɛt we nɔ de mɛn.

Ustɛm a fɔ go to mi dɔktɔ?

If dɛn dɔn ɔlrɛdi no se yu gɛt chorioretinitis, yu dɔktɔ go tɛl yu us ay prɔblɛm yu kin gɛt. If dɛn dɔn gi yu tritmɛnt plan ɛn i tan lɛk se i nɔ de wok, tɔk to yu dɔktɔ bɔt am.

Ɛni tɛm, ilɛksɛf dɛn dɔn no se yu gɛt ay sik ɔ yu nɔ gɛt am, if yu gɛt ɛni wan pan dɛn tin ya, go to ay dɔktɔ ɔ go na ɔspitul imejensi dipatmɛnt wantɛm wantɛm:

• If sɔntin apin to di yay.
• If yu lɔs yu vishɔn wantɛm wantɛm ɔ yu vishɔn kin rili po.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dis bɔt chorioretinitis:

• Wetin mek a gɛt dis sik?
• Us tritmɛnt yu kin advays?
• Ɛni bad tin de we dis tritmɛnt kin du?
• Us kɔmplikɛshɔn dɛn a fɔ tek tɛm wit?
• I pɔsibul se dis sik go afɛkt ɛni ɔda pɔsin na mi famili? (especially if jεnεtik kכz dεm de)

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

Wi yay na ɔgan dɛn we rili valyu. I nɔmal fɔ mek yu yay te ɛn at smɔl sɔntɛnde. Bɔt if yu yay nɔ de si fayn, yu yay de at, yu yay de chenj, ɔ yu de si sɔntin we de flɔt bifo yu yay ɔltɛm, nɔ ignore am. I kin bi inflamɛns na yu yay insay, lɛk chorioretinitis.

Di kwik we yu no se yu gɛt di sik ɛn bigin fɔ trit yu, na di mɔ yu go gɛt chans fɔ mek yu nɔ si yu fayn fayn yay. So, nɔ fred ɛn go to dɔktɔ fɔ advays yu nɔ go de te. Na yu wok fɔ tek kia ɔf yu yay!

` Chorioretinitis, ay inflameshn, ay sik, vishכn pwεl, rεtina, choroid