Wi yay tan lɛk tu winda dɛn we de opin to di wɔl, nɔto so? Bɔt sɔntɛnde, dɛn tu winda dɛn ya kin bigin fɔ blɔk ɛn nɔ klia. Bikɔs ɔf aksidɛnt, infɛkshɔn, ɔ sɔm mɛrɛsin, di transparent, tin mɛmbran we de bifo wi yay kin pwɛl. dis pat we de wok lεk di lεns fכ kεmεra, dεn kכl am di ‘kכnia’. We dis kɔnia dɔn pwɛl, i kin lɛf smɔl fɔ lɛ wi nɔ si fayn igen. So tide wi go tɔk bɔt ‘Kɔnia Transplant’, we de ɔpreshɔn fɔ pul dis kayn kɔnia we dɔn pwɛl ɛn transplant wan wɛlbɔdi kɔnia insay in ples, we de mek bɔku pipul dɛn si di wɔl klia wan bak.
Fɔ tɔk am simpul wan, wetin na kɔnia transplant?
di kכnia transplant dεn kכl am bak ‘kכnia transplant כpεrayshכn’. Dɛn kin kɔl am bak ``Keratoplasty'' insay Inglish. Wetin kin apin pan dis rili simpul. Wan dɔktɔ we de mɛn yu yay kin tek tɛm pul yu kɔnia we dɔn pwɛl ɛn we gɛt sik. Dɔn, dɛn kin transplant wan kɔmplit wɛlbɔdi kɔnia tisu we pɔsin we dɔn day dɔn gi insay in ples.
I tan lɛk se yu pul wan ol wach glas we dɔn skrach ɛn put nyu wan insay. Afta di ɔpreshɔn, layt go bigin fɔ go insay yu yay fayn fayn wan bak, ɛn yu nɔ go si klia wan. Dis na ɔpreshɔn we rili chenj in layf.
Udat dɛn fɔ du dis ɔpreshɔn?
Bɔku tin dɛn de we yu yay dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn. Nɔto ɔlman go nid am. Dɛn kin tink mɔ bɔt am if di kɔnia dɔn pwɛl ɛn i de afɛkt yu yay bad bad wan.
Na sɔm pan di men rizin dɛn:
- Fuchs’ dystrophy: Dis na wan sik we de mek pɔsin gɛt jɛnɛtiks. di sεl dεm we de insay di insay layt na di kכnia de pwεl sכmtεm. Dis kin mek di kɔnia swel ɛn nɔ kin si fayn.
- Keratoconus: pan dis kכndishכn, di kכnia de tכn εn bulge fכ go bifo lεk kכn. Dis kin mek pɔsin nɔ ebul fɔ si fayn bad wan.
- Kɔnia ɔlsa: Bɔrku infɛkshɔn kin mek yu gɛt sɔl (ɔlsa) na di kɔnia. Ivin if dɛn sos ya wɛl, dɛn kin lɛf skata ɛn nɔ kin si fayn fɔ ɔltɛm.
- Aksidɛntal injuri: If sɔntin nak di yay, sɔntin we shap kin pas am ɛn pwɛl di kɔnia.
- Damej frɔm di ay ɔpreshɔn we dɛn bin dɔn du bifo: Sɔntɛnde, di kɔnia kin pwɛl afta ɔda ɔpreshɔn, lɛk fɔ pul di katarakt.
- Bullous keratopathy: Dis na di kכndyushכn we di kכnia de swel εn blista de fכm na di sכfa. Dis kin mek yu yay fil pen ɛn yu nɔ kin si fayn igen.
If yu gɛt dis sik, na yu dɔktɔ go chɛk yu ɛn disayd fɔ du di bɛst tin fɔ no if yu nid fɔ transplant yu kɔnia ɔ nɔ nid fɔ transplant yu.
Yu tink se difrɛn kayn ɔpreshɔn dɛn de?
Yɛs, na fɔ tru. Nɔto lɛk aw i bin de trade, tɛknɔlɔji dɔn go bifo so dat yu go ebul fɔ pik di rayt ɔpreshɔn bay aw yu kɔnia dɔn pwɛl. Wi kɔnia gɛt tri men layers fɔ tisu. Di kayn ɔpreshɔn de dipen pan uswan pan dɛn layers ya we dɛn de trit.
Tek wan luk pan dis infɔmeshɔn. Dɔn yu kin gɛt bɛtɛ aidia bɔt dis.
| Di kayn ɔpreshɔn we dɛn kin du | Wetin jɔs de apin? |
|---|---|
| Ful-tiknɛs kɔnia transplant (Penetrating Keratoplasty - PK) . | Dis na di tradishɔnal we aw dɛn kin du am. na ya, dεn kin pul di כl tik we di kכnia tik, dat na כl di tri layεr dεm, dεn kin transplant wan hεlty kכnia we gεt di sem saiz, εn dεn kin fכs am bay we dεn de yuz fayn stich dεm. |
| Dip Anterior Lamellar Kεratoplasti (DALK) . | If di layt we de insay yu kɔnia fayn, dɛn kin du dis ɔpreshɔn. insay dis prosidכs, na di כta εn midul layεr dεm we dεn dכn pwεl nכmכ dεn de pul εn dεn transplant hεlty tisu insay dεn ples. Bikɔs yu yon layt we de insay de lɛf, di risk fɔ mek yu bɔdi nɔ gri fɔ tek yu bɔdi kin ridyus. |
| εndoteyl kεratoplasti (DSAEK/DMEK) . | If di damej na di insay layt nɔmɔ na di kɔnia (ɛndoteyl), dɛn kin du dis ɔpreshɔn. Na ya, na di tin lay we dɔn pwɛl nɔmɔ dɛn kin pul ɛn transplant wan layt we gɛt wɛlbɔdi insay in ples. Dis kin min fɔ stich smɔl smɔl. |
Di spɛshal we fɔ transplant di ɛndoteyl
insay כl tu di `DSAEK` εn `DMEK` כpεrayshכn dεm, dכkta dεn de yuz sכm trik fכ ol di nyu membran we dεn transplant in ples insay di yay. Dat min se dɛn kin put ɛya bɔbul insay di yay. Imajin, lɛk we wi put posta na wɔl ɛn ol am dɔŋ fɔ sɔm tɛm, dis ɛya bɔbul de push di nyu mɛmbran frɔm insay di yay. Dɔn i kin stik ɛn de na in ples.
Fɔ dis rizin, di dɔktɔ advays yu fɔ ledɔm wit yu fes ɔp (fes ɔp) as yu ebul fɔ sɔm dez afta di ɔpreshɔn. Dis go mek di ay bɔbul fɔ sidɔm na in ples ɛn du in wok fayn fayn wan.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Fɔ pripia smɔl bifo dɛn du di ɔpreshɔn. I rili impɔtant fɔ no dɛn tin ya bifo tɛm.
- Fɔ tɔk to di dɔktɔ: Yu dɔktɔ go aks yu bɔt yu kɔmplit mɛdikal istri. Bi ɔnɛs bɔt ɛni ɔda sik we yu gɛt, mɛrɛsin we yu de tek, ɛn alɛji.
- Stɔp fɔ tek mɛrɛsin: Sɔntɛnde, dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek yu blɔd tan, sɔm dez bifo yu du di ɔpreshɔn. Du dis ɔltɛm lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Fastin: Dɛn go tɛl yu ɔmɔs awa yu nid fɔ fast bifo dɛn du yu ɔpreshɔn. Afta da tɛm de, nɔ it ɔ drink ɛnitin.
- Transpɔt: Yu nɔ go ebul fɔ drayv yusɛf afta dɛn dɔn du yu ɔpreshɔn, so mek arenjmɛnt bifo tɛm fɔ mek sɔmbɔdi drayv yu go na os.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Bɔku tɛm, di ɔpreshɔn nɔ kin tek tu awa. Dɔn dɛn go kɛr yu go na wan say usay dɛn de wach tin dɛn ɛn dɛn go alaw yu fɔ go na os jɔs afta dat. Yu go nid fɔ tek kia ɔf dɛn tin ya spɛshal wan afta yu dɔn go na os.
- Ay Patch: We yu kam bak na os frɔm ɔspitul, dɛn go gi yu ay pat. Yu fɔ wɛr am fɔ di sem dez we yu dɔktɔ tɛl yu. Dis go protɛkt yu yay.
- Pen ɛn nɔ fil fayn: Insay di fɔs dez, yu yay kin rɛd smɔl, i kin it, ɛn yu kin fil lɛk layt. Dis na nɔmal tin. Yu kin tek pen kil we yu dɔktɔ tɛl yu fɔ du.
- Fɔ fala: Di dɔktɔ go want fɔ si yu bak insay 24-48 awa afta dɛn dɔn du di ɔpreshɔn. Na de, dɛn go pul di pat ɛn chɛk di yay fɔ si if i dɔn wɛl.
- Ay Drɔp: I go mɔs bi se dɛn go gi yu bɔku kayn ay drɔp fɔ ɛp yu yay fɔ wɛl. Dɛn tin ya na antibayɔtik fɔ mek pɔsin nɔ gɛt di sik, ɛn kɔtikosterɔyd fɔ ridyus di swɛlin ɛn fɔ mek di bɔdi nɔ gri fɔ tek di kɔnia we dɛn transplant. I rili impɔtant fɔ yuz dɛn mɛrɛsin ya di rayt tɛm ɛn fɔ di ful tɛm we dɛn tɛl yu fɔ yuz .
- Tin dɛn we yu fɔ avɔyd: Nɔ du tin dɛn we de mek yu strɛs, lɛk fɔ es ebi ebi tin, fɔ bɛn, ɛn ɔda tin dɛn we go mek yu yay strɛs. Nɔ gɛt ɛni prɔblɛm we go mek yu gɛt ɛnitin na yu yay.
- Nɔ rɔb yu yay: fɔ ɛni rizinNɔ rɔb ɔ swɛt yu yay. If yu du dat, dat kin mek di kɔnia we dɛn transplant nɔ wɛl ɛn i kin pwɛl.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, we pɔsin transplant in kɔnia gɛt bɛnifit ɛn sɔm prɔblɛm dɛn bak.
Men advantej dɛn
Di men bɛnifit na fɔ mek pɔsin ebul fɔ si klia wan bak . I izi fɔ mek bɔku pipul dɛn bigin fɔ du tin dɛn we dɛn kin du ɛvride, lɛk fɔ rid ɛn wach tɛlivishɔn, afta dɛn dɔn du dis ɔpreshɔn. Fɔ sɔm pipul dɛn, dis ɔpreshɔn kin ɛp bak fɔ mek dɛn nɔ gɛt pen na dɛn yay.
Sɔm prɔblɛm dɛn we kin apin
di big εn siriכs risk fכ kכnia transplant na fכ rijek כgan.
Wi bɔdi in imyun sistɛm tan lɛk ami na kɔntri. I tink se ɛnitin we kɔmɔt na do na ɛnimi ɛn i de atak am. So sכmtεm, wi bכdi kin tink se dis nyu kכnia we dεn implant na ‘fכrin’ bak εn i kin bigin fכ wok agens am. Dis na wetin wi kɔl rijekshɔn.
Fɔ ridyus dis prɔblɛm, yu nid fɔ yuz ay drɔp fɔ lɔng tɛm.
Apat frɔm dat, ɔda prɔblɛm dɛn we kin apin na:
- Infekshɔn na di yay
- Blɔd we de kɔmɔt
- Di prɛshɔn na di yay we de go ɔp (Glaucoma) .
- Fluid lik frɔm di kɔnia we dɛn transplant
- Di retina we dɔn kɔmɔt
- Prɔblɛm fɔ si bikɔs di kɔnia nɔ de kɔba ɔltɛm (Astigmatism) .
Wetin na di sayn dɛm if di bɔdi nɔ gri wit di kɔnia?
Dis na di impɔtant pat we yu nid fɔ mɛmba . If yu bɔdi nɔ gri fɔ mek yu transplant kɔnia, fɔ no di sayn dɛm ɛn fɔ gɛt tritmɛnt kwik kin ɛp fɔ sev yu yay. Yu fɔ mɛmba dɛn sayn ya:
- Ay pen: Nyu biginin fɔ pen.
- Rɛd: Di yay kin rɛd pas aw i kin bi.
- Klaud vishɔn: Vishɔn kin bi blɔk bak.
- Fɔ fil lɛk layt: Fɔ fil se yu nɔ de fil fayn fɔ luk layt.
If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu yay ɔpreshɔn wantɛm wantɛm. Nɔ delay. If dɛn bigin tritmɛnt kwik, i rili pɔsibul fɔ rivɛns dis rijɛkt prɔses.
Aw lɔng i kin tek fɔ mek i wɛl ɔltogɛda?
Di tɛm we i go tek fɔ mek dis apin go difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin gɛt.
- if dεn du ful tik transplant (PK) , i go tek lεk 12 mכnt fכ gεt ful vishכn bak.Yu kin go. Na bikɔs ivin di stich dɛn kin kɔmɔt afta sɔm tɛm.
- if dεn du εndoteyl transplant (DMEK/DSAEK) , dεn kin si gud vishכn insay s כm sכm 3 mכnt .
I bɛtɛ fɔ tɔk to yu dɔktɔ bɔt tin dɛn lɛk fɔ drayv ɛn fɔ go wok ɛn disayd fɔ du sɔntin bay in advays.
Mɛsej we dɛn kin kɛr go na os
- Kɔnia transplant na fɔ riples di kɔnia we dɔn pwɛl wit wan we gɛt wɛlbɔdi. Dis kin mek yu nɔ ebul fɔ si fayn bak.
- Di dɔktɔ we de mɛn yu yay go pik di kayn ɔpreshɔn we go fayn fɔ yu.
- Fɔ fala di dɔktɔ in instrɔkshɔn afta di ɔpreshɔn, mɔ fɔ yuz ay drɔp, impɔtant fɔ mek di ɔpreshɔn go bifo.
- Ɔltɛm de wach fɔ sayn dɛm wae de sho se yu nɔr gri wit yu, lɛk wae yu yay de pen, yu de rɛd, yu nɔ de si fayn ɔltɛm, ɔ yu de fil lɛk layt. If yu notis ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm.
- I kin tek tɛm fɔ mek yu wɛl ɔl, so i impɔtant fɔ peshɛnt ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
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