Yu dɔktɔ dɔn tɛl yu se yu gɛt wan sik we dɛn kɔl Keratoconus, we kin mek di kɔnia tan? Ɔ i dɔn tɛl yu bɔt wan tritmɛnt we dɛn kɔl Kɔnia Krɔs-Linking, ɔ CXL? Yu kin fred smɔl we yu yɛri di nem. Bɔt no rizin nɔ de fɔ mek wi fred. Dis na rili impɔtant ɛn fayn tritmɛnt fɔ protɛkt yu yay. Lɛ wi tɔk bɔt ɔltin rili simpul wan tide.
Wetin na di ɛksaktɔli Kɔnia Krɔs-Linking (CXL)?
Fɔ tɔk am simpul wan, Kɔnia Krɔs-Linking (CXL) na smɔl tritmɛnt we de mek di kɔnia strɔng ɛn tayt, di tin we tan lɛk tin we de na di fɔs pat pan yu yay .
Tink bɔt yu yay lɛk kamɛra. Di kɔnia na wi yay de wok lɛk di lens na da kamɛra de. Layt kin go insay di yay tru dis. So, di kɔrɛkt shep fɔ dis kɔnia impɔtant fɔ mek yu si klia wan.
pan kondishכn lεk Keratoconus, di kכnia de tכn sכmtεm, wik, εn bulge fכ go bifo insay wan shep we lεk kכn. I tan lɛk rawnd bɔl we kin bulj na wan ples we dɛn hit am. Wi kin kɔl dis kɔnia ɛktasia. Dis na sɔntin we de go ɔp smɔl smɔl as tɛm de go. As dis shep de chenj, yu yay de bigin fכ blכr sכmtεm εn i de sho se i strεch (astigmatism).
CXL tritmεnt de stכp dis tin εn protrushכn. Dis kin mek yu kɔnia nɔ wik mɔ ɛn i kin mek yu nɔ ebul fɔ si fayn ɔltɛm.
Aw dis kin wok?
Wi kɔnia gɛt prɔtin fayv dɛn we dɛn kɔl kolagen. Dɛn tin ya tan lɛk smɔl smɔl kebul dɛn we dɛn jɔyn togɛda, we de skata lɛk mɛsh, we de gi di kɔnia in trɛnk. dis prכsεs we dεn fayv dεm ya de tay togeda dεn kכl am "krכs-linking."
We yu de du CXL, yu dɔktɔ kin yuz spɛshal UV layt bim ɛn ay drɔp we gɛt vaytamɛn B2 we dɛn kɔl riboflavin. we dεn tu dεm ya kam togεda, nyu bכnd dεm we strכng de fכm bitwin di kolagen fayb dεm na di kכnia. I tan lɛk se dɛn twist di trɛd dɛn na wan mɛsh we wik ɛn mek dɛn strɔng. dis de stכp di tכn εn protrushכn fכ di kכnia kכmplit wan.
Udat dis tritmɛnt fayn fɔ? Ɛn udat i nɔ fayn fɔ?
If yu dɔktɔ si se we yu kɔnia tan de mek yu nɔ de si fayn fɔ ɔltɛm, i kin tɛl yu fɔ gi yu dis tritmɛnt. Lɛ wi tek tɛm luk di tebul we de dɔŋ fɔ si ustɛm dis fayn ɛn we i nɔ fayn.
| Kɔndishɔn dɛn we dɛn kin advays fɔ trit CXL fɔ | Kes dɛm we CXL tritmɛnt nɔ kin fayn |
|---|---|
| Keratoconus: Na di kכmכn kכndyushכn we di kכnia de bulge to kכn shep. | If di kɔnia dɔn rili tan. |
| Pεlucid marginal degeneration: Na kכndyushכn we di lכw pat pan di kכnia de tכn. | If siriɔs skata ɔ opacification de na di kɔnia. |
| Terrien marginal degeneration: Na kכndyushכn we di pεrifεral pat dεm na di kכnia tכn. | If yu bin dɔn gɛt ɔkulɔr hεpi infεkshɔn bifo . |
| Post-surgical ectasia: di kכnia de wik afta di כpεrayshכn lεk LASIK εn PRK. | If yu gɛt sik dɛn we pɔsin kin gɛt we i de fɛt insɛf . |
Na ɔpreshɔn dis? Wetin na Epi-ɔf?
Yes, CXL na teknik wan smɔl ay ɔpreshɔn bikɔs na ɔftalmolɔg de du am. Bɔt nɔ wɔri, i nɔto big say we dɛn kɔt am.
di onli pat pan dis we dεn kin כpכt na fכ pul di tכn layεr we de pan tap di kכnia, we dεn kכl di εpitεlium. I tan lɛk di tin we de ɔp wi skin. dεn kin pul am fכ alaw di riboflavin mεdikeshכn we wi de aplay fכ abzכp insay di dip layεr dεm na di kכnia. dis mεtכd dεn kכl am "Epi-off" (epithelium-off). Dis we ya na di wan we dɛn dɔn gri fɔ ɛn we dɔn wok fayn pas ɔl na di wɔl naw.
A nid fɔ rɛdi bifo a gɛt tritmɛnt?
Dis nɔto ɔutpatient prosidur. Dis min se yu kin go na os di sem de afta di tritmɛnt. No spɛshal pripia nɔ nid fɔ de. Bɔt bikɔs yu nɔ go ebul fɔ drayv afta di tritmɛnt, i impɔtant fɔ mek yu gɛt pɔsin we go kɛr yu go na os.
Wetin kin apin we dɛn de trit am?
Di wan ol tritmɛnt kin tek lɛk 60 minit so.Na dis tɛm ya, yu de ledɔm na bed. Di dɔktɔ go du dɛn tin ya akɔdin to:
1. Ay numbing: Fɔs, dɛn kin put anestetik ay drɔp pan di yay so dat i nɔ go fil ɛni pen.
2. fכ pul di εpitel: nεks, dεn de pul di tכp layεr na di kכnia, di εpitεlium, rili dilikεt wan.
3. Fɔ put di mɛrɛsin: Dɔn, put yɔlɔ ay drɔp we dɛn kɔl riboflavin (vitamin B2) insay di yay ɛn lɛf am fɔ lɛk 30 minit fɔ mek i absɔb fayn fayn wan.
4. UV layt: Dɔn, dɛn kin put wan spɛshal UV layt bim na yu kɔnia fɔ lɛk 30 minit so. Dis na we di majik de apin, we de mek di kolagen bon dɛm strɔng.
5. Di las tin: Fɔ dɔn, dɛn kin yuz antibayɔtik fɔ mek pɔsin nɔ gɛt di sik, dɛn kin yuz stɛroyd ay drɔp fɔ ridyus di swɛlin, ɛn dɛn kin yuz tɛmporari bandej kɔntakt lens fɔ protɛkt di yay.
Na dat nɔmɔ. Dɔn yu kin go na os.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
di big advantej fכ dis tritmεnt na dat na di כnli tritmεnt we de naw we kin stכp di tכn εn protrushכn fכ di kכnia. Dis go stɔp yu vishɔn fɔ wɔs. I kin mek bak yu nɔ gɛt big ɔpreshɔn, lɛk fɔ transplant yu kɔnia, leta.
Risach dɔn sho se di sakses rɛt fɔ Kɔnia Krɔs-Linking tritmɛnt, mɔ fɔ di kɔndishɔn Keratoconus, na 95%.
Na tru se jɔs lɛk ɛni ɔda tritmɛnt, sɔm rili smɔl prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Bɔt i impɔtant fɔ mɛmba se dɛn tin ya nɔ kin bɔku .
- Sik we de prɛd.
- Skaring we de mek pɔsin gɛt skata.
- Pɔrmɛnt blurred vishɔn (kɔnia haz).
Yu dɔktɔ go tɔk to yu bɔt dɛn tin ya.
Aw na di tɛm fɔ wɛl afta dɛn dɔn trit am?
Di tɛm fɔ wɛl afta tritmɛnt nid fɔ peshɛnt smɔl.
Fɔs, yu go nid fɔ wɛr bɛnd kɔntakt lens fɔ lɛk wan wik so . dis na di tεm fכ di εpitεlium layεr we wi pul fכ gro bak. Insay dis tɛm, yu go nid fɔ yuz sterɔyd ay drɔp dɛn bak we yu dɔktɔ go gi yu.
Pen: Afta di tritmɛnt, yu kin gɛt sɔm pen ɔ bɔn na yu yay. Sɔm pipul dɛn kin fil am tumɔs smɔl. Yu dɔktɔ go gi yu ay drɔp we de mek yu nɔ fil pen fɔ dis. If di pen nɔ stɔp ivin afta yu dɔn yuz dɛn mɛrɛsin ya, nɔ fred fɔ tɛl yu dɔktɔ.
Vishɔn: Di tin we impɔtant pas ɔl na dat , di fɔs tɛm afta yu dɔn trit yu, yu go si am ivin blɔk pas aw i bin de si bifo.Dɛn kɔl dis kɔnia hεz. Dis na nɔmal tin, nɔ wɔri bɔt am. Yu vishɔn go bigin fɔ klia smɔl smɔl.
Di tebul dɔŋ ya de sho tin dɛm wae yu kin gɛt wae yu de wɛl.
| Kɔmɔn sayn dɛm wae kin apun wae pɔrsin de wɛl | |
|---|---|
| Mild it ɔ bɔn na di yay | Layt sɛnsitiviti |
| Fɔ fil lɛk se sɔntin dɔn stɔp na yu yay | Dray yay |
| Di vishɔn we nɔ klia | Kɔnia ɛdima |
I kin tek lɛk 2-3 mɔnt fɔ mek yu si tin fayn fayn wan. Afta dat, yu go nid fɔ yuz nyu sɛt fɔ glas ɔ kɔntakt lens.
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
If yu gɛt chenj wantɛm wantɛm na yu yay we yu de wɛl (e.g., yu de blɔk bad bad wan wantɛm wantɛm, yu si blak spat) ɔ if di mɛrɛsin we yu dɔktɔ dɔn gi yu nɔ de kɔntrol di pen , mek yu dɔktɔ no wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- di kכnia kכros-Linking (CXL) na wan tritmεnt we rili wok we de stכp di tכn εn protrushכn fכ di kכnia εn i de mek i strכng pan kכndishכn dεm lεk Keratoconus.
- Dis na smɔl tritmɛnt we nɔ de na os we dɛn de yuz riboflavin (vitamin B2) ay drɔp ɛn UV layt.
- Na nɔmal tin fɔ gɛt blurred vishɔn na di fɔs stej afta tritmɛnt. I kin tek sɔm mɔnt fɔ mek yu wɛl ful wan ɛn fɔ mek yu si fayn fayn wan.
- Dis tritmɛnt kin mek yu nɔ ebul fɔ si bad bad wan ɛn mek dɛn nɔ du big ɔpreshɔn tumara bambay.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ yu nɔ shɔ bɔt sɔntin, tɔk to yu yay dɔktɔ ɔltɛm. Nɔ fred fɔ aks kwɛstyɔn.











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