Yu tink se yu de si smɔl smɔl? Dis kin bi Kɔnia Ɛktasia!

Sɔntɛnde, yu kin fil lɛk se yu yay de go dɔŋ smɔl smɔl? Sɔntɛm yu nɔ ebul fɔ si klia wan lɛk aw yu bin de si bifo, ɛn yu yay go blu we yu luk di layt? Wan rizin fɔ dis kin bi wan spɛshal ay kɔndishɔn. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya, we nid fɔ pe atɛnshɔn smɔl, we dɛn kɔl kɔnia ɛktasia . Nɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na Kɔnia Ɛktasia?

Fɔ tɔk am simpul wan, di kɔnia ɛktasia na wan grup we de afɛkt di kɔnia (di klia, rawnd pat na di frɔnt pat na di yay, lɛk di lens fɔ kamɛra). Wetin kin apin pan dis na dat di shep fɔ yu kɔnia kin chenj smɔl smɔl. Di kɔnia de tan ɛn bulj fɔ go bifo. Tink bɔt am lɛk smɔl balyɔn we de blo. dis de chenj di we aw layt de go insay di yay, we de mek astigmatism (wan refractive error) we kin inkrεs as tεm de go. Dis kin mek yu vishɔn nɔ shap as tɛm de go. Bɔrku tɛm, dis sik kin afɛkt ɔl tu di yay dɛm, bɔt sɔmtɛm i kin afɛkt jɔs wan yay. Na sɔm pipul dɛm, dis kɔnia ɛktasia kin so smɔl dat dɛn nɔ kin ivin no am bay klinik tɛst. Bɔt as dis de go bifo, yu nɔ de si fayn so dat yu nɔ go ebul fɔ si fayn ivin wit glas ɔ kɔntakt lens. Bɔt, siriɔs prɔblɛm lɛk blayndnɛs nɔr kin bɔku, so natin nɔr de fɔ wɔri bɔt. Bɔt we yu nɔ de si fayn, dat kin mek yu nɔ ebul fɔ du tin dɛn we yu de du ɛvride, lɛk fɔ go wok ɔ fɔ kia fɔ yu famili. So, e fayn fɔ no dis sik kwik kwik wan ɛn go to di tritmɛnt we yu nid.

Wetin na di kayn kɔnia ɛktasia?

difrεn men tכp dεm de fכ di kכnia εktasia . Lɛ wi tek wan luk pan wetin dɛn bi insay simpul wɔd dɛn:

Keratoconus we gɛt di sik

Dis na di kayn katarakt we kin apin pas ɔl . insay dis kכndishכn, di kכnia de tכn εn sכmtεm i de bulge fכ go bifo insay wan shep we tan lεk kכn. di kכnia we nכmal fכ rawnd, kin bi kכn. Tink bɔt am lɛk di tap pan ayskrim kɔn.

Keratoglobus we dɛn kɔl Keratoglobus

insay dis, di כl kכnia de tכn we nכ de nכmal εn i de bulge fכ go bifo fכ akomoda am. Di wan ol kɔnia kin tan lɛk se i dɔn bɔl, lɛk big bɔl.

Pεlusid marginal dεjεnεreshכn

insay dis, yu kin si wan tin we de tכn na di lכw pat pan di kכnia, lεk krεsεnt mun. Dat tin we de mek di kɔnia de kɔmɔt ɔp.

Post-keratorefraktiv ɔpreshɔn ɛktasia

Dis na sɔntin we spɛshal smɔl. I kin apin afta ɔpreshɔn fɔ kɔrɛkt di prɔblɛm dɛn we pɔsin kin si lɛk mayopia ( we pɔsin kin si nia).Kɔnia ɛktasia . Wan ɛgzampul na di post-LASIK ectasia . Dɛn se lɛk 1 pan ɛvri 166 pipul dɛm wae gɛt LASIK ay ɔpreshɔn go gɛt dis sik. I kin apin bak afta ɔda ɔpreshɔn dɛn na di kɔnia, lɛk PRK .

Pɔst-penɛtrɛt keratoplasti ɛktasia

insay dis kes, εktasia kin apin as kכmplikεsh כn fכ kכnia transplant . Bɔrku tɛm i kin afɛkt pipul dɛm wae dɔn gɛt kɔnia transplant as tritmɛnt fɔ di kɔndishɔn keratoconus . I kin apin to lɛk 1 pan ɛvri 10 pipul dɛn insay 10 ia afta dɛn dɔn du di ɔpreshɔn.

Udat dɛn dis kayn tin kin afɛkt mɔ?

Kɔnia ectasia kin rili afɛkt pipul dɛm wae gɛt ɛni ej ɛn rays. I nɔ de mek man ɛn uman difrɛn. Sɔntɛnde, i kin bigin we i smɔl ɛn kɔntinyu te i rich midul ej ɔ ivin leta. Di ej wae di sik kin bigin fɔ sho (we kin bigin) kin difrɛn difrɛn wan fɔ di kayn:

• Keratoglobus : I kin apin we i smɔl ɔ we i yɔŋ (we ol 10 ia).
• Keratoconus : Na smɔl pikin (let 10s to ali 20s).
• Pεlusid marginal dεjεnεreshכn : Insay di 20s, 30s, כ 40s.
• Post- surgical ectasia : Ɛni tɛm frɔm sɔm mɔnt to ia afta di ɔpreshɔn .

Wetin na di sayn dɛm fɔ Kɔnia Ɛktasia?

di kכnia εktasia kin bi asymptomatic insay di fכs stej dεm. Bɔt as di sik de go bifo, sɔm sayn dɛm lɛk:

• Vishɔn kin wɔs smɔl smɔl as tɛm de go.
• Glare we yu de luk layt . Sɔm pipul dɛn se i kin fil lɛk se dɛn yay de bɔn.
• Halos : Fɔ si ring rawnd layt we yu de drayv na nɛt.
• Diplopia (double vision) na fɔ si tu imej insted ɔf wan.

Di tin wae kin kam pan dɛn kayn sik ya na wae pɔrsin nɔr de si fayn smɔl smɔl fɔ lɔng tɛm. Fɔs, dis kin rili klia, ɛn yu kin ebul fɔ kɔrɛkt yu yay izi wan wit glas. Bɔt as tɛm de go, yu yay kin so bad dat ivin glas ɔ kɔntakt lens nɔ kin ɛp igen. Dis na bikɔsdi kכnia εktasia na wan kכndyushכn we di shep fכ yu kכnia de chenj, we de mek di astigmatism wכs. Sɔm kayn, lɛk keratoconus , skata kin apin na di kɔnia, we kin mek yu nɔ si fayn bak.

Ɛni denja kɔmplikeshɔn de we kin kam wit kɔnia ɛktasia?

Na sכm tεm, di kכnia εktasia kin mek yu gεt siriכs kכmplikεshכn. Wan pan dɛn tin ya na di kɔnia haydrop . Dis na wan sik we di kɔnia kin swel wantɛm wantɛm ɛn gɛt wata. Dis na mɛdikal imejensi . I kin afɛkt lɛk 3% pan di pipul dɛn we gɛt keratoconus . Di sayn dɛm fɔ kɔnia haydrop na:

• Wantɛm wantɛm, yu nɔ kin si klia wan
• Hypersensitivity to layt (blu yay) .
• Di pen we de na mi yay nɔ go ebul fɔ bia.

If yu gɛt dɛn sik ya, yu fɔ go na di imejensi dipatmɛnt na di ɔspitul we de nia yu wantɛm wantɛm. Dis na sɔntin we nɔ fɔ delay.

Wetin na di tin dɛn we kin mek dis apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Bɔku tɛm i nɔ kin izi fɔ no di rayt tin we kin mek pɔsin gɛt kɔnia ɛktasia . I tan lɛk se di kɔndishɔn lɛk keratoconus ɛn keratoglobus de rɔn na famili (we min se sɔmbɔdi na di famili kin dɔn gɛt am). Ektasia afta di ɔpreshɔn kin bi bikɔs ɔf wan wikɛdnɛs na di kɔnia we dɛn nɔ bin no we dɛn bin de du tɛst bifo dɛn du di ɔpreshɔn. Yu kin gɛt mɔ risk fɔ gɛt kɔnia ɛktasia fɔ dɛn rizin ya:

• If yu gɛt kɔnektiv tisu sik , lɛk Ehlers-Danlos syndrome .
• If yu gɛt wan sik we de mek yu de rɔb yu yay ɔltɛm. Fɔ ɛgzampul , hay fiva , alɛji fɔ dɔst, ɔ ɛkzema . If yu rɔb yu yay tumɔs, dat kin ɛp bak fɔ mek dis apin, so yu nid fɔ tek tɛm wit dat bak.
• If yu wɛr kɔntakt lens, mɔ di had lens, fɔ lɔng tɛm.
• If yu dɔn gɛt ɔpreshɔn fɔ kɔrɛkt yu yay.

Aw yu kin fɛn dis? (Diagnosis) .

Spɛshal pipul dɛn we de kia fɔ di yay kin no if pɔsin gɛt kɔnia ɛktasia bay we dɛn:

• DɔnDɛn kin du wan kɔmprɛhnsiv ay ɛgzam.
• Dɛn go tɔk to yu ɛn aks bɔt yu mɛdikal istri ɛn if ɛnibɔdi na yu famili dɔn gɛt dis kayn sik .
• dεn kin du spεshal tεst dεm, lεk slit lamp εgzam ( we dεn de egzamin di yay wit spεshal slit lamp ) εn di kכnia tכpografi ( tεst we de tek map fכ di kכnia in sεf εn luk fכ chenj dεm na in shep).

" If yu no dis sik kwik kwik wan, dat kin mek yu dɔktɔ mek di tritmɛnt plan we go fayn fɔ yu. Na dat mek i impɔtant fɔ mek yu du yu yay ɛgzam ɛvri ia, mɔ if pɔsin na yu famili gɛt keratoconus ɔ ɔda ay sik." "As bak, dis diagnosis impɔtant bifo yu du ɔpreshɔn fɔ kɔrɛkt yu yay lɛk LASIK . Kɔnia ɛktasia, we dɔn ɔlrɛdi de, kin wɔs ivin if i rili smɔl ɛn yu nɔ gɛt ɛni simptom. So, yu dɔktɔ go du tɛst bifo yu ɔpreshɔn fɔ mek shɔ se yu nɔ gɛt bɛtɛ risk."

Tritmɛnt de fɔ kɔnia ɛktasia?

Yɛs, fɔ tru! Difrɛn tritmɛnt dɛn de fɔ Kɔnia Ɛktasia . Dɛn tritmɛnt ya kin kɔmɔt frɔm glas to ɔpreshɔn. Di dɔktɔ dɛn we de mɛn yu yay go pik di tritmɛnt we go fit yu wan wan nid. De kayn tritmɛnt wae yu nid go dipen pan aw yu sik tranga ɛn aw yu kin si fayn fayn wan. Di tritmɛnt dɛn we yu kin gɛt na:

Wetin kin apin to di miro dɛn?

Glas kin ɛp yu fɔ si fayn , bɔt i nɔ de mek di sik nɔ go bifo. Bɔku tɛm, glas kin ɛp di fɔs tɛm we di kɔnia kin gɛt ɛktasia .

Tel mi abaut kontak lens.

Lɛk glas, kɔntakt lens kin ɛp yu fɔ si bɛtɛ , bɔt i nɔ de stɔp ɔ slo di sik fɔ go bifo. Dɛn kin ɛp na di fɔs ɛn mɔdaret stej. difrεn kayn kכntakt lεns dεm de, inklud sכft εn had lεns dεm, εn bak skleral lεns dεm we dεn mek spεshal fכ dis kכndyushכn. Yu dɔktɔ go pik di wan we bɛtɛ fɔ yu.

Ustɛm i nid fɔ du ɔpreshɔn?

כpεrayshכn kin bεst fכ mכdarεt to siriכs kes dεm we kכnia εktasia . Yu yay dɔktɔ go tray fɔs fɔ mek yu si fayn fɔ du tin dɛn we yu kin du ɛvride wit simpul tin dɛn lɛk glas ɛn kɔntakt lens. Bɔt if glas ɛn kɔntakt lens nɔ kɔrɛkt yu yay fayn fayn wan, ɔ if tɛst sho se di sik de wɔs, yu go nid fɔ ɔpreshɔn.Ɔpreshɔn difrɛn frɔm glas ɛn kɔntakt lens. Bikɔs ɔpreshɔn kin rili slo ɔ stɔp di sik fɔ go bifo. If yu dɔktɔ tɛl yu fɔ du ɔpreshɔn, yu go de wɔnda us kayn ɔpreshɔn yu nid ɛn wetin go apin afta dat. I impɔtant fɔ tek yu tɛm fɔ lan bɔt di we aw yu go du ɔpreshɔn. Ɛni ɔpreshɔn gɛt in yon bɛnifit ɛn prɔblɛm dɛn. Tɔk to yu dɔktɔ bɔt dis ɔpreshɔn ɛn wetin rayt fɔ yu. Di tin dɛn we dɛn kin du fɔ ɔpreshɔn na:

• Kכnia ring implantεshכn : Dis כpεrayshכn involv fכ implant sכm sכm plastic ring dεm (segmεnt dεm) insay yu kכnia fכ kכrekt di shep fכ yu kכnia. Dis kin ɛp fɔ ridyus di kɔnia we de kɔba ɛn fɔs layt we de go insay yu yay, we kin ɛp fɔ shap yu yay. dεn kכl dεn kכnia ring dεm ya bak Intrastromal Corneal Ring Segments (ICRS) .
• Kɔnia Krɔs-Linking (CXL) : Dis na ɔpreshɔn we rili impɔtant. i de yuz riboflavin (vitamin B2) εn UV layt fכ mek di bon dεm bitwin di kolagen fayb dεm (protein dεm we de gi di kכnia in trεnk εn shep) na yu kכnia strכng. I tan lɛk se yu de mek di pila dɛn na bildin strɔng. CXL kin slo ɔ stɔp di prɔgrɛs fɔ di kɔnia ɛktasia . I kin ɛp mɔ if dɛn du am bifo di sik dɔn go bifo.
• Kכnia transplant : Dis כpεrayshכn de gi yu nyu kכnia (frכm mכtalman dכna). Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz difrɛn tin dɛn fɔ du dipen pan aw yu kɔnia tisu dɔn pwɛl. fכ egzampl, insay Dip Lamellar Keratoplasty (DALK) , di sajin de pul di tכp εn midul layεr dεm nכmכ na di kכnia, we de lεf di hεlty layεr we de כnda ( di εndoteyl ) intakt. dis na di prכsidכm we di risk fכ rεjεkt sכm pas di pεnεtrayt kεratoplasti (we de riples כl di layεr dεm na di kכnia).

So wetin kin apin afta dis sityueshɔn? (Autluk) .

Yu dɔktɔ na di bɛst pɔsin fɔ aks bɔt yu wɛlbɔdi ɛn wetin go apin tumara bambay. I no aw yu yay de ɛn yu mɛdikal istri. I kin tɛl yu wetin fɔ ɛkspɛkt bay yu istri ɛn di tɛst rizɔlt. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, nɔ shem fɔ aks fɔ ansa.

Wetin na di we dɛn fɔ ridyus dis prɔblɛm?

כnכfכs, mכst t כp dεm fכ kכnia εktasia dεm nכ kin ebul fכ avεnt. Bɔt if yu no di sik kwik kwik wan, dat kin ɛp yu fɔ gɛt tritmɛnt di rayt tɛm ɛn avɔyd tin dɛn we go mek di sik wɔs.Yu kin du dɛn tin ya fɔ mek yu gɛt mɔ chans fɔ no di pɔsin kwik kwik wan:

• Gɛt yu ay ɛgzam ɛvri ia.
• Bifo yu du ɔpreshɔn fɔ kɔrɛkt yu yay, aks yu dɔktɔ bɔt di risk fɔ mek yu gɛt kɔnia ectasia .
• Fɛn ɔut if ɛnibɔdi na yu biyolojikal famili dɔn gɛt kɔnia ɛktasia (shɛri dis infɔmeshɔn bak wit yu dɔktɔ).

Aw a kin kia fɔ misɛf?

Mɔs pan di chenj dɛn we kin apin na di layf nɔ kin gɛt ɛni impɔtant ifɛkt pan di kɔnia ɛktasia . Bɔt fɔ rɔb yu yay kin mek sɔm kayn kɔnia ɛktasia wɔs. Dis rili impɔtant. Tray fɔ avɔyd fɔ rɔb yu yay as yu ebul. If i nɔ izi fɔ yu fɔ du dis, ɔ if na alɛji mek yu gɛt am, tɔk to dɔktɔ we de mɛn yu yay ɔ dɔktɔ we de kia fɔ yu fɔs. Dɛn kin gi yu advays ɛn if nid de, dɛn kin gi yu mɛrɛsin. Fɔ ɛgzampul, sɔm mɛrɛsin dɛn we de gi yu alɛji (antihistamines) kin ɛp fɔ mek yu nɔ want fɔ rɔb yu yay.

Ustɛm a fɔ go to di dɔktɔ?

Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ kam fɔ fala yu. Dis go dipen pan di kayn kɔnia ɛktasia we yu gɛt, aw i siriɔs, ɛn di tritmɛnt we yu de gɛt. Yu kin nid fɔ kam fɔ fala yu ɛvri tri to siks mɔnt fɔ si if de sik de wɔs. Dɛn fɔlɔp ya go ɛp yu dɔktɔ fɔ disayd di bɛst tɛm fɔ bigin tritmɛnt. I impɔtant fɔ kip ɔl di apɔntinmɛnt dɛn we yu dɔn mek. Yu dɔktɔ go wach yu sik gud gud wan ɛn du di tɛst dɛn we yu nid fɔ plan yu tritmɛnt. Fɔ kip yu vishɔn fɔ kɔnia ɛktasia as mɔ as yu ebul, yu nid fɔ rili wok tranga wan fɔ yu tritmɛnt ɛn fɔ fala yu. If yu gɛt sɔm sayn dɛm fɔ kɔnia ɛktasia , we min se yu yay de wɔs smɔl smɔl, kɔl yu dɔktɔ wantɛm wantɛm ɛn mek apɔntinmɛnt, ilɛksɛf na di tɛm fɔ yu ay ɛgzam ɛvri ia.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt ɛni wan pan dɛn sayn ya , go na ɔspitul imejensi rum wantɛm wantɛm :

• If yu gɛt ay pen wantɛm wantɛm ɔ bad bad wan.
• I nɔ bad if yu yay nɔ de si fayn wantɛm wantɛm ɔ if tin dɛn apia na tu pat.
• If di yay swel (edema) , dat na if i big lɛk se i ful-ɔp wit wata.

Dɛn tin ya kin bi sayn fɔ se na mɛdikal imejensi, lɛk di kɔnia haydrop, we nid fɔ gɛt tritmɛnt kwik kwik wan.

wetin na di difrεns bitwin di kכnia εktasia εn kεratokonכs?

I izi fɔ kɔnfyus dɛn tu wɔd ya, nɔto so? Kɔnia Ɛktasia naLɛk di men ɔmbrela . Dat min se na big kategori, na grup fɔ sik dɛn. Keratoconus na wan kayn kכnia εktasia , εn na di tכp we kכmכn pas כl bak . Risach dɔn sho se lɛk wan pan ɛvri 400 pipul dɛn, ɔ wan pan ɛvri 2,000 pipul dɛn, gɛt keratoconus . Bɔt sɔm risach dɔn sho se di rial nɔmba fɔ pipul dɛn we gɛt dis sik kin bɔku pas dɛn statystik ya. Kɔnia ectasia kin mek yu strɛs, wɔri, ɛn pwɛl at as yu de wok, kia fɔ yu famili, ɔ jɔs de du yu ɛvride layf. Bɔt di gud nyus na dat di tritmɛnt we dɛn kin gɛt de go bifo ɛvride. Sɔm ɔpreshɔn kin gi yu chans fɔ slo ɔ stɔp di sik fɔ go bifo. Tɔk to dɔktɔ we de mɛn yu yay bɔt us rod bɛtɛ fɔ yu.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya?

• di kכnia εktasia na wan kכndyushכn we di kכnia na di yay de tכn εn i de kכmכt fכ go bifo, we de mek i nכ de si fayn. Keratoconus na di kayn tin wae kin pasmak pan dis.
• If yu gɛt sɔm sayn dɛn lɛk we yu nɔ de si smɔl smɔl, yu nɔ de si layt, ɔ yu de si ring rawnd layt , yu fɔ rili go to dɔktɔ we de mɛn yu yay.
• Fɔ no am kwik kwik wan ɛn fɔ trit am fayn fayn wan rili impɔtant. Dis kin ɛp fɔ mek yu nɔ ebul fɔ si mɔ.
• di tritmεnt opshכn dεm na glas, kכntakt lεns, εn difrεn כpεrayshכn dεm (lεk `Kכnia Krכs-Linking`, `Kכnia Ring`, `Kכnia Transplant`) . Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
• Nɔ rɔb yu yay. Dis kin mek di sik wɔs.
• Nɔ skip fɔ du yu yay ɛgzam ɛvri ia, mɔ if pɔsin na yu famili gɛt dɛn sik ya.
• If yu gɛt siriɔs pen na yu yay wantɛm wantɛm, yu nɔ de si fayn, ɔ yu yay swel , na imejensi. Go na ɔspitul wantɛm wantɛm.

Yu yay dɛn rili valyu. So if yu notis ivin smɔl chenj na yu yay, tek kia ɔf am. Nɔ fred fɔ tɔk to dɔktɔ. If yu trit yu kwik kwik wan, dat kin ɛp yu fɔ gɛt gud rizulyt.

Kכnia εktasia, Kεratokonכs, Vishכn Lכs, Kכnia, Ay Sik, Vishכn Dεfεkt, Kכnia Transplant