Yu dɔn ɛva luk wan tin ɛn i tan lɛk se na tu tin? Lɛk insay wan fim we de mek pɔsin fred na TV? Dis ɛkspiriɛns kin rili ambɔg yu, nɔto so? Fɔ si na sɔntin we rili valyu to wi. So i nɔmal fɔ mek yu fred smɔl we yu notis sɔntin we difrɛn insay am. dis na wetin dεn kכl ``Diplopia`` כ dכbl vishכn na mεdikal sayns.
So wetin na diplopia?
Fɔ tɔk am simpul wan, diplopia na we yu si tu pikchɔ dɛn bɔt di sem tin. Dis kin bi fɔ sɔm tɛm nɔmɔ ɛn i kin las fɔ shɔt tɛm nɔmɔ. Bɔt sɔntɛnde, i kin bi sayn fɔ se pɔsin gɛt mɔ sik . We yu si tu pikchɔ dɛn, yu nɔ go ebul fɔ no dip. Dis kin mek tin dɛn lɛk fɔ drayv motoka ɔ fɔ waka na rod rili at ɛn ivin denja. So if yu bigin fɔ si tu pikchɔ dɛn wantɛm wantɛm, i go fayn fɔ mek yu go to dɔktɔ ɔ dɔktɔ we de mɛn yu yay wantɛm wantɛm .
Yu tink se kayn diplopia de?
Yɛs, dɔktɔ we de mɛn yu yay go sheb yu dabl vishɔn to tu men kayn. Dɛn tin ya na:
1. Monocular Diplopia: Imajin se ivin if yu klos wan yay wit yu an, yu stil de si tu tin we yu luk wit di oda yay. Yu kin si wan ɔda pikchɔ, lɛk shado. Dis na wetin wi kin kɔl ``Monocular diplopia``. Dis na di kayn diplopia we kin bɔku pas ɔl, ɛn i nɔ kin izi bak. Dis kin bi bikɔs ɔf wan smɔl prɔblɛm we de insay di yay insɛf.
2. Binocular Diplopia: Naw di ɔda we na, we yu gɛt ɔl tu yay dɛn opin, yu de si tu, bɔt we yu lɔk wan yay nɔmɔ, da dɛbul vishɔn de nɔ de igen ɛn na wan nɔmɔ yu go si klia wan. Wi kin kɔl dis `(Binocular diplopia)`. Wetin kin apin ya na dat di tu yay nɔr de gri, ɔr prɔblɛm kin de wit di nerve ɔr mɔsul dɛm wae kin afɛkt di vishɔn fɔ ɔl tu di yay dɛm, ɔr ɔda wɛl bɔdi prɔblɛm. dis nכto di sem wit di `(Monocular diplopia)` we wi bin dכn tכk bכt, bכ t i kin bi siriכs sכmtεm. Bikɔs dis de tɔk bɔt wan kɔndishɔn we di tu yay dɛn nɔ kin ebul fɔ wok togɛda.
Dɛn kin klas am mɔ to vertikal ɛn ɔrizɔntal diplopia.
Yu ay spɛshal dɔktɔ kin klas dis bak bay di say we di ɛkstra pikchɔ we yu si de:
- Vɛtikal Diplopia: Dis na we yu si ɛkstra pikchɔ ɔp ɔ dɔŋ wetin yu de luk. Fɔ ɛgzampul, if yu si bɔs de pas ɛn ɔda bɔs de pas oba am, dat na vertikal diplopia.
- Horizontal Diplopia: Dis na we yu si ɔda pikchɔ dɛn na di tu say dɛn na yu yay. Dis min se bifo yu si wan layt pol, yu si tu layt pol na di tu say dɛn.
Aw kכmכn dεn kכl dis kכndyushכn diplopia?
Diplopia na rili wan sik we kin rili kɔmɔn.. Statistikin sho se na Amɛrika nɔmɔ pas 800,000 pipul dɛn kin go to ay dɔktɔ ɛvri ia bikɔs dɛn kin si tu tɛm. Dɛn kin tek am bak as di men rizin fɔ mek pipul dɛn go na di imejensi rum. Dɛn se na lɛk 50,000 pipul dɛn kin go na di imejensi rum ɛvri ia bikɔs dɛn kin si tu tɛm. So yu kin imajin aw dis kin kɔmɔn.
Us ɔda sayn dɛn de apat frɔm we yu si tu?
We yu gɛt diplopia, yu kin gɛt ɔda sayn dɛn apat frɔm we yu de si dɛbul. Fɔ ɛgzampul:
- Ɛd we de at: Sɔntɛnde, yu kin gɛt bad bad ed pen.
- Nɔs: Yu kin fil lɛk se yu bɛlɛ de tɔn ɛn yu kin fil lɛk se yu go vɔmit.
- Diziz: E kin fil lɛk se tin de spin rawnd yu.
- Ay pen: Yu kin fil pen, mɔ we yu de muv yu yay.
Dɛn sayn ya nɔ kin apin to ɔlman di sem we. Sɔm pipul dɛn kin jɔs gɛt wan ɔ tu, ɛn ɔda wan dɛn kin gɛt dɛn ɔl.
Wetin mek dis tu vishɔn kin apin? Wetin na di rizin dɛn?
Bɔku prɔblɛm dɛn we kin apin na di yay kin mek pɔsin si tu tɛm. Ɛnitin we afɛkt yu bren, yu yay, ɔ di nerv ɛn mɔsul dɛn we de kɔntrol dɛn kin mek yu gɛt am.
Na sɔm ɛgzampul dɛn ya:
- Astigmatism: Insay dis kכndyushכn, layt nכ de fכkus na wan ples biכs di yay nכ de pafεkt sfεri.
- Mayopia: Nɔ de si tin: Fɔ si tin dɛn nia klia wan, bɔt tin dɛn we de fa, kin tan lɛk se dɛn nɔ klia.
- Hyperopia: Fɔ si tin dɛn we de fa: Fɔ si tin dɛn we de fa klia wan, bɔt fɔ si tin dɛn we de nia yu nɔ klia.
- Yuz glas ɔ kɔntakt lens we nɔ fit fayn.
- Katarakt: Klaud na di lens na di yay.
- Dray ay sindrom: We di yay nɔ de mek in yay kray.
- Maygren: Na wan sik we kin mek yu ed at bad bad wan.
- abnɔmal tin dɛn na di ayris (di pat we gɛt kɔlɔ na di yay).
- Kranial nerve problem: Dɛn nerve ya de kɔntrol di yay muvmɛnt.
- Di yay dɛn we de kɔmɔt na do (Proptosis).
- Keratoconus: di fכmeshכn we de lεk kכn na di kכnia na di yay.
- Injury na ed ɔ aksidɛnt.
Tink bɔt am dis we: yu yay tan lɛk tu kamɛra. Na we ɔl tu di kamɛra dɛn de fos na di sem ples di sem tɛm nɔmɔ wi kin si wan klia pikchɔ. If wan kamɛra muv smɔl, ɔ if di fos kɔmɔt na di whack, wi kin dɔn si tu pikchɔ dɛn. Na so i bi wit dis.
Wetin na di risk factor dɛm fɔ diplopia?
Pan ɔl we ɛnibɔdi kin si tu tɛm, i kin apin mɔ pan big pipul dɛn we dɔn pas 60 ia.
Dɔn bak, dis risk kin bɔku if yu gɛt sɔm kayn nyurolɔjik sik ɔ ɔda wɛl bɔdi prɔblɛm. Fɔ ɛgzampul:
- Myasthenia gravis: Dis na sik we de mek di mɔsul dɛn wik.
- Vertigo: Na wan sik wae de mek yu gɛt diziz.
- Bren aneurism: Na wan blɔd vesel we de na di bren we de bɔl.
- Strɔk we pɔsin kin gɛt.
- Dayabitis: I kin pwɛl di yay, mɔ bikɔs ɔf dayabitis (diabetes-related retinopathy).
- Vitamin B1 we nɔ de.
- Tayrɔyd sik.
- Multiple sclerosis (MS): Na sik we de afɛkt di nervɔs sistɛm.
Aw dɔktɔ dɛn kin no dis diplopia kɔndishɔn?
Na ɔftalmolɔg nɔmɔ kin no se pɔsin de si tu tɛm ɛn di tin we kin mek i si am. I go du ay ɛgzam ɛn tɛst yu yay wit wan tɛst fɔ si if yu de si.
if yu gεt `(Monocular diplopia)`, mכst tεm dεn nכ nid fכ du כda tεst. Bɔt if yu gɛt `(Binocular diplopia)`, yu kin nid fɔ du tɛst lɛk dɛn wan ya:
- Magnetic resonance imaging (MRI): Dis kin si yu yay klia wan, di mɔsul dɛn we de rawnd yu yay, di nerv dɛn, ɛn sɔm pat dɛn na yu bren.
- Computed tomography (CT) scan: Dis kin luk bak pan di yay dεm εn di strכkchכ dεm we de rawnd, spεshal wan di bon dεm.
- Blɔd tɛst: Chek fɔ di ɔndalayn mɛrɛsin, lɛk dayabitis ɛn tayroyd prɔblɛm.
Dɛn tɛst ya kin ɛp yu dɔktɔ fɔ no if ɛni prɔblɛm de wit yu yay, bon, mɔsul, bren, ɔ spɛnal kɔd.
Aw dɛn kin trit dabl vishɔn?
De tritmɛnt wae yu nid go dipen pan de kɔz fɔ yu diplopia, wae yu ay spɛshal ɔr wɛl bɔdi prɔvayda go trit.
Fɔ sɔm pipul dɛn, dis kin bɛtɛ if dɛn gɛt nyu glas ɔ kɔntakt lens, ɔ bay we dɛn ajɔst di ol wan dɛn. sכmtεm, yu kin nid fכ kכba wan yay fכ sכm tεm (wan ``ay pat'') כ yus spεshal kכntakt lεns fכ εp yu yay fכ si nכmal vishכn bak.
Yu ɔftalmolɔg go ɛksplen to yu aw fɔ kɔntrol yu sik dɛn ɛn pul di diplopia.
Aw kwik a go wɛl afta dɛn dɔn trit mi?
I dipen bak pan wetin mek di diplopia de. Sɔm kes dɛm wae pɔrsin kin si tu tɛm go sɔlv fɔ dɛnsɛf ɛn nɔr gɛt ɛni tritmɛnt. Ɔda wan dɛn nɔ go sɔlv te dɔktɔ we de mɛn di yay trit di tin we mek i apin.
If dɛn du yu ɔpreshɔn fɔ kɔrɛkt yu yay prɔblɛm (fɔ ɛgzampul, fɔ pul di katarakt), i kin tek sɔm wiks fɔ mek yu wɛl.
Yu tink se dɛn kin mek dɛn nɔ gɛt diplopia?
Natin nɔ de we yu go du fɔ mek yu nɔ si tu tɛm mɔ. Bɔt fɔ kia fɔ yu yay gud gud wan ɛn fɔ go to pɔsin we sabi bɔt yu yay ɔltɛm fɔ mek dɛn chɛk yu yay na di bɛst we fɔ no ɛni prɔblɛm kwik kwik wan.
Fɔ fala dɛn tin ya fɔ mek yu gɛt gud ay wɛlbɔdi:
- Nɔ smok.
- Gi yu yay dɛn fɔ blo fɔ mek yu nɔ de luk ilɛktronik skrin dɛn ɔl di de. Luk yu fa fɔ sɔm minit at le ɛvri af awa.
- Wear sef glas ɔ gɔgl we fit fɔ yu wok, spɔt, ɔ tin dɛn we yu lɛk fɔ du.
- Gɛt ɛgzam fɔ yu yay ɛvri ia ɔ tu ia (ɔ lɛk aw yu yay dɔktɔ tɛl yu).
Wetin a fɔ ɛkspɛkt if a gɛt diplopia?
Bɔku tɛm, fɔ si tu tɛm na prɔblɛm we kin apin fɔ shɔt tɛm. Nɔ drayv ɔ du ɛni ɔda tin we go put yu ɔ ɔda pipul dɛn pan denja we yu nɔ de si fayn. Dipen pan wetin mek yu gɛt diplopia, yu kin nid fɔ mek sɔm chenj dɛn pan yu ɛvride rutin.
Ustɛm yu fɔ wɔri bɔt fɔ si tu tɛm?
Dabl vishɔn na sɔntin we yu fɔ wɔri bɔt ɔltɛm, bɔt nɔ tink se na di wɔs tin. Bɔku pan di kes dɛn na fɔ shɔt tɛm nɔmɔ. Infakt, diplopia kin bɛtɛ fɔ insɛf. Bɔt if yu de si tu tɛm, i impɔtant fɔ mek dɛn chɛk yu yay.
if yu gεt dכbl vishכn pas wan tεm, כ if i kam εn go (`transient כ intermittent diplopia`), yu kin gεt transient diplopia. Ivin if yu dabl vishɔn bɛtɛ fɔ insɛf, yu fɔ go to ay spɛshal dɔktɔ ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.
Aw a kin kia fɔ misɛf?
Tɛl yu yay dɔktɔ bɔt ɛni chenj na yu yay ɔ yu yay. If yu wɛr glas ɔ kɔntakt lens, mek dɛn chɛk yu yay ɔltɛm ɛn mek dɛn ajɔst yu prɛskrishɔn as yu dɔktɔ nid am.
Ustɛm a fɔ go to mi dɔktɔ?
Si yu yay dɔktɔ jɔs afta yu notis ɛni chenj na yu yay. Ilɛksɛf na sɔntin we simpul lɛk fɔ gɛt nyu glas ɔ sɔntin we rili siriɔs, nɔ wet te di sayn dɛn go wɔs.
Ustɛm a fɔ go na di imejensi rum?
If yu gɛt dabl vishɔn we nɔ de bɛtɛ insay sɔm awa, ɔ if yu gɛt dabl vishɔn wit dɛn sayn ya , go na di imejensi rum wantɛm wantɛm:
- Bɔku pen na di yay.
- Diziz we pɔsin kin gɛt.
- Di mɔsul dɛn we wik.
- I nɔ izi fɔ tɔk (lɛk fɔ tɔk smɔl smɔl).
- Kɔnfyus.
Mɛmba se, diplopia kin bi di fɔs sayn fɔ se yu gɛt siriɔs prɔblɛm wit yu bren, lɛk we yu gɛt strok, so nɔ ignore am.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- "Dɔkta, wetin mek a de si dɛn tu tin ya?"
- "Aw lɔŋ dis go las?"
- "Us kain tritmɛnt a go gɛt fɔ du?"
- "Aw often a fɔ mek dɛn chɛk mi yay ɛn mi vishɔn?"
Wetin mek a si tu tin dɛn lɛk dis wantɛm wantɛm?
Pan ɔl we di tin we kin mek pɔsin gɛt diplopia kin bigin smɔl smɔl, yu kin notis am wantɛm wantɛm. Pan ɔl we fɔ si tu tɛm kin bi sayn fɔ wɔn pɔsin we gɛt siriɔs wɛlbɔdi prɔblɛm, bɔku tɛm i kin bi prɔblɛm fɔ sɔm tɛm.
Go to dɔktɔ we de mɛn yu yay jɔs afta yu notis se yu de si chenj, mɔ if i wɔs wantɛm wantɛm. If yu vishɔn wɔs afta aksidɛnt, lɛk motoka aksidɛnt ɔ fɔdɔm, go na di imejensi rum.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri bɔt yu yay prɔblɛm, mɔ we yu si tu tin lɛk dis. Bɔt mɛmba se, pan ɔl we diplopia kin bi sayn fɔ sɔmtin we siriɔs, bɔku tɛm na shɔt tɛm prɔblɛm we dɛn kin trit ɛn mɛn.
Di tin we impɔtant pas ɔl na fɔ nɔ tek yu yay layt. If yu notis ɛni chenj na yu yay, ɔ if yu fil se sɔntin nɔ rayt, tɔk to yu dɔktɔ wantɛm wantɛm. Di kwik we dɛn no am, na di mɔ i go bi se di tritmɛnt go wok fayn. Ay we gɛt wɛlbɔdi na big tin fɔ ɛp pɔsin na layf. So lɛ wi tek kia ɔf dɛn!
` diplopia, dכbl vishכn, dכbl vishכn, yay sik, vishכn prכblεm, yay hεlth, simptom dεm











💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt