We yu ɛva go fɔ chɛk yu yay, yu tink se di dɔktɔ bin blo sɔntin na yu yay lɛk briz we de rɔn? Ɔ dɛn put smɔl nidul na yu yay ɛn luk am? Bɔku pipul dɛn kin tink se dis na jɔs tɛst fɔ si wetin yu de si. Bɔt wetin dɛn rili de mɛzhɔ na di prɛshɔn we de insay yu yay. Tide, lɛ wi tɔk bɔt wetin na dis yay prɛshɔn, ɔ wetin dɛn kɔl Intraocular Pressure (IOP) .
Wetin rili na di prɛshɔn we de insay di yay?
Fɔ tɔk am simpul wan, dis min di prɛshɔn we di wata we de insay yu yay de prɛs. Tink bɔt wi yay lɛk smɔl bɔl we ful-ɔp wit wata. Fɔ mek da bɔl de kɔntinyu fɔ shep, sɔm prɛshɔn nid fɔ de insay. Na so dis prɛshɔn impɔtant to di wɛlbɔdi fɔ wi yay ɛn wi vishɔn.
Tu men kayn wata de insay wi yay.
- Aqueous Humor: Dis na wata we de na di fכnt pat na di yay (bitwin di sklera εn di lens).
- Vitreous Humor: Dis na tik tin we tan lɛk jel we de na di big chɛmba we de biɛn di yay.
Wi bɔdi de rigul di prɛshɔn we de na wi yay insay wan we we rili wɔndaful. as nyu wata we de kכmכt insay di yay, wan ikwal כmכnt כf ol wata de kכmכt na di yay. dis wata de kכmכt tru wan rili fayn drenaj sistεm na di yay. Wi kin kɔl dis di drenaj angle. Dis we aw dɛn de du tin tan lɛk we yu de opin tap ɛn opin di dreyn na sink. Di wata kin kam insay ɛn kɔmɔt, so di sink nɔ kin ful-ɔp ɛn nɔ ɛmti. Bɔt we dis balans dɔn lɔs, prɔblɛm dɛn kin bigin.
We di prɛshɔn na di yay go ɔp pas di nɔmal lɛvɛl, wi kin kɔl am Ocular Hypertension . If dɛn nɔ trit dis, i kin pwɛl di dilik pat dɛn we de insay di yay, mɔ di optik nɛv we de kɛr wi vishɔn go na di bren. Dis damej we di optik nerve kin pwɛl kin mek pɔsin gɛt wan sik we dɛn kɔl Glaucoma , we kin mek pɔsin nɔ ebul fɔ si fayn ɔltɛm if dɛn nɔ trit am.
Wetin mek di yay prɛshɔn kin go ɔp?
Pan ɔl we wi bɔdi kin kɔntrol dis prɛshɔn, sɔntɛnde dis balans kin ambɔg. Na di men rizin dɛn we mek.
| Mek | Fɔ tɔk am simpul wan... |
|---|---|
| Prodakshɔn pasmak fɔ aqueous humor | Tumɔs wata kin gɛda insay di yay. Dɔn, mɔ wata kin gɛda insay pas fɔ pul wata kɔmɔt. |
| Blɔk di drenaj angle | di drenaj kanal fכ di wata we de kכlכp de blok, we de mek di prεshכn insay di yay go כp. |
| Ay Trauma/Injuri dɛn we pɔsin kin gɛt | We sɔntin hit ɔ wund di yay, dis dilik sistɛm we de insay kin ambɔg. |
| Sɔm mɛrɛsin dɛn | Dis sik kin kam bikɔs ɔf mɛrɛsin, mɔ di kɔtikosterɔyd (ay drɔp, pils, ɔntmɛnt). So, nɔ yuz dɛn tin ya if dɔktɔ nɔ advays yu. |
Aw dɛn kin mɛzhɔ di prɛshɔn na di yay?
Dɛn kɔl dis prɛshɔn mɛzhɔmɛnt tonomɛtri . Yu ay kia spɛshal pɔsin go du dis we dɛn de du yu ay ɛgzam. Dɛn kin mɛzhɔ am insay milimita mɛkkyuri (mmHg). Dis na di sem yunit we dɛn kin mɛzhɔ yu blɔd prɛshɔn insay.
di nכmal prεshכn na di hεlty yay de bitwin 10 mmHg εn 20 mmHg .
Bɔku tɛm dɛn kin du dis tɛst tu we dɛn:
1. Air Puff Tonometry: Dis kin min se mashin de blo smɔl briz we de kɔmɔt na yu yay. dεn de mכsu di prεshכn bay we dεn de mכsu aw di klia fכnt pat pan di yay (kכnia) de push insay di briz strim.
2. Kontakt Tonometry: Insay dis we, di dɔktɔ kin put numbing drop dɛn na yu yay ɛn afta dat i kin tɔch wan rili smɔl inschrumɛnt jisnɔ na di say we yu yay de fɔ mɛzhɔ di prɛshɔn.
Aw e kin fil we yu yay prɛshɔn de go ɔp?
Dis na de tin wae denja pas ɔl bɔt dis sik ɛn de tin wae wi nid fɔ pe atɛnshɔn to.
Bɔrku tɛm, wae pɔrsin gɛt ay prɛshɔn nɔr kin kɔz ɛni sayn. Di wangren we fɔ no if yu gɛt am na bay we yu tek yu yay ɛgzam. Bɔrku tɛm, di sayn dɛm kin bigin fɔ sho afta di optik nɛv dɔn pwɛl ɛn yu vishɔn dɔn afɛkt. Da tɛm de, sɔm pan di damej dɛn dɔn ɔlrɛdi dɔn.
Na dat mek i rili impɔtant fɔ mek yu de chɛk yu yay ɔltɛm, mɔ afta yu dɔn ol 40 ia, ilɛksɛf yu nɔ fil fayn.
Ustɛm yu fɔ go to dɔktɔ?
Pan ɔl we bɔku tɛm we di yay prɛshɔn go ɔp nɔ kin mek pɔsin gɛt di sik, sɔm sayn dɛn kin apin pan sɔm imejensi ɔ as glaukoma de go bifo.
| Ustɛm fɔ go to dɔktɔ | |
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| If yu gɛt dɛn sayn ya, go to dɔktɔ wantɛm wantɛm: | |
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| Go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm if dɛn tin ya apin: | |
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Yu tink se blɔd prɛshɔn na wan tin, yu yay prɛshɔn na wan tin, ɔ tu tin?
Yɛs. Dis na say we bɔku pipul dɛn kin kɔnfyus. Ay blɔd prɛshɔn (Hypertension) ɛn ay ay prɛshɔn (Ocular Hypertension) na tu difrɛn tin dɛn. Jɔs bikɔs yu gɛt ay blɔd prɛshɔn nɔ min se yu yay prɛshɔn ay. Wan nɔ de kɔz di ɔda wan dairekt wan.
Bɔt, mɛmba dis: Pipul dɛn we gɛt ay blɔd prɛshɔn kin gɛt bɔku chans fɔ gɛt glaukoma. Dɔn bak, if blɔd prɛshɔn tumɔs ɔ tu smɔl, di blɔd we de go na di optik nɛv kin afɛkt, ɛn dis kin mek i nɔ ebul fɔ si fayn igen. So, if yu gɛt ay blɔd prɛshɔn, i impɔtant fɔ tɔk to yu dɔktɔ, no bɔt di risk fɔ mek yu gɛt glaukoma, ɛn fɔ du yu yay ɛgzam ɔltɛm.
Yu dɔktɔ kin gi yu ay drɔp, tritmɛnt wit lɛsa, ɔ ivin ɔpreshɔn as tritmɛnt. Dɛn go no dis bay we dɛn chɛk bɔku tin dɛn lɛk yu yay prɛshɔn ɛn aw yu optik nɛv de.
Mɛsej we dɛn kin kɛr go na os
- Intraokular prεshכn (IOP) implεnt fכ di hεlth fכ wi yay, bכt i fכ de כltεm na wan sכm lεvεl (10-20 mmHg).
- Bikɔs bɔku tɛm we di yay prɛshɔn go ɔp (ocular hypertension) nɔ kin sho ɛni sayn, i rili impɔtant fɔ mek dɛn du di ay ɛgzam ɔltɛm.
- If dɛn nɔ kɔntrol dis sik, i kin mek pɔsin gɛt glaukoma, we kin mek i nɔ ebul fɔ si fayn sote go.
- If yu dɔn pas 40 ia, yu famili gɛt glaukoma, ɔ yu gɛt sik lɛk dayabitis ɔ ay blɔd prɛshɔn, mek shɔ se dɛn chɛk yu yay wan tɛm insay di ia.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. I impɔtant mɔ fɔ yuz ay drɔp di rayt tɛm ɛn di rayt doz.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Procainamide injection/tablets na wan rili pawaful mɛrɛsin we dɛn kin gi fɔ us sik?
Dis nɔto ɔdinari mɛrɛsin! Dis na wan mɛrɛsin we rili pawaful we dɛn kin yuz na ɔspitul fɔ sev layf pan siriɔs ‘Antiarrhythmic - Class 1A’ kɔndishɔn, mɔ we di ɔda chɛmba dɛn na di at kin bit wantɛm wantɛm we dɛn nɔ ebul fɔ kɔntrol ɛn di pɔsin we sik de kam day (Life-threatening Ventricular Arrhythmias / V-Tach)!
💬 We di at de bit lɛk krayzi, aw yu go nɔmal di at ritm bay we yu gi dis mɛrɛsin (Procainamide)?
Di at de bit fast bikɔs ɔf ilɛktrishɔn (Action Potentials)! fכ di fכs bit, di ‘Sכdiכm’ patikyula dεm nid fכ kam insay fכ chaj di sεl dεm. we dis pil go insay di at, i de blok εn lכk כl di get dεm we de alaw sכdiכm in. pan tap dat, i de fכs fכ lכng di tεm we i tek fכ di sεl dεm fכ chaj εn riset (bay we i de blכk potashכm tru di NAPA mεtabolayt)! Dis kin mek di at nɔ de bit kwik ɛn i kin mek di ritm slo.
💬 Wetin na di ‘fatal dangers (Black Box Warning / Lupus)’ we pipul dɛm we de tek dis mɛrɛsin (Procainamide) fɔ no bɔt?
Di big denja na dat i kin mek ‘wan kɔmplit nyu ɛn kil at ritm (Proarrhythmia)’ (na dat mek dɛn kin gi am nɔmɔ we i gɛt imejensi)! Di ɔda big ɛn distɔb denja na dat afta yu dɔn yuz dis fɔ sɔm mɔnt, pas 30% pan di sik pipul dɛn go mɔs gɛt wan siriɔs sik we dɛn kɔl ‘Lupus-like Syndrome’ (di fes we tan lɛk bɔtaflay rɛd, jɔyn pen)! big risk de bak fɔ day bikɔs di wayt blɔd sɛl dɛn dɔn pwɛl kpatakpata (Agranulocytosis).
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