Yu dɔn ɛva luk yu yay na miro? yu kin si di blak sεkכl na di midul pan di kכla pat na di yay (wi kכl am di ayris). Na dat wi de kɔl di studɛnt. I kin chenj wan wan tɛm. Bɔt sɔm tɛm, if dis pupil de kɔntinyu fɔ smɔl ilɛksɛf di layt chenj, i kin bi sayn fɔ wɛlbɔdi prɔblɛm. Na dat wi kin kɔl Miosis .
Fɔ tɔk am simpul wan, wetin na Miosis?
Mayosis na we di pupil na di yay de sכm sכm pas aw i nכmal, i lεk spayda. di mכsul dεm we de na di pat we gεt kכla na wi yay, we na di ayris, de kכntro di saiz fכ di pupil.
Jɔs lɛk aw yu kin swɛt we yu go insay brayt san layt, wi pikin dɛnsɛf kin smɔl pan brayt layt. כlso, na dak ples, di pupil dεm kin big (dilate) fכ si bεtεh. Dis na nɔmal tin we kin apin. Bɔt pan pɔsin we gɛt miosis, di pupil dɛn kin stil smɔl ilɛksɛf di layt chenj . Sɔm pipul dɛn kin kɔl dɛn ‘pinpoint pupils’ bikɔs dɛn kin tan lɛk di tip fɔ nidul.
dis kכndyushכn kin apin pan wan yay nכmכ (yunilateral) כ na di tu yay dεm (baylatarכl).
Difrɛns Bitwin Mayosis ɛn Maydriasis
Dɛn tu tin ya na difrɛn difrɛn tin dɛn. Mayosis na we di ayris sכmtεm sכmtεm. Mydriasis na we di ayris nɔrmal (dilated).
Wetin na di men tin dɛm wae kin mek pɔrsin gɛt miosis?
Bɔku rizin dɛn kin de we mek di aylid kin smɔl. Pan ɔl we sɔm kin kɔmɔn, ɔda wan dɛn kin rili siriɔs.
| Mek | Apin |
|---|---|
| Sɔm mɛrɛsin dɛn (e.g., opioid) . | Bɔku tɛm i kin afɛkt ɔl tu di yay dɛn . |
| Di sik we dɛn kɔl Horner’s Syndrome | Na wan say nɔmɔ na di fes kin afɛkt. |
| Pɔyzin we pɔsin kin gɛt | Bɔku tɛm i kin afɛkt ɔl tu di yay dɛn . |
| Ay inflamɛns (Uveitis/Iritis) . | Bɔku tɛm, i kin afɛkt wan yay , bɔt sɔntɛnde i kin afɛkt ɔl tu. |
| Pɔntin Strɔk we pɔsin kin gɛt | Dɛn tu yay ya kin afɛkt. |
| Klɔsta Ɛd-aks | I jɔs afɛkt wan say . |
1. Sɔm mɛrɛsin dɛn
Sɔm mɛrɛsin dɛm, mɔ di opioid dɛm, we dɛn kin yuz fɔ siriɔs pen kin mek di ayris smɔl na ɔl tu di yay dɛm. Sɔm ay drɔp dɛn we dɛn kin yuz fɔ glaukoma, lɛk pilocarpine, kin mek dis sik bak.
2. Di sik we dɛn kɔl Horner’s Syndrome
Dis na wan sik wae kin kam wae de disrɔpshɔn na di sɔri-at nav dɛm wae de rɔn frɔm wi bren to wi yay ɛn fes. pan dis kכndyushכn, yu kin si sayn dεm lεk di aylid dεm we de dכn εn di yaylid dεm we de dכp na wan say nכmכ na di fes.
3. Pɔyzin we pɔsin kin gɛt
Dis sik kin kam bikɔs yu it sɔm peshɛnt dɛn, mɔ di ɔrganofosfɛt . I kin kam bak we yu tek ɔda mɛrɛsin dɛn lɛk bɛnzodiazepines pasmak.
If ivin smɔl pipul dɛn tink se dis kayn tin apin, dɛn fɔ kɛr di pɔsin go na di ɔspitul Imejɛnsi Tritmɛnt Yunit (ETU) we de nia am wantɛm wantɛm. I rili impɔtant bak fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt mɔ advays.
4. Ay Inflameshɔn
Inflameshɔn insay di yay, we kin mek i rɛd ɛn pen kin mek bak di ayris nɔ wok fayn. Yuveitis ɛn iritis na tu kayn tin ya.
5. Bren ɔ Ay Injuri
Dis kin apin bak we sɔntin hit di yay ɛn mek pɔsin wund, ɔ bikɔs ɔf strok (Pontine stroke) we kin apin na sɔm pat dɛn na di bren, mɔ di bren stem.
6. Ɔda rizin dɛn
pan tap dat, yu kin si miosis bak pan kכndishכn dεm lεk Argyll Robertson pupil dεm, we kin apin na di las stej dεm fכ sifilis we dεn nכ trit, εn kכlכsta ed pen.
Lɛ wi lan bak bɔt Mayosis we kin apin we dɛn de du ɔpreshɔn pan katarakt.
We dɛn de du ɔpreshɔn pan di katarakt, dɛn nid fɔ mek di ayris big fɔ mek i izi fɔ du di ɔpreshɔn. Bɔt sɔntɛnde, di ayris kin kɔntrakt wantɛm wantɛm we dɛn de du di ɔpreshɔn. Dɛn kɔl dis intraɔpareshɔn mayosis. Sɔm mɛrɛsin dɛn lɛk alfa-1 antagonist fɔ ay blɔd prɛshɔn ɔ fɔ mek di prɔstat big, kin gɛt mɔ risk. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek bifo yu du ɛni ɔpreshɔn.
Wetin na di tritmɛnt dɛm fɔ dis?
Mayosis na wan sayn, nɔto sik, so dɛn kin gi tritmɛnt to di ɔndalayn kɔndishɔn we mek i kam.
- If na bikɔs ɔf wan mɛrɛsin: Yu dɔktɔ go disayd if fɔ stɔp ɔ chenj di mɛrɛsin.
- If na ay infεkshכn: dεn go gi yu anti-inflammatory dεm כ anti-infεkshכn.
- Horner’s syndrome: Dɛn kin nid fɔ du ɔpreshɔn if na sɔntin lɛk tumor.
- If pɔsin gɛt strok: Dɛn fɔ gi am imejensi tritmɛnt na ɔspitul.
Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Mayɔsis?
Wi kin mek yu nɔ gɛt miosis we sɔm tin dɛn kin mek.
- Fɔ de fa frɔm drɔgs: Fɔ avɔyd fɔ yuz drɔgs ɔltogɛda, mɔ di opioid.
- We yu wɛr tin dɛn fɔ protɛkt yusɛf: I rili impɔtant fɔ wɛr di rayt tin fɔ protɛkt yu yay, lɛk gɔgl, we yu de ple spɔt ɔ du wok we de mek yu gɛt prɔblɛm.
- Fɔ tɛl yu dɔktɔ kɔrɛkt wan: Tɛl yu dɔktɔ ɔltɛm bɔt ɔl di mɛrɛsin dɛn we yu de tek.
Mɛmba se dis kayn chenj na yu yay kɔlɔ, mɔ if i apin wantɛm wantɛm ɔ i kam wit ɔda sayn dɛm (lɛk we yu fes nɔ de fil fayn, yu ed de at bad bad wan, yu yay rɛd), kin bi sayn fɔ se yu gɛt siriɔs mɛrɛsin. So nɔ ignore am.
Mɛsej we dɛn kin kɛr go na os
- Mayosis na smɔl pupil we nɔrmal, we nɔ kin ansa fayn to layt.
- Dis nɔto sik, bɔt na sayn fɔ ɔda sik.
- Di tin dɛm wae kin mek pɔrsin kin gɛt dis sik kin kɔmɔt frɔm simpul to siriɔs tin dɛm lɛk mɛrɛsin, pɔyzin, nyurolɔjik sik dɛm, strok, ɛn ay infɛkshɔn.
- If yu notis dis kayn chenj na yu ayris, mɔ if i kam wit ɔda sayn dɛm, go to dɔktɔ kwik kwik wan.
- Ɔltɛm tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
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