We yu ɛva go fɔ chɛk yu yay, yu tink se di dɔktɔ bin put sɔntin lɛk yɔlɔ wata na yu yay wit smɔl pepa? Ɔ i bin put yɔlɔ drɔp dɛn insay? Yu kray wata bin tɔn yɔlɔ afta i put am insay? Bɔku pipul dɛn kin fred smɔl we dɛn si dis. Bɔt fɔ tru, nɔto natin fɔ fred. Dis na spɛshal day we dɛn kɔl Fluorescein, we rili impɔtant fɔ ɛgzam na di yay. So lɛ wi tɔk bɔt ɔltin insay simpul wɔd tide.
Wetin na Fluorescein?
Fɔ tɔk am simpul wan, Fluorescein na wan brayt yɔlɔ-grin day, ɔ pigmɛnt . Na tin we nɔ gɛt pɔyzin ɛn we nɔ de ambɔg di yay. I de wok lɛk fɔ day klos, ɛn mek wi si sɔm tin dɛn we de insay di yay.
Bɔku tɛm, dis kin apin tu we dɛn:
- Strip: Dɛn kin put dis day na di tip pan wan tin pepa strip. Di dɔktɔ go wet di tip pan di strip wit smɔl salin sɔlshɔn ɛn put am ɔnda yu yaylid jisnɔ.
- Ay drɔp: Sɔntɛnde dis kin kam bak lɛk drɔp.
I nɔ mata us we yu put am, we yu lɔk yu yay, dis day kin miks wit yu kray wata ɛn i kin skata ɔlsay na yu yay.
Wetin mek dɔktɔ dɛn kin yuz dis?
Fluorescein tan lɛk ditektiv in tul to ɔftalmɔlɔjis. I kin sho bɔku tin dɛn we pɔsin in yay nɔ kin si. Lɛ wi luk di men rizin dɛn.
| Yuz sɛnɛriɔ | Wetin de apin? |
|---|---|
| Identify di Kɔnia Abrashɔn dɛn | Wan smɔl dɔst, smɔl insɛkt, ɔ nel kin mek pɔsin skrach. Dɛn skrach ya nɔ kin de ɔltɛm. We dɛn put fluorescein, dɛn kin was di day kɔmɔt na di say dɛn we gɛt wɛlbɔdi na di yay, bɔt di yɔlɔ kɔlɔ kin de usay skrach ɔ wund de. We di dɔktɔ shayn wan spɛshal blu layt (kobalt blu layt), di say we dɛn lɛf am kin shayn brayt grin. Dis kin mek di dɔktɔ si klia wan usay di wund de ɛn aw i big. |
| Chek if di kɔntakt lens dɛn fit fayn fayn wan. | Dɛn kin yuz dis day fɔ chɛk, mɔ we dɛn de fit had/rigid gas permeable contact lens, if dɛn fit di yay fayn fayn wan, if dɛn tayt ɛnisay, ɔ if di tear film bitwin di yay ɛn di lens nɔ pwɛl. |
| Fɔ mɛzhɔ di prɛshɔn na di yay (Tonometry) . | Dɛn kin yuz dis day wit sɔm tin dɛn we de mɛzhɔ di yay prɛshɔn (applanation tonometry) fɔ chɛk fɔ sik dɛn lɛk glaukoma. Di tear film we di day de mek de ɛp di divays fɔ mɛzhɔ prɛshɔn kɔrɛkt wan. |
| Chek if di tear ducts don blok. | Sɔm pipul dɛn kray wata kin gɛda na dɛn yay instead fɔ drayn. fכ si if di tכch dεm (di tכch dεm) dכn blכk, dεn kin du tεst fכ si aw lכng i de na di yay (tεm we di wata brok) bay we dεn injεkt Fluorescein insay di yay. |
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu yuse dis
Pan ɔl we fluorescein na tin we rili sef, lɛk ɛni mɛrɛsin tɛst, sɔm tin dɛn de we yu fɔ tɛl yu dɔktɔ.
- If yu wɛr sɔft kɔntakt lens: Dis rili impɔtant. Dis day kin mek yu sɔft kɔntakt lens dɛn stɛyn fɔ ɔltɛm. So, yu fɔ pul yu lens dɛn bifo yu du di tɛst.
- Bɔt yu alɛji: Mek shɔ se yu tɔk if yu dɔn gɛt alɛji fɔ fluorescein, ɔda mɛrɛsin, it, ɔda day, ɔ tin dɛn we de mek yu nɔ gɛt am.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ: Pan ɔl we dɛn kin tek dis se i nɔ bad we yu gɛt bɛlɛ, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu sik.
- If yu na mama we de gi pikin in bɛlɛ: Tɔk to yu dɔktɔ bɔt dis bak.
We yu dɔktɔ tɛl dɛn tin ya bifo tɛm, i go disayd wetin bɛtɛ ɛn we nɔ bad fɔ yu.
Dis kin mek pɔsin gɛt sayd ɛfɛkt?
Siriɔs sayd ɛfɛkt wit fluorescein nɔ kin bɔku, bɔt i fayn fɔ no wetin kin apin.
Mɛmba se dis na sɔntin we na dɔktɔ ɔ pɔsin we tren fɔ mɛn pipul dɛn nɔmɔ go yuz we dɛn de chɛk dɛn yay. Dɛn nɔ go alaw yu fɔ kɛr am go na os. So no prɔblɛm nɔ de fɔ mis wan doz ɔ tek tumɔs.
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ/ETU wantɛm wantɛm (we nɔ kin apin so ɔltɛm) . | |
|---|---|
| Sivɛri Alɛji Riakshɔn | Na imejensi if yu gɛt sɔm sayn dɛm lɛk skin rɔsh, ayv, it bad bad wan, yu fes, yu lip ɔ yu tɔŋ swel, ɔ yu nɔr kin ebul fɔ blo. Bɔt dis kin rili rare wit Fluorescein. |
| Bɔku tɛm, natin nɔ de fɔ wɔri bɔt, bɔt if i kɔntinyu fɔ de, na sɔm tin dɛn ya fɔ tɛl yu dɔktɔ: | |
| Kray wata de tɔn yɔlɔ | I nɔmal fɔ mek yu kray wata tɔn yɔlɔ fɔ sɔm minit ɔ awa afta yu dɔn put fluorescein. Dis go go afta sɔm tɛm. If yu gɛt ɛnitin we de kɔmɔt na yu nos, i kin tɔn yɔlɔ bak. |
| Kɔlɔ chenj na sɔft kɔntakt lens dɛn | As a bin dɔn tɔk bifo tɛm, if yu wɛr sɔft kɔntakt lens, dis kin mek dɛn stɛyn dɛn fɔ ɔltɛm. Na dat mek yu fɔ pul yu lens bifo di tɛst. |
Tin dɛn we yu fɔ tek tɛm wit afta yu dɔn yuz Fluorescein
Di tin we impɔtant pas ɔl na dat if yu wɛr sɔft kɔntakt lens , nɔ put am bak insay fɔ at le wan awa afta yu dɔn yuz Fluorescein. Yu dɔktɔ go tɛl yu fɔ wet fɔ lɔng tɛm, bikɔs di day we lɛf na yu yay kin chenj yu lens dɛn kɔlɔ fɔ ɔltɛm. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Bikɔs yu kray wata yɔlɔ, if yu was am wit tisu, i go tɔn yɔlɔ bak. Dat na nɔmal tin, nɔ wɔri. Dɔn bak, yu kin fil smɔl we yu put di ay drɔp insay, bɔt dat go dɔn insay sɔm sɛkɔn.
Mɛsej we dɛn kin kɛr go na os
- Fluorescein na sef yɔlɔ day we dɔktɔ dɛn kin yuz fɔ no tin dɛn lɛk skrach ɛn wund dɛn na di yay.
- Na dɔktɔ nɔmɔ de yuz dis na ɔspitul ɔ klinik. I nɔto mɛrɛsin fɔ yuz na os.
- Bifo di tɛst, mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt, if yu gɛt bɛlɛ ɔ yu de gi pikin bɔbi, ɛn if yu wɛr kɔntakt lens.
- I nɔmal fɔ mek di kray wata tɔn yɔlɔ fɔ sɔm tɛm afta di tɛst.
- If yu wɛr sɔft kɔntakt lens, nɔ put am bak insay fɔ at le wan awa afta yu dɔn put Fluorescein. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
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