We yu go to dɔktɔ, mɔ fɔ chɛk-ap ɔ fɔ chɛk-ap ɔltɛm, yu go dɔn si di dɔktɔ tek wan smɔl tin we tan lɛk flashlayt ɛn luk yu yay, nɔto so? Sɔm pipul dɛn kin tink se dɛn de chɛk fɔ si if yu yay kin si. Bɔt fɔ tru, na tɛst we rili dip ɛn we impɔtant pas ɔl. Dis tɛst nɔr kin jɔs chɛk yu yay wɛl bɔdi, bɔt i kin fɛn tin fɔ no bɔt sɔm sik dɛm na yu ɔl bɔdi. Tide wi de tɔk bɔt dis tɛst we dɛn kɔl Fundoscopy.
Wetin rili na fundoskopi?
Fɔ tɔk am simpul wan, Fundoscopy na we yu dɔktɔ de chɛk di bak wɔl na yu yay. dis pat pan di yay dεn kכl am ‘fundus’ insay mεdikal tεm dεm. Na dat mek dɛn kɔl dis tɛst Fɔndoskɔpi.
Di tin we dɛn kin yuz fɔ du dis na in dɛn kɔl ɔftalmoskɔp . Na dat mek dɛn kin kɔl dis tɛst bak ɔftalmoskɔpi . Dis na smɔl inschrumɛnt we gɛt magnifying lens ɛn smɔl layt. I kin shayn layt insay yu yay ɛn si di impɔtant pat dɛn insay yu yay klia wan ɛn mek i big.
Di yay tan lɛk winda nɔto jɔs fɔ wi sol, bɔt fɔ wi bɔdi wɛlbɔdi bak. If yu du fundoscopy egzamin, yu kin si bɔku tin bay we yu luk insay tru da winda de.
Tu men we dɛn de fɔ du dis tɛst.
Tu men we dɛn de we dɔktɔ kin du dis tɛst. Di ikwipmɛnt we dɛn de yuz difrɛn smɔl.
| Di we aw dɛn de du di tɛst | Tɔk bɔt |
|---|---|
| Dairekt Ɔftalmoskɔpi | Dis kin yuz smɔl tin we pɔsin kin ol wit an. Di dɔktɔ sidɔm bifo yu, put di divays nia yu yay, ɛn luk insay. Dis na di we aw dɔktɔ dɛn kin yuz bɔku tɛm. |
| Indaykt Ɔftalmoskɔpi | Insay dis, di dɔktɔ kin yuz wan tin we dɛn kin wɛr na di ed (we fiba edlayt). Apat frɔm dat, i kin ol ɔda lens bifo yu yay. Dis we ya de mek yu si wan say we big insay di yay, we dɛn dɔn mek am big big wan, ɛn we gɛt tri dimɛnshɔn (3D). Ɔftalmolɔg dɛn kin yuz dis we bɔku tɛm. |
Ustɛm dɛn kin du fɔndoskɔpi?
Dis na tɛst we dɛn kin du bad bad wan. Na sɔm tin dɛn ya we yu go nid fɔ du dis:
- We yu de du jenɛral mɛdikal ɛgzam (Physical exam): We yu go fɔ jenɛral chɛk-ap, di dɔktɔ kin du dis.
- Ustɛm fɔ go to dɔktɔ we de mɛn pikin dɛn: Dis na tin we yu fɔ du we i kam pan wɛlbɔdi chɛk-ap fɔ yɔŋ pikin dɛn.
- Ay ɛgzam: Dis na tin we yu fɔ du we yu go si dɔktɔ we de mɛn yu yay fɔ yu yay prɔblɛm ɔ yu gɛt ayglas.
- Nyurolɔjik ɛgzam: Dis ɛgzam rili impɔtant pan kes dɛm we gɛt fɔ du wit di bren ɛn di nerv.
- Fɔ pipul dɛn we gɛt sik lɛk dayabitis ɛn ay blɔd prɛshɔn: Dis na di rizin we mek dɔktɔ dɛn kin se pipul dɛn we gɛt dɛn sik ya fɔ chɛk dɛn yay ɔltɛm.
Wetin kin apin bifo ɛn we dɛn de du di tɛst?
Natin nɔ de fɔ fred bɔt dis tɛst. I rili simpul ɛn i nɔ de mek pɔsin fil pen.
Bifo di tɛst
Bɔku tɛm, yu nɔ go nid fɔ du ɛni spɛshal pripia. Bɔt sɔntɛnde, mɔ na ay klinik, if di dɔktɔ want fɔ si insay yu yay bɛtɛ, dɛn kin put sɔm ay drɔp dɛn na yu yay fɔ mek di yay big.
Afta yu dɔn yuz dɛn drɔp ya, yu yaylid go big, so yu kin fil smɔl fɔ layt. Yu vishɔn kin blɔk smɔl bak. Dis kin las fɔ sɔm awa.
Impɔtant: If yu gɛt ay drɔp we de mek yu yay big, nɔ drayv fɔ da de de. If i pɔsibul, mek ɔda pɔsin de wit yu. If yu wɛr sanglas, dat go ɛp yu yay bak.
We dɛn de du di tɛst
Di dɔktɔ go tɛl yu fɔ sidɔm na chia ɔ ledɔm na bed. Bɔku tɛm, dɛn kin du dis tɛst wit di layt dɛn na di rum we nɔ de shayn so dat yu go ebul fɔ si di insay pat pan yu yay klia wan.
Dɛn go aks yu fɔ luk stret bifo, ɛn sɔntɛnde dɛn kin aks yu fɔ luk difrɛn say dɛn. Di dɔktɔ go tek in ɔftalmoskɔp ɛn luk insay yu yay. Dis go tek sɔm minit. Yu nɔ go fil ɛni pen we yu de du dis.
Wetin dis tɛst de luk insay di yay?
Di dɔktɔ nɔ jɔs de luk insay yu yay. Sɔm tin dɛn de we i go pe spɛshal atɛnshɔn to:
- rεtina: Dis na di layt-sεnsitiv mεmbran insay di yay. I tan lɛk di fim we de insay kamɛra. Dɛn kin chɛk am fɔ si if ɛnitin dɔn pwɛl, blɔd de kɔmɔt, ɔ ɔda chenj dɛn.
- Optik Nεv: Dis na di ‘waya’ we de kכri mεsej frכm di yay to di bren. di bays fכ dis nεv (optik disk) dεn de chεk fכ si if i swel כ di kכla de chenj.
- Blɔd vesel dɛn we de insay di yay: We yu luk di smɔl smɔl blɔd vesel dɛn we de insay di yay, yu go ebul fɔ no aw di blɔd vesel dɛn de ɔlsay na di bɔdi.
- Pupil response: Wi de pe atɛnshɔn bak to aw yu yay de ansa to layt.
Wetin di tɛst rizɔlt dɛn se?
Dis na di pat we impɔtant pas ɔl. Fɔndoskɔpi kin sho bɔku infɔmeshɔn nɔto jɔs bɔt di sik dɛn we de na di yay, bɔt i kin sho bak bɔt ɔda sik dɛn na di bɔdi.
Imajin, yu dɔktɔ go fɛn tin dɛn lɛk dis wit dis tɛst:
- Dayabitis: Dayabitis kin pwɛl di smɔl smɔl blɔd vesel dɛn na di yay. Dis kin mek smɔl smɔl blɔd ɔ wata we kin gɛda (ɛksudate) kin apia na di yay . Dɛn kɔl dis sik Dayabitik Rɛtinopati .
- Blɔd Prɛshɔn: Ay blɔd prɛshɔn kin mek di blɔd vesel dɛn we de insay di yay tan, twist, ɛn stif. Sɔntɛnde, dis kin mek bak blɔd kɔmɔt.
- Inkrεsiv Intrakranial Prεshכn: We di prεshכn insay di bren de inkrεs bikoz fכ wan tכmכro na di bren, εmoraji, כ כda tin, di optik nεv rכt de swel. Dɛn kɔl dis sik papilloedema . Dis kin izi fɔ no wit fundoskopi.
- Katarakt: Dis tɛst kin no bak se di lens na di yay dɔn klawd te to sɔm mak.
- Glaukoma: Dis tɛst kin no bak se di optik nɛv dɔn pwɛl we di yay prɛshɔn go ɔp.
Afta di ɛgzam, di dɔktɔ go ɛksplen to yu wetin i si. If ɛni prɔblɛm de, dɛn kin se dɛn fɔ du ɔda tɛst, lɛk fɔ tek foto na di fundus (fɔ tek pikchɔ fɔ di insay pat na di yay) ɔ fɔ ɛgzam na di slit lamp , fɔ no di tin we mek i apin. Nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu go gɛt.
Mɛsej we dɛn kin kɛr go na os
- Fɔndoskɔpi (Ophthalmoscopy) na wan mɛrɛsin we nɔ de mek pɔsin fil pen, i simpul, bɔt i rili impɔtant.
- Dis kin gi impɔtant infɔmeshɔn nɔto jɔs bɔt yu yay wɛl bɔdi, bɔt i kin gi yu bak bɔt dayabitis, ay blɔd prɛshɔn, ɛn sɔm prɔblɛm dɛn na yu bren.
- Nɔ fred di dɔktɔ we de luk yu yay we yu de du rutin mɛdikal ɛgzam. I rili impɔtant fɔ yu wɛlbɔdi.
- If yu yuz ay drɔp fɔ mek yu blak-hɛd big, yu nɔ go si fayn fɔ sɔm awa, so nɔ drayv ɛn kɛr pɔsin wit yu fɔ go na os sef wan.
- If yu gɛt ɛni kwɛstyɔn bɔt yu tɛst ɔ di rizɔlt, nɔ ɛva shem fɔ tɔk bɔt am wit yu dɔktɔ.
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