Ɔpreshɔn fɔ glaukoma? Nɔ fred, lɛ wi tɔk bɔt am! (Glaukoma Ɔpreshɔn) .

We yu dɔktɔ tɛl yu se yu gɛt glaukoma, i kin tɛl yu se yu go nid ɔpreshɔn. Na nɔmal tin fɔ mek yu fred smɔl ɛn fred we yu yɛri dɛn wɔd dɛn de. "Wetin go apin to mi yay?", "Dis na big opareshon?", "I go at?" na ɔl kwɛstyɔn dɛn we kin kam na wi maynd. Bɔt nɔ wɔri. Tide, wi go tɔk bɔt dis rili simpul wan, di we we yu go ɔndastand. Jɔs lɛk aw yu go tɔk to yu padi.

Wetin rili na ɔpreshɔn fɔ gɛt glaukoma?

Okay, fɔs lɛ wi ɔndastand wetin na glaukoma. Fɔ tɔk am simpul wan, glaukoma na wan jɔnaral wɔd fɔ wan grup we de pwɛl di optik nerve , di men nerve we de kɛr mɛsej frɔm wi yay to di bren. di men tin we kin mek dis apin na we di prεshכn de go כp insay di yay (Itraocular Pressure).

Imajin se wi yay tan lɛk bɔl we ful-ɔp wit wata. wan spɛshal wata we dɛn kɔl ‘Aqueous Humor’ de mek ɛn kɔmɔt insay di yay ɔltɛm. Dis na wetin de mek di yay gɛt wɛlbɔdi. Bɔt pan glaukoma, di chanɛl dɛn we dis wata de pas kin blok, we kin mek di wata gɛda insay di yay ɛn i kin mek di prɛshɔn go ɔp. biכs fכ dis prεshכn we de go כp, di optik nεv we wi mεnshכn de kכmprεs εn sכmtεm i de bigin fכ pwεl.

So, tu men gol dɛn de fɔ ɔpreshɔn fɔ glaukoma:

1. Fɔ mek i izi fɔ mek di wata kɔmɔt na di wata: Dis kin min fɔ klin di drenaj sistɛm we dɔn blok (trabecular meshwork) ɔ fɔ mek nyu rod fɔ mek di wata kɔmɔt izi wan.

2. fכ ridyus di wata we de kכmכt: fכ ridyus di wata we de kכmכt insay di yay.

If dɛn yuz ɛni wan pan dɛn tu we ya, di ɔpreshɔn op fɔ kɔntrol di prɛshɔn we de insay di yay ɛn mek di optik nɛv nɔ pwɛl mɔ.

Us kayn ɔpreshɔn fɔ glaukoma de?

Dɛn kin sheb di ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt glaukoma to tu men grup dɛn. Wan na di ɔpreshɔn we dɛn kin du wit lɛsa , we dɛn kin du na di dɔktɔ in ɔfis (ɔfis prosidur). Di ɔda wan na ɔpreshɔn we dɛn kin du fɔ kɔt pɔsin, we dɛn kin du na ɔpreshɔn rum. Yu dɔktɔ go disayd us kayn ɔpreshɔn we go fayn fɔ yu bay bɔku tin dɛn lɛk di kayn glaukoma we yu gɛt, aw di sik bad, ɛn aw yu yay tan.

Naw lɛ wi luk ɛni wan pan dɛn kayn dɛn ya wan bay wan.

1. Laser Surgeries - Natin fɔ fred, simpul we fɔ du am

Bɔku tɛm, dɛn ɔpreshɔn ya na di fɔs ɔpreshɔn dɛn we dɛn kin se fɔ du, dɛn kin rili simpul ɛn dɛn kin dɔn am insay sɔm minit.

• Laser Trabeculoplasty: Dis na di kɔmɔn laser ɔpreshɔn fɔ glaukoma. I de yuz laser layt fɔ pul di blɔk dɛn we de na di drenaj sistɛm na di yay. Tu kayn dɛn de.
• ALT (Argon Laser Trabeculoplasty): Dis na wan we we dɔn ol smɔl.
• SLT (Selective Laser Trabeculoplasty): Dis na di nyu we ɛn we dɛn kin yuz mɔ. Insay dis, di laser bim de mɔ target, so i nɔ de pwɛl di yay. Dɔn bak, dɛn kin du dis ɔpreshɔn bak if nid de. Dis na tritmɛnt we rili fayn fɔ bɔku pipul dɛn we gɛt ‘open-angle glaucoma’ .

• Laser Peripheral Iridotomy (LPI): Dɛn kin du dis fɔ pipul dɛn we gɛt klos-angle glaukoma . Lɛsa kin mek wan rili smɔl ol na di pat we gɛt kɔlɔ na di yay, we na di ayris. dis de mek di wata we de insay di yay fכ fכlכ fri wan insted fכ pul na wan say. Sɔntɛnde, dɛn kin du dis ɔpreshɔn bak fɔ mek dɛn nɔ gɛt glaukoma pan pipul dɛn we de pan denja fɔ gɛt am.

• Sayklofotokoaguleshכn (CPC): dis involv fכ tכk di ciliary bכdi we de prodyuz di akyu hכmכr wit wan lεzεr bim fכ ridyus di prodakshכn fכ di fכs. Dɛn kin du dis fɔ pipul dɛm wae gɛt mɔr siriɔs glaukoma wae nɔr dɔn du ɔda tritmɛnt.

2. Insisional Surgeries - Di we aw dɛn kin du am na ɔpreshɔn rum

If laser tritmɛnt nɔ ebul fɔ kɔntrol di sik, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn lɛk dis. Dɛn kin du dɛn tin ya na wan ples usay dɛn kin du ɔpreshɔn.

• Trabeculectomy: Dis na di men ɔpreshɔn we dɛn kin du trade trade. Na ya, di dɔktɔ we de du di ɔpreshɔn kin kɔt smɔl pat na di wayt pat na di yay (sclera), i kin pul wan pat pan di drenaj sistɛm, ɛn mek nyu rod fɔ mek di wata kɔmɔt. Dis kin rili ɛp fɔ ridyus di prɛshɔn we de insay di yay.

• Tube Shunt: Dis na ɔda we. na ya, dεn kin put wan sכm sכm tכb we rili tכn insay di yay fכ pul di wata we de insay di yay. Dis na fayn we bak we dɛn kin yuz fɔ gɛt siriɔs glaukoma.

• Minimally Invasive Glaucoma Surgery (MIGS): Dis na di laytst teknɔlɔji fɔ dis wok. Dɛn kin du dis ɔpreshɔn tru wan rili smɔl say we dɛn kɔt we dɛn de yuz rili smɔl inschrumɛnt dɛn ɛn implant dɛn. Dis kin mek i nɔ kin te fɔ wɛl ɛn i nɔ kin gɛt bɔku prɔblɛm dɛn. Bɔku tɛm, dɛn kin du MIGS di sem tɛm we dɛn kin du ɔpreshɔn pan katarakt. Dis kin bεst fɔ pipul dɛm wae de na di fɔs stej fɔ de sik.

Aw yu fɔ rɛdi bifo dɛn du yu ɔpreshɔn?

We yu gɛt di de we dɛn go du di ɔpreshɔn, di dɔktɔ go mit yu bifo dɛn du di ɔpreshɔn. Da tɛm de, dɛn tin ya kin apin:

• Ay ɛgzam: Dɛn go chɛk yu yay gud gud wan ɛn dɛn go du sɔm tɛst dɛn we yu nid.
• Tɔk bɔt wetin yu de op fɔ: Ɛksplen wetin fɔ ɛkspɛkt ɛn wetin fɔ du afta dɛn dɔn du yu ɔpreshɔn.
• Wɛlbɔdi istri: Aks bɔt ɔda sik dɛm wae yu gɛt ɛn de mɛrɛsin wae yu de tek (especially blood thinners ).

Apat frɔm dat, dɛn go gi yu wan list fɔ di tin dɛn we yu fɔ du bifo dɛn du di ɔpreshɔn. Dis kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt in jɛnɛral, na dɛn tin ya fɔ du.

Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?

We dɛn de du di ɔpreshɔn

Wetin go apin go difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu dɔn du.

• Laser ɔpreshɔn: Bɔku tɛm dɛn kin du dis na di ay dɔktɔ in ɔfis. Dɛn go aks yu fɔ sidɔm na chia, dɛn go put yu yay drɔp we de mek yu nɔ fil fayn. Dɔn dɛn go put spɛshal lens na yu yay ɛn dɛn go yuz di lɛsa fɔ trit am. Dis go jɔs tek sɔm minit dɛn. Yu nɔ go fil ɛni pen.
• ‘Kɔt’ ɔpreshɔn (Trabeculectomy, Tube Shunt, MIGS): Dɛn kin du dɛn tin ya na ɔpreshɔn rum. Dɛn kin gi yu IV sɛdɛshɔn ɔ jenɛral anestezi, so yu nɔ go fil ɛni pen. Dɛn ɔpreshɔn dɛn ya kin tek frɔm 30 minit to wan awa .

Afta di ɔpreshɔn

Afta di ɔpreshɔn, di dɔktɔ go chɛk yu yay prɛshɔn.

• Afta yu dɔn ɔpreshɔn yu wit lɛsa, yu kin go na os insay sɔm awa.
• Afta dɛn dɔn du di ɔpreshɔn na di ɔpreshɔn rum, yu go nid pɔsin fɔ go wit yu. Dɛn kin gi yu wan ay pat.
• Di tɛm fɔ wɛl kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn du. Afta yu dɔn ɔpreshɔn yu wit lɛsa, yu kin bigin fɔ du tin dɛn we yu nɔ bin de du insay wan de. Bɔt afta dɛn dɔn du ‘incision’ ɔpreshɔn, dɛn go aks yu fɔ avɔyd fɔ es ebi ebi ɛn bɛn fɔ sɔm wiks.
• Dɛn go gi yu sɔm ay drɔp fɔ put insay yu yay. Dɛn tin ya na fɔ mek yu nɔ gɛt di sik ɛn fɔ mek i wɛl kwik kwik wan. I rili impɔtant fɔ put dɛn ay drɔp ya insay jɔs lɛk aw dɛn tɛl yu, di rayt tɛm.
• Dɛn go aks yu fɔ kam fɔ fala-ap apɔntinmɛnt insay di de ɛn wik afta di ɔpreshɔn. I impɔtant fɔ kip dɛn apɔntin dɛn ya.

If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.

We yu go na os afta dɛn dɔn ɔpreshɔn yu, i impɔtant fɔ no ɛnitin we go mek yu gɛt prɔblɛm kwik kwik wan. If yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .

• If yu gɛt siriɔs pen na yu yay we yu nɔ go ebul fɔ bia .
• If yu yay go dɔŋ wantɛm wantɛm ɔ i nɔ de si fayn.
• If di yay dɛn kin rili rɛd ɛn kray.
• If yu gɛt nɔys ɔ vɔmit.

Dis nɔ kin apin bɔku tɛm, bɔt if i apin, i kin bi sayn fɔ infɛkshɔn ɔ ɔda prɔblɛm ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan.