Yu dɔktɔ dɔn tɛl yu se yu yay prɛshɔn ay, yu gɛt glaukoma, ɛn yu go nid ɔpreshɔn? Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri we yu yɛri dɛn wɔd ya. Wi ɔl kin gɛt smɔl mɔ sɛnsitiv we i kam pan wi yay. Bɔt nɔ fred. Mɛdikal sayɛns dɔn rili go bifo dɛn tɛm ya. Tide wi go tɔk bɔt wetin na glaukoma ɔpreshɔn, aw dɛn kin du am, ɛn if yu fɔ fred dɛn.
Wetin na glaukoma? Wetin kin apin afta dɛn dɔn du di ɔpreshɔn?
Fɔ tɔk am simpul wan, glaukoma na wan sik we de pwɛl di optik nɛv, we de kɔnɛkt wi yay to wi bren. Di men tin we kin mek dis apin na we di prɛshɔn we de insay di yay de bɔku.
Imajin, wan wata we dɛn kɔl ‘Aqueous humor’ de kɔmɔt ɔltɛm insay wi yay, ɛn i de flɔ bak kɔmɔt na di yay. Dis tan lɛk wata tank we de ful-ɔp wit wata, bɔt wata de kɔmɔt na di ɔda say. if ɛnitin de we de ambɔg di wata we de kɔmɔt na dis wata, di wata de gɛda insay di yay ɛn di prɛshɔn de go ɔp. dis prεshכn we de go כp na in de pwεl di dilik optik nεv.
Tu men gol dɛn de fɔ ɔpreshɔn fɔ glaukoma:
1. fכ mek nyu rod fכ di wata we de kכmכt insay di yay fכ drein izi wan.
2. If nɔto dat, fɔ ridyus di wata we de kɔmɔt insay di yay.
Di gol fɔ ɔpreshɔn, we dɛn yuz ɛni wan pan dɛn tu we ya, na fɔ ridyus di prɛshɔn na di yay ɛn fɔ mek di optik nɛv nɔ pwɛl mɔ.
Wetin na di men kayn ɔpreshɔn fɔ glaukoma?
Dɛn kin sheb di ɔpreshɔn fɔ glaukoma to tu men kategori: ɔpreshɔn we dɛn kin du wit lɛsa ɛn ɔpreshɔn we dɛn kin kɔt. Di dɔktɔ we de mɛn yu yay go disayd us we fɔ du am fayn fɔ yu, i go dipen pan di sik we yu gɛt.
| Di kayn ɔpreshɔn we dɛn kin du | Wan shɔt diskripshɔn |
|---|---|
| 1. Laser Surgeries - Dɛn kin du am na di dɔktɔ in ɔfis | |
| Laser Trabekuloplasti we dɛn kin du | Wan we we dɛn kin du mɔ. lεzεr layt de dayrekt to di trabekul mεshwok, we de filta di wata we de insay di yay, we de pul di blכk dεm εn fכ mek di wata fכ fכlכ izi. |
| Laser Pɛriferal Iridotomi (LPI) . | di lεzεr de mek wan rili sכmכl ol na di ayris, di kכla pat pan di yay, fכ mek i izi fכ muv di wata. |
| Sayklɔfotokɔagulɛshɔn (CPC) . | di laser de dayrekt di pat pan di yay we de mek wata (ciliary body), we de ridyus di prodakshכn fכ wata. |
| 2. Insisional Surgeries - Dɛn kin du am na ɔpreshɔn rum | |
| Trabekulɛktɔmi we dɛn kin du | Wan tradishɔnal we fɔ du tin. sכm sכm opin na di wayt pat na di yay (sclera) fכ mek nyu rod fכ mek wata kכmכt. |
| Tube Shunt we dɛn kin yuz | wan rili sכm sכm tכb (shunt) dεn de put insay di yay fכ drεn di wata. |
| MIGS (Minimally Invasive Glaukoma Ɔpreshɔn) . | Di laytst teknɔlɔji. Dɛn bin de du ɔpreshɔn dɛn we dɛn bin de yuz rili smɔl inschrumɛnt dɛn ɛn tru smɔl smɔl say dɛn we dɛn kɔt. Fɔ wɛl kwik kwik wan. |
Smɔl mɔ bɔt laser ɔpreshɔn
Laser ɔpreshɔn na tin we nɔ kin mek pɔsin fil pen ɛn bɔku tɛm dɛn kin dɔn am insay sɔm minit. di nyu fכm fכ lεzεr trabekuloplasti na SLT (Selective Laser Trabeculoplasty). Dɛn kin ripit dis if nid de. Sɔntɛnde dɛn kin se na di fɔs tritmɛnt fɔ glaukoma. Di LPI prosidur na in dɛn kin yuz mɔ fɔ klos-angle glaukoma.
Smɔl mɔ bɔt incisional ɔpreshɔn
Dɛn kin du dɛn tin ya we dɛn nɔ kin ebul fɔ kɔntrol glaukoma wit lɛsa tritmɛnt ɔ mɛrɛsin. Bɔt wit di laytst we, `MIGS` (Minimally Invasive Glaucoma Surgery), bɔku tin dɔn chenj. Insay dis, di say dɛn we dɛn kɔt kin rili smɔl, di tɛm we dɛn kin mɛn kin shɔt, ɛn di prɔblɛm dɛn kin smɔl. Bɔku tɛm, dɛn kin du `MIGS` ɔpreshɔn di sem tɛm we dɛn kin du katarakt ɔpreshɔn.
Aw yu kin rɛdi fɔ ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn, di dɔktɔ go mit yu ɛn ɛksplen ɔltin. Da tɛm de:
- Dɛn go chɛk yu yay gud gud wan ɛn dɛn go du di tɛst dɛn we yu nid.
- Dɛn go tɔk bɔt wetin yu go ɛkspɛkt frɔm di ɔpreshɔn.
- Dɛn go aks bɔt yu wɛl bɔdi histri ɛn di mɛrɛsin dɛm wae yu de tek (especially blood thinners).
Bɔku tɛm dɛn go gi yu sɔm tin dɛn bifo dɛn du di ɔpreshɔn, lɛk:
- Dɛn go aks yu fɔ stɔp fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan (e.g., aspirin, NSAID) fɔ sɔm dez.
- If dɛn de anestez yu, dɛn go aks yu fɔ arenj fɔ mek pɔsin drayv yu bikɔs yu nɔ ebul fɔ drayv motoka .
- Dɛn go tɛl yu ustɛm yu nid fɔ fast bifo dɛn du yu ɔpreshɔn.
- Dɛn kin gi klia instrɔkshɔn bɔt us mɛrɛsin fɔ tek ɛn wetin nɔ fɔ tek di de bifo dɛn du di ɔpreshɔn.
Nɔ fred fɔ aks di dɔktɔ ɛni kwɛstyɔn we yu gɛt. I go rili ɛp yu fɔ no ɔltin klia wan.
Wetin kin apin afta di ɔpreshɔn? A go fil ɛni pen?
Yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn bikɔs yu yay go swɛ. Afta di ɔpreshɔn, yu kin fil smɔl pen ɔ nɔ kin fil fayn na yu yay. Di dɔktɔ go gi yu pen kil ɛn ay drɔp fɔ ɛp wit dis.
Di tɛm fɔ wɛl kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin gɛt.
- Afta yu dɔn ɔpreshɔn yu wit lɛsa, sɔntɛm yu kin bigin fɔ du tin dɛn we yu nɔ bin de du insay wan ɔ tu dez.
- Afta dɛn dɔn du di ɔpreshɔn wit say we dɛn kɔt, yu nid fɔ tek tɛm fɔ sɔm tɛm. Yu go nid fɔ avɔyd fɔ es ebi ebi tin dɛn, put wata na yu yay, ɔ fɔ rɔb yu yay fɔ wan ɔ tu wik, ɔ sɔntɛm fɔ wan mɔnt.
Di dɔktɔ go tɛl yu we yu nid fɔ kam bak fɔ fala-ap apɔntinmɛnt. Mek shɔ se yu go na dɛn apɔntin dɛn de. Na da tɛm de dɛn kin chɛk tin dɛn lɛk ay prɛshɔn ɛn aw pɔsin kin wɛl.
Ustɛm a fɔ kɔl di dɔktɔ?
We yu go na os afta dɛn dɔn du yu ɔpreshɔn, i impɔtant fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu fil ɛnitin we nɔ kɔmɔn. If yu gɛt ɛni wan pan dɛn sayn ya, nɔ de te.
- If yu gɛt pen we yu nɔ go ebul fɔ bia ɛn we yu de fil bad bad wan .
- If yu fil lɛk se yu vishɔn de go wantɛm wantɛm ɔ de blɔk.
- If di yay rili rɛd, wata de kɔmɔt ɔ di mכkus de bɔku.
If dis apin, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) .
Mɛsej we dɛn kin kɛr go na os
- Di men gol fɔ ɔpreshɔn fɔ glaukoma na fɔ ridyus di prɛshɔn na yu yay ɛn protɛkt yu yay frɔm ɔda damej.
- Difrɛn we dɛn de, lɛk lɛsa, ɔpreshɔn we dɛn kin kɔt pɔsin, ɛn MIGS. Yu dɔktɔ go pik di we we go fayn fɔ yu.
- Bɔku tɛm, dɛn ɔpreshɔn ya kin bi sef ɔpreshɔn, ɛn bɔku tɛm, yu kin go na os di sem de.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di ɔpreshɔn rili impɔtant fɔ mek i wɛl kwik kwik wan.
- Fil fri fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt yu ɔpreshɔn ɔ di sik we yu gɛt. Fɔ ɔndastand klia wan na di bɛst mɛrɛsin.
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