Aw yu yay valyu to yu? Na rili sɔntin we pɔsin nɔ go ebul fɔ put insay wɔd dɛn. Sayt na wan pan di valyu tin dɛn we wi gɛt fɔ si di fayn fayn tin dɛn we de na dis wɔl. Bɔt sɔntɛnde, sik dɛn kin de we kin ambɔg wi yay sikrit wan ɛn nɔ gɛt ɛni big sayn. Wan pan dɛn kayn ɛnimi ya we nɔ de tɔk na "Glaucoma". Bɔrku pipul kin frayd wae dɛn yɛri dis nem, ɛn dɛn kin gɛt bɔrku frayd ɛn dawt bak bɔt di tɛst dɛm wae dɛn kin du fɔ dis. So tide, lɛ wi tɔk bɔt us tɛst dɛn kin du fɔ no if pɔsin gɛt glaukoma kwik, i kin at, ɛn wi fɔ fred?
Wetin rili na glaukoma?
Fɔ tɔk am simpul wan, glaukoma na wan jɛnɛral wɔd fɔ wan grup pan di yay sik dɛn we de pwɛl di optik nerve , di men nerve we de kɛr mɛsej frɔm di yay to di bren. Tink bɔt yu yay lɛk kamɛra, ɛn di optik nɛv na di kebul we de kɔmɔt na da kamɛra de to di bren. If dis kebul dɔn pwɛl, di pikchɔ dɛn nɔ kin rich na di bren fayn, ɛn na da tɛm de yu nɔ kin si bɛtɛ igen.
di men rizin fכ dis na biכs di prεshכn insay di yay hכy pas nכmal. Fluid kin gɛda insay di yay, ɛn i nid fɔ dreyn. If sɔntin ambɔg dis drenaj, di prɛshɔn we de insay di yay de go ɔp. dis prεshכn we de go כp na in de pwεl di dilik optik nεv. As tɛm de go, dis damej kin bɔku ɛn ivin mek i nɔ ebul fɔ si am igen.
Udat de pan big risk fɔ gɛt dis?
Pan ɔl we glaukoma kin afɛkt ɛnibɔdi, sɔm pipul dɛn kin gɛt mɔ prɔblɛm. Si if ɛni wan pan dɛn tin ya apin to yu.
- If pɔsin na yu famili gɛt am: If yu mama, papa, ɔ brɔda ɛn sista dɛn gɛt glaukoma, yu risk fɔ gɛt dis sik kin rili bɔku.
- If yu dɔn pas 40 ia: Dis risk kin bɔku wit yu ej.
- Ɔda sik dɛn: Pipul dɛn we gɛt dayabitis ɛn ay blɔd prɛshɔn kin gɛt bɔku chans fɔ gɛt glaukoma.
- Ay injury: If yu bin dɔn gɛt injuri na yu yay bifo ɔ yu bin dɔn du kɔmpleks ɔpreshɔn pan yu yay.
- Sɔm mɛrɛsin dɛn: Fɔ di wan dɛn we de yuz kɔtikosterɔyd mɛrɛsin (e.g. prednisone) fɔ lɔng tɛm.
- Ɔda prɔblɛm dɛn we kin apin na dɛn yay: Pipul dɛn we nɔ kin si fa kin gɛt sɔm kayn glaukoma.
Ustɛm a fɔ gɛt glaukoma tɛst?
Bɔku tɛm, glaukoma nɔ kin gɛt ɛni sayn we i bigin fɔ si, na dat mek dɛn kin kɔl am di "saylent enemy that steal sight." Bɔt sɔntɛnde, dɛn sayn ya kin apin.
- Blaynd spat dɛn we pɔsin de si.
- Blɔri vishɔn.
- Fɔ fil pen ɔ prɛshɔn na yu yay.
- Ed de at.
- Fɔ si rawnd tin dɛn lɛk renbo we yu de luk layt.
- Di yay dɛn we de rɛd.
- Tanel vishɔn.
If yu gɛt ɛni wan pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ we de mɛn yu yay wantɛm wantɛm ɛn mek dɛn chɛk yu yay.
Ivin if yu nɔ gɛt di sik, if yu gɛt tin dɛn we kin mek yu gɛt glaukoma, di bɛst tin we yu go du na fɔ kɔntinyu fɔ chɛk yu yay.
In jɛnɛral, di schedule we dɛn kin se fɔ di wan dɛn we de pan denja na dis:
- 40-54 ia: wan tɛm ɛvri 1-3 ia.
- 55-64 ia: wan tɛm ɛvri 1-2 ia.
- 65 ia ɔ pas dat: Ɛvri 6-12 mɔnt.
Aw dɛn tɛst ya kin wok? Lɛ wi luk dɛn wan bay wan.
Bɔku tɛst dɛn de fɔ chɛk if yu gɛt glaukoma. Yu dɔktɔ kin du wan ɔ mɔ pan dɛn tin ya. Di bɛst pat na dat bɔku pan dɛn tɛst ya kin apin kwik, nɔ kin mek pɔsin fil pen , ɛn nɔ kin ambɔg pɔsin. Lɛ wi tek wan luk pan di men tɛst dɛn.
1. Fכ egzamin di ‘angle’ insay di yay (Angle exam / Gonioscopy) .
dis de luk di angle we di klia pat pan yu yay (di kכnia) εn di kכla pat pan yu yay (di ayris) de mit. di wata we de fכm insay yu yay de fכlכ tru dis angle. Dis tɛst de chɛk fɔ si if i smɔl ɔ i dɔn blok. If i blok, i kin bi sayn fɔ glaukoma.
- Aw dɛn kin du am: Di dɔktɔ go fɔs put sɔm ay drɔp fɔ mek yu yay nɔ gɛt bɛtɛ trɛnk. Dɔn, dɛn go put spɛshal lens na yu kɔnia smɔl smɔl ɛn chɛk di angul.
2. Kכnia tik mεzhɔmεnt (Kכnia tik mεzhɔmεnt / Pachymetry) .
Di tik we yu kɔnia tik kin ɛp bak fɔ gi yu sɔm aidia bɔt yu risk fɔ gɛt glaukoma. If yu kɔnia tan pas aw i fɔ bi, yu risk go bɔku smɔl.
- Aw dɛn kin du am: Dis kin min fɔ put ay drɔp fɔ mek di yay nɔ gɛt bɛtɛ trɛnk. Dɔn, dɛn kin yuz wan rili smɔl inschrumɛnt (probe) fɔ tɔch di say we di yay de jisnɔ ɛn mɛzhɔ di tik we i tik.
3. Dilayt ay ɛgzam
Dis na tɛst we rili impɔtant. I de mek di dɔktɔ si klia wan di optik nɛv ɛn di retina we de insay yu yay.
- Aw dɛn kin du am: Dɛn kin yuz ay drɔp fɔ mek di pupil big. Dɔn, we dɛn de yuz spɛshal layt ɛn magnifying glas, dɛn kin tek tɛm luk di kɔlɔ, saiz, shep, ɛn di blɔd vesel dɛn na di optik nɛv. Dis kin ɛp fɔ no if di nerve dɔn pwɛl.
4. Ay prɛshɔn chɛk / Tonometry
Wan pan di men sayn dɛm fɔ glaukoma na we di prɛshɔn de go ɔp insay di yay. Dis tɛst de mɛzhɔ da prɛshɔn de.
- Aw fɔ du am:di yay de numb bay we dεn de put di yay dכp dεm εn dεn de yuz sכm instrכmεnt fכ tכch di yay sכfayz jכnt fכ mכsu di prεshכn. Dis nɔ de mek pɔsin fil pen. Bɔt, i impɔtant fɔ mek yu kɔntinyu fɔ rilaks ɛn stil.
5. Optik nɛv imej
dis na tεst we dεn de yuz di kכt εj tεknכlכji we de tek rili klia, ditayl pikchכ dεm fכ di optik nεv εn di rεtina.
- Aw dɛn kin du am: Dɛn kɔl di skan we dɛn kin yuz mɔ Optical Coherence Tomography (OCT) . Na wetin yu fɔ du na fɔ put yu chin pan di chin rɛst na di mashin ɛn luk insay wan lens. Dɛn nɔ de injekt natin na yu yay. Insay sɔm minit dɛn, dɛn kin tek wan pikchɔ we tan lɛk map fɔ ɔl di layers dɛn we de insay yu yay.
6. Visual fild tɛst
Insay glaukoma, di fɔs tin we kin pwɛl na di periferik vishɔn. Dis tɛst de luk fɔ dak ples, ɔ say dɛn we dak, ɛnisay na yu say we yu de si.
- Aw fɔ du am: We yu de luk sɔntin wit wan yay we yu lɔk, dɛn kin aks yu fɔ si if yu kin si layt sayn dɛn we de kɔmɔt rawnd yu. Sɔntɛnde, dɛn kin yuz spɛshal mashin fɔ dis.
Afta di tɛst dɛn ɛn bɔt di rizɔlt dɛn
Afta di tɛst, mɔ if dɛn dɔn gi yu mɛrɛsin fɔ mek yu kɔnia big, yu nɔ go ebul fɔ si fayn fɔ sɔm awa . Yu kin si bak we gɛt blu tin we yu de na layt.
So, i bɛtɛ lɛ yu nɔ drayv di de we dɛn de du di tɛst ɛn mek sɔmbɔdi drayv yu go na os. Dɔn bak, if yu kam wit sanglas, dat go rili mek yu yay fil fayn.
Di bɛst pat na dat bɔku pan di rizɔlt dɛn fɔ dɛn tɛst ya kin de wantɛm wantɛm . Yu dɔktɔ go ɛksplen to yu di tin dɛn we go apin.
| Nem fɔ di tɛst | Wetin kin bi wan tin we nɔ kɔmɔn? |
|---|---|
| Gonioskopi we dɛn kin du | di angul we di wata de kכmכt na di yay we de sכmtεm sכmtεm sכmtεm dεn de sכmtεm sכmtεm dεn de sכmtεm sכmtεm dεn de sכmtεm sכmtεm dεn de sכmtεm. |
| Tik we di kɔnia de tik (Pachymetry) . | di kכnia tכn pas nכmal (dis na risk fכs). |
| Prɛshɔn fɔ di yay (Tonometry) . | di yay prεshכn we pas 22 mmHg (milimita mεkkyuri). |
| Optik nɛv imej | di optik nerve dכn swel כ i gεt abnכmal shep. |
| Visual fild tɛst | di prεsεns fכ blaynd spat dεm na sכm εria dεm na di vishכnal fil. |
Wetin fɔ du if di rizɔlt sho se yu gɛt glaukoma?
If dɛn no se yu gɛt glaukoma, nɔ panik. If dɛn no am kwik, fayn tritmɛnt dɛn de tide we go ɛp fɔ kɔntrol ɛn stɔp di damej we yu de si we glaukoma kin mek yu si . Yu dɔktɔ go tɛl yu di tritmɛnt we go fayn fɔ yu.
Dɛn kin tɔk bɔt dɛn tritmɛnt ya:
- Mɛrɛsin: Dɛn kin gi yu yay drɔp ɔ yu kin gi yu pils fɔ mek yu yay prɛshɔn go dɔŋ.
- Laser tritmɛnt: Laser tritmɛnt we de ɛp di wata we de na di yay fɔ dreyn izi wan.
- Ɔpreshɔn: Fɔ mek smɔl say fɔ pul di wata we pasmak na di yay ɔ fɔ put smɔl tiub insay di yay fɔ pul di wata.
Di tin we impɔtant pas ɔl na fɔ kɔntinyu fɔ tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu fɔ tek am ɛn fɔ go fɔ chɛk-ap fɔ fala yu di tɛm we yu dɔn sɛtul.
Mɛsej we dɛn kin kɛr go na os
- Glaukoma na sik wae de mek pɔrsin nɔr de si sayn ɛn nɔr kin si ɛni sayn wae i bigin. Na dat mek i rili impɔtant fɔ du ɛgzam fɔ yu yay ɔltɛm .
- Nɔ fred fɔ du glaukoma tɛst. Bɔku pan dɛn nɔ kin fil pen, dɛn kin kwik, ɛn dɛn nɔ kin gɛt prɔblɛm.
- If yu dɔn pas 40 ia, yu famili gɛt glaukoma, ɔ yu gɛt tin dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, mek shɔ se yu de chɛk yu yay ɔltɛm .
- If dɛn no di sik kwik kwik wan, dɛn kin ebul fɔ kɔntrol di we aw pɔsin de si am fayn fayn wan. So nɔ ɛva skip yu ay ɛgzam.
- If yu gɛt ɛni prɔblɛm wit yu yay, go to yu dɔktɔ wantɛm wantɛm.
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