Yu dɔn ɛva stɔp fɔ tink bɔt aw yu yay rili valyu? Pan ɔl we wi yay na wi winda fɔ di wɔl, sɔntɛnde, siriɔs tin kin afɛkt dɛn kwayɛt wan. Wan pan dɛn kayn tin ya na glaukoma. Pan ɔl we i kin tan lɛk se i de mek yu fred, if yu ɔndastand am kwik, dat kin mek difrɛns na di wɔl fɔ protɛkt yu yay.
Fɔ tɔk am simpul wan, glaukoma na wan grup we gɛt di sik dɛn we de apin na yu yay usay di prɛshɔn we de insay yu yay de go ɔp smɔl smɔl, ɛn i de pwɛl di dilik strɔkchɔ dɛn we de biɛn di yay, mɔ di optik nɛv. Tink bɔt am lɛk taya we ful-ɔp pasmak—we di prɛshɔn we de insay de tu ay, i kin pwɛl. Glɔkoma kin bigin smɔl smɔl, ɛn as tɛm de go i kin wɔs smɔl smɔl . If dɛn nɔ de manej am, i kin mek i nɔ de si fayn ɔltɛm ɛn if i bad, i kin mek i blaynd. Infakt, glaukoma na di sɛkɔn tin we kin mek pipul dɛn blaynd ɔlsay na di wɔl.
Fɔ gɛt glaukoma diagnosis ɔ yɛri se yu de pan denja kin fil bad. Wi kin abop pan wi yay fɔ klos to ɔl wetin wi de du, ɛn fɔ tink bɔt fɔ lɔs am kin mek wi fred. Bɔt di bɛst nyus na dat, bɔku pan di kayn glaukoma dɛn kin trit, mɔ we dɛn no am kwik kwik wan. If yu gɛt di rayt mɛdikal kia ɛn yu de wach yu ɔltɛm, yu kin slo ɔ ivin mek yu nɔ ebul fɔ si fayn ɔltɛm.
Wetin na di sayn dɛm fɔ glaukoma, ɛn aw yu go si am?
We di fɔs tɛm, glaukoma nɔ kin sho ɛni sayn atɔl . I de akt lɛk tifman we nɔ de tɔk natin we de si. Dis na di rizin wae mek bɔrku pipul nɔr no se dɛn gɛt am te big big damej dɔn ɔlrɛdi apin.
Sayn dɛn we dɛn kin si bɔku tɛm:
Pan ɔl we bɔku tɛm yu kin sɛt mɔt, kip yu yay pan dɛn tin ya we kin sho se yu want fɔ du sɔntin:
- Wan filin wae de fil pen ɔr de prɛs yu yay
- Ɛd we de at
- Ay rɛdnɛs
- Dabl vishɔn (diplopia) .
- Di vishɔn we nɔ klia
- Smɔl smɔl di we aw pɔsin de si tin kin go dɔŋ
- divεlכp blaynd spat (scotomas) כ di filin fכ "tכnel vishכn," usay yu pεriferal sight de rεstrikt. Fɔ ɛgzampul, yu go notis se sɔm pat pan wɔd dɛn nɔ de we yu de rid, ɔ yu go fil lɛk se yu nɔ go ebul fɔ si klia wan na ɛni say we yu de waka.
Simptom dɛm wae nid fɔ gɛt atɛnshɔn kwik kwik wan!
Sɔm kayn we, lɛk angle-closure glaucoma, kin mek yu gɛt sɔm kayn bad bad sik dɛn wantɛm wantɛm. If dɛn kayn tin ya apin, go to dɔktɔ wantɛm wantɛm na di imejensi dipatmɛnt we de nia yu fɔ mek yu nɔ blaynd fɔ ɔltɛm. Imejɛnsi sayn dɛn na:
- Blɔd we de gɛda bifo di ayris (hyphema) .
- di yay dεm we big כ di bכdi (buphthalmos, mכtalman we dεn kin si pan pikin dεm) .
- Ay pen we de kam wit nɔs ɛn vɔmit
- Fɔ si renbo kɔlɔ halo dɛn rawnd layt, lɛk we yu de drayv na nɛt
- Wan we di flota dɛn bigin ɔ bɔku wantɛm wantɛm (smɔl dak say dɛn ɔ shep dɛn we tan lɛk trɛd) .
- Ɛnitin we pɔsin nɔ ebul fɔ si wantɛm wantɛm, we i nɔ ebul fɔ ɛksplen
- Layt we de flash wantɛm wantɛm na di say we yu de si ( photopsias ) .
Wetin mek glaukoma kin apin?
Di men tin we kin mek pɔsin gɛt glaukoma na we di optik nerve , we de wok lɛk di impɔtant kebul we de transmit di tin dɛn we pɔsin kin si frɔm yu yay to yu bren. Pan ɔl we dis kin apin sɔm tɛm dɛn we nɔ gɛt klia rizin, di tin we kin mek pɔsin gɛt dis sik pas ɔl na di ay prɛshɔn we de insay di yay .
Wi yay dɛn kin mek wan wata we dɛn kɔl aqueous humor fɔ gi di tisu dɛn tin fɔ it. insay hεlty yay, dis wata de drεn tru wan mεsh lεk sistεm we dεn kכl di trabekulכr mεshwok. Tink bɔt am lɛk wata tank we gɛt drenaj paip; if di paip blok, di wata de go ɔp. Insay glaukoma, di drenaj chanɛl dɛn kin ambɔg ɔ nɔ kin mek di wata we de flɔ, we kin mek i gɛda insay di yay, we kin mek di prɛshɔn go ɔp ɛn leta i kin pwɛl di optik nɛv.
Yu tink se difrɛn kayn glaukoma de?
Yɛs, bɔku pan dɛn de, bɔt bɔku tɛm dɛn kin sheb dɛn lɛk dis:
- Praymari opin-angle glaukoma: Dis na di kayn we we dɛn kin gɛt mɔ. I kin apin we di drenaj angle stil opin, bɔt di mɛsh wok kin klos smɔl smɔl, we tan lɛk we sink dreyn ful-ɔp wit dɔti. Bikɔs i kin go bifo kwik kwik wan, bɔku tɛm i nɔ kin sho ɛni sayn we i bigin.
- Praymari angle-closure glaucoma: Dis kin apin we dɛn push di ayris fɔ go bifo, we de smɔl ɔ blok di drenaj angle kɔmplit wan. di lens na di yay kin shift fכ go bifo, we kin mek wata nכ pas. Bɔrku tɛm dis kin bi wan wan, imejensi kɔndishɔn wae kin gɛt siriɔs pen na yu yay ɛn rɛd rɛd.
- Sεkɔndari glaukoma: Dis kin apin bikɔs ɔf ɔda ɔndalayn tin dɛm, lɛk fyzikal ay injuri, pigmentary dispersion syndrome, inflammatory conditions lɛk uveitis, yus fɔ sɔm patikyula mɛrɛsin dɛm fɔ lɔng tɛm (lɛk kɔtikosterɔyd), ɔr kɔmplikeshɔn dɛm afta dɛn du ɔpreshɔn.
- Glaukoma we dɛn bɔn wit: Dis kayn kin de frɔm we dɛn bɔn am bikɔs ɔf di divɛlɔpmɛnt anomaly (lɛk aniridia, Marfan syndrome, ɔ congenital rubella syndrome). If yu notis se yu pikin in yay dɛn de luk big pasmak, i de wata ɔltɛm, ɔ i tan lɛk se i de fil lɛk se i de shayn, go to dɔktɔ wantɛm wantɛm.
Wetin na di tin dɛn we kin mek pɔsin gɛt glaukoma?
Bɔku tin dɛn de we kin mek pɔsin gɛt glaukoma. Lɛ wi luk wetin na dɛn tin dɛn de:
- Ej: Bɔrku kayn glaukoma kin afɛkt di wan dɛm wae pas 40 ia (congenital glaucoma na di praymar ɛksɛpshɔn fɔ dis). Di masta sabi pipul dɛm se lɛk 10% pan pipul dɛm wae dɔn pas 75 ia gɛt glaukoma. Dis min se as yu de ol, i kin impɔtant mɔ ɛn mɔ fɔ wach bɔt yu yay wɛlbɔdi.
- Etnik/Ɛritij: Pipul dɛn we kɔmɔt na Afrika, mɔ di wan dɛn we kɔmɔt na Afrika-Karibian, kin gɛt bɔku bɔku prɔblɛm fɔ gɛt praymari opin-angle glaukoma. Apat frɔm dat, di wan dɛn we kɔmɔt na Eshia ɛn Inuit kin gɛt mɔ sik we dɛn kɔl angle-closure glaucoma.
- Jɛnda: Uman dɛn kin gɛt ay risk fɔ gɛt angle-closure glaucoma. di masta sabi pipul dεm biliv se dis na fכs fכ difrεns we di jεnda spεsifi k pan di ay strכkchכ.
- Refractive Errors: If yu gɛt myopia (nearsightedness), yu de pan big risk fɔ gɛt opin-angle glaucoma. Di ɔda we, if yu gɛt hyperopia (fasightedness), yu de pan ay risk fɔ gɛt angle-closure glaucoma.
- Famili Istri: If pɔsin na yu famili—espɛshali yu mama ɔ papa, yu pikin, ɔ yu brɔda ɛn sista—dɔn gɛt glaukoma, yu kin gɛt mɔ prɔblɛm. Jɔs lɛk tin dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, dis kin gɛt sɔntin we de mek pɔsin gɛt jɛnɛtiks. Sɔm kayn sɛkɔndari glaukoma kin kɔmɔt bak frɔm dɛn mama ɛn papa.
- Krεse sik dεm: Risach dεn sho se pipul dεm wae gεt krεse sik lεk haypatεnshכn εn dayabεtis kin gεt hεvi risk fכ gεt glaukoma. Fɔ manej dɛn kɔndishɔn ya fayn fayn wan impɔtant fɔ protɛkt yu vishɔn.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt glaukoma?
Tink bɔt wetin go apin if yu nɔ ebul fɔ kɔntrol di prɛshɔn we de insay yu yay. If yu nɔ gɛt tritmɛnt, glaukoma kin pwɛl yu retina ɛn optik nɛv, ɛn leta i kin mek yu nɔ ebul fɔ wok igen.Dis na di rizin we mek di praymar kɔmplikeshɔn fɔ glaukoma na we pɔsin nɔ de si fayn, we kin go bifo te i blaynd ɔl.
Di las tin we kin apin, we spɛshal pipul dɛn kin kɔl am absɔlɔb glaukoma, kin mek di yay we gɛt di sik, blaynd ɔltogɛda. Di yay kin fil bak we yu tɔch am, ɛn sɔntɛnde i kin gɛt bɔku pen.
Aw dɛn kin no if pɔsin gɛt glaukoma?
Wan dɔktɔ we de mɛn di yay kin no if pɔsin gɛt glaukoma bay we i du wan kɔmplit ay ɛgzam. Infakt, bɔku tɛm dɛn ɛgzam dɛn ya kin no if yu gɛt glaukoma bifo yu notis ɛni sayn ɛn bifo big big damej apin. We dɛn de du bɔku pan dɛn tɛst ya, yu dɔktɔ go yuz drɔp fɔ mek yu yay big (mydriasis), we de mek dɛn ebul fɔ si klia wan insay yu yay.
Di kɔmɔn tɛst dɛn we dɛn kin du fɔ no di sik na:
- Visual acuity testing: Fɔ chɛk aw yu kin si fayn fayn wan na difrɛn distans.
- Visual field testing: Evaluate yu periferi vishɔn ɛn di rεnj fɔ si.
- Dip persepshɔn tɛst.
- Tonometry: Fɔ mɛzhɔ di prɛshɔn we de insay yu yay. Dis kin yuz wan pɔf ɔf briz ɔ spɛshal inschrumɛnt we de mek di yay kɔntakt saful wan.
- Pachymetry: Fɔ mɛzhɔ di tik we yu kɔnia tik, we na di klia frɔnt pat na yu yay.
- Slit lamp exam: Yuz spɛshal maykroskɔp fɔ chɛk di strɔkchɔ dɛn na yu yay ditayli.
- Gonioscopy: Yuz spɛshal lens fɔ inspɛkt di drenaj angle na yu yay.
If yu dɔktɔ tink se yu retina ɔ optik nɛv dɔn pwɛl, dɛn kin tɛl yu fɔ tek advans ay imej, lɛk:
- optik kohεrens tכmografi (OCT): I de skan di dilik layεr dεm na di yay, patikyular di tik we di optik nεv fayb dεm tik.
- Fluorescein angiography: Na tɛst fɔ chɛk di blɔd vesel dɛn na yu yay.
- Ultrasound imej we dɛn kin yuz.
- Insay di kayn tin dɛn we nɔ kin apin so ɔltɛm: Dɛn kin du CT skan ɔ MRI skan.
Wetin na di tritmɛnt fɔ glaukoma?
We yu de trit glaukoma, di men gol na fɔ ridyus yu intraocular prɛshɔn fɔ mek di sik nɔ go bifo. Bɔku men tritmɛnt dɛn de:
- Di mɛrɛsin dɛn: Dɛn kin gi dɛn mɛrɛsin ya fɔ mek di yay prɛshɔn go dɔŋ. If yu gɛt ɔkulɔr haypatɛyshɔn, dɛn mɛrɛsin ya kin ɛp fɔ mek yu nɔ gɛt glaukoma ɔ fɔ stɔp fɔ pwɛl mɔ. Dɛn kin gi dɛn bay we dɛn de yuz ay drɔp ɔ mɛrɛsin we dɛn kin tek bay mɔt. I rili impɔtant fɔ mek yu yuz dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Glaukoma ɔpreshɔn: Dɛn prɔsidyu ya de aim fɔ mek i izi fɔ mek di wata we de na di wata kɔmɔt fɔ mek di yay prɛshɔn go dɔŋ. Di tin dɛn we yu kin pik na trabeculectomy (fɔ mek nyu drenaj path), tyub shunt (insay wan smɔl drenaj tiub), laser tɛrapi (yuz lɛsa fɔ klia di blɔk), ɛn minimally invasive glaucoma surgery (MIGS).
Yu tritmɛnt plan go bi fɔ yusɛf bay di kayn glaukoma we yu gɛt ɛn aw i dɔn pwɛl. Yu ɔftalmolɔg na yu bɛst patna fɔ pik di strateji we go wok fayn fɔ yu patikyula nid dɛn.
Wetin na de lukin-grɔn fɔ liv wit glaukoma?
Glaukoma we dɛn nɔ trit, i nɔ go ebul fɔ avɔyd fɔ mek i nɔ de si fayn ɔltɛm ɛn i kin blaynd. Bɔt if yu gɛt di rayt tritmɛnt, bɔku tɛm yu kin slo ɔ stɔp di sik fɔ go bifo. Bikɔs ɛvri pasɛnt in kes na in yon, yu fɔ tɔk bɔt yu patikyula prɔgnosis ɛn manejmɛnt plan wit yu ɔftalmɔlɔjis na Nirogi Lanka.
Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt glaukoma?
Bɔt i sɔri fɔ no se, dɛn nɔ kin ebul fɔ avɔyd glaukoma ɔltɛm. Bɔt if yu no am kwik kwik wan ɛn trit yu, dat kin ɛp fɔ kɔntrol yu yay prɛshɔn ɛn fɔ mek yu nɔ si ɔ delay bad bad wan. Di men tin dɛn we yu kin du na:
- Fɔ chɛk yu yay ɔltɛm: Dɛn tin ya kin no se di yay prɛshɔn dɔn go ɔp bifo di sik sho.We yu dɔn pas 40 ia, mɔ if yu famili dɔn gɛt glaukoma, dɛn kin rili advays yu fɔ du yu yay ɛgzam ɛvri ia.
- Managing ocular hypertension: If yu yay prɛshɔn ay pas aw i fɔ bi, fala yu dɔktɔ in advays strikt wan fɔ protɛkt yu yay.
- Kɔntrol di risk factor dɛm: Fɔ manej krɛse sik lɛk haypatɛnshɔn ɛn dayabitis na impɔtant tin. Apat frɔm dat, yuz aywe we de protɛkt yu ɔltɛm fɔ mek yu nɔ wund yu yay.
If yu gɛt ay pen wantɛm wantɛm ɔ yu nɔ de si fayn, duya go na di imejensi dipatmɛnt we de nia yu wantɛm wantɛm.
If a gɛt glaukoma, aw a go ɛp misɛf?
If dɛn dɔn no se yu gɛt glaukoma, di wangren bɛst tin we yu go du na fɔ fala yu ɔftalmolɔg in instrɔkshɔn dɛn strikt wan bɔt aw fɔ trit yu ɛn aw fɔ mɛn di sik. Dɛn kin tɛl yu fɔ chenj sɔm patikyula tin dɛn to yu layf ɔ di abit dɛn we yu gɛt. Dɛn advays ya kin bi:
- Nɔr ɛva ignore nyu symptom ɔr chenj na yu vishɔn.
- Fɔ mek yu gɛt wɛlbɔdi bɔdi wet.
- Fɔ de du tin wit yu bɔdi (bɔt, aks yu dɔktɔ ɔltɛm us ɛgzampul fɔ avɔyd , bikɔs sɔm tin dɛn lɛk invayt yoga pozishɔn kin mek yu gɛt mɔ prɛshɔn na yu yay).
- Atɛnd ɔl di fɔlɔp apɔntinmɛnt dɛn lɛk aw yu spɛshal pɔsin dɔn tɛl yu.
Apat frɔm dat, if yu notis nyu sayn dɛn, fil se yu tritmɛnt nɔ de wok igen, ɔ yu gɛt sɔm bad bad tin dɛn we de ambɔg yu ɛvride, duya kɔntak yu dɔktɔ wantɛm wantɛm.
Ustɛm a fɔ go to dɔktɔ?
Sɔm kayn glaukoma, lɛk angle-closure glaucoma, kin go bifo kwik kwik wan. Fɔ mek yu nɔ ebul fɔ si sote go, yu nid fɔ du dɔktɔ wantɛm wantɛm . Go to imejensi kia kwik kwik wan if yu si se dɛn sik ya bigin wantɛm wantɛm ɔ yu de wɔs:
- Bɔrku ay pen ɔr prɛshɔn
- Intɛns ed pen
- Dabl vishɔn (diplopia) ɔ blurred vishɔn
- Nɔs ɛn vɔmit we de akɔmpan ay pen/prɛshɔn
- Fɔ si ring dɛn we gɛt kɔlɔ (halos) rawnd layt dɛn
- I nɔ de si tin wantɛm wantɛm pan ɛni we
- We yu si layt we de shayn
- Wantɛm wantɛm ɔ di wan dɛn we de flɔt kin bɔku (myodesopsias) .
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ we de mɛn mi yay?
I go fayn fɔ aks yu dɔktɔ we de mɛn yu yay dɛn kwɛstyɔn ya:
- Us kayn glaukoma a gɛt?
- Wetin na di men tin we kin mek a gɛt glaukoma?
- Wetin na di tritmɛnt dɛn we a kin pik, ɛn uswan yu kin advays?
- Wetin na di sayd ɛfɛkt ɔ kɔmplikeshɔn dɛm wae kin kam wit di tritmɛnt(dɛn)?
- Us patikyula sayn ɔ chenj dɛn fɔ mek a kɔl yu ɔfis ɔ go fɛn kia kwik kwik wan?
Nɔ shem fɔ aks dɛn kwɛstyɔn ya. Di mɔ yu ɔndastand yu sik, na di mɔ yu go ebul fɔ sɔpɔt yu tritmɛnt plan ɛn protɛkt yu prɛshɔ yay.
Fɔ bɔku pan wi, di we aw wi de si tin na wan pan di tin dɛn we wi kin si we rili impɔtant. Na kɔmplit nɔmal tin fɔ fil wɔri ɔr wɔri bɔt di pɔsibiliti fɔ lɛ yu nɔ si fayn bikɔs ɔf wan sik lɛk glaukoma. Di gud nyus na dat, glaukoma na wan sik we dɛn kin trit bad bad wan we dɛn no am kwik kwik wan. Di kwik we yu no di sik ɛn bigin fɔ trit am, na di mɔ yu go gɛt chans fɔ mek i nɔ go bifo. Pan ɔl we dɛn nɔ kin ebul fɔ chenj di sik ɔltɛm, bɔku tɛm di tritmɛnt kin mek pɔsin nɔ ebul fɔ si bad bad wan fɔ bɔku ia, ɔ ivin fɔ lɔng lɔng tɛm.
Mɛsej we dɛn kin kɛr go na os
Fɔ tɔk smɔl bɔt wetin wi dɔn tɔk bɔt bɔt glaukoma, mɛmba dɛn impɔtant tin ya:
- Glaukoma kin bi "saylent" tifman: I kin prɛzɛnt wit nɔ simptom na di fɔs stej. I rili impɔtant fɔ chɛk yu yay ɔltɛm, mɔ if yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm.
- Fɔ no kwik kwik wan na yu bɛst difens: We dɛn no am kwik, di tritmɛnt kin rili kɔntrol di prɔgrɛs we yu de si we yu de si.
- Yu fɔ no bɔt di tin dɛn we kin mek yu gɛt dis sik: If yu gɛt famili histri, yu dɔn pas 40 ia, ɔ yu gɛt tin dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, yu fɔ tek tɛm pasmak.
- I impɔtant fɔ fala di advays dɛn we di dɔktɔ gi yu strikt wan: If dɛn no se yu gɛt glaukoma, i rili impɔtant fɔ fala yu dɔktɔ in mɛrɛsin ɛn kia plan di rayt we.
- Nɔ ignore di imejensi simptom dɛm: If yu si yu yay pen wantɛm wantɛm, yu nɔ de si fayn, ɔ yu gɛt halos rawnd layt, go to dɔktɔ wantɛm wantɛm to imejensi dipatmɛnt ɔ yu spɛshal pɔsin.
Mɛmba se yu yay valyu. Fɔ protɛkt dɛn na wok we yu gɛt. Stay gɛt pawa, no, ɛn proactive—yu kin liv ful layf ɛn yu kin ebul fɔ manej glaukoma fayn fayn wan wit di sɔpɔt fɔ Nirogi Lanka.
Ki wɔd dɛm: Glaukoma, intraokular prɛshɔn, yay sik, yay lɔs, blayndnɛs, optik nɛv, ay ɛgzamin
