Yu dɔn ɛva go na ay dɔktɔ ɛn dɛn tɛl yu se, "Di prɛshɔn na yu yay tan lɛk se i ay smɔl, lɛ wi du smɔl tɛst"? Ɔ yu kin fred smɔl bikɔs sɔmbɔdi na yu famili gɛt glaukoma? Tide wi go tɔk bɔt wan rili impɔtant bɔt rili simpul tɛst we dɛn kin du na dɛn kayn tɛm ya. Dat na di Gonioscopy tɛst. Pan ɔl we di nem kɔmplikt smɔl, i rili simpul ɛn i nɔ de mek pɔsin fil pen.
Wetin na Gonioscopy simpul wan?
Fɔ tɔk am simpul wan, Gonioscopy na tɛst we nɔ de ambɔg yu yay we yu yay dɔktɔ kin du. I de basically chɛk if di fluid drenage system insay yu yay de wok fayn fayn wan. I tan lɛk se yu de chɛk if dreyn dɔn lɔk na yu os. If dis sistɛm nɔ de wok fayn, di prɛshɔn we de insay di yay kin go ɔp, we kin mek pɔsin gɛt siriɔs sik lɛk glaukoma . So dis tɛst kin rili ɛp fɔ no dɛn kayn tin ya kwik kwik wan.
Us sityueshɔn dɛn kin du dis tɛst?
Bɔku rizin dɛn de we mek yu dɔktɔ kin tɛl yu fɔ du dis tɛst. Glaukoma na sik we di prɛshɔn insay di yay (intraocular pressure) de go ɔp, we kin mek di optik nɛv pwɛl, we kin mek i nɔ de si smɔl smɔl. So, dɛn kin du dis tɛst ɛnitɛm we ɛni saspek we gɛt fɔ du wit am.
Dis tɛst kin du mɔ:
- No di kayn glaukoma: Tu men kayn glaukoma de. Dɛn tin ya na angle-closure glaucoma ɛn opin-angle glaucoma. Gonioscopy impɔtant fɔ no ustɛm yu gɛt.
- No ɔda sik dɛn we pɔsin kin gɛt: Dis kin ɛp bak fɔ pul ɔda tin dɛn we kin mek pɔsin gɛt sayn dɛn we fiba glaukoma, lɛk pseudoexfoliation syndrome.
- Tumɔs ɔ kansa insay di yay: Dɛn kin du dis tɛst bak fɔ kɔnfɔm if pɔsin we dɛn tink se gɛt tumbu ɔ kansa na di ayris (di pat we gɛt kɔlɔ na di yay).
Mɛmba se if di yay prɛshɔn de ɔp fɔ lɔng tɛm, i kin mek di yay pwɛl sote go ɛn i kin ivin mek i nɔ ebul fɔ si igen. Na dat mek tɛst dɛn lɛk dis rili impɔtant.
Aw dis Gonioscopy tɛst de wok?
Di sayɛns we de biɛn dis rili simpul. Imajin se yu want fɔ si sɔntin we de na di ɔda kɔna na wan rum. Wetin yu de du? Yu ol wan miro ɔp ɛn luk insay de, nɔto so? Dat na di sem simpul we we dɛn yuz ya.
insay wi yay, bihain di kכnia (di transparent pat we de bifo di yay) εn bifo di ayris, wan chεmba de we fulכp wit wata. Dɛn kɔl dis di antɛriɔ chɛmba .di wata we de insay dis chεmba (aqueous humor) de prodyuz εn drein כltεm. dis wata de drayn kכmכt na wan spεs we dεn kכl "drainage angle," usay di ayris εn di wayt pat pan di yay (sclera) de mit.
Di spɛshal lens we dɛn kin yuz fɔ gonioscopy kin yuz magnifying glas ɔ miro fɔ mek di dɔktɔ si di drenaj angle dairekt wan. Dis kin mek di dɔktɔ si if i smɔl, i dɔn blok, ɔ i gɛt wɛlbɔdi.
Wetin na di kayn Gonioscopy lens dɛm?
Tu men kayn lens dɛn de we dɛn kin yuz fɔ dis tɛst. I fayn fɔ no us kayn tɛst yu de du.
| Di kayn lens we dɛn kin yuz | Aw i de wok | Di say we dɛn kin yuz bɔku tɛm |
|---|---|---|
| Indaykt Gonioskopi we dɛn kɔl | Dis lens gɛt miro dɛn. Di layt kin nak dɛn miro dɛn de ɛn i kin riflɛsɛ, ɛn dis kin mek di dɔktɔ si da angul de. | Na di ɔfis we de mɛn di yay. Dis na di we aw dɛn kin yuz mɔ. |
| Dairekt Gonioskopi | Dis lens nɔ gɛt miro. Bifo dat, i de mek di layt big, ɛn dis de mek di dɔktɔ si di angul we di wata de kɔmɔt dairekt wan. | Bɔku tɛm dɛn kin du dis na di ɔpreshɔn rum, wit ɔda ɔpreshɔn. |
A nid fɔ rɛdi bifo di tɛst?
Bɔku tɛm, yu nɔ nid ɛni spɛshal pripia. Dis na tɛst we dɛn kin du ɛnitɛm.
Bɔt wan tin de: If yu wɛr kɔntakt lens, mek shɔ se yu aks yu dɔktɔ if yu nid fɔ stɔp fɔ wɛr am sɔm dez bifo di tɛst.
If dɛn de du dis tɛst wit ɔpreshɔn, yu dɔktɔ go gi yu patikyula tin dɛn bɔt aw fɔ rɛdi fɔ am.
Wetin kin apin we dɛn de du di tɛst?
Lɛ wi tɔk bɔt Indaykt Gonioscopy, we yu go mɔs gɛt fɔ du. I kin fil lɛk pat pan wan rɛgyula ay ɛgzam (slit lamp ɛgzam).
1. Ay numbing: Fɔs, di dɔktɔ go put sɔm numbing drop dɛn na yu yay. Dis go mek yu yay nɔ gɛt bɛtɛ trɛnk. So yu nɔ go fil ɛni pen ɔ diskɔmfɔt.
2. Fɔ pripia di lens: Dɔn, dɛn kin tek tɛm put di smɔl lens oba yu yay. Dɛn kin put wet drɔp dɛn na di lens fɔ mek di briz nɔ bɔbul bitwin di lens ɛn yu yay ɛn fɔ mek i izi fɔ muv rawnd.
3. Egzamin: Naw yu don si di dokta de yuz mashin wit big lait, slit lamp, fo egzamin yu ai. I go luk insay yu yay tru da lens de. Na dis tɛm, dɛn go aks yu fɔ luk stret bifo, ɔ di dɔktɔ go aks yu fɔ luk na wan say (ɔp, dɔŋ, lɛft, rayt).
4. Dynamic Gonioscopy: Sɔntɛnde, di dɔktɔ go rili slo fɔ push di lens na yu yay. Dɛn kɔl dis dinamik goniɔskɔpi . Nɔ fred, dis na fɔ chɛk fɔ ɛni adheshon (synechiae) na di ayris.
5. Ɛnd: Di tɛst go dɔn insay sɔm minit. Dɔn dɛn go pul di lens. Yu kin gɛt sɔm kayn kray wata, we na nɔmal tin.
Dis tɛst kin inklud ɔ nɔ kin inklud dilating mɛrɛsin. Na di dɔktɔ kin disayd dis.
Ɛni risk ɔ sayd ɛfɛkt de fɔ dis?
Di gud nyus na dat di Gonioscopy test insɛf nɔ gɛt ɛni risk ɔ sayd ɛfɛkt.
Bɔt bikɔs dɛn kin yuz ay drɔp fɔ mek di yay nɔ gɛt bɛtɛ trɛnk ɛn sɔntɛm fɔ mek di yay big , yu kin gɛt sɔm tin dɛn we nɔ kin izi fɔ yu fɔ sɔm tɛm, lɛk we yu nɔ kin si fayn fɔ sɔm awa. Yu dɔktɔ go ɛksplen dis to yu.
If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?
Di bɛst tin bɔt dis na dat di dɔktɔ kin tɛl yu di rizɔlt jɔs afta di tɛst dɔn.
If yu si wan narrowed drenage angle, dat min se yu de pan risk fɔ gɛt glaukoma. Dɔn yu dɔktɔ go tɔk bɔt di tritmɛnt we yu nid (ay drɔp, tritmɛnt wit lɛsa, ɔ ɔpreshɔn).
Bɔt sɔntɛnde di angul usay dis wata de flɔ kin lɔk ɔl. Dɛn kɔl dis angle-closure glaucoma . Dis na mɛdikal imejensi bikɔs i kin mek pɔsin nɔ ebul fɔ si wantɛm wantɛm. If yu si dis, yu dɔktɔ go rifer yu fɔ tritmɛnt wantɛm wantɛm.
Ustɛm a fɔ go to dɔktɔ?
Glaukoma na sik wae kin kam wae de kam kwayɛt wan, wae nɔr kin sho ɛni sayn wae i bigin. So, i rili impɔtant fɔ mek dɛn de chɛk yu yay ɔltɛm. I fayn fɔ mek dɛn chɛk yu yay wan tɛm insay di ia, mɔ if yu de pan dɛn grup ya we gɛt prɔblɛm:
- If yu dɔn pas 40 ia
- If pɔsin na di famili gɛt glaukoma
- If yu gɛt dayabitis (Type 2 diabetes) .
- If yu gɛt ay prɛshɔn (ocular hypertension) .
- If yu de yuz kɔtikosterɔyd fɔ lɔng tɛm
- If yu gɛt prɔblɛm wit yu yay we kin rili afɛkt yu yay, lɛk fɔ si nia ɔ fɔ si fa
| Di sayn we de sho se di sik de | Wetin fɔ du |
|---|---|
| Tɔk to yu dɔktɔ. | |
| Di yay dɛn we de rɛd | If yu gɛt wan ɔ mɔ pan dɛn sayn ya, go to yu yay dɔktɔ kwik kwik wan. |
| Ed we de at, nɔs, ɛn vɔmit | |
| Fɔ si ring dɛn we tan lɛk renbo we yu de luk layt | |
| Ridyus vishɔn (tanɛl vishɔn) ɔ nyu dak spat | |
| Ay pen ɔ prɛshɔn (dis kin apin we di prɛshɔn tu ay) . | |
| Go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. | |
| Wantɛm we yu nɔ de si ɔ yu nɔ de si fayn | Dɛn tin ya kin bi rili siriɔs sayn dɛm. Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) we yu nɔ go delay. |
| Wantɛm, bad bad yay pen (espɛshali wit ed we de at ɛn nɔs) . | |
Mɛsej we dɛn kin kɛr go na os
- Gonioscopy na tɛst we nɔ de mek pɔsin fil pen, we simpul, ɛn we nɔ gɛt wan prɔblɛm, we dɛn kin yuz fɔ no sik dɛn lɛk glaukoma.
- Dis tɛst kin tek sɔm minit nɔmɔ .
- Yu dɔktɔ kin tɛl yu bɔt di rizɔlt jɔs afta di tɛst dɔn.
- Fɔ chɛk yu yay ɔltɛm rili impɔtant fɔ protɛkt yu yay.
- Wantɛm we yu nɔ de si ɔ yu yay kin at bad bad wan na tin we pɔsin kin du fɔ mɛn pipul dɛn. If na so i bi, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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