Yu dɔn ɛva yɛri di wɔd dɛn ‘hay ay prɛshɔn’ ɔ ‘glaukoma’? Sɔntɛm sɔmbɔdi na yu famili gɛt dis sik. I rili de mek wi fred smɔl, bikɔs di ay prɛshɔn kin mek wi gɛt damej fɔ ɔltɛm. Bɔt nɔ wɔri, di mɛrɛsin tide dɔn rili advans. Wan pan di tritmɛnt dɛn we go wok ɛn we nɔ bad fɔ dis na ɔpreshɔn we dɛn kɔl goniotomy. Lɛ wi si wetin i bi, aw dɛn kin du am, ɛn wetin na di bɛnifit dɛn we i kin gɛt .
Fɔ tɔk am simpul wan, wetin na goniotomy?
Goniotomy na spɛshal ɔpreshɔn we dɛn kin du fɔ ridyus di prɛshɔn we de insay di yay . I de pan wan kategori we dɛn kɔl Microinvasive Glaucoma Surgery (MIGS) . "Maykroinvayv" min ɔpreshɔn we dɛn du we dɛn yuz rili smɔl, dilik inschrumɛnt dɛn ɛn we nɔ mek bɔku damej pan di yay.
Aqueous humor de prodyuz ɔltɛm ɛn drɛyn frɔm wi yay. If dɛn nɔ pul dis wata fayn, di prɛshɔn we de insay di yay de go ɔp. Dis na wetin wi kin kɔl glaukoma. Goniotomy ɔpreshɔn de opin di rod we da wata de de flɔ ɛn i de ridyus di prɛshɔn. Dis kin mek di optik nɛv we glaukoma kin mek nɔ pwɛl ɛn i kin protɛkt wi yay.
Di impɔtant tin na dat dis ɔpreshɔn kin jɔs stɔp mɔ damej . I nɔ go ebul fɔ rivɛns di damej we dɔn ɔlrɛdi apin. Na dat mek i impɔtant fɔ no ɛn trit di sik kwik kwik wan.
Udat dɛn go mɔs gɛt dis ɔpreshɔn?
Trade, dɛn bin de du di ɔpreshɔn we dɛn kɔl goniotomy mɔ pan yɔŋ pikin dɛn we gɛt glaukoma we dɛn bɔn wit . Bɔt bikɔs di tin dɛn we dɛn dɔn lan bɔt tɛknɔlɔji dɔn go bifo, naw dɛn de yuz am fayn fayn wan fɔ difrɛn kayn glaukoma sik dɛn we big pipul dɛn gɛt.
Yu ɔftalmolɔg go chɛk yu ɛn disayd if dis ɔpreshɔn fit fɔ yu kayn ɛn kɔndishɔn we yu gɛt glaukoma.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu ay ɔspitul dɔktɔ go ɛksplen ɔltin to yu bifo di ɔpreshɔn. Bɔku tɛm, dɛn go tɔk bɔt dɛn tin ya:
- Di mɛrɛsin dɛn we yu de tek: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn). Sɔm mɛrɛsin dɛn (espɛshali di wan dɛn we de mek blɔd tan) kin nid fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn.
- Anestesia: Dɛn kin yuz anestezi fɔ mek pɔsin nɔ fil pen we dɛn de du di ɔpreshɔn. Yu kin jɔs de numb na yu yay, ɔ dɛn kin anestez yu ɔl. Di dɔktɔ we de anestez go ɛksplen dis to yu.
- Fastin we yu de fast:Dɛn go aks yu fɔ lɛf fɔ it ɔ drink fɔ lɛk 8 awa bifo dɛn du di ɔpreshɔn. Yu go gɛt fɔ stɔp bak fɔ drink wata lɛk wata 2 awa bifo. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
Aw dɛn kin du di ɔpreshɔn
Dis ɔpreshɔn nɔ big lɛk aw yu go tink. Bɔku tɛm, i kin tek lɛk 15 minit so fɔ dɔn.
1. Anestezi: Fɔs, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil pen.
2. Smɔl say we dɛn kɔt: Dɔn di dɔktɔ we de mɛn di yay kin kɔt wan rili smɔl say, we lɔng lɛk wan milimita, na di kɔnia na yu yay.
3. Spɛshal inschrumɛnt dɛn: Dɛn kin put wan rili fayn inschrumɛnt insay di yay tru di say we dɛn kɔt am. along wit dis, dεn kin put wan spεshal lens (Gonioscopic lens) oba di yay. Dis lens de mek di dɔktɔ ebul fɔ si di fayn fayn tin dɛn we de insay di yay klia wan ɛn mek i big.
4. Di men wok: Naw di tin we impɔtant pas ɔl. wan pat de we lεk mεsh insay di yay we de filta wata, we dεn kכl di trabecular meshwork . We yu gɛt glaukoma, dis mɛsh nɔ de wok fayn. Wetin di dɔktɔ de du na fɔ yuz wan fayn fayn inschrumɛnt fɔ mek sɔm smɔl smɔl kɔt dɛn na dis mɛsh. dis de mek nyu rod fכ fכ fכlכ wata, εn di prεshכn na di yay de dכn.
5. Ɛnd: We di wok dɔn, dɛn kin pul di ikwipmɛnt ɛn put smɔl ay shild fɔ protɛkt di yay.
Di tɛm we dɛn dɔn du di ɔpreshɔn afta dɛn dɔn du di ɔpreshɔn ɛn di tɛm we dɛn kin wɛl
Afta di ɔpreshɔn, dɛn go de wach yu fɔ sɔm tɛm ɛn afta dat dɛn go alaw yu fɔ go na os. Bikɔs yu nɔ ebul fɔ drayv, yu go nid pɔsin fɔ drayv yu go na os.
Di dɔktɔ go gi yu sɔm ay drɔp fɔ put na yu yay. Yu go nid fɔ yuz antibayɔtik fɔ sɔm dez ɛn anti-inflammatory mɛrɛsin fɔ sɔm wiks.
Na nɔmal tin fɔ mek yu gɛt sɔm kray wata, yu nɔ de si fayn, ɛn yu go fil lɛk yu yay insay di fɔs dez. Dɛn tin ya go dɔn insay sɔm dez.
Mɛmba dɛn tin ya we yu de wɛl
| Tin dɛn we yu nɔ fɔ du (AVOID) . | Tin dɛn fɔ du (DO) . |
|---|---|
| Fɔ kech di yay, fɔ krɔs am. | Wash yu an fayn fayn wan bifo yu put di mɛrɛsin. |
| Yuz ɛni kayn ay mek-ap. | Tek yu mɛrɛsin di rayt tɛm lɛk aw di dɔktɔ tɛl yu. |
| Bend fɔ go bifo, nil dɔŋ na grɔn. | If yu gɛt prɔblɛm fɔ si layt, wɛr sanglas. |
| Fɔ es di wet dɛn. | Go fɔ chɛk-ap fɔ fala di de dɛn we dɛn dɔn sɛtul. |
| Ɛksesaiz, rɔn, swim. | Tek tɛm wit yu yay we yu de was ɛn was yu fes. |
Risk ɛn prɔblɛm dɛn de we kin apin?
Siriɔs kɔmplikeshɔn dɛn we kin kam frɔm goniotomy nɔ kin bɔku . Jɔs lɛk ɛni ɔpreshɔn pan yu yay, smɔl risk de fɔ mek yu gɛt infɛkshɔn ɔ pen.
Ɔda patikyula prɔblɛm dɛn, bɔt smɔl smɔl prɔblɛm dɛn kin bi:
- Smɔl blɔd we de kɔmɔt insay di yay (dis kin wɛl fɔ insɛf insay wan ɔ tu wiks).
- Fɔ sɔm tɛm we di yay prɛshɔn go ɔp.
- Smɔl chenj dɛn na di vishɔn, fɔ ɛgzampul , astigmatism .
- Na sכm tεm, kכndishכn dεm lεk tu lכw ay prεshכn (hypotony) כ di rεtina dεtachmεnt kin apin.
Yu dɔktɔ go ɛksplen to yu mɔ bɔt dɛn prɔblɛm ya.
Ustɛm yu nid fɔ go to dɔktɔ we yu nid fɔ advays yu kwik kwik wan?
Afta yu dɔn du di ɔpreshɔn, if yu si dɛn sik ya, kɔl yu yay dɔktɔ wantɛm wantɛm:
- Pen we pɔsin kin ebul fɔ bia wit in yay .
- Yu nɔ de si fayn wantɛm wantɛm ɔ yu nɔ de si fayn fayn wan.
- Fɔ si halo dɛn rawnd layt dɛn.
- di yay dεm we rili rεd כ di wata we lεk pus de kכmכt na di yay.
If yu gɛt imejensi lɛk dis, go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Goniotomy na ɔpreshɔn we rili sef ɛn we kin wok fayn we dɛn kin du pan pipul dɛn we gɛt ay prɛshɔn we dɔn bɔku bikɔs dɛn gɛt glaukoma.
- Dis kin ɛp fɔ mek wata kɔmɔt na di yay, i kin mek di yay nɔ prɛshɔ, ɛn i kin mek pɔsin nɔ si mɔ.
- Di ɔpreshɔn kin rili kwik, ɛn di tɛm we pɔsin kin wɛl nɔ kin mek i fil pen.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli (lɛk fɔ tek mɛrɛsin ɛn avɔyd fɔ du ebi ebi wok) we yu de wɛl.
- I impɔtant fɔ fala di pɔsin di tɛm we dɛn dɔn plan fɔ du am. If ɛni imejensi simptom apin, go to dɔktɔ wantɛm wantɛm.
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