Blɔd de na yu yay? Mek wi lan bɔt dis hayfema!

Yu dɔn ɛva notis se yu yay ɔ pɔsin we yu sabi in yay gɛt blɔd we de gɛda insay am wantɛm wantɛm? Sɔntɛm na afta wan smɔl aksidɛnt. Dis na tin we rili de mek pɔsin fred. Tide wi go tɔk bɔt dis sik, we na wan kayn blɔd we kin gɛda insay di yay, we dɛn kɔl hyphema . Nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.

Wetin na Hyphema?

Fɔ tɔk am simpul wan, hayfema na blɔd we de insay yu yay, we de insay wan pat we dɛn kɔl di anterior chamber . dis antεriכr chεmba na di sכmכl spεs we de bifo di ayris, di blak pat we de gi yu yay in kכla. Imajin dis, bifo di pat we gɛt kɔlɔ na yu yay, ɔnda di klia mɛmbran (kɔnia) we sidɔm ɔp di wayt pat na yu yay , we tan lɛk glas.

If di blɔd smɔl, yu nɔ go ebul fɔ si am izi wan. Na wan dɔktɔ we de mɛn yu yay nɔmɔ go ebul fɔ fɛn am bay we i de yuz spɛshal tin dɛn. Bɔt if bɔku blɔd de, yu go ebul fɔ si am. Bɔku tɛm, i kin tan lɛk tu layers. Yu kin si di ol dak blɔd we de ɔnda am, ɛn di nyu layt rɛd blɔd we de ɔp.

Di tin we impɔtant pas ɔl na dat if yu notis dis kayn blɔd we de gɛda na yu yay, ɔ na pikin we yu de kia fɔ in yay, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm . Bɔt nɔr wɔri, wit tritmɛnt kwik kwik wan, bɔrku tɛm dɛn kin wɛl dis sik wit mɛrɛsin ɛn rɛst.

Aw siriɔs dis na? Aw i rili tranga?

Dɔktɔ dɛn kin klas hayfema bay di blɔd we dɔn gɛda insay di yay. Di mɔ di blɔd de bɔku, na di mɔ di sik kin siriɔs ɛn na di mɔ i kin gɛt prɔblɛm dɛn. Di klasification na dis:

• Gret 0 (maycrohyphema): Dis na wan kayn blɔd we nɔ de si lɛk layt. Bɔt, blɔd de. Sɔntɛm dɛn go nid spɛshal tin dɛn fɔ si dis.
• Gret 1: di bכdi de si insay layεr dεm, bכt lεs dan wan tכd pan di antεriכr chεmba na di yay de fulכp wit bכdi.
• Gret 2: di bכdi de sho se i layt, wit wan tכd to wan af pan di antεriכr chεmba we fulכp wit bכdi.
• Gret 3: di bכdi de sho se i layt, mכr dan af pan di antεriכr chεmba de fulכp wit blכd, bכt i nכ fulכp kכmplit.
• Gret 4 (total hyphema): insay dis kes, di antεriכr chεmba kin fulכp wit dak rεd כ blak bכdi. Sɔntɛnde dɛn kin kɔl dis "et-bɔl" hayfema. Insay dis kɔndishɔn, di risk fɔ gɛt siriɔs sik lɛk angle-closure glaucoma kin rili bɔku.

Wetin na di sayn dɛm fɔ Hyphema?

If yu gɛt hayfema, yu kin gɛt sɔm kayn sik lɛk:

• i tan lεk se bכdi dכn kכlekt bitwin di kכla pat pan yu yay (iris) εn di klia mεmbran oba di wayt na yu yay (kכnia). I tan lɛk smɔl pul we gɛt blɔd insay yu yay.
• Vishɔn kin bi blɔk ɔ distɔrj.
• Ɛspɛshali yɔŋ pikin dɛn, bɔku tɛm i kin tan lɛk se dɛn taya ɛn slip (dis kin bi sayn fɔ se dɛn dɔn wund dɛn ed, so tek tɛm).
• Vɔmit ɛn nɔs kin apin (dis min se di prɛshɔn we de insay yu yay kin denja pasmak).

Apat frɔm dɛn tin ya, yu kin si bak se di yaylid dɛn kin swel. Pan ɔl we dis nɔto sayn fɔ hayfema insɛf, i kin bi bikɔs ɔf di injury we mek di hayfema.

If yu dɔn gɛt aksidɛnt ɛn yu gɛt ɛni wan pan dɛn sayn ya, go na di imejensi rum we de nia yu wantɛm wantɛm . Mɛmba se, i rili impɔtant fɔ trit am kwik kwik wan.

Wetin kin mek dis kayn tin apin?

Hyphema kin kam mɔ pan di ay injury, sɔm ay sik dɛm, ɛn sɔm ɔda mɛrɛsin dɛm. Lɛ wi tek wan luk pan wetin dɛn bi:

• Aksidɛnt dɛn we gɛt fɔ du wit spɔt: Ɛspɛshali we smɔl bɔl dɛn (kriket bɔl, tɛnis bɔl) nak di yay. I kin apin bak pan spɔt lɛk bɔksin ɛn fɛns. Imajin, if yu bin de ple kriket ɛn bɔl we de muv fast fast nak yu yay...
• Gɔn: Denja frɔm tin dɛn lɛk ɛya gɔn, pentbɔl gɔn, pellet gɔn, ɛn BB gɔn. Dɛn tin ya rili denja.
• Kar aksidɛnt: Ivin we motoka aksidɛnt, di yay kin wund ɛn blɔd kin kɔmɔt.
• Pentrating injury: If sɔntin shap go insay di yay.
• Rikɔyl injuri: Yu fɔ tek tɛm bad bad wan we yu de yuz dɛn kayn tin ya.
• Siklɔs sik: Dis na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks.
• Ɛmofilia: Dis na prɔblɛm bak we blɔd de klɔt.
• Di sik we dɛn kɔl Von Willebrand.
• Lukimia: Na wan kayn blɔd kansa.
• Dayabitis Mɛlitɔs ɔr ɔda tin dɛn we gɛt fɔ du wit am: Fɔ ɛgzampul , rɛtinopathy we gɛt fɔ du wit dayabitis ɛn niɔvaskulayzeshɔn .
• Ay kansa: mɔ di ɔkulɔr mɛlanoma .
• Ɔpreshɔn fɔ di yay: Ɛspɛshali afta ɔpreshɔn we gɛt fɔ du wit di ayris ɛn di ciliary bɔdi .
• Dis risk de bak fɔ pipul dɛm wae de yuse sɔm mɛrɛsin dɛm wae de mek blɔd tan (anticoagulants) .

Wetin na di risk factor dɛm fɔ hyphema?

Tu men tin dɛn de we kin mek pɔsin gɛt hayfema:

• Ej: Bitwin 70% ɛn 75% pan di aksidɛntal hayfema kes dɛm kin apin pan pikin ɛn yɔŋ pipul dɛm. Di wan dɛn we ol bitwin 10 ɛn 20 ia kin gɛt di prɔblɛm pas ɔlman. Aksidɛntal hayfema kin apin mɔ pan big pipul dɛn, mɔ di wan dɛn we dɔn pas 50 ia.
• Jɛnda: Man dɛn kin gɛt ayfema bɔku bɔku wan. Masta sabi bukman dɛn se man dɛn kin gɛt am tri to fayv tɛm pas uman dɛn.

Wetin na de prɔblɛm wae kin kam wit dis sik?

di men komplikashכn dεm we kin apin wit hayfεma na:

• Ocular hypertension: Blɔd we kin gɛda na di anterior chamber na di yay kin blok di autflow of aqueous humor. Dis kin mek di prɛshɔn we de insay di yay go ɔp , we kin mek di yay gɛt ay blɔd prɛshɔn. Dis kin mek yu gɛt glaukoma kwik kwik wan , we kin mek yu blaynd fɔ ɔltɛm . Dis na tin we rili denja.
• Riblɔd: Dis na we di wund we mek di hayfema bigin fɔ blɔd bak. Dis kin apin mɔ insay 72 awa frɔm di fɔs tɛm we di blɔd kɔmɔt. Di sɛkɔn blɔd kin rili bad pas di fɔs wan. I gɛt bak bɔku bɔku risk fɔ mek yu si lɔng tɛm ɛn gɛt prɔblɛm wit yu yay. So, i rili impɔtant fɔ mek dis nɔ apin.
• di bכdi we de na di kכnia: di bכdi we de kכlekt na di antεriכr chεmba na di yay kin mek di bak layεr na di kכnia sכt. Dis kin apin mɔ pan di kes dɛm we gɛt hayfema we gɛt bɔku blɔd insay, we dɛn kɔl gred 3 ɛn 4 hayfema. Dɛn stɛyn ya kin mek yu yay tan lɛk rɛd fɔ lɔng tɛm.

Hyphema kin tranga pasmak pan pipul dɛm wae gɛt siklɛt sik (dɛn kin kɔl am bak siklɔs trayt) . Dis na bikɔs siklɔs sik kin mek di rɛd blɔd sɛl dɛn chenj shep, we kin mek dɛn stɔp na di drenaj chanɛl dɛn na di yay.

Aw fɔ no di hayfema?

Wan dɔktɔ we de mɛn yay ɔ dɔktɔ we de na di imejensi rum kin no if pɔsin gɛt hayfema wit sɔm simpul ay tɛst dɛn.

Yu dɔktɔ kin du tɛst dɛn lɛk dɛn wan ya:

• Visual acuity test: Dis na test fɔ si aw yu kin si fayn fayn wan.
• Slit lamp exam: Na wan we fɔ chɛk di yay wit spɛshal maykroskɔp.
• Gonioscopy: Fɔ chɛk di drenaj angle na di yay.
• Tonometry: Fɔ mɛzhɔ di prɛshɔn we de insay yu yay.
• Ultrasound test: Si di kɔndishɔn insay di yay.

Apat frɔm dat, yu dɔktɔ kin tɛl yu bak fɔ du blɔd tɛst fɔ chɛk fɔ si if yu gɛt sɔm prɔblɛm dɛn na yu blɔd. Dipen pan yu sayn dɛm ɛn di ɔndalayn kɔz fɔ yu sik, dɛn kin advays fɔ du ɔda tɛst dɛm. Yu dɔktɔ go tɛl yu mɔ bɔt dɛn tin ya.

Aw dɛn kin trit hayfema?

Bɔku tritmɛnt dɛn de fɔ di hayfema. Nɔn pan dɛn tritmɛnt ya nɔ go "cure" am kɔmplit wan, bɔt dɛn kin ɛp fɔ mek yu nɔ gɛt ɔ ridyus di risk fɔ siriɔs kɔmplikeshɔn.

If yu hayfema nɔr siriɔs ɛn di risk fɔ gɛt kɔmplikeshɔn nɔr bɔku, yu kin satisfay wit simpul tritmɛnt dɛm. Sɔm tritmɛnt dɛn de fɔ mek dɛn nɔ gɛt siriɔs prɔblɛm dɛn. Yu dɔktɔ kin yuz wan ɔ mɔ pan dɛn tritmɛnt ya togɛda:

• Rɛst: Te yu yay wɛl, nɔ du tin dɛn we go mek yu gɛt mɔ prɛshɔn insay yu yay. Dɔn bak, nɔ de nia tin dɛn we go mek yu yay strɛs, lɛk fɔ rid buk ɛn wach TV.
• Fɔ protɛkt yu yay: Wear ay pat ɔ ay shild. Dis go mek yu yay nɔ wund mɔ ɛn ɛp yu yay fɔ rɛst ɛn wɛl.
• Kip yu ed ɔp: We yu de slip, kip yu ed ɔp wit tu pilo. Dis kin ɛp fɔ pul ɛni blɔd we dɔn gɛda insay di yay.
• Mɛrɛsin: Mɛrɛsin wae kin ɛp bɔrku tɛm na anti-inflammatory drugs ɛn mɛrɛsin wae dɛn kin gi fɔ mek yu nɔr gɛt glaukoma. Dɔktɔ dɛn kin tɛl yu fɔ tek mɛrɛsin fɔ mek yu fil pen lɛk asetaminofɛn (e.g. Panadol®) fɔ di pen we yu gɛt na yu yay we yu gɛt hayfema. Bɔt dɛn advays se yu nɔ fɔ yuz mɛrɛsin lɛk non-steroidal anti-inflammatory drugs (NSAID) (e.g. ibuprofen , aspirin ) bikɔs dɛn kin mek yu gɛt mɔ blɔd.
• Ɔpreshɔn: Na 5% nɔmɔ pan di pipul dɛn we gɛt hayfema nid ɔpreshɔn. Bɔku tɛm, i nɔ kin nid fɔ du ɔpreshɔn pas if blɔd de kɔmɔt ɔ ɔda sayn dɛn we go mek di yay pwɛl sote go.

Aw fɔ trit na os?

If yu hayfema nɔr tranga ɛn nɔr de kɔz ɔda sayn ɔr prɔblɛm, yu kin trit am na os. Dɛn simpul tritmɛnt ya kin bi:

• Rɛst: Nɔ du tin dɛn we go mek yu gɛt mɔ prɛshɔn insay di yay te di yay wɛl.
• We yu wɛr ay pat: We yu wɛr ay pat, i kin protɛkt di yay frɔm mɔ injuri ɛn i kin ɛp bak fɔ mek di yay rɛst ɛn wɛl.
• Fɔ kip yu ed ɔp: We yu kip yu ed ɔp yu at, dat kin ɛp di blɔd we dɔn gɛda insay di yay fɔ kɔmɔt bak insay di bɔdi.

Ɔpreshɔn fɔ Hyphema

Na 5% nɔmɔ pan pipul dɛm wae gɛt hayfema nid ɔpreshɔn. If yu gɛt bad bad blɔd ɛn di prɛshɔn we de insay yu yay nɔ go dɔŋ insay 24 awa, ɔ if yu sik bad bad wan fɔ mek yu yay pwɛl fɔ ɔltɛm, yu kin nid fɔ du ɔpreshɔn.

Di dɔktɔ we de du di ɔpreshɔn kin pul di blɔd we de insay di yay ɛn mek di prɛshɔn nɔ bɔku.

Aw a kin kia fɔ misɛf?

We yu de wɛl frɔm hayfema, fala yu dɔktɔ ɔ dɔktɔ in instrɔkshɔn dɛn di rayt we. If dɛn tɛl yu fɔ wɛr ay pat, wɛr am fɔ di tɛm we dɛn dɔn tɛl yu, jɔs lɛk aw dɛn tɛl yu fɔ wɛr. Bɔku tɛm, hayfema kin wɛl fɔ insɛf insay sɔm dez.

Ivin if yu jɔs nid simpul tritmɛnt, di fɔs fayv dez afta yu gɛt hayfema rili impɔtant . Insay dis tɛm, yu yay kin gɛt ay risk fɔ wund insɛf bak, we min se i kin bigin fɔ blɔd. Dis kin mek yu gɛt siriɔs prɔblɛm dɛn, lɛk we yu nɔ de si fayn ɔltɛm. So na fɔ tek tɛm bad bad wan.

Yu tink se dɛn kin mek dɛn nɔ gɛt hayfema?

Yɛs, sɔm kayn hayfema kes dɛn kin bɔku pan dɛn kin avɔyd . Di masta sabi pipul dɛm se 90% pan di hayfema kes dɛm we kin kɔmɔt frɔm aksidɛnt we gɛt fɔ du wit spɔt, dɛn kin avɔyd am bay we dɛn wɛr aywea we de protɛkt pɔsin (lɛk mask we de protɛkt pɔsin, glas ɔ gɔgl). Dɔn bak, fɔ wɛr aywe we yu de yuz pawa tul na impɔtant we fɔ mek yu nɔ gɛt hayfema. Yuz aywe we fit fayn ɛn we mit di rayt standad. Mɛmba se glas we yu de yuz ɔltɛm nɔ de gi dis protɛkshɔn.

Bɔt sɔntɛnde, hayfema dɛn kin de we kin apin wantɛm wantɛm, we nɔ kin gɛt ɛni klia denja. No we nɔ de fɔ mek dɛn nɔ du dɛn.

Wetin na di lukin-grɔn fɔ hayfema?

Hyphema na mɛdikal imejensi bikɔs i kin mek yu gɛt prɔblɛm lɛk fɔ pwɛl yu yay fɔ ɔltɛm ɛn fɔ lɛ yu nɔ si fayn. Bɔt dɛn kin ebul fɔ avɔyd dɛn prɔblɛm dɛn ya if yu go to dɔktɔ kwik kwik wan . Bɔrku pipul dɛn kin wɛl insay lɛk fayv to sɛvin dez if dɛn kia fɔ dɛn fayn fayn wan, lɛk fɔ tek mɛrɛsin, rɛst, ɛn ɔda simpul tritmɛnt dɛn.

Ustɛm a fɔ go to mi dɔktɔ ɔ fɔ go to tritmɛnt?

Afta yu dɔn gɛt di fɔs tritmɛnt fɔ hayfema, yu fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ɔ simptom ya:

• If yu notis se nyu blɔd de gɛda bifo di ayris na yu yay.
• If yu gɛt chenj na yu yay wantɛm wantɛm ɔ yu nɔ de si fayn igen.
• If chenj de na yu pen lɛvɛl, ɔ if yu gɛt ɔda sayn dɛm lɛk fɔ nɔs ɛn vɔmit (dɛn tin ya kin sho se di prɛshɔn insay yu yay kin tu ay).

Yu dɔktɔ we de mɛn yu yay ɔ ɔda dɔktɔ kin tɛl yu us ɔda sayn dɛn we yu fɔ de wach fɔ.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin kin mek a gɛt hayfema?
• Aw siriɔs mi hayfema de?
• A go gɛt fɔ du mɔ tɛst dɛn?
• Us kayn tritmɛnt(dɛn) a go nid?
• Aw lɔng i go tek fɔ mek i wɛl?
• A fɔ kɔl di ɔfis ɔ a fɔ go na di imejensi rum? Wetin a go du if a si difrɛns?

Wetin na di difrɛns bitwin hayfema ɛn sabkɔnjɔktival ɛmoraji?

Hyphema na wan sik we blɔd kin gɛda insay yu yay ɛn gɛda na di anterior chamber na yu yay. Insay hayfema, i kin tan lɛk se di blɔd de na di say we yu yay gɛt kɔlɔ. Difrɛn frɔm dat, blɔd we de kɔmɔt na yu yay na di wayt pat na yu yay (sclera) . Hyphema kin mek yu fil pen, bɔt if yu blɔd blɔd na yu kɔnjɔkt, i nɔ kin mek yu fil pen. Bɔt dɛn tu kin apin di sem tɛm, mɔ afta aksidɛnt ɔ wund.

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

Hyphema kin bi wan tin we de mek pɔsin fred. Pan ɔl we dis sik siriɔs ɛn i impɔtant fɔ go to dɔktɔ kwik kwik wan, tritmɛnt kwik kin rili ɛp fɔ mek yu nɔ ebul fɔ si fayn ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn.

Bɔrku pipul dɛn kin jɔs nid simpul tin lɛk mɛrɛsin ɛn rɛst te dɛn yay wɛl. Yu yay dɔktɔ kin ɛksplen dis to yu mɔ ɛn gayd yu bɔt wetin yu kin du fɔ ɛp yu sik fɔ wɛl kwik kwik wan. So nɔ panik, ɛn fala yu dɔktɔ in advays.

` Hyphema, blɔd we de kɔmɔt na di yay, yay prɔblɛm, yay injury, we pɔsin nɔ de si fayn, glaukoma, ɔftalmɔlɔjis