Prɔblɛm de we blɔd de flɔ na di yay? Lɛ wi lan bɔt (Ischemic Optic Neuropathy) insay wan simpul we!

Yu dɔn ɛva fil wantɛm wantɛm se yu nɔ de si fayn ɔ i nɔ de si bɛtɛ? Sɔntɛm yu wek na mɔnin ɛn yu nɔ ebul fɔ si klia wan na wan yay? Ɔ yu bin fil wantɛm wantɛm se blak ples de bifo yu yay? If yu don expiriens somtin laik dis, no dismiss am so izi, okay? Tide wi go tɔk bɔt wan sik wae kin mek yu gɛt sɔm kayn sik lɛk dis, ɛn yu nid fɔ tek tɛm smɔl, bɔt if yu no bɔt am bifo tɛm, e kin ɛp yu fɔ kɔntrol am. dat dεn kכl am `(Ischemic Optic Neuropathy)` , dεn kכl am bak `(ION)` fכ sכt.

Yu no wetin na `(Ischemic Optic Neuropathy - ION)`?

Fɔ tɔk am simpul wan, `(Ischemic Optic Neuropathy)` na wan kɔndishɔn we di men nerve we de briŋ vishɔn to yu yay, di `(Optic Nerve),` nɔ de gɛt inof blɔd, we de mek yu nɔ de si fayn fayn wan. Imajin, wetin go apin if flawa plant na wi gadin nɔ gɛt bɛtɛ wata? I de day smɔl smɔl, nɔto so? Na so i bi wit dis. we di bכdi fכ fכlכ to sכm pat dεm na yu `(Optic Nerve)` dεn intarap, dεn pat dεm de stכp fכ wok fayn, εn leta dεn kin bigin day. if dis intarapshכn fכ di bכdi fכ fכlכ de bi siriכs כ i de te fכ lכng tεm, di `(Optic Nerve)` kin dכn pwεl fכ כltεm.

dis kכndyushכn kin apin na di sεkyul εria na di bak pat na yu yay we dεn kכl di ``Optic Disk`` na di say we di bכdi vεsul dεm εn ``Optic Nerve`` de kכnekt to di yay. Dis kכndyushכn we dεn kכl ``ION``, nכ kin bכku εn i kin afekt pipul dεm we pas 50 ia.

Yu tink se men kayn `(ION)` de?

Yes, tu men kayn `(Ischemic Optic Neuropathy)` de. Lɛ wi si wetin dɛn bi:

1. Anterior Ischemic Optic Neuropathy (AION) : Dis na di kayn ION we kכmכn pas כl. i de afekt di optik nεv we de dכn di optik disk כ di optik disk insεf.

2. `(Posterior Ischemic Optic Neuropathy - PION)` : insay dis tכp, di ifekt de apin pan wan pat pan di `(Optic Nerve)` we de sכmtεm bak.

Naw lɛ wi tɔk bɔt ɛni wan pan dɛn kayn dɛn ya smɔl mɔ.

Chenj dɛn na `(AION)`

`(AION)` bak gɛt tu sɔbtayp dɛn:

• Arteritic Anterior Ischemic Neuropathy (AAION) : Dis na inflameshn na di atεri dεm (Arteritis) . Dis kכndyushכn kin apin wit kכndyushכn lεk Vasculitis, we na inflameshn na di bכdi vεsul dεm.
• `(Nonarteritic Anterior Ischemic Neuropathy - NAION)` : insay dis, nכ inflameshn de pan di at dεm lεk aw wi bin dכn tכk. dis kin apin bכku tεm biכs di bכdi fכ fכlכ to di `(Optic Nerve)` de rεstrikt.

Mek wi lan smɔl bɔt `(PION)`

Lεk AION, PION gεt tu sכbtayp dεm, Arteritic εn Nonarteritic. Dat min se PION na atεrayt de kכz am, εn PION de kכz fכ blכd fכ fכlכ disrupshכn we nכ atεrayt.

Wetin na di sayn dɛm fɔ dis? Yu gɛt dɛn tin ya bak?

Di men sayn fɔ `(ION)` na we yu nɔ de si fayn. כltu, di we aw i de apin kin difrεn dipכnt pan di kayn `(ION)`. Semweso, ɔda sayn dɛm bak kin difrɛn difrɛn wan fɔ di kayn sik.

Di simptom dɛm fɔ `(NAION)`

Di vishɔn lɔs bikɔs ɔf NAION kin bi wantɛm wantɛm ɛn i nɔ kin gɛt pen. Bɔku tɛm dɛn kin fil am lɛk se yu nɔ de si fayn ɔ yu nɔ de si fayn na wan pat pan di say we yu de si, mɔ di ɔda pat we de dɔŋ . Sɔntɛnde , di kɔlɔ we yu nɔ de si (dyschromatopsia) kin apin bak.

Bɔku pipul dɛn kin notis dis we aw dɛn kin si tin fɔs we dɛn wek na mɔnin. I kin bi afta yu dɔn slip fɔ lɔng tɛm ɔ yu dɔn slip fɔ shɔt tɛm.

Na smɔl tɛm nɔmɔ, di we aw pɔsin de si kin go dɔŋ smɔl smɔl fɔ lɛk tu wiks so. NAION na di kayn ION we kɔmɔn pas ɔl, ɛn i kin afɛkt wan yay wan tɛm. Bɔt lɛk 15% pan di pipul dɛm wae gɛt NAION na wan yay kin gɛt dis sik na di ɔda yay leta.

Di simptom dɛm fɔ `(AAION)`

Insay `(AAION)` , di vishɔn kin lɔs wantɛm wantɛm. Dat min se, yu nɔ kin si fayn, yu nɔ kin si fayn, yu nɔ kin si bɛtɛ, ɔ yu nɔ kin si am igen. Insay `(AAION)`, i kin kam wit di simptom dɛm we gɛt fɔ du wit `(Arteritis)` we wi bin dɔn tɔk bɔt. Dɛn na:

• Ɛd we de at: Ɛspɛshali na di tu say dɛn na di fɔrɛst.
• di at dεm we de swel na di tu say dεm na di fכs: yu nכ kin fil nכ puls we dεn tכch dεn wan ya.
• Pen na di jaw mɔsul dɛm we yu de it it.
• Malaise ɛn/ɔ we yu nɔ ɛksplen to yu wet.

pan sכm nכmba pan pipul dεm, wan "occult" fכm fכ Arteritic ION kin apin. Dis min se yu nɔ de si fayn igen, bɔt nɔr pan di ɔda sayn dɛm fɔ Arteritis nɔr de.

Di simptom dɛm fɔ `(PION)`

Ɔl tu di Arteritic PION ɛn Nonarteritic PION kin mek yu nɔ si yu yay wantɛm wantɛm ɛn nɔ gɛt pen. Bɔt, PION kin bi prɔgrɛsiv insay di fɔs stej dɛm. Dis min se di sayn dɛm kin wɔs smɔl smɔl as tɛm de go.

Wetin mek dis `(Ischemic Optic Neuropathy)` kin apin? Wetin na di tin dɛn we kin mek i apin?

di tin dεm we de mek `(ION)` kin difrεn dipכnt pan di kayn. Lɛ wi si aw i de wok.

Di tin dɛn we kin mek pɔsin gɛt `(NAION)`

Di masta sabi pipul dɛn stil nɔ shɔ klia wan wetin mek NAION de divɛlɔp. Bɔt dɛn tink se bɔku tɛm na tin dɛn we dɛn kin jɔyn togɛda.Dɛn tink se dis kin apin bikɔs di blɔd de blok to di optik nɛv. Dɛn tin ya kin afɛkt di we aw yu blɔd de kɔntrol di we aw blɔd de flɔ tru di optik nɛv. As lɔng as da sɛlf-rɛgyuleshɔn de wok fayn, yu nɔ go divɛlɔp NAION. Bɔt sɔm tin dɛn we kin apin ɔ prɔblɛm dɛn kin ambɔg da we de fɔ kɔntrol insɛf. Dɛn tin ya na:

• strכkchכral chenj dεm na di `(Optic Disk)` insay di yay: Dis min se di `(Optic Disk)` de sכm כ den. Dɛn kin kɔl dis bak "disk at risk".
• Ay blɔd prɛshɔn (Hypertension).
• `(Tayp 2 Dayabitis)` (Tayp 2 Dayabitis).
• Atherosclerosis (fεt dεm we de na di at dεm).
• Slip Apnea (Slip apnea).
• di bכdi prεshכn we de dכn we yu de slip (`Nocturnal Hypotension`).
• Anemia (di rεd bכdi sεl dεm כ hεmoglobin na di bכdi de dכn).
• Smok (inklud vaping).
• Maygren we kin kam.
• Sɔm mɛrɛsin dɛm: Phosphodiesterase inhibitors (fɔ ɛgzampul, drɔgs dɛm we dɛn kin yuz fɔ trit erectile dysfunction) kin ɛp fɔ mek ION. Bɔt masta sabi pipul dɛn nɔ biliv se dɛn mɛrɛsin ya nɔmɔ kin mek pɔsin gɛt ION.

Di tin dɛn we kin mek pɔsin gɛt `(Arteritic ION)` (AAION ɛn APION) .

AAION ɛn APION ɔl tu gɛt di sem ɔndalayn kɔz: Arteritis. dis kכndyushכn de kכz fכ inflameshn fכ di כl sirkulכtכri sistεm. Di tin dɛn we kin mek pɔsin gɛt dis na:

• `(Jaynt Sεl Atεraytis - GCA)`
• כda kayn `(Vasculitis)` (inflammatory kondishכn dεm na di bכdi vεsul dεm).

Di tin dɛn we kin mek pɔsin `(Nonarteritic PION - NPION)`

Sεvεra spεshal rizin dεm de we de afekt `(NPION)`. Dɛn na:

• Di tin dɛn we kin afɛkt di blɔd we de go na di yay: Bɔku pan dɛn tin ya tan lɛk di wan dɛn we kin mek pɔsin gɛt NAION. Fɔ ɛgzampul, Tayp 2 Dayabitis, Ay Blɔd Prɛshɔn, Atɛrosklɛrosis.
• Ɛmoraji: We di blɔd prɛshɔn go dɔŋ wantɛm wantɛm, i kin mek di blɔd nɔ go flɔ na di bak pat na di yay, ɛn dis kin mek i gɛt NPION.
• Ɔpreshɔn: Blɔd prɛshɔn kin go dɔŋ fɔ difrɛn rizin dɛn we dɛn de du ɔpreshɔn. Dis kin mek pɔsin gɛt PION.

Udat de pan big risk fɔ gɛt dis?

Sɔm pipul dɛn kin gɛt dis sik (Ischemic Optic Neuropathy). Lɛ wi si udat dɛn bi:

• Pipul wae gɛt vaskul risk factors: Dis min se di wan dɛm wae gɛt di sik dɛm wae wi bin dɔn tɔk bɔt, lɛk ay blɔd prɛshɔn, dayabitis, ay kɔlɔstrel, smok, ɛn slip apnea, kin gɛt bɔrku risk.
• Pipul dεm we gεt inflammatory disease: fכ egzampl, pipul dεm we gεt sik lεk `(Giant Cell Arteritis - GCA)` dεn tu de pan risk fכ divεlכp `(ION)`.
• Pipul dɛn we dɔn pas 50 ia.
• Fɔ man dɛnDɛn kin gro smɔl pas uman dɛn.

Aw dɔktɔ kin no dis?

Yu ay kia spɛshal pɔsin kin no ION bay we i yuz sɔm we dɛn we dɛn jɔyn togɛda. Bɔrku tɛm, de diagnostik prɔses kin bigin bay wae dɛn aks yu kwɛstyɔn bɔt yu sik, tin dɛm wae dɔn apin na yu layf dis biɛn tɛm, ɛn yu mɛdikal histri. Yu ansa dɛm go ɛp dɛm fɔ smɔl di list fɔ di tin dɛm wae kin mek yu gɛt dis sik bay wae yu nɔr gɛt ɔda tin dɛm wae kin tan lɛk ION. Dɔn dɛn go du wan ay ɛgzam , ɛn pe spɛshal atɛnshɔn to di pat dɛn na di yay we de luk di optik disk, we de biɛn di yay.

• Anterior ION (AION): כl tu di Arteritic εn Nonarteritic AION de mek chenj dεm we yu kin si na yu optik disk ali. Dɛn chenj ya kin ɛp yu ɔftalmɔlɔjis fɔ no di sik. We dɛn de no se yu gɛt AAION, dɛn go chɛk bak fɔ si if yu gɛt ɛni wan pan di sayn dɛm we gɛt fɔ du wit Arteritis.
• `(Posterior ION - PION)`: Dɛn kayn ya at fɔ no smɔl. Bikɔs insay di fɔs stej dɛm, nɔ chenj nɔ de we pɔsin kin si na di `(Optic Disk)`.

Us tɛst dɛn de du fɔ dis?

Bɔrku tɛst dɛn de wae kin ɛp fɔ no di sik (ION) ɛn ɛni kɔndishɔn wae kin de kɔz am. Sɔm pan dɛn tin ya simpul ɛn dɛn nɔ nid fɔ tray tranga wan. Fɔ ɛgzampul:

• Vishɔn tɛst: Chɛk fɔ ɛni vishɔnal fil difrɛns (blaynd spat).
• We dɛn de mɛzhɔ di blɔd prɛshɔn.
• Blɔd tɛst: Chɛk fɔ si if yu gɛt tin dɛn lɛk Tayp 2 Dayabitis, ay kɔlɔstrel, ɛn we yu nɔ gɛt bɛtɛ vaytamɛn.
• Fɔ mɛzhɔ di prɛshɔn we de insay yu yay.
• Fluorescein Angiography: Dis de yuz spɛshal day fɔ tek pikchɔ fɔ di blɔd vesel dɛn we de insay di yay.
• Optical Coherence Tomography (OCT): dis kin mek ditayla kכros-sekshכnal imej dεm fכ di optik nεv εn di rεtina.

sכm tεst dεm dεn kin du spεshal fכ no כ ruul כut kכndishכn dεm lεk ``Arteritis'' (we nid spεshal tritmεnt kwik kwik wan). Dɛn tɛst ya kin bi:

• Imej tɛst: Na ɔltra saund ɔ magnɛtik rɛsɔnans imej (MRI) fɔ di blɔd vesel dɛn we de ɔnda di skin na di tu say dɛn na di fɔɛd.
• Temporal Artery Biopsy: dεn de tek sכm sכm tisu frכm wan at we de na di tu say dεm na di fכs εn dεn de tεst fכ kכndishכn dεm lεk GCA.
• bכdi tεst fכ chenj dεm we riliyt to inflameshn: lεk di `(Erythrocyte Sedimentation Rate - ESR)` εn `(C-reactive Protein - CRP)` tεst dεm.

Yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst dɛn bay aw yu de si yu sik ɛn aw yu gɛt wɛlbɔdi. Dɛn kin tɛl yu mɔ bɔt di tɛst dɛn ɛn wetin mek yu nid dɛn.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

Di tritmɛnt fɔ ION kin difrɛn difrɛn wan dipen pan di kɔz. Sɔntɛnde, dɔktɔ kin trit di ION dairekt wan. Ɔda tɛm, ɔl wetin dɛn nid na fɔ kɔntrol di vaskyuɛl risk factor dɛm ɛn trit di sayn dɛm.

Tritmɛnt fɔ `(Arteritik Ischemik Ɔptik Nyuropati)`

ɔl tu di `(Anterior)` ɛn `(Posterior Arteritic ION)` fɔ trit kwik kwik wan wit ɛni wan pan di anti-inflammatory `(Corticosteroid)` drɔgs (e.g. `(Prednisone)`) ɔ immunosuppressant drɔgs lɛk `(Tocilizumab - Actemra®)`. `(Kכtikosterכyd)` dεn kin gi am as pil, bכt sכmtεm dεn kin gi am bak insay di bכdi (IV). di doz fכ dis `(Corticosteroid)` dεn kin gi am fכs insay ay dos dεm εn afta dat dεn kin rεdכks am sכmtεm ova sεvεra de כ wik. Sɔm pipul kin nid fɔ tek dis mɛrɛsin pan smɔl doz fɔ lɔng tɛm fɔ mek dɛn nɔ gɛt prɔblɛm wit dɛn yay we go de sote go frɔm `(ION)`.

Tritmɛnt fɔ `(Nɔnarteritik Ischemik Ɔptik Nyuropati)`

כnכfכs, nכ pruf de fכ tritmεnt fכ `(Nonarteritic ION)`. If yu nɔ gɛt ɔndalayn kɔndishɔn lɛk `(Arteritis)`, `(Corticosteroid)` mɛrɛsin dɛn nɔ kin ɔltɛm rɛkɔmɛnd.

Naw, di men tritmɛnt fɔ `(Nonarteritic ION)` na fɔ kɔntrol di simptom dɛm ɛn trit ɔ minimiz di ɔndalayn kɔz ɛn di tin dɛm we de kɔntribyut. dis imכtant biכs `(Nonarteritic ION)` kin afekt wan yay wan tεm. so dis apכch kin ridyus di risk fכ lכs vishכn na di tu yay dεm bikoz fכ `(ION)`.

If yu nɔ de si fayn bikɔs ɔf ION, yu dɔktɔ kin tɛl yu fɔ yuz tin dɛn we go ɛp yu lɛk magnifya, ɔ fɔ yuz magnifyeshɔn sɛtin ɔ vɔys kɔmand/fidbak na yu divays dɛn. Dɛn tin ya kin ɛp yu fɔ kɔmpɛns ɔr woke arawnd di prɔblɛm dɛn we yu gɛt wit yu yay.

Wetin wi fɔ ɛkspɛkt if dis tin apin?

Bɔku tɛm, ION kin mek pɔsin nɔ ebul fɔ si wantɛm wantɛm. "Sɔdɛn" kin min minit ɔ awa, bɔt sɔm tɛm i kin tek sɔm dez. di tכp dεm we kכmכn fכ ION kin mek di vishכn blכr כ i nכ de si fayn. Sɔm kayn dɛn kin mek pɔsin nɔ ebul fɔ si fayn fayn wan. sכmtεm, sכm tεm dεm de fכ blכr vishכn bifo ION de mek di vishכn lכs kכmplit.

Dis go mek mi vishɔn bɛtɛ bak?

`(ION)` nɔr de mek yu layf de pan denja, bɔt i kin mek yu nɔr de si fayn fayn wan we kin ambɔg yu layf.

Sɔntɛnde, ION kin chenj, bɔt bɔku tɛm i kin mek at le sɔm pɔrmɛnt vishɔn lɔs.Bɔt pipul dɛm wae nɔr de si fayn kin lan bak fɔ `adapt` to dis sityueshɔn. Dɔn dɛn kin bigin fɔ yuz ɔda say dɛn na dɛn vishɔn fɔ sɔm patikyula wok dɛn lɛk fɔ rid. We dis kin apin, i kin tan lɛk se dɛn vishɔn dɔn bɛtɛ, bɔt wetin rili de apin na dat dɛn de bɛtɛ fɔ wok arawnd aw dɛn nɔ de si fayn.

Yu tink se dɛn kin ebul fɔ protɛkt Ischemic Optic Neuropathy?

Yu nɔ go ebul fɔ stɔp (ION) kɔmplit wan. Bɔt yu kin ridyus di risk fɔ gɛt am. Di men we fɔ du dis na fɔ avɔyd ɔ kɔntrol di kɔndishɔn dɛn we kin mek ɔ kɔntribyut to (ION). Yu dɔktɔ kin se yu fɔ chenj yu ay blɔd prɛshɔn mɛrɛsin fɔ mek yu nɔ gɛt lɔw blɔd prɛshɔn we yu de slip, bigin fɔ tek mɛrɛsin fɔ lɛ yu nɔ gɛt bɔku bɔku kɔlɔstrel, fɔ ajɔst yu dayabitis mɛrɛsin, fɔ stɔp fɔ yuz tabak (inklud fɔ vap), ɛn ɔda tin dɛn fɔ mek yu nɔ gɛt chans fɔ gɛt di sik (ION).

Dɔn bak, if yu nid fɔ gɛt ɔpreshɔn, di mɛdikal pɔshɔnal dɛn go tek stɛp fɔ mek yu nɔ gɛt `(ION)`. If yu dɔn gɛt `(ION)` bifo, ɔ if yu no se yu gɛt wan sik we kin mek yu gɛt am (lɛk `GCA` ɔ `vasculitis`), tɛl yu dɔktɔ ɛn/ɔ anesteziɔlɔg bifo yu ɔpreshɔn. Dɔn dɛn kin plan fɔ du dat ɛn mek ɛni chenj we dɛn nid.

Aw yu kin tek kia ɔf yusɛf if yu gɛt dis sik?

If yu bin dɔn gɛt ``Nonarteritic ION'' na wan yay bifo, yu fɔ rili tek tɛm wit ɛni chenj ɔ we yu nɔ de si na yu ɔda yay. Bikɔs wans i apin na wan yay, chans de fɔ mek i apin na di ɔda yay leta.

If yu gɛt Arteritic ION, yu ɔftalmɔlɔjis go rifer yu to spɛshal dɔktɔ, lɛk Rheumatologist. Riumatɔlɔjis kin ɛp fɔ no ɛn trit ɛni ɔndalayn imyun ɔ inflammatory kɔndishɔn we kin de kɔz yu Arteritis. I impɔtant fɔ fala di instrɔkshɔn dɛm fɔ yu ɔftalmɔlɔjis ɛn ɔda dɔktɔ dɛm fɔ mɛn yu sik. Dis go ɛp yu fɔ avɔyd fɔ gɛt flawa ɛn fɔ mek yu nɔ ebul fɔ si mɔ ɔ fɔ gɛt prɔblɛm dɛn tumara bambay.

Ustɛm yu fɔ go to yu ay spɛshal dɔktɔ?

Yu yay dɔktɔ go schedul fɔ fala yu yay ɔltɛm fɔ wach yu yay ɔ yu yay fɔ ɛni chenj. Yu fɔ kip dɛn apɔntinmɛnt ya lɛk aw dɛn se. Dɔn bak, if yu notis ɛni chenj na yu yay, yu fɔ kɔntakt dɛn kwik kwik wan. Dɛn kin tɛl yu if yu nid fɔ tɔk to dɛn, go to dɔktɔ kwik kwik wan, ɔ ɛni ɔda patikyula chenj.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

Ɛnitin we pɔsin nɔ ebul fɔ si wantɛm wantɛm na imejensi sayn we nid fɔ go to dɔktɔ wantɛm wantɛm.biכs, sכmtεm i kin bi wan sayn fכ wan kכndyushכn we de mek yu layf de pan denja lεk `(Stroke)` (kכndishכn lεk paralayz), כ i kin bi wan ay imejensi lεk `(Retinal Detachment)` (a detachment fכ di retina - we kin kכl if dεn trit am kwik).

Na pɔsin we tren fɔ mɛn pipul dɛn ɛn spɛshal tɛst dɛn nɔmɔ go ebul fɔ no if we pɔsin nɔ de si fayn wantɛm wantɛm na rili imejensi. Insay dis kayn tin , minit kin mek big difrɛns. Na dat mek i bɛtɛ fɔ lɛ yu nɔ ignore am if yu nɔ ɛva ɛkspiriɛns sɔdɛn vishɔn lɔs bifo. If yu gɛt wan sik wae de put yu pan denja fɔ lɛ yu nɔr de si fayn fayn wan, ɔr if yu bin dɔn gɛt am bifo, tɔk to yu dɔktɔ. Dɛn kin ɛksplen wae dis sik nid fɔ gɛt imejensi tritmɛnt ɛn wae na sɔmtin wae yu fɔ ɛkspɛkt giv yu kɔndishɔn.

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

Na sɔm kwɛstyɔn dɛn we yu go want fɔ aks:

• Us kayn Ischemic Optic Neuropathy a gɛt?
• Wetin go de mek dis apin ɔ we de ɛp fɔ mek dis apin?
• Us tritmɛnt dɛn yu kin advays?
• Yu tink se di we aw a nɔ de si fayn go de sote go, ɔ chans de fɔ mek i bɛtɛ?

Na `(Ischemic Optic Nyuropathy)` na `(Strok)`?

Nɔ, bɔt sɔm tin dɛn de we fiba.

`(Ischemia)` na we di sεl dεm nכ de gεt inof bכdi fכ fכlכ εn bigin fכ day. `(Ischemic Stroke)` na we i de apin na yu bren. `(ION)` de apin na yu `(Optic Nerve)`. Na dat mek dɛn fiba bɔt nɔto di sem.

Wan ɔda rizin we mek dɛn fiba na bikɔs pipul dɛm wae gɛt `(ION)` sɔmtɛm kin gɛt sɔm kayn sik wae de kam wan wan tɛm. if dis apin, i min se yu de pan hכy risk fכ divεlכp `(Optic Nerve Ischemia)` εn yu de lכs vishכn insay di nεks fכ de dεm. So, yu nɔ fɔ ignore we yu nɔ de si fayn wantɛm wantɛm. If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

We yu nɔ de si fayn wantɛm wantɛm wit Ischemic Optic Neuropathy min se yu Optic Nerve nɔ de gɛt inof blɔd. As tɛm de go, dis kin mek i gɛt prɔblɛm fɔ ɔltɛm ɛn i kin mek i nɔ ebul fɔ si fayn igen. So, we pɔsin nɔ de si fayn wantɛm wantɛm nɔto sɔntin we pɔsin fɔ ignore ɔ wet fɔ.

If yu gɛt wan sik we kin mek yu nɔ si yu yay wantɛm wantɛm ɔ ``ION'', i fayn fɔ tɔk to yu yay spɛshal pɔsin. Dɛn kin tɛl yu wetin fɔ luk fɔ ɛn wetin fɔ du if yu notis chenj na yu vishɔn. Fɔ du tin kwik kin mek big difrɛns ɛn ɛp fɔ protɛkt yu frɔm mɔr siriɔs prɔblɛm wit yu yay ɛn nɔr kin fil fayn. So, tek kia ɔf yu yay!

` Ischemic Optic Neuropathy, ION, AION, PION, Vishɔn Lɔs, Ay Sik, Ɔptik Nɛv, Sɔdɛn Vishɔn Lɔs