Yu tink se di prɛshɔn we de insay di yay bɔku? Lɛ wi tɔk bɔt Ocular Hypertension!

We yu dɔn ɛva du yu yay ɛgzam, di dɔktɔ dɔn ɛva tɔk bɔt di prɛshɔn we de insay yu yay? Yu go dɔn yɛri bɔt wan sik we dɛn kɔl "ocular hypertension." Na wɔd we de mek pɔsin fred, bɔt natin nɔ de fɔ wɔri bɔt. Mek wi tok abaut am fo simpul, izi fo andastan we, okay?

Wetin rili na ɔkulɔr haypatɛyshɔn?

Fɔ tɔk am simpul wan, ocular hypertension na we di prɛshɔn insay yu yay, ɔ Intraocular Pressure (IOP), ay pas aw i kin bi. Tink bɔt am, wi yay de mek klia wata ɔltɛm. Wi kin kɔl dis "aqueous humor." Dis wata de flɔ insay di fɔs pat pan di yay ɛn afta dat i de kɔmɔt na di yay. Dis tan lɛk aw wata tank na wi os kin ful-ɔp wit wata ɛn di wata we pasmak kin kɔmɔt.

Nɔmal wan, di wata we de go insay di yay fɔ ikwal to di wata we de kɔmɔt pan am. Bɔt if fɔ sɔm rizin dis wata nɔ ebul fɔ kɔmɔt fayn, wata kin gɛda insay di yay ɛn di prɛshɔn kin go ɔp.

di nכmal prεshכn we de insay wi yay dεn de mכsu am insay milimita mεkkyuri (mmHg) . Dis na di sem tin lɛk aw dɛn kin mɛzhɔ yu blɔd prɛshɔn. nכmal wan, dis prεshכn fכ de bitwin 11 mmHg εn 21 mmHg. If di prɛshɔn na wan ɔ ɔl tu yu yay dɛn pas 21 mmHg tu ɔ mɔ tɛm we yu go to yu ay kia spɛshal pɔsin, dɛn kin sɔprayz se yu gɛt ɔkulɔr haypatɛyshɔn.

if dis kכndyushכn de na di tu yay dεm, wi kin kכl am "Bilateral Ocular Hypertension." if di prεshכn hכy na wan yay nכmכ, dεn kכl am "Unilateral Ocular Hypertension."

So, na `Ocular Hypertension` ɛn `Glaucoma` na di sem tin?

Nɔ, dɛn tu tin ya difrɛn smɔl. Bɔt kɔnekshɔn de. Ocular Hypertension kin mek yu gɛt wan sik we dɛn kɔl Glaucoma . Glaukoma na we di ay prɛshɔn insay di yay (ay IOP) de pwɛl yu optik nɛv . Dis optik nerve na di wan we de kɔnɛkt wi yay dɛn dairekt to di bren ɛn sɛn pikchɔ dɛn fɔ wetin wi de si to di bren.

Imajin, wetin go apin if dis nerv pwɛl? Yɛs, if dɛn nɔ trit glaukoma fayn, yu kin lɛf fɔ si smɔl smɔl. Na dat mek i impɔtant fɔ tek kia ɔf `Ocular Hypertension`.

Impɔtant: Ocular Hypertension na wan sik wae kin bi prɛkursɔr fɔ glaukoma. So, i impɔtant fɔ no am ɛn kɔntrol am kwik kwik wan.

Aw kכmכn na dis kכndyushכn we dεn kכl `Ocular Hypertension`?

Dis na rili wan sik wae kin pasmak pas aw yu kin tink. Fɔ ɛgzampul, na kɔntri lɛk Amɛrika, dɛn se bitwin 3 ɛn 6 milyɔn pipul dɛn de sɔfa wit dis sik. Dis min se dɛn ɔl de pan denja fɔ gɛt glaukoma. I rili impɔtant fɔ no bɔt dɛn kayn tin ya na wi kɔntri ɛn fɔ de chɛk yu yay ɔltɛm.

Udat de pan ay risk fɔ gɛt `Ocular Hypertension`?

Lɛ wi luk pan de risk factor dɛm wae kin mek dis sik. Sɔm tin dɛn we wi nɔ kin ebul fɔ chenj, fɔ ɛgzampul, di ej ɛn di trayb we wi kɔmɔt. Bɔt sɔm tin dɛn de we wi fɔ no bɔt.

Na sɔm tin dɛm wae de mek yu gɛt `Ocular Hypertension` ɛn glaukoma:

• Haypatɛnshɔn: Dis min se yu blɔd prɛshɔn go ɔp pas aw i fɔ bi.
• Lɔw blɔd prɛshɔn (Hypotension): Di blɔd prɛshɔn we smɔl pas di nɔmal, i kin afɛkt bak.
• Dayabitis: Dis risk kin pasmak pan pipul dɛm wae gɛt shuga.
• Ekstrim Mayopia: Fɔ di wan dɛn we wɛr glas, mɔ di wan dɛn we gɛt bɔku bɔku prɛskrishɔn.
• di tכn pat pan di yay in kכnia: di kכnia na di transparent protεktiv mεmbran we de fכnt pan di yay. Dis kin apin mɔ to pipul dɛn we gɛt tin kɔnia.
• Blɔd we de kɔmɔt na di optik nɛv ed.

Sɔm ɔda tin dɛn bak kin mek dis risk bɔku:

• Pigment Dispersion Syndrome: Dis na we sכm sכm pigmεnt dεm de brok kכmכt frכm di kכla pat pan di yay (di ayris), we de blכk di drenaj sistεm.
• Pseudoexfoliation Syndrome: insay dis, sכm sכm tin dεm we lεk protin kin kכmכt insay di yay εn i kin ambɔg di drenashכn fכ di wata.

Sɔm ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm:

• Bikɔs i dɔn pas 40 ia.
• Fɔ gɛt famili histri bɔt glaukoma ɔ ocular hypertension.
• Bikɔs i kɔmɔt na Afrika ɔ Hispanik famili. (Pan ɔl we dis nɔ rili impɔtant to Sri Lanka, i fayn fɔ no.)
• Yuz sterɔyd mɛrɛsin fɔ lɔng tɛm (e.g., sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ asma, at at sik, ɛn ɔda tin dɛn)
• Bikɔs dɛn bin dɔn gɛt injuri na in yay ɔ dɛn bin dɔn du am ɔpreshɔn pan in yay bifo tɛm.

Dis gɛt ɛni spɛshal sayn?

Dis na di triki pat bɔt Ocular Hypertension. Bɔrku tɛm, dis sik nɔr kin sho ɛni sayn . Sɔntɛm yu nɔ go notis ɛnitin. Na dat mek wi kin tɔk ɔltɛm se fɔ chɛk yu yay ɔltɛm rili impɔtant. Na we yu yay dɔktɔ du ɛgzam nɔmɔ yu go no if di prɛshɔn we de insay yu yay bɔku.

Bɔt, na smɔl tɛm nɔmɔ , sɔm pipul dɛn kin fil smɔl pen we dɛn de muv dɛn yay ɔ tɔch dɛn yay.

Pan ɔl we sɔm prɔblɛm dɛn we kin apin na di yay kin mek pɔsin in ed at ɛn diziz, dis nɔ kin apin so ɔltɛm we pɔsin gɛt ay blɔd prɛshɔn na di yay.

Wetin mek di prɛshɔn we de insay di yay kin go ɔp? Wetin na di tin dɛn we kin mek i apin?

Tu men tin de we kin mek yu gɛt `Ocular Hypertension`. wan na dat di wata we de insay di yay we dεn kכl `Aqueous Humor` we wi bin tכk bכt fכs de prodyuz pasmak. di כda wan na dat sכm blכk כ כda prכblεm de na di we aw di wata de kכmכt na di yay, dat na di `Anterior Chamber Angle` . dis `drenaj angle` de na di fכs pat pan di yay, bitwin di ayris εn di kכnia.

Wetin kin apin if dis drenaj rod kin blok? Fluid kin bɔku ɛn di prɛshɔn kin go ɔp. Bɔku rizin dɛn de we mek dis kin apin:

• Di drenaj angle kin blok.
• ivin if di antεriכr chεmba opin, di wata kin nכ de drεn fayn fayn wan.
• Dɛn pigmɛnt fragmɛnt ɔ prɔtin fragmɛnt dɛn we wi bin dɔn tɔk bɔt dɔn stɔp usay di wata de kɔmɔt.
• Sɔmtin lɛk ay kansa kin blok di rod.
• I kin bi bak bikɔs di yay bin dɔn pwɛl trade.

Yu tink se strɛs kin mek bak di yay prɛshɔn go ɔp?

Yɛs, dis bak impɔtant. Sɔm risach dɛn we dɛn jɔs dɔn du dɔn sho se strɛs ɔ strɛs we pɔsin kin gɛt na in maynd kin mek bak di prɛshɔn we pɔsin kin gɛt na in yay. So, fɔ tek kia ɔf yu maynd wɛl bɔdi kin fayn bak fɔ yu yay.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

Yu ay dɔktɔ go fɔs du wan gud ay ɛgzam. If i tink se yu gɛt ɔkulɔr haypatɛyshɔn, i kin ɔda fɔ mek dɛn du sɔm ɔda spɛshal tɛst dɛn. Dɛn tin ya na:

• Gonioscopy: dis tεst de chεk di fכnshכn fכ di fכs drenaj sistεm insay yu yay (di antεriכr chεmba angle). I de yuz spɛshal lens ɛn maykroskɔp we dɛn kɔl slit lamp .
• Pachymetry: dis de mכsu di tik we yu kכnia tik, as di tik we di kכnia tik de afekt di prεshכn we de insay di yay.
• Tonometry: Dis na tεst we de mכsu di prεshכn insay di yay (IOP) dεn wan dεm. Yu go mɔs dɔn du ay ɛgzam usay yu fil se briz de blo na yu yay, nɔto so? Na so i tan lɛk.
• Visual Field Test: Dis de tɛst yu fil fɔ si, we min aw fa yu kin si ɛn if yu kin si tin dɛn na di sayd dɛn. Dis fil fכ si kin rεdכks pan kכndyushכn lεk glaukoma.
• Optical Coherence Tomography (OCT): Dis na wan tɛst we rili advans. i kin rili akכrd fכ ases di hεlth fכ di optik nεv sεl dεm, we min if dεn dכn pwεl.

Na afta dɛn tɛst ya nɔmɔ yu go ebul fɔ no kɔrɛkt wan if yu gɛt ɔkulɔr haypatɛyshɔn ɔ if yu dɔn gɛt glaukoma.

Wetin na di tritmɛnt dɛm fɔ Ocular Hypertension?

Sɔntɛnde, if yu sik nɔr tu tranga, de dɔktɔ kin disayd fɔ tɔk to yu ɛn mek yu kam fɔ chɛk yu yay ɔltɛm fɔ wach di sik.

Bɔt if yu disayd se yu nid fɔ stɔp yu prɛshɔn, yu dɔktɔ kin gi yu ay drɔp . Dɛn go tɛl yu bak fɔ kɔntinyu fɔ kam bak fɔ chɛk yu prɛshɔn ɔltɛm.

Bɔku kayn mɛrɛsin dɛn de we de mek di prɛshɔn we de insay di yay nɔ bɔku:

• Prostaglandins: Dɛn kin gi dɛn mɛrɛsin ya wan tɛm insay di de ɛn dɛn kin wok bay we dɛn de mek di wata we de kɔmɔt na di yay bɔku.
• Beta-blɔka: Dɛn kin gi dɛn tin ya wan ɔ tu tɛm insay di de. Dɛn kin ridyus di wata we de kɔmɔt insay di yay.
• Alfa-adrenergic agonists: Dɛn kin gi dɛn tin ya tu ɔ tri tɛm insay di de. Dɛn de wok bay we dɛn de ridyus di wata we dɛn de mek we dɛn de mek di wata we de kɔmɔt na di wata kɔmɔt.
• Carbonic Anhydrase Inhibitors: Dɛn mɛrɛsin ya kin ridyus bak fɔ mek wata kɔmɔt. Dɛn kin gi dɛn tu to tri tɛm insay di de.
• Rho Kinase Inhibitor: Dis mεdikeshכn we dεn kin tek wan tεm insay de de ridyus di fכs fכ fכm wata bak.
• Miotic ɔ Cholinergic Agents: Dɛn fɔ put dɛn tin ya lɛk 4 tɛm insay di de. Pan ɔl we dɛn bin de yuz dɛn bɔku bɔku wan trade, dɛn nɔ de gi dɛn bɔku tɛm igen. Dɛn kin wok bay we dɛn de mek di wata we de kɔmɔt na di yay kɔmɔt mɔ ɛn mɔ.

Duya notis: Lɛk ɔl di mɛrɛsin dɛn, sɔm pipul dɛn kin gɛt sayd ɛfɛkt frɔm dɛn yay mɛrɛsin ya. Fɔ ɛgzampul, yu yay kin rɛd, it, ɛn bɔn. So, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Sɔntɛnde, if dɛn mɛrɛsin ya nɔr de kɔntrol di prɛshɔn, yu kin nid fɔ du ɔpreshɔn fɔ mek di prɛshɔn we de insay yu yay go dɔŋ. Wan kayn we na laser trabeculoplasty . Dis de yuz laser bim fɔ opin di blɔk we de na di drenaj sistɛm.

A kin ridyus di risk fɔ gɛt Ocular Hypertension?

Bɔrku tɛm, di tin dɛm wae kin mek wi gɛt ɔkulɔr haypatɛnshɔn na tin dɛm wae wi nɔr kin chenj (e.g., ej, famili histri). Bɔt, tin dɛn de we wi kin du fɔ mek wi yay kɔntinyu fɔ gɛt wɛlbɔdi. Dɛn tin ya impɔtant fɔ yu ɔl wɛl bɔdi ɛn bak fɔ yu yay wɛl bɔdi.

Fɔ chɛk di yay

Dis na di tin we impɔtant pas ɔl . Nɔ mis fɔ go to ay dɔktɔ ɔltɛm ɛn fɔ chɛk yu yay. If prɔblɛm de , i go fayn fɔ no am kwik kwik wan .

Fɔ smok

Nɔ smok. Smok rili bad fɔ yu yay. If yu de smok, tɔk to yu dɔktɔ bɔt aw fɔ ɛp yu fɔ lɛf fɔ smok.

Mɔ tin dɛn fɔ protɛkt yu yay wɛlbɔdi

• Yuz sanglas: Ɛspɛshali we yu de go na do usay di san de shayn bad bad wan.
• Wear aywea we de protɛkt yu: We yu de du ɛni wok (e.g. wok wit wud, grind) ɔ ple spɔt wit impak.
• Yu fɔ no bɔt yay sik dɛn na yu famili: sik dɛn lɛk glaukoma ɛn macular degeneration .
• Gi yu yay fɔ blo we yu spɛn tumɔs tɛm fɔ luk kɔmpyuta ɛn fon.
• Tek tɛm wit yu yay infɛkshɔn: mɔ if yu wɛr kɔntakt lens .

Ɔl di wɛlbɔdi biznɛs

We yu kip yu wan ol bɔdi wɛl, dat kin ɛp bak fɔ protɛkt yu yay.

• It gud it we gɛt fayn fayn tin dɛn fɔ it. Put dak grɛn vɛjitebul dɛn (lɛk spinach, kelɛj, ɛn kɔla grɛn) ɛn fish we gɛt bɔku omega-3 fat asid (lɛk salmɔn, tuna, ɛn makrɛl).
• Stay aktif. Ɛksesaiz kin ɛp bak fɔ protɛkt yusɛf frɔm ɔda sik dɛn.
• Kɔntrol yu blɔd prɛshɔn, di kɔlɔstrel we yu gɛt, ɛn di shuga we yu gɛt na yu blɔd.
• Fɛn we fɔ ridyus strɛs. Tin dɛn lɛk yoga, tink gud wan, ɔ ɛksesaiz na fayn we dɛn bak fɔ mek yu nɔ strɛs.

Wetin a fɔ ɛkspɛkt if a gɛt Ocular Hypertension?

Ocular Hypertension nɔ kin ebul fɔ wɛl ɔl. Bɔt yu dɔktɔ kin trit ɛn wach di sik.

Pipul wae gɛt `Ocular Hypertension` kin gɛt bɔrku risk fɔ gɛt glaukoma. Bɔt nɔto ɔlman we gɛt `Ocular Hypertension` go gɛt glaukoma . Yu fɔ mɛmba dat. If yu fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan, bɔku tɛm yu kin mek yu nɔ gɛt glaukoma ɔ delay.

Ustɛm a fɔ si dɔktɔ bɔt `Ocular Hypertension`?

Go to yu dɔktɔ jɔs lɛk aw i tɛl yu. Dɔn bak, if yu gɛt prɔblɛm wit yu yay we nɔ kɔmɔn, yu de fil pen, ɔ yu nɔ de fil fayn we nɔ de go, mek shɔ se yu go to yu yay dɔktɔ . Dɔn bak, tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni nyu sayn na yu yay ɔ if wan sik we yu dɔn gɛt dɔn wɔs.

Pan ɔl we i impɔtant fɔ mek ɔlman de du dɛn yay ɛgzam ɔltɛm, i impɔtant mɔ if yu gɛt Ocular Hypertension. I impɔtant bak fɔ tek di mɛrɛsin we yu dɔktɔ tɛl yu jɔs lɛk aw i tɛl yu. If yu kia fɔ yu fayn fayn wan, yu kin mek di Ocular Hypertension nɔ wɔs, pwɛl di optik nerve, ɛn mek yu nɔ ebul fɔ si fayn.

Take-Home Message frɔm Wetin Wi Dɔn Tɔk

Okay, so, lɛ wi luk sɔm pan di impɔtant tin dɛm we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt `Ocular Hypertension`:

• Ocular Hypertension na we di prɛshɔn de go ɔp insay di yay . Bɔku tɛm i nɔ kin mek pɔsin gɛt ɛni sayn .
• Dis sik kin mek pɔsin gɛt wan bad bad sik we dɛn kɔl glaukoma . Glaukoma kin mek bak i nɔ ebul fɔ si fayn igen.
• Fɔ chɛk yu yay ɔltɛm na di bɛst we fɔ no dis kwik kwik wan.
• If yu dɔktɔ tɛl yu se yu gɛt `Ocular Hypertension`, nɔ panik . Tritmɛnt de fɔ am. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
• Fɔ kɔntinyu fɔ liv fayn layf (gud it, ɛksesaiz, ɛn fɔ avɔyd fɔ smok) rili impɔtant fɔ mek yu yay gɛt wɛlbɔdi.

Mɛmba se yu yay rili valyu. So na yu wok fɔ kia fɔ dɛn. If yu gɛt ɛni prɔblɛm, nɔ fred fɔ tɔk to dɔktɔ.

` Ocular Hypertension, Ay Prɛshɔn, Glaukoma, Ay Hɛlth, Ay Ɛgzam, Intraokular Prɛshɔn, IOP