Yu yay de si se yu blɔd nɔ de flɔ? Lɛ wi lan bɔt dis (Ocular Ischemic Syndrome)!

Yu dɔn lɔs yu yay wantɛm wantɛm, ɔ yu de gɛt wan strenj pen ɔ ebi tin we yu nɔ ebul fɔ ɛksplen na wan yay ɔ yu tu yay? Ɔ yu yay kin tɔn blu we yu de go na do? Sɔntɛnde wi kin tink se dɛn tin ya na jɔs ay strɛs, bɔt sɔntin kin de we siriɔs pas am biɛn am. Na dat na di Ocular Ischemic Syndrome. Pan ɔl we di nem kin tan lɛk se i de mek wi fred smɔl, lɛ wi tɔk bɔt am simpul wan.

Wetin na dis `(Ocular Ischemic Syndrome)`?

Fɔ tɔk am simpul wan, Ocular Ischemic Syndrome na wan sik we nɔ kin apin so ɔltɛm na di yay we kin apin we wi yay nɔ gɛt bɛtɛ blɔd. dis kin kכz mεntal fכ fεt dεposit (dεn kכl dεm bak plek) na di big bכdi vεsul dεm na wi nεk we dεn kכl di Carotid Artery. Dɛn blɔd vesel dɛn ya de gi blɔd bak to wi yay. So, we dɛn blɔd vesel ya kin blok, di blɔd we de go na di yay kin go dɔŋ. Dis kin mek yu gɛt prɔblɛm wit yu yay ɛn yu yay kin fil pen.

In ɔda wɔd, di minin fɔ dis nem, wɔd fɔ wɔd, na dis:

• "Ocular" min mεdikal wan "we de fכ di yay dεm."
• "Ischemic" כ "Ischemia" na wan kכndyushכn we di bכdi de rεdכks bikoz fכ "atherosclerosis" (di at dεm we de tכn כ we de at). dis kכndyushכn na in de mek "Carotid Artery Disease" (Carotid Artery Disease).
• "Syndrome" de tכk bכt wan kכndyushכn we sεvεra simptom dεm de apin tכgeda.

So, ɔl dɛn tin ya we dɛn put togɛda, dis na wan kɔlekɛshɔn fɔ di sayn dɛm we kin kam bikɔs di blɔd nɔ de flɔ na di yay. dis kכndyushכn, spεshal wan, kin bi wan εli sayn fכ `(Carotid Artery Disease)`. Dis kכndyushכn we dεn kכl `(Carotid Artery Disease)` de mek di risk fכ strכk εn at atak bכku . So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin mek dis kin apin? Wetin na di kɔz dɛm fɔ `(Ocular Ischemic Syndrome)`?

As a bin se bifo, di men tin we kin mek dis sik na `(Carotid Artery Disease)` (Carotid Artery Disease) . dεn kכl dis bak `(Carotid Artery Stenosis)`. `(Stenosis)` min se di at de sכm כ blok. dis tu bכdi we dεn kכl `(Carotid Arteries)` we de na di tu say dεm na yu nεk de kכri bכdi we gεt כksijεn go na yu ed, nεk, bren, εn yay. So we `(Plaque)`, we na wan tin we gɛt ɔyl, bigin fɔ gɛda insay dɛn blɔd vesel ya (dɛn kin kɔl dis bak `(Atheroma)`), di blɔd flɔ kin blok.

di bכdi vεsεl dεm we dεn kכl `(Ophthalmic Arteries)` we de gi bכdi to wi yay dεm de stat frכm dεn `(Carotid Arteries)` dεm ya. So, pɔrsin wae gɛt `(Carotid Artery Disease)` nɔr kin gɛt inof blɔd na in yay. Dat bכdi we nכ de na di bεsis fכ `(Ocular Ischemic Syndrome)`.

Apat frɔm dis men rizin, ɔda rizin dɛn de we dɛn nɔ kin si bɔku tɛm:

• `(Carotid Artery Dissection)` (wan kכndyushכn we sכm kayn we lεk di carotid atεri dεsεkshכn)
• Vasculitis (inflameshɔn na di blɔd vesel dɛn). Sɔm ɛgzampul dɛn na Takayasu in Arteritis, Jaynt Cell Arteritis (GCA), ɛn Behcet in Sik.
• `(Fibrovaskul Displasia)`
• `(Sklɛrodama)`
• `(Moyamoya Sik)`

Udat dɛn de pan denja pas ɔlman?

Ocular Ischemic Syndrome na wan sik wae nɔr kin bɔrku , wae kin afɛkt lɛk 8 pipul dɛm pan ɛvri milyɔn.

Dis sik kin ambɔg pipul dɛm wae ol bitwin 50 ɛn 80. Man dɛm kin gɛt dis sik lɛk tu tɛm pas uman dɛm .

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:

• `(Cardiovascular Disease)` (Disizin dɛm na di kadiovaskular sistɛm, dat na sik dɛm we gɛt fɔ du wit di at ɛn di blɔd vesel dɛm)
• Koronari Atɛri Disizin (CAD) .
• Shuga
• Ay blɔd prɛshɔn (Hypertension) .
• Fɔ fat, fɔ smok, ɔ ɔl tu.
• `(Moyamoya Disease)` (Dis na sik bak we gɛt fɔ du wit di blɔd vesel dɛm we de gi blɔd to di bren)
• If yu bin dɔn gɛt strok ɔ transiɛnt ischemic atak (TIA) (lɛk mini-strok).

Wetin na di sayn dɛm fɔ Ocular Ischemic Syndrome?

Di sayn dɛm fɔ dis sik nɔr kin de ɔltɛm. Bɔt we di sayn dɛn de sho, bɔku tɛm dɛn kin jɔs afɛkt wan yay . Dis sik kin mɔs afɛkt yu vishɔn. Luk fɔ dɛn sayn ya if yu gɛt ɛni wan:

• Wan dɔl, pen we de mek pɔsin fil pen we kin kɔmɔt insay di yay ɛn kin kam ɛn go wan wan tɛm.
• Yu kin fil pen na yu yay we yu yay prɛshɔn go ɔp.
• dilayt pupil dεm (blak sεkכl na di midul pan di yay).
• Fɔ fil lɛk blak spat ɔ trɛd we de flɔt bifo di yay (Eye Floaters).
• I nɔ de si smɔl smɔl ɔ wantɛm wantɛm (Lɔw Vishɔn) ɔ i nɔ de si fɔ sɔm tɛm ɛn afta dat i go gɛt am bak (Transient Vision Loss).
• I nɔ izi fɔ luk pan layt, blurred vishɔn (Photophobia).
• Fɔ fil lɛk se yu de si tu tin (Diplopia).

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

Di simptom dɛm fɔ Ocular Ischemic Syndrome kin tan lɛk ɔda kɔndishɔn dɛm lɛk dayabitik retinopathy ɛn Central Retinal Vein Occlusion (CRVO). So, i impɔtant fɔ gɛt kɔrɛkt diagnosis .

Ɔftalmolɔg dɛn kin du dɛn tɛst ya fɔ no dis sik:

• Fɔ chɛk di yay: Dɛn kin du difrɛn ay tɛst fɔ no wetin mek pɔsin gɛt prɔblɛm wit in yay. fכ egzampl, dilayt ay egzam, optik kohεrens tכmכgrafi (OCT) skan, εlektrorεtinografi (tεst we de mכsu di aktiviti fכ di rεtina), εn visual-evoked potentials (tεst we de mכsu di aktiviti fכ di nεv sistεm we rilayt to vishכn).
• Fluorescein Angiogram : Dis na tɛst we dɛn kin put spɛshal day insay wan vein na di an fɔ chɛk aw lɔng i kin tek fɔ mek blɔd go insay di blɔd vesel dɛn we de insay di yay ɛn if blɔd de lik frɔm di blɔd vesel dɛn.

Apat frɔm dat, dɔktɔ we de mɛn at sik (dɔktɔ we spɛshal pan at sik ɛn blɔd vesel) kin ɔda fɔ du tɛst dɛn lɛk dɛn wan ya fɔ chɛk fɔ si if pɔsin gɛt karotid at sik:

• `(Carotid Artery Duplex Vascular Ultrasound)` (Dεn skan di bכdi vεsul dεm na di nεk)
• `(CT Angiogram - CTA)`, `(Carotid Angiogram)` כ `(Magnetic Resonance Angiogram - MRA)` (dεn ya na spεshal kayn skan dεm bak we de luk di kכndishכn fכ di bכdi vεsul dεm na di nεk).

Wetin na di tritmɛnt dɛm fɔ dis?

Bɔku step dɛn de we gɛt fɔ du wit dɛnsɛf fɔ trit Ocular Ischemic Syndrome. Dis nid fɔ mek difrɛn spɛshal pipul dɛn wok togɛda.

Tritmɛnt fɔ prɔblɛm dɛn we gɛt fɔ du wit yay:

• Di kayn injɛkshɔn dɛn we dɛn kin gi na di yay: Anti-VEGF drɔgs ɔ stɛroyd. Dɛn tin ya kin ɛp fɔ ridyus di swɛlin na di retina.
• Di Ay Drɔp dɛn we gɛt mɛrɛsin: Ridyus di prɛshɔn we de insay di yay ɛn di inflamɛns.
• I kin nid bak fɔ gɛt laser ay tritmɛnt fɔ mek yu nɔ gɛt ay prɛshɔn.

Tritmɛnt fɔ `(Carotid Artery Disease)`:

• Blɔd tin dɛm, ɛn bak mɛrɛsin fɔ kɔntrol tin dɛm lɛk dayabitis ɛn ay blɔd prɛshɔn.
• Carotid Angioplasty and Stenting: Na tin we dɛn kin du we dɛn kin mek di blɔd vesel we dɔn blok ful-ɔp wit wan tin we tan lɛk balɔ ɛn put stent (smɔl tiub we tan lɛk mɛsh) fɔ mek i nɔ blok bak.
• Carotid Endarterectomy: Na ɔpreshɔn fɔ pul di plek we dɔn gɛda insay blɔd vesel.

Us prɔblɛm dɛn dis kin mek?

Nɔto ɔlman we gɛt Ocular Ischemic Syndrome go gɛt siriɔs prɔblɛm wit yu yay wantɛm wantɛm. Bɔt lɛk af pan di pipul dɛn we gɛt dis sik go gɛt sɔm kayn we fɔ si tin insay wan ia . Dɔn bak, lɛk sɛvin pan tɛn pipul dɛn go gɛt wan sik we dɛn kɔl Niovascular Glaucoma. Insay Niovascular Glaucoma, nyu, abnɔmal blɔd vesel dɛn kin fɔm na di yay, we kin blok di flɔ we di wata de flɔ insay di yay. Dis kin mek yu yay gɛt ay prɛshɔn we denja.

Wetin na di wɛlbɔdi stet fɔ pɔrsin wae gɛt Ocular Ischemic Syndrome?

infakt, di kכndyushכn we dεn kכl `(Carotid Artery Disease)` we de mek yu gεt `(Ocular Ischemic Syndrome)` kin mek yu layf de pan denja . Afta dɛn dɔn no se i gɛt `(Ocular Ischemic Syndrome)`, insay fayv iaKlose to pan ɔl tɛn pipul dɛn kin day bikɔs dɛn gɛt at atak ɔ strok. So, if yu go to dɔktɔ kwik kwik wan ɛn chenj yu layf, dat go ɛp yu fɔ protɛkt yu wɛlbɔdi.

Impɔtant: A nɔ de tray fɔ mek yu fred wit dis. Bɔt i rili impɔtant fɔ ɔndastand aw dis tin siriɔs ɛn tek di step dɛm we yu nid.

Yu tink se dɛn kin ebul fɔ protɛkt di Ocular Ischemic Syndrome?

Yes, tin dεm de we yu kin du fכ ridyus yu risk fכ gεt `(Carotid Artery Disease)` εn tru am, `(Ocular Ischemic Syndrome).` Dis na:

• It tin dɛn we go ɛp yu at, lɛk di Mɛditarenian Dayt.
• Fɛn wɛlbɔdi we fɔ kɔntrol strɛs.
• Kɔntrol dayabitis ɛn ay blɔd prɛshɔn fayn fayn wan.
• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu.
• If yu de smok, aks fɔ ɛp fɔ lɛf fɔ smok.
• Stay aktif as yu ebul ɛn ɛksesaiz.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya, yu go mɔs go to dɔktɔ:

• Pen na di yay.
• Ɛni chenj we yu de si na prɔblɛm.

Dɔn bak, if yu gɛt sayn dɛm fɔ paralayz (e.g., i nɔ izi fɔ tɔk, yu nɔ de fil fayn na wan say na yu bɔdi, yu de drɔp na wan say na yu fes), go na ɔspitul wantɛm wantɛm ɔ kɔl 1990.

Wetin a fɔ aks mi dɔktɔ?

We yu go si dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk:

• Wetin mek a de gɛt dɛn sik ya?
• Us tɛst dɛn a nid fɔ du?
• Us tritmɛnt we bɛtɛ fɔ mi?
• Wetin a fɔ du fɔ mek mi at gɛt wɛlbɔdi?
• Wetin a go du fɔ protɛkt mi yay?
• A fɔ wɔri bɔt di prɔblɛm dɛn we kin apin?

Ɛni kɔndishɔn we de afɛkt di yay na sɔntin we rili de mɔna am. If yu gɛt Ocular Ischemic Syndrome, di chenj we yu de si kin bi di fɔs sayn we de sho se yu blɔd vesel dɛn dɔn blok ɛn blɔd nɔ de go na yu ed. Dis kin bi sayn bak fɔ ɔda sik dɛm, lɛk Carotid Artery Disease. Ɔda tin dɛn we kin apin na di yay kin mek dɛn gɛt dɛn sik ya bak.

So, i rili impɔtant fɔ go to dɔktɔ we gɛt ɛkspiriɛns fɔ no ɛn trit dɛn kayn sik dɛn ya we nɔ kin bɔku na di yay . Yu kin nid bak fɔ go to dɔktɔ we de mɛn yu at fɔ trit ``Carotid Artery Disease''. Dis tritmɛnt de wok bay we i de opin wan blɔd vesel we dɔn blok ɛn mek di blɔd flɔ to di yay fayn fayn wan. Yu kin chenj yu layf bak fɔ protɛkt yu at ɛn yu yay.

Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

• Ocular Ischemic Syndrome na wan sik we de kam bikɔs di blɔd nɔ de flɔ na di yay, di men tin we kin mek i blo na di blɔd vesel dɛn na di nɛk (Carotid Arteries).
• If yu gɛt sɔm sayn dɛm lɛk wae yu nɔr de si fayn ɔr yu yay de pen, mek shɔ se yu go to dɔktɔ.
• Dis kin bi sayn fɔ ``Carotid Artery Disease'', we de mek di risk fɔ gɛt at atak ɛn strok .
• If dɛn no di pɔsin kwik kwik wan, di rayt tritmɛnt, ɛn chenj di we aw dɛn de liv in layf, dɛn go ebul fɔ kip wɛlbɔdi.
• I rili impɔtant fɔ avɔyd fɔ smok, it fayn it, ɛksesaiz, ɛn kɔntrol dayabitis ɛn ay blɔd prɛshɔn.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Wi de wish yu fɔ wɛl kwik kwik wan!

` Ocular Ischemic Syndrome, Blɔd we de flɔ na di yay we de go dɔŋ, Carotid Artery Disease, Carotid Artery Disease, Ay pen, Carotid Artery Disease, Atherosclerosis