Lɛ wi lan mɔ bɔt ɔkulɔr sifilis, we kin afɛkt di yay bak.

Yu go dɔn yɛri bɔt sik dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs wit ɔda pɔsin (STD). Sɔm pan dɛn sik ya kin afɛkt ɔda pat na di bɔdi if dɛn nɔ trit am fayn. Semweso, if dɛn nɔ trit yu fayn, wan sik we dɛn kɔl sifilis kin afɛkt yu yay bak. Tide wi de tɔk bɔt wan sik we dɛn kɔl ocular syphilis, we kin afɛkt di yay. Pan ɔl we dis na siriɔs stori, if dɛn tɛl wi gud gud wan, dat kin mek bɔku prɔblɛm nɔ kam.

Fɔ tɔk am simpul wan, wetin na ɔkulɔr sifilis?

Fɔ tɔk am simpul wan, Ocular Syphilis na wan kɔmplikeshɔn fɔ sifilis we kin apin na yu yay if yu gɛt di sik ɛn dɛn nɔ trit am fayn. Sifilis na baktriyal infεkshכn εn na infεkshכn we dεn kin gεt wit mami εn dadi biznεs (STI). Dis infεkshכn kin pas bak frכm mama we gεt bεlε to in pikin.

If yu nɔ trit yu, sifilis kin go na yu nervɔs sistɛm, yu bren (Nyurosayfilis), yu yes (Otosyphilis), ɛn yu yay (Ocular Syphilis). If dɛn nɔ trit am, i kin mek i nɔ ebul fɔ si fayn ɛn i kin ivin mek i blaynd. Dis na di rizin we mek i impɔtant fɔ no bɔt dis.

Aw dis sik kin kɔmɔn?

Ɔlsay na di wɔl, dɛn kin ripɔt lɛk 12 milyɔn nyu wan dɛn we gɛt sifilis ɛvri ia. Na kɔntri lɛk Amɛrika, dɛn kin se bitwin 1% ɛn 5% pan di wan dɛn we gɛt ``Nyurosayfilis`` kin gɛt ``Ocular Syphilis``. Dis kɔndishɔn nɔ de na Sri Lanka, so wi fɔ wɔri bak bɔt dis.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no am?

Dɔktɔ dɛn kin kɔl sifilis “di big pɔsin we de ful pipul dɛn.” Dat na bikɔs di sik kin falamakata di sayn dɛm fɔ bɔrku ɔda sik dɛm. Dat min se sɔmtɛm i kin at fɔ no se na sifilis.

Di simptom dɛm fɔ `(Ocular Syphilis)` kin apia na ɛni stej fɔ sifilis. Bɔt dɛn kin si dɛn mɔ na di leta stej dɛm fɔ di sik. If yu nɔr gɛt tritmɛnt, de sik go go bifo smɔl smɔl tru difrɛn stej dɛm.

Lɛ wi lan bak bɔt di stej dɛm fɔ sifilis.

Dɛn kin sheb sifilis to sɔm men stej dɛm:

• Praymari Stej: Dis stej kin bigin insay tu to twɛlv wik afta yu dɔn gɛt pɔrsin wae gɛt sifilis. dis na we wan sכm we nכ de pen (`chancre`) de divεlכp na yu jεnital εria. Pan ɔl we dis wund kin wɛl fɔ insɛf insay sɔm dez, yu kin stil pas di sik to ɔda pɔsin.
• Sɛkɔndari Stej: Insay wan to siks mɔnt afta di sɔri we wi bin dɔn tɔk bɔt dɔn wɛl, yu go gɛt rash. Yu kin stil infɛkt ɔda pipul dɛn insay dis stej.
• Latent Stej: If yu nɔr dɔn gɛt tritmɛnt yet, yu stil gɛt sifilis na dis stej. Bɔt yu nɔ go gɛt ɛni sayn fɔ sho se yu gɛt dis sik. Insay dis stej, di risk fɔ pas di sik to pɔsin we i de du mami ɛn dadi biznɛs wit nɔ kin bɔku.
• Tɛshari Stej: Dis na di las ɛn di stej we kin rili bad fɔ di sik. Spɛshal wan, na insay dis stej we siriɔs wɛlbɔdi prɔblɛm kin apin. di kכndishכn dεm lεk `(Ocular Syphilis)` kin si bak mכr fכs insay dis tεm.

Wetin na di sayn dɛm wae de sho na di yay nɔmɔ?

Naw lɛ wi si us simptom dɛn kin afɛkt di yay spɛshal wan pan di kes fɔ `(Ocular Syphilis)`:

• Di yay dɛn we de rɛd.
• Fɔ si smɔl tin dɛn we de flɔt bifo di yay (`(Eye floaters)`).
• Ay pen.
• Sεnsitiviti to layt, we min se i nɔ izi fɔ luk pan layt (Photophobia).
• Di we aw pɔsin de muv di yay we nɔmal.
• Argyll Robertson pupil: Dis na di kכndyushכn we di pupil na di yay de kכntrakt, spεshal wan we yu de luk sכmtin klos klos. Bɔt i nɔ kin kɔntrakt we i de pan brayt layt.
• Yu nɔ de si fayn ɔ yu nɔ de si fayn igen.
• Sɔl, lumps, ɔ spat dɛn na di yay ɔ rawnd di yay.
• Na sכm tεm, wan sכm we nכ de pen (`(Chancre)`) kin divεlכp pan di aylid.

Impɔtant: If yu gɛt wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm. If yu no am kwik kwik wan ɛn trit yu, dat kin mek yu nɔ gɛt siriɔs damej.

Us pat dɛn na di yay dis kin afɛkt?

Sifilis kin rili afɛkt ɛni pat na di yay. Bɔt bɔku tɛm i kin afɛkt di uvea. di uvea na di pat pan di yay we lεk mεmbran we de dכn di wayt pat pan di yay (di sklera). I gɛt di ayris, di choroid, ɛn di ciliary bɔdi.

dis inflameshn εn infεkshכn na di `(Uvea)` dεn kכl am `(Uveitis)`. Bɔku dɔktɔ dɛn biliv se ɔlman we gɛt `(Uveitis)` fɔ tɛst fɔ sifilis. Sɔntɛm kɔnekshɔn de bitwin dɛn tu tin ya.

Wetin kin mek dis apin? Aw i kin skata?

Ɔl tu di sifilis ɛn ocular sifilis na di baktri we dɛn kɔl Treponema pallidum.

Sifilis kin spre tru klos to di skin-to-skin kɔntakt wit pɔsin we gɛt di sik. Bɔrku tɛm, sifilis kin pas tru mami ɛn dadi biznɛs wit yu mɔt, anal, ɛn vagina we nɔ gɛt protɛkshɔn.

If yu gɛt bɛlɛ, dis infɛkshɔn kin pas to yu pikin bak. Na dat mek i rili impɔtant fɔ mek dɛn du tɛst fɔ sifilis we yu gɛt bɛlɛ. If yu gɛt sifilis, i kin ambɔg yu pikin.

Udat dɛn de pan denja pas dat?

Sɔm pipul kin gɛt bɔrku risk fɔ gɛt Ocular Syphilis. Dɛn tin ya na:

• Pipul dɛn we de du mami ɛn dadi biznɛs we nɔ gɛt protɛkshɔn, mɔ if dɛn gɛt pas wan pɔsin we dɛn de du mami ɛn dadi biznɛs wit.
• Man dɛn we de du mami ɛn dadi biznɛs wit man dɛn (MSM).
• Pipul dɛn we gɛt HIV naw ɔ we dɛn dɔn kɔnfyus se dɛn gɛt ɔda sik we dɛn kin gɛt frɔm mami ɛn dadi biznɛs.
• Pipul wae dɔn du mami ɛn dadi biznɛs wit pɔrsin wae dɛn dɔn kɔnfyus se i gɛt sifilis.

Wetin na di prɔblɛm dɛn we kin apin if dɛn nɔ trit dɛn?

If dɛn nɔ trit Ocular Syphilis fayn, prɔblɛm dɛn lɛk dis kin apin as tɛm de go:

• Katarakt we pɔsin kin gɛt.
• di fכmeshכn fכ nyu bכdi vεsul dεm na di yay (`(Neovascularization of your eye)`).
• Di opasiti na di kɔnia.
• Glaukoma (Glaukoma) we de mek pɔsin gɛt sik.
• Wrinkling na di retina na di yay (`(Macular pucker)`).
• Swel na di makula (makula εdima).
• Ska we de na di yay tisu.

Fɔ yɛri dɛn tin ya kin tan lɛk se yu de fred, bɔt mɛmba se, dɛn kin ebul fɔ avɔyd ɔl dis if dɛn no di sik kwik kwik wan ɛn trit am fayn.

Aw yu go no ustɛm dis de?

Fɔ no if yu gɛt ɔkulɔr sifilis, yu dɔktɔ go aks yu kwɛstyɔn bɔt yu sik ɛn yu mɛdikal histri. Dɔn, wan dɔktɔ we de mɛn yu yay go du wan kɔmplit ay ɛgzam ɛn sɔm ɔda tɛst dɛn. Dɛn go chɛk fɔ:

• Di we aw yu de si tin.
• Di wok we di blak ring de du na yu yay.
• Di prɛshɔn we de na yu yay.
• Yu blɔd tɛst dɛn.
• Sɔntɛnde, dɛn kin ivin tɛst di sɛribrospaynal fluid (CSF).

Us tɛst dɛn de du?

Dis na sɔm pan di men tɛst dɛm wae dɛn kin yuse fɔ no bɔt Ocular Syphilis:

• Blɔd tɛst (espɛshali tɛst fɔ sifilis).
• Tonometry test fɔ mɛzhɔ di prɛshɔn na di yay.
• wan maykroskopik egzamin we dεn kכl ``slit lamp egzam'' (dis de mek yu si di insay pat pan di yay ditayli).
• Fluorescein angiography (Dis involv fɔ injekt spɛshal wata na di yay ɛn tek pikchɔ fɔ di blɔd vesel dɛn we de insay).

Aw dɛn kin trit dis? Yu tink se dɛn kin mɛn am?

Di gud nyus na dat, dɛn kin mɛn Ocular Syphilis kpatakpata wit antibayɔtik! Di antibayɔtik we dɛn kin yuz mɔ na penisilin. Bɔt di tritmɛnt kin difrɛn difrɛn wan bay di stej we di sifilis gɛt. Yu dɔktɔ kin tɛl yu bak fɔ tek ay drɔp ɔ ɔda mɛrɛsin dɛn we yu kin it.

Us mɛrɛsin dɛn kin gi?

Bɔku tɛm, dɔktɔ dɛn kin tɛl yu fɔ tek tritmɛnt dɛn lɛk dɛn wan ya:

• wan antibaytik we dεn kכl `(Penicillin G)` dεn kin gi am insay di bכdi (`(IV)`) fכ 10 to 14 dez.
• Sɔntɛnde, dɛn kin gi wan injɛkshɔn we dɛn kɔl Benzathine penicillin G, we dɛn kin injɛkt insay di mɔsul (intramuscular) fɔ tri wiks, wit wan mɛrɛsin we dɛn kɔl Probenecid, we dɛn kin tek bay mɔt.
• If yu gɛt alɛji fɔ penisilin, dɛn kin gi yu ɔda antibayɔtik lɛk sɛftriakson ɔ azithromycin.

Di bɛst tritmɛnt fɔ ɔkulɔr sifilis ɛn nyurosifilis na intravenɔs penisilin. If yu gɛt alɛji fɔ penisilin, sɔntɛnde dɔktɔ dɛn go tray fɔ mek yu nɔ fil di mɛrɛsin so dat yu go ebul fɔ yuz am.

Speshal: Tritmɛnt fɔ Sifilis Kɛrɛtaytis, we na wan sik we sifilis kin kam wit

Smɔl difrɛns de ya. If yu gɛt Syphilitic Keratitis, we na inflamɛns na di kɔnia na yu yay we sifilis kin mek yu gɛt, yu dɔktɔ go gi yu stɛroyd instead fɔ gi yu antibayɔtik.

Afta yu dɔn bigin fɔ tek antibayɔtik tritmɛnt, yu dɔktɔ kin gi yu stɛroyd we yu kin it ɔ yu yay drɔp fɔ mek yu yay nɔ inflamɛns. Dɛn kin gi yu ɔda mɛrɛsin dɛn bak fɔ yu yay, lɛk:

• Nɔn-stɛroyd anti-inflammatory drɔgs (NSAIDS) we de ridyus inflamɛns.
• Ay drɔp dɛn we de ridyus di dray (Lubricants).
• Mεdisin dεm we de dilayt di pupil na di yay (`(Mydriatics)`).

Ɛni bad tin de we di tritmɛnt kin du?

Sifilis tritmɛnt kin mek sɔm sayd ɛfɛkt ɔ risk bak. Sɔm pan dɛn na:

• `(Jarisch-Herxheimer reaction (JHR))`: Dis na riakshכn we kin apin wit intravenכs mεdikeshכn. I kin mek yu gɛt fiva ɛn swet, ed kin at, yu bɔdi wam, ɔ yu yay kin gɛt mɔ inflamɛns. Dɔktɔ dɛn de wach fɔ dis.
• Yu nɔ de si fayn ɔltɛm: If yu yuz stɛroyd nɔmɔ we yu nɔ gɛt antibayɔtik, dat kin mek yu nɔ ebul fɔ si fayn. If yu gɛt uveitis bikɔs ɔf sifilis, yu fɔ rili tek antibayɔtik bak.
• Di prɔblɛm dɛn we kin apin we pɔsin yuz Stɛroyd: Pan ɔl we stɛroyd na mɛrɛsin we rili yusful, i kin mek pɔsin gɛt bad bad tin dɛn we i de yuz fɔ lɔng tɛm. Dɛn tin ya na fɔ gɛt bɔku bɔku bɔdi, fɔ chenj di we aw pɔsin de fil, fɔ nɔ ebul fɔ slip, ɛn fɔ gɛt ay blɔd prɛshɔn ɛn shuga.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Di tritmɛnt fɔ Ocular Syphilis kin tek lɛk tu wiks, sɔm tɛm dɛn kin tek lɔng tɛm pas dat. Yu kin bigin fɔ fil fayn insay sɔm dez afta yu bigin fɔ trit yu. Bɔt i impɔtant fɔ tek di ful kɔs fɔ di mɛrɛsin we yu dɔktɔ gi yu.

Wetin go apin tumara bambay? Yu tink se i go wɛl ɔltogɛda?

Sifilis, ɛn bak wan sik we dɛn kɔl `(Ocular Syphilis)` , na sik we pɔsin kin mɛn. Jɔs lɛk ɔl di sik dɛn we de na di yay, if yu no di sik kwik kwik wan ɛn trit yu kwik kwik wan fɔ `(Ocular Syphilis)` i kin ridyus di damej we yu de si bad bad wan. If yu gɛt ɔda sik, lɛk `(HIV)`, ɔ if yu nɔ bin de si fayn fɔ bigin, dɛn tin ya kin afɛkt di rizɔlt bak.

Yu tink se dɛn go ebul fɔ mek dis nɔ apin?

Di wangren we fɔ mek yu nɔ gɛt sifilis na fɔ avɔyd fɔ du mami ɛn dadi biznɛs wit pɔsin we gɛt sifilis ɛn fɔ avɔyd fɔ tɔch di sifilis sɔl.

Aw fɔ ridyus di prɔblɛm?

Yu kin du dɛn tin ya fɔ ridyus dis risk:

• Fɔ lɛf fɔ du mami ɛn dadi biznɛs.
• Fɔ du mami ɛn dadi biznɛs wit wan pɔsin we dɛn kin abop pan we dɛn dɔn kɔnfyus se i nɔ gɛt ɛni sik we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs.
• Yuz latex kɔndɔm ɛn dɛnt dɛm kɔrɛkt wan ɔltɛm if yu de du mami ɛn dadi biznɛs wit ɔda pipul dɛn wit mɔt, anal, ɔ vagina.

Ustɛm yu fɔ go to dɔktɔ?

If yu notis ɛni chenj na yu yay, ɔ if yu gɛt nyu sik ɔ if i tan lɛk se di sik we yu bin dɔn gɛt de wɔs, go to dɔktɔ wantɛm wantɛm.

Ustɛm yu nid fɔ go na di imejensi rum?

If dis kayn tin apin, go na imejensi rum ( ETU ) wantɛm wantɛm:

• If yu lɔs yu yay wantɛm wantɛm.
• If yu gɛt siriɔs pen na yu yay.
• If yu gɛt prɔblɛm fɔ blo bikɔs yu gɛt alɛji to mɛrɛsin.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

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

• Wetin na de impɔtant tin wae a fɔ no bɔt Ocular Syphilis?
• Us tritmɛnt yu kin kɔmɛnt fɔ mi?
• Wetin na de risk wae de wit dis tritmɛnt?
• Us sayd ɛfɛkt dɛn a fɔ ripɔt wantɛm wantɛm?
• Aw di prɔses fɔ tɛl mi patna dɛn we de du mami ɛn dadi biznɛs se dɛn kin gɛt sifilis bak kin wok?

Nɔbɔdi nɔ lɛk fɔ yɛri se dɛn gɛt wan sik we dɛn kin gɛt we dɛn de du mami ɛn dadi biznɛs, lɛk sifilis. Yu kin tink se dis kayn sik kin jɔs afɛkt di riprodaktiv sistɛm. Bɔt nɔto so i bi wit sifilis. I kin afɛkt yu yay bak, ɛn mek yu nɔ ebul fɔ si fayn ɛn yu kin blaynd. Bɔt if dɛn kech am kwik ɛn trit am wit ful kɔs fɔ antibayɔtik, yu dɔktɔ kin mɛn Ocular Syphilis. If yu dɔn ɛva gɛt alɛji fɔ penisilin, mek shɔ se yu tɛl yu dɔktɔ bɔt am. Penisilin na di men tritmɛnt fɔ dis.

Wi Mɛsej fɔ Tek-Hom

So, a op se yu dɔn ɔndastand gud gud wan naw bɔt di kɔndishɔn we dɛn kɔl `(Ocular Syphilis)` we wi tɔk bɔt tide. Di tin we impɔtant pas ɔl fɔ mɛmba na dat dis na sik we pɔsin kin mɛn, mɔ if dɛn no am kwik ɛn trit am fayn. If yu gɛt ɛni dawt ɔ ɛni sayn, nɔ shem ɔ fred fɔ go to dɔktɔ. Dɔn bak, fɔ du mami ɛn dadi biznɛs we nɔ gɛt wan prɔblɛm na di bɛst we fɔ protɛkt yusɛf frɔm dɛn kayn sik dɛn ya. Yu yay na valyu tin, ɛn na yu wok fɔ protɛkt dɛn.

` Okula Sifilis, Sifilis, Sifilis na di yay, Sifilis we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs, Ay sik, Uveitis, Sifilis simptom, Sifilis tritmɛnt