Lɛ wi lan di rayt tin bɔt opin-angle glaukoma!

Yu dɔn ɛva tink se wi yay kin gɛt sik sikrit wan, ɛn wi nɔ kin wɔn wi? Fɔ tru, sɔm yay sik dɛn de we wi nɔ ivin no se de kam, ɛn bay di tɛm we wi no, di damej dɔn ɔlrɛdi dɔn. Wan pan dɛn kayn yay sik ya we kin kam sikrit wan ɛn pwɛl wi yay ɛn we kin bɔku pan bɔku pipul dɛn, dɛn kɔl am opin-angle glaucoma . Lɛ wi tɔk bɔt dis ditayli tide, bikɔs i rili impɔtant fɔ no bɔt dis.

Wetin na Open-Angle Glaukoma?

Fɔ tɔk am simpul wan, Open-Angle Glaucoma na di kayn glaukoma we bɔku pipul dɛn kin gɛt. I kin kam bikɔs di optik nɛv we de insay yu yay dɔn pwɛl. Tink bɔt am lɛk smɔl drenaj sistɛm insay yu yay. dis na di say we di wata we de kכmכt insay di yay (wi kכl am di aqueous humor) de drayn kכmכt. Insay Open-Angle Glaucoma, dis drenaj sistɛm sloslo, rili slo, kin bigin fɔ blok. Yu nɔ de fil am atɔl.

We dis wata nɔ ebul fɔ kɔmɔt fayn, i kin bigin fɔ gɛda insay di yay. dis de mek di prεshכn insay di yay (intraokul prεshכn - IOP) de inkrεs. Dɛn kɔl dis ɔkulɔr haypatɛyshɔn . dis prεshכn we de inkrεs na in de mek di optik nεv we wi bin dכn tכk bכt de pwεl.

Open-Angle Glaucoma na wan sik wae de kam slow slow, wae nɔr kin gɛt ɛni sayn fɔs. I de go ɔp smɔl smɔl, ɛn smɔl smɔl yu nɔ de si igen. Bay di tɛm we yu go no, yu go dɔn pwɛl bad bad wan. Dis damej nɔ go ebul fɔ chenj. Na dat mek i rili denja. Di tritmɛnt na fɔ ridyus di prɛshɔn na di yay ɛn fɔ stɔp di sik fɔ wɔs. If dɛn nɔ trit dis sik, i kin mek i blaynd.

Aw dis kin afɛkt di we aw yu de si tin?

Open-Angle Glaucoma kin bigin wit we yu nɔ de si fayn na di say we de rawnd yu vishɔnal fil , we dɛn kɔl yu peripheral vision . I tan lɛk se di vishɔn de dak smɔl smɔl na di tu say dɛn ɛn i de smɔl na di midul. Bɔrku pipul dɛn kin si na dɛn tu yay, bɔt bɔrku tɛm wan yay kin wɔs smɔl pas di ɔda wan. Dis na wae mek sɔmtɛm i kin tranga fɔ no di sik. Dis na bikɔs di yay we de si smɔl bɛtɛ de kɔmpɛns di we aw di ɔda yay nɔ de si fayn.

Wetin na di sayn dɛm fɔ Open-Angle Glaucoma?

Bɔrku pipul nɔr kin gɛt ɛni sayn te dɛn yay pwɛl bad bad wan. Bɔt sɔntɛnde, yu kin gɛt klyu frɔm smɔl tin dɛn lɛk:

• We yu go dɔŋ wan stej, yu mis lɛk wan stɛp.
• We yu de rid buk ɔ nyuspepa, sɔm lɛta dɛn we de insay wɔd dɛn nɔ de igen.
• We yu de drayv motoka, i kin at fɔ rid di saynbɔd ɛn nem plet dɛn we de na di rod.
• We layt smɔl, fɔ ɛgzampul, ivintɛm, dɛn nɔ kin si tin dɛn klia wan, ɛn i kin at fɔ no difrɛns bitwin di kɔlɔ dɛn.

We yu yay dɔktɔ de chɛk yu yay, dɛn kin si tin dɛn we nɔ fayn lɛk dɛn yay:

• Nasal step defect : Na dak we yu de si to di nos.
• Arcuate blind spot (`(Arcuate scotoma)`): Na dak spat we kכba na di tכp כ bכtכm pan di fil fכ si.
• Paracentral blind spot (`(Paracentral scotoma)`): na sכmכl, sכkכla dak spat we de nia sכmtεm to di sεntrכm fכ si.
• Temporal wedge defect : Na triangul, dak eria we tan lɛk se i de na di sayd na di yes.

As di sik de go bifo, smɔl smɔl yu kin gɛt wan sik we dɛn kɔl tanɛl vishɔn , we kin mek yu si lɛk se yu de luk tru wan tiub.

Aw siriɔs Open-Angle Glaucoma sik?

Open-Angle Glaucoma na sik we de go bifo smɔl smɔl. I siriɔs bikɔs i kin pwɛl yu vishɔn bifo yu ivin no. Bɔt nɔr wɔri, tritmɛnt kin stɔp ɔr slo fɔ dis sik. Bɔt if dɛn nɔ trit am, i kin mek i nɔ de si igen ɛn i kin ivin blaynd.

Bɔku tɛm, dis sik nɔ kin mek pɔsin fil pen. Bɔt sɔm pipul dɛn kin gɛt wan prɔblɛm we dɛn kɔl retina venous occlusion . If na so i bi, di yay kin at ɛn i nɔ kin si igen. Fɔ trit am bak kin kɔmplikt smɔl.

Wetin mek dis (Open-Angle Glaucoma) kin apin?

Dɛn tɛl wi se wi yay gɛt natura l drenaj sistɛm fɔ pul di wata we di yay de mek. Glɔkoma kin apin we prɔblɛm de wit dis drenaj sistɛm, we kin mek wata gɛda insay di yay. dis kin mek di prεshכn insay di yay de inkrεs εn i de pwεl di optik nεv.

Sɔntɛnde di prɔblɛm wit di drenaj sistɛm kin klia, sɔm tɛm dɛn nɔ kin klia. Insay opin-angle glaucoma, i tan lɛk se di drenaj angle insay di yay opin ɛn i de wok fayn fayn wan. Bɔt, sɔntin de we de agens am insay. Masta sabi bukman dɛn biliv se di prɔblɛm de na di trabekul mɛshwɔk . Dis na tisu we tan lɛk spɔnj we di wata de kɔmɔt insay. Bɔku pan di tritmɛnt dɛn kin tɔch dis tisu.

Praymari OAG ɛn sɛkɔndari OAG

dis prכblεm sכm kayn we lεk wetin de apin to di trabekul mεshכk we wi de ol. As wi de ol, in sɛl dɛn de go dɔŋ, in shep de chenj, ɛn i nɔ de wok fayn. I tan lɛk se sɔmbɔdi dɔn mek dɛn tisu dɛn ya ol kwik kwik wan. Bɔku tɛm, dɛn nɔ kin ebul fɔ no klia rizin. Insay dɛn kayn tin ya, dɔktɔ dɛn kin kɔl am praymari opin-angle glaukoma (primary OAG).

Bɔt sɔmtɛm, dis drenaj sistɛm kin blok bikɔs ɔf ɔda mɛdikal kɔndishɔn. Fɔ ɛgzampul, i kin blok bay we i swel, di prɔtin we de na di bɔdi, ɔ we di sɛl dɛn dɔn dɔti. dis dεn kכl am sεkכnd opin-εngl glaukoma (`(Sεkכndari OAG)`).

di ekzak kכz fכ praymari OAG at fכ no. Pan ɔl we ɔkulɔr haypatɛyshɔn kin de bɔku tɛm, i nɔ kin de ɔltɛm. Sɔntɛnde, ivin if di prɛshɔn we de insay di yay nɔmal, sayn dɛn kin de fɔ se di optik nɛv dɔn pwɛl. Dɛn tin ya kin mek di risk fɔ gɛt praymari OAG bɔku:

• Di ej we de go ɔp: Pipul dɛn we dɔn pas 40 ia kin gɛt bɔku prɔblɛm.
• Famili istri: If pɔsin na yu famili dɔn gɛt glaukoma, yusɛf go gɛt am.
• Afrikan jenɛtik ɔrijin: Dis sik kin bɔku pan pipul dɛm we kɔmɔt na Afrika.

Aw dɛn kin no se pɔsin gɛt Open-Angle Glaucoma?

Glaukoma kin tranga fɔ no if yu nɔr gɛt ɛni sayn ɔr notis ɛni chenj na yu yay. Na dat mek i rili impɔtant fɔ go to dɔktɔ fɔ yu yay ɔltɛm fɔ chɛk yu yay . If yu dɔktɔ gɛt yu past rɛkɛd ɛn ay wɛlbɔdi histri, dɛn kin luk fɔ smɔl chenj ɛn tin dɛn we kin mek yu gɛt glaukoma. Dɔn dɛn kin du ɔda tɛst ɛn no di sik kwik kwik wan.

Spɛshal pipul dɛn kin no if pɔsin gɛt Open-Angle Glaucoma bay we dɛn de luk fɔ dɛn tin ya:

• Chenj dɛn we de apin na di say we pɔsin de si tin
• Damej to di optik nεv εn/כ hεy prεshכn na di yay (`(IOP)`)
• Wan opin drenaj angle (`(open drenaj angle)`)

Dɛn kin du dɛn tɛst ya fɔ chɛk if yu gɛt glaukoma:

• Visual field test : Na test we de mɛzhɔ aw yu de si, dat na aw fa yu kin si rawnd.
• optik kohεrens tכmografi (OCT): dis kin tek rili klia, kכros-sekshכnal imej dεm fכ di optik nεv εn כda layεr dεm insay di yay. Dis kin ɛp fɔ si tin lɛk aw di nerve tik ɛn aw i dɔn pwɛl.
• Gonioscopy : Na prosidur we de egzamin di drenaj angle na di yay dairekt wan. Dɛn kin yuz dis fɔ no if di angul opin, smɔl, ɔ blok.
• Tonometry (`(Tonometry)`): Mεzhɔmεnt כf intraokul prεshכn (`(IOP)`). Difrɛn inschrumɛnt dɛn de fɔ dis.

Wetin na di bɛst tritmɛnt fɔ Open-Angle Glaucoma?

Mɛrɛsin ɛn difrɛn we dɛn de fɔ trit opin-angle glaucoma. De tritmɛnt wae go fayn fɔ yu go dipen pan yu sik ɛn aw yu yay de ansa to tritmɛnt. כl di tritmεnt dεm de fכs fכ lכs di prεshכn insay di yay (IOP). Ivin if yu IOP nɔ tan lɛk se i ay, stɔdi dɔn sho se if yu put am dɔŋ, i kin mek di glaukoma slo. Dis kin ɛp fɔ kip bɔku pan yu vishɔn as yu ebul.

Medikeshɔn fɔ OAG

Bɔku tɛm dɛn kin trit Open-Angle Glaucoma wit mɛrɛsin. Bɔku tɛm, dɛn tin ya na ay drɔp. Dɛn tin ya kin mek di wata we de kɔmɔt na di yay bɔku ɔ i kin mek di wata we de kɔmɔt na di yay go dɔŋ. Dis na aw dɛn kin put di prɛshɔn dɔŋ. Nɔ wɔri, di wata we de insay yu yay (aqueous humor) difrɛn frɔm di kray wata we de rɔb yu yay. So if yu chenj di lɛvɛl fɔ dis wata nɔ go mek yu yay dray.

Na sɔm pan di mɛrɛsin dɛm wae dɛn kin yuse fɔ OAG:

• Prɔstaglandin dɛn : Ɛgzampul dɛn: travoprost, bimatoprost, latanoprost. dis na sεntetik כmon dεm we de εp di wata we de na di yay fכ drεn tru difrεn rod (uveoscleral outflow).
• Beta-blɔk : Ɛgzampul dɛn na betaxolol ɛn timolol. Dis na mɛrɛsin wae dɛn kin yuse bak fɔ trit sik lɛk at sik. Dɛn kin ridyus di wata we de na di yay.
• Rho-kinase inhibitor dεm : fכ egzampl, nεtarsudil. dis dεm de wok bay we dεn de blכk di akshכn fכ sכm εnzym dεm, we de rilaks di trabekul mεshwok insay di yay, we de mek di wata kכmכt bεtεh.
• Kכbכnik anhaydraz inhibito dεm (e.g., brinzolamid, dכrzolamid). dis dεm de wok bay we dεn de blכk di akshכn fכ wan εnzym we de mek wata insay di yay, we de ridyus fכ mek wata.
• Alfa-adrenergic agonists : Fɔ ɛgzampul, brimonidin, apraklonidin. dis dכg dεm de mek sכm nεv rεsεpכta dεm insay di yay, we de mek di wata we de kכmכt rεdכks εn di wata we de kכmכt bכku bכku wan.

Ɔpreshɔn ɛn prosidyuz fɔ OAG

If di mɛrɛsin nɔ de gi yu inof rilif, ɔ if yu nɔ want fɔ kɔntinyu fɔ tek di mɛrɛsin, yu yay dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ OAG. Sɔntɛnde, dɛn kin rɛkɔmɛnd fɔ du ɔpreshɔn we nɔ gɛt bɔku invasiv (`(minimally invasive surgery)`) as fɔs layn tritmɛnt fɔ avɔyd fɔ yuz mɛrɛsin. Bɔku kayn ɔpreshɔn de fɔ mek pɔsin gɛt glaukoma. כl di prכsidכs dεm fכ opin-angle glaukoma de tray fכ impruv di drenaj fכ fכs fכs fכs fכs na di `(trabecular meshwork)`.

Sɔm pan di tin dɛn we dɛn kin du fɔ OAG na:

• Laser trabeculoplasty : Dis de yuz laser bim fɔ trit sɔm say dɛn we yu dɔn pik na yu trabecular meshwork. dis kin mek di kεmikכl chenj dεm na di tisu, we kin mek di wata kכmכt bεtεh na di yay.
• Goniotomy : Dis na ɔpreshɔn we dɛn kin du wit glaukoma we nɔ kin bɔku we dɛn kin du am na ɔpreshɔn rum. i involv fכ pul di difεktiv/stכk trabekul mεshכk εn opin di drenaj sistεm fכ di yay.
• Tube shunt ɔpreshɔn we dɛn kin du(`(Tube shunt surgery)`): insay dis, dεn kin put wan sכmכl tin we lεk tכb (`(shunt)`) insay di yay. dis de baypas di `(trabecular meshwork)` εn i de alaw fכ fכm fכ kכmכt na di yay tru dis tכb. Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz tin dɛn we nɔ kin ambɔg di bɔdi ɛnitɛm we i pɔsibul.

Wetin na di lukin-grɔn fɔ (Open-Angle Glaucoma)?

If dɛn gɛt tritmɛnt, bɔku pipul dɛn kin stɔp fɔ mek di opin-angle glaucoma go bifo, ɔ at ɔl dɛn kin slo am. Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na dat, yu nɔ go ebul fɔ chenj di we aw yu de si we dɔn pwɛl bifo yu bigin tritmɛnt. Na dat mek i rili impɔtant fɔ no di pɔsin kwik kwik wan. Bikɔs de sik nɔr kin no, sɔm pipul dɛn nɔr kin no se dɛn de lɔs dɛn yay smɔl smɔl te i tu let. Pan ɔl we bɔku pipul dɛn nɔ kin blaynd, glaukoma na di sɛkɔn tin we kin mek pɔsin blaynd na di wɔl. Ɛn bɔku pan di glaukoma dɛn na opin-angle glaukoma.

Pan ɔl we di rizin nɔ klia, glaukoma kin afɛkt pipul dɛn we kɔmɔt na Afrika pas ɔda pipul dɛn. Afrikan Amɛrikin dɛm, Afro-Karibian dɛm, ɛn Wɛst Afrikan dɛm kin gɛt dis sik 4 tɛm pas aw dɛn kin gɛt dis sik. Dɛn kin gɛt dis sik bɔku bɔku ia bifo dis tɛm, ɛn siks tɛm pas aw dɛn kin no se dɛn nɔ de si fayn fayn wan. Afta katarakt, glaukoma (bɔku tɛm OAG) na di men tin we kin mek blak pipul dɛn blaynd.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Open-Angle Glaucoma?

Bikɔs bɔku tɛm, no klia rizin nɔ de fɔ mek pɔsin gɛt opin-angle glaukoma, no we nɔ de fɔ mek i nɔ apin. Bɔt , if yu no am kwik ɛn bigin fɔ trit yu, yu kin avɔyd sɔm pan di bad tin dɛn we di sik kin du. Di bɛst we fɔ du dis na fɔ go to ay dɔktɔ ɔltɛm fɔ chɛk yu yay ɔltɛm. If yu de pan big risk fɔ gɛt OAG, yu dɔktɔ kin tɛl yu fɔ du mɔ ɛgzam ɛn sɔm tɛm dɛn kin ivin gi yu tritmɛnt fɔ mek yu nɔ gɛt dis sik.

Aw a fɔ tek kia ɔf misɛf we a de liv wit (Open-Angle Glaucoma)?

If yu de tek mɛrɛsin fɔ opin-angle glaucoma, i impɔtant fɔ tek am jɔs lɛk aw dɛn tɛl yu fɔ tek am ɛn nɔ ɛva mis wan de. Nɔ lɛk ɔpreshɔn, mɛrɛsin nɔto lɔng tɛm, wan tɛm sɔlv fɔ OAG. Yu go nid fɔ tek dɛn mɛrɛsin ya ɛvride, sɔntɛm fɔ di res ɔf yu layf. If yu de gɛt ɛni sayd ɛfɛkt frɔm di mɛrɛsin dɛn, ɔ if yu fil se yu nɔ de fil fayn afta yu dɔn stɔp di mɛrɛsin, i kin at fɔ kɔntinyu fɔ yuz dɛn. If di tritmɛnt plan we yu gɛt naw nɔ de wok, mek shɔ se yu tɔk to yu dɔktɔ bak fɔ tɔk bɔt di tin dɛn we yu go ebul fɔ du.

Open-Angle Glaucoma na di kayn glaukoma we kin kam pas ɔl. I kin kam smɔl smɔl, i nɔ kin wɔn pɔsin, ɛn bɔku tɛm i nɔ kin gɛt sɔm sayn dɛn. I kin mek yu nɔ ebul fɔ si bifo yu ivin no. We yu yɛri dis, i kin mek yu shɔk ɛn yu kin kɔnfyus smɔl. Bɔt we dɛn dɔn no se yu gɛt di sik, yu kin bigin fɔ trit yu. Bɔku pipul dɛn kin manej OAG fayn fayn wan wit mɛrɛsin ɛn/ɔ ɔpreshɔn we nɔ kin tek bɔku mɔni.

Di impɔtant tin dɛn we yu fɔ mɛmba na dis atikul

• Open-Angle Glaucoma na sik we nɔ de tɔk natin , we min se i nɔ kin sho ɛni sayn fɔs.
• Dis kin pwɛl yu yay smɔl smɔl bifo yu ivin no am.
• Dis damej nɔ go ebul fɔ rivɛns , so i bɛtɛ fɔ no am kwik kwik wan.
• We yu de chɛk yu yay ɔltɛm, dat kin mek yu no dis sik kwik kwik wan ɛn protɛkt yu yay.
• Tritmɛnt de! Mɛrɛsin ɔ ɔpreshɔn kin kɔntrol di sik ɛn stɔp mɔ damej.
• If yu gɛt glaukoma, fala wetin yu dɔktɔ tɛl yu fɔ du. Yuz yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ du am.

Na yu fɔ tek kia ɔf yu yay. So tek kia ɔf dis.

` Glaukoma, Open-Angle Glaucoma, Ay Prɛshɔn, Vishɔn Lɔs, Ay Sik, Ay Ɛgzam, Glaukoma Tritmɛnt