Yu gɛt ston dɛn lɛk dis insay yu yay? Mek wi lan bɔt Optik Disk Drusen!

Yu don eva wanda, "Oh, mi ai dem okay?" Sɔntɛnde, smɔl smɔl tin kin apin insay wi yay we wi nɔ kin ivin no bɔt. Wan pan dɛn tin ya na wan kɔndishɔn we dɛn kɔl Optic Disc Drusen, we wi go tɔk bɔt tide. Nɔ wɔri, wi go tɔk bɔt dis simpul wan.

Wetin na Optik Disk Drusen?

Fɔ tɔk am simpul wan, Optic Disc Drusen na smɔl smɔl dipɔsit dɛm we gɛt kalsiɔm ɛn fat protin dɛm we de fɔm na di optik disk ɔ optik nɛv ed na yu yay. Tink bɔt dɛn lɛk smɔl smɔl ston dɛn. Di wɔd "drusen" rili kɔmɔt frɔm di Jaman wɔd fɔ "ston." Dɛn tin ya kin tik smɔl, ɔ at, as tɛm de go.

di optik nεv rכt, כ wetin wi kin kכl bak ``Optik Disk'', na in rili di fכnt pat pan yu optik nεv. Dis nerve na in de kɛr wetin yu de si go na di bren.

dis drusen kin apin sכmtεm na wan yay nכmכ (`Unilateral`). כltu, bכku tεm (bכt 75%) dεn kin si dεm na di tu yay dεm (`Bilateral`) . Sɔntɛnde, dɛn tin ya kin mek sɔm pipul dɛn nɔ de si fayn igen.

Aw dis sik kin kɔmɔn? Udat dɛn de pan denja pas ɔlman?

dεn εstimat se bitwin 1% εn 2% pan di pipul dεm kin gεt optik disk drusen. Sɔm ripɔt dɔn put di prɛvalɛns na 1.8% to 2.4%. Di sik kin afɛkt ɛnibɔdi, ilɛksɛf na man ɔ uman. Bɔt dɛn dɔn si se i kin bɔku smɔl pan wayt pipul dɛn we yu kɔmpia am wit ɔda etnik grup dɛn.

Aw yu go no if yu gɛt dɛn tin ya? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Bɔrku tɛm, pipul dɛm wae gɛt optik disk drusen nɔr kin gɛt ɛni sayn . Sɔntɛnde, yu yay dɔktɔ go jɔs no dɛn we yu go fɔ du rutin ay ɛgzam.

Bɔt sɔm pipul dɛn kin gɛt sɔm sayn dɛn. Dɛn tin ya na:

• difεkt dεm we yu de si: Dis min se pat dεm pan yu כl fil fכ si (dεn tu sεntri vishכn εn pεrifεral vishכn) nכ de si. Sɔm pipul dɛn kin ivin gɛt big blaynd ples . Imajin se yu de luk stret bifo yu ɛn wantɛm wantɛm yu nɔ si pɔsin we de kam na di sayd.
• Di vishɔn kin bi grey ɔ blɔk fɔ shɔt tɛm.
• Di sכmtεm we di pεrifεral vishכn de lכs.
• Wait ɔ yɔlɔ spat dɛn na di bays pan yu optik nɛv (`Optic Disc`) .We dɔktɔ de chɛk yu yay, dɛn kin notis se yu yay gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl . sכm drusen dεm de si (`visible optic disc drusen`), bכt sכm kin "hidden" (`buried optic disc drusen`). I at fɔ si dɛn izi wan.

Imajin, bɔku tɛm Samanta kin fil lɛk se i nɔ ebul fɔ si klia wan we sɔntin de muf bifo in yay. Fɔs, i nɔ bin pe atɛnshɔn to am, bɔt na afta we i go to dɔktɔ fɔ di yay , na in i kam fɔ no se i gɛt optik disk drusen na in tu yay.

Wetin mek optik disk drusen de fɔm?

di drusen dεm de fכm bay di akyumulεshכn fכ fεt protin dεm εn כda tin dεm. Bɔt sayɛnsman dɛn stil nɔ no di rayt tin we mek dɛn tin ya kin gɛda ɛn tik . Sɔntɛnde, dɛn kin gɛt am frɔm dɛn gret gret granpa dɛn . Dis min se if pɔsin na yu famili gɛt dis sik, yusɛf go gɛt dis sik.

Aw dɔktɔ dɛn kin no bɔt dis? Us tɛst dɛn kin du?

Bɔrku tɛm, yu yay dɔktɔ kin si dɛn drusen ya we dɛn de du yu yay ɛgzam ɔltɛm. Dɔn dɛn kin du tɛst dɛn lɛk dis fɔ kɔnfɔm mɔ:

• Visual field testing: Dis de chɛk yu rɛnj fɔ si ɛn if ɛni eria de we yu nɔ go ebul fɔ si.
• Optical Coherence Tomography (OCT): Dis na wan ay-tek skan . I tan lɛk se yu tek foto fɔ di insay pat pan di yay ɛn luk am layt bay layt. I kin sho di say ɛn di sayz we drusen de.
• Ultrasound : Dis na skan bak fɔ luk insay di yay. I kin ɛp mɔ fɔ fɛn drusen we dɛn bɛr.
• CT skan (`CT - computed tomography scan`): sכmtεm dεn kin du dis skan bak, spεshal fכ luk fכ di kכlsyכm dεposit dεm.
• Fluorescein angiography: Dis de yuz spɛshal kamɛra ɛn fluorescent dye fɔ tek pikchɔ dɛn insay di bak pat na di yay. Dis kin mek dɛn ebul fɔ si aw di blɔd vesel dɛn de .
• Fundus autofluorescence: dis na we bak fכ tek pikchכ fכ di insay pat pan di yay. Bɔt dis nɔ nid fɔ injekt day. dis tεst dεn de du am bay we dεn de yuz wan pigmεnt we dεn kכl ``Lipofuscin'' we de insay wi bכdi (we de kכmכt as wi de ol כ insay sכm mεdikal kכndishכn dεm).

Yu tink se tritmɛnt de fɔ dis? Aw dɛn de manej am?

If yu gɛt optik disk drusen, sɔntɛm yu nɔ go nid ɛni tritmɛnt ɔ spɛshal manejmɛnt . Naw, dɛn nɔ gɛt ɛni ɔpreshɔn ɔ mɛrɛsin fɔ dis sik. Bɔt nɔ wɔri, bɔku pipul dɛn nɔ nid fɔ wɔri bɔt am.

If a gɛt Optic Disc Drusen, wetin a fɔ ɛkspɛkt?

di prognosis fכ pכsin we gεt optik disk drusen jεnarali rili gud . Bɔt sɔm sik pipul dɛn kin gɛt sɔm kayn we aw dɛn nɔ kin si fayn fayn wan . Na dat na di men tin we kin apin.

Na smɔl tɛm nɔmɔ, dɛn drusen ya kin mek kɔmplikeshɔn. Dɛn prɔblɛm ya we nɔ kin apin so ɔltɛm na:

• di choroidal neovascular membranes (CNVM): dis na abnכmal nyu bכdi vεsul dεm we de fכm insay di yay. Dɛn kin blɔd, we kin mek yu nɔ ebul fɔ si na di sɛntral. If dis apin, dɛn kin nid fɔ yuz lɛsa fɔ mek di blɔd nɔ kɔmɔt.
• Anterior ischemic optic neuropathy (AION): Dis na we di bכdi we de gi di optik nεv de rεdכks, we de mek di nεv dεm de pwεl.
• di rεtina vaskulכr oklushכn: Na di blכd vεsul dεm na di rεtina we de blok.

Dis na tin dɛn we nɔ kin apin so ɔltɛm, so nɔ fɔ fred we yu nɔ nid fɔ fred.

Yu tink se dis tin we de apin denja?

Ivin if yu notis sɔm chenj dɛn na yu yay, Optic Disc Drusen nɔ kin bi wan denja kɔndishɔn . Bɔt dɛn kin gɛt fɔ du wit ɔda sik dɛn we pɔsin kin gɛt. Na dat mek i impɔtant fɔ gi dɔktɔ advays ɛn fɔ chɛk yu ɔltɛm.

Yu tink se we de fɔ mek dɛn tin ya nɔ apin?

כnכfכs, naw nכ we de fכ mek di optik disk drusen nכ fכm.

Ustɛm a fɔ go to dɔktɔ?

I rili impɔtant fɔ mek dɛn chɛk yu yay ɔltɛm (rɛgyula vishɔn tɛst). Dɔn bak, if yu notis ɛni chenj na yu yay , go to dɔktɔ wantɛm wantɛm. Nɔ ignore ɛnitin, ilɛksɛf na smɔl tin.

Wetin na di difrɛns bitwin Optic Disc Drusen ɛn ɔda sik dɛn na di yay?

Drusen kin luk lɛk ɔda ay kɔndishɔn, so i impɔtant fɔ no di difrɛns bitwin dɛn.

Nɔ fɔ kɔnfyus wit Papilledema!

Sɔm pipul dɛn kin kɔl bak optik disk drusen "pseudopapilledema." "Pseudo" min lay, min se i nɔ rial.

Papillɛdima we de mek pɔsin gɛt bɔdidis na we di prεshכn we de insay yu sכkul (intrakranial prεshכn) de mek di optik disk swel. Dis na mɛdikal imejensi.

di optik disk drusen kin mek bak di optik nεv rכt swεla, bכt i nכto tru tru swel. Na dat mek dɛn kɔl am `Pseudopapilledema`.

Glaukoma ɛn Optik Disk Drusen

Ɔl tu di glaukoma ɛn optik disk drusen kin mek prɔblɛm wit yu vishɔnal fil. Sɔntɛnde, dɛn tu tin ya kin apin togɛda. So, yu dɔktɔ fɔ ebul fɔ no difrɛns bitwin di tu tin dɛn we de apin . Glaukoma na siriɔs ay sik we nid fɔ gɛt tritmɛnt.

Yu tink se kɔnekshɔn de wit Retinitis Pigmentosa?

Pipul dεm we gεt wan kכndyushכn we dεn kכl rεtinitis pigmentosa (RP) kin gεt optik disk drusen pas di jεnarכl pipul dεm. Dis risk kin pasmak pan pipul dɛm wae gɛt sɔm kayn RP ɛn pan pipul dɛm wae gɛt wan sik wae dɛn kɔl Usher syndrome .

Yu tink se Noonan sindrom kin afɛkt bak?

Noonan syndrome na wan sik wae de kam pan pɔrsin in jɛnɛtiks. Pipul wae gɛt dis sik kin gɛt prɔblɛm wit di divɛlɔpmɛnt fɔ di optik disk. So, pɔrsin wae gɛt Noonan syndrome kin gɛt optik disk drusen bak.

Fɔ tɔk smɔl, tin dɛn we wi nid fɔ mɛmba

Okay, so wi don tok plenti boht Optic Disc Drusen. Fɔ dɔn, na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

• di optik disk drusen na diposit dεm fכ kalsiכm εn fεt protin dεm we de fכm na di bεs fכ di optik nεv insay di yay.
• Bɔrku pipul nɔr kin gɛt ɛni sayn.
• Dis sik nɔr kin denja , bɔt nɔr kin bɔrku, sɔm kayn chenj na yu yay ɔr prɔblɛm kin apin.
• Naw, no mɛrɛsin ɔ patikyula tritmɛnt nɔ de fɔ dis.
• Di tin we impɔtant pas ɔl na fɔ de chɛk yu yay ɔltɛm ɛn go to dɔktɔ wantɛm wantɛm if yu notis ɛni chenj na yu yay.

Mɛmba se yu yay na di tin we yu gɛt we valyu pas ɔl. So, na yu wok fɔ kia fɔ dɛn gud gud wan. Nɔ tek ɛni prɔblɛm we gɛt fɔ du wit yu yay layt fɔ ɛni rizin.

If yu want fɔ no mɔ bɔt dis, tɔk to yu yay dɔktɔ. I kin tɛl yu mɔ.