Yu tink se difrɛns de na yu smɔl pikin in yay? Lɛ wi lan bɔt ‘Optic Nerve Hypoplasia’ ɛn ‘Septo-Optic Dysplasia’!

We yu luk yu pikin , yu dɔn ɛva fil lɛk se in yay nɔ de luk yu stret, lɛk se dɛn jɔs de rɔn ya ɛn de, ɔ lɛk se dɛn nɔ ebul fɔ rili de na wan ples? Sɔntɛnde yu kin fil lɛk se i nɔ de luk smɔl tɔys fayn, i jɔs de fidl wit am? Na rili nɔmal tin fɔ mek mama ɔ papa fil bɔku fred ɛn wɔri we dɛn si tin lɛk dis. Tide wi go tɔk bɔt wan sik we kin mek dɛn gɛt dɛn sik ya ɛn we kin de we dɛn bɔn am . Dɛn kɔl dis ‘Optic Nerve Hypoplasia’.

Wetin na ‘Optic Nerve Hypoplasia’?

Fɔ tɔk am simpul wan, Optic Nerve Hypoplasia na wan sik we dɛn bɔn wit. Wetin kin apin ya na dat di optik nerve we de kɛr mɛsej bitwin wi yay ɛn di bren nɔ de divɛlɔp fayn ɔ i smɔl. Tink bɔt am lɛk tu kamɛra dɛn. Wetin di kamɛra si de sɛn to di bren as imej tru di optik nɛv. So if dis nerve nɔ de divɛlɔp fayn, wetin di yay de si nɔ de go na di bren klia wan. Dis kin mek yu gɛt difrɛn prɔblɛm dɛn we yu de si, lɛk we yu yay de waka waka .

Dis kכndyushכn nכ de jכs afekt di optik nεv. Sɔmtɛm i kin afɛkt bak di divɛlɔpmɛnt fɔ ɔda pat dɛn na di pikin in bren, mɔ:

• di midlayn bren abnכmaliti dεm: di pat dεm na di bren we de sεparayt di tu εmisfya dεm, lεk di septum pεlusidכm εn di kכpas kכlכsכm, kin nכ de divεlכp fayn fayn wan. Sɔntɛnde, dɛn tin ya nɔ kin apin atɔl. Dɛn tin ya impɔtant fɔ mek di pat dɛn na di bren tɔk to dɛnsɛf.

• Pituitary Gland Hypoplasia: Yu go dɔn yɛri bɔt di Pituitary Gland. i de na di bכs pat na di bren, dכn di Hypothalamus. Dis smɔl gland de kɔntrol bɔku impɔtant wok dɛn na wi bɔdi, mɔ di ɔmon dɛn we wi de mek . So if dis gland nɔ de divɛlɔp fayn, i nɔ go mek di ɔmon dɛn we di bɔdi nid, ɔ i kin mek smɔl smɔl.

sכmtεm, dεn kin kכl dis kכndyushכn bak `(Optic Nerve Hypoplasia)` כ `(Septo-Optic Dysplasia - SOD)` כ `(de Morsier Syndrome)`. dis na biכs, lεk aw rεsכch dεn dכn fכnshכn, kכlכsכl כlman we gεt `(SOD)` gεt afekt optik nεv divεlכpmεnt. כltu, na כnli sכm pasεnshכn pan pipul dεm we gεt `(ONH)` (i.e. bitwin 5% εn 10%) gεt afekt divεlכpmεnt fכ di midul pat dεm na di bren (fכ egzampl, di `(Septum Pellucidum)`).

Aw dis sik kin kɔmɔn?

Frɔm wetin dɛn tɔk na kɔntri dɛn lɛk Amɛrika, wan pan ɛvri 10,000 pikin dɛndεn se dis kכndyushכn `(Optic Nerve Hypoplasia)` kin afekt lεk 100,000 pipul dεm. Dɔn bak, dɛn dɔn no se dis kɔndishɔn na di men tin we kin mek pikin dɛn we nɔ rich 3 ia yet nɔ de si fayn. Dɛn kayn pikin dɛn de de na Sri Lanka bak.

Yu tink se Optic Nerve Hypoplasia na siriɔs sik?

Yɛs, dis na siriɔs sik, ɛn sɔntɛnde i kin siriɔs. Bɔt di tin dɛn we kin apin to pɔsin kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pikin dɛn kin gɛt bɔku prɔblɛm wit dɛn yay. Dɔn bak, if di pituitary gland afɛkt, i kin ambɔg di ɔmon we di bɔdi de mek. Sɔm prɔblɛm dɛn we gɛt fɔ du wit ɔmon kin ivin mek pɔsin in layf de pan denja. So, if yu tink se yu pikin gɛt dɛn sik ya, ɔ if yu notis ɛni chenj na in bihayvya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm, mɔ to dɔktɔ we de mɛn pikin dɛn ɔ dɔktɔ we de mɛn dɛn yay.

Wetin na di sayn dɛm fɔ di Optic Nerve Hypoplasia?

De sayn dɛm wae yu kin si pan dis sik kin afɛkt wan yay ɔr tu yay nɔmɔ.

Di sayn dɛm wae yu kin si wae gɛt fɔ du wit di yay:

• Wae yu nɔr de si fayn: Dis kin kɔmɔt frɔm wae yu nɔr de si smɔl te yu nɔr de si fayn fayn wan (Sivɛri Visual Impairment or Blindness).
• Nystagmus: Na wan we we di yay dɛn kin muv kwik kwik wan frɔm wan say to di ɔda say ɔ ɔp ɛn dɔŋ, i tan lɛk di sɛkɔn an na wach, bɔt i kin muv kwik kwik wan.
• Strabismus (ay dɛn we krɔs) ɔ Esotropia (ay dɛn we nɔ de pɔynt na di sem say): Wan yay kin luk stret bifo ɛn di ɔda yay kin tɔn na di ɔda say.
• I nɔ izi fɔ pe atɛnshɔn pan sɔntin: We dɛn aks di pɔsin fɔ luk sɔntin, lɛk tɔys, i nɔ go ebul fɔ pe atɛnshɔn pan am fayn.

Di sayn dɛm we kin apin bikɔs ɔf di abnɔmal tin dɛm we de apin na di bren:

• Intɛlektual Divɛlɔpmɛnt Prɔblɛm (`(Intellectual Disability)`): Tin dɛm lɛk fɔ lan, intɛlektual abiliti nɔ de divɛlɔp di we we fit fɔ di ej.
• Seizure: Yu nɔ kin no natin wantɛm wantɛm ɛn yu kin gɛt kɔnvulshɔn.

Di simptom dɛm we gɛt fɔ du wit di ɔmon dɛm we kin apin bikɔs di pituitary gland nɔ de gro fayn:

Dis rili impɔtant, bikɔs ɔmon dɛn de kɔntrol bɔku tin dɛn na wi bɔdi.

• I nɔ kin izi fɔ kɔntrol di we aw di bɔdi de wok: Fɔ ɛgzampul, i nɔ kin ebul fɔ kɔntrol angri ɛn tɔsti, i nɔ kin ebul fɔ slip fayn, i nɔ kin ebul fɔ mek di bɔdi gɛt tɛmpracha fayn fayn wan.
• Stunting: Nɔ ayt we fit di ej, i kin shɔt pas ɔda pikin dɛn.
• Hypothyroidism: Dis kin afɛkt bak bɔku tin dɛn we de apin na di bɔdi.
• Dilay we pɔsin kin rich fɔ bɔn pikin.
• Lɔw blɔd shuga (Hypoglycemia): Dis kin denja.
• Wan kɔndishɔn we tan lɛk dayabitis bɔt nɔ gɛt ɛnitin fɔ du wit shuga, we kin mek pɔsin pis pasmak ɛn tɔsti (`(Diabetes Insipidus)`).
• Janda: Di skin ɛn yay kin yɔlɔ, mɔ pan di pikin dɛn we dɛn jɔs bɔn.

Imajin se yu smɔl titi de tray fɔ luk tɔys, bɔt i tan lɛk se in yay nɔ de pe atɛnshɔn fayn, ɔ i jɔs de shek. Ɔ i de vɔmit ɔltɛm, i tan lɛk se i kol, ɛn i nɔ go drink milk fayn. If yu si sɔntin lɛk dis, yu nid fɔ go to dɔktɔ wantɛm wantɛm.

Yu tink se Optic Nerve Hypoplasia kin mek pɔsin blaynd ɔltogɛda?

Sɔntɛnde, na yɛs. Dis sik kin mek yu nɔ ebul fɔ si bɛtɛ ɔ ivin blaynd ɔltin . Bɔt sɔm pikin dɛn kin jɔs gɛt smɔl prɔblɛm wit dɛn yay. Sɔmtɛm, as di pikin de ol, sɔm pan dɛn sayn ya (lɛk nistagmus) kin stɔp. Yu dɔktɔ go ebul fɔ tɛl yu ustɛm dis sik go afɛkt yu pikin.

Wetin na di rizin dɛn we mek dis kayn tin de apin?

Risach pipul dɛn stil nɔ shɔ wetin rili de mek pɔsin gɛt Optic Nerve Hypoplasia. Bɔt dɛn tink se na bikɔs ɔf di tin dɛn we de apin na di say we dɛn de ɛn di tin dɛn we de mek pɔsin gɛt jɛnɛtiks. fכ egzampl, di kכndyushכn kin kכnεkt wit fetal alcohol syndrome (FAS), we kin kam we di mama de drink rɔm we i bεlε.

pan tap we dεn nכ kin fכnshכn wan jεnεtik kכz כltεm, insay sכm kayn jεnεtik chenj dεm (`(Mutations)`) kin afekt dis. dis jεnεtik chenj dεm de inhεrit as `(Autosomal Recessive)`, we min se di pikin kin כnli divεlכp dis kכndishכn if di pikin gεt dis כltεr jin frכm di mama εn di papa. Sɔm pan di jin dɛm we kin gɛt fɔ du wit dis na:

• `(HESX1)`
• `(SOX2)`
• `(SOX3)`
• `(OTX2)`
• `(PROKR2)`
• Ɔda jin dɛn we dɛn nɔ dɔn no yet.

Wetin na di risk factor dɛm fɔ Optic Nerve Hypoplasia?

Sɔm tin dɛn de we kin mek pɔsin gɛt dis sik. dis na tin dεm we kin afekt di mama bכku tεm we i bεlε:

• Mama in ej nɔ rich 19 ia.
• Fɔ gɛt bɛlɛ fɔ di fɔs tɛm.
• Sɔmbɔdi na di famili (biological family) dɔn gɛt dis sik bifo.

If yu de stat famili ɔ yu de op fɔ gɛt ɔda pikin, i rili impɔtant fɔ go na di klinik dɛn we dɛn kin kia fɔ pikin dɛn bifo dɛn bɔn ɔltɛm. Dis go ɛp yu fɔ kɔntinyu fɔ gɛt wɛlbɔdi fɔ yu ɛn yu pikin we nɔ bɔn yet.

Wetin na de prɔblɛm wae kin kam wit dis sik?

di komplikashכn dεm fכ optik nεv haypoplasia de difrεn dipכnt pan us pat pan di bren de afekt. Sɔm prɔblɛm dɛn we kin apin kin bi:

• Nɔ ebul fɔ kɔntrol di bɔdi in tɛmpracha.
• Angri ɛn tɔsti pasmak (`(Hyperphagia)`) ɛn dat mek yu fat pasmak (`(Obesity)`).
• I nɔ kin want fɔ it ɔ i nɔ kin gri fɔ it (`(Hypophagia)`).
• Irɛgyulariti na di slip ɛn wek saykl.
• divεlכpmεnt dilay: Dis min se i de dilay pan mכtalman skil dεm (lεk fכ waka εn krawl) εn kכmyunikeshn skil dεm (lεk kכmyunikeshn skil dεm).
• Ɔtizm Spɛktrum Disɔda (ASD).

Sɔm pan dɛn kɔmplikeshɔn ya, mɔ di prɔblɛm dɛn we de wit di bɔdi tɛmpracha rɛgyuleshɔn ɛn fɔ it, kin mek pɔsin in layf de pan denja insay sɔm kes dɛm, so dɛn fɔ tek tɛm gud gud wan.

Aw dɛn kin no se pɔsin gɛt Optic Nerve Hypoplasia?

Bɔku tɛm, na dɔktɔ we de mɛn yu yay kin no bɔt dis sik afta dɛn dɔn du yu yay ɛgzam ɛn ɔda tɛst dɛn. Bɔku tɛm, di fɔs sayn fɔ dis na we yu yay nɔ de muv fayn. yu kin si dis sayn insay di fכs mכnt dεm we di pikin bכn. Bɔt sɔntɛnde, i nɔ kin klia te di pikin rich skul ɔ i yɔŋ.

ONH kin apin in wan, we min se i nɔ de afɛkt ɔda pat dɛn na di bren. כ, apat frכm di optik nεv, dεn kin no se i gεt wan כ mכr divεlכpmεnt prכblεm dεm na di midbren εn pituitary gland.

Fɔ mek dɛn no di sik, di dɔktɔ kin ɔda fɔ mek dɛn du imej tɛst, lɛk MRI (Magnetic Resonance Imaging) skan ɔ CT skan (Computed Tomography scan). Dɛn skan ya kin ɛp di dɔktɔ fɔ no mɔ bɔt aw yu pikin in bren de divɛlɔp.

Apat frɔm dat, dɛn kin du bɔku blɔd tɛst dɛn . Dɛn kin du dɛn tin ya fɔ pul ɔda tin dɛn we gɛt di sem kayn sik. fכ egzampl, dεn kin chεk di sεrum kכtisol εn di growth כmon lεvεl. Dɛn tin ya kin bi abnɔmal na ONH.

Yu tink se dɛn kin mɛn Optic Nerve Hypoplasia?

Bɔt i sɔri fɔ no se naw, no mɛrɛsin nɔ de fɔ dis sik. Bikɔs na sik we dɛn bɔn wit, dɛn nɔ go ebul fɔ chenj am ɔ kam bak.

So aw yu de trit dis?

Di tritmɛnt na fɔ kɔntrol di pikin in sik ɛn gi am rilif. Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Di men tritmɛnt dɛn na:

• Vishɔn Tɛrapi: .Yuz divays dεm we de εp fכ si prכblεm, lεk spεshal glas εn magnifying lεns (`low-vision aids`), fכ εp di pikin fכ du di wok dεm we i de du ɛvride.
• Ɔmon Riplesmɛnt Tɛrapi: If ɔmon nɔ de bikɔs ɔf prɔblɛm wit di pituitary gland, dɛn kin gi ɔmon na do. Speshal mɛrɛsin dɛn de fɔ dis.
• Fizik Tɛrapi, Ɔkupeshɔn Tɛrapi, ɛn/ɔ Tɔk Tɛrapi: Dɛn tritmɛnt ya kin ɛp fɔ mek pikin in bɔdi gro fayn, i kin ebul fɔ du di wok dɛn we i kin du ɛvride fɔ insɛf, ɛn i kin ebul fɔ tɔk fayn fayn wan.

Di dɔktɔ go disayd us kayn tritmɛnt go fayn fɔ yu pikin ɛn mek wan tritmɛnt plan fɔ du dat. Dipen pan yu pikin in ɔda sayn dɛm, ɔda patikyula tritmɛnt dɛn kin nid fɔ de.

If yu nid fɔ gi yu pikin mɛrɛsin, tek tɛm aks yu dɔktɔ bɔt ustɛm fɔ gi di mɛrɛsin, ɔmɔs, aw fɔ gi am, ɛn us sayd ɛfɛkt fɔ no bɔt.

Aw di pikin in fiuja go tan lɛk wit dis sityueshɔn?

Di ifɛkt dɛm wae Optic Nerve Hypoplasia kin gɛt kin difrɛn frɔm pɔrsin to ɔda pɔrsin. Sɔm sayn dɛn kin si we dɛn smɔl, ɛn ɔda wan dɛn kin apin we dɛn smɔl ɔ we dɛn yɔŋ. Di gud nyus na dat dis sik nɔr de go bifo. Dis min se di sik nɔ kin wɔs as tɛm de go . Sɔm sayn dɛm lɛk nystagmus kin ivin bɛtɛ we yu de ol.

Pikin dɛn we gɛt ONH nid fɔ de wach ɛn kia fɔ dɛn fɔ lɔng tɛm frɔm dɛn mama ɛn papa, di wan dɛn we de kia fɔ dɛn, ɛn dɔktɔ dɛn. Dɛn fɔ de wach dɛn ɔltɛm fɔ mek shɔ se dɛn gɛt wɛlbɔdi. Dɛn fɔ du dɛn yay ɛgzam wan tɛm insay di ia ɛn si ɔda spɛshal pipul dɛn as nid de.

Pan ɔl we siriɔs prɔblɛm wit di pituitary gland kin mek pɔsin in layf de pan denja, di bɛst tin kin apin if dɛn no di sik ɛn trit am kwik kwik wan.

Yu tink se dɛn kin mek dɛn nɔ gɛt Optic Nerve Hypoplasia?

Naw, dɛn nɔr no we fɔ mek dɛn nɔ gɛt dis sik. If yu de plan fɔ gɛt bɛlɛ, i fayn fɔ go to pɔsin we de advays yu bɔt yu jɛnɛtiks ɔ pɔsin we de kia fɔ yu bifo yu bɔn fɔ no mɔ bɔt di tin dɛn we kin mek yu gɛt bɛlɛ ɛn aw fɔ gɛt wɛlbɔdi.

Ustɛm a fɔ go to dɔktɔ?

If yu pikin in yay nɔ de luk yu fayn, i nɔ de alaynɛd ​​fayn, ɔ i de muv di we we nɔ kɔmɔn , go to dɔktɔ wantɛm wantɛm. Dɔn bak, tɛl yu dɔktɔ if yu pikin nɔ de rich di divɛlɔpmɛnt maylston dɛm (fɔ ɛgzampul, fɔ kray, kray, ɔ fɔ rich fɔ tin dɛm) we fit in ej.

If yu pikin gɛt sik we de mek i sik, kɔl 911 wantɛm wantɛm ɔ kɛr dɛn go na di ɔspitul imejensi rum we de nia yu.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw a go ɛp mi pikin fɔ kɔntrol in sik dɛn?
• Wetin a fɔ du if a notis se mi pikin de mis di divɛlɔpmɛnt maylston dɛm?
• Mi pikin nid glas ɔ ɔda tin dɛn we go ɛp am fɔ si?
• Aw di kɔndishɔn `(ONH)` go afɛkt mi pikin we i bigin skul?
• Aw ɔltɛm mi pikin fɔ du in yay ɛgzam?

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

As mama ɔ papa, i nɔmal fɔ mek yu fil shɔk ɛn fred we yu pikin in yay de waka waka ɛn nɔ de luk yu fayn. Wan sik wae dɛn kɔl Optic Nerve Hypoplasia kin afɛkt yu pikin in ebul fɔ si yu klia wan. I kin afɛkt ɔda pat dɛn na di bren bak we de ɛp fɔ du impɔtant wok dɛn lɛk fɔ mek ɔmon ɛn fɔ mek di bɔdi gro.

Bɔt mɛmba se nɔto yu wangren de. Dɔktɔ kin chɛk yu pikin, mek yu no if i gɛt di sik, ɛn gi yu tritmɛnt plan we dɛn mek fɔ dɛn patikyula sayn dɛn.

Na nɔmal tin fɔ mek pikin dɛn nid smɔl mɔ ɛp na skul pas ɔda pikin dɛn, mɔ if dɛn de tek smɔl tɛm fɔ divɛlɔp pas ɔda pipul dɛn. If yu notis ɛni sik we de mɔna yu pikin we de afɛkt di we aw yu pikin de gro ɔ di divɛlɔpmɛnt, nɔ shem fɔ tɛl yu dɔktɔ. Yu pikin in mɛdikal tim kin rɛdi ɔltɛm fɔ ansa ɛni kwɛstyɔn we yu gɛt. If yu gɛt maynd, yu go ebul fɔ kia fɔ yu pikin di bɛst we we i nid.

` optik nεv haypoplasia, sεpto-optik displasia, bכn blaynd, vishכn impεryans, pituitary gland, pikin divεlכpmεnt, nystagmus