Yu kin gɛt prɔblɛm bak fɔ si klos afta yu dɔn rich 40 ia? Mek wi tɔk bɔt Presbyopia!

Yu kin si am bak se i nɔ kin izi fɔ yu smɔl fɔ luk nyuspepa, rid buk, ɔ si di smɔl smɔl tin dɛn we yu rayt na yu fon? Sɔntɛm yu fɔ ol wan buk fa smɔl fɔ rid am? Ɔ yu yay kin at ɛn fil taya we yu de du klos wok? Bɔrku tɛm, dis kin bi bikɔs ɔf di kɔndishɔn wae wi de tɔk bɔt tide (Presbyopia). Nɔto tin fɔ fred, nɔto sik, na tin we kin apin to bɔku pipul dɛn as dɛn de ol.

Wetin na Prɛsbaypia? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, presbyopia na wae yu nɔr de ebul fɔ pe atɛnshɔn klia wan pan tin dɛm wae de nia yu as yu de ol. Dis kin apin bikɔs di natura l lens we de insay wi yay nɔ kin ebul fɔ chenj as wi de ol.

Prɛsbayopia kin bigin arawnd di ej 40. Dɔn i kin wɔs smɔl smɔl te i rich arawnd 60-65 ia. Yu kin si se fɔ du klos wok lɛk fɔ rid buk ɔ nyuspepa ɔ fɔ trɛd nidul kin at pas aw i bin de bifo. Fɔ sɔm pipul dɛn, dis kin mek dɛn ed at, dɛn yay kin strɛs, ɛn dɛn yay kin taya.

Di impɔtant tin na dat, Presbyopia nɔto sik. Na tin we pɔsin kin du we i ol. Jɔs lɛk aw wi ia kin tɔn grey. Na rεfrεktiv mistek na di yay, we na sכm chenj na di we aw layt de fכkus insay di yay. Di bɛst pat na dat, i kin izi fɔ kɔrɛkt am wit glas, kɔntakt lens, ɔ ɔpreshɔn.

Aw kɔmɔn dis sik (Presbyopia)?

Presbyopia na wan sik wae kin pasmak. Nɔto jɔs yu, na bɔku bɔku pipul dɛn ɔlsay na di wɔl. As of 2015, na lɛk 1.8 bilyɔn pipul dɛn ɔlsay na di wɔl bin gɛt presbyopia. Risach pipul dɛn se bay 2030, dis nɔmba go rich 2.1 bilyɔn. So yu kin si aw dis kin apin.

Wetin na di sayn dɛm wae de sho se pɔrsin nɔr de fil fayn? Si if yusɛf gɛt dɛn tin ya!

Luk ɛn si if yu gɛt dɛn kwaliti dɛn ya:

• Nid mɔ layt fɔ rid: Yu fil se naw yu nid mɔ layt fɔ rid tin dɛn we yu bin de rid wit nɔmal layt?
• Blɔr vishɔn we yu de rid na nɔmal distans: Di tɛks nɔ klia we yu ol nyuspepa ɔ buk na nɔmal pozishɔn?
• Fɔ gɛt fɔ ol tin dɛn we yu de rid fa: Dis na sɔntin we bɔku pipul dɛn kin si se i strenj. Yu fɔ ol yu fon ɔ buk fa fawe so?
• Ed we de at we yu de du klos wok: Yu kin gɛt ed pen afta yu dɔn rid buk ɔ du sɔntin we yu de siŋ?
• Ay strɛs: Yu yay de at, yu kin fil lɛk se dɛn de pul am frɔm insay, ɔ yu kin fil taya?

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i kin bi bikɔs ɔf prɛsbayopia.

Wetin mek wi kin gɛt presbyopia? Wetin na di kɔz?

di men rizin fכ divεlכpmεnt fכ prεsbyopia na di chenj dεm we de apin na wi yay as wi de ol. We wi yɔŋ, dat na, insay di fɔs sɔm dikɛd ia dɛn na wi layf, di lens we de insay wi yay kin rili saf ɛn i kin ebul fɔ chenj. We yu luk sɔntin we de fa ɛn afta dat wantɛm wantɛm yu luk sɔntin we de nia yu, dis lens kin chenj in shep kwik kwik wan. Wi kin kɔl dis abiliti bak ``akmɔdishɔn``. dis na bikoz fכ dis, layt rayt de fכl εksakכt pan di ``rεtina`` εn wi de si klia wan.

Tink bɔt yu yay lɛk kamɛra. Di lens fɔ kamɛra kin ɔtofokus pan tin dɛn we de nia ɛn tin dɛn we de fa. di lens na wi yay, togɛda wit di transparent pat na di frɔnt pat na di yay we dɛn kɔl kɔnia, de gi dis klia vishɔn. Fɔ ɔndastand presbyopia, i fayn fɔ no smɔl bɔt dis prɔses:

1. di kכnia de bεnd nכmal wan as layt de kam insay di yay.

2. Dɔn, wan smɔl mɔsul we tan lɛk ring we de rawnd di lens kin kɔntrakt ɔ rilaks. Dis akshɔn de chenj di shep fɔ di lens ɛn alaw tin dɛn we de nia ɔ fa fɔ fos. If di tin de fa, di mɔsul kin rilaks. If i de nia, di mɔsul kin kɔntrakt.

3. Layt de fɔdɔm pan di retina. Dis na wan mɛmbran we de biɛn di yay . Dis na wetin de chenj layt to ilɛktrik signal.

4. di optik nεv de kכri dεn signal dεm ya to di bren. Na da tɛm de wi kin si di pikchɔ.

As wi de ol, di lens na wi yay de kɔntinyu fɔ gro. Lɛk anɔynt, dɛn kin ad nyu layers pan sɛl dɛn. Dis kin mek di lens tik ɛn i nɔ kin ebul fɔ chenj igen. Dis kin mek layt nɔ de pe atɛnshɔn fayn fayn wan na di retina. Dis na we tin dɛn we de nia wi kin bigin fɔ tan lɛk se dɛn nɔ klia. Dis na di men tin wae kin mek pɔrsin gɛt presbyopia.

Udat de pan big risk fɔ gɛt presbyopia?

Di men tin we kin mek yu gɛt dis sik na we yu ol pas 40 ia . כltu, sכm mεdikeshכn dεm εn sik kin mek pipul dεm we nכ rich 40. Wi kin kכl dis "premature presbyopia" כ ``premature presbyopia''.

Di tin dɛm wae kin mek pɔrsin gɛt presbyopia na:

• Fɔ gɛt pɔsin we de si fa (Hyperopia).
• Di yus fɔ sɔm mɛrɛsin dɛn. Fɔ ɛgzampul, antihistamin fɔ alɛji ɛn antidipreshan fɔ pwɛl hat.
• Fɔ gɛt sɔm sik dɛn. Ɛgzampul dɛn: Dayabitis, Mɔltipɛl Sklɛrosis (MS), Kadyovaskyuɛl sik.

Aw yu go no if yu gɛt presbyopia?

Wan dɔktɔ we de mɛn yay, dat na, dɔktɔ we spɛshal pan yay, kin ebul fɔ no di prɛsbyopia kɔrɛkt wan bay we i de chɛk di yay.

wan imכtant pat pan dis tεst dεn kכl am ``rεfrakshכn asesmεnt.`` Dis tεst de mכsu aw yu kin si fayn fayn wan na difrεn distans dεm. Dis tɛst kin tɛl yu dɔktɔ if yu gɛt presbyopia, ɔda prɔblɛm dɛn we yu de si lɛk astigmatism, we yu de si nia (Myopia) ɔ we yu de si fa (Hyperopia).

Wetin na di mɛrɛsin fɔ presbyopia?

Di dɔktɔ we de mɛn yu yay kin gi yu wan ɔ mɔ pan dɛn we ya, i kin dipen pan yu wɛlbɔdi biznɛs, di we aw yu de liv yu layf, ɛn wetin yu lɛk:

• Ayglas dɛn we yu kin yuz
• Kontakt lens dɛn
• Di ɔpreshɔn dɛn we dɛn kin du
• Ay drop dɛn

Lɛ wi tɔk bɔt ɛni wan pan dɛn tin ya smɔl mɔ.

Ayglas dɛn we yu kin yuz

Ilɛksɛf yu dɔn yuz glas fɔ ɔda prɔblɛm we yu de si bifo, naw kin bi di tɛm fɔ chenj to wan kayn glas we go fayn fɔ yu yay we de chenj. Na sɔm tin dɛn we yu go ebul fɔ du:

• Ridin glas / Rida dɛm: Dɛn kin bɛtɛ fɔ pipul dɛm wae de si nia (Myopia), wae de si fa (Hyperopia), ɔr gɛt astigmatism. Yu kin bay Rida dɛn ova di kɔwnta na famasi. Bɔt i bɛtɛ fɔ aks yu dɔktɔ us magnifyeshɔn pawa we rayt fɔ yu. Ɔda we de fɔ mek yu gɛt prɛskrishɔn ridin glas we dɛn mek fɔ fit yu yay.
• Bifocals: Dɛn glas ya, we dɛn kin gi bɔku tɛm fɔ presbyopia, gɛt tu prɛskrishɔn na di sem lens. Di pat we de ɔp na di lens de ɛp fɔ si distans, ɛn di smɔl pat we de dɔŋ de ɛp fɔ si nia.
• Trifocals: Dɛn wan ya gɛt tri lens dɛn: wan fɔ si nia, wan fɔ si intamɛdiet (we de lɛk tri fit so), ɛn wan fɔ si distans.
• Progresiv dεm: Dis na mכltifokal lεns dεm, lεk bifokal dεm. Bɔt di chenj frɔm wan prɛskrishɔn to ɔda wan kin apin smɔl smɔl. Bɔku pipul dɛn kin pik di wan dɛn we de go bifo bikɔs dɛn nɔ lɛk di layn dɛn we de na dɛn glas.
• Ɔfis prɔgrɛsiv dɛm: Dɛn mek dɛn glas ya fɔ wok klos na di ɔfis. Dat min se yu fɔ wok na kɔmpyuta, rayt, ɛn ɔda tin dɛn We yu grap na yu tebul, yu fɔ pul dɛn fɔ si fa fawe.

Kontakt Lɛns dɛn

Bɔrku kayn kɔntakt lens de wae kin ɛp yu fɔ si fayn fayn wan if yu gɛt presbyopia. Pik di kayn lens we go ɛp yu fɔ si fayn fayn wan:

• bayfokal kכntakt lεns dεm: tru ``bifokal`` lεns de εp wit tu fכkal pכynt dεm, we kin de nia εn fa. Dɛn kin kam insay ``sɔft`` ɔ ``gas-permeable`` kayn.
• Multifocal kɔntakt lens dɛn:``Multifocal`` lens dεm sכm kayn we lεk ``Bifocal`` lens dεm, εn dεn kin yuz di tu nem dεm bכku tεm fכ chenj. כltu, wan ``Mכltifokal`` lεns kin inklud mכr dan tu fכkal pכynt, we min se wan intamεdiεt zon we de lεk tri fit away. Dɛn tin ya kin kam bak insay sɔft ɛn had kayn dɛn.
• Monovision kontak lens: Insay ``Monovision'' lens set, di lens na wan yay de ɛp yu fɔ si fa, we di lens na di ɔda yay de ɛp yu fɔ si nia. Yu bren go ajɔst smɔl smɔl to dis sistɛm, bɔt i kin tek lɛk tu wiks so fɔ mek yu fil fayn wit am.
• Modified monovision contact lenses: Insay dis we ya, yu de wɛr lens fɔ si nia ɔ fa na wan yay, ɛn ``multifocal'' lens fɔ ɔl di distans dɛn na di ɔda yay.

Di ɔpreshɔn dɛn we dɛn kin du

Bifo yu disayd if yu fɔ du ɔpreshɔn, tɔk to yu dɔktɔ bɔt yu yay wɛlbɔdi, yu famili mɛdikal istri, ɛn aw yu de liv yu layf. Fɔ di wan dɛn we de yuz `(Readers)` nɔmɔ, di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn kin pas di bɛnifit dɛn we dɛn kin gɛt.

dis tri laser prosidur dεm de kכrekt prεsbayopya yuz di monovision mεtכd (wan yay de fa, di כda yay de nia):

• LASIK ɔpreshɔn: ``Laser in-situ keratomileusis / LASIK'' na wan pɔpul ɔspitul we dɛn kin yuz fɔ kɔrɛkt di we aw pɔsin de si tin (Myopia), we de si fa (Hyperopia), ɔ we gɛt astigmatism.
• PRK Ɔpreshɔn: If yu gɛt mɔdaret ɔ ay lɛvɛl fɔ si nia (Myopia), fɔ si fa (Hyperopia) ɛn/ɔ astigmatism, Fɔtorefractive keratectomy (PRK) ɔpreshɔn kin bi fayn opshɔn.
• SMAIL ɔpreshɔn: Insay `(Smɔl-incision lenticule extraction / SMILE)` ɔpreshɔn, di ɔspitul de yuz wan rili fayn lɛsa bim fɔ mek wan tisu we tan lɛk disk insay yu kɔnia ɛn pul am tru wan smɔl insishɔn.

Ay drop fɔ presbyopia

Ay drop na fayn opshɔn fɔ sɔm pipul dɛm wae gɛt presbyopia. Ay drɔp dɛn we gɛt pilocarpine (lɛk Vuity®) de shrink yu pupil , we de mek yu dip fɔ fos mɔ ɛn mɔ ɛn mek yu si nia. Dis na di fɔs ay drɔp dɛm we di U.S. Food and Drug Administration (FDA) dɔn gri fɔ fɔ presbyopia. Di sayd ɛfɛkt dɛm we kin apin pas ɔl na fɔ rɛd ɛn ed we kin at. Yu kin gɛt sɔm prɔblɛm bak fɔ si na nɛt.

Sɔm stɔdi dɔn sho se wan link de bitwin di yus fɔ dɛn ay drɔp ya ɛn di retina detachment. If yu bin dɔn gɛt dis sik bifo, ɔr if yu gɛt tin dɛn we kin mek yu gɛt dis sik, tɔk to yu dɔktɔ bɔt if dis tritmɛnt fayn fɔ yu ɛn wetin de mek yu gɛt dis sik.

Wetin fɔ ɛkspɛkt if yu gɛt presbyopia?

Tɔk to yu yay dɔktɔ bɔt yu sik ɛn aw dɛn kin afɛkt yu ɛvride layf. I kin ɛp yu fɔ fɛn di bɛst tritmɛnt fɔ yu. Yu kin nid fɔ tray sɔm difrɛn we dɛn te yu fɛn wan we go wok fayn fɔ yu nid ɛn di we aw yu de liv yu layf.

Wi kin ebul fɔ mek pɔsin nɔ gɛt Presbyopia?

I sɔri fɔ no se, presbyopia na natura l pat pan ol pipul dɛm, so dɛn nɔr kin ebul fɔ stɔp am ɔltogɛda. Jɔs lɛk aw wi nɔ kin ebul fɔ stɔp fɔ ol, na so tin dɛn de we yu kin du fɔ protɛkt di wɛlbɔdi na yu yay. Na sɔm advays dɛn ya:

• Wear sanglas fɔ protɛkt yu yay frɔm UV rayt we de ambɔg yu.
• It tin dɛn we gɛt tin dɛn we fayn fɔ mek yu yay gɛt wɛlbɔdi, mɔ di it dɛn we gɛt vaytamɛn A, vaytamɛn C, vaytamɛn E, ɛn lutein.
• Yu fɔ no bɔt kɔmpyuta vishɔn sindrom ɛn mek chenj dɛn to yu ɛvride fɔ mek yu yay nɔ strɛs.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛm fɔ presbyopia, ɔ if yu gɛt ɛni ɔda prɔblɛm wit yu yay, mek shɔ se yu go to ay dɔktɔ. We yu nɔ de si fayn, dat kin bi sayn fɔ bɔku ɔda tin dɛn. So, i rili impɔtant fɔ mek spɛshal dɔktɔ chɛk yu yay fɔ no ustɛm na di tin we kin mek yu gɛt dis sik.

Ivin if yu nɔr gɛt ɛni sayn, i fayn fɔ mek yu de chɛk yu yay ɛn yu yay ɔltɛm. Aw ɔltɛm yu fɔ chɛk yu yay kin dipen pan yu ej, yu yay wɛlbɔdi, ɛn ɛni ɔndalayn mɛrɛsin we yu go gɛt. Bɔku pan di big pipul dɛn kin nid fɔ chɛk dɛn yay ɛvri ia ɔ tu ia. Aks yu yay dɔktɔ us intaval we rayt fɔ yu.

Wetin na di difrɛns bitwin (Presbyopia) ɛn (Hyperopia) (fasightedness)?

כl tu di prεsbayopia εn hayparopia na rεfrεktiv mistek dεm we de mek di tin dεm we de nia de luk blכr. Dat min se, mistek dɛn we de apin we di layt de fos. Bɔt di men tin dɛn we kin mek dɛn tu tin ya kin apin difrɛn.

• Presbyopia kin apin bikɔs di lens na yu yay nɔ kin ebul fɔ chenj igen.
• Hyperopia kin apin bikɔs yu aybɔl tu smɔl, ɔ yu kɔnia tu flat.

Fɔ tɔk am simpul wan, i at fɔ si dɛn ɔl tu, fɔ tu rizin dɛn.

Yu tink se Prɛsbaypia ɛn Mayopia kin apin togɛda?

Yɛs, i rili pɔsibul. Ɛn i rili kɔmɔn. Mayopia na wan sik wae yu yay kin nɔr de pe atɛnshɔn pasmak. So, pan ɔl we tin dɛn we de nia kin tan lɛk klia wan, tin dɛn we de fa kin tan lɛk se dɛn nɔ klia.

Bɔt if yu gɛt Mayopia ɛn yu dɔn pas 40 ia, yu kin bigin fɔ fil di tin dɛn we Presbyopia kin du ivin we yu wɛr glas ɔ kɔntakt lens. Nɔ wɔri, yu yay dɔktɔ kin ajɔst yu lens prɛskrishɔn fɔ akɔmod ɔl tu di Presbyopia ɛn Myopia.

Presbyopia na nɔmal tin we kin mek pɔsin ol. Bɔt dat nɔ min se yu fɔ wet te i afɛkt di tin dɛn we yu de du ɛvride. If yu nɔ de si fayn ɔ yu gɛt ɔda tin we nɔ izi fɔ yu na yu yay, go to dɔktɔ fɔ yu yay wantɛm wantɛm. Presbyopia nɔto sik, bɔt in sayn dɛn kin tan lɛk di wan dɛn we kin gɛt siriɔs sik ɛn we nid fɔ gɛt tritmɛnt kwik kwik wan. Yu dɔktɔ go ebul fɔ no di prɔblɛm ɛn gi yu di tritmɛnt we yu nid.

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

Okay, so lɛ wi rikap di impɔtant tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Presbyopia na wae wi nɔr de si fayn fayn wan afta wi dɔn ol 40. Dis nɔto sik, bɔt na bikɔs di lens na di yay nɔr kin ebul fɔ chenj as wi de ol.
• Di sayn dɛm kin bi fɔ ol nyuspepa ɔ buk frɔm fa, fɔ nid mɔ layt, ɛn fɔ gɛt ed we de at.
• Dis kin rili kɔmɔn. Nɔto jɔs yu, bɔku pipul dɛn na di wɔl gɛt dis.
• Di bɛst tin na dat, simpul we dɛn de fɔ sɔlv dis. Dɛn kin kɔntrol di sik wit glas, kɔntakt lens, ɛn sɔntɛm ɔpreshɔn ɔ yu yay drɔp.
• If yu gɛt dɛn sik ya, fɔ tru, go to dɔktɔ we de mɛn yu yay. Dɛn go pik di rayt sɔlv fɔ yu.
• Tek kia ɔf yu yay. It fayn, wɛr sanglas, ɛn mek dɛn chɛk yu yay ɔltɛm.

So, a op se yu naw gɛt bɛtɛ ɔndastandin bɔt (Presbyopia). Yu kin gri se dis na pat pan yu layf, tek di tin dɛn we yu nid fɔ tek tɛm wit, ɛn kɔntinyu fɔ du yu wok fayn fayn wan!

` Presbyopia, we yu de si nia, presbyopia, ayglas, kɔntakt lens, ay wɛlbɔdi, we yu nɔ de si fayn