Lɛ wi tɔk bɔt pterygium. Dis na prɔblɛm fɔ yusɛf?

Yu dɔn ɛva notis wan smɔl bɔdi we de kɔmɔt na di kɔna na yu aybɔl ɛn go na di midul pan yu yay? I kin bi pink, ɔ i kin gɛt smɔl smɔl blɔd vesel dɛn. Dis na wetin wi granpa dɛn kɔl "papillary" ɛn dɔktɔ dɛn kɔl am "Pterygium". Sɔm pipul dɛn kin kɔl am bak "Surfer's Eye" bikɔs dɛn kin si am pan sɔfa pipul dɛn. Lɛ wi tɔk mɔ bɔt am tide, bikɔs pan ɔl we dis kin bi smɔl prɔblɛm fɔ sɔm pipul dɛn, i kin bi siriɔs prɔblɛm if yu no bɔt am.

Wetin na dis pterygium?

Fɔ tɔk am simpul wan, ``Pterygium'' na wan rayz, fכs mεmbran we de fכm pan di wayt pat pan yu yay (we wi mεdikal kכl ``Conjunctiva''). Tink bɔt am lɛk smɔl smɔl mɛmbran we dɔn kɔmɔt na yu yay. I kin bi wayt ɔ pink. Sɔntɛnde, i kin gɛt smɔl smɔl blɔd vesel dɛn, na dat mek sɔntɛnde i kin luk rɛd.

I kin bigin na di kɔna na di yay, bɔku tɛm i kin bigin na di sayd na di nos. afta dat i de gro tכwεd di ayris (di kכla pat pan di yay - dכkta dεn kכl am `(Iris)`). Bɔku tɛm, i kin gɛt triangul, i tan lɛk bɔd in wing. Di wɔd `(Pterygium)` kɔmɔt frɔm tu Grik wɔd dɛn; wan `(pteryx)` min ``wing'', ɛn di ɔda wan `(pterygion)` min ``sho''. So di nem sɛf de gi smɔl aidia bɔt di shep.

Udat kin gɛt dis mɛmbran mɔ?

As di nem ``Surfer's Eye'' sho, dis kכndyushכn kin kכmכn mכr pan sכfa pipul dεm. Di rizin fɔ dis na bikɔs dɛn kin de ɔltɛm wit tin dɛn we kin mek dis fim fɔm – lɛk bad bad san, strɔng briz, si san, ɛn sɔl wata .

Bɔt, i nɔ jɔs de fɔ di wan dɛn we de surf. Ɛnibɔdi we de spɛn bɔku tɛm na do ɛn nɔ gɛt ɛnitin fɔ protɛkt in yay kin gɛt dis. Dis risk de mɔ fɔ pipul dɛn na wi kɔntri lɛk fama, fishaman, rod wokman, ɛn kɔnstrɔkshɔn wokman. Na bikɔs dɛn wok kin mek dɛn spɛn bɔku pan di de na do, ɛn dɛn kin gɛt dɛn tin ya we de apin na di envayrɔmɛnt.

Dis kכndyushכn kin kכmכn mכr as pipul dεn de ol (especially afta dεn ol 60 ia) bikoz dεn de εkspos to dεn tin ya we de na di envayroment fכ lכng tεm. I kin apin bak pan pipul dɛn we de na kɔntri dɛn we de nia di ekweta, usay di san kin shayn bad bad wan.

Yu tink se dis denja?

Naw yu go de wɔnda if dis na sɔntin we denja lɛk kansa. nכ, dis `(Pterygium)` nכto `(kansa).` dat min se i nכ de spre to כda tisu dεm insay di yay, εn i nכ de go na כda pat dεm na di bכdi.

Bɔt di prɔblɛm na dat i kin kɔntinyu fɔ gro along di say we di yay de. if i sכm kayn we rich di transparent pat pan yu yay (we wi kכl ``kכnia``) oba di blak ring, dat min se if i rich di sεntrכm pan di yay, i kin pwεl yu vishכn.I kin mek yu nɔ de si fayn ɛn i kin mek i nɔ izi fɔ si klia wan. If dat apin, dɛn go nid fɔ du ɔpreshɔn fɔ pul am.

Wetin mek dis mɛmbran de fɔm? Wetin na di tin dɛn we kin mek i apin?

Pterygium na rili wan growth we yu nɔ want na di kɔnjɔktiv tisu na yu yay. Di men tin dɛn we kin mek dis apin na:

• Fɔ lɔng tɛm we yu de na di ɔltra vayolɛt rayt we de ambɔg yu (`(Ultraviolet - UV light)`) frɔm di san. Dɛn kin tek dis as di men tin we kin mek i apin. Wi no se UV rayt nɔ fayn fɔ di yay.
• Di yay kin wam ɔltɛm bikɔs ɔf tin dɛn lɛk wam, dray wɛda, strɔng briz, ɛn dɔst . Imajin, if dɔst de go insay di yay ɔltɛm, if di yay dray, i go mek trɔbul fɔ di yay ɔltɛm.

Apat frɔm dis, sɔm ɔda tin dɛn kin de we kin mek pɔsin gɛt prɔblɛm:

• Fɔ pas 60 ia (as wi bin dɔn tɔk bifo tɛm).
• Jɛnɛtiks: Dis min se if pɔsin na yu famili gɛt am, yusɛf gɛt smɔl chans fɔ gɛt am.
• Vitamin A we nɔ de.
• Human Papilloma Virus (HPV) infεkshכn. (Dis stil de na di risach stej ɛn dɛn nɔ kɔnfyus am.)

Wetin na di sayn dɛm fɔ dis?

Fɔs, yu nɔ go ivin no se yu gɛt pterygium. Yu kin jɔs notis wan tin we rayz, we gɛt bɔdi, we tan lɛk wed na di kɔna na yu yay. Sɔntɛm i nɔ go bi prɔblɛm atɔl.

Bɔt we di sayn dɛn de sho, dɛn kin mɔna yu smɔl. Sɔm sayn wae kin kam pan pɔrsin wae gɛt dis sik na:

• di yay dεm de swεla εn rεd (sכmtεm wan kכndyushכn we dεn kכl `(Conjunctivitis)` kin apin).
• Rɛd yay, blɔd vesel dɛn we pɔsin kin si klia wan.
• Filin fɔ dray na di yay (`(Dry eye)`).
• Wata yay (i kin rili bi bikɔs ɔf dray yay).
• Filin lɛk se sɔntin de insay di yay, lɛk dɔti, dɔst, ɔ wan gren san.
• Ay dɛn we de it.
• Ay iritashɔn.
• Sɔntɛnde, di yay dɛn kin at.

As tεm de go, as dis mεmbran de gro, כda sayn dεm kin sho:

• Yu kin si da mɛmbran de de gro in saiz ɛn i de skata ɔlsay na di yay.
• If yu wɛr kɔntakt lens, yu kin gɛt prɔblɛm lɛk fɔ at fɔ put am, pen, ɔ di lens nɔ fit fayn.
• Di chenj dɛn we de apin na di we aw pɔsin de si tin. Fɔ ɛgzampul, yu nɔ kin si fayn, sɔntɛnde yu kin si tu tɛm.

Mɛmba se nɔto ɔlman go gɛt ɔl dɛn sik ya. Sɔm pipul dɛn mɛmbran kin gro fast pas ɔda wan dɛn, ɛn sɔm pipul dɛn yon kin rili slo.

Wetin na di difrɛns bitwin pterygium ɛn pinguecula?

Yu go dɔn yɛri bɔt wan `(Pinguecula)` (pin-ge-ku-la). Na difrɛn kayn lump bak we de fɔm pan di wayt pat na di yay. di tin dεm we de mek dεn kכz na di sem wit `(Pterygium)` – dat na di tin dεm we de apin na di envayroment, spεshal wan we yu de na di san fכ lכng tεm. Bɔt, `(Pinguecula)` na bɔku tin pas `(Pterygium)`. Sɔntɛnde wan `(Pinguecula)` kin bigin as `(Pinguecula)` ɛn leta i kin bi `(Pterygium)`.

Naw lɛ wi si wetin na di men difrɛns bitwin wan `(Pinguecula)` ɛn wan `(Pterygium)`:

• Pinguecula na smɔl bɔmp we tan lɛk wed, we fiba blista. Wan pterygium kin skata lɛk wing.
• Pinguecula nɔ de skata ɔp di kɔnia. I de na di wayt pat na di yay.
• Di kala fɔ `(Pinguecula)` sɛf na yɔlɔsh wayt pas pink.
• I nɔ gɛt bɔdi tisu ɔ blɔd vesel. i kin gεt tin dεm lεk protin, fεt, kalsiכm, εn כda tin dεm `(Pterygium)` gεt fכs tisu εn bכdi vεsul dεm.
• Bɔku tɛm, pinguecula nɔ kin mek yu gɛt smɔl sayn ɔ prɔblɛm wit yu yay.
• I nɔ kin izi fɔ mek dɛn du ɔpreshɔn fɔ pul am.

Aw dɔktɔ kin no dis?

Di pɔsin we de kia fɔ yu yay kin izi fɔ no if yu gɛt pterygium we dɛn de du yu yay ɛgzam. Dɛn kin yuz wan tɛst we dɛn kɔl slit lamp ɛgzam. Slit lamp na spɛshal maykroskɔp we de shayn brayt layt (lɛk slit lamp) insay yu yay fɔ luk bifo ɛn insay yu yay. Dis na pat pan di rutin ay ɛgzam. Yu dɔktɔ kin no wantɛm wantɛm se na pterygium. Nɔ ɔda tɛst nɔ kin nid fɔ du.

Wetin na di tritmɛnt dɛn?

Di tritmɛnt fɔ pterygium dipen pan aw i de afɛkt yu.

• If no sayn nɔr de: Sɔntɛm yu nɔr go nid tritmɛnt. Bɔt yu yay dɔktɔ go kip in yay pan am. Dɛn go aks yu fɔ kam insay fɔ chɛk yu yay ɔltɛm (sɔntɛm wan tɛm insay di ia) fɔ si aw di katarakt de gro ɛn if i de afɛkt yu yay.
• If yu gɛt prɔblɛm wit yu yay: If pterygium de mek yu yay vɛks, lɛk fɔ rɛd, it, ɔ bɔn, yu dɔktɔ kin tɛl yu:
• Yu kin bay ɔva-di-kɔnta (OTC) ay drɔp ɔ ay ɔntmɛnt na di famasi we yu nɔ gɛt prɛskrishɔn. Dɛn tin ya kin ɛp fɔ mek yu yay nɔ dray ɛn nɔ inflamɛns.
• If di sik bad bad wan, dɛn kin gi am stɛroyd ay drɔp fɔ shɔt tɛm. Dɛn tin ya kin mek yu nɔ swel ɛn nɔ rɛd kwik kwik wan. Bɔt dɛn fɔ jɔs yuz dɛn tin ya ɔnda dɔktɔ in advays.

Dɔn bak, dɔktɔ dɛn kin se yu fɔ wɛr hat ɛn sanglas we gɛt UV protɛkshɔn we kin kɔba yu yay.dis kin mek di yay dεm nכ damej mכr `(UV)`. Dis kin ɛp yu `(Pterygium)` fɔ gro big, ɔ stɔp am fɔ gro kwik.

Yu tink se a nid fɔ du ɔpreshɔn?

Nɔto ɔl pterygium dɛn nid ɔpreshɔn. Bɔt yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn pan yu yay pan dɛn kayn tin ya:

• If yu gɛt prɔblɛm wit yu yay we yu nɔ go ebul fɔ kɔntrol wit tin dɛn lɛk ay drɔp (inflammation, pen, redness).
• if wan `(Pterygium)` gro kwik kwik wan, i de kam nia di kכnia, εn i de ambɔg כ i de kam bכn fכ si.
• if di shep fכ di yay dכn chenj bikoz fכ wan pterygium εn vishכn prכblεm lεk astigmatism dכn apin.
• Sɔm pipul kin disayd fɔ mek dɛn pul am fɔ kɔsmɛtik rizin, bikɔs fɔ sɔm pipul dɛn, we dɛn gɛt rɛd yay ɛn dischaj kin afɛkt dɛn maynd wɛlbɔdi bak.

Aw dɛn kin du di ɔpreshɔn?

Wan dɔktɔ we de mɛn di yay (Ophthalmologist) kin pul wan pterygium. If yu nɔ gɛt wan, yu optometrist kin rifer yu to wan.

We dɛn de du di `(Pterygium)` ɔpreshɔn, yu yay ɔspitul go du dɛn tin ya:

1. Numbness: Fɔs, dɛn go gi yu wan numbing mɛrɛsin (`(Anesthesia)`). Dis kin bi lɛk aw dɛn kin put ay drɔp ɔ smɔl injɛkshɔn. So yu nɔ go fil ɛni pen.

2. Pterygium Rimoval: Dɔn di ɔspitul kin tek tɛm pul di abnɔmal tisu (pterygium) frɔm di say we di yay de.

3. fכ klos di gap: afta dεn dכn pul di mεmbran, sכm sכm gap de lεf na di `(Conjunctiva)`. Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz difrɛn we dɛn fɔ lɔk dis gap. dis imכtant fכ ridyus di risk fכ `(Pterygium)` fכ fכm bak.

• Conjunctival autograft: Dis na wan we we kin rili wok fayn. Yu dɔktɔ kin tek wan pat pan di tisu frɔm ɔda pat pan yu yay we gɛt wɛlbɔdi (bɔku tɛm ɔnda di ɔpa aylid, usay di tisu bɛtɛ) ɛn lɔk di gap. Dis tan lɛk fɔ put pat pan pɔsin. Dis we aw dɛn kin du am kin mek smɔl wund ɔnda di aylid, bɔt i kin protɛkt am fayn fayn wan de ɛn i kin wɛl fɔ insɛf.
• amniotic tissue graft: dis involv fכ yuz spεshal tisu (`(Amniotic membrane tissue)`) we dεn tek frכm di fetal mεmbran dεm we dεn dכn (i.e., di plasεnta) fכ klos di gap te i hεl. dis tisu de akt lεk nεchכral bεndεj, de protεkt di gap te di `(Conjunctiva)` gro bak εn kכloz. dis mכt de yusful if di gap big pas wan `(autograft)`, כ if wan `(autograft)` at fכ gεt.

Pterygium ɔpreshɔn kin tek lɛk wan awa so. Afta di ɔpreshɔn, yu go nid fɔ wɛr ay pat fɔ sɔm dez. I go tek lɛk 4 to 6 wiks fɔ mek di yay wɛl ɔltogɛda. Insay dis tɛm, di yay kin rɛd ɛn i nɔ kin fil fayn smɔl.

Di dɔktɔ go gi yu mɛrɛsin fɔ kɛr go na os. Dis kin inklud antibayɔtik drɔp ɔ ɔntmɛnt fɔ mek yu nɔ gɛt infɛkshɔn ɛn stɛroyd ay drɔp fɔ mek di pterygium nɔ kam bak. I rili impɔtant fɔ yuz dis mɛrɛsin kɔrɛkt wan ɛn fɔ di tɛm we dɛn tɛl yu fɔ yuz.

Ɛni risk de fɔ di ɔpreshɔn?

As wit ɛni ɔpreshɔn, sɔm risk kin de we de insay ``(Pterygium)`` ɔpreshɔn.

• di men risk na fכ kam bak – dat min se di pterygium de kam bak afta dεn du di כpεrayshכn. If dat apin, i go nid fɔ du ɔda ɔpreshɔn. bכtכm, wit nyu εn impruv כspitul tεknik dεm lεk kכnjכktival כtograft, di rεt fכ pterygium rεkכrεshכn dכn dכn bכku bכku wan. Akɔdin to di risach we dɛn de du naw, di risk fɔ mek i kam bak na bitwin 2% ɛn 15% wit gud ɔspitul dɔktɔ ɛn gud tɛknik.
• If yu nɔ yuz di ay drɔp we dɛn gi yu kɔrɛkt wan, ɔ if yu yay de na di san dairekt wan afta di ɔpreshɔn, di chans fɔ mek i kam bak. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Yu kin go na do, bɔt if yu du dat, nɔ fɔgɛt fɔ yuz tin dɛn we de protɛkt yu lɛk hat ɛn sanglas.
• Sɔntɛnde, di mɛrɛsin dɛn we dɛn kin yuz fɔ mek i nɔ gɛt di sik bak kin mek i gɛt sayd ɛfɛkt bak. fכ egzampl, antimεtabolayt dεm lεk Mitomycin C (we dεn kin yus sכmtεm fכ mek i nכ kam bak) kin mek di sklera tכn (scleromalacia) afta dεn dכn כpεrayt di pterygium. If yu yuz stɛroyd ay drɔp fɔ lɔng tɛm, i kin mek yu yay prɛshɔn go ɔp ɔ i kin mek yu gɛt katarakt. Dis na di rizin we mek dɛn fɔ yuz dɛn ɔnda dɔktɔ in sɔpɔtishɔn nɔmɔ.

Wetin kin apin if dɛn nɔ pul dis mɛmbran?

Mɔs pan di `(Pterygia)` (dat na di plɛnti plɛnti `(Pterygium)`) kin kɔntinyu fɔ gro, bɔt sɔm kin gro bɔku pas ɔda wan dɛn. Yu `(Pterygium)` nɔ kin ɛva mek yu gɛt ɛni big prɔblɛm. Dɔktɔ dɛn nɔ kin se dɛn fɔ du ɔpreshɔn fɔ smɔl, we nɔ gɛt ɛni sayn `(Pterygium)` bikɔs di risk fɔ mek i kam bak.

Bɔt wan pterygium we kɔntinyu fɔ skata ɔlsay na di yay kin mek prɔblɛm.

• Dis kin mek yu yay nɔ fil fayn ɔltɛm, yu yay kin rɛd, ɛn yu kin gɛt mɔ inflamɛns.
• Di vishɔn kin bi tin we nɔ klia ɔ we nɔ kin klia.
• If sɔm kayn we i go pan di kɔnia, i kin strɛch di kɔnia, chenj in shep, ɛn mek wan sik we dɛn kɔl astigmatism. Dis kin mek yu nɔ ebul fɔ si fayn mɔ ɛn mɔ.
• I kin mek bak di kɔnia gɛt skata, we kin gɛt ɛfɛkt fɔ ɔltɛm pan di we aw pɔsin de si ivin afta dɛn dɔn pul di mɛmbran.

Wetin dɛn kin du fɔ mek dis nɔ apin?

"Prɛvenshɔn bɛtɛ pas fɔ mɛn am." So, fɔ ridyus di risk fɔ gɛt wan `(Pterygium)`, ɛn fɔ mek i nɔ big if yu gɛt wan, yu kin du dɛn tin ya:

• Di tin we impɔtant pas ɔl na fɔ protɛkt yusɛf frɔm di san. We yu de na di san, mɔ bitwin 10 oklɔk ɛn 4 oklɔk na nɛt, wɛr sanglas we yu rap rawnd wit gud UV protɛkshɔn.
• Wear hat ɔ kap. Dis go mek bak di san we de shayn na yu yay nɔ bɔku.
• If yu de wok na say we dray, briz de blo, ɔ dɔti, wɛr aywe we go protɛkt yu.
• If yu yay fil dray, yuz ay drɔp (lɛk atifishal kray wata) (as dɔktɔ tɛl yu) fɔ mek yu yay wet.

Aw lɔŋ wan pterygium kin las? Yu tink se i go kam bak if dɛn pul am?

Wan ``(Pterygium)`` nɔ go bɛtɛ fɔ insɛf pas nɔmɔ ɔspitul pul am. I kin kɔntinyu fɔ gro ɔlsay na yu layf. Bɔt dis nɔ kin apin to ɔlman, ɛn sɔm pipul dɛn kin jɔs gɛt wan saiz fɔ sɔm tɛm.

Bɔrku pipul nɔr nid tritmɛnt fɔ wan ``(Pterygium)''. If e de mek yu yay nɔr de fil fayn, yu kin ɔltɛm kɔntrol de sik wit mɛrɛsin wae nɔr de na kɔt. If i pas smɔl tin we de mɔna yu, yu kin mek dɛn pul am.

Smɔl chans de fɔ mek yu `(Pterygium)` kam bak afta dɛn dɔn ɔpreshɔn yu. If i apin, i kin bigin fɔ apia insay 4 mɔnt afta dɛn du di ɔpreshɔn, ɛn i nɔ go pas 12 mɔnt. If yu gɛt fɔ du ɔda ɔpreshɔn, yu ɔpreshɔn go tek ɛkstra stɛp fɔ mek di `(Pterygium)` nɔ kam bak.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu gɛt `(Pterygium)`, ɔ if yu notis nyu tin na yu yay kɔna, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ we de mɛn yu yay. Dɔn yu kin no fɔ tru if na `(Pterygium)` ɔ ɔda tin.

Yu dɔktɔ go want fɔ si yu ɔltɛm, chɛk yu pterygium, ɛn mɛzhɔ in growth – ɔltɛm wan tɛm insay di ia, pas nɔmɔ i de gro fast ɔ big pas aw i fɔ gro.

If dɛn kayn tin ya apin, nɔ fɔgɛt fɔ go to dɔktɔ fɔs:

• If nyu simptom dεm bigin fכ sho (e.g., yu de si chenj, yu yay de pen).
• If di sayn dɛm we yu gɛt naw de wɔs.
• If i tan lɛk se di mɛrɛsin dɛn we yu de tek naw nɔ de wok fayn.

Wan `(Pterygium)` kin mek yu fred smɔl we yu fɔs si am, bɔt i nɔ go te igen yu go no se i nɔ siriɔs so. Sɔntɛm yu nɔ go ɛva nid tritmɛnt fɔ am. If i mek yu gɛt di sik, yu kin kɔntrol am wit mɛrɛsin we yu nɔ de bay ɔ yu yay drɔp. Yu dɔktɔ go de wach am ɛn mek yu no if dɛn se yu fɔ pul am.

Mɛsej we dɛn kin kɛr go na os

Okay, so, na sɔm pan di impɔtant tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Pterygium na wan tin we nɔ gɛt kansa, we tan lɛk bɔdi we de fɔm pan di wayt pat na di yay.
• Di men tin we kin mek i apin na we i de na di san fɔ lɔng tɛm (UV rayt), dɔst, ɛn briz.
• Di sayn dɛm kin bi fɔ rɛd, it, bɔn, fil se sɔntin dɔn stɔp na yu yay, ɛn sɔntɛm yu nɔ de si fayn.
• Nɔto ɔl katarakt nid tritmɛnt, bɔt if i afɛkt di we aw pɔsin de si ɔ i rili mɔna di yay, dɛn kin pul am wit ɔpreshɔn.
• Di tin we impɔtant pas ɔl na fɔ yuz sanglas, wɛr hat, ɛn kia fɔ yu yay. Dis kin ɛp fɔ mek dɛn nɔ fɔm ɛn kɔntrol di growth fɔ di wan dɛn we dɔn de.
• If yu gɛt dɛn sik ya, nɔ fred fɔ go to dɔktɔ we de mɛn yu yay ɛn gɛt advays. Dɔn yu go ebul fɔ no wetin bɛtɛ fɔ yu.

So, yay na tin we rili valyu. So, na wi wok fɔ kia fɔ dɛn gud gud wan.

` Papilloma, Conjunctiva, Pterygium, Surfer’s Eye, Ay Sik, Aysayt, San layt