Yu dɔn ɛva notis se sɔm pipul dɛn aylid dɛn we de ɔp kin drɔp smɔl, ɛn dis kin mek dɛn luk lɛk se dɛn de slip? Sɔntɛm yusɛf go dɔn ɛkspiriɛns dis. Dis kin apin to wan yay, ɔ i kin apin to ɔl tu di yay dɛn. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis sik Ptosis . Sɔm pipul dɛn kin kɔl am bak ‘Blepharoptosis’. Nɔr wɔri, dis na wan sik wae kin pasmak. Lɛ wi tɔk bɔt ɔltin simpul ɛn klia wan tide.
Fɔ tɔk am simpul wan, wetin na Ptosis?
Ptosis na we yu ɔpa aylid de drɔp dɔŋ. I tan lɛk se dɛn dɔn lɔk wan winda shata af. Di men rizin fɔ dis na bikɔs di lɛvatɔ mɔsul we de ɛp fɔ mek wi yaylid dɛn ɔp, nɔ de wok fayn. Tink bɔt am lɛk se dis mɔsul tan lɛk smɔl rop we de pul wi yaylid dɛn ɔp. We dis rop wik ɔ kɔmɔt na di aylid, di aylid kin drɔp.
Dipen pan aw di aylid de drɔp, yu vishɔn kin afɛkt. Sɔntɛnde, di yay kin lɔk sɔm pat pan am, ɛn if i tranga, di yay kin blok ɔltogɛda. Dis kin apin pan jɔs wan yay, ɔ pan ɔl tu yay. Sɔntɛnde, wan yay kin gɛt mɔ aylid dɛn we de drɔp pas di ɔda wan.
Tu men kayn ptosis de:
Dis kכndyushכn kin apun pan yכŋ pikin dεm εn big pipul dεm. Fɔ fala dis, wi sheb am to tu men kayn.
- Congenital Ptosis: Dis min se dεn bכn yu pikin wit dis kכndyushכn. bכku tεm, dis kin apin biכs di lεvεt m כsul we wi bin dכn tכk bכ t (levator mכsul) nכ de divεlכp fayn fayn wan na di bεlε.
- Acquired Ptosis: Dis na di kayn we we kin apin we pɔsin big. Dis sik kin apin we di mɔsul wik ɔ separet frɔm di aylid bikɔs ɔf ol, aksidɛnt, ɔ ɔda mɛrɛsin.
Wetin na di sayn dɛm fɔ dis?
Fɔ tru, di men sayn na dat i tan lɛk se di aylid de drɔp. Bɔt sɔm ɔda sayn dɛn kin de apat frɔm dat. Lɛ wi si wetin dɛn bi.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Aylid we de drɔp | Di men ɛn klia sayn na dat di pupil na di yay kin lɔk ɔl ɔ sɔm pat pan am. |
| Fɔ rɔb yu yay ɔltɛm | Yu kin want fɔ rɔb yu yay bɔku tɛm fɔ tray fɔ si klia wan. |
| Kray wata we de kɔmɔt na di yay | If di aylid nɔ de wok fayn, di wata we pasmak kin gɛda na di yay ɛn lik kɔmɔt. |
| Di we aw pɔsin nɔ de si fayn | di vishכn kin rεdכks כ blכr biכs di aylid de fכl oba di yay εn i de bכku di vishכn. |
| Taya ɛn pen we de rawnd di yay | If yu tray fɔ es yu aybrɔw ɔp yuz yu fɔrɛst mɔsul fɔ si klia wan, dat kin mek yu taya rawnd yu yay ɛn fɔrɛst. |
| Nek rotashɔn (pikin dɛn) . | Yɔŋ pikin dɛn kin lan fɔ luk wit dɛn chin ɔp ɛn dɛn nɛk tilt bak as dɛn de tray fɔ si di wɔl ɔnda dɛn yaylid. |
Wetin mek dis de apin? Wetin na di rizin dɛn?
di tin dεm we de mek ptosis de difrεn difrεn dipכnt pan di tכp. as wi bin dכn tכk bכt, dεn kin bכn sכm pikin dεm wit dis kכndyushכn (congenital ptosis).
Ptosis we de apin leta (acquired ptosis) kin gεt sεvεra kכz dεm. Dis kכndyushכn kin apin if di mכsul dεm we de es di aylid כ di ligament dεm we de kכnekt dεm wik bikoz fכ aksidεnt כ sik. Sɔntɛnde, i kin kam bak bikɔs di nerv dɛn we de kɔntrol di aylid kin pwɛl.
Sɔm pan di tin dɛm wae kin mek pɔrsin gɛt ptosis na:
- Ay lumps (Stye) .
- Di sik we dɛn kɔl Horner syndrome
- Myasthenia gravis - Dis na sik we de mek di mɔsul dɛn wik.
- Strok
- Tumɔs dɛn na di yay
- Sik dɛm wae kin afɛkt di ay mɔsul dɛm, lɛk ɛksternal ɔftalmoplejia
Bɔt pas ɔl dis, .di mכst kכmכn kכz fכ ptosis pan big pipul dεm na we dεn de ol. As tɛm de go, di skin ɛn di mɔsul dɛn na wi yaylid kin strɛch ɛn wik. Sɔntɛnde, we dɛn de du ɔpreshɔn pan di yay, di tin dɛn we dɛn kin yuz fɔ ol di yay opin kin mek di aylid pul, ɛn dis kin mek dis chenj kwik kwik wan.
Wetin kin apin if dɛn nɔ trit am?
If yu pikin gɛt congenital ptosis, i rili impɔtant fɔ trit am kwik kwik wan. If dɛn nɔ trit am, i kin afɛkt di pikin in yay we i de si dairekt wan. I kin mek ɔda bad bad tin dɛn bak.
Mild ptosis in big pipul kin nכ afekt di vishכn bכku, so tritmεnt kin nכ nid fכ. כltu, siriכs ptosis kin mek i gεt siriכs kכmplikεshכn if dεn nכ trit am.
Posisibul komplikashכn dεm we kin bi fכ ptosis:
- Astigmatism: Wan aylid we de dכp de put prεshכn pan di fכnt pat pan di yay (kכnia). dis kin chenj di shep fכ di yay εn distort di vishכn (mek i tan lεk se i lכng εn i wrinkled).
- Amblyopia (ɔ ‘Lazy Eye’): Bikɔs ɔf di we aw pɔsin de si fayn lɛk astigmatism, smɔl smɔl di bren kin bigin fɔ ignore di signal dɛn we de kɔmɔt frɔm da yay de. Dis kin mek da yay de nɔ de si fayn fɔ ɔltɛm. Dis na wetin wi de kol ‘lazy eye’.
- di chin-ap posishכn: fכ kip di chin כp we yu de luk כnda di aylid dεm kin mek yu nεk prכblεm, fכrεd mכsul dεm stif, εn sכmtεm i kin ivin mek di divεlכpmεnt delay.
Aw dɛn kin no dis?
Bɔrku tɛm, dɔktɔ kin no if yu gɛt ptosis jɔs bay we i luk yu aylid we de drɔp. If ɔl tu di yay dɛn de drɔp, i kin at fɔ no smɔl.
Yu dɔktɔ go du yu bɔdi ɛgzam ɛn i go mɔs bi se i go sɛn yu to dɔktɔ we de mɛn yu yay. Di dɔktɔ we de mɛn di yay go du wan ay ɛgzam ɛn i kin tɛl yu fɔ du ɔda tɛst if nid de.
Us tɛst dɛn kin du fɔ dis?
- Slit lamp egzamin: Fכ egzamin di dilik pat dεm na di yay wit spεshal maykroskכp.
- Visual field testing: Na test we de mɛzhɔ yu fil fɔ si, dat na aw fa yu kin si di tin dɛn we de arawnd yu.
- di ocular motility (ey muvmεnt) tεst: I de chεk di wok we di ay mכsul dεm de du bay we i de muv di yay dεm rawnd.
- Tensilon test: Dis na spɛshal tɛst fɔ chɛk fɔ wan kɔndishɔn we dɛn kɔl myasthenia gravis.
Wetin na di tritmɛnt dɛm fɔ ptosis?
Di tritmɛnt dipen pan aw yu aylid mɔsul dɛn de wok fayn. Sɔmtɛm, if de sik nɔr de afɛkt yu yay ɛn yu nɔr gɛt ɛnitin fɔ wɔri bɔt aw yu luk, nɔr tritmɛnt nɔr kin nid fɔ de.
Bɔt if ptosis afɛkt di we aw yu de si, aw yu de luk, ɔ ɔl tu, yu yay dɔktɔ go tɛl yu fɔ trit yu. Di tritmɛnt kin dipen pan if na sik kin kam wit di sik ɔ na jɔs bikɔs i dɔn ol. Di tritmɛnt we go wok pas ɔl fɔ ptosis we pɔsin kin gɛt we i dɔn ol na fɔ ɔpreshɔn.
Ptosis Ɔpreshɔn we dɛn kin du
Dɛn kin du dis bay we dɛn de mek di say we yu de fil nɔ gɛt bɛtɛ trɛnk (lɔkal anestezi) ɛn gi yu mɛrɛsin fɔ mek yu fil fayn. Dis min se yu de kɔnshɛns, bɔt yu nɔ de fil ɛni pen.
Tu men we dɛn de fɔ ɔpreshɔn:
1. Di we aw dɛn kin kɔt di skin: di dɔktɔ kin mek wan rili smɔl say na di skin na di ɔp aylid. tru am, dεn de fכn di sכmכl mכsul we de es di aylid, dεn de sutura am εn tayt am, εn dεn de es di aylid כp. Dɔn dɛn kin sutura di say we dɛn kɔt di skin bak ɛn lɔk am.
2. Nɔn-incisional method: Insay dis we, di ɔspitul kin rol di aylid insay ɛn tayt di mɔsul we de ɔnda. Dis nɔ nid fɔ kɔt ɛnitin na di skin.
Afta dɛn dɔn du di ɔpreshɔn, yu dɔktɔ go ɛksplen aw fɔ kia fɔ yu yay. I impɔtant fɔ go to yu dɔktɔ bak sɔm dez afta dɛn dɔn du di ɔpreshɔn fɔ mek dɛn chɛk yu.
Ɛni kɔmplikeshɔn de pan di tritmɛnt?
lεk εni כpεrayshכn, sכm sכm kכmplikεshכn kin apin afta ptosis כpεrayshכn.
- Blɔd we de kɔmɔt na di wund.
- Infekshɔn na di say we dɛn de du di ɔpreshɔn.
- Damej to di kɔnia na di yay.
- Nɔ ebul fɔ lɔk di aylid ɔltogɛda.
- Ptosis kin kam bak afta sɔm tɛm.
- Afta di ɔpreshɔn, di shep fɔ di yay ɔ di amɔnt we di aylid lif kin bi smɔl asimɛtɛrik (bɔku pan dɛn go kɔrɛkt dɛnsɛf as tɛm de go).
Ɛni ay drɔp dɛn de?
Yɛs. Wan ay drɔp de we dɛn dɔn gri fɔ sɔm kayn Acquired Ptosis pan big pipul dɛn. Dɛn kɔl dis mɛrɛsin Oxymetazoline . i de wok bay we i de tכk di lεvat mכsul dεm dayrekt εn stimulate am. Sɔm pipul dɛn kin si se we dɛn yuz dis mɛrɛsin, dat kin ɛp dɛn yaylid fɔ opin fayn fayn wan. Bɔt fɔ mek yu kɔntinyu fɔ gɛt dis ɛfɛkt, yu nid fɔ yuz dis mɛrɛsin ɛvride.
Di tin we impɔtant pas ɔl na dat dis ay drɔp nɔ de wok fɔ ɔl kayn ptosis, so yu fɔ rili tɔk to yu ay spɛshal pɔsin fɔ si if dis rayt fɔ yu.
Yu tink se dɛn kin mek dɛn nɔ gɛt ptosis?
Dɛn nɔ kin ebul fɔ stɔp di Ptosis we dɛn bɔn wit. Na bikɔs dɛn bɔn di pikin wit da sik de. Dɔn bak, i nɔ kin izi fɔ wi fɔ avɔyd di tin dɛn we kin mek pɔsin gɛt Ptosis (Acquired Ptosis) we kin apin leta, lɛk fɔ ol. So, pas fɔ mek dis nɔ apin, i impɔtant fɔ no am kwik ɛn go to di rayt tritmɛnt if i apin.
Ustɛm a fɔ go to dɔktɔ?
Dis na kwɛstyɔn we rili impɔtant. Yu fɔ rili go to dɔktɔ, mɔ to dɔktɔ we de mɛn yu yay, pan dɛn tin ya:
| Ustɛm fɔ go to yu dɔktɔ | |
|---|---|
| If pɔsin nɔ ebul fɔ si fayn | If yu yaylid de drɔp de mek i nɔ izi fɔ du di tin dɛn we yu de du ɛvride, rid, ɔ drayv. |
| If yu de wɔri bɔt aw yu luk | If dis situeshɔn de mek yu nɔr fil fayn bɔt aw yu luk. |
| If yu blink wantɛm wantɛm | If wan aylid drɔp wantɛm wantɛm ɔ bigin fɔ lɔk, go to dɔktɔ wantɛm wantɛm bikɔs i kin bi sayn fɔ siriɔs sik lɛk strok. |
| If ɔda sayn dɛn de | Apat frɔm di aylid dɛn we de drɔp, if yu gɛt dɛbul vishɔn ɔ yu yay de pen. |
| If yu pikin gɛt ptosis | Nɔ delay. I impɔtant fɔ go to dɔktɔ we de mɛn yu yay kwik kwik wan fɔ mek yu pikin nɔ gɛt prɔblɛm wit di we aw yu de si. |
Mɛsej we dɛn kin kɛr go na os
- Ptosis na di we aw di aylid we de ɔp de drɔp. I kin bi we pɔsin bɔn wit am ɔ i kin kam leta we i dɔn day.
- Di men rizin we mek dis kin apin to big pipul dɛn na we dɛn de ol.
- If pikin gɛt ptosis, i rili impɔtant fɔ go to ɔftalmolɔg kwik kwik wan, bikɔs i kin afɛkt di divɛlɔpmɛnt fɔ si.
- If dis sik de ambɔg di we aw pɔsin de si ɔ i de wɔri bɔt aw pɔsin de luk, sɔm tritmɛnt dɛn de we go ɛp am, lɛk ɔpreshɔn.
- If yu aylid drɔp wantɛm wantɛm, go to dɔktɔ wantɛm wantɛm bikɔs i kin bi sayn fɔ se yu gɛt siriɔs mɛrɛsin.
- Ɔltɛm tɔk to yu dɔktɔ fɔ no us tritmɛnt go fayn fɔ yu sik.
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