Yu yay kin dray ɔltɛm? Lɛ wi tɔk bɔt wetin dɛn Punctal Plugs ya bi! (Punktal Plɔg dɛn)

Sɔntɛnde yu kin fil lɛk se yu yay dɔn dray bad bad wan, lɛk se grens dɛn de insay san, ɔ jɔs lɛk se yu de bɔn? Dis na prɔblɛm we bɔku pipul dɛn gɛt. So tide wi go tɔk bɔt wan rili simpul bɔt rili ifɛktiv tritmɛnt fɔ dray yay. Dat na di Punctal Plugs. Pan ɔl we di nem tan lɛk big tin, na rili smɔl ɛn simpul tin.

Fɔ tɔk am simpul wan, wetin na dɛn Punctal Plugs ya?

Fɔ ɔndastand dis, lɛ wi ɔndastand smɔl fɔs bɔt aw wi yay de wok. Imajin, wi kin gɛt smɔl kray wata ɔltɛm na wi yay. Na dɛn kray wata ya kin mek wi yay klin ɛn wet. Lɛk di waypa dɛn na motoka, we wi blink, dis fim we de mek wi kray wata kin skata ɔlsay na di yay.

Naw, dɛn kray wata ya nɔ jɔs de gɛda ɛn flɔ. Dɛn nid bak fɔ dreyn kɔmɔt na di yay. fכ dis, wi gεt tu rili sכm ol dεm na di kכna dεm na wi yay, na di sayd fכ wi nos, na di כp εn lכw aylid dεm. Dɛn kɔl dɛn tin ya `puncta`. dis ol dεm na di say we di ol kray wata de go insay wan tכb we de go insay di nos (nasolacrimal duct) εn dεn de drεn am kכmכt. Yu mɛmba we wi de kray, smɔl wata kin kɔmɔt na wi nos? Dat na bikɔs dɛn kray wata ya de go insay di nos.

So, Punctal Plugs na wan saf, smɔl plɔg we dɛn kin put oba di smɔl smɔl wata ol dɛn (puncta) we de drɛyn kray wata. Jɔs lɛk plɔg we de blok di dreyn ol na sink, dɛn plɔg ya de stɔp di kray wata fɔ kɔmɔt na di yay, ɔ at ɔl i nɔ de ridyus am. Dis kin mek di kray wata de insay di yay fɔ lɔng tɛm, ɛn dis kin mek di yay wet.

Yu tink se difrɛn kayn plɔg dɛn de?

Yɛs, fɔ tru. Nɔto ɔlman de yuz di sem kayn. Yu dɔktɔ go pik di kayn we we go fit yu pas ɔl bay di kayn sik we yu gɛt. Dɛn kin sheb dɛn to difrɛn kayn dɛn, mɔ bay di tin we dɛn mek wit ɛn di tɛm we dɛn de na di yay.

Apat frɔm dat, tu ɔda spɛshal kayn dɛn de:

• Plɔg dɛn we gɛt mɛrɛsin: Sɔm plɔg dɛn gɛt mɛrɛsin. We dɛn dɔn put di plɔg insay di yay, di mɛrɛsin kin kɔmɔt na di yay smɔl smɔl.
• Plɔg dɛn we gɛt pɔt: Dɛn plɔg dɛn ya gɛt smɔl ol na di midul. Dis kin mek di kray wata flɔ fri wan, pas fɔ stɔp am kpatakpata. Dɛn kin yuz dɛn tin ya fɔ pipul dɛn we gɛt wata yay.

Us kayn kɔndishɔn dɛn kin yuz dɛn tin ya fɔ?

Dɛn kin yuz dɛn tin ya mɔ fɔ mɛn yay we dɔn dray . Bɔku rizin kin de fɔ mek yu yay dray. Sɔntɛnde, wi kray wata nɔ kin fayn ɛn i kin kɔmɔt kwik kwik wan. Ɔ di wata gland dɛn nɔ kin mek di wata we de kɔmɔt fayn. Sɔm pan di rizin dɛn we mek dis kin apin na:

• Sɔm ɔtoimyun sik dɛm, lɛk Sjögren’s syndrome, Graft vs. host disease (GVHD), ɔ Systemic lupus erythematosus (Lupus).
• Sik dɛm wae kin mek yu kɔnia pwɛl.
• Sɔm mɛrɛsin dɛm, mɔr lɛk mɛrɛsin fɔ mɛntɛl sik, mɛrɛsin wae de mek pɔrsin fil bad, ɛn sɔm mɛrɛsin wae de mek pɔrsin gɛt ay blɔd prɛshɔn (beta-blockers).
• Low humidity na wi envayrɔmɛnt (wan rili dray klaymat).
• Fɔ gɛt tin dɛn lɛk sigrɛt smok ɛn kemikal smok.

Yu tink se i kin mek yu fil pen fɔ put pɔnktɔl plɔg?

Atɔl. I rili simpul, i kwik, ɛn i nɔ de mek pɔsin fil pen. Yu kin du am insay sɔm minit rayt na yu dɔktɔ in ɔfis.

Dis na wetin kin apin:

1. Fɔs, yu kin put smɔl ay drɔp fɔ mek yu yaylid nɔ gɛt bɛtɛ trɛnk. Dɔn yu nɔ go fil natin.

2. Dɔn, di dɔktɔ go ol yu aylid ɛn, yuz wan inschrumɛnt we rili dilik, put dis plɔg insay da smɔl ol de (punctum).

3. Dis no go hit di wait of yu ai, so no rizin de fo fred.

4. Yu kin fil smɔl prɛshɔn we yu de put di plɔg. Sɔntɛm yu nɔ go ivin fil am bikɔs i nɔ ebul fɔ du natin.

5. We dɛn dɔn put di plɔg fayn fayn wan, dɛn dɔn du di wok. Yu kin go na os lɛk aw yu kin go.

Wetin na di bɛnifit dɛn we dis tritmɛnt de gi?

Bɔku bɛnifit dɛn de fɔ yuz pɔnktal plɔg.

• I rili sef: Dɛn tin ya nɔ kin gɛt prɔblɛm ɔ sayd ɛfɛkt, ɛn ivin dɛn wan ya nɔ kin siriɔs.
• Kwik ɛn nɔ gɛt pen: Dɛn kin du am na di dɔktɔ in ɔfis, insay jɔs sɔm minit.
• I nɔr nid fɔ de fɔ ɔltɛm: Tɛmporari kayn kin sɔlv insay sɔm dez. Ivin "permanent" tayp dεm kin izi fכ pul dכkta εni tεm if nid de.
• Ɔda tritmɛnt dɛn kin wok fayn: Di kayn ay drɔp dɛn we yu kin yuz, lɛk atifishal wata, kin de na di yay fɔ lɔng tɛm, so dɛn kin bɛtɛ pasmak.

Ɛni sayd ɛfɛkt ɔ risk de?

Jɔs lɛk ɛni ɔda tritmɛnt, sɔm prɔblɛm dɛn de we kin apin, bɔt bɔku tɛm dɛn tin ya kin smɔl.

Tin dɛn we kin apin bɔku tɛm

• Plɔg we de fɔdɔm: Dis na di tin we kin apin mɔ. Plɔg dɛn we dɛn put na di ɔp aylid kin izi fɔ fɔdɔm.
• Wata yay (Epiphora): Sɔntɛnde yu yay kin wata bikɔs yu kray wata nɔ kin ebul fɔ kɔmɔt. If dis apin, yu kin nid fɔ chenj to ``perforated`` plɔg we gɛt ol na di midul.
• Di plɔg kin kɔmɔt smɔl: If dis apin, i kin mek di yay iritashɔn. Di dɔktɔ kin ebul fɔ put am bak ɔ pul am.

Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm

• Pyogenic granuloma: sכm sכm bכdi kin fכm nia di tכch dכkt bikoz fכ di iritashכn we di pכlכg de mek. Dis kin sɔlv ɔl afta dɛn dɔn pul di plɔg ɛn put mɛrɛsin.
• Punktal stenosis: Di plɔg kin mek di say we dɛn opin smɔl. Dis kin bi bak fɔ shɔt tɛm.
• Travul insay di plɔg: Dis nɔ kin apin so ɔltɛm. Nyu plɔg dɛn naw gɛt spɛshal dizayn fɔ mek dis nɔ apin.

Wetin a fɔ tek tɛm wit afta a dɔn put di plɔg dɛn?

Yu dɔktɔ go ɛksplen dis to yu ditayli, bɔt in jɔnal, mɛmba dɛn tin ya.

• Nɔ rɔb yu yay: If yu rɔb yu yay tumɔs, dat kin mek di plɔg kɔmɔt. If yu yay de it ɔ yu nɔ de fil fayn, aks yu dɔktɔ wetin fɔ du.
• Yuz ɔda mɛrɛsin dɛn kɔrɛkt wan: Yuz ɔda ay drɔp, lɛk atifishal kray wata, lɛk aw yu dɔktɔ tɛl yu. Dɛn kin wok fayn wit plɔg dɛn.
• Wash yu an fayn fayn wan bifo yu tɔch yu yay ɔ yu fes: Dis na sɔntin we wi ɔl fɔ du in jɔnaral. I fayn fɔ tek tɛm mɔ if yu gɛt plɔg na yu yes.

Us tɛm a fɔ kɔl di dɔktɔ?

If dɛn put panktal plɔg ɛn yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, kɔl yu dɔktɔ wantɛm wantɛm.

Pɔnktal plɔg na smɔl tin dɛn we kin gi bɔku rilif frɔm di we aw yu yay nɔ kin fil fayn. Pan ɔl we dɛn kin mek pɔsin fred smɔl fɔ put dɛn, fɔ tru, dɛn na tritmɛnt we rili sef ɛn we go wok fayn. If yu gɛt dray yay, tɔk to yu dɔktɔ bɔt am. Dɔn yu kin du wetin yu de du ɛvride ɛn nɔ wɔri bɔt aw yu yay nɔ go fil fayn.