Yu ɔ sɔmbɔdi na yu famili, sɔntɛm yu mama ɔ papa we gɛt dayabitis, dɔn ɛva tɛl ɔftalmolɔg se, "Smɔl prɔblɛm de wit di retina, lɛ wi si spɛshal dɔktɔ fɔ dis"? Ɔ yu dɔn ɛva si se yu nɔ de si fayn smɔl smɔl as yu de ol, ɛn yu nɔ ebul fɔ si di say we yu de si di say we yu de si? We dat apin, wi kin tink se, "Wetin mek fɔ gɛt sɛpret dɔktɔ fɔ dis? Nɔto ɔftalmɔlɔjis inof?" Na di kweshon we wi go tok abaut tide. Udat rili na ‘Rɛtina Spɛshal’? Lɛ wi tɔk bɔt am ditayli ɛn rili simpul wan.
Udat na dis Retina Spɛshal pɔsin? Lɛ wi ɔndastand am simpul wan.
Tink bɔt wi yay lɛk gud kamɛra. Di fim we de biɛn dis kamɛra de rikodɔ di pikchɔ dɛn fɔ di tin dɛn we wi de si. di rili imכtant mεmbran insay di yay we de wok lεk da film de, we gεt bכku sεl dεm we de sεnsitiv layt, dεn kכl am di rεtina . di layt we de kכmכt na di tin dεm we wi de si de hit dis rεtina, tכn to ilektrikal signal dεm, εn i de travul go na di bren tru di optik nεv, we na di say we wi de si.
So, wi kin kɔl wan Rɛtina Spɛshal Dɔktɔ we dɔn gɛt spɛshal trenin fɔ sik dɛn ɛn ɔpreshɔn we kin afɛkt di retina ɛn di tin we tan lɛk jɛlɛ bitwin di lens na di yay ɛn di retina, dat na di vitreous bɔdi .
Fɔ tɔk am simpul wan, ɛvri Rɛtina Spɛshal pɔsin na Ɔftalmɔlɔjis. Bɔt nɔto ɔl Ɔftalmolɔg na Rɛtina Spɛshal. I tan lɛk dis, ɛvri Cardiologist na jenɛral dɔktɔ. Bɔt i dɔn stɔdi di at mɔ ɛn mɔ ɛn gɛt spɛshal trenin. Na so i bi. Dɛn spɛshal pipul ya de fɔ kɔmpleks sik dɛn we gɛt fɔ du wit di retina we wan jenɛral Ɔftalmɔlɔjis nɔ kin ebul fɔ trit.
Aw lɔng i kin tek fɔ stɔdi fɔ bi da kayn masta sabi bukman de?
Dis na rili big kɔmitmɛnt ɛn na lɔng waka. Jɔs imajin aw lɔng i kin tek fɔ stɔdi fɔ bi da kayn masta sabi bukman de.
1. Fɔs, yu nid fɔ dɔn wan jenɛral digri.
2. Afta dat, yu nid fɔ stɔdi fɔ 4 ia na mɛdikal skul (MBBS).
3. Neks, yu nid fɔ dɔn wan ia intanshɔp.
4. Afta dat, yu go du tri ia rezidensi fo oftalmoloji. Na insay dis tɛm yu go bi jenɛral ɔftalmɔlɔjis.
5. Fɔ dɔn, yu fɔ du tu ia feloship pan sik dɛn we gɛt fɔ du wit di retina ɛn di vitreous bɔdi.
Dat min se, lɛk 10 ia mɔ afta di jenɛral digri.Apat frɔm dat, dɛn kin bɔn wan Rɛtina Spɛshal pɔsin tru ɛdyukeshɔn ɛn trenin. Dɛn pipul ya kin kɔntinyu fɔ lan bɔt nyu teknɔlɔji ɛn nyu tritmɛnt we dɛn de du ɔlsay na dɛn prɔfɛshɔnal layf. Bikɔs ɔftalmɔlɔji na wok we de divɛlɔp ɛvride.
Us kɔndishɔn dɛn we Rɛtina Spɛshal pɔsin kin trit?
Dɛn spɛshal pipul ya kin trit mɔ fɔ wund ɛn sik dɛn na di pat dɛn na di yay we rili sɛnsitiv. Bɔrku pan dɛn sik ya, if dɛn nɔr no am ɛn trit am kwik, i kin mek i nɔ de si fayn sote go. Na dat mek di wok we dɛn dɔktɔ ya de du rili impɔtant.
Lɛ wi si frɔm di tebul we de dɔŋ ya wetin na di men mɛrɛsin dɛn we dɛn kin trit.
| Kɔndishɔn | Fɔ tɔk am simpul wan, wetin kin apin wit dis? |
|---|---|
| Makula dijɛnɛreshɔn we gɛt fɔ du wit di ej | As wi de ol, di sεntri pat pan di rεtina (di makula) de wik. Di sɛntrɔm fɔ di tin dɛn we yu si dairekt wan kin bi blɔk ɛn i kin tan lɛk blak ples. |
| Ay damej bikɔs ɔf dayabitis (Diabetes-related retinopathy) . | Dayabitis kin pwɛl di dilik blɔd vesel dɛn na di retina, ɛn dis kin mek dɛn lik blɔd ɔ wata. Dis na big tin we kin mek pɔsin nɔ ebul fɔ si fayn igen. |
| Di retina we de kɔmɔt na di bɔdi | di rεtina dεtachmεnt na we di rεtina de separet frכm di כndalayn tisu. Dis na imejensi. If yu si blak spat, spayda wɛb, ɔ layt we de flash bifo yu yay wantɛm wantɛm, yu fɔ go to dɔktɔ wantɛm wantɛm. |
| Makula ol | wan sכmכl ol na di sεntri pat pan di rεtina (macula) we de mek di sεntrכm fכ di tin dεm blכr we dεn si dεm dεn wan dεm. |
| Makular we de mek yu bɔdi | wan tin layεr fכ tisu de fכm na di sεntrכm pan di rεtina, we de mek i rכn. Dis kin mek di vishɔn nɔ fayn (lɛk stret layn dɛn). |
| Di rεtina vein oklushכn | Wan blɔk we de na wan vein we de kɛr blɔd kɔmɔt na di retina. Dis kin mek i nɔ ebul fɔ si tin wantɛm wantɛm. |
| Siriɔs injury dɛn na di yay | Fɔ trit di damej pan di pat dɛm na di yay, mɔ di retina, we kin kam bikɔs ɔf aksidɛnt. |
| Siriɔs ay infɛkshɔn ɛn inflamɛns (uveitis ɛn endophthalmitis) . | Sivεr infεkshכn εn inflameshn insay di yay. Dɛn tin ya nid fɔ gɛt tritmɛnt kwik kwik wan. |
Di tin we impɔtant pas ɔl na dat if yu notis ɛni wan pan dɛn sik ya, nɔ ignore dɛn ɛn go to dɔktɔ we de mɛn yu yay kwik kwik wan. If i tink se i nid fɔ bi, dɛn go rifer yu to wan Retina Specialist.
Wetin yu fɔ ɛkspɛkt we yu go to Retina Spɛshal pɔsin?
If wan jenɛral ɔftalmɔlɔjis dɔn rifer yu to Rɛtina Spɛshal, sɔm tin dɛn de we yu fɔ no bɔt da apɔntinmɛnt de.
1. Taim de ron out.
Bɔku tɛm, we yu go to spɛshal dɔktɔ lɛk dis, mɔ fɔ di fɔs tɛm, i kin tek lɛk tu ɔ tri awa so . Na bikɔs dɛn nid fɔ tek tɛm luk yu yay. I kin tek tɛm fɔ du di tɛst dɛn we dɛn nid. So, nɔ put ɔda tin dɛn pan di de, ɛn go wit yu maynd at kol.
2. No draiv yu wan.
Dis rili impɔtant. Bifo di dɔktɔ chɛk yu yay, i go yuz spɛshal ay drɔp fɔ mek di pupil na yu yay big. Dɛn kɔl dis fɔ mek di yay dɛn big . We di pupil big, di dɔktɔ kin si di retina, makula, ɛn optik nɛv insay yu yay klia wan.
Yu kin si fayn fɔ sɔm awa afta yu dɔn yuz dis mɛrɛsin. Yu kin gɛt prɔblɛm bak fɔ put yu yay pan layt dɛn we de shayn. Dat mek,Nɔ ɛva drayv ɔ kam bak yu wan. Go wit yu fambul ɔ padi ɔltɛm.
3. Pripia yu mɛdikal ditil dɛm
Di dɔktɔ go aks yu bɔt yu kɔmplit mɛdikal istri.
- Ɔda sik dɛn we yu gɛt (lɛk dayabitis, ay blɔd prɛshɔn) .
- Us mɛrɛsin dɛn yu kin yuz?
- Alɛji dɛn we yu gɛt
- If ɛnibɔdi na di famili gɛt yay sik
Mɛmba ɔl dis klia wan ɛn mɛmba am. If i pɔsibul, i fayn fɔ tek yu mɛrɛsin ɛn di prɛskrishɔn wit yu.
Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?
Fɔ no di sik we yu gɛt kɔrɛkt wan, yu dɔktɔ kin du sɔm difrɛn tɛst dɛn. Sɔm pan dɛn tin ya kin bi tin we yu nɔ sabi. Bɔt nid nɔ de fɔ fred ɛni wan pan dɛn tin ya.
| Tɛst | Wetin yu de du wit dis? |
|---|---|
| Slit lamp ɛgzam | fכ mek di strכkchכ dεm we de insay di yay big wit spεshal instrכmεnt lεk maykroskכp. |
| Indaykt ɔftalmoskɔpi ɛgzam | Di dɔktɔ kin wɛr tin we tan lɛk layt na in ed ɛn i kin yuz lens fɔ chɛk di bak pat na di yay. Dis kin mek i ebul fɔ si klos to di wan ol retina. |
| Optik kohɛrɛns tomografi (OCT) . | Dis tan lɛk we dɛn de skan di insay pat na di yay. i de tek kכros-sekshכnal imej dεm fכ di layεr dεm na di rεtina εn i de luk fכ swel, fכ wata we de bכku, εtk I nכ de pen. |
| Fluorescein angiografi we dɛn kin yuz | Dɛn kin put spɛshal day insay wan vein na di an, ɛn dɛn kin tek sɔm pikchɔ dɛn bɔt di blɔd vesel dɛn we de insay di yay. Dis kin ɛp fɔ si klia wan if blɔd ɔ wata de lik frɔm di blɔd vesel dɛn pan sik dɛn lɛk dayabitis. |
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
We wi kin go to dɔktɔ, sɔntɛnde wi kin fɔgɛt ɔl di kwɛstyɔn dɛn we wi kin aks. So, i fayn fɔ rayt ɔl wetin yu nid fɔ no pan pepa bifo yu go. Yu kin aks yu kɔmpin fɔ rayt kwik kwik wan pan wetin di dɔktɔ se. Dɔn yu kin luk am leta.
Na sɔm kwɛstyɔn dɛn we yu kin aks:
Bɔt yu mɛdikal kɔndishɔn:
- Wetin rili na mi mɛrɛsin?
- Wetin na di rizin we mek dis kayn tin de apin?
- Aw dis kin afɛkt di we aw a de si tin?
- Tin dɛn de we a nid fɔ chenj na mi layf ɛvride? (e.g. it, ɛksesaiz)
- Us sayn dɛn we a fɔ wɔri bɔt mɔ? Wetin a fɔ du if sɔntin lɛk dat apin?
- Dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa?
Bɔt di tɛst dɛn:
- Wetin rili dɛn de op fɔ dis tɛst?
- Ustɛm a kin no di rizɔlt (ripɔt) fɔ dis?
- Ɛni sayd ɛfɛkt ɔ risk de we gɛt fɔ du wit dis tɛst?
Bɔt tritmɛnt:
- Us tritmɛnt opshɔn dɛn a gɛt?
- Us tritmɛnt di dɔktɔ se? Wetin du?
- Wetin a fɔ no bɔt dis tritmɛnt (mɛrɛsin, injɛkshɔn, ɔpreshɔn)?
- Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis tritmɛnt kin gi?
- Aw ɔltɛm a go gɛt fɔ go to dɔktɔ?
Nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt. Di mɔ yu ɔndastand yu sik klia wan, na di mɔ i go izi fɔ yu fɔ sɔpɔt yu tritmɛnt.
Fɔ dɔn, yu yay na sɔntin we rili valyu. So, if yu notis ɛni chenj ɔ abnɔmal tin na yu yay, nɔ ignore am. Retina Specialist na spɛshal pɔsin we gɛt di maksimal trenin ɛn no fɔ ɛp yu fɔ protɛkt yu vishɔn. So, if dɛn rifer yu to da kayn dɔktɔ de, if yu fala wetin dɛn tɛl yu fɔ du, dat go rili ɛp yu fɔ protɛkt yu yay.
Mɛsej we dɛn kin kɛr go na os
- Retina Specialist na dɔktɔ we dɔn gɛt spɛshal trenin pan di retina, pas wan jenɛral ɔftalmɔlɔjis.
- Dɛn spɛshal dɔktɔ ya kin trit siriɔs sik dɛn lɛk we pɔsin in yay kin pwɛl bikɔs ɔf dayabitis, we in retina kin kɔmɔt, ɛn we i nɔ kin si fayn bikɔs i dɔn ol.
- If dɛn rifer yu to Rɛtina Spɛshal, mɛmba se di apɔntinmɛnt go tek lɔng (2-3 awa) ɛn yu go nid fɔ avɔyd fɔ drayv ɛn ɔda pɔsin go de wit yu bikɔs dɛn go yuz di ay mɛrɛsin.
- Tink gud wanIf chenj apin wantɛm wantɛm (flɔta, flash, yu nɔ de si wantɛm wantɛm), go to dɔktɔ we de mɛn yu yay ɔ ɔspitul imejensi rum (ETU) wantɛm wantɛm ɛn nɔ de te .
- Aks yu dɔktɔ klia kwɛstyɔn bɔt yu sik, tɛst, ɛn tritmɛnt. Dis impɔtant fɔ mek di tritmɛnt go bifo.
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