Yu dɔn ɛva notis smɔl blak dɔt dɛn, bɔl dɛn we gɛt trɛd, ɔ spayda wɛb dɛn we de flɔt bifo yu yay we yu de slip? Ɔ yu de si laytin we de flash lɛk se sɔmbɔdi dɔn faya kamɛra flash? Pan ɔl we bɔku pipul dɛn kin tink se dɛn tin ya na nɔmal tin, sɔntɛnde dɛn kin bi di fɔs sayn fɔ sho se pɔsin gɛt siriɔs ay sik. Tide wi de tɔk bɔt dis kayn siriɔs sik, bɔt we nɔ de mek pɔsin fil pen. Dat na di retina we de kɔmɔt, ɔ we wi de tɔk bɔt mɛrɛsin, di retina we de kɔmɔt .
Fɔ tɔk am simpul wan, wetin na di retina detachment?
Tink bɔt wi yay lɛk kamɛra. so, di retina na wan mεmbran we rili sεnsitiv lεk di film we de na di bak pat pan di kεmεra. We di layt we de kɔmɔt na di tin dɛn we wi de si fɔdɔm na di retina, i kin chenj dɛn layt signal dɛn de to ilɛktrik signal ɛn sɛn dɛn to di bren. Na da tɛm de nɔmɔ wi go si wan imej. So di retina kin gɛt in it ɛn ɔksijɛn frɔm di tisu dɛn we de ɔnda am.
di rεtina dεtachmεnt na we di rεtina de separet frכm di כndalayn tisu we de gi am it . I tan lɛk we wallpaper de pul kɔmɔt na di wɔl. We dis kin apin, i nɔ kin gɛt in blɔd igen. Dis na sik we nɔ de mek pɔsin fil pen, bɔt i rili siriɔs . If dɛn nɔ trit am kwik, di sɛl dɛn na di retina kin day ɛn mek i nɔ de si fayn fɔ ɔltɛm .
So if yu gɛt mɔ flota dɛn wantɛm wantɛm, yu si layt we de flash, ɔ yu fil blak kɔtin de fɔdɔm frɔm di sayd na yu yay, nɔ ignore am, ilɛksɛf yu nɔ de fil pen . Si yu dɔktɔ wantɛm wantɛm. Ɔ go na di ɔspitul we de nia yu na di Imejɛnsi Dipatmɛnt (ETU) .
Wetin na di men kayn we aw di rεtina kin kכmכt?
Tri men kayn dis sik de, i kin dipen pan aw e kin apun. Lɛ wi tek wan luk pan wetin dɛn bi.
| Escape tayp | Aw i kin apin ɛn wetin mek i kin apin |
|---|---|
| Di kayn we we gɛt rɛgmatojen | Dis na di kayn we we pipul dɛn kin gɛt mɔ. As wi de ol, di tin we lεk jel insay di yay (vitreous humor) de shrin sכmtεm. we dis apin, i de pul kכmכt frכm di rεtina, we de mek sכm sכm tεm כ ol de fכm. tru dis tכch, di jel de kכlekt כnda di rεtina, i de push am kכmכt εn kכl am. |
| Trakshɔnal tayp | dis kin bi we di ska tisu we de fכm na di rεtina, we de mek i pul kכmכt. Pipul wae gɛt shuga kin gɛt bɔrku risk. We di blɔd shuga de ɔp ɛn nɔ de kɔntrol am fɔ lɔng tɛm, di dilik blɔd vesel dɛn we de insay di yay kin pwɛl ɛn ska tisu kin fɔm. dis ska tisu kin pul kכmכt εn mek di rεtina kכmכt. |
| Eksudativ tayp | insay dis kayn, nכ tear כ ol de na di rεtina. Bɔt wata kin gɛda ɔnda di retina. Dis kin bi bikɔs ɔf sɔm sik dɛn we de insay di yay (lɛk uveitis), di yay injury, ɔ sɔm kansa, we kin mek wata kɔmɔt na di blɔd vesel. |
Wetin kin bi di sayn dɛm fɔ dis?
di simptom dεm kin difrεn dipכnt pan di sayz fכ di rεtina dεtachmεnt. If smɔl pat pan di detachment de, i nɔ kin gɛt ɛni sayn atɔl. Bɔt bɔku tɛm, dɛn sayn ya kin apin wantɛm wantɛm.
- Fɔtopsia: Na layt we de shayn wantɛm wantɛm na di yay we de mek pɔsin blaynd .
- We yu si bɔku bɔku tin dɛn we de flɔt: Wantɛm wantɛm, yu go si bɔku tin dɛn lɛk blak spat, spayda wɛb, ɔ bɔl dɛn we gɛt trɛd we de flɔt bifo yu yay. (I nɔmal fɔ si wan ɔ tu wan wan tɛm, bɔt if yu si bɔku pan dɛn ɔl wan tɛm, na sayn we de wɔn yu.)
- Wan yay nɔ de si fayn: Na filin fɔ lɛ wan yay nɔ de si fayn igen.
- Blak kɔtin we de fɔdɔm bifo di yay: Na filin lɛk se blak kɔtin de fɔdɔm dɔŋ bifo di yay.
If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. I kin bi imejensi we kin afɛkt yu yay.
Udat de pan big risk fɔ dis sik?
Pan ɔl we ɛnibɔdi kin gɛt dis sik, sɔm pipul dɛn kin gɛt dis sik pasmak.
- Ej: Pipul wae dɔn pas 50 ia kin gɛt bɔrku risk.
- Ay injury: Aksidɛnt lɛk we pɔsin blo tranga wan na di yay.
- Famili istri:If pɔsin na di famili dɔn gɛt dis sik bifo.
- Fɔ dɔn du ɔpreshɔn pan yu yay bifo tɛm: fɔ ɛgzampul, afta dɛn dɔn ɔpreshɔn yu yay.
- High Myopia: Fɔ di wan dɛn we gɛt wan rili bad bad kɔndishɔn fɔ "si nia, bɔt nɔ de fa".
- Ɔda tin dɛn we kin apin to pɔsin in yay: Pipul dɛn we gɛt dayabitik retinopathy ɔ lattice degeneration.
- If di retina bin dɔn kɔmɔt na wan yay bifo tɛm: If dis apin, di ɔda yay sɛf de pan denja.
If yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt prɔblɛm, i rili impɔtant fɔ mek dɔktɔ we de mɛn yu yay chɛk yu yay ɔltɛm.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, i go tek tɛm chɛk yu yay. Dis kin bi mɔ bay we dɛn de dilayt di pupil na di yay (dilated eye exam) .
Wetin kin apin pan dis na dat dɛn kin put ay drɔp na yu yay. Insay sɔm minit dɛn, yu blak yay go big. Dɔn, di dɔktɔ kin yuz wan spɛshal tin fɔ si di retina we de insay yu yay klia wan. Dis kin ɛp yu fɔ si if ɛnitin de we de rɔtin, ol, ɔ we de kɔmɔt na di retina.
Apat frɔm dat, dɛn kin du bɔku ɔda tɛst dɛn if nid de.
- Optical Coherence Tomography (OCT) scan: dis kin tek 3D imej fכ wan kכros-sekshכn na di rεtina.
- Ay (Ocular) Ultrasound Scan: If yu nɔ ebul fɔ si di retina klia wan bikɔs ɔf sɔntin lɛk blɔd we de kɔmɔt insay di yay, dɛn kin yuz ɔltra saund fɔ luk insay di yay.
- CT scan: Dɛn kin yuz dis fɔ no mɔ bɔt aw pɔsin in yay wund.
Wetin na di tritmɛnt dɛm fɔ dis?
di rεtina dεtachmεnt na wan kכndyushכn we dεn kin כnli trit wit כpεrayshכn . Di we aw dɛn kin trit am kin dipen pan di kayn we aw dɛn kin pul am, di sayz we i gɛt, ɛn ɔda tin dɛn.
If na jɔs wan retina tear:
If yu fain se na krak krak nɔmɔ de bifo i wɛl, yu kin glu am lɛk se yu de "wɛld" am bifo i big.
- Laser Therapy: Dɛn kin yuz laser rays fɔ mek smɔl smɔl bɔn dɛn rawnd di krak, ɛn di skata we kin kɔmɔt de kin sial di krak.
- Cryopexy: Dɛn kin yuz kol pasmak fɔ mek skata rawnd di kray wata ɛn sial am.
If di retina dɔn kɔmɔt:
If pɔsin de fɔ sev pipul dɛn, dɛn kin nid fɔ du wan ɔ mɔ pan dɛn ɔpreshɔn ya.
| Di we aw dɛn kin du ɔpreshɔn | Simpul ɛksplen |
|---|---|
| Nyumɛtik Rɛtinopeksi | Insay dis, di dɔktɔ kin injekt wan gas bɔbul na di yay. di bכbul de push di rεtina we dεn kכl bak insay di ay wכl. Afta di ɔpreshɔn, yu nid fɔ kip yu ed na spɛshal pozishɔn fɔ sɔm dez so dat di gas bɔbul go go na di rayt ples ɛn de na in ples. |
| Skleral Bukl we de na di wɔl | insay dis, dεn kin put wan tin we lεk silikon strap (bכkul) rawnd di כdasay na di yay εn tayt am jכnt. dis de push di wכl fכ di yay insay, we de mek di rεtina we dεn kכl fכ tכch di wכl bak εn stik pan am. Dis strap kin de rawnd di yay fɔ layf, bɔt yu nɔ kin si am frɔm do. |
| Vitrectomy we dɛn kin du | Dis na ɔpreshɔn we nɔ izi fɔ du. insay dis, dεn de kכl di jel we de insay di yay (vitreous) kכmplit wan. Dɔn, dɛn kin yuz lɛsa fɔ mek di wata we de kɔmɔt na di retina fayn, ɛn dɛn kin ful-ɔp di ples usay di jel bin de trade wit bɔbul we gɛt gas, briz, ɔ silikon ɔyl . dis bכbul dεn de yuz fכ ol di rεtina insay in ples te i atak bak. |
Impɔtant: If yu gɛt gas bɔbul na yu yay, yu nɔ fɔ travul wit plen ɔ go na ay ay ples te i dɔn sɔlv ɔl. Dis na bikɔs di prɛshɔn we di briz kin chenj na ay ay ples kin mek di bɔbul big ɛn pwɛl di yay. Yu dɔktɔ go tɛl yu ustɛm yu go ebul fɔ du dɛn tin ya bak.
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Sɔm tin kin mek yu nɔ fil fayn ɛn yu kin fil pen na yu yay fɔ sɔm wiks afta di ɔpreshɔn. Di dɔktɔ go gi yu pen kil fɔ dat. Yu go nid bak fɔ avɔyd fɔ wok tranga wan, fɔ ɛksesaiz, ɛn fɔ drayv fɔ sɔm wiks.
- Ay pat: Yu fɔ wɛr ay pat fɔ as lɔng as yu dɔktɔ tɛl yu fɔ wɛr.
- Di we aw yu ed de tinap:Ɛspɛshali if dɛn put gas bɔbul insay, fɔ mek i wok fayn, i impɔtant fɔ mek yu kip yu ed na wan patikyula pozishɔn fɔ di tɛm we di dɔktɔ tɛl yu fɔ du.
- Ay drɔp: Dɛn fɔ put ay drɔp di rayt tɛm fɔ ɛp di yay fɔ wɛl kwik ɛn fɔ mek i nɔ gɛt infɛkshɔn.
- Vishɔn: di vishɔn kin bigin fɔ bɛtɛ smɔl smɔl lɛk 4-6 wik afta di ɔpreshɔn. Bɔt i kin tek sɔm mɔnt fɔ mek yu si ful-ɔp bak. Sɔntɛnde, di vishɔn nɔ kin kam bak ɔlsay.
Tek tɛm wit dɛn tin ya afta yu dɔn du di ɔpreshɔn
Ivin if di ɔpreshɔn nɔ wok fayn, sɔntɛnde, prɔblɛm dɛn kin apin. If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- If i bad, pen kin apin we yu nɔ bin de ɛkspɛkt .
- If yu sho sayn dɛm fɔ infekshɔn, lɛk we yu yay de swel ɛn fiva.
- If wan tin we nɔ kɔmɔn de kɔmɔt na di yay.
- If yu vishɔn de wɔs wantɛm wantɛm .
Mɛsej we dɛn kin kɛr go na os
- We pɔsin we de flɔt bɔku wantɛm wantɛm, we yu si layt we de shayn, ɔ we yu fil lɛk se blak kɔtin de fɔdɔm bifo yu yay, na sayn dɛn we de wɔn yu .
- Retina detachment na wan rili siriɔs tin we kin mek pɔsin nɔ de si fayn fɔ ɔltɛm, pan ɔl we i nɔ de mek i fil pen .
- If yu gɛt ɛni wan pan dɛn sik ya, nɔ jɔs "wet ɛn si." Si dɔktɔ we de mɛn yu yay wantɛm wantɛm ɔ go na di ɔspitul we de nia yu na di Imejɛnsi Dipatmɛnt (ETU).
- If dɛn trit am kwik, di chans fɔ mek i si bak tru ɔpreshɔn kin rili bɔku.
- If yu gɛt tin dɛn we kin mek yu gɛt sik lɛk dayabitis ɔ yu kin si nia, i rili impɔtant fɔ mek dɔktɔ we de mɛn yu yay chɛk yu yay wan tɛm insay di ia .
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