Yu dɔn notis wantɛm wantɛm se yu yay nɔ de si smɔl? Ɔ yu kin fil lɛk se smɔl blak tin dɛn de flɔt bifo yu yay? Na nɔmal tin fɔ fil fɔ fred smɔl we sɔntin lɛk dis apin. Bɔku tɛm, dis kin kam bikɔs wan smɔl blɔd vesel we de insay yu yay kin blok. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis Retinal Vein Occlusion, ɔ RVO fɔ shɔt tɛm. Lɛ wi tɔk bɔt dis insay simpul wɔd dɛn tide.
Fɔ tɔk am simpul wan, wetin na di retina vein occlusion (RVO)?
Tink bɔt yu yay lɛk kamɛra. Di pat pan di yay we dɛn kɔl di retina tan lɛk di fim we de na di bak pat pan di kamɛra. Na dis say di layt we de kɔmɔt na di tin dɛn we wi de si kin chenj to pikchɔ dɛn. So, fɔ mek dis retina wok fayn, i nid fɔ gɛt gud blɔd. Dat min se at dɛn de we de briŋ blɔd ɛn vein dɛn we de kɛr di blɔd we dɛn dɔn yuz bak.
Naw imajin se fɔ sɔm rizin, wan vein we de kɛr da blɔd de bak, we na vein, kin blok smɔl ɔ stɔp. Jɔs lɛk we wata paip blok, di blɔd nɔ kin ebul fɔ flɔ tru am. Dɔn, di blɔd kin bak, ɛn dis kin mek di prɛshɔn we de insay di retina go ɔp ɛn mek i swel. Dis na wetin wi kɔl Retina Vein Occlusion (RVO) . Dis na wan sik wae nid fɔ trit kwik, ɔr e kin mek pɔrsin nɔr de si fayn fɔ ɔltɛm.
Tu men kayn RVO dɛn de.
Wi de sheb RVO to tu kayn we dipכnt pan usay dis blכk de apin.
| RVO tayp | Fɔ tɔk am simpul wan... |
|---|---|
| Sɛntral Rɛtina Vein Ɔklushɔn (CRVO) . | dis na we di men vein we de na di retina de blok. I tan lɛk se big wata paip de klos. Dis kin afɛkt di wan ol retina. |
| Branch Rɛtina Vein Ɔklushɔn (BRVO) . | dis na blכk we wan sכm branch vein we de branch kכmכt frכm di men vein. Dis na di kayn we we pipul dɛn kin gɛt mɔ. insay dis kes, na wan pat pan di retina nכmכ de afekt. |
Us simptom yu kin gɛt wae yu gɛt RVO sityueshɔn?
Di simptom dɛm fɔ RVO kin afɛkt wan yay nɔmɔ. Dɛn kin bigin wantɛm wantɛm ɔ dɛn kin bigin fɔ gro smɔl smɔl fɔ sɔm awa ɔ sɔm dez.
- Blɔr vishɔn ɔr nɔr de si fayn: Dis na di men ɛn kɔmɔn sayn.
- Flota: Fɔ si blak dɔt ɔ layn dɛn we de flɔt bifo di yay.
- Fɔ fil pen ɔr prɛshɔ insay yu yay: Dɛn kin si dis pan tin dɛm wae rili bad.
De impɔtant tin na dat, sɔmtɛm dis sik kin apun witout ɛni sayn. Yu dɔktɔ kin si am bay chans we yu go fɔ du yu yay ɛgzam ɔltɛm. Na dat mek i impɔtant fɔ de chɛk yu yay ɔltɛm.
Wetin mek vein kin stɔp insay di yay lɛk dis?
I rili at fɔ sho wan rizin fɔ dis, bɔt sɔm men tin dɛn de we de apin.
Fɔ tɔk am simpul wan, say dɛn de we wan at ɛn wan vein na di retina de krɔs dɛnsɛf. As wi de ol, ɔ bikɔs tin dɛn lɛk kɔlɔstrel de bɔku, di at in wɔl dɛn kin tik smɔl ɛn at. Wi kin kɔl dis atɛrosklɛrosis . wan tik at we tik lεk dis de bigin fכ prεs pan di dilik vein we de כnda am. I tan lɛk se wata paip de krɔs we dɛn put sɔntin we ebi pan am. Dis prɛshɔn kin mek di blɔd nɔ flɔ insay di vein, ɛn blɔd kin klɔt ɛn blok di vein kpatakpata.
Apat frɔm dat, sɔm mɛdikal kɔndishɔn dɛn kin mek bak di risk fɔ gɛt RVO.
Factor dɛm wae de inkrisayz di risk fɔ RVO
| Risk factor | Tɔk bɔt |
|---|---|
| Ej | Pipul wae dɔn pas 40 ia kin gɛt bɔrku risk. E kin pasmak pan pipul dɛm wae ol 50-60 ia. |
| Ay Blɔd Prɛshɔn | Dis na big risk factor fɔ RVO. |
| Shuga | Dayabitis kin pwɛl di dilik blɔd vesel dɛn na di yay. |
| Glɔkoma we dɛn kɔl Glaukoma | Dis kכndyushכn, wae de mek yu yay prεshכn bכku, na risk bak. |
| Ay Kɔlɔstrel ɛn Atɛrosklɛrosis | Blɔk kin apin bikɔs di blɔd vesel dɛn kin tik ɛn tan. |
Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?
If dɛn nɔ trit RVO kwik, i kin mek di yay pwɛl bad bad wan.
- Cystoid Macular Edema: di macula na di mכst imכtant sεntri pat pan di rεtina we de gi wi klia, shap vishכn. We blɔd vesel blok, i kin ful-ɔp wit wata ɛn swel. Dis kin mek yu nɔ de si fayn bad wan.
- Niovaskulεrayzeshn: We di bכdi fכ fכlכ insay di yay nכ de wok fayn , di bכdi de tray fכ mek di bכdi we nכ de bay we i de fכm nyu bכdi vεsul dεm. Bɔt dɛn nyu ship dɛn ya rili wik ɛn dɛn gɛt tint wɔl dɛn. Dɛn tin ya kin bɔs izi wan ɛn mek blɔd kɔmɔt insay di yay (vitreous hemorrhage).
- di prɛshɔn we de go ɔp na di yay (Neovascular Glaucoma): Dɛn nyu blɔd vesel dɛn ya we wik de blok di say dɛn we de kɔntrol di wata we de kɔmɔt insay di yay. Dis kin mek di yay gɛt ay prɛshɔn we denja, we kin pwɛl di optik nɛv ɛn mek i nɔ ebul fɔ si fayn fayn wan.
- Retina Detachment: Dis na imejensi. di rεtina kin kכmכt frכm di wכl na di yay bikoz fכ di pul we di nyu bכdi vεsul dεm de pul.
Aw dɔktɔ kin no ɛn trit dis?
If yu gɛt dɛn sik ya, yu fɔ go to spɛshal pɔsin we de kia fɔ yu yay kwik kwik wan. I go tek tɛm chɛk yu yay.
Diagnosis we dɛn kin gɛt
Di dɔktɔ go put drɔp dɛn na yu yay fɔ mek di pupil big ɛn i go chɛk di insay pat pan yu yay wit spɛshal maykroskɔp. Apat frɔm dat, dɛn kin du dɛn tɛst ya:
- Optical Coherence Tomography (OCT) scan: dis kin mכsu di tik we di rεtina tik εn kכrekt fכ no if di makula dכn swεla.
- Fluorescein Angiography: Dɛn kin put spɛshal day insay wan vein na yu an ɛn tek pikchɔ dɛn we i de travul tru di blɔd vesel dɛn we de insay yu yay. Dis kin sho usay di vein dɔn blok ɛn aw bɔku damej dɔn apin.
Di we aw dɛn kin trit am
Te naw, no sef we nɔ de fɔ opin bak wan vein we dɔn blok. Bɔt bɔku fayn tritmɛnt dɛn de fɔ kɔntrol di damej ɛn prɔblɛm dɛn we di blɔk kin kam wit . Di men gol dɛm fɔ dɛn tritmɛnt ya na:
- Impruv yu vishɔn ɔ stɔp am fɔ mek i nɔ wɔs.
- Tritmɛnt fɔ kɔmplikeshɔn dɛn we dɔn kam.
- Fɔ kɔntrol di risk factor dɛm (lɛk blɔd prɛshɔn ɛn dayabitis) we kin kɔntribyut to RVO.
Na sɔm pan di men we dɛn fɔ trit am:
1. Anti-VEGF Injekshɔn: Dis na di fɔs layn tritmɛnt we dɛn kin yuz mɔ. wan kεmikכl (VEGF) de we de mek di yay swel εn fכ mek nyu blכd vesel dεm we wik insay di yay. Dis injɛkshɔn de wok bay we i de blok da kemikal de. Dɛn kin gi di injɛkshɔn afta dɛn dɔn numb di yay wit ay drɔp. Dipen pan yu kɔndishɔn, yu kin nid fɔ gɛt dɛn injɛkshɔn ya ɛvri mɔnt ɔ ɔltɛm.
2. Stɛroyd Injɛkshɔn: Dɛn kin yuz dɛn injɛkshɔn ya bak fɔ ridyus di swɛlin. Bɔt dɛn kin mek sɔm pipul dɛn yay prɛshɔn go ɔp, so dɛn kin jɔs gi dɛn as sɛkɔn opshɔn if anti-VEGF injɛkshɔn nɔ ɛp.
3. Laser tritmεnt (Panretinal Photocoagulation - PRP): dεn de yuz dis laser tritmεnt fכ stכp di fכmeshכn fכ di blכd vεsul dεm we dεn nכ want, we wik.
4. Vitrectomy Surgery: If bɔku blɔd de insay di yay, dɛn kin du dis ɔpreshɔn fɔ pul ɛn klin di pat pan di yay we tan lɛk jeli we ful-ɔp wit blɔd.
Di tin we impɔtant pas ɔl na dat, yu ɔftalmolɔg go wok wit yu famili dɔktɔ (PCP) fɔ gi yu mɛrɛsin fɔ kɔntrol di tin dɛn lɛk ay blɔd prɛshɔn, dayabitis, ɛn kɔlɔstrel.
Bɔt tumara bambay ɛn wetin wi go ebul fɔ du
Aw yu vishɔn go luk afta RVO de dipen pan sɔm tin dɛm. Sɔm pipul dɛn nɔ kin si fayn fɔ ɔltɛm, ɔda pipul dɛn kin si se dɛn kin si smɔl smɔl as tɛm de go wit tritmɛnt. Yu yay dɔktɔ go ebul fɔ ɛksplen di tin we de apin to yu di bɛst we.
Di bɛst tin we wi kin du fɔ mek dis tin nɔ apin na fɔ kɔntrol di tin dɛn we kin mek wi gɛt dis sik.
- Fɔ fala di it we fayn fɔ di at ɛn di blɔd vesel dɛn.
- Ɛksesaiz ɛvride.
- Mek yu gɛt wɛlbɔdi wet.
- Nɔ smok kpatakpata.
If yu gɛt dis sik, yu kin fil taya ɛn strɛs bikɔs yu fɔ tek injɛkshɔn ɔltɛm ɛn go na klinik. Nɔ shem bɔt am. Tɔk to yu dɔktɔ bɔt am. I go gi yu di sɔpɔt we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Di tin we yu si na wan pan yu yayIf yu si wantɛm wantɛm we yu nɔ de si fayn ɔ blak spat dɛn we tan lɛk se yu de flɔt, nɔ ignore am. Si dɔktɔ fɔ yu yay kwik kwik wan.
- Retina Vein Occlusion (RVO) na we wan vein we de blok na di yay. I gɛt fɔ du wit ɔda sik dɛn lɛk ay blɔd prɛshɔn, dayabitis, ɛn ay kɔlɔstrel .
- Pan ɔl we i nɔ pɔsibul fɔ opin di at we dɔn blok bak, tritmɛnt dɛn de we rili fayn (injɛkshɔn, lɛsa) fɔ kɔntrol di damej we di yay gɛt ɛn fɔ mek yu nɔ si fayn .
- If yu tek kia ɔf yu ɔl yu wɛlbɔdi (gud it, ɛksesaiz, ɛn avɔyd fɔ smok) go ɛp bak fɔ protɛkt yu yay wɛlbɔdi.
- If yu du ɛgzam fɔ yu yay di rayt tɛm , dɛn kin no dɛn tin ya kwik kwik wan ɛn dɛn kin bigin fɔ trit am bifo siriɔs damej apin.
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