Yu tink se dɛn bɔn yu pikin bifo tɛm? Dɔn lɛ wi lan bɔt dis sik we de na di yay (Retinopathy of Prematurity - ROP)!

Yu tink se dɛn bɔn yu smɔl pikin bifo tɛm? Ɔ i nɔ gɛt bɛtɛ wet? Sɔntɛnde, dɛn kayn pikin dɛn ya kin gɛt smɔl smɔl wɛlbɔdi prɔblɛm dɛn. Wan pan dɛn na wan sik we dɛn kɔl Retinopathy of Prematurity (ROP), we na prɔblɛm wit di yay. Nɔ fred we yu yɛri dis nem. Lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin na dis ay prɔblɛm we kin apin to pikin dɛn we dɛn bɔn bifo tɛm (Retinopathy of Prematurity - ROP)?

Fɔ tɔk am simpul wan, ROP na wan sik we kin afɛkt di yay fɔ sɔm pikin dɛn we dɛn bɔn bifo 31 wik (bifo tɛm). Wetin kin apin pan dis na we di blɔd vesel dɛn we nɔ nmal kin fɔm na di pat pan di pikin in yay we dɛn kɔl di retina . Tink bɔt am lɛk di fim we de insay kamɛra. We layt hit di yay, i kin chenj to ilɛktrik signal ɛn dis retina kin sɛn am to di bren. Dɔn di bren kin yuz dɛn sayn dɛn de fɔ mek pikchɔ dɛn fɔ mek wi si. So, fכ kip dis rεtina hεlty na tin we rili imכtant fכ di pikin fכ si di wכl fayn fayn wan.

Dɛn nyu, abnɔmal blɔd vesel ya we de fɔm insay ROP nɔ kin du bad. Dɛn nɔ nid ɛni spɛshal tritmɛnt, na jɔs dɔktɔ dɛn de wach dɛn. bכt 90% pan di pikin dεm we gεt ROP kin bכn we dεn nכ gεt nכ tritmεnt εn dεn kin si nכmal vishכn bak. Bɔt sɔntɛnde dis sik kin tranga ɛn i kin mek di pikin nɔ ebul fɔ si fayn. If na so i bi, i nid fɔ gɛt tritmɛnt kwik kwik wan fɔ mek di yay nɔ pwɛl sote go ɛn fɔ mek i nɔ ebul fɔ si igen. If dɛn nɔ trit am, di bad bad kes dɛm we gɛt ROP kin ivin mek pɔsin blaynd.

Na dat mek dɔktɔ dɛn kin se dɛn fɔ chɛk pikin dɛn we de pan risk fɔ ROP jɔs afta dɛn bɔn dɛn. Dɛn tɛst ya kin ɛp fɔ no if di pikin gɛt di sayn dɛm fɔ ROP ɛn if dɛn nid tritmɛnt.

Yu pikin in dɔktɔ go tɛl yu if yu pikin de pan denja fɔ ROP ɛn ustɛm fɔ briŋ yu pikin kam fɔ tɛst. Fɔ mek yu nɔ gɛt siriɔs damej pan yu pikin in yay, i impɔtant fɔ fala di tɛst schedule we yu dɔktɔ gi yu ɛksaktɔli.

Aw kɔmɔn tin na ROP?

If wi luk di statystik na kɔntri lɛk Amɛrika, lɛk 14,000 to 16,000 pikin dɛn kin gɛt ROP ɛvri ia. Fɔ dɛn wan ya, lɛk 90% gɛt rili mild ROP. Dat min se dɛn nɔ nid tritmɛnt. Bɔt bitwin 1,100 ɛn 1,500 kin gɛt siriɔs ROP we nid tritmɛnt. Dis dɔn mek ɛvri ia, bitwin 400 ɛn 600 pikin dɛn kin blaynd bay lɔ. Pan ɔl we di rayt statystik na wi kɔntri kin difrɛn, dis na tin we nid fɔ pe atɛnshɔn to.

Wetin na di sayn dɛm fɔ pikin we gɛt ROP?

Bɔku tɛm, yu nɔ go ebul fɔ no dis kayn big sayn jɔs bay we yu luk yu pikin. ɔftalmolɔg na di wan pɔsin we kin no di ROP kɔrɛkt wan bay we i tek tɛm chɛk yu pikin in yay (espɛshali di we aw di blɔd vesel dɛn na di retina de fɔm).

Wetin mek dis ROP kin apin?

di men tin we de mek ROP na di disrupshכn fכ di nכmal prכsεs fכ fכm di bכdi vεsul dεm na di pikin in rεtina.

Tink bɔt dis, di blɔd vesel dɛn we de na di retina na di yay kin bigin fɔ mek smɔl smɔl we di pikin stil de na di bɛlɛ. dis dεm nכ de fכm fulכp te dεn bכn di pikin. So, di bכdi vεsul dεm na di rεtina fכ di pikin dεm we dεn bכn bifo tεm nכ de fכm fulכp. Dɛn blɔd vesel ya kin kɔntinyu fɔ fɔm afta dɛn bɔn am, bɔt sɔntɛnde dɛn kin fɔm di we aw i nɔmal.

Pan ɔl we i nɔ pɔsibul fɔ tɔk klia wan us pikin dɛn go gɛt ROP, sɔm pipul dɛn we de stɔdi bɔt dis dɔn si se sɔm tin dɛn kin mek di risk fɔ gɛt ROP kin bɔku.

Wetin na di risk factor dɛm fɔ ROP?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:

• di pikin we dεn bכn bifo di tεm: di εli we dεn bכn di pikin, na di hכy risk fכ divεlכp ROP.
• di wet we dεn bכn na 1,500 gram (lεk 1.5 kilogram, כ lεk 3.3 paund) כ less.
• Respiratory distress syndrome: I nɔ kin izi fɔ blo afta dɛn bɔn am.
• Blɔd we de kɔmɔt insay di bren (Intracranial hemorrhage).
• Difrɛn infɛkshɔn ɔ ɔda mɛrɛsin prɔblɛm dɛn.

If yu pikin gɛt wan ɔ mɔ pan dɛn tin ya we kin mek yu gɛt dis sik, yu dɔktɔ kin tɛl yu fɔ du yu yay ɛgzam fɔ chɛk fɔ si if i gɛt sayn dɛn fɔ ROP jɔs afta dɛn bɔn yu pikin.

Wetin na de prɔblɛm wae kin kam wit dis sik?

If dɛn nɔ trit siriɔs kes dɛm fɔ ROP, wan kɔndishɔn we dɛn kɔl retina detachment kin apin. dis na we di pikin in rεtina de separet frכm di sכpכt tisu we de rawnd am. di rεtina we de kכmכt kin mek i nכ de si bכku bכku wan כ i kin mek i blaynd. Dis na di mɔs siriɔs kɔnsɛkshɔn fɔ ROP.

Aw yu kin no ROP kɔrɛkt wan?

di nyu bכbi dεm we de na di nyu bכbi kεriכn yunit dεm kin כlwayz fכ no di pikin dεm we de pan risk fכ ROP. Dɔn dɛn kin sɛn di pikin to dɔktɔ we de mɛn di yay fɔ mek dɛn du mɔ tɛst am.

we dεn de du dis tεst (dεn kכl am bak "skrinin"), di ay dכkta de yuz ay dכp fכ dilayt di pikin in ayris εn luk fכ sayn dεm fכ ROP. dεn kin tek dijital pikchכ dεm bak fכ di pikin in rεtina. dis fכs tεst kin bi bitwin fכ εn siks wik afta dεn bכn am.

Di krayteria fɔ skan pikin fɔ ROP kin difrɛn frɔm wan kɔntri to ɔda kɔntri. Insay kɔntri dɛn lɛk Amɛrika, dɛn kin chɛk pikin dɛn fɔ:

• Bebi dεm we gεt bεlε 30 wik כ less.
• Bebi dεm we dεn bכn wet 1,500 gram (3.3 paund) כ less.
• Bebi dεm we gεt hכy gestational ej כ we dεn bכn, bכt כda risk fכ ROP.

Yu pikin kin nid fɔ du ɔda tɛst ɛvri wan to tri wik, ɔ lɛk aw yu dɔktɔ dɔn sɛtul am. di dɔktɔ we de mɛn yu pikin in yay go tɛl yu se dɛn tɛst ya nɔ nid fɔ du dɛn igen wans di blɔd vesel dɛn na yu pikin in retina dɔn ful-ɔp ɛn di risk fɔ mek in retina nɔ de igen.

If di ɔftalmɔlɔjis no se di pikin gɛt ROP, dɛn go klas di sik akɔdin to aw i siriɔs.

Wetin na di stej dɛm fɔ ROP?

Fɔ no aw ROP siriɔs ɛn if dɛn nid fɔ gɛt tritmɛnt, di dɔktɔ dɛn we de mɛn di yay kin sheb am to fayv stej dɛn. Stej 1 na di wan we nɔ kin izi fɔ du, ɛn stej 5 na di wan we kin rili bad.

• Stej 1 ɛn 2: Mild to mɔdaret ROP. Dɛn tin ya kin bɛtɛ if dɛn nɔ gɛt tritmɛnt.
• Stej 3: Na wan kכndishכn fכ ROP we kin nid tritmεnt fכ mek di rεtina nכ damej כ detachment.
• Stej 4: Siriɔs ROP. Sɔntɛm wan pat pan di retina dɔn kɔmɔt. I impɔtant fɔ gɛt tritmɛnt kwik kwik wan.
• Stej 5: Di kayn we we kin rili bad fɔ ROP. Di retina kin dɔn kɔmɔt kpatakpata. I impɔtant fɔ gɛt tritmɛnt kwik kwik wan. Ivin wit tritmɛnt, i kin apin we pɔsin nɔ de si fayn ɔ i kin blaynd.

Apat frɔm dɛn stej ya, yu kin yɛri tu ɔda wɔd dɛn:

• Aggressive ROP (Agressive retinopathy of prematurity): Dis na wan kayn ROP we kin rili bad kwik kwik wan.
• Plɛs sik: Dis na wan bad bad we fɔ ROP. na ya, di bכdi vεsul dεm na di rεtina de dilayt εn tortu.

Wetin na di tritmɛnt dɛm fɔ ROP?

Bɔku tritmɛnt dɛn de fɔ ROP:

• Laser therapy: Dis tritmεnt involv fכ dayrεkt wan laser bim na di כta ed dεm na di pikin in retina, we de mek wan patεn fכ sכm sכm bכn. Dɛn bɔn ya kin stɔp di abnɔmal blɔd vesel dɛn fɔ mek dɛn nɔ fɔm. Laser tεrapi na bכt 90% ifektiv fכ kכl ROP.
• Anti-VEGF therapy: Dis na fɔ injekt wan mɛrɛsin na di pikin in yay. Dis mɛrɛsin de stɔp di blɔd vesel dɛn we nɔ de gro.

Yu pikin in yay dɔktɔ go ɛksplen di gud ɛn bad tin dɛn we dɛn tritmɛnt ya gɛt, ɛn us tritmɛnt plan we bɛtɛ fɔ yu pikin.

Nɔ wɔri, dɔktɔ dɛn kin tray ɔltɛm fɔ du wetin bɛtɛ fɔ di pikin.

If yu pikin in retina dɔn kɔmɔt sɔm kayn we (dat na if ROP na stej 4 ɔ 5), yu pikin go nid mɔ tritmɛnt. Bɔku tɛm, na pɔsin we sabi bɔt di retina kin du dis. Fɔ ɛgzampul, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn we dɛn kɔl vitrectomy .

Ustɛm dɛn kin trit ROP?

If yu pikin de pan denja fɔ gɛt wan retina detachment, ɔ if dɛn dɔn ɔlrɛdi gɛt retina detachment, dɛn go nid tritmɛnt. Yu pikin in ɔftalmolɔg go disayd di bɛst tɛm fɔ tritmɛnt bay di stej we di ROP gɛt ɛn di infɔmeshɔn we dɛn gɛt frɔm di tɛst dɛn.

Yu tink se dɛn kin mek ROP nɔ apin?

ROP kin kכz mεntal bay we dεn bכn pikin bifo tεm. So, ɛni step we yu kin tek fɔ ridyus di risk fɔ bɔn pikin bifo tɛm go ɛp bak fɔ ridyus di chans fɔ mek yu pikin gɛt ROP. I rili impɔtant fɔ go to dɔktɔ we yu gɛt bɛlɛ ɛn fala yu dɔktɔ in instrɔkshɔn.

Bɔt, yu fɔ mɛmba dis bak. Sɔntɛnde, ilɛksɛf yu du ɔl wetin yu ebul, yu nɔ go ebul fɔ stɔp di pikin we yu bɔn bifo tɛm. If dat apin, nɔ blem yusɛf fɔ dat. Tɛnki fɔ di advans tritmɛnt ɛn tɛknɔlɔji tide, ivin pikin dɛn we dɛn bɔn bifo tɛm kin ebul fɔ liv wɛlbɔdi layf ɛn gladi at.

Na ROP de go fa?

Bɔku tɛm, ROP kin bɛtɛ fɔ insɛf we i nɔ kin mek di pikin in retina ɔ in vishɔn pwɛl fɔ ɔltɛm. Bɔt, siriɔs kes dɛm fɔ ROP nid tritmɛnt fɔ mek dɛn nɔ gɛt kɔmplikeshɔn lɛk we di rεtina nɔ de kɔmɔt ɛn we i nɔ de si fayn.

Tɔk to yu pikin in ɔftalmɔlɔjis bɔt us kayn tritmɛnt yu pikin go nid ɛn aw ROP go afɛkt dɛn yay tumara bambay.

Aw a go kia fɔ mi pikin?

di impɔtant tin we yu kin du na fɔ kɛr yu pikin go na ɔl di skrinin apɔntinmɛnt dɛn we yu pikin in yay dɔktɔ tɛl yu fɔ du. Dɛn tɛst ya impɔtant fɔ no ROP kwik ɛn bigin tritmɛnt fɔ ridyus di risk fɔ pwɛl di vishɔn fɔ ɔltɛm.

Bebi dεm we dεn trit fכ ROP go nid fכ fכlכ-ap visit כlsay na dεn layf. Dɛn tin ya impɔtant mɔ we dɛn smɔl. Insay dɛn visit ya, di pikin in yay dɔktɔ go chɛk fɔ si if i gɛt sayn dɛn we de sho se di blɔd vesel dɛn nɔ de wok fayn, ivin sɔm ia afta we dɛn dɔn trit am fayn.

Bebi dɛn we dɛn bɔn bifo tɛm ɛn we nɔ gɛt ROP stil nid fɔ du dɛn yay ɛgzam ɔltɛm. Dis na bikɔs dɛn kin gɛt sɔm kayn sik dɛn na dɛn yay. Fɔ ɛgzampul:

• Amblyopia ɔ les yay
• Strabismus ɔ krɔs yay
• Glɔkoma we dɛn kɔl Glaukoma

Aks yu pikin in ɔftalmɔlɔjis aw ɔltɛm yu pikin fɔ du in yay ɛgzam, ɛn fala da schedule de ɛksaktɔli.

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

Fɔ no mɔ bɔt ROP, yu kin aks yu pikin in ɔftalmolɔg kwɛstyɔn dɛn lɛk dɛn wan ya:

• Mi pikin de pan risk fɔ gɛt ROP?
• Aw ɔltɛm dɛn fɔ tɛst mi pikin fɔ ROP?
• Ustɛm mi pikin go nid tritmɛnt?
• Wetin na di bɛst tritmɛnt we dɛn kin yuz?
• Wetin na di bɛnifit ɛn bad tin dɛn we di tritmɛnt gɛt?
• Us fɔlɔp tɛst dɛn mi pikin go nid afta dɛn dɔn trit am?
• Wetin na di we aw mi pikin de si tin?

We yu no se yu pikin gɛt prɔblɛm wit yu yay, dat kin mek yu wɔri ɛn fred. We yu lan se yu pikin gɛt ROP, i kin mek yu strɛs, ɛn i kin mek yu strɛs mɔ if yu pikin gɛt ɔda wɛlbɔdi prɔblɛm dɛn. Mɛmba se yu pikin in mɛdikal tim de fɔ ɛp yu ɛvri step na di rod. Rayt yu kwɛstyɔn dɛn ɛn kam wit dɛn na ɛni apɔntinmɛnt. Gɛt ɔl di infɔmeshɔn we yu nid fɔ sɔpɔt yu pikin in wɛlbɔdi insay dɛn impɔtant fɔs mɔnt ya ɛn afta dat.

Fɔ sɔmtin, mɛsej we yu kin kɛr go na os:

Okay, so lɛ wi rikap di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:

• ROP na wan sik we kin mɔs afɛkt di yay fɔ di pikin dɛn we dɛn bɔn bifo tɛm.
• כl di pikin dεm gεt mild ROP εn dεn kin bεtε if dεn nכ trit dεm.
• Bɔt pan sɔm kayn bad bad tin dɛn, i kin mek pɔsin nɔ ebul fɔ si fayn, so i impɔtant fɔ no am kwik kwik wan ɛn fɔ trit am.
• Nɔ ɛva skip di ROP skrinin dɛn we dɔktɔ dɛn kin advays. Na di bɛst we fɔ protɛkt yu pikin in yay.
• I rili impɔtant fɔ mek ɔl di pikin dɛn we dɛn bɔn bifo tɛm fɔ du dɛn yay ɛgzam ɔltɛm , ilɛksɛf dɛn gɛt ROP ɔ dɛn nɔ gɛt.
• If yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ fred fɔ tɔk to yu pikin in dɔktɔ.

Wi ɔl de wish yu smɔl pikin fɔ gɛt wɛlbɔdi ɛn prɔspɛkt tumara bambay!

` retinopathy of prematurity, ROP, premature bebies, ay prɔblɛm, vishɔn lɔs, nyu bɔbɔ kia, ɔftalmɔlɔjis, lɛsa tɛrapi, anti-VEGF tɛrapi, ay sik na pikin dɛm