Sɔntɛnde wi dɔn si kes dɛm we smɔl pikin ɔ big pipul dɛn yay nɔ de dayrɛkt di sem say. Sɔm pipul dɛn kin kɔl dis bak "strabismus". Dis sik, wae wan yay de luk stret wae di ɔda yay de tɔn na difrɛn say, de mek sɔm pipul dɛn fil shem ɛn mek i nɔr izi fɔ fes sosayti. Bɔt dis na sik we pɔsin kin gɛt we dɛn kin trit ɛn kɔrɛkt bɔku tɛm. So di men ɛn di bɛst sɔlv fɔ dis na fɔ mek di yay dɛn stret wit ɔpreshɔn fɔ di mɔsul dɛn. Wi de tɔk bɔt dis ɔpreshɔn tide, dat na, Strabismus Ɔpreshɔn.
Fɔ tɔk am simpul wan, wetin na Strabismus Surgery?
Strabismus ɔpreshɔn na ay mɔsul ɔpreshɔn we dɛn kin du fɔ kɔrɛkt di pozishɔn we yu yay de, dat na fɔ mek dɛn alaynɛd na di sem layn. wi yay dεm de muv bak εn go bifo, כp εn dכn, wit di εp fכ sכm sכm mכsul dεm we de rawnd dεm (ay mכsul dεm). So, insay dis ɔpreshɔn, dɛn kin kɔrɛkt di say we di yay dɛn de bay we dɛn tayt ɔ lus dɛn mɔsul dɛn de smɔl. Dɔn, yu ɔl tu yay dɛn kin yus fɔ luk togɛda, na di sem say.
Udat nid fɔ du dis ɔpreshɔn?
Na lɛk 5% pan di pipul dɛm na di wɔl gɛt dis ay kɔndishɔn (strabismus). If yu yay nɔ de alaynɛd fayn, we min se yu gɛt swɛt, ɛn ɔda tritmɛnt dɛn lɛk glas nɔ ɛp, yu yay dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn. Bɔku tɛm dɛn kin du dis ɔpreshɔn pan yɔŋ pikin dɛn , bɔt dɛn kin du am bak pan big pipul dɛn .
Dis ɔpreshɔn kin nid fɔ du if dɛn tin ya de:
| Di Nem fɔ di Kɔndishɔn (Mɛdikal Tɛm) . | Simpul ɛksplen |
|---|---|
| Ɛksotropia we de na di wɔl | Wan ɔ ɔl tu di yay dɛn go na di sayd we di yes dɛn de, dat na fɔ tɔn na do . |
| Esotropia we de na di wɔl | wan ɔ ɔl tu di yay dɛn kin tɔn insay, dat na, to di nos . (Dis na wetin bɔku pipul dɛn kin kɔl ‘squint’). |
| Hypertropia we gɛt di sik | Fɔ tɔn wan yay ɔp we yu kɔmpia am to di ɔda wan. |
| Hypotropia we gɛt di sik | Wan yay de tɔn dɔŋ we yu kɔmpia am to di ɔda wan. |
| Di kɔndishɔn dɛn we pɔsin kin gɛt we i gɛt strok | Sɔntɛnde, afta wan kɔndishɔn lɛk paralayz, di ay kɔntrol kin afɛkt, we kin mek dis kayn twitch. |
| Nistagmus we dɛn kɔl Nystagmus | Di muvmɛnt dɛn we pɔsin kin muv kwik kwik wan we pɔsin nɔ ebul fɔ kɔntrol. Sɔntɛnde, dɛn kin du ɔpreshɔn bak fɔ dis. |
Ɛni kayn ɔpreshɔn dɛn de we dɛn kin du?
Yɛs, dɛn kin du dis ɔpreshɔn pan wan yay ɔ ɔl tu di yay dɛn. if dεn du am pan di tu yay dεm, dεn kכl am ``Bilateral strabismus surgery.`` difrεn we dεm de we di dכkta de manipul di mכsul dεm na yu yay.
- Risekshɔn: Dis kin min fɔ kɔt wan smɔl pat pan di ay mɔsul ɛn shɔt am . Dɔn di mɔsul kin tayt ɛn pul di yay go na di ɔda say.
- Plication: Dis na we bak fɔ mek di mɔsul dɛn tayt. Bɔt, na ya dɛn nɔ kin kɔt wan pat ɛn pul am. Bifo dat, dɛn kin fol di mɔsul ɛn put wan stich na do .
- Riseshɔn: Dis kin min fɔ pul di ay mɔsul frɔm usay i tay pan di yay, muv am bak smɔl, ɛn tay am bak . Dɔn di mɔsul kin rilaks ɛn di yay kin tɔn to di ɔda say.
Sɔntɛnde, mɔ fɔ big pipul dɛn, dɛn kin du "adjustable surgery". Dis min se afta di ɔpreshɔn dɔn ɛn yu gɛt kɔnshɛns bak, di dɔktɔ kin muv di stich dɛn na di ay mɔsul smɔl fɔ mek di yay fayn mɔ.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo di ɔpreshɔn, yu dɔktɔ go aks yu sɔm kwɛstyɔn dɛn.
- Yu kɔmplit mɛdikal istri . Dis min se yu sik dɛn we yu bin dɔn gɛt trade ɛn we yu gɛt naw, ɔpreshɔn, ɛn ɔda tin dɛn.
- If yu dɔn du ɔpreshɔn pan yu ay mɔsul bifo tɛm, tɔk to yu dɔktɔ bɔt da ɔpreshɔn de.Yu go nid fɔ luk pan ol ripɔt (ɔpareshɔn ripɔt).
- Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de tek, mɔ di wan dɛn we de mek yu blɔd tan .
- Yu ɔ ɛnibɔdi na yu famili dɔn ɛva gɛt ɛni prɔblɛm wit anestezi ?
- Yu gɛt ɛni alɛji to ɛni mɛrɛsin ?
Yu go mit wit dɔktɔ we de anestez sɔm dez bifo dɛn du yu ɔpreshɔn. I go tɛl yu aw lɔng yu fɔ stɔp fɔ it ɛn drink bifo dɛn du di ɔpreshɔn. Bɔku tɛm, dɛn nɔ go alaw yu fɔ it ɔ drink ɛnitin frɔm midulnɛt di nɛt bifo. Dɛn kin aks yu bak fɔ stɔp fɔ tek sɔm mɛrɛsin fɔ sɔm dez bifo dɛn du di ɔpreshɔn.
Apat frɔm dat, dɛn go chɛk yu yay bak bifo dɛn du di ɔpreshɔn fɔ no ustɛm di mɔsul dɛn nid fɔ ɔpreshɔn pan.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Natin nɔ de fɔ wɔri bɔt, dis na ɔpreshɔn we rili sef. Na dis na wetin kin apin we dɛn de du di ɔpreshɔn:
1. Dɛn go gi yu mɛrɛsin tru wan vein (intravenously - IV).
2. Dɛn kin gi ɔl pikin ɛn bɔku pan di big pipul dɛn jenɛral anestezi. Dis min se yu go slip ɔl di tɛm we dɛn de du di ɔpreshɔn ɛn yu nɔ go fil natin. Dɛn kin gi sɔm big pipul dɛn bak mɛrɛsin we de mek dɛn yay nɔmɔ nɔ gɛt bɛtɛ trɛnk ɛn mek dɛn fil lɛk se dɛn de slip smɔl.
3. Di ɔspitul tim go kɔntinyu fɔ wach yu impɔtant sayn dɛn, lɛk aw yu at de bit ɛn aw yu de blo.
4. Dɛn kin yuz spɛshal tin (ay speculum) fɔ mek yu yay opin.
5. di dכkta de mek sכm sכm pat na di tכn mεmbran we de kכba di wayt pat pan di yay (konjunktiva).
6. Dɔn, dɛn kin ol di mɔsul we dɛn nid fɔ ɔpreshɔn wit spɛshal huk, es am ɔp, ɛn dɛn kin mek ɛni chenj we nid fɔ apin (lɛk fɔ shɔt ɔ fɔ lɔs).
7. Afta dɛn dɔn mek di ajɔstmɛnt dɛn we dɛn nid, dɛn kin tay di mɔsul bak to di yay wit sutura dɛn we kin sɔlv , ɛn dɛn kin lɔk di say we dɛn kɔt am.
8. Fɔ dɔn, dɛn kin pul di tin we bin de ol di yay opin ɛn put ay drɔp ɔ ɔntmɛnt pan di yay.
Dis ɔl ɔpreshɔn kin tek lɛk 30 minit to tu awa so .
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn kin wɛl. Di mɛdikal tim go wach yu kɔndishɔn te yu rɛdi fɔ go na os.
- Wan big pɔsin we gɛt rɛspɔnsibiliti go nid fɔ go wit yu na os. Dɛn go aks dɛn fɔ de wit yu fɔ 24 awa afta dɛn dɔn du di ɔpreshɔn.
- Yu go nid fɔ rɛst ɛn avɔyd fɔ tray tranga wan fɔ sɔm dez to wan wik.
- Ay drɔp ɔ ɔntmɛnt we dɔktɔ gi yuYu fɔ yuz am di rayt tɛm.
- Fɔ pen, dɛn kin tɛl yu fɔ tek wan mɛrɛsin fɔ mɛn pen lɛk Paracetamol ɔ sɔntɛm Ibuprofen.
- Mek shɔ se yu aks klia wan bɔt wetin fɔ tek tɛm wit afta yu dɔn du di ɔpreshɔn ɛn ustɛm fɔ tɔk to di dɔktɔ.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we dɛn du dis ɔpreshɔn?
Di men bɛnifit we dis ɔpreshɔn de gi na di we aw yu yay de wok togɛda, we min se yu go ebul fɔ si fayn fayn wan wit tri dimɛnshɔnal (3D) . Dis impɔtant mɔ fɔ yɔŋ pikin dɛn.
pan ɔl we di aybɔl dɛn de alaynɛd, di klia we aw yu de si nɔ go chenj wit dis ɔpreshɔn. Dis min se if yu wɛr glas, yu go stil nid fɔ wɛr am afta di ɔpreshɔn. Bɔt bɔku pipul dɛn kin tɔk se dɛn kin fil bɔku mɔ kɔnfidɛns bɔt aw dɛn go luk afta dɛn dɔn du dis ɔpreshɔn.
Ɛni risk de fɔ dis ɔpreshɔn?
Strabismus ɔpreshɔn na tin we rili sef , bɔt lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de.
- Di squint kin kam bak: Sɔntɛnde, afta sɔm tɛm afta dɛn dɔn du di ɔpreshɔn, di yay kin kam bak to di say we dɛn bin de ol ɔ kin kɔmɔt tumɔs to di rayt say.
- Infεkshכn: Jεm kin go insay di yay εn mek infεkshכn.
- Blɔd: I kin gɛt smɔl smɔl blɔd.
- Alɛji to mɛrɛsin ɔ anestezi: Dɛn tin ya nɔ kin apin so ɔltɛm.
- Diplopia: Yu kin si tin tu tu fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn.
- Ska: Smɔl ska kin fɔm pan di wayt pat na di yay.
- Di aylid we de drɔp (Ptosis): Na smɔl tɛm nɔmɔ di aylid kin drɔp smɔl.
- Damej to di wayt pat na di yay (sclera): Dis na kɔmplikeshɔn bak we nɔ kin apin so ɔltɛm.
Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go nid fɔ rɛst fɔ sɔm dez to wan ɔ tu wik. Yu yay go rɛd fɔ sɔm wiks . Yu kin fil pen bak ɔ yu kin fil lɛk se yu de fil lɛk yu yay. I kin tek 3 to 12 wik fɔ mek yu yay wɛl ful wan.
Impɔtant:
- Nɔ drayv te yu dɔktɔ tɛl yu fɔ drayv.
- Nɔ swimin pul, sawna, ɔ hot tub fɔ tu wiks afta dɛn dɔn du di ɔpreshɔn. Dis kin ɛp fɔ mek yu nɔ gɛt di sik.
Us tɛm yu want fɔ si di dɔktɔ bak?
If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ |
|---|
| If di pen na di yay de go ɔp de go bifo instead fɔ go dɔŋ. |
| If yu fil se yu vishɔn de wik . |
| if yu si sayn dεm fכ infεkshכn (e.g. fiva, wata we de kכmכt frכm di yay, di wayt pat pan di yay de rεd bכku, di aylid de swel ). |
| If ska tisu ɔ rɛd lump fɔm pan di wayt pat na di yay. |
| If yu gɛt ɛni ɔda sayn wae de mek yu nɔr fil fayn ɔr de dawt. |
Sɔm kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm
Aw lɔng i kin tek fɔ si tu?
Yu kin gɛt diplopia fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Na sɔm pipul dɛn, i kin las fɔ lɔng tɛm. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu yay dɔktɔ.
A kin go bak na bed afta dɛn dɔn du mi ɔpreshɔn?
Yɛs, sɔntɛnde , dɛn kin nid fɔ du pas wan ɔpreshɔn fɔ kɔrɛkt wan swɛt kpatakpata. Dis kin apin mɔ fɔ pikin dɛn we dɛn kin du ɔpreshɔn we dɛn yɔŋ.
A nid fɔ wɛr glas afta di ɔpreshɔn?
Yɛs, yu go kɔntinyu fɔ wɛr glas. Strabismus ɔpreshɔn nɔ de chenj yu prɛskrishɔn ɔ yu vishɔn klia. I jɔs de kɔrɛkt di say we yu yay de.
Mɛsej we dɛn kin kɛr go na os
- Strabismus ɔpreshɔn na ɔpreshɔn we rili sef ɛn we kin wok fayn fɔ kɔrɛkt di yay we nɔ de alaynɛd fayn.
- Dɛn kin du dis ɔpreshɔn pan pikin ɛn big pipul dɛn.
- dis nכ de kכrekt di posishכn fכ di yay dεm nכmכ, bכt i de mek yu si 3D fayn fayn wan εn i de mek yu kכnfyus bכku bכku wan.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta di ɔpreshɔn (espɛshali fɔ yuz ay drɔp ɛn rɛst).
- Dis ɔpreshɔn nɔ go chenj yu prɛskrishɔn. Yu go nid fɔ kɔntinyu fɔ wɛr glas fɔ mek yu ebul fɔ si klia wan.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta yu du di ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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