Yu tink se yu de si smɔl smɔl? Sɔntɛm dis na bikɔs ɔf Terrien Marginal Degeneration!

Sɔntɛnde yu kin fil lɛk se yu yay difrɛn smɔl ɛn yu tu yay nɔ de shayn? Sɔntɛm na jɔs wan yay i de. Bɔku tɛm, wi nɔ kin pe atɛnshɔn tumɔs pan tin dɛn lɛk dis, nɔto so? Wi kin tink se, "Na dis kin apin we yu dɔn ol." Bɔt sɔm sik dɛn de we nɔ kin apin na di yay we nɔ kin apin so ɔltɛm we kin bigin bak wit sayn dɛn lɛk dis. Tide, wi go tɔk bɔt wan kɔndishɔn wae nɔr kin yɛri bɔt, bɔt wae fayn fɔ no bɔt. Dat na wan sik we dɛn kɔl Terrien Marginal Degeneration .

Wetin na Terrien Marginal Degeneration? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, dis na sik we nɔ kin apin so ɔltɛm we kin ambɔg wi yay. wetin de apin insay dis na di pat pan di ‘kכnia’ we na di transparent mεmbran we de fכnt pan wi yay de tכn sכmtεm. Tink bɔt am lɛk kamɛra. di kכnia na di men pat we de εp fכ bכn layt insay εn mek wan klia imej. I tan lɛk di glas we de ɔp wan wach. So, we dis kɔnia bigin fɔ tan, as tɛm de go, i kin ambɔg wi fɔ si tin klia wan.

Dis nɔ kin apin wan nɛt. Bɔku tɛm, i kin gro smɔl smɔl. Na dat mek sɔm pipul dɛn nɔ kin no am fɔs. Bɔt if yu no di sik kwik, yu kin gɛt tritmɛnt fɔ ɛp fɔ protɛkt ɔr fɔ si bak. Bɔku tɛm, di tritmɛnt na fɔ yuz glas , sɔm mɛrɛsin dɛn, ɛn sɔntɛnde dɛn kin du ɔpreshɔn fɔ mek yu kɔnia fayn ɔ fɔ chenj am.

Aw dis Terian Marginal Degeneration (TMD) kin afɛkt yu?

As wi bin dɔn tɔk, insay dis sik, pat pan di kɔnia kin tan. as di kכnia de dכn de go bifo, di כta ed pat pan di kכnia de bigin fכ flat. dis dεn kכl dis pεrifεral kכnia flat. Astigmatism kin apin as a rizulta fɔ dis.

Wetin na Astigmatism ?

Imajin, kɔnia we gɛt wɛlbɔdi kin fayn fayn wan rawnd, lɛk bɔl. Dɔn dɛn kin put di layt jɔs wan ples ɛn i kin mek pɔsin si klia wan. Bɔt insay astigmatism, di shep fɔ di kɔnia kin chenj smɔl, lɛk eg, ɔ lɛk rɔgbi bɔl. Dɔn di layt nɔ de fos na wan ples, bɔt na bɔku say dɛn, so di tin dɛn we yu de si kin tan lɛk se dɛn nɔ klia, dɛn strɛch, ɛn sɔntɛnde dɛn kin ivin split to tu.

So, dis kɔndishɔn fɔ astigmatism kin mek yu yay nɔr de si fayn ɛn yu nɔr kin ebul fɔ si tin klia wan. Terian Marginal Degeneration (TMD) kin afɛkt jɔs wan yay ɔ ɔl tu di yay dɛn.

Di gud nyus na dat, nɔr lɛk sɔm ɔda ay kɔndishɔn dɛm, TMD nɔr kin mek yu yay fil pen. Bɔt sɔntɛnde di yay kin rɛd ɛn swel smɔl, we na inflamɛns .

Na smɔl tɛm nɔmɔ, if di kɔnia rili tan, i kin rɔtin ɔ i kin gɛt pɔt . Dis kin apin wantɛm wantɛm, ɔ i kin apin if yu yay wund ɔ pwɛl. Dis na imejensi ɛn yu fɔ go to dɔktɔ wantɛm wantɛm.

Udat dis tin kin afɛkt mɔ?

Dis sik wae dɛn kɔl Terian Marginal Degeneration (TMD) , kin de pan man dɛm wae dɔn pas 40 ia. Bɔt dat nɔr min se ɔda pipul dɛm nɔr kin ebul fɔ gɛt am. I kin apin to ɛnibɔdi pan ɛni ej. Dɛn dɔn si bak se pipul dɛn we gɛt sɔm inflammatory diseases , lɛk rεumatoid arthritis ɛn juvenile idiopathic arthritis, kin gɛt TMD.

Aw kɔmɔn tin na Terian Marginal Degeneration (TMD)?

Dis na rili wan sik we nɔ kin apin so ɔltɛm. Risach pipul dɛn nɔ ebul fɔ no yet ɔmɔs pipul dɛn gɛt dis sik. Fɔs tɛm, na Fɛliks Tɛriɛn, we na Frɛnch dɔktɔ we de mɛn pipul dɛn we gɛt yay, bin tɔk bɔt TMD fɔ di fɔstɛm insay 1900.

Yu tink se men kayn Terian Marginal Degeneration (TMD) de?

Sayɛnsman dɛn biliv se tu men kayn sik de, we na terian marginal degeneration ( TMD ).

1. Tayp 1: Dɛn kin si dis pan pipul dɛm wae dɔn pas 55. Na dis kayn sik kin go bifo smɔl smɔl, ɛn nɔr kin si ɛni sayn fɔ inflamɛns (lɛk fɔ rɛd ɛn swel na di yay).

2. Tayp 2: Dis kayn kin gɛt inflamɛns . I kin mɔs bi pan yɔŋ man dɛn we dɔn pas 20 ɛn 30 ia. Dɔktɔ dɛn dɔn si dis kayn tin bak pan pipul dɛn we gɛt dɛn sik ya:

• Anterior Basement Membrane Dystrophy: Dis na wan sik we pɔsin kin gɛt frɔm in mama ɛn papa (jɛnɛtik) korona sik.
• Erythema Elevatum Diutinum: Dis na sik wae de kam pan yu skin fɔ lɔng tɛm.
• Posterior Polymorphous Dystrophy: Dis na sik bak we nɔ kin apin na di yay. I kin mek wata ɔ ɔda tin dɛn gɛda na di kɔnia.

Ɔda sik dɛn de we fiba Terian Marginal Degeneration (TMD)?

Yes, sɔm ɔda sik dɛn de we de sho se dɛn gɛt di sem kayn TMD sayn dɛn. Na dat mek i rili impɔtant fɔ gɛt kɔrɛkt diagnosis. Na da tɛm de nɔmɔ yu go gɛt di tritmɛnt plan we fit pas ɔl. Sɔm pan dɛn sik ya na:

• Akanthamoeba Keratitis we gɛt di sik
• Kɔnia Ɛktasia (na grup fɔ sik dɛn we di kɔnia shep kin chenj ɛn di astigmatism kin bɔku as tɛm de go) .
• Kɔnia Ɔlsa ( injury to di kɔnia) .
• Keratoconus (we di kכnia de kכmכt insay kכn shep) .
• Marginal Furrow Degeneration (dis kin mek bak di kɔnia tan) .
• Mooren’s Ulcer (Dis na wan sik wae de mek yu fil pen wae de pwɛl di kɔnia) .
• Okul rosacea (Okul rosacea ) .
• Pellucid Marginal Degeneration (PMD) (Dis na wan sik bak we nɔ kin apin na di kɔnia we kin mek pɔsin nɔ ebul fɔ si fayn as tɛm de go)
• Sklerokeratitis (inflameshɔn na di sklera ɛn kɔnia) .
• Vernal Keratoconjunctivitis (VKC) (na wan lɔng tɛm, siriɔs alɛji we kin afɛkt di say we di yay de) .

Bikɔs dis kayn sik kin kam pan bɔku sik dɛn, if yu notis ɛnitin we difrɛn, i go fayn fɔ mek yu go to dɔktɔ we de mɛn yu yay fɔ mek dɛn chɛk yu.

Wetin kin mek pɔsin gɛt Terian Marginal Degeneration (TMD)?

Infakt, di wan dɛn we de stɔdi bɔt dis nɔ ebul yet fɔ fɛn wan patikyula tin we kin mek pɔsin gɛt TMD. Bɔt dɛn kin tink se na ɔtoimyun sik (we di bɔdi in imyun sistɛm kin atak di sɛl dɛn we gɛt wɛlbɔdi) ɔ wan sik we de pwɛl (we di tisu ɔ di ɔgan dɛn kin wik smɔl smɔl) kin mek i gɛt dis sik. Bɔt dɛn nɔ dɔn kɔnfyus dɛn tin ya yet.

Wetin na di sayn dɛm fɔ Terian Marginal Degeneration (TMD)?

Bɔrku tɛm, pipul dɛm wae gɛt temporomandibular joint degeneration (TMD) nɔr kin gɛt ɛni simptom. Na dat na di prɔblɛm. Bɔt sɔm tɛm dɛn de, yu kin gɛt tin dɛn lɛk:

• Astigmatism de mek yu de si chenj smɔl smɔl: Dis min se yu de si smɔl smɔl ɛn yu kin fil lɛk se i nɔ klia igen.
• Smɔl tiklin ɔ diskɔmfɔt na di yay bikɔs ɔf di say we di kɔnia nɔ ivin: I kin fil lɛk se sɔntin dɔn stɔp na di yay, ɔ lɛk se wan gren san de na di yay.

If i rili bad, aksidɛnt ɔ injuri kin mek di kɔnia pɔrfɔm (Puncture or Tear) . Dis na mɛdikal imejensi . Dis kin mek pɔsin nɔ ebul fɔ si bɛtɛ igen. So, if yu gɛt ɛnitin we dɔn pwɛl yu yay, yu fɔ go to dɔktɔ wantɛm wantɛm.

Aw dɛn kin no se pɔsin gɛt Terian Marginal Degeneration (TMD)?

Dɔktɔ dɛn kin no se i gɛt TMD tru wan kɔmplit ay ɛgzam . We dɛn no di sik kɔrɛkt wan, dɛn kin no am frɔm ɔda sik dɛn we kin mek di kɔnia tan, ɛn gi yu di rayt tritmɛnt.

Yu ɔftalmolɔg kin du ɔda tɛst fɔ tek ditayli pikchɔ dɛn fɔ yu yay ɛn chɛk fɔ chenj dɛn na yu kɔnia. Dɛn tɛst ya na:

• Anterior Segment Optik Kohεrεns Tomografi
• Konfokal Maykroskɔpi
• di tכpografi fכ di kכnia (Dis de mek wan map fכ di say we di kכnia de) .
• Skan Slit Tɔpografi
• Ultrasound Bayomaykroskɔpi (UBM) .

Dɛn tɛst ya go mek yu dɔktɔ ɔndastand klia wan aw yu kɔnia de.

Yu tink se mɛrɛsin de fɔ Terian Marginal Degeneration (TMD)?

Bɔt i sɔri fɔ no se, no mɛrɛsin nɔ de fɔ TMD. Bɔt nɔ wɔri. Tritmɛnt kin ɛp fɔ mek yu nɔ si fayn ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn. Na dat mek i rili impɔtant fɔ no di sik kwik kwik wan . Dɔn yu dɔktɔ kin gi yu di kia we yu nid.

Wetin na di tritmɛnt dɛm fɔ Terian Marginal Degeneration (TMD)?

כl di kes dεm, nכ spεsifi k tritmεnt de fכ temporomandibular joyn dεjεnεreshכn (TMD). Yu dɔktɔ kin se yu fɔ " wachful waiting " (dat na fɔ wach di sayn dɛm ɛn wet fɔ si if di sik de wɔs) ɛn fɔ du tɛst ɔltɛm fɔ wach yu kɔndishɔn.

Bɔt if dis TMD kɔndishɔn afɛkt yu yay, dɛn kin yuz kɔrɛkt aywe as tritmɛnt. Fɔ ɛgzampul:

• Glas dɛn we dɛn mek wit polycarbonate: Dɛn tin ya strɔng pas plastic we dɛn kin yuz ɔltɛm.
• Rigid, Gas-Permeable Contact Lenses: Dis na wan kayn kɔntakt lens we at smɔl we de mek ɔksijɛn pas tru to di yay.
• Skleral Lɛns dɛn:Dɛn tin ya na big big kɔntakt lɛns dɛn we nɔ izi fɔ yuz. Dɛn kin kɔba di wan ol kɔnia. Dɛn kin kɔrɛkt di astigmatism, protɛkt di yay, ɛn mek yu si fayn fayn wan.

If yu gɛt smɔl inflamɛns, yu dɔktɔ kin gi yu ay drɔp, ɔntmɛnt, ɔ jel . Sɔntɛnde, dɛn kin yuz stɛroyd dɛn we dɛn kin put pan pɔsin in bɔdi bak . Bɔt dɛn nɔ kin yuz dɛn bikɔs dɛn kin mek di kɔnia tan mɔ.

A go nid ɔpreshɔn fɔ Terian Marginal Degeneration (TMD)?

If yu gɛt TMD we dɔn go bifo, dɛn kin nid fɔ du ɔpreshɔn fɔ mek yu yay nɔ pwɛl, fɔ mek yu yay kɔntinyu fɔ wok, ɔ fɔ mek i wok bak. Yu yay dɔktɔ kin tɛl yu bak fɔ du ɔpreshɔn if di kɔrɛkt lens dɛn nɔ de ɛp yu.

If yu kɔnia dɔn pwɛl bad bad wan, yu dɔktɔ kin tɛl yu fɔ transplant yu kɔnia . Dis involv fɔ yuz tisu frɔm pɔsin we gɛt wɛlbɔdi ɔ wan atifishal kɔnia. Yu kin gɛt transplant lɛk dis:

• Patɛl Tiknɛs Transplant (Lamellar Keratoplasty): Insay dis, na wan pat pan yu kɔnia nɔmɔ dɛn kin chenj.
• Ful Tiknεs Transplant - Penetrating Keratoplasty: Insay dis, dεn de riples yu כl kכnia.

Yu dɔktɔ go tɛl yu mɔ bɔt dɛn ɔpreshɔn ya.

Ɛnitin de we a kin du fɔ mek a nɔ gɛt di sik we dɛn kɔl Terian Marginal Degeneration (TMD)?

Natin nɔr de fɔ rili du fɔ mek yu nɔr gɛt TMD bikɔs dɛn stil nɔr no di rayt kɔz. Bɔt yu kin du sɔm tin dɛn fɔ protɛkt yu yay ɛn mek di sik nɔ wɔs .

Fɔ mek di kɔnia nɔ pwɛl, tray fɔ wɛr aywe we go protɛkt yu insay dɛn tɛm ya:

• We yu de klin wit blich ɔ ɔda kemikal dɛn.
• We yu de wok na do, lɛk fɔ kɔt di lawn.
• We yu de ple spɔt lɛk baysbɔl ɛn ɔki.
• Ilɛksɛf na we yu de yuz tul ɔ we yu de peint.

If yu wɛr kɔntakt lens, fala di instrɔkshɔn fɔ klin ɛn disinfɛkt yu lens dɛn fayn fayn wan fɔ mek yu nɔ gɛt infɛkshɔn na yu yay ɔ yu kɔnia. If yu kip yu ay dɔktɔ apɔntinmɛnt ɛn fala di tritmɛnt gaydlain dɛm, yu kin mek yu nɔ gɛt prɔblɛm ɛn protɛkt yu yay we gɛt valyu.

Wetin a fɔ ɛkspɛkt if a gɛt Terion Marginal Degeneration (TMD)?

Bɔrku pipul dɛn kin gɛt dis sik wae dɛn kɔl Terian Marginal Degeneration (TMD).Dɛn kin ebul fɔ manej am fayn wit glas ɔ kɔntakt lens ɛn we dɛn kin chɛk am ɔltɛm na di mɛrɛsin. If yu gɛt kɔnia we rili tan, tɔk to yu dɔktɔ bɔt di bɛst we fɔ protɛkt yu yay ɛn fɔ trit yu sik dɛn. Nɔr wɔri, yu kin liv nɔrmal layf wit dis kɔndishɔn.

Ustɛm yu fɔ go to dɔktɔ fɔ di temporomandibular joint degeneration (TMD)?

I impɔtant fɔ no di kɔndishɔn fɔ Terian Marginal Degeneration (TMD) kwik so dat yu go gɛt fayn tritmɛnt. If yu gɛt prɔblɛm wit yu yay, yu de fil pen, ɔ yu de chenj yu yay , tɛl yu dɔktɔ wantɛm wantɛm. Yu dɔktɔ kin gi yu tritmɛnt opshɔn dɛm wae kin gi yu rilif ɛn kip yu yay.

Mɛmba se di yay na wan pan di tin dɛn we wi bɔdi kin fil ɛn we gɛt valyu pas ɔl. So, if yu notis ɛni chenj ɔ tin we nɔ fayn na yu yay, i go fayn fɔ mek yu go to dɔktɔ ɛn nɔ pe atɛnshɔn to am.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Terrien Marginal Degeneration na wan sik we nɔ kin apin so ɔltɛm we kin mek di ed dɛn na wi kɔnia tan. Dis kɔnia na in de ɛp wi fɔ si klia wan. Bɔrku pipul nɔr kin notis ɛni sayn. Fɔ ɔda pipul dɛn, di aywe we dɛn kin yuz fɔ kɔrɛkt dɛn kin ɛp fɔ protɛkt dɛn yay ɛn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn. Tek yu yay chɛk-ap ɔltɛm. Dɔn yu kin gɛt di kia we yu nid. Tek kia ɔf yu yay! Na bikɔs na tu yay nɔmɔ wi gɛt fɔ si di wɔl.

Terrien Marginal Dijenereshɔn, Ay Sik, Kɔnia, Blɔr Vishɔn, Astigmatism, Ay Hɛlth