Yu dɔn ɛva mek dɛn chɛk yu yay? Ɛn afta dat, wantɛm wantɛm yu gɛt tɛst usay yu blo briz na yu yay ɛn i de mek yu fil smɔl diziz? Tide wi go tɔk bɔt sɔm pan di we dɛn fɔ mɛzhɔ di prɛshɔn we de insay yu yay, inklud di tɛst we bɔku pipul dɛn sabi. Dis nɔ de mek pɔsin fred lɛk aw yu go tink. Infakt, na rili impɔtant tɛst fɔ protɛkt yu yay.
Wetin na Tonometry?
Fɔ tɔk am simpul wan, tonometry na mɛdikal tɛst we de mɛzhɔ di prɛshɔn we de insay yu yay (intraocular pressure). Dis na wan pan di impɔtant tɛst dɛm fɔ no wan sik we dɛn kɔl glaukoma. Bɔku we dɛn de fɔ du dis tɛst. Dɛn ɔl kin rili kwik ɛn dɛn nɔ kin fil pen.
Wetin mek dis tɛst rili impɔtant?
Ɔftalmolɔg dɛn kin yuz dis tɛst mɔ fɔ chɛk ɛn no if pɔsin gɛt glaukoma. Bɔku tɛm, dɛn kin du am as pat pan di rutin ay ɛgzam. Dɛn kin du am bak we pɔsin in yay wund ɔ ɔda sayn dɛn.
Sɔntɛnde, dɔktɔ dɛn kin yuz dis tɛst bak fɔ wach if yu yay prɛshɔn de go ɔp as sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn we yu de tek (okular haypatɛnshɔn).
If yu dɔn gɛt glaukoma, yu kin nid fɔ mek dɛn du dis tɛst ɔltɛm fɔ si if yu tritmɛnt de wok. Dis na di bɛst we fɔ mek shɔ se yu yay prɛshɔn de ɔnda kɔntrol.
Aw dis kin mɛzhɔ di prɛshɔn na di yay?
Insay wi yay, mɔ di anterior chamber, ful-ɔp wit wan wata we dɛn kɔl aqueous humor . Dis wata de mek prɛshɔn pan di insay pat pan di yay, ɛn dis de mek i gɛt in shep we tan lɛk sfɛri. Tonometry de mɛzhɔ di prɛshɔn we dis wata de gi.
di yunit we dεn yuz fכ mכsu dis prεshכn na milimita mεkkyuri (mmHg). Di sem yunit we dɛn kin yuz fɔ mɛzhɔ yu blɔd prɛshɔn na in dɛn kin yuz fɔ dis.
Wetin na di men we dɛn fɔ yuz tonomɛtri?
Bɔku we dɛn de we yu dɔktɔ kin yuz fɔ no aw yu yay prɛshɔn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di we aw dɛn de du di tɛst | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Tonomitri we nɔ gɛt kɔntakt (Air-puff) . | Dis na di "airway" test wae bɔrku pipul sabi. Mashin kin sɛn smɔl briz insay yu yay in kɔnia. Di mashin de mɛzhɔ di prɛshɔn we de na yu yay as di briz de travul tru am ɛn bak kɔmɔt. |
| Aplanashɔn tonomɛtri | Dis na di we we kɔrɛkt pas ɔl di ɔda we dɛn. Na ya, dɛn kin put anestetik ay drɔp, ɛn dɛn kin tɔch di tip fɔ wan smɔl inschrumɛnt rili saful wan na yu yay. di prεshכn de mכsu bay di fכs we di yay de put pan di sεf fכ di yay fכ flat. |
| Ribaund tonomitri | Dis kin yuz wan rili smɔl tin we tan lɛk plastic bɔl we gɛt wan tip. I de mɛzhɔ prɛshɔn bay di spid we i de kam nia di yay, tɔch di say we di yay de, ɛn bounce bak. Dis na we bak we rili saful ɛn we nɔ de mek pɔsin fil pen. |
Ɔda we dɛn fɔ du am
Apat frɔm dɛn men we ya, ɔda we dɛn de lɛk `Dynamic contour tonometry` ɛn `Electronic indentation tonometry`. Dɔn bak, dɛn de du risach naw bɔt di we dɛn we dɛn kin kɔntinyu fɔ mɛzhɔ prɛshɔn we dɛn wɛr kɔntakt lens.
A nid fɔ pripia ɛnitin bifo di tɛst?
Jɛnɛral wan, natin nɔ de we yu nid fɔ du spɛshal fɔ rɛdi fɔ dis tɛst.
Bɔt wan smɔl tin de. If i pɔsibul, nɔ wɛr shit ɔ T-shirt we go mek yu nɛk kɔnstrikt di de we dɛn go du di tɛst. If yu wɛr klos we gɛt kɔla, kip am lɔs smɔl. Bikɔs we yu nɛk kɔnstrikt, di prɛshɔn na yu yay kin go ɔp smɔl, ɛn dɛn kin rayt dis kɔrɛkt wan na di tɛst ripɔt.
Us kayn ɛkspiriɛns yu kin gɛt we yu de tek di tɛst?
Dis kin difrɛn smɔl dipen pan di we aw dɛn de du di tɛst we yu de tek.
- If yu de du aplanation tonometry, yu dɔktɔ go put anestetik drɔp ɛn wan yɔlɔ day we dɛn kɔl fluorescein na yu yay.
- Bɔt nɔ pan dɛn tin ya nɔ nid fɔ du fɔ di nɔ-kɔntakt tɛst.
Bɔku pan di tɛst dɛn kin tek jɔs sɔm sɛkɔn dɛn. Sɔntɛnde, di dɔktɔ kin tek di ridin tu ɔ tri tɛm fɔ gɛt kɔrɛkt ridin. So nɔ tink se, "O, a du sɔntin we nɔ rayt?" Na nɔmal tin we kin apin.
Nɔn pan dɛn tɛst ya nɔ de mek pɔsin fil pen. If yu fil ɛni pen, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin na nɔmal valyu dɛn? Wetin fɔ du if di tin dɛn we de apin chenj?
di prεshכn na di yay fכ mכst hεlty pipul dεm de bitwin 10 εn 21 milimita mεkkyuri (mmHg - 21 mmHg) . If yu rizɔlt de ausayd dis rɛnj, sɔm tin dɛn de we kin apin nɛks.
If di rizɔlt dɛn ay pas aw i kin bi
If wan simpul tɛst sho se yu prɛshɔn bɔku, bɔku tɛm yu dɔktɔ go tray fɔ kɔnfɔm am wit wan we we kɔrɛkt pas ɔl, lɛk aplanation tonometry. If dɛn kɔnfyus se yu prɛshɔn bɔku, yu dɔktɔ kin disayd fɔ kɔntinyu fɔ wach yu sik ɔ bigin fɔ trit yu. Dɛn go schedul yu fɔ wan apɔntinmɛnt fɔ fala yu.
Imejɛnsi: Sɔntɛnde, wan imejensi kɔndishɔn (angle-closure glaucoma) kin apin, usay di prɛshɔn na di yay kin go ɔp bad bad wan wantɛm wantɛm, we kin mek di yay fil pen ɛn nɔ kin si fayn. Dis na mɛdikal imejensi. If dis apin, yu fɔ go na di ETU (Imergency Treatment Unit) wantɛm wantɛm. If nɔto dat, yu go lɔs yu yay fɔ ɔltɛm.
If di rizɔlt dɛn de dɔŋ di nɔmal valyu
lכw ay prεshכn (lεs dan `5 mmHg` כ `6 mmHg`) na prכblεm bak. Dis kin pwɛl di yay bak ɛn mek i nɔ de si fayn igen. If yu prɛshɔn smɔl, yu dɔktɔ go ɛksplen to yu di nɛks tin dɛn we yu fɔ du ɛn di tritmɛnt.
A kin drayv motoka afta di tɛst?
Dis na sɔntin we wi fɔ tink bɔt. If yu jɔs mek dɛn du di ay prɛshɔn tɛst, prɔblɛm nɔ go de fɔ drayv motoka.
Bɔt apat frɔm we dɛn de mɛzhɔ di prɛshɔn we de na di yay, dɛn kin yuz dilayshɔn (ay dilayshɔn) fɔ chɛk insay di yay. If yu dilayt yu yay lɛk dis, yu go gɛt prɔblɛm fɔ drayv. Yu kin fil lɛk layt ɛn yu nɔ kin ebul fɔ si tin dɛn klia wan nia yu fɔ sɔm awa.
So, i go fayn fɔ mek pɔsin drayv yu ɔ yuz ɔda motoka di de we dɛn de chɛk yu yay. I bɛtɛ fɔ aks yu dɔktɔ fɔ advays bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- Tonometry na kwik, we nɔ de mek pɔsin fil pen, we de mɛzhɔ di prɛshɔn na di yay ɛn i impɔtant fɔ no if pɔsin gɛt glaukoma kwik kwik wan.
- di nכmal ay prεshכn de bitwin 10 mmHg εn 21 mmHg.
- If yu rizɔlt nɔ de na di nɔmal rɛnj, nɔ fred ɛn fala yu dɔktɔ in instrɔkshɔn.
- If yu dɔn put mɛrɛsin we de mek yu yay nɔ fil fayn, nɔ tɔch ɔ rɔb yu yay te di sting go.
- If di prɛshɔn go ɔp wantɛm wantɛm wit bad bad yay pen, na imejensi. Go to dɔktɔ wantɛm wantɛm.
- We yu de go fɔ yu ay ɛgzam, i bɛtɛ fɔ mek pɔsin drayv yu go na os, bikɔs dɛn kin yuz dilayt pupil.
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