As yu go dɔn no , glaukoma na wan sik we de mek di prɛshɔn we de insay di yay go ɔp, ɛn dis kin ambɔg wi yay smɔl smɔl. Bɔku tɛm, dɛn kin kɔntrol dis prɛshɔn wit ay drɔp . Bɔt sɔntɛnde, di ay drɔp nɔmɔ nɔ kin ebul fɔ kɔntrol di prɛshɔn we de na di yay . If na so i bi, tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we yu dɔktɔ go tɛl yu fɔ du.
Wetin na Trabekulɛktɔmi?
Trabeculectomy na ɔpreshɔn we dɛn kin du fɔ ridyus di prɛshɔn we de insay di yay we glaukoma kin mek. I nɔto fɔs layn tritmɛnt fɔ glaukoma. Dis min se dɔktɔ dɛn nɔ kin se dis ɔpreshɔn na di fɔs tin we dɛn kin du. Dɛn kin tink bɔt am nɔmɔ if ɔda tritmɛnt dɛn lɛk fɔ drɔp na di yay nɔ ebul fɔ kɔntrol di prɛshɔn we de na di yay.
Fɔ tɔk am simpul wan, i tan lɛk se yu de mek nyu dreyn fɔ pul di wata we pasmak na di yay. Bɔku tɛm, dis nɔto big ɔpreshɔn, we min se yu kin go na os di sem de.
Wetin kin rili apin wit dis ɔpreshɔn?
Insay wi yay, wan spɛshal wata de we de gi di yay tin fɔ it ɛn mek i gɛt di rayt shep. Wi de kɔl dis ‘aqueous humor’. dis wata de kכmכt כltεm insay di yay εn i de fכlכ kכmכt na di yay. I kin apin lɛk saykl.
Bɔt pan glaukoma, dɛn kin blok dis wata fɔ kɔmɔt na di yay. Dɔn dis wata kin gɛda insay di yay, ɛn dis kin mek di prɛshɔn go ɔp. Dis ay prɛshɔn de pwɛl di optik nɛv, we de kɔnɛkt wi yay to di bren. Dis damej kin mek smɔl smɔl i nɔ de si fayn igen.
Trabeculectomy ɔpreshɔn de mek nyu rod fɔ mek di wata we pasmak (aqueous humor) kɔmɔt na di yay, ɛn dis de mek di prɛshɔn we de insay di yay nɔ bɔku.
Di impɔtant tin we yu nid fɔ ɔndastand ya na dat dis ɔpreshɔn nɔ go ebul fɔ mek yu si bak we yu dɔn ɔlrɛdi lɔs. Bɔt i kin ɛp fɔ stɔp ɔ slo fɔ mek pɔsin nɔ ebul fɔ si mɔ.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Di dɔktɔ we de mɛn yu yay go gi yu ɔl di advays we yu nid bifo dɛn du di ɔpreshɔn. Insay dis tɛm, dɛn go chɛk yu yay ɛn dɛn go disayd se yu fit fɔ di ɔpreshɔn. Bifo di ɔpreshɔn, di dɔktɔ go tɔk to yu bɔt dɛn tin ya:
- Anestezi : If dɛn go du di ɔpreshɔn ɔnda lokal anestesia ɔ jenɛral anestezi.
- Di mɛrɛsin dɛn we yu de tek: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek naw, lɛk vaytamɛn ɛn ɛbul mɛrɛsin dɛn. Sɔm mɛrɛsin dɛn kin nid fɔ stɔp bifo dɛn du di ɔpreshɔn.
- Fastin : Dɛn go advays yu ɔmɔs awa yu fɔ avɔyd fɔ it ɔ drink bifo dɛn du yu ɔpreshɔn.
- Sɔmbɔdi fɔ ɛp: I rili impɔtant fɔ gɛt pɔsin we go drayv yu go na os afta dɛn dɔn du yu ɔpreshɔn ɛn fɔ ɛp yu na os.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, yu go ledɔm na tebul fɔ ɔpreshɔn. If nid de, dɛn kin kɔnɛkt wan smɔl tiub (IV layn) to wan vein na yu an fɔ gi yu mɛrɛsin. Dɔn, dɛn go yuz wan smɔl tin we tan lɛk klip fɔ ol yu yaylid dɛn opin.
Neks, dɛn kin anestez di yay. Bɔku tɛm, na di yay nɔmɔ kin swɛla (lɔkal anestezi). Dɔn yu kin no, bɔt yu nɔ kin fil ɛni pen. Pan ɔl we yu go fil sɔm prɛshɔn, no pen nɔ de. If yu de wɔri bɔt am, tɔk to di dɔktɔ bifo tɛm.
Insay sɔm spɛshal kes dɛn, dɛn kin du di ɔpreshɔn ɔnda jenɛral anestezi, we kin mek di pɔsin slip kpatakpata.
Dɔn, di dɔktɔ we de du di ɔpreshɔn kin kɔt wan rili smɔl say na di wayt pat na di yay (di kɔnjɔktiv ɛn sklera), we kin mek wan smɔl pasej fɔ di wata we wi bin dɔn tɔk bɔt fɔ rɔnawe. di wata we de kכmכt na dis pasej de kכlekt insay wan mεmbran כnda di כp aylid, we de fכm wan sכm sכm lεk bכbul. Dɛn kɔl dis ‘bleb’ . Nɔ wɔri, dis bɔbul nɔ de si frɔm do. di wata we de kכlekt ya de abzכp bak insay di bכdi.
Sɔntɛnde, dɛn kin injɛkt spɛshal mɛrɛsin fɔ mek di say we dɛn kɔt nɔ gɛt skata ɛn lɔk. fכ finish, dεn kin put fכ stich dεm we dεn kin pul leta if nid de, εn dεn kin kכl di yay wit bεndεj/patch. Apat frɔm dat, dɛn go aks yu fɔ wɛr ay shild fɔ mek ɛnitin nɔ go insay yu yay. Bɔku tɛm, di ɔpreshɔn kin tek lɛk wan awa so.
Wetin wi fɔ du afta di ɔpreshɔn?
Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn rili impɔtant. I kin tek lɛk 4 to 6 wiks fɔ mek di yay wɛl ful wan. Sɔm tin dɛn de we yu fɔ rili fala insay dis tɛm.
| Tin dɛn fɔ du (Do’s) . | Nɔto fɔ du dat |
|---|---|
| Yuz di ay drɔp dɛm we yu dɔktɔ gi yu di rayt tɛm ɛn di rayt we. Dɛn tin ya impɔtant fɔ mek yu nɔ gɛt di sik ɛn fɔ mek yu nɔ swel. | Nɔ tɔch, swɛt, ɔ rɔb di yay we dɛn dɔn ɔpreshɔn fɔ ɛni rizin. Dis kin ambɔg di wɛlbɔdi. |
| Mek shɔ se yu go na di klinik dɛn we de fala yu di de dɛn we dɛn dɔn sɛtul. Na dɛn tɛst ya de sho if di ɔpreshɔn go wok fayn. | Nɔ es, bɛn, skrach, ɛn strɛch we yu de muv yu bɔdi. Dɛn tin ya kin mek di yay prɛshɔ mɔ. |
| Mek shɔ se yu wɛr di ay shild we dɛn gi yu we yu de slip. Dis go protɛkt yu frɔm injury na yu yay we yu nɔ bin want we yu de slip. | Nɔ gɛt wata, sop, ɔ dɔst na yu yay. Tek tɛm we yu de was bak. |
Fɔ fala di klinik dɛn afta dɛn dɔn du di ɔpreshɔn
Yu go gɛt fɔ go to dɔktɔ di de afta di ɔpreshɔn. Dɛn go pul di bandej ɛn dɛn go chɛk yu yay. Afta dat, dɛn go aks yu fɔ kam na di klinik wan ɔ tu tɛm insay di wik fɔ di fɔs tu to tri wik. Dɛn go mɛzhɔ di prɛshɔn na yu yay ɛn if nid de, yu kin kɔt wan ɔ tu stich dɛn wit lɛsa fɔ ridyus di prɛshɔn mɔ. So, nɔ mis fɔ go na dɛn klinik ya.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Trabeculectomy ɔpreshɔn na tritmɛnt we kin rili wok fayn. Bɔt jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin.
- Bɛnifit dɛn:
- di hכy sakses rεt de fכ 60% - 80% 5 ia afta di כpεrayshכn.
- Dis na fayn tin fɔ di wan dɛn we nɔ ebul fɔ tek ɔda tritmɛnt dɛn.
- Bɔku tɛm, na ɔpreshɔn we sef.
- Risk ɛn Kɔmplikɛshɔn dɛn:
- Katarakt we pɔsin kin gɛt:di rεt we di katarakt de fכm kin inkrεs afta dis כpεrayshכn. Bɔt dis na sɔntin we dɔktɔ dɛn kin op fɔ. Dɔn bak, we dɛn du ɔpreshɔn pan katarakt, dat kin mɛn am kpatakpata.
- Infekshɔn : Smɔl risk de fɔ mek yu gɛt ay infekshɔn.
- Blɔd: Blɔd insay di yay kin apin.
- Yu nɔ de si fayn: Sɔntɛnde, yu nɔ kin si fayn fɔ sɔm tɛm.
- Prɔblɛm wit di bleb: We di bleb big ɔ chenj i kin mek yu gɛt tin dɛn lɛk we di aylid dɛn kin drɔp (ptosis).
Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm?
I nɔmal fɔ mek yu nɔ fil fayn ɛn yu kin rɛd afta yu dɔn du yu ɔpreshɔn. Bɔt i nɔ nɔmal fɔ mek pɔsin fil bad bad wan . Dɔn bak, di risk fɔ gɛt di sik kin kɔntinyu fɔ sɔm mɔnt, ivin sɔm ia afta dɛn dɔn du di ɔpreshɔn. So, if yu si ɛni wan pan dɛn sik ya, go to di dɔktɔ we du yu ɔpreshɔn wantɛm wantɛm ɔ to di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- Di pen we de mek yu yay bad bad wan
- Fiva
- di wata we de kכmכt pasmak (epiphora) כ we di pus de kכmכt na di yay
- Wantɛm we yu nɔ de si ɔ i nɔ de si igen
If di ɔpreshɔn nɔ wok, we min se di yay prɛshɔn nɔ go dɔŋ lɛk aw dɛn bin de tink, nɔ wɔri. Ɔda tritmɛnt dɛn de we yu kin du. Yu dɔktɔ go ɛksplen to yu tin dɛn lɛk fɔ put smɔl tiub (drenaj tyub) fɔ pul di wata we de insay di yay ɔ fɔ trit yu wit lɛsa (sayklɔdstruktiv prosidur).
Mɛsej we dɛn kin kɛr go na os
- Trabeculectomy na spɛshal ɔpreshɔn we dɛn kin du we dɛn nɔ kin ebul fɔ kɔntrol glaukoma wit tritmɛnt dɛn lɛk ay drɔp.
- Di men gol fɔ dis ɔpreshɔn na fɔ mek i nɔ ebul fɔ si mɔ. Vishɔn we dɔn ɔlrɛdi lɔs nɔ go ebul fɔ kam bak.
- Fɔ mek di ɔpreshɔn go bifo, i rili impɔtant fɔ yuz di ay drɔp dɛn we di dɔktɔ gi yu di rayt we ɛn fɔ go na di klinik dɛn di de dɛn we dɛn dɔn plan fɔ du.
- Nɔ tɔch yu yay, es ebi ebi tin, ɛn tɔch am ɔltogɛda insay di tɛm we yu de wɛl.
- If yu fil bad bad pen, wata de kɔmɔt na yu yay, ɔ yu de si chenj wantɛm wantɛm afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
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