Yu dɔn ɛva si tin we yu nɔ ebul fɔ si wantɛm wantɛm, bɔt yu nɔ de fil pen? Sɔntɛm yu vishɔn nɔ bin klia, i bin gɛt fɔg, ɔ yu si blak tin dɛn de flɔt bifo yu yay. I kin bi sɔntin we de mek pɔsin fred. Wan pan di men rizin we mek dis kin apin na we di blɔd de kɔmɔt insay di yay. Insay mɛrɛsin, wi kin kɔl dis vitreous hemorrhage . Fɔ tɔk am simpul wan, na blɔd we de gɛda na di pat we tan lɛk jeli na di yay.
Wetin na blɔd we de kɔmɔt insay di yay? (Vitreous Ɛmoraji) .
Fɔ tɔk am simpul wan, blɔd we de kɔmɔt na yu yay na di vitreous , we na wata we de insay yu yay. Dis kin mek i nɔ ebul fɔ si na da yay de wantɛm wantɛm ɛn nɔ gɛt pen. Tink bɔt am, di vitreous na di big ples we de insay wi yay. I gɛt sɔntin we tan lɛk jeli. Dis jeli de ɛp di yay fɔ kɔntinyu fɔ gɛt in sfɛrikal shep.
Dis sik kin kam bikɔs ɔf difrɛn rizin dɛn. So, e fayn fɔ no di rayt tin bifo yu trit am. Sɔntɛnde, i kin ivin mek pɔsin nɔ de si fayn fɔ ɔltɛm, i kin dipen pan di tin we mek i apin. Dis sik kin mɔna pipul dɛm wae gɛt dis sik wae gɛt dis sik.
Wetin na di sayn dɛm fɔ dis?
Di men sayn na wae yu nɔr de si fayn kwik kwik wan ɔr yu blaynd. Imajin, di vitreous fɔ tan lɛk klin glas, na da tɛm de nɔmɔ layt kin pas ɛn wi kin si. Naw wetin kin apin we i gɛt blɔd? I tan lɛk se smɔl rɛd pent dɔn fɔdɔm pan di glas. I kin mek i nɔ ebul fɔ go na do, ɛn na dat kin mek i gɛt di sik.
We vitreous hemorrhage apin, no chenj nɔ de we pɔsin kin si pan di we aw di yay de luk. Dis min se di yay nɔ de sho rɛd frɔm do. Sɔntɛnde, if di blɔd we de kɔmɔt smɔl, ɔ if i de na wan say na di yay, i kin at fɔ no, ivin fɔ dɔktɔ dɛn we de mɛn di yay, ivin wit spɛshal tin dɛn.
Di chenj dɛn we kin apin pan di we aw pɔsin de si tin kin inklud:
- We yu si smɔl blak tin dɛn we de flɔt bifo yu yay (Floaters) .
- Fɔ si tin dɛn lɛk spayda wɛb
- Vishɔn we nɔ klia ɔ we gɛt fɔg
- Sɔntɛnde, yu kin lɔs ɔl yu vishɔn.
Wetin mek blɔd de na di yay lɛk dis? Wetin na di tin dɛn we kin mek i apin?
Tu men we dɛn de we blɔd kin go insay di yay. Wan na bikɔs ɔf sɔm mɛkanikal fɔs , ɛn di ɔda wan na bikɔs ɔf wan sik we de ɔnda am .
1. I kin bi bikɔs ɔf sɔm aksidɛnt ɔ strɔng impak? (Mɛkanikal fɔs we kin mek pɔsin gɛt) .
Yɛs, difrɛn tin dɛn we pɔsin kin du na in bɔdi kin mek blɔd kɔmɔt insay di yay. Dɛn tin ya na:
- Dairekt injuri to di yay:Imajin se bɔl nak yu na yu yay we yu de ple kriket, ɔ sɔntin we shap stɔp na yu yay. Dɔn di dilik blɔd vesel dɛn we de insay di yay kin pwɛl ɛn blɔd kin kɔmɔt. Dis na di men tin we kin mek pipul dɛn nɔ rich 40 ia yet.
- Shap muvmɛnt: Fɔ ɛgzampul, we yu shek smɔl pikin wantɛm wantɛm, we na wan sik we dɛn kɔl Shaken Baby Syndrome , i kin mek di blɔd vesel dɛn we de insay di yay brok ɛn blɔd.
- di insay separeshכn dεm: di jεli we de insay wi yay dεm (di vitreous) sכmtεm de separet frכm di rεtina na di bak pat pan di yay. dεn k כl dis posita vitreous dεtachmεnt (PVD) . We i separet, di smɔl smɔl blɔd vesel dɛn we de bitwin di tu kin strɛch ɛn brok, ɛn dis kin mek blɔd kɔmɔt. sכmtεm di rεtina kin te (a retina tear) כ kכmplit wan (a retina detachment) . Blɔd kin apin bak.
- Ɔva prɛshɔn: Sɔntɛnde we wi de ol wi briz ɛn tray fɔ pis ɔ pul dɔti (dɛn kin kɔl am bak Valsalva manejmɛnt) , di prɛshɔn we de insay di ed ɛn yay kin go ɔp ɛn mek di blɔd vesel dɛn bɔs. Dis kin apin bak we wi sniz ɔ kɔf di rayt we.
2. Yu tink se ɔda sik kin kam wit dis sik? (Di tin dɛn we kin mek pɔsin gɛt sik) .
Yes, vitreous hemorrhage kin bi bak bikɔs ɔf sik dɛn we kin mek di blɔd vesel dɛn we de insay di yay wik ɔ we kin ambɔg dɛn nɔmal wok. Sɔm ɛgzampul dɛn na:
- Tayp 2 Dayabitis ɛn Rɛtinopathy we gɛt fɔ du wit Dayabitis
- Ay blɔd prɛshɔn (Hypertension) .
- Rɛtina Vein Ɔklushɔn
- Siklɔs Sɛl Sik
- Ay Kansa dɛn
- Blɔd sik, fɔ ɛgzampul, anemia ɔ ɛmofilia
- Kɔndishɔn dɛm wae de pwɛl di blɔd vesel dɛm, fɔ ɛgzampul , vasculitis
- Wet Age-Related Macular Degeneration, na wet kayn chenj we de apin na di retina na di yay we wi de ol
Us kɔmplikɛshɔn kin apin bikɔs ɔf blɔd we de kɔmɔt insay di yay?
Sɔntɛnde, we yu de blɔd lɛk dis, dat kin afɛkt yu yay fɔ lɔng tɛm . Sɔm pan dɛn tin ya kin de fɔ ɔltɛm, ɛn ɔda wan dɛn kin tek tɛm fɔ wɛl. Yu ay spɛshal dɔktɔ kin ɛksplen wetin kin apin mɔs pan yu sityueshɔn ɛn wetin yu kin du.
Aw dɔktɔ dɛn kin no bɔt dis sik?
We yu go to dɔktɔ we de mɛn yu yay, dɛn go yuz difrɛn we fɔ no dis sik. Bɔku tɛm, dɛn kin yuz smɔl tin we dɛn kɔl ɔftalmoskɔp ɔ big mashin we dɛn kɔl slit lamp ɛgzam fɔ si if ɛni blɔd de kɔmɔt. Bɔt dɛn kin du ɔda tɛst dɛn bak fɔ no di rayt tin we de mek dɛn du dis.
Us kayn tɛst dɛn kin du fɔ dis?
Tεst dεm lεk dis kin εp fכ no if yu gεt vitreous hemorrhage כ di kכndyushכn dεm we de mek i gεt am:
- Blɔd tɛst: Dɛn tin ya kin chɛk yu blɔd shuga, ɛn ɔda prɔblɛm dɛn we kin apin to yu blɔd, lɛk we yu nɔ gɛt blɔd, we yu nɔ kin gɛt blɔd, ɛn ɔda prɔblɛm dɛn we kin apin to yu blɔd.
- Ultrasound scan: Dis de yuz sawnd wev fɔ luk insay di yay. Dis na rili impɔtant tɛst if di dɔktɔ nɔ ebul fɔ si di insay pat pan di yay klia wan.
- Optical Coherence Tomography (OCT): Dis de yuz wan low-power laser beam fɔ tek pikchɔ dɛn insay yu yay. dis kin rili yus fכ luk di bכdi vεsul dεm εn di layεr dεm na di rεtina insay di yay.
- Bren skan: Sɔntɛnde dɛn kin du CT skan (Computed Tomography - CT) ɛn MRI skan (Magnetic Resonance Imaging - MRI) fɔ si if prɛshɔn pasmak de pan di blɔd vesel dɛn we de insay di yay frɔm di sayd na yu bren.
Wetin na di tritmɛnt dɛm fɔ dis? (Tritmɛnt)
Bɔku tritmɛnt dɛn de, ɛn sɔntɛnde dɛn kin yuz pas wan pan dɛn tritmɛnt ya. Dɛn na:
- Kɔnsɔvativ tritmɛnt: Dis kin min fɔ wet fɔ sɔm dez, sɔntɛm fɔ sɔm wiks, fɔ si wetin chenj kin apin. Bɔku tɛm, wi bɔdi kin mek di tin dɛn we dɔn pwɛl fɔ insɛf if wi gi dɛn sɔm tɛm. Insay dis tɛm, dɛn go tɛl yu fɔ rɛst ɛn avɔyd tin dɛn we go mek yu yay strɛs . Dɛn kin tɛl yu bak fɔ slip wit yu ed ɔp, we go ɛp di blɔd fɔ go na di bak pat na yu yay.
- Fɔkal tritmɛnt: Dɛn we ya na fɔ mek di blɔd vesel dɛn we dɔn pwɛl insay di yay ɔ fɔ trit ɔda prɔblɛm dɛn bay we dɛn de yuz lɛsa, ɔ fɔ yuz ɔt pasmak (Photocoagulation) ɔ kol pasmak (Cryotherapy).
- Ɔpreshɔn: Di ɔpreshɔn we dɛn kin du mɔ na vitrectomy , we na fɔ pul di tin we tan lɛk jɛlɛ we gɛt blɔd insay di yay ɛn put ɔda tin (sɔntɛm salin, silikon ɔyl, ɔ spɛshal gas bɔbul) insay.
- Mεdikeshכn dεm: sכmtεm dεn kin fכm nyu bכdi we dεn nכ want (neovascularization) .di anti-VEGF dכg dεm (e.g., anti-VEGF dכg dεm) kin injεkt insay di yay. Bikɔs dɛn nyu blɔd vesel ya rili wik, i kin izi fɔ brok ɛn blɔd bak, ɛn i kin mek pɔsin nɔ ebul fɔ si fayn mɔ.
- Fɔ trit di ɔndalayn kɔz: Fɔ trit di ɔndalayn kɔndishɔn we de mek di blɔd kɔmɔt fayn fayn wan (e.g., dayabitis, ay blɔd prɛshɔn) rili impɔtant fɔ nɔ jɔs trit di kɔndishɔn we de naw bɔt fɔ mek i nɔ apin igen.
Bikɔs bɔku tritmɛnt dɛn de, yu ay spɛshal pɔsin na di bɛst pɔsin fɔ tɛl yu us we dɛn go ɛp yu mɔ.
Wetin a fɔ ɛkspɛkt if a mit sɔntin lɛk dis?
If yu gɛt blɔd insay yu yay, yu yay kin stɔp ɔ chenj wantɛm wantɛm. Bɔt yu nɔ go fil ɛni pen . Di dכn we yu de si kin apin wan wan lεk blak tin dεm we de fכt bifo yu yay (floaters) , כ lεk spayda wεb. Ɔ yu vishɔn kin bi blɔk ɔ fɔg.
Aw lɔng dis tin go las?
Aw lɔng dis kin te kin dipen pan bɔku tin dɛn. De tin wae kin mek yu sik, aw de sik kin tranga, ɛn de tritmɛnt wae yu bin gɛt. I kin tek sɔm dez, wik, ɔ ivin sɔm mɔnt fɔ mek yu si tin bak lɛk aw i bin de si. Di blɔd we de insay di yay kin kɔmɔt smɔl smɔl go na di bak pat pan di yay, bɔt i kin tek tɛm. Wi bɔdi kin pul dis blɔd, bɔt i kin rili slo.
Wetin na di lukin-grɔn fɔ dis sityueshɔn? (Autluk) .
De rizulyt fɔ dis kin dipen pan de kɔz ɛn aw yu kin gɛt tritmɛnt kwik kwik wan. Pipul wae gɛt lɔng tɛm sik lɛk dayabitis ɔr makula dijenereshɔn kin gɛt slo rizulyt. Di bɔku bɔku blɔd we de kɔmɔt kin afɛkt di tin dɛn we kin apin bak. Yu ay spɛshal dɔktɔ kin tɛl yu wetin yu kin du fɔ gɛt di bɛst rizɔlt fɔ yu sik.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin? (Prɛvenshɔn) .
Bɔrku tɛm, dis kin apun pan wae wi nɔr kin ebul fɔ tɔk bɔt ɔr kɔntrol. So i nɔ pɔsibul fɔ mek yu nɔ gɛt am kpatakpata. Bɔt sɔm tin dɛn de we wi kin du fɔ ridyus dis prɔblɛm:
- Wear ai protɛkshɔn: If yu de du denja wok ɔ ple spɔt (e.g. skwash, kriket), we yu wɛr sef glas kin ɛp fɔ mek yu yay nɔ pwɛl bikɔs ɔf aksidɛnt.
- Gɛt mɛdikal chɛk-ap ɔltɛm: If yu gɛt kɔmplit mɛdikal chɛk-ap frɔm yu famili dɔktɔ wan tɛm insay di ia, yu kin no sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn bifo yu ivin gɛt di sayn dɛn.
- Kɔntrol sik dɛn we dɔn de fɔ lɔng tɛm: If yu gɛt sik dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, if yu kɔntrol dɛn lɛk aw yu dɔktɔ tɛl yu, dat kin mek yu nɔ gɛt dis sik.
- Mek dɛn chɛk yu yay ɔltɛm if nid de:Ɛspɛshali if yu gɛt risk kɔndishɔn lɛk dayabitis, mek dɔktɔ we de mɛn yu yay chɛk yu yay ɔltɛm, lɛk aw yu dɔktɔ tɛl yu. Dis we ya, dɛn kin no di chenj dɛn we de apin na di yay kwik kwik wan ɛn trit am.
Ustɛm a fɔ go to dɔktɔ?
If yu si wantɛm wantɛm se yu nɔ de si fayn, yu nɔ de si fayn, ɔ yu gɛt nyu flota, yu fɔ go to dɔktɔ, i go fayn fɔ mek yu go to dɔktɔ we de mɛn yu yay kwik kwik wan.
Yu nɔr kin ebul fɔ no dis fɔ yusɛf ɔr trit am fɔ yusɛf. Yu nid pɔsin we tren fɔ mɛn yu yay fɔ no am kɔrɛkt wan ɛn advays yu bɔt di tritmɛnt dɛn we yu go ebul fɔ du.
Fɔ dɔn, mɛmba...
Wantɛm we yu nɔ de si tin wantɛm wantɛm, we nɔ de mek yu fil pen ɔ we yu nɔ de si fayn, na sɔntin we rili de mɔna yu. Wi nɔ fɔ ɛva tek am as sɔntin we nɔ impɔtant. If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek big difrɛns. Bɔku tritmɛnt dɛn de we yu kin gɛt.
If yu gɛt ɛni kwɛstyɔn bɔt dis blɔd we de kɔmɔt insay yu yay, we dɛn kɔl vitreous hemorrhage , ɔ if yu gɛt wan sik we de mek yu gɛt mɔ prɔblɛm, tɔk to yu yay dɔktɔ. I kin ɛksplen to yu wetin fɔ ɛkspɛkt ɛn aw fɔ dil wit am. Mɛmba se yu yay valyu!
` Ays, Ay Blɔd, Dayabitis Ay, Ay Sik, Sɔdɛn Vishɔn Lɔs, Vitreous Ɛmoraji, Ay Hɛlth
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