Yu tink se yu de si tin dɛn we yu de si? Yu de si blak spat bifo yu yay? I kin bi Wet Macular Degeneration!

Yu kin fil bak se yu yay de chenj smɔl as yu de ol? Sɔntɛnde we yu de luk buk ɔ nyuspepa, yu kin fil lɛk se di lɛta dɛn nɔ klia, ɔ yu kin fil lɛk se yu de si tin dɛn nia? Pan ɔl we dɛn tin ya na nɔmal tin we kin apin as yu de ol, sɔntɛnde dis kin bi sɔntin we yu nid fɔ wɔri bɔt smɔl. wεl, dis na siriכs kכndyushכn we de apin insay di yay we dεn kכl wet makyula dεjεnεreshכn, כ `(Wet Macular Degeneration - WMD)`. Lɛ wi tɔk mɔ bɔt dis tide.

Wetin na Wet Macular Degeneration?

Fɔ tɔk am simpul wan, wet makyula dijɛnɛreshɔn na wan we we kin rili bad ɛn we dɔn go bifo pan Age-Related Macular Degeneration (ARMD), we na wan sik we kin afɛkt wi yay as wi de ol. Naw yu kin de wɔnda wetin na ARMD. Na wan sik we de mek di macula , we na wan pat pan di yay we de ɛp wi fɔ si klia wan as wi de ol.

so, we dis kכndyushכn kin bi siriכs, dat na we wet makula dijεnεreshכn (WMD) de apin, nyu, bכt nכ hεlth, wik bכdi vεsul dεm kin bigin fכ fכm כnda di mεmbran we dεn kכl di rεtina insay di yay. Bikɔs dɛn nyu blɔd vesel ya rili wik, dɛn kin bigin fɔ lik blɔd ɛn wata. Dis blɔd ɛn wata we de lik kin pwɛl di sɛl dɛn na di retina ɛn mek wi nɔ de si fayn igen, mɔ di sɛntral vishɔn . Fɔ tɔk di kɔrɛkt tin, na dis yu de si we yu luk stret bifo yu.

Imajin, we yu luk pɔsin in fes, di midul pat pan in fes nɔ kin shayn, ɛn yu nɔ kin si di tin dɛn we de rawnd am. Na dat kin apin insay dis kes.

Dis blɔd kin mek bak ska tisu fɔm. Dis kin pwɛl di makula mɔ, we kin mek di vishɔn wɔs. As tɛm de go, dis blɔd ɛn ska tisu kin mek pɔsin nɔ ebul fɔ si fayn ɔltɛm. Bɔt if dɛn no am ɛn trit am kwik , i kin mek i nɔ pwɛl fɔ ɔltɛm ɔ i kin ivin stɔp fɔ si fɔ wɔs. So, if yu notis ɛni chenj na yu yay, i rili impɔtant fɔ go to ay spɛshal dɔktɔ (ɔftalmɔlɔjis) kwik kwik wan.

כda nem dεm we dכkta dεn kin yus fכ dis sik na ``exudative macular degeneration'' εn ``neovascular macular degeneration. ``Exudate'' na di mεdikal tεm fכ "lik fluid." Na de di nem kɔmɔt.

Aw dis sik kin bɔku?

Di risk fɔ gɛt `(ARMD)` de go ɔp as wi de ol. Infakt, na in de mek pipul dεm we pas 60 ia nɔr de si fayn.

Wetin na di sayn dɛm fɔ wet makula dijenereshɔn?

dis `(WMD)` kכndishכn de mek di sεntri vishכn lכs we nכ de pen.Dɛn tu yay kin afɛkt, bɔt sɔntɛnde wan yay kin afɛkt mɔ ɛn di ɔda wan nɔ kin afɛkt am.

Na sɔm pan di men sayn dɛm wae de sho se yu gɛt dis sik:

• Fɔ si dak ples ɔ flota bifo yu yay .
• Blurry vision , mɔ we yu de luk klos.
• Di kɔlɔ we de fade ɔ we i nɔ de si fayn . Sɔntɛm yu nɔ go ebul fɔ no difrɛns bitwin blu ɛn yɔlɔ.
• Distort vishɔn / mɛtamɔrfɔpsia . Fɔ ɛgzampul, i kin tan lɛk se di bar dɛn na winda strɛch.
• Fɔ si tin dɛn we smɔl pas aw dɛn rili bi (maykropsia) .
• Di say dɛn we pɔsin kin si we dɔn dak .
• Blaynd spat / skɔtoma dɛn .
• kכmplit sεntri vishכn lכs, wit כnli pεrifεral vishכn we de rεst .

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, mek shɔ se yu go to dɔktɔ we de mɛn yu yay wantɛm wantɛm.

Wetin na di tin dɛm wae kin mek yu gɛt wet makula dijenereshɔn?

I at fɔ no wan wan tin we de mek dis sik, ``(WMD).`` Bifo dat, bɔku tin dɛn we kin mek pɔsin gɛt dis sik kin kam togɛda fɔ mek i gɛt dis sik.

Na sɔm pan dɛn tin dɛn de we kin mek pɔsin gɛt prɔblɛm ɛn di tin dɛn we kin mek pɔsin gɛt dis sik:

• Ej : As yu de ol, yu kin gɛt ɛni kayn makula dijenereshɔn.
• jεnεtik inflכεns εn famili histri : Sכm chenj dεm (mכtεshכn) na di jin dεm (DNA) we yu gεt frכm yu mama εn papa kin mek yu risk fכ gεt WMD. If pɔsin na yu famili dɔn gɛt dis sik, yu go gɛt dis sik.
• Ras : Pipul dɛm we kɔmɔt na Yurop kin gɛt di ay risk fɔ gɛt (WMD). Pipul dɛn we kɔmɔt na Afrika nɔ kin gɛt am.
• Nutrishɔn : If yu nɔ gɛt sɔm vaytamɛn dɛn (espɛshali vaytamɛn C ɛn E) , minral dɛn ( kɔpa ɛn zink ), ɛn vaytamɛn A kɔmpɔnɛnt dɛn ɔ tin dɛn we gɛt fɔ du wit am (beta-carotene, lutein, zeaxanthin) kin mek yu gɛt WMD.
• Di say we yu de : If yu de nia di ekweta, yu ɔl layt go bɔku. Dis kin bi bak wan tin we kin ɛp fɔ du dat.
• Sɔm abit : Yuz tabak kin ɛp fɔ mek yu gɛt (WMD).
• Ɔda wɛl bɔdi prɔblɛm dɛn : Kɔndishɔn lɛk ay kɔlɔstrel (haypa kɔlɔstrelemia), ay blɔd prɛshɔn (haypa blɔd prɛshɔn), ɛn di sik we de ambɔg di at ɛn di blɔd (di sik we de mek pɔsin in at ɛn di blɔd) kin mek pɔsin gɛt WMD. Miks pruf stil de fɔ no if dayabitis (Dayabetes Mellitus - Tayp 1 ɛn Tayp 2) sɛf kin ɛp.

Wetin na de prɔblɛm wae kin kam wit dis sik?

di men komplikashכn fכ wet makular dεjεnεreshכn na di lכs fכ sεntri vishכn.If dɛn nɔ trit dɛn, bitwin 80% ɛn 90% pan di pipul dɛn we gɛt WMD go dɔn lɔs dɛn vishɔn te dɛn tek dɛn as pipul dɛn we blaynd bay lɔ. Dat min se dɛn nɔ kin si fayn so dat dɛn nɔ kin ebul fɔ du di wok dɛn we dɛn kin du ɛvride.

Aw fɔ no di wet makula dijɛnɛreshɔn?

Wan ay spɛshal dɔktɔ, fɔ ɛgzampul wan ɔftalmolɔg ɔ wan spɛshal pɔsin we de du di retina, kin yuz wan kɔmbaynshɔn fɔ sɔm we dɛn fɔ no WMD.

Di fɔs tin we yu fɔ du na fɔ chɛk yu yay ɔltɛm . Insay dis tɛm, dɛn kin luk yu retina dairekt wan. Yu kin du dis bay we yu yuz wan tin we yu kin ol na yu an we dɛn kɔl ɔftalmoskɔp , ɔ bay we yu dilayt yu pupil ɛn du slit lamp ɛgzam . Dɛn kin yuz wan simpul grid bak we dɛn kɔl Amsler grid ay tɛst . dis kin εp yu fכ no εni distorshכn na yu vishכn (di grid de sho se i strεch bikoz fכ distorshכn na yu rεtina).

Apat frɔm di ay ɛgzam ɛn slit lamp ɛgzam, ɔftalmolɔg kin du nɔ-invasive diagnostik imej tɛst bak. Dɛn tin ya kin luk di tin dɛn we de insay yu yay ɛn di blɔd vesel dɛn we de na di bak pat na yu yay. Sɔm pan di tɛst dɛn we dɛn kin du na:

• Optical Coherence Tomography (OCT) : Dis tan lεk skan we de tek kכros-sekshכnal imej dεm fכ di insay pat pan di yay.
• Fluorescein angiography : Dis na fɔ injekt wan day insay wan vein na yu an ɛn tek pikchɔ as i de pas na di blɔd vesel dɛn we de insay yu yay.
• Indocyanine green angiography (ICGA) : Dis na tɛst we dɛn kin yuz ɔda kayn day, we fiba di wan we bin de bifo.

Aw dɛn kin trit dis?

Wet makula dijenereshɔn na sik we dɛn kin trit bad bad wan if dɛn no am kwik kwik wan . Tu men we dɛn de fɔ trit WMD: mɛrɛsin ɛn laser prosidur .

Di mɛrɛsin dɛn kin wok bay we dɛn kin blok wan prɔtin we dɛn kɔl Vascular Endothelial Growth Factor (VEGF) , we wi bɔdi kin yuz fɔ mek nyu blɔd vesel dɛn. we VEGF blok, nyu bכdi vεsul dεm stכp fכ fכm. Dɛn kin gi dɛn mɛrɛsin ya bay we dɛn inj yu dairekt wan na yu yay . Nɔ fred, pan ɔl we dɛn se dɛn injɛkt dɛn na yu yay, dɛn kin du am bay we yu de numb yu yay sote yu nɔ de fil am.

Na sɔm kayn drɔgs we de blok VEGF:

• `Aflibersept`
• `Bɛvasizumab`
• `Brɔlusizumab`
• `Farisimab`
• `Ranibizumab we de na di bɔdi`

Di gol fɔ laser tritmɛnt fɔ WMD na fɔ stɔp nyu blɔd vesel dɛn fɔ gro ɛn if i pɔsibul, fɔ mek dɛn smɔl. If yu kin du ɔpreshɔn wit lɛsa, i dipen pan usay di nyu blɔd vesel dɛn de ɔnda yu makula ɛn sɔm ɔda tin dɛn. Bɔt naw, injɛkshɔn dɔn bɔku pas di tritmɛnt dɛn we dɛn kin yuz lɛsa.

Yu ay spɛshal dɔktɔ go ebul fɔ ɛksplen di tritmɛnt we yu go gɛt. Di infɔmeshɔn we dɛn kin gi na in rili impɔtant ɛn ɛp fɔ yu patikyula kɔndishɔn. Dɛn go tɛl yu bak bɔt di sayd ɛfɛkt ɔ prɔblɛm dɛn we kin apin ɛn us tritmɛnt go ɛp yu pas ɔl.

Wetin na di lukin-grɔn fɔ wet macular degeneration?

Di luk fɔ di kɔndishɔn `(WMD)`, dat na aw i go wɛl ɔ aw in vishɔn go tan lɛk, de dipen pan sɔm tin dɛm. Dɛn tin ya na:

• Aw bad yu `(WMD)` situeshɔn de.
• Usay na yu makula di damej de?
• Tritmɛnt opshɔn dɛm wae yu kin gɛt, ɔr de ɔlrɛdi gɛt.
• Ɔda wɛlbɔdi prɔblɛm dɛn we yu gɛt.

Bikɔs bɔku tin dɛn kin afɛkt di we aw yu de si tin, di we aw yu de si tin kin difrɛn bad bad wan. Yu ay spɛshal dɔktɔ kin tɛl yu wetin yu go si bay di patikyula tin we de apin to yu.

Yu tink se dɛn kin mek dɛn nɔ gɛt wet makula dijenereshɔn?

Bikɔs bɔku tin dɛn de ɛn tin dɛn we kin mek pɔsin gɛt prɔblɛm wit di sik we dɛn kɔl `(WMD)`, i nɔ pɔsibul fɔ mek dɛn nɔ gɛt am kpatakpata. Bɔt tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt fɔ gɛt am ɔ fɔ mek i nɔ gɛt am.

Sɔm pan di impɔtant tin dɛm wae yu kin du fɔ mek yu nɔr gɛt ɔr delay AMD kin bigin wae yu gɛt dry macular degeneration, di kayn we wae nɔr kin pasmak pan AMD. Na sɔm tin dɛn we yu yay dɔktɔ go tɛl yu fɔ du:

• Yuz wan Amsler grid ɛvride . Yu yay dɔktɔ kin gi yu Amsler grid fɔ yuz na os ɛn sho yu aw fɔ yuz am. If yu notis ɛni chenj ɔ tin we nɔ fayn na yu yay, yu fɔ kɔntak yu yay dɔktɔ kwik kwik wan. If yu du dat, i go mek yu nɔ ebul fɔ si di retina we yu nɔ go ebul fɔ chenj ɛn yu nɔ go ebul fɔ si fayn fayn wan.
• Go to yu yay dɔktɔ fɔ mek dɛn go chɛk yu yay ɔltɛm . Dis kin ɛp fɔ no WMD fɔs.
• Tek di it we yu de it ɛvride . Bɔku tɛm, dɛn tin ya kin gɛt vaytamɛn C, vaytamɛn E, kɔpa, zink, lutin, ziaksantin, ɛn beta-karotin. (Nɔ tek beta-karotin if yu de smok, bikɔs i de mek yu gɛt kansa na yu lɔng.)
• Stɔp fɔ yuz tabak, ɔ nɔ bigin . Dis inklud ɔl kayn we fɔ yuz tabak/nikotin, inklud vaping ɛn smoklɛs tabak. Yu dɔktɔ kin tɛl yu bɔt tin dɛn we go ɛp yu fɔ lɛf fɔ smok.
• Wear sanglas fɔ di san. If yu de na di san, dat kin mek yu gɛt mɔ sik we dɛn kɔl macular degeneration (MWD). Sɔnglas kin ridyus di tin dɛn we di san kin du to yu yay.
• Stay aktif . Fɔ du bɔdi wok kin ɛp yu wɛlbɔdi pan bɔku tin dɛn, ivin di wɛlbɔdi na yu retina.
• Mek yu gɛt wɛlbɔdi wet . Bɔrku pan de tin dɛm wae kin mek yu gɛt mɔr risk fɔ gɛt (WMD) kin gɛt fɔ du wit yu ɔl yu bɔdi wɛl bɔdi.

Ɔda tin dɛn de we yu kin du fɔ ɛp fɔ mek yu nɔ ebul fɔ si fayn bikɔs ɔf WMD. If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt wetin yu go du, aks yu yay dɔktɔ. I kin gi yu gayd ɛn tin dɛn we go ɛp yu.

Aw a go tek kia ɔf misɛf if a gɛt wet makula dijenereshɔn?

We yu bigin fɔ lɔs yu vishɔn bikɔs ɔf (WMD), i kin rili ambɔg yu. I kin afɛkt di we aw yu de liv yu layf fɔ yusɛf ɛn di nɔmal tin dɛn we yu kin du ɛvride ɛn di tin dɛn we yu kin du.

If yu dɔn ɔlrɛdi lɔs yu yay bikɔs ɔf `(WMD)`, tin dɛn stil de we yu kin du fɔ ɛp yusɛf. Dɛn tin ya na:

• Aks yu yay dɔktɔ bɔt aw fɔ rihabilite yu yay we yu nɔ de si fayn . Dis tan lɛk fyzikal ɔ woke tritmɛnt, bɔt fɔ yu yay. Dis kayn rihabiliteshɔn de tich yu fɔ adap to ɛn woke arawnd chenj dɛn na yu vishɔn we yu dɔn ɔlrɛdi gɛt.
• Yuz tul dɛn ɛn teknɔlɔji . Tin dɛn we nɔ gɛt bɔku teknɔlɔji lɛk magnifying glas ɔ lens kin mek di wok ɛn tin dɛn we pɔsin kin du ɛvride izi. Ay-tek tin dɛn lɛk smart fon ap ɔ spɛshal ilɛktronik divays dɛn kin ɛp yu bak fɔ adap to yu vishɔn lɔs ɔ chenj dɛn. Yu yay dɔktɔ kin gi yu patikyula advays ɛn infɔmeshɔn bɔt us tul dɛn (hay-tek ɔ lɔw-tek) we go ɛp yu.
• Tek advantej pan di tin dɛn ɛn ɛp we yu gɛt . Dipen pan usay yu de, gɔvmɛnt ɛn indipɛndɛnt ɔganayzeshɔn dɛn kin de we go ɛp yu wit wetin yu nid ɛvride. If yu yuz dɛn, dat go ɛp yu fɔ liv yusɛf ɛn mek yu layf izi.

Ustɛm a fɔ go to mi dɔktɔ we de mɛn mi yay?

Yu yay dɔktɔ go tɛl yu fɔ du fɔ fala yu WMD kɔndishɔn ɛn ajɔst yu tritmɛnt if nid de. Dɛn visit ya rili impɔtant fɔ mek yu nɔ ebul fɔ si fayn.

Dɔn bak, if yu notis chenj dɛn na yu yay, fɔ ɛgzampul, tin dɛn we kin chenj we yu de tɛst yu yay wit Amsler grid, yu fɔ kɔntak yu yay spɛshal pɔsin wantɛm wantɛm .

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ we de mɛn mi yay?

Na sɔm kwɛstyɔn dɛn we yu go want fɔ aks yu ay spɛshal dɔktɔ:

• Aw bad mi `(WMD)` kɔndishɔn?
• Wetin na di tɛm fɔ lɛ a nɔ de si fayn, ɛn wetin a go du fɔ ridyus ɔ fɔ stɔp di damej?
• di say we di makula de chenj de afekt di poshubul tritmεnt dεm כ di chans fכ dεn tritmεnt dεm fכ bi saksesful?
• Aw a go ebul fɔ stɔp mɔ damej?
• Us tin dɛn ɛn ɛp a kin gɛt?
• A go bɛnifit frɔm vishɔn rihabiliteshɔn tɛrapi?

Vishɔn na sɛns we bɔku pipul dɛn kin yuz ɔl dɛn layf ɛvride, bɔku tɛm dɛn nɔ kin ivin tink bɔt am. If yu lɔs yu vishɔn, dat kin mek yu at pwɛl ɛn i kin mek yu at pwɛl. Bɔt tin dɛn de we yu kin du fɔ mek yu nɔ gɛt bɔku prɔblɛm, fɔ mek yu nɔ ebul fɔ si mɔ, ɛn fɔ mek yu ajɔst to di chenj dɛn we dɔn ɔlrɛdi de apin.

De bɛst we fɔ no bɔt wetin yu kin du bɔt dis sik na fɔ tɔk to yu yay dɔktɔ. I go gayd yu fɔ du tin dɛn ɛn chenj dɛn we go ɛp yu. Yu nɔr nid fɔ dil wit dis sik ɔr de ifɛkt wae de kam wit yu wan, dɛn de fɔ ɛp yu.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔmariz sɔm pan di men pɔynt dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Wet makula dijεnεreshכn (WMD) na wan siriכs fכm fכ di εj-rεlatεd makular dijεnεreshכn (ARMD). Na wan sik we nyu, wik blɔd vesel dɛn kin fɔm insay di yay, we kin mek blɔd lik ɛn mek di sɛntral vishɔn lɔs.
• Di sayn dɛm kin bi blak spat bifo yu yay, yu nɔ de si fayn, ɛn yu nɔ de si fayn. If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
• If dɛn no dis kwik kwik wan, dɛn kin trit am . I gɛt mɛrɛsin fɔ di yay, injɛkshɔn, ɛn tritmɛnt we dɛn kin yuz lɛsa.
• Sɔm tin dɛn de we yu kin tray fɔ avɔyd , lɛk fɔ it gud it, fɔ avɔyd fɔ smok, fɔ wɛr sanglas, ɛn fɔ de chɛk yu yay ɔltɛm.
• If yu gɛt dis sik, i rili impɔtant fɔ de kɔntakt yu yay dɔktɔ ɔltɛm ɛn fala dɛn advays. Sɔm we ɛn tin dɛn de bak we go ɛp yu fɔ liv wit smɔl vishɔn.

So, fɔ kia fɔ yu yay de na yu an. If yu gɛt ɛni dawt ɔ prɔblɛm, nɔ shem fɔ go to dɔktɔ.

` Makula dijεnεreshכn, wet makular dεjεnεreshכn, WMD, ARMD, yay, yay sik, makula