If yu gɛt dayabitis , sɔntɛnde yu kin wɔri smɔl ɔ wɔri bɔt aw yu de si , nɔto so? yu fil bak se "A no kin si klia wan lek aw a bin de si bifo", "Tin dem bluri", o "a geht blak spat we de flot na mi yay"? Infakt, glaukoma na sik we kin ambɔg wi ɔl tu yay. Bɔt nɔ wɔri, naw dɛn dɔn gɛt tritmɛnt dɛn we rili advans fɔ dis. So tide wi de tɔk bɔt di damej we dayabitis kin kam wit di yay ɛn di spɛshal injɛkshɔn tritmɛnt we dɛn kɔl Eylea we dɛn kin yuz fɔ am.
Wetin mek dayabitis kin afɛkt di yay? Wetin kin apin wit di Eylea vaysin?
Fɔ tɔk am simpul wan, we pɔsin we gɛt dayabitis gɛt bɔku blɔd shuga we i nɔ ebul fɔ kɔntrol fɔ lɔng tɛm, i kin pwɛl di blɔd vesel dɛn we rili dilik insay in yay. Dis damej kin mek wata ɛn blɔd kɔmɔt na dɛn blɔd vesel dɛn de . Dɛn kɔl dis sik dayabitik retinopathy .
Na ya, di retina na di pat we impɔtant pas ɔl insay di yay we de rikodɔ di pikchɔ dɛn fɔ wetin wi de si, jɔs lɛk di fim we de insay kamɛra.
As di sik de wɔs, nyu blɔd vesel dɛn we nɔ de stebul, bɔt we wik pasmak, kin bigin fɔ mek insay di ples fɔ di wan dɛn we dɔn pwɛl. Dɛn tin ya kin mek mɔ blɔd ɛn wata lik kɔmɔt.
So wetin na makula ɛdima?
Insay wi retina, rayt na di midul, wan spɛshal ples de we de gi wi di klia ɛn shap vishɔn we wi luk stret bifo. Dɛn kɔl am di makula . As wi bin dɔn tɔk, we wata kɔmɔt na di blɔd vesel, da wata de kin gɛda na dis ples we dɛn kɔl makula ɛn i kin swel. Na dat wi kin kɔl Dayabitik Makyula Ɛdima .
Dis swel kin mek yu gɛt sɔm kayn sik lɛk:
- Di vishɔn we nɔ klia
- Dabl vishɔn
- Fɔ fil lɛk blak spat de flɔt bifo yu yay (Floaters) .
- Dɛn nɔ de si di kɔlɔ dɛn klia wan, di vishɔn nɔ de shayn bɛtɛ.
If dεn nכ kכntrol dis kכndyushכn, sכmtεm sכmtεm di sεntri vishכn kin lכs. So, i rili impɔtant fɔ mek wi no bɔt dis.
Aw di Eylea vaysin de wok?
Dis na di say we injεkshכn lεk Eylea de kam in. dεn injεkt dεm dεn de injεkt dεm dairekt insay di yay. Di aktif drɔg we de insay dis naaflibercept we dɛn kɔl aflibercept.
Tu kεmεkal dεm de we kin mεntal afekt di fכmeshכn fכ wik, nyu bכdi vεsul dεm insay wi yay εn di lik fכ wata frכm dεm. dεn na VEGF (Vaskul εndoteyl Grכwth Fכktכr) εn PlGF (Plasεnt Grכwth Fכktכr) .
Di Eylea injεkshכn de blכk dεn tu kεmεkal ya. Dis de mek nyu blɔd vesel dɛn nɔ de fɔm ɛn di wata we de lik. Dis kin mek di makula nɔ swɛla, i kin mek yu si bak lɛk aw i bin de, ɛn i kin mek i nɔ de wɔs.
Aw dis tritmɛnt kin wok fayn?
Tu klinik trayal fɔ tɛst di ɛfɛktiv we dis drɔg de wok bin involv pasɛnt dɛn we gɛt dayabitik makyula ɛdima. Wan grup bin gɛt di Eylea injɛkshɔn, we di ɔda grup bin gɛt wan lɛsa we dɛn bin de yuz da tɛm de (macular laser photocoagulation) .
We di trayal dɔn, di vishɔn fɔ di wan dɛn we bin gɛt di Eylea vaysin bin impɔtant pas di wan dɛn we bin gɛt di lɛsa tritmɛnt. Dis impɔtant tin bin kɔntinyu fɔ de afta wan ia ɛn lɛk tri ia so. Dis min se dis tritmɛnt nɔr de jɔs mek yu si fayn fayn wan, bɔt i de ɛp bak fɔ mek yu kɔntinyu fɔ gɛt da impɔtant tin de as tɛm de go.
Aw a go gɛt dis tritmɛnt?
Eylea na mɛrɛsin we kin kam insay wan wata we de mek i gɛt wata. Na injɛkshɔn we pɔsin we sabi bɔt yay kin injekt dairekt insay yu yay . Wi kɔl dis we fɔ injɛkshɔn Intravitreal Injection .
No rizin nɔ de fɔ mek wi fred dis. Dis na sɔntin we dɛn kin du wit big kɔntrol ɛn tek tɛm.
1. Fɔs, dɛn kin yuz smɔl tin fɔ mek yu yay opin.
2. Dɔn, dɛn kin put sɔm ay drɔp dɛn na di yay fɔ mek i nɔ it ɛn fɔ mek baktri nɔ gɛt infɛkshɔn.
3. Bifo yu injekt di vaysin, yu kin was yu yay fayn fayn wan bak wit antiseptik sɔlvushɔn.
4. Dɔn dɛn kin gi di injɛkshɔn wit wan rili fayn nidul.
Bɔrku tɛm, we yu bigin fɔ trit yu, yu go gɛt di vaysin ɛvri 4 wik . Afta sɔm mɔnt, yu dɔktɔ kin ajɔst di frɛkuɛns to ɛvri 8 wik, i go dipen pan yu kɔndishɔn.
di prεshכn insay di yay kin inkrεs sכmtεm wantεm afta di injεkshכn, bכt dis kin dכn insay wan awa. Yu dɔktɔ go chɛk yu yay afta ɛni injɛkshɔn.
Aw kwik a go si di rizɔlt?
If di Eylea vaysin wok fɔ yu, yu go bigin fɔ notis smɔl impɔtant tin na yu yay insay sɔm wiks afta di fɔs injɛkshɔn . Yu vishɔn kin bɛtɛ mɔ if yu gɛt di vaysin ɛvri 4 wik fɔ di fɔs 5 mɔnt.
Di tin we impɔtant pas ɔl na fɔ kip ɔl di apɔntinmɛnt dɛn ɛn gɛt ɔl di vaysin dɛn we yu nid. If yu fɔ mis apɔntinmɛnt, kɔl yu dɔktɔ wantɛm wantɛm ɛn chenj di tɛm.
Lɛ wi no bɔt di bad tin dɛn we kin apin to wi.
Lɛk ɛni mɛrɛsin, di Eylea vaysin gɛt smɔl ɛn siriɔs sayd ɛfɛkt dɛn. I impɔtant fɔ no di difrɛns bitwin dɛn tu.
| Tayp fɔ di sayd ɛfɛkt | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| Kɔmɔn ɛn sɔm tɛm sayd ɛfɛkt dɛn | I nɔmal fɔ mek yu nɔ si fayn fɔ shɔt tɛm afta dɛn dɔn gi yu di vaysin. Dis go go afta sɔm tɛm. Nɔ drayv ɔ yuz mashin dɛn insay dis tɛm. |
| Siriɔs sayn dɛm wae nid fɔ pe atɛnshɔn kwik kwik wan | If yu gɛt ɛni wan pan dɛn sik ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ tɛl yu dɔktɔ:
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Dis nɔto ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu gɛt ɛni sayn we de wɔri yu, tɔk to yu dɔktɔ bɔt am. If yu tink se yu go dɔn gɛt sayd ɛfɛkt frɔm dis mɛrɛsin, yu kin ripɔt am bak to di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Nashɔnal Ospital na Kɔlɔmbɔ .
Ɛni prɔblɛm de wit ɔda mɛrɛsin dɛn?
Nɔr siriɔs intarakshɔn nɔr de bitwin Eylea ɛn ɔda mɛrɛsin dɛm. Bɔt i impɔtant fɔ tɛl yu yay dɔktɔ bɔt ɛni mɛrɛsin we yu de tek— lɛk di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we dɛn kin bay na kɔt (OTC), vaytamɛn dɛn, tin dɛn we de ɛp yu fɔ it, ɛn ivin di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn yu yay .
Mɛsej we dɛn kin kɛr go na os
- Diabetic macular edema na wan sik wae de kam pan yay wae kin kam wit dayabitis, bɔt naw dɛn kin trit am fayn fayn wan.
- Eylea na injεkshכn we dεn injεkt dairekt insay di yay. I kin stɔp fɔ si tin ɛn mek yu si bak.
- Fɔ mek dis tritmɛnt go bifo, i impɔtant fɔ mek yu gɛt di vaysin dɛn di rayt tɛm akɔdin to di de dɛn we di dɔktɔ gi yu.
- Yu fɔ no bɔt di kɔmɔn sayd ɛfɛkt dɛm we kin apin afta yu dɔn gi yu di vaysin ɛn siriɔs sayn dɛm we yu nid fɔ pe atɛnshɔn to kwik kwik wan.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt yu yay, tritmɛnt, ɔ sayd ɛfɛkt, tɔk to yu dɔktɔ opin wan bɔt am.
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