I mit a chak lo zauh zauh em? Hei hi Optic Atrophy vang pawh a ni thei!

A chang chuan i mit hmuh chu a hlim lo deuh emaw, a fiah lo deuh emaw niin i hria em? Hei hi thil pangngai tak niin i ngai mai thei a, i mit tihbuai mai mai a ni tih i ngaihtuah mai thei. Mahse, a chang chuan hei hi thil pawi zawk chhinchhiahna a ni thei. Vawiin hian kan mit hmuhna tichhe thei optic atrophy an tih condition kan sawi dawn a ni. Lungngai suh, he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Optic Atrophy hi eng nge ni tak tak?

A awlsam zawngin, Optic Atrophy chu i mit nerve chhunga cell te a chhiat a, zawi zawiin a chhe vek a ni. “Atrophy” tih thumal hian thil chhe zel, chak lo, a bo zel tihna a ni. Chuvangin hetiang dinhmunah hian thil thleng chu kan mit leh thluak inkara thuchah kengtu telephone wire ang maia thawk optic nerve chak lohna hi a ni. Hei hi dinhmun pawi tak a ni tak zet a ni .

Hetiang hian han ngaihtuah teh: kan mit hi camera ang mai a ni. Optic nerve hian camera atanga thlalak (visual information) chu a la a, thluak hnenah, “Hei hi i hmuh dan a ni,” a ti a. Chuvangin he nerve hi a chhiat chuan thuchah kengtu wire chu tihtawp ang mai a ni. Tichuan, mitin hmu mah se, chu thu chu thluak lamah a kal lo va, chuvangin mit hmuhna lama harsatna kan nei a ni . Hei hian a châng chuan mitdelna a thlen thei a, chu chuan mitdelna a thlen thei a ni . Tin, hetah hian buaina lian ber chu he chhiatna hi tihdanglam theih loh a ni fo thin a, chu chu siamthat theih a ni lo tihna a ni .

Hetiang hi kan neih chuan eng symptoms nge kan neih ang?

Optic Atrophy hi mitdelna chhinchhiahna ber a ni. Heng symptoms te hi i nei em tih enfiah rawh:

• Hmuh theihna a fiah lo va, thil a fiah lo ta a ni: Tûn hmaa chiang taka hmuh theih lehkha leh lemte chu tûnah chuan a fiah lo va, a chiang lo deuhin a lang thei a ni. Camera focus chu focus atanga chhuak ang mai a ni.
• Peripheral vision loss : Hmalam hmu nghal thei mah la, i mit sir lam thil hmuh theihna i hloh thei. I peripheral vision i hloh ang maiin a lang thei a, sakawr ang maiin.
• Color blindness: A rawng thenkhat, a bik takin sen leh green te hi thliar hran harsa tak a ni thei. Color te chu a faded deuh emaw, a rawng danglam deuh emaw pawh a lang thei.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh . A rang thei ang bera mit doctor pan a pawimawh.

Engvangin nge Optic Atrophy kan neih? A chhante chu engte nge ni?

He optic nerve hi a chhiat theih chhan hrang hrang a awm a. Chu chu, thil engemaw chuan mit nerve kaltlangin thluak thlenga thuchah kal chu a tibuai tihna a ni. A chhan berte han thlir ila:

• Mit nerve-a thisen kal loh (Vascular/Ischemia): Hei hi a chhan tam ber a ni . Kan taksa peng tin ang bawkin mit nerve pawh hian a hnathawh theih nan thisen a mamawh a ni. Thisen atang hian oxygen leh nutrients a hmu thin. Chuvangin he thisen kal dan hi tihbuai a nih chuan nerve cell te chu an thi tan thin.
• Congenital or hereditary conditions: Mi thenkhat chu pianpui atanga heng natna nei an ni. Entirnan, Leber hereditary optic neuropathy an tih hian mit pakhatah mit hmuhna a hloh hmasa thei a, chutah chuan mit dang a nghawng thei bawk.
• Extrinsic/Intrinsic compression: Thluak tumor pakhatin mit nerve a press tih han mitthla teh. Chu chuan nerve a tichhe thei bawk. Chutiang bawkin, glaucoma -a an tih dinhmunah chuan mit chhunga pressure a tipung thei a, mit nerve a tichhe thei bawk.
• Natna dang emaw, nerve ngei avanga inflammation: Optic neuritis hi a chhan pakhat a ni. Hydrocephalus , thluaka tui tam lutuk vang pawh a ni thei bawk.
• Infection: Infection thenkhat chuan optic nerve a tichhe thei bawk. Entîr nân, natna hrik, syphilis leh measles .
• Trauma/Eye injury: Cricket khelh laiin i mit ah ball a rawn deng a nih chuan, emaw, car accident-a i hliam a nih chuan, hetiang thil pawh hian optic nerve a tichhe thei a, hetiang dinhmun hi a thlen thei tih han ngaihtuah teh. Hei hian hnathawhna hmuna accident, insual lai pawh a huam tel bawk.
• Retina natna: Diabetes kaihhnawih retinopathy leh retinal vein occlusion ang chi natna hian mit nerve a nghawng thei bawk.
• Toxins, nutritional deficits, emaw damdawi: Hetiang dinhmun hi toxin thenkhat ei avanga lo awm a ni thei a, vitamin ang chi nutrient pawimawh tak tak tlakchham vang emaw, damdawi thenkhat side effect angin emaw a awm thei bawk. Heng chhante hian mit pahnih a nghawng fo thin.

Hei hi natna hrik kai theih a ni em?

Ni lo, Optic Atrophy hi mi pakhat atanga mi dang hnena kai theih natna a ni lo . Mahse, kan sawi tawh ang khan he natna hi natna hrik thenkhat avanga lo awm thei a ni . Chu chu, natna hrik kai theih a nih chuan, chuta tang chuan optic atrophy a awm thei tihna a ni. Hei hi a thlen thei infection thenkhat chu hetiang hi a ni:

• Syphilis natna a ni
• Measles natna a ni
• Tuberculosis natna a ni
• Mumps a awm
• Vawk natna (Chickenpox) a awm
• Lyme natna a ni
• Aspergillosis (a bik takin immunocompromised mimal tan) .
• Cryptococcosis (a bik takin immunocompromised mimal tan) .

Hetiang dinhmun hi eng nge a hlauhawm? A nih loh leh eng harsatna nge a awm?

Kan sawi tawh ang khan mit atrophy avanga mit nerve chhiatna hi a tlangpuiin tihdanglam a harsa hle a, chu chu tihdam a harsa hle a ni . Chu chu hetah hian harsatna lian ber a ni. Thil thleng thei ber chu mit hmuhna a tlahniam zauh zauh a, a tawpah chuan mit hmuhna hloh vek, chu chu mitdelna a ni.

Hriat reng tur: Hetiang dinhmun avanga i mit i hloh chuan hmuh let leh chu a harsa hle. Chuvang chuan natna lanchhuahna a lan veleh damdawi lam thurawn lak a pawimawh hle.

Engtin nge doctor hian hei hi a hriat chian tak tak?

I mit lamah danglamna emaw, harsatna emaw i neih chuan mit lam doctor i pan ngei tur a ni . Doctor chuan i natna lan chhuah dan te, i chhungkuaa mi tu emaw pawhin hetiang dinhmun hi an nei tawh em tih te, i hriselna zawng zawng te a zawt hmasa ang che. I ei tur te, damdawi te, leh vitamin i ei te pawh a zawt mai thei bawk. Tichuan, i mit chu uluk takin a enfiah ang.

Hemi atan hian eng test nge tih a nih?

Mit enfiah laiin i doctor chuan i mit chhung lam chu ophthalmoscope an tih hmanrua hmangin a en ang. Optic atrophy vei mit chhung i en chuan optic disc chu a hring emaw, a rawng danglam emaw angin a lang thei . Hei hi a chhan chu nerve cells te a chhiat avangin an hnena thisen supply a tlem avangin a ni.

Doctor chuan he natna thlentu (entir nan, thluaka tumor emaw, nervous system natna emaw, ``Multiple Sclerosis'' ang chi) hriat tumin test dang a ti thei bawk. Chung zinga ṭhenkhat chu:

• Optical Coherence Tomography (OCT): Hei hian mit nerve leh retina layer thickness te chu a hmu thei a.
• Visual field tests: I chhehvela i hmuh theih zat tehna test a ni.
• Magnetic Resonance Imaging (MRI) Scan: Thluak leh mit nerve thlalak chiang tak a la thei.
• Fluorescein angiography: Mit chhunga thisen kalna kawngte dinhmun en nana test a ni.
• Ultrasound hmanga test a ni.
• Thisen test: Infection leh nutritional deficiency ang chi thil hriatchhuah nan.

Hei hi eng enkawlna nge ni? A dam kim thei ang em?

Vanduaithlak takin tunah hian optic atrophy damdawi a la awm lo . Chumi awmzia chu optic nerve cell chhia te siamthat a harsa tihna a ni. Chuvangin i mit enkawl la, mit enfiah fo la, i mit hmuh danah danglamna i hmuh chuan doctor pan rawh kan ti fo thin.

Mahse, doctor-te chuan he natna thlen chhan zawng chhuakin enkawl an tum a ni . Chutianga an tih chuan mit nerve tihchhiat belh zel chu tihtawp emaw, tihtlem emaw an tum a ni. Entir nan:

• Hei hi thluaka tumor vang a nih chuan surgery hmangin tumor lakchhuah theih a ni.
• Thluak-ah tui a awm khawm (hydrocephalus) a nih chuan chu tui chu paih chhuah theih dan a awm.
• Glaucoma a awm chuan mit pressure tihziaawm nan damdawi pek theih a ni.
• Infection vang a nih chuan antibiotics pek theih a ni.

Hetiang thil hi kan veng thei ang em?

A tam zawkah chuan Optic Atrophy hi kan pumpelh vek a harsa hle . A chhan chu a thlentu tam tak hi kan thunun theih loh a ni. Mahse, a \henah chuan kan risk tihziaawmna tur thil kan tih theih a awm. Entir nan:

• Mit hliam lo turin safety glasses vuah: A bik takin thir hnathawh, thing hnathawh, leh infiamna khelh ang chi thil i tih hian fimkhur hle ang che.
• Vaccine tul tak tak a hun taka lak: Hei hian measles ang chi natna laka invenna a pui a ni.
• Safe sex hmang rawh: Mipat hmeichhiatna atanga kai theih natna, syphilis ang chi te chu pumpelh rawh.
• Diabetes leh thisen sang ang chi natna i neih chuan control tha rawh.

Hetiang dinhmun hi ka neih chuan nakin lawkah eng nge thleng ang?

Hetiang dinhmun nei mi pakhat hmalam hun, chu chu an vision chu eng ang nge a nih dawn tih chu a chhanah a innghat a ni .

• Hei hi mit nerve (optic neuritis) inflammation avanga lo awm a nih chuan a tam zawkah chuan inflammation a reh hnuah mit hmuhna chu degree engemaw chen ah a lo kir leh ang.
• Thil dang (optic neuropathy) avanga mit nerve a chhiat chuan mit a tha lo thei.
• Glaucoma hi hmuhchhuah a nih a rang taka enkawl a nih chuan , ., mit hmuhna tichhe zual zel chu thunun theih a ni.
• Brain tumor ang chi thil a nih chuan, hriatchhuah leh enkawl vat a nih chuan , optic nerve-a pressure a tlahniam thei a, chhiatna dang pawh a veng thei bawk.

I vision a chhe a nih chuan beiseina hi bansan suh . I doctor nen inbia la , mitdelna (low vision aids) chungchang zawt rawh . Special lens, magnifying glasses, leh text-reading software ang chi thil a awm bawk.

Hemi chungchangah hian engtikah nge doctor ka hmuh ang?

It’s important to have your eyes checked regularly , a bik takin mit natna dang i neih chuan. Tin, a hnuaia thilte hi i tawn chuan doctor pan ngei ngei tur a ni :

• Mit hmuhna lama inthlak danglamna eng pawh (e.g., blurring, chiang lo) .
• Rangkachak hriat harsa i neih chuan
• I mit hmuhna hloh ang maia i hriat chuan

A pawimawh ber: I mit a hloh nghal emaw, mit na tak i neih emaw chuan doctor pan nghal rawh . Hengte hi mit natna khirh tak chhinchhiahna a ni thei.

Hemi chungchangah hian doctor hnena ka zawh tur pawimawh berte chu engte nge ni?

Hemi chungchangah hian i doctor zawh tur zawhna tam tak i nei ngei ang. A theih chuan i thian emaw, chhungte emaw rawn hruai la. Zawhna i zawh duhte list siam la, i chhanna ziakna tur notebook keng la. Zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:

• Eng thilin nge ka optic atrophy hi a thlen?
• Chu chhan enkawlna atana ka duhthlan turte chu engte nge ni?
• Chutiang enkawlnate chuan eng nghawng tha lo nge a neih?
• Hetiang dinhmun hi thlahtute atanga lo chhuak a ni em?
• Ka chhungte tan genetic testing neih hi a inhmeh em?
• Clinical trial ka tel theihna tur a awm em?
• Hetiang natna vei te tanpuitu support group chungchang thu i pe thei ang em?
• Eng low-vision aids nge hman i rawt?

Optic nerve chhiatna hlauhawm i nih chuan mit doctor pan fo a pawimawh. Optic nerve chhiatna hian mitdelna a thlen thei a, i nunphungah nghawng lian tak a nei thei bawk. I doctor te hi i hriselna atana puitu tha ber an ni tih hre reng ang che. Hei hi dinhmun khirh tak ni mah se, i mamawh ṭanpuina i hmuh theih dân kawng a awm.

Chuvangin, kan sawi tawh (Take-Home Message) atanga hriat reng tur thenkhat chu hetiang hi a ni:

• Optic atrophy hi natna khirh tak a ni a, mit leh thluak inkara thuchah kengtu optic nerve a tichhe a, mit hmuhna a tichhe bawk.
• I hmuh theih loh, peripheral vision tlahniam, emaw, rawng hriat harsatna ang chi symptoms i neih chuan ngaihthah suh.
• Hei hi chhan hrang hrang a awm thei a; thisen kal tlahniam, pressure, inflammation, infection, leh accident te hi a tlem hle.
• This condition is not contagious , mahse natna hrik kai thenkhat avanga lo awm thei a ni.
• Tunah hian hei hi tihdamna famkim a la awm lo . Enkawlna hi a chhan bulpui ber, a natna zual zel tur tihtawp nan a ni.
• Natna hi hriat hmasak a, enkawl tan a pawimawh hle. Chuvangin i mit enfiah fo thin ang che.
• Mitdelte tanpui thei tur device leh service a awm a. Beiseina bansan suh.

I mit enkawl hi i mawhphurhna a ni a, a chhan chu khawvel hmuhna atana kan neih hlu ber pakhat a nih vang a ni.