I mit chhungah thisen kalna kawng a block em? Retinal Vein Occlusion (RVO) chungchang hi i zir dawn teh ang!

Kan mit chhunga thisen kalna kawng te tak te chu a inkharkhip a nih chuan eng nge thleng ang tih i ngaihtuah ngai em? Hei hi i tan chuan thil thar deuh a ni mai thei. Mahse, a thleng thei tak zet a ni. Vawiin hian Retinal Vein Occlusion , emaw RVO tih hming pu dinhmun kan sawi dawn a ni. Lungngai suh, hei hi uluk taka i hriatthiam chuan a tul anga tihfelna kawngah nasa takin a pui dawn che a ni.

Retinal Vein Occlusion tih hi eng nge ni?

A awlsam zawngin, hei hi i mit chhunga retina atanga thisen chhuahna vein, a nih loh leh thisen kalna kawng pakhat chu a inkharkhip vek emaw, a then emaw a inkharkhip lai a ni. Kan mit hnung lama he retina hi camera-a film ang mai a ni tih hi han ngaihtuah teh. Light hian mit a rawn deng hian image siam nan a pui a, kan hmu thei bawk. Chuvangin, retina atanga thisen kal chu a block chuan chutah chuan thisen a awm tan ta a ni. Hei hian mit chhunga pressure a tipung thei a , a ti hring thei bawk . Hetiang harsatna chi hi enkawl vat a nih loh chuan kan mit a bo emaw, a tlahniam emaw thei . Tunah hian he thisen kalna kawng khar hi hawn vek theihna tur kawng him a awm lo. Mahse, beiseina bansan suh! Side effects control thei tur leh i mit venhim thei tur treatment a awm . Mit lam doctor-te chuan i enkawlna tur ruahmanna chu i dinhmun angin an siam ang. Enkawlna kawng khat aia tam i mamawh thei a, injection aṭanga operation thlengin .

Hetiang `(RVO)` hi chi hrang hrang a awm em?

Ni e, RVO hi chi hnih a awm a, chungte chu: 1. Central retinal vein occlusion (CRVO) : Hei hi retina chhunga thisen kalna kawng lian ber a inkhar na hmun a ni. 2. Branch retinal vein occlusion (BRVO) : Hei hi thisen kalna bulpui nena inzawm branch vein te tak te pakhat emaw a aia tam emaw a block na hmun a ni. Hetiang chi hi a tam ber a ni.

He `(RVO)` dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan RVO hi kan retina tibuaitu natna langsar ber pahnihna a ni a, zunthlum kaihhnawih retinopathy hnuaiah a awm. Khawvel pumah zirchiangtute chuan:

• He natna (Retinal Vein Occlusion) hian mi maktaduai 16 chuang a tuar tawh a ni.
• Central retinal vein occlusion (CRVO) hi mi 1,000 zinga 1 leh 4 inkar a ni.
• Branch retinal vein occlusion (BRVO) hi mi 1,000 zinga 6 leh 12 inkar a ni.

Heng statistics te hian, hei hi thil awm lo tak ni mahse, mi tam tak a nghawng tih a tarlang.

`(RVO)` a lan chhuah dan chu engte nge ni?

`(RVO)` chhinchhiahna hi mit pakhatah chauh a lang tlangpui. Hengte hi a lan chhuah dan berte chu an ni:

• Blurred vision or loss of vision : Hei hi a thleng thut thei a, darkar engemaw zat emaw ni engemaw zat emaw chhungin zawi zawiin a pung thei bawk.
• Floaters : Hei hi a dum te te emaw, streak emaw te, i en chuan a inher kual ang maia lang te an ni.
• Mit chhunga natna emaw, pressure emaw hriat : Hei hi natna khirh takah chuan a tam hle.

Mahse hetah hian hriat reng tur thil a awm. A châng chuan, a side effects a awm hma loh chuan symptoms i nei thei lo . Mi thenkhat tan chuan doctor hian mit enfiahna pangngai (routine eye exam) an kal hma loh chuan harsatna an nei tih pawh a hre lo.

Engvangin nge hetiang `(RVO)` hi a lo awm? A chhan engte nge ni?

Hetiang dinhmun thlentu ber chu retinal vein kal tlanga thisen kal dan pangngai a tihkhawtlai vang a ni. He harsatna hi chhan hrang hrang avangin a thleng thei a ni:

• Thisen chhuak a ni .
• Thisen kal dan slow .
• Retinal vein leh retinal artery te chu an inzawm khawm a, chutah chuan artery chu a compress a ni. Ngaihtuah teh, he artery hian retina chu thisen thianghlim, oxygen tamna a pe a ni. I tar chhoh zel emaw, artery wall-a plaque awm vang emaw hian he artery hi a tawi thei a, a hnuaia vein chu a compress thei bawk. Hei hian vein chhung lam bang a tichhe thei a, thisen zam a tipung thei a ni.

He `(RVO)` hi tuin nge vei theihna chance sang zawk?

Kum 40 chunglam hi risk factor lian tak a ni. RVO hian kum 50 leh 60 inkar te a nghawng tlangpui. Mahse, a chang chuan kum 40 hnuai lam pawh a nghawng thei a, chubakah a hnuaia natna te hi i neih chuan RVO vei theihna a sang zawk bawk:

• Atherosclerosis natna a ni
• Zunthlum natna
• Glaucoma natna a awm
• Thisen sang a sang

Thil dang pakhat chu, mit pakhatah RVO i neih tawh chuan mit dang pawhin a neih theihna chance a sang zawk.

`(RVO)` hian eng side effect nge a neih theih?

Retinal vein occlusion (RVO) hian harsatna a thlen thei a, chungte chu:

• Cystoid macular edema : Hei hi i mit (retina) lairil, macula (macula) a lo hring chhuak thin a ni. Hei hian mit a ti fiah lo thei a, mit a tidel thei bawk.
• Mit Neovascularization : Mit chhung hmun hrang hrangah, a bik takin iris (rubeosis iridis) velah thisen kalna kawng thar, chak lo tak tak a lo awm thei a ni. Hetiang dinhmun hian RVO vei mi pali zinga pakhat vel a nghawng a ni. Mit neovascularization hi retina-ah a awm lo hle.
• Vitreous hemorrhage: Hei hi mit chhunga jelly ang chi thila thisen a luang lut (vitreous humor) a ni . Thisen kalna kawng thar, pangngai lo tak tak lo piangte hi a chak lo hle a, thisen a leak thei bawk.
• Neovascular glaucoma : He mit chhunga thisen kalna kawng thar siam hian mit chhungah pressure sang tak a thlen thei a, chu chuan natna a thlen thei bawk.
• Retinal detachment : Retina chhunga thisen kalna kawng thar a lo awm avangin retina hian a supporting tissue atang hian a inhnukdawk thei a ni.

RVO vei te hi RVO nei lo te aiin rilru lam natna , stroke ang chi te an vei theihna a sang zawk. Hei hi risk factors common underlying risk factors, thisen sang leh atherosclerosis te vang pawh a ni thei.

Engtin nge he `(RVO)` dinhmun hi i hriat theih?

Mit lam doctor-te chuan mit enfiahna leh retinal imaging test hmangin RVO hi an hmuchhuak ṭhin. Tin, i primary care physician (PCP) nen pawh he thisen kal dan chungchanga harsatna awm chhan hi an zawng chhuak bawk.

Mit enfiah a ni

I mit doctor chuan i mitmeng chu a tizau ang a, i mit chhung lam a en ang. Hei hian i mit hnung lama thil awm chu chiang takin a hmu thei ang. Microscope bik leh ophthalmoscope an hmang ang a, chu chu an lu-ah an vuah a, i mit chhung lam an en ang. Chumi hnuah chuan i mit chhung lam chu harsatna emaw, i mit hmuhna tihchhiat emaw a awm leh awm loh an en thei ang. He test hian hetiang hian a hrilh thei che a ni:

• Hei hi ``Central RVO'' nge ``Branch RVO'' tih hriat chian.
• Mit hmuhna hmunpui (center of vision) a lo hring (macular edema) a nih leh nih loh leh thisen kalna kawng dik lo thar a lo awm leh awm loh zawng rawh.
• Retina-a thisen pek tlem dan tehfung siam rawh.

`(RVO)` dinhmun dik taka hriat a, chhiatna a thlen nasat dan hriat a, test dang neih belh a ngai mai thei.

`(RVO)` hriat theihna turin test a nei

I mit doctor chuan i dinhmun dik tak hriat theih nan heng test zinga pakhat emaw a aia tam emaw a hmang thei ang:

• Fundus photography: Hei hi mit chhungah thisen kalna kawng thar a awm leh awm loh leh thisen engzat nge hloh tawh tih hriat theih a ni.
• Optical coherence tomography (OCT) : Hei hi resolution sang tak hmanga thlalak lakna hmanrua a ni. Macular edema awm leh awm loh enfiah nan hman theih a ni. Retina thickness a teh a, value dik tak a pe bawk. Heng value te hi i dinhmun rei tak enkawlna atan a pawimawh hle.
• Fluorescein angiography : He test-ah hian i kut chhunga vein pakhatah dye bik inject a ni. Dye chu mit chhunga thisen kalna kawngteah a kal chuan thlalak-ah chiang takin a lang thin. He test hmang hian retinal vein engzat nge block tih hriat a ni. Tin, retina atanga thisen tling lo zat a lantir thei bawk.

Enkawlna inzawmkhawm (coordinated treatment) a ni

I mit doctor leh i primary care physician (PCP) te chuan i RVO awm chhan chu an zawng chhuak ang a, nakin lawka harsatna i neih theihna tur a ti tlem ang. Tin , thisen test an nei bawk ang a , thil pawimawh tak tak i cholesterol level leh thisen sugar level te an enfiah bawk ang .

`(RVO)` enkawlna tur engte nge ni?

Tunah hian retinal vein occlusion hi tihdam vek emaw, tihdanglam theih dan tur a awm lo. Mahse, mit doctor-te chuan retinal vein occlusion avanga side effects awm thei chu an veng thei a, an enkawl thei bawk. A hnuaia mite hi an ti thin:

• Anti-VEGF injection te pawh a awm bawk
• Steroid injection te pawh a awm bawk
• Laser hmanga enkawlna Panretinal photocoagulation (PRP) tih a ni.
• Vitrectomy hmanga operation tih a ni
• Risk factors enkawl dan tur damdawi

Heng enkawlnate thil tum ber chu:

• I mit hmuhna tihchangtlun, a nih loh leh a nasat loh nan a pawi lo.
• I mit leh mit hriselna tichhe thei side effects te hriatchhuah leh enkawl.
• Nakin lawka harsatna lo thleng tur venna atana risk factors control.

I doctor chuan a tul angin enkawlna hrang hrangte chu a inzawm khawm ang a, enkawlna pakhat zel hun tur a hrilhfiah ang che.

Anti-VEGF injection te pawh a awm bawk

Hei hi macular edema vei tan chuan first-line treatment a ni. VEGF hi vascular endothelial growth factor tihna a ni. Hei hi thisen kalna kawng thar (angiogenesis) tipungtu protein a ni. Mahse VEGF a sang lutuk chuan thisen kalna kawng pangngai lo, leak tak tak a siam thei a, chu chuan a ti na thei a ni. Anti-VEGF injection hian mit chhunga VEGF siam chhuah a titawp a, a hring (swelling) a tihziaawm bawk. I doctor chuan i mit a ti na ang a, damdawi chu i mit chhunga jelly ang chi vitreous humor-ah a inject ang. I dinhmun a zirin kum khat emaw kum hnih emaw chhung chu heng injection te hi a hun takah i pek a ngai mai thei. Heng injection-a tel thei damdawi bikte chu:

• `Aflibercept` tih a ni
• `Bevacizumab` tih a ni
• `Ranibizumab` tih a ni

Steroid injection te pawh a awm bawk

Mit chhunga steroid injection hian a hring (swelling) a ti tlem thei bawk. Mahse, steroid injection hian mit pressure a tisang thei a, mi thenkhatah mitdelna a thlen thei bawk . Chuvangin anti-VEGF injection a that loh chuan second-line treatment atan an hmang thin.

Panretinal photocoagulation (PRP) hmanga tihdam theih a ni.

Hei hi laser surgery a ni. I retina-a thisen kal tlemna hmunah kangmei te te siam a ni. Hei hian thisen kalna kawng thar lo thanglian tura puitu VEGF an tih protein a tihtlem phah a ni. VEGF tihtlem hian thisen kalna kawng thar siam (neovascularization) a veng a, chuvangin mit chhungah thisen a chhuak thei lo. Tin, mit chhunga pressure (intraocular pressure) a awm reng theih nan a pui bawk.

Vitrectomy hmanga operation tih a ni

Posterior pars plana vitrectomy (PPV) hi retinal vein occlusion (RVO) vei, a hnuaia harsatna nei te tanpui thin a ni.

• Mit chhungah thisen chhuak nasa tak a awm chuan (severe vitreous hemorrhage).
• Thisen chhuah hi kar li aia rei a nih chuan.
• Thisen chhuak chhunzawm zel a nih chuan.
• Retina a lo inthen tawh chuan `(Retinal detachment)` an ti a.

He surgery hian mit chhunga jelly ang chi (vitreous humor) chu lakchhuah a, retina chhiatna siamthat a ni.

Risk factors control nan damdawi hman tur

Retinal vein occlusion (RVO) vei tam tak chuan damdawi lam dinhmun bulpui, thisen sang, zunthlum, emaw cholesterol sang emaw an nei a. Heng dinhmunte hian thisen kalna kawng lama harsatna i neih theihna a tipung a ni. I mit lam doctor chuan i primary care physician (PCP) nen thawkdunin i mamawh ang zela enkawlna ruahmanna an ruahman ang. I PCP hian damdawi a pe thei a, chu chu:

• I thisen sang tihhniam rawh.
• I cholesterol level control rawh.
• Harsatna dang a awm chuan hmachhawn rawh.

Hetiang `(RVO)` dinhmun hi ka veng thei ang em?

Retinal vein occlusion (RVO) vei theihna tur hlauhawma i awm tih hriat hi a venna atana hmalakna hmasa ber a ni. I mit lam doctor emaw mit lam doctor emaw nen i risk chungchang leh a tihziaawmna tura i tih theih dan tur sawipui rawh. Tin, i thisen kal dan tichhe thei tur underlying condition eng pawh i primary care physician (PCP) nen inbiakna neih a pawimawh bawk. Chutiang dinhmunte thunun thei tur leh i mit leh i taksa pum pui hrisel taka awm theihna tura puitu tur enkawlna an rawt thei bawk. I risk tihtlem nan thil chiang tak tak i tih theih thenkhat chu hetiang hi a ni:

• I thinlung leh thisen kalna kawng hriselna atana tha ei leh in zawm rawh .
• Exercise hi i nitin thil tihnaah telh la.
• I tan taksa rihna hrisel tak vawng reng rawh.
• Meizial leh zuk leh hmuam thil zawng zawng kha pumpelh rawh.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?

I prognosis hi thil tam takah a innghat a ni. Entirnan, a blockage awmna hmun leh a side effects te. Mi thenkhat chuan mitdelna (permanent vision damage) an nei thei bawk. Mi dangte chuan hun kal zêlah zawi zawiin a ṭhat chhoh theih nân mit hmuhna an nei thei a ni. I mit doctor hi i mimal dinhmun a zirin i beisei tur dik tak hrilh thei tur che tha ber a ni. I doctor chuan vision rehabilitation -ah pawh a refer thei che a, chu chuan mitdelna neia nun dan tur a zirtir che a ni. Entirnan, magnifying glasses leh assistive-computer technology hman dan tur. Nunphung inthlâk danglamna hmachhawn theitu social worker hnênah pawh hruai i ni thei bawk.

Engtin nge ka in enkawl ang?

Retinal vein occlusion (RVO) nena nun hi a buaithlak deuh thei. Heng thilte hi i mamawh mai thei:

• Mit injection vawi tam tak pe thin ang che.
• Laser hmanga enkawlna vawi engzat nge i neih?
• Follow-up appointment-ah kal fo thin ang che.
• I dinhmun emaw, i enkawlna emaw avanga him taka lirthei i khalh theih loh chuan medical appointment-a kal hi a \angkai hle.

Chûng zawng zawng chu a buaithlâkin, a buaithlâk hlein a lang thei a ni. I healthcare team te chu i tanpui turin an awm tih hre reng ang che. I rilru put hmang chu i doctor-te nen sawiho rawh. I dinhmun leh heng thawhrimna zawng zawng hi a pawimawh em em chhan hriat belh theihna tûra ṭanpui theitu thilte chu an rawn rawt thei mai thei a ni. Tin, support group emaw community resources emaw nen pawh an inzawm tir thei che a, chutah chuan nangmah ang bawka thil tawk mekte nen in inbia thei ang. Midang thil tawn atanga zir chhuah leh nangmah ngeiin i thil tawn sawi chhuah hian hei hi awlsam zawkin i enkawl thei a ni.

Engtikah nge damdawi lam thurawn ka lak ang?

I mit doctor chuan checkup emaw, enkawlna emaw tur i rawn luh tam dan tur a hrilh ang che. Symptom thar i neih chuan, i symptoms a danglam a nih chuan, emaw, i treatment plan chungchanga zawhna i neih chuan biak rawh.

Engtikah nge emergency room-ah ka kal ang?

Retinal detachment symptoms i neih chuan 911 emaw i awmna hmuna emergency number emaw ah call rawh. Hei hi medical emergency a ni a, enkawl vat a ngai a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I mit doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng thilin nge ka retinal vein occlusion chhan?
• Eng enkawlna nge ka tan a tha ber?
• Enkawlna tin hian eng nge a thatna leh a that lohna?
• Eng ang follow-up nge ka mamawh ang?
• Engtin nge he dinhmun hian ka mit hmuhna a nghawng?
• Ka thlirna chu eng nge ni?

Kan mit hmuhna atana thisen kalna kawngte hi a pawimawh zia theihnghilh a awl hle. Chu chu kan thinlung, thluak leh taksa peng lian dangte nena inzawm vein leh artery te chauh kan sawi fo vang a ni. Mahse i retina chhunga retinal veins te hi a te hle a, mahse chutiang bawk chuan an pawimawh hle. An block a nih chuan i mit leh mit hriselna atan harsatna lian tak a thlen thei a ni. Chu bakah, i taksa pum puia thisen kal danah harsatna, ngaihven ngai a awm tih hriattirna an ni thei bawk.

I mit hriselna enkawl hian i mit hmuhna chauh ni lovin, i hriselna zawng zawng pawh a humhim thei a ni. Mit enfiahna atan mit doctor hmu fo ang che. Mit lama harsatna emaw, symptom i neih emaw chu hrilh rawh. Chutianga an tih chuan retinal vein occlusion (RVO) ang chi harsatnate chu a hmain an hmuchhuak thei a, harsatna awmte chu a veng thei a, rang takin a enkawl thei bawk.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh atang hian retinal vein occlusion (RVO) hi eng nge a nih, eng nge a thlen theih tih leh a enkawlna tur eng nge awm tih i hrethiam tur a ni. Hlau suh, hlau suh. A pawimawh ber chu, heng symptoms te hi i neih chuan a awmzia a niI mit a fiah lo va, mit a fiah lo emaw, floater emaw i nei nghal a nih chuan mit lam doctor pan nghal rawh. A hmaa hriat chhuah a nih chuan enkawlna hian i mit a chhanhim thei fo thin. Tin, zunthlum emaw thisen sang emaw ang chi condition i neih chuan uluk taka control a pawimawh bawk. Hei hian RVO vei theihna a ti tlem thei a ni. Nun hrisel taka nun leh meizuk loh hi i mit leh hriselna zawng zawng tan pawh a tha hle. Chuvangin, i mit hi enkawl rawh, a chhan chu i thil hlu ber, khawvel hmuh theihna tur a nih avangin!