A châng chuan kan mitmenga inthlâk danglamna tê tê kan hmuh hian kan hlauthawng deuh ṭhin a ni lawm ni? A bik takin thil a danglam deuh tan chuan. Chutiang dinhmun pakhat chu
macular pucker an ti a . Mahse, lungngai suh, awlsam takin sawi ila.
Hei hi eng nge ni tak tak (Macular Pucker)?
I mit kha camera angin ngaihtuah rawh. He camera hnung lamah hian bang a awm a, chu chu
retina kan ti a ni. Image i hmuh zawng zawng hi he retina-ah hian record a ni a, film ang maiin. He retina lai takah hian hmun te tak te, sensitive tak mai,
macula , a awm a. Thil kan hmu chiang a, chiang takin, lehkhabu kan chhiar a, lehkha kan hre thei a, hei hi he macula vang hian a ni. Tunah chuan, he ``Macular Pucker`` an tih dinhmunah hian thil thleng chu macula chungah chuan cellophane layer, emaw, membrane te tak te, emaw
scar tissue emaw a awm a ni. Doctor te pawhin hei hi
``Epiretinal Membrane (ERM)`` an ti a, mi thenkhat chuan
``Cellophane Maculopathy`` an ti bawk. He membrane hi a lo tlem zauh zauh a, a hnuaia macula pawh a inzawm khawm a, a hrual bawk a, puan hnah ang maiin a inzawm khawm bawk. Chu chu ``Macular Pucker'' emaw 'macular puckering'' emaw an tih chu a ni.Hei hian mi zawng zawng tan mit lama harsatna lian tak a thlen lo a, mahse a chang chuan thil i hmuh dan a tidanglam thei a, a tidanglam thei hle.
Hetiang dinhmun hi engtiang chiahin nge a awm?
He `(Macular Pucker)` tih hi a takah chuan i ngaihtuah aiin a tam zawk. Tun hnaia zirchianna an neihah chuan ram thenkhata mipui zinga a tam zawk chuan he natna hi an nei thei tih hmuhchhuah a ni.
Kum upat deuh deuh hian he natna hi a vei theihna a sang chho zel a ni. Mahse thu lawmawm tak chu `(Macular Pucker)` nei zawng zawng hian mitdelna an nei vek dawn lo.
Hei hi eng symptoms nge ni? Engtin nge i neih leh neih loh i hriat theih ang?
Chumi chhinchhiahna ber chu i
central vision a tichhe vek a ni. A bik takin, line dinglam, window frame, kawngkhar frame, leh lehkhabu chhunga line awmte chu
a inzawm emaw, a hrual emaw angin a lang. Doctor-te chuan hei hi
``metamorphopsia'' an ti bawk.Tiled floor i en laiin tiles inkar line dinglam chu a hrual ang maiin han ngaihtuah teh. Hei hian mit pahnih a nghawng thei a, mahse a tlangpuiin mit pakhat chauh a nghawng a ni. Mit pahnihah pawh nise, mit pakhat chu a dang aiin a na deuh mai thei. A hmel hring (wrinkled appearance) bakah hian hetiang hian i tawng thei bawk:
- I thil en chu eng ang pawhin hnaih mah la, a hma angin a chiang lo.
- A chang chuan thlalak pakhat chu pahnih (double image) angin a lang thei bawk.
- Mit pakhata lem hmuh chu mit dang aiin a lian zawkin a lang thei.
A pawimawh ber chu he ``Macular Pucker'' avanga mit hloh hi
glasses vuah hian siamthat a ni lo. Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
A awlsam zawngin sawi ila, macula-a film siamna thlentu thil engemaw zat a awm a. A chhan lian ber ber thenkhat chu hetiang hi a ni:
- Retina-a khur emaw, tear emaw a awm.
- Tun hmaa retinal detachment history nei tawh.
- Mit surgery hmasa (entir nan, mitdel surgery).
- Mit Trauma a ni.
- Mit chhunga natna hrik awm thin.
- Zunthlum avanga mit natna (Diabetes-related retina disease / Diabetic Retinopathy) .
- Mit chhunga natna hrik awm (Eye inflammation / Uveitis ) .
Thil dang pakhat chu a chang chuan he `(Macular Pucker)` hi chhan chiang tak awm lovin a thleng thei a ni. `(Idiopathic Macular Pucker)` tih a ni a, a chhan engmah hmuh theih a ni lo tihna a ni.
Hei hi natna hrik kai theih a ni em?
Ni lo, a ni lo tak zet. `(Macular Pucker)` hi natna hrik kai theih a ni lo. Midang hnen atangin i man thei lo va, mi dang hnen atangin i man thei hek lo.
Tute nge hetiang hi vei theihna hlauhawm zawk?
Tar hi risk factor lian tak a ni tih kan sawi tawh a. Chu bakah, macular pucker i vei theihna a sang thei bawk a, chu chu:
- ``Posterior Vitreous Detachment (PVD)`` i neih chuan, chutah chuan vitreous humor ( i mit chhunga jelly ang chi) chu retina atanga inthen a ni. Hei hi i tar chhoh zel chuan a thleng fo thin.
- Tun hmain laser eye therapy , emaw mit surgery dang , mitdel surgery ang chi i lo nei tawh a nih chuan.
- Tun hmaa retinal tear emaw detachment emaw i neih tawh chuan .
- Mit natna uveitis ang chi i neih chuan .
- Diabetic retinopathy i neih chuan .
- Mit hliam na tak a awm tawh chuan .
Hei hian eng harsatna nge a thlen theih?
`(Macular Pucker)` hian
mitdelna engemaw zat a thlen thei . Chu chu i mit hmuhna chu a hlim lo deuh emaw, a thim deuh emaw thei tihna a ni. Mahse
Hei atang hian mitdel vek theihna chance a tlem hle. Chuvangin ngaihtuahawm tur a awm lo. Mahse i mit hmuh danah danglamna i hmu a nih chuan Doctor pan a tha ber. Engtin nge doctor hian hei hi a hriat chhuah?
Mit lam doctor i tlawh hunah i natna lan chhuah dan leh i damdawi lam chanchin a zawt hmasa ang che. Tichuan, i mit chhungah dilating eye drops a dah ang a, i mit chhung lam chu a enfiah ang. Heng drop te hi doctor in i retina leh macula chiang taka a hmuh theih nan hman a ni. Eng test nge tih a nih?
I mit enfiah lai hian i doctor chuan light bik leh magnifying lens hmangin i mit a en ang. Chu bakah, macular pucker i neih leh neih loh hriat theihna turin heng ang test hi an ti thei bawk:- Amsler Grid Eye Test: He test-ah hian lehkha te tak te, a chungah square awmna pek i ni. Horizontal leh vertical line a nei a. Heng line-te hi i en hian, a inzawm khawm, a hring (wrinkled) emaw, square thenkhat a awm loh emaw a nih chuan, hei hian mit lama harsatna i neih leh neih loh hriat theih nan a pui thei a ni.
- Optical Coherence Tomography (OCT) scan: Hei hi camera bik hmanga tih a ni. I retina leh macula thlalak chiang tak tak a la a, cake cross-section ang mai a ni. Cake pakhat atanga thlir ang mai a ni. He OCT scan hian macula, a nih loh leh macular pucker-a wrinkling a awm leh awm loh leh a nghawng dan a hriattir thei che a ni.
Engtin nge enkawl a nih? Engtin nge kan tih theih ang?
Macular pucker zawng zawng hi enkawl a ngai vek lo. I natna lan chhuah dan a na lo va, i mit a nghawng nasa lo a nih chuan i doctor chuan hun engemaw chen chu i dinhmun chu enfiah turin a hrilh thei che a ni . Hei hian mit enfiahna mumal nei tura rawn lut tihna a ni. Mahse, enkawlna a ngai a nih chuan non-surgical leh surgical option pahnih a awm. Surgery tel lova enkawl (non-invasive treatment) .
Operation ngai lo macular pucker tan chuan nitin nun awlsam zawk nan a hnuaia mi hi i ti thei ang:- Glasses thar: Glasses hian macular pucker avanga mit tihdanglamna chu a siam tha kim thei lo nain, prescription thar chuan i mit hmuhna zawng zawng a ti tha thei a ni.
- Eng \ha: Lehkhabu chhiar emaw, hna nalh tak tak emaw i tih hian, êng ṭha taka tih chuan, leh lehkha chhiarna êng hman hian mit tihbuai a tiziaawm thei a ni .
- Magnifying hmanrua te: 1.1.Small print chhiar harsa i tih chuan magnifying glass emaw, hmanraw dang emaw i hmang thei ang.
Surgery hmanga enkawl a ni
Macular pucker hian i mit a tichhe nasa a nih chuan doctor chuan operation neih a rawt thei ang. He surgery hi vitrectomy an ti a , membrane lakchhuah a ni .- This is an outpatient procedure , chu chu damdawi ina awm a ngai lo tihna a ni a, operation hnu ni vek hian in lamah i haw thei bawk.
- He surgery-ah hian mit chhunga incision tenau tak tak engemaw zat siam a, mit chhunga jelly ang chi thil tlemte (vitreous humor) lakchhuah a ni a, macula chunga scar tissue emaw membrane lo awm tawh chu uluk taka lakchhuah a ni bawk. Hei hi surgery nalh tak a ni.
Surgery avanga harsatna awm thei te chu engte nge ni? Ka hlau tur em ni?
Surgery dang ang bawkin vitrectomy-ah hian hlauhawmna engemaw zat a awm. Mahse i medical team chuan chutiang hlauhawmna tihtlem nan theihtawp an chhuah ang. Harsatna awm thei thenkhat chu hetiang hi a ni:- Thisen chhuak .
- Kaichhawng .
- Retinal tear emaw detachment emaw a awm thei .
- Cataract i neih chuan a na zual zel ang.
- Macula (macular hole) ah hian hole a awm a (hei hi a tlem hle).
- Mit-a pressure sang, chu chu glaucoma lo awm tihna a ni .
Mahse, hengte hi a thlen theihna chance a tlem hle tih hre reng ang che, doctor-te chuan he thil hi uluk takin an hriattir ang che. Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?
Vitrectomy surgery i neih chuan operation hnu ni engemaw zat chhung chu i mit a fiah lo deuh thei. I mit a na a, a nuam lo thei bawk. Hei hi thil pangngai a ni. Operation hnuah kar hnih atanga kar li vel chu hnathawhna hmunah emaw, sikul emaw i kal thei tawh dawn lo. Hemi hun chhung hian mit chawlh hahdam a pawimawh. Tin, operation zawhah lirthei khalh nghal loh tur a ni bawk. I mit a lo ṭhat kim theih nan leh surgery aṭanga hlawkna kimchang i hmuh theih nan thla thum vel a ngai thei a ni. Chuvangin dawhthei takin awm rawh. Hetiang thil thleng tur ven dan tur a awm em?
A chang chuan, a bik takin idiopathic macular pucker a awm chuan, a ven dan tur chiang tak a awm lo. Mahse, zunthlum kaihhnawih mit natna venna ( i.e., i zunthlum control-na hnuaia awm reng) leh mit natna laka invenna ang chi thilte hian he natna hi i vei theihna tur a tihziaawm thei a ni. Hetiang dinhmunah hian ka ding a nih chuan eng nge ka beisei ang?
`(Macular Pucker)` vei tam zawk hi enkawl bik a ngai lo tih kan sawi tawh a. I tih tur chu i doctor-in schedule a siam angin mit enfiah reng tur a ni. Tichuan, i doctor chuan i mit leh mit hriselnaah danglamna a awm em tih a hmu thei ang. `(Macular Pucker)` vangin mit lamah harsatna engemaw zat i nei thei a, mahse mitdelna famkim a thlen dawn tih ngaihtuah suh. Chance a tlem hle. Hetiang dinhmun hi ka neih chuan engtin nge ka in enkawl ang?
Macular pucker i nei tih i hriat veleh i mit venhimna atan thil engemaw zat i tih theih a awm a:- Doctor-in mit enfiah hun tur a pekte chu lo thlir ve suh.
- Hriselna pum pui tha tak vawng reng rawh. Chu chu chaw tha ei leh exercise neih fo tihna a ni.
- Mit hriselna tih dan tha zawm rawh. Entirnan, ni chhuahnaah sunglass vuah la, mit i khawih hmain i kut uluk takin silfai la, contact lens i vuah chuan i doctor thupek angin him takin hmang rawh.
- If you smoke , bânsan tum ang che. Meizial zuk hi i mit tan a tha lo. I bânsan theihna tura ṭanpuina i mamawh chuan doctor zawt rawh.
Engtikah nge Doctor ka hmuh ang?
I mit hmuhnaah inthlak danglamna rang tak i hmuh chuan , entirnan, mit hmuhna a fiah lo nghal a, wrinkles hmuh theihna a pung a, a nih loh leh thil tui chungah, a dum ang chi a lo lang a nih chuan, i mit doctor pan nghal rawh. I mitdel ang maia i inhriat thut a nih chuan, emaw, mit na tak i neih chuan emergency room-ah kal nghal la, a nih loh leh Sri Lanka-ah chuan 1990 Rescue Ambulance Service biak rawh.
Ni e, hengte hi dinhmun hrang hrang pahnih a ni. Mahse a natna lan chhuah dan chu a chang chuan a inang thei. Macular pucker leh age-related macular degeneration (AMD) te hi macula tichhe thei natna a ni. Heng pahnihah hian i peripheral vision hi a nghawng lo tlangpui a, mahse i central vision erawh a nghawng thung. AMD-ah chuan macula-a cell te chu an chak lo va, kum upat chhoh zel chuan an chhe vek thin. Macular pucker-ah chuan macula-ah layer a lo awm a, chu chuan a ti hrual (wrinkle) thin. Enkawl dan pawh a inang lo. Chuvangin, macular pucker leh macular hole hi thil inang an ni em?
Ni lo, thil chi hrang hrang pahnih an ni. ``Macular pucker`` chu retina chhunga tissue hrual (wrinkling) a ni. Mahse macula chhunga khur awm chu ``macular hole.`` a niA hming ang bawkin macula-ah hian khur te tak te a awm tak tak tihna a ni. A chang chuan `(Macular Pucker)` neih hian a hnua `(Macular Hole)` neih theihna a tipung a, mahse a tiam lo. `(Macular Hole)` hmuh theiha chhinchhiahna hi `(Macular Pucker)` aiin a na zawk tlangpui. Tin, `(Macular Hole)` pakhat chu zai a ngai fo bawk. A tawp berah chuan thil pawimawh tak tak hriat reng tur thenkhat:
`(Macular Pucker)` tih natna i neih thu i hriat hmasak ber khan hlauhna leh lungkham deuh deuh i neih hi thil pangngai a ni a, chu chuan i mit hmuhna a nghawng thei tih i hriat hmasak ber a ni. Mahse hre reng ang che, `(Macular Pucker)` natna tam zawk hi chuan enkawlna bik a ngai lo. I doctor chuan i duhthlan tur chungchang a sawipui ang che a, i tan a tha ber tur chu eng nge ni tih ngaihtuah turin a pui ang che. A pawimawh ber chu mit enfiah reng reng hi a ni. I mit doctor chuan eng chen nge i mit enfiah tur tih a hrilh ang che. I mit hmuhna lama inthlak danglamna awm apiang, a te ber pawh nise, i doctor hriattir theihnghilh suh. Chutiang chuan tih tur a awm chuan enkawl vat theih a ni. Chuvangin, he thu hi in tan a tangkai ngei ka beisei. I mit kha fimkhur rawh!
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