I mit hmuh chu a laiah a fiah lo em ni? Hei hi macular hole a ni thei!

Mit chhungah, chiang taka kan hmuhna hmunah ngei chuan khur te tak te a lo awm a nih chuan eng nge thleng ang tih i ngaihtuah ngai em? Chu chu vawiin a kan sawi tur dinhmun chu a ni a, macular hole an ti a ni. Hei hi thu hriat tur hlauhawm tak ni mahse, i hriat belh chuan thil tam tak chu i tan a chiang tawh ang. Eng nge a nih, engvangin nge a lo awm, engtin nge kan hriat theih ang, a enkawl dante chu eng nge ni tih i lo en ang u.

Macular hole hi eng nge ni tak tak?

A awlsam zawngin sawi ila, macular hole chu i mit central visual area (Macula)-a hole awm a ni. I mit kha camera angin ngaihtuah rawh. Retina hi camera chhunga film ang mai a ni a, chutah chuan êng a la a ni. Retina lai takah, thil pakhat kan ngaihtuah naah hian a hmun tenau tak, pawimawh tak a awm a. Chu chu macula chu a ni. Lehkhabu kan chhiar emaw, TV kan en emaw, mi hmel kan en hian thil chiang taka kan hmuh theih nan min pui thin.

Chuvangin, he (Macula)-ah hian khur a lo awm chuan, i central vision , chu chu thil i hmuh dan dik tak chu a nghawng ber a ni. Hei hian car khalh leh lehkhabu chhiar ang chi thil a tibuai thei a ni. A tam zawkah chuan hetiang hi mit pakhatah a thleng thin a, mahse a chang chuan mit pahnihah a thlen theihna chance tlemte a awm thin.

Mit chhungah hian jelly ang chi thil pakhat, vitreous humor . A châng chuan he jelly hian a nihna a thlak danglam a, a inzawm khawm chuan macula chu a hrual thei a, hetiang hian khur a siam thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Tunah chuan, ‘Aw, hetiang hi mi tam tak chungah a thleng em?’ tiin i ngaihtuah mai thei. Dik tak chuan United States-a zirchianna an neihah chuan kum tin mi 100,000-ah macular hole vei thar 7-8 vel an awm tih an sawi. Hmeichhiaah a tam zawk . Tin, kum 55 chunglam zingah a tam zawk nachungin, a takah chuan tu chungah pawh a thleng thei.

Macular hole chi hrang hrang a awm em?

Ni e, chi hnih a awm ber.

1. Primary (Macular Hole): Hei hi a takin a lo awm a, mit leh natna dang dang tan pawh a hlauhawm lo.

2. Secondary (Macular Hole): Hei hi mit hliam vang emaw, damdawi lam thil dang, mit chhunga inflammation (( Uveitis )) vang a ni.

Mit lam doctor-te’n macular holes an thliar hrang dan dang pawh a awm a, chu chu staging system an ti a ni.System pakhat hian stage pali a nei a, stage pakhat chu a na lo ber a ni a, stage pali chu a na ber a ni. System thar hian stage pathum a nei a, chu chu test result atanga teh a ni. I mit doctor chuan i macular hole nasat zia a hrilh ang che.

Hei hi eng symptoms nge ni?

Macular hole chhinchhiahna hmasa ber chu:

• Blurred vision : Chiang taka hmuh theih lohna dinhmun.
• Distorted vision: Line dinglam chu tui glass sir lehlamah thil en ang maiin a curved leh wavy angin a lang thei.
• Small print chhiar harsa.

Hun a kal zel a, a lan chhuahna ber chu i mit hmuhna lai takah hmun dum emaw, dum emaw a lo lang hi a ni .

Heng symptoms te hi i neih chuan mit lam doctor pan vat a pawimawh hle .

Engvangin nge hetiang (macular hole) hi a lo awm? A chhante chu engte nge ni?

Mi tam tak tan chuan an tar chhoh zel chuan vitreous humor-a traction vangin macular holes a lo awm thin . Chumi awmzia chu mit chhunga jelly chu kum upat deuh deuhin a tlahniam a, retina lairil ber macula atanga lak chhuah a ni tihna a ni.

Chumi piah lamah chuan a chang chuan hengte hi a thleng thei a ni:

• Mit a trauma vang a ni.
• Mit tichhe thei damdawi dang vang a ni. Entirnan, mit chhunga inflammation nei ((Uveitis)) emaw, hnai taka hmuh theih loh ((Myopia)) .

Tute nge macular holes neih theihna chance sang zawk?

Hetiang dinhmun thlentu risk factor engemaw zat a awm a:

• Kum upa lam : A chhan ber.
• Hmeichhe lam a nih avangin.
• Tun hmaa mit hliam a neih tawh avangin .
• Hmuh lohna nei (Myopia) .
• Mit surgery nei tawh emaw mit inflammatory conditions nei tawh emaw .

Enkawl loh chuan eng harsatna nge awm thei?

Macular hole enkawl loha awm a nih chuan harsatna hrang hrang:

• Loss of vision , a bik takin central vision.
• Macular hole hian retinal detachment a thlen thei a ni .
• Macular hole hi a lian chho zel a.

Engtin nge hetiang chiah hian i diagnose?

Mit doctor i hmuh chuan i chhungkaw medical history leh i medical condition dang i neih te a zawt hmasa ang che. Damdawi i ei apiang (prescription leh over-the-counter-te pawh) i hrilh a ngai bawk ang. Chumi hnuah doctor chuan mit enfiahna kimchang a nei ang a, chutah chuan slit lamp exam pawh a tel ang . I mit a zau ang a, i mitmeng pawh a zau ang a, i mit (retina) pawh uluk takin enfiah a ni ang.

Eng test nge tih a nih?

I mit doctor chuan i retina enfiah nan heng test zinga pakhat emaw a aia tam emaw a ti fo ang:

• Optical Coherence Tomography (OCT): Hei hian mit chhung lam cross-sectional image a la thei a, macula dinhmun a hmu thei bawk.
• Fundus Fluorescein Angiography: Hei hi i kut zungtang pakhatah tui bik inject a, mit chhunga thisen kalna kawngte thlalak lak a ni.
• Fundus Photography: Hei hian mit (retina) thlalak a la thin.

Enkawlnate chu engte nge ni?

Macular holes enkawlna ber leh hman tlanglawn ber chu surgery vitrectomy tih hi a ni . Hei hian mit lam doctor chuan i mit chhunga jelly ang chi (vitreous humor) chu a paih chhuak thin. Chutih rual chuan macula-a pressure undue titu tissue tam lutuk chu paih chhuah theih a ni bawk.

Tichuan, i surgeon chuan i mit chhungah sterile gas bubble a dah ang. Hei hian macular hole awmna hmunah pressure a pe ang a, a dam thlengin chutah chuan a awm reng ang. Ni khat atanga ni sarih chhung hmai hnuai lam i mu a ngai mai thei . Hei hi gas bubble chu a hmunah a awm ang a, hole khar nan a pui ang.

Hliam chungah plaster kan dah ang maiin han ngaihtuah teh, he gas bubble hian a khur chu a tidam thei a ni.

A chang chuan macular hole hi a te lutuk a nih chuan i mit doctor chuan enkawl ai chuan rei vak lo nghah a rawt mai thei. Hei hi a chhan chu a tir lamah chuan macular hole chu a mah chauhin a khar thei a ni .

Vitrectomy surgery hnuah eng harsatna nge awm thei?

Vitrectomy hnua hetiang harsatna hi a awm theihna chance tlemte chauh a awm:

• Retinal atanga chhuak (retinal detachment) a awm.
• Kaichhawng.
• Glaucoma ( mit chhunga pressure sang).
• Thisen chhuak.
• Macular hole hi a inhawng leh thei a, a khar ngai lo thei bawk.

Tin, mitdel surgery nei tawh apiang chu mitdelna vei theihna a awm bawk.Tin, mitdel (cataract) vei emaw, a zual emaw theihna chance a sang hle tura ngaih a ni bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Vitrectomy i neih chuan gas bubble chu a hmunah a awm reng theih nan kar khat vel i lu chu a hnuai lam hawia dah a ngai ang. Gas bubble hi i mit ah kar thum atanga kar riat vel a awm tlangpui . Hemi chhung hian i mit a fiah lo ang. I mit hmuhna a lo ṭhat leh nghet theih nan thla engemaw zat a la ngai thei. A pawimawh ber chu dawhtheihna hi a ni.

Hetiang thil thleng tur ven dan tur a awm em?

Macular hole lo awm tur venna tur a awm lo . Mahse, i risk tihziaawmna tur thil i tih theih a awm a:

• Hnathawh emaw contact sports khelh emaw hunah mit khuhna venna hman.
• Mit enfiah fo thin . Hei hian macular holes a veng thei lo nain, i doctor-in a hriat hma theih nan a pui thei a ni.
• Zunthlum i neih chuan , i thisen sugar level control la, hypertension i neih chuan i mit enkawl rawh.

Macular hole i neih chuan eng nge i beisei theih ang?

Vitrectomy surgery hian hlawhtlinna rate 90% chuang a nei a ni . Mittui te a tlem a, a hmaa hriatchhuah leh enkawl a nih chuan surgery chu a hlawhtling zawk a ni. I mit hmuh hloh tam zawk emaw, a then emaw chu i hmu leh thei mai thei.

Engtikah nge hna/sikul ka kal leh theih ang?

Hnathawh emaw, sikul emaw atanga hun engemaw chen chawlh i lak a ngai dawn a ni. He hun hi i hnathawh chi hrang hrang a zirin a danglam thei. I surgeon hnenah operation hnua i tih tur leh tih loh tur zawt rawh.

Kar ruk atanga kar riat chhung chu i khalh thei lo mai thei a , chutih chhung chuan thlawhna pawh i thlawh thei dawn lo bawk . Hei hi a chhan chu i taksain gas a lakluh theih nan chutiang hun a duh vang a ni. Air pressure inthlak danglam hian mit chhunga bubble chu a ti lian thei a, mit chhunga pressure pawh a hlauhawm thei hle. Chuvangin, he hun chhung hian boruak pressure tidanglam thei thil engmah tih loh tur.

Engtikah nge doctor i hmuh ang?

Mi zawng zawng tan mit enfiah fo a pawimawh. Chu bâkah, i mit hmuhnaah danglamna i hmuh chuan mit doctor pan nghâl rawh . Natna nasa tak i neih emaw, mit i hloh thut chuan damdawi in emergency room-ah kal nghal rawh.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Macular hole i neih chuan doctor hnenah heng zawhnate hi i zawt mai thei:

• Eng ang enkawlna nge i rawt?
• He enkawlna hian eng side effects emaw complications nge a neih?
• Hei (macular hole) hi a lo thleng leh thei ang em?
• Ka mit venhim nan eng nge ka tih ang?
• Ka khalh thei leh thei dawn em ni?

Mit hi a nalh em em a, taksa peng pawimawh tak a ni. Mit natna, macular hole ang chi i nei tih i hriat chuan lungkhamna i neih hi thil pangngai a ni. Mahse, hei hi surgery hi a hlawhtling tlangpui. Hole hi tun hnai leh te tak te a nih chuan result a tha zawk. Chuvang chuan mit doctor pan fo a pawimawh.

A tawp berah chuan i hriat reng tur thilte

Okay, chuvangin, kan sawiho tawh atang hian macular holes chungchangah hian ngaihdan tha tak i neih ka beisei.

A pawimawh ber chu i mit lama danglamna i hmuh chuan mit lam doctor pan nghal tur a ni a, a bik takin central vision blurred emaw straight line crooked anga lang emaw a ni.

A hmaa hriatchhuah a nih chuan enkawlna a hlawhtling zawk a ni. I mit enkawl hi i mawhphurhna a ni. Ngaihtuah buai suh, tunlai damdawi hian heng natnate hi enkawlna tha tak a nei a ni.