I mit pawh hetiang hian a awm em? Uveitis chungchang hi han sawi ila!

Mit sen, natna leh mitmeng hring deuh i tawng tawh em? A nih loh leh i mit hmaah thil a lo inhnim pil ang maiin i inhriat ngai em? Hengte hi a chang chuan kan ngaihven vak loh symptom a ni a, mahse mit chhunga inflammatory condition dang engemaw zat chhinchhiahna a ni thei bawk. Chu chu vawiin a kan sawi tur dinhmun, uveitis an tih chu a ni. Hei hi a pawi khawp mai thei a, chuvangin hriat reng a pawimawh.

Uveitis hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, uveitis hi mit layer layer uvea inflammation, a nih loh leh swelling a ni. Camera ang maiin han ngaihtuah teh. Uvea hi camera-ah hian a pawimawh hle. A châng chuan, he inflammation hi idiopathic a ni thei a, chu chu natna hriat tawh engemaw zat avanga lo awm thei tihna a ni. He natna hian mit hmun khat chauh a nghawng thei , a nih loh leh hmun engemaw zat a nghawng thei bawk. A natna hmun azirin a natna lan chhuah dan a inang lo. Mit na, sen, emaw, inflammation emaw i nei thei. A nih loh leh i mit hmuhna a nghawng thei bawk. Mit pakhat chauh a nghawng thei a, mit pahnih chu vawi khatah a nghawng thei bawk. Tunah chuan en teh, kan mit chhungah hian hliam tur hmun a awm tam lo. Chuvangin mit hring tlemte pawhin mit chhung lam pianzia a thlak danglam thei a ni. Mit chhung lam pianzia hi kan mit hmuhna atan a pawimawh hle tih i hria em? Chuvangin he hring dup avanga inthlak danglamna tlemte pawh hian mit hmuhnaah nghawng lian tak a nei thei a ni.

Thil na tak tak thenkhatah chuan uveitis hian mitdelna emaw, mitdelna emaw pawh a thlen thei. Chuvangin hei hi thil awlsam tak a ni lo.

Uveitis hi engtiang chiahin nge a awm?

Hei hi a takah chuan thil awm dan tlangpui a ni. Khawvel pumah hian kum tin mi maktaduai 4 vel, a nih loh leh mi maktaduai 4 velin he natna hi an vei tih hmuhchhuah a ni. United States ang ramah phei chuan kum tin mi 80,000 leh 168,000 inkar vel an awm thin. Hei hi puitling zingah a tam ber. Kum upat deuh deuh hian he natna hi vei theihna a sang chho zel a ni. Naupang tê tê zingah a tlem deuh a, damlo zawng zawng zinga 2% leh 20% inkar naupang an ni.

Uveitis natna lan chhuah dan chu engte nge ni?

Uveitis symptoms hi mit eng hmun nge inflammation hian a nghawng tih ah a innghat tak zet a ni. Specialist-te chuan hmun pawimawh pathum-ah an ṭhen a, chungte chu anterior, intermediate leh posterior te an ni. A châng chuan a peng pathumte hi a nghawng vek a, hei hi panuveitis an ti bawk.

Anterior Uveitis natna lan chhuah dan

Heng pathum zingah hian anterior uveitis hi a tam ber a ni.Hei hian mit iris leh ciliary body a nghawng a ni. Vawi tam tak chu nangmah emaw, midang emaw pawhin a symptoms chu i hmu thei. Heng symptoms te hi:

• Mit na: A na thei hle.
• Mit sen emaw, kang emaw: Mit a sen, a na a, a kang thei.
• Blurred vision: Chiang taka hmuh theih lohna dinhmun.
• Sensitivity to light (photophobia): Eng en harsa, mit chu a sen vek ang maia hriat.
• Mit membrane dum (swollen conjunctiva) a hring chhuak.
• Ring dum pianzia inthlak danglamna: Ring dum, a tlangpuiin a zungpui chu a pianzia mumal lo tak a nei thei.
• Mit hma lama tui dum khawlkhawm (hypopyon) emaw, mit dum vel ring dum emaw.

Intermediate leh Posterior Uveitis awm dan

Middle leh posterior uveitis a awm chuan a symptoms hi nangmah emaw midang emaw tan awlsam taka hmuh theih a ni lo tlangpui. Chu ai chuan symptoms hian i thil hmuh leh i hmuh theih dan a nghawng tam zawk. Heng natna lan chhuah dante hi:

• Mit hmaa thil te te ( floaters emaw myodesopsias) lo inphah lo lang chu a pung a, a nih loh leh a hma aiin a langsar zawk.
• Visual field defects: Mit natna hmun atanga thlir chuan mit hmun thenkhat chu hmuh theih lohvin a awm thin.
• Mit hmuhna a tlahniam .

Uveitis hi engte nge ni?

Uveitis thlentu awm thei tam tak a awm. Mak tak maiin 50% atanga 70% velah chuan mit lam doctor chuan a chhan a hmu thei lo. Hei hian ``idiopathic`` condition a ni tihna a ni. Amaherawhchu, a chhan langsar zualte chu:

• Infection awm thei te
• Taksa pumpui nghawng thei natna dinhmun (Systemic causes) .
• Mit Hliam a awm
• Damdawi thenkhat

1. Hri kai te

Infection chu thil pakhat, hrik ang chi, taksa chhunga lut a, chhiatna a thlen hian a ni. Infection avanga Uveitis awm hian mit pakhat chauh a nghawng tlangpui. Hriselna chi hrang hrang avanga lo awm thei a ni:

• Virus: Virus te, Herpes Simplex Virus (HSV), Varicella-Zoster Virus (VZV), chickenpox leh herpes zoster thlentu, Cytomegalovirus (CMV) te an ni. Vaccine hmanga ven theih natna, Rubella ang chi te pawh an awm thei bawk.
• Bacteria te chu: 1.1.Syphilis leh TB ang chi natna thlentu bacteria.
• Fungi: Molds Candida (candidiasis thlentu) leh Aspergillus (aspergillosis thlentu) te an ni.
• Parasites: Hengte hi ran vulh atanga kai theih che a ni a, a bik takin ui (toxoplasmosis, ui bawlhhlawh hri kai atanga kai theih) leh ui (toxocariasis) atanga kai theih a ni. He natna hi vawk sa tui lo (cysticercosis emaw toxoplasmosis) ei atang pawhin i nei thei bawk.

2. Taksa pumpui tichhe thei thil (Systemic causes) .

A châng chuan uveitis hi mit chauh nghawng thei thil vang a ni lo. Damdawi ei avanga side effect emaw, taksa pum tichhe thei damdawi lam natna lanchhuahna emaw pawh a ni thei. In this case , mit pahnih hi a nghawng fo thin. Uveitis nena inzawm autoimmune leh inflammatory condition thenkhat chu hetiang hi a ni:

• `Inflammatory Bowel Disease ( IBD )`
• `Sarcoidosis` tih a ni
• ` Behçet natna `
• `Lupus (Systemic Lupus Erythematosus - SLE) tih a ni a, a rilru a hah lutuk chuan a rilru a buai em em a
• Tubulo-interstitial nephritis (TINU) natna hi a awm thei lo.

DNA mutation bik `HLA-B27` an tih te hian inflammatory joint diseases an nei thei bawk a, chu chuan uveitis vei theihna a tipung thei a ni. Entirnan:

• `Juvenile Idiopathic Arthritis natna vei te`
• Ankylosing Spondylitis natna a ni
• `Psoriatic Arthritis natna a ni` tih hi a ni
• `Axial Spondyloarthritis natna hi a awm thei lo
• `Enteropathic Arthritis natna a ni` tih hi a ni
• `Reactive Arthritis natna a ni` tih hi a ni

3. Hliam tuar

Mit hliam hian uvea chhunga ruh leh/ emaw thisen kalna kawng a tichhia thei a ni. Hliam a awm chuan kan immune system hian inflammation an tih process hmangin a tidam thin. For this reason , mit surgery hnuah pawh uveitis a awm thei bawk. Mit chhunga thil awm dan inthlak danglamna tenau te, inflammation avanga inthlak danglamna te pawh hian uveitis symptoms a thlen thei a ni. A natna lan chhuah dan nasat dan chu hliam awmna hmun leh a nasat danah a innghat a ni.

4. Damdawi chi hrang hrang

Damdawi thenkhat hman hian uveitis vei theihna a sang thei hle. Entirna thenkhat chu:

• `Cidofovir` tih a ni
• `Rifabutin` tih a ni
• `Bisphosphonates` tih a ni
• `Brimonidine mittui tlakna`
• `Tyrosine Kinase tihkhawtlai te`

Hei hi natna hrik kai theih a ni em?

Uveitis hi mi pakhat atanga mi dangah kai theih a ni lo. Mahse, a thlentu infection thenkhat (e.g. virus, bacteria) te chu kai theih a ni. Tin, rannung atanga mihringa kai theih natna (e.g. toxoplasmosis) avanga lo awm thei a ni bawk a, chuvangin chu pawh chu i hriat chian a ngai a ni.

Uveitis natna avanga harsatna awm thei te chu engte nge ni?

Uveitis natna thlentu ber leh hlauhawm ber chu mitdelna leh mitdelna hi a ni. Hetiang dinhmun hian mit chhungah inthlak danglamna a thlen a, chu inthlak danglamna chu harsatna thlentu a ni. Chung inthlak danglamna thenkhat chu:

• Mit (cataract) a awm
• Cystoid Macular Edema a awm thin
• Retina inthen emaw, retina tihchhiat emaw
• Glaucoma (mit pressure sang avanga mit nerve chhiatna) .
• Mit chhunga pressure sang tak
• Macular pucker - mit atanga lo chhuak (epiretinal membrane) a ni
• Optic nerve a hring leh a chhiat
• Synechiae (hei hi mit iris chu lens emaw cornea emaw a inzawm chuan a thleng thin) .

Engtin nge Uveitis hi hmuhchhuah a nih?

Mit lam doctor chuan uveitis a nei tih a hmuchhuak thei. I natna lan chhuah dan te, i damdawi lam chanchin leh tun hnaia hri kai emaw hliam i neih emaw te pawh a zawt ang che. Chu bâkah, i mit a enfiah thei a, uveitis chhinchhiahna zawng tûrin test bik a nei thei bawk. Uveitis test hi mit enfiah atanga tan thin a ni. Chung zingah chuan visual acuity test leh slit lamp exam te pawh a tel a ni . I doctor chuan mit pressure tehna atan tonometry test leh i mit hnunglam a inthlak danglamna zawng turin optical coherence tomography (OCT) scan a ti thei bawk. Test dang pawh order theih a ni a, chu chu i natna lan chhuah dan leh a chhan nia rinhlelh dan azirin a ni. Entir nan:

• Thisen test: Hengte hian thisen a inthlak danglamna, natna hrik, immune system chhinchhiahna emaw, damdawi lam thil dang emaw a hriat theih.
• Imaging scan: Thluak X-ray emaw MRI (Magnetic Resonance Imaging) scan ang chi thilte hian hmun dangah harsatna zawng turin a pui thei a ni. Imaging scan thenkhatah chuan mit chhunga thisen kalna kawng awmte entir nan dye bik, fluorescein ang chi an hmang thin. Dye pattern tihdanglam hian doctor-te tan uveitis awm chhan chungchangah clues pawimawh tak tak a pe thei a ni.

I symptoms leh condition a zirin test hi a danglam thei a, chuvangin i mit specialist hi i hnena hrilhfiahtu tha ber a ni. Heng test te hi a sawi belh thei ang che a, engvangin nge a recommend tih pawh a hrilh thei che a ni.

Uveitis hi engtin nge enkawl a nih?

Uveitis thlentu tam tak a awm avangin enkawl dan pawh a inang lo thei hle. Uveitis hi damdawi bik a awm lo. Mahse, a thlentu dinhmun thenkhat chu enkawl theih a ni. Chutiang a nih chuan a chhan enkawl hian uveitis chu a tifai thei a ni. A chhan hmuh theih loh chuan i mit doctor chuan standard treatment a hmang thei ang. Enkawlnaah chuan damdawi te, operation te, leh i natna lan chhuah dan tihtlem leh nakin lawka harsatna i neih loh nan hmanraw dangte pawh a tel thei a ni. Symptoms atanga enkawlnaah chuan:

• Pain control: Uveitis hi a na thei avangin natna tihziaawmna tura enkawlna hi a awm fo thin. Hei hian damdawi (cycloplegics) te pawh a huam thei a, chu chuan iris (a bik takin mitmeng) ruhte chu hun engemaw chen a tichhe thei a ni.
• Inflammation tihziaawmna: Damdawi steroid leh nonsteroidal anti-inflammatory drugs (NSAIDs) te hian uveitis vanga natna leh inflammation tihziaawmna kawngah a pui thei a ni.
• Condition-specific treatment: Entirnan, virus enkawltu antiviral damdawi te hian bacteria, fungal, parasitic infection te chu a pui lo.

Enkawlna kawng hrang hrang a awm avangin i mit lam doctor hi i duhthlan tur chungchang sawipui tur tha ber a ni.

Uveitis hi ven theih a ni em?

Vanduaithlak takin uveitis hi a pumpelh kim thei lo. A thlentu thil tam tak chu beisei loh emaw, mithiamte’n an la hriatthiam kim loh angin hna an thawk emaw a ni. Mahse, uveitis thlen thei dinhmun emaw, thil thleng emaw i neih theihna tur tihtlem nan thil tlemte i tih theih a awm. I tih theih ber berte chu:

• Mit harsatna hriat hmasak nan mit enfiah fo la (chu chu kum khatah vawi hnih tal tihna a ni a, a nih loh leh enfiah tam ngai natna i neih chuan a tam zawk tihna a ni).
• Mit hliam venna tur emaw, a nasat lohna tur emaw atan mit venna vuah tur a ni.
• Infection i neih chuan (a theih chuan) a nasat emaw, a darh emaw hmain enkawl hmasa phawt ang che.

Uveitis ka vei chuan eng nge ka beisei ang?

Uveitis i neih chuan i thil tawn chu thil engemaw zatah a innghat ang. A pawimawh zual thenkhat chu:

• Diagnosis leh treatment hmuh theih nan eng chen nge hun a duh.
• Mit chhunga hmun bik a nghawng dan.
• A chhan bulpui (i doctor-in a hmuh theih chuan).
• I hriselna zawng zawng leh natna dang i neih theih apiang.

Heng thilte hian nghawng lian tak a neih theih avangin i mit specialist chuan i beisei tur a hrilh thei ber che a ni. I dinhmun bik leh thubuai chipchiar tak takte nêna inmil tûrin thu hriatte chu a siam thei a ni. Mahni in tanpui theihna tur thil i tih theihte pawh a fuih thei bawk.

Uveitis hi eng nge a hmalam hun?

Uveitis hi mitdelna leh dan anga mitdelna thlentu a ni fo. United States-ah chuan dan anga mitdel zinga 10% thleng chu uveitis vang emaw, a kaihhnawih emaw an ni. Diagnosis leh treatment tihkhawtlai hian result tha lo tak a thlen thei a ni. Chuvangin uveitis symptoms hi ngaihthah loh emaw, "let it go" mai mai emaw a tha ber. I natna hmuhchhuah leh enkawl hmasak i nih chuan hun rei tak chhunga mitdelna i nei tlem zawk. Chutianga i tih chuan i dam kim thei a, mit lama harsatna awm reng tur i pumpelh thei bawk.

Engtin nge ka in enkawl ang?

Uveitis i neih chuan i mit specialist chuan enkawlna kawngah a kaihruai ang che a, i enkawlna kawngah i tih tur a hrilh ang che. I mit specialist thupek zawm a pawimawh hle a, hei hian mit hmuhna hloh reng theihna a ti tlem thei a ni.

Engtikah nge ka doctor ka hmuh ang?

I mit doctor chuan follow-up visit tur a ruahman ang che a, chu chu vawng reng a pawimawh. Heng appointment te hian i doctor chuan i natna lan chhuah dan leh i enkawlna hlawhtlinna a enfiah thei a ni. I doctor chuan eng signs emaw symptoms nge doctor i hmuh tur tih emaw, i neih chuan emergency medical attention i lak tur thu emaw a hrilh bawk ang che. Doctor i hmuh emaw, emergency medical attention i zawn emaw a ngai tih vaukhânna chhinchhiahna ṭhenkhat chu hetiang hi a ni:

• Natna a zual chuan.
• I mit a chhe lutuk emaw, i mit a hloh nghal emaw (a pum emaw, a then emaw) a nih chuan.
• I mit hmaah êng eng (flash of light) i hmuh chuan.
• Floater i hmuh nghal chuan, emaw, floater awmsa chu a chhe zual emaw, a langsar zual emaw a nih chuan.
• Photophobia i neih chuan, chu chu i mit a na emaw, êng êng takah chuan a nuam lo emaw tihna a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• "Eng ang Uveitis nge ka neih?"
• "Hei hi a chhan i hria em? Chuti a nih chuan eng nge ni?"
• "Eng enkawlna kawng nge ka neih? Eng nge i rawt?"
• "Enkawlna hian hlauhawmna emaw, side effect emaw a nei em?"
• "Hei hi enkawl hnuah a rawn let leh thei ang em?"
• "Ka mit venhim nan emaw, mit hmuhna hloh tur ven nan emaw, hetiang thil hi a thleng leh tawh loh nan eng nge ka tih theih ang?"
• "Complication chhinchhiahna ka hriat tur em ni? Chutiang a nih chuan chu chhinchhiahna chu eng nge ni?"

Uveitis ang chi natna i hriat hian hlauhna i nei a, i mit a hloh mai thei tih hriat hi thil pangngai a ni. Mahse i dinhmun siam\hat nan thil tam tak i tih theih a awm. A hmaa hmuhchhuah leh enkawl hian harsatna lian tak tak, permanent vision loss ang chi te chu a veng thei a ni. Chuvangin, uveitis symptoms i neih chuan ngaihthah suh. Diagnosis hnuah mit doctor thupek zawm hi a tha ber tur a ni. I hriatthiam loh thil a awm chuan i doctor zawt rawh. Hnathawhho hi in tanpuina tha ber leh nakin lawka harsatna lo thleng tur venna kawng tha ber a ni.

He thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

Okay, chuvangin kan sawi tawh thenkhat i hriat reng tur chu khaikhawm ila:

• Uveitis hi mit layer layer (the uvea) a inflammation a ni. I mit hmuhna nasa takin a nghawng thei a ni.
• Mit sen, mit na, mit hmuh fiah lo, êng hriatna, emaw i mit hmaa thil inphah hmuh ang chi symptoms i neih chuan ngaihthah ngai suh. A rang thei ang bera mit lam doctor pan rawh.
• Hei hi chhan tam tak a awm thei a; infection, taksaa natna dang, hliam, damdawi thenkhat, etc. A chang chuan, a chhan hmuh tur a awm lo.
• A pawimawh ber chu natna hriat hmasak a, enkawlna dik tak tan a ni. Hei hian harsatna hlauhawm tak tak, permanent vision loss ang chi venna kawngah kawng thui tak a zawh thei a ni.
• I mit doctor thupek leh enkawl dan dik takin zawm rawh. I damdawi kha dik takin hmang la, i doctor appointment pawh skip suh.
• A pumpelh kim thei lo nain, mit enfiah fo te, mit venna (a bik takin hna hlauhawm takah) vuah te, taksaa natna hrik awmte enkawl vat hian he natna hi eng emaw chen a tihziaawm thei a ni.

I mit hi a hlu em em a, chuvangin enkawl hi i mawhphurhna a ni tih hre reng ang che.