Mit chhunga thuruk awmte! (Retinal Imaging) hmang hian eng nge i hmuh tak tak?

I mit chhungah eng thil nge thleng tih i ngaihtuah ngai em? A chang chuan mit enfiah tura i kal hian doctor chuan, "I mit chhung lam thlalak kan lak a ngai a ni," a ti thin. Chu chu ``Retinal Imaging'' an tih chu a ni. Hei hi fiahna pawimawh tak a ni.

Chuti a nih chuan hei hi eng nge ni `(Retinal Imaging)`?

Awle, chipchiar deuh deuhin sawi ila. I mit doctor chuan he technology `Retinal Imaging`` tih hmangin i mit chhunga thil nalh tak tak, i mit hnunglam digital thlalak, a nih loh leh thlalak a la thei a ni. He hmun hi retina ( macula tia hriat bawk) leh i mit nerve awmna hmun a ni a, chu chu a pawimawh hle.

A tlangpuiin, mit endikna kimchang tak kan tih hian, emaw, mit natna thenkhat i neih leh neih loh leh engtin nge an control tih hriat nan he test hi kan ti thin. Ngaihtuah teh, heng thlalak atang hian mit natna thenkhat i neih leh neih loh kan hmu thei a, enkawl loh chuan i mit a hloh thei bawk . Tin, eng enkawlna pawh i ei a nih chuan a hlawhtling zia a hmu thei bawk. Kum tam tak chhung heng thlalakte hi a lak chhunzawm zel chuan doctor chuan mit chhunga inthlak danglamna tenau te pawh a hre nghal thei a ni. Doctor chuan eng ang ``Retinal Imaging'' test nge i mamawh tih leh eng chen nge tih tur tih a hrilh ang che.

He test-ah hian eng nge hmuh theih?

Hei hi diagnostic test a ni a, a takah chuan thil tam tak a hmuchhuak thei a ni. He list hi en la:

• Zunthlum kaihhnawih macular edema .
• Zunthlum avanga mit (retina) chhiatna chu diabetic retinopathy an ti a .
• Mit cancer a ni .
• Glaucoma natna a awm .
• Macular degeneration (kum upat avanga macula tihchhiat).
• Macula chhunga khur awm `(Macular hole)` .
• Macula `(Macular pucker)` .
• Mit chhunga tissue pakhat `posterior uvea` inflammation chu `posterior uveitis` an ti a.
• Retinal atanga inthiarfihlim .
• Retinal vein a inkharkhip .

Ngaihtuah teh, heng thlalakte hian hetiang thil hi a lantir a nih chuan i doctor chuan i tan enkawlna dik tak a rawn rawt ang che. A châng chuan hun engemaw chen chu thlalak i la chhunzawm zel a ngai ang (serial imaging) . Hei hi i awm dan leh i enkawlna a hlawhtlin zia en nan a ni.

Engtin nge he retinal imaging test hi tih a nih?

Mit hnunglam digital image lak dan tlangpui pathum a awm a, chungte chu `fundus` (kan sawi tawh ang khan `fundus` hi mit hnunglam a ni). Mit lam doctor te hian heng hmanrua te hi an hmang thin.

1. Color fundus thlalak hmangin engtin nge i hmuh?

Hei hian fundus camera an tih hmanrua hmanga i mit chhung lam thlalak lak a huam a ni. Doctor-te chuan kum sawm tam tak chhung chu he hmanrua hi an lo hmang tawh a ni. Camera-in thlalak a lak chuan êng êng tak i hmu a . Technology thar hmang hian digital picture chiang tak tak, resolution sang tak tak i hmu thei a ni. Camera thenkhat chuan i fundus hmun zau tak an la thei a, a nih loh leh wide-field views an la thei bawk . Hei hian doctor-te chu i retina hmun zau tak chu vawi khatah a hmu thei a ni. Hetiang method hian a thatna lian tak pakhat chu i thisen kalna kawng chiang takin a hmu thei a ni . Hei hian zunthlum kaihhnawih retinopathy ang chi thil hriatchhuahna kawngah a pui thei hle a, chu chuan mit a tichhe thei a ni.

2. Optical Coherence Tomography (OCT) hi eng nge ni?

Hei pawh hi test hman tlanglawn tak a ni. I retina layer hrang hrang, a bik takin macula leh optic nerve te cross-sectional view a la thin. Hei hian retina layer tinte chu a hranin i hmu thei a, a thickness pawh a teh thei bawk. Hei hi zunthlum kaihhnawih macular edema leh macular degeneration ang chi natna hriatchhuahna atan a pawimawh hle.

He test atan hian eng method pawh hmang ila, i tih tur chu chair-ah nuam takin thu la, i hmai chu camera hnaih takah dah mai tur a ni. Doctor emaw midang emaw chuan i hmai leh i hmui dahna tur hmun a entir ang che. A pawimawh ber chu he test chhung hian i mit chhungah engmah a lut lo.

A châng chuan doctor-te chuan a chunga kan sawi dân pakhat emaw, a aia tam emaw chu a rualin an hmang thei bawk. A nih loh leh, he method hmang hian special test dang `fluorescein angiography` tih pawh an ti thei bawk. Hetah hian i kut vein pakhatah dye tlem te te inject a ni. He dye hian i thisen nen i mit chhunga thisen kalna kawngah a kal a. Chumi hnuah chuan chu vessel-ah chuan blockage emaw, harsatna dang emaw a awm leh awm loh chiang takin a hmu thei a ni. Hei hi i mit tichhe lo tur thil tenawm tak a ni bawk.

Test hmain eng nge thleng?

A hmasain doctor chuan he test chungchang leh engvangin nge i tan tih a nih tih a hrilhfiah ang che. I remtihna a dil thei bawk a, i signature pawh a la thei bawk.

Doctor-te chuan i mitmeng (pipils) tihzauh nan drops an dah fo thin.. A chhan chu camera hian mit chhungah thlalak a la a, chu chu black iris an tih window ang maiin a la a, a lian chuan thlalak chiang tak i la thei a ni. He damdawi hi i ei chuan mi pakhatin in lama hruai che a ngai ngei ang. A chhan chu i mit chu a hring deuh ang a, pawn lam a sensitive ang a, darkar tlemte chhung chu i khalh thei dawn lo.

Test neih chhung hian eng nge thleng?

Dik tak chuan `(Retinal imaging)` test pahnih, `fundus photography` leh `OCT` te hi a rang a, a hrehawm lo . Hetah hian thil thleng chu a awm:

• Imaging machine hmaah chair-ah i thu ang. Doctor emaw, assistant emaw chuan i hahdam theih nan a pui ang che.
• I hmui chu chutiang atana ruahman hmunah i dah a ngai a, i hmai chu bar te tak teah zawi zawiin i hmet theih nan i hmai i siam a ngai bawk.
• Doctor chuan camera chu uluk takin a siamrem a, thlalak a la tan ta a ni. Mit pakhatin thlalak a la thin.
• Green light en turin an ti mai thei che . Eng chu a eng deuh a, chuvang chuan i rilru a hah deuh mai thei a, mahse rei lo te chhung chauh a ni.
• Thlalak i lak zawh chuan camera atanga inthiarfihlim turin an ti ang che.

A tlangpuiin he `(Retinal imaging)` test hi minute 5 atanga 10 vel a ni . Mahse, doctor-in `fluorescein angiography` test pawh a tih chuan minute 30 vel a la ngai thei.

Test zawhah engtin nge i awm?

Doctor in i mit ah damdawi a inject a, i mit dum a tizau a nih chuan darkar engemaw zat chhung chu i mit a fiah lo ang a, a sensitive ang . Chuvangin, i mit chu chawlh hahdamna engemaw chen pe rawh. Motor khalh suh, chhiar suh, i phone emaw computer emaw en suh. I chhuah dawna sunglass vuah hi i mit tan a tha.

Hei hi risk a awm em?

Retinal imaging, fundus photography leh OCT te pawh a ni a , a him hle a, a hlauhawmna pawh hriat a ni lo . Doctor tih tur awm chhun chu camera hmangin i mit chhung lam digital thlalak a la thin.

Mahse, fluorescein angiography pawh hi low-risk test a ni a, mahse side effect engemaw zat a awm thei. Entîr nân, i vun chu a sen deuh thei a, a nih loh leh i zun chu a dum emaw, a sen hring emaw a ni thei bawk . Mahse, hengte hi darkar 24 chhungin a bo vek dawn a ni.

A tlem hle a, dye fluorescein hi allergic reaction ( e.g., vun rawng, itching) a awm thei. Anaphylaxis (allergic reaction na tak) vei theihna hi a tlem hle. Fluorescein laka sensitive mite chuan a hnuaia mite hi an tawng thei a ni:

• Luak chhuak thei
• Kawng a vawt
• Heart rate a sang chho zel
• An hmuiah metallic taste (hei hi hun rei lote chauh a awm) .
• Nausea emaw, luak chhuak emaw
• Hriak chhuak

A pawimawh ber chu thil danglam bik i hriat chuan doctor hnenah hrilh nghal mai tur a ni.

Eng ang result nge ka hmuh ang?

He test hian digital retinal images a siam chhuak thin. Doctor chuan uluk takin thlalak te chu a enfiah ang. A lemte chu a kawhhmuh thei che a, a awmzia a hrilhfiah thei bawk. Heng thlalak te hi i medical record-ah dah a ni ang. Chumi hnuah chuan doctor chuan a hnuah a en thei ang a, i mit a inthlak dan chu thlalak thar nen a khaikhin thei ang.

Engtikah nge doctor ka biak ang?

He test i lo kal hmaa zawhna i neih chuan, emaw, test result chungchang hriat belh duh i neih chuan, i doctor zawt hreh suh . I zawhnate chu hlim takin a chhâng ang a, i kalphung zawng zawngah chuan i rilru a hahdam theih nân a ṭanpui ang che.

Hemi atang hian kan hriat reng tur thil (Take-Home Message) .

A awlsam zawngin, `(Retinal Imaging)` hi test hlu tak a ni a, i mit chhung leh a hnunglam hmun nalh tak takte chu a en thei a ni. Hei hi natna engemaw zat, enkawl loh a nih chuan mitdelna thlen thei, a hmaa hriatchhuah leh control nan a pawimawh hle. Mit-ah engmah dah a nih loh avangin hlauh tur a awm lo va, test pumpui chu rang tak leh hrehawm lo tak a ni. He `(Retinal Imaging)` test hi i dinhmun atana a pawimawh zia hriat belh duh chuan i doctor nen inbia ang che. Tichuan hei hi i hrethiam zawk ang.

` Retina, mit enfiah, OCT test, mit natna, mit, mit lam doctor, fundus camera