Contact lens hmang thin i ni em? A nih loh leh, inbual emaw, tui chawi emaw hian mit sen, gritty i nei em? Thil pangngaiah i ngai mai thei. Mahse heng symptoms hnuaiah hian natna khirh zawk, mit tichhe thei pawh a awm thei. Vawiin hian mit natna hmuh tur awm lo, mahse hlauhawm tak `Acanthamoeba Keratitis (AK)` tih kan sawi dawn a ni.
A awlsam zawngin Acanthamoeba Keratitis (AK) hi eng nge ni?
Hei hi a takah chuan kan mit hmun langtlang tak, mitmeng (cornea)-a parasite lo thang lian vanga natna hrik a ni. He parasite hi Acanthamoeba an ti a. Enkawl that loh chuan i mit a tichhe nasa thei a, mit hmuhna pawh a hloh vek thei bawk .
A tlangpuiin mit pakhat a nghawng hmasa a, mahse mit pahnih a nghawng thei. Infection hi cornea (epithelium) chunglam layer atanga tan a ni. Natna a zual zel chuan a chhungril lamah a darh zel a.
He Acanthamoeba hi tu nge ni?
Acanthamoeba hi cell pakhat nei thil nung te tak te, amoeba an tih a ni. Bacterium aiin a complex zawk deuh. Mihring emaw, rannung emaw tel lova a nun kawng a zawh theih avangin scientist-te chuan parasite dik takah an ngai lo. Mahse mihring taksaah vawi khat a luh chuan parasite ang maiin a che thin.
Khawvel pumah Acanthamoeba chi hrang hrang 20 chuang hmuh tur a awm a. Kan chhehvel hmun tinah - tui thianghlim, tui chi, lei, hmun tinah an cheng. Chung zinga chi 8 vel chu natna ``(AK)`` thlentu hmuhchhuah a ni.
He thilsiam chungchanga thil danglam bik chu state pahnih a awm thei hi a ni.
1. Active form: Hetiang form-ah hian a active a, a che vel a.
2. Cyst form: Hetah hian a chhehvelah venhimna tha tak a siam a, rannung hibernation-a kal ang maiin.
He ``(cyst)`` stage hi a hlauhawm ber a ni. A chhan chu he shell chhunga a awm lai hian eng dinhmun khirh tak pawh a tuar thei a ni.
- Temperature sang leh vawt: -20 atanga +56 Celsius inkar a tuar thei.
- Nutrition leh tui tlakchhamna: Room temperature-ah kum 20 vel a dam thei!
- Chemical leh toxins: Parasite te hian damdawi laka invenna pawh an nei thei.
- Ni eng: Ni ênga ultraviolet rays hian microorganism tam tak that mah se, he cyst hian a dam khawchhuak thei a ni.
Hei hi hriat a pawimawh hle a, a chhan chu he thil nung hi kan taksaah hian active takin leh ``cyst'' angin a lut thei a ni. Chuvang chuan kan inven dan tur dik tak kan mamawh a ni.
He natna lan chhuah dan engte nge ni?
Heng symptoms te hi Acanthamoeba organism chu i mit cornea chhunga a luh hian a lo lang thin. A châng chuan heng chhinchhiahnate hi a lo thleng thei a, a kal bo thei bawk. Ni engemaw zat chu an dam tha a, chutah chuan an na lehzual leh mai thei.
A lan chhuah dan ber chu hengte hi a ni:
- Mit na: A chang chuan a na hi a na lutuk a, tuar theih loh khawpin a na thei bawk.
- Foreign body sensation: Mit chhunga thil awm , mahse i hawn emaw i en emaw chuan engmah i hmu thei lo tih hriatna .
- Mit tui (epiphora) a awm.
- Photophobia: Mit hian êng a hriat theihna.
- Mit sen leh inflammation.
- Mit mitmeng chu chhum leh bawlhhlawh angin a lang: Mit mitmengah hian ring ang maia awm i hmu mai thei.
- Blurred vision: Hei hi natna a nasat zawk huna a lan chhuah dan a ni tlangpui.
Engtin nge he natna hi kan kai theih ang?
He natna hi kai theih a ni. Chumi awmzia chu boruak a\angin kan hmu thei tihna a ni. Mahse mi pakhat atanga mi dang hnenah direct-in a kai lo. He Acanthamoeba organism hi kan mit a luh theihna tur kawng 3 a awm ber.
1. Contact Lens hman dan tur
2. Tui bawlhhlawh
3. Mit hliam
Contact lens leh he natna inzawmna
Hei hi a pawimawh ber a ni. `Acanthamoeba Keratitis` vei zinga 90% chu contact lens hmangtu an ni! Chutiang a nih chhan hi eng emaw zat a awm.
- Contact lens hman hun tur aia rei vuah .
- Contact lens dahkhawm leh tihfai huna tap tui hman.
- Contact lens emaw a case emaw uluk taka tihfai loh.
- Contact lens hmanga inbual leh tui chawi.
- Contact lens case bawlhhlawh leh solution hmanga siam.
Pawimawh tak: Contact lens nena inzawm thil engmah atan tap tui hmang ngai suh. Tap tuiah hian chlorine awm mahse Acanthamoeba cysts te tihlum nan a tawk dawn lo.
| Hri kai chhan | Hrilhfiahna |
|---|---|
| Tui bawlhhlawh | Acanthamoeba hi tuiah awlsam takin a dam thei a ni. Tui in tur thianghlim, tui bottle-ah te, swimming pool tuiah te pawh hmuh tur a awm. A tlangpuiin i mit a luh chuan harsatna a thlen lo. Mahse, mit hliam, natna dang i neih emaw, taksa hriselna chak lo emaw i neih chuan i hlauhawmna a sang zawk. |
| Mit hliam a awm | Mit mitmeng (cornea) hi car-a windshield ang a ni. A hrual chuan natna hrik a lut awlsam a, kut zungtang, nail, hnah, bawlhhlawh pawh hian mit a ti na thei a ni. |
Engtin nge natna hi kan hriat theih ang?
A nihna takah chuan he natna hi a tir lamah chuan hriatchhuah a harsa deuh. 75% - 90% vel chu doctor-te chuan a tirah chuan bacteria emaw virus emaw infection awlsam tak niin an ngai a. Hei hi chhan hrang hrang a awm a:
- He natna lan chhuah dan hi mit natna tlanglawn tak nen a inang hle.
- Hei hi natna hmuh tur awm lo tak a nih avangin Doctor ten a tir lamah an ringhlel ngai lo.
- Natna finfiah nan test (corneal scraping emaw biopsy) hi a buaithlak deuh a, damdawi in zawng zawngah hian hmanraw mamawh an nei vek lo.
Mit enkawltu specialist i hmuh hunah i mit an enfiah ang. I mit chhung lam en turin slit lamp exam an ti ang. Chumi hnuah chuan i natna lan chhuah dan leh tun hnaia i thiltih te an zawt ang a, chu chuan i natna chungchang chu an hre thei ang.
A tih dan pangngai chu bacteria/viral infection enkawl hmasak hi a ni. Chu enkawlna chuan a puih loh chuan `(AK)` chu rinhlelh a ni a, chumi atan chuan enkawl tan a ni.
Enkawlnate chu engte nge ni?
Enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu infection tihbo nan a ni a, pakhat zawk chu natna leh symptom dangte tihziaawmna tur a ni. A tirah chuan damdawi hmanga enkawl a ni a, natna a nasat chuan zai a ngai mai thei.
Enkawlna ber chu topical antiseptic drops a ni. Chungte chu Doctor-in a tih ang chiaha hman tur a ni.
Thil na tak tak thenkhatah chuan operation neih a ngai mai thei:
- Debridement: Hei hian mit (cornea) atanga Acanthamoeba organisms te chu a paih chhuak thei a, damdawi pawh a luh awlsam phah thei bawk.
- Corneal transplants: A chang chuan cornea chhia chu paih vek a ngai a, a thar thlak a ngai bawk.
A pawimawh ber chu i doctor thupek dik taka zawm hi a ni. Chutiang a nih loh chuan infection chu a lo let leh thei a ni. ``Cyst'' stage-a awm organisms te hi an active leh thei a, thla tam tak hnuah pawh symptoms an nei thei bawk.
He natna lakah hian engtin nge i inven theih ang?
Hei hi a tam zawkah chuan ven theih natna a ni. A bik takin contact lens i bun chuan heng thilte hi i fimkhur hle tur a ni.
| Do's tih a ni | Tih loh tur |
|---|---|
| Contact lens dahna tur leh tihfai nan special solution chauh hmang ang che. | Tap tui, tui bottle, emaw, hmui emaw hmang ngai suh . |
| I contact lens case kha tifai fo la, thla 3 danah a thar hmang thin ang che. | Contact lens vuah chungin inbual suh, tui chawi suh, inbual suh. |
| Doctor-in a pek hun chhung chauh contact lens vuah tur a ni. | Zanah contact lens vuah chungin mu suh (doctor-in phalna bik a pek loh chuan). |
| Mit natna i neih chuan i hman lai contact lens leh case kha la chhuak ngei ang che. | Mit na, sen, mit fim lo te hi ngaihthah suh. |
Ni engemaw zat aia tam mit natna lanchhuahna i neih chuan doctor pan ngei ngei tur a ni. Enkawlna i tan hma poh leh i mit venhimna chance i nei tha zawk.
Take-Home Thuchah a ni
- Acanthamoeba Keratitis (AK) hi hri kai hmuh tur awm lo mahse na tak a ni a, mitdelna a thlen thei a ni.
- He natna hi contact lens hmang dik lote zingah a awm tam ber.
- Contact lens silfai emaw dahna atan emaw tap tui hmang ngai suh.
- Contact lens vuah chungin inbual emaw, tui chawi emaw chu titawp vek rawh.
- Mit na tuar theih loh, sen, êng hriatna, mit fim lo i neih chuan ngaihthah suh la, doctor pan nghal rawh. Enkawl vat chuan i mit hlu tak chu a chhanhim thei a ni.
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