I mit chhungah hian hetiang streak hi i hmu em? Angioid Streaks chungchang hi han sawi ila!

Mit doctor hnenah "I mit chhungah heng line te te hi i hmu thei a, Angioid Streaks kan ti a" tih ang chi hi i hre tawh em? A nih loh leh he hming hi i hre chauh em ni? He thu hi i hriat chuan i hlau deuh mai thei. Mahse, lungngai suh. Vawiin hian he natna Angioid Streaks tih hi awlsam tak, hriatthiam theih takin kan sawi dawn a ni.

Angioid Streaks hi eng nge a nih i hria em?

A awlsam zawngin, Angioid Streaks hi i mit retina hnuaia line te tak te, rough tak tak lo lang a ni. Thisen kalna ang deuhin an lang a, mahse a takah chuan thisen kalna kawng an ni lo. I mit doctor-in i mit a enfiah hian an hmu tlangpui. Mit pahnihah hian hmuh theih an ni fo. Mi thenkhat chuan Knapp streaks emaw Knapp striae emaw an ti bawk.

Ngaihtuah teh, i mit chhungah hian `Optic Disc` (chu chu thluak nena a inzawm hmaa optic nerve a tawp ber) a awm a, chuta tang chuan heng streak te hi pawn lam hawiin a inzar pharh niin a lang. Mit chhungah `Bruch's membrane` an tih tissue a lo pian chhuah atanga lo piang an ni. He `Bruch's membrane` hi `Choroid` chhungril khuhna a ni (hei hi mit lama thisen leh chaw tha rawn thlentu thisen kalna kawngte awmna hmun a ni). `Retina` leh `Sclera` inkarah a awm a.

Hetiang natna lan chhuah dan hi engte nge ni?

A tam zawkah chuan angioid streaks symptoms a awm lo. Chumi awmzia chu inthlak danglamna emaw, lungawi lohna emaw i hmu lo thei tihna a ni. Mahse, heng angioid streaks nena inzawm harsatna thenkhat hian a chang chuan mitdelna a thlen thei a ni. Chuvang chuan doctor-te chuan he thil hi an ngaihtuah a ni.

Engvangin nge heng angioid streaks te hi an lo awm?

A chhan ber chu a hmaa kan sawi tawh `Bruch’s membrane`-a crack awm vang a ni. Mi thenkhatah chuan he membrane hi hun kal zelah a thim a, calcium ang chi thil a dahkhawm a, awlsam takin a chhe thei bawk. Chutah chuan heng streak ang chi crack te hi a lo piang ta a ni.

A châng chuan, hengte hi mit hliam vang pawh a ni thei.

Risk factors te chu engte nge ni?

Hriselna lama harsatna engemaw zat a awm a, chu chuan Angioid Streaks a thlen thei a ni. Chûngte chu hriat reng nân, doctor-te chuan acronym PEPSI tih hi an hmang \hin. Eng nge an nih i en ang u:

• P - Pseudoxanthoma elasticum: Hei hi pianphung atanga lo chhuak a ni. Taksa elastic fiber-a mineral awmte a awm vang a ni. He natna hi Angioid Streaks nen a inzawm ber a ni.
• E - Ehlers-Danlos syndrome: Hei hi genetic condition a ni bawk a, taksa connective tissue te a nghawng a ni.
• P - Paget’s disease of the bone: Hei hi ruh natna a ni. Ruh thar siam dan leh a chhe dan a nghawng a ni.
• S - Sickle cell disease: Hei hi rochun natna a ni a, thisen sen (red blood cells) a tibuaitu a ni. Thisen sen (red blood cells) te chu a chhe vek a, thisen kalna kawngah a tang thei a ni.
• I - Idiopathic conditions: Hengte hi a chhan chiang tak hmuh theih loh conditions an ni . Chûngte chuan i thisenah hemoglobin (i thisen sen ṭhenkhat) emaw, collagen (connective tissue-a thil pawimawh tak) emaw a nghawng thei a ni.

A pawimawh ber chu, Angioid Streaks lo awm tur chuan PEPSI-in a sawi natna zawng zawng i neih a ngai lo. Hengte hi a kaihhnawih theih natna lian ber berte an ni.

Risk factor dangte pawh a awm thei

Heng damdawi lam dinhmun lian tak takte bakah hian thil dang engemaw zatin Angioid Streaks vei theihna a tipung thei a ni:

• Tar: Kum upat deuh deuh hian Bruch’s membrane a inthlak danglam thei.
• Mit hliam: Kan sawi tawh ang khan hengte hi mit hliam na tak ang chi thil vang pawh a ni thei.

Angioid Streaks avanga harsatna awm thei te chu engte nge ni?

Angioid streaks neih hi a tlangpuiin a hlauhawm lo nain, a chang chuan harsatna a thlen thei a, chu chuan i mit a tichhe thei a ni. Hengte hi a hlauhawm em em a ni.

Harsatna lian ber pahnih a awm a, chungte chu:

1. Choroidal neovascularization: Hei hi retina-a thisen kalna kawng thar, hrisel lo lo thang lian a ni . Chûngte chu buh ang mai an ni a, mit tân a ṭha lo. Thisen an chhuah emaw, tui an leak emaw thei a, mit a fiah lo va, a tidanglam thei bawk.

2. Subretinal hemorrhage: Heng thisen kalna kawng chak lo tak tak lo piang tharte hi retina hnuaiah a rupture a, thisen a chhuak thei. Hei hian mit hmuhna a tichhe thei bawk.

Hetiang harsatna a lo thlen chauh hian i mit chu a tichhe tan emaw, a tlahniam tan emaw a ni.

Engtin nge hei hi hriat chhuah a nih? Eng test nge tih thin?

A tam zawkah chuan i mit doctor hian mit enfiahna pangngaiah heng angioid streaks te hi a hmuchhuak thei a ni. Mahse, i dinhmun dik tak hriat chian nan, natna dang tihbo nan leh harsatna a awm leh awm loh hriat nan i doctor chuan test tam zawk neih a duh mai thei. A châng chuan, i dinhmun a danglam dân hriat nân heng test te hi a hun hunah tih nawn leh turin an ti thei che a ni.

Test chi hrang hrang tih a ni

Imaging test tih ber berte chu:

• Fluorescein angiography hmanga enfiah a nih chuan:Hei hian i kut chhunga vein pakhatah dye bik inject a huam a ni. Tichuan, i mit chhunga thisen kalna kawng hrang hranga dye a kal laiin camera bik hmangin thlalak a la a ni. Hei hian i thisen kalna kawnga harsatna awmte chiang takin a hmu thei a, chu chu thisen kalna kawng thar ang chi hi a ni.
• Optical coherence tomography (OCT): Hei hi mit chhung lam scan ang a ni. Light beam hmangin mit chhung lam cross-sectional picture a la thin. Retina layer thickness te, fluid buildup te, thisen kalna kawng thar te ang chi thil a en thei a ni.
• Fundus autofluorescence: He test hian mit chhunga awm, natural substance lipofuscin an tih hmangin mit chhunga cells inthlak danglamna leh chhiatna te chu a hmuchhuak thin.

Heng test atanga information i hmuhte atang hian doctor chuan eng enkawlna nge i mamawh tih a rel ang.

Angioid Streaks hi enkawlna a awm em?

Angioid Streaks hi enkawlna bik a awm lo. Chu chu tunah hian streaks hi damdawi a la awm lo tihna a ni. Mahse, a pawimawh ber chu an avanga harsatna lo awmte enkawl hi a ni a, a hnuaia awm thei tur (PEPSI list-a awm ang chi) te pawh enkawl hi a ni.

Complication awm thei enkawlna bik

Kan sawi tawh ang chi ``choroidal neovascularization'' (i.e. thisen kalna kawng thar, duh loh siam chhuah) i neih chuan i doctor chuan heng ang enkawlna hi a rawn rawt thei ang:

• Photocoagulation: Hei hian laser hmangin duh loh thisen kalna kawng a tichhia a.
• Photodynamic therapy (PDT): Hei hi i taksaah êng sensitive damdawi bik pek a ni a, chutah chuan i mit chhungah light beam bik direct-in i duh loh thisen kalna kawngte chu tihchhiat a ni.
• Anti-vascular endothelial growth factor (anti-VEGF) damdawi: Hengte hi damdawi hman tam ber a ni. Anni hian mit chhunga jelly ang chi tuiah damdawi bik, vitreous humor an tih chu an inject a ni. Heng damdawi te hian thisen kalna kawng thar lo thang chakna a control a. VEGF inhibitor an ti bawk. Heng injection te hi thla tin emaw, a tul angin emaw tih nawn leh a ngai mai thei.
• PDT leh anti-VEGF damdawi hman dun: A chang chuan heng enkawlna pahnih hi hman dun theih a ni.

Enkawlna hian side effect/complication a nei em?

Damdawi dang ang bawkin heng enkawlnate hian nghawng tha lo emaw, harsatna emaw engemaw zat a nei thei a ni. Chu pawh chu hriat chian a tha.

• Laser hmanga thlalakna (photocoagulation):Hei hian hun rei lote chhungin mit a tifai thei a, mahse a chang chuan tissue hrisel a tichhe thei a, retinal hemorrhages leh central vision hloh a thlen thei bawk.
• Anti-VEGF damdawi: Heng injection atanga side effects hi hun rei lote chhung chauh a ni tlangpui. Mit na, sen, mittui tlak, leh floater te pawh a tel thei. Injection apiangin mit natna khirh tak vei theihna a tlem hle.
• PDT enkawlna: Hemi hnu hian ni zung kang hi rei lo te chhungin a pung thei a ni. Hmuhnaah hian mitdelna hmun a awm thei bawk. Light-sensitizing drugs-ah hian allergy a awm thei a, a tlem berah chuan thisen kalna kawng thar, duh loh zawng a lo awm thei bawk.

Enkawlna tur rawtna i neih chuan i doctor nen a thatna, a chhiatna leh a nghawng tha lo awm thei te ngun taka sawiho a pawimawh hle.

Angioid Streaks ka neih chuan eng nge thleng?

Angioid streaks chauh i neih chuan, chu chu harsatna dang a awm loh chuan chutiang chuan a hlauhawm lo tihna a ni. Mahse, mit hliam i neih chuan mit lam doctor pan ngei ngei tur a ni a, enkawl tur a ni.

I angioid streaks thlentu underlying systemic condition i neih chuan i doctor-in a enkawl dan zawm a, a tul anga mit enkawlna i neih a pawimawh hle.

Hei hi ven theih a ni em? Engtin nge a hlauhawmna chu tihziaawm theih ang?

Damdawi lam dinhmun hnuaia awm avanga angioid streaks lo awm hi ven theih a ni lo. Mahse, mit hliam avanga lo awmte chu i veng thei a ni.

Hetah hian i mit venhim hi a pawimawh ber a ni. Mit venna hmanrua bun hian:

• Machinery emaw mit ti na thei thil emaw (e.g. welding, grinder hman, thing hnathawh) hmanga hnathawh hunah.
• Motor khalh lai (helmet-a visor awm).
• Infiamna hahthlak deuh deuha inhmang (e.g. cricket khelh, a bik takin bat vuak, fielding) kan tih hian.
• Huana hnathawh hunah, a bik takin thinghnah hnah leh thinghnah tihfai hunah.

Doctor hmuh hun tha ber berte chu engte nge ni?

Mit enfiah nan mit lam doctor pan fo a tha. Mit natna emaw, mit tichhe thei thil dang emaw i neih chuan doctor pan fo a ngai mai thei.

Heng mit lama harsatna te hi i neih chuan mit lam doctor pan nghal rawh:

• Mit na i neih chuan.
• Mit hmuh danah inthlak danglamna (e.g. blurring, distortion, dark spots) i neih chuan.

Chutiang a nih chuan doctor pan nghal emaw, emergency room-ah emaw kal rawh:

• Mit hliam i neih chuan.
• Mit chhunga natna nasa tak emaw thisen chhuak emaw i neih chuan.
• I mit hmuh chu a bo nghal emaw, a thim hle emaw a nih chuan.

Doctor/doctor hnena zawhna zawh tur

Angioid Streaks i vei tih i hriat veleh i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engvangin nge heng angioid streaks te hi ka neih?
• Eng ang enkawlna nge ka mamawh?
• Heng enkawlnate hian eng side effect nge a neih?
• Eng chen nge ka hmuh ang che?
• Eng specialist dang nge ka hmuh tur (e.g. for an underlying condition)?
• Eng symptom thar emaw, natna zual zel chhinchhiahna emaw nge ka fimkhur tur?
• Hmalam pan zel tur chuan ka dinhmun hi eng ang nge ni ang (prognosis)?

`Lacquer cracks` leh `Angioid Streaks` te hi eng nge an danglamna?

Heng pahnih hi mit i enfiah hian mit chhunga streak ang maia lang an ni. Amaherawhchu, an hmel lan dan leh chhan erawh a inang lo.

• Lacquer cracks: Hengte hi myopic (nearsighted) nasa tak nei te mit ah hmuh tur a awm fo thin.
• Angioid Streaks: Hengte hi a hmaa kan sawi tawh ang chi thenkhat vang emaw, mit tihchhiat vang emaw a ni thei.

A châng chuan heng line te hi a lan dan a chiang lo a nih chuan doctor chuan OCT ang chi imaging test a tih a ngai mai thei a, chu chu a pahnih dik taka thliar hran theih a ni.

A tawp berah chuan take-home message chu

Angioid streaks i neih chuan i hre lo pawh a ni thei. Mit enfiah dan pangngaiah doctor-in a hmuchhuak fo thin. A tam zawkah chuan enfiah mai loh chu tih theih dang i nei lo. Chu chu nghak mai la, an inthlak em tih en mai rawh tihna a ni.

Mahse, a châng chuan i doctor chuan he thil nêna inzawm, damdawi lam dinhmun (underlying medical condition) i nei niin a ngai mai thei. Chutiang a nih chuan test dang neih belh a ngai mai thei.

A pawimawh ber chu hlau lo tur leh i doctor thusawi ngun taka ngaihthlak hi a ni. Eng test nge i neih dawn tih leh result-in eng nge a hrilh ang che tih zawhna zawt ngei ang che. I medical team te chu i tanpui tur leh thutlukna dik siam tura pui turin an awm reng a ni. Mit enfiah fo la, i mit venghim la, harsatna tam tak i neih theihna chu i ti tlem thei a ni.

` Angioid Streaks, Angioid Streaks, Mit Natna, Mit Streaks, Retina, Bruch’s Membrane, Mit hriselna