Cornea Transplant chungchang zawng zawng hi a awlsam zawngin

Kan mit chu khawvêla inhawng tukverh pahnih ang mai a ni, a dik em? Mahse a chang chuan heng window pahnih hi a hring leh chiang lo tan thin. Accident emaw, infection emaw, damdawi lam thil engemaw avang emaw hian kan mit hmalam a transparent, thin membrane chu a chhe thei a ni. He part hi camera lens ang maia hnathawk hi ‘cornea’ an ti a. He mit (cornea) hi a chhiat chuan kan mit a bo vek tawh mai thei. Chuvangin vawiinah hian ‘Cornea Transplant’ chungchang kan sawi dawn a, chu chuan surgery hmangin chutiang mit chhia chu a paih chhuak a, a hmunah mit hrisel tak a thlak a, mi tam takin khawvel hi chiang takin an hmu leh thei ta a ni.

A awlsam zawngin, mit (corneal transplant) tih hi eng nge ni?

Corneal transplant hi ‘corneal transplant surgery’ an ti bawk. Mizo tawngin ``Keratoplasty'' an ti bawk. He thila thil thleng hi a awlsam hle. I mit (cornea) chhia leh natna nei chu uluk takin mit surgeon-in a la chhuak thin. Tichuan, mithiin a pek chhuah mit (corneal tissue) hrisel tak tak chu a hmunah an dah leh thin.

Darthlalang glass hlui, hrual tawh chu la chhuakin a thar nen thlak ang mai a ni. Surgery zawhah i mitah êng a lut leh ang a, i mit hmuh fiah lo chu a chiang lehzual ang. Hei hi nun tidanglam thei surgery a ni tak zet a ni.

He surgery hi tute nge tih tur?

I mit doctor-in he surgery hi a rawt theihna tur dinhmun engemaw zat a awm. Mi zawng zawngin kan mamawh vek lo. Cornea a chhiat a, i mit a nghawng nasa hle a nih chuan ngaihtuah a ni ber.

A chhan lian ber ber thenkhat chu hetiang hi a ni:

• Fuchs’ dystrophy: Hei hi genetic condition a ni. Cornea chhungril layer chhunga cell awmte chu zawi zawiin a chhe vek a. Hei hian mit (cornea) a ti hring a, mit a ti fiah lo.
• Keratoconus: Hetiang dinhmunah hian mit (cornea) chu a thim a, hmalam pan chuan cone angin a bulge thin. Hei hian mit a tichhe nasa hle.
• Corneal ulcers: Infection na tak chuan mit (cornea)-ah hliam (ulcer) a siam thei. Heng hliamte hi a dam a nih pawhin hliam a hnutchhiah thei a, mit hmuhna a tichhe vek thei bawk.
• Accidental injuries: Thil pakhatin mit a tawlh chuan thil nalh tak chuan a rawn hliam a, mitmeng (cornea) a tichhia a ni.
• Mit zai hmasak avanga chhiatna: A châng chuan, mit zai dang, mit zai lak chhuah hnuah mit (cornea) hi a chhe thei a ni.
• Bullous keratopathy: Hei hi mit (cornea) a lo hring chhuak a, a chung lamah a hring (blisters) a lo awm thin. Hei hian mit na leh mit a tichhe thei a ni.

Hetiang dinhmun hi i neih chuan i doctor hian a enfiah ang che a, mitmeng transplant i mamawh leh mamawh loh chungchangah thutlukna tha ber a siam ang.

Heng surgery chi hrang hrang hi a awm em?

Ni e, a dik tak zet. Tun hma ang lo takin technology a lo thang chho a, chuvang chuan i mit (cornea) a chhiat nasat dan a zirin surgery dik tak i thlang thei a ni. Kan mit (cornea) hian tissue layer lian pathum a nei a. Surgery chi hrang hrang chu heng layer zingah hian eng layer nge enkawl tih a innghat a ni.

He thu hi han en teh. Tichuan hemi chungchangah hian ngaihdan tha zawk i nei thei ang.

Endothelial transplantation tih dan bik a ni

`DSAEK` leh `DMEK` surgery-ah te hian doctor-te chuan mit chhunga membrane dah thar chu a hmunah an vawn tlat theih nan trick tlem an hmang thin. Chu chu mit chhungah boruak bubble an dah lut tihna a ni. Ngaihtuah teh, poster kan dah a, rei vak lo kan vawn tlat hian, he boruak bubble hian mit chhung atang hian membrane thar chu a nawr chhuak thin. Tichuan a stick a, a hmunah a awm reng thin.

Operation hmain engtin nge i inbuatsaih thin?

Surgery hmain inbuatsaihna tlem a awm. Hengte hi hriat lawk a pawimawh hle.

• Doctor nena inbiakna: I doctor chuan i medical history kimchang a zawt ang. Natna dang i neih apiang, damdawi i ei leh allergy chungchangah rinawm takin awm rawh.
• Damdawi ei tawh loh dan: A châng chuan, damdawi ṭhenkhat, thisen tihthianghlimtu ang chi, operation hma ni engemaw zat ei khap turin an ti thei che a ni. Hei hi doctor-in a tih angin ti fo ang che.
• Chaw nghei: Surgery hma darkar engzat nge chaw nghei ngai tih an hrilh ang che. Chumi hun hnuah chuan engmah ei leh in loh tur.
• Transportation: Operation hnuah nangmah ngeiin i khalh thei dawn lo va, chuvangin mi pakhatin in lama hruai che turin ruahmanna siam lawk rawh.

Operation hnuah eng nge beisei tur?

Surgery hi darkar hnih aia rei lo a ni tlangpui. Chumi hnuah chuan observation unit-ah hruai i ni ang a, rei vak loah in lama haw phalsak i ni ang. In lama i haw hnuah heng thilte hi a bik takin i enkawl a ngai dawn a ni.

• Eye Patch: Damdawi in atanga i haw hunah mit patch pek i ni ang. I doctor-in a hrilh che ni zat chiah chu i ha tur a ni. Hei hian i mit a venghim ang.
• Natna leh nuam lo: Ni hmasa berah chuan i mit a sen deuh thei a, a na a, êng a hriat theih bawk. Hei hi thil pangngai a ni. I doctor-in a pek painkiller i ei thei bawk.
• Follow-up: Doctor chuan operation hnu darkar 24-48 chhungin hmuh leh a duh ang. Chutah chuan patch chu lakchhuah a ni ang a, mit chu a dam leh tawh loh enfiah a ni ang.
• Eye Drops: I mit a dam theih nan eye drop chi hrang hrang pek i ni ngei ang. Chung zingah chuan natna hrik laka invenna atana antibiotics te , corticosteroids te, vun natna tihziaawmna tur leh taksain mit ruh thlak (transplanted cornea) a hnawl loh nan te pawh a tel. Heng damdawi te hi a hun takah leh a hun chhung zawnga hman dik a pawimawh hle .
• Thil tih loh tur: Thil hahthlak tak tak, thil rit phurh, ben, etc., mit tichhe thei thilte chu pumpelh tur a ni. I mit chhunga engmah awm theihna tur hlauhawm engmah pumpelh rawh.
• I mit chu hnawih suh: eng chhan pawh niseI mit chu hnawih emaw, hrual emaw suh. Chutianga tih chuan damna a tibuai thei a, transplanted cornea pawh a tichhe thei bawk.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin mit (corneal transplant) hian hlawkna a nei a, chubakah hlauhawmna engemaw zat a nei bawk.

A thatna ber

A hlawkna ber chu mit hmuhna chiang tak siam thar leh hi a ni . Mi tam tak chuan he surgery an neih hnuah hian awlsam takin an nitin hnathawh, lehkha chhiar leh television en te hi an thawk leh thei a ni. Mi thenkhat tan chuan he surgery hian mit natna a tihziaawm bawk.

Harsatna awm thei te

Corneal transplant hlauhawmna lian ber leh pawi ber chu organ rejection a ni.

Hetiang hlauhawmna tihziaawm nan hian mittui tlakna hi rei tak hman a ngai a ni.

Chu bâkah, harsatna dang lo awm thei chu:

• Mit natna a awm
• Thisen chhuak
• Mit chakna sang (Glaucoma) .
• Transplanted cornea atanga fluid leak chhuak
• Retina chu a inthen a
• Mit (cornea) curvature mumal lo vanga mit hmuhna lama harsatna (Astigmatism) .

Taksain mit (cornea) a hnawl chuan eng symptoms nge a neih?

Hei hi i hriat reng tur pawimawh ber a ni . I taksain i mitmeng thlak (transplanted cornea) a hnawl a nih chuan a natna lan chhuah dan hriat a, enkawl hmasak hian i mit a chhanhim thei a ni. Heng chhinchhiahnate hi hre reng ang che:

• Mit na: Natna lo awm thar.
• Redness: Mit chu a hma aia sen deuh deuh a ni.
• Cloudy vision: Vision a fiah leh ta.
• Eng laka sensitivity: Eng en lo lutuka inhriatna.

Eng chen nge a dam kim theih nan?

Hei hi a thlen theih hun chhung hi i surgery chi hrang hrang a zirin a danglam ang.

• Full thickness transplant (PK) tih a nih chuan thla 12 vel a ngai dawn a, full vision a neih leh theih nan.I kal thei ang. A chhan chu a stitches pawh hi rei vak lo hnuah lakchhuah a ni.
• Endothelial transplant (DMEK/DSAEK) tih a nih chuan thla 3 chhungin mit tha tak a awm thei .

I doctor nen lirthei khalh leh hnathawhna hmuna kal ang chi thilte sawipui a, a thurawn atanga thutlukna siam a tha ber.