Khawvel hi a hlimthla ang maiin i inhriat fo thin em? I mit natna leh i mittui tlakna nen hian i mit a tlahniam zauh zauh niin i hria em? Hetiang thil i tawn hian hlauhna nasa tak i neih hi thil pangngai a ni. A tam zawkah chuan hei hi a chhan chu i mit (cornea) tihchhiatna engemaw zat a ni thei. Mahse lungngai suh, tunlai medical science hmasawn tak nen hian hei hi solution tangkai tak tak a awm a ni. Vawiin hian chutiang solution pakhat kan sawi dawn a, chu chu mit (corneal transplant surgery) a ni.
A awlsam zawngin, mit (cornea transplant) tih hi eng nge ni?
Corneal transplant hi surgical procedure a ni a, i mit cornea chhia chu paih chhuakin, chu chu mit hrisel takin a thlak a ni. Hei hi `Corneal grafting` emaw `Keratoplasty` emaw an ti bawk.
Camera ang maiin han ngaihtuah teh. Cornea hi camera lens a ni. Mit hmalam a transparent membrane a ni. Khawvel hi chiang taka kan hmuh theih nan chuan mit (cornea) kal tlangin êng a paltlang a ngai a ni. Engti kawng pawhin mitmeng a chhiat chuan, a hliam emaw, natna hrik emaw, damdawi lam thil dang emaw a chhiat chuan kan mit a fiah lo ang.
Corneal transplant-ah hian he "lens" chhia hi lakchhuah a, mi thiin a pek cornea hrisel tak tak hmanga thlak a ni. Hei hi nun tidanglam thei surgery a ni a, mi tam tak mit hmuhna a siam tha leh ta a ni.
Eng dinhmunah nge mit (corneal transplant) hi a tul?
I mit doctor-in he surgery hi a rawt theihna tur dinhmun engemaw zat a awm. A bulpui berte chu:
- Fuchs’ dystrophy: Hei hi genetic natna a ni. He natnaah hian mitmeng chhungril lama cell awmte chu a chhe zauh zauh a, mitmeng chu a hring chhuak a, mit a ti fiah lo.
- Keratoconus: Hei hi mit (cornea) pianzia a inthlak a, hmalam pan a, cone ang maia bulge a awm thinna a ni. Hei hian mit hmuhna a tichhe thin.
- Corneal ulcers: Infection, a bik takin bacteria emaw viral infection emaw chuan mit lamah ulcer a siam thei a, hliam a awm thei bawk.
- Accident: Mit-a vuak emaw, thil hrual emaw, chemical luang chhuak emaw hian mitmeng (cornea) a tichhe nasa thei a ni.
- Mit surgery hmasa avanga chhiatna: A chang chuan mit surgery dang avanga side effect angin mitmeng hi a chhe thei a ni.
- Bullous keratopathy: Mit (cornea)-ah hian blister ang chi a lo hring chhuak thin.
Hetiang dinhmunah hian mitdel, mit na, êng en theih lohna ang chi symptom i neih chuan doctor pan nghal a , thurawn dil a pawimawh hle.
Corneal transplant chi hrang hrang lian ber berte chu engte nge ni?
Cornea layer chhia a zirin i doctor chuan i tana tha tur surgery chi hrang hrang a ruat ang. Surgery hi chi thum a awm a.
| Surgery chi hrang hrang | A awlsam zawngin sawifiah a ni |
|---|---|
| Total Corneal Transplantation (Penetrating Keratoplasty) hmanga mittui tlakna (Penetrating Keratoplasty) tih a ni. | Hei hi hmanlai kalphung a ni. Hetah hian mitmeng chhia, chu chu a pawn lam, a lai leh a chhung lam a thuk zawng zawng chu a zungbun angin an tan a, an la chhuak a, mitmeng hrisel tak, a lian leh te chu an thlak a, an suture bawk. |
| Deep Anterior Lamellar Keratoplasty (DALK) hmanga hmalam hun thuk tak (DALK) hmanga tih a ni. | I mit (cornea) chhiatna chu pawn lam leh a laiah chauh a awm a, a chhung lam (endothelium) chu a hrisel a nih chuan he surgery hi tih a ni. Hei hian layer chhia pahnih chauh lakchhuah a, tissue hrisel hmanga thlak a huam a ni. |
| Endothelial Keratoplasty (DMEK/DSAEK) hmanga tih a ni. | A chhiatna chu mit chhung lam layer chauh (e.g. Fuchs’ dystrophy) a nih chuan he method hi hman a ni. Hetah hian a chhung lam layer chhia chauh chu lakchhuah a ni a, a hmunah chuan layer hrisel te tak te tak te chu dah a ni. Stitch a tlem hle. Mit chhungah air bubble dahin, transplanted membrane chu a hmunah a vawng tlat a ni. |
Endothelial Keratoplasty surgery chungchanga thil danglam tak
`DMEK` emaw `DSAEK` ang chi surgery i neih chuan ni hmasa ber atan special instruction pek i ni ang. Chu chu mut leh chawlh laia hmai chunglam mut tihna a ni. Chutianga i tih chuan mit chhunga air bubble dah chuan mitmeng (cornea) dah thar chu a hmunah a awm reng theih nan leh a hmunah a vawng reng thei a ni. Hei hi surgery hlawhtlinna atan a pawimawh hle.
Surgery hma leh operation hnua kan hriat tur thilte
Surgery hmaa inbuatsaihna
I doctor leh anesthesiologist te chuan i hriselna chanchin an enfiah ang a, surgery chungchanga zawhna i neih apiang an chhang ang.
- Damdawi i ei zawng zawng chu i doctor hnenah hrilh rawh. Damdawi thenkhatah chuan operation hmain i ei tawh loh a ngai mai thei.
- Operation hmaa ei leh in tihtawp hun tur an hrilh ang che.
- Operation zawhah i khalh thei dawn lo a nih avangin mi pakhatin in lama hruai tur che chu ruahman lawk rawh.
Operation hnua enkawl tur thil
Surgery hi darkar hnih aia rei lo a ni tlangpui a, chumi hnuah chuan in lamah i haw thei a ni.
- Mit venna: Mit hi a sen a, a na deuh a, a sensitive thei bawk. Doctor-in a tih angin eye patch hi hmang rawh. I mit kha rub leh press ngai suh.
- Damdawi: Mit (mit drops) hi natna hrik laka invenna atan te, a hring (swelling) tihziaawmna atan te, taksain mit (cornea) thlak (transplanted cornea) a hnawl loh nan te pek thin a ni. Heng damdawi te hi kum khat emaw a aia rei emaw hman a ngai mai thei.
- Thiltih: I mit hlauhawma siam thei thil, thil rit phur leh tlan emaw, zuang emaw ang chi thiltih chu rei lo te atan i chawlhsan a ngai mai thei. Hemi chungchangah hian i doctor chuan thurawn a pe ang che.
- Medical Checkups: Doctor chuan operation atanga darkar 24-48 chhungin follow-up appointment a ruahman ang. Clinic-ah hian hun ruat saah kal ngei ngei tur a ni.
He surgery hian hlawkna leh harsatna awm thei te chu engte nge ni?
A hlawkna ber chu khawvel hi chiang takin i hmu leh thei a, chu chu a hmaa a hlimthla a ni. Chumi nena lo kal hlimna chu a hlu hle. Hei hi a tlangpuiin surgery him tak a ni.
Mahse, operation dang ang bawkin harsatna a awm thei a ni.
A hlauhawm ber chu organ/cornea rejection a ni. Chumi awmzia chu kan taksa invenna (immune system) hian mit (cornea) thar chu ‘ram dang’ tiin a hre chiang a, a do thin tihna a ni. Eye drop hman chhunzawm zel tumna chu he hlauhawmna tihtlem hi a ni.
Harsatna dangte chu:
- Mit natna a awm.
- Thisen chhuak.
- Mit chhunga pressure sang (Glaucoma).
- Retina chu a inthen a.
- Astigmatism hi transplanted cornea pianzia mumal lo vang a ni.
Heng symptoms te hi i neih chuan doctor pan nghal rawh!
Surgery zawhah i mit enkawl that a pawimawh hle. A hnuaia hnawlna chhinchhiahna te hi i neih chuan , i doctor ko nghal rawh.
- Mit na (Natna) .
- Mit sen hring
- Light sensitivity a ni
- Blurry Vision a awm
Heng symptoms te hi hriatchhuah a, enkawl hmasak a nih chuan rejection hi control theih a ni fo.
Eng chen nge tihdam a ngaih?
Hei hi i surgery chi hrang hrang a zirin a danglam ang.
- Corneal transplant kimchang (Penetrating Keratoplasty) tih a nih chuan thla 12 vel a ngai thei a, chu chuan mit a ti famkim leh thei a ni.
- Endothelial Keratoplasty (DMEK/DSAEK) surgery i tih tawh chuan thla 3 chhung lek chhungin mit tha tak i hmu thei ang.
Take-Home Thuchah a ni
- Corneal transplantation hi surgery a ni a, mit chhia chu mit hrisel hmanga thlak a ni a, result hlawhtling tak a chhuah thin.
- I dinhmun azirin i doctor chuan i tana tha tur surgery chi (full, partial, emaw inner layer chauh) chu a ruat ang.
- Operation zawhah doctor thupek uluk takin zawm la, a bik takin mittui tlakna leh mit venna hman chungchangah.
- Hnawlna chhinchhiahna, natna, sen, êng hriatna, emaw, mit hmuh lohna te chu en reng ang che. Chutiang a lo awm chuan damdawi lam thurawn la nghal rawh.
- A dam kim theih nan hun a duh a, chuvangin dawhthei takin awm la, positive takin awm rawh. I doctor nen inbiak reng la, i ngaihtuahnate sawipui rawh.
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