Mit a eng tlem chuan thil tam tak a hril thei! - Corneal Light Reflex Test (Hirschberg Test) chungchang hi kan sawi dawn em ni?

He test hi Corneal Light Reflex Test an tih hi i hre tawh em? I doctor hian nangmah emaw, i fate tan emaw hetiang hian a ti mai thei. Minute khat emaw minute hnih emaw chhunga tih theih test awlsam tak, hrehawm lo tak a ni. A dik tak chuan i mit chu a inmil tawk em tih en turin tih a ni. Chuvangin, tlem tal sawi belh ila, kan sawi dawn em ni?

Corneal Light Reflex test hi eng nge ni?

A awlsam zawngin sawi ila, hei hi i mit var lai, mitmeng (cornea)-a êng te tak te a eng a, chu êng chu a rawn inher chhuah dan enin i mit chu a inmil em tih emaw, kawng hrang hranga a inher emaw tih hriat theihna test a ni. Hei hian hmanraw mawi tak tak a mamawh lo. I mamawh chu flashlight (penlight) te tak te chauh a ni a, room pawh a thim hle.

He test hi German mit lam doctor, Julius Hirschberg-a’n a hmuhchhuah hmasak ber a ni. Chuvangin Hirschberg Test an ti bawk. A awlsam hle mai, a dik em?

He test hi tuin nge ti tlangpui? Eng dinhmunah nge?

Hei hi test hman tlanglawn tak a ni. Hetiang hi i tawn theih dan kawng hrang hrang a awm a:

• Mit enfiah tura i kal hunah: Mit lam doctor emaw Optometrist emaw te hian he test hi an ti ngei ang. An mit enfiah dan pangngaiah a tel ve a ni.
• Naupang tê tête hmasawnna an enfiah hian: Naupang enkawltu doctor-te chuan an wellness visit neih fo tûra naute tê leh naupang tête an rawn hruai hian hetiang hian an ti fo ṭhin. Hei hi strabismus emaw amblyopia (lazy eye) ang chi dinhmun hriat hmasak nan a pawimawh hle. Ngaihtuah teh, naupang tê tê ṭhenkhat chuan an mit chu kawng khat aṭangin tlem a inthlak danglam thei a ni. He test hian chutiang thil chu rang taka hriat theih nan a pui a ni.
• Kum tin puitlingte hriselna endiknaah: Doctor-te chuan kum tin i taksa enfiahna emaw, thluak exam emaw-ah hetiang hian an ti thei ang. Hei hi health checkup routine pangngaia tel a ni.

Chuvangin i hmu thei a, hei hi tu pawhin an tih theih fiahna pawimawh tak a ni a, naupang te tak te atanga puitling thlengin.

Engtin nge he test hian hna a thawh?

A awlsam khawp mai. Doctor chuan i mit hmun thianghlim (cornea) chu black ring vel a en a , chutih lai chuan flashlight te tak te atang chuan i mit chhungah êng a rawn eng chhuak a. I mit chu a inmil tawk a nih chuan flashlight atanga light reflection chu mit pahnihah hmun khatah a awm tur a ni a, chu chu ring dum hmun khatah a awm tur a ni.

Ngaihtuah teh, i mit chu camera pahnih ang ni ta se, hetah hian thil thleng hi camera pahnih hi target khatah an focus em tih enfiah ang mai a ni.

Test neih chhung hian eng nge beisei tur?

Hei hi a awlsam hle. Lungngaihna tur a awm lo.

1. Pakhatnaah chuan doctor emaw mit lam doctor emaw chuan room chhunga light chu a ti thim ang a, chutiang chuan i mit a light reflection chu chiang takin an hmu thei ang.

2. Tichuan, doctor chu i hmaah a thu a, a kuta meichher te tak te chu i hmai sir lamah a chelh a.

3. Chu torch êng chu direct-a en turin an hrilh ang che.

4. I nghah lai hian doctor chuan uluk takin i mit a en ang a, êng chhuahna hmun pahnih chu a inang em tih a enfiah ang.

Chu chu a ni. Hei hi second tlemte hnuah a tawp tawh ang.

Test zawhah eng nge thleng?

Test zawh hnua thil thleng tur chu doctor-in a hmuh danah a innghat a ni. Thil thleng thei lian tak pahnih a awm a, chungte chu:

• I mit a inmil tawk a nih chuan: Harsatna a awm lo. Doctor chuan hei hi i medical record-ah a chhinchhiah ang a, exam-na hmun dangah a kal leh ang.
• I mit a inmil lo ang tih a hriat chuan: Chutiang a nih chuan i doctor chuan test awlsam tlemte a ti leh thei a, chu chu a inmil lo tih finfiah nan leh a kalna tur tehna atan a ni. Ngaihtuah buai suh, an awlsam vek.

He test result hian eng nge a sawi?

Doctor chuan i mit ah misalignment a awm leh awm loh a hrilh ang che, exam lai emaw, a zawh hnuah emaw.

• Mit chu a awmna pangngaiah a awm a nih chuan: chu chu mit pahniha light reflection chu hmun khata awm a nih chuan, doctor chuan hei hi i report-ah "symmetry" emaw "ortho" emaw tih thumal hmangin a chhinchhiah ang. "Ortho" tih hi Greek tawnga "straight" tihna a ni.
• Cross eye i neih chuan: A chang chuan cross eye i nei tak tak lo a nih pawhin pakhat ang maiin a lang thei. Hei hi pseudostrabismus an ti a . Hei hi i hmel lan dan thenkhat vang a ni thei. Entirnan, mi thenkhat chuan an mitmengah epicanthal folds an nei a, emaw, an hmai ruh awmna hmun a inthlak emaw, mit dum lai tak atanga hnar lai tak thlenga hlat zawng (pupillary distance) a sir lehlamah a inang lo a nih chuan. Chuvang chuan doctor-te chuan he thil hi finfiah nan test dang an nei leh thin.

Mit-ah hian twitch a awm tak tak tih finfiah a nih chuan doctor chuan eng chi twitch nge a nih tih pawh a hre bawk ang. Entirna thenkhat chu hetiang hi a ni:

• Esotropia: Mit pakhat emaw pahnih emaw chhung lam hawia hnar lam hawi.
• Exotropia: Mit pakhat emaw pahnih emaw pawn lam hawi.
• Hypertropia: Mit pakhat chu a dang aiin a sang zawkah a awm a.
• Hypotropia: Mit pakhat chu a dang aiin a hniam zawkah a awm.

Heng hmingte hi i tan a harsa ang tih i hriat chuan lungngai suh. Doctor chuan thumal awlsam takin a hrilhfiah ang che.

Mit a hrual tih finfiah a nih chuan eng nge i tih leh ang?

I naupang enkawltu emaw, chhungkaw doctor emaw chuan nangmah (a nih loh leh i enkawl naupang) mittui tla tih a hriat chuan mit lam doctor hnenah an refer ang che . Mit lam doctor chuan mittui tlak chhan dik tak chu a hmuchhuak thei a, eng enkawlna nge mamawh tih a hrilh thei bawk.

A pawimawh ber chu naupang tê tête zingah heng dinhmunte hi a hma thei ang bera hriatchhuah a, enkawl ṭan hi a ni. Chumi hnuah chauh chuan rah tha ber a chhuak thei ang.

He pulling hi thluak lama harsatna avanga lo awm a nih chuan engtin nge ni ang?

A chang chuan neurologist te chuan he corneal light reflex test hi thluak lama harsatna awm leh awm loh enfiah nan an hmang thin. Entirnan, he test hi stroke emaw concussion emaw ang chi case-ah chuan a pawimawh thei hle . Chutiang hunah chuan a hnuaia hmalakna leh enkawl dan tur chu a chhan bulpui leh thil dang engemaw zatah a innghat ang. Chutih hunah chuan i doctor chuan hei hi a hrilhfiah ang che.

Engtikah nge Doctor ka hmuh ang?

Mit a hrual zauh zauh a, a tir lamah chuan hriat a harsa mai thei.

• I enkawl naupang tê mitmengah mitmeng a hrual tih i hmuh chuan an naupang enkawltu doctor hnenah a rang thei ang bera appointment siam rawh. Lazy eye (amblyopia) ang chi natna hi enkawl hmasak chuan a dam vek thei. Mahse, kum engemaw chen hnua enkawl loh a nih chuan mitdelna nghet tak a thlen thei a ni. Chuvangin, natna hriatchhuah leh enkawl hun sawn hlat loh a tha ber.
• Puitling pakhatin mit a tlak zauh zauh tih a hriat chuan mit lam doctor i pan ngei tur a ni.

Minute emaw darkar emaw chhunga mitdelna rapthlak tak, na tak emaw, nasa tak emaw pawh ni se, medical emergency a ni. Hei hi lu hliam hnua emaw, stroke vaukhânna chhinchhiahna nei emaw a nih chuan 1990 (Sri Lanka emergency ambulance service) call nghal rawh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

I mitmeng eng hi romantic poetry mai ni lovin, a pawimawh zawk a ni. I mit chunglam atanga êng lo chhuak hian doctor-te hnenah i mit awmna tur chungchangah thu pawimawh tak tak a pe a ni. He corneal light reflex test (Hirschberg test tia hriat bawk) hi naupang leh puitling tan pawh a tangkai hle. Test rang leh hrehawm lo tak a ni bawk.

He test chungchangah emaw, i mit dinhmun emaw chungchanga zawhna i neih chuan i doctor emaw mit lam doctor emaw biak hreh suh. Chumi chungchâng chu an hrilh belh thei ang che a, rinhlelhna i neih apiang chu tifai tûrin an ṭanpui thei bawk ang che. I mit hi taksa peng hlu tak a ni tih hre reng ang che. Chuvang chuan anmahni enkawl hi a pawimawh em em a ni!

` Mit enfiahna, corneal light reflex, Hirschberg test, mit chetna, mit lazy, naupang hriselna, mit hriselna