Mit chhunga hliam a awm em? Corneal ulcer chungchang hi i zir dawn em ni?

I mit a sen a, a tui em? A nih loh leh i mitmengah thil eng emaw a tang a, êngah hmuh a harsat phah ang maiin i inhria em? Hengte hi mitmeng (corneal ulcer) chhinchhiahna a ni thei . Ngaihtuah buai suh, he thu hi awlsam takin sawi ila. Hei hi natna khirh tak a nih avangin a rang thei ang bera check out tir a pawimawh.

Corneal ulcer tih hi eng nge ni?

A awlsam zawngin, corneal ulcer chu i mit hmalam, i mit hmalam, dome ang maia lang, cornea-a hliam emaw, ulcer emaw a awm a ni. Kan mit hi motor hmalam kawr ang maiin han ngaihtuah teh. He cornea hian kan mit chhung lam chu pawn lama leivut leh natna hrik ang chi thil lakah a venghim a ni. Chuvangin he "glass" ah hian scratch emaw crack emaw a awm chuan chu chu corneal ulcer an ti a ni.

Hei hi medical emergency anga ngaih a ni. A chhan chu enkawl vat loh chuan mit a tichhe vek thei a, mit a tichhe thei a, a chang chuan mit a hloh vek thei bawk. Chuvangin hei hi awlsam takin la suh, a tha em?

Mit (corneal ulcer) hian eng symptoms nge a neih?

Corneal ulcer natna lan chhuah dan hi mi hrang hrangah a inang lo deuh thei a, mahse a lan chhuah dan tlangpui thenkhat a awm a:

• Mit sen emaw thisen chhuak emaw .
• Mit atanga mittui tlak emaw, tui chhuak tam emaw (epiphora) .
• Mit na: Hei hi mi thenkhat tan chuan hrehawmna tlemte a ni thei a, mit chhunga kang ang chi a ni. Midang tan chuan hrehawmna nasa tak a ni thei.
• Mit chhunga thil awm, leivut emaw, sam zung emaw (foreign object sensation) ang chi hriatna .
• Eng en harsa (photophobia). A dik zawka sawi chuan mit chu eng eng emaw, ni êng emaw avanga natna leh lungawi lohna hriatna a ni.
• Mit hmuh a fiah lo.
• Mitmeng a hring emaw, a hring emaw (blepharitis).
• Cornea-ah hian hmun dum emaw, a dum emaw a lo lang thin. Mahse, he hmun hi pawn lam atanga hmuh theih a ni ngai lo. Hmuh theih a nih pawhin a chang chuan hmanraw bik tel lo chuan hriat a harsa thei hle.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan mit lam doctor pan vat a tha ber.

Engvangin nge heng mit (corneal ulcers) te hi a lo awm? A chhante chu engte nge ni?

Corneal ulcers awm thei hi a tam hle. Chûngte chu chi hnih-ah ṭhen theih a ni: hri kai leh hri kai lo .

Infection avanga awm chhan

Hengte hi a chhan tam ber a ni. Infection chu natna hrik taksaa lut a, natna thlentu a ni. Hetah pawh hi chutiang bawk chu a ni.

• Bacteria: Mit lam natna hrik kai thei chi hrang hrang chu `Pseudomonas` , `Staphylococcus` lehAnni hi `Streptococcus` an ti a. Heng bacteria te hi kan chhehvel boruak ah kan hmu thei a. Mahse kan mit (cornea)-ah hian hliam tenau emaw, hliam emaw a awm chuan chuta tang chuan an lut thei a, natna hrik an thlen thei a ni.
• Contact lens hmangtu i ni ang tih han ngaihtuah teh. I tihfai that loh chuan, emaw, mut laiin i ha a nih chuan bacteria infection i vei theihna a sang zawk hle.
• Virus: Virus thenkhat hian mit (corneal ulcer) a thlen thei bawk. Entirnan, Herpes simplex virus (khawsik natna leh mipat hmeichhiatna lama herpes thlentu) leh varicella-zoster virus ( chickenpox leh shingles thlentu) te hi a lian ber a ni.
• Fungi: Fungal infection hi i mit nena thil a inzawm chuan a awm thei a, a bik takin huan i siam emaw, thing leh mau emaw hnathawhnaah emaw a awm thei. Fungi chi hrang hrang chu Aspergillus leh Candida te an ni . Immune system chak lo (immunocompromised) nei te hian fungal infection an vei theihna chance a sang zawk a, a chhan chu an taksa hian heng infection te hi a do thei lo a ni.
• Parasites: Acanthamoeba hi parasitic infection tam ber a ni a, mitmeng (corneal ulcers) a thlen thin. Contact lens vuah leh tui chawi (swimming pool emaw tui dangah emaw) te chu an hlauhawm zawk. Hei hi a chhan chu Acanthamoeba parasites te hi chlorine level hniam (swimming pool tihfai tha lo ang chi) ah an dam khawchhuak thei a ni. Tap tuiah pawh hmuh tur a awm bawk. Hei vang hian i contact lens te hi tap tuiah i silfai ngai lo va, i dah ngai lovang.

Hri kai lo dang

Corneal ulcers hi infection awm lo pawhin a lo awm thei. Chutianga ti thei thil ṭhenkhat chu hetiang hi a ni:

• Mit hliam: Kang, mit hliam , lacerations , leh puncture hliam te hian a dam tha lo a nih chuan ulcer a thlen thei. Heng hliamte hian mit natna vei theihna a tipung thei bawk.
• Exposure: Lagophthalmos , i mit khap kim theih lohna i neih chuan i mit (cornea) chu ni chhuahnaah a awm reng avangin a chhe thei a ni. Khua lum lutuk emaw, khaw vawt lutuk emawa i awm chuan i mit (cornea) a tichhe thei bawk.
• Mit a vawt hle: Khaw lum vang emaw, mit natna avang emaw, a pahnih inzawm vang emaw hian mit a vawt hle thei. Hei hian mit (cornea) a tichhe thei a, ulcer a thlen thei bawk.
• Toxic effects: Heng dinhmunte hi mit chhunga chemical tha lo thenkhat a luh chuan a awm thei a, a tlem berah chuan damdawi thenkhat i ei avanga a lo awm thei bawk.
• Immune system lama harsatna (Immune conditions): 1.1.A chang chuan keimahni taksa chakna (immune system) a tha lo chuan mit chhungah a ti na thei bawk. He inflammation hian mit (corneal tissue) a tichak lo va, ulcer awm theihna a tipung bawk.

He natna hi tute nge vei theihna chance sang zawk?

Tu pawhin mit (corneal ulcer) an nei thei a, mahse mi thenkhat chu an hlauhawm zawk:

• Contact lens vuah fo thinte, a bik takin hun rei tak bun thinte (mut laia bun a nih chuan, inbual laiin bun a nih chuan, a tihfai that loh chuan a hlauhawmna a sang zawk).
• Tuna herpes simplex virus infection emaw varicella-zoster virus infection nei emaw nei tawh emaw .
• Mit hring nei tan.
• Damdawi lam harsatna nei, mit khar vek harsa tak takte tan (entir nan, `Bell's palsy`, hmai nerve dysfunction thlentu, emaw, `Graves' disease` ang chi natna, mit chhuah tir thei natna nei te tan).
• Tuna steroid awmna eye drop hmang mek emaw hmang tawh emaw tan .
• Corneal injury emaw burn emaw nei tan chuan .
• Type 2 diabetes vei tan chuan .
• Mit surgery nei tawh tan chuan .
• Mit natna dang nei tan, a bik takin mit natna nei tan .

Corneal ulcers avanga harsatna awm thei te chu engte nge ni?

Corneal ulcer hi a enkawl that loh chuan harsatna chi hrang hrang a awm thei a ni. Chung zingah chuan:

• Astigmatism emaw, mit hmuhna dang emaw a danglam thei.
• Mitdel (cataract) a awm .
• Endophthalmitis, mit chhunga natna khirh tak a ni.
• Glaucoma natna a awm.
• Corneal perforation emaw scarring emaw a awm thei.
• Mit (corneal erosion) lo awm leh thin (RCEs) .
• Mit hmuhna hloh.

Chuvang chuan kan ti a, hetiang symptoms i neih chuan doctor pan nghal rawh.

Engtin nge mitmeng (corneal ulcer) dik taka i hriat theih ang?

Corneal ulcer i neih leh neih loh hriat nân mit lam doctor emaw, healthcare provider dang emaw chuan mit enfiahna a nei ang . Hei hi mit endikna tlangpui aiin mit (cornea) lam a ngaihtuah zawk a ni.

Hemi atana an hmanraw ber pakhat chu slit lamp exam hi a ni . Hei hian mit (cornea) chu ngun takin leh hnai takin a enfiah thei a ni.

A chang chuan, doctor chuan i mit atang hian sample te tak te (swab culture) a la ang .Swab lak a, lab-ah test turin thawn theih a ni. Chumi awmzia chu mit atanga tui chhuak tlem te chu lak a, bacteria chi hrang hrang test a ni tihna a ni. Hei hian ulcer thlentu natna chi dik tak hriat theih nan a pui thei a ni. Ulcer hian enkawlna a dawng tha lo a nih chuan doctor chuan mit (corneal biopsy) tih pawh a rawt thei bawk . Hei hian mit (corneal tissue) te tak te la a, test a ngai a ni.

I mit specialist chuan heng test te hi a hrilh belh ang che. An tih dan te, an pawimawh chhan te, an hnua side effect beisei tur a awm leh awm loh te pawh an sawifiah bawk ang.

Corneal ulcer hi engtin nge i enkawl? Hei hi a dam kim thei ang em?

Mit (corneal ulcer) awm chhan tam tak a awm avangin enkawl dan pawh a tam hle. Enkawlna thenkhat chu a bik tak a ni a, chu chu thil pakhat atan chauh a thawk tihna a ni. Enkawlna dangte chu a tlangpui a ni a, chu chu ulcer avanga natna lan chhuah dan control-na atan a pui tihna a ni.

Damdawi hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• Damdawi hman tur: 1.1.
• Bacteria infection avanga ulcer awm tan antibiotics pek thin a ni. Virus, fungi, leh parasites avanga ulcer awm tan damdawi tha tak tak a awm bawk.
• Corneal ulcers symptoms tihziaawm nan damdawi corticosteroids ang chi hi pek thin a ni tlangpui. Chungte chuan inflammation a ti tlem.
• I doctor chuan nonsteroidal anti-inflammatory drugs (NSAIDs) , ibuprofen (Advil® emaw Motrin®) ang chi te pawh a pe thei bawk. Hengte hian natna leh hliam tihziaawmna turin a pui thei a ni.
• I mit lam doctor chuan heng damdawi te leh a hman dan (drops, ointment, tablets) te hi a hrilh belh ang che.
• Scleral lens emaw bandage contact lens emaw: Hei hi mit chunga dah bik lens a ni. Cornea chu a chhiat belh zel loh nan an venghim a, a dam theih nan hun an pe bawk.
• Tarsorrhaphy: He enkawlnaah hian hun rei zawk mit khap reng a ni. Chutianga tih theih nan chuan doctor chuan mitmeng chu a sew khawm thei a, emaw, mitmeng control tu muscle te chu hun eng emaw chen tichhe thei tur damdawi onabotulinumtoxinA (Botox®) inject emaw a ni thei bawk. Mit khar a nih chuan mit (cornea) hian damna tur boruak tha zawk a nei a.
• Surgery: Mit (corneal ulcer) damdawi hmanga a dam loh chuan zai a ngai mai thei. A nasat chuan mit (corneal transplant) pawh a ngai thei.

I dinhmun azirin enkawlna dang a ngai mai thei. I mit specialist chuan eng treatment nge i tan a tha ber tih leh eng side effect nge a thlen theih tih te chu a fuih tha ber thei che a ni.

Corneal ulcer hi ven theih a ni em?

Corneal ulcer hi 100% velin ven theih ni lo mah se, kan hlauhawmna tihtlem nan thil tam tak kan tih theih a awm. Chung zinga ṭhenkhat chu:

• Contact lens vuah chungin mu suh. Contact lens vuah chunga mut hi mit ulcer na tak thlentu lian tak a ni.
• Contact lens hi a expiry date kaltlangin hmang suh. Contact lens nem tak i hman rei poh leh bacteria a lo thang lian zawk thin. Nitin contact lens hman hi a him ber.
• Kut sil fo la, sanitizer hmang bawk ang che. I kut a bawlhhlawh hmel emaw i hriat emaw chuan sahbawn leh tuiin sil thin ang che. A nih loh leh, zu hmanga siam sanitizer (a tlem berah zu 60%) hmang ang che.
• Mit venna a ni. Mit hliam laka invenna tha ber chu mit venhim hi a ni. I hna thawh tur nena inmil safety glasses bun la.
• I mit nena inzawm thil eng pawh midang hnenah hrilh ngai suh. Hei hian makeup, hmai silna, contact lens case te a huam a ni.

Corneal ulcer hi a dam theih nan eng chen nge a mamawh? Dam leh theihna tur kawng eng nge awm?

Corneal ulcer awm chhan a zirin a dinhmun a inang lo thei hle. Chumi awmzia chu a dam hun chhung leh a dam that dan a inang lo thei tihna a ni. I mit lam doctor chuan i dinhmun a zirin hei hi a hrilhfiah thei ber che a ni.

Dam leh theihna tur kawng tichhe thei thil pawimawh thenkhat chu:

• Ulcer lian leh te: Ulcer lian zawk hi a dam rei zawk tlangpui a, a rah pawh a tlem deuh thei bawk.
• A chhan: Chhan eng emaw vanga ulcer lo awm hi enkawl leh tihdam a harsa hle.
• Ramngaw awmna hmun: Cornea-a ramngaw awmna hmun pawh hian a rah chhuah a nghawng a ni.
• Enkawlna dawn dan: Damloin enkawlna a dawn that chuan a dam leh theihna tur prognosis a tha tlangpui.

Recovery hun chhung hi thil hrang hrangah a innghat a, chuvangin i doctor chauhvin i dinhmun a zirin eng chen nge a rei dawn tih chiang takin a hrilh thei che a ni.

Engtin nge ka in enkawl ang?

Corneal ulcer i neih chuan i tih theih pawimawh ber berte chu:

• I doctor enkawl dan tur dik takin zawm rawh. Chu chuan i damdawi ei dan atanga i mit hman dan leh inven dan tur zawng zawng a kawk a ni.
• Doctor lo kal tura a tih ni-ah chuan kal ngei ngei tur a ni. Heng follow-up visit-te hi doctor-in ulcer a dam dan a hmuh theihna leh a tul chuan a enkawl dan a thlak danglam theihna awmchhun a ni.
• Zawhna i neih chuan mit specialist nen inbia ang che.Symptom thar i neih chuan, i damdawi ei dan tur zawhna i neih chuan, i enkawlnain a thawk tha lo ang tih i hriat chuan, emaw, i enkawlna avanga side effects i neih chuan i doctor hnenah hrilh rawh I symptoms-in nghawng a neih tihtlem dan tur emaw, a side effects tihtawp nan i treatment thlak danglam theihna tur emaw an pe thei che a ni.

Engtikah nge Doctor ka hmuh ang? / Engtikah nge damdawi lam thurawn ka lak ang?

I mit specialist chuan eng symptom nge i biak tur tih a hrilh ang che a, i neih chuan doctor thurawn i la ang. Chung zingah chuan hetiang hi a tel tlangpui:

• Enkawlna nei mahse symptoms a na zual zel a nih chuan.
• If you have increased light sensitivity , a bik takin nitin thil tih theih loh khawpa nasat a nih chuan.
• I mit a fiah lo emaw, i mit a tlahniam emaw a nih chuan.
• Mit na tak i neih chuan .
• Mit atanga tui chhuak tam lutuk a awm chuan .

Ka mit lam doctor hnenah eng nge ka zawh ang?

I mit specialist zawhna te chu i zawt thei ang:

• Ka mit (corneal ulcer) hi eng nge a chhan?
• Eng enkawlna nge i rawt?
• Ka mit a dam theih nan eng nge ka tih theih ang?
• Eng symptom nge ka biak ang che?
• Eng symptoms nge emergency medical attention ka zawn tur?
• Ka dinhmun a zirin dam leh theihna tur kawng eng nge awm? Thil tha tak chhuah theihna turin eng nge ka tih theih ang?

Engtin nge contact lens vuah hian mitmeng (corneal ulcer) vei theihna a tihpun?

Rei tak contact lens i bun chuan i mit thlenga oxygen lut chu a tlem phah thin. Tin, i mit chhunga lens i dah hian i kut zungtang atang emaw, solution tihfai dik loh atang emaw hian bacteria chu lens chhungah a lut thei a, lens hnuaiah a tang thei bawk. Heng thilte hian natna kai theihna a tipung a, mitmeng (corneal ulcer) a thlen thei bawk.

Contact lens vuah chuan a vun loh aiin mitmeng (corneal ulcer) a neih theihna chu a let 10 velin a tam zawk. Contact lens vuah a mut chuan a vuah loh aiin a let 100 velin ulcer a nei tam zawk! Chu chu a hlauhawmzia han ngaihtuah teh.

Corneal abrasion leh corneal ulcer hi eng nge an danglamna?

• Corneal abrasion chu i mit (cornea) a scratch emaw crack emaw a ni. Heng mitmeng hliam chi hrang hrangte hi a tlangpuiin anmahni chauhin an dam chhuak thin.
• Corneal ulcer chu i mit (cornea)-a open sore a ni. Corneal ulcer hi natna hrik, mit vawt leh thil dang vang a ni thei. A awlsam zawngin sawi ila, scratch chu a chunglam hliam a ni a, ulcer erawh chu hliam thuk zawk, tissue hloh a ni thung.

Corneal ulcer leh keratitis hi eng nge an danglamna?

Heng mit natna pahnih hi a inzawm tlat a ni.

• Corneal ulcer chu hliam inhawng – mit natna (corneal tissue) hloh – mit natna avanga lo awm fo a ni.
• Keratitis hi i mit (cornea) inflammation thlentu natna chi hrang hrang sawina a ni. Mit natna, hliam, leh contact lens rei lutuk vuah — corneal ulcer thlen thei thil inang thenkhat — te pawh hian keratitis a thlen thei bawk. Keratitis a nasat chuan mitmeng (corneal ulcer) a thlen thei a ni.

Heng pahnih hian mitdelna a thlen thei a ni.

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

Corneal ulcer hi mit hmuhna tichhe thei emergency a ni. Mit hliam tenau te pawh hian mitmeng (corneal ulcer) a thlen thei a ni. Corneal ulcer symptom i neih nia i hriat chuan mit doctor pan nghal rawh. I mit an enfiah ang a, diagnosis an siam ang a, enkawlna an tan ang.

Contact lens i bun chuan a dah dan tur, a tihfai dan tur leh a dah dan tur dik tak i hriat ngei ngei tur a ni. I mit enkawltu team chuan heng technique dik tak hi an zirtir thei che a, zawhna dang i neih apiang an chhang thei bawk.

I mit hi a hlu hle tih hre reng ang che. Chuvangin, enkawl rawh. Engmah hi ngaihthah suh, a te ber pawh nise!

` Corneal ulcer, mit hliam, mit natna, contact lens, mit sen, mit hmuh fiah lo