I mit i check tawh ngai em? Doctor chuan i mit ah drop engemaw zat a dah a, rei vak lo nghah turin a hrilh che a. Tichuan i en chuan a bul hnaia thil awmte, i phone-a lehkha awm ang chite chu a hlimthla a lang lo, a ni lawm ni? Ni chhuahnaah pawh i chhuak thei lo ang maiin a lang. Mi tam takin hei hi hlau mah se, a takah chuan doctor ten i mit enfiahna atana an hman thin hmanraw tangkai tak a ni. Vawiin hian he natna hi kan sawi dawn a, chu chu Cycloplegia a ni.
Cycloplegia hi eng nge ni?
A awlsam zawngin sawi ila, Cycloplegia hi i mit chhunga taksa peng hrang hrangte chu hun eng emaw chen atana paralysis a ni a, chu chuan i ngaihtuahna a tichak a ni. Hei hi doctor-in i mit chhunga a dah thin eye drop chi khat bik avanga lo awm a ni. Hei hi hun eng emaw chen atan chauh a ni.
I mit chhungah hian camera te tak te ang maia lens a awm tih han ngaihtuah teh. He lens hian muscle system te tak te a nei a, chu chuan thil hnai tak tak (e.g. lehkhabu, phone) leh thil hla tak tak te chu a focus thlak danglamin chiang takin a hmu thei che a ni. Hei hi `(ciliary body)` kan ti a. Heng taksa peng hrang hrangte hian lens pianzia thlak danglam tura an inzawmkhawm leh an inzar pharh dan hi "accommodation" an ti a.
He accommodation hi reflex ang a ni a, chu chu kan duh angin kan thunun thei lo tihna a ni. Chuvangin a chang chuan kan mit kan enfiah dawn hian he reflex hian enfiahna result-ah nghawng tlem a nei thei a ni. Chutih lai chuan he Cycloplegia an tih dan hi kan tan chuan a hlu hle a ni.
Engvangin nge doctor-te hian hetiang dan hi an hman?
Cycloplegia hman chhan lian tak tak engemaw zat a awm.
- Mit enfiah hunah: Hetiang hmanrua hi a bik takin naupang mit enfiahnaah emaw, glasses chakna tak tak (refractive errors) teh a ngaih hunah emaw hman a ni. A chhan chu, a chang chuan, a bik takin naupang tê têah chuan heng focusing muscle te hian hna an thawk nasa lutuk thei a, mit test result pawh a tidanglam thei a ni. Chuvangin, he damdawi hi pe a, chu ruhte chu rei lo te chhung tihtawp a nih chuan, doctor chuan i mit chakna tak tak chu dik takin a teh thei a ni.
- Mit zai lai: Hetiang hmanrua hian mit chhunga thau awmte chu hun engemaw chen a tichhe thei a, mit surgery laiin mit chu hmun khatah a awmtir thei a ni.
- Mit natna thenkhat enkawlna atan: Heng damdawi te hi "lazy eye" (amblyopia) leh uveitis, mit chhung lam a inflammation te enkawlna atan hman a ni.
- Light sensitivity: Mit pupil chu a lian a, light lut zat a control thei lo. Hei hian ni en a ti harsa a, mit chu a sen deuh ang maiin a lang.
- Hnai lama hmuh harsa: Lehkhabu, chanchinbu, i phone-a thuziak, a nih loh leh computer screen-a thuziak i en hian a thuziak chu a hlim lo hle a ni.
- Lu na: Hemi avang hian mi thenkhat chuan lu na deuh an nei thei.
- Mit damdawi i hnawih hnua kang deuh (hei hi a tlangpuiin a te hle a, a bo nghal vat).
- Mit a sen vek.
- Mit ah a na deuh hlek.
- Cycloplegia hi mit focusing muscles te chu hun engemaw chen a paralyze thin a ni a, mit enfiah nan leh natna thenkhat enkawl nan hman thin a ni.
- Hei hi mittui tlakna hmanga tih a ni. Hun rei lote chhung atan leh hrehawm lo tak a ni vek.
- Side effect tlangpui chu mit hmuh lohna, thil hnaih lama hmuh harsa, leh êng laka hriatna a ni. Chungte chu damdawi a reh deuh deuh chuan a bo vek a ni.
- Cycloplegia i neih lai hian lirthei khalh emaw hna hnaih taka hnathawh emaw pumpelh rawh. Pawn lama i chhuah chuan sunglass vuah rawh.
- Lung na tak, rilru buai, emaw, seizure ang chi i neih chuan doctor pan nghal la, ETU-ah kal nghal rawh.
- Hemi chungchangah hian ngaihtuahna emaw hlauhna emaw i neih chuan mit doctor nen inbia ang che. Engkim an hrilhfiah ang che.
Entirnan, naupang ‘lazy eye’ (amblyopia) nei chu an mit tha takah he damdawi hi pek a nih chuan chu mit tan chuan hnai taka hmuh a harsa thin. Chutah chuan mit chak lo zawk chuan a thawkrim zawk a ngai a, chu mit chu a chak zawk thin.
Tin, a chang chuan hei hi side effect a ni thei tih hre reng ang che. Entirnan, motion sickness enkawlna atan scopolamine patch ang chi thil i hman chuan,I kut i khawih zawhah uluk takin i sil tur a ni. Chutiang a nih loh chuan damdawi chu i mitah a lut a nih chuan ni engemaw zat chhung chu i mit a fiah lo thei a ni.
Cycloplegia hian eng hlawkna nge a neih?
Hetiang hmanrua hian thatna engemaw zat a nei a. Fiah taka hrethiam turin hetiang hian han thlir ila.
| Hamthatna | Hrilhfiahna awlsam tak |
|---|---|
| Nghet lo | Damdawi a chhe tawh chuan mit chu a pangngaiin a awm leh a, hun rei tak chhung nghawng a nei lo. |
| Non-invasive a ni | Eye drops angin hnawih a awlsam hle. Engmah inject leh cut a ngai lo. |
| Natna nei lo | Damdawi a hnawih chuan a na lo. Mahse, mitmeng a zau avangin pawn lam i en chuan sensitivity leh discomfort tlem i nei thei. Chuvang chuan doctor ten sunglass an pe che a ni. |
| Option tam tak neih | Damdawi pakhat i tan a thawk tha lo a nih chuan duhthlan tur dang a awm bawk. Tin, i mamawh dan azirin hun rei lote emaw, hun rei tak emaw chhunga nghawng nei damdawi i thlang thei bawk. |
Side effect a awm lo em ni? Chu pawh chu i fimkhur ang u.
Cycloplegia damdawi "side effect" ber chu mit tizau (pupil dilation) a ni. Dik tak chuan hei hi doctor-in i mit a enfiah huna a hmuh duh thil a ni. Chuvangin hei vang hian hrehawmna tenau engemaw zat i tawng mai thei.
Hei bakah hian side effect tenau dang engemaw zat a awm thei bawk:
A pawimawh ber chu i doctor chuan damdawi in a nghawng dan chiang tak chu eng nge ni tih leh eng ang nge a nih theih tih a hrilhfiah hmasa ang che.
Hetiang dinhmun hi eng chen nge a daih ang?
Hei hi damdawi chi hrang hrang i pek danah a innghat a ni. Damdawi thenkhat chu darkar tlemte chhungin a chhe vek a, thenkhat erawh chu ni tam tak chhung a daih thei bawk.
| Ruihhlo Hming | A nghawng hun chhung |
|---|---|
| Atropine a ni | Ni 7 atanga ni 12 chhung a ni |
| Cyclopentolate a ni | Darkar 24 thleng a ni |
| Homatropine hmanga siam a ni | Ni 1 atanga ni 3 chhung a ni |
| Phenylephrine a ni | Darkar 6 thleng a ni |
| Scopolamine hmanga siam a ni | Ni 3 atanga ni 7 chhung a ni |
| Tropicamide hmanga siam a ni | Darkar 6 atanga darkar 24 chhung a ni |
Doctor hmuh ngai natna lanchhuahna hlauhawm tak takte chu engte nge ni?
Mit damdawi atanga side effect na tak tak a awm hi a tlem hle. Amaherawhchu, natna lanchhuahna hlauhawm tak tak, i hriat chian tur a awm a, a bik takin hun rei tak damdawi ei chungchangah chuan. Chung zinga pakhat tal i hriat chuan doctor i ko nghal tur a ni a, a nih loh leh i damdawi in hnai ber emergency room (ETU) ah i kal tur a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Damdawi lam pan vat ngai symptoms | |
| Nungchang a inthlak danglam thin | Buaina leh buaina chhuak nghal. |
| Heart rate a inthlak danglam thin | I thinlung a na lutuk (tachycardia) ang maia i hriat. |
| Rilru tibuai | I awmna hmun leh eng hun nge tih theihnghilh ang chi thil. |
| Thisen sang hniam (hypotension) . | Ding chunga muhil leh luak chhuak. |
| Seizures a awm thin | Hei hi dinhmun hlauhawm tak a ni. |
| Thluak lama harsatna nei | Thâwk zawi emaw, thawk thuk lo emaw. |
Cycloplegia hi i tan chuan a buaithlak deuh mai thei a, mahse a takah chuan mit lam doctor tan chuan hmanraw hlu tak a ni. Mit enfiahna a ti awlsam a, glasses dikna a tipung a, mit natna engemaw zat enkawlnaah a pui bawk. A pawimawh ber chu hun eng emaw chen atan a ni. Damdawi chu a chhe tawh chuan i mit hmuh chu a pangngaiin a awm leh ang.
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