Mit hmelma ngawi reng: Cytomegalovirus (CMV) retinitis chungchang hi i zir dawn teh ang!

Kan mit hmuh theih loh hmelma an awm thei tih i ngaihtuah ngai em? Natna thenkhat lo thleng fo thin, kan mit tichhe thei a awm bawk. Vawiin hian mit natna, a nasat deuh deuh thu kan sawi dawn a, mahse kan hriat lawk chuan kan thunun thei a ni. Hei hi Cytomegalovirus Retinitis, a nih loh leh `(Cytomegalovirus Retinitis)`, a tawi zawngin `(CMV) Retinitis` an ti a.

Cytomegalovirus (CMV) retinitis hi eng nge ni?

A awlsam zawngin `(CMV) Retinitis` hi mit natna khirh tak a ni. Immune system chak loteah a awm tam ber. ``Retinitis`` tih hi i hre tawh mai thei. Mit chhunga ``Retina`` inflammation a ni. He ``Retina`` hi mit chhunga thil pawimawh ber a ni a, êng hmuh leh hriat theihna min puitu a ni.

Tunah hian he hrik `(CMV)` tih hi tlem ka han sawi teh ang. Hei hi `(Necrotizing virus)` type a mi a ni. Chu chu he virus hian kan taksa tissue te a tichhe vek tihna a ni. A dik zawka sawi chuan hei hi `(Herpes)` virus chhungkaw zinga mi a ni. Mak tak mai chu, mi tam takin kan dam chhungin engtik lai pawhin he `(CMV)` virus hi kan taksaah kan nei tawh mai thei a, mahse kan hre lo pawh a ni thei. Taksa chhungah a muhil a. Mahse, mi pakhat taksa chakna (immune system) a chak loh chuan chu dormant virus chu a thawk leh thei a, `(CMV) Retinitis` ang chi natna a thlen thei a ni.

Hetiang hi tuin nge nei tam zawk?

Ka sawi tawh ang khan taksa chak lohna nei te hian he `(CMV) Retinitis` hi an vei theihna a sang zawk. Chumi awmzia chu:

• `(HIV/AIDS)` vei tan: A nihna takah chuan `(CMV) Retinitis` hi `(HIV/AIDS) vei zingah mitdelna thlentu lian ber a ni.
• Cancer vanga chemotherapy la mekte tan: He enkawlna hian taksa invenna a ti tlem a.
• Mite chu organ transplant, bone marrow transplant, emaw, autoimmune conditions (taksa immune system-in a cell a beih natna) avanga immunosuppressant damdawi ei mekte. Heng damdawi te hian taksa invenna (natural defence system) a tichak lo hle.

Ngaihtuah teh, kan taksaa vengtute an chak loh lai hian rukru tan chuan a luh a awlsam a, immune system a chak loh chuan ``(CMV)`` virus hi mit chhungah a lut a, chhiatna a thlen awlsam hle.

He natna lan chhuah dan engte nge ni?

Hemi chungchanga harsatna pakhat chu CMV Retinitis natna hmasa berah hian symptom a awm lo thei a ni. Mahse, symptoms a lo lan hnuah chuan:

• Floaters: Thil dum te tak te, spider web ang maia mit hmaa inphah kual vel ang maia inhriatna: Hei hi mi tam zawk tan chuan thil pangngai a ni a, mahse a lo pung nghal a nih chuan i ngaihtuah tur a ni.
• Scintillating scotoma: Hei hi mit hmaah êng te te emaw, hmun dum emaw a inher kual vel ang maia hriatna a ni .
• Peripheral vision: Hei hian hmalam thlir nghal chunga i chhehvel thil i hmuh theih zat a tlem tihna a ni.
• Metamorphopsia: Thil awmte chu a pianzia danglam angin a lang thei a, tui glass khat chhunga thlir ang maiin a lang thei.
• Mit hmuh a fiah lo.
• Mit chu êng êng tak, mit dum (Photophobia)-a dah theih lohna.
• Mit sen a ni.
• Mit na a na.

A châng chuan heng chhinchhiahnate hi mit pakhat aṭangin a inṭan a, chumi hnuah mit dangah a darh leh ṭhin. Chuvangin heng symptoms te hi i neih chuan, a bik takin immune system chak lo i neih chuan doctor pan nghal a pawimawh.

Engvangin nge CMV retinitis hi a lo awm?

A awlsam zawngin sawi ila, CMV Retinitis hi CMV virus i kai a, virus hian i retina a nghawng hian a lo awm thin. Hei hi taksaa virus thar lut vang ni lovin, a hmaa muhil tawh virus reactivation vang a ni zawk a, puitlingte immune system a chak loh avangin.

Engtin nge hei hi i hmuh? (Diagnosis) tih a ni.

Heng symptoms te hi i neih chuan mit lam doctor (Ophthalmologist) i pan tur a ni. I medical history leh tuna i symptoms te a zawt ang che. Tichuan, eye drop an pe ang a, dilation test an nei ang.

Engvangin nge heng mitte hi a dilated? Hei hian doctor chuan mit chhung lam a hmu thei zawk a ni. Retina leh mit hmun dangah natna chhinchhiahna a awm leh awm loh a enfiah thei a ni. Retinitis i vei tih hmuhchhuah a nih chuan a chhan dik tak hriat tumin lab work, thisen test ang chi te pawh a thawk thei bawk.

Enkawlnate chu engte nge ni?

CMV retinitis tidam thei antiviral damdawi a awm a. Amaherawhchu, heng damdawi te hian natna a thunun theih laiin, a tidam kim thei lo tih hre reng ang che.

I doctor chuan heng antiviral damdawi pakhat emaw a aia tam emaw pek dun che hi a rel thei ang:

• `(Valganciclovir)`: Hei hi ka ei a pill angin pek a ni.
• `(Ganciclovir)`: Hei hi vein-a tui pek angin `(Intravenously - IV)` emaw, mit chhunga injection angin `(Intravitreal injection - IVI)` emaw pek theih a ni.
• `(Foscarnet)`: Hei hi `(IV)` emaw `(IVI)` emaw tia pek a ni bawk.
• `(Cidofovir)`: Hei hi `(IV)` emaw `(IVI)` emaw tia pek a ni bawk.
• `(Letermovir)`: Hei hi damdawi ei tur a ni bawk.
• `(Fomiversen)` tih a ni

Enkawl hun chhung hian kar engemaw zat a daih thei. A chhan chu, a hmasa berah chuan intensive treatment hun (`Initial period of therapy`) a awm a, chutah chuan natna control nan damdawi i ei a ngai a (`Maintenance therapy`). Chuvangin he enkawlna hi i dawhtheih a ngai a ni.

Enkawlnaah hian harsatna a awm em?

A châng chuan CMV retinitis damdawi antiviral hmanga enkawlna hian i immune system chu a ti lutuk thei a ni. Hei hian uveitis an tih natna a thlen thei a ni. Uveitis hi mit peng dang inflammation a ni. Hei hian mit a sen a, a hring a, a na thei bawk.

Thil dang pakhat chu, a chang chuan `(CMV) Retinitis` damdawi pek hi a hlawk lo (`Drug resistance`) a lo ni thei. Chutiang a nih chuan `(CMV)` enkawlna dang, `(Ganciclovir)` do thei, entirnan. Chung zingah chuan `(Leflunomide)` leh `(T-lymphocyte infusion)` te an tel.

CMV retinitis i vei chuan eng nge thleng? (Rahchhuah)

Natna hi hriat hmasak a, enkawl tan hmaa rah tha ber a awm thin. Enkawl loh chuan CMV Retinitis hian mitdelna a thlen thei a, mitdelna tluantling pawh a thlen thei bawk.

CMV retinitis avanga natna khirh tak dang lo awm thei chu retinal detachment a ni. Hei hi i retina chu a hmuna vawngtu tissue atanga a inthen hun a ni. Hei hi natna khirh tak a ni a, mahse operation hmangin siamthat theih a ni.

Engtikah nge Doctor ka hmuh ang?

I mit hmuhnaah inthlak danglamna rapthlak tak i neih chuan – entirnan, i mit hmaah hmun dum i hmuh emaw, mit na emaw i neih chuan – doctor thurawn zawng nghal rawh. Retinal detachment hi damdawi lam emergency a ni.

Immune system chak lo i neih chuan mit enfiah fo a pawimawh a, chutiang chuan harsatna eng pawh chu symptom a nih hmain i man thei ang.

Doctor hnenah eng zawhna nge i zawh tur?

`(CMV) Retinitis` chungchangah hian hetiang zawhna hi doctor hnenah i zawt thei ang:

• Eng chen nge ka lo kir leh a, ka rawn inlan (`Appointments`)?
• Ei leh in, leh thiltih eng pawh ka pumpelh tur em ni?
• Eng chen nge enkawl a nih dawn?
• Eng dinhmunah nge hmanhmawh taka hmuh che ka mamawh ang, a nih loh leh emergency room-a kal ka mamawh ang?
• Ka mit hmuh lohna nen hian a pangngaia ka nun theih nan eng resources nge awm?
• He natna hi clinical trial-ah pawh ka tel thei ang em?

CMV retinitis leh HIV retinopathy hi eng nge an danglamna?

"Retinopathy" tih hi mit lam natna a ni. "(CMV) Retinitis" leh "(HIV) Retinopathy" te hian i mit a tichhe thei a, mit hmuhna a tichhe thei bawk. Engpawhnise,Heng natna pahnih hi virus chi hnih avanga lo awm a ni. HIV hrik hian HIV retinopathy (HIV microvasculopathy an ti bawk) a thlen thei a ni. CMV virus hian CMV retinitis a thlen thin.

Enkawlna lamah chuan `(CMV) Retinitis` tan antiviral damdawi pek a ni.

A tawp berah chuan thil hriat reng tur

I immune system a chak lo a nih chuan i symptoms te i ngaihtuah reng a, doctor i pan fo mai thei. Heng zawng zawng nen hian mit doctor pan fo a ngai hi thil harsa tak angin a lang thei.

Mahse hre reng ang che, `(CMV) Retinitis` i vei a nih chuan i natna hmuhchhuah leh enkawl hma chuan i hlawhtlinna chance a sang zawk. `(CMV) Retinitis` symptoms hi i mit a hloh hma loh chuan a lang lo mai thei a, chuvang chuan mit enfiah fo a pawimawh hle.

Chuvangin, i mit hi enkawl tha rawh, khawvel hmuhna atana kan hmanraw hlu ber a nih avangin.

` Cytomegalovirus, CMV, retinitis, mit natna, immunity, mitdel, HIV, AIDS, mit natna