Zunthlum i nei em? Tichuan kan mit hi tlem tal kan enkawl a ngai a ni. A chhan chu zunthlum nena lo awm harsatna thenkhat hian a tir lamah chuan a lan chhuah lohvin mit a tichhe thei a ni. Chutiang dinhmun pakhat, ngawi renga mit hmuhna tichhe thei chu Diabetic Macular Edema, a tawi zawngin DME tih hi a ni. Chutiang a nih chuan zunthlum vangin mit chhunga thisen kalna kawng nalh tak tak atang hian tui a chhuak a, mit chhungah a hring chhuak thin. Hei hi a hmaa hriatchhuah a nih chuan enkawl theih a ni a, mit hmuhna a humhim thei bawk. Vawiin hian he DME condition hi i nei em tih chiang taka hriat dan tur kan sawi dawn a ni.
In lama ngaihtuahna tlem tal neih theih dan
Doctor i pan hmain in lamah test tlem tal i ti thei ang. Hei hi ``Amsler grid`` test kan ti a. A awlsam khawp mai.
Boxing dan bu aṭanga phek khat ang maia chart siam chu han mitthla teh. A laiah hian dot dum a nei a. I tih tur chu:
- He chart hi hmun eng tha takah dah la, lehkhabu i chhiar dan pangngaia hla takah dah rawh.
- Glass i bun chuan bun rawh.
- Tunah chuan mit pakhat chu i kut hmangin khuh la, mit dang hmangin chart lai takah black dot chauh en rawh.
- Dot i en lai chuan chart-a square rules te chu i hmu thei em tih en rawh.
A tlangpuiin heng line te hi dik tak leh chiang takin i hmu tur a ni. Mahse DME ang chi condition i neih chuan heng square line te hi hmun thenkhatah chuan a inzawm khawm, a hrual, a hrual pawh a lang thei. Tichuan, mit dang pawh chutiang bawk chuan test leh rawh.
Mahse hei hi hre reng ang che: Amsler grid test hi harsatna i neih leh neih loh hriattirna tlemte chauh a ni. Full eye exam thlakna tur a ni lo. Hrilhfiahna i hmuh chuan doctor pan ngei ngei tur a ni.
Doctor i pan chuan eng nge thleng thin?
Zunthlum i vei a nih chuan mit endikna tha ber chu mit lam doctor, zunthlum vei mit enkawlna lama training bik nei doctor pan hi a ni. Mit enfiahna kimchang an nei ang. He exam hian step pawimawh engemaw zat a huam a.
1. Visual Acuity Test neih a ni ang
Hei hi mit test kan hriat vek chu a ni. Letter, number, a nih loh leh symbol size hrang hrang awmna board chu hla takah an dah a, chhiar turin an ti che a ni. Hei hi doctor-in i mit hmuh dan leh chak lohna a awm leh awm loh hriat theihna atana a hman theih tur test chi khat a ni.
2. Mit Dilated Exam tih a ni
Hei hi DME hriat theihna atana hman thin test pawimawh ber a ni.
- A hmasa berin doctor chuan i mit ah special eye drops a dah ang.
- He tui hian i mit pupil chu a ti lian ang. Lungngai suh, hei hi hun eng emaw chen chauh a ni.
- Mit pupil a lian chuan doctor chuan hmanraw bik slit-lamp an tih hmangin mit chhungah êng a pe chhuak a, mit chhunga peng zawng zawng chu chiang takin a hmu thei a ni.
- Hetah hian kan ngaih pawimawh ber chu mit lam retina an tih hi a ni. A awlsam zawngin, hei hi kan mit chhunga camera film ang maia awm chu a ni. Kan thil hmuh lem hi hetah hian a lo piang a ni.
- Retina atanga sharp vision min petu ber chu macula hi a ni. DME ah chuan macula a ni a, a hring chhuak thin.
- Chuvangin, he test neih chhung hian doctor chuan uluk takin retina-a thisen kalna kawng atanga tui a chhuak em tih te, a hring em tih te, thisen chhuak te te a awm em tih te a enfiah thin.
3. Mit chhunga thlalak lak (Retinal Imaging) .
Hei pawh hi tunlaia hmanraw hman a ni. I mit chhung lam thlalak lak ang mai a ni. Camera bik chuan i mit (retina) thlalak a la a, computer-ah a thawn chhuak thin. Chumi hnuah mit doctor chuan heng thlalakte hi a enfiah a, damdawi lam dinhmun chhinchhiahna a awm em tih a enfiah thin. Hei hi mit endikna kimchang angin chipchiar lo mah se, mit doctor pan thei lo mai thei tan chuan initial test tha tak a ni.
DME rinhlelh a nih chuan test bik tih tur a ni
A chunga test kan neih zawh hian i doctor-in DME i vei nia a rinhlelh chuan special test engemawzat an ti leh ang a, chu chu a finfiah leh ang. Test lian ber pahnih a awm.
| Test neihna tur hming | Eng thil nge thleng mai mai | Hemiah hian eng nge i hmuh theih ang? |
|---|---|---|
| Fluorescein Angiography hmanga enfiah a ni | I kut chhunga vein pakhatah special dye inject a ni. He dye hian i mit a thlen chuan i mit chhunga thisen kalna kawngte chu chiang zawkin a lang thei a ni. Tichuan, camera bik hmangin thlalak hrang hrang an la a. | Mit chhunga thisen kalna atanga tui chhuahna hmun dik tak, thisen kalna kawng a chhiat leh chhiat leh thisen kalna kawng thar chak lo tak tak a lo awm leh awm loh a hre chiang thei a ni. |
| Optical Coherence Tomography (OCT) hmanga enfiah a ni. | Hei hi mit ultrasound scan ang a ni. Mahse sound wave ai chuan light wave hmangin mit chhunga tissue awmte chu chipchiar tak tak, cross-sectional thlalak a la a ni. A hrehawm lo. | Hei hi DME hriat theihna kawng tha ber leh dik ber nia ngaih a ni. Retina layer tin thickness dik takin a teh thei a, chuvangin test dang aiin engzat nge swelling awm tih chiang zawkin a hre thei a ni. |
Heng test te hnuah hian i doctor chuan DME i vei leh neih loh dik takin a hmu thei a, a neih chuan engtiang chiahin nge a nasat tih a hmuchhuak thei bawk. Chumi hnuah chuan i tana enkawlna tling ber chu a rawn rawt thei ang.
Take-Home Thuchah a ni
- Zunthlum i vei a nih chuan kum khatah vawi khat tal mit lam doctor-in i mit enfiah a pawimawh a, symptom nei lo mah la.
- I mit hmuhnaah danglamna eng emaw i neih chuan, mit hmuh lohna, thlalak fiah lo, a nih loh leh floating black spot , a nih loh leh, doctor pan nghal vat rawh.
- In lama Amsler grid test hi thil tha tak a nih laiin, engti kawng mahin medical examination thlakna tur a ni lo.
- DME hi a dinhmun a ni a, a hmaa hriat chhuah a nih chuan control tha tak a ni a, mit hmuhna pawh a humhim thei bawk. Chuvangin hlau suh, a hun takah damdawi lam thurawn zawm rawh.
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