I mit a vawt em? An hrehawm em? Dry Eye chungchang hi han sawi ila!

A châng chuan i mitmeng mak tak, dry, a nih loh leh itchy feeling i nei em? I mit chhungah thil a inkhung ang maiin, a nih loh leh i mit a kang ang maiin i hria em? Tichuan "Dry eyes" emaw keini doctor-te'n kan tih angin (Dry Eye) emaw pawh i nei thei bawk. Lungngai suh, hei hi mi tam tak chunga thil thleng a ni. Hemi chungchang hi chipchiar takin sawi ila.

Dry eye chu eng nge ni tak tak?

A awlsam zawngin sawi ila, mit vawt hi kan mittui film (tear film) tichhe theitu a ni. Kan mit hian mittui tlakna film layer thum a nei a, chu chuan kan mit chunglam a venghim a, chiang taka kan hmuh theih nan min pui thin tih i hria em? He mittui film hi a smooth leh stable a nih chuan chiang tak leh nuam takin kan hmu thei a ni. Chuvangin, thil engemaw takin he mittui film hi a tibuai a nih chuan, kang, mittui tlak, mit tui, leh mit hmuh lohna ang chi symptom nuam lo tak tak kan nei thei a ni.

Hetiang hian han ngaihtuah teh: kan mit chu motor hmar chhak ang mai a ni. Kawngpui fiah taka hmuh theih nan thianghlim leh hnim an mamawh a ni. Mittui hi wiper fluid ang mai a ni. An awm loh chuan mit a fiah lo va, chu chu mit a vawt tir thin.

He mittui film hian hna a thawk tha lo mai thei. Chuvangin doctor te chuan multifactorial disease ah an ngai a ni . Chumi awmzia chu a chhan leh a hlauhawmna chu a buaithlak hle tihna a ni. Chuvangin, a chang chuan i natna lan chhuah chhan zawn nan hun rei tak a la ngai thei. Mit vawt symptom i neih chuan mit lam doctor emaw mit lam doctor emaw pan a, enkawl a pawimawh.

Mit hring chi hrang hrangte chu engte nge ni?

A hming i hriat chuan mit vawt hian i mit hian mittui a chhuah tlem tihna mai a ni tih i ngaihtuah mai thei. Mahse, chu chu a thupui zawng a ni lo. Mit vawt hi chi hrang hrang a awm a, chungte chu:

1. Mittui tui tlakchham vangin mit a vawt (Aqueous deficient dry eye) .

Hei hian i mit hian mittui a chhuah tlem tihna a ni . Heng mittui tui tak takte hi kan mit chung leh pawn lam kil khata awm lacrimal glands atanga siam a ni. Hengte hi mittui film lai tak, tui layer siamtu an ni. Autoimmune condition thenkhat chuan heng tear glands te hi inflammation a thlen thei a, chu chuan tui tak tak tears tam tak a siam thei lo.

2. Mittui tla rang lutuk avanga mit vawt (Evaporative dry eye) .

Hei hi i mittui a vawt rang lutuk hian a ni . Hei hi a chhan ber chu Meibomian gland dysfunction vang a ni . Chumi awmzia chu kan mittui tlakna film chunga oily layer siamtu kan mittui tlak chhunga glands te hian hna an thawk tha lo tihna a ni. Tichuan, chu oil layer chu a nghet lo va, tui layer chu a vawt loh nan a veng thei lo. Tui chungah oil layer i dah chuan tui chu a vawt rang lo hle ang tih han ngaihtuah teh. Chu oil layer chu a thawk tha lo a nih chuan tui chu a vawt rang lutuk a ni.

3. Mit vawt mixed

Mi thenkhat chuan an nei ve ve mai thei.Chumi awmzia chu mit hian mittui a siam tling lo tihna a ni a, mittui film chu a nghet lo va, a vawt nghal vat a ni. Heng harsatna pahnihte hian mit vawt symptoms a thlen thin.

Mit vawt hi engtiang chiahin nge a awm?

Mit vawt hi a awm fo thin . Research atanga a lan dan chuan United States-ah hian mi maktaduai 16 velin he natna hi an nei a ni. Khawvel pumah mi maktaduai sawm chuang zetin an tuar a ni. He natna hi North America leh Europe aiin Asia-ah a tam zawk a ni. Postmenopausal hmeichhiaah pawh a tam zawk.

Mit vawt hi natna dang chhinchhiahna a ni thei ang em?

Mit vawt hi a mah chauhin a awm thei a, damdawi lam thil dang nen pawh a awm thei bawk. A châng chuan mit vawt hi damdawi lam dinhmun chhinchhiahna a ni thei a, chungte chu:

• (Sjögren’s syndrome) (Aqueous tear deficiency nei zinga 10% vel chuan hetiang hi an nei)
• Diabetes (Diabetes i neih chuan complication angin mit vawt i neih theihna chance 50% a awm) .
• (Thyroid mit natna ) .
• Blepharitis (mit kawng sir a natna) .

Mit a vawt hian eng symptoms nge a neih?

Mit vawt i neih chuan i mit chhungah thil eng emaw a tang a, a chhuak lo ang tih i hre mai thei. Hei hi i mitmengah chuan sand, grittiness, emaw gritty feeling ang maiin a awm thei . Heng symptoms te hi i nei thei bawk:

• A kang, mit a kang ang mai.
• Light sensitivity a ni.
• Mit hmuhna (blurred or changeing vision) a awm.
• Beng atanga tui chhuak, mucus ang chi.
• Mit atang chuan tui a luang chhuak a, mittui chu a hmuiah a luang thla a.

Ni e, chu hnuhnung ber chu a buaithlak deuh a ni lawm ni? I mit a vawt chuan engtin nge tui a pek theih tih i ngaihtuah mai thei. Mahse chu chu mit vawt chhinchhiahna tlanglawn tak a ni. Hei hi i meibomian glands ten tear film pawn lam layer khuh turin oil an siam tlem chuan a thleng thin. Tichuan, a laia tui layer chu a vawt rang lutuk. Chumi chhanna atan chuan i mittui tlakna gland te hian mittui tui tam zawk siam an tum thin. Mahse, heng mittui hian i mit a khuh tha thei lo a, a chhan chu oil layer a awm loh vang a ni. Chuvangin, chu mittui chuan buaina chu a chinfel tak tak lo.

Mit a vawt chhante chu engte nge ni?

Mit a vawt chhan hi:

• I mitin mittui a chhuah tlem lai hian.
• I mittui a bo nghal vat chuan.
• Chung pahnih a thlen dun chuan.

Mit vawt (dry eye symptoms) ti na zual emaw, hun kal zelah a lo awm theihna tur thil tam tak a awm.

Mit hring (Dry Eyes) awm theihna tur Risk Factors

Risk factor thenkhat chu kan thunun theih loh a ni. Entirnan, kan upat deuh deuh hian mit ro a awm tam zawk. Mahse, hlauhawm dang ṭhenkhat chu nunphung tihdanglam emaw, i damdawi ei tur tihdanglam emaw hmangin i thunun thei a ni.

A hnuaia risk factors te hi i neih chuan i doctor nen inbia ang che. Mit vawt hlauhawmna tihziaawmna tur emaw, symptoms buaithlak tak takte tihtlem nan emaw inthlak danglamna engemaw zat i siam thei mai thei.

Environment leh nunphung lam thil: 1.1.

Things like weather, how long you spend looking at screens , contact lens hman, meizuk , leh allergy te hian mit vawt i neih theihna a tipung thei a ni. Entirnan, AC-a i awm reng emaw, leivut awmna hmuna hnathawh emaw i nih chuan i mit a vawt zawk thei.

Damdawi: 1.1.

Damdawi thenkhat ei hian mit a vawt theihna a tipung thei a ni. Entirnan, lungngaihna , allergy , thisen sang , glaucoma , menopause, leh natna damdawi thenkhat. Tin, damdawi anticholinergics , oral contraceptives , leh systemic retinoids te hian a hlauhawmna a tipung bawk.

Natna dinhmun: 1.1.

Neurological conditions hrang hrang , mit conditions , autoimmune conditions , leh endocrine conditions te hian mit vawt theihna a tipung thei a ni.

Inzai:

Mit surgery thenkhat, LASIK , cataract surgery, leh mit hmalam layer transparent cornea surgery te hian mit vawt theihna a tipung thei a ni.

Mit hring (dry eyes) hi engtin nge kan hriat theih ang? (Diagnosis) tih a ni.

Doctor-te chuan mit ro chu i medical history hmangin, mit enfiahna hmangin leh test thenkhat hmangin an hmuchhuak thin.

Damdawi lam chanchin

I doctor chuan i natna lan chhuah dan leh i damdawi lam chanchin hriat tumin zawhna bu fill up turin a ti thei che a ni. Thu hriat tur chu hetiang hi pe turin i inpeih tur a ni:

• Mit symptoms leh eng chen nge a awm tawh tih te.
• I natna lan chhuahna tizualtu environment factors.
• A lan chhuah dan dang, entirnan, hmui a vawt, kawchhung, hmui natna, hahna, leh ruh na.
• Allergy nei te pawh a awm.
• Mit natna awm tawh.
• Damdawi lam thil dang, allergy leh chronic viral infection te pawh a tel.
• Surgery tih a ni.
• Meizial i in emaw, midang meizuk i tawn emaw pawh nise.
• I mitmeng hi engzat nge i sil thin a, eng product nge i hman thin?
• I mit hmuna hliam a awm.

Mit Exam a ni

I doctor chuan mit enfiahna kimchang a ti ang a, i mit hriselna a enfiah ang a, i natna lan chhuah chhan a hmu ang. He exam chhung hian doctor chuan:

• Mit vawt chhinchhiahna a awm leh awm loh enfiah thin ang che.
• Mit vawt tih loh chu i natna lan chhuah chhan dang a awm leh awm loh an enfiah ang.
• I mittui film (mittui film layer pathum, mittui tlakna (cornea) khuhtu) hriselna a enfiah thin.
• Test bik neih thin a ni.

Mit hring tih hriat nan test neih thin

Mit vawt hriat theihna tur test pakhat mah a awm lo. Chu ai chuan doctor-te chuan test engemaw zat an hmang thei a, chungte chu:

• Slit lamp exam: He test hian i mit mittui tlak zat a teh thin. Doctor chuan i mit chhungah eng a rawn eng a, i mit leh mitmeng chu microscope hmangin a enfiah thin.
• (Schirmer’s test): Hei hi mittui siam chhuah test dan dang a ni. Doctor chuan i mitmeng kil lamah lehkha te tak te chu minute engemaw zat a dah a. Hei hian i mit chu mittui a siam chhuak thin. Chumi hnuah doctor chuan lehkha chu mittui tlak zat tehna hmangin mittui tlak zat chu a teh thin.
• Tear breakup time (TBUT) test: He test hian i mittui a vawt chak dan a teh thin. I doctor chuan i mitah dye bik a dah ang a, i mittui film chu microscope hmangin a en ang a, i mittui film chu a nghet (a chhe lo) theih nan eng chen nge a rei tih a en ang. I mit i meng hnuhnun ber hnua i mitmeng (cornea) a dry spot hmasa ber a lo lan hun chhung chu an teh ang. Second 10 aia rei lo a daih chuan mit vawt tihna a ni thei.

Doctor-te chuan mit vawt thlentu damdawi lam dinhmun hnuaia awm leh awm loh enfiah turin test dang, antibody test ang chi pawh an ti thei bawk.

Mit vawt hi engtin nge kan enkawl ang? (Tihdamna)

Dry eye treatment tum berte chu:

• I natna lan chhuah dan tihtlem leh i mit tihdam.
• Fiah taka hmuh theihna tura puitu che.
• I mit chunglam chhiatna tih tlem emaw, ven emaw.
• A chhan bulpui ber enkawl.

I tanpui thei tur enkawlna tam tak a awm (a hnuaia tarlan ang hian). I doctor chuan i tan eng damdawi nge tha ber tih a rel ang a, chu chu i natna lan chhuah dan nasat dan leh i natna hnuaia awm dangte a zirin a ni. I tana tha ber tur solution zawng turin enkawlna engemaw zat i enchhin a ngai mai thei.

In lama i tih theih thil leh i chhehvel boruak inthlak danglamna

I natna lan chhuah dan a na lo a nih chuan i doctor chuan in lama i tih theih thil awlsam tak tak atanga tan turin a hrilh thei che a ni. I tih theih ṭhenkhat chu hetiang hi a ni:

• Environment tichhe thei thilte chu pumpelh rawh. Hei hian i symptoms ti na zualtu eng pawh a kawk a ni. Thil tibuaitu tlangpui chu cigarette meikhu, i hmaiah boruak tichhe thei boruak chhuahna, thlipui na tak, leh allergens te hi a ni. Pawn lama i chhuah dawna wraparound glasses emaw sunglass emaw bun hian a pui thei a ni.
• I mutna pindan chhungah humidifier hmang la.I awmna hmun azirin thlasik laiin heater on hian i in lumna nasa takin a tlahniam thei (25% hnuai lam). Hei hian i mit vawt (dry eye symptoms) a ti na zual thei. Hei hi humidifier hian a pui thei a ni.
• I mit ah compress lum tak hnawih la. Damdawi dawr atangin heat mask la la, minute 10 vel i mit chungah dah rawh. Hei hian i symptoms a tihziaawm bakah i meibomian glands te hian oil (lipids) tam zawk an siam chhuak thei bawk.
• I mit chu chawlh hahdam tir rawh. Lehkhabu i chhiar emaw, computer i hmang emaw pawh ni se, chawlh hahdam fo ang che. 20/20/20 dan zawm hian a pui thei ang. Chumi awmzia chu minute 20 danah second 20 chhung screen atanga hla takah en la, feet 20 vel a hlaa thil pakhat en rawh. Tin, screen i chhiar lai emaw, i en lai emaw pawhin mittui tlak chhuahnaah ṭanpui turin mit khap fo thin kha hre reng ang che.
• Omega-3 fatty acid supplement ei thin ang che. Research thenkhatah chuan heng supplement te hian mittui a siam thei a, symptoms a tihziaawm thei bawk. Mahse, supplement eng pawh i ei hmain doctor nen inbia ang che, damdawi thenkhat nen an inzawm thei a ni.

Mit Thianghlim

Mit chawhmeh chi hrang hrang doctor-in a pek theih a ni. I doctor nen i tana tha ber tur duhthlan tur chungchang sawipui rawh.

• Mittui siam (artificial tears): Mittui siam (artificial tears) hian mit a tithianghlim a, hahdamna a pe a, hun eng emaw chen atan natna lanchhuahna a ti reh bawk. Hengte hi counter atanga lei theih a ni a, mahse i hman hmain doctor hnenah zawt hmasa phawt ang che. A chi thenkhatah chuan lipids , mittui tlak loh nan a pui thei a ni. Mahse, mittui tlakna (artificial tears) hian mit vawt chhan bulpui chu a tidam lo.
• Ointments: I mut laiin i mit a vawt chuan zanah lubricant thick tak, ointment ang chi i hmang thei.
• Topical cyclosporine A eye drops (Restasis®): Cyclosporine A eye drops hian i mittui tlakna glands-a inflammation a tidam a, chu chuan mittui tam zawk leh quality tha zawk a siam chhuak thin. Mit tinah ni khatah vawi hnih an hnawih thin. Mi tam zawk chuan thla thum vel hnuah an natna lan chhuahnaah hmasawnna nasa tak an hmu thin. Heng drops te hi i hman tan tirh hian i rilru a na deuh mai thei a, mahse hei hi i hman chhunzawm chuan a bo vek ang.
• (Lifitegrast (Xildra®)) Mit Drops: (Lifitegrast) mittui tlakna hian mittui tlakna a tidam bawk a, ni khatah vawi hnih hman tur a ni. Heng drops te hian mit vawt chhinchhiahna leh lanchhuahna te pawh a tidam vek a ni. A dam kim theih nan ni 90 vel a ngai thei a, mahse kar hnih chhungin hahdamna engemaw chen i nei thei.
• (Varenicline (Tyrvaya®)) Nasal Spray: Varenicline hian i trigeminal nerve chu direct-in a tichak a, basal tear production a tipung bawk.
• Autologous serum drops: I mit a vawt nasat chuan i doctor chuan autologous serum drops a rawt thei ang. Hengte hi i thisen serum part atanga siam artificial tear chi khat bik an ni. He enkawlna hi a hlawk fo thin a, mahse a man a to a, i insurance hian a huam lo mai thei.

Punctal occlusion a awm

I mit hian mittui a chhuah tlem chuan punctal occlusion (temporary emaw permanent emaw) hian a pui thei a ni. Painless procedure-ah chuan doctor chuan i mittui tlakna kawng (punctum)-ah plug te tak te a dah lut a. He "blockage" hian i mit ah mittui a ti tam zawk thin.

Hun eng emaw chen atana tear duct blockage a nih chuan plug chu a dissolve nghal vat thin. I mit vawt a ṭhat chuan i doctor chuan mittui tlakna kawng (permanent tear duct blockage) a rawt thei ang. Chutiang a nih chuan i doctor chuan silicone plug a hmang ang a, chu chu i mittui tlakna kawngah a tul angin a awm reng ang.

Office chhunga thil tih dan tur

I mit vawt lo tura pui turin clinic-ah i doctor-in a pek theih tur enkawlna a awm. Thil tih theih tlangpui ṭhenkhat chu:

• Thermal pulsation therapy (Lipiflow®): He enkawlna hian meibomian gland dysfunction avanga mittui film nghet lo nei te a pui thin. I mitmeng chu zawi zawiin a massage a, a ti lum a, hei hian i meibomian glands te chu oil siam turin a pui thin.
• Intense pulsed light (IPL) therapy: He enkawlna hian light pulse hmangin i meibomian glands block tu solid material chu a tithianghlim a ni. Hei hian i glands a hawng a, oil chu zalen taka a kal theih nan a pui bawk.

A rilru a hah lutuk chuan a rilru a buai em em a

Mit natna (dry eye disease) hian mit tihdelna thiltih awlsam tak pawh hi a ti na hle thei a ni. Hei hi i mitmeng chu i mitmeng vawt leh thinrim tak chu a rawn hnawih vang a ni. Therapeutic contact lens hian i mit chunglam a venghim a, a hnawih thei bawk. Heng lens te hi chi hrang hrang a awm a:

• Soft bandage lens: Heng lens te hian i mit a venghim a, cornea chhiatna tihdam nan a pui bawk.
• Rigid scleral lens: Heng lens te hi a lian zawk a, i mit (cornea) ni lovin i mit hmun dum (sclera) nen an inzawm a ni. I mit an venghim a, an lubricate rualin i mit an tidik bawk.

I doctor chuan i duh ber option zawng turin contact lens option hrang hrang a sawipui ang che.

Pawimawh:Heng enkawlna zawng zawng hi mi zawng zawng tan a tha vek lo. I doctor chuan i dinhmun atana tha ber tur chu a ruat ang. Chuvangin, i tih duh apiang i tih hmain doctor thurawn la hmasa phawt ang che.

Engtin nge mit vawt hlauhawmna i tihziaawm theih ang?

Mit vawt chhan tam tak a awm avangin ven a harsa thei hle. Mahse, a hnuaia mite hi i tih hian i hlauhawmna chu i tihtlem thei a ni:

• Kum tin checkup nei turin kal rawh. Primary care physician chuan i hriselna zawng zawngah a pui thei che a ni. Mit a ro thei tih i ngaihtuah chuan doctor nen inbia ang che. I medical history emaw, i damdawi list emaw-a risk factor awm apiang zawt rawh. Tin, i risk tihtlem nan eng nge i tih theih tih pawh zawt bawk ang che.
• Damdawi lam dinhmun hnuaia awmte enkawl. Damdawi lam thil chi hrang hrang, zunthlum te pawhin mit a vawt thei a ni. I doctor nen zunthlum vei theihna chungchang sawi la, an thurawn zawm la, i thisen sugar level enkawl rawh.
• Nunphung leh boruak tihdanglamna siam. Nitin nunah hian mit a vawt theihna tur thil tam tak a awm a. Nitin computer i hman chuan chawlh hahdam fo ang che. Cigarette meikhu hi pumpelh rawh. I mutna pindan leh hun tam tak i hmanna room dangteah humidifier dah la, i mit chu a hnah hring leh hrisel taka awm theihna tura pui thei tur rawtna dangte pawh doctor hnenah zawt bawk ang che.

Mit hring hi a dam kim thei em?

Mit vawt hi natna rei tak a ni . Damdawi a awm lo a, mahse enkawlna hian i natna lan chhuah dan a enkawl thei a ni.

I tana ṭha ber tur i hmuh theih nan enkawlna hrang hrang engemaw zat i enchhin a ngai mai thei. Hei hi stressful process a ni thei a, mahse a hlawkthlak hle. Tuna i enkawlnate hian a puih loh chuan, emaw, duhthlan tur dang sawi i duh chuan i doctor nen inbia ang che.

Engtin nge ka in enkawl ang? / Engtikah nge Doctor ka hmuh ang?

Mit vawt nena khawsak hi thil awlsam a ni lo. Mi tam tak chuan an natna lan chhuahnate enkawl an tum laiin stress , lungkhamna, leh hahna an nei ṭhin. I dinhmun hian i nunphung a nghawng a nih chuan i doctor nen inbia ang che. I natna lan chhuah dan enkawl dan tur i tana tha tur zawng turin enkawlna hrang hrang i enchhin a ngai mai thei.

Mi maktaduai tam takin mit ro an nei tih hre reng ang che. Chuvangin, hei chauh hi i hmachhawn a ngai lo. Online support community-ah tel la, i doctor hnenah rawtna zawt rawh. I harsatnate chu i tawn mek hrethiamtu dangte hnena sawi chhuah hi i nitin nunah ṭanpuitu lian tak a ni thei.

I mit lam doctor chuan checkup tur i rawn lut fo tur chu a hrilh ang che. Damdawi lam thil dang, mit vawt thlentu i neih chuan doctor dang pan fo a ngai mai thei. I care team-in i dinhmun an enfiah theih nan leh i mamawh enkawlna i hmuh theih nan i appointment zawng zawng kha vawng reng ang che.

Heng zinga pakhat tal i neih chuan i mit doctor nen inbia ang che:

• Symptom thar a awm.
• Symptoms a zual zel.
• Enkawlna atanga side effect thar awm thei.

Dry eye disease hian i mit hahdamna mai ni lovin thil dang a nghawng thei a ni. Hnathawh theihna te, inpawh tawnna te, leh nun nuam tihna te a nghawng thei a ni. Dry eye hian i emotion leh rilru hriselna a nghawng thei bawk. Mahni chauhvin i inhria thei a, mahse nangmah chauh i ni lo. Hetiang dinhmun nei midangte nen inzawm la, i thil tawn te sawi rawh. Dawhtheihna leh chhelna a ngai a, mahse hahdamna hmuh chu a theih ngei ang.

Tuna i enkawlna hian a puih loh chuan i doctor nen inbiakna neih hreh suh. I rilru put hmang hrilh la, i dinhmun enkawl dan tur leh i nunphung siamthatna tur damdawi dang eng nge awm tih zawt rawh.

Take-Home Thuchah a ni

Mit vawt (dry eyes) hi mit a ti na a, a chang chuan mit a tichhe thei bawk. A chhan pakhat chauh a awm lo va, a tam hle. A bulpui ber chu mittui a lo chhuak tha lo emaw, mittui lo chhuak chu a vawt rang lutuk emaw a ni .

• A lan chhuah dan: Itchy, burning, red, blurry eyes, chhungril lama thil awm ang maia hriatna, a chang chuan mittui tlak mai mai.
• A chhan: Kum, boruak (AC, leivut, thli), damdawi thenkhat, natna dang (zunthlum ang chi), leh computer screen en lutuk.
• Enkawlna: Mittui siam chhuah, mittui tlakna bik, mit tana warm compress, nunphung tihdanglam, leh a chang chuan doctor-in enkawlna tenau te.
• A pawimawh ber: Heng symptoms te hi i neih chuan mit lam doctor pan ngei ang . A chhan dik tak an hmu ang a, enkawlna \ha ber an pe ang che. I tih duh apiang ti mai mai suh.

I mit hi a hlu em em a, chuvangin enkawl hi i mawhphurhna a ni tih hre reng ang che.

` Mit ro, Mit ro, Mit natna, Mittui film, Mit hriselna, Mit na, Mit lam doctor