Ectropion chungchang hi a awlsam zawngin i zir ang u.

I mitmeng chu a roll out ang maiin a lang em? A nih loh leh i mitah thil dik lo a awm ang chi symptoms i nei em, mit vawt, sen ang chi te? `(Ectropion)` tih condition i nei thei bawk. Ngaihtuah buai suh, he thu hi chipchiar takin kan sawi dawn a, awlsam takin.

He mitmeng pawn lam hawia rolling hian eng nge a awmzia tak? `(Ectropion)` tih hi eng nge ni?

A awlsam zawngin, `(Ectropion)` chu i mitmeng, a bik takin mitmeng hnuai lam chu pawn lam hawia, mitmeng atanga hla taka a inher hi a ni. Mitmeng chu a tla thla ang mai a ni. Chutiang a nih chuan mit chhung lam chu a lang chhuak thin. Hei hi flip side chu `(Entropion)` a ni a, chu chu mitmeng chhung lam hawia a inher lai a ni.

Chuti a nih chuan, hetianga mitmeng a roll chhuah hian eng nge thleng?

• Mittui hi a luang chhuak tha lo: Kan mit atanga mittui lo awm te hi mit chhung zawng zawngah a darh a, a hnim reng a, chumi hnuah hnar sir lama khur te tak te hmangin a chhuak chhuak thin. Mitmeng a roll leh chuan he mittui tlakna kawng hi a inkharkhip thin. Tichuan mittui chu a hmuiah a luang thla mai mai a.
• Mit ro, sen: Mitmeng hian mit a khuh tha lo va, mit a vawt a, a sen a, a na bawk.
• Mit na leh hri kai: Mit a inhmeh avangin leivut leh hrik te chu awlsam takin a lut thei a, natna hrik a thlen thei a ni.

Hetiang dinhmun hian mitmeng chunglam a nghawng thei a, mahse a tam zawkah chuan mitmeng hnuai lam a nghawng thung. Mit pakhat emaw, mit pahnih emaw-ah a awm thei. Mahse thu lawmawm tak chu a enkawlna tur a awm tih hi a ni. A chang chuan artificial tears ang chi thil hmangin control theih a ni. A nih loh leh, operation tenau i neih a ngai mai thei bawk.

`(Ectropion)` chi hrang hrangte chu engte nge ni?

He dinhmun (Ectropion) hi a lo awm dan azirin hmunpui pahnih ah then theih a ni.

1. Nau piangsual (`Congenital`): Hei hi a tlem hle. Chumi awmzia chu mi chu hetiang dinhmun neia piang a ni tihna a ni.

2. Acquired: Hei hi a tam ber chi a ni . Hei hi chi li a awm a, chungte chu:

• Kum upa lam nena inzawm ectropion (`Involutional Ectropion`): Hei hi a tam ber a ni. Kan vun a hrual ang bawkin, kan tar deuh deuh chuan mitmeng chhunga thau leh ruh (ligament) te chu zawi zawiin an chak lo va, an lo zawi zawih zawih thin. Chumi hnuah chuan mitmeng chuan mitmeng chu a hmunah a vawn theihna a hloh a, a tla thla ta a ni. Mit tihdel fo pawh hi chutiang chhan a ni thei bawk.
• Paralytic Ectropion: Hetiang dinhmun hi hmai nerve a chhiat emaw, mitmeng control tu nerve a tihchhiat emaw a awm thei. Entirnan, Bell’s palsy natna nen hmuh theih a ni a, hei hian hmai sir khatah paralysis a thlen thin .
• Cicatricial Ectropion: Vun hliam, surgery, kang emaw, ni zung emaw avanga scar tissue a lo awm chuan scar tissue chu a lo tlem thei a, mitmeng chu pawn lamah a hruai thei a ni.
• Mechanical Ectropion: Mitmeng chungah thil rit tak, tumor ang chi a lo awm chuan, chu rit chuan mitmeng chu a hnuai lam hawiin a roll thei a ni.

`(Ectropion)` natna lanchhuahna chu engte nge ni?

Kan mitmeng hian kan mit a venghim a, a tifai reng bawk. Chuvangin heng symptoms te hi mitmeng a tlak hniam a, mit a lan chhuah hian a lo awm thin. Heng zinga pakhat tal i hriat leh hriat loh en rawh:

• Mit chhunga thil awm hriatna (`foreign body sensation`). Mit chhungah thil bawlhhlawh a tla ang maiin .
• Mit a vawt.
• Mit a sen vek.
• Ka mittui chu tui ang maiin a luang chhuak zel a. Ka tap mai mai ang mai hian.
• Mit atanga tui chhuak thuk tak, pus ang maia chhuak.
• Mitmeng chu a hring ang maiin a inzawm khawm a.

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

`(Ectropion)` awm chhante chu engte nge ni?

A chhan pawh a hmaa kan sawi tawh chi hrang hrang a zirin a inang lo.

• `Involutional Ectropion`: A chhan ber chu tar a ni. Chu bakah chuan mit hrual fo hian a pui thei bawk.
• Paralytic Ectropion: Hmai nerve palsy, Bell’s palsy ang chi nen a awm thin. Hei hi a lo thleng nghal fo thin. Hmai sir khat a tlakbuak tir thin.
• `Cicatricial Ectropion`: Vun a hliam vang a ni. Hei hi mitmeng surgery (`blepharoplasty`) hnuah a thleng thei a, accident, mit hliam, kang, emaw chemical tlak chhuah emaw a awm thei. Ngaihtuah teh, vun a kang chuan hliam a dam rualin vun a inzawm khawm a, mitmeng pawh chutiang bawk chuan a chhuak thei bawk.
• `Mechanical Ectropion`: Mitmeng chungah rit a awm a, chu chu tumor, fatty layer, emaw swelling (`edema`) emaw a nih chuan, chu rit chuan mitmeng chu hnuai lam hawiin a hruai a ni.
• Congenital Ectropion: Hei hi pian tirh atanga awm thin a ni. Congenital condition thenkhat Down syndrome leh Blepharophimosis syndrome te nen pawh hmuh tur a tam zawk.

`(Ectropion)` lo awm theihna tur risk factors te chu engte nge ni?

Hetiang dinhmun thlentu risk factor thenkhat a awm a:

• Kum upa lam: Kan sawi tawh ang khan, a chhan ber.
• Ni tlak tam lutuk: Niin vun a tihchhiat hian mitmeng a tichak lo thei a ni.
• Mitmeng khawih, hrual leh hrual reng reng.
• Contact lens vuah: A tihfai that loh emaw, a hun taka thlak loh emaw, lens dah leh lakchhuah hunah i mitmeng i hrual nasat lutuk chuan.
• Mitmeng tichhe thei vun natna neih.
• Mitmengah accident emaw surgery emaw a awm.
• Facial nerve paralysis emaw, hmai rilru na emaw.
• Mitmeng chi hrang hrang hun rei tak hman.

Engtin nge `(Ectropion)` natna hi kan hriat theih ang?

Doctor i hmuh chuan i medical history a zawt hmasa ang a, mit a enfiah ang. Vawi tam tak chu i mitmeng chu pawn lam a hawi tih i hre nghal thei. A chang chuan hei hi a fiah lo thei a, a chang chuan a lang chiang thei bawk.

I mitmeng hnuai lam chu a tlangpui aia hniam zawkin a lang thei. I mitmeng chhung lam chu a lang thei. Mit chu a tlangpui aia sen a ni thei a, a bik takin mitmeng a lang na hmunah chuan a sen deuh thei. Mit dum hnuai lam hnuaia hmuh theih chu mit hnuai lam (cornea) a lang tih hriattirna a ni thei a, a inflamed thei bawk a, chu chu keratitis an ti a ni.

Doctor chuan i mitmeng chu tlem a la chhuak thei a, a hmuna a snap leh theih nan eng chen nge a rei tih a en thei ang. Hei hi "snap-back test" an ti a. Ectropion a nasat chuan i mitmeng chu a hmunah a awm leh theih nan vawi tam tak i mit i chhing a ngai mai thei.

`(Ectropion)` enkawl dan tur chu engte nge ni?

Vawi tam tak chu i doctor chuan i mittui tlak belh nan mittui siam emaw, mittui tlakna dang emaw, ointment dang emaw a pe ang che. He moisture chauh hian a puih loh chuan enkawlna dang pawh a tha thei ang. Chung zingah chuan:

• I hman thin eye drops tihtawp dan: I doctor-in he natna hi hun rei tak i hman tawh eye drop chi khat avanga lo awm niin a ngai a nih chuan, i hman tawh loh tur thu a hrilh ang che.
• Thil dang enkawl dan: Ectropion awm chhan chu vun natna a nih chuan a hmasa ber chu chu natna enkawl a, ectropion control tum a ni. Hei hian anti-inflammatory damdawi steroid ang chi hman a huam thei bawk.
• Surgery: Hei hian i mitmeng hmun tlemte (a tlangpuiin mit pawn lam kil atanga ) lakchhuah a, ligament hrual lote kha tihkhauh a, a inzawm khawm leh a ni.

Ectropion surgery thenkhat, a bik takin scarring avanga surgery te pawh hi a natna siamthat nan skin graft a ngai thei bawk. A then phei chuan Ectropion tihdam kim vek nan operation vawi khat aia tam neih a ngai thei bawk.

Ectropion lakah hian i inveng thei ang em?

Ectropion hi ven a harsa fo thin. Mahse i mit leh mitmeng venhimna atan step engemaw zat i la thei. Entir nan:

• I mit i hnawih tam dan leh i hnawih nasat danah fimkhur rawh. Vun hi hrual lo turin fimkhur rawh.
• Pillow-ah i hmai nghatin i pum chungah mu suh. Hei hian i mitmeng a ti tla (droopiness) a tipung thei a ni.
• Sleep apnea i neih chuan i CPAP machine kha uluk takin hmang ang che. He natna hi i nei nia i rinhlelh chuan doctor pan la, sawiho rawh.
• Ni êng na tak laka i vun leh mit ven nan sunglass vuah la.
• Hnathawh laiin safety glasses i vuah a ngai a nih chuan i vuah ngei ngei tur a ni.
• Contact lens i bun chuan uluk takin silfai la, a hun takah la chhuak rawh. I lens i dah luh leh i chhuah dawnin i kut chu fai takin vawng reng ang che. I mitmeng chu ngilnei takin awm rawh.

`(Ectropion)` ka neih chuan eng nge ka beisei ang?

Ectropion hi enkawl theih tak a ni. A tul chuan surgery hian a natna chu a tidam vek thei a, mitmeng ruh a tichak thei bawk.

Mahse, enkawl loh chuan Ectropion na tak chuan mitmeng (cornea) -ah hliam emaw, ulcer emaw a thlen thei a ni. Hei hian mitdelna a thlen thei a, a pawi berah chuan mitdelna pawh a thlen thei bawk. Chuvangin, heng symptoms te hi i neih chuan doctor pan vat a pawimawh.

Ectropion chungchangah hian engtikah nge doctor i hmuh ang?

• I mit enkawlna appointment neih fo thin kha lo thlir ve suh.
• I mit hmuh danah emaw, i mit hmuh dan emaw, i hriat danah emaw danglamna i hmuh chuan doctor hnenah hrilh nghal rawh.
• Feature fimkhur tur te chu:
• Mit a sen vek.
• Thil dik lo anga inhriatna hi mit lamah a ni.
• Mit tui tak tak.
• Mit khar tha lo ang maia inhriatna.

Doctor hnenah eng zawhna nge ka zawh ang?

I mit lam doctor hnenah zawhna i zawt thei ang:

• Eng ang Ectropion nge ka neih?
• Ka dinhmun chhan chu eng nge ni?
• Eng enkawlna tur nge i rawt?
• Ectropion a lo awm leh loh nan eng nge ka tih ang?

I mitmeng hi i mit a pawimawh hle a ni . I mit a venghim a, a vawt loh nan an veng bawk. Anmahniah hian danglamna i hmuh chuan mit lam doctor pan ngei ngei tur a ni. Mitmeng pawn lam hawi chu thil lian tak angin a lang lo mai thei a, mahse ectropion hian hun rei lote chhung leh hun rei tak chhunga mitdelna a thlen thei a ni. Enkawlna chu mittui siam ang maia awlsam a ni thei a, mahse doctor hmu la, i tana ṭha ber tur chu sawipui rawh.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

• Ectropion hi mitmeng, a bik takin mitmeng hnuai lam chu pawn lam hawia inherna a ni.
• Hei hi a chhan ber chu tar vang a ni a, mahse chhan dang pawh a awm thei bawk.
• Mit vawt, sen, mittui tla, mit chhunga thil awm hriatna te hi a lan chhuah dan tlangpui a ni.
• Hei hi enkawl theih a ni. Mittui lem (artificial tears) atanga surgery thlengin enkawlna a awm.
• Symptoms i neih chuan mit lam doctor pan ngei ngei tur a ni. Enkawl loh chuan mit a tichhe thei a ni.
• I mit leh mitmeng hi enkawl tha rawh. Ni laka inveng la, mit khap fo loh tur a ni.

He thu hi i hlawkpui ngei ka beisei. Mit hrisel pahnih hi thil hlu tak a ni!

` Mitmeng rolling, ectropion, mit natna, mit vawt, mittui tlak, mitmeng zai, tar