I mit chu a pil bo hmel em? Enophthalmos chungchang hi han sawi ila!

Mi thenkhat mit chu tlem a inhnim pil ang maia lang, an socket chhunga pil ang maia lang hi i hmu ngai em? Hei hi nangmah ngeiin i tawng tawh a ni mai thei, a nih loh leh i hriat mi pakhatin a tih lai i hmu tawh mai thei bawk. Damdawi lamah chuan hei hi enophthalmos . He hming hi a serious deuhin a lang thei a, mahse lungngai suh. A awlsam zawngin, i hriatthiam theih dan tur angin sawi ila. A chhan chu he dinhmun hi chhan hrang hrang vangin a lo awm thei a, chu chu i tih theih tur thil a awm bawk.

Enophthalmos chu eng nge ni tak tak?

A awlsam zawngin, enophthalmos chu i mit pakhat emaw, pahnih emaw chu mitmeng chhungah a pil lut emaw, a chhungah a pil lut emaw a ni. Hetiang a nih chuan "en" tih hian "chhungril" tihna a ni a, "ophthalmos" tih hian "mit" tihna a ni. Hei hi a lehlamah, mit a lo chhuah chuan exophthalmos emaw proptosis emaw an ti a. Mi thenkhat chuan "eyeballs popping out" an ti bawk.

Hetiang mit pil bo, enophthalmos an tih hi pianpui emaw, neih emaw a ni thei . Mit pakhat (unilateral) emaw mit pahnih (bilateral) emaw a nghawng thei bawk.

Hei hi chhan hrang hrang a awm thei. Entir nan:

• Dehydration hi taksaa tui tlakchhamna a ni.
• Damdawi lam thil ṭhenkhat, Horner’s syndrome .
• Traumatic eye injuries - Hengte hi car accident, insual, orbital fracture ang chi thil vang a ni thei. Hei hi traumatic enophthalmos an ti a .
• Pianpui natna Silent Sinus Syndrome ang chi te .
• Kum upat (senile enophthalmos) a nih chuan mit hi a chang chuan a pil deuh thei bawk.

Enophthalmos hian tute nge a nghawng nasa ber?

Hetiang dinhmun hi motor accident-a inhnamhnawih (car, truck, motorcycle), emaw, hmai vuak emaw, insual emaw avanga orbital fracture tuar te zingah a lang tam ber. Orbital bone hi mit vel a ruh venna framework a ni. Statistically chuan he natna hian hmeichhia aiin mipa a nghawng nasa zawk.

Enophthalmos natna lan chhuah dan chu engte nge ni?

Enophthalmos i neih chuan a chhan a zirin a natna lan chhuah dan a inang lo thei. Mahse, a lan chhuah dan tlangpui, i hmuh theihte chu a awm a:

• Double vision (Diplopia): Thil pahnih vawi khata hmuh. Hei hi a tithinur tak zet a ni.
• Vision focus harsa: 1.1.Fiah taka hmuh theih nan hun rei tak a ngai a, a nih loh leh hmuh theih loh tak tak pawh a ni thei.
• Asymmetry of facial features: Hei hian i hmai sir khat chu a sir dang nen a inmil lo tihna a ni. Hei hi i mit a pil lai hian a thleng thei.
• Mitmeng chunglam tlak (Ptosis): Mutthilh hmel a siam thei.
• Deep sulcus : Mitmeng chunglam leh mitmeng inkar a thuk tak lo lang.
• Mit a vawt: I mit mittui tlak tam lo ang maia inhriatna, a sen, leh inflammation.

A châng chuan doctor chuan heng chhinchhiahna ṭhenkhat (mitmeng chunglam (sagging upper eyelids, facial asymmetry, sunken eyes) te hi an hmuh veleh a hre nghal mai thei.

Engvangin nge enophthalmos hi a lo awm? A chhante chu engte nge ni?

Mit pil, emaw enophthalmos emaw awm thei hi a tam hle. Heng chhante hi chi hrang hrangah then theih a ni.

1. I mitmeng (orbit) lian tham inthlak danglamna .

"Orbit" kan tih hian i mit vel ruh zungbun (bony socket) kan sawina a ni. A châng chuan, socket leh a chhunga thil awm zawng zawng (mitmeng pawh tel) chu a pum puiin "orbit" an ti ṭhin. Chuvangin, he eye socket lian tham tak hi a inthlak a, a lian zawk a nih chuan a chhunga thil awmte awmna chu a danglam thei a ni. Mitmeng lian leh te hi a inthlak danglam theih chhan hrang hrang a awm a:

• I mit vel a tliak: Hei hi a chhan tam ber a ni. A bik takin mit zungpui hnuaia ruh tliak (orbital floor fracture) te hi a ni. Orbital blowout fracture hi fracture chi khat na tak a ni. Hmai ruh leh hmai ruh dangte tihchhiat vang pawh a awm thei bawk.
• Silent Sinus Syndrome (SSS) emaw chronic maxillary sinus atelectasis : Hei hi mit zungpui hnuai lam chu a chak lo va, a chhung lam hawiin a tlakbuak a, chu chu hnar sir lehlamah hmui chhunga awm boruak hrual, maxillary sinus natna vang a ni.
• Thil dang, neurofibromatosis te hian hmai ruh a tichhe thei a, a tichhe thei bawk.
• Kum upat ruala ruh inthlak danglamna: Kan ruh pawh hi hun kal zelah a inthlak danglam thin.

2. I mitmeng chhunga thil awmte a inthlak danglam

A châng chuan mit pilna hi ruh lama harsatna aiin, mit zung chhunga thau leh thau inthlak danglamna vang a ni thei. Entirnan:

• Kum upat ruala thau tissue hloh leh thau chak lohna: Heng kum upat avanga inthlak danglamna avanga natna pahnih lo awm hian hming hran pawh an nei a: Giant Fornix Syndrome (GFS) leh senile sunken eye syndrome GFS hi conjunctivitis thlentu a ni fo thin.(mit natna). Heng pahnih hian mit chung lamah pawh harsatna a thlen thei bawk.
• Vascular lama harsatna nei.
• Hun rei tak chhunga radiation therapy hmanga lu chunga nghawng a neih dan.
• Taksa pumpuiah, a bik takin hmaiah thau insem darh dan tidanglam thei natna: Hei hi entirnan pakhat chu Parry-Romberg syndrome , hmai sir khat chauh a nghawng thin hi a ni. Entirna dang chu human immunodeficiency virus (HIV) hi a ni.
• Scleroderma: Hei hi autoimmune condition a ni a, taksa chhunga tissue hrang hrang, vun, kal leh chaw ei dan te chu a thim thin.
• Mit kawng hliam emaw, zai emaw (ruh a tliak lo a nih pawhin): A châng chuan ruh a tliak lo a nih pawhin mit zungpui hliam emaw, zai emaw a nih chuan mit chu a pil lut thei a ni.
• Glaucoma enkawlna atana hman damdawi thenkhat: Prostaglandin-associated periorbitopathy (PAP) tih natna a awm a. Hei hi damdawi ei tihtawp hnuah pawh a reh kim lo mai thei.

3. I mit lian leh te a inthlak danglam

A châng chuan mit ngeia inthlâk danglam avângin mit dinhmun a danglam thei a, chu chu mit a têt deuh deuh ang chi hi a ni.

• Cancer metastasis: Cancer chu hnute, prostate, lung, gastrointestinal system, vun, parotid gland ang chi hmun atanga mit thlenga darh.
• Accident avanga mit chhiatna nasa tak (ruh tliak lo pawhin).
• Congenital fibrosis syndrome: Hei hi nau piang laia awm thin a ni. Mit pahnih ah scarring (fibrosis) a siam thin. Mit pahnih (bilateral) a nghawng avangin he danglamna hi a hmasa berah chuan hmuh tur a awm lo mai thei.

Enophthalmos hi engtin nge kan hriat theih ang? (Diagnosis) tih a ni.

A tam zawkah chuan, a bik takin mit pakhat chauh enophthalmos-in a nghawng a nih chuan doctor-in a hmuh veleh a natna chu a hre nghal thei a ni. Chu bâkah, i damdawi lam chanchin an zawt ang a, mit enfiahna kimchang an nei ang .

Tin, mit lam doctor-te’n enophthalmos i neih leh neih loh dik taka an tehna atana hmanraw leh test bik a awm bawk:

• Exophthalmometry: Hei hian i mit chu mit zung atanga a chhuah (a chhuah) emaw, a pil (sink) emaw a tehna a ni.
• Computed Tomography (CT) scan: He technique hian X-ray leh computer hmangin taksa peng leh tissue te chu three-dimensional (3D) image a siam a. Hei hian mit chhunga ruh leh tissue awm dan hriatthiamna tha zawk a pe thei a ni.
• Magnetic Resonance Imaging (MRI scan): He technique hmang hian magnet, radio wave leh computer (radiation awm lo) hmangin taksa peng leh tissue te chipchiar taka thlalak siam a ni. A bik takin soft tissues detail tha tak a pe thei.

Heng test zawng zawng hi i neih a ngai lo mai thei tih hre reng ang che. I doctor chuan i dinhmun a zirin eng test nge a dik tih a rel ang.

Enophthalmos hi engtin nge enkawl a nih?

Enophthalmos enkawl hian a chhan bulpui enkawl tihna a ni tak zet a ni. Chuvangin, a chhan a zirin enkawl dan pawh a inang lo.

• Damdawi ei tan emaw chawlhsan emaw: A chang chuan hei hi damdawi lam thil vang a ni a, damdawi ei tan a ngai thin. A nih loh leh, glaucoma damdawi ang chi thil a nih chuan, i doctor chuan chu damdawi chu tihtawp emaw, thlak emaw turin a fuih thei bawk.
• Surgery: Orbital fracture ang chi thil vang a nih chuan siamthat nan surgery neih a ngai mai thei. A châng chuan mit zungpui volume siam ṭhat nân emaw, mit ṭanpui nân emaw pawh operation an ti bawk.

Enkawlna nena inzawm hian harsatna a awm em?

Ni e, a chang chuan enophthalmos enkawl hnuah harsatna a awm thei bawk. Mi zawng zawng chungah a thleng lo, mahse hriat a tha:

• Symptoms a zual zel.
• Hmai symmetry hloh.
• Mit hmuhna hloh (a tlem hle).
• Mit pahnih hmuh theihna (Diplopia).
• Mit chet theihna tlahniam emaw, hloh emaw.

Hei vang hian specialist hnen atangin inenkawlna mumal zawn a pawimawh hle.

Engtin nge enophthalmos natna hi i tihziaawm theih ang?

Hetiang natna i vei theihna tur tihtlem nan thil pakhat chu i mit leh hmai ruh ruh tliak atanga inven hi a ni.

• Hriselna hmanrua hmang rawh: Infiamna i khelh emaw, thil hlauhawm tak tak i tih hunah emaw safety glasses leh helmet dik tak vuah rawh.
• Fimkhur taka khalh: Car accident hi hmai hliam thlentu lian ber a ni.
• Insual pumpelh rawh: Hmaiah vuak hian mitmeng a tichhe thei.

Enophthalmos vei tan chuan dam lehna tur chu eng nge ni?

Enophthalmos vei tan dam leh theihna tur thlirna chu a chhan bulpuiah a innghat nasa hle. Entirnan, kum naupan lai atanga fracture emaw silent sinus syndrome emaw enkawlna hian rah tha tak a chhuah tlangpui. Mahse, a chhan a buaithlak zawk chuan enkawlna a buaithlak zawk thei a, dam leh hun pawh a inang lo thei bawk.

Engtikah nge Doctor ka hmuh ang?

I mit emaw, i hmai emawa vuakna thlen thei accident i neih chuan doctor pan a pawimawh. I mit hmuhna (e.g. blurred vision, double vision) i hmuh chuan emaw, i mit a inhnim pil ang maia i hriat chuan doctor nena inbiakna neih a pawimawh bawk a, a chhan i hmuh thuai poh leh enkawl a awlsam zawk.

Enophthalmos leh Hypoglobus te hi eng nge an danglamna?

Enophthalmos chu i mitmeng chu a socket chhunga a pil luh hian a ni. Hypoglobus chu i mitmeng hnuai lam hawia a kal hian a ni. An pahnih hian trauma leh Silent Sinus Syndrome vang a ni thei.

Enophthalmos leh Anophthalmos hi eng nge an danglamna?

Anophthalmos chu pian tirh atanga mit pakhat emaw, mit pahnih emaw awm lohna a ni. Enophthalmos chu mit inthlak danglamna a ni , chu chuan a chhung lam a pil tir thin. Hengte hi dinhmun hrang hrang pahnih a ni.

Enophthalmos leh Pseudoenophthalmos hi eng nge an danglamna?

A châng chuan, mit chu pil tak tak lovin a pil ang maia lang thei dinhmun a awm thei bawk. Hei hi pseudo-enophthalmos ( pseudo tih awmzia chu "dik lo" tihna) an ti a. Entirnan, mit pakhat chu a dang aiin myopic (nearsighted) zawk a nih chuan chu mit chu a pil ang maiin a lang thei. Mahse mit chu a pil tak tak lo.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Mit pil (enophthalmos) i neih chuan i doctor chuan a chhan zawng turin a pui thei che a ni. Hetiang dinhmun hi thil chiang tak, ruh tliak ang chi avanga lo awm a ni thei a, a nih loh leh thil thleng i hriat loh, sinus problem ang chi a ni thei bawk.

A pawimawh ber chu i hmai emaw, mit emaw accident i neih chuan doctor thurawn lak hi a ni. Tin, i mit hmuh danah inthlak danglamna i hmuh chuan i doctor nen sawiho bawk ang che. A hmaa hriatchhuah leh enkawl hian harsatna tam tak a veng thei a ni. Ngaihtuah buai suh, engkim chinfelna a awm!

` Enophthalmos, mit pil, mit natna, mit natna, mit socket, mit hmuhna, hmai asymmetry