I mitmeng chu chhung lam a hawi em? He entropion chungchang hi i zir dawn teh ang!

A châng chuan i mit chhungah thil awm ang maiin i inhria em, a nih loh leh i mit a sen a, tui a tla reng ang em? Hei hi mitmeng chu chhung lam hawia a inher a, mitmeng chhung lam a rawn tawk a ni. Vawiin hian he natna hi kan sawi dawn a, chu chu medical science-ah chuan ‘Entropion’ tia hriat a ni. Lungngai suh, hei hi i hriat chian hnuah chuan hei hi chutiang harsatna lian tak a ni lo tih i hrechhuak ang.

Entropion chu eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, entropion chu i mitmeng chu chhung lam hawia, i mitmeng lam hawia a inher hi a ni. Chutiang a nih chuan i mitmeng vun leh mitmeng vun te chu i mit chung lamah a inhnawh khawm thin. Ngaihtuah teh, i mitmengah chuan hnim hring hring ang maiin a lang. He friction hian i mit chunglam a tichhe nasa thei a, a bik takin i mit hmalam a transparent part, cornea , chu a tichhia thei a, hliam pawh a thlen thei bawk.

Hei hi a lam dang a awm a, chu chu mitmeng chu pawn lam a hawi hian a ni. Chu chu ‘Ectropion’ an ti a. Mahse vawiinah hian chhung lam hawi kan sawi a ni.

Entropion hian mitmeng hnuai lam a nghawng fo thin . Mi thenkhatin mit pakhatah chauh an nei thei a, thenkhat erawh chuan mit pahnihah an nei thei bawk. ``Bilateral entropion'' kan ti a ni. Hei hi enkawl tha a nih loh chuan ka sawi tawh ang khan mit (cornea) a chhe thei a, mit pawh a bo thei bawk . Chuvangin heng symptoms te hi i neih chuan mit lam doctor pan a, enkawl a pawimawh hle. A hmasa ber atan chuan non-invasive methods te chu enchhin a ni a, mahse a chang chuan operation neih a ngai thei bawk.

Entropion chi hrang hrangte chu engte nge ni?

Entropion hi chi hrang hrang lian tak tak a awm a. Eng nge an nih hi han thlir ila:

• Involutional entropion: Hei hi a tam ber chi a ni . Kan tar chhoh zel chuan kan mit vela ruh leh ruh (muscles) te chu zawi zawiin a chak lo va, a lo thlah zauh zauh bawk. Chu chu a chhan ber a ni. Kan pi leh pute vun a hrual ang bawkin a chhunga thil awmte chakna pawh a tlahniam bawk.

• Spastic entropion: Hetiang chi hi engti kawng pawha mit tihbuai a nih chuan a awm thei a, entirnan, mit chu na taka hnawih a nih chuan, mit a hrisel a, mit a hring a nih chuan a awm thei. It is especially likely to occur after eye surgery , emaw, tar vanga mitmeng hrual tawhte tan.

• Cicatricial entropion: Hei hi mitmeng a scar tissue lo awm thin a ni . Hei hi kang, natna khirh tak, mit hliam, mit surgery emaw, cancer enkawlna atana radiation therapy emaw avanga lo awm thei a ni. He scarring hian mitmeng chu chhung lam hawiin a tichhe thin.

• Pianpui atanga lo chhuak entropion: 1.1.Hei hi a tlem hle a, mahse naute thenkhat chu he natna nei hian an piang chhuak thin. Hei hian mitmeng chu pian tirh atang khan chhung lam hawiin a inher tihna a ni .

• Mechanical entropion: Hei hi mitmeng a rit lutuk a, chhung lam hawia a inher chhuah chuan a thleng thin. Hei hi mitmeng chhungah mass emaw tumor emaw a lo awm chuan a thleng thei a ni.

Entropion natna lan chhuahna chu engte nge ni?

Entropion i neih chuan mit lama natna langsar lo engemaw zat i nei thei. Hengte hi i hriat chian em tih en rawh:

• Mit chhungah thil awm ang maia hriat rengna, leivut hring emaw, mitmeng hring emaw a chhunga awm ang maia hriatna.
• Mit a sen vek.
• Mittui tla fo (mit tui).
• Mit hmuh a fiah lo.
• Mit na a na.
• Mitmeng a na hle.
• Eng hriatna (eng êng takah pawn lam en harsa - hei hi ``Photophobia`` kan ti) leh thli laka hriatna.
• Mit atanga tui chhuak emaw, mit kil atanga tui chhuak emaw.

Entropion i neih hmasak ber hian heng symptoms te hi a chang chuan i tawng ve mai thei. Mahse, hun kal zelah heng symptoms te hi a awm reng thin.

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

Entropion nei mitmeng hi thil pawimawh pathum a awm a, chungte chu mitmeng laxity, mitmeng retractor muscle, mitmeng chu a inzawmna hmun atanga chawi chhuaktu, leh mitmeng khartu thau chak lutuk, mitmeng chu pawn lam hawi lovin chhung lam hawitirtu te an ni. Lower eyelid laxity hi kum 60 chunglam ah a awm fo thin , a chhan chu kum upat rualin mitmeng tanpuina a chak lo thin.

Chu bakah, mitmeng chhung lam hawia a inher theih chhan dang engemaw zat a awm bawk:

• Mit hliam a awm.
• Mit natna a awm.
• Tun hmaa mit surgery neih tawhte.
• Mit a hring leh a hring (inflammatory conditions) a awm thin.
• A chunga kan sawi tawh zawng zawng atanga lo chhuak Scar tissue.

Tute nge entropion vei theihna chance sang zawk?

Kum hi entropion lo awm theihna tur risk factor lian ber a ni. Kum 60 chunglam ah a awm tlangpui a, American Academy of Ophthalmology chhinchhiah dan chuan kum 60 chunglam zinga 2.1% velin he natna hi a vei a ni.

Tin, sleep apnea vei te hi entropion vei an tam zawk bawk. Hei hi a chhan chu an mitmeng chunglam chu a lo hrual lutuk thei ("Floppy eyelid syndrome" an ti a), chu chuan chhung lam hawiin an roll awlsam zawk a ni.

Thil dang pakhat chu mipa aiin hmeichhiain entropion an nei tam zawk tih hi a ni.Chu chu ka hmuchhuak bawk.

Engtin nge doctor-te hian entropion hi an hriat theih?

I mit specialist chuan i symptoms leh medical history te a zawt hmasa ang che. Tichuan mit enfiahna kimchang tak a nei ang . Vun lama harsatna, natna hrik, hliam awm leh awm loh a enfiah ang. Mitmeng kilte pawh uluk takin a enfiah ang a, entropion ang deuha lang thei dinhmun dang a awm avangin. It is important to make an accurate diagnosis , hei hian enkawlna tha ber a tichiang dawn a ni.

Entropion hriat theihna atana hman test te

Doctor chuan entropion i neih leh neih loh enfiah nan test engemaw zat a ti thei a:

• Snap-back test: He test-ah hian doctor chuan i mitmeng hnuai lam chu mit khap tir lovin a rawn hruai thla a. Tichuan a chho leh theih nan eng chen nge a rei tih an en thin. Second khat emaw second hnih emaw chhungin a chho leh tlangpui.
• Distraction test: He test-ah hian doctor chuan i mitmeng hnuai lam chu i mitmeng atanga lak chhuah a ni. Chu chu hrual chuan mitmeng leh mitmeng inkar hlat zawng chu teh a ni. Hetiang hlat zawng hi millimeter 6 aia tam a nih chuan thil pangngai lo anga ngaih a ni.
• Slit lamp exam: Slit lamp chu microscope bik a ni . Eng êng tak hmangin doctor chuan i mit chu uluk takin a enfiah ang a, hetiang dinhmun chhinchhiahna a awm leh awm loh a en ang. Hei hian mit chhiatna tenau ber pawh a hmu thei a ni.

Entropion enkawl dan tur chu engte nge ni?

I doctor chuan entropion enkawlna atan hian kawng hrang hrang a hmang thei ang. Enkawlna hman tlanglawn tak takte chu:

• Lubricating eye drops: Mit-ah hian oilment ointment emaw artificial tears emaw hnawih hian natna a tihziaawm thei a ni. Mahse, hei hi hun rei tak chhunga chinfelna tur a ni lo.

• Soft contact lens: I doctor chuan mit lama harsatna laka i mit ven nan soft contact lens hman a rawt mai thei. Heng lens te hian bandage angin hna an thawk a, symptoms a ti tlem bawk.

• Tape: Tape chi khat bik hmangin mitmeng chu a hmunah hun eng emaw chen vawn theih a ni. Hei hi in lama awlsam taka tih theih a ni bawk.

• Stitches: Doctor chuan mitmeng chu a dah leh thei a, a hmuna vawn theih nan stitches tlemte a dah thei bawk. Heng stitches atanga scar tissue siam hian thla engemaw zat chhung chu mitmeng chu pawn lam hawia a inher loh nan a pui dawn a ni.

• Botox® Injection hmanga siam chhuah te:Botulinum toxin tlemte inject theih a ni a, chu chuan mitmeng chhung lam hawia tibuaitu ruhte chu a tichak lo thei a ni. Hei hian thla engemaw zat chhung chu hahdamna a pe a ni.

• Eyelash removal / Epilation: Mitmeng tibuaitu te chu mit chunglam a inhnaih loh nan ``Epilation'' chu chu mitmeng chu hrual leh lakchhuahna a ni.

Heng enkawlna tam zawk hi chu hun eng emaw chen atan a ni tih hre reng ang che. Permanent solution i duh chuan operation i mamawh dawn a ni.

A châng chuan, inverted pupil hi chronic inflammation avanga lo awm a nih chuan, i doctor chuan thisen test (labs) emaw, biopsy emaw hmangin a chhan awm lo, ocular cicatricial pemphigoid emaw trachoma emaw a awm leh awm loh enfiah turin a ti thei bawk.

Entropion hmanga operation tih a ni

A chunga kan sawi tak non-surgical treatment te hian hun rei lote chhungin a pui thei a, mahse , mitmeng inverted chu siamthat vek a, a dinhmun pangngaia dah leh turin operation a ngai tlangpui. He surgery hi sedation leh local anesthesia hmanga tih a ni tlangpui. I surgery ni vek hian i haw thei tawh ang.

Entropion siamthat nan hian surgery chi hrang hrang a awm a:

• Mitmeng tihkhauh: Hei hian i mitmeng chu tlem a tawi (wedge resection emaw lateral tarsal strip an tih) hmanga tihkhauh a ni.
• Retractor reinsertion: Hei hian mitmeng hawng leh khartu thau (`lid retractor`) kha tihkhauh a ni .
• Orbicularis debulking: Hei hian mitmeng khar tura puitu taksa peng thenkhat (orbicularis muscle) chak lohna a huam a ni .
• Eyelid margin reconstruction: Electrocautery emaw cryotherapy emaw hmangin mitmeng hliam emaw, chronic inflammation emaw avanga a inthlak danglam tawh chu a awm reng thei.

Hun rei lote chhungin non-surgical treatment te hi a \angkai hle nachungin, entropion hi a pum pui leh a awm reng theih nan surgery neih a ngai tlangpui.

Mi tam tak chuan entropion surgery hnuah hian hun eng emaw chen atan side effect an nei thin. Swelling leh bruising hi a tam ber. Chungte chu damna kawngah thil pangngai tak a ni. Hengte hi doctor-in damdawi a pek leh cold compress hmanga enkawl theih a ni. A tam zawkah chuan kar hnih chhungin surgery hi a tawp vek a ni.

Engtikah nge Doctor ka hmuh ang?

I mitmeng chu chhung lam hawi ang maia i hriat chuan doctor thurawn la nghal rawh.I mitmeng chu chhung lam hawi lo ang maia lang, mahse i mit chhungah thil awm ang maia i hriat reng chuan doctor pan rawh. Entropion a ni thei bawk.

Doctor hnenah eng zawhna nge i zawh tur?

Entropion i neih chuan i doctor hnenah heng zawhnate hi i zawt thei ang:

• Eng complication nge ka fimkhur tur?
• Recovery lai hian eng nge ka pumpelh tur?
• Test neihna tur hian ka lo haw leh a ngai em? A nih chuan engtikah nge?
• Entropion a lo awm leh loh nan eng nge ka tih theih ang?

Entropion hi a veng thei ang em?

Entropion hi tar chakna pianphung a ni fo a, a chang chuan scar tissue avanga lo awm a nih avangin ven kim a harsa hle. Mahse, mit hliam avanga entropion lo awm theihna tur tihtlem nan mit hliam thei hna i thawh hunah (entir nan, thing i tan emaw, welding emaw i tih hunah) safety glasses vuah tur a ni.

Entropion i neih chuan eng nge thleng ang? Eng nge i beisei theih ang?

Entropion hian mit a tihchhiat hmaa enkawlna zawng thin mi tam tak chuan rah tha tak an nei thin. Entropion surgery hian buaina chu a chinfel tlangpui a, chutiang dinhmun chu a lo lang leh fo lo.

Mahse, harsatna awm reng tur ven nan entropion hi enkawl a pawimawh hle. Mitmeng inverted avanga harsatna awm thei te chu:

• Mit natna a awm
• Corneal abrasion a awm thin
• Mit hmuhna hloh

Take-Home Thuchah a ni

I mit chhungah thil awm ang maia i hriat reng chuan, emaw, i mitmeng chu chhung lam hawia inher ang maia i awm chuan entropion i nei mai thei. He natna hi enkawl a pawimawh a, chu chuan hun rei tak chhunga harsatna awm thei, mitmeng chhiatna leh mitdelna te a veng thei a ni. I doctor nen i rilru hahna, mit hriselna leh nunphung zawng zawng tihchangtlun thei tur enkawlna kawng hrang hrang chungchang sawipui rawh. Chumi chungchang sawi chu hlau lo la, zak suh. Enkawlna i hmuh hma poh leh i dam thuai thei!

` Entropion, mitmeng chhung lam hawi, mit natna, mit na tak, mit sen, mit hmuh, tar leh mit