I mit chu chhung lam a hawi em? Esotropia chungchang hi han sawi ila!

Mi thenkhat, a bik takin naute naupang te hian mit pakhat emaw, pahnih emaw chu chhung lam hawiin, hnar lam hawiin an nei tih i hmu ngai em? Mi thenkhat chuan hei hi "cross-eyed" an ti bawk. Hei hi damdawi lam chuan esotropia kan tih chu a ni . Hei hi a takah chuan mit dinhmun chungchangah harsatna tenau tak a ni. Thil ngaihtuah tur a awm lo va, hei hi i hriat chian a, enkawl dan dik i hmuh chuan a tam zawkin a tidam thei a ni. Hemi chungchang hi kan sawi belh dawn em ni?

Chuti a nih chuan, Esotropia chu eng nge ni?

A awlsam zawngin, Esotropia chu i mit pakhat emaw, pahnih emaw chhung lam hawia, i hnar lam hawia inher hi a ni. Hei hi a takah chuan Strabismus an tih condition a ni. Strabismus chu i mit a inmil lo va, kawng hrang hranga inher zawk a ni. Mi thenkhat chuan "cross-eyes" an ti bawk. Esotropia hi monocular (mit hrual) emaw binocular (mit hrual) emaw a ni thei.

A tlangpuiin kan mit thununtu taksa peng leh nerve te hian thiam takin an thawk dun a, kan mit chu kawng khatah a kawhhmuh thin. Mahse esotropia vei mi pakhatah chuan he coordination hi a thawk tha lo hle. Car kekawrte chu kawng khata inher lo ang maiin han ngaihtuah teh. Esotropia tih awmzia chu mit chu chhung lam hawi tihna a ni a, hei hi a kalh zawng, chu chu mit pawn lam hawi a ni tih chu exotropia .

Hetiang dinhmun hi kum eng pawhah awm thei mah se, nausen naupang leh naupangte zingah a tam ber. Hei hian naupang mit hmuhna chauh ni lovin, an khawtlang nun leh rilru lama hmasawnna pawh a nghawng thei a ni. Naupang thenkhat chuan he hmel lan dan avang hian mahni inngaihsakna hniam leh mualphona an tawk thin. Chuvangin doctor thurawn la a, natna hriatchhuah a, heng natna lanchhuahna te hi i hriat veleh enkawl tan a pawimawh hle.

Esotropia chi hrang hrang a awm em?

Ni e, esotropia chi hrang hrang a awm. Eng nge an nih i en ang u:

• Intermittent esotropia: Hetiang chi ah hian mit chhung lam hawi hi a awm ngai lo. A chang chuan mit chu a dinglam a, a chang chuan chhung lam a hawi bawk. Light eng leh off ang mai a ni.
• Constant esotropia: Hetiang a nih chuan mit hi chhung lam hawiin a inher reng thin.
• Infantile or congenital esotropia: Hei hi pian tirh lamah a awm thei , a nih loh leh naupan thla hmasa berah a lo awm thei bawk.
• Alternating esotropia: Hetah hian mit pahnih a nghawng a, mahse mit pakhat chauh chu a vawi khatah chhung lam hawiin a inher thin. A chang chuan mit dinglam, a chang chuan mit veilam.
• A awmna tur esotropia:Hetiang chi hi glasses emaw contact lens emaw vuah hmangin siamthat theih a ni fo. Hei hi hmun hla tak tak nei te chungah a thleng fo thin.
• Nonaccommodative esotropia: Hetiang chi hi glasses chauh hmanga enkawl a harsa hle. Surgery neih a ngai mai thei.
• Pseudoesotropia: Hei hi a takah chuan esotropia a ni lo va, mahse a lan dan chuan. Hei hi naute hian an mit chhung lam kil khatah hnar flat ( epicanthal folds ) an neih vang a ni. Hei hian enkawl a ngai lo va, naute a lo puitlin chuan a hmel chu a bo mai ang.

Esotropia natna lan chhuah dan chu engte nge ni?

A lan chhuahna ber chu mit pakhat emaw pahnih emaw chhung lam hawia hnar lam hawia inher hi a ni. Hei hi i neih chuan i hre lo mai thei. Midangte hriat theih a ni fo. Chu bakah, heng symptoms te hi i nei thei bawk:

• Mit chu kawng khatah a che dun lo.
• Mit khap, mittui tla leh i lu chu chiang taka hmuh theih nan a sir khata hawitir hian mit a ti na thei a ni.
• Depth perception lama harsatna awm thei. Chumi awmzia chu thil pakhat chu eng chen nge a hlat emaw, eng chen nge a inhnaih emaw tih chiang taka hriatthiam a har tihna a ni.
• Diplopia (mihring pahnih hmuh theihna).
• Amblyopia - Hei hi "lazy eye" an ti bawk.

Esotropia hi engte nge ni?

Esotropia thlentu ber chu i mit chhunga ruh (muscles) te inkara inremna awm loh vang a ni. A tlangpuiin kan mit chhunga ruh (muscles) te hian team angin an thawk dun a, mit pahnih (binocular system) hmanga thil inang kan hmuh theih nan min pui thin. Hei vang hian thil pakhat chu engtiang chiahin nge a hnaih emaw, engtiang chiahin nge a hlat tih emaw kan hre thei a ni. Bicycle khalh lai te, car khalh lai te, lehkhabu chhiar lai te hian mit pahnih tan thawh ho a pawimawh hle.

Naupang tê tê esotropia vei te hi thil hla tak tak an hmu fo thin. Chumi awmzia chu thil hnai tak aiin thil hla tak tak an hmu chiang zawk tihna a ni. A châng chuan, esotropia hi he hla tak aṭanga thlirna siam ṭhat nân glasses an mamawh tih chhinchhiahna a ni thei bawk.

A châng chuan esotropia hi genetic a ni. I chhungkuaa thisen zawmpui dangte pawhin mit lama harsatna an nei thei bawk.

Tin, esotropia hi damdawi lam thil dang chhinchhiahna a ni thei bawk. Entir nan:

• Mit pakhat emaw, mit pahnih emaw chhunga harsatna, mitdel , mit ( retina ) lama harsatna, a nih loh leh mit nerve lama harsatna te ang chi.
• I thluak nghawng thei harsatna. Entîr nân, intracranial pressure sang emaw, thluaka tumor emaw .
• Nervous system nena inzawm dinhmun, entîr nân, stroke emaw, zunthlum emaw vanga nerve chhiatna .
• Mit hliam a awm.
• Thyroid natna a awm .

Esotropia vei theihna tur risk factors te chu engte nge ni?

Esotropia lo awm chhan tur hian risk factor engemaw zat a awm a:

• Hun hmaa nau neih .
• Chhungkaw zinga mi pakhatin strabismus a nei a .
• Naupai laia ruihhlo emaw zu emaw hman.
• Genetic danglamna .
• Neurologic lama harsatna nei te .
• Hmun hla tak atanga thlir theihna sang tak.
• Hriselna lama harsatna dang, hyperthyroidism leh zunthlum .

Esotropia natna avanga harsatna awm thei te chu engte nge ni?

Esotropia hian i mit thawh ho a harsat phah a ni. Hei hian harsatna a thlen thei a, chungte chu:

• Double vision hmuh theihna .
• Peripheral vision problems - chu chu hmalam pan nghal chuan a sir lam panna range tlahniam tihna a ni.
• 3-D vision leh binocular vision hloh.
• Mit hmuh theih loh .
• Mit pakhata mit hmuhna tlahniam ( Amblyopia ).

A pawimawh ber chu heng cosmetic ngaihtuahnate hian mi tam takah mahni inrintawkna a tlahniam thei a, chu chuan khawtlang nun lungkhamna a thlen thei a, sikul hnathawh leh thil dang tihnaah pawh hlawhtlinna a tlahniam thei bawk.

Engtin nge Esotropia hi hmuhchhuah a nih?

Nangmah emaw i fa emaw hian heng symptoms te hi i neih chuan i chhungkaw doctor chuan mit lam doctor ( ophthalmologist ) emaw optometrist emaw hnenah a refer ang che. Doctor chuan i chhungte leh i medical history a zawt ang che, chutah chuan mit a enfiah ang. A hnuaia test te hi tih theih a ni bawk:

• Visual acuity test - engtiang chiahin nge i hmuh theih tih hriat nan.
• Refraction test - mit hian lens dik tak hmanga light a focus that dan tehna.
• Alignment leh focus test te a awm bawk.
• Pupil dilation (widening) test - Mit chhunga thil awmte hriselna enfiah thin.

Esotropia natna enkawl dan tur chu engte nge ni?

Esotropia natna thenkhat chu anmahniin a reh thei bawk. Mahse, an tih loh chuan i mit doctor chuan heng enkawlna pakhat emaw, a pahnih emaw a rawt thei ang:

• Glasses emaw contact lens emaw hman tur a ni.
• Amblyopia enkawlna (mit chu patch chak tak hmanga khuh emaw, mit chak takah mit hmuhna tichhe turin dilating eye drops hman emaw).
• Prisms - Hengte hi lens chi khat bik, glasses-a bun thin a ni.
• Botulinum toxin (Botox® ) injection - Hei hian mit ruhte chu rei lo te chhung atan a tichak lo.
• Strabismus operation tih a ni .

Pawimawh: Damdawi lam natna dang chhinchhiahna anga esotropia i neih chuan i doctor chuan a hnuaia natna awm chu a enkawl ang. A tlangpuiin, a hnuaia dinhmun control hian esotropia chu a reh thei bawk ang.

Esotropia hi ven theih a ni em?

Esotropia hi pumpelh kim theih a ni lo a, mahse i fa chu a mit emaw, a mit emaw a inthlak danglam tih i hriat veleh mit enfiahna neihpui turin i hruai thei a ni.

Esotropia vei tan chuan eng nge a hmalam hun?

Esotropia enkawlna i dawng a, chu chu glasses vuah emaw, contact lens hman emaw, operation emaw i neih chuan i prognosis a tha hle. A pawimawh ber chu i enkawlna tur ruahmanna dik tak zawm a, i doctor pan fo a, checkup neih reng hi a ni.

Ka fa hian engtikah nge esotropia chungchangah doctor a hmuh ang?

I fain a mit a harsatna a neih chuan – a mit a tidel reng tihna a ni a, a nih loh leh thil chiang taka hmuh theih nan a mit a sir lehlamah a sawn tih i hriat chuan – doctor pan nghal rawh. Hei hi i tan pawh a dik a ni.

I emaw i fa emaw mit a inthlak thut emaw, a hmel a danglam emaw a nih chuan, a bik takin accident hnuah doctor pan nghal tur a ni. A bik takin accident hnua tanpuina lak vat a pawimawh hle.

Ka fa doctor hnenah eng zawhna nge ka zawh ang?

I fa doctor hnenah hetiang zawhna hi i zawt thei ang:

• Ka fa hian eng esotropia nge a neih?
• Eng enkawlna tur nge i rawt?
• Ka fa hian operation a mamawh em?
• Esotropia a lo awm leh loh nan eng nge ka tih ang?

A tawi zawngin (Take-Home Message) .

Esotropia hi mit natna tlanglawn tak a ni. I mit hmuhna a nghawng thei a, hna thawh te, infiamna te, leh nitin thil tih a harsat phah thei a ni. Chu bâkah, i mahni inhriatna a nghawng thei a, a ṭul lovah khawtlâng inlaichînna a tibuaitu a ni thei bawk. Nangmah emaw i fa emaw hian esotropia i nei a nih chuan a rang thei ang bera diagnosis neih a pawimawh hle. Enkawl i tan hma poh leh i mit dinhmun i siam tha thei thuai ang. Chuvangin, rinhlelhna tlemte pawh i neih chuan damdawi lam thurawn la hreh suh.

`Esotropia, mit chhung lam hawi, mitmeng, naupang mit natna, mit lama harsatna, mit enfiah, Strabismus