I mit lak chhuah vek tur tih ngaihtuahna hian a ti khur thin a ni lawm ni? Ngaihtuah thiam a har khawp mai. Mahse, a châng chuan tuar theih loh natna avang te, natna kai na tak avang te, accident na tak avang te hian i mit chu chhandam theih a ni. Hei hi doctor-te’n ‘Evisceration’ an tih surgery chungchang an sawi lai a ni. A hming chu hlauhawm tak angin lang mah se, eng nge a nih leh engvanga tih nge tih chiang taka i hriat chuan i hlauhthawnna chu a bo vek ang. Chuvangin chipchiar takin sawi ila.
A awlsam zawngin Evisceration chu eng nge ni?
Evisceration hi mit la chhuak vek tur surgery a ni lo . I mit chhunga thil awmte chauh surgery hmanga lak chhuah a ngai a ni. Mahse, mit peng var, sclera , leh mit tichhe thei ruhte chu a awm reng a ni.
Coconut pakhat hi han ngaihtuah teh. Coconut kan grate hian a kernel chauh kan la chhuak a, coconut shell chu kan hnutchhiah a ni lawm ni? Hetah pawh hi chutiang chu a ni. Kernel chhung lam chu kan paih chhuak a, kernel pawn lam "shell" chu kan awm ta a ni.
Hetianga mit chhung lam a lakchhuah hnu hian doctor chuan ball ang chi implant bik chu hmun ruak chhungah a dah lut a. Hei hian mit pianphung (natural shape) vawng reng turin a pui a ni. Tichuan, i dam tha tawh chuan i duh chuan mit lem (prosthetic eye) i nei thei a, chu chu natural takin a lang thei a ni. Hei hi mit nalh tak, rawng nei tak, i mit dang ang chiah chiah a ni.
Engvangin nge hetiang surgery hi i neih a ngai?
Doctor chuan hetiang surgery hi duhthlan tur dang a awm loh a, a tul tak tak hunah chauh a rawt ang. Hei hi a tlangpuiin a hnuaia mite avang hian a ni:
- Mit natna na tak (endophthalmitis): A chang chuan, mit chhungah natna khirh tak tak a awm thei. If these cannot be controlled with regular antibiotics , natna hi mit zawng zawngah leh thluak thlengin a darh thei a ni. Chutiang hunah chuan he surgery hi a natna hmunte lakchhuah nan an ti thin.
- Mit hliam na tak: Mit chhunga thil na tak a lut a, chhiatna nasa tak a thlen chuan mit chu chhanchhuah theih a ni lo mai thei.
- Mit mitdel leh na tak: Damdawi lam thil thenkhatah chuan mit a hloh vek thei. Mahse, tuar theih loh leh tuar theih loh natna a awm chuan chu natna chu tihbo nan he surgery hi a tha ber a ni.
- Mit a hrual ( Phthisis bulbi) .): Hei hi ‘end-stage eye’ tia hriat a ni bawk. Hei hi mit chu zawi zawiin a lo reh a, a thawk thei lo va, a hmel a inthlak danglam thin. He surgery hi he natna avanga natna leh hmel danglamna awm lo turin hman a ni.
Operation hmain engtin nge i inbuatsaih thin?
Hetiang surgery neih hma hian tha taka inbuatsaih a pawimawh hle.
1. Ocularist nena inhmuhkhawm: Surgery hma hian i artificial eye (Ocularist) siamtu specialist nen inhmuh leh inbiakna neih a tha. Chutiang chuan i mit dang rawng leh pianzia ang chi thilte chu uluk takin a en thei a, a hnua siam tur mit siam chhuah tur atana tehfung tul tak tak a la thei bawk.
2. Doctor nena inbiak: Damdawi i ei zawng zawng, Vitamin thlengin i doctor hnenah i hrilh tur a ni. A bik takin anticoagulants i ei a nih chuan i doctor chuan operation hma ni engzat nge i ei tawh loh tur tih a hrilh ang che . Doctor zawt lovin damdawi engmah ei kha bansan ngai suh.
3. Chaw nghei: Operation hma ni khatah doctor-in a hrilh che chhung chu ei leh in i chawlhsan tur a ni. Hei hi operation hma darkar 6-8 vel a ni tlangpui.
4. In lama hruai tur che: He surgery hi a tlangpuiin outpatient procedure a nih avangin chu ni vek chuan i haw thei bawk. Mahse, anesthesia hnuaia i awm avângin, i lirthei khalh thei lo vang emaw, nangmah chauhin i haw thei lo vang. In lama hruai tur che chhungte emaw, ṭhian emaw i mamawh ngei ang.
Surgery tih dan tur
He surgery hi darkar khat emaw darkar hnih emaw vel a ni tlangpui. Operation room-a hruai i nih hnuah general anesthesia, a nih loh leh local anesthesia, leh i rilru hahdamna tur damdawi pek i ni ang.
Doctor chuan uluk takin mit chhung lam chu a la chhuak a, a pawn lam layer dum (sclera) leh ruh chu a la awm reng a ni. Tichuan, mit pianzia vawng reng turin ball ang maia implant chu dah a ni.
Surgery zawhah chuan mitmeng inkar hmun awm reng tur leh a hnua dah tur mit siam (artificial eye) nena inmil zawka siam turin, conformer an tih chu temporary plastic flap an dah a ni. A châng chuan, doctor chuan mitmeng chu hun eng emaw chen chu stitches hmangin a khar thei bawk. A tawp berah chuan mitah pressure bandage an hnawih a, chu chuan thisen chhuah a titawp a, a hring a ti tlem bawk.
Surgery hnuah eng nge thleng?
Surgery zawhah chawlh hahdamna hun engemaw chen pek i ni ang a, chutah chuan anesthesia atanga i harh hnuah in lama haw phalsak i ni ang. In lama i haw hnua i hriat reng tur thenkhat chu hetiang hi a ni:
- Painkiller leh antibiotics: I doctor chuan natna damdawi leh antibiotics emaw steroid emaw a pe ang a, chu chu natna hrik kai loh nan a ni. Heng damdawi te hi a pek ang chiah hian ei thin ang che.
- Bandage: Doctor-in a tih hma loh chuan bandage hi la chhuak suh. A hnim loh nan fimkhur rawh. Ni khat chhung emaw, clinic appointment dang (follow-up appointment)-ah emaw lak chhuah a ni tlangpui.
- Hnathawh khapna: 1.1.
- Kar hnih tal, kar li thleng pawh ni thei, tui chawi, tlan, zuang, emaw infiamna khelh ang chi thil hahthlak tak takte chu pumpelh rawh .
- Kar li chhung chu kawr atanga hnuai lam hawia inbeng leh kg 5-10 aia tam rit phurh loh tur a ni .
- Re-examination: Kar khat vel hnuah lo kal leh turin an ti tlangpui ang che. Chutih hunah chuan bandage chu lakchhuah a ni ang a, i mit chu enfiah a ni ang.
- Mit siam (artificial eye) dah: Mit chhunga tissue te chu a lo dam tha tawh a, chu chu kar 6-8 hnuah a ni tlangpui , mit siam (artificial eye) chu dah theih a ni. Hemi atan hian appointment ruahman turin i doctor chuan a hriattir ang che.
Surgery avanga hlawkna leh hlauhawm awm thei te
Surgery dang ang bawkin hlawkna leh hlauhawmna engemaw zat a nei a, chu chu hriat a pawimawh hle.
| Hlawkpuina | Risk/Complication awm thei te |
|---|---|
| Natna tuar theih loh chu i paih bo vek thei. | Thisen chhuak. |
| Endophthalmitis ang chi natna khirh tak takte chu control theih a ni. | Infection a awm thei. A inserted implant exposure pawh a ni thei. |
| Mit siam (artificial eye) dah a nih hnuah chuan a lan dan chu a tam zawkah a lo awm leh thei a ni. | Sympathetic ophthalmia: Hei hi mit hrisel, operation nei lo chuan inflammation (uveitis) chi khat emaw a neih theihna hmun a ni. |
| Mitmeng chunglam emaw hnuai lam emaw a tlakbuak. | |
| Pyogenic granuloma ang chi lump te te lo awm thin. | |
| Mit vel a hring (wrinkles) ang chi inthlak danglamna hian operation dang neih belh a ngai thei bawk. |
Chûng hlauhawmna tam zâwk chu a tlem hle tih hre reng ang che. I doctor chuan heng hlauhawmnate hi tih tlem nan a tul zawng zawng a la ang.
Evisceration leh Enucleation hi eng nge an danglamna?
Surgery dang enucleation tih pawh i hre tawh mai thei. An pahnih hian mit surgery ni mahse, an pahnih inkarah hian danglamna lian tak a awm.
| Nihphung | Evisceration tihchhuah a ni | Enucleation tih hi a ni |
|---|---|---|
| Part lak chhuah tur chu | Mit chhunga thil awm chauh . | Mitmeng zawng zawng (optic nerve thenkhat nen) chu lakchhuah a ni. |
| A la awmte chu | Mit pawn lam hnah dum (sclera) leh taksa ruhte chu a awm reng a ni. | Mit nena inzawm taksa ruhte chauh a awm a, implant nen a inzawm ta a ni. |
| Thil awmdan hman tam ber | Infection na tak, accident, mitdel natna nei tan. | Mit cancer atan hman a ni fo. |
Engtikah nge i doctor koh tur
Operation hnua in lama i haw hnua heng symptoms te hi i neih chuan doctor ko nghal rawh :
- Thisen chhuak tam lutuk a awm chuan .
- I mit emaw, lu emaw-ah tuar theih loh khawpa natna i neih chuan, painkiller i ei hnuah pawh.
- Mit atanga tui chhuak ang chi a awm a nih chuan, emaw, khawsik i neih chuan (hengte hi natna kai chhinchhiahna a ni thei ).
- Mit dang operation nei lo chuan natna a hriat chuan .
Hetiang surgery chungchang hriat hi a hlauhawmzia ka hrethiam. Mahse, doctor chuan nunna atana hlauhawm emaw, hrehawm tak emaw dinhmun chinfelna ṭha ber nia a hriat chauhvin hetiang thil hi a rawt ang tih hre reng ang che. I ngaihtuahna leh hlauh zawng zawng chu i doctor nen sawiho rawh. I mamawh information leh support zawng zawng an pe ang che.
Take-Home Thuchah a ni
- Evisceration chu mit lak chhuah kim vek a ni lo va, mit chhunga thil awmte chauh paih chhuakin, mit pawn lam hnah leh ruhte chu a awm ta zawk a ni.
- He surgery hi natna khirh tak, accident emaw, mit chhan thei lo natna tuar theih loh emaw a awm chauhvin tih a ni.
- Dam chakna tur chuan operation hnua doctor thupek (damdawi ei te, chawlh hahdam te, hna rit tak tak pumpelh te) zawm a pawimawh hle.
- Mit natural tak tak, artificial eye chu operation hnu kar 6-8 hnuah dah theih a ni.
- Zawhna emaw hlauhthawnna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. I rilru hriselna atan pawh a pawimawh hle.











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