I mit pawh pawn lam a hawi em? Exotropia chungchang hi han sawi ila!

I fa tê, emaw, i hriat mi pakhat emaw pawh ni se, a mit pakhat emaw, a pahnih emaw chu pawn lam hawiin, beng hrual lam hawiin a hawi tih i hmu ngai em? A nih loh leh TV en lai emaw, pawn lama ni êng êng tak hnuaia a awm lai emaw hian mit pakhat a khar em? A châng chuan a lu chu a sir khatah a ti nghing tih i hmu thei bawk. Hengte hi tunlaia kan sawi tur ``Exotropia'' tih hming pu dinhmun chhinchhiahna thenkhatte chu an ni. Ngaihtuah buai suh, hei hi mi tam takin an neih a ni a, chipchiar tak leh awlsam takin sawi ila.

A awlsam zawngin, exotropia chu eng nge ni?

Exotropia ("ex-so-tro-pee-ya" tia lam tur) hi mit inthlauhna a ni. Damdawi lamah chuan he natna hi "strabismus" tiin kan sawi tlangpui. "Mit crossed" tih thumal pawh i hre tawh mai thei, chu chu a awmzia chu a ni.

Chuvangin, he `(Exotropia)`-ah hian mit pakhat emaw, a chang chuan mit pahnih emaw chu pawn lam hawiin, chu chu beng awmna lam hawiin a inher a ni. Hetianga mit pakhat chauh pawn lam a hawi chuan `(Monocular Exotropia)` kan ti thin. Hetianga mit pahnih hi pawn lam hawi a nih chuan `(Bilateral Exotropia)` an ti a.

`(Esotropia)` tih dinhmun i hre tawh mai thei. Mit chhung lam, chu chu hnar lam hawi a ni. He `(Exotropia)` hi chu a kalh zawng a ni. Hetiang dinhmun hi naute leh naupang têah hmuh tam ber ni mah se, puitlingah pawh a awm thei bawk.

A pawimawh ber chu i fa mit chu pawn lam a hawi nia i rinhlelh chuan damdawi lam thurawn la nghal mai tur a ni. Hei hi a chhan chu hetiang mit nei naupang hian mit lamah harsatna a nei thei a, he hmel lan dan hian naupang inrintawkna leh khawtlang inlaichinna a nghawng thei a ni. Chuvang chuan diagnosis neih a, a rang thei ang bera enkawl tan a tha ber.

Exotropia chi hrang hrangte chu engte nge ni?

``Exotropia'' chi hrang hrang pawh a awm bawk. A bulpui berte chu eng nge ni tih i lo en ang u:

• Intermittent Exotropia: Hei hi a tam ber a ni. A hming ang ngeiin a awm reng reng lo. A lo kal a, a kal zel bawk. Entîr nân, i fa chu a chau hle laiin, a nih loh leh khawsik ang natna a neih hunah emaw, a rilru hah lai emaw chuan pawn lam hawiin a mit a hawi thei a ni. Hei hi hla taka thil kan en hian a hriat theih bawk.
• Constant Exotropia: Hetiang chiah hian mit pakhat emaw pahnih emaw chu pawn lam hawiin a awm reng a. Hetiang dinhmun hi hnai leh hla lam thlir pawhin a lang thei. Hei hi a hmaa kan sawi tawh Intermittent Exotropia angin a awm lo.
• Infantile emaw Congenital Exotropia: Hei hian he natna hi nau piang emaw, nausen tir lamah emaw a awm tihna a ni.
• Sensory Exotropia: Hei hi mit hmuh that loh tawhah a awm thin. Mit hmuh \ha lo chu mit dang nen a thawh dun theih loh avangin pawn lam a hawi \hin.
• Alternating Exotropia: Hei hi mit pahnih chu hun hrang hranga pawn lam hawia inthlak danglamin a ni. Hei hi Unilateral Exotropia (mit pakhat chauh pawn lam hawi fo thin) nen a danglam hle.
• Consecutive emaw Secondary Exotropia: Hetiang chi hi Esotropia (mit chhung lam hawi) enkawlna atana operation hnuah a awm thin.

Exotropia natna lan chhuahna chu engte nge ni?

Hetiang dinhmunah hian eng common feature nge hmuh theih tih hi han en ila:

• Mit pakhat emaw pahnih emaw a chang chuan emaw pawn lam hawi reng reng emaw.
• A mit a chhing.
• Mit a na hle.
• Lu na.
• Double vision emaw Diplopia emaw a ni thei.
• Ni eng a chhuah lai hian mit pakhat khap tlat.
• Depth perception a tlahniam.

Nangmah emaw i fa emaw hian heng symptoms pakhat emaw a aia tam emaw i neih chuan mit lam doctor pan ngei ngei tur a ni.

Engvangin nge he exotropia hi a lo awm?

Hei hi chhan hrang hrang a awm a. Eng nge an nih i en ang u:

• Genetics: Chhungkaw thenkhatah chuan he natna (strabismus) hi thlah khat atanga thlah dangah a kai darh thin.
• Mit ruh chak lohna: Hei hi mit che vel control tu muscle te hnathawh that loh chuan a thleng thei.
• Convergence Insufficiency (CI): Hei hi thil hnai tak en hian mit hian point pakhat chauh a ngaihtuah theih loh hun a ni.
• Nervous system dinhmun: Exotropia hi stroke emaw thluaka tumor emaw ang chi natna vang pawh a ni thei.
• Mit hmuhna lama harsatna nasa tak: Mit pakhata mit hmuhna a chhe hle a nih chuan chu mit chu pawn lam a hawi thei a ni.

A châng chuan, a bîk takin intermittent exotropia -ah chuan a chhan chiang tak hmuh a ni lo thei.

Tute nge exotropia vei tam zawk? (Risk factor hrang hrang) 1.1.

Hetiang natna vei theihna tipungtu thil engemaw zat a awm. Anni chu:

• Neurologic lam natna (neurologic disorder) a awm.
• Hun hmaa nau neih.
• Naupai laia ruihhlo leh zu hman.
• Genetic lama danglamna (genetic variation) a awm.
• Refractive error siamthat loh (e.g., glasses vuah loh) `(Refractive error siamthat loh)`.
• Chhungkaw zingah `(Strabismus)` natna nei mi neih.

Enkawlna pek loh chuan eng nge thleng? (Buaina awm thei) .

He ``Exotropia`` dinhmun, a bik takin ``Intermittent Exotropia`` hi enkawl loh a nih chuan a tawpah chuan ``Constant Exotropia`` a lo ni thei a ni. Tin, naupan laia he natna hi a zual chuan naupang chuan ``Lazy Eye`` (Amblyopia) tih natna a nei thei bawk.Chumi awmzia chu mit pakhata mit hmuhna chu a chak lo tihna a ni. Tin, mit pahnih hmanga thawhhona hmanga thil chi thum (binocular vision)-a hmuh theihna pawh a bo thei bawk.

Engtin nge exotropia hi dik taka hriat theih? (Diagnosis) tih a ni.

I fa mit chu pawn lam a hawi tih i hmu mai thei. A nih loh leh i chhungkaw doctor chuan hei hi a hre mai thei bawk. (A chang chuan exotropia vei hian a hre lo pawh a ni thei.) Mit lam doctor emaw mit lam doctor emaw hnenah an refer thei che a ni.

I fa doctor chuan i chhungte damdawi lam chanchin leh i fa damdawi lam chanchin a zawt ang. Tichuan mit enfiahna an nei ang. He exam hian i fa mit a che dan leh a focus dan a en ang. Heng test-ah hian:

• Visual Acuity Test: Naupangte chart a\anga lehkha chhiar tir emaw, naupang tê tête chungchângah chuan thil an hmuh dân tehna emaw neihtîr.
• Refraction Test: Mit- a êng a focus dan tehna, lens hrang hrang hmanga en tir a ni. Naupangte hian heng test-te hi thusawi emaw, chhan emaw a ngai lo.
• Mit alignment leh focus testing: Heng test-te hian naupang mit chu engtiang chiahin nge a align tha tih leh chiang taka a hmuh theih dan a enfiah thin.
• Mit chhunga thil awmte hriselna enfiah turin mit pupil dilating.

Exotropia enkawlna tur engte nge ni?

Enkawlna hi a natna nasat dan azirin a inang lo. A châng chuan, intermittent exotropia hi chutiang chuan a na lo va, a nih loh leh hun kal zelah a mah chauhin a ṭha chho thei bawk. Enkawlna kawng hrang hrangte chu:

• Mit patching: Hei hian mit hmu tha zawk, chak zawk chu patch hmanga khuh a, mit chak lo zawk chu tichak tura thawkrim zawka siam a ni.
• Eye drops: Hei hi damdawi lam thil a ni a, mit patch hnawih ang bawkin mit chak lo chu a tichak zawk a ni.
• Corrective lens: Doctor chuan glass emaw contact lens emaw hman a rawt thei.
• Visual therapy: I fain a chunga kan sawi tak convergence insufficiency a neih chuan mit exercise hian a pui thei ang.
• Botulinum Toxin (Botox®): Mit ruh chhunga Botox® inject hian mit chu a insiamrem leh thei a ni.
• Surgery: Doctor chuan mit pakhat emaw, mit pahnih emawa taksa ruhte chu tihkhauh emaw, tihzauh emaw turin operation a ti thei.

He exotropia hi ven theih a ni em?

Hetiang dinhmun hi a lo awm loh nan hian ven theih a ni lo. Mahse, naupai emaw, naupai tum emaw i nih chuan, he natna hi i fa hnena a thlen theih dan tur chungchangah genetic counselor nen inbiakna neih a tha hle.

Hetiang natna vei te hmalam hun eng nge ni ang? (Lakletlehna)

Exotropia hi hun kal zelah a tha chho thei a, mahse chi tam zawk chu a bo vek ngai lo. Surgery ni lo enkawlna hian he natna hi a thunun thei a, mahse mi tam tak chuan he natna hi a lo awm leh theihna chance an nei a ni.

Engtikah nge ka fa hian doctor a hmuh ang?

I fain i ngaihtuahna tibuaitu symptoms a neih chuan doctor pan fo ang che. Chûng zîngah chuan:

• Mit na a na.
• Double vision hmuh theihna.
• Mit hmuh a fiah lo.
• Lu na.
• Mit pawn lam hawi hmel.

Ka fa doctor hnenah eng nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka fa hian eng exotropia nge a neih?
• Eng enkawlna tur nge i rawt?
• Ka fa hian operation a mamawh em?
• Surgery ka neih chuan eng nge a hlawkna leh a hlauhawmna?

Exotropia hian mitdelna a thlen thei em?

Enkawl loh chuan exotropia hian "lazy eye" (amblyopia) tih natna a thlen thei a, chu chu mit pakhata mit hmuh lohna a ni. Enkawl loh chuan binocular vision a bo thei a, distance vision a tichhe thei bawk. Mahse, mitdelna famkim hi a ni tlangpui lo.

Kum upat deuh deuh hian exotropia hi a na zual em?

Enkawl loh chuan `(Exotropia)` hi hun kal zelah a na zual zel thin. Thunun theih a ni a, mahse a bo vek ngai lo mai thei. Zirchiangtu thenkhat chuan `(Intermittent Exotropia)` chinfelna nghet tak chu thluak siamthat hi a ni an ti a, mahse tun dinhmunah chuan hei hi a theih loh.

I fain ``(Exotropia),'' a neih chuan, chu natna chuan an mahni inngaihsakna a nghawng thei a ni. Mi dangte nêna inlaichînna siam leh vawn nun a harsat phah thei bawk. Miin mitmeng nei lova a biak chuan, ngaihsak lo emaw, thil dang ngaihtuah buai emaw angin a lang thei a ni.

Chuvang chuan he harsatna hi i hriat veleh mit lam doctor pan a pawimawh em em a ni. A bik takin naupang tan chuan mit zawng zawng hi a hrisel a, a hmu tha em tih hriat nan mit enfiah a pawimawh hle. Hetiang thil hi i veng thei lo a nih pawhin hma la la, enkawl hma i la thei bawk.

Thil pawimawh ber ber (Take-Home Message) i hre reng ang u.

Okay, chuvangin kan sawi tawh atang hian hriat reng tur pawimawh ber berte kha han khaikhawm ila:

• Exotropia chu mit pakhat emaw, mit pahnih emaw pawn lam (beng lam hawia hawi) a ni. Hei hi strabismus, a nih loh leh cross-eye chi khat a ni.
• Hei hi naupangte zingah hmuh tam ber ni mah se, puitlingah pawh a awm thei.
• A hmaa hriatchhuah leh enkawl hian mit lama harsatna leh naupang inrintawkna a nghawng dan a ti tlem thei a ni.
• Enkawlna hrang hrangah mit patch, mittui tlakna, glasses, mit exercise, Botox® injection, leh surgery te a tel.
• I fa mit chungchangah harsatna i neih chuan mit lam doctor pan nghal mai tur a ni.
• Hetiang dinhmun hi control theih a ni a, mahse a dam kim lo mai thei. Amaherawhchu, inrelbawlna mumal tak nen chuan nun tha tak i hmang thei a ni.

He thu hi in tan a tangkai ngei ka beisei. Zawhna dang i neih chuan doctor rawn la.

` Exotropia, mit deviation, mit rolling, naupang mit natna, mit lama harsatna, mit enkawlna, strabismus