Mit enfiah tura i kal tawh chuan doctor chuan boruak luang ang maiin i mit chhungah thil a rawn vawrh lut em? A nih loh leh i mit ah hian needle te te an dah a, an en em ni? Mi tam tak chuan hei hi i mit hmuh dan tehna mai mai niin an ngai. Mahse a taka tehna chu i mit chhunga pressure awm hi a ni. Vawiin hian he mit natna hi eng nge a nih, a nih loh leh damdawi lama Intraocular Pressure (IOP) an tih hi han sawi ila.
Intraocular pressure chu eng nge ni tak tak?
A awlsam zawngin, hei hian i mit chhunga tui awm pressure a kawk a ni. Kan mit hi ball te tak te tuiin a khat angin han ngaihtuah teh. Chu ball chu a pianzia vawng reng tur chuan a chhungah pressure engemaw zat a awm a ngai a ni. Chu chu he pressure hi kan mit hriselna leh kan mit hriselna atan a pawimawh em em a ni.
Kan mit chhungah hian tui chi hnih a awm a.
- Aqueous Humor: Hei hi mit hmalam (sclera leh lens inkar)-a awm tui ang chi a ni.
- Vitreous Humor: Hei hi mit hnung lama chamber lian takah awm, gel ang chi thil thuk tak a ni.
Kan taksa hian kan mit a pressure awm chu mak tak maiin a tidanglam thin. Mit chhungah aqueous humor thar a lo chhuah chuan mit atang hian tui hlui inang chiah chiah a chhuak chhuak thin. He tui hi mit chhunga drainage system tha tak tak hmangin a chhuak chhuak thin. Hei hi drainage angle kan ti a. Hetiang kalphung hi tap on a, sink chhunga drain on ang mai a ni. Tui chu a lut a, a chhuak a, chuvangin sink chu a khat lo va, a hring lo bawk. Mahse he balance hi a bo chuan harsatna a lo chhuak ta a ni.
Mit chhunga pressure chu a normal level aia sang a nih chuan Ocular Hypertension kan ti thin. Hei hi enkawl a nih loh chuan mit chhunga peng nalh tak tak te, a bik takin kan mit hmuhna thluaka phurtu optic nerve te a tichhe thei a ni. Hetianga mit nerve chhiatna hian Glaucoma tih natna a thlen thei a, chu chu enkawl loh chuan mit hmuhna a tlahniam reng thei a ni.
Engvangin nge mit pressure a san?
Kan taksa hian he pressure hi a tidanglam tlangpui nachungin, a chang chuan he balance hi a tibuai thei a ni. A chhan berte chu hetiang hi a ni.
| Chhan | A awlsam zawngin... |
|---|---|
| Aqueous humor siam chhuah tam lutuk | Mit chhungah tui tam lutuk a awm khawm thin. Tichuan, a chhuah chhuah ai chuan a chhungah tui tam zawk a pung khawm thin. |
| Drainage angle a block avangin a chhuak thei lo | Fluid lo awm tur drainage canal chu a block a, chu chuan mit chhunga pressure a tisang bawk. |
| Mit Trauma/Hliam a awm | Thil pakhatin mit a rawn deng emaw, a hliam emaw chuan, a chhunga he system nalh tak hi a buai thei a ni. |
| Damdawi thenkhat | Hetiang dinhmun hi damdawi, a bik takin corticosteroid (mit hrual, pill, ointment) avanga lo awm thei a ni. Chuvangin hengte hi Doctor thurawn tel lova hman loh tur a ni. |
Engtin nge mit pressure hi teh a nih?
He pressure tehna hi tonometry an ti a . I mit enkawltu specialist chuan mit enfiahnaah hetiang hian a ti ang. Mercury millimeter (mmHg)-a teh a ni. Hei hi i thisen sang tehna unit ang chiah kha a ni.
Mit hrisel takah chuan pressure pangngai chu 10 mmHg leh 20 mmHg inkar a ni .
He test hi kawng hnih in tih a ni fo thin:
1. Air Puff Tonometry: Hei hian machine pakhatin i mit chhungah boruak te tak te a rawn vawrh lut a. Pressure hi mit hmalam (cornea) chiang tak hian boruak luang chhungah engzat nge a nawr tih tehna hmanga teh a ni.
2. Contact Tonometry: Hetiang hmang hian doctor chuan i mit chhungah numbing drops a dah a, chutah chuan instrument te tak te tak mai chu i mit chung lamah zawi zawiin a khawih a, pressure a teh thin.
Mit pressure a san chuan engtin nge a awm?
Hei hi he natna hlauhawm ber leh kan ngaihven tur thil a ni.
A tam zawkah chuan mit pressure sang hian symptom a nei lo. I nei em tih hriat theihna awmchhun chu mit enfiah a ni. A tlangpuiin mit nerve a chhiat hnuah leh i mit a nghawng hnuah symptoms hi a lang tan thin. Chutih lai chuan chhiatna ṭhenkhat chu a thleng tawh a ni.
Chuvangin mit enfiah fo a pawimawh em em a, a bik takin kum 40 hnuah, hrehawmna a awm lo a nih pawhin.
Engtikah nge Doctor i hmuh ang?
Mit pressure sang hian natna lan chhuahna a thlen lo tlangpui a, mahse, natna lan chhuahna thenkhat chu emergency thil engemaw takah emaw, glaucoma a lo zual zel angin emaw a lang thei a ni.
| Damdawi lam thurawn lak hun tur | |
|---|---|
| Heng symptoms te hi i neih chuan doctor pan nghal rawh: | |
| |
| Heng thilte hi a lo thlen chuan Emergency Department (ETU) ah kal nghal rawh: | |
|
Thisen sang hi thil pakhat a ni em, mitmeng hi thil pakhat nge, thil pahnih?
Awle. Hei hi mi tam tak buaina hmun a ni. Thisen sang (Hypertension) leh mit sang (Ocular Hypertension) te hi natna chi hrang hrang pahnih a ni. Thisen sang i neih vang mai mai chuan i mit pressure a sang tihna a ni hauh lo. Pakhat hian direct takin a dang a thlen lo.
Mahse, hei hi hre reng ang che: Thisen sang nei te hi glaucoma vei an hlauhawm zawk. Tin, thisen sang lutuk emaw, hniam lutuk emaw a nih chuan mit nerve-a thisen kalna a nghawng thei a, mit hmuhna a tichhe thei bawk. Chuvangin, thisen sang i neih chuan i doctor nen inbiakna neih a pawimawh a, glaucoma i vei theihna tur i hriat chian a pawimawh a, mit enfiah fo a pawimawh bawk.
I doctor chuan mittui tlakna, laser hmanga enkawlna, a nih loh leh surgery pawh enkawlna atan a pe thei a ni. Hei hi thil engemaw zat enfiah atanga hriat theih a ni ang a, chung zingah chuan i mit pressure leh i optic nerve dinhmun te pawh a tel ang.
Take-Home Thuchah a ni
- Intraocular pressure (IOP) hi kan mit hriselna atan a pawimawh hle a, mahse a level engemaw zat (10-20 mmHg)-ah a awm reng tur a ni.
- Mit pressure sang (ocular hypertension) hian symptom a lan loh fo avangin mit enfiah fo a pawimawh hle.
- Hetiang dinhmun hi control a nih loh chuan glaucoma a thlen thei a, chu chuan mitdelna a thlen thei a ni.
- Kum 40 aia upa i nih a, chhungkaw history-a glaucoma i neih tawh emaw, zunthlum emaw thisen sang emaw ang chi natna i neih chuan kum khatah vawi khat tal mit enfiah tir ngei ang che.
- I doctor thupek ang chiah kha zawm rawh. A bik takin mittui tlakna hi a hun takah leh a hman dan tur dik takah hman a pawimawh hle.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Procainamide injection/tablet hi eng natna nge damdawi chak tak pek a ni em?
Hei hi damdawi pangngai a ni lo! Hei hi damdawi chak tak a ni a, damdawi inah chuan ‘Antiarrhythmic - Class 1A’ natna khirh tak takah nunna chhanhim nan an hmang thin a, a bik takin thinlung hnuai lam chamber te chu thunun theih loh khawpin a na nghal a, damlo chu a thi dawn ta (Life-threatening Ventricular Arrhythmias / V-Tach)!
💬 Thinlung chu mi â ang maia a nat lai hian engtin nge he damdawi (Procainamide) hi pein thinlung rhythm hi i normalize theih ang?
Electric (Action Potentials) vangin thinlung hi a thawk chak hle! Beat hmasa ber atan chuan ‘Sodium’ particle te chu cell te charge turin a rawn lut a ngai a ni. He pill hi thinlung chhunga a luh hian sodium luh theihna tur gate zawng zawng a block vek a, a lock vek bawk a, chu bakah chuan cells te charge leh reset hun chhung chu tharum hmangin a ti rei bawk (NAPA metabolite kaltlangin potassium a block a ni)! Hei hian thinlung a thawk rang thei lo va, rhythm a ti hniam bawk.
💬 He damdawi (Procainamide) ei thinte’n an hriat tur ‘thatna hlauhawm (Black Box Warning / Lupus)’ te chu engte nge ni?
Hlauhawm ber chu ‘heart rhythm thar tak leh thihna thlen thei tak (Proarrhythmia)’ (chuvang chuan emergency-ah chauh pek a ni) a thlen thei a ni! Hlauhawm dang lian leh tibuai ber chu thla engemaw zat he thil hi an hman hnuah damlo 30% aia tam chuan natna khirh tak ‘Lupus-like Syndrome’ (butterfly ang maia hmai sen, ruh natna) an nei ngei ang! Thisen var (Agranulocytosis) tihchhiat vek a nih avangin thihna hlauhawm tak a awm bawk.
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