I mit pawh hian ‘stroke’ a nei thei em? (Eye Stroke / Retinal Artery Occlusion) Hemi chungchang hi i hre chiang ang u!

Mit pakhata mit hmuhna hloh nghal, blackout ang maia i tawng ngai em? A nih loh leh i mit hmaah thil te te a lo inhnim pil ngai em, a nih loh leh êng i hmu ngai em? I ngaihven vak lo mai thei. Mahse, mit natna chhinchhiahna a ni thei . Hei hi natna khirh tak a ni a, emergency medical attention a ngai a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila, a chhan chu hriat chian a pawimawh em em a ni.

‘Eye stroke’ tih hi eng nge ni tak tak?

A awlsam zawngin sawi ila, ‘Mit chhunga stroke’ tih hi kan mit chhunga retina-a thisen petu thisen kalna kawngkhar, thisen kalna kawng (artery) a khar nghal mai a ni. Damdawi lam hawi chuan hei hi ‘Retinal Artery Occlusion’ an ti a. ‘Occlusion’ tih awmzia chu blockage tihna a ni. Tui pipe a inkhar a, tui a luang tawp ang bawkin, he mit thlenga thisen phurtu vein te tak te hi a inkhar chuan mit hian a mamawh oxygen leh nutrition a dawng lo. He blockage hi thisen zam vang a ni fo thin .

Tunah chuan he retina hi eng nge a nih i ngaihtuah mai thei. Retina hi camera-a film ang mai a ni. Engin mit a tlak chuan image a siam a, thluak hnenah thuchah a thawn a ni. Chuvangin he hmuna thisen kalna a tawp chuan retina chhunga cell te chu a chhe tan tihna a ni a, kan mit hmuhna chu a nghawng nghal tihna a ni.

Chutiang bawkin retina-a thisen petu vein pawh a block thei bawk. Hei hi ‘Retinal Vein Occlusion’ an ti a. Hei hi mit hmuhna tichhe thei dinhmun a ni bawk.

A pawimawh ber chu he ‘eye stroke’ (Retinal Artery Occlusion) hi medical emergency a nih vang a ni. Chuvangin natna lanchhuahna a lan veleh damdawi lam pan vat a pawimawh hle.

Hei hi chi hrang hrang a awm em? Engtin nge i thliar hrang ang?

Ni e, he stroke hi mit tichhe thei chi hrang hrang a awm a, chu chu retinal artery occlusion a ni a, chu chu blockage awmna hmun a zirin a ni. Thingkung, a zung, a hnah leh a ke leh a ke te nick te te nei ang mai a ni.

• Central Retinal Artery Occlusion (CRAO): Hei hi a tam ber a ni. Thingkung zung ang maiin mit hnena thisen petu main artery a block a ni. Hei hian mit pumpui a nghawng thei a, chu chu i mit i hloh vek thei tihna a ni.
• Branch Retinal Artery Occlusion (BRAO): Hei hi thisen kalna kawng te tak te, main artery atanga branch chhuak ang chi chu a block a nih chuan a thleng thin. Thingkung chunga hnah ang mai a ni. Mit hmun khat chauh a nghawng a ni. Hmuh theihna hmun thenkhat chauh a bo thei.
• Twig Retinal Artery Occlusion: Hei hi thisen kalna kawng te zawk, hnah ang maia inkharkhip a ni. A nghawng chu hmun tenau zawkah chauh a innghat.

He classification hi vein occlusions-ah pawh hman theih a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Retinal Artery Occlusion hi a takah chuan a awm lo hle. Statistics-ah chuan kum khatah mi 100,000 zinga mi pakhat emaw pahnih emaw zingah he natna hi a awm niin an chhut. Amaherawhchu, tu chungah pawh a thleng thei a, chuvangin hei hi hriat chian a pawimawh hle.

Hei hi eng symptoms nge ni? Engtin nge kan hriat chian?

A tam zawkah chuan hetiang dinhmunah hian mit na a awm lo . Hei hi mi tam tak hruai sualtu a ni. A lan chhuah dan ber leh hmasa ber chu mit pakhata mit hmuhna hloh nghal emaw a inthlak danglam emaw hi a ni . Heng inthlak danglamna te hi pakhat hnu pakhatin a thleng thei a ni:

• Mit hmaa floater te, black dot te te, leh net ang chi thil te, leh êng rawn chhuak nghal zung zung te.
• Blurred Vision a awm.
• Mit hmaah mitdel emaw, thim vek emaw.
• Mit lama inthlak danglamna hi a tir lamah chuan a te te atanga tan a, hun kal zelah a pung zauh zauh thin.

Heng symptoms te hian mit pakhat chauh a nghawng tlangpui. Heng symptoms zinga pakhat tal i neih chuan ngaihthah suh. Doctor pan nghal rawh.

Engvangin nge hetiang hi kan chungah a lo thlen? Hei hi eng chhan nge ni?

‘Eye stroke’ awm chhan ber chu mit (retina)-a thisen kalna kawng a block vang a ni. Hetiang blockage hi a awm theih dan kawng hrang hrang a awm a:

1. Embolism: Hei hi taksa peng dang (entir nan, thinlung bang emaw, thisen kalna kawng lian dang emaw) atanga thisen zam, plaque emaw tissue piece emaw a lo chhuak a, thisen kaltlangin thisen kaltlangin mit hnena thisen petu thisen kalna kawng te tak teah a lo awm ta a ni.

2. Thrombosis: Hei hi thisen a thim a, mit hnena thisen petu artery chhungah thisen zam (blood clot) a lo awm hian a ni.

Hetianga thisen kalna kawng a inkhar chuan thisen a luang chhuak thei a, mit chhunga pressure (ocular pressure) a tisang thei a ni. Hetianga pressure sang hian mit nerve a tichhe thei a ni. Hei hi glaucoma an tih dinhmunah pawh hmuh tur a awm bawk .

He ‘hearing stroke’ hi tute nge hlauhawm zawk?

Mit-a stroke awm theihna tur risk factors hi thluaka stroke awm theihna tur risk factors nen a tam zawk chu a inang vek a ni. Chung zingah chuan:

• Thisen sang (Hypertension) nei tan. Hei hi kan rama mi tam takin harsatna an neih chu a ni.
• Thisen cholesterol sang (Hyperlipidemia) nei tan.
• An thisen kalna kawnga thau awm, a ti hring (atherosclerosis) te tan.
• Coronary artery natna vei tan.
• A hmaa stroke nei tawhte tan.
• Kum 60 chunglam tan.He risk hi kum upat deuhin a pung zel.
• Mipa tan chuan.Research atanga a lan dan chuan mipa hi an hlauhawmna a sang deuh hlek a ni. Mahse, hmeichhiate hian he natna hi an nei thei lo tihna erawh a ni lo. Hmeichhia pawhin he natna hi an nei thei bawk.
• He risk hi diabetes mellitus vei tan pawh a sang zawk a, a chhan chu zunthlum hian thisen kalna kawng a tichhe thei a ni.
• Meizial zu thinte tan pawh a hlauhawmna a sang hle .

Heng risk factor pakhat emaw a aia tam emaw i neih chuan tlem tal fimkhur a tha.

Engtin nge doctor chuan hei hi ‘ear stroke’ a ni tak tak em tih a hriat theih ang?

Ka sawi tawh ang khan mit pakhata i mit hmuhna zawng zawng emaw, a then emaw i hloh nghal a nih chuan medical emergency a ni . Doctor i hmuh chuan a hnuaia mi ang hian an ti mai thei:

• I symptoms leh i medical history te zawh che a ni ang.
• Mit enfiahna kimchang tak neih a ni ang. Hei hian fundoscopy , a nih loh leh ophthalmoscopy , a huam a, chutah chuan doctor chuan hmanraw bik (ophthalmoscope) leh êng êng tak hmangin i mit chhung lam, a bîk takin retina leh thisen kalna kawngte chu a enfiah a ni.
• Fluorescein angiography test neihpui turin an ti mai thei bawk. Hei hian i kut zungtang pakhatah dye bik inject a, i mit chhunga thisen kalna kawng a kal laiin camera hmangin thlalak a la a ni. Hei hian thisen kal danah blockage emaw harsatna emaw a awm tih chiang takin a tarlang thei.
• Color Fundus Photography hi mit chhung lam (fundus) chiang taka thlalak lakna test a ni a, chutah chuan mit (retina) pawh a tel a ni.
• Optical Coherence Tomography (OCT) hi test hmasawn tak a ni a, thisen kalna kawng leh retina layer hrang hrangte cross-sectional image chipchiar tak a pe thei a ni.

A châng chuan, doctor chuan natna dang, Giant Cell Arteritis emaw Temporal Arteritis emaw ang chi a rinhlelh chuan, thisenah inflammation marker zawng tûrin ultrasound , echocardiogram (thinlung scan), leh thisen test vawi engemaw zât neih a rawt thei bawk.

Hei hi enkawl dan tur a awm em? Eng nge tih a nih?

‘Eye stroke’ enkawlna tum ber chu a rang thei ang bera mit (retina)-a thisen kal lehna tur siam leh a, mitdelna tihtlem a ni. Enkawl dan tur chu a lan chhuah tirh atanga a rei tawh dan leh a blockage awm danah a innghat a ni. Enkawlna kawng thenkhat chu:

• Mit chhunga pressure tihziaawmna tur emaw, thisen zam tihbo nan emaw damdawi.
• Thisen kalna kawngkhar leak te khar nan laser hmanga enkawlna.
• Mit khap chungin mitmeng chu zawi zawiin massage la. Hei hian thisen zam chu a sawn thei a, blockage chu a tifai thei bawk.
• Paracentesis: Hetiang tih danah hian doctor chuan mit chhung atanga tui tlemte lakchhuah nan needle nalh tak tak a hmang thin. Hei hian mit chhunga pressure a tihziaawm nghal thei a ni.
• Hyperbaric Oxygen Therapy: Hetah hian damlo chu special chamber-ah dahin pressure sang tak hnuaiah oxygen thianghlim thawk turin an siam a. Hei hian retina-a oxygen supply tihpun a tum a ni.

Mahse hre reng ang che, heng enkawlna atanga hlawkna tam ber i hmuh theih nan chuan natna lan chhuah dan a lan veleh, darkar tlemte chhungin enkawlna i tan a ngai a ni. Hetah hian hun hi a pawimawh ber a ni.

He hlauhawmna tihziaawm nan hian eng emaw kan ti thei ang em?

A pumpelh vek theih loh laiin, ‘hearing stroke’ hlauhawmna tihtlem nan thil tlemte kan tih theih a awm. Hengte hi kan hriselna pum pui atan a tha fo thin:

• Ei leh in hrisel ei leh exercise tam tak neih. Thlai, thei leh thlai chi tam zawk ei te, oil, sugar leh chi tihtlem te hi a tha hle.
• Zunthlum i vei a nih chuan i thisen sugar level tha taka control a pawimawh.
• Thisen sang, thisen cholesterol, leh mit pressure te chu a level dik takah dah thin ang che. Damdawi doctor-in a pek ang kha hmang la.
• I mit enfiah turin a hun takah mit doctor pan thin la, a bik takin risk factors i neih chuan.
• Meizial i zuk chuan bansan rawh. He risk hi a sang zawk hle a, a chhan chu meizuk hian thisen kalna kawng a tihchhiat vang a ni.

Heng thilte zawm hian ‘hearing stroke’ lakah a venghim mai bakah natna dang tam tak, lung natna leh stroke lakah a venghim thei bawk ang che.

Hetiang dinhmun hnu hian eng nge thleng? Eng nge kan beisei ang?

‘In-ear stroke’ avanga chhiatna thleng hi mi hrang hrangah a inang lo thei. Khawiah nge blockage a awm tih, eng chen nge thisen supply tihtawp a nih tih leh engtiang chiahin nge enkawl tan a nih tih ah a innghat.

Branch (BRAO) emaw twig (Twig) retinal artery occlusion a nih chuan, chu chu vein te tak te block a nih chuan a chhiatna chu a tlem hle thei. Mahse, central (CRAO) , main artery blockage a nih chuan a chhiatna a nasa zawk thei.

Enkawlna an neih hnuah pawh mi thenkhat chuan mitdelna engemaw chen an la nei thei tho. A châng chuan mit hmuhna chu a ṭha famkim lo thei bawk. Chuvang chuan a ngai pawimawh em em a ni.

Thil pawimawh dang chu ‘hearing stroke’ tih hian thluak stroke i nei tihna a ni.Tin, i neih avanga hlauhawm i nihzia tilangtu a ni thei bawk. Condition pahnih risk factors hi a inang em em a, ‘hearing stroke’ i neih chuan i doctor nen inbiakna neih a pawimawh a, stroke laka invenna tur hmalakna i neih a pawimawh bawk.

Engtikah nge damdawi lam thurawn kan zawn tak tak ang?

Hetiang hi a chiang hle: Mit pakhatah i hloh nghal a, a thim a, a nih loh leh i mit a fiah lo a nih chuan doctor pan nghal rawh. ‘Ocular stroke’ hian mit pakhat chauh a nghawng fo mai.

A châng chuan mit hmuhna chu rei lo têah a bo thei a, chutah chuan a lo awm leh thei bawk. Hei hi ‘mit-a mini-stroke’ an ti a ni . Hun eng emaw chen mitdelna i tawk a nih pawhin ngaihthah suh. Emergency angin enkawl la, doctor pan rawh.

I mit hmuhna hloh chu, hun eng emaw chen atan emaw, chatuan atan emaw pawh ni se, thil hlauhawm tak a ni thei. Amaherawhchu, damdawi lam pan vat a pawimawh a, a bik takin mit pakhat chauha mit hmuh dan danglam i neih chuan. Thluak lama stroke a awm ang bawkin, mit atanga stroke atanga result tha zawk hmuh theihna tur a ni a, a hmaa enkawl hi a tha ber a ni.

A tawi zawngin, kan hriat reng tur thilte chu hetiang hi a ni (Take-Home Message):

Okay, chuvangin vawiin a ‘Eye Stroke / Retinal Artery Occlusion’ chungchanga kan sawiho pawimawh ber berte kha han sawi nawn leh ila:

• Hei hi medical emergency a ni. Symptoms i hmuh veleh doctor rawn rawh.
• A lan chhuah dan ber chu mit pakhata hmuh theih loh nghal mai, a fiah lo emaw, mit hmuhna hloh nghal mai emaw hi a ni. A hrehawm lo fo thin.
• Thisen sang, zunthlum, cholesterol, thinlung natna, leh meizuk ang chi thilte hian a hlauhawmna a tipung a ni.
• Enkawl vat chuan mit chhiatna a ti tlem thei a ni.
• Hetiang dinhmun hi nunphung hrisel neih reng leh risk factors control-na hmanga tihziaawm theih a ni.

I mit hi thil hlu tak a ni. Chuvangin enkawl rawh. He thu hi i tan a tangkai ngei ka beisei. Nang leh i hmangaih te hriselna tha neih duhsakna ka hlan e!

` Mit Stroke, Retinal Artery Occlusion, Mit chhunga thisen kalna kawng inkharkhip, Vision loss, Mit natna, Retina, Eye Stroke, Retinal Artery Occlusion