I mitmeng chu a lo chhuak mai mai em? (Floppy Eyelid Syndrome) chungchang hi han sawi ila?

I mitmengah natna leh zing i thawh hian i mitmeng a rawn inher chhuak leh chhuak tih hriatna i nei bawk em? I mitmeng chu i khawih chuan rubber ang maiin i hria mai thei. Hei hi mi thenkhat tan chuan harsatna tenau tak a nih laiin, vawiin a kan sawi tur (Floppy Eyelid Syndrome) tih natna lanchhuahna a ni thei bawk.

Floppy Eyelid Syndrome hi eng nge ni?

A awlsam zawngin, (Floppy Eyelid Syndrome) chu i mitmeng, a nih loh leh mitmeng vun chu a lo hring chhuak a, a rubber angin a awm a ni. A stretchy ta a, rubber band hlui ang mai a ni. Hei hian i mitmeng chu a roll in emaw out emaw a ti awlsam a, a bik takin i mut lai hian. Mitmeng chunglam pahnih a nghawng thei fo.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Tuna zirchianna atanga a lan dan chuan khawvel mihring 2% atanga 4% inkar velin he natna (Floppy Eyelid Syndrome) hi an nei a ni. Mahse, doctor-te chuan he zat hi a tam thei hle niin an ngai. A chhan chu he natna lan chhuah dan hi natna dang tam tak nen a awm thei a ni. Chuvangin, a chang chuan doctor, a bik takin mit lam doctor-te chuan heng symptoms te hi an enkawl a, mahse hei (Floppy Eyelid Syndrome) ngeiah hian a tel tih an hre lo mai thei.

Floppy Eyelid Syndrome natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun hian chhinchhiahna engemaw zat a thlen thei a, a bik takin zing i thawh hmasak ber hian .

• Mitmeng chu a lo chhuak nasa hle a, a tla thla bawk. Tlemte pawh khawih pawhin an roll in/out thei.
• I mitmengah natna emaw, kang emaw i hre thin.
• Mit a vawt a, a chhan chu mit tituitu mittui tuiin a lubricate dik loh vang a ni.
• I mit a tui a, a chhan chu i taksain mittui a siam tam zawk avangin a hnim reng a ni.
• Mitmeng a hring a, a na bawk. Hei hi damdawi lam pawhin blepharitis kan ti bawk.
• Mit chhungah thil a inkhung ang maiin a lang.
• Eng laka sensitive nih, êng en harsa tihna (Photophobia) .
• Mit atang hian tui tla ang mai a rawn chhuak a.

Engvangin nge he mitmeng tlak hi harsatna a nih?

Kan taksaa vun hring ber chu kan mitmengah a awm tih i hria em ? Heng mitmengte hi a thawk tha tur chuan elastic a nih a ngai a ni . Chutah chuan mitmeng chungah nghet taka awm tur leh kan hawn, khar leh kan mit kan chhing hian a chho leh chhoh theihna tura an mamawh ‘space’ an neih hunah a ni.

Mahse mitmeng chu khuhna mai a ni lo. A chhungah hian gland chi khat Meibomian glands an tih a awm a . Heng gland te hian (Meibum) .Anni hian meibum (meibum tia lam tur) an tih, oil substance an tichhuak thin. He thil hi kan mittui hnathawh dan atan a pawimawh hle. He oil, meibum an tih hian mittui tui nen a inhmeh a, mit chunglam a tithianghlim a, mittui tlak chhuahna a ti tlem bawk. Chu mai ni lovin, mit khar lai pawhin mitmeng chu a inzawm khawm theih nan a pui a, boruak chhuah lohna tur seal a siam bawk. Hei hian mit a vawt reng theih nan a pui a ni.

Chuvangin, i mitmeng hian he elasticity hi a hloh chuan a droopy a, a hmunah a awm tha lo. Tichuan (Meibomian glands) atanga lo chhuak (Meibum) chu mittui tui nen a inhmeh tawk lo. Tichuan mit lubrication chu a tibuai ta a ni. Tin, mitmeng hi awlsam taka a kal kual avangin chu airtight seal chu i mit khar lai chuan a lo piang tha lo. Hei hi thil thleng reng reng a ni a, a bik takin i mut lai hian .

Floppy Eyelid Syndrome hi engte nge ni?

Mitmeng a tlahniam chhan ber chu mitmeng a protein pakhat elastin an tih bo vang a ni. He elastin hian vun a elasticity pe tu a ni. Mahse hei hi a chhan dik tak erawh hriat a la ni lo. Mahse, zirchianna chuan thil engemaw zatah rinhlelhna a siam a ni. Hengte hi a chhan chiang tak tak nge, a thawhhlawk berte chauh a ni tih sawi a harsa hle. Mahse hengte hian chanvo an nei nia ngaih a ni:

• Obesity leh Obstructive Sleep Apnea (OSA): Heng natna pahnih hi a inzawm tlat a ni. I thau lutuk, chu chu thau lutuk tihna a nih chuan OSA vei theihna a sang zawk. OSA hmang hian i mut laiin i thawk a tawp thin. Hei hian i taksain oxygen a dawn zat a tihtlem phah a ni. Hetianga oxygen tlakchhamna hian taksa chemical reaction a tidanglam a, protein elastin an tih tichhe thei enzyme tam zawk siam a ni. OSA vei zinga a chanve vel pawhin he natna (Floppy Eyelid Syndrome) hi an nei ve bawk.
• Connective tissue disorders: Heng natna te hi connective tissue te, cartilage leh tendon te a nghawng thin a ni. Heng natnate hian taksain elastin a siam dan leh a hman dan pawh a nghawng thei bawk. Entirnan, Marfan syndrome leh Ehlers-Danlos syndrome ang chi natna te .
• Genetics: I DNA inthlak danglamna hian i taksain elastin a siam dan leh a hman dan a nghawng thei a ni. Chûngte chu i nu leh pate aṭanga rochun a ni thei a, a nih loh leh nausen anga i lo ṭhan chhoh laia thil thleng palh a ni thei bawk.
• Mit leh a chhehvel tissue tichhe thei natna dang: Mit hmalam panna tur natna nei te chu an hlauhawm zual thei. Entirnan , thyroid natna , Hashimoto natna ang chi te .

Hei bakah hian thil dang engemaw zat a awm bawk a:

• Gender: Hmeichhia aiin mipa hian Floppy Eyalid Syndrome an vei tam zawk. hmun thuma ṭhena hmun hnih vel chu mipa an ni.
• Kum:Hetiang dinhmun hi puitlingah a tam ber. Naupangah a lo thang lian thei a, mahse a tlem hle.
• Hnam: Mit chhung lam kil khata vun hrual bik (epicanthic fold) nei te, Asian hnam thenkhat ang chi te hian an mitmeng siam dan avang hian he natna hi an vei tlem thei hle.

Floppy Eyelid Syndrome avanga harsatna awm thei te chu engte nge ni?

I mitmeng a tlak chuan i mit chu a hnim leh lubricated a awm loh nan a veng a ni. Hei hian i mit a ti na thei a , a ti chhe thei bawk . Hei hian hetiang hian a thlen thei a ni:

• Mit natna hrik .
• Keratitis hi mit hmalam (cornea), mit hmalam (transparent front part) a inflammation a ni.
• Mit (corneal erosion) lo awm leh thin (RCE) .
• Corneal ulcer leh scarring a awm bawk.
• A nasat chuan enkawl loh chuan mit hmuhna a tlahniam thei a ni.

Engtin nge he natna (Floppy Eyelid Syndrome) hi hriat theih?

Hemi (Floppy Eyelid Syndrome) chhinchhiahna hi natna dang tam tak nen a awm avangin, dik taka hriat theihna tur test bik a awm lo.

Mit lam doctor chuan he natna hi i natna lan chhuah dan zawtin, i mit hmuh dan leh i mit hriat dan zawhna zawtin, i mitmeng a enfiah thei a ni. Exam chhung hian doctor chuan a kut zungtang tip chu i mitmeng vunah a dah ang. Test a ni a, a na lo tur khawpa nem, mahse i mitmeng i kal theih leh i hrual theih tur khawpa nghet a ni.

Mit lama mithiam tam tak chuan Floppy Eyelid Syndrome i neih leh neih loh leh a nasat zia hriat nan he method hi an hmang thin. Chumi atan chuan grading system hman ber pahnih a awm a:

• Measurement method: Hei hian mitmeng che vel zat a teh thin. He scale hi 0 atanga 4 thleng a ni.
• Conjunctival Visibility System: Hetah hian mit lam doctor chuan i mitmeng chunglam i han en laiin a chawi sang ang. A nasat dan chu mit peng var, conjunctiva an tih chu engzat nge a hmuh theih tih a zirin a ni. He scale hi 0 atanga 3 thleng a ni.

Hemi (Floppy Eyelid Syndrome) hi eng enkawlna nge ni?

Enkawl dan tlangpui pahnih a awm a, chungte chu conservative approach leh surgical approach te an ni .

Conservation kalphung

Conservative approach chu he natna lan chhuah dan tur ven tumna a ni. Hei hian i mut laiin i mit chu plaster-a khuh reng emaw, mit mask vuah emaw, mut hmain mittui siam emaw, mit hriak emaw hnawih emaw a ni tlangpui.

Tin, i doctor chuan OSA i neih leh neih loh enfiah turin mutna test nei turin a ti bawk ang che. Chu chu hre reng ang che, i thau lutuk lo pawhin OSA i nei thei.

Thil pawimawh ber: OSA i neih chuan Continuous Positive Airway Pressure (CPAP) machine emaw Bilevel Positive Airway Pressure (BPAP) machine (a then chuan BiPAP® tia koh) emaw hmang hian elastin hloh chu a tidanglam thei a, i mitmeng elasticity a ti tha thei bawk. He machine hi zan tin hman a pawimawh hle. Chutiang a nih loh chuan a \angkai vak lo ang. A lehlamah chuan OSA enkawl loh chuan thihna a thlen thei a, chuvangin machine hman hi a pawimawh zawk.

Surgery hmanga tih dan tur

Conservative measures-in hna a thawh loh chuan surgery hi ngaihtuah a ni tlangpui. Tin, i dinhmun (Floppy Eyelid Syndrome) a nasat a, mit tihchhiat theihna a awm a nih chuan operation hi tih theih a ni. I mitmeng tissue te tikhauh thei tur surgical procedure engemaw zat a awm a. I mit lam doctor emaw surgeon emaw chuan an tih tur an rawt dan leh i beisei tur te a hrilh belh ang che.

(Floppy Eyelid Syndrome) i neih chuan eng nge beisei tur?

Floppy Eyelid Syndrome i neih chuan i symptoms chu i mit chhunga tui awm chungchanga harsatna i neih vang a ni fo thin. Zingkar i thawh hmasak ber hian symptoms a na zawk tlangpui . I sir lama i mut duh chuan i mit lam i duh ber chu i natna lan chhuah danin a nghawng nasa zawk thei. Hetiang dinhmun hi direct-a hlauhawm a nih loh laiin, i mit a tichhe vek thei a, i mit a tichhe thei bawk.

(Floppy Eyelid Syndrome) i vei nia i rinhlelh chuan mit lam doctor pan a, enfiah tir a tha. Chutiang a nih chuan i doctor chuan (OSA) a enfiah ang a, a tul chuan a enkawl ang.

He natna (Floppy Eyelid Syndrome) hi a mah chauha a lo ṭhat theih nan chuan a chhan bulpui, OSA ang chi chu a taka ngaihtuah a ngai a ni. Mahse, OSA ngei pawh hi enkawl a ngai a, nunna atana hlauhawm harsatna a thlen thei a ni.

He natna (Floppy Eyelid Syndrome) hi eng nge a nih?

Floppy Eyelid Syndrome hi enkawlna nen a hmalam hun a tha hle . (CPAP) emaw (BPAP) emaw (OSA) ang chi enkawlna hman hian i natna lan chhuah dan chu eng emaw chen tal a ti tha thei ang. Symptom dangte chu a na lo zawk ang a, conservative treatment dang hmangin control a awlsam zawk ang.

Floppy Eyelid Syndrome surgery hmanga enkawlna hlawhtlinna rate hi a sang hle. Surgery hlawhtlinna rate hi 91% leh 98% inkar a ni .

Floppy Eyelid Syndrome hi a veng thei ang em?

Floppy Eyelid Syndrome hi engtin nge a lo awm tih chiang taka kan hriat loh avangin a pum puia ven theih a ni lo. Mahse, mithiamte chuan Floppy Eyelid Syndrome vei theihna tur hlauhawmna chu i tihziaawm thei niin an ngai a, chu chu a thlen thei dinhmunte enkawl emaw, pumpelh emaw a ni. Chûng zîngah chuan:

• I tan taksa rihna hrisel tak vawn reng.
• I positive airway pressure machine chu a rawt angin hmang la, zan tin, ni khat pawh hmang lo.
• Natna rei tak i neih theih apiang (Hashimoto natna ang chi) chu enkawl la, Floppy Eyelid Syndrome thlen thei mit inthlak danglamna ven nan.

(Floppy Eyelid Syndrome) ka neih chuan engtin nge ka in enkawl ang?

Floppy Eyelid Syndrome i nei a nih chuan mit doctor thupek hi a theih ang anga zawm a pawimawh. I mut laiin i mit venhim hi i ngaih pawimawh ber tur a ni . Tin, mittui siamna, mittui tlakna emaw, thil dang emaw pawh a rawt angin hmang bawk ang che. Tin , mit hrual loh a pawimawh bawk . Hei hian i mitmeng a ti tlahniam thei hle.

I doctor-in OSA enfiah turin mutna lama mithiam hnenah a refer che a nih chuan a rawt angin i ti tur a ni. OSA hmuhchhuah a nih chuan specialist thupek dik takin zawm tur a ni. Hei hi a pawimawh hle a, OSA enkawl loh chuan thihna a thlen thei a ni.

Engtikah nge ka doctor ka hmuh ang emaw, doctor thurawn ka lak ang?

Enkawl loh chuan Floppy Eyelid Syndrome hian mit a tichhe vek thei. Symptoms i neih chuan a rang thei ang bera mit lam doctor i pan tur a ni . Hei hi emergency a ni lo va, mahse i tuar mai mai tur, ngaihthah mai tur, mahni chauha enkawl tum tur thil a ni lo.

Hetiang natna hi i nei tih i hriat tawh chuan i natna lan chhuah dan a danglam emaw, a na zual emaw a nih chuan i doctor nen inbia ang che. Enkawlnain a puih loh chuan, a nih loh leh a hlawhtlinna a hloh tawh ang tih a nih chuan, chu chu i doctor nen pawh i sawi thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

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

• Ka (Floppy Eyelid Syndrome) natna hi engtiang chiahin nge a nasat?
• Tunah hian engtin nge hei hian ka mit a nghawng?
• Hetih lai hian ka dinhmun enkawl nan eng nge ka tih theih ang?
• Eng complication emaw side effect nge ka hriat tur leh ka fimkhur tur?

Floppy Eyelid Syndrome leh mitmeng tlak (ptosis) thlentu natna dangte hi eng nge an danglamna?

Drooping eyelids, medical science- a ptosis tia hriat natna hi kawng dang pahnih-in a thleng thei a:

• I mitmeng chu a taksa ruh (muscles) a harsatna avanga a chak lo a nih chuan.
• Muscle nena inzawm nerve te hian hna an thawk tha lo a nih chuan muscle te che tirtu signal te chu a tibuai tihna a ni.

Floppy Eyelid Syndrome hi hmanraw dang pahnih nen a danglam a , a chhan chu vun elasticity nen a inzawm tlat a ni . Mitmeng inthlak danglamnaah hian taksa ruh leh nervous system a nghawng lo.

Summary leh thil hriat reng tur

Floppy Eyelid Syndrome hi thil tenawm tak angin lang mah se, natna khirh zawk, thihna thlen thei Obstructive Sleep Apnea (OSA) tih chhinchhiahna a ni thei. Enkawl loh chuan Floppy Eyelid Syndrome hian mit a tichhe vek thei a ni.

(Floppy Eyelid Syndrome) symptom i neih chuan ngaihthah suh la, tuar suh. He natna hi hriat chian leh enkawl hian hrisel taka awm theihna tur te, mit hmuhna tur te, leh harsatna hlauhawm tak tak thleng tur venna kawngah te a pui ang che. Chuvangin, doctor hmu la, thurawn la ngei ang che.

` Floppy Eyelid Syndrome, OSA, Mut theih lohna, Mit Natna, CPAP, Mitmeng Rolling