Mit Doctor hnenah i kal a, "I mit a pressure a sang deuh niin a lang a, test tlem han ti ila" tih i lo hrilh tawh ngai em? A nih loh leh i chhungkuaa mi pakhatin glaucoma a vei avangin tlem i hlau em? Vawiin hian hetiang huna tih thin test pawimawh tak, mahse awlsam tak tak kan sawi dawn a ni. Chu chu Gonioscopy test a ni. A hming hi a buaithlak deuh a, mahse a awlsam em em a, a hrehawm lo hle bawk.
Gonioscopy tih hi eng nge ni mai?
A awlsam zawngin Gonioscopy hi i mit doctor-in a tih thin, noninvasive test a ni. A bul berah chuan i mit chhunga fluid drainage system chu a thawk tha em tih a enfiah thin. I in chhunga drain a khar em tih enfiah ang mai a ni. He system hian hna a thawk tha lo a nih chuan mit chhunga pressure a sang thei a, chu chuan glaucoma ang chi natna khirh tak a thlen thei a ni. Chuvangin he test hian chutiang thil hriat hmasak nan a pui hle.
Eng dinhmunah nge he test hi tih a nih?
I doctor hian he test hi a rawt theih chhan hrang hrang a awm. Glaucoma hi mit chhunga pressure (intraocular pressure) a san a, mit nerve a tichhia a, chu chuan mit a tichhe zauh zauh thei a ni. Chuvangin, he test hi a kaihhnawih rinhlelhna a awm apiangin tih theih a ni.
He test hian a ti ber ber chu:
- Glaucoma chi hrang hrang hriat chian: Glaucoma hi chi hnih a awm a. Chungte chu angle-closure glaucoma leh open-angle glaucoma te an ni. Eng chi nge i neih tih chiang taka hriat theih nan gonioscopy hi a pawimawh hle.
- Damdawi lam thil dang hriatchhuah: Hei hian glaucoma ang chi natna dang, pseudoexfoliation syndrome ang chite chu paih chhuah a pui thei bawk.
- Mit chhunga Tumor emaw Cancer emaw: He test hi iris (mit rawng nei)-ah tumor emaw cancer emaw rinhlelhna a awm leh awm loh finfiah nan an ti bawk.
Mit pressure sang lutuk a awm chuan mit a tichhe vek thei a, mit hmuhna pawh a hloh vek thei tih hre reng ang che. Chuvang chuan hetiang test hi a pawimawh em em a ni.
He Gonioscopy test hian engtin nge hna a thawh?
Hemi hnuaia science awm hi a awlsam hle. Room kil khata thil awm chu hmuh i duh tih han ngaihtuah teh. Engnge i tih? Darthlalang i han phar a, i han en a, a dik em? Chu chu hetah hian technique awlsam tak hman a ni.
Kan mit chhungah te, cornea hnung lamah (mit hmalam a transparent part) leh iris hmaah te hian fluid-filled chamber a awm a. Hei hi anterior chamber an ti a .He chamber chhunga fluid (aqueous humor) hi a chhuak reng a, a chhuak zel bawk. He tui hi "drainage angle" an tih hmun atang hian a chhuak chhuak a, chutah chuan iris leh mit var (sclera) te chu an inhmu a ni.
Gonioscopy-a hman tur special lens hian magnifying glass emaw mirror emaw hmangin doctor-in drainage angle chu direct-in a hmu thei a ni. A zim emaw, a block emaw, a hrisel em tih emaw a hre nghal thei.
Gonioscopy lens hi eng chi nge ni?
He test atan hian lens chi hnih hman a ni. Eng chi test nge i neih tih hriat a tha.
| Lens chi hrang hrang | A hnathawh dan | Hmun hman tlanglawn tak |
|---|---|---|
| Indirect Gonioscopy hmanga enfiah a ni | He lens hian mirror a nei a. Chu êng chuan chu darthlalang chu a rawn deng a, a rawn lang chhuak a, chu chuan doctor chuan chu angle chu a hmu thei a ni. | Mit lam doctor office-ah. Hei hi hmanraw hman tlanglawn ber a ni. |
| Direct Gonioscopy hmanga enfiah a ni | He lens hian mirror a nei lo. Chu ai chuan light chu a ti lian zawk a, doctor chuan drainage angle chu direct-in a hmu thei a ni. | Hei hi operation room-ah tih a ni fo a, operation dang pawh tih a ni bawk. |
Test hmain inbuatsaih a ngai em?
A tlangpuiin, inbuatsaihna bik i mamawh lo. Hei hi engtik lai pawha tih theih test a ni.
Mahse thil pakhat a awm: Contact lens i vuah chuan test hma ni engemaw zat chhunga i hman tawh loh a ngai em tih doctor zawt ngei ang che.
He test hi surgery nena inzawm a tih a nih chuan i doctor chuan a inbuatsaih dan tur chiang takin a hrilh ang che.
Test neih chhung hian eng nge thleng?
Indirect Gonioscopy chungchang hi han sawi ila, chu chu i tih a ngai ngei ang. Mit enfiahna pangngai (slit lamp exam)-a tel ve ang maiin a lang.
1. Mit numbing: A hmasa berin doctor chuan i mit ah numbing drops engemaw zat a dah ang. Hei hian i mit a ti na hle ang. Chuvangin hrehawmna leh lungawi lohna i nei lovang.
2. Lens buatsaih dan: A dawtah chuan lens te tak te chu uluk takin i mit chungah dah a ni. Lens leh i mit inkarah boruak bubble a awm loh nan leh i kal awlsam zawk nan lens-ah wetting drops hnawih a ni.
3. Examination: Tunah chuan doctor-in i mit enfiah nan machine light lian tak, slit lamp a hmang tih i hmu tawh a. Chu lens hmang chuan i mit chhungah a en ang. Hetih lai hian hmalam hawi nghal turin an ti ang che a, a nih loh leh doctor chuan kawng khat (chunglam, hnuai lam, veilam, dinglam) en turin a ti ang che.
4. Dynamic Gonioscopy: A chang chuan, doctor chuan i mit chungah lens chu zawi zawiin a nawr ang. Hei hi dynamic gonioscopy an ti a . Hlau suh, hei hi iris-a adhesion (synechiae) awm leh awm loh enfiah nan a ni.
5. End: Minute tlemte hnuah test a zo tawh ang. Chumi hnuah chuan lens chu lakchhuah a ni ang. Mittui tlakna engemaw zat i nei thei a, chu chu thil pangngai a ni.
He test-ah hian dilating medication a tel thei a, a tel lo thei bawk. Hei hi Doctor-in a ruat a ni.
Hei hian risk emaw side effect emaw a nei em?
Thu lawmawm tak chu Gonioscopy test ngei pawh hian risk leh side effect a nei lo.
Mahse, mit tichak lo tur leh mit tizau thei tur mittui tlakna hman a nih avangin, hun eng emaw chen atan harsatna engemaw zat i nei thei a, chu chu darkar tlemte chhung mit hmuh lohna ang chi hi a ni. I doctor chuan hei hi a hrilhfiah ang che.
Results a dik lo a nih chuan eng nge i tih leh ang?
Hemi chungchanga thil tha ber chu Doctor in test zawh veleh result a hrilh thei che a ni.
Drainage angle a tawi tih i hmuh chuan glaucoma vei theihna i nei tihna a ni. Chumi hnuah chuan i doctor chuan i mamawh enkawlna (mit thlak, laser hmanga enkawlna, emaw, surgery emaw) chungchang a sawipui ang.
Mahse, a chang chuan he tui luangna angle hi a khar vek thei bawk. Hei hi angle-closure glaucoma an ti a. Hei hi medical emergency a ni a, a chhan chu mitdel nghal mai thei a ni. Hei hi i hmuh chuan i doctor chuan enkawl turin a refer nghal ang che.
Engtikah nge Doctor ka hmuh ang?
Glaucoma hi natna a ni a, ngawi rengin a lo awm fo thin a, a tir lamah chuan a lanchhuahna engmah a lang lo. Chuvang chuan mit enfiah reng a pawimawh hle. Kum khatah vawi khat tal mit enfiah a finthlak a, a bik takin a hnuaia risk group-a tel i nih chuan:
- Kum 40 aia upa i nih chuan
- Chhungkaw zinga mi pakhatin glaucoma a vei a nih chuan
- Zunthlum (Type 2 diabetes) i neih chuan .
- Mit sang (ocular hypertension) i neih chuan .
- Corticosteroids i hman rei tawh chuan
- I mit hmuhna tichhe thei khawpa mitdelna i neih chuan, hnai taka hmuh theih loh emaw, hla taka hmuh theih loh emaw a ni
| Symptom a ni | Eng nge tih tur |
|---|---|
| I doctor nen inbia ang che. | |
| Mit a sen vek | Heng symptoms pakhat emaw a aia tam emaw i neih chuan a rang thei ang bera mit doctor pan rawh. |
| Lu na, luak chhuak, leh luak chhuak | |
| Light en laiin rainbow ang maia ring hmuh | |
| Mit hmuh tlem (tunnel vision) emaw, hmun dum thar emaw a awm | |
| Mit na emaw pressure emaw (hei hi pressure sang lutuk hian a thleng tlangpui) . | |
| Emergency Treatment Unit (ETU) ah kal nghal rawh. | |
| Mit hmuh lohna emaw, mit hmuh lohna emaw | Hengte hi symptom na tak tak a ni thei. Damdawi in hnai ber Emergency Department (ETU) ah tihkhawtlai ngai lovin kal rawh. |
| Mit na tak, na tak (a bik takin lu na leh luak chhuak) . | |
Take-Home Thuchah a ni
- Gonioscopy hi natna nei lo, awlsam leh him lo, glaucoma ang chi natna hriat theihna atana hman a ni.
- He test hi minute tlemte chauh a ni .
- I doctor chuan test zawh veleh result a hriattir thei che a ni.
- I mit venhim nan mit endik fo hi a pawimawh hle.
- Mit a hloh thut emaw, mit na lutuk emaw hi damdawi lam thil pawimawh tak a ni. Chutiang hunah chuan damdawi in pakhata Emergency Department (ETU) pan nghal mai tur a ni.
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