He fungus hian i mit pawh a nghawng em? (Presumed Ocular Histoplasmosis Syndrome - POHS) chungchang hi i zir dawn nia!

Leia fungus te tak te hian i mit a tichhe thei tih i ngaihtuah ngai em? Vawiin hian kan sawi dawn a, hriat tur awm lo, mahse hriat a pawimawh em em a ni. Hei hi Presumed Ocular Histoplasmosis Syndrome , a tawi zawngin POHS an ti a. Hming sei deuh ni mahse, a awlsam zawngin i sawi ang u.

A hmasa berah chuan Histoplasmosis hi eng nge ni?

A awlsam zawngin, histoplasmosis hi Histoplasma capsulatum tih hming pu fungus avanga lung natna a ni. He fungus hi leiah a awm tlangpui. Sava emaw bat emaw bawlhhlawh (aka bawlhhlawh) tamna leiah a tam ber. United States hmun thenkhatah a tam ber a, Ohio leh Mississippi lui ruam-ah te a awm nasa hle. Mahse, he fungus hi khawvel hmun dangah pawh hmuh tur a awm a, a bik takin sava emaw, bat emaw ek tamna hmunah te pawh hmuh tur a awm.

Chuti a nih chuan, mit histoplasmosis syndrome (POHS) chu eng nge ni?

He natna POHS an tih hian mit a nghawng a, chu chu lung natna vei histoplasmosis ang chiah extension, a nih loh leh complication angin a ni. Thil thleng chu engtin emaw takin fungus hian thisen chhungah a kal a, mit hnung lamah a tawp ta a ni. Chutah chuan buaina chu a intan ta a ni.

Engtin nge ocular histoplasmosis hian mit a nghawng?

A tam zawkah chuan hnim hnim `(Histoplasma capsulatum)` hian a thaw luh dawnin mi zawng zawng a ti na lo va, mi thenkhat tan chuan taksa chhungah a lut a, chhinchhiahna awm lovin a bo vek thin. Mahse, vanduaithlak takin he fungus hi mit chhungah a lut a nih chuan harsatna pahnih a awm thei a:

• Choroidal Neovascularization hi thisen kalna kawng dik lo, mit hnathawh a tichhe thei a ni. Hei hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin sawi ila, mit chhunga thisen kalna kawng thar siam a ngai lo.
• Mit chhungah hian hliam a awm thei.

Chûng pahnih chuan i mit hmuhna chu nasa takin a nghawng thei a ni.

Tute nge POHS vei theihna chance sang zawk?

He natna hi tuin nge vei tam zawk tih hi han en ila:

• Sawi tawh ang khan United States-a Ohio emaw Mississippi lui ruam-a chengte chu an hlauhawm zawk a ni. Amaherawhchu, Sri Lanka-ah pawh hian sava leh bat ek tamna hmuna chengte tan chuan hei hi hriat chian a tha hle.
• Vawk ang maia sava man tute tan, ar vulh vela hnathawkte tan. Sri Lanka ramah hian in tam takah vawk vulh a ni.
• Leilung hmanga hnathawkte, lo leh in sakna hmuna leivut awmna hmun ang chite chuan chutiang fungi chu an nei thei a ni.
• Zuk leh hmuam hmang emaw, a hman tawh emaw te pawh an hlauhawm zawk.

Risk factor dang chu immune system chak lo hi a ni. A chhan chu:

• Natna thenkhat, entirnan, arthritis , .Multiple sclerosis ang chi natna nei tan.
• Hmeichhe naupai tan.
• Kum upa lam leh naupang te tan.
• Damdawi thenkhat hman hunah, a bik takin immunosuppressant ei thinte tan.

Engvangin nge heng mitah hian histoplasmosis hi a lo awm?

Kan sawi tawh ang khan, fungus `(Histoplasma capsulatum)` awmna leiah a intan thin. Ngaihtuah teh, lo i lai emaw, khur i laih emaw, vawk in i tihfai emaw hian chu leia fungus chu a hnim a, boruakah a dah tel a ni. Tichuan kan thaw lut thei a, chutiang chuan lungte chu a kai ta a ni. Mahse, zirchiangtute chuan engtin nge lung atanga mit hnunglam thlenga a thlen dan chiang takin an la hre chiang lo.

POHS natna lan chhuahna chu engte nge ni?

Hetiang dinhmun hi a tir lamah chuan a lan chhuah dan a awm lo. Chu chu thil hlauhawm ber a ni. Mahse, fungus `(Histoplasma capsulatum)` hian mit a nghawng a, thisen kalna kawng thar `(Choroidal Neovascularization)` tih a siam tan chuan i mit hmuhna a nghawng tan thin.

Hetiang thil hi i hre mai thei:

• Mit pahnih hmuh theih thil inang lian leh te inthlauhna. Mit pakhatin a te zawk a, pakhat zawkin a lian zawka a hmuh ang maiin.
• Mit hmuhna hmun (blind spots) a awm.
• Mit hmuh fiah lo emaw, natna nei lovin mit hmuh loh emaw.
• Color te chu a awm tur angin a lang lo mai thei (color te chu faded angin a lang thei).
• Mit hmaah a eng emaw, a flicker emaw.
• Line dinglam, kawngpui chhinchhiahna, window bar, leh lehkhabu chhunga line te chu a inzawm khawm a, a hring dup angin a lang.

Hetiang thil i tawn chuan a rang thei ang bera mit lam doctor i pan ngei ngei tur a ni .

Engtin nge POHS i neih leh neih loh i hriat theih ang?

Mit lam doctor i hmuh hian an tih hmasak ber chu i mit uluk takin an enfiah thin a, a bik takin mit hnunglam hi an enfiah thin a, a hnuaia mi hi i nei em tih an enfiah thin.

• Scar tissue a ni
• Vung

Mit chhungah histoplasmosis syndrome chhinchhiahna a awm chuan eng nge thleng?

Heng chhinchhiahnate hi i neih chuan dilated eye exam i neih a ngai mai thei a, chu chu damdawi hmanga i mit tihzauh a ngai a ni . Hei hian i mit chhunga thil awm chu chiang zawkin i hmu thei a ni. Chumi hnuah chuan doctor chuan hetiang hian a zawng thei ang:

• Thisen kalna kawng pangngai lo
• Fluid a awm khawm tawh em?
• Pun
• Hmun dum te te

Tin, fluorescein angiography i nei bawk ang.Fluorescein Angiography tih test pawh i neih a ngai mai thei bawk. Hei hian i kut chhunga vein pakhatah dye bik inject a huam a ni. He dye hian i thisen nen i mit chhunga thisen kalna kawngah a kal a. Chumi hnuah chuan camera bik hmangin thlalak a la thin. Hei hian thisen kalna kawng thar (Choroidal Neovascularization) danglam tak tak i neih leh neih loh hriat nan a pui thei a ni.

Mi zawng zawng hian POHS hi enkawlna kan mamawh em?

Ni lo, mi zawng zawng hian enkawlna an mamawh vek dawn lo. Histoplasma capsulatum fungus hian eng emaw ti takin i mit a nghawng loh chuan enkawl reng reng chauh i mamawh mai thei.

Mit histoplasmosis hi engtin nge enkawl a nih?

Hei hi a danglam deuh hlek a ni. Hemi atan hian antifungal damdawi hi pek a ni tlangpui lo. A chhan chu, fungus avanga lo awm ni mahse, mit chhunga fungal infection a ni lo va, a chhanna a ni zawk.

Chu ai chuan a enkawlna chu thisen kalna kawng thar pangngai lo tak tak siam chhuah tihtawp (Choroidal Neovascularization) a ni. Chutianga tih theih dan tlangpui pahnih a awm a, chungte chu:

1. Anti-vascular endothelial growth factor (anti-VEGF) hmanga enkawlna: Hei hi mit natnaah direct-a anti-VEGF an tih thil inject a ni. He damdawi hian thisen kalna kawng pangngai lote chu a tipung thei lo. Hei hian symptoms tihziaawmna kawngah a pui thei a ni. Mahse, result hmuh theih nan injection eng emaw zat a ngai thei.

2. Photodynamic therapy: Hemi ah hian i kut vein pakhatah light sensitive drug verteporfin an inject a. He damdawi hian mit chhunga thisen kalna kawng dik lote chu a binding a. Tichuan, low-power laser beam hmangin damdawi chu activate an ni. Thisen kalna kawng pangngai lo chu a chhe vek a.

A pawimawh ber chu heng enkawlna pahnih hi specialist ophthalmologist enkawlna hnuaia tih tur a ni.

POHS vei te tan hmalam hun eng nge ni? (Rahchhuah)

Mit histoplasmosis enkawlna hian mit hmuhna hloh belh zel tur a veng thei a ni. Chu chu thil tha tak a ni. Amaherawhchu, mi thenkhat chuan an hmaa an mit hmuhna chu an nei kim thei lo mai thei.

POHS hian nakin lawka hriselna a nghawng thei ang em?

Ni e, enkawlna hlawhtling tak hnuah pawh POHS symptoms hi a lo lang leh thei a ni. Mahse, an lo lang leh a nih chuan a hma angin an na lo mai thei. A bik takin immune system chak lo nei te hi hetiang chi hi an lo let leh thei a ni.

POHS lakah engtin nge i inven theih ang?

Fungus (Histoplasma capsulatum) hi boruakah a awm lai hian kan hmu thei lo. Chuvangin thawk lak loh a harsa hle a, mahse, histoplasmosis vei hlauhawmna sang tak i neih chuan thil thenkhat atanga inthiarfihlim a tha ber.

Heng thilte hi pumpelh rawh:

• Puk ang chi hmuna kal kual.A chhan chu chutah chuan bat an awm mai thei a, boruak pawh a tlem hle.
• Vawk khum chhunga lut a, a chhehvela inkhung.
• Sava emaw, rulhut emaw bawlhhlawh awm thei leilung hmanga hnathawh.

Hrisel taka awm turin eng nge ka tih belh theih ang?

Fungus `(Histoplasma capsulatum)` hi i lung chhungah a lut a nih chuan i mit a darh loh nan ven a harsa thei hle. A tha ber chu i mit enfiah fo hi a ni. Chutiang chuan i mit lamah harsatna a awm chuan a tir lamah i hre thei ang.

POHS nena khawsak hi eng ang nge ni?

Mit lama harsatna i neih chhunzawm zel chuan, low vision rehabilitation tih service aṭangin ṭanpuina i dawng thei mai thei. Therapist chuan nitin hnathawh dan him taka tih dan tur a zirtir ang che. Entîr nân, in lama tlu emaw, tlu emaw hlauhawmna tihziaawm dân tûr thurâwn an pe thei che a ni.

Thuhmahruai angin hre reng ang che (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian point pawimawh thenkhat i hriatreng theih ka beisei.

• POHS hi fungus `(Histoplasma capsulatum)` an tih hian mit a nghawng vang a ni.
• He fungus hi sava leh bat bawlhhlawh tamna leiah a tam ber a ni .
• Vawk vulhna hmuna hnathawh te, leilung hnathawh te, zuk leh hmuam i hman te, a nih loh leh taksa hriselna chak lo i neih chuan i hlauhawm zawk a ni .
• Mit hmuh lohna, hmun dum hmuh, emaw, line dinglam hmuh emaw ang chi symptoms i neih chuan mit lam doctor pan nghal rawh.
• A hun taka enkawl a nih chuan mit a chhe lutuk loh nan a veng thei a ni.
• POHS laka invenna pumhlum chu harsa viau mah se, thil hlauhawm tak tak laka inven a, mit enfiah fo a pawimawh hle.

Chuvangin, i mit kha fimkhur rawh. A chhan chu, mit hi kan thil neih hlu ber a ni!

` histoplasmosis, POHS, mit natna, fungal infection, mitdelna, choroidal neovascularization, mit hriselna