I mit hmuhna chanve chu i hloh nghal em? (Homonymous Hemianopia) Hemi chungchang hi han sawi ila!

Kawngpuiah emaw, TV i en laiin emaw, i mit hmuhna hmun chanve, dinglam emaw, veilam emaw pawh i hloh nghal mai ang tih han ngaihtuah teh. A nih loh leh a sir khat chu a blur leh a dum tih i hmu bawk. Hei hi thil hlauhawm tak a ni thei. Hei hi Homonymous Hemianopia (or Homonymous Hemianopsia) kan tih chu a ni. Lungngai suh, vawiinah hian hetiang thil hi engvanga lo awm nge a nih tih te, a awmzia te, chutiang dinhmunah chuan eng nge kan tih tur tih te chipchiar takin kan sawi dawn a ni.

Homonymous Hemianopia tih hi eng nge ni?

A awlsam zawngin, mit pahnih (dinglam emaw veilam emaw) sir khatah mit hmuhna chanve a bo tihna a ni . "Homonymous" tih awmzia chu "an pahnih hian a sir khatah" tihna a ni. "Hemianopia" tih awmzia chu "mit hmuhna chanve hloh" tihna a ni.

Heta mi tam tak chuan hei hi mit lama harsatna niin an ngai. Mahse a nihna takah chuan hei hi mit natna a ni lo. Hei hi thluak nena inzawm harsatna a ni .

Engtin nge a thawh tih i lo en ang u. Kan mit hmanga kan hmuh thilte, chu chu hmuh theiha hriatna (visual information) te hi nerve kaltlangin thluak lamah an kal a. Kan mit atanga thuchah lo chhuakte hi kawng hnih angin han ngaihtuah teh. Heng kawngpui pahnih hi thluak hmun khatah an inhmu a. ``Optic Chiasm'' kan ti a. He junction-ah hian mit dinglam atanga lo chhuak dinglam thlirna, mit veilam atanga lo chhuak dinglam thlirna chu thluak veilam lamah a kal a ni. Tin, veilam atanga hmuh chu thluak dinglam lamah a kal bawk. An cross ang mai a ni.

Homonymous Hemianopia-ah chuan mit lamah ni lovin, heng thuchahte hian thluak kal tlanga an kalna kawngteah a awm a, chu chu ``Optic Chiasm'' hnuah a ni. Thluak sir khat a chhiat chuan chu lam nena inmil hmuhna kawng (visual pathway)-ah chuan kan hmu thei lo. Chuvang chuan mit pahnihah hian a sir khatah kan hmu thei lo.

Hetiang dinhmun a thlen chhan berte chu engte nge ni?

Homonymous Hemianopia hi natna a ni lo va, a symptom a ni. Hei hian a hnuaia damdawi lam dinhmun dang avanga lo awm tihna a ni. Thil tam takah chuan, thil pawi tak, nunna atana hlauhawm tak emergency chhinchhiahna a ni .

A hnuaia table hi en rawh. Hengte hi a chhan langsar zual pathumte chu an ni.

Chhan dang a awm em?

Ni e, heng natna khirh tak tak bakah hian he natna hi chhan dang vang pawh a ni thei.

• Brain tumors - Hengte hi cancer emaw benign tumor emaw a ni thei.
• Lu hliam (Traumatic Brain Injuries - TBIs) te hi a awm thei lo.
• Infection emaw thluak a hring emaw, entirnan `(Encephalitis)`.
• Migraines, a bik takin ``Migraines with auras'' nei tan.
• Seizures leh Epilepsy natna te.
• Nervous system natna chi hrang hrang, multiple sclerosis (MS) ang chi te.
• Metabolic problems hypoglycemia te hi thisen sugar level a hniam lutuk vang a ni.
• Thluak natna tichhe thei, `Creutzfeldt-Jakob disease (CJD)` emaw `Alzheimer's disease` emaw ang chi te.

Doctor ka pan nghal tur em ni?

Hetiang hi i la nei ngai lo a nih chuan, hei hi stroke emaw, thluaka thisen chhuak emaw chhinchhiahna a nih a rinawm hle . Chutiang hunah chuan hun hi a pawimawh ber a ni. Enkawl tan atanga second khat tlai lutuk pawhin thluak a tichhe nasa zawk thei.

Chuvangin, nangmah emaw i hriat mi emaw hian hetiang hian an vision lam hawi pakhat i hloh nghal a nih chuan a tha ber chu:

• Ambulance ko nghal la, damdawi in pan rawh.
• Hospital-a Emergency Treatment Unit (ETU) ah kal rawh .
• Hetih lai hian nangmah chauhin lirthei khalh ngai suh. Nang tan leh kawngpuiah midangte tan pawh a hlauhawm hle.

Tun hmaa migraine i lo vei tawh a nih chuan i doctor nen sawiho la, a lo awm leh a nih chuan engtin nge i tih tur tih sawi rawh. Amaherawhchu, rinhlelhna i neih chuan damdawi lam thurawn lak nghal a him ber.

Hei hi engtin nge enkawl a nih?

Enkawlna chu he natna lan chhuah chhanah hian a innghat vek a ni. I doctor-in a tih hmasak ber tur chu i tana hetiang thil hi eng nge ni tih hriatchhuah a ni ang.

• Ischemic stroke emaw TIA emaw a nih chuan: Enkawlna chu thrombolytic drugs emaw thrombectomy ang chi procedure hmanga thluaka thisen supply siam that leh a ni.
• Thluaka thisen chhuak a awm chuan: Luruh a pressure tihziaawm nan craniectomy ang chi operation neih a ngai thei.
• Migraine emaw epilepsy emaw i neih chuan: Chutiang natna dona atana damdawi pekte pawhin he symptom hi a control thei bawk.
• Brain tumor a nih chuan: Enkawlna \ha (surgery, radiation therapy, etc.) i neih a ngai ang.

Mahse, i doctor chauhvin i tana ṭha tur enkawlna a rel thei tih hre reng ang che. Online-a i thil hmuh dan a zirin mahni in enkawl suh.

Hei hi a la awm zel a nih chuan engtin nge ka enkawl ang?

A chang chuan he mit lama harsatna hi thluak chhiatna avang hian a awm reng thei bawk. Tlem a harsa thei a, mahse chutianga insiamrem dan tur leh nitin hnathawh awlsam zawka siam theih dan tur a awm.

Chhiar awlsam zawk dan tur

• Lehkhabu i chhiar dawnin line skip loh nan ruler ang chi thil hmang ang che.
• Lehkhabu emaw chanchinbu emaw chu horizontal-a chhiar ai chuan 45 emaw 90 degree-a herh leh vertical-a chhiar tum ang che. A dinglam i hmu thei lo a nih chuan a chung atanga a hnuai thlengin chhiar la. A veilam i hmuh theih loh chuan a hnuai lam atanga chunglam thlengin chhiar la.

Nitin hnathawhna atana pui thei thil

• Kal lai hian i lu chu a sir lamah tlem han hawi leh la, i hmuh theih loh thilte ngaihven rawh. Hmun thar i pan dawnin hmun khatah ding la, i lu hawi la, i chhehvel scan la, rilru lam thlalak siam rawh.
• Kawngpuiah i kal dawnin i thianpa chu hmuh theih lohna sir lamah kal tir la, a kut chu chelh tlat rawh.
• Movie theater ang hmunah chuan i hmuh theih loh tur sir lama awm seat-ah thu rawh. Chutiang chuan screen tam zawk chu i hmuh theih tur sir ah a awm a.
• Word search puzzle ang chi thil tih hian i mit scan thiamna i tipung thei a ni.
• I doctor nen inbia la, i glasses-ah prism i dah theih leh theih loh en rawh. Hengte hian i field of vision chu tlem a tizau thei a ni.
• Hetiang natna vei tam tak tan chuan lirthei khalh hi a hlauhawm thei hle. I lirthei khalh theih leh theih loh chungchangah doctor nen inbiakna neihpui ngei ang che.