Mit a thisen kal danah harsatna a awm em? (Ischemic Optic Neuropathy) chungchang hi awlsam takin i zir ang u!

I mit hmuh chu a fiah lo emaw, a thim emaw ang maiin i inhriat nghal tawh em? Zingah i tho a, mit pakhatah chiang takin i hmu thei lo a ni mai thei? A nih loh leh i mit hmaah chuan dum a awm ang maiin i inhriat nghal em? Hetiang thil hi i tawng tawh a nih chuan hetiang hian awlsam takin dismiss suh, okay? Vawiin hian hetiang symptoms thlen thei dinhmun kan sawi dawn a, tlem chuan fimkhur a ngai a, mahse i hriat lawk chuan i enkawl theih nan a pui thei che a ni. Chu chu `(Ischemic Optic Neuropathy)` an ti a, a tawi zawngin `(ION)` tia hriat bawk.

`(Ischemic Optic Neuropathy - ION)` tih hi eng nge a nih i hria em?

A awlsam zawngin, `(Ischemic Optic Neuropathy)` tih hi i mit hmuhna thlentu nerve lian ber, `(Optic Nerve)` hian thisen a dawng tlem a, chu chuan mit a hloh phah a ni. Ngaihtuah teh, kan huana pangpar chi khatin tui a hmuh tlem chuan eng nge thleng ang? Zawi zawiin a thi a ni lawm ni? Hei hi chutiang chu a ni. I `(Optic Nerve)` hmun thenkhata thisen kal a tihtawp chuan chu hmunte chu a thawk tha tawh lo va, a tawpah chuan a thi tan ta a ni. Hetianga thisen kal dan tihkhawtlai hi a nasat emaw, rei tak a awm chuan `(Optic Nerve)` chu a chhe vek thei a ni.

Hetiang dinhmun hi i mit hnung lama circular area ``Optic Disk`` an tih ah a awm tlangpui a, ``Optic Disk`` hi thisen kalna kawng leh ``Optic Nerve`` te mit nena inzawmna hmun a ni. He natna hi ``ION`` tia koh a ni a, a tam lo hle a, kum 50 chunglamte a tuar tam ber.

`(ION)` chi hrang hrang a awm em?

Ni e, `(Ischemic Optic Neuropathy)` hi chi hnih lian tak a awm. Eng nge an nih i en ang u:

1. Anterior Ischemic Optic Neuropathy (AION) : Hei hi ION chi khat zingah chuan a tam ber a ni. Optic disc hnuaia optic nerve emaw, optic disc ngei emaw a nghawng a ni.

2. `(Posterior Ischemic Optic Neuropathy - PION)` : Hetiang chi ah hian a nghawng chu `(Optic Nerve)` hmun thenkhat, a hnunglam deuha awm ah a awm thin.

Tunah chuan heng chi hrang hrangte hi chipchiar deuhin han sawi ila.

`(AION)` ah hian inthlak danglamna a awm

`(AION)` hian subtype pahnih a nei leh a:

• Arteritic Anterior Ischemic Neuropathy (AAION) : Hei hi thisen kalna kawng (Arteritis) a ni . Hetiang dinhmun hi Vasculitis ang chi natna nen a awm tlangpui a, chu chu thisen kalna kawng inflammation a ni.
• `(Nonarteritic Anterior Ischemic Neuropathy - NAION)` : Hemiah hian a hmaa kan sawi tawh angin thisen kalna kawng (arteries) a inflammation a awm lo. Hei hi `(Optic Nerve)`-a thisen kal a tihkhawtlai vang a ni fo.

`(PION)` chungchang tlem han zir ila

AION ang bawkin PION hian subtype pahnih Arteritic leh Nonarteritic a nei a. Chu chu PION hi arteritis vang a ni a, PION hi arteritis tel lo thisen kal dan tihbuai vang a ni.

Hei hi eng symptoms nge ni? Nang pawhin hengte hi i nei em?

`(ION)` chhinchhiahna ber chu mit hmuh lohna a ni. Mahse, a lo awm dan hi `(ION)` chi hrang hrang a zirin a danglam thei. Chutiang bawkin symptom dang pawh a chi hrang hrang a zirin a inang lo.

`(NAION)` natna lan chhuah dan

NAION vanga mit hmuhna hloh hi a tlangpuiin a thleng thut a, a na lo. Chu chu hmuh theihna hmun ṭhenkhat, a bîk takin a hnuai lam chanve-a hmuh theih lohna emaw, mit hmuhna hloh emaw anga ngaih a ni fo . A chang chuan , rawng hmuhna hloh (dyschromatopsia) pawh a awm thei bawk.

Mi tam tak chuan he mit hmuhna hloh hi zingkar an thawh hian an hre hmasa ber thin. Rei tak mut hnuah emaw, mut rei vak lo hnuah emaw pawh a ni thei.

A tlem berah chuan kar hnih vel chhungin mit a tlahniam zauh zauh thei. NAION hi ION chi khat a ni ber a, mit pakhatah a nghawng tlangpui. Mahse, mit pakhata NAION nei zinga 15% vel chuan a hnuah mit dangah he natna hi an nei thei a ni.

`(AAION)` natna lan chhuah dan

`(AAION)` -ah chuan mit hmuhna a bo thut tlangpui. Chu chu, mit hmuhna chu a fiah lo thei a, a thim thei a, a tlahniam thei a, a bo vek thei tihna a ni. `(AAION)` ah chuan a hmaa kan sawi tawh `(Arteritis)` nena inzawm symptoms te nen a inzawm thei. Anni chu:

• Lu na: A bik takin hmai lehlamah.
• Hmai sir lehlamah thisen kalna (arteries) a hring: Hengte hi khawih a nih chuan pulse a awm thei lo.
• Chaw ei laiin jaw muscles a na.
• Malaise leh/ emaw sawifiah theih loha taksa rihna tlahniam.

Mi tlemteah chuan Arteritic ION "occult" form a awm thei. Hei hian mit a bo tihna a ni a, mahse Arteritis symptom dang pakhat mah a awm lo tihna a ni.

`(PION)` natna lan chhuah dan

Arteritic PION leh Nonarteritic PION te hian mit a tichhe nghal a, natna nei lovin a tichhe vek a ni. Mahse, PION hi a tir lamah chuan a hmasawn thei hle. Chumi awmzia chu hun kal zelah symptoms te chu a zual zauh zauh tihna a ni .

Engvangin nge hetiang `(Ischemic Optic Neuropathy)` hi a lo awm? A chhante chu engte nge ni?

`(ION)` awm chhan hi a chi hrang hrang a zirin a danglam thei. Engtin nge a thawh tih i lo en ang u.

`(NAION)` awm chhan

Mithiamte chuan NAION hi engvangin nge a lo thanglian tih chiang takin an la hre chiang lo. Mahse, thil hrang hrang inzawmkhawm a ni tlangpui niin an ngai.Hei hi mit nerve-a thisen kal dan a block vang nia ngaih a ni. Heng dinhmunte hian i circulatory system-in optic nerve kaltlanga thisen kal dan a control dan a nghawng tlangpui. Chu self-regulation chu a thawk tha chhung chuan NAION i tipung dawn lo. Mahse, thilthleng emaw, harsatna emaw ṭhenkhat chuan chu mahni inthununna chu a tibuai thei a ni. Chung zingah chuan:

• Mit chhunga `(Optic Disk)` structure inthlak danglamna: Hei hian `(Optic Disk)` chu a te zawk emaw, a denser emaw tihna a ni. Hei hi "disk at risk" an ti bawk.
• Thisen sang (Hypertension).
• `(Type 2 Diabetes)` (Type 2 Diabetes) tih a ni.
• Atherosclerosis (thisen chhunga thau awm).
• Sleep Apnea (Mut theih lohna).
• Mut laiin thisen sang a tlahniam (`Nocturnal Hypotension`).
• Anemia (thisen chhunga thisen sen emaw hemoglobin emaw tlahniam).
• Meizial zuk (vaping pawh tel).
• Migraine (migraine) a awm.
• Damdawi thenkhat: Phosphodiesterase inhibitor (entir nan, erectile dysfunction enkawlna atana hman thin damdawi) hian ION a thlen thei. Mahse, mithiamte chuan heng damdawi ringawt hian ION a thlen an ring lo.

`(Arteritic ION)` (AAION leh APION) awm chhan te .

`(AAION)` leh `(APION)` te hian a chhan bulpui inang an nei vek a: `(Arteritis)` (arteritis). Hetiang dinhmun hi circulatory system pumpuiah inflammation a awm hian a thleng thin. Hei hi a chhan langsar zualte chu:

• `(Giant Cell Arteritis - GCA)` tih hi a ni
• `(Vasculitis)` chi dang (thisen kalna kawng natna (inflammatory conditions of the blood vessels).

`(Nonarteritic PION - NPION)` awm chhan te

`(NPION)` nghawngtu chhan bik engemaw zat a awm. Anni chu:

• Mit chhunga thisen kal dan tichhe thei dinhmun: Heng zinga tam tak hi NAION thlentu nen a inang a ni. Entirnan, Type 2 Diabetes, Thisen sang, Atherosclerosis te.
• Hemorrhage: Thisen sang tlahniam thut chuan mit hnunglam a thisen kal a tikhawlo thei a, chu chuan NPION a siam thei a ni.
• Surgery: Surgery neih chhung hian chhan hrang hrang avangin thisen sang a tlahniam thei. Hei hian PION a thlen thei a ni.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Mi thenkhat chuan he natna hi an nei tam zawk (Ischemic Optic Neuropathy). Tute nge an nih i en ang u:

• Vascular risk factors nei te: Hei hian a hmaa kan sawi tawh ang chi, thisen sang, zunthlum, cholesterol sang, meizuk, leh sleep apnea te hi an hlauhawm zawk tihna a ni.
• Inflammatory diseases nei te: Entirnan, `(Giant Cell Arteritis - GCA)` ang natna vei te pawh hi `(ION)` vei theihna a sang hle.
• Kum 50 chunglam mite.
• Mipa tan chuanHmeichhia aiin tlemin an thang lian thei.

Engtin nge doctor hian hei hi a hriat theih?

I mit enkawltu specialist chuan ION hi kawng hrang hrang inzawmkhawm hmangin a hmuchhuak thei a ni. Diagnostic process hi i symptoms te, tun hnaia nunah thil thleng te leh i medical history te zawhna zawh atanga tan a ni tlangpui. I chhânnate chuan ION nena inang thei dinhmun dangte tihbovin, a chhan awm thei list chu a tihtlem theih nân a ṭanpui ang. They will then perform an eye exam , mit hnung lama awm optic disk entu mit peng hrang hrangte chu a bik takin an ngaihven ang.

• Anterior ION (AION): Arteritic leh Nonarteritic AION te hian i optic disc ah hian a tir lamah hmuh theiha danglamna a thlen thin. Heng inthlak danglamna te hian i mit lam doctor chuan i natna chu a hriat theih nan a pui thin. AAION an hmuhchhuah hunah Arteritis nena inzawm symptoms i neih leh neih loh an enfiah bawk ang.
• `(Posterior ION - PION)`: Heng chi hrang hrangte hi hriat chian a harsa deuh. A chhan chu a tir lamah chuan `(Optic Disk)` ah hian hmuh theiha danglamna a awm lo.

Hemi atan hian eng test nge tih a nih?

Test engemaw zat a awm a, chu chuan he natna (ION) leh a thlentu tur eng pawh hriat theihna a siam thei a ni. Chûng zînga ṭhenkhat chu a awlsam a, taksa lama thawhrimna tam tak a ngai lo. Entir nan:

• Vision test: Vision field a chhiatna (blind spot) a awm leh awm loh enfiah thin ang che.
• Thisen sang tehna a ni.
• Thisen test: Type 2 Diabetes, cholesterol sang, leh vitamin tlakchhamna ang chi natna te enfiah thin ang che.
• Mit chhunga pressure tehna.
• Fluorescein Angiography: Hei hian dye bik hmangin mit chhunga thisen kalna kawngte thlalak a la thin.
• Optical Coherence Tomography (OCT): Hei hian mit nerve leh mit (retina) cross-sectional image chipchiar tak a siam thei a ni.

Test thenkhat chu ``Arteritis'' (a rang thei ang bera enkawlna bik mamawh) ang chi natna hriatchhuah emaw, paih chhuah emaw nan a bik takin an ti thin. Heng test-ah hian:

• Imaging tests: Ultrasound emaw magnetic resonance imaging (MRI) hmanga hmai sir lehlamah vun hnuaia thisen kalna kawng awmte chu ultrasound emaw magnetic resonance imaging (MRI) hmanga tih a ni.
• Temporal Artery Biopsy: Hmai sir lehlamah artery atanga tissue te tak te lakchhuah a ni a, GCA ang chi condition te test a ni.
• Thisen test-naah inflammation nena inzawm inthlak danglamna: `(Erythrocyte Sedimentation Rate - ESR)` leh `(C-reactive Protein - CRP)` test ang chi te.

I doctor chuan i natna lan chhuah dan leh i hriselna chanchin a zirin test dang neih belh a rawt thei ang. Test chungchang leh i mamawh chhan an hrilh belh thei che a ni.

Hei hi eng enkawlna nge ni? Dam theih a ni em?

ION enkawl dan hi a chhan a zirin a inang lo. A châng chuan, doctor-in ION hi direct-in a enkawl thei bawk. Hun dangah chuan a mamawh chu vascular risk factors control leh symptoms enkawl mai a ni.

`(Arteritic Ischemic Optic Neuropathy)` enkawl dan tur a ni

`(Anterior)` leh `(Posterior Arteritic ION)` te hi anti-inflammatory `(Corticosteroid)` damdawi (e.g. `(Prednisone)`) emaw, immunosuppressant damdawi `(Tocilizumab - Actemra®)` emaw hmangin enkawl vat tur a ni . `(Corticosteroid)` hi pill angin pek a ni tlangpui a, mahse a chang chuan thisenah pawh pek a ni (IV). He `(Corticosteroid)` dose hi a tirah chuan dose sang takin pek a ni a, chumi hnuah ni engemaw zat emaw kar engemaw zat chhung chu zawi zawiin tihhniam a ni. Mi thenkhat chuan `(ION)` atanga mit lama harsatna awm reng tur ven nan he damdawi hi a tlem berah rei tak an ei a ngai mai thei.

`(Nonarteritic Ischemic Optic Neuropathy)` enkawl dan tur a ni

Vanduaithlak takin `(Nonarteritic ION)` enkawlna tha tak tih finfiah a la awm lo. `(Arteritis)` ang chi underlying condition i neih loh chuan, `(Corticosteroid)` damdawi ei hi a tha lo tlangpui.

Tunah hian `(Nonarteritic ION)` enkawlna ber chu symptoms control a, a chhan bulpui leh a puitu te enkawl emaw tihtlem emaw a ni. Hei hi a pawimawh a, a chhan chu `(Nonarteritic ION)` hian mit pakhat a nghawng tlangpui a ni. Chuvangin he approach hian `(ION)` avanga mit pahniha mit hmuhna hloh theihna a ti tlem thei a ni.

ION avanga mitdelna i neih chuan i doctor chuan magnifier ang chi assistive devices hman a rawt thei a, emaw, i device-a magnification settings emaw voice command/feedback emaw hman a rawt thei bawk. Chûngte chuan mit lama harsatna awmte chu a compensate emaw, a chinfel theih nân emaw a ṭanpui thei che a ni.

Hetiang dinhmun hi a lo awm a nih chuan eng nge kan beisei ang?

ION hian mit a tichhe nghal mai thin. "Sudden" ka tih hian minute emaw darkar emaw chhungin a thleng thei a, mahse a chang chuan ni tam tak a daih thei bawk. ION chi hrang hrang tam ber hian mit a ti fiah lo emaw, a chak lo emaw a ni. A chi thenkhat chuan mit a hloh vek thei. A châng chuan, ION-in mit a hloh vek hmain mitdelna hun rei lote a awm thei bawk.

Hei hian ka vision a ti tha leh dawn em ni?

`(ION)` hi nunna tichhe thei a ni lo va, mahse i nunna tibuaitu tur mitdelna nasa tak a thlen thei a ni.

A then phei chuan ION hi reversible a ni a, mahse a tam zawkah chuan permanent vision loss engemaw zat tal a thlen thin.Mahse, mitdelte pawhin he dinhmun hi `adapt` an zir bawk. Chumi hnuah chuan an mit hmuhna hmun dangte chu hna bik, lehkha chhiar ang chi atan an hmang ṭan ta a ni. Chutiang a nih chuan an mit hmuhna a lo tha chho ta niin a lang mai thei a, mahse thil thleng tak chu an mit hmuhna hloh chu an thawk tha chho zel a ni.

Ischemic Optic Neuropathy hi ven theih a ni em?

I ven kim thei lo (ION). Mahse, i vei theihna tur chu i tihtlem thei a ni. Chutianga tih theih dan ber chu (ION) thlen thei emaw, a pui thei emaw dinhmunte pumpelh emaw, thunun emaw hi a ni. I doctor chuan mut laiin thisen sang venna atana thisen sang damdawi thlak danglam te, cholesterol tihhniamna damdawi ei tan te, zunthlum damdawi siamrem te, zuk leh hmuam hman (vaping telin) tihtawp te, leh i vei theihna tur (ION) tihziaawmna tura invenna dangte a rawt thei ang.

Tin, surgery neih a ngai a nih chuan medical professional-te chuan `(ION)` venna atan hma an la ang. `(ION)` i lo neih tawh chuan, emaw, a thlen thei tur natna (`GCA` emaw `vasculitis` ang chi) i neih i hriat chuan, i surgery hmain i surgeon leh/ emaw anesthesiologist hnenah hrilh hmasa phawt ang che. Chumi hnuah chuan ruahmanna an siam thei a, a tul anga tihdanglamna an siam thei bawk.

Hetiang dinhmun hi i neih chuan engtin nge i in enkawl ang?

Mit pakhatah ``Nonarteritic ION'' i nei tawh a nih chuan i mit dang a danglamna emaw, mit hmuhna hloh emaw a awm chuan fimkhur hle tur a ni. A chhan chu mit pakhatah vawi khat a lo awm tawh chuan a hnuah mit dangah a lo awm theihna chance a sang zawk a ni.

Arteritic ION i neih chuan i mit lam doctor chuan specialist, Rheumatologist te hnenah a refer ang che. Rheumatologist chuan i Arteritis thlentu tur immune emaw inflammatory condition hnuaia awm zawng zawngte chu a hriatchhuah leh a enkawl thei a ni. I dinhmun enkawl nan i mit lam doctor leh doctor dangte thupek zawm a pawimawh. Hei hian nakin lawkah flare-up leh mitdelna emaw harsatna dang emaw i neih loh nan a pui ang che.

Engtikah nge mit specialist i hmuh ang?

I mit doctor chuan i mit emaw, i mit emaw a danglamna a awm leh awm loh enfiah turin follow-up visit a ruahman ang. Heng appointment te hi an rawtna angin i vawng tur a ni. Tin, i mit hmuh danah inthlak danglamna i hmuh chuan a rang thei ang bera i biak tur a ni. Anmahni biak a ngai a nih chuan, emergency medical attention i zawn a ngai a nih chuan, a nih loh leh inthlâk danglamna chiang tak dang i neih chuan an hrilh thei che a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Mitdel nghal mai chu emergency symptom a ni a, damdawi lam pan vat a ngai a ni.A chhan chu, a chang chuan nunna atana hlauhawm tak `(Stroke)` (paralysis ang chi natna) chhinchhiahna a ni thei a, a nih loh leh mit emergency `(Retinal Detachment)` (retina atanga inthlak danglamna - enkawl vat chuan tihdam theih) ang chi a ni thei bawk.

Trained medical professional leh specialized test chauhvin mitdel nghal mai hi emergency a ni tak tak em tih a hre thei ang. In such a situation , minutes hian danglamna nasa tak a thlen thei. Chuvang chuan mitdelna (sudden vision loss) i la tawng ngai lo a nih chuan ngaihthah loh a tha ber. I mit hmuhna hloh nghal theihna tur dinhmun i neih chuan, a nih loh leh i lo vei tawh a nih chuan i doctor nen inbia ang che. He symptom hi engtikah nge emergency treatment a ngai tih leh i dinhmun thlirin engtikah nge beisei tur a nih tih an sawifiah thei bawk.

I doctor zawh tur zawhna

Zawhna i zawh duh ṭhenkhat chu hetiang hi a ni:

• Ischemic Optic Neuropathy hi eng chi nge ka neih?
• Eng thilin nge he thil hi a thlen theih emaw, a thawhpui emaw ni thei?
• Eng enkawlna tur nge i rawt?
• Ka mit hmuhna hloh hi a awm reng dawn em ni, a nih loh leh a ṭhat theihna chance a awm em?

`(Ischemic Optic Neuropathy)` hi `(Stroke)` a ni em?

Ni lo, mahse inanna engemaw zat a awm.

`(Ischemia)` chu cell-in thisen a luang tlem a, an thih tan hian a ni. `(Ischemic Stroke)` chu i thluaka thil thleng a ni. `(ION)` hi i `(Optic Nerve)` ah a thleng thin. Chuvang chuan an inang viau nain an inang lo.

An inang chhan dang chu `(ION)` vei te hian a chang chuan symptoms intermittent an nei thin. Chutiang a nih chuan ni engemaw zat chhungin `(Optic Nerve Ischemia)` leh mit hmuhna hloh theihna chance sang zawk i nei tihna a ni. Chuvangin, mit hmuhna hloh nghal mai chu i ngaihthah tur a ni lo. Chutiang a nih chuan emergency medical attention i pan nghal tur a ni.

A tawp berah chuan thil hriat reng tur

Ischemic Optic Neuropathy avanga mitdel nghal vat chuan i Optic Nerve hian thisen a hmu tlem tihna a ni. Hun kal zelah hei hian chhiatna nghet tak a thlen thei a, mit hmuhna pawh a hloh thei bawk. Chuvangin, mit hmuhna hloh nghal mai hi ngaihthah leh nghah tur thil a ni ngai lo.

Mit hmuh lohna nghal emaw ``ION'' emaw thlen thei tur condition i neih chuan i mit specialist nen inbiakna neih a tha. I mit hmuh danah inthlak danglamna i hmuh chuan eng nge i ngaihven tur tih leh i tih tur chu an hrilh thei che a ni. Thil tih vat hian danglamna nasa tak a thlen thei a, mit lama harsatna lian zawk leh nuam lo zawk lakah a venghim thei bawk. Chuvangin, i mit kha fimkhur rawh!

` Ischemic Optic Neuropathy, ION, AION, PION, Mit hmuh lohna, Mit Natna, Mit Nerve, Mit Hmuh lohna, Sudden Vision Loss