Mi mitmeng (iris) vel a hmun thim, ring ang maia awm i hmu ngai em? Hemi chungchang hi doctor pakhatin a hrilh che pawh a ni mai thei. Mi thenkhat chuan hei hian an mit a tichhe dawn tih an hlau mai thei. Mahse hei hi a takah chuan mit tichhe thei thil a ni lo. Mahse, hei hi kan taksa chhunga natna khirh tak dang lo thleng mek chhinchhiahna pawimawh tak a ni thei. Vawiin hian he thu hi awlsam takin han sawi ila.
Kayser-Fleischer Rings (KF ring) te hi eng nge ni?
A awlsam zawngin, Kayser-Fleischer ring hi kan mit rawng hrang hrang, iris vel a lo awm ring dum a ni. Heng ring te hi kan taksaa copper tam lutuk mit a awm khawm vang a ni . Green, gold, brown emaw angin an lang thei.
A tha ber chu heng ring te hian i mit a tichhe dawn lo .
He ring hi mit chunglam atanga arc angin a intan thin. Chumi hnuah chuan zawi zawiin a darh a, full ring a lo ni ta a ni. Heng ring te hi mit hmun dum (sclera) leh mit rawng nei (cornea) chunglam hmun chiang tak inzawmna hmunah an awm a.
A pawimawh ber chu Sri Lanka mi mit dum dum nei te zingah hian heng Kayser-Fleischer ring te hi a lang chiang lo hle a ni. Mit rawng hring neiah chuan hengte hi hriat a awlsam zawk.
Engtin nge hengte hi mit natna dang nen an danglam?
Hetiang mit zungbun chi hrang hrang awmna hmun dang pawh a awm bawk. Chuvangin hengte hi inthliarna leh inhriatthiam tawn a pawimawh hle. A danglamna ber chu eng nge ni tih i lo en ang u.
| Mihring ziarang | Kayser-Fleischer-a chuan a ring a | Senile Arcus chuan a rawn ti a | Fleischer chuan a rawn ti a |
|---|---|---|---|
| Rawng | Green, rangkachak, brown (a rawng dum) . | White-gray rawng (a rawng eng) . | Yellow-brown rawng a ni |
| Chhan | Copper deposition a ni | Lipids awm zat | Thir awmna hmun |
| Natna kaihhnawih | Wilson natna, thin natna | Cholesterol sang, tar chak lutuk | Keratoconus - mit atanga cone ang maia chhuak |
| Hriatchhuahna | Mit lam doctor chuan slit-lamp examination a nei tur a ni. | Mit ngeia hmuh theih. | Microscope bik (slit-lamp examination) hmanga enfiah a ngai a ni. |
Heng KF rings te hi enfiah turin mit lam doctor chuan microscope bik slit-lamp examination . A châng chuan, gonioscopy an tih hi thuk zawka enfiah a ngai bawk. Hei hian mit tiharh a, mit chungah lens bik dah a huam a ni.
Kayser-Fleischer Rings siam chhan ber chu eng nge ni?
Hei hi a chhan ber leh a tam ber chu Wilson natna a ni .
Wilson natna hi genetic condition a ni a, taksain a mamawh aia tam copper a khawlkhawm thin. A tlangpuiin kan thin hian copper tam lutuk chu a paih chhuak thin. Mahse Wilson natna vei mi pakhatah chuan chu kalphung chu a thawk tha lo hle. Tichuan, he copper hi liver, thluak, mit leh taksa peng dangteah a lo awm tan ta a ni.
- Liver natna: Copper buildup hian thin a tichhe thei a, thin natna a thlen thei bawk.
- Nervous system leh rilru lama harsatna: Thluaka copper a lo awm tan chuan thluak lam natna chi hrang hrang leh rilru lam harsatna a lo awm thin. Entir nan:
- Movement disorder te, ke ruh leh ke ruh tliak leh kal harsatna te
- Thusawi harsa
- Lungkhamna leh lungngaihna
- Nungchang leh mize inthlak danglamna
Ngaihtuah teh, Wilson natna avanga thluak lam natna nei mite hnen atanginHeng KF ring te hi mi 100 zinga 95 velin an hmu thei a ni. Hei hi liver symptoms chauh nei mi 50% vel ah hmuh a ni.
Chhan dang
Wilson natna bakah hian KF ring awm chhan dang eng emaw zat a awm bawk. Hengte hi thin (liver) kaihhnawih natna te pawh an ni.
- Primary biliary cholangitis (PBC): Hei hi natna khirh tak a ni a, liver chhunga bile ducts tichhe thei a ni.
- Neonatal cholestasis: Nausen piang tharte liver-a bile flow tihchhiat.
Hei hi engtin nge enkawl a nih?
Hetah hian kan hriatthiam tur pawimawh ber chu Doctor-te hian ringworm ngei hi an enkawl lo tih hi a ni. Anni hian ringworm thlentu damdawi lam dinhmun hnuaia awm chu an enkawl a ni.
Wilson natna enkawl dan
Enkawlna kawngah hian tum lian tak pahnih a awm a.
1. Taksa atanga copper tam lutuk lakchhuah: Hei hi copper chelation therapy an ti a. Chumi awmzia chu damdawi bik (chelating agents) pek a ni a, chu chuan taksaa copper chu a binding a, zun hmangin a paih chhuak thin. Chung entirnan penicillamine leh trientine ang chi damdawi te hi a ni.
2. Chaw atanga copper lakluh tihtlem: Hei hi zinc supplement pek hmanga tih a ni . Zinc hian intestine atanga copper chu taksaa lakluh a veng a ni.
Thin natna dang enkawl dan
Primary biliary cholangitis (PBC) ang natna hi a dam kim thei lo. Amaherawhchu, natna lan chhuah dan thunun nan leh natna zual zel tur venna atan damdawi pek a ni. Nausen piang thar cholestasis tan chuan special formula milk, anti-itch damdawi pek thin a ni a, a nasat chuan liver transplant surgery neih a ngai thei bawk.
Heng Kayser-Fleischer Rings siam chhuah hi kan dang thei lo em ni?
A nihna takah chuan heng ring te hi direct-a siam theih a ni lo, a chhan chu Wilson natna ang chi natna thlentu hi thlahtute atanga lo piang a nih avangin ven theih a ni lo.
Mahse, i tih theih ṭha ber chu a hmaa hriat chhuah hi a ni .
I chhungte hnai ber, nu, pa, a nih loh leh unaupa mi tu emaw chuan Wilson natna a vei a nih chuan, chu chu i doctor nen inbiakna neihpui a, test neih a pawimawh hle Hriat hmasak hian natna lan chhuah hmain enkawlna i tan tir thei a, harsatna lian tham tak tak a veng thei bawk.
Heng ring te hi a awm reng em?
Ni lo, hei hi chanchin tha ber a ni. Kayser-Fleischer ring hi a awm reng lo . Natna hnuaia awm, entirnan Wilson natna chu uluk taka enkawl a nih chuan taksaa copper tam lutuk chu a bo vek ang. Tichuan mit chhunga heng ring te hi zawi zawiin a bo vek ang a , a bo vek ang .
Chuvangin hei hi hmuh hlauh a ngai lo. A pawimawh ber chu symptom anga hriat a, a hnuaia awm chu a rang thei ang bera enkawl tan hi a ni. I mit enfiahnaah mit lam doctor-in hei hi a sawi a nih chuan, enkawlna dang nei turin specialist \ha tak hnenah a refer ang che.
Take-Home Thuchah a ni
- Kayser-Fleischer rings hi mit natna a ni lo va, taksaa copper tam lutuk avanga natna hnuaia awm (a bik takin Wilson natna) pawn lam atanga lo chhuak a ni.
- Heng ring te hian i mit a tichhe lovang.
- Hengte hi mit lam doctor-in microscope bik hmanga mit a enfiah hian a hriat hmasak ber fo thin.
- Heng ring te hi natna hnuaia awm chu uluk taka enkawl a nih chuan a bo vek tawh mai thei.
- I chhungte zingah mi tu emaw Wilson natna vei an nih chuan a lan chhuah dan a awm lo a nih pawhin Doctor hmu a, sawipui a pawimawh hle.











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