I glasses kha a chak tawk lo ang maiin a chang chuan i inhria em? A nih loh leh i vision chu tlem a danglam deuh a, a hma ang khan a chiang lo hle tih i inhriat nghal em? Hei hi i glasses thlak fo chhan dang pawh a ni mai thei. Hei hi a chhan pakhat chu Keratoconus an tih natna a ni. Mi tam tak chuan he hming an hriat hian an hlauthawng thin a, mahse a chungchang hi uluk taka hriattir i nih a, enkawl dan tur dik tak i zawn chuan a thunun theih em em a ni. Chuvangin vawiinah hian engkim hi a awlsam zawngin sawi ila.
A awlsam zawngin Keratoconus chu eng nge ni?
Kan mit hi camera tha tak angin han ngaihtuah teh. Mit hma lam a chiang leh zungbun, cornea , an tih chu camera lens ang a ni. Hei hian pawn lam atanga êng lo chhuak chu a focus a, thil chiang takin kan hmu thei a ni. A tlangpuiin mi hrisel tak mit (cornea) hi mawi takin a zungbun a, a zungbun ang mai a ni.
Tunah chuan Keratoconus an tih dinhmunah chuan, a tlangpuiin mitmeng zungbun (cornea) chu a hring zauh zauh a, hmalam pan chuan cone ang maiin a bulge ta a ni. Tlang te tak te ang mai a ni. Hetianga a pianzia a inthlak avang hian mit hian light a focus tha thei lo. Chumi rah chhuah chu mit hmuhna (blurred and distorted vision) a ni.
Mit doctor-te chuan he natna hi i naupan lai te, i tleirawl lai te, kum sawmhnih i nih lai te, kum sawmthum i nih lai te hian an hmuchhuak tlangpui thin. Mahse, a chang chuan naupan lai atanga intan thei a ni. He mit (corneal change) hi naupang zawkah chuan a thleng rang deuh hlek a ni.
Hetiang dinhmun hian engtin nge i mit a nghawng?
Cornea pianzia inthlak danglamna hian kawng pawimawh pahnihin i mit a nghawng a ni.
1. Irregular Astigmatism: Cornea chu cone ang maia hmalam pan a nih chuan a sir smooth, round tak pawh a inzawm khawm thin. Jelly mawi taka siam chu an chil a, a pianzia a danglam ang mai a ni. Hei hi medical science-a ``irregular astigmatism'' an tih chu a ni. Hemi chungchanga buaina chu mitmeng pangngai hmanga he dinhmun hi siamthat kim a harsat vang a ni.
2. Hmuh lohna (nearsightedness) tihpun: Mit (cornea) chu hmalam pan a, a curvature (curvature) a sang chho zel. Hei hian mit chu ‘nearsighted’ a nih tir thin. Chumi avang chuan i glasses i thlak fo a ngai a, glasses chak zawk i hmang thin.
Keratoconus natna lan chhuah dan chu engte nge ni?
Heng symptoms te hi a hnungzuiin a lang thei a ni. Tin, pakhat emaw, a aia tam emaw pawh in nei dun thei bawk. Hengte hi fimkhur a pawimawh hle.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Zawi zawiin mit a hloh | Mit pakhat emaw, mit pahnih emaw-ah chuan mit hmuhna a tlahniam zauh zauh a. Hetiang dinhmun hian mit pahnih a nghawng tlangpui. |
| Double Vision a awm | Mit pakhat atanga mit dang khap chunga i en chuan vawi khatah thil pahnih i hmu ang maiin i hria. |
| Light chhehvela ring hmuh (Halos) . | A bik takin zan lamah chuan light bulb emaw, car headlight emaw i en chuan an chhehvel ring mawi tak tak ang maiin an lang. |
| Eng laka hriatna (Photophobia) . | Ni êng emaw, êng êng tak emawa mit dah harsa. Mit chu a rawn sen vek ang maia hriat. |
| Vision dik lo (Distorted Vision) a ni | Line dinglam leh kawngkhar leh kawngkhar frame ang chi thilte chu a hrual leh a inzawm khawm angin a lang. Thilte chu an pianzia tak tak aiin a pianzia danglam tak niin a lang thei. |
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Dik tak chuan keratoconus awm chhan dik tak hi hmuhchhuah a la ni lo. Mahse, zirchianna ṭhenkhatah chuan genetic a ni thei tih a lang . Chumi awmzia chu i chhungkuaa mi pakhatin he natna hi a neih chuan nang pawhin i vei theihna chance a sang zawk tihna a ni.
A pawimawh ber chu hetiang natna vei te hian mit an hrual fo thin hi a ni . Hei hi mit tichhe thei allergy vang pawh a ni thei. Hetianga mit hrual hian natna a ti na zual thei tih hmuhchhuah a ni. Chuvang chuan mit khawih chingte hi paih bo a pawimawh hle a ni.
Keratoconus nena inzawm thei dinhmun dang
Keratoconus hi damdawi lam thil thenkhat nen a inzawm tih hmuhchhuah a ni a, chu chuan mit a ti na fo thin. Condition thenkhat chu hetiang hi a ni:
- Vun natna, atopic dermatitis leh allergic dermatitis ang chi te.
- Allergic rhinitis vang a ni.
- Asthma natna a ni.
- Down syndrome tih hi a ni.
- Ehlers-Danlos natna a ni.
- Osteogenesis a famkim lo.
Hei hian eng harsatna nge a thlen theih?
Enkawl that loh chuan keratoconus hian harsatna engemaw zat a thlen thei a ni.
| Complication awm thei | Awmzia |
|---|---|
| Corneal scarring a awm | Cornea a hring a, a bulge deuh deuh chuan a hliam thei bawk. Heng hliamte hian mit hmuhna a tichhe reng thei a ni. |
| Corneal hydrops a awm thin | Hei hi a thleng thut mai a ni. Mit chhung lam layer-a mittui tlak vangin mit atanga tui chu mit (cornea)-ah a luang lut a, rang takin a lo hring chhuak thin. Hei hian mit a hloh nghal a, natna nasa tak a thlen bawk. |
| Fleischer chuan a ring ta a | Iron deposit te hian mitmeng (cornea) cone ang chi hmun vel chu ring dum (brown ring) a siam a. |
| Mit hmuhna hloh | Heng zawng zawng atanga a tawpah chuan mitdelna a ni a, chu chu a na lo atanga a nasat thlengin a awm thei. |
Engtin nge doctor hian hei hi a hmuh theih?
Mit doctor i tlawh hunah i natna lan chhuah dan leh i chhungte zingah hetiang natna hi an nei tawh em tih a zawt hmasa ang che. Tichuan, mit enfiahna kimchang tak a nei ang. Hei hian heng test pakhat emaw, a aia tam emaw pawh a huam thei.
- Visual acuity test: Hei hi kan hriat vek reading test a ni. I mit hmuhna (vision sharpness) a teh thin.
- Slit lamp examination: Hei hian êng eng tak leh microscope hmangin i mit peng tin, a bik takin mitmeng (cornea) chu uluk takin a enfiah thin.
- Keratometry: He test hian mitmeng (cornea) curvature, a nih loh leh a pianzia a teh thin.
- Corneal mapping (tomography leh topography): Hei hi he natna hriat theihna atana test pawimawh ber leh dik ber a ni. Kan ram map ang chiah hian hei hian computer-ah i mitmeng ‘map’ a siam a ni. Mit (cornea) chungchang chipchiar zawng zawng, a san zawng, a thuk zawng, leh a pianzia te chu a ziak vek a ni. Keratoconus i neih chuan he test hmang hian chiang takin a lang ang.
Hei hi eng enkawlna nge ni?
Vanneihthlak takin keratoconus hi enkawlna hrang hrang a awm a. I doctor chuan i dinhmun nasat dan a zirin eng enkawlna nge i tana tha ber tih a rel ang.Glasses leh contact lens te a awm bawk
Natna tan tirh lamah chuan glasses pangngai emaw, contact lens nem tak emaw hmangin eng emaw chen chu mit a ti tha thei a ni. Mahse, natna a zual zel chuan astigmatism mumal lo a awm avangin glass hmanga chiang taka hmuh theih a ni lo. Chutih lai chuan a bik taka siam hard contact lens hman a ngai a ni.
Corneal Crosslinking tih a ni
Hei hi tunlaia keratoconus natna titawp emaw, tihkhawtlai emaw atana hmanraw hman ber a ni. Hei hi surgery a ni lo. Hei hian mit hi damdawi pakhat Riboflavin (Vitamin B2) inject a, chu chu UV light-ah minute 30 vel dah a ni. Hei hian mitmeng chhunga collagen fibers te chu a tichak a, mitmeng chu a hring lo va, hmalam a rawn chhuak thei lo.
Ring segment dah theih (INTACS) te pawh a awm bawk.
Hengte hi plastic atanga siam, ring chanve ang chi hmanrua te tak te an ni. Doctor chuan mitmeng (cornea)-ah hian incision te te a siam a, heng ring ang chi hmanrua te hi a chhungah hian a dah lut thin. Chungte chu an dah luh chuan cone ang maia mitmeng chu a flatten deuh a, mit hmuhna a ti tha hle.
Cornea Transplant a ni
Hei hi natna a nasat em avangin, mit (cornea) a hliam a, enkawlna dang reng rengin mit hmuhna a siam that theih loh laia tih thin a ni. Hei hian i mit (cornea) chhia chu paih chhuakin, mi thi tawh mit (cornea) hrisel tak hmanga thlak a ni. He surgery hnua mit hmuhna a nghet theih nan kum khat chuang a ngai thei.
Pawimawh: Keratoconus i vei chuan .LASIK ang chi laser surgery i tih hmain i doctor i biak hmasak phawt a ngai a, chutiang surgery chuan he natna hi a ti na zual thei a ni.
Engtikah nge Doctor ka hmuh ang? ETU-a kal hun tur chu engte nge ni?
I mit hmuh danah inthlak danglamna i hmuh apiangin mit doctor hmu rawh. Tikhawtlai suh, a bik takin i mit a inthlak thuai chuan. Keratoconus i vei chuan doctor-in a tih angin checkup neih fo a pawimawh.
Emergency Treatment Unit (ETU)-a kal hun tur chu:
- I mit i hloh thut a nih chuan.
- Mit na tuar theih loh i neih chuan.
- Tun hnaia mit surgery i neih a, tunah chuan natna lan chhuahna, khawsik leh mit atanga tui chhuak ang chi i neih chuan.
Keratoconus tih hming hi hre hlau suh. A hun taka hriatchhuah a, enkawl dik a nih chuan a thunun tha thei a ni. A pawimawh ber chu i doctor nen zalen taka inbia a, i zawhnate zawt la, i tana tha ber tur enkawl dan tur thlan hi a ni.
Take-Home Thuchah a ni
- Keratoconus hi mitmeng (cornea) chu a pianzia a inthlak a, a pianzia chu cone-ah a chang a ni. Tleirawl lai atanga intan a ni tlangpui.
- A lan chhuah dan ber chu mit hmuhna (blurred vision), mit pahnih (double vision), êng chhehvela halo hmuh te, êng laka hriatna (sensitivity) te hi a ni.
- Mit hrual fo hian he dinhmun hi a ti na zual thei a ni. Chuvangin allergy enkawl la, mit inhnaih loh tur a ni.
- Enkawlna hlawhtling tak tak a awm a, chu chu mittui tlakna, special contact lens, mitmeng crosslinking, mitmeng thlak (corneal transplantation) te hi a ni.
- I mit hmuh dan a danglam tih i hriat chuan mit doctor pan hmasa phawt ang che. Enkawlna dik tak i neih chuan i mit hlu tak chu i humhim thei a ni.
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