I mit khap thiam pawh i harsat em? (Lagophthalmos) chungchang hi i zir dawn teh ang!

A chang chuan i mit khap vek harsa i ti em? A nih loh leh i hriat mi pakhatin he harsatna hi a nei em? Hei hi mi thenkhat tan chuan thil awlsam tak angin lang mah se, a takah chuan ngaih pawimawh ngai dinhmun a ni thei. Vawiin hian he mit khap kim theih lohna hi kan sawi dawn a, chu chu damdawi lam hawi chuan `(Lagophthalmos)` an ti a ni.

``Lagophthalmos'' tih hi eng nge ni tak tak?

A awlsam zawngin ``Lagophthalmos`` tih hi i mitmeng khar kim thei lo tihna a ni. Hei hi mit pakhat emaw, mit pahnih emaw ah a thleng thei. Ngaihtuah teh, kan mit kan chhing emaw, kan mut emaw hian kan mitmeng chu a khar vek tur a ni. He harsatna hi an nih loh hunah a thleng thin.

Hetiang dinhmun hi a chang chuan a mah chauhin a lo awm thei bawk. A nih loh leh, damdawi lam thil dang, mitmeng tlak (ptosis) ang chi nen pawh a inzawm thei bawk. A châng chuan, mitmeng zai (blepharoplasty) emaw, ptosis siamthat emaw hnuah pawh side effect angin a awm thei bawk.

` (Lagophthalmos)` natna hi a na lutuk lo a nih chuan, chu chu mitmeng chu a inhawng tlem chauh a nih chuan harsatna lian tak a ni lo mai thei. Amaherawhchu, mitmeng a khar tha lo a nih chuan harsatna lian tham a thlen thei a ni. Ngaihtuah teh, kan mit mit dum, chu chu `(cornea) hi thli, leivut leh bawlhhlawh dangte lakah a awm reng a ni. Hei hian mit hliam a thlen thei a, hliam a thlen thei a, a chang chuan mit a tichhe thei bawk. Chuvang chuan hei hi uluk taka enkawl a pawimawh hle a ni.

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

Ni e, he ``Lagophthalmos`` natna hi chi hrang hrang a awm a. Eng nge an nih i en ang u.

Zan lama awm Lagophthalmos

Hei hi i mit chu a tlangpuiin i harh laiin a khar a, mahse i mut laiin a khar kim lo. "Lagophthalmos" tih thumal hi "rabbit ang mit" tihna a ni. Tun hma chuan rabbit hi mit meng chungin an mu thin niin an ngai a. Chuvang chuan chutianga an tih chu a ni. Mahse tunah chuan scientist-te chuan rabbit hi mit khap chungin an mu tam ber niin an sawi. Mahse, mi 20% vel, mi panga zinga pakhat vel chuan zan lama an mut laiin an mit chu a then emaw, a pum emaw an inhawng tih hmuhchhuah a ni. Hei hi `(Zan lam Lagophthalmos)` an ti a.

Nerve chhiatna avanga lo awm Lagophthalmos paralytic

Facial nerve hian hna a thawk tha lo a, chu chu a thawk thei lo (paralysis ang chi) a nih chuan kan mit kan khar vek thei lo mai thei. He nerve hi kan hmai sir lehlamah a awm a. He nerve hi a chhiat chuan ``Paralytic Lagophthalmos'' a lo awm thin.

Mechanical Lagophthalmos hi mechanical avanga lo awm thin a ni

A châng chuan hetiang dinhmun hi nerve lama harsatna vang ni lovin, mitmeng insiam danah harsatna engemaw vang emaw, accident vanga chhiatna avanga lo awm thei a ni. Hei hi `(Mechanical Lagophthalmos)` an ti a. `(Cicatricial Lagophthalmos)` tih hi `(Mechanical Lagophthalmos)` chi khat a ni bawk. Chu chu mitmeng chu hliam vangin a khar tha thei lo tihna a ni.

`(Lagophthalmos)` natna lan chhuah dan chu engte nge ni?

A lan chhuah dan ber chu mitmeng a khar tha lo hi a ni. Mahse, hei bakah hian symptom dang engemaw zat a awm thei bawk. Heng symptoms te hi i nei em tih en rawh:

• Mit tui pek fo emaw, mit a vawt tih hriat emaw. Ṭhenkhat phei chuan an mit a hrual ang maiin an inhria thei.
• Mit chhunga thil awm ang maia hriat rengna, sava a rawn thlawk lut ang maia hriat rengna emaw, mit kang emaw, na emaw ang maia hriatna.
• Mit hmuh a fiah lo. Chiang taka hmuh theih loh.
• Mit a sen vek.
• Eng laka sensitivity tihpun (photophobia). Chumi awmzia chu êng en a harsa tihna a ni a, mit chu a sen hring ang maiin a inhria.
• Corneal ulcer hi chhinchhiahna pawi tak a ni.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a, thurawn lak a pawimawh.

`(Lagophthalmos)` awm chhante chu engte nge ni?

Hetiang dinhmun hi a chhan awm thei engemaw zat a awm. Mahse natna hrik kai theih a ni lo. Midang hnen atangin i man thei lo va, mi dang hnen atangin i man thei hek lo.

``Lagophthalmos`` hi a chhan lian ber pahnih a awm a:

1. I hmai nerve tihchhiat.

2. I mitmeng a chhiat.

Facial nerve a chhiat avangin

Facial nerve a chhiat theih chhan hrang hrang a awm a:

• Accident emaw, hliam emaw avanga mit chhiatna.
• `Bell's palsy` an tih natna a ni. Chutah chuan hmai sir khata ruhte chu a thawk thei lo nghal vek a ni.
• ` Stroke` ang chi dinhmun .
• Tumor, acoustic neuromas ang chi te.
• Autoimmune disorder thenkhat, Guillain-Barré syndrome ang chi te.
• Genetic condition te chu `Moebius syndrome` tih ang chi te hi a ni.
• Infection hrang hrang.
• Toxins ei tam lutuk.

Mitmeng a chhiat avangin

Mitmeng hi kawng hrang hrangin a chhe thei a, a hliam emaw a awm thei bawk. Chung zingah chuan:

• `Lax eyelid syndrome (LES)` tih ang chi natna te.Chutiang a nih chuan mitmeng chu a lo chhuak a, a tla awlsam hle. `(Floppy eyelid syndrome (FES))` chu chutiang natna pakhat a ni. Chutiang a nih chuan mitmeng chu awlsam takin a roll out a, a chang chuan accident-ah pawh a roll out thei bawk. `(Floppy eyelid syndrome)` hi mipa thau lutuk, body mass index (BMI) kum 25 aia sang nei zingah hmuh tam ber a ni.
• Damdawi lam thil thenkhat, Stevens-Johnson syndrome te hian vun a ti na thei a ni.
• Chemical a kang.
• Niin vun a tihchhiat.
• Mitmeng zai, entirnan `(ptosis siamthat)` emaw `(blepharoplasty)` emaw.

Engtin nge `(Lagophthalmos)` hi kan hriat theih ang?

Heng symptoms te hi i neih chuan mit enkawltu hnenah hmu la, he natna hi i nei em tih hriat nan test hrang hrang a nei ang. Doctor chuan a tlangpuiin hetiang hian a ti ang:

• I hriselna chanchin, natna dang i neih leh damdawi i ei dan te zawhna an zawt ang .
• I mit khap turin an ti ang che.
• I mit i chhing nasat zia chu an hmu ang.
• I mitmeng lian leh te an teh thin.
• I mit kha engzat nge tih leh i mitmeng i mit a khar vek em tih te an enfiah thin.

Heng test te zawhah hian doctor chuan ``Lagophthalmos'' i vei em tih chiang takin a hrilh thei che a, a neih chuan eng chi nge a nih tih leh a nasat zia a hrilh thei che a ni.

Lagophthalmos hi engtin nge enkawl a nih?

`(Lagophthalmos)` enkawl dan chu a chhanah a innghat. I doctor chuan a chhan bulpui chu enkawl a tum hmasa ang. Entirnan, infection a nih chuan, tumor a nih chuan, a nih loh leh vun natna a nih chuan an enkawl ang.

``Lagophthalmos'' natna enkawlna atan hian surgical leh nonsurgical method pahnih a awm a.

Nonsurgical hmanga enkawlna te

• Mit tui (`artificial tears` ang chi) hian mit a vawt tihziaawmna leh mit chhunga tui awm chu a vawng reng thei a ni.
• Zanah i mit ah hriak hnawih thin ang che. Hei hian extra moisture a pe a ni.
• Zanah mitmeng khar turin tape hmang la, mit chu patch la, tui a awm reng theih nan.
• Glass bik (`moisture goggles`) a awm bawk. Hengte hian mit a hnim reng theih nan a pui thin.
• Mitmengah tape-a bun theih thil rit te tak te.

Surgery hmanga enkawlna te

Thil engemaw takah chuan, a bik takin natna a nasat chuan emaw, enkawlna dangin a puih loh chuan operation neih a ngai mai thei.

• `Tarsorrhaphy`: Hei hian hun eng emaw chen emaw, a awm reng emaw, a then emaw, a pum emaw, mitmeng inzawmkhawm a huam a ni.
• Mitmeng chunglam ah rangkachak emaw platinum emaw rit dah: Hei hian mitmeng chunglam chhungah rit te te dah a ni. Gravity vangin mitmeng chu a tla thla a, a khar thin. Hei hi paralytic lagophthalmos (nerve dysfunction avanga lo awm) vei tan a tangkai hle.
• Upper eyelid surgery: Chung zingah chuan upper eyelid chhunga muscle (`retractor muscles`) te surgery leh skin grafts te pawh a tel.
• Lower eyelid surgery: Heng zingah hian lower eyelids loose leh "floppy" tighten surgery leh skin grafts hmanga mitmeng lift te pawh a tel.
• Facial surgery: Lagophthalmos hi Facial paralysis avanga lo awm a nih chuan hmai chawi turin surgery hrang hrang an ti thin. Chung zinga ṭhenkhat chu nerve grafts leh moving soft tissue te an ni.

I doctor-in i tana ṭha tur enkawlna chu a rel ang tih hre reng la, chuvangin hemi chungchang hi ngun takin sawipui la, hrethiam rawh.

`(Lagophthalmos)` enkawlna hian harsatna emaw, side effect emaw a nei em?

Damdawi enkawlna dang ang bawkin, ``Lagophthalmos'' enkawlnaah hian harsatna a awm thei a, hengte hi mi zawng zawngah a thleng lo a, mahse hriat reng a tha.

• Scarring a awm.
• Kaichhawng.
• Entropion - Hei hian mitmeng chu chhung lam a hawi a, mit a ti na tihna a ni.
• Mitmeng a tla thla.
• Graft site chungchang a ni.

Hetiang thil a lo thlen chuan Doctor hnenah i hrilh nghal tur a ni.

Engtin nge `(Lagophthalmos)` symptoms hi ka enkawl ang?

I mit a hnim reng theih nan thil engemaw zat i ti thei bawk.

• Doctor-in a tih angin eye drop hman.
• Zanah mit khap leh tape play.

Facial paralysis ang chi natna i neih chuan ei leh in leh thusawi ang chi thilah pawh tanpuina i mamawh thei bawk. Chumi chungchang pawh i doctor nen inbia ang che.

Engtin nge `(Lagophthalmos)` hlauhawmna hi ka tihziaawm theih ang?

``Lagophthalmos'' hi pumpelh vek theih a ni lo. Mahse, i mit venhimna tur hian hetiang hian hma i la thei ang:

• Hnathawh emaw, contact sports i khelh hunah emaw i mit khuh thei tur venhimna hmanrua ha la.
• Ni a chhuah laiin sunglass vuah thin ang che.
• A tul lova mit inhnaih loh tur.
• I mit i khawih hmain i kut chu uluk takin sil hmasa phawt ang che.

Tin, mitmeng tla siamthatna tur (`ptosis repair`) emaw, i mitmeng tihthianghlim nan (`blepharoplasty`) surgery i ngaihtuah a nih chuan oculoplastic surgeon rawn hmasa phawt ang che.Oculoplastic surgeon te hi mit doctor, mit vel reconstructive surgery lama tui doctor an ni.

`(Lagophthalmos)` ka neih chuan eng nge thleng ang?

Lagophthalmos atanga dam lehna tur prognosis hi a tlangpuiin a tha a, a bik takin a na lo a nih chuan. Bell’s palsy ang chi natna avanga lo awm Lagophthalmos hi a mah chauhin a reh fo thin.

Mahse, a natna a nasat zawk chuan enkawlna mumal zawn a pawimawh hle. Chutianga tih loh chuan mit a tichhe vek thei a ni.

Engtikah nge `(Lagophthalmos)` chungchangah doctor ka hmuh ang?

Heng symptoms te hi i neih chuan mit vawt, mit tui, emaw i mit chhunga thil awm reng reng i neih chuan doctor i pan ngei tur a ni. A bik takin i mit hmuh danah danglamna i hmu a nih chuan ngaihthah suh.

`(Lagophthalmos)` i vei tih hmuhchhuah tawh a, enkawl mek i nih a, mahse a natna lan chhuah dan a tha lo va, a na zual zawk a nih chuan doctor hnenah hriattir nghal rawh.

A châng chuan i mitmenga harsatna a thlen hma loh chuan i mitmeng chung leh hnuai lam chu a khar ṭha lo tih pawh i hre lo mai thei. A tam zawkah chuan he lagophthalmos chi hi Bell’s palsy ang chi hmai lama natna (facial paralysis condition) avanga lo awm a ni. Chuvangin, mit lama harsatna emaw, mit lama harsatna awm reng emaw i neih chuan doctor thurawn la ngei ang che.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Chuvangin, ``Lagophthalmos`` hi mitmeng a khar tha thei lo tihna a ni. Hei hi ngaihthah tur a ni lo, a chhan chu kan mit hi taksa peng sensitive tak a nih vang a ni.

• I mit hmuh danah thil danglam, nuam lo, danglam bik i hmuh chuan ngaihthah suh. Doctor pan nghal rawh.
• Mit vawt, mit tui, leh gritty feeling ang chi symptoms a awm reng chuan ``Lagophthalmos'' chhinchhiahna a ni thei.
• Hriatchhuah leh enkawl vat a nih chuan he natna hi uluk taka enkawl theih a ni fo.
• Damdawi lam thurawn zawm a pawimawh hle a , mit venhim a pawimawh hle .

I mit venhim hi i mawhphurhna a ni a, chuvangin hemi chungchangah hian fimkhur turin kan ngen a che u.

` Lagophthalmos, mit khap theih lohna, mit a vawt, mitmeng, hmai nerve, mit surgery, Bell’s palsy, corneal ulcer, photophobia