Kan tar deuh deuh hian mit a chhe zel em? Macular Degeneration (AMD) chungchang hi han sawi ila!

Chanchinbu i chhiar lai emaw, mi hmel i en lai emaw, a lai tak tak ni lovin, a sir lam chauh i hmuh theihna hmuna thil mak tak i tawng tawh em? I hmuh line dinglam, window frame ang chi te hi a inzawm khawm leh a hrual ang maiin a lang mai thei em? Hengte hi random thil mai a ni lo. Hengte hi kum 50-60 hnu lama mi tam takin mit natna an neih chhinchhiahna a ni thei. Chu chu vawiina kan sawi tum chu a ni.

A awlsam zawngin, Macular Degeneration hi eng nge ni?

Macular degeneration hi mit hmuhna lairil (central vision) tichhe thei natna a ni a, chu chu hmalam kan thlir dik a kan hmuh dan a ni. Kan tar chhoh zel chuan a thleng fo thin. Chuvangin, kum upa lam nena inzawm macular degeneration emaw Age-Related Macular Degeneration'' emaw (AMD)'' emaw an ti bawk.

Kan mit hi camera angin han ngaihtuah teh. Mit chhungah, a hnung lamah chuan retina an tih hmun a awm a. Chu chu camera sensor ang maia hnathawk chu a ni. He retina lai takah hian kan thil hmuh chipchiar ber ber leh a lem chiang ber berte man thei hmun te tak te pawimawh tak chu macula an ti a. Lehkhabu kan chhiar a, mi kan hre chiang a, car kan khalh a, he hmun macula tih hian heng zawng zawngah hian min pui a ni.

Macular degeneration-ah chuan macula an tih hmun chu a chhe thin. Tichuan, kan central vision chu a chak lo ta hle mai. Mahse hetiang dinhmunah hian mitdel takin kan kal lo. Peripheral vision a la tha hle. Chumi awmzia chu direct-a kan en chu a hlimthla angin lang mah se, kan chhehvela thil awmte chu a pangngaiin kan hmu thei tihna a ni.

Hetiang dinhmun hian mit pakhat chauh a nghawng thei a, a nih loh leh mit pahnih a nghawng thei bawk. A chang chuan mit pahniha natna nasat dan pawh a inang lo thei bawk.

He natna hi tuin nge vei tam zawk? (Risk factor hrang hrang) 1.1.

A hming ang bawkin tar chakna hi a hlauhawm ber a ni. He risk hi kum 50-60 hnuah a sang chho thin. Mahse chu bakah chuan thil dang engemaw zat a awm bawk.

• Chhungkaw chanchin: I nu, i pa emaw, i unaupa emaw hian he natna hi a lo vei tawh a nih chuan nang pawhin i vei theihna a sang zawk.
• Meizial zuk: Meizial zu thinte hian he natna hi an vei theihna chance a sang zawk hle.
• Thau lutuk: Taksa rihna hrisel neih reng a pawimawh bawk.
• Thisen sang (Hypertension): Thisen sang i neih chuan i mit tan a thunun tha a pawimawh hle.
• Chaw hrisel lo: Tin, saturated fats tamna ei tur, oil, fried foods, fast foods te ei fo pawh a tha lo.
• Mihring var: Zirchianna atanga a lan dan chuan mi var te hian midang aiin he natna hi an vei theihna chance a sang deuh hlek a ni.

Macular degeneration hi chi hnih a awm a, chungte chu:

Hetiang dinhmun hi chi hnih ah then theih a ni a, dry leh wet te an ni.

Natna stage hrang hrangte pawh i zir ve ang u.

Mit vawt (dry eye) hi stage lian pathum a awm a. Symptoms hi a hnu lamah a lang fo thin a, mahse mit doctor chuan heng inthlak danglamna te hi examination neih laiin a hre hmasa thei a ni.

1. Early stage: Macula-ah hian inthlak danglamna a awm tan tawh a, mahse mit hmuhna a nghawng lo.

2. Intermediate stage: Mit a fiah deuh a, wrinkles a lo lang tan thin.

3. Late/Advanced: Central vision a bo vek tawh mai.

A pawimawh ber chu, wet type hi natna hnuhnung ber, na tak stage anga ngaih a ni fo thin.

He natna lan chhuah dan engte nge ni?

Mi tam tak chuan a tir lamah symptom engmah an nei lo. Heng symptoms te hi natna a nasat zawk hunah chauh a lo lang tan thin. Heng symptoms te hi i nei em tih en rawh.

• Eng tlem laia mit hmuh tlem: In lama êng tlem a awm chuan zanah hmuh theihna a tlahniam.
• Blurred vision: A laiah blurry i ni thei a, a bik takin lehkha chhiar emaw, hmel en emaw hian.
• Rangkachak hriat dan inthlak danglamna: Rangkachak chu a dum zawkin a danglam zawkin a lang thei.
• Straight lines: Hei hi mizia pawimawh tak a ni . Window frame, kawngkhar frame, tile line ang chi thil dinglam chu a hrual leh a inzawm khawm angin a lang a nih chuan ngaihthah suh.
• Mit hmuhna lai takah hmun dum emaw, hmun ruak emaw hmuh: I thil en lai laiah hmun dum emaw, hmun ruak emaw hmuh.

Heng symptoms te hi i neih chuan mit lam doctor pan nghal a pawimawh hle .

Engtin nge doctor hian hei hi a hriat chhuah?

Since macular degeneration hian a tir lamah symptoms a nei lo fo thin a, kum tin i mit enfiah a pawimawh , a bik takin kum 50 chunglam i nih chuan.Hei hian i doctor chuan natna hi a hre hmasa thei a, enkawlna a tan nghal vat thei bawk.

Doctor hnena i kal chuan i retina leh macula te chu a danglamna a awm leh awm loh a enfiah ang. A hnuaia test pakhat emaw, a aia tam emaw a ti thei.

• Amsler grid test: Hei hi grid a ni a, a chungah grid a awm a. A laiah chuan dot lian tak a awm a. Doctor chuan grid en turin a ti ang che a, line eng emaw zat, a chhe emaw, a hring emaw a awm leh awm loh en turin a ti ang che. Hei hian natna hi i vei em tih emaw, a nasat em tih emaw ngaihtuahna a pe thei che a ni. Hei hi in lama i mit hmuh dan enfiah nan i hmang thei bawk.
• Dilated eye exam: Doctor chuan eye drop hmangin i mit a tizau ang a, special lens hmangin i mit chhung a en ang.
• Fluorescein angiography: Kut chhunga vein pakhatah yellow dye inject a ni a, special camera hmangin mit chhunga thisen kalna kawng a kal lai thlalak a la a. Hei hian macula hnuaiah thisen emaw, tui emaw a leak leh awm loh hriat theih nan a pui thei a ni.
• Optical coherence tomography (OCT): Hei hi i mit chhung lam scan ang a ni. A hrehawm lo. Machine lens chhunga i en chuan i mit chhunga retina leh macula cross-section three-dimensional (3D) image chiang tak tak a la a.

Enkawlnate chu engte nge ni?

Sawi hmasa ber leh pawimawh ber chu macular degeneration hi a dam kim thei lo tih hi a ni.Mahse enkawlna hian natna zual zelna a tikhawlo thei a, symptoms a control thei bawk.

Enkawlna chu eng chi nge i neihah a innghat.

Dry type tan enkawlna a ni

Dry type tan hian enkawlna bik a awm lo. Mahse, zirchianna lian tak tak AREDS leh AREDS2 tih te chuan vitamin leh mineral hrang hrang inzawmkhawm bik ei hian natna a zual zel tih a tikhawlo thei tih hmuhchhuah a ni. Heng nutritional supplement-ah hian a tlangpuiin:

• Vitamin C a ni
• Vitamin E a awm a
• Lutein a ni
• Zeaxanthin a awm bawk
• Zinc a ni
• Dar

Hengte hi i ei tur nge i ei tur tih leh eng dose nge i ei tur tih i mit doctor nen inbiakna neihpui tur a ni. Vitamin hi nangmah chauhin ei suh.

Wet Type tan enkawlna tur

Wet type hi a nasat avangin enkawl vat a ngai a ni.

• Anti-VEGF injection: Hei hi enkawlna awmchhun leh hlawk ber a ni. Hei hi mit chhunga thisen kalna kawng thar chak lo tak tak lo thang liantu VEGF an tih protein block tu damdawi a ni. Doctor chuan mit a ti na a , injection chu na lovin a inject a . Heng injection te hian a chang chuan mit hmuhna hloh tawh thenkhat chu a siam tha leh thei a ni.
• Photodynamic therapy (PDT): Hei hi thisen kalna kawng (vein)-ah êng sensitive damdawi inject a, chutah chuan mit chhungah laser beam bik direct-in thisen kalna duh loh siam tharte chu tihchhiat a ni.
• Laser photocoagulation: Energy sang tak nei laser beam hmangin thisen kalna kawngkhar thisen chhuak te chu seal/tihchhiat nan hman a ni. Mahse, Anti-VEGF vaccine thar a lo chhuah atang khan heng hmanraw hman hi a tlahniam hle a ni.

Hetiang dinhmun lakah hian engtin nge kan inven theih ang?

Inven kim theih ni lo mah se, a hlauhawmna tihziaawmna tur thil tam tak kan tih theih a awm.

• Meizial i zuk chuan chawlhsan nghal rawh. Hei hi i tih theih tha ber a ni.
• I taksa rihna hrisel tak vawng reng rawh.
• Exercise neih fo thin ang che.
• I thisen sang leh cholesterol level kha control tha la.
• Ei leh in hrisel tak hmang rawh. Thlai, thei leh sangha (a bik takin sangha hriak nei, salmon leh mackerel ang chi) ei tam zawk rawh.
• Pawn chhuah dawnin UV laka invenna tha tak nei sunglass vuah thin ang che.

Central vision hloh hian nitin hnathawhnaah nghawng lian tak a nei thei a ni. Lehkhabu chhiar te, hmel hriat te, motor khalh te hi a harsa thei hle. Hei hian lungngaihna leh lungkhamna a thlen thei a ni. Hetiang hunah hian chhungte hnen atanga tanpuina dil a pawimawh a, a tul chuan damdawi lam thurawn lak a pawimawh bawk.