I mit a fiah lo va, a streaky em? Macular hole a ni thei!

Thil dinglam, window frame leh kawngkhar frame te chu a inzawm khawm a, a hrual tih i hre nghal em? A nih loh leh, chanchinbu emaw, lehkhabu emaw i chhiar hian lehkhate chu a hring vek a, i enna hmun lai takah chuan hmun dum emaw, hmun ruak emaw a awm niin i hria em? Hetiang thil hi i tawng tawh a nih chuan thil pangngai anga hnawl mai mai suh. Hei hi i mit hmuna khur awm, hmuh theihna atana sensitive tak leh pawimawh tak, ‘macula’ an tih vang pawh a ni thei. Ngaihtuah buai suh, i hriatthiam theih tur awlsam takin engkim kan sawi dawn a ni.

Macular hole hi eng nge ni tak tak?

Hei hi hrethiam tur chuan kan mit hnathawh dan hi han thlir hmasa ila. Kan mit hi high-tech camera ang mai a ni. Camera hnung lama film ang maia thawk, êng chu nerve signal-ah a chantir a, thluaka thawn chhuaktu mit peng chu retina an ti a ni.

Chuvangin, he retina lai takah hian hmun tlemte pawimawh tak a awm a, chu chuan mit chiang tak, fiah tak min pe a ni. He hmun te tak te hian lehkhabu chhiar te, hmel hriat te, car khalh te ang chi thil ti turin min pui thin. Chu chu macula kan tih chu a ni.

Tunah chuan hole siam dan hi han en ila. Kan mit chhung lam hi jelly ang chi, egg white ang chi thilin a khat a. Hei hi damdawi lam tawng chuan vitreous humor an ti a. Kan tar chhoh zel chuan he jelly hi tuiah a chang zauh zauh a, a lo tlem tan ta a ni. Grape a vawt a, raisin a lo ni ta ang mai a ni. A tlem chhoh zel chuan mit hnunglam bang, retina atang chuan a inhnukdawk ta a ni. Hei hi thil pangngai a ni.

Mahse a chang chuan, he jelly hian kan sawi tawh sensitive area, macula-ah hian tlem a nghet lutuk thei. Tichuan, jelly chu a lo tlem a, a lo chhuah chuan macula chu a hruai zui ta a ni. Poster bang-a innghat chu bang chunga plaster thenkhat nen a rawn chhuak nghal ang bawkin, macula-ah hian khur te tak te a lo awm thei a ni. Chu chu macular hole kan tih chu a ni. Hei hi mit pakhatah a thleng tlangpui a, mahse a tlem hle a, mit pahnihah a thleng thei.

Hetiang dinhmun hi engtiang chiahin nge a awm? A chi hrang hrang a awm em?

Dik tak chuan hei hi mi zawng zawng nghawng thei thil awmze nei tak a ni lo. Mahse, tu chungah pawh a thleng thei. Zirna hrang hrangah chuan kum 55 chunglamte chu a bik takin an hlauhawm hle tih hmuhchhuah a ni. Tin, mak tak maiin he natna hi mipa aiin hmeichhiaah a tam zawk bawk.

Doctor-te chuan he natna hi chi hnih ah an then a:

1. Macular holes hmasa ber: 1.1 .Hengte hi a tam ber a ni. Natna dang leh accident dang awm lovin an lo awm a, tar chakna nena kan sawi tawh ang khan mit chhunga inthlak danglamna avang zawk a ni.

2. Secondary macular holes: Hengte hi chhan dang vang a ni. Entirnan, mit hliam na tak, mit chhunga natna (uveitis) , emaw, mitdel surgery hnua harsatna awm emaw chuan hetiang khur hi a thlen thei a ni.

Tin, doctor-te chuan he khur hi a nasat dan azirin stage hrang hrangah an ṭhen bawk. I doctor chuan special test a ti ang a, i dinhmun chu eng stage-ah nge a awm tih leh engtiang chiahin nge a nasat tih chiang takin a hrilh ang che.

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Hei hi eng symptoms nge ni? A dik chiahin han chhui teh ang u.

Heng symptoms te hi a lo lang nghal lo. Zawi zawiin an lo thang lian a. Hriat hmasak a pawimawh hle.

Heng mizia pakhat pawh i neih chuan, "Hei hi i kum upat deuh deuha thil thleng mai mai a ni mai thei."Ngaihtuah suh. A rang thei ang bera mit doctor pan rawh. He natna hi enkawl theih a ni a, mahse a hriat hma chuan a rah chhuah a tha zawk.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Kan sawi tawh ang khan a chhan ber chu kan tar chhoh zel chuan mit chhunga jelly (vitreous humor) chu a lo tlem a, macula atanga a inhnukdawk thin vang a ni. Mahse, hetiang hi mi zawng zawngah a thleng lo. Mi thenkhat chu risk sang zawk an ni.

Hetiang hlauhawmna tipungtu thilte chu:

• Kum: Kum 55 aia upa nih hi a pawimawh ber a ni.
• Gender: Hmeichhia hi an hlauhawm zawk.
• Mit hliam: Tun hmaa mit hliam na tak i tuar tawh a nih chuan.
• High Myopia: Hetiang hlauhawmna hi glasses thick tak tak vuah, hla taka hmu thei lo tan chuan a sang zawk.
• Mit surgery dang: A tlem berah chuan cataract surgery ang chi thil hnuah a thleng thei.
• Mit chhunga natna hrik awm: Uveitis ang chi natna.
• Retinal Detachment: Retina hi a hmain a lo inthen tawh a nih chuan.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah i natna lan chhuah dan te, damdawi i ei dan te, i chhungte zingah mit lama harsatna nei an awm em tih te a zawt hmasa ang che. Tichuan mit enfiahna kimchang a ti ang.

Chutah chuan i mit chu mittui tlakna hmanga tihzauh a ni ang a, i mit chhung lam chu hmanraw bik (slit lamp) hmangin enfiah a ni ang . Hei hian retina leh macula te chu chiang takin a hmu thei a ni.

Test bik neih a ni

General examination hnuah doctor chuan damlo dinhmun finfiah nan leh hole lian leh stage dik tak hriat chian nan special test engemaw zat a ti leh thei bawk.

• Optical Coherence Tomography (OCT): Hei hi test pawimawh ber a ni. Mit chhung lam 3D scan lak ang mai a ni. Retina leh macula cross-sectional image a la a ni. Chu khur chu engtiang chiahin nge a lian tih, a thuk zia leh a chhehvel tissue-ah chhiatna a awm leh awm loh hriat chian a ṭanpui a ni. Minute tlemte chhunga tih theih test na tak a ni.
• Fundus Fluorescein Angiography: Hetah hian i kut zungtang pakhatah dye bik inject a, mit chhunga thisen kalna kawngte thlalak lak a ni. Hei hian mit chhunga harsatna dang awm leh awm loh enfiah nan a pui thin.
• Fundus Photography: Hei hi mit chhung lam, mit (retina) atanga rawng hrang hranga thlalak a ni. Enkawl hma leh enkawl hnua a dinhmun tehkhin nan hman a ni.

Hei hi eng enkawlna nge ni?

Hetiang dinhmun hi a hriatchhuah hnuah doctor chuan i tana enkawlna tha ber tur a ruat ang.

• Enfiahna: A châng chuan, a khur chu a te hle a nih chuan, chu chu a hmasa berah chuan a mah chauhin a khar thei tihna a ni. Chutiang hunah chuan doctor chuan surgery ti lovin rei lo te chhung a enkawl ang che.
• Vitrectomy surgery: Hei hi hei hi a enkawlna ber leh hlawhtling ber a ni. He surgery hi 90% aia tam a hlawhtling a ni.

He Vitrectomy surgery hi eng nge ni?

Hei hi mit surgeon, retina surgery lama tui takin a tih thin a ni. A awlsam zawngin, hei hian:

1. Doctor chuan mit chhunga vitreous gel awm chu a paih chhuak vek. He jelly hian macula chu a hrual a, a khur a siam a ni.

2. Tichuan, macula-a traction siamtu membrane te tak te a awm chuan uluk takin an paih chhuak bawk.

3. A tawp berah chuan mit chhungah gas bubble bik dah a ni a, chu chuan a khur chu a khar thei a ni. He gas bubble hian a zung chu pressure a pe a, chu khur kilte chu a nawr khawm a, chu chu bang chhunga khur pakhata plaster hnawih ang mai a ni.

Operation hnuah eng thil nge ka fimkhur tur?

Surgery hlawhtling tur chuan surgery zawhah doctor thupek uluk taka zawm a pawimawh hle.

A harsa ber leh pawimawh ber chu operation hnuah a ni. I mit chhunga gas bubble dah chu a khur awmna hmunah ngei a tight a ngai a, chuvang chuan ni engemaw zat emaw, kar khat emaw chhung chu hmai hnuai lam hawiin i awm a ngai dawn a ni I mut lai leh i thut lai zawng zawngah i lu i nghat reng a ngai dawn a ni. Hei hi a tithinur deuh a, a hahthlak deuh nachungin, a khur chu a khar dik theih nan a pawimawh hle.

Operation hnua harsatna awm thei

Surgery dang ang bawkin harsatna hi a awm tlem hle.

• Retinal atanga chhuak (retinal detachment) a awm
• Mit natna nei
• Mit chakna sang (Glaucoma) .
• Mit chhunga thisen chhuak
• Hole chu a inhawng leh emaw, a khar lo emaw a ni
• Cataracts: Hei hi side effect aiin complication a ni zawk a, retinal surgery nei tawh zawng zawng deuhthaw hian an tawn tur a ni. Chuvangin i doctor chuan a lo hriattir lawk ang che.

Recovery lai hian eng nge hriat tur

• A lan dan: I mit a gas bubble awm chhung chu i mit a fiah lo ang a, chu chu kar 3-8 vel a ni. Chu chu lungngai suh. Gas bubble chu i taksaah a luhchilh rualin i mit a fiah zauh zauh ang. I mit hmuhna a nghet kim theih nan thla engemaw zat a ngai thei.
• Driving leh flying: Hei hi a pawimawh hle mai! Gas bubble chu mit chhungah a awm laiinEng thil vang pawh nise lirthei khalh leh thlawhna khalh suh. Air pressure inthlak danglamna (plane-a awm emaw, tlangram emaw ang chi) hian mit chhunga gas bubble chu a tizau thei a, mit chhunga pressure sang tak hlauhawm tak a siam thei a, chu chuan mit a tichhe vek thei a ni. Gas bubble a thianghlim vek hma loh chuan heng khapnate hi zawm tur a ni. I doctor chuan eng chen nge a daih dawn tih chiang takin a hrilh ang che.

Ka mit a lo let leh dawn em ni? Hei hi a veng thei lo em ni?

Hei hi mi tam takin zawhna lian ber a ni: "Ka hmel ang kha ka lang leh ang em?"

Thu lawmawm tak chu surgery hi 90% aia tam a hlawhtling tih hi a ni. Chu khur chu i enkawl hma chuan a rah chhuah a tha zawk. I mit hmuhna hloh tam zawk emaw, a then emaw chu i hmu leh thei a ni. Mahse, i mit hmuh dan chu a hma ang khan 100% in a inang lo mai thei. Mahse, mi tam tak chuan an mit hmuhna chu an tichangtlung thei a, lehkhabu chhiar leh lirthei khalh leh ang chi thil an tih theih phah a ni.

Hei hi ven theih a ni em?

Dik tak chuan kum upat avanga he natna hi pumpelh kim theih dan tur a awm lo. Mahse, mit hriselna tha tak neih a, i hlauhawmna tihziaawmna hmangin eng emaw chen chu i inveng thei a ni.

• Infiamna khelh emaw, hna hlauhawm tak thawh emaw hian mit venna mitmeng vuah thin ang che.
• Mit enfiah fo thin ang che . Kum hnih danah tal. Hei hian natna a veng thei lo nain, a tir lamah a hmuchhuak thei a ni.
• Zunthlum emaw hypertension emaw i neih chuan control tha la, heng dinhmunte hian mit hriselna a nghawng nghal vek a ni.

Engtikah nge Doctor ka hmuh ang?

Mi zawng zawng tan mit enfiah fo a pawimawh. Tin, i mit hmuh danah inthlak danglamna i hmuh chuan, a bik takin mit hmuhna fiah lo (blurred vision) chu ngaihthah suh. Doctor pan nghal vat rawh.

Mit na tak i neih emaw, mit i hloh thut chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.

Doctor hnena zawhna zawh tur

Hetiang dinhmun hi i nei tih i hriat chuan i rilruah zawhna tam tak i nei thei a ni. Heng thilte hi i doctor hnenah zawh hreh lo la, hreh suh.

• Eng ang enkawlna nge ka tan a rawt? Surgery ka mamawh em?
• He enkawlna hian eng side effects emaw complications emaw a neih?
• Hetiang dinhmun hi a thleng leh thei ang em?
• Ka mit venhim nan eng nge ka tih ang?
• Inenkawl zawhah ka khalh leh thei dawn em ni?

Mit hi kan taksa peng hlu ber leh sensitive ber pakhat a ni. Chuvangin mit lama harsatna i neih chuan hlauhna i neih hi thil pangngai a ni. Mahse hre reng ang che, tunah chuan macular hole an tih natna enkawlna tha tak tak a awm ta. A pawimawh ber chu natna hi hriat hmasak a, enkawl dan dik zawn hi a ni.