Chanchinbu i chhiar emaw, window grille i en emaw hian a chunga line dinglam chu tlem a inzawm khawm a, a hrual deuh niin i hria ngai em? A châng chuan bathroom-a tile floor i en hian chutiang bawk chu i tawng thei bawk. Mi tam tak chuan hei hi an glasses-a harsatna awm niin an ngai. Mahse hei hi mit chhunga inthlak danglamna tlemte, an glass thlak danglam avanga siamthat theih loh vang a ni thei. Vawiin hian he natna Macular Pucker an tih hi kan sawi dawn a, mi tam takin an la hre lo a, mahse mi thenkhat chuan an hre ve tho. Ngaihtuah buai suh, thumal awlsam takin engkim kan sawi dawn a ni.
Macular Pucker hi eng nge ni?
Hei hi hrethiam tur chuan kan mit hnathawh dan hi han thlir hmasa ila. Kan mit hi high-tech camera angin han ngaihtuah teh. He camera hnung lamah hian light-sensitive nerve cells layer te tak te, film ang maia che thin a awm a. Hei hi retina kan ti a . Kan hmuh thin lemte hi he retina-ah hian siam a ni.
Tunah chuan he retina lai takah hian hmun te tak te pakhat a awm a, chutah chuan light-sensitive cell tam tak an inzawm khawm a, chu chuan thil chiang taka kan hmuh theih nan min pui a, kan chhiar a, hmel kan hriat theih nan a fiah lo hle bawk. Macula kan ti a ni . Hei hi kan vision fiah leh chiang tak siamtu ber a ni.
Macular pucker chu macula chungah scar tissue layer te tak te, cellophane sheet ang chi a lo awm hian a ni. He layer hi hun kal zelah a tlahniam zauh zauh thin. Chumi hnuah chuan a hnuaia macula awm nen chuan a inzawm khawm a, a hrual bawk. Bed sheet chungah sheet dang dah a, a hnuaia sheet chu a inzawm khawm chuan a wrinkles ang mai a ni. He wrinkling hian kan mit hmuhna chiang tak, dik tak chu a tichhe a, a tichhe bawk. Doctor-te chuan hei hi epiretinal membrane (ERM) emaw cellophane maculopathy emaw an ti bawk.
A tam zawkah chuan hei hian mit hmuhna a tichhe nasa lo hle a, mahse mi thenkhat tan chuan nitin hna thawh a harsat phah thei a ni.
Macular pucker vei hian eng symptoms nge a neih?
Hetiang natna lan chhuahna ber leh langsar ber chu mit hmuhna dik lo (distorted vision) hi a ni. Chu chu thil dinglam chu a inzawm tlat angin a lang tihna a ni. Damdawi lamah chuan hei hi metamorphopsia kan ti a ni. Mit pakhat chauh a nghawng thei a, a chang chuan mit pahnih a nghawng thei bawk. Mit pahnihah a awm thei a, mahse a tlangpuiin mit pakhat hi a dang aiin a nghawng tlem zawk.
A hnuaia tarlan te hi he natna lan chhuah dan tlangpui te an ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Vision dik lo (Distorted Vision) a ni | Line dinglam (window bar, kawngkhar frame, lehkhabu chhunga line) te chu a inzawm khawm, a inzawm khawm emaw, a hring dup emaw angin a lang. |
| Blurry Vision a awm | Eng ang pawhin hnaih mah la, thil chipchiar tak takte chu chiang taka hmuh theih a ni lo tih hriatna. Lehkha chhiar leh ziak harsat. |
| Double Vision a awm | Mit khata en chuan thlalak chu pahnih angin a lang. |
| Thlalak lian leh te chu a danglamin a lang. | Mit pakhatin a hmuh lem chu mit dang aiin a lian zawkin a lang thei. |
A pawimawh ber chu macular pucker vanga mit hmuh lohna hi mitmeng pangngai hmanga siamthat theih a ni lo. Heng symptoms te hi i neih chuan mit lam doctor pan a pawimawh.
Engvangin nge he macular pucker hi a lo awm? Risk factors te chu engte nge ni?
Hetiang dinhmun hi kum upat rualin a lo awm fo thin. Kan mit chhunga jelly ang chi, mit tichaktu chu vitreous humor an ti a. Kan tar chhoh zel chuan he jelly hi a lo tlem a, tuiah a lo chang a, retina atang hian a inthen tan ta a ni. Hei hi thil pangngai a ni. Mahse a chang chuan he inthenna hi a lo awm hian retina hi a chhe deuh thei a ni. Taksain he chhiatna hi siamthat a tum lai hian macula-ah hian scar tissue a lo awm thei a ni. Hei hi macular pucker thlentu ber a ni.
Hei bakah hian a chhan leh a hlauhawmna dang engemaw zat a awm bawk.
- Retinal tear emaw detachment emaw a awm thei .
- Mit hliam na tak (Eye trauma).
- Mit surgery: A bik takin cataract surgery ang chi thil hnuah.
- Mit natna emaw, inflammation emaw, entirnan uveitis .
- Diabetes (Diabetes-related retinopathy) avanga mit lama harsatna awm thei.
- Laser eye therapy a neih tawh avangin .
Hetiang dinhmun hi kai theih a ni lo. Chu chu mi pakhat atanga mi dangah a darh thei lo tihna a ni.
Engtin nge doctor hian hei hi a hmuh theih?
I natna lan chhuah dan min hrilh hnuah mit doctor chuan uluk takin i mit a enfiah ang. Chutiang ti tur chuan i mit ah drop an dah ang a, chu chuan i mit a tizau ang. Hei hian doctor chuan i mit chhunga retina leh macula te chu chiang takin a hmu thei ang.
Tin, he natna hi dik taka finfiah nan special test engemawzat hman a ni bawk.
- Amsler grid eye test: Hei hi grid of square en a ni. Macular pucker i neih chuan square te chu a streaked thei a, a wrinkled thei a, a then chu hmuh theih lohvin a awm thei bawk.
- Optical coherence tomography (OCT): Hei hi he natna hi hriat chian dan tha ber leh dik ber a ni. CT scan ang bawkin mit chhunga retina awm chu high-resolution picture a la a, chu chu cross-section ang mai a ni. He scan hian macula-ah film layer a awm em tih chiang takin a hmu thei a, engtiang chiahin nge a thick tih te, macula chu a wrinkled em tih te a hmu thei bawk.
Hei hi eng enkawlna nge ni?
Pakhatnaah chuan thu lawmawm tak chu macular pucker nei zawng zawng hian enkawlna an mamawh vek dawn lo tih hi a ni. I mit hmuhna a nghawng nasa lo a nih chuan i doctor chuan mit enfiah fo turin a rawn lut ngei ang. Hei hian an dinhmun an enfiah mai dawn tihna a ni.
Mahse, i mit hmuh dan dik lo hian nitin i thiltih (lehkha chhiar emaw, lirthei khalh emaw ang chi) a tibuai a nih chuan enkawlna i zawng duh mai thei.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Surgery ni lo Options | |
| Glass thar a awm bawk | Hei hian macular pucker a tidam dawn lo a, mahse mitdelna dang siamthatna tur leh i mit hmuhna zawng zawng a tipung thei a ni. |
| Lighting leh magnifying hmanrua tha tak tak | Lighting tha (reading lamp) leh a tul chuan magnifying device hmanga chhiar awlsam zawk theih a ni. |
| Surgery tih theih a ni | |
| Vitrectomy leh Membranectomy tih a ni | Hei hi he natna enkawlna ber leh tangkai ber a ni. Mit chhunga incision tenau tak tak siam te, mit chhunga jelly ang chi (vitreous) te lakchhuah te, leh uluk taka mit hrual siamtu membrane te tak te chu lakchhuah te a ni. Hei hi outpatient procedure a ni tlangpui. |
Surgery-ah hian hlauhawmna a awm em?
Surgery dang ang bawkin, hlauhawmna tenau tak tak a awm a, mahse doctor-te chuan heng hlauhawmnate hi tih tlem tumin hma an la vek a ni.
- Thisen chhuak
- Infection awm thei te
- Retinal tear emaw detachment emaw a awm thei
- Mitdel (cataract) vei an pung
- Macular hole a awm
- Mit chakna sang (Glaucoma) .
Operation hnu ni engemaw zat chhung chu mit a fiah lo deuh thei. Mit na leh lungawi lohna i nei thei bawk. Thla 3 vel a ngai thei a, a dam kim theih nan leh surgery atanga hlawkna kimchang a hmuh theih nan.
Hei hi mit natna dang nen hian inthlau suh ang che!
Macular pucker symptoms hi mit natna dang engemaw zat nen a inang thei a, chuvangin heng danglamna te hi hriat a pawimawh hle.
Macular Pucker leh Macular Degeneration hi thil inang an ni em?
Awle. An pahnih hian macula hi nghawng mahse, an nihna hrang hrang pahnih an ni. Kum upa lam nena inzawm macular degeneration hi kan tar chhoh zel chuan macula chhunga cell te chu a chhe vek thin. Macular pucker hi macula chungah tissue layer a lo awm a, chu chu a ni. A lan chhuah dan chu a inang thei a, mahse a chhan leh a enkawl dan erawh a inang lo.
Macular Pucker leh Macular Hole hi thil inang an ni em?
Ni lo, hengte hi condition pahnih a ni. Pucker chu mittui a ni. Macular hole chu macula chhunga hole tak tak a ni. A châng chuan macular pucker hian membrane a tizau thei a, macula-ah khur a siam thei bawk. Macular hole hian pucker aiin mit hmuhnaah nghawng a nei tam zawk tlangpui.
Engtikah nge Doctor ka hmuh ang?
I mit hmuh danah danglamna i hmu a nih chuan ngaihthah suh. Doctor hmu ngei ang che.
A bik takin, i mit hmuh dan a danglam nghal vat a, i mit hmaah hmun dum a awm nghal a, floater emaw, mit na emaw i neih chuan damdawi in Emergency Department (ETU)-ah kal nghal rawh.
He mit hmuhna tichhe thei dinhmun hi i hriat hmasak ber hian i hlauthawng deuh mai thei. Mahse hre reng ang che, macular pucker vei tam zawk hi chu enkawl a ngai lo. An ti a nih pawhin enkawlna \ha tak tak a awm. I doctor chuan i tana ṭha ber tur duhthlan tur a sawipui ang a, i tih leh tur chu i ngaihtuah ang. A pawimawh ber chu mit enfiah fo hi a ni.
Take-Home Thuchah a ni
- Macular pucker hi i mit hmuh chian theihna tura mawhphurtu macula-ah scar tissue te tak te a lo awm a, chu chuan a ti hrual a ni.
- Hei hi a lan chhuahna ber chu streaked, wrinkled appearance a ni.
- Hetiang natna vei zawng zawng hian enkawl an mamawh vek lo. Mit a nghawng nasat loh chuan doctor-te chuan an enfiah mai ang.
- Mit hmuhna (blurred and distorted vision) hian nitin hnathawh a tibuai a nih chuan operation hian he membrane hi a paih chhuak thei a, mit hmuhna a siam tha leh thei a ni.
- I mit hmuh danah inthlak danglamna i hmuh chuan, a bik takin a lo thleng thut a nih chuan doctor pan nghal rawh.
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