Chanchinbu i chhiar hian lehkhate chu a hrual ang em? A nih loh leh, window sill leh kawngkhar ang chi thil dinglam chu a inzawm tlat angin a lang em? A châng chuan thil chu a nihna tak aia lian emaw, a te emaw anga a lan hian thil hlauhawm deuh a ni thei. Vawiin hian hetiang hian visual distortion kan sawi dawn a ni. Damdawi lamah chuan hei hi metamorphopsia kan ti a.
A awlsam zawngin, Metamorphopsia chu eng nge ni?
A awlsam zawngin i vision tihdanglamna a ni. Natna tak tak a ni lo va, natna lanchhuahna a ni. Number dik lo hmanga glass pahnih hmanga khawvel i thlir ang maiin a lang.
I thil hmuhte pianzia, a lian leh te, a awmna hmun chu a danglam niin a lang thei. Entir nan:
- Line dinglam (straight line) te chu a inzawm khawm leh a hring (wrinkled) angin a lang thei.
- Thil awmte chu an nihna aia lian zawkin a lang thei.
- Thil awmte chu an nihna aia te zawkin a lang thei.
- Thilte chu a nihna tak aiin a hnaih zawk emaw, a hla zawk emaw pawh a ni thei.
He thil tawn hi mi hrang hrangah a inang lo. Mi thenkhat chuan an mit hmuhna hmun tlemteah chauh he tihdanglamna hi an tawng a, thenkhat erawh chuan an mit hmuhna hmun zawng zawngah hian tihdanglamna an tawk thei thung. Hei hi a chhante hi mit emaw, thluak emaw nena inzawm a ni thei.
He vision dik lo awm chhan berte chu engte nge ni?
A chhan ber chu chi thum-ah then theih a ni. Eng nge an nih i en ang u.
| A chhan hrang hrang category | A sawifiahna awlsam tak |
|---|---|
| 1. Refraction tihsual a awm | Hei hi a chhan tam ber a ni. Hetiang dinhmun hi mit chhunga light rays lutte chu a focus tha lo a nih chuan a thleng thei a ni. Entirnan, mit chu glass thar a insiamrem chuan astigmatism na tak, mit pahnih inkara mit hmuh chakna danglamna nasa tak (Anisometropia) emaw, hun eng emaw chen atana tihdanglamna emaw a awm thei. |
| 2. Retina lama harsatna awm | Hei hi fimkhur hle tur a ni.. Retina hi kan mit chhunga light sensitive membrane, êng hmuchhuaktu a ni. Camera chhunga film awm ang mai a ni. He membrane hi a hrual, a hring, a chhe emaw, a hnuaia layer atanga a inthen emaw chuan kan hmuh lem chu a chhe vek a ni. Hei hi a hlauhawm hle thei a, a chhan chu a chang chuan mit hmuh lohna nghet tak a thlen thei a ni. |
| 3. Thluak kaihhnawih chhan | Hei hi tlem kan hmuh tlem chhan pakhat a ni. Kan mit hian êng chu man mah se, kan hmuh lem hi thluak siam a ni. Mit atanga signal thawn te hi thluaka a process dik loh chuan thil tihdanglam kan hmu thei a ni. |
Retina harsatna chungchang tlem tal...
Retina lama harsatna avanga lo awm Metamorphopsia hi natna khirh tak a ni. He symptom hi a langsar zual hle a, macula , a laiah retina part, fine details leh colour chiang taka hmuh theihna tura puitu chu a chhiat chuan a ni.
Chutianga awm thei dinhmun thenkhat chu:
- Kum upat avanga mit natna (Wet form) .
- Diabetic retinopathy leh macular edema te a awm bawk
- Macular pucker a ni
- Retinal tear emaw detachment emaw a awm thei
- Mit lama migraine a awm
- Retina atanga thisen chhuak
- Mit chhunga membrane awmte natna (Uveitis) .
Thluak kaihhnawih thilte pawh i zir ve ang u
He mit hmuhna dik lo hi thluak hnathawh dan inthlak danglamna thenkhat vang pawh a ni thei bawk.
- Migraine thenkhat chu aura condition nei an ni
- Seizures a awm thin
- Stroke emaw mini-stroke (TIA) emaw a awm thei
- Thil awm lo tak tak, Alice in Wonderland syndrome ang chi te
- Damdawi thenkhat leh ruihhlo hman dan
He natna hi engtin nge enkawl a nih?
Metamorphopsia , natna a nih loh avangin direct treatment a awm lo tih hre reng ang che. Enkawlna chu a natna lan chhuahna bulpui (underlying condition) lam hawi a ni.
Entir nan,
- A chhan chu zunthlum a nih chuan zunthlum hi uluk taka control a ni a, a tul chuan laser mit enkawlna emaw injection emaw pek thin a ni.
- A chhan chu detached retina a nih chuan operation a ngai mai thei.
- A chhan chu darthlalang lama harsatna a nih chuan, chu chu darthlalang dik tak pek a nih chuan pumpelh theih a ni.
I doctor chuan i natna chhan dik tak chu a ruat ang a, enkawl dan tur dik ber a hrilhfiah ang che.
Hetiang thil i hriat chuan eng nge i tih ang?
Hei hi a pawimawh ber a ni. Hetianga hmuh theih lohna i hmuh veleh khawngaihin mahni inhriatthiamna nei lo la, in lama enkawl tum suh.
I dam chhunga a vawi khatna atana hetiang mitdelna (Metamorphopsia) hi i tawn chuan medical emergency-ah ngai la, a rang thei ang bera doctor pan rawh. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
Engvangin nge chutiang chu i sawi? A chhan chu a chhan chu retina lama harsatna lian tak a nih chuan enkawlna tan hmaa second liam apiang hian i mit a tichhe thei a ni. A châng chuan, a chhiatna chu tihdanglam theih a ni lo thei bawk. Chuvangin hetah hian hun hi a pawimawh ber a ni.
Migraine ang chi damdawi lam natna i neih tawh a, i doctor nen he symptom chungchang hi i sawipui tawh a nih chuan emergency leh normal tih thliar hran dan tur thurawn a pe che a ni mai thei. Mahse, rinhlelhna emaw, lungkhamna emaw i neih chuan damdawi lam thurawn lak hi a him ber fo.
Take-Home Thuchah a ni
- Metamorphopsia hi thil tihdanglam emaw, tihdanglam emaw anga lang a ni. Natna a ni lo.
- Hei hi mit (retina) emaw thluak lama harsatna avanga lo awm thei a ni. Retinal problem hi a na hle thei a, mit hmuhna a hloh reng thei hial a ni.
- Heng symptoms te hi a vawi khatna atana i hmuh chuan emergency ah ngai la , doctor pan nghal rawh . Tikhawtlai suh.
- Enkawlna chu a symptom vang ni lovin, a chhan bulpui (underlying condition) vang a ni.
- I vision chungchangah ngaihtuahna i neih chuan ngaihthah suh. Chumi chungchang chu i doctor nen sawiho rawh. A hmaa hriatchhuah leh enkawl hian i mit hmuhna hlu tak chu a humhim thei a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Chak lohna chu eng nge ni? Hei hi hahna pangngai a ni em?
Hei hi hahna pangngai a ni lo tak zet! Damdawi lama ‘chak lohna’ tih awmzia chu i rilru chu eng ang pawhin chak mah se, i kut / ke / ruh lian tak chuan i thusawi chu a hre thei lo va, a chakna / chakna chu 100% in a tlahniam (Loss of muscle strength) a tlahniam a, chu chu neurological / muscular defect (Neurological / Muscular defect) hlauhawm tak a ni a, chutah chuan cup pawh i chelh thei lo va, staircase pawh i lawn thei lo.
💬 Hetianga mi taksa peng hrang hrang a chak lo thut chhan berte chu engte nge ni?
Hei hi chhan lian tak pahnih a awm a, chungte chu: 1) ‘Thluak leh nerve tichhe nasa tak’ - Hei hi thluaka thisen kalna kawng a puak/kham (Stroke), nerve degeneration (Multiple Sclerosis), emaw, ruh chhunga herniated disc (Herniated Disc) vang emaw a ni thei. 2) ‘Thinlung natna lian tak’ - Hei hi thisen a electrolyte inthlauhna nasa tak (Severe Electrolyte Imbalance), zunthlum na tak (Diabetic neuropathy), thisen tlakchhamna (Anemia), leh taksa ruh tihchhiatna nasa tak (Myasthenia gravis) avanga nerve degeneration vang te pawh a awm thei bawk.
💬 I hrisel loh lai hian vitamin/khawizu in lova damdawi in emergency department-a tlan nghal ngai 'emergency' te chu engte nge ni?
Hlauhawm ber leh pawi ber! Miin a dam nghal vat a, minute tlemte chhung emaw, a rang nghal emaw pawh ni se, 1) taksa/hmai ‘unilateral weakness’, complete paralysis leh slurred speech a neih chuan thluak ‘stroke’ (darkar thum chhunga paralysis/death) a ni ngei ang! 2) Paralysis hi ke pahnih atanga intan a, darkar khat chhunga a rilru thlenga a inzar pharh (Guillain-Barre syndrome) a, chu mi chuan thawk a la thei lo a nih chuan second khat pawh nghah ngai lovin ambulance koh a ngai a ni!
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