I mit hian thisen kal a tlahniam em? He (Ocular Ischemic Syndrome) chungchang hi i zir chiang ang u!

I mit hmuhna a hloh nghal em, a nih loh leh mit pakhat emaw, mit pahnih emaw-ah emaw, sawifiah theih loh khawpa natna emaw, rit emaw mak tak i tawng em? A nih loh leh pawn lama i chhuah dawnin i mit a sen vek em? A châng chuan hengte hi mit tichhe mai mai niin kan ngai a, mahse a hnung lamah thil pawi zawk a awm thei. Chu chu Ocular Ischemic Syndrome chu a ni. A hming hi a hlauhawm deuhin a lang thei a, mahse awlsam takin sawi ila.

Hei hi eng nge ni `(Ocular Ischemic Syndrome)`?

A awlsam zawngin sawi ila, Ocular Ischemic Syndrome hi mit natna hmuh tur awm lo tak a ni a, kan mit hian thisen a dawn tlem chuan a thleng thin. Hei hi kan kawr chhunga thisen kalna kawng lian tak tak, Carotid Artery an tih, thau (plaques an tih bawk) avanga lo awm a ni ber. Heng thisen kalna kawngte hian kan mit lamah thisen an pe bawk. Chuvangin, heng thisen kalna kawngte hi a inkharkhip chuan mit lama thisen kal zat a tlahniam thin. Hei hian mit lamah harsatna a thlen thei a, mit a ti na thei bawk.

Phên dangin sawi ila, he hming awmzia, thumal khat hnu thumal khata a awmzia chu hetiang hi a ni:

• "Ocular" tih awmzia chu damdawi lamah chuan "mit nena inzawm" tihna a ni.
• "Ischemic" emaw "Ischemia" emaw hi "atherosclerosis" (thinning or hardening of the arteries) vangin thisen kal a tlahniam thin. Hetiang dinhmun hi "Carotid Artery Disease" (Carotid Artery Disease) thlentu a ni.
• "Syndrome" tih hian symptom engemaw zat a awm dun theihna dinhmun a kawk a ni.

Chuvangin, heng zawng zawng hi dah khawm ila, hei hi mit lama thisen kal tlem avanga lo awm symptoms awmkhawm a ni. Hetiang dinhmun hi a bik takin `(Carotid Artery Disease)` chhinchhiahna hmasa ber a ni thei. He natna `(Carotid Artery Disease)` tia koh hian stroke leh heart attack a thlen theihna a tipung a ni . Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Engvangin nge hetiang hi a lo awm? `(Ocular Ischemic Syndrome)` awm chhante chu engte nge ni?

Ka sawi tawh ang khan hei hi a chhan ber chu `(Carotid Artery Disease)` (Carotid Artery Disease) a ni. Hei hi `(Carotid Artery Stenosis)` an ti bawk. `(Stenosis)` tih hian thisen kalna kawng (artery) a tawi emaw, a khar emaw tihna a ni. Heng thisen kalna kawng pahnih `(Carotid Arteries)` an tih hian i kawr sir lehlamah oxygen tamna thisen chu i lu, i kawr, i thluak leh i mit ah an phur a. Chuvangin heng thisen kalna (hei hi `(Atheroma)` an ti bawk) chhungah hian `(Plaque)`, oil substance a lo awm tan chuan thisen kal chu a block ta a ni.

Kan mit hnena thisen pe chhuaktu `(Ophthalmic Arteries)` an tih thisen kalna kawngte hi heng `(Carotid Arteries)` atang hian a intan a ni. Chuvangin, `(Carotid Artery Disease)` vei chuan an mit lamah thisen a lut tawk lo. Chu thisen tlakchhamna chu `(Ocular Ischemic Syndrome)` innghahna a ni.

He chhan ber bakah hian chhan dang hmuh tur awm lo tak tak a awm a:

• `(Carotid Artery Dissection)` (carotid artery dissection ang chi natna) .
• Vasculitis (thisen kalna kawng a na). Entirnan, Takayasu’s Arteritis, Giant Cell Arteritis (GCA), leh Behcet’s Disease te hi a ni.
• `(Fibrovascular Dysplasia)` tih a ni
• `(Scleroderma)` tih a ni
• `(Moyamoya Natna)`

Tu nge hlauhawm ber?

Ocular Ischemic Syndrome hi natna hlauhawm tak a ni a , maktaduai khatah mi 8 velin a vei thin.

He natna hian kum 50 leh 80 inkar mi a vei tlangpui a , mipa hian hmeichhia aiin a let hnih velin an vei tam zawk a ni .

Hei hi a nghawng thei risk factor engemaw zat a awm a:

• `(Cardiovascular Disease)` (Thinlung natna, chu chu thinlung leh thisen kalna kawng kaihhnawih natna) .
• Coronary Artery Disease (CAD) avanga natna hrik natna (CAD) .
• Zunthlum
• Thisen sang (Hypertension) 1.1.
• Thau lutuk, zu in emaw, a pahnih emaw.
• `(Moyamoya Disease)` (Hei hi thluaka thisen petu thisen kalna kawngte nena inzawm natna a ni bawk)
• Tun hmaa stroke emaw transient ischemic attack (TIA) (mini-stroke ang chi) i neih tawh chuan.

Ocular Ischemic Syndrome natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun chhinchhiahna hi a lang ngai lo. Mahse, symptoms a lan chhuah chuan mit pakhat chauh a nghawng fo . Hetiang dinhmun hian i mit a nghawng ber a ni. I neih chuan heng symptoms te hi zawng rawh:

• Mit chhung atanga lo chhuak leh a chang chuan lo kal leh chhuak thin natna dull, na tak .
• Mit na hi mit pressure a san chuan hriat a ni.
• Dilated pupils (mit lai takah chuan a dum (black circle) a awm).
• Mit hmaa hmun dum emaw, thread emaw a inphah ang maia hriatna (Eye Floaters).
• Zawi zawiin emaw, rang taka mit hmuh lohna (Low Vision) emaw, hun eng emaw chen chu mit hmuh lohna leh a hnua hmuh leh (Transient Vision Loss) emaw a ni thei.
• Eng en harsa, mit hmuhna (blurred vision) (Photophobia).
• Thil pahnih (Diplopia) hmu ang maia inhriatna.

Engtin nge doctor-te hian hei hi chiang taka an chhui chhuah?

Ocular Ischemic Syndrome symptoms hi natna dang, diabetic retinopathy leh Central Retinal Vein Occlusion (CRVO) te nen a inang thei a ni. Chuvangin, diagnosis dik tak neih a pawimawh hle .

Mit lam doctor-te chuan he natna hi hriat theih nan a hnuaia test te hi an ti thin:

• Mit enfiah a ni: Mit lama harsatna awm chhan hriat nan mit test hrang hrang an nei thin. Entirnan, dilated eye exam, optical coherence tomography (OCT) scan, electroretinography (retina hnathawh tehna test), leh visual-evoked potentials (mit hmuhna nena inzawm nervous system hnathawh tehna test) te.
• Fluorescein Angiogram : Hei hi mit chhunga thisen kalna kawng hrang hranga thisen a luang luh hun chhung leh thisen kalna kawng atanga thisen chhuak a awm leh awm loh enfiah nan kut chhunga thisen kalna kawng (vein) ah special dye inject a ni.

Chu bakah, cardiologist (doctor, heart disease leh thisen kalna lama tui tak) chuan carotid artery natna a awm leh awm loh enfiah nan hetiang test hi a ti thei bawk:

• `(Carotid Artery Duplex Vascular Ultrasound)` (Kawng chhunga thisen kalna kawng scan)
• `(CT Angiogram - CTA)`, `(Carotid Angiogram)` emaw `(Magnetic Resonance Angiogram - MRA)` (hengte pawh hi scan chi hrang hrang, kawr chhunga thisen kalna kawngte dinhmun enfiahna chi hrang hrang a ni bawk).

Hei hi eng enkawlna nge ni?

Ocular Ischemic Syndrome enkawlnaah hian step hrang hrang inzawmkhawm a awm a. Hei hian specialist hrang hrangte thawhhona a ngai a ni.

Mit lama harsatna nei enkawl dan:

• Mit injection chi hrang hrang: Anti-VEGF damdawi emaw steroid emaw. Hengte hian retina-a swelling tihziaawmna turin a pui thin.
• Medicated Eye Drops: Mit chhunga pressure leh inflammation tihziaawm.
• Mit pressure sang lo turin laser eye treatment neih a ngai thei bawk.

`(Carotid Artery Disease)` enkawl dan:

• Thisen tithianghlimtu damdawi te, chubakah zunthlum leh thisen sang ang chi natna control nana damdawi te pawh a awm bawk.
• Carotid Angioplasty and Stenting: Thisen kalna kawngkhar khar chu balloon ang chi hmanga inflated a, a block leh loh nan stent (mesh ang chi tube te tak te) dah a ni.
• Carotid Endarterectomy: Thisen kalna kawng chhunga plaque lo awm tawh chu paih chhuah nan surgery tih a ni.

Hei hian eng harsatna nge a thlen theih?

Ocular Ischemic Syndrome vei zawng zawng hian mit lama harsatna lian tak an nei nghal vek dawn lo. Mahse, he natna vei zinga a chanve vel chuan kum khat chhungin mitdelna engemaw chen an nei ang . Tin, mi sawm zinga pasarih vel chuan Neovascular Glaucoma tih natna an nei ang. Neovascular Glaucoma-ah chuan mit chhungah thisen kalna kawng thar, pangngai lo tak tak a lo awm a, mit chhunga tui luang chhuak chu a tikhawlo a ni. Hei hian mit pressure hlauhawm tak a thlen thei a ni.

Ocular Ischemic Syndrome vei mi pakhat hriselna dinhmun chu eng nge ni?

Dik tak chuan `(Carotid Artery Disease)` an tih natna hian `(Ocular Ischemic Syndrome)` a thlen thei a ni . `(Ocular Ischemic Syndrome)` a vei tih hmuhchhuah a nih hnuah, kum nga chhunginMi sawm zinga pali vel chu heart attack emaw stroke emaw vangin an thi. Chuvangin, damdawi lam pan hmasak leh nunphung thlak danglam hian i hriselna humhimna kawngah kawng thui tak a zawh thei a ni.

Pawimawh: He thil hmang hian ka tihbuai che ka tum lo. Mahse he dinhmun hi a pawizia hrethiam a, a tul anga hmalak a pawimawh hle.

Ocular Ischemic Syndrome hi ven theih a ni em?

Ni e, `(Carotid Artery Disease)` i vei theihna tur leh chuta tang chuan `(Ocular Ischemic Syndrome) i vei theihna tur thil i tih theih tur a awm a, chungte chu:

• Thinlung hrisel ei tur, Mediterranean Diet ang chi ei rawh .
• Stress control dan hrisel zawng rawh.
• Zunthlum leh thisen sang hi uluk taka control theih a ni.
• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.
• Meizial i zuk chuan bânsan tûrin ṭanpuina dîl rawh.
• A theih ang anga active la, exercise la.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan ngei ang:

• Mit a na.
• Vision inthlak danglamna eng pawh hi harsatna a ni.

Tin, paralysis symptoms (e.g. tawng harsa, taksa sir khata rilru hah, hmai sir khat tlak) i neih chuan damdawi inah kal nghal la, 1990 call rawh.

Ka doctor hnenah eng nge ka zawh ang?

Doctor hmu tura i kal hian zawhna hrang hrang i zawt thei ang:

• Engvangin nge heng symptoms te hi ka neih?
• Eng test nge ka tih ngai?
• Eng enkawlna nge ka tan a tha ber?
• Ka thinlung hriselna tihchangtlun nan eng nge ka tih ang?
• Ka mit venhim nan eng nge ka tih theih ang?
• Complication chungchangah hian ka ngaihtuah tur em ni?

Mit tichhe thei dinhmun eng pawh hi ngaihtuahawm tak a ni. Ocular Ischemic Syndrome i neih chuan mitdelna hi i thisen kalna kawng a block a, i lu-a thisen kal a tlahniam tih chhinchhiahna hmasa ber a ni thei. Hei hi natna dang, Carotid Artery Disease ang chi chhinchhiahna a ni thei bawk. Mit natna dang pawhin heng symptoms te hi a thlen thei bawk.

Chuvangin, chutiang mit natna hmuh tur awm lo tak takte hriatchhuah leh enkawlna lama tawnhriat nei mit lam doctor pan a pawimawh hle . ``Carotid Artery Disease'' enkawl tur chuan cardiologist i pan a ngai mai thei bawk. He enkawlna hian thisen kalna kawngkhar (blood vessel) a hawng a, mit lama thisen kal dan a titha a ni. I thinlung leh mit venhim nan nunphung pawh i thlak thei bawk.

Hriat reng tur pawimawh ber (Take-Home Message) .

• Ocular Ischemic Syndrome hi mit lama thisen kal tlem vang a ni a, a chhan ber chu kawr chhunga thisen kalna kawng (Carotid Arteries) a block vang a ni.
• Mitdelna emaw mit na emaw ang chi symptom i neih chuan doctor thurawn lak ngei ngei tur a ni.
• Hei hi ``Carotid Artery Disease'' chhinchhiahna a ni thei a, hei hian heart attack leh stroke vei theihna a tipung a ni .
• A hmaa hriat chhuah a nih chuan, a enkawl dan tur dik tak, leh nunphung tihdanglam a nih chuan hriselna chu humhalh theih a ni.
• Meizial zuk loh te, ei leh in hrisel ei te, exercise lak te, zunthlum leh thisen sang control te a pawimawh hle.

Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Dam leh thuai turin duhsakna kan hlan e!

` Ocular Ischemic Syndrome, Mit a thisen kal tlem, Carotid Artery Disease, Mit a tlahniam, Mit na, Carotid Artery Disease, Atherosclerosis