Mit pawh a nghawng thei ocular syphilis chungchang hi i zir belh ang u.

Sexally transmitted infection (STD) chungchang hi i hre tawh ngei ang. Heng natna thenkhatte hi a enkawl that loh chuan taksa peng dang a nghawng thei a ni. Chutiang bawkin, uluk taka enkawl loh chuan syphilis an tih natna hian i mit a tichhe thei bawk. Vawiin hian mit tichhe thei ocular syphilis tih natna kan sawi dawn a ni. Hei hi thawnthu pawi tak ni mah se, dik taka hriattirna chuan harsatna tam tak a veng thei a ni.

A awlsam zawngin, ocular syphilis chu eng nge ni?

A awlsam zawngin, Ocular Syphilis hi syphilis complication a ni a, natna hi i neih a, enkawl tha a nih loh chuan mitah a awm thin. Syphilis hi bacteria infection leh mipat hmeichhiatna hmanga inkaichhawn (STI) a ni. He natna hi nu naupai a\angin a naute thlengin a kai thei bawk.

Enkawl loh chuan syphilis hi i nervous system, thluak (Neurosyphilis), beng (Otosyphilis), leh mit (Ocular Syphilis)-ah te a darh thei a ni. Enkawl loh chuan ocular syphilis hian mit a tichhe thei a, mitdel pawh a thlen thei bawk. Hei vang hian hei hi hriat chian a pawimawh hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Khawvel pumah kum tin syphilis vei thar maktaduai 12 vel an awm a ni. America ang ramah chuan Neurosyphilis vei zinga 1% leh 5% inkar chuan Ocular Syphilis an vei niin an sawi. Hetiang dinhmun hi Sri Lanka-ah hian a awm lo a, chuvangin hei pawh hi kan ngaihtuah a ngai a ni.

Eng nge a lan chhuah dan? Engtin nge i hriat chian?

Doctor-te chuan syphilis hi "bumtu ropui" an ti. Chu chu natna dang tam tak chhinchhiahna a entawn theih vang a ni. Chumi awmzia chu a chang chuan syphilis anga hriat a harsa thei tihna a ni.

(Ocular Syphilis) symptoms hi syphilis stage eng pawhah a lang thei. Amaherawhchu, natna hnuhnung zawkah an lang tam ber. Enkawlna i dawng lo a nih chuan natna hi stage hrang hrangah zawi zawiin a kal zel ang.

Syphilis natna stage hrang hrangte pawh i zir dawn nia.

Syphilis hi stage lian tak takah then theih a ni a:

• Primary Stage: He stage hi syphilis vei i tawn atanga kar hnih atanga kar sawm leh pahnih chhungin a intan thei a ni. Hei hi i genital area-ah natna nei lo (chancre) a lo awm hian a ni. He natna hi ni rei lo te chhungin a mah chauhin dam mahse, midang hnenah natna hi i la kai thei tho.
• Secondary Stage: A chunga kan sawi tak hliam a dam hnu thla khat atanga thla ruk chhungin vun rawng i nei ang. Hetih lai hian midang i la kai thei tho.
• Latent Stage: I la enkawl loh chuan tun dinhmunah hian syphilis i la nei tho. Mahse, symptoms i nei lo mai thei. Hetih lai hian mipat hmeichhiatna hmanpuite hnena natna kai theihna a tlem hle.
• Tertiary Stage: Hei hi natna tawp ber leh na ber a ni. A bik takin, he stage-ah hian hriselna lama harsatna lian tak tak a awm thei a ni. Hemi hun chhung hian (Ocular Syphilis) ang chi natna pawh hmuh tur a tam zawk thei bawk.

Mit chauha lang chhuak chhinchhiahnate chu engte nge ni?

Tunah chuan (Ocular Syphilis) natnaah hian eng symptoms nge mit a nghawng bik tih hi han en ila:

• Mit a sen vek.
• Mit hmaa thil te te a lo inphah lai hmuh ((Eye floaters)).
• Mit na a na.
• Eng hriatna (sensitivity to light), chu chu êng en harsatna (Photophobia) tihna a ni.
• Mit chet dan pangngai lo.
• Argyll Robertson pupil: Hei hi mit mitmeng (pupil) a inzawm khawmna a ni a, a bik takin thil hnai taka en hian a inzawm khawm thin. Mahse, êng êng tak hnuaia a awm chuan a contract lo.
• Mit hmuh fiah lo emaw, mit hmuhna hloh vek emaw.
• Mit chhung emaw, a chhehvel emawa hliam, lump, emaw spot awm.
• A tlem hle a, mitmengah natna nei lo ((Chancre)) a lo awm thei.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak nghal a pawimawh hle. Hriat hmasak leh enkawl hian chhiatna nasa tak a veng thei a ni.

Hei hian mit peng engte nge a nghawng?

Syphilis hian mit hmun eng pawh a nghawng thei tak zet a ni. Mahse, uvea a nghawng tam ber. Uvea hi mit membrane ang chi, mit dum (the sclera) hnuaia awm a ni. Iris, choroid leh ciliary body te a awm a.

Hetianga (Uvea) inflammation leh infection hi (Uveitis) an ti a. Doctor tam tak chuan (Uveitis) vei zawng zawng hi syphilis test vek tur niin an ngai. An pahnih inkarah hian inzawmna a awm thei.

Eng thilin nge hei hi a thlen? Engtin nge a darh zel?

Syphilis leh ocular syphilis te hi Treponema pallidum bacteria atanga lo chhuak a ni.

Syphilis hi hri kai nena vun leh vun inzawmna hnai tak hmanga kai a ni. A tam zawkah chuan syphilis hi invenna tel lova oral, anal leh vaginal sex hmanga kai a ni.

Naupai i nih chuan he natna hi i nauteah pawh a kai thei bawk. Chuvangin naupai lai hian syphilis test neih a pawimawh em em a ni. Syphilis i vei chuan i naute a tichhe thei a ni.

Tu nge hlauhawm zawk?

Mi thenkhat chuan Ocular Syphilis vei an hlauhawm zawk thei. Chung zingah chuan:

• Invenna tel lova sex hmang thinte, a bik takin mipat hmeichhiatna hmanpui pakhat aia tam an neih chuan.
• Mipa mipa nena sex hman (MSM).
• Tuna HIV hrik kai tawh emaw, mipat hmeichhiatna hmanga kai theih dang nei tih finfiah tawhte.
• Syphilis vei nia finfiah tawh nena sex hman tawhte.

Enkawl loh chuan eng harsatna nge a awm?

Ocular Syphilis hi enkawl tha a nih loh chuan hun kal zelah hetiang harsatna hi a awm thei a ni:

• Mit (cataract) a awm.
• Mit chhunga thisen kalna kawng thar siam ((Neovascularization of your eye)).
• Corneal opacity a awm lo.
• Glaucoma ) natna (Glaucoma) a ni.
• Mit mit (retina) a hrual ((Macular pucker)).
• Macula (macular edema) a lo hring chhuak thin.
• Mit tissue ah hliam a awm.

Heng thu hriat hi thil hlauhawm tak angin a lang thei a, mahse hre reng ang che, heng zawng zawng hi natna hi hriat hmasak a, uluk taka enkawl a nih chuan ven theih a ni.

Engtin nge hei hi khawiah nge a awm tih chiang takin i hriat theih ang?

Ocular syphilis i vei em tih hriat nan i doctor chuan i symptoms leh i medical history chungchang zawhna a zawt ang che. Tichuan, mit lam doctor chuan mit enfiahna kimchang leh test dang engemaw zat a nei ang. Anni chuan:

• I mit hmuhna (visual acuity) a ni.
• I mitmenga ring dum hnathawh dan.
• I mitmenga pressure awm chu.
• I thisen test te.
• A châng chuan cerebrospinal fluid (CSF) pawh test theih a ni.

Eng test nge tih a nih?

Hengte hi Ocular Syphilis hriat theihna atana test hman ber thenkhat chu an ni:

• Thisen test (a bik takin syphilis test) te.
• Mit pressure tehna atan Tonometry test a ni.
• Microscopic examination slit lamp exam'' an tih (hei hian mit chhung lam chipchiar takin a hmu thei a ni).
• Fluorescein angiography (Hei hi mit chhungah tui bik inject a, a chhunga thisen kalna kawng thlalak lak a ni).

Hei hi engtin nge enkawl a nih? Dam theih a ni em?

Thu lawmawm tak chu Ocular Syphilis hi antibiotics hmangin a dam vek thei tih hi a ni! Antibiotic hman tlanglawn ber chu penicillin a ni. Mahse, syphilis stage a zirin enkawl dan a inang lo thei. I doctor chuan mittui tlakna emaw, ei tur dang emaw a pe thei bawk.

Eng damdawi nge pek thin?

Doctor-te chuan hetiang enkawlna hi an rawt tlangpui:

• Antibiotic (Penicillin G) tih chu thisenah ((IV)) ni 10 atanga ni 14 chhung pek thin a ni.
• A chang chuan Benzathine penicillin G an tih injection, kar thum chhung taksa ruh (intramuscular)-a inject thin chu damdawi Probenecid an tih nen an pe bawk a, chu chu eia ei thin a ni.
• Penicillin allergy i neih chuan antibiotics dang ceftriaxone emaw azithromycin emaw pek i ni thei bawk.

Ocular syphilis leh neurosyphilis enkawlna tha ber chu intravenous penicillin a ni. Penicillin allergy i neih chuan doctor-te chuan i hman theih nan damdawi lakah hian desensitize an tum thin.

Special: Syphilitic Keratitis, syphilis vanga natna lo awm thin enkawlna

Hetah hian danglamna tlem a awm. Syphilitic Keratitis, syphilis vanga i mit mit (cornea) inflammation i neih chuan i doctor chuan antibiotics ai chuan steroid a pe ang che.

Antibiotic treatment i tan hnuah i doctor chuan i mit inflammation tihziaawmna turin oral steroid emaw eye drop emaw a pe thei ang. Mit damdawi dang pawh an pe thei a, chungte chu:

• Non-steroidal anti-inflammatory drugs (NSAIDS) hmanga inflammation tihziaawmna.
• Mit hnim hring (Dryness) ti tlemtu (Lubricants).
• Mit mit tizau thei damdawi ((Mydriatics)).

Enkawlna hian side effect a nei em?

Syphilis enkawlna hian side effect emaw risk emaw engemaw zat a thlen thei bawk. Chung zinga ṭhenkhat chu:

• (Jarisch-Herxheimer reaction (JHR): Hei hi thisen chhunga damdawi ei avanga lo awm thei a ni. Khawsik leh thawmhnaw a thlen thei a, lu na a thlen thei a, taksa lumna a tisang thei a, mit a ti na thei bawk. Hei hi Doctor ten an lo thlir reng a ni.
• Permanent vision loss: Antibiotics tel lova steroid chauh hman hian reversible vision loss a thlen thei. Syphilis avanga uveitis i neih chuan antibiotics pawh i ei ngei ngei tur a ni.
• Steroid hman avanga harsatna awm thei: Steroid hi damdawi tangkai tak ni mahse, rei tak hman a nih chuan side effect a nei thei a ni. Chung zingah chuan taksa rihna sang, mood swing, mut theih lohna, leh thisen sang leh sugar level te a tel.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

Ocular Syphilis enkawlna hi kar hnih vel a ni tlangpui a, a chang chuan a rei zawk bawk. Enkawl i tan atanga ni engemaw zat chhungin i rilru a hahdam tan thei. Mahse, doctor-in damdawi a pek zawng zawng ei vek a pawimawh.

Nakinah eng nge thleng dawn? A dam leh vek dawn em ni?

Syphilis bakah hian (Ocular Syphilis) tih natna hi enkawl theih a ni. Mit natna zawng zawng ang bawkin (Ocular Syphilis) hi a hmaa hriatchhuah leh enkawl vat chuan i mit chhiatna chu nasa takin a tihziaawm thei a ni. Condition dang i neih chuan, (HIV) ang chi te, a tir atanga mit hmuhna tha lo i neih chuan hengte hian result pawh a nghawng thei bawk.

Hei hi a thlen loh nan a veng thei ang em?

Syphilis venna awmchhun chu syphilis vei nena sex hman loh leh syphilis natna khawih loh hi a ni.

Engtin nge a risk tihziaawm theih ang?

He hlauhawmna tihtlem nan hian heng thilte hi i ti thei ang:

• Sex hman loh tur.
• Mipat hmeichhiatna hmanga kai theih natna engmah nei lo nia finfiah, kawppui rintlak pakhat chauh nena inpawlna neih.
• Midang nena oral, anal, emaw vaginal sex i hman chuan latex condom leh dental dam hi dik takin hmang fo ang che.

Engtikah nge doctor i hmuh ang?

I mit hmuh danah inthlak danglamna i hmuh chuan, emaw, natna lan chhuahna thar i neih chuan emaw, i natna lan chhuah tawhte chu a zual deuh niin a lang a nih chuan, doctor pan nghal rawh.

Engtikah nge emergency room-ah i kal a ngaih?

Chutiang dinhmunah chuan emergency room ( ETU )-ah kal nghal rawh:

• I mit a hloh nghal a nih chuan.
• I mitah natna nasa tak i neih chuan.
• Damdawi allergy avanga thawk harsatna i neih chuan.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei ang:

• Ocular Syphilis chungchanga hriat tur pawimawh ber berte chu engte nge ni?
• Eng enkawlna nge min rawt?
• He enkawlna hian eng hlauhawmna nge a neih?
• Eng side effect nge ka report nghal tur?
• Ka sexual partner te pawhin syphilis an vei thei tih hriattirna process hian engtin nge hna a thawh?

Mipat hmeichhiatna hmanga kai theih natna, syphilis ang chi an nei tih hriat hi tumahin an duh lo. Hetiang natna hian reproductive system chauh a nghawng niin i ngai mai thei. Mahse chutiang chu syphilis-ah chuan a ni lo. Tin, i mit a nghawng thei bawk a, mitdelna leh mitdelna a thlen thei bawk. Mahse, a hmaa man a, antibiotics course kimchang hmanga enkawl a nih chuan i doctor chuan Ocular Syphilis hi a tidam thei a ni. Penicillin allergy i neih tawh chuan i doctor hnenah hrilh ngei ang che. Chumi atan chuan penicillin hi a enkawlna ber a ni.

Kan Take-Home Thuchah

Chuvangin, tunah chuan vawiin a kan sawi tawh (Ocular Syphilis) tih natna hi i hrethiam tawh ngei ka beisei. Hriat reng tur pawimawh tak chu hei hi natna tihdam theih a ni a, a bik takin hriat hmasak a nih a, uluk taka enkawl a nih chuan. Rinhlelhna emaw, natna lan chhuah dan emaw i neih chuan damdawi lam thurawn zawng chu zak lo la, hlau suh. Tin, safe sex hman hi chutiang natna laka invenna tha ber a ni. I mit hi thil hlu tak a ni a, venhim chu i mawhphurhna a ni.