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 (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.

` Mit Syphilis, Syphilis, Mit a Syphilis, Mipat hmeichhiatna atanga kai theih natna, Mit natna, Uveitis, Syphilis symptoms, Syphilis enkawlna