Open-angle glaucoma chungchang hi i zir chiang ang u!

Kan mit hian a rukin, vaukhânna awm lovin natna a nei thei tih i ngaihtuah ngai em? A nihna takah chuan mit natna thenkhat lo thleng tur pawh kan hriat loh a awm a, kan hriat chian meuh chuan a chhiatna chu a lo thleng tawh a ni. Chutiang mit natna pakhat, a rukin lo thleng, kan mit tichhe thei leh mi tam tak zînga awm ṭhin chu open-angle glaucoma an ti a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila, a chhan chu hei hi hriat chian a pawimawh em em a ni.

Open-Angle Glaucoma hi eng nge ni?

A awlsam zawngin Open-Angle Glaucoma hi glaucoma chi khat zingah chuan a tam ber a ni. I mit chhunga optic nerve tihchhiat vang a ni. I mit chhunga drainage system te tak te ang maiin ngaihtuah rawh. Hei hi mit chhunga tui lo chhuak (aqueous humor kan ti) chu a chhuak chhuak thin. Open-Angle Glaucoma-ah chuan he drainage system hi zawi zawiin, zawi zawiin, a block tan thin. I hre lo tak zet a ni.

He tui hi a chhuak tha thei lo a nih chuan mit chhungah a awm khawm tan thin. Hei hian mit chhunga pressure (intraocular pressure - IOP) a tisang a ni. Hei hi ocular hypertension an ti a . Hetiang pressure sang hian a hmaa kan sawi tawh ang khan optic nerve a tichhia a ni.

Open-Angle Glaucoma hi a lo awm zauh zauh a, a tir lamah chuan a lan chhuah dan a awm lo. Zawi zawiin a pung a, i mit chu a bo zauh zauh bawk. I hriat chhuah meuh chuan i mit hmuhna chu nasa takin a chhe tawh mai thei. He chhiatna hi tihdanglam theih a ni lo. Chuvang chuan a hlauhawm em em a ni. Enkawlna hian mit a pressure tihziaawmna tur leh natna a zual zel tur venna tur a tum ber a ni. He natna hi enkawl loh chuan mitdelna a thlen thei a ni.

Hei hian engtin nge i mit hmuhna a nghawng?

Open-Angle Glaucoma hi i mit hmuhna hmun vel a mit hmuh lohna atanga tan a ni a, chu chu i peripheral vision an ti a ni. Hmuh theihna chu a sir lehlamah a thim zauh zauh a, a laiah a zim deuh deuh niin a lang. Mi tam zawk chuan mit pahnihah mit an hmu a, mahse a tlangpuiin mit pakhat chu a dang aiin a na lo deuh a ni. Hei vang hian a chang chuan natna hriat chian a harsa thei hle. Hei hi a chhan chu mit hmuh tlem zawk hian mit dang a mit hmuh hloh chu a khum a ni.

Open-Angle Glaucoma natna lan chhuah dan chu engte nge ni?

Mi tam tak chuan an mit hmuhna nasa taka a chhiat hma chuan symptom engmah an nei lo. Mahse a chang chuan, thil tenawm tak tak atang hian clues i hmu thei a, chungte chu:

• Stairs atanga i chhuk chuan step khat vel i tlan pelh thin.
• Lehkhabu emaw, chanchinbu emaw kan chhiar hian, thumal hmanga hawrawp \henkhat chu a bo \hin.
• Lirthei kan khalh hian kawngpuiah signboard leh nameplate chhiar a harsa thin.
• Eng tlêm tê, entîr nân, tlai lamah thil a lang chiang lo va, rawng chi hrang hrang thliar hran a har ṭhîn.

I mit doctor-in i mit a enfiah hian heng ang visual field defects hi a hmu thei a ni:

• Nasal step defect : Hnar lam hawia i mit a thim.
• Arcuate blind spot (`(Arcuate scotoma)`): Mit hmuhna hmun chunglam emaw hnuai lam emawa hmun dum, a inzawm tlat.
• Paracentral blind spot (`(Paracentral scotoma)`): Hmun dum te tak te, zungbun ang maia lang, mit hmuhna lairil hnaih deuh deuh a ni.
• Temporal wedge defect : Beng sir lama awm ang maia lang, triangular, thim tak a ni.

Natna a lo zual zel chuan tunnel vision tih natna i nei zauh zauh a, chu chuan tube hmanga i en ang maiin a ti lang che a ni.

Open-Angle Glaucoma hi engtiang chiahin nge a pawi?

Open-Angle Glaucoma hi zawi zawiin a zual zel a ni. I hriat hma pawhin i mit a tichhe thei a, a pawi hle. Mahse lungngai suh, enkawlna hian he natna hi a titawp thei a, a tikhawtlai thei bawk. Amaherawhchu, enkawl loh a nih chuan mitdelna leh mitdelna thlengin a thlen thei a ni.

He natna hi a tlangpuiin a na lo. Mahse, mi ṭhenkhat chuan retinal venous occlusion tih hming pu complication an nei thei a ni. Chutiang a nih chuan mit a na thei a, mit a bo thei bawk. Enkawl pawh a buaithlak deuh.

Engvangin nge hetiang (Open-Angle Glaucoma) hi a lo awm?

Kan mit hian mit atanga tui lo chhuakte chhuah chhuahna tur natural drainage system a nei tih min hrilh a. Glaucoma hi he drainage system-a harsatna a awm a, mit chhungah tui a awm khawm a ni. Hei hian mit chhunga pressure a tipung a, optic nerve a tichhia a ni.

A chang chuan drainage system-a harsatna awm chu a chiang a, a chang chuan a lang lo. Open-angle glaucoma-ah chuan mit chhunga drainage angle chu a inhawng a, a thawk tha hle niin a lang. Mahse, a chhungah chuan dodalna a awm. Mithiamte chuan buaina chu trabecular meshwork ah a awm niin an ngai . Hei hi sponge ang chi tissue a ni a, chuta tang chuan tui a chhuak thin. Treatment tam zawk chuan he tissue hi an target thin.

Primary OAG leh secondary OAG te a ni

He harsatna hi kan tar chhoh zel a trabecular meshwork-a thil thleng nen a inang a ni. Kan tar chhoh zel chuan a cell te chu a tlahniam a, a pianzia a inthlak a, a thawk tha tawh lo. Mi pakhatin heng tissue te tar chakna a ti chak ang mai a ni. A tam zawkah chuan a chhan chiang tak hmuh tur a awm lo. Chutiang hunah chuan doctor-te chuan primary open-angle glaucoma (primary OAG) an ti thin.

Mahse a chang chuan, he drainage system hi damdawi lam thil dang vangin a block thei bawk. Entirnan, a hring (swelling), protein deposit emaw, cell debris emaw hmangin a block thei. Hei hi secondary open-angle glaucoma (`(Secondary OAG)`) an ti a.

Primary OAG awm chhan dik tak hi hriat a harsa hle. Ocular hypertension hi awm fo mahse, a awm reng reng lo. A châng chuan mit chhûnga pressure chu a pangngai a nih pawhin mit nerve tihchhiatna chhinchhiahna a awm thei. A hnuaia thilte hian primary OAG vei theihna a tipung thei a ni:

• Kum pung: Kum 40 chunglamte chu an hlauhawm zawk.
• Chhungkaw chanchin: I chhungkuaa mi tu emaw chuan glaucoma a vei tawh a nih chuan nang pawhin i vei theihna a sang zawk.
• African genetic origin: He natna hi African hnam chhuak zingah a tam zawk.

Engtin nge Open-Angle Glaucoma hi hriat theih?

Glaucoma hi hriat chian a harsa thei hle a, symptoms i neih loh emaw, i mit hmuh danah danglamna i hriat loh chuan. Chuvangin mit enfiahna atan mit doctor pan fo a pawimawh em em a ni . I doctor hian i record hmasa leh mit hriselna history a neih chuan, inthlak danglamna tenau leh glaucoma thlen thei tur risk factor te an zawng thei a ni. Chumi hnuah chuan test dang an ti leh thei a, natna chu an hmuchhuak hmasa thei bawk.

Specialist-te chuan Open-Angle Glaucoma hi a hnuaia thilte hi zawngin an hmuchhuak thin.

• Hmuh theihna lama inthlak danglamna
• Mit nerve chhiatna leh/ emaw mit chhunga pressure sang (`(IOP)`) .
• A open drainage angle (`(open drainage angle)`) a ni a, a chhuahna tur hmun a awm lo.

Glaucoma awm leh awm loh enfiah nan a hnuaia test te hi tih thin a ni:

• Visual field test : I mit hmuhna zau zawng tehna, chu chu i chhehvela i hmuh theih zat tehna test a ni.
• Optical coherence tomography (OCT): Hei hian mit chhunga optic nerve leh layer dangte chu chiang takin, cross-sectional image a la thei a ni. Hei hian nerve thickness leh damage ang chi thil hmuh theihna a pui thei a ni.
• Gonioscopy : Mit drainage angle direct-a enfiahna a ni. Hei hi angle chu a inhawng em, a tawi em, a block em tih hriat nan hman a ni.
• Tonometry (`(Tonometry)`): Mit chhunga pressure tehna (`(IOP)`). Chumi atan chuan instrument hrang hrang a awm a.

Open-Angle Glaucoma enkawlna tha ber berte chu engte nge ni?

Open-angle glaucoma enkawlna atan hian damdawi leh tih dan hrang hrang a awm a. I tana enkawlna tha ber chu i dinhmun leh i mit hian enkawlna a dawn danah a innghat ang. Enkawlna tam zawkah chuan mit chhunga pressure (IOP) tihhniam hi an ngaih pawimawh ber a ni. I IOP sang lo angin lang mahse, zirchianna atanga a lan dan chuan a tihhniam chuan glaucoma natna a tikhawtlai thei a ni. Hei hian i mit hmuhna tam thei ang ber humhim turin a pui thei a ni.

OAG tan damdawi hman tur

Open-Angle Glaucoma hi damdawi hmanga enkawl a ni fo. Hengte hi mittui tlakna a ni tlangpui. Chungte chuan mit atanga tui chhuak a tipung emaw, tui chhuak a tihtlem emaw a ni. Hei hi pressure tihhniam dan a ni. Ngaihtuah buai suh, i mit chhunga tui (aqueous humor) chu i mit tithianghlimtu mittui nen a danglam a ni. Chuvangin he fluid level thlak hian i mit a ti vawt lo ang.

OAG damdawi hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• Prostaglandins : Entirnan: travoprost, bimatoprost, latanoprost te hi a ni. Hengte hi synthetic hormone an ni a, mit chhunga tui awm chu kawng dang (uveoscleral outflow) kaltlangin a chhuak thei a ni.
• Beta-blockers : Entirnan betaxolol leh timolol te hi a ni. Heng damdawi te hi thinlung natna ang chi natna enkawlna atan pawh hman thin a ni. Mit chhunga tui awm zat an tihtlem phah a ni.
• Rho-kinase inhibitor : Entirnan, netarsudil. Hengte hian enzyme thenkhat hnathawh a tikhawlo a, mit chhunga trabecular meshwork chu a ti relax a, chu chuan fluid a chhuah tha zawk thei a ni.
• Carbonic anhydrase titawptu (e.g., brinzolamide, dorzolamide) te hi a awm a. Hengte hian mit chhunga tui siamtu enzyme hnathawh chu a titawp a, tui siam chhuah a tihtlem phah a ni.
• Alpha-adrenergic agonists : Entirnan, brimonidine, apraclonidine te hi a ni. Heng damdawi te hian mit chhunga nerve receptor thenkhat a tichak a, tui siam chhuah a ti tlem a, tui chhuahna a tipung bawk.

OAG tan surgery leh tih dan tur

Damdawi hian hahdamna a pe tawk lo a nih chuan, emaw, damdawi ei chhunzawm zel i duh loh chuan, i mit doctor chuan OAG tan operation neih a rawt thei ang. A then phei chuan damdawi hman loh nan minimally invasive surgery (`(minimally invasive surgery)`) hi first-line treatment atan hman a tha thei bawk. Glaucoma surgery chi hrang hrang a awm a. Open-angle glaucoma enkawlna tam zawkah chuan `(trabecular meshwork)`-a tui chhuahna tur tihchangtlun an tum thin.

OAG atana tih dan tlangpui thenkhat chu:

• Laser trabeculoplasty : Hei hian laser beam hmangin i trabecular meshwork hmun thlan bikte chu a enkawl thin. Hei hian tissue-ah chemical a tidanglam a, mit atang hian tui a chhuak tha zawk a ni.
• Goniotomy : Hei hi glaucoma surgery, operation room-a tih thin, minimally invasive surgery a ni. Trabecular meshwork chhia/stuck chu paih chhuah a, mit drainage system hawn a ni.
• Tube shunt hmanga operation tih a ni(`(Tube shunt surgery)`): Hetah hian mit chhungah tube ang chi hmanrua te tak te (`(shunt)`) dah a ni. Hei hian `(trabecular meshwork)` chu a bypass a, he tube hmang hian mit atang hian tui a chhuak thei a ni. Surgeon te hian a theih phawt chuan minimally invasive technique an hmang thin.

(Open-Angle Glaucoma) hi eng nge a hmalam hun?

Enkawlna hmang hian mi tam tak chuan open-angle glaucoma lo zual zel chu an titawp thei a, a tlem berah chuan an titawp thei bawk. Mahse hriat reng tur pawimawh tak chu enkawlna i tan hmaa mit chhiatna lo thleng tawh chu a let leh thei lo tih hi a ni. Chuvang chuan early detection hi a pawimawh em em a ni. A lan chhuah dan a chiang lo a, mi thenkhat chuan a tlai lutuk hma chuan zawi zawiin an mit an hloh tih an hre lo. Mi tam tak mitdel lo mah se, glaucoma hi khawvela mitdelna thlentu lian ber pahnihna a ni. Tin, glaucoma tam zawk hi open-angle glaucoma a ni.

A chhan hriat chian ni lo mah se, glaucoma hian African genetic origin mite chu midang aiin a nghawng nasa zawk a ni. African American, Afro-Caribbean, leh West African te hi a let li zetin he natna hi an vei tam zawk a ni. Kum sawm tam tak kalta khan he natna hi an nei thei a, mitdelna nasa tak neia hmuhchhuah an nih theihna chu a let ruk zetin an tam zawk. Cataract hnuah hian mipa hring zingah mitdelna thlentu lian ber chu glaucoma (OAG fo thin) a ni.

Open-Angle Glaucoma hi ven theih a ni em?

Open-angle glaucoma awm chhan chiang tak a awm loh fo avangin ven dan tur a awm lo. Mahse , i hriat hmasak a, i enkawl tan chuan natna avanga chhiatna thenkhat chu i veng thei a ni. Chutianga tih theih dan tha ber chu mit enfiahna pangngai (routine eye exam) atan mit doctor pan fo hi a ni. OAG vei theihna hlauhawm tak i nih chuan i doctor chuan exam tam zawk leh a chang chuan invenna damdawi pawh a rawt thei bawk.

(Open-Angle Glaucoma) nen kan awm chhung hian engtin nge ka in enkawl ang?

Open-angle glaucoma damdawi i ei a nih chuan a tih ang chiah chiah ei a pawimawh a, ni khat pawh ei loh tur a ni. Surgery ang lo takin damdawi hi hun rei tak chhunga hman theih, vawi khat chauh OAG solution a ni lo. Heng damdawi te hi nitin i ei a ngai dawn a, i dam chhung zawng pawh a ni thei. Damdawi atanga nghawng tha lo i neih chuan, emaw, damdawi i chawlhsan hnua i rilru a hahdam lo nia i hriat chuan, hman chhunzawm a harsa mai thei. Tuna i enkawl dan tur ruahmanna a tha lo a nih chuan i doctor nen inbia leh la, i duhthlan turte sawipui leh ngei ang che.

Open-Angle Glaucoma hi glaucoma chi hrang hrang zingah chuan a tam ber a ni. Zawi zawiin a lo thang lian a, vaukhânna tel lovin a lo thang lian a, a tam zawkah chuan natna lan chhuahna a awm lo. I hriat hma pawhin mit a tichhe thei a ni. Hei hi hriat hian a tithinur thei a, a buaithlak deuh bawk. Mahse diagnosis i hmuh hnuah chuan enkawl tan theih a ni. Mi tam tak chuan damdawi leh/ emaw, minimally invasive surgery hmangin OAG hi hlawhtling takin an enkawl thin.

He thuziaka i hriat reng tur pawimawh ber berte

• Open-Angle Glaucoma hi silent disease , a tir lamah chuan symptoms a lantir lo thei tihna a ni.
• Hei hian i mit hmuhna chu i hriat hmain zawi zawiin a tichhe thei a ni.
• He chhiatna hi tihdanglam theih a ni lo , chuvangin hriat hmasak a tha ber.
• Mit enfiah fo hian he natna hi a hriat hma thei a, i mit a venghim thei bawk.
• Enkawlna a awm! Damdawi emaw, zai emaw hian natna hi a thunun thei a , chhiatna dang a titawp thei bawk.
• Glaucoma i vei chuan i doctor thupek ang chiah kha zawm tur a ni. I damdawi ei tur chu a sawi angin hmang rawh.

I mit enkawl chu nangmah thu a ni. Chuvangin hei hi uluk takin enkawl rawh.

` Glaucoma, Open-Angle Glaucoma, Mit Pressure, Mit chak lohna, Mit Natna, Mit Exam, Glaucoma Enkawlna