Mit hliam na tak a ni em? (Open Globe Injury) Hemi chungchang hi chipchiar takin sawi ila!

Kan mit hi eng ang taka sensitive leh hlu nge a nih tih hi i ngaihtuah ngai em? Accident tenau tak pawh hian mit a tichhe nasa thei hle. A châng chuan mit chunga thil a thlen hian thil pawi lo ang maiin a lang thei a, mahse a takah chuan natna khirh tak a ni thei. Vawiin hian hliam hlauhawm tak, mit chunga thleng thei chungchang kan sawi dawn a ni. Hei hi Doctor-te chuan `(Open Globe Injury)` an ti a. A awlsam zawngin mit inthen ang mai a ni.

Hei hi eng nge ni `(Open Globe Injury)`? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, ``Open Globe Injury'' chu kan mit – chu chu mit zungbun, doctor-te'n ``globe'' tia an sawi chu thil khauh takin a rawn deng a, a nih loh leh thil nalh tak a rawn inkhung a, chu chuan mit bang thuk zawng zawngah a tikehsawm emaw, a zung emaw a siam a ni. Ball te tak te puak ang maiin han ngaihtuah teh. Chutiang a nih chuan mit bang chu a khar kim tawh lo. Hei hian mit chhunga tissue nalh tak chu a leak chhuak thei a ni.

Kan mit bang hi hmun hnih atanga siam a ni. Pakhat chu white part , doctor ten `(Sclera)` an tih hi a ni. A dang chu mit hma lama transparent part a ni a, chu chu cornea . `(Open Globe Injury)` hi cut chu cornea, sclera emaw, a pahnih emaw, a thickness pum pui a paltlang chuan a thleng thin.

Pawimawh: Hei hi mit hrual aiin a danglamin a pawi zawk!

Mit abrasion, ``Corneal Abrasion`` tia hriat bawk hi mitmeng chunglam chauh a awm thin, a hliam tenau tak a ni. A tam zawkah chuan chutiang chuan an serious lo. Mahse, ``Open Globe Injury`` hi hliam thuk zawk leh na zawk a ni.

He `(Open Globe Injury)` hi chi hrang hrang a awm em?

Ni e, he hliam hi a lo awm dan azirin chi hrang hrang a awm a:

• Globe Rupture: Hei hi mit chu thil blunt (non-pointed)-in na taka a vuak hian a thleng thin, chu chu ball khauh takin a vuak ang chi hi a ni.
• Full-thickness globe laceration: Hei hi mit chu thil hrual takin a tan chuan a thleng thin.
• Globe penetration: Hei hi thil hrual tak mit chhunga a tlakbuak a, mit chhunga awm reng a ni.
• Globe perforation: Hetah pawh hian thil hriam tak chu mit chhungah a lut a, mahse mit atang chuan a kal chhuak a, a chhuak a, a nih loh leh mit chhung hmun khat atanga hmun dangah a kal a ni.

Engti kawng pawhin mit bang thenkhat a inhawng tawh avangin mit chhunga thil a chhuak thei tih theihnghilh suh.

Hetiang ang accident hi tute nge tawk tam zawk?

Dik tak chuan tu pawhin ``Open Globe Injury'' an nei thei. Mahse, zirchianna hrang hrangah chuan mipa hi an hlauhawm zawk tih hmuhchhuah a ni . A bik takin, tlangval kum 40 hnuai lamte chu mipa kum 40 chunglam aiin he natna hi a let hnih zetin an nei tam zawk a ni.

Tin, mit surgery i neih tawh chuan – entirnan, mitdel surgery, glaucoma surgery, emaw mit zai thenkhat emaw – i risk pawh a sang deuh hlek bawk. Hei hi a chhan chu mit venna tissue te hi a chang chuan operation an tihna hmunah te hian a chak lo deuh thei a ni.

``Open Globe Injury'' natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

He hliam chhinchhiahna hi mi hrang hrangah a inang lo thei a, mahse a lan chhuah dan tlangpui chu:

• Mit ah natna nasa tak a awm .
• I mit i hloh thei a, i mit a fiah lo thei bawk.
• Mit atang hian tui ang maia tui a chhuak thei.
• Mitmeng chungah hliam hmuh theih pawh i hmu thei.
• Mit chhunga tissue rawn chhuak chu i hmu thei . Hei hi chhinchhiahna pawi tak a ni.

Eng thilin nge chutiang accident thlen?

He `(Open Globe Injury)` lo awm chhan berte hi han thlir ila:

• Tlu: A bik takin i tlu a, i lu i vuak chuan. Hei hi kum 75 chunglam zingah a awm fo a, lei hnim emaw, i ti tlu thei thil emaw a awm chuan fimkhur rawh.
• Scissor ang chi ralthuam na tak: Hei hi naupang tê tê awmna inah fimkhur hle a ngai a ni. Scissor leh chemte ang chi thilte chu awlsam taka an man theihna hmunah dah suh.
• Insual: Hei hi i lu-a vuak i nih chuan, chu chu i kut hmanga vuak i nih chuan a thleng thei a ni.
• Lirthei accident leh industrial machinery accident: Hetiang dinhmun hi hnathawhna hmuna thil te te chak taka paih a nih vang emaw, machinery chhung ngeia a tlak vang emaw a ni thei.
• Shrapnel: Silai mu chi hrang hrang ang chi thil.
• Silai kah a ni.
• Puak thei: Halpuah hal lai pawhin fimkhur hle a ngai.
• Stabbing a ni.
• Billy Hook: Sangha mantute pawhin he thil hi an fimkhur tur a ni.

Engtin nge doctor-te hian ``Open Globe Injury'' hi an hriat chhuah?

Hetianga mit hliam na tak i nei nia i inhriat chuan, i tih tur pawimawh ber chu eng thil vang pawha i mit khawih loh, hrual loh, hnawih loh hi a ni. Chutianga tih chuan natna chu a tizual thei a ni. Mit lam doctor i pan tur a ni emaw, damdawi in hnai ber emergency department-ah a rang thei ang bera kal tur a ni.

Doctor chuan i mit a enfiah ang a, i natna lan chhuah dan a ngaithla ang a, i mit hmel a zirin ``Open Globe Injury'' a ringhlel mai thei. A châng chuan ``Ultrasound'' emaw ``Magnetic Resonance Imaging (MRI)'' scan emaw pawh tih theih a ni a, mahse mit chhungah thir chi hrang hrang a awm loh enfiah hnuah chauh tih theih a ni. A chhan chu metal fragment a awm chuan ``MRI'' hi a hlauhawm thei a ni.

A theih chuan doctor chuan accident a thlen dan te, engtik lai nge a nih tih te, chu mi hnua thil thleng te ang chi chipchiar takin a zawt ang che.A hmasa berah chuan mit hi pressure pek a ni lo. Doctor chuan a hnuaia test te hi a ti fo ang:

• A kimchang `(Slit lamp mit enfiah)`. Hei hian mit peng zawng zawng chiang takin a hmu thei a ni.
• `(Snellen mit chart)` test a ni. Hei hi "big E" hmanga test a ni a, chu chuan i hmuh theih dan a test thin.
• I hmai leh i hmui hmun ``Computed Tomography (CT)`` scan.

``Open Globe Injury'' hi engtin nge enkawl a nih?

(Open Globe Injury) hi damdawi lam emergency a ni. Chumi awmzia chu damdawi inah dah nghal a ngai tihna a ni. Accident avanga nunna atana hlauhawm hliam dang a awm chuan medical team chuan chu chu an enkawl hmasa ang. Chumi hnuah chauh mit lam doctor chuan mit chu a enfiah ang.

``Open Globe Injuries'' tam zawk hi chu operation a ngai thin. Surgery tih a nih hma emaw, i hliam avanga operation a ngai lo (a tlem hle) a nih chuan a hnuaia mi hi i tih ngei ngei tur a ni:

• A theih ang anga thlamuang taka awm tum ang che.
• I mit chu khawih leh hrual ngai suh. I mit chungah pressure engmah dah suh.
• I mit venghim rawh. Doctor ten an khuh ang.
• I mit a pressure thlen thei thil engmah ti suh. Chu chu thil rit tak tak chawi, inbeng emaw, toilet-a inhnukdawk emaw tihna a ni. A theih ang anga khuh emaw, khuh emaw pumpelh tum ang che. Mahse i tawp thei lo a nih chuan chhuah tir rawh. I khuh emaw, i thawk hah emaw chu chelh suh.
• I doctor-in a pek che damdawi chu ei la, i luak chhuak tawh lo ang a, a sawi angin natna a tiziaawm ang. (Damdawi pek ni lo mah la, natna nasa tak emaw, rilru hahna emaw i la neih chuan doctor hnenah hrilh rawh.)
• When in bed , i lu chu degree 30 vel chawi sang la.
• A tul chuan tetanus shot la rawh.

Open Globe Injury (OGI) hliam hi emergency surgery hmanga enkawl a ni fo a, chutah chuan mit (cornea) leh sclera te chu suture-in an inzawm khawm a ni. Surgery i mamawh chuan i surgeon chuan hliam atanga mit tissue lo chhuak zawng zawng chu a inzawm leh a tum ang a, a nih loh leh tissue chhia chu paih chhuah a tum ang. Mit chhunga pressure awm chu a pangngaia hruai kir leh an tum bawk ang.

Surgery zawhah doctor chuan antibiotics mit a dah tur leh a chang chuan ei tur a pe ang. Heng antibiotics te hi mit chhunga natna khirh tak tak, endophthalmitis leh natna dang laka inven nan pek thin a ni.

I mit a dam theih nan kar hnih tal a ngai tlangpui a, mahse kar tlemte dang i mit venhim a la ngai a ni.

He initial surgery hian mit khar leh damna kalpui tanna kawngah a pui ber a pawimawh hle. Thil tam takah chuan hliam dang (retinal detachment, cataracts, emaw iris tears ang chi) i nei thei bawk. Hengte hi a hnua surgery hmanga enkawl a ni \hin a, mit a dam deuh hnuah.

I dam leh tawh loh enfiah nan i doctor vawi tam tak (follow-up appointment) i hmuh a ngai dawn a ni. Heng appointment te hi zawm reng hi i mit hriselna atan a pawimawh hle.

``Open Globe Injury'' avanga harsatna awm thei te chu engte nge ni?

Mit hliam na ber pakhat chu ``Open Globe Injury'' a ni. A rah chhuah chu hliam awm dan leh a chhiatna zau zawngah a innghat nasa hle. Harsatna awm thei thenkhat chu hetiang hi a ni:

• Mit na reng reng.
• Mit hmuhna hloh reng emaw, mit hmuh lohna emaw.
• Retinal atanga chhuak (retinal detachment) a awm.
• Choroidal rupture: Hei hian mit chhunga thisen chhuahna nasa tak a thlen thei a, pressure pawh a tidanglam thei bawk.
• `(Phthisis bulbi)` tih hming pu dinhmun. Hei hi mit hmuhna a tlahniam a, mit chhunga pressure a hniam a, mit chu hun engemaw chen "a hnathawh a chawlhsan" lai a ni. A awlsam zawngin mit chu a ti hrual a.
• Mit chhunga natna hrik (endophthalmitis) a awm. Hei hi a pawi hle a, mit hmuh lohna emaw, mit hloh emaw pawh a thlen thei.
• Mit lak chhuah vek a ngai. Hei hi a tlem hle a, mahse a nasat lutuk chuan mit chu a hliam nasat em avangin siamthat theih loh a nih chuan lakchhuah a ngai mai thei.

Engtin nge hetiang accident hi tihziaawm theih ang?

Accident zawng zawng hi ven theih a nih loh laiin, a hlauhawmna tihziaawmna turin fimkhurna thenkhat chu kalpui theih a ni. Eng nge an nih hi han thlir ila:

• Thil hrual (scissor leh chemte ang chi) chu naupang tê tête thlen theihna hmunah dah suh. Chutiang thilte chu uluk taka hman dan zirtir rawh.
• Hnathawh laiin, a bik takin machinery hmanga hnathawh hunah, leh contact sports emaw fast-moving sports (e.g. cricket, baseball) khelh hunah safety glasses vuah tur a ni.
• Motor khalh dawnin fimkhur hle ang che.
• Hnathawhna hmuna machinery hman hunah himna dan zawm tur. Zu rui chungin machinery hmangin hna thawk suh.
• Mi dang nena taksa insual hi pumpelh rawh.
• A bik takin mit surgery i lo neih tawh chuan fimkhur hle ang che, emaw, mit pakhata i mit hmuhna a tha lo hle tawh a nih chuan fimkhur hle ang che.
• Kawngkhar atanga tla thei thil (rug hnim, kawngpuiah thil tul lo) te chu paih chhuakin dah rawh. In chhungah eng tha tak a awm ngei ngei tur a ni.

``Open Globe Injury'' ka neih chuan eng nge ka beisei ang?

``Open Globe Injury'' i neih chuan, a tlangpuiinHliam atanga darkar 24 atanga darkar 48 chhunga operation neih a tha ber. Dam hun chhung chu a tir lama hliam nasat danah a innghat a ni.

Engtikah nge Doctor ka hmuh ang?

Mit hliam eng pawh chu medical emergency anga enkawl tur a ni . Doctor i hmuh emaw, damdawi in emergency room-ah i kal nghal tur a ni.

``Open Globe Injury'' i neih chuan a hnuaia mi hi mit doctor zawt la a tha ang:

• Eng thiltih nge ka pumpelh ang?
• Engtikah nge hna emaw, sikul emaw ka kal leh theih ang?
• Engtin nge khumah ka mut ang?
• Eng ang eye mask nge ka hman ang?
• Symptoms ka neih chuan Doctor ka hmu leh tur nge emergency room-ah ka kal leh tur em ni?
• Enkawlna dang nei turin eng ang mit lam doctor nge ka hmuh ang? (Entirnan, mit a chhiat chuan ``Retina specialist'', operation hnua mit chhunga pressure a san chuan ``Glaucoma specialist'').

Insualah emaw, tlu emaw, accident dangah emaw i mit i hliam a nih chuan damdawi in emergency room-ah kal nghal mai tur a ni tih hre reng ang che. Chutih lai chuan ``Open Globe Injury'' i nei tih i hre lo mai thei. Mahse, i neih chuan i mit hmuhna humhim turin damdawi lam pan vat a ngai a, i mit pawh chhanchhuah theih a ni. Hetiang dinhmun atan hian tanpuina a awm. Hetiang accident chi hi mit venna tur rawtna vuah reng a, him taka lirthei khalh hian i pui thei bawk.

Take-Home Message: I hre reng ang u!

Okay, chuvangin vawiin a kan sawi tawh `(Open Globe Injury)` chungchanga thu pawimawh tak tak thenkhat kha han sawi nawn leh ila:

• ``Open Globe Injury'' hi mit hliam na tak a ni. Mit bang chu a tikehsawm vek emaw, a perforation emaw a ni.
• Hei hi mit hrual pangngai aiin a danglam hle a, a hlauhawm zawk bawk.
• Mit natna nasa tak, mit hmuh lohna, emaw mit atanga tui chhuak ang chi symptoms i neih chuan doctor thurawn zawng nghal rawh.
• Eng thil vang pawhin mit inhmachhawn emaw, en reng emaw suh.
• Emergency surgery neih a ngai fo thin.
• Hriselna atana fimkhurna (safety glasses vuah, thil hrual fimkhur taka hman) zawm hian chutiang accident laka invenna a pui thei a ni.

I mitmeng hi a hlu em em a ni. Chuvangin, anmahni enkawl hi i mawhphurhna a ni. I chungah thil a lo thleng a nih chuan hlauthawng leh hlauthawng suh, damdawi lam tanpuina zawng nghal rawh.

` Open Globe Injury, Mit Hliam, Mit Accident, Mit Tear, Emergency Mit Enkawlna, Mit hloh, Mit Surgery