I mit hian hetiang inthlak danglamna hi a tawng em? Pellucid Marginal Degeneration chungchang hi i zir dawn nia!

I mit chu zawi zawiin a chhe zel niin i hria em? A chang chuan glasses hmang pawhin chiang takin i hmu thei lo em ni? Tichuan hei hi i tan thil pawimawh tak a ni mai thei. Hei hi a takah chuan mit natna tlemte chauh a ni a, mahse hriat chian a phu hle.

Pellucid Marginal Degeneration hi eng nge ni tak tak?

A awlsam zawngin, Pellusic Marginal Degeneration, a tawi zawngin PMD tih hi i mit hmalam a chiang leh zungbun, mitmeng (cornea) a nghawng a ni. Zawi zawiin a kal zel a. I hria em, mit (cornea) hrisel tak hian khawvel hi chiang taka kan hmuh theih nan min pui a ni. Camera lens ang mai a ni.

PMD-ah chuan mit (cornea) hmun thenkhat, a bik takin mit (cornea) hnuai lam kil hnaihah chuan thla (crescent moon) ang maiin a thim zawk thin. Darkar pakhat han ngaihtuah teh. He thinning hi darkar kut 4 leh 8 inkar hmunah a awm tlangpui. He thinning chunga cornea part hi hmalam pan a bulge a, thu dangin sawi ila, elliptical a lo ni ta a ni. Heng inthlak danglamna avang hian mit chhunga light rays lutte chu a focus tha lo hle. Hei hi astigmatism kan ti a. Hun a kal zel a, hei hian i mit hmuhna chu a ti tlahniam zauh zauh thei a ni.

A tam zawkah chuan PMD hian mit pahnih a nghawng a ni. Mahse, a châng chuan mit pakhat chauh a nghawng thei a ni. Thil tha tak chu mitmeng (cornea)-ah hliam a siam lo. Chuvangin mit (cornea) chu a langtlang reng a ni (`pellucid` tih thumal hian "chiang" tihna a ni).

PMD hi a lo thang zawi hle a, a tir lamah chuan symptom i nei lo mai thei. Mahse mit (cornea) chu a hring chhunzawm zel a, hmalam a pan zel chuan astigmatism chu a pung zel a ni. Chutah chuan i mit a chhe zauh zauh a. Hei hian nitin hna thawh a harsat phah thei a ni.

He natna hian tute nge a nghawng ber? Engtiang chiahin nge a hluar?

PMD hian tu pawh a nghawng thei a, hnam leh chi hrang hrang thliar lovin. Mahse, zirchianna thenkhatah chuan mipaah ​​a tam zawk tih a lang. Kum 20, 30, 40 vel atanga hmuhchhuah a ni tlangpui . Mahse, kum 50 hnuai lam emaw, a hnu lam emaw pawhin a vei thei bawk.

Engtiang chiahin nge a tlangpui tih hi statistics dik tak a awm lo. Mahse, keratoconus angin a awm lo va, chu chu mit (cornea) (cornea chu hmalam pan a cone ang maia bulge) tichhe thei natna dang a ni. Keratoconus hian mi 400 zinga pakhat leh mi 2,000 zinga pakhat inkar a vei nia chhut a ni. Chuvangin PMD hi a tlem zawk a ni.

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

PMD chhinchhiahna ber chu hun kal zelah mit hmuhna a tlahniam zauh zauh hi a ni. Hei hi astigmatism a pun zel vang a ni. Mi tam zawk chuan mit na emaw, symptom bik dang emaw an nei lo.

Mahse, a tlem hle a, PMD hian acute corneal hydrops tih hming pu harsatna lian tak a thlen thei a ni. Hei hi mit (cornea) a lo hring nghal a, mit a fiah lo va, êng a hriat theih loh phah a ni. Mi thenkhat chuan natna nasa tak an nei thei bawk. Hei hi emergency a ni.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Dik tak chuan zirchiangtute chuan PMD thlen chhan chiang tak emaw, risk factors emaw an la hmu lo a, chuvangin a thlen chhan dik tak sawi a harsa hle.

Engtin nge doctor-te hian hei hi an hriat chian? Eng test nge an tih?

I mit specialist (ophthalmologist) chuan PMD a hmuchhuak thei ang. I mit a enfiah ang a, test hrang hrang a ti ang a, i natna lan chhuah dan te a zawt ang che, a bik takin mitdelna i tawk rei tawh em tih te a zawt ang che.

Hetiang dinhmun hriat theihna atana test hman ber, leh "gold standard" tia ngaih chu corneal topography an ti a. Hei hi test rang tak, hrehawm lo tak a ni. I tih tur chu machine hmaah i thut mai tur a ni. Machine hian i mit thlalak a la a, mitmeng chunglam chu color-coded map a siam a ni. Tlâng san zawng tarlanna map ang mai a ni. Mit doctor chuan heng map te hi a zir chiang a, i mit (cornea) pianzia leh a curvature te chu a zir chiang thin.

PMD vei mi pakhat corneal topography map-ah chuan "kissing doves" (dove pahnih kissing ang chi) emaw "crab claws" (crab claw ang chi) emaw a lang thei. Heng map-te hian mitmeng (cornea) hmun hrang hrang, a hring hring, a nih loh leh a chhuahna hmunte a tarlang a ni. Heng map te hi i doctor chuan PMD emaw, mitmeng (corneal ectasia) tichhe thei natna dang emaw i neih leh neih loh hriat nan a hmang thin.

Hei hi eng enkawlna nge ni?

Enkawl dan tur chu i natna nasat dan leh a kal zel danah a innghat a ni. A tir lamah chuan i mit hmuhna tichak turin glasses emaw contact lens emaw i hmang thei mai thei. Contact lens chi hrang hrang a awm a. I mit doctor chuan i dinhmun nena inmil ber chi thlan turin a pui thei che a ni.

A pawimawh ber chu contact lens i vuah hian i hmu tha zawk mai thei a, mahse chu chuan i dinhmun a tichhe lovang.

Chuvangin, glasses emaw contact lens emaw hmanga nitin hnathawh tur i mit a tha tawk lo a nih chuan a tawpah chuan operation i mamawh mai thei. Surgery-ah chuan i mitmeng chhia emaw, a zawng zawng emaw chu la chhuakin, chu chu donor hnen atanga mitmeng tissue hrisel tak hmanga thlak a ni. Hei atan hian surgical procedure hrang hrang a awm bawk. I doctor chuan procedure tin a thatna leh that lohna a hrilhfiah ang che.

PMD ven dan tur a awm em?

Vanduaithlak takin PMD venna tur hian engmah tih theih a awm lo.A chhan chu, a hmaa kan sawi tawh ang khan, zirchiangtute hian eng thil nge hetiang thil hi a thlen tih chiang takin an la hre lo.

Mahse, mit enfiahna atan kum khatah vawi khat tal mit lam doctor emaw mit lam doctor emaw pan a pawimawh. I mit hriselna tlangpui a enfiah thei a, harsatna a awm chuan a hmu hmasa thei bawk. PMD hi a hmaa hmuhchhuah a nih chuan a kal zel dan tur enfiah theih a ni a, enkawlna tur dik tak ruahman theih a ni bawk.

PMD i neih chuan eng nge i beisei theih ang?

I doctor hi i dinhmun hrilh tur che tha ber a ni. PMD hian mitdelna famkim a thlen lo. Mahse, i mit a chhe zauh zauh a, chu chuan nitin i thiltih danah nghawng lian tak a nei thei a ni. Natna a zual zel dan hi mi hrang hrangah a inang lo. Chuvangin, dam chhung zawnga damdawi lam thurawn leh enkawl zui a ngai a, i dinhmun enfiah a, i enkawlna ruahmanna chu a tha em tih enfiah a ngai a ni.

Engtin nge ka in enkawl ang? Engtin nge ka mit ka enkawl ang?

PMD emaw mit natna dang emaw i neih chuan hengte hi enkawl a pawimawh hle:

• I mit hrual loh tur. Hei hian, a tlem hle nachungin, mitmeng (corneal hydrops) ang chi harsatna a thlen thei a ni.
• I mit kha chak taka hrual loh tur. Hei hian mit chhunga pressure a tisang thei a, chu chuan mit (corneal hydrops) a thlen thei bawk.
• Contact lens i bun chuan doctor-in a tih ang chiah khan silfai ang che.
• Mit thianghlimna tha tak vawng reng ang che. Nitin i mit vel chu sahbawn nem leh tui lum hmangin silfai thin ang che. Tichuan puan nem tak hmangin pat dry rawh.

Engtikah nge Doctor ka hmuh ang? Emergency a nih chuan engtin nge ni ang?

Kum khatah vawi khat tal mit enfiah thin tur a ni. A chang chuan i doctor chuan exam turin a rawn lut thuai thei che a ni. Chutiang appointment zawng zawngah chuan kal vek rawh.

Tin, symptom thar i neih emaw, sawifiah theih loh thil danglam i hmuh emaw chuan doctor ko nghal rawh.

Emergency-ah eng nge tih tur?

A hnuaia symptoms te hi i neih chuan medical emergency a ni thei. Chuvangin 1990 ah call nghal la emaw, hospital emergency department hnai ber ah kal rawh:

• Mit na tak, na tak a ni.
• Sudden blurred vision emaw double vision emaw a awm.
• Mit a na (Edema).

Doctor hnena zawh tur pawimawhte chu engte nge ni?

PMD i vei tih hmuhchhuah i nih chuan i rilruah zawhna tam tak a awm hi thil pangngai a ni. I zawhna leh ngaihtuahna zawng zawng chu i doctor nen sawiho la, i mamawh chhanna chu hmu rawh. Entîr nân, hetiang zawhnate hi i zâwt thei ang:

• Eng chen nge ka dinhmun hi a lo hmasawn tawh?
• Eng enkawl dan nge ka tan a tha ber?
• Surgery ka mamawh dawn em?
• In lama ka mit enkawl turin eng nge ka tih ang?
• Ka tih loh tur thiltih a awm em?

Pellucid Marginal Degeneration (PMD) leh Keratoconus te hi eng nge an danglamna?

A tir lamah chuan PMD hi keratoconus (cornea hmalam hawia cone ang maia bulge awmna condition) nen a inang thei. Chuvang chuan PMD vei thenkhat chu PMD nei tak tak mahse keratoconus vei nia hriat sual an ni thei. Mahse, heng dinhmun pahnih inkarah hian danglamna pawimawh tak tak a awm a.

Thil hriat tur dang chu PMD leh keratoconus te pawh i nei thei tih hi a ni. Dik tak chuan PMD vei mi sawm zinga pakhat vel pawhin keratoconus an nei ve bawk.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Pellucid Marginal Degeneration hian nitin nun a nghawng thei a, hmalam hun atan tlem a ti buai thei bawk. Mahse, nitin ei la, i specialist nen thawk ho la, i mamawh enkawlna i hmu ang. PMD vei tam zawk hian harsatna lian tham an nei lo. Glass emaw contact lens emaw hmangin an dinhmun an enkawl thei a ni. Thil engemaw takah chuan operation hi a tha ber mai thei. I duhthlan tur leh nakin lawka i beisei turte hriat belh duh chuan i doctor nen inbia ang che. A pawimawh ber chu thlamuang taka awm a, doctor thupek zawm hi a ni.

` Pellucid Marginal Degeneration, PMD, Cornea, Astigmatism, Mit hmuh lohna, Mit Natna, Mit Topography, Keratoconus