Doctor hmu tura i kal hian, a nih loh leh damdawi inah i kal hian doctor emaw nurse emaw flashlight te tak te la in i mitah a rawn eng chhuak tih i hmu tawh ngei ang, a dik em? Mi thenkhat chuan hei hi i mitin a hmu thei em tih en mai mai niin an ngai. Mahse a nihna takah chuan he test awlsam tak hian kan mit hriselna chungchangah thu pawimawh tak tak a pholang thei a, chubakah kan taksa pum hriselna, a bik takin thluak hriselna chungchang pawh a rawn pholang thei bawk. Vawiin hian he test chungchang hi han sawi ila.
PERRLA hi eng nge ni tak tak?
A awlsam zawngin PERRLA hi doctor leh healthcare professional-te hman thin acronym a ni. Kan hming tawifel ang mai a ni. I zirlai te hnathawh tha em tih awlsam taka an enfiah theihna tur a ni. I mit ring dum lai takah chuan a dum te tak te chu pupil kan tih hi a ni. PERRLA tih thumal chhunga letter tin hian thil engemaw a entir a ni. An sawi tum chu i lo en ang u.
| Lehkhathawn | A awmzia & Hrilhfiahna |
|---|---|
| Zirlaite tan | Hei hi i zirlai te chungchang a ni. Hengte hi i mit (iris) rawng nei lai takah chiah a awm tur a ni. |
| Tin , eng ber nge? | Mi hrisel mit pahnih hian mitmeng lian (equal) a nei tur a ni. Pakhat chu a lian zawk a, pakhat zawk chu a te zawk a nih chuan harsatna a ni thei. |
| Bial | Cornea hrisel chu a round tha tawk tur a ni . An taksa a out of shape a nih chuan chu pawh chu ngaihtuahawm tak a ni. |
| Reactive tak a ni | Hei hian chhân lêt tihna a ni. Eng nge i chhân lêt? Lehkha dangah chuan a sawi a ni. |
| Eng | Eng chhanna. Doctor-in flashlight a eng chuan mit hrisel tak chu a constrict tur a ni a, chu chuan êng lut zat a control thei a ni. Thim zingah chuan êng tam zawk luh theih nan a dilate tur a ni. |
| Chenna | Hei hi a buaithlak deuh a ni. A awlsam zawngin, thil hnai tak leh hla tak tak i en hian i mitmeng lian leh te chu a danglam tur a ni. Thil hnai tak (e.g. kut zungtang) i en chuan mit chu a te deuh a, hmun hla tak (e.g. bang chunga darkar) i en chuan mit chu a lian chho zel bawk. Hei hian i mit a focus theihna a test thin. |
Engtin nge he PERRLA test hi tih a nih?
Hei hi test awlsam tak, hrehawm lo tak a ni. Hei hi nang pawhin i tawng ve tawh mai thei.
A tlangpuiin doctor chuan pindan thim deuhah a hruai ang che a, chair-ah a thut tir ang che. Tichuan, thil tlemte an ti ang a, chungte chu:
- A hmasa berin i mit an en mai ang a, mitmeng lian leh te chu a inang em tih an enfiah mai ang.
- Tichuan, hmalam hawi nghal turin an ti ang che a, flashlight (penlight) te tak te hmangin mit pakhatah second engemaw zat chu êng chu a eng ang a, chutah chuan mit dangah chuan a eng ang. Hei hi ``light reflex test'' an ti bawk.Hei hi mitmeng chu light-ah a dilate em tih enfiah nan an ti thin.
- Hun dangah chuan torch chu mit pakhat atanga mit dangah rang takin an thlak leh thin. Hei hi ``Swinging light test'' an ti a, hei hian nerve hnathawh dan chungchangah pawh thu pawimawh tak a pe thei bawk.
- A tawp berah chuan an kut zungtang pakhat emaw, pen emaw en turin an ti ang che. Tichuan i hmai hnaih zawkah, hla zawkah leh a sir lamah an sawn ang. Hei hian i mit chu hnai leh hla takah (accommodation) a thawk tha em tih a test ang.
He test pumpui hi minute khat vel a ni a, mahse a thu hriatte chu a hlu hle.
Engvangin nge he test result hi a pawimawh em em?
Results ‘normal’ a nih chuan i mit (cornea) te a thawk tha tihna a ni. Mahse result ‘abnormal’ a nih chuan thil chi hrang hrang clues a pe thei a ni. Glass mamawh ang maia thil awlsam tak a ni thei a, a nih loh leh a hnuaia dinhmun na zawk a awm tih hriattirna a ni thei bawk.
Mit ngei nena inzawm thei harsatna
- Anisocoria: Hei hi mit mitmeng pahnih lian leh te a inang lo tihna a ni. Mi thenkhat tan chuan hei hi pian tirh atanga lo awm thin dinhmun pangngai a ni thei. Amaherawhchu, a lo thleng thut a nih chuan enchian mai tur a ni.
- Mit trauma: Thil pakhatin mit a tlak chuan a chhunga thau emaw, nerve emaw a tichhe thei a ni.
- Glaucoma: Mit pressure sang vanga mit nerve tihchhiatna natna a ni.
- Optic neuritis: Mit leh thluak inzawmtu nerve inflammation.
Harsatna thluak leh nervous system nena inzawm thei
Kan mit leh kan thluak inkarah hian inzawmna nghet tak a awm a, chuvangin kan mit hnathawh dan inthlak danglamna hi a chang chuan thluaka harsatna awm tih chhinchhiahna a ni thei.
- Stroke: Thluaka thisen kal dan a tichhe.
- Brain tumor: Thluak chhunga cell awm dan pangngai lo taka thanlenna.
- Aneurysm: Thluaka thisen kalna kawng chak lo tak, balloon ang maia bul chhuak.
- Concussion: Lu-a vuakna avanga thluaka hliam .
- Seizure: Thluak electrical activity tihdanglam nghal.
Chutiang hunah chuan PERRLA test atanga result pangngai lo chu natna hriat theihna turin test dang neih belh a ngai tih hriattirna hmasa ber a ni thei . Hei vang hian doctor-te chuan flashlight hmangin mit an en hmasa ber a, accident hnuah pawh.
Engtikah nge i mit enkawl tur
He test hi doctor-in a ti tlangpui a, mahse i mitah thil danglam bik i hmuh chuan i ngaihtuah tur a ni.
- Darthlalangah i en a, i mit pahnih chu a inang lo tih i hmuh chuan.
- I mit a lo fiah nghal a nih chuan, a nih loh leh thil pahnih emaw a aia tam emaw i hmuh chuan.
- I mit hmuhna inthlak danglamna nena inzawm lu na tuar theih loh i neih chuan.
- Khawi emaw laiah i lu i vuak hnua i luak chhuak leh luak chhuak ruala mit i hmuh dan inthlak danglam a nih chuan.
In any such situation , doctor pan nghal rawh. Emergency, accident ang chi a awm chuan damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal hun sawn suh.
Take-Home Thuchah a ni
- PERRLA hi doctor-te’n i mitmenga mitmeng hriselna enfiahna atana hmanraw awlsam, natna nei lo a ni.
- He test awlsam tak hian mit hriselna chungchang chauh ni lovin, thluak leh nervous system nena inzawm natna khirh tak tak chungchangah pawh clues pawimawh tak tak a pe thei a ni.
- I mit hmuhna a danglam nghal a, i mitmeng lian leh te, a nih loh leh lu hliam i neih chuan , doctor pan nghal vat rawh.
- Kum upat rualin mit natna vei theihna a sang chho zel avangin mit enfiahna neih fo a pawimawh hle a, a lan chhuah dan a awm lo a nih pawhin.
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