Mit enfiahnaah PERRLA hian eng nge a awmzia? A awlsam zawngin i hrethiam ang u!

Mit enfiahna i neih a, doctor emaw, health care professional emaw-in ‘PERRLA’ tih ang chi a sawi i hre tawh em? A nih loh leh i report-ah hetiang thumal hi i hmu ngai em? He thu i hriat hian, "He thu mak tak hi eng nge ni?" Ngaihtuah buai suh, test awlsam tak, mahse pawimawh tak acronym a ni. Vawiin hian sawi ila, ṭhian nena inbiakna ang maia awlsam.

PERRLA tih awmzia chu eng nge ni? Eng nge a sawi?

A awlsam zawngin, PERRLA hi doctor-te’n mit (i mit lairil hmun dum, emaw doctor- te’n mit an tih ) chu a thawk tha em tih enfiahna atana hman thin standard procedure a ni. Hei hi ``pupillary exam'' an ti bawk.Hei hi i mit lama mithiam (``Ophthalmologist'') emaw, general practitioner emaw pawhin a ti thei ang.

PERRLA tih thumal hi English thumal engemaw zat a letter hmasa ber inzawmkhawm atanga siam a ni. Letter tin hian eng nge a entîr tih han en ila, a awlsam zia i hrethiam ang.

• P - Pupils : Hei hi i mit lai takah hmun dum a ni a, pupil an ti bawk. Hei hi a takah chuan mit rawng nei (iris) lairil ber a ni. Doctor chuan zirlai chu a dinhmun dik takah a ding em tih a enfiah hmasa ang.

• E - Equal : ‘Equal’ tih awmzia chu ‘a inang’ tihna a ni. Chuvangin hetah hian kan en tur chu i mit pahnih a ring dum te hi a size inang em tih hi a ni . Mit hrisel takah chuan hengte hi a inang vek tur a ni. Pakhat chu a lian zawk a, pakhat chu a te zawk a nih chuan chu chu thil engemaw hriat theihna tur clue a ni thei.

• R - Round : A dawtah chuan i ring dum pianzia chu en rawh. Ring dum hrisel tak chu a round tha tur a ni , a sir lam a fiah tur a ni. Circle te tak te ang maiin. A inzawm khawm, a pianzia nei lo, a sir chiang lo a neih chuan chu pawh chu hriat tur a ni.

• R - Reactive : ‘Reactive’ tih awmzia chu ‘chhân lêt’ tihna a ni. Hei hian i iris-in boruak a chhân lêt dân a kâwk a, a bîk takin pâwn lam a chhân lêt dân a kâwk a ni . Mit hrisel takah chuan ênga a awm chuan venhimna atan iris chu a tlahniam a, thimah a zau a, a chhehvel a hmu chiang zawk bawk. Camera lens ang deuh a ni.

• L - Light : Hei hi a chunga ‘Reactive’ tih thumal nen hian a inzawm tlat a ni. Doctor chuan i mitmengah torch te tak te a rawn eng ang a, blackheads te chu a tlahniam em tih a en ang. Hei hi mit pahnihah êng chu a inthlak a, a inthlak danglamin tih a ni. Hei hi mit hian êng laka invenna atan a chhân lêt ṭha em tih en a ni.

• A - Accommodation : Hei hi sawifiahna tlem a ngai a ni. ‘Accommodation’ hi mit chakna bik a ni. Ngaihtuah teh, i hmaah lehkhabu i chhiar a, rang takin i lu i chawi sang a, hla takah mi i en a. Tichuan i mit chu chutiang hlat zawngah chuan a insiamrem a ngai a ni. Chu chu hei hi a ni. Mit hrisel chuan a ti theiThil hnai tak en la, chutah chuan hla tak thil en turin i ngaihtuahna chu thlak nghal rawh. Chutianga i tih chuan ring dum size pawh a inthlak danglam thin. Thil hnai tak i en chuan ring dum chu a te deuh a, hla taka thil i en chuan a lian deuh deuh bawk. He test hian he theihna hi a awm leh awm loh a enfiah bawk.

Tunah chuan PERRLA hi eng nge a nih i hrethiam tawh em? A nihna takah chuan doctor-te’n i mit a hrisel leh hrisel loh enfiahna atana an hman checklist a ni. Car service laiin list en ang mai a ni.

Engtikah nge PERRLA test hi tih a nih?

He PERRLA test hi doctor ten an ti fo thin. Eng case-ah nge i en ang u:

• Routine eye exam neih laiin: Kum khatah vawi khat ang maia mit checkup tur i kal chuan he PERRLA test hi chutah chuan tih a ni ngei ang. Routine exam-a tel ve a ni.
• Taksa enfiahna pangngai neih laiin: A chang chuan hei hi chhungkaw doctor-in taksa enfiahna kimchang a neih laiin tih theih a ni a, a chhan chu mit hian kan taksaa natna dangte pawh a hriattir thei a ni.
• Neurological checkup: I thluak emaw nervous system-a harsatna i neih chuan he test hi a pawimawh bawk a, a chhan chu mit hnathawh hi thluak hnathawh nen a inzawm tlat a ni.
• Emergency-ah: Mit hliam i neih emaw, i lu i vuak emaw, mit lama harsatna i neih thut chuan he test hi emergency room-ah tih nghal a ni.

Mi tam zawk chuan he test atang hian result pangngai an hmu thin. Mahse, a chang chuan result a dik lo a nih chuan a chhan hriat nan test belh a ngai thin.

Engtin nge PERRLA test hi an tih thin?

Hei hi test awlsam tak a ni. Natna engmah i hre lovang. Doctor emaw mit lam doctor emaw chuan chutiang ti tur chuan kut zungtang te tak te, an kut zungtang emaw pen emaw pawh ni se, an hmang ang.

Room thim deuhah chuan chair-ah thut tir i ni ang. Tichuan, doctor-in a hrilh angin, pakhat zel i en a ngai dawn a ni. I rilru a hahdam a, i buai loh a pawimawh.

Test neih chhung hian eng nge thleng?

Doctor chuan hengte hi a zawm a:

1. Mit enin ring dum pianzia leh a lian zawng teh rawh: A hmasa berin i mit en la, ring dum pahnih hi a lian leh te, a zungpui leh a sir chiang tak nei em tih en mai rawh.

2. Swinging light test (Marcus Gunn test): I hmalam i en nghal lai hian doctor chuan second hnih danah flashlight chu mit pakhat atanga mit dangah a sawn ang. Hei hian mit pahniha iris-in êng a chhan dan a en ang.

3. Light reflex test: Mit pakhatah êng eng chhuak la, mit dum chu a tlem em tih en rawh. Tichuan mit dang pawh chutiang bawk chuan ti ve rawh. Hetiang hian vawi hnih emaw vawi thum emaw ti rawh.

4. Near leh far vision test: 1.1.Doctor chuan a kut zungtang emaw pen emaw chu i hmai hnaih zawkah a sawn ang a, chutah chuan hla zawkah a sawn ang a, chutah chuan a sir lamah a sawn ang a, en turin a ti ang che. Hei hi i mit ‘accommodation’ theihna test nan a ni.

5. Near reflex test: Hla taka thil pakhat en turin an ti che a , chutih lai chuan mit dum chhanna chu en a ni.

Heng zawng zawng hi minute engemaw zat a la ngai dawn a ni. Test rang tak a ni.

PERRLA test result hi eng chen nge a ngaih?

A tlangpuiin, he test result hi i hre nghal mai ang . Doctor-in test a zawh veleh engkim a tha em tih emaw, thil dik lo a awm em tih emaw a hrilh ang che. Zawhna i neih chuan Doctor hnenah zawh hreh suh.

PERRLA result pangngai lo hian eng nge a awmzia?

PERRLA test result a dik lo a nih chuan thil dik lo a awm tihna a ni tih ngaihtuahin hlauthawng nghal suh . I mit hriselna emaw, i mit hmuhna emaw chungchangah thil engemaw i ngaihtuah belh a ngai tihna chauh a ni.

A châng chuan thil awlsam tak a ni thei bawk. Mitmeng emaw contact lens emaw i vuah a ngai a nih chuan mit lamah harsatna i nei mai thei.

Mahse, a châng chuan heng result pangngai lote hian damdawi lam dinhmun dang a awm tih a tilang thei a ni. Chutiang a nih chuan i doctor chuan a chhan dik tak hriat tumin test tam zawk a ti ang.

PERRLA test hian eng ang dinhmun nge a hriat theih?

PERRLA test-a result pangngai lo chu damdawi lam dinhmun thenkhat hriattirna a ni thei. Entirna tlemte chu hetiang hi a ni:

• Anisocoria: Hei hi mit pahnih iris te hi a lian leh te a inang lo tihna a ni. Pakhat chu a lian zawk a, pakhat zawk chu a te zawk a ni.
• Adie’s pupil: Hetiang a nih chuan mit pakhata pupil dum chu a tlangpui aia lian a ni a, êng chak tak karah pawh a tlahniam lo.
• Argyll Robertson zirlai: Hei hi syphilis ang chi STD hnuhnung zawkah hmuh tur a awm fo. Chutah chuan a bula thil en hian mitmeng chu a te deuh deuh a, mahse êng erawh a chhâng lo.
• Mit trauma: Mit chhunga taksa peng (corneal abrasion) emaw, mit chhunga thau (muscle) tihchhiat emaw ang chi thil a awm chuan heng result te hi a danglam thei.
• Glaucoma: Glaucoma hi mit a pressure a san chhoh dan a ni.
• Horner syndrome: Hei hi thluak mit leh hmai inzawmkhawmtu nerve te a nghawng a ni.
• Optic nerve problems: Entirnan, optic neuritis hi mit leh thluak inzawmkhawmtu main nerve optic nerve inflammation (swelling) a ni.

Chu mai pawh ni lovin, a chang chuan PERRLA test atanga result pangngai lo chuan thluak nena inzawm natna khirh tak a awm tih a tilang thei bawk. Chung zingah chuan:

• Thluaka thisen kalna kawng (`Aneurysm`) a rupture emaw, a chak lo emaw a ni.
• Thluak chhiatna chi khat (`Brain lesion`) .
• Thluak natna (brain tumor) a awm
• Concussion (lu na taka vuak avanga thluaka nghawng) .
• Seizure ang chi dinhmun
• Thai

Hei hi hlauhawm tak angin a lang thei a, mahse hre reng ang che, PERRLA result pangngai lo chuan heng natnate hi i nei tihna a ni lo. A awmzia chu, "Hetah hian thil a awm a, tlem tal han en leh ila" tihna mai a ni.

Eng chen nge i mit i enfiah tur?

Mit enfiahna neih fo hi mit hrisel leh hriselna zawng zawng neih nan a pawimawh hle. I doctor emaw mit lam doctor emaw nen inbia la, i tana tha tur schedule siam rawh. Chu schedule ang chiah chuan i check-up-naah chuan kal ngei ngei tur a ni.

Mit natna vei theihna a sang a, a bik takin kan upat deuh deuh hian. Chuvangin, heng test te hi kan tih hmasak hian kan dinhmun kan hmuchhuak thei a, harsatna lian tak a nih hmain enkawlna kan tan thei a ni.

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

Mit enfiah tura i kal fo chuan PERRLA test chungchang hi i hre tawh ngei ang. Test awlsam tak, mahse pawimawh tak a ni. I doctor hnenah i mit leh mit hriselna chungchangah ngaihtuahna tha tak a pe a ni.

Tin, PERRLA test hian i taksaa natna thup dangte pawh clues a pe thei bawk. Tichuan a hmain hriatchhuah theih an ni a , natna a zual hmain enkawl theih an ni . Hetiang preventive care hmang hian hun rei tak chhung hrisel taka kan awm theih nan kan pui thei a ni.

Chuvangin, a dawt leha mit enfiah tura i kal a, PERRLA chungchang i hriat hunah chuan tunah chuan a awmzia i hre tawh ang. I hriselna enkawl chu i kutah a awm!

` Mit enfiahna, PERRLA, mit dum, mit hmuhna, mit hriselna, hriatchhuah, hriselna endikna