I mit hmaah hian cobweb leh leivut ang chi thil i nei em? (Posterior Vitreous Detachment) Hemi chungchang hi han sawi ila!

I mut laiin i mit hmaah rulhut te tak te emaw, leivut chi khat emaw ang chi thil a lo inhnim pil tih i hre ngai em? Man i tum a, i man thei lo a ni lawm ni? A châng chuan i mit kil aṭanga êng rawn chhuak i hmu ṭhin a ni lawm ni? Mi tam takin hetiang thil hi an lo tawng tawh a ni. Vawiin hian he thil tawn tlanglawn tak, mahse eng emaw chen hlauhawm tak, kan tar chhoh zel a thleng thin, chu chu Posterior Vitreous Detachment (PVD) tih hi kan sawi dawn a ni.

Eng thil nge thleng tak tak? (Posterior Vitreous Detachment - PVD) atanga lo chhuak a ni.

A awlsam zawngin sawi ila, PVD hi kan tar chhoh zel chuan kan mit chhunga thil thleng (natural change) a ni. Kan mit hi ball te tak te angin han ngaihtuah teh. He ball hi thil chiang tak, jelly ang chi, vitreous gel tiin a khat a ni. He jelly hian mit chu a spherical shape petu a ni.

Mit chhungah, hnunglam wall-ah hian camera-a film ang maia thawk, nerve membrane sensitive tak a awm a. Hei hi retina kan tih chu a ni . Kan thil hmuh atanga êng lo chhuak chu a khawlkhawm a, electrical signal-ah a chantir a, thluaka a thawn chhuaktu chu retina a ni.

Kan naupan lai chuan ka sawi tak jelly (vitreous gel) hi retina-ah nghet takin a inzawm a. Mahse kan tar chhoh zel chuan jelly hi tui atanga rei vak lo a inthen ang bawkin he jelly pawh hi a liquefy zauh zauh tan thin. Tichuan a chhung lam chu a thim lo deuh a, a tlem deuh a, zawi zawiin hnunglam bang a retina atang chuan a inthen tan ta a ni. Chu inthenna chu Posterior Vitreous Detachment (PVD) kan tih chu a ni.

Hei hi eng symptoms nge ni? Engtin nge ka hriat theih ang?

PVD a lo awm hian symptom lian pahnih hmuh tur a awm tlangpui. Chûngte chu a inṭan thut thei a ni.

Heng symptoms te hi a vawi khatna atana i tawn chuan mit enkawltu specialist (ophthalmologist) pan vat a pawimawh. Heng symptoms ang chiah hi natna dang, na zawkah pawh a awm thei bawk. Chuvangin eng nge a nih chiang taka hriat chian a pawimawh hle.

Engvangin nge PVD hi a lo awm? Tuin nge a nei tam zawk?

A chhan ber chu tar vang a ni . Kum 50 an tlin hnuah PVD vei hi a pung nasa hle a, kum 65 leh 85 inkar zinga 66% velin he natna hi an vei dawn nia chhut a ni. Chu chu mi pathum zinga pahnih vel a ni. Chu bakah, risk factor dang engemaw zat a awm bawk:

• Nearsightedness / Myopia: Hmuh rei lo (tarmit number hniam bun) i nih chuan i mit chu mi pangngai aiin a sei deuh a ni. Chuvangin retina chu a inzawm khawm a ni. Hei hian PVD vei theihna a tipung a ni.
• Diabetes: Zunthlum vei te hian PVD hi an vei theihna a sang hle a, a chhan chu mit lama harsatna a thlen thei a ni.
• Mit hliam: Tun hmaa mit hliam na tak i tuar tawh emaw, accident i tawk tawh emaw a nih chuan.
• Mit surgery: Cataract surgery ang chi thil i neih tawh chuan PVD process hi a ti chak thei a ni.

Mit pakhatah PVD i neih chuan kum khat emaw kum hnih emaw chhungin mit dangin a vei theihna chance a sang hle.

Hei hi a hlauhawm em? Ka mit ka hloh thei ang em?

Hetah hian a pawimawh ber. PVD ngei pawh hi a tlangpuiin mit tichhe thei khawpa natna leh hlauhawm tak a ni lo. Natural process a ni.

Mahse, buaina chu PVD a lo awm hian, chu chu chu jelly chu retina atanga a inthen chuan mi tlemte chauh (15% aia tlem)Harsatna a thlen thei a ni. Chutiang harsatnate chu a hlauhawm hle a, enkawl vat loh chuan mitdelna a thlen thei a ni.

PVD avanga harsatna hlauhawm tak tak lo awm thei

Chuvangin PVD symptoms i neih veleh heng natna hlauhawm tak takte hi i nei em tih hriat nan test neih a pawimawh kan ti a ni.

Engtin nge doctor hian hei hi a hmuh theih?

Mit doctor i pan hunah i natna lan chhuah dan a zawt ang a, mit enfiahna a nei ang. Hei hi dilated eye examination an ti a .

Hemi a thil thleng chu doctor chuan i mit chhungah mittui tlakna (eye drops) engemaw zat a dah a, mitmeng chu a tizau (dilate) a ni. Tichuan, mit chhungah light an eng a, hmanraw bik hmangin mit hnung lama retina leh vitreous gel te chu chiang takin an hmu thei a ni. He test hian PVD emaw, ka sawi tawh ang harsatna hlauhawm tak tak emaw i neih leh neih loh a hriat theih.

A tlem hle a, mit chhungah thisen ang chi thil a awm a, hnungzang chiang taka hmuh theih loh chuan mit ultrasound ang chi test pawh tih theih a ni.

PVD enkawlna tur a awm em?

I mit i enfiah hnuah doctor-in PVD chauh i nei tih a nemnghet a, harsatna i nei lo tih a nemnghet a nih chuan enkawlna bik a ngai lo.

Mahse, doctor chuan kar 4 emaw kar 6 emaw vel hnuah follow-up checkup nei turin a rawn kir leh ang che . Chu chu i tih tur a ni ngei ang. A chhan chu a chang chuan checkup hmasa bera hmuh loh retinal tear ang chi thil hi a hnuah a thleng thei thin. Chuvangin chu pawh chu kan ngaihsak a pawimawh hle.

Chutiang floater-te tan chuan surgery a awm a, mahse tih a tlem hle. A chhan chu chutiang surgery te pawh chuan harsatna a thlen thei a ni. Hun a kal zel a, kan thluak hian heng floater te hi a hmang thiam a, a ngaihthah tan thin. Hun engemaw chen hnuah chuan i hre tlem tial tial a.

Engtin nge heng ‘thil tui chunga leng’ tibuaitu tak takte hi ka nunpui ang?

Heng floater leh flash te hi hun engemaw chen chu a buaithlak deuh thei a, mahse i hman thiam theih nan thil tlemte i tih theih a awm.

• Zawi zawiin i mit chu hma leh hnung lamah sawn rawh: I mit hmuhna lai takah floater i hmu a nih chuan zawi zawiin i mit chu chunglam, hnuai lam, veilam leh dinglamah sawn la. Hei hian floater chu i mit chhunga tui awm nen a float chhuak thei ang.
• Brightness tihtlem: Computer, phone leh television screen-te brightness tihtlem.
• Sunglass vuah: Ni eng mawi tak kara chhuah dawnin sunglass vuah thin ang che. Hei hian floater te hmuh theihna a ti tlem dawn a ni.
• Glasses dik tak bun rawh: Mitdelna atana glasses pek i nih chuan uluk takin bun rawh.

A pawimawh ber chu hei hi thil pangngai a ni tih hriatthiam a, ngaihtuah lutuk lo tur a ni. Hun a kal zel a, heng rilru natnate hi i hre tlem tial tial ang.