I mit chu a bulh ang maiin a lang em? (Proptosis) Hemi chungchang hi han sawi ila!

I mit chu tlem a lian emaw, a rawn chhuak emaw ang maiin i inhriat ngai em? I thian emaw, chhungte emaw chuan he thu hi a hrilh che pawh a ni mai thei. Hei hi a takah chuan mi thenkhatah hmuh theih dinhmun a ni. Damdawi lam hawi chuan (Proptosis) emaw (Exophthalmos) emaw kan ti a. Hlauh tur a awm lo, hei hi i hriat chian chuan thil dang ang bawkin i thunun thei a ni.

Proptosis tih hi eng nge ni?

A awlsam zawngin, proptosis chu i mit pakhat emaw, pahnih emaw a awmna pangngai atanga a rawn chhuah chhuah hi a ni. I mit, a nih loh leh i mit pakhat chu a tlangpui aia hmalam deuhin a lang ang tih han ngaihtuah teh. Hei hian i hmel lan dan chu a danglam deuh thei a ni. A châng chuan, mi pakhatin mak ti taka mit meng chungin a en reng che ang maiin a lang thei a, chutiang chuan a awm thei bawk.

Tunah chuan mit chu i hmaah a awm tawh a, mit khap chu tlem a harsa thei hle. I hria em, kan mit hnim leh venhimna atan kan mit kan chhing thin. Kan mit chunga protective membrane , cornea an tih hian kan mit kan chhing hian a mamawh moisture a hmu thin. Kan mit kan chhing tha thei lo chuan chu cornea chu a vawt a, a chhiat theihna chance a sang hle.

Mi thenkhat tan chuan hei hian mit hmuhna (blurred vision), emaw, double vision – diplopia kan ti a – leh chutiang thil dang a thlen thei a ni. Hetiang dinhmun hi "mit tih lian" emaw "mit bulging" emaw tia sawi a ni bawk.

Hei hi eng symptoms nge ni?

Tunah chuan eng symptom dang nge i neih theih ang tih leh heng mitte hi a lo chhuah hunah kan en ang u.

I mit a bulh chuan i mit var chu a hma aia nasain a lang chhuak thin. I mitmeng pawh an socket atang hian a rawn chhuak bawk. I mitmeng chunglam chu a lang tlem hle tih i hmu mai thei a, chu chuan i mit chu a meng zau ang maiin a lang thei.

He symptom lian ber bakah hian symptom dang engemaw zat a awm thei bawk:

• I mit i sawn chuan a chhungah a innghat ang maiin i hria a, chu chu hnim hnah ang maiin i hria .
• Mit a vawt, a sen emaw, mittui tla fo emaw. Hei hi (Epiphora) kan ti bawk.
• Mitmeng a hring leh a sen.
• Mit tiharh tumnaah taksa ruhte a tight ang maia hriatna, a chang chuan mit tihchet theih loh pawh a awm.
• Eng laka sensitive nih tih awmzia chu êng, ni êng en harsa tihna a ni.
• Lu na.
• Khawsik.

Damdawi lam pan vat ngai symptoms te chu engte nge ni?

Heng symptoms te hi i neih chuan doctor pan hmasak phawt tur a ni. Hengte hi thil pangngai a ni tih hre reng ang che, a dik em?

• Mit chhungah chuan throbbing sensation a awm.
• Vawikhatmah i mit chu a rawn lang chhuak dawn niin a lang.
• Mit na tak emaw, a sen emaw neih.
• Heng symptoms te hi mit pakhatah chauh a lang.
• I mit a hloh emaw, zawi zawiin i mit a tlahniam emaw.
• Blurred vision emaw thil pahnih vawi khata hmuh (double vision).
• Thil pakhat chiang taka en chuan ngaihtuahna sen harsa tihna a ni.

Engvangin nge hetiang hian ka mit a rawn pop chhuak? A chhan engte nge ni?

Awle, tunah chuan engvangin nge hetiang hian mit a rawn lang chhuak a, eng thil nge hetiang hi a thlen theih tih hi han en ila.

A tam zawkah chuan hei hi a chhan ber chu nangmah ngeiin i taksa hriselna (immune system) a harsatna vang a ni. A awlsam zawngin kan taksa natna laka vengtu sipaite hian kan cell thenkhat chu an rawn bei sual a ni. Chutiang a nih chuan chu immune system chuan i thyroid gland cell leh i mit hnung lama tissue te chu a bei thin.

Hetiang mit bulging hi thyroid lama harsatna nei te chu Thyroid Eye Disease (TED) an ti a. Dik tak chuan he natna hi thyroid kaihhnawih natna nei te zingah a langsar ber a ni.

A chhan dang engemaw zat a awm thei bawk:

• Graves natna: Hei hi hyperthyroidism nen pawh a inzawm a, hei hi thyroid gland a thawk nasa lutuk vang a ni. Hei hi a chunga kan sawi tak immune system disorder ang bawka lo awm a ni bawk.
• Hyperthyroidism: He natna hi Graves natna awm lo pawhin a awm thei a, chu chu thyroid gland a thawk lutuk mai mai a ni.
• Eye socket infection: Mit chhunga bacteria emaw virus emaw infection a awm chuan a hring hian mit hmalam a pan thei a ni.
• Hliam: Mit hnung lamah thisen a chhuak a nih chuan, a bik takin mit emaw lu emaw hliam vangin chu thisen chu a inzawm khawm thei a, mit chu a nawr chhuak thei a ni.
• Tumors: Mit socket chhungah emaw, a chhehvelah emaw tumor (benign emaw malignant emaw) a lo awm chuan mit chu hmalam pan turin a tibuai thei bawk. Entîr nân, nerve-te inrawlhna tumor, neuroblastoma , a nih loh leh soft tissue sarcoma ṭhenkhat ang chi te. Mahse, heng cancer thlentu chi hrang hrangte hi a tlem hle.

Eng harsatna nge awm thei? Hun rei tak chhunga nghawng a nei em?

Hei hi i tan chuan hlauhawm deuhin a lang thei a, mahse thudik tak chu mi tam zawk tan chuan he natna hian harsatna lian tham leh hun rei tak chhunga nghawng a nei lo. Chu chu a thlamuanthlak lo em ni?

Mahse, a tlem hle a, harsatna thenkhat a awm thei. Entirnan, mit pahnih emaw, mit hmuhna hloh vek emaw chu a awm reng thei a ni. Tin, ka sawi tawh ang khan i mit i chhing thei lo a, lubricating eye drops hian a pui lo a nih chuan i mit a pui thei bawkA chunglam layer, mitmeng (cornea) pawh a chhe thei bawk. Hei hi mit (corneal ulceration) an ti a. Chuvang chuan symptoms i neih chuan enkawl vat a pawimawh.

Engtin nge hei hi i hmuh? Engtin nge doctor-te hian hei hi an nemnghet?

Okay, hetiang symptoms i neih chuan engtin nge doctor chuan hei hi Proptosis emaw thil dang emaw a ni tak tak em tih a hriat theih ang?

A hmasain doctor chuan i symptoms chungchang chipchiar takin a zawt ang che. Heng symptoms te hi eng chen nge i neih tawh tih te, engtin nge a lo intan tih te, eng harsatna dang nge i neih te, a hmaa natna i neih tawh zawng zawng te, leh i chhungkuaah hian hetiang dinhmun hi an lo nei tawh em tih te chipchiar takin an zawt ang che.

Chumi hnuah chuan mit enfiahna i nei ngei ang. Hei hian hetiang hi a huam thei a ni:

• I mit chunglam leh a chhunga thil awmte chu chipchiar taka tihpun leh enfiah nan hmanraw bik (slit lamp) hman a ni . Hei hian mit (cornea)-a hliam leh vawt ang chi thil a hmuchhuak thei a ni.
• I mit leh mitmeng kal dan te, mit pahnih chu kawng khata i kawhhmuh theih leh theih loh te an test bawk.
• Mit chu a sen em tih te, na a awm em tih te, inflammation a awm em tih te, mittui a awm em tih te ngun takin an en thin.

Eng test dang nge tih a ngai dawn?

A hmasa ber enfiah hnuah doctor chuan a chhan hriat belh nân test dang a ti leh thei bawk a, chu chu:

• Exophthalmometry: Hei hi hriat loh deuhin a lang thei a, mahse instrument bik (exophthalmometer) hmangin i mitmeng atanga i mitmeng atanga millimeter-a a chhuah dan tehna a hmang a ni. Hei hian natna a nasat dan hriat theih nan a pui thei a ni.
• Thisen test: Hei hian thyroid gland hnathawh dan enfiah nan hormone level (TSH, T3, T4) a enfiah ngei ang. A chhan chu (Thyroid Eye Disease) hi a chhan ber a ni.
• Imaging study: A dik zawka sawi chuan mit hnung lama ruh, nerve leh thau tissue-ah hian a hring, a hring, natna chhinchhiahna emaw, thisen a chhuak em tih chiang taka hriat theih nan MRI (Magnetic Resonance Imaging) scan emaw, CT scan (Computed Tomography scan) emaw hmangin an enfiah thin.
• Lab test dang: A chang chuan mit atanga chhuak emaw tissue (culture) sample lak theih a ni a, natna hrik a awm leh awm loh finfiah theih a ni.

Enkawlnate chu engte nge ni?

Okay, tunah chuan hei hi enkawl dan tur i en ang u. Enkawlna i dawn tur chu i mit bulpui chhan leh i natna nasat danah a innghat ang.

• Artificial tears: Hengte hi ni khatah vawi tam tak drop emaw gel emaw atan hman theih a ni a, mit vawt tihziaawmna tur leh mitmeng (cornea) venhimna atan . Hengte hi damdawi dawrah lei theih a ni.
• Antibiotics damdawi: 1.1.I mit atanga chhuak chu bacteria infection vang a ni tih hriat a nih chuan antibiotics dik tak (oral emaw IV emaw) pek i ni ang.
• A hnuaia thil awmte enkawl dan: Entirnan, thyroid gland hi a thawk nasa lutuk (hyperthyroidism) a nih chuan, a control nan anti-thyroid damdawi pek thin a ni. Graves natna hi chutiang bawk chuan enkawl a ni.
• Intravenous (IV) damdawi: Thyroid mit natna (TED) avanga natna nasa tak leh mit lama harsatna nei tan chuan corticosteroids (e.g., methylprednisolone) chu thisenah (IV pulse therapy) pek theih a ni a, chu chuan rang takin a ti na a ti tlem thei a ni. Damdawi thar zawk Teprotumumab (Tepezza®) tih pawh TED-ah hian a thawk tha hle tih hmuhchhuah a ni bawk.

Surgery tel lova enkawlna dang a awm em?

Ni e, a châng chuan enkawlna dang pawh operation tel lovin tih theih a ni a, chu chu:

• Double vision treatment: Chung zingah chuan lens bik, prism ang chi, i glasses-a inbun te pawh a tel. Chûngte chuan mit chhunga êng lut chu kawng dangah an redirect a, i mit hmuh chu a siam ṭha a ni. Mit exercise pawh a rawt thei bawk.
• Immunosuppressive drugs: Heng damdawi (e.g., Mycophenolate, Rituximab) te hian immune system-in mit a tihchhiatna a tihziaawm thei a, a bik takin (TED) ang chi dinhmunah chuan.
• Corticosteroids: Steroid hi oral pill angin emaw, injection angin emaw, thisenah emaw pek theih a ni a, chu chuan a hring tihziaawmna emaw, mit hmuhna a siam that theih nan emaw a ni. Mahse, hengte hi hun rei tak hman a nih chuan side effect a nei thei a, chuvangin doctor enkawlna hnuaiah chauh ei tur a ni.

Surgery ka mamawh dawn em?

Mi zawng zawng hian operation an mamawh vek lo. Mahse, operation tih ngai dinhmun thenkhat a awm. Entir nan:

• Orbital decompression surgery: He surgery hi mit hnung lama orbit-a hmun tam zawk siam nan tih a ni . Hei hian mit chu a tlan lut leh thei a, hei hi mit hmuhna atana hlauhawm a awm chuan emaw, mit chu a rawn chhuak hlat a, mitmeng (cornea) a tichhe thei a nih chuan tih a ni.
• Strabismus surgery: Mit ruh surgery hi mit pahnih chu kawng khata hawi turin tih theih a ni.
• Mitmeng surgery: Mitmeng chu a khar tha thei lo a nih chuan mitmeng venhim nan mitmeng awmna hmun thlak danglam turin operation an ti thin .
• Tumor lakchhuah: Tumor a awm chuan surgery hmanga lakchhuah a ngai dawn a ni.

Eng nge thleng leh ang? Eng chen nge a dam leh theih ang?

Heng symptoms awm chhan hi i hmuchhuak a, i enkawl vat chuan a result a tha zawk hle. I tana enkawlna dik tak i hmuh chuan harsatna i veng thei bawk.

"Ka hriatna chu a pangngaiin a lo kir leh dawn em ni?" i zawt ngei ang. Awle,A tam zawkah chuan mit chu a pangngaiin a kir leh thei a ni. Mahse, hlawhtling taka enkawl hnuah pawh mit chu a pianphung hmasa lama a awm leh theih nan hun engemaw chen a la ngai thei a ni. A châng chuan thla tam tak a daih thei a, a châng chuan kum tam tak a daih thei bawk. A chhan, a natna nasat dan leh enkawlna dawn danah a innghat a ni.

Engtin nge dinhmun a chhe zual zel loh nan kan ven theih ang?

Okay, tunah chuan he natna (Proptosis) hi i nei tawh a, a na zual loh nan thil pawimawh tak tak i tih theih a awm a:

• I thyroid level control: Thyroid natna i neih chuan, a bik takin Graves natna i neih chuan i doctor thupek dik takin zawm tur a ni. Nitin damdawi ei tur chu a hun takah ei la, i thyroid hormone level chu a normal range chhunga awm reng turin thisen test neih fo bawk ang che.
• Meizial zu kha bansan vek rawh: Meizial zu mi i nih chuan hei hi i tih theih tha ber a ni. Meizial zuk hian natna (Thyroid Eye Disease) a ti na zual mai bakah, enkawlna hlawhtlinna pawh nasa takin a ti tlem bawk. Meizial zuk bânsan chuan i taksain enkawlna a chhân lêt dân chu nasa takin a tiṭha ang. Chuvangin, chu thutlukna chu vawiin hian siam rawh.

Hetiang dinhmun hi engtin nge i nunpui? Engtin nge rilru lama chak taka i awm reng theih?

I mit hian i hmel a tidanglam thei a ni. Hei hian i inrintawkna leh i inngaihhlutnaah nghawng lian tak a nei thei a ni. Hemi chungchangah hian i lungkham hle a, i lungkham hle mai thei. "Miten engtin nge an ngaih ang?" emaw, "Ka hmel a danglam tawh." Hei hian i mit a nghawng a nih chuan i nitin nunah leh khawtlang inlaichinnaah thil thenkhat chu beisei loh takin a danglam thei a ni. Chûng inthlâk danglamnate chuan lungngaihna, lungkhamna, a nih loh leh lungngaihna a thlen thei che a ni. Thil pangngai a ni a, heng thilte hi nangmah chauhin i hmachhawn lo.

He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che. Ṭanpuina dil hi chak lohna a ni lo, chakna a ni.

Chûng thilte chuan heng harsatnate hmachhawn tûrin a ṭanpui ang che:

• Mental health professional hnen atangin tanpuina zawng rawh: Psychiatrist emaw counselor emaw ang chi mi biak hi a pawimawh hle. Cognitive Behavior Therapy (CBT) ang chi therapies hmangin i ngaihtuahna leh rilru put hmang tha lote hmachhawn dan tur, hmachhawn dan tur leh enkawl dan tur zawng turin an pui thei che a ni.
• Social worker hnen atangin tanpuina la rawh: Mit lama harsatna avanga lirthei khalh theih loh emaw, thil tangkai dang i neih chuan i awmna hmuna support group emaw, online-a virtual resources emaw zawng turin an pui thei che a ni. Heng pawlte hi nangmah ang bawka thil tawn tawhte nen an khat a, chuvangin anmahni biak pawh hi ṭanpuitu lian tak a ni thei.

A tawp berah chuan i sawi tur chu...

Proptosis hi neih hi thil tibuaitu leh hlauhawm tak a ni thei. Chu chu kan hrethiam. Mahse, i nun tichhe suh. Doctor i hmuh hma poh leh an tan a chhan zawn a awlsam phah ang. Tichuan, a tul anga enkawlna i tan thei a, i dinhmun a na zual loh nan i veng thei a, harsatna awm thei pawh i veng thei bawk.

I rilru hriselna pawh uluk taka enkawl a pawimawh. I taksa hriselna ang bawkin i rilru hriselna i enkawl a ngai a ni. Mental health counselor hnen atanga tanpuina dil hian i rilru put hmang i enkawl thei a, he harsatna hi chak takin i hmachhawn thei bawk. Social worker chuan i mamawh puihna i hmuh theihna tur hmunah a refer thei che a ni.

Chuvangin, engmah ngaihtuah buai suh la, tanpuina zawng pawh hlau suh. Dam leh thuai turin duhsakna ka hlan e!

` proptosis, exophthalmos, mit bulging, thyroid mit natna, Graves natna, hyperthyroidism, mit lama harsatna te