Pterygium chungchang hi han sawi ila. Hei hi nang tan pawh harsatna a ni em?

I mitmeng kil atanga i mit lai takah sa hring hring te tak te rawn chhuak i hmu ngai em? Pink a ni thei a, thisen kalna kawng te tak te a nei thei bawk. Hei hi kan pi leh pute'n "papillary" an tih leh doctor-te'n "Pterygium" an tih chu a ni. Mi thenkhat chuan "Surfer's Eye" an ti bawk a, a chhan chu surfer te zingah hmuh tur a awm fo thin. Vawiin hian chipchiar zawkin han sawi ila, a chhan chu hei hi mi thenkhat tan chuan harsatna tenau tak a ni thei a, mahse i hriat chian chuan harsatna lian tak a ni thei a ni.

He pterygium hi eng nge ni?

A awlsam zawngin, ``Pterygium'' chu i mit var (damdawi lamah chuan ``Conjunctiva'' kan tih)-a lo awm, tisa nei membrane sang tak a ni. I mit atanga membrane te tak te lo chhuak angin ngaihtuah rawh. A var emaw, pink emaw pawh a ni thei. A chang chuan thisen kalna kawng te te a nei a, chuvang chuan a chang chuan a sen hmel hle.

Mit kil atanga tan a ni tlangpui a, a tam zawk chu hnar sir atanga tan a ni. Tichuan iris (mit rawng nei - doctor-te chuan `(Iris)` an ti) lam hawiin a lo thang lian ta a ni. A tam zawkah chuan a pianzia chu triangular, sava thla ang mai a ni. `(Pterygium)` tih thumal hi Grik tawng pahnih atanga lo chhuak a ni a; pakhat chu `(pteryx)` tih awmzia chu ``wing'' tihna a ni a, pakhat zawk chu `(pterygion)` tih awmzia chu ``shore'' tihna a ni. Chuvangin a hming ngei pawh hian a pianzia tlem a pe a ni.

He membrane hi tuin nge siam chhuah tam zawk?

``Surfer's Eye'' tih hming hian a sawi angin he natna hi surfer-te zingah a tam zawk. Chutianga an tih chhan chu he film siam theihna tur thil - ni êng nasa tak, thlipui na tak, tuifinriat hnim, leh tui chi (salt water) te an hmachhawn fo vang a ni.

Mahse, surfer tan chauh a ni lo. Mit venna engmah nei lova pawn lama hun tam tak hmang thin chuan hetiang hi a nei thei a ni. He hlauhawmna hi kan ram chhunga mi loneitu, sangha mantu, kawngpui hnathawk, leh in sak hnathawkte tan a sang hle. A chhan chu an hnathawhna hmunah hian ni tam zawk chu pawnah an hmang a ngai a, heng boruak thilte hi an tawk a ni.

Hetiang dinhmun hi mi tar chhoh zel (a bik takin kum 60 an tlin hnuah) a tam zawk a, hei hi heng boruak thila rei tak an inhriat vang a ni. Tin, equator hnaih ram, ni eng a nasat em emna hmuna chengteah pawh a tam zawk.

Hei hi a hlauhawm em?

Tunah chuan hei hi cancer ang chi thil hlauhawm tak a ni em tih i ngaihtuah mai thei. Ni lo, he `(Pterygium)` hi `(cancerous`) a ni lo. Chumi awmzia chu mit chhunga tissue dangah a darh lo tihna a ni a, taksa peng dangah pawh a kal lo tihna a ni.

Mahse, buaina chu mit chung lamah a lo thang zel thei a ni. Engtin emaw takin i mit chhunga transparent part (chu chu ``cornea`` kan tih) ring dum chunga a thlen chuan , chu chu mit lairil a thlen chuan i mit hmuhna a tichhe thei tihna a ni.Mit a fiah lo thei a, chiang taka hmuh a harsat phah thei bawk. Chutiang a nih chuan surgery hmanga lak chhuah a ngai mai thei.

Engvangin nge he membrane hi a lo awm? A chhante chu engte nge ni?

Pterygium hi a takah chuan i mit chhunga conjunctiva tissue duh loh zawnga lo thang lian a ni. Hei hi a chhan berte chu:

• Hun rei tak chhung ni atanga ultraviolet rays (`(Ultraviolet - UV light)`) tha lo tak tak lakah. Hei hi a chhan ber nia ngaih a ni. UV rays hi mit tan a tha lo tih kan hria.
• Khua lum, khaw vawt, thlipui na tak, leh leivut ang chi thil avanga mit natna rei tak . Ngaihtuah teh, leivut mit chhungah a lut reng a nih chuan, mit a vawt chuan mit tan harsatna a thlen fo ang.

Hei bakah hian risk factor dang engemaw zat a awm thei bawk:

• Kum 60 chunglam (a hmaa kan sawi tawh ang khan).
• Genetics: Chumi awmzia chu i chhungkuaa mi pakhatin a neih chuan nang pawhin i neih theihna chance tlemte i nei tihna a ni.
• Vitamin A tlakchham vang a ni.
• Mihring Papilloma Virus (HPV) hrik kai a ni. (Hei hi research stage-ah a la awm a, finfiah a la ni lo.)

Hei hi eng symptoms nge ni?

A tirah chuan pterygium i nei tih pawh i hre lo mai thei. I mit kil khatah chuan hnim hring, tisa nei, wedge ang maia lian chu i hmu mai thei. Harsatna a ni hauh lo mai thei.

Mahse symptoms a lo lang tak tak chuan a buaithlak deuh thei. A lan chhuah dan tlangpui thenkhat chu:

• Mit hring leh sen (a chang chuan `(Conjunctivitis)` an tih natna a awm thei).
• Mit sen, thisen kalna kawng chiang taka hmuh theih.
• Mit a vawt tih hriat (`(Dry eye)`).
• Mit tui (a takah chuan mit vawt vang pawh a ni thei).
• Mit chhungah thil awm ang maia hriatna, bawlhhlawh, leivut emaw, hnim hring emaw ang chi.
• Mitmeng a na hle.
• Mit nasat lutuk.
• A chang chuan mit a na thin.

Hun a kal zel a, he membrane hi a lian chho zel a, a lan chhuah dan dang pawh a lang thei a:

• Chu membrane chu a lian chho zel a, mit chhung zawng zawngah a darh zel tih i hmu thei.
• Contact lens i bun chuan dah luh harsa i ti thei a, natna i nei thei a, lens a fit tha lo thei bawk.
• Mit hmuhna lama inthlak danglamna. Entirnan, blurred vision, a chang chuan double vision.

Mi zawng zawng hian heng symptom zawng zawng hi an nei vek dawn lo tih hre reng ang che. Mi thenkhat membrane hi midang aiin a thang chak zawk a, thenkhat erawh chu a slow hle bawk.

Pterygium leh pinguecula hi eng nge an danglamna?

`(Pinguecula)` (pin-ge-ku-la) tih hi i hre tawh mai thei. Tin, mit var laiah hian lump chi danglam tak a lo awm bawk. A chhan ber chu `(Pterygium)` nen a inang tlangpui – chu chu environment factors, a bik takin ni ênga rei tak awm vang a ni. Mahse, `(Pinguecula)` hi `(Pterygium)` aiin a tam zawk hle. A chang chuan `(Pinguecula)` chu `(Pinguecula)` angin a intan a, a hnuah `(Pterygium)` a lo ni ta a ni.

Tunah chuan `(Pinguecula)` leh `(Pterygium)` inthlauhna ber chu engte nge ni ang:

• Pinguecula chu bump te tak te, wedge ang maia lian, blister ang chi a ni. A pterygium chu thla ang maiin a darh a.
• Pinguecula hi mit (cornea) chungah a darh lo. Mit var laiah a awm a.
• `(Pinguecula)` rawng pawh hi pink ni lovin yellowish white a ni.
• Tisa tisa leh thisen kalna kawng a nei lo. Protein, thau, calcium, etc. te a pai thei a, `(Pterygium)` hian tisa leh thisen kalna kawng a nei a.
• Pinguecula hian symptoms emaw mit lama harsatna emaw a thlen tlem hle.
• A paih chhuah nan operation neih a ngai hi a tlem hle.

Engtin nge doctor hian hei hi a hriat theih?

I mit enkawltu chuan mit enfiah laiin pterygium a awm tih awlsam takin a hre thei a ni. An hman tlangpui chu slit lamp exam an tih test an hmang thin. Slit lamp chu microscope bik a ni a, i mit chhungah êng eng tak (slit lamp ang chi) a rawn eng a, i mit hmalam leh chhung lam a en thei a ni. Hei hi mit enfiah dan pangngaia tel a ni. I doctor chuan pterygium a nih thu a hre nghal thei. Test dang a ngai lo tlangpui.

Enkawlnate chu engte nge ni?

Pterygium enkawlna chu a nghawng danah a innghat a ni.

• Symptoms a awm loh chuan: Enkawlna i mamawh lo mai thei. Mahse i mit doctor chuan a lo en reng ang. Anni chuan mit enfiah turin a hun takah (kum khatah vawi khat pawh ni thei) rawn lut turin an ti ang che, chu chuan mit enfiahna chu engtin nge a lo seilian tih leh i mit hmuhna a nghawng em tih an en ang.
• Mit lama harsatna i neih chuan: Pterygium hian i mit a ti na a, a sen, a hring emaw, a kang emaw a nih chuan, i doctor chuan:
• Over-the-counter (OTC) eye drops emaw eye ointment emaw chu damdawi dawrah prescription tel lovin lei theih a ni. Hengte hian mit vawt leh inflammation tihziaawmna kawngah a pui thei a ni.
• A natna lanchhuahna a nasat chuan steroid eye drop hi hun rei lote chhung pek theih a ni. Chungte chuan rang takin a hring leh a senna a tiziaawm thei a ni. Mahse, hengte hi damdawi lam thurawn hnuaiah chauh hman tur a ni.

Tin, doctor-te chuan mit pahnih khuh thei UV protection nei lukhum leh sunglass bun turin an rawt bawk.Hei hian mit `(UV)` chhiatna dang a veng thei a ni. Hei hian i `(Pterygium)` chu a lian zawkin a pui thei a, a lo thang chak loh nan a titawp thei bawk.

Surgery neih a ngai em?

Pterygium zawng zawng hi operation a ngai lo. Mahse, i doctor chuan a hnuaia thil awmte hi mit zai tir turin a rawt thei ang:

• Mit lama harsatna, mittui tlakna (inflammation, pain, redness) ang chi thil hmanga thunun theih loh i neih chuan.
• `(Pterygium)` chu a lo thang chak hle a, mitmeng a hnaih a, mit a tikhawlo emaw, a tikhawlo dawn emaw a nih chuan.
• Pterygium avanga mit pianzia a danglam a, astigmatism ang chi mit lama harsatna a awm chuan.
• Mi thenkhat chuan cosmetic vangin lakchhuah an tum a, a chhan chu mi thenkhat tan chuan mit sen leh thisen chhuak hian rilru lamah pawh a nghawng thei a ni.

Engtin nge surgery hi an tih thin?

Mit surgeon (Ophthalmologist) chuan pterygium a la chhuak thei. I neih loh chuan i mit doctor chuan pakhatah a refer thei che a ni.

`(Pterygium)` operation chhung hian i mit surgeon chuan a hnuaia mi ang hian a ti ang:

1. Numbness: A hmasa berin numbing damdawi (`(Anesthesia)`) pek i ni ang. Hei hi mittui tlakna emaw, injection te tak te emaw pawh a ni thei. Chuvangin engmah hrehawmna i nei lovang.

2. Membrane lakchhuah: Chumi hnuah surgeon chuan uluk takin mit chunglam atanga tissue pangngai lo (pterygium) chu a la chhuak thin.

3. Gap khar: Membrane lakchhuah hnuah `(Conjunctiva)` ah gap te tak te a awm a. Surgeon-te chuan he gap hi khar nan hian kawng hrang hrang an hmang thin. Hei hi `(Pterygium)` siam leh theihna tur tihtlem nan a pawimawh hle.

• Conjunctival autograft: Hei hi a hlawhtling hle. I surgeon chuan i mit hmun hrisel dang (a tlangpuiin mitmeng chunglam hnuai, tissue tha zawkna) atanga tissue thenkhat a la a, chu gap chu a khar thin. Hei hi patch dah ang mai a ni. Hetiang tih hian mitmeng hnuaiah hliam te tak te a siam a, mahse chutah chuan a veng tha hle a, a mah chauhin a dam thei bawk.
• Amniotic tissue graft: Hei hian nausen membrane donated (i.e., placenta) atanga lak chhuah tissue bik (`(Amniotic membrane tissue)`) hmanga gap chu a dam hma loh chuan khar a ni. He tissue hian natural bandage angin hna a thawk a, `(Conjunctiva)` chu a lo thang leh a, a khar thlengin gap chu a humhim a ni. Hetiang method hi `(autograft)` aiin gap a lian zawk a nih chuan, emaw, `(autograft)` hmuh harsa a nih chuan a tangkai hle.

Pterygium surgery hi darkar khat vel a ni tlangpui. Surgery zawhah ni engemaw zat mit patch i vuah a ngai dawn a ni. Mit a dam kim theih nan kar li atanga kar ruk vel a ngai dawn a ni. Hemi hun chhung hian mit a sen a, a nuam lo deuh thei bawk.

Doctor chuan in lama hruai tur damdawi a rawn pe ang che. Hei hian natna hrik laka invenna atana antibiotic drop emaw ointment emaw leh pterygium lo kir leh tur venna atana steroid eye drop te pawh a huam thei. He damdawi hi dik tak leh hun bituk chhunga hman a pawimawh hle.

Operation-ah hian hlauhawmna a awm em?

Operation dang ang bawkin ``(Pterygium)`` operation-ah hian risk engemaw zat a awm thei.

• A hlauhawm ber chu a lo lang leh ta a ni – chu chu pterygium chu operation hnuah a lo let leh tihna a ni. Chutiang a nih chuan operation dang neih leh a ngai mai thei. Vanneihthlak takin, conjunctival autograft ang chi surgical technique thar leh tha zawk hmangin pterygium lo lang lehna rate chu nasa takin a tlahniam a ni. Tuna zirchianna atanga a lan dan chuan surgeon tha leh technique tha tak nen chuan a lo lang leh thei hi 2% leh 15% inkar a ni.
• Eye drops pek dik tak i hman loh chuan, emaw, operation zawhah i mit chu ni êng direct-a i hmuh chuan a lo lang leh theihna chance a sang hle. Doctor thupek dik taka zawm a pawimawh hle. Pawnah i chhuak thei a, mahse i chhuak a nih chuan kawr leh sunglass ang chi venhimna hman theihnghilh suh.
• A châng chuan, natna lo lang leh lo tûra damdawi hmante pawhin side effect a thlen thei bawk. Entirnan, antimetabolites Mitomycin C (a chang chuan a lo lang leh tur venna atana hman thin) te hian pterygium surgery hnuah sclera a ti hring (scleromalacia) thei a ni. Steroid eye drops hun rei tak hman hian mit pressure a tisang thei a, mitdelna a thlen thei bawk. Hei vang hian damdawi lam enkawlna hnuaiah chauh hman tur a ni.

He membrane hi lakchhuah a nih loh chuan eng nge thleng ang?

`(Pterygia)` (chu chu `(Pterygium)` plural a ni) tam zawk chu an thang chhunzawm zel a, mahse thenkhat erawh chu a dang aiin an lian zawk hle thung. I `(Pterygium)` hian harsatna lian tham a thlen ngai lo mai thei. Doctor-te chuan `(Pterygium)` te tak te, symptomatic te tan surgery an rawt lo a, a chhan chu a lo lang leh thei a ni.

Mahse, mit chhung zawnga pterygium a darh chhunzawm zel chuan harsatna a thlen thei a ni.

• Hei hian mit a ti na reng thei a, a sen a, inflammation a tipung thei bawk.
• Vision chu a chiang lo emaw, a fiah lo emaw thei bawk.
• Engtin emaw tak mit (cornea)-a a luh chuan mit (cornea) a tizau thei a, a pianzia a thlak danglam thei a, astigmatism an tih natna a thlen thei bawk. Hei hian mit hmuhna a tichhe zual thei a ni.
• Tin, mit (cornea)-ah hliam a siam thei bawk a, chu chuan membrane lakchhuah hnuah pawh mit hmuhnaah nghawng nghet tak a nei thei a ni.

Hetiang thil lo thleng tur tihtlem nan eng nge tih theih ang?

"Tihdam aiin invenna hi a tha zawk." Chuvangin, `(Pterygium)` vei theihna tur tihtlem nan, leh i neih chuan a lian lo tur ven nan, a hnuaia mi hi i ti thei ang:

• A pawimawh ber chu ni laka inven hi a ni. Ni chhuahna hmuna i awm laiin, a bik takin zing dar 10 leh tlai dar 4 inkarah UV laka invenna tha tak nei wraparound sunglass vuah thin ang che.
• Hat emaw cap emaw ha rawh. Hei hian ni êng i mit a tlak pawh a ti tlem bawk ang.
• Hmun vawt, thli tleh, leivut awmna hmuna hnathawk i nih chuan mit venna mitmeng bun la.
• I mit a vawt nia i hriat chuan mittui tlak loh nan mittui tlak (artificial tears ang chi) (doctor-in a tih angin) hmang ang che.

Pterygium hi eng chen nge a awm? A lak chhuah a nih chuan a rawn let leh dawn em ni?

``(Pterygium)`` chu surgeon-in a lakchhuah loh chuan a mah chauhin a dam lo ang. I dam chhungin a lo thang zel thei a ni. Mahse, chutiang chu mi zawng zawngah a thleng lo va, mi thenkhat chuan hun engemaw chen chu size pakhat chauh an nei thei bawk.

Mi tam zawk chuan ``(Pterygium)'' tan enkawlna an mamawh lo. Mit a ti na a nih chuan a tlangpuiin over-the-counter damdawi hmangin a symptoms te chu i control thei a ni. Minor nuisance aia tam a nih chuan i paih chhuak thei bawk.

I `(Pterygium)` chu operation hnuah a rawn let leh theihna chance tlemte a awm. A lo awm chuan a tlangpuiin operation atanga thla li chhungin a rawn lang tan ang a, thla 12 aia tlai lovah a rawn lang tan ang. Surgery dang i neih leh a ngai a nih chuan i surgeon chuan `(Pterygium)` chu a lo kir leh loh nan extra step a la ang.

Engtikah nge Doctor ka hmuh ang?

`(Pterygium)` i nei nia i inhriat chuan, a nih loh leh i mit kilah thil thar i hmuh chuan, i tih hmasak ber tur chu mit lam doctor pan a ni. Tichuan `(Pterygium)` nge thil dang tih chiang takin i hre thei ang.

I doctor chuan hmuh fo che a duh ang a, i pterygium chu a enfiah duh ang a, a than dan a teh duh ang – a tlangpuiin kum khatah vawi khat, a tlangpui aia rang zawk emaw, a lian zawk emaw a nih loh chuan.

Hetiang ang case-ah hian doctor pan hmasak theihnghilh suh:

• Symptom thar a lo lang tan chuan (e.g., mit a danglam, mit na).
• Tuna i symptoms te hi a na zual a nih chuan.
• Tuna i damdawi ei mekte hian hna a thawk tha lo niin a lang a nih chuan.

`(Pterygium)` hi i hmuh hmasak berin a hlauhawm deuh thei a, mahse chutiang chuan a pawi lo tih i hre thuai ang. Chumi atan chuan enkawlna i mamawh ngai lo mai thei. Symptoms a neih chuan over-the-counter damdawi emaw eye drop emaw hmangin i control thei a ni. I doctor chuan a lo en reng ang a, paih tura an rawt leh rawt loh a hriattir ang che.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh atanga i hriat reng tur pawimawh tak tak te chu hetiang hi a ni:

• Pterygium hi cancer ni lo, tisa ang chi, mit var laia lo piang a ni.
• A chhan ber chu ni êng (UV rays), leivut leh thli laka rei tak kan awm vang a ni.
• A lan chhuah dan chu a sen, a hring, a kang, mit chhunga thil awm tih hriatna, leh mit hmuh lohna te pawh a ni thei.
• Cataract zawng zawng hian enkawl a ngai vek lo a, mahse mit a nghawng emaw, mit a tibuai em em emaw a nih chuan operation hmanga lakchhuah theih a ni.
• A pawimawh ber chu sunglass hman te, lukhum bun te, mit enkawl te hi a ni. Hei hian an siam chhuah loh nan leh a awm tawhte lo thanglian zel tur a thunun thei a ni.
• Heng symptoms te hi i neih chuan mit lam doctor pan hlau suh la, thurawn la rawh. Tichuan i tana tha ber tur chu i zawng chhuak thei ang.

Chuvangin, mit hi thil hlu tak a ni. Chuvangin, uluk taka enkawl hi kan mawhphurhna a ni.

` Papilloma, Conjunctiva, Pterygium, Surfer mit, Mit Natna, Mit hmuh, Ni eng