Mi thenkhat mitmeng chunglam chu a tlahniam deuh a, mutthilh hmel takin a lang tih i hmu ngai em? Hei hi nangmah ngeiin i tawng tawh mai thei. Hei hi mit pakhatah a thleng thei a, a nih loh leh mit pahnihah a thleng thei bawk. Damdawi lam hawi chuan he natna hi Ptosis kan ti a ni. Mi thenkhat chuan ‘Blepharoptosis’ an ti bawk. Ngaihtuah buai suh, hei hi a awm fo thin. Vawiin hian awlsam leh chiang takin i sawi vek ang u.
A awlsam zawngin Ptosis chu eng nge ni?
Ptosis chu i mitmeng chunglam a tlak hniam chuan a ni. Window shutter chu a chanve khar ang mai a ni. Hei hi a chhan ber chu kan mitmeng ti sang reng tura puitu levator muscle hian hna a thawk tha lo a ni. He taksa ruh hi kan mitmeng tichhe thei hrui te tak te ang mai a ni tih hi han ngaihtuah teh. He hrui hi a chak lo emaw, mitmeng atanga a lo chhuah emaw chuan mitmeng chu a tla thla thin.
Mitmeng a tlak hniam dan azirin i mit hmuhna a nghawng thei. A châng chuan mit chu a ṭhen a khar a, a nasat chuan mit chu a tikhawlo vek thei bawk. Hei hi mit pakhatah chauh a thleng thei a, mit pahnihah pawh a thleng thei bawk. A châng chuan mit pakhat hian mit dang aiin mitmeng a tla tam zawk thei bawk.
Ptosis hi chi hnih a awm a, chungte chu:
Hetiang dinhmun hi naupang tê leh puitlingah pawh a awm thei a ni. Chumi ang chuan chi hnihah kan then a.
- Congenital Ptosis: Hei hian i naute chu he natna neiin a piang tihna a ni. A tam zawkah chuan a hmaa kan sawi tawh levator muscle (levator muscle) hi nausen pum chhungah a lo thang tha tawk lo vang a ni.
- Acquired Ptosis: Hei hi puitling huna lo awm thin chi a ni. Hetiang dinhmun hi tar vang emaw, accident vang emaw, damdawi lam thil dang avanga mitmeng atanga thau chak lo emaw, a inthen emaw hian a awm thei a ni.
Hei hi eng symptoms nge ni?
Dik tak chuan a symptom ber chu mitmeng chu a tla thla niin a lang. Mahse chu bakah chuan symptom dang engemaw zat a awm thei bawk. Eng nge an nih i en ang u.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Mitmeng a tla thla | A lan chhuah dan ber leh langsar ber chu mit mitmeng (pupil) chu a khar vek emaw, a then emaw a khar thei tih hi a ni. |
| Mit hrual fo thin | Mit fiah tak hmuh tumna atan i mit khap fo turin i thlem mai thei. |
| Mit atang chuan mittui a luang chhuak | Mitmeng a thawk tha lo a nih chuan mittui tam lutuk chu mitah a pungkhawm thei a, a leak chhuak thei bawk. |
| Mitdelna a awm | Mit chungah mitmeng a tla a, mit a tihbuai avangin mit hmuhna a tlahniam thei a, a fiah lo thei bawk. |
| Mit vel hahna leh natna | I hmai ruh hmanga i mitmeng tihsan tum hian i mit leh i hmai vel chu hahna a thlen thei a ni. |
| Kawng inher (naupang) . | Naupang tête chuan an mitmeng hnuaia khawvel hmuh tumin an hmui chunglam leh an kawr hnunglam hawia en an zir a. |
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Ptosis awm chhan hi a chi hrang hrangah a inang lo. Kan sawi tawh ang khan naute thenkhat chu he natna (congenital ptosis) neiin an piang thin.
Ptosis hnu lama lo awm (acquired ptosis) hian chhan hrang hrang a nei thei. Hetiang dinhmun hi accident emaw natna emaw avanga mitmeng chawi sangtu ruh emaw, a inzawmtu ligament emaw a chak loh chuan a lo awm thei a ni. A châng chuan mitmeng thununtu nerve chhiat vang pawh a ni thei.
Ptosis thlen thei dinhmun thenkhat chu:
- Mit natna (Stye) .
- Horner natna a ni
- Myasthenia gravis - Hei hi taksa ruh tichak lotu natna a ni.
- Thai
- Mit chhunga tumor awm
- Mit ruh tichhe thei natna, pawn lam mit natna (external ophthalmoplegia) ang chi te
Mahse, heng zawng zawng aiin, .Puitling zinga ptosis thlentu ber chu tar a ni. Hun a kal zel a, kan mitmeng vun leh ruh te chu a inzawm khawm a, a chak lo bawk. A châng chuan mit zai lai hian mit hawn theihna hmanrua hmante hian mitmeng chu a ti hrual thei a, chu chuan he inthlak danglamna hi a ti chak thei a ni.
Enkawl loh chuan eng nge thleng ang?
I fa hian congenital ptosis a nei a nih chuan a rang thei ang bera enkawl a pawimawh hle. Enkawl loh chuan naupang mit hmuh danah direct-in a nghawng thei a ni. Side effect dang pawh a thlen thei bawk.
Puitlingah chuan mild ptosis hian mit a nghawng vak lo thei a, chuvangin enkawl a ngai lo mai thei. Mahse, ptosis na tak hi enkawl loh chuan harsatna lian tak a thlen thei a ni.
Ptosis avanga harsatna awm thei te:
- Astigmatism: Mitmeng tla hian mit hmalam (cornea) chu pressure a siam a. Hei hian mit pianzia a thlak danglam thei a, mit hmuhna a tichhe thei (a sei leh hrual angin a lang thei bawk).
- Amblyopia (or ‘Lazy Eye’): Astigmatism ang chi mitdelna avang hian thluak chuan chu mit atanga signal lo chhuak chu a ngaihthah zauh zauh tan thin. Hei hian chu mitah chuan mit hmuhna a hloh reng thei a ni. Hei hi ‘lazy eye’ kan tih chu a ni.
- Chin-up position: Mitmeng hnuai lam en laiin chin sang taka vawn reng hian kawng harsatna a thlen thei a, hmai ruh a tikhauh thei a, a chang chuan hmasawnna pawh a tikhawtlai thei bawk.
Engtin nge hei hi hriat chhuah a nih?
A tlangpuiin doctor chuan i mitmeng tla (drooping eyelid) en mai maiin ptosis i neih leh neih loh a hre thei. Mit pahnih a tla thla a nih chuan hriat a harsa deuh thei.
I doctor chuan taksa a enfiah ang a, mit lam doctor hnenah a refer ngei ang che. Mit lam doctor chuan mit a enfiah ang a, a tul chuan test dang neih belh a rawt thei bawk.
Hei atan hian eng test nge tih thin?
- Slit lamp examination: Mit hmun nalh tak takte chu microscope bik hmanga enfiah.
- Visual field testing: I field of vision, chu chu i chhehvel i hmuh theih zat tehna test a ni.
- Ocular motility (eye movement) test: Mit kal kual vela mit ruh hnathawh dan test.
- Tensilon test: Hei hi myasthenia gravis an tih natna enfiahna atana test bik a ni.
Ptosis enkawlna tur engte nge ni?
Enkawlna chu i mitmeng ruhte hnathawh that danah a innghat a ni. A chang chuan, he natna hian i mit a tichhe lo a, i hmel lan danah ngaihtuahna i neih loh chuan enkawlna engmah a ngai lo mai thei.
Mahse ptosis hian mit hmuhna, hmel lan dan emaw, a pahnih emaw a nghawng chuan i mit doctor chuan enkawl a rawt ang che. Enkawlna chu natna avanga lo awm nge, tar chakna avanga lo awm mai mai a ni. Kum upa lam avanga ptosis natna enkawlna tha ber chu operation hi a ni.
Ptosis Surgery tih a ni
Hei hi a tlangpuiin a hmun chu numbing (local anesthesia) a, sedation pek che a ni. Hei hian i conscious tihna a ni a, mahse engmah hrehawm i nei lo.
Surgery tih dan tlangpui pahnih a awm a, chungte chu:
1. Skin incision method: Surgeon chuan mitmeng chunglam vun ah hian incision te tak te a siam thin. Chumi hmang chuan mitmeng chawisangtu thau te tak te chu hmuh a ni a, suture leh tightened a ni a, mitmeng chu a sang chho ta a ni. Chumi hnuah vun incision chu suture lehin an khar leh thin.
2. Non-incisional method: Hetiang method ah hian surgeon chuan mitmeng chu a chhung lam hawiin a roll a, a hnuai lam muscle chu a tikhauh a. Hei hian vunah incision engmah a mamawh lo.
Surgery zawhah i doctor chuan i mit enkawl dan tur a hrilhfiah ang che. Operation hnu ni engemaw zat hnuah doctor pan leh a, check-up neih a pawimawh.
Enkawlnaah hian harsatna a awm em?
Surgery dang ang bawkin ptosis surgery hnuah pawh harsatna tenau te a awm thei bawk.
- Hliam atanga thisen chhuak.
- Surgery hmuna natna hrik awm.
- Mit mitmeng (cornea) a chhiat.
- Mitmeng khar vek thei lo.
- Ptosis hi hun engemaw chen hnuah a lo lang leh thin.
- Operation hnuah mit pianzia emaw, mitmeng lift zat emaw chu a asymmetrical deuh thei (a tam zawk chu hun kal zelah an insiam tha ang).
Mit tlakna a awm em?
Awle. Puitlingah Acquired Ptosis chi thenkhat tan pawha pawm a ni eye drop a awm bawk. He damdawi hi Oxymetazoline an ti a . Levator muscle chu direct-a target-in a thawk a, a tichak bawk. Mi thenkhat chuan he damdawi hman hian an mitmeng a tivar tha zawk tih an hmuchhuak. Mahse, he effect hi vawng reng tur chuan he damdawi hi nitin i hman a ngai a ni.
A pawimawh ber chu he eye drop hian ptosis chi hrang hrang tan a thawk lo a, chuvangin hei hi i tan a tha em tih en turin i eye specialist nen inbia ngei ang che.
Ptosis hi a veng thei ang em?
Congenital Ptosis hi a veng thei lo. A chhan chu naute chu chutiang dinhmun neia piang a nih vang a ni. Tin, a hnu lama lo awm thin Ptosis (Acquired Ptosis) chhan, tar ang chi te hi kan tan chuan ven a harsa hle. Chuvangin hei hi ven ai chuan a hmaa hriat chian a, a lo awm a nih chuan enkawl dan tur dik zawn a pawimawh zawk.
Engtikah nge Doctor ka hmuh ang?
Hei hi zawhna pawimawh tak a ni. A hnuaia thil awm danah hian doctor, a bik takin mit lam doctor i pan ngei tur a ni:
| Doctor hmuh hun tur | |
|---|---|
| Mit hmuh a dal a nih chuan | I mitmeng tlahniam hian nitin hna thawh a harsat chuan lehkha chhiar emaw, lirthei khalh emaw a harsat chuan. |
| I hmel lan dan tur i ngaihtuah a nih chuan | Hetiang dinhmun hian i hmel lan danah rilru lama harsatna a siam che a nih chuan. |
| I mit i chhing nghal a nih chuan | Mitmeng pakhat a tlahniam nghal emaw, a khar tan emaw a nih chuan, stroke ang chi natna khirh tak chhinchhiahna a nih theih avangin doctor rawn la nghal rawh. |
| Symptom dang a awm chuan | Mitmeng tlahniam bakah hian double vision emaw mit na emaw i neih chuan. |
| I fain ptosis a neih chuan | Tikhawtlai suh. I fate mitdelna lama harsatna awm lo turin a rang thei ang bera mit lam doctor pan a pawimawh hle. |
Take-Home Thuchah a ni
- Ptosis chu mitmeng chunglam a tlakchhiatna a ni. Pianpui a ni thei a, nakin lawkah pawh a lo thang lian thei bawk.
- Puitlingte chunga hetiang thil a thlen chhan ber chu tar vang a ni.
- Naupangin ptosis a vei chuan mit lam doctor pan vat a pawimawh hle a, mit lama hmasawnna a nghawng thei a ni.
- Hetiang dinhmun hian mit a tibuai emaw, hmel lan dan ngaihtuahawm emaw a nih chuan enkawlna tha tak tak a awm a, chu chu operation ang chi hi a ni.
- Mitmeng a tlahniam nghal a nih chuan damdawi lam harsatna lian tham tak a nihna chhinchhiahna a nih theih avangin doctor lam pan nghal tur a ni.
- I dinhmun atana damdawi tha ber tur hriat tumin i doctor nen inbiakna nei fo ang che.
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