Mi pakhatin a mitmengah ring dum, hliam ang maia a vuah, glasses vuah ang maia a awm tih i hmu ngai em? Mi thenkhat chuan mut tlakchham avanga mit hnuaia dark circle awm hmangin hei hi an buaipui thin. Mahse a danglam hle a, a chang chuan kan taksa chhunga harsatna lian tak a awm tih chhinchhiahna a ni thei bawk. Hei hi ‘Raccoon Eyes’ kan ti thin. Vawiin hian a zawng zawng hi awlsam tak, friendly takin kan sawi dawn a ni.
He ‘raccoon ice’ hi eng nge ni?
A awlsam zawngin sawi ila, ‘raccoon eyes’ hi i mitmeng chunglam leh hnuai lam pahnih a rawn lang, dark blue emaw purple emaw a ni. I mit vel chu black circle ang maiin an lang. An hming hi an vuah chhan chu raccoon mit vel ring dum ang deuh an nih vang a ni.
Damdawi lamah chuan hei hi `(Periorbital ecchymosis)` kan ti a. Mit vel tissue-a thisen luang chhuak avanga hliam tuar a ni. Hei hi lu emaw mit emaw accident hnua thleng a ni tlangpui. Heng hliamte hi mit vela thisen kalna kawng nalh tak takte tihchhiat vang a ni a, chuta thisen chhuak chu mit vel vun hnuaiah a awm khawm thin.
A pawimawh ber chu, heng symptoms zinga pakhat tal i tawn chuan ngaihthah suh. A chhan hriat tumin doctor i pan ngei ngei tur a ni. A châng chuan, hei hi natna khirh tak, nunna atana hlauhawm tak pawh a ni thei.
‘Raccoon mit’ leh mit hnuaia dark circle chauh awm danglamna
Mi tam tak chuan an pahnih hi an ti buai hle. Mahse, an pahnih inkarah hian danglamna lian tak a awm. He danglamna hi chiang takin i hrethiam ang u.
| Mihring ziarang | 'Raccoon Mit' tih a ni. | Mit hnuaia dark circle awm hi a awm fo. |
|---|---|---|
| Chhan | Accident avanga mit vel tissue-a thisen chhuak . Hei hi contusion a ni. | Mut tlakchham, hah, tar, genetics. Hetah hian pun tum a ni lo. |
| Landan | Mit chung leh hnuai, mit vel zawng zawngDark blue/purple rawng a danglam. | Mit hnuai vun rawng a dum deuh vang chauh a ni. |
| A nasat dan | Vawi tam tak chu natna khirh tak chhinchhiahna a ni . Damdawi lam thurawn pek a pawimawh. | Hriselna lama harsatna lian tak a ni lo. |
‘Raccoon ice’ awm chhan berte chu engte nge ni?
A tam zawkah chuan hei hi accident vang a ni. Mit vel thisen kalna kawngte hi a nalh em em a, chuvangin thil tenawm ber pawhin a tichhe thei a ni. Heng accident te hi mitmeng siam laia hliam tenau tak atanga luruh tliak ang chi natna khirh tak thlengin a awm thei.
Mi pakhat chu car accident-ah, a nih loh leh hmun sang tak aṭanga tlu tawh angin han mitthla teh. Pawimawh tak chu ‘raccoon mit’ hi accident hnu lawkah a lang nghal lo. Ni khat, ni hnih, ni thum hnuah chauh a rawn lang tan a ni.
A chhan lian ber ber thenkhat chu hetiang hi a ni:
- Basal skull fracture: Hei hi a nasat ber leh a chhan tam ber a ni. Lu-a vuakna a awm chuan luruh bul chu a chhe a, thisen a chhuak a, mit vel a awm khawm thin.
- Orbital fracture: Hei hi mit lama direct-a vuakna a awm chuan a thleng thei.
- Crushing injuries / thoracic trauma: Crushing injuries to the Chest hian lu-ah thisen a kal tam thei a, thisen kalna kawng a tipuak thei bawk.
- A chhan dang: A châng chuan, thawk hah na tak, khuh na tak, emaw, luak chhuak pawh hian thisen kalna kawng nalh tak takte chu a puak darh a, hei hi a thlen thei a ni.
- Surgery: Hei hi hmai surgery, rhinoplasty ang chi hnuah pawh hmuh theih a ni.
Thluak hliam leh ‘raccoon ice’ inzawmna.
Hei hi thluak peng hlauhawm ber, kan zavaia kan hriat chian a ngai a ni. ‘Raccoon mit’ hi a chang chuan i thluak velah thil pawi tak a thleng tih hriattirna a ni.
Hei hian a awmzia chu luruh chhunga pressure a sang thei a, chu chuan ``Intracranial hypertension.`` a thlen thei a ni. He fluid leakage hian thluak natna nasa tak a thlen thei a, thihna thlengin a thlen thei bawk.
‘Raccoon mit’ neia a hnuaia symptoms te hi i neih chuan damdawi in pakhat Emergency Department (ETU)-ah tlai lovin kal nghal rawh!
* Lu-ah vuakna nasa tak i tuar tawh a nih chuan.
* I hnar emaw beng atanga tui thianghlim, tui ang maia chhuak a awm chuan.
* I rilruah salty taste nei ang maia i hriat chuan (hei hi cerebrospinal fluid leaking vang pawh a ni thei).
* I hriatrengna a buai emaw, a buai emaw a nih chuan.
* I mit a hloh thut emaw, i mit a fiah lo emaw a nih chuan.
Natna dang, chhiatna thlen lova hetiang dinhmun thlentu hi a awm em?
Ni e, accident awm lo pawhin damdawi lam thil thenkhatah chuan ‘raccoon mit’ a awm thei. Mahse hengte hi chu eng emaw chen chu a tlem hle.
- Mit vel thisen kalna kawng pangngai lo
- Amyloidosis natna a ni
- Autoimmune natna (e.g. Lupus erythematosus) .
- Cancer chi hrang hrang (Kaposi sarcoma, neuroblastoma, multiple myeloma) .
- Concussion a awm
- Thisen zam harsatna, hemophilia ang chi te
- Hri kai thenkhat (e.g., adenovirus) .
- Venous sinus thrombosis a awm thin
- Liver lama harsatna a awm
Hei hi engtin nge enkawl a nih?
Hetah hian hriatthiam tur pawimawh tak chu mit chhehvel rawng dum hi kan enkawl lo va, a thlentu damdawi lam dinhmun hnuaia awm chu kan enkawl zawk a ni .
Doctor i hmuh chuan a chhan hriat tumin test eng emaw zat a ti hmasa ang. Chung zingah chuan imaging test, CT scan, MRI, leh thisen test te pawh a tel thei.
A chhan hmuhchhuah hnuah enkawl dan tur rel a ni.
- Fracture a awm chuan surgery a ngai dawn a ni.
- Thluaka pressure a san chuan a tihziaawm theih nan enkawlna pek a ni.
- Infection a nih chuan damdawi dik tak an pe ang che.
- Hliam tenau te tan chuan chawlh hahdam leh ice hi a hring a tihziaawm nan a tha.
‘Raccoon mit’ hi a dam theih nan eng chen nge a duh?
A chhan enkawl a nih hnuah chuan a hliam chu a reh theih nan kar khat emaw kar hnih emaw vel a ngai tlangpui. Hetih lai hian bruise chu a rawng a inthlak tih i hmu mai thei. A hmasa berin dark blue/purple a ni ang a, chutah chuan red, pink, green, leh yellow a ni ang a, a tawpah chuan i vun rawng pangngaiah a kir leh ang.
Naupangin ‘raccoon mit’ a neih chuan tihduhdahna chhinchhiahna a ni thei ang em?
Hei hi thil sensitive tak ni mahse thil pawimawh tak a ni. Ni e, a then phei chuan naupang mit velah ‘raccoon mit’ awm hi naupang chu taksa lama tihduhdahna emaw, accident na tak emaw a tawk tih hriattirna a ni thei.
Naupang hliam tuar nia i rinhlelh chuan tanpuina dil turin phone la. Naupang chu biak la, engtin nge an hliam tih zawt rawh. Naupang chu a na hle emaw, a hlauhawm nghal emaw a nih chuan emergency services ko nghal tur a ni. I fate himna chungchangah harsatna i neih chuan, Child Protective Services Authority, police emaw, damdawi in hnai ber emaw hriattir hi ram mi i nih angin i mawhphurhna a ni.
Take-Home Thuchah a ni
- ‘Raccoon Eyes’ hi mut tlakchham avanga mit hnuaia dark circle awm mai a ni lo. Accident avanga thisen tlakchham avanga hliam na tak a ni.
- Hei hi basal skull fracture chhinchhiahna a ni fo thin a, a bik takin a bul lamah chuan. Accident atanga ni khat emaw ni hnih emaw vel atang pawhin a thleng thei.
- Lu hliam i neih a, hetiang hian i mit a rawn sen a, a bik takin i hnar/beng atanga tui chhuak a awm a nih chuan, emaw, i buai a nih chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.
- Hei hi thil pangngaiah ngai ngai suh. A chhan dik tak hriat tumin doctor hmu ngei ang che.
- Enkawlna chu mit vel a hliam vang ni lovin, a chhan natna hnuaia awmte tan a ni. Chuvangin, diagnosis dik tak neih a pawimawh hle.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Mut theih lohna chu eng nge ni?
Zingkar tlai taka thawh a, zan mut theih loh hi thil pangngai a ni. Mahse, ‘Insomnia’ hi a buaithlak em em a, darkar tam tak mut leh mit khap hnuah pawh i muhil thei lo, emaw, zan lamah vawi eng emaw zat i harh a, eng ang pawhin mut mah la, zing i thawh chuan hah/hahchawlh lo takin i inhria (Non-restorative sleep). Hei hian i nun/hnathawh/rilru zawng zawng a ti buai thei a ni.
💬 I thawhrimna zawng zawng karah pawh zan mut theih loh (Insomnia) chhan berte chu engte nge ni?
Hei hi a chhan ber chu ‘Stress/Severe Depression’ - Harsatna i ngaihtuah lutuk (Overhinking) hian thluaka chemical inthlak danglamna a awm a, i mut 100% a bo thin! Tin, 2) Coffee/Meizial leh Zanah Ruihhlo hman (Caffeine/Nicotine/Drugs). 3) Thyroid Gland Hnathawh Rang Lo (Hyperthyroidism). 4) Taksaah Natna/Natna tuar theih loh dang (Chronic Pain/Asthma) I neih pawhin I Muhil thei lo.
💬 Mut theih lohna hi eng in lama damdawi nge ni? Engtikah nge Doctor ka hmuh ang?
Mut hma darkar hnih velah i phone/TV (Blue light) en kha bansan vek la, coffee in loh tur! Mahse, 1) Nilengin i mit i khar nghal a, lirthei khalh/hnathawh laiin i muhil a nih chuan (Daytime microsleep / Narcolepsy) he mut theih lohna avang hian, 2) Zan lama i mut laiin thawk hah leh thawk hah taka i harh thut a nih chuan (Sleep Apnea - Heart Attack/Stroke a awm thei!), 3) ‘Suicidal ngaihtuahna' mut tlakchham vangin doctor pan nghal tur a ni!











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