I mit a na reng em? Recurrent Corneal Erosion chungchang hi i zir dawn nia!

Zing lama i mit i meng hian tuar theih loh khawpa natna i nei bawk em? I mit chhungah thil awm ang maiin, thil pakhatin a rawn beng che ang maiin i hria em? Eng en a har a, mittui a luang mai mai em ni? Chungte chu i mit chunglam layer, chu chu mitmeng (cornea) tihchhiatna a ni thei a, chu chu mitmeng chunglam chu a hring chhuak a ni. Hei hi Recurrent Corneal Erosion (RCE) kan ti a ni. A hming hi a buaithlak deuh a, mahse hei hi a awm fo thin. Ngaihtuah buai suh, he thu hi chipchiar takin sawi ila, awlsam takin.

Recurrent Corneal Erosion (RCE) hi eng nge ni tak tak?

A awlsam zawngin, i mit hma lama transparent membrane, car windshield ang maia lang chu cornea kan tih chu a ni. Hei hian mit chhunga sensitive parts te chu pawn lam khawvel atanga venhimtu a ni. Kan mit chungah safety glass dah ang mai a ni. He cornea hian layer panga, a nih loh leh layer panga a nei a. Recurrent Corneal Erosion (RCE) a nih chuan a chung lam layer pahnih a nghawng a ni.

Chu chhawng hnih chu:

• Epithelium: Hei hi mit (cornea) pawn lam ber a ni. Nerve tawp tam tak a nei a, chu chuan kan vun aiin a let za tam takin a sensitive zawk a ni. Leivut tlemte pawh kan hre thei.
• Bowman’s membrane: He layer hi a tam zawk chu protein pakhat collagen an tih atanga siam a ni. Jelly set leh vawn tlat angin ngaihtuah la, chutiang chuan a thawk a ni. Bowman-a membrane hian a chunga epithelial layer leh a hnuai layer te chu a vawng tlat a, an awm dun theih nan a pui a ni.

Tunah chuan RCE i neih chuan epithelium ngei leh Bowman’s membrane chu a inzawm tha lo va, a inzawm tha lo bawk. Chu inzawmna chu a chak lo hle. Tichuan a chung lam layer, epithelium ngei pawh chu awlsam takin a peel thei a, peel ang maiin. Chutiang a nih chuan a hnuaia layer hlauhawm zawkte chu a chhuak ta a ni. Hei hi thil hrehawm tak a ni a, a chhan chu epithelium hi nerve endings-in a khat a ni.

Hetiang RCE dinhmun hi engtiang chiahin nge a awm?

RCE hi natna tlanglawn tak a ni a, mahse mi engzat nge vei tih erawh sawi chian a har hle. England, London-a zirchianna pakhatah chuan he natna hian kum tin chu khawpuia mipui 1% vel a nghawng tih hmuhchhuah a ni. Mahse, chu number chu a tak tak aiin a hniam zawk mai thei. Hei hi a chhan chu a hliam tenau tak pawh hian damdawi lam pan a ngai lo thei a ni. Kan mit (cornea) hi a dam thuai theih nan siam a ni. Chuvangin, scratch tenau te chu minute emaw darkar emaw chhungin a dam thei.

RCE natna lan chhuahna chu engte nge ni?

RCE i neih chuan i natna lan chhuahna chu zing i mit i hawn hmasak ber ṭumin a lang fo . Entirnan, zan lamah chuan i mitmeng leh i mitmeng chunglam inzawmna chu a chak lo thei hle. Zing lama i mit i hawn chuan a chak lohna lai hian i mitmeng chunglam chu mitmeng atanga a inhnukdawk thei a ni. Chutiang a nih chuan symptoms i nei thei a, chungte chu:

• Natna nasa tak: 1.1.A natna chu mit chhunga thil awm ang maiin a lang thei a, chemte hmanga kah ang maiin a lang thei.
• Mit a sen vek.
• Photophobia: Eng tlemte pawh hi tuar theih loh a ni thei.
• Mit atanga mittui tla lutuk (Epiphora).
• Mit chhungah leivut emaw thil eng emaw a awm ang maiin a lang a , mahse mit chhungah chuan engmah i hmu tak tak lo mai thei.

Engvangin nge hetiang RCE dinhmun hi a lo awm?

Hei hi bang, a hring chhuak tawh chu uluk taka tihfai loha paint thar hnawih ang a ni. A chhan chu a hnuaia paint layer chu a thianghlim lo a, a chhiatna avang hian paint thar chu a nghet lo ang. I khawih mai mai pawhin layer thar chu a chhuak thei a ni lawm ni? Chutiang chu a ni. Cornea hnuaia layer-ah chak lohna emaw, chhiatna emaw a awm chuan a chung lam layer chu a nghet lo ang.

A tam zawkah chuan RCE thlentu ber chu a hmaa mit hliam vang a ni . I kut zungtang, lehkha kil khat emaw, thing hnah, hnah te tak te ang chi thil atanga pinching emaw, hliam emaw a ni thei. Huanah hna i thawk a, thinghnah te tak te pakhatin i mit a rawn deng ang tih han ngaihtuah teh. Chutih lai chuan thil lian tak angin lang lo mah se, ni engemaw zat hnuah emaw, kum engemaw zat hnuah pawh, zing lama i mit i meng chuan natna nasa tak nen i harh mai thei. He hliam hi tun hnai a nih a ngai lo. Mi thenkhat chuan kum tam tak kalta a mit hliam vangin RCE an nei thei. Chutiang hliam avanga RCE lo awm hian mit pakhat chauh a nghawng tlangpui.

RCE hi mit natna thenkhat leh mit tichhe thei natna rei tak avanga lo awm thei a ni bawk. Hengte hian mit pakhat chauh a nghawng fo nachungin, mi thenkhat chuan mit pahnihah hian symptoms an nei thei a ni.

Hei hi entirnan:

• Epithelial Basement Membrane Dystrophy (EBMD): Map-dot-fingerprint dystrophy an ti bawk a, hei hi mitmeng hnuai lam layer-a chak lohna a ni.
• Dry eye syndrome: Hetiang dinhmun hi mit atanga mittui siam chhuah a tlem chuan a lo awm thin.
• Type 2 zunthlum vei a ni.
• Mitmeng a hring leh a hring (Blepharitis).
• Ocular rosacea: Hei hi mit lama harsatna a ni a, vun natna avanga lo awm a ni.

RCE avanga harsatna awm thei te chu engte nge ni?

RCE vanga harsatna awmte hi a tlangpuiin nunna atana hlauhawm a ni lo va, mahse a nuam lo hle thei a, a pawi hle thei bawk.

Anni chu:

• Nakin lawkah RCE lo awm leh theihna a sang zawk: RCE a lo awm tawh chuan mit (cornea) a chhiat leh theihna chance a sang hle.
• Corneal haze: RCE in cornea a tihchhiat nawn fo chuan a transparency a tlahniam thei. Hei hian mit chhunga êng lut chu a ti tlem a, i hmuh a ti harsa hle.
• Hri kai theihna a sang zawk: 1.1.I mit (cornea) hi venhimna (protective barrier) a ni. A chhiat chuan a hnuaia layer te chu natna hrik a lo lang chhuak thin. Hei hian awlsam takin mit natna a thlen thei a ni . Chûngte chu a châng chuan thil pawi tak a ni thei.

RCE dinhmun hi engtin nge kan hriat theih ang?

RCE hi hriat a awlsam tlangpui. Mit lam doctor emaw mit lam doctor emaw chuan i natna lan chhuah dan te, i damdawi lam chanchin te, leh a hmaa mit hliam i neih tawh zawng zawng te zawtin a ringhlel thei a ni.

Tichuan hei hi finfiah nan test thenkhat an ti leh thin. Chutiang test i tih hmain, i natna tihziaawmna turin numbing damdawi an pe mai thei che a ni.

Test tih theihte chu:

• Slit lamp exam: He exam-ah hian i doctor chuan i mit chu special microscope (slit lamp) hmangin a enfiah thin. He test neih chhung hian i mit (mit drop angin emaw, special strip hmangin emaw) blue dye fluorescein an tih chu hnawih a ni. Hei hian mit (cornea)-a scratch awm zawng zawng chu a hmu thei a ni.
• Adhesion test: Hei hi surgical sponge hmangin mitmeng chunglam chu zawi zawiin khawih a ni. RCE i neih chuan cornea chunglam layer chu sponge nen a kal ang a, a inzawm tha lo ang. Hei hi test dangin chiang taka scratch a lan loh chuan a tangkai hle.

RCE hi engtin nge enkawl a nih?

Doctor-te chuan RCE hi step by step-in an enkawl a. Damdawi awlsam tak atanga tan an ni tlangpui a, an puih loh chuan surgical treatment buaithlak zawkah chauh an kal thin. Mahse, RCE a nasat chuan enkawlna buaithlak zawkah an kal nghal mai thei.

Damdawi lam enkawlna

A tum ber chu i mit ngeia a dam theihna tur boruak nuam tak siam hi a ni. Enkawlna tam tak chu mahni insiam chawp a ni. I doctor chuan i tih tur chiang takin a hrilh ang che.

Enkawlna thenkhat chu ni tam tak emaw, kar tam tak emaw chhung a daih thei. RCE nasat dan azirin thenkhat chu thla tam tak chhung an daih thei bawk.

Damdawi lam enkawlnaah hian a hnuaia mi pakhat emaw, a aia tam emaw a tel thei ang:

• Natna enkawl dan: RCE hi natna khirh tak a ni. Natna tidamtu nonsteroidal anti-inflammatory drugs (NSAIDs) te hian natna tihziaawmna kawngah a pui thei a ni. Tin, special ointment leh bandage contact lens te hian natna a tiziaawm thei bawk.
• Mit lubrication: Mit hi artificial tear, saline drop, gel emaw ointment emaw pek theih a ni. Doctor-te chuan hengte hi zanah mut hmain hnawih tur a ni. Hei hi zing lama mit i hawn hunah RCE lo awm tan emaw, a zual zel loh nan emaw tih a ni.
• Hypertonic saline hmanga siam a ni:He tui hian mit chunglam atanga tui lakluhna a tipung a ni. Hei hian epithelium chu a hnuaia layer-te chu a nghet zawkin a pui a ni. Doctor-te chuan hei hi nitin hman an rawt a, zan lama i hnawih tur ointment nen.
• Antibiotic drop emaw ointment emaw: Hengte hi mit natna RCE thlentu eng pawh enkawlna atana pek a ni a, mit a dam hmaa natna a awm loh nan emaw pek a ni.
• Patching emaw bandage contact lens: Heng pahnih hian mit a dam hma loh chuan venhimna layer dang a pe a ni. Bandage lens chu mit chunga bandage dah a ni a, contact lens ang chiah a ni. Mit a tihdam theih nan a pui thin.
• Cycloplegia: I mit control tu muscle te hian i mit pianzia chu tlem a thlak danglam thin. Hei hian hlat zawng hrang hranga thil chiang taka hmuh theihna a siam a ni. Cycloplegia hian mit natna nei taksa peng hrang hrangte chu hun eng emaw chen a tichak lo a ni. Hei hian mit chu a pianzia ang bawka awm theihna a siam a, chu chuan a dam leh awlsam phah a ni.
• Serum drops: Heng special drops-ah hian immune proteins leh thil dang, mit damna tur a awm a. Anni hi autologous , i thisen atanga siam tihna a ni a, thisen pek atanga siam pawh a ni thei.
• Damdawi bik: Chûngte chu mitmeng tihdamna tibuaitu proteins blocktu damdawi, corticosteroids emaw doxycycline emaw , emaw, damna tichaktu growth factors awmna damdawi emaw pawh a ni thei.

Surgery hmanga enkawlna te

Surgery hmanga enkawlnaah chuan epithelium hmun chhe tawhte chu paih chhuakin, a inang tlangin, hliam awm lovin a lo thang leh thei a ni. Heng surgery te hi topical anesthesia hmanga tih a ni tlangpui a, chuvangin natna a awm lo.

Heng enkawlna hnu pawh hian i doctor chuan a chunga kan sawi tawh ang khan damdawi a pe thei a ni. Epithelium hi ni engemaw zat chhungin a lo thang leh tlangpui. Mahse, epithelium chu a hnuaia layer-te a nghet taka a inzawm theih nan kar tam tak emaw, thla tam tak emaw damdawi hmanga enkawl chhunzawm a ngai thei a ni.

Surgery hmanga enkawlnaah hian a hnuaia mi pakhat emaw, a aia tam emaw pawh a tel thei ang:

• Debridement: Hei hian epithelial tissue chhia chu instrument bik hmanga lakchhuah a ni.
• Diamond burr polishing: Doctor chuan hmanraw bik hmangin mitmeng natna hmun atanga epithelial tissue chu a scrape chhuak a, chu chuan a hmun zawng zawng chu a rualin a lo thang lian leh thei a ni.
• Stromal punctures: Doctor chuan needle emaw laser te tak te hmangin stroma , mit layer Bowman-a membrane hnuaia awm chu khur te te a siam thin. Heng khur te hi hmun dik taka dah a nih chuan mit chu chu khur atang chuan a tidam leh thin. Hei hian a chung lam layer inkara inzawmna chu a tichak a ni.
• Amniotic membrane placement: Hei hian bandage lens angin hna a thawk a, mahse nausen atanga tissue lakchhuah a hmang thung. Placenta chu cesarean section hmangin lakchhuah a ni a, chutah chuan sterilization process khauh tak neih a ni. Doctor chuan mit natna hmun chungah direct-in a dah a. Placental tissue hian mit a venghim a, mitmeng pawn lam layer te chu a lo thanglian leh thei a ni.

Enkawlna avanga harsatna/side effect awm thei

Enkawlna avanga harsatna leh side effects te hi enkawlna i dawn dan azirin a inang lo hle. I doctor chuan eng side effect nge i neih theih tih leh chu chu tihtlem emaw, venna emaw atana i tih theihte chu a hrilh thei ber che a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Enkawlna hnua dam leh hun chhung hi thil engemaw zatah a innghat a ni. I mitmeng (cornea) epithelial layer chu a lo thang leh thei a, a dam thuai thei bawk. Mahse, a hnuaia layer te chu a dam kim theih nan leh a inzawm tha theih nan kar tam tak emaw thla tam tak emaw a ngai thei a ni. I doctor chuan i dam leh theih nan eng chen nge a rei dawn tih leh i natna lan chhuah dan, i mit hmuh danah emaw, i mit hriat danah emaw inthlak danglamna hmuh i beisei theih hun tur chu a hrilh thei che a ni.

RCE ka neih chuan eng nge ka beisei ang?

RCE i neih chuan a symptom ber chu natna a ni . Symptom dangte chu a awm fo a, a nuam lo a, nitin hnathawhna a tibuai bawk. Mahse, scratch tenau te hi a dam thuai tlangpui. Mi tam zawk chuan an hliam nasat lutuk a nih chuan damdawi lam pan an ni.

Buaina i hmachhawn tur ber chu hengte hi a lo lang leh thei tih hi a ni . Chutiang a nih chuan i mit hmuhna tichhe thei harsatna a awm theihna chance a sang hle.

Chuvangin, RCE symptoms i hmuh chuan mit lam doctor pan a tha ber a, a bik takin zing i mit i hawn hmasak ber hian . Enkawlna rang tak chuan RCE-in chhiatna a thlen chu a tihtlem thei a, nakin lawka a lo awm leh theihna tur a ti tlem thei bawk.

RCE hian eng chen nge a daih theih?

I cornea hian a tidam theihna mak tak a nei a. Damdawi tenau te chu darkar tlemte chhungin a dam thei a, chhiatna nasa zawk chu ni engemaw zat a daih thei bawk.

Mahse, RCE hi i mit a dam that loh hunah chauh a awm tih hre reng ang che. Chutiang a nih chuan i mit damdawi emaw, doctor-in a tih angin enkawlna dang emaw chu kar tam tak emaw, thla tam tak emaw chhung i hmang chhunzawm zel a ngai ang. Hna hahthlak leh hahthlak tak angin a lang thei a, mahse i mit a dam tha tur leh nakin lawka RCE a thlen loh nan a tha ber a ni.

RCE dinhmun thlirletna chu eng nge ni?

RCE hi a hrehawm a, a nuam lo a, a chang chuan a na hle a, mahse nunna atana hlauhawm a ni lo. A chang chuan a lo let leh thin a, mahse a lo lang leh thin chu enkawl theih a ni. Vanneihthlak takin hun rei tak emaw, a tawp emawa i mit hmuhna tichhe thei complication hi a awm lo.

RCE hi ven theih a ni em, a hlauhawmna pawh tihziaawm theih a ni em?

RCE hi beisei loh takin a thleng thei a ni. Anni hi ven kim theih a ni lo a, mahse an thlen theihna tur tihtlem nan thil i tih theih a awm.

RCE venna atana tih turA pawimawh ber chu mit hliam laka invenna a ni. I mit hliam hlauhawm a awm apiangin goggles, face shield emaw safety glasses emaw vuah thin ang che. Hei hi hmanrua hmanga hnathawh emaw, i mit chhunga thil awm theihna hmuna i hnathawh hunah emaw a pawimawh hle.

Mut hmaa mittui, gel emaw, ointment emaw i mitah hnawih hi a \angkai hle thei a, a bik takin zing lama mit na tak neia i harh chuan a \angkai hle thei a ni. Mit leh mitmeng chunglam a hnim reng hian mittui tlakna thlentu adhesions a veng thei a ni.

Engtin nge ka in enkawl ang?

RCE i vei nia i hriat chuan enkawl hmasak a tha ber . Hei hian i symptoms te a enkawl thei ang a, nakin lawka harsatna i neih theihna tur a ti tlem bawk ang.

RCE i neih chuan i doctor chuan a enkawl dan tur a kaihruai ang che. An thupek dik taka zawm a pawimawh hle. Thupek dik taka i zawm a, damdawi emaw, enkawlna emaw i pek angin i ei chuan harsatna awm lovin i dam leh mai thei hle.

Engtikah nge ka doctor ka hmuh ang emaw, doctor thurawn ka lak ang?

RCE i neih chuan doctor-in a rawt angin follow-up visit-ah i kal tur a ni. Hei hian i mit (cornea) a dam dan a enfiah thei ang a, a tul chuan i enkawlna pawh a siamrem thei bawk ang. I natna lan chhuah danah te, i mit hmuh danah te, i enkawlna hlawhtlinnaah emaw inthlak danglamna i hmuh chuan anmahni i biak emaw, i tlawh emaw tur a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

RCE hi emergency a ni tlangpui lo va, mahse a hrehawm thei a, nitin hnathawhna a tibuai hle thei bawk. RCE symptoms i neih chuan chhungkaw doctor office-ah call la, kaihhruaina i dawng ang. Urgent care clinic-ah pawh i kal thei bawk.

RCE hi emergency ni lo mah se, mit hliam na zawk, corneal lacerations , mitmenga hliam leh mittui tlakna nen a inang lo hle.

Ringhlel i neih chuan hmanhmawh taka enkawlna zawng hmasa phawt ang che. Chutianga tih chuan enkawlnaah te, dam lehna kawngah te, leh i mit hmuhna humhalhnaah te danglamna nasa tak a thlen thei a ni.

Mit na nen a hnuaia symptoms te hi i neih chuan doctor rawn tur a ni:

• I mit hliam, hliam, hliam, hliam, emaw, hliam hliam emaw.
• Mit a hloh nghal (hun eng emaw chen atan emaw, mit hmuhna hmun thenkhat chauh a nghawng emaw pawh nise).
• I mit chu a kang emaw, a sen emaw chu i sawifiah theih loh khawpin a kang emaw, a sen emaw a ni.
• Nausea leh luak chhuak.
• Lu na .
• Khawsik.
• I mitmengah thil pakhat a innghat ang maia hriatna (chutiang hriatna thlentu ni thei thil i hmu thei emaw i hmu thei lo emaw pawh nise).

A tawpah chuan tlem...

Kan mit a thawk tha lai hian kan hman nasat zia pawh kan ngaihtuah ngai lo a ni lawm ni? Mahse kan mit a na a, a chhan kan hriat loh chuan a hlauhawm hle thei. RCE hi natna khirh tak, hrehawm tak a ni a, mahse a enkawlna tha tak tak a awm.

RCE symptoms i neih chuan, a bik takin a thar a nih chuan doctor emaw mit lam doctor emaw nen inbia ang che. Diagnosis i hmuh thuai a, enkawl i tan chuan i dam thuai theihna chance a sang zawk a, nakin lawkah i natna hi a lo lang leh tawh lo ang.

` Mit hliam, Mit hliam, Mit na, Mit sen, Recurrent Corneal Erosion, Cornea, Mit na