I naute mit chu thlalak ah a eng sen em? Hei hi ‘Red Reflex’ chungchang a ni!

I naute emaw, naupang tenau dang emaw flash on chungin thlalak i la tawh em? A châng chuan naute mit chu a sen vek tih i hre tawh mai thei. Mi thenkhat chuan hei hi an hmuh hian an buai deuh a, ‘Engvangin nge heng mitte hi a sen? Thil dik lo a awm em?' Mahse a tam zawkah chuan hei hi ngaihtuahawm a ni lo. Vawiin hian he ‘red reflex’ an tih hi kan sawi dawn a ni. Eng nge a nih, engvangin nge a lo awm tih leh harsatna a nih leh nih loh i zawng chhuak ang u.

‘Red Reflex’ hi eng nge ni tak tak?

A awlsam zawngin sawi ila, ‘Red Reflex’ hi mit hnunglam a êng a rawn tlak a, a rawn lang leh a, iris hmanga hmuh theih rawng sen a ni. Naupang enkawltute chuan he ‘red reflex’ hi an enfiah ngei ang, i fa te chu thla tin clinic-a i hruai hunah emaw, an hmasawnna enfiah tura doctor i pan hunah emaw an enfiah ngei ang. Tin, kan sawi tawh ang khan hei hi flash on chunga thlalak laknaah hmuh tur a awm fo bawk.

Amaherawhchu hei hi ‘red reflex’ tia sawi ni mah se, mi hrisel takah pawh a sen a lang ngai lo. Chuvangin damdawi lam mithiam thenkhat chuan hemi atan hian ‘Fundus Reflex’ tih hming hi hman an rawt bawk. ‘Fundus’ tih hi damdawi lam tawngkam a ni a, mit hnung lama mit peng awm chu a sawina a ni. Chuvângin, he thuziakah hian hmun ṭhenkhatah chuan chu hming chu kan hmang mai thei.

Engvangin nge hei hi a sen hmel? A nih loh leh engtin nge hetiang hi a lo awm?

Hei hi a awlsam hle. Ngaihtuah teh, i mit chungah êng a tla a. Chu êng chu mit chhungah a lut a, mit hnung lama tissue awmte, chu chu ``fundus'' tih chu a rawn deng a, a rawn lang leh ta a ni. Chu reflected light chu kan mit ring dum hmanga kan hmuh chu a ni. Darthlalang atanga êng lo lang ang mai a ni.

Hei hi mi zawng zawng mitah a sen hmel em?

Hetah hian zawhna pawimawh tak a awm. Mi tam tak chuan hei hi mi zawng zawngin sen angin an ngai tur niin an ngai. Mahse thudik tak chu he ‘fundus reflex’ rawng hi mi hrang hrangah a inang lo thei a ni. Chumi chhan ber chu vun rawng a ni. Vun rawng a dum deuh deuh chuan mit chhunga mit hnunglam tissue pawh a dum deuh thei bawk. Tichuan, a reflected light rawng pawh a danglam ta a ni.

A awlsam zawngin sawi ila, ‘fundus reflex’ hrisel tak chu rawng hrang hrangin a lang thei a, chungte chu:

• Vun hring nei tan: A tam zawkah chuan red to orange range-ah a lang thin.
• Asian hnam chhuak, emaw vun rawng (medium skin tones) nei tan: Orange atanga yellow thlengin a lang thei.
• Mihring dum, emaw vun dum tak tak nei tan: Hei hi a dum angin a lang thei a, a chang chuan greenish emaw blue emaw pawh a ni thei.

Chuvangin, i naute mit chu thlalak a sen aiin a rawng danglam zawk a nih chuan lungngai suh. A pangngai a nih a rinawm.

Engtin nge he ‘fundus reflex’ hi kan hmuh theih ang?

Tunlai hian hei hi hmuh awlsam ber chu hmun thim takah flashlight hmanga thlalak lak hi a ni. Kan mit hian thim zingah chiang taka a hmuh a ngaih avangin mit iris chu a lian chho zel a ni. Tichuan thlalak lakna atana hman flash atanga êng lo chhuak chu iris lian zawk kal tlangin mit chhungah a lut a, a rawn lang leh ta a ni. Hei hi iris chu a tlahniam leh hmain a thleng thin.

Thlalak siamtute chuan hei hi ‘red eye effect’ an ti. Professional photographer te chuan an thlalak atang hian hei hi paih chhuah an tum thin. Tunlai smartphone photo app tam takah phei chuan he ‘mit sen’ hi tihbo dan tur an nei a ni.

Engtikah nge ‘Red Reflex’ hi kan ngaihtuah tur?

Hei hi a pawimawh ber a ni. ‘fundus reflex’ hi test pawimawh tak a ni a, naupang tê, a bikin nau piang tharte mit hriselna hriat chian theih a ni. A chhan chu mit lama harsatna thenkhat, mit natna thenkhat, leh a chang chuan natna khirh tak tak pawh a hmuchhuak hmasa thei a ni.

Harsatna a awm chuan ‘fundus reflex’ hi kawng dangin kan thlir dan tlangpui engemaw zat a awm a:

• Leukocoria: Hei hi “mit var” tihna a ni. Hetiang dinhmunah hian fundus reflex chu a hring, a sen emaw, a var emaw a lang thin. Hei hi mit chhunga fundus ni lo thil dang hmanga êng a lo lang vang a ni. A tlem hle a, hei hi mit cancer chi khat retinoblastoma an tih chhinchhiahna a ni thei. Mit pakhat emaw, mit pahnih emaw a nghawng thei. Nau piang thar 15,000 zinga 1 velin a nghawng a ni.
• Khaw khatah ngaihtuahna chak lo: ‘fundus reflex’ chu mit pahnihah a inang vek tur a ni a, a chiang tur a ni. A châng chuan angle of view emaw lighting emaw a zirin a sir khat chu a lang tlem deuh thei bawk. Mahse, mit pakhata reflection chu mit dang aiin a danglam reng a nih chuan ngaihtuahawm tak a ni.
• Mit pakhata fundus reflex awm lohna: Mit pakhatin fundus reflex a nei a, mit dangin a nei lo a nih chuan chu pawh chu harsatna chhinchhiahna a ni thei bawk.

Thlalak pakhata inthlak danglamna i hmuh chuan i lungkham tur em ni?

Hetah hian hriat reng tur pawimawh tak chu ‘fundus reflex’ hi doctor trained ten hmanraw bik hmanga an en thin, ‘ophthalmoscope’ ang chi hi a ni. Hei hi thlalak ah kan hmu thei a, mahse thlalak pakhata danglamna i hmuh vang mai maia hlauhthawn chu thil tha a ni lo.

Chutiang a nih chhan hrang hrang a awm a:

• Mit siam dan: 1.1.Kan mit hmun langtlang tak, mitmeng (cornea) hian êng a rawn pholang thei bawk. Chu reflection chu a chang chuan light color angin a lang thei bawk. Mahse mit chhung atanga lo chhuak reflection a ni lo.
• Viewing angle: ‘fundus reflex’ a lan dan hi kan en angle a zirin a danglam thin. Chuvangin, thlalak pakhatah danglamna awm mahse, thlalak engemaw zatah a hmuh theih reng loh chuan ngaihtuahawm tur a ni lo.
• Distance: Doctor ten he ‘fundus reflex’ hi feet 1.5 leh feet 3 (meter 0.45 - 0.9) inkar hlat atangin an en thin. Hmun hla zawk atang chuan chutiang chuan a chiang lo. Hmun hla tak atanga hmuh theih lem a awm chuan mit hmalam atanga rawn lang a ni mai thei.

Ka naute ‘red reflex’ ah thil mak ka hmuh chuan eng nge ka tih ang?

I naute (or naupang i enkawl) fundus reflex-ah thil danglam tak i hmuh chuan hlauhna, lungkhamna, lungkhamna i neih hi thil pangngai a ni. Mahse, thlalak pakhat i hmuh vang mai maia hlauthawng suh, hre reng ang che. Thlalak-a fundus reflex hi thil danglam tak anga lang thei tur chhan tam tak a awm thei.

Mahse, thlalak tam takah inthlâk danglamna inang chiah i hmuh fo chuan, a nih loh leh ngaihtuahna i neih chuan, i fa naupang enkawltu doctor phone a, i thil hriatte sawifiah a, i fa enfiah tûra appointment siam chu a ṭha ber. Doctor chuan i fa fundus reflex chu a enfiah thei a, ngaihtuah tur a awm em tih a enfiah thei bawk.

He test hi minute tlemte chauh a ni. A tam zawkah chuan dilation a ngai lo va, a na lo bawk. Doctor chuan thil engemaw ngaihven belh ngai nia a hriat chuan mit enkawltu specialist hnenah a refer ang che.

Smartphone apps 'Red Reflex' en thei a awm em?

Chumi chhanna chu a ni leh ni lo a ni vek. Tun hma pawhin hetiang thil atana hman theih apps a awm tawh a, mahse a tam zawk chu research atan a ni. Ṭhenkhat chu i la hmu thei mai thei a, mahse tun dinhmunah chuan damdawi atana sorkar thuneitute pawmpui apps a awm lo. Apps thar a chhuak zel a, mahse anmahni chauha innghah erawh a tha lo.

I fa mit hriselna chungchanga zawhna i neih chuan naupang enkawltu emaw, doctor thiam dang emaw pan ngei ngei tur a ni. Apps hian thil engemaw zat hriatchhuahna kawngah a pui thei a, mahse doctor trained, thiam tak hmuhna aiah apps hi hmang ngai suh.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh ‘Red Reflex’ emaw ‘Fundus Reflex’ emaw chungchanga thil pawimawh tak tak thenkhat i hriat nawn tir leh ang u.

• Hei hian mit chunga êng a tlak a, mit hnunglam atanga a rawn lang a, mit iris dum hmanga hmuh theih a nih dan a kawk a ni.
• He test hi naupang, a bik takin naupang te, mit cancer rare (Retinoblastoma) ang chi mit natna khirh tak tak hriat hmasak nan a pawimawh hle.
• I fa mit atanga êng rawn lang chhuak chungchangah ngaihtuahna i neih chuan, emaw, an hmel lan danah thil danglam tak i neih chuan hlauthawng suh la, naupang enkawltu doctor pan rawh.
• Mit enfiahna awlsam tak leh ‘Fundus Reflex’ test hian harsatna eng pawh chu a hmain a hriat theih a, rinhlelhna i neih apiang a tifai thei bawk. Hriat hmasak hi a tha ber tih hre reng ang che!

Chuvangin, ‘Red Reflex’ hi hriatthiamna tha tak in neih ka beisei. He thu hi i tan a tangkai ngei ka beisei!

` Red reflex, fundus reflex, mit sen, naute mit, mit hriselna, leukocoria, retinoblastoma