I mut laiin i mit hmaah hian dot dum te te, thread ball te, a nih loh leh spider web te a lo inphah chhuak tih i hmu ngai em? A nih loh leh mi pakhatin camera flash a kah ang maia lightning flash i hmu em? Mi tam takin hengte hi thil pangngai anga an ngaih laiin, a chang chuan mit natna khirh tak tak chhinchhiahna hmasa ber a ni thei bawk. Vawiin hian hetiang dinhmun khirh tak, mahse hrehawm lo tak chungchang kan sawi dawn a ni. Chu chu retinal detachment, a nih loh leh damdawi lam sawi chuan retinal detachment .
A awlsam zawngin, retinal detachment chu eng nge ni?
Kan mit hi camera angin han ngaihtuah teh. Chuvangin, retina hi camera hnung lama film ang maia sensitive tak membrane a ni. Kan thil hmuh atanga êng lo chhuak chu retina-ah a tlak chuan chu êng signal chu electrical signal-ah a chantir a, thluak lamah a thawn ta a ni. Chumi hnuah chauh chuan lem kan hmu thei ang. Chuvangin retina hian a hnuaia tissue atang hian a nourishment leh oxygen a hmu thin.
Retinal detachment chu retina chu a hnuaia tissue atanga a inthen a , chu chuan ei tur a pe a ni . Wallpaper bang atanga lo chhuak ang mai a ni. Chutiang a lo thlen chuan a thisen supply a hloh thin. Hei hi natna nei lo, mahse natna khirh tak a ni . Enkawl vat loh chuan retinal cells te chu an thi thei a, mit hmuhna a tichhe vek thei bawk .
Chuvângin, rang taka floater tam zâwk i neih chuan, êng êng i hmuh chuan, a nih loh leh i mit sir aṭanga puan dum a tla tih i hriat chuan, natna awm lo mah se, ngaihthah suh Doctor hmu nghal rawh. A nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh .
Retinal detachment chi hrang hrangte chu engte nge ni?
Hetiang dinhmun hi a lo awm dan azirin chi thum a awm a. Eng nge an nih i han thlir teh ang.
| Escape type a ni | Engtin nge a lo awm tih leh a chhan |
|---|---|
| Rhegmatogenous chi khat a ni | Hei hi a tam ber chi a ni. Kan tar chhoh zel chuan mit chhunga gel ang chi (vitreous humor) chu a lo tlem zauh zauh thin. Chutiang a nih chuan retina atang chuan a inhnukdawk a, chu chuan mittui tla emaw, khur te te a siam thin. He tear hmang hian gel chu retina hnuaiah a inkhawm a, a nawr chhuak a, a inthen ta a ni. |
| Tractional type a ni | Hei hi retina chunglama scar tissue lo awm vang a ni a, chu chuan a inhnukdawk ta a ni. Zunthlum vei te hi an hlauhawmna a sang zawk. Thisen sugar level sang leh thunun loh rei tak a awm chuan mit chhunga thisen kalna kawng nalh tak takte chu a chhe vek a, scar tissue a lo awm thin. He scar tissue hian a hruai bo thei a, retina chu a ti chhuak thei a ni. |
| Exudative type a ni | Hetiang chiah hian retina-ah hian tear leh hole a awm lo. Mahse, retina hnuaiah hian tui a pung khawm thin. Hei hi mit chhunga hrik kai theihna thenkhat (uveitis ang chi), mit hliam emaw, cancer thenkhat vang emaw a ni thei a, chu chuan thisen kalna atanga tui a chhuah tir thei a ni. |
Hei hi eng symptoms nge ni thei ang?
Retinal detachment lian leh te a zirin symptoms a inang lo thei. Detachment tlemte a awm chuan symptoms a awm lo thei. Mahse, a tam zawkah chuan heng symptoms te hi a lo lang nghal thei a ni.
- Photopsia: Mit chhunga êng rawn chhuak nghal mai, mit tidel thei tak .
- Floater tam tak hmuh: I mit hmaa thil tam tak, black spot, spider web, emaw, balls of thread floating te hmuh nghal mai. (A chang chuan pakhat emaw pahnih emaw hmuh chu thil pangngai a ni a, mahse vawi khata tam tak i hmuh chuan vaukhânna chhinchhiahna a ni.)
- Mit pakhata mit hmuhna hloh: Mit pakhata mit hmuhna hloh anga hriatna.
- Mit hmaa puan dum tla: Mit hmaa puan dum tla thla ang maia hriatna.
Heng symptoms te hi i neih chuan ngaihthah suh. I mit hmuhna tichhe thei emergency a ni thei.
Hetiang dinhmun hi tute nge hlauhawm zawk?
Tu pawhin he natna hi vei thei mahse, mi thenkhat chu an hlauhawm zawk.
- Kum upa lam: Kum 50 chunglamte chu an hlauhawmna a sang zawk.
- Mit hliam: Mit hliam na tak ang chi accident.
- Chhungkaw chanchin: 1.1.Chhungkaw zinga mi tu emaw chuan hetiang dinhmun hi a lo nei tawh a nih chuan.
- Mit zai hmasak tawh: entirnan, mit zai hnuah.
- High Myopia: "Hmun hnai tak, mahse hla takah hmuh theih loh" tih natna khirh tak nei tan.
- Mit natna dang: Diabetic retinopathy emaw lattice degeneration nei te.
- Mit pakhatah retina a lo inthen tawh a nih chuan: Chutiang a nih chuan mit dang pawh a hlauhawm hle.
Heng risk factors zinga pakhat tal i neih chuan mit lam doctor hnenah i mit enfiah fo a pawimawh hle.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i pan hunah i mit chu uluk takin a enfiah ang. Hei hi mit mitmeng (pupil) tihzauh (dilated eye exam) hmanga tih a ni ber.
Hemiah hian thil thleng chu i mit chhungah mittui tlakna (eye drops) dah a ni. Minute tlemte hnuah i mit dum chu a lian leh ang. Tichuan, doctor chuan hmanraw bik hmangin i mit chhunga retina chu chiang takin a hmu thei ang. Hei hian retina-ah hian tear, hole, detachment a awm em tih i hriat theih nan a pui thei che a ni.
Tin, a tul chuan test dang eng emaw zat tih theih a ni bawk.
- Optical Coherence Tomography (OCT) scan: Hei hian retina cross-section 3D-a thlalak a la thei a.
- Mit (Ocular) Ultrasound Scan: Mit chhunga thisen chhuak ang chi thil vangin retina chiang taka hmuh theih loh chuan ultrasound hmangin mit chhung lam en theih a ni.
- CT scan: Hei hi mit hliam chungchang hriat belh nan hman a ni.
Hei hi eng enkawlna nge ni?
Retinal detachment hi operation hmang chauha enkawl theih a ni . Enkawl dan chu detachment chi hrang hrang, a lian leh te leh thil dang dangah a innghat a ni.
Retinal tear chauh a nih chuan:
A dam hmaa crack chauh a awm tih i hmuh chuan a lian hmain "welding" ang maiin i glue thei ang.
- Laser Therapy: Laser rays hmangin crack vel chu kangmei te te siam a ni a, chuta chhuak scar chuan crack chu a seal a ni.
- Cryopexy: Khawsik nasa lutuk hmang hian a tear vel chu scar siamin a seal thin.
Retina chu a inthen a nih chuan:
Chhanchhuahna a awm chuan a hnuaia surgery pakhat emaw a aia tam emaw tih a ngai mai thei.
| Surgery tih dan tur | Hrilhfiahna awlsam tak |
|---|---|
| Pneumatic Retinopexy hmanga enkawl a ni | Hetah hian doctor chuan mit chhungah gas bubble a inject a. Bubble hian detached retina chu mit bang chhungah a nawr lut leh a. Surgery zawhah chuan gas bubble chu hmun dik takah a kal theih nan leh a hmunah a awm theih nan ni engemaw zat chu i lu chu hmun bik takah dah a ngai a ni. |
| Scleral Buckle a ni | Hei hian mit pawn lam vel chu silicone strap ang chi device (buckle) dahin zawi zawiin an tikhauh a ni. Hei hian mit bang chu a chhungah a nawr a, chu chuan detached retina chuan wall chu a khawih leh thei a, a nghet thei bawk. He strap hi dam chhung atan mit vel ah a awm tlangpui a, mahse pawn lam atang chuan a lang lo. |
| Vitrectomy tih a ni | Hei hi surgery buaithlak deuh a ni. Chutah chuan mit chhunga gel (vitreous) chu a chhuak vek a ni. Tichuan, mittui tla chu laser hmangin an siam ṭha a, gel awmna hmun chu gas, boruak, a nih loh leh silicone oil bubble-in a khat a ni . He bubble hi retina chu a inzawm leh hma loh chuan a hmunah a vawng tlat thin. |
Pawimawh: I mitah gas bubble i neih chuan thlawhna emaw hmun sang takah emaw a hmin vek hma loh chuan i kal tur a ni lo . Hei hi a chhan chu hmun sang taka boruak pressure inthlak danglam hian bubble chu a tizau a, mit a tichhe thei a ni. Heng thilte hi engtikah nge i tih leh theih ang tih i doctor chuan a hrilh ang che.
Operation hnuah eng nge i beisei theih ang?
Operation hnu kar engemaw zat chhung chu mit lamah harsatna leh natna engemaw zat a awm thei. Chumi atan chuan doctor chuan painkiller a pe ang che. Kar tlemte chhung chu hna rit tak tak, exercise leh lirthei khalh te i pumpelh a ngai bawk ang.
- Mit patch: Doctor-in a tih chhung chu mit patch i vuah tur a ni.
- Lu dinhmun: 1.1.A bik takin gas bubble dah a nih chuan, a hnathawh that theih nan doctor-in a tih hun chhung chu i lu chu hmun khatah dah a pawimawh hle.
- Eye drops: Mit hi a hun takah hnawih tur a ni a, hei hian mit a tidam thuai a, natna hrik a veng thei bawk.
- Vision: Operation atanga kar 4-6 vel hnuah mit a tha chho zauh zauh tan thin. Mahse, mit hmuhna famkim a lo kir leh theih nan thla engemaw zat a la ngai thei. A \henah chuan mit hmuhna chu a lo siam \ha kim lo thei a ni.
Operation hnuah heng dinhmunte hi fimkhur hle ang che
Surgery hi hlawhtling mah se, a then phei chuan harsatna a awm thei. A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal la, damdawi in Emergency Department (ETU) ah kal rawh.
- A nasat chuan beisei loh takin natna a awm thin.
- Infection chhinchhiahna i lan chuan, mit na leh khawsik ang chi te.
- Mit atanga tui chhuak danglam tak a awm chuan.
- I mit a lo na zual nghal a nih chuan .
Take-Home Thuchah a ni
- Floater pung nghal mai te, êng eng chhuak hmuh emaw, mit hmaa puan dum tla ang maia hriat te chu vaukhânna chhinchhiahna a ni .
- Retinal detachment hi natna khirh tak a ni a, natna nei lo mah se , mit hmuhna a hloh reng thei a ni .
- Heng symptoms zinga pakhat tal i neih chuan "nghak la, en rawh" tih mai mai suh. Mit lam doctor pan nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
- Enkawl vat a nih chuan operation hmanga mit hmuh leh theihna chance a sang hle.
- Zunthlum emaw, mit hmuhna hnai emaw ang chi risk factors i neih chuan kum khatah vawi khat tal mit lam doctor hnenah i mit enfiah tir a pawimawh hle
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