I mit chhungah thisen a chhuak em? Retinal hemorrhage chungchang hi i zir dawn teh ang!

Kan mit chhunga thisen kalna kawng te te te chu a puak a, thisen a chhuak thei tih i ngaihtuah ngai em? A châng chuan kan hriat loh pawhin hetiang hi a thleng thei. Vawiin hian chutiang dinhmun chu kan sawi dawn a, chu chu retinal hemorrhage emaw, damdawi lam atanga kan sawi angin `(Retinal Hemorrhage)` emaw a ni. Ngaihtuah buai suh, hemi chungchang hi thumal awlsam takin kan sawifiah vek ang.

Retinal Hemorrhage hi eng nge ni?

A awlsam zawngin, retinal hemorrhage chu i mit peng pakhat, retina-a thisen chhuak a ni. Retina hi camera-a film ang a ni a, chutah chuan thlalak kan hmuhte chu record a ni. He thisen chhuahna hi retina chhunga thisen kalna kawng nalh tak takte a chhiat chuan a thleng thin.

Hei hi i lu i vuak nasat chuan a thleng thei a, a nih loh leh natna thenkhat mit tichhe thei, emaw thisen kalna kawng tichhe thei natna avanga lo awm a ni thei bawk. A tam zawkah chuan he natna hian mit pakhat chauh a nghawng a (`unilateral retinal hemorrhage` kan ti). Mahse, a tlem berah chuan mit pahnihah vawi khatah a thleng thei (`bilateral retinal hemorrhage` kan ti).

Ngaihtuah teh, mi thenkhat chu hetiang hian an mit ah thisen an chhuak a, symptom an nei lo. A thleng tih pawh an hre lo. Mahse, mi dangte chuan an mit an hloh thei a ni. He chhiatna hi a awm reng leh awm loh chu thisen chhuahna chhan leh thisen hloh zat a zirin a ni.

A chhan a zirin enkawl dan a inang lo. A tam zawkah chuan thisen chhuah tenau te hian enkawlna bik a ngai lo. Mahse, i mit a nghawng emaw, mitdel reng theihna a awm emaw chuan injection, laser hmanga enkawl emaw, operation emaw a ngai mai thei.

I mit emaw, i mit hmuh danah inthlak danglamna i hmuh chuan mit lam doctor pan nghal rawh. Mit pakhat emaw, mit pahnih emawa mit i hloh thut chuan emergency room-ah i kal nghal tur a ni.

Retinal hemorrhage chi hrang hrangte chu engte nge ni?

I mit specialist chuan he thisen chhuahna hi retina-a khawi hmunah nge a awm tih a zirin a classified ang. A pianzia a\angin a \henah pawh thliar hran theih a ni bawk. A chang chuan he thisen chhuahna hian retina layer engemaw zat a nghawng thei (`multilayered retinal hemorrhage`).

Hengte hi chi hrang hrang hmuh tur lian ber berte chu an ni:

• Intraretinal hemorrhages: Hei hi mittui tlakna emaw, mittui tlakna emaw a ni. Dot emaw spot emaw ang maia an lan avangin ``dot-and-blot hemorrhages'' an ti \hin.
• Retinal nerve fiber layer atanga thisen chhuak te:Optic nerve fiber layer (RNFL) hi nerve cells awmkhawm a ni a, chu chuan retina leh optic nerve a thlunzawm a ni. RNFL tichhe thei thisen chhuah chi hrang hrangte chu flame hemorrhages (meialh ang maia lang), disc hemorrhages (thing hnah chhunga hnah hring ang maia lang), leh splinter hemorrhages (thing hnah hring ang maia lang) te hi a ni.
• Preretinal hemorrhages: Hei hi vitreous cavity leh retina inthenna membrane a tear vang a ni. "Lawng" emaw "D" ang maia an lan avangin lawng ang emaw D ang emaw an ti \hin.
• Vitreous hemorrhages: Kan mitmeng chhungril hi tui leh collagen atanga siam gel ang chi thilin a khat a. Vitreous gel an ti a. Hetiang dinhmun hi retina atanga thisen a luang chhuak a, he vitreous awmna cavity ah hian a awm thin.

Tute nge retinal hemorrhage nei tam zawk?

Hetiang dinhmun hi tu chungah pawh a thleng thei tak zet a ni. Mahse, hriselna lama harsatna thenkhat nei te chuan an vei tam zawk. Entir nan:

• Thisen a cholesterol sang (hyperlipidemia) .
• Thisen sang (hypertension) 1.1.
• Arteries te tihthianghlim leh khauh (atherosclerosis) .
• Zunthlum (`Diabetes Mellitus`) natna a ni.
• Macular Degeneration (Macular tihchhiatna) a awm

Hetiang hlauhawmna hi thisen tihthianghlimna damdawi (e.g., aspirin emaw warfarin emaw) hmangtute tan pawh a sang zawk a ni.

Mak ti suh, nau piang tharte pawhin he natna hi an nei ve thei a ni. Naute assisted delivery method hmanga piang, vacuum extraction emaw forceps delivery emaw hmanga piang zinga a chanve vel chu an pian tirh hian retinal hemorrhage an nei thei a ni.

Kum 40 chunglamte chuan kum upat ruala mit lama harsatna awm fo avangin he natna hi an vei tam zawk a ni.

Retinal hemorrhage natna lan chhuah dan chu engte nge ni?

Mi tam tak chuan he natna hi nei mahse symptom engmah an nei lo.

Mahse, natna lan chhuahna i neih chuan i mit hmuhnaah inthlâk danglamna i hmu ngei ang. A lan chhuah dan tlangpui chu:

• Mit hmuhna hloh nghal mai.
• Zawi zawiin mit a chhe emaw, a fiah lo emaw.
• Mit hmuhna hmuna mitdel lo lang.
• Mit hmuhnaah hmun dum emaw, patch emaw awm.
• Mit hmaa light hmuh (flashes) emaw thil (floaters) ang maia inhriatna.

Retinal hemorrhages awm chhante chu engte nge ni?

Hei hi mit emaw thisen kalna kawng emaw hun rei tak a chhiat vang emaw, hliam thut (trauma) vang emaw a ni ber. A chhan langsar zualte chu:

• Lungchhiatthlak.
• Vascular disease (i thisen kalna kawng tichhe thei dinhmun).
• Autoimmune lama harsatna awm thei.

Hei bakah hian leukemia ang chi natna leh bacterial endocarditis ang chi infection te pawhin hetiang hi a thlen thei bawk. Kum 40 chunglam ah chuan he natna hi kum upat avanga mit natna, macular degeneration ang chi te vang pawh a ni thei.

Heng zinga pakhat hi i nei tih i hriat pawhin retinal hemorrhage i nei ngei ang tih ring suh. Tin, heng zinga pakhat hi i nei tih i hriat loh pawhin he natna hi a awm thei bawk.

Chuvangin nakin lawkah retinal hemorrhages thlen thei tur condition pakhat early warning signs i hriat theih nan medical checkup neih fo a pawimawh hle .

Trauma vangin eng nge thleng?

Hetiang hi hliam chi hrang hrang a awm a:

• Mit hliam: Lu emaw mit emaw hliam eng pawh hian retina chhunga thisen kalna kawng a tichhe thei a ni.
• Shaken Baby Syndrome: Naute emaw, naupang tê emaw tihnghing hian an thluak leh mit (retina)-ah thisen a chhuak thei a ni. Hei hi a hlauhawm hle a, chuvangin naupang tête tihnghing loh tur a ni.
• Altitude sickness: Altitude sang takah i kal thut chuan i mit chhunga pressure chu a danglam thei a, i retina-ah thisen a chhuak thei a ni. Hei hi tui thuk atanga lo chhuak nghal scuba diver-te chungah pawh a thleng thei bawk.
• Carbon monoxide (CO) poisoning: Hei hi carbon monoxide (CO) awmna meikhu i inhnim hian a thleng thin. CO sang tak thawk hian minute tlemte chhung pawh nise, natna nasa tak a thlen thei a, thih pawh a thlen thei bawk.

Vascular disease vangin eng nge thleng?

Retinal hemorrhages hi natna avanga i thisen kalna kawng tichhe emaw, block emaw avanga lo awm thei a ni bawk. Heng natnate hi a hlauhawm zawk a, a chhan chu harsatna a lo chhuah hma loh chuan symptom a lan loh fo vang a ni. Thisen kalna kawng natna langsar ber berte chu retinal hemorrhage thlentu te hi an ni:

• Thisen sang (Hypertension) 1.1.
• Cholesterol sang tak a ni
• Retinal Vein Occlusions (RVOs) te hi a awm thei lo.
• Nau neih hnua Preeclampsia a awm
• Thisen tlakchhamna (Anaemia).

Autoimmune disorder vangin eng nge thleng?

Autoimmune diseases chu i immune system-in a venghim ai chuan i taksa ngeia a beih palh hi a ni. Engvangin nge hetiang thil hi a awm tih erawh a chiang lo. Autoimmune natna chi thenkhat chuan i mit (retina) a tichhe thei a, thisen a chhuak thei bawk. Entirnan:

• Zunthlum (`Diabetes Mellitus`) natna a ni.
• Lupus a ni
• Vasculitis (thisen kalna kawng natna) .

Retinal hemorrhage hi engtin nge kan hriat theih ang?

I mit lam doctor chuan mit a enfiah ang.Hei hi diagnose a ni. I mit (a chhung lam pawh tiamin) a en ang a, visual acuity test a ti ang .

Chu bâkah, thisen chhuahna chhan hriat nân emaw, mit (retina) tihchhiat eng zât nge a awm tih hriat nân emaw, test dang engemaw zât tih a ni thei bawk. Test hman tlanglawn ber berte chu:

• Infection leh cholesterol level enfiahna atana thisen test .
• Angiography ( thisen kalna kawng thlalak lakna test).
• Magnetic Resonance Imaging (MRI) hmanga thil tih a ni .

Engtin nge retinal hemorrhages hi enkawl a nih?

Hei hi engtin nge enkawl a nih tih hi thil engemaw zatah a innghat a ni:

• Eng nge a chhan?
• I mit hmuhna chu eng chen nge a nghawng?
• Retinal hemorrhage hi engtiang chiahin nge a nasat?

Mi tam zawk chuan enkawlna bik an mamawh lo. Thisen chhuak tlem i neih chuan a na zual lo va, i mit a tichhe lo a nih chuan, a tam zawkah chuan i tih tur awm chhun chu i mit enfiah tir la, thisen chhuak chu a mah chauhin a dam em tih enfiah mai tur a ni.

Mahse, enkawlna i mamawh chuan a hnuaia mi pakhat hi i ti thei ang:

• Thisen chhuak chu laser emaw cryotherapy emaw hmangin siamthat thin ang che .
• Mit chhunga pressure normalise emaw retina emaw reattach turin surgery neih a ni.
• Mit chhunga hring hring tihziaawmna turin damdawi anti-vascular endothelial growth factor (anti-VEGF) emaw corticosteroid emaw inject.

Retinal hemorrhage atanga damchhuah nan eng chen nge a mamawh?

I mit specialist chuan i natna lan chhuah dan leh thisen chhuah chhan a zirin eng chen nge a dam theih dawn tih a hrilh ang che. A tam zawkah chuan operation hnua a dam leh theih nan kar engemaw zat a ngai thei.

I dam chhung hian thisen tithianghlim thei damdawi, over-the-counter pain reliever (OTC NSAIDs) te ei loh a ngai mai thei. Hemi chungchang hi mit doctor nen inbia ang che.

Retinal hemorrhage ka neih chuan eng nge thleng?

Mi tam tak chu he natna atang hian an dam vek a, operation an neih hnuah pawh an dam chhuak vek a ni.

Mahse, a chang chuan retinal hemorrhage hian i retina chu a tichhe vek thei a, i dam chhung zawngin i mit a tichhe thei a ni. A nih loh leh, he natna i neih hnuah hian mitdelna i nei thei bawk.

Retinal hemorrhage hi engtin nge kan ven theih ang?

Hei hi venna tha ber chu a thlentu dinhmunte pumpelh hi a ni. I tih theih ṭhenkhat chu hetiang hi a ni:

• Saturated leh trans fats, cholesterol, sodium (salt), leh sugar tlem te ei leh in hrisel ei.
• Exercise neih fo thin.
• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.
• A bik takin hriselna lama harsatna eng pawh, zunthlum, thisen sang, leh cholesterol sang te control.
• Meizial zuk bânsan.
• Doctor leh mit lam doctor te hnena check-up neih fo thin.

Engtikah nge ka mit ka enfiah ang?

I mit leh mit hmuh dan enfiah fo hian i mit specialist chu harsatna a hriat hmasak phah thei a ni. I mit i enfiah fo tur chu i kum a zirin a tlangpuiin:

• Puitling kum 40 hnuai lam: Kum nga atanga kum sawm danah.
• Puitling kum 40 leh 54 inkar: Kum hnih atanga kum li danah.
• Puitling kum 55 chunglam: Kum khat atanga kum thum danah.

Glasses i vuah emaw, contact i vuah emaw, hmuh theih tur dang i mamawh a nih chuan i mit enfiah fo a ngai mai thei. Zunthlum vei te pawhin an mit enfiah fo a ngai a ni. I mit doctor hnenah engzat nge i mit enfiah tur tih zawt rawh.

Engtikah nge Doctor ka hmuh ang?

I mit emaw, i mit emaw a danglamna i hmuh chuan doctor emaw mit lam doctor emaw pan nghal rawh .

A hnuaia symptoms te hi i neih chuan , emergency room (ER) ah kal nghal rawh:

• Mit hmuhna hloh nghal mai.
• Mit na tak.
• I mit hmaah eng thar (`flashes`) emaw thil (`floaters`) i hmuh chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Retinal hemorrhage i nei tih i hriat chuan i doctor hnenah heng zawhnate hi i zawt thei ang:

• Eng thilin nge ka mit a retinal hemorrhage hi a thlen?
• Eng ang retinal hemorrhage nge ka neih?
• Surgery ka mamawh dawn em?
• Hei hian ka mit hmuhnaah nghawng nghet tak a nei dawn em ni?

Retinal hemorrhage leh retinal detachment hi thil inang a ni em?

Ni e, heng pahnih hi harsatna lian tak, retina tichhe thei ni mahse, an pahnih hian danglamna a awm a ni.

Retinal hemorrhage chu i mit a chhiat avanga retina chhunga thisen kalna kawng a rupture a, thisen a chhuak thin a ni. Hei hi rang takin a thleng thei a, hliam vang emaw, hun kal zelah pawh a thleng thei a, chu chu thisen kalna natna avanga thleng thei a ni.

Retinal atanga chhuak (Retinal Detachment) a awmHei hi i mit hnunglam a tissue atanga i retina a inhnukdawk a, chu chu a thlawptu a ni. Hei hian mit (retina) ah thisen a chhuah tir thei bawk. Retinal detachment hi a na lo tlangpui. Mahse, i mit hmuhnaah inthlâk danglamna i nei thei a, chu chu êng rawn chhuak nghal, peripheral vision blurred, emaw mit pakhata mit hmuhna hloh nghal mai te hi a ni. Retinal detachment hi hliam leh uveitis ang chi condition vang a ni thei a, hei hi mit layer layer inflammation a ni.

Mit pakhat emaw, mit pahnih emawa mit i hmuh loh chuan, emaw, flash leh floater thar i hmuh tan chuan emergency room-ah kal nghal rawh.

Retinal hemorrhage leh subconjunctival hemorrhage hi thil inang an ni em?

Heng pahnih hi mit chhunga thisen chhuak a ni. A danglamna chu thisen chhuahna hmun a ni.

Retinal hemorrhage hian retina – mit hnung lama cell layer awm chu a nghawng a ni.

Subconjunctival hemorrhage chu i mit chunglama thisen kalna kawng puak chhuak a ni. Conjunctiva hi membrane te tak te, transparent tak a ni a, i mit a venghim a ni. Hei hi a tlangpuiin a sen chauh a lang a, i mit a nghawng lo va, a mah chauhin a dam thei bawk.

A tawp berah chuan take-home message:

Retinal hemorrhage hi ngaihven deuh a ngai a ni. Amaherawhchu, tha taka enkawl theih a ni fo. A pawimawh ber chu i mit emaw, i mit hmuh danah emaw danglamna i hmuh chuan tihkhawtlai lova damdawi lam thurawn lak hi a ni.

• Mit enfiah fo hian chutiang harsatna chu a hmain a hriat theih nan a pui thei a ni.
• Diabetes emaw thisen sang ang chi natna i neih chuan control tha la.
• Nun hrisel zawm hi mit tan chauh ni lovin, taksa pum tan pawh a tha hle.

I mit hi a hlu em em a, chuvangin enkawl hi i mawhphurhna a ni tih hre reng ang che.

` retinal hemorrhage, retina, mit a thisen chhuak, mit hmuh lohna, mit natna, zunthlum, thisen sang