I naute piang hmasa mit chu hlauhawmah a awm em? Retinopathy of Prematurity chungchang hi i zir dawn nia!

I naute chu a hma deuh em? Nu leh pa kan nih angin nausen pian hun hmaa piangte hi kan ngaihsak em em a ngai a ni. An chanchin zawng zawng kan enkawl vek a ni. A bik takin an mit hmuh danah kan fimkhur hle a ngai a ni. Vawiin hian mit natna pakhat, nausen piang hmaa lo awm thei, mahse a hmaa hriat chhuah a nih chuan tihdam vek theih chungchang kan sawi dawn a ni. Hei hi damdawi lam chuan Retinopathy of Prematurity , a tawi zawngin ROP kan tih chu a ni.

Retinopathy of Prematurity (ROP) hi eng nge ni?

A awlsam zawngin sawi ila, ROP hi mit natna a ni a, naute piang hmaa piang thenkhat, a bik takin kar 31 hmaa piangte a nghawng thin. Naute mit mit (retina) -a thisen kalna kawng dik lo siam vang a ni.

Tunah chuan retina hi eng nge ni tih i ngaihtuah mai thei. Kan mit hnung lama membrane pawimawh tak a ni. Camera chhunga film awm ang mai a ni. Retina hian kan thil hmuh atanga êng lo chhuak chu electrical signal-ah a chantir a, thluak lamah a thawn chhuak thin. Chumi hnuah thluak chuan chu signal chu hmangin kan hmuh theih lem chu a siam ta a ni. Chuvangin he part hi vision atan a pawimawh zia i hmu thei a ni lawm ni?

Heng thisen kalna kawng pangngai lo, ROP-a lo awm hi a tlangpuiin a hlauhawm lo. Enkawlna bik a ngai lo va, doctor-te chuan an enfiah mai mai a ni. ROP vei naute 90% vel chu enkawl ngai lovin an dam a, mit hmuh dan pangngai an nei leh ta a ni.

Mahse, a chang chuan he natna hi a nasat phah thei a, naute mit hmuhna a tichhe thei bawk. Chutiang hunah chuan mit tichhe reng tur leh mit hmuh lohna tur ven nan a hun taka enkawl a pawimawh hle. Enkawl loh chuan ROP na tak chuan mit a tichhe vek thei a, chu chuan mitdelna pawh a thlen thei a ni.

Hei vang hian doctor-te chuan naute hlauhawm tak takte chu an pian veleh screening neih nghal an rawt a ni. Heng test te hian i naute hian ROP chhinchhiahna a neih leh neih loh leh enkawlna a mamawh leh mamawh loh hriat theih nan a pui thei a ni. I naute chu ROP vei theihna a nih chuan i doctor chuan a hrilh ang che. I naute enfiah hun tur a hrilh bawk ang che. Naute mit hmuhna venhim nan doctor-in a pek che screening schedule zawm a pawimawh.

Engvangin nge ROP hi a lo awm? A chhan leh a hlauhawmna

ROP awm chhan ber chu naute mit (retina)-a thisen kalna kawng pangngai tihbuai vang a ni.

Ngaihtuah teh, kan naute hian khawvel hi mawi taka a hmuh theih nan chuan mit (retina) hrisel leh thisen tha tak a mamawh a ni. Heng thisen kalna kawngte hi nu pum chhung zawngin a lo thang lian a. Mahse nau neih hnaih hma chuan an lo thanglian kim lo. Chuvangin, naute piang hmaa retina-a thisen kalna kawngte chu a lo thang kim lo. Hengte hi pian hnuah pawh a lo thang chhunzawm zel a, mahse a chang chuan a pangngai lo, dik lo takin an lo thang lian thei a ni. Chutah chuan ROP a lo awm ta a ni.

Nausen piang hmasa zawng zawng hian ROP an nei vek dawn lo a, mahse zirchiangtute chuan thil engemaw chuan a hlauhawmna a tipung tih an hmuchhuak.

ROP tana risk factor lian ber berte chu engte nge ni tih hriat nan a hnuaia table hi han en ila.

I naute hian heng risk factor pakhat emaw a aia tam emaw a neih chuan i doctor chuan a pian tirh atanga ROP chhinchhiahna awm leh awm loh enfiah turin mit enfiah turin a rawt ang che.

Engtin nge ROP hi hmuhchhuah a nih?

ROP hian nu leh pate’n an naute an en huna an hmuh theih tur pawn lam chhinchhiahna a nei lo tlangpui. Mit lam doctor te special examination hmang chauhvin hriat theih a ni .

A tlangpuiin neonatologist chuan naute chu a pian hnua damdawi ina a la awm laiin ROP vei hlauhawm tak a hriatchhuah tir thin. Chumi hnuah naute chu mit lam doctor hnenah a refer thin.

He screening kalpui danah hian:

1. Mit tla: Doctor chuan naute mit ah damdawi tlem te te a dah ang. Hei hian mitmeng chu a tizau ang a, mit chhung lam chu i hmu tha zawk ang.

2. Mit chhung lam enfiah: Chumi hnuah mit lam doctor chuan hmanraw bik hmangin mit chhung lam, a bik takin mit (retina) leh thisen kalna kawngte chu uluk takin a enfiah thin. A chang chuan mit chhung lam digital image pawh lak theih a ni.

He test hmasa ber hi naute pian atanga kar 4 leh kar 6 inkarah tih thin a ni tlangpui. Naute dinhmun a zirin doctor chuan kar 1 atanga kar 3 danah heng test te hi tih leh turin a ti thei che a ni . Heng test te hi doctor in retina chhunga thisen kalna kawngte chu a lo thang kim tawh tih a hriat chian a, hlauhawm a awm loh hunah chauh tihtawp a ni.

ROP stage hrang hrang

Doctor chuan i naute chu ROP a vei tih a hriat chuan a nasat dan leh enkawl a ngai em tih hriat nan stage hrang hrangah an then ang. Heng stage te hi 1 atanga 5 inkar a ni a, Stage 5 hi a na ber a ni.

Chu bakah, "Plus Disease" tih ang chi thumal dang pawh i hre thei a, chu chu natna khirh tak a ni a, chu chu retina-a thisen kalna kawngte chu a pangngai lo taka dilated leh twist a nih vang a ni.

ROP enkawlna tur engte nge ni?

I naute retina chu a inthen hlauhawm a nih chuan, a nih loh leh a inthen tawh a nih chuan enkawl a ngai a ni. Mit lam doctor chuan ROP stage leh test result a zirin enkawl hun tha ber a ruat ang.

Enkawl dan tlangpui pahnih a awm a, chungte chu:

• Laser Therapy: Hei hi damdawi hman tlanglawn ber a ni. Hei hian laser beam chu retina pawn lam kil lamah a hruai a, kangmei tenau tak tak pattern siam a ni. Heng kang hian thisen kalna kawng pangngai lo siam chu a titawp a ni. Laser therapy hi 90% velin a hlawhtling a ni.
• Anti-VEGF therapy: Hei hian naute mit chhungah damdawi inject a ni. He damdawi hian thisen kalna kawng pangngai lo pung zel chu a titawp a ni.

Mit lam doctor chuan i naute tan eng enkawl dan nge tha ber tih uluk takin a hrilhfiah ang che, a thatna leh that lohna te pawh a hrilhfiah ang che.

I naute mit (retina) a inthen (stage 4 emaw 5 emaw) a nih chuan, mit lam specialist hnen atangin enkawl belh a ngai mai thei. Entirnan, vitrectomy ang chi surgery neih a tha thei.

Engtin nge ka naute ka enkawl ang?

Nu leh pa anga i tih theih pawimawh ber leh pawimawh ber chu mit lam doctor-in a rawt screening zawng zawngah i naute chu ni leh hun ruat saah hruai vek tur a ni.

ROP hmanga enkawl naute chu an dam chhungin mit enfiah reng a ngai dawn a ni. Hei hi naupan lai hian a pawimawh hle a, a chhan chu enkawlna hlawhtling tak hnu kum tam takah pawh thisen kalna kawng dik lo a lo awm leh leh tawh loh enfiah a pawimawh hle.

Tin, nausen ROP nei loa piang hmaa piangte hian nakin lawkah mit natna dang an vei theihna a sang zawk avangin mit enfiah fo a ngai bawk. Entir nan:

• Amblyopia emaw mit lazy emaw
• Strabismus emaw mit crossed emaw a awm thei
• Glaucoma natna (Glaucoma) a awm

I naute mit hi engzat nge enfiah tur tih i doctor zawt la, chu schedule ang chuan hna thawk rawh.

A tawp berah chuan i naute hian mit natna a nei tih i hriat chuan lungkhamna, lungkhamna leh hlauhna i neih hi thil pangngai a ni. He stress hi i naute hian hriselna lama harsatna dang a neih chuan a nasa zawk thei a ni. I doctor leh medical team te chu i kalna apiangah tanpui turin an awm tih hre reng ang che. I zawhnate chu lehkhaah ziak la, i doctor appointment-ah keng rawh. I naute hriselna atana i mamawh zawng zawng chu la rawh.