I naute hi a hun hmain a piang em? Chuti a nih chuan he mit natna (Retinopathy of Prematurity - ROP) chungchang hi i zir dawn teh ang!

I fa te hi a hun hmain a piang em? A nih loh leh a thau lo em ni? Chutiang naute chuan a chang chuan hriselna lama harsatna tenau te an nei thei a ni. Chumi zinga pakhat chu Retinopathy of Prematurity (ROP) an tih a ni a, mit lama harsatna a ni. He hming i hriat hian hlau suh. A awlsam zawngin, i hriatthiam theih dan tur angin sawi ila.

He mit lama harsatna, naute piang hma (Retinopathy of Prematurity - ROP) lo awm thin hi eng nge ni?

A awlsam zawngin sawi ila, ROP hi naute kar 31 hma (a hun hmaa piang) thenkhat mit a nghawng thin a ni. Chutianga thil thleng chu naute mit hmun retina an tihah thisen kalna kawng pangngai lo tak tak a lo awm a ni. Camera-a film ang maiin han ngaihtuah teh. Engin mit a tlak chuan electrical signal-ah a inthlak a, he retina hian thluak lamah a thawn chhuak thin. Chumi hnuah thluak chuan chu signal hmangin kan hmuh theih turin thlalak a siam ta a ni. Chuvangin, he retina hi hrisel taka vawn hi naute hian khawvel a hmuh that theih nan a pawimawh hle.

Heng thisen kalna thar, pangngai lo tak tak, ROP-a lo awmte hi a tlangpuiin a hlauhawm lo. Enkawlna bik an mamawh lo va, doctor-te’n an enfiah mai mai a ni. ROP vei naute 90% vel chu enkawl ngai lovin an dam leh a, mit hmuh dan pangngai an nei leh ta a ni. Mahse, a chang chuan he natna hi a na zual thei a, naute mit hmuhna a tichhe thei bawk. Chutiang hunah chuan mit tichhe reng tur leh mit hmuh lohna tur ven nan enkawl vat a ngai a ni. Enkawl loh chuan ROP natna khirh tak takte chuan mitdelna hial a thlen thei a ni.

Chuvangin doctor-te chuan naute hlauhawm tak takte chu an pian veleh ROP screening neih nghal turin an rawt a ni. Heng test te hian naute hian ROP symptoms a neih leh neih loh leh enkawl a ngai em tih hriat nan a pui thei a ni.

I naute doctor chuan i naute chu ROP vei theihna tur a nih leh nih loh leh i naute chu engtikah nge test tura hruai luh tur tih a hrilh ang che. I naute mit hmuhna tichhe nasa thei tur a tihziaawm theih nan i doctor-in testing schedule a pek che dik tak zawm a pawimawh hle.

ROP hi engtiang chiahin nge a awm?

United States ang ram statistics kan en chuan kum tin naute 14,000 atanga 16,000 velin ROP an nei thin. Chung zinga 90% vel chuan ROP na lo tak an nei a ni. Chu chu enkawl an ngai lo tihna a ni. Mahse, mi 1,100 leh 1,500 inkar chuan ROP na tak an nei a, enkawl ngai an ni. Chuvang chuan kum tin naute 400 atanga 600 inkar chu dan anga mitdel an ni thin. Kan rama statistics dik tak hi a inang lo thei a, mahse hei hi ngaihven ngai dinhmun a ni.

ROP vei naute hian eng symptoms nge a neih?

Vawi tam tak chu, chutiang chhinchhiahna lian tak chu i naute en mai maiin i hre thei lo mai thei. I naute mit (a bik takin retina-a thisen kalna kawng siam dan) uluk taka enfiah a, ROP dik taka hriat theihna chu mit lam doctor awmchhun a ni.

Engvangin nge he ROP hi a lo awm?

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

Ngaihtuah teh, naute chu nausen pum chhunga a la awm laiin mit retina-a thisen kalna kawngte chu zawi zawiin a lo piang tan a. Chungte chu naute a pian hma loh chuan a insiam kim lo. Chuvangin, nausen piang hmasa te retina-a thisen kalna kawngte chu a insiam kim lo. Heng thisen kalna kawngte hi an pian hnuah pawh an lo insiam chhunzawm zel a, mahse a chang chuan a pangngai lo takin an lo piang thei a ni.

Naute engte nge ROP vei dawn tih chiang taka sawi theih ni lo mah se, zirchiangtute chuan thil engemaw chuan ROP vei theihna a tipung tih an hmuchhuak.

ROP vei theihna tur risk factors te chu engte nge ni?

Hetiang dinhmun hi a thlen theihna tur risk factor engemaw zat a awm a:

• Preterm delivery: Naute pian hma poh leh ROP vei theihna a sang zawk.
• Pian tirh atanga a rih zawng chu gram 1,500 (kilogram 1.5 vel, a nih loh leh pound 3.3 vel) emaw a aia tlem emaw a ni.
• Respiratory distress syndrome: Nau piang hnua thawk harsa.
• Thluak chhunga thisen chhuak (Intracranial hemorrhage).
• Infection hrang hrang emaw, damdawi lama harsatna dang emaw.

I naute hian heng risk factor pakhat emaw a aia tam emaw a neih chuan i doctor chuan i naute a pian veleh ROP chhinchhiahna awm leh awm loh enfiah turin mit enfiah tir turin a rawt thei che a ni.

Hetiang dinhmun hian eng harsatna nge a thlen?

ROP natna khirh tak takte enkawl loh a nih chuan retinal detachment tih ang chi natna a awm thei a ni. Hei hi naute retina chu a chhehvela supporting tissue atanga a inthen hian a ni. Retinal detachment hian mitdelna nasa tak emaw, mitdelna emaw a thlen thei. Hei hi ROP rah chhuah pawi ber a ni.

Engtin nge ROP hi dik taka i hriat theih ang?

Neonatal care unit-a neonatologist-te chuan naute ROP vei hlauhawm tak takte chu an hmuchhuak tlangpui. Chumi hnuah naute chu mit lam doctor hnenah test belh turin an refer leh thin.

He test ("screening" tia sawi bawk) neih chhung hian mit doctor chuan eye drop hmangin naute iris chu a tizau a, ROP chhinchhiahna a zawng thin. Naute mit (retina) digital thlalak pawh lak theih a ni. He test hmasa ber hi nau piang atanga kar li atanga kar ruk inkarah tih thin a ni tlangpui.

Naute ROP endikna atana tehfung hi ram hrang hrangah a inang lo thei a ni. United States ang ramah chuan naute hi screening an nei tlangpui a:

• Naute kar 30 hnuai lam naupai.
• Nausen pian tirh atanga gram 1,500 (pound 3.3) aia tlem lo.
• Naute ROP vei theihna tur risk factor dang nei, naupai kum sang zawk emaw, nau piang rit zawk emaw pawh ni se.

I naute hian kar khat atanga kar thum danah emaw, i doctor-in a ruahman angin emaw test dang neih belh a ngai thei bawk. I naute mit lam doctor chuan i naute mit (retina)-a thisen kalna kawngte chu a lo thang kim tawh a, mit (retina detachment) hlauhawmna a bo tawh chuan heng test te hi a ngai tawh lo tih a hrilh ang che.

Mit lam doctor chuan naute hian ROP a nei tih a hriat chuan a nasat dan azirin an classified ang.

ROP stage hrang hrangte chu engte nge ni?

ROP hi engtiang chiahin nge a nasat tih leh enkawl a ngai em tih hriat nan mit lam doctor-te chuan stage pangaah an then a. Stage 1 hi a nasat ber a, stage 5 hi a na ber a ni.

• Stage 1 leh 2: ROP na lo atanga a hniam lam. Hengte hi enkawl lohvin an dam tlangpui.
• Stage 3: ROP natna, retina chhiatna emaw, inthlak danglam emaw venna atana enkawl ngai thei.
• Stage 4: ROP na tak. Retina thenkhat chu a inthen tawh mai thei. Enkawlna rang tak neih a pawimawh.
• Stage 5: ROP natna khirh ber. Retina chu a inthen vek tawh mai thei. Enkawlna rang tak neih a pawimawh. Enkawlna hmang pawhin mitdel emaw, mitdel emaw a awm thei.

Heng stage bakah hian thumal pahnih dang i hre thei ang:

• Aggressive ROP (Aggressive retinopathy of prematurity): Hei hi ROP chi khat a ni a, a na nghal vat thin.
• Plus disease: Hei hi ROP natna khirh tak a ni. Hetah hian retina chhunga thisen kalna kawngte chu a dilated a, a tortuous bawk.

ROP enkawlna tur engte nge ni?

ROP hi enkawlna kawng hrang hrang a awm a:

• Laser therapy: He enkawlnaah hian naute mit (retina) pawn lam kil lamah laser beam direct a, kangmei te te pattern siam a ni. Heng kang hian thisen kalna kawng pangngai lo siam chu a titawp a ni. Laser therapy hian ROP tihdamna atan 90% vel a hlawk a ni.
• Anti-VEGF therapy: Hei hi naute mit ah damdawi inject a ni. He damdawi hian thisen kalna kawng pangngai lo pung zel chu a titawp a ni.

I naute mit lam doctor chuan heng enkawlnate thatna leh that lohna te, leh i naute tan eng treatment plan nge tha ber tih a sawifiah ang.

Ngaihtuah buai suh, doctor te hian naute tan a tha ber tih an tum reng a ni.

I naute retina chu engtin emaw takin a inthen a nih chuan (chu chu ROP hi stage 4 emaw 5 emaw a nih chuan) i naute hian enkawl belh a ngai dawn a ni. Hei hi retina specialist-in a ti tlangpui. Entîr nân, i doctor chuan vitrectomy tih surgery neih a rawt thei a ni.

Engtikah nge ROP hi enkawl a nih?

I naute chu retinal detachment nei thei tura hlauhawm a nih chuan, emaw, retinal detachment a neih tawh chuan enkawl a ngai dawn a ni. I naute mit lam doctor chuan ROP stage leh test atanga thu hriatte a zirin enkawl hun tha ber tur a rel ang.

ROP hi ven theih a ni em?

ROP hi nau piang hma lutuk vang a ni ber. Chuvangin, nau piang hmaa nau neih theihna tihziaawmna tura hmalakna eng pawh hian i nautein ROP a neih theihna tur a tihtlem phah bawk ang. Naupai lai hian doctor thurawn lak a pawimawh hle a, doctor thupek zawm a pawimawh hle.

Mahse, hei pawh hi i hre reng tur a ni. A châng chuan, theihtawp chhuah mah la, a hun hmaa nau neih chu i veng thei lo mai thei. Chutiang a nih chuan nangmah leh nangmah mawhpuh suh. Tunlai inenkawlna leh technology changkang tak tak avang hian nausen piang hmasa te pawhin nun hrisel, hlim takin an nung thei a ni.

ROP hi a bo dawn em ni?

A tam zawkah chuan ROP hi naute retina emaw mit hmuhna emaw tichhe vek lovin a mah chauhin a tha zawk thin. Mahse, ROP natna khirh tak takte chuan retinal detachment leh mitdelna ang chi harsatna awm lo turin enkawl a ngai a ni.

I naute mit lam doctor nen i naute hian eng ang enkawlna nge a mamawh dawn tih leh nakin lawkah ROP hian an mit a nghawng dan tur chungchang sawipui rawh.

Engtin nge ka naute ka enkawl ang?

I tih theih pawimawh ber chu i naute mit doctor-in a rawt screening appointment zawng zawngah i hruai vek a ni. Heng test te hi ROP hriat hmasak nan leh enkawl tan nan a pawimawh hle a, hei hian mitdelna a awm reng theihna tur a ti tlem thei a ni.

ROP hmanga enkawl naute chu an dam chhungin follow-up visit an mamawh dawn a ni. Hengte hi naupan laiah a pawimawh zual hle. Heng an tlawh chhung hian naute mit doctor chuan thisen kalna kawng dik lo siam chhuah a nih leh nih loh a enfiah ang a, kum tam tak enkawl hlawhtling a nih hnuah pawh a enfiah ang.

Naute piang hmaa piang, ROP nei lote chu mit enfiah fo an la ngai a ni. Hei hi mit natna thenkhat an vei theihna chance a sang zawk vang a ni. Entir nan:

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

I naute mit lam doctor hnenah i naute mit enfiah vawi engzat nge neih tur tih zawt la, chu schedule chu dik takin zawm rawh.

I doctor hnenah eng zawhna nge i zawh tur?

ROP chungchang hrechiang duh tan i naute mit lam doctor hnenah hetiang zawhna hi i zawt thei ang:

• Ka naute hi ROP vei theihna hlauhawmah a awm em?
• Ka naute hi engzat nge ROP test tur?
• Engtikah nge ka naute hian enkawlna a mamawh theih ang?
• Enkawlna tha ber chu eng nge ni?
• Enkawlna a thatna leh that lohna engte nge ni?
• Ka naute hian enkawl hnuah eng follow-up test nge a mamawh ang?
• Ka naute thlirna chu eng nge ni?

I naute hian mit natna a nei tih hriatchhuah hian lungkhamna leh hlauhna a thlen thei a ni. I naute hian ROP a nei tih hriat hi a buaithlak thei a, i naute hian hriselna lama harsatna dang a neih chuan a buaithlak lehzual thei bawk. I naute medical team chu i kalna apiangah tanpui turin an awm tih hre reng ang che. I zawhnate chu ziak la, appointment apiangah rawn hruai rawh. Heng thla hmasa pawimawh tak tak leh a hnu lama i naute hriselna pui turin i mamawh information zawng zawng la rawh.

A tawi zawngin, take-home message:

Okay, chuvangin kan sawi tawh atang hian point pawimawh ber berte hi han recap leh ila:

• ROP hi naute piang hmasa mit a nghawng ber a ni.
• Naute tam zawk hian ROP na lo tak an nei a, enkawl loh chuan an dam tha hle.
• Amaherawhchu, natna khirh tak thenkhatah chuan mit a tlakchham thei a, chuvangin a hmaa hriatchhuah leh enkawl a pawimawh hle.
• Doctor-te rawtna ROP screening hi skip ngai suh. Naute mit hmuhna venhimna tha ber a ni.
• Nausen piang hmasa zawng zawng tan mit enfiah fo a pawimawh hle , ROP nei emaw nei lo emaw pawh nise.
• Zawhna emaw rinhlelhna emaw i neih chuan i naute doctor biak pawh hlau suh.

I fate chu hmalam hun hrisel leh hlawhtling tak a neih theih nan duhsakna kan hlan vek a ni!

` retinopathy of prematurity, ROP, nausen piang hma, mit lama harsatna, mitdel, nausen enkawlna, mit lam doctor, laser therapy, anti-VEGF therapy, naupang mit natna