I mit chu a pil lut ang maiin a hria em? Silent Sinus Syndrome chungchang hi han sawi ila!

I hmai sir khatah, a bik takin mit lam vel ah hian inthlak danglamna tlem i hmu ngai em? I mit chu tlem a inhnim pil emaw, i mitmeng chu a tla thla emaw a ni mai thei? Hengte hi thil tenawm tak angin a lang thei a, mahse a chang chuan a hnung lamah hian kan hriat tam loh condition a awm thei a, mahse hriat a pawimawh hle. Chutiang dinhmun pakhat chu ‘Silent Sinus Syndrome’ an ti a. A hming hi a mak deuhin a lang thei a, mahse a awlsam zawngin han sawi ila.

Silent Sinus Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, hei hi kan hnar vel a cavities awm, ‘sinus’ an tih te hi a ni. Kan hnar sir lehlama awmte a nghawng a, chu chu `(Maxillary sinus)` an ti a ni. Hetiang dinhmunah hian mit pakhat emaw, a chang chuan mit pahnih emaw chu chhung lam hawiin tlem a pil (`(Enophthalmos)`). A nih loh leh mitmeng chu mit zung (`(Eye socket)`)-ah a tla thla a ni. Balloon deflating leh shrinking ang maiin han ngaihtuah teh, hei hi kan sinus cavities bangte chu chhung lam hawia inzawm tlat vang a ni. Heng sinus cavities roof ang maia eye socket floor hi hetiang hian a hniam a ni.

Hei hi a chhan ber chu sinus cavities te a block vang a ni. Tichuan sinus chhunga secretion awmte chu a chhuak thei lo va, a pung khawm thei lo va, hun kal zelah taksaah a insiam leh ta a ni. Chumi avang chuan sinus cavity chhungah hian vacuum a lo awm a, chu cavity chu a tlahniam zauh zauh thin. Chutah chuan mit chu a pil ta a ni.

‘Silent’ tih thumal hi dah belh a ni a, a chhan chu a dinhmun hi a na lo tlangpui a ni. Mahse, hmai pianzia, a bik takin a sir khatah chuan asymmetrical a ni thei. A tam zawkah chuan hmai sir khat chauh a nghawng a, mahse a tlem berah chuan, a sir lehlamah a nghawng thei. Symptoms a zual zel loh nan leh peripheral vision loss emaw tunnel vision ang chi complication te ven nan enkawlna hi a pawimawh hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan he natna ``Silent Sinus Syndrome'' an tih hi a tlem hle . Kum 1964-a hmuhchhuah leh sawifiahna hmasa ber a ni a, chuta ṭang chuan khawvel pumah hri kai tlemte, 100 vel chauh hmuhchhuah a ni. Chuvang chuan sawi tam a awm lo.

Eng nge a lan chhuah dan? Engtin nge anmahni chu i hriat theih?

``Silent Sinus Syndrome'' symptoms hi kar khat atanga thla tam tak chhungin a lang zauh zauh tlangpui. Mahse, a chang chuan heng symptoms te hi a lang rang zawk thei. A lan chhuah dan langsar ber chu i hmel lan dan inthlak danglam hi a ni.

• Enophthalmos: Hei hi a lan chhuah dan tlangpui a ni. Damlo zawng zawng deuhthaw hian an nei vek. Mit bulging zat hi millimeter 2 atanga 6 inkar a ni thei.
• Mitmeng hnuai lam hawia inthlak (`(Hypoglobus)`):Damlo zinga a chanve vel chuan he natna hi an nei thin. Chumi awmzia chu mitmeng chu mitmeng chhungah a tla thla tawh tihna a ni. Hei hi millimeter 1 atanga 6 vel a ni thei.
• Mitmeng inthlak danglamna: Mitmeng chunglam awmna hmun inthlak danglamna hi damlo 88% velin hmuh a ni.
• Double vision (`(Diplopia)`): Zirna lian pahnihah chuan damlo 28% leh 65% inkar chuan thil pahnih vawi khata hmuh theihna dinhmun an nei tih hmuhchhuah a ni.

Heng symptom lian ber berte bakah hian symptom dang engemaw zat a awm thei bawk:

• Ptosis (or Blepharoptosis): Mitmeng chunglam a tlak emaw, a tla emaw a ni.
• Squinting: Mitmeng chu a hniam a, mit chu a hrual ang maiin a lang.
• Blurred vision: Thil chiang taka hmuh harsa leh ngaihtuahna seng harsa.
• Sinusitis: Sinus cavities a hring leh natna hrik awm.
• Rhinorrhea (runny nose): Hnar atanga tui chhuak, mucus ang maia chhuak.
• Postnasal drip: Mucus tam lutuk chu a lo pung a, kawr hnung lamah a luang thla a .
• Facial pressure emaw pain: Sinus area-a natna emaw, tightness emaw hriatna, mit, hmai leh hmui vel te.

Engvangin nge he silent sinus syndrome hi a lo awm? A chhante chu engte nge ni?

He natna hmuhchhuah a nih atang hian zirchiangtute chuan a chhan chungchangah ngaihdan hrang hrang an rawn siam chhuak ta a ni. Mi tam tak chuan he natna thlentu ber chu kan hnar hmun pakhat ``osteomeatal complex'' an tih a block vang niin an ngai.He ``osteomeatal complex'' hi a structure nalh tak a ni a, chu chuan hnar atanga mucus leh boruak a chhuak thei a ni. A dik tak chuan kan sinus cavities luhna ang mai a ni.

Heng space te hi chhan hrang hrang avangin block a ni thei. An block chuan secretions chu sinus cavities chhungah a pung khawm thin. Hun a kal zel a, kan taksa hian he secretion khawlkhawm hi a hip lut leh thin. Thil thleng chu sinus cavity chhungah hian vacuum (`(Vacuum effect)`) a lo awm ta a ni. Hetianga hun rei tak pressure avang hian sinus cavities wall te chu zawi zawiin chhung lam hawiin a inher a, a tlahniam ta a ni. Chuvang chuan sinus cavity chunga mit socket (`(Orbital floor)`) floor chu a hnuai lam a pan ta a ni. Hei hian ruhte pawh a ti hring thei a, an pianzia pawh a tidanglam thei bawk.

Hetiang hi tuin nge nei tam zawk?

Tu pawhin he natna hi an nei thei a, chu chu ``Silent Sinus Syndrome'' an ti a ni.Mahse, hnar taksa peng hrang hrang nei te chu an hlauhawm zawk. A bik takin septum deviated nei te chu risk sang zawka ngaih an ni.

He natna hi kum 30 leh 40 inkar te zingah a tam ber. Tin, zu in thinte hian he natna hi an vei theihna a sang zawk bawk.

Enkawl loh chuan eng harsatna nge awm thei?

I sinus cavities te chu a lo tlem a, i mit a pil chhunzawm zel a nih chuan eng nge thleng ang tih han ngaihtuah teh , enkawl loh chuan he ``Silent Sinus Syndrome'' hian i sinus te a nghawng chhunzawm zel thei a, i symptoms a ti na zual thei bawk. I mit emaw mit pahnih emaw chu a pil lut lehzual thei a, i mitmeng chu a hnuai lam pan lehzual thei bawk. Hun kal zelah hei hian ``Peripheral vision loss'' a thlen thei a, chu chu a sir atanga thil i hmuh a, tube atanga i en ang maia i hmuh theihna a ni. Chu mai ni lovin hriselna lama harsatna dang a thlen thei bawk.

Engtin nge he natna hi dik taka i hriat theih?

Heng symptoms te hi i neih chuan Doctor i hmuh hmasak berin a enfiah ang che a, i symptoms te a zawt ang che. Tichuan, beng, hnar leh kawr lam specialist (otolaryngologist, emaw ENT doctor) hnenah i refer thei ang.

Specialist chuan i mit chu uluk takin a enfiah ang a, i natna lan chhuah dan a zirin a natna chu a enfiah ang. Mit pil, mitmeng tla, leh mitmeng tla ang chi thil a zawng ang.

Hetiang dinhmun hi nemnghet turin i doctor chuan ``CT scan`` (Computed Tomography scan) tihsak turin a ti thei bawk. Hei hian sinus cavities dinhmun chiang takin a hmu thei a ni.

Hei hi eng enkawlna nge ni? Dam theih a ni em?

Thu lawmawm tak chu, yes, in most cases , operation hi he natna (Silent Sinus Syndrome) enkawlna a ni. Surgery hi chi hnih a awm a, chungte chu:

• Antrostomy: Hei hian endoscope, camera hmanga siam thil te tak te hmangin sinus cavity-a blockage awm chu paih chhuakin, secretions te chu a chhuak tha thei ang. Tin, harsatna thlentu sinus cavity hawnna chu a ti lian bawk. Hei hi endoscopic sinus surgery category-ah a tla tlangpui.
• Orbital floor siamthat: A then phei chuan surgery-ah hian orbital floor siamthat pawh a tel thei bawk. Amaherawhchu, doctor thenkhat chuan hetiang hi a tul reng reng lo niin an sawi.

Heng enkawlna hnu hian sinus cavities te chu a pangngaiin a thawk tan leh a, mit atanga chhuak ang chi symptoms te chu a pangngaiin a lo kir leh thei a ni.

Enkawl zawhah eng ang beiseina nge i neih theih ang?

He ``Silent Sinus Syndrome'' natna hi i hriat hma chuan i tan a tha zawk. Tichuan mit lama harsatna lian tak tak i veng thei ang a, ``Endoscopic sinus surgery'' chauh hmangin buaina chu i chinfel thei ang, surgery lian tham (``Orbital floor repair'' ang chi) ngai lovin.

A hmaa kan sawi tawh ang khan enkawl loh chuan a natna hi a na zual thei a, peripheral vision loss, diplopia, leh blurred vision ang chi harsatna a thlen thei bawk. Chuvang chuan a rang thei ang bera Damdawi lam thurawn lak a pawimawh.

Hetiang thil thleng tur ven dan tur a awm em?

Dik tak chuan he ``Silent Sinus Syndrome'' hi tu pawh a nghawng thei a ni. Zirchiangtute chuan hei hi a chhan dik tak an la hmuchhuak lo a, chuvang chuan a lo thlen lohna tur kawng chiang tak a awm lo. Amaherawhchu, hnar-ah thil dik lo a awm a nih chuan damdawi lam thurawn lak a pawimawh.

Engtikah nge Doctor ka hmuh ang?

Symptom thar i neih chuan, i mit a tlakbuak emaw, mitmeng a tla emaw, a tla emaw a nih chuan doctor pan ngei ngei tur a ni. Hengte hi thil awlsam tak a ni thei a, mahse thil pawi tak a awm loh nan fimkhur a pawimawh.

I doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal hian hetiang zawhna zawh hian thil awmdan hriatthiamna tha zawk i neih theih nan a pui thei che a ni:

• Engtin nge he ``Silent Sinus Syndrome'' hi ka neih?
• Eng enkawlna nge i rawt?
• Surgery neih a ngai em?
• Operation hnuah a dam leh theih nan eng chen nge a mamawh ang? Chumi hun chhung chuan eng thil nge ka ngaihtuah tur?
• He ``Silent Sinus Syndrome'' hi a lo awm leh tawh loh nan hian tih theih ka nei em?

Hei hi hming dang a awm em?

Ni e, he ``Silent Sinus Syndrome'' hi hming dang engemaw zatin an ko bawk. Entirnan, ``Chronic maxillary atelectasis'' leh ``Imploding antrum syndrome'' te hi hman a ni. Mahse, zirchiangtu ṭhenkhat chuan hengte hi dinhmun hrang hrang, thil chiang tak takah an ngai a ni.

Chuti a nih chuan, heng zawng zawng a\anga kan hriat reng tur pawimawh berte chu engte nge ni?

Okay, chuvangin tunah chuan kan sawi tawh, ``Silent Sinus Syndrome.`` hi i hre chiang zawk ngei ka beisei.`` Hei hi thil awm lo tak ni mahse, kan sinus cavities-a blockage vangin mit a nghawng thei tih hre reng ang che.

A pawimawh ber chu i hmaiah, a bik takin i mit chhehvelah thil thar emaw, thil danglam emaw i hmuh chuan – mit pil emaw, mitmeng tlak emaw ang chi – chu ngaihthah suh. Thil ngaihtuah tur a ni lo mai thei. Mahse, thil awmdan dik tak hriat tumin doctor pan a tha ber a, a tul chuan a rang thei ang bera enkawl tan a tha. Hei hian a tul lo taka harsatna a thlen loh nan a pui dawn a ni. I hriselna hi kan tan a pawimawh ber a ni!

` Silent sinus syndrome, mit floater, sinus, enophthalmos, hypoglobus, hnar kawngkhar, ENT