I mit i check tawh ngai em? I luh lai khan machine lian tak hmaah an thut tir che tih i hre reng em, chu chu i hmui leh i hmaiah a innghat a, chu chu chair ang mai a ni? Tichuan doctor chuan i mitmengah êng a rawn êng ang a, uluk takin a en ang. Hetiang hi mi tam takin an tawng tawh a, mahse eng nge a nih leh engvanga tih nge tih chiang takin an hre lo. Chuvangin vawiin hian chu test, Slit Lamp Exam chungchang chu han sawi ila. Hei hi i mit hriselna atana test pawimawh tak a ni tih rin theih a ni.
A awlsam zawngin, he Slit Lamp Exam hi eng nge ni?
A awlsam hle mai. Hei hi mit doctor (ophthalmologist)-in a hmanraw bik a ni. Kan rilruah stethoscope kan dah a, kan thinlung kan ngaithla ang bawkin, he hmanrua Slit Lamp an tih hian i mit chhunga thil te ber pawh a lian hlein a lang.
Hei hi microscope chak tak a ni . A chhungah hian light eng tak a inbun a ni. Doctor chuan he êng hi a thuk zawng, a zau zawng leh a êng chu a thlak danglam thei a, i mit chhunga layer hrang hrangte chu pakhat hnu pakhatin a hmu thei a, lehkhabu phek phek ang maiin a hmu thei bawk. Hei hian i mit hriselna zawng zawng chiang takin a hmu thei a ni. Hei hi i mit lama harsatna i tawh theih chhan hriat nan emaw, natna i neih leh neih loh hriat nan emaw test pawimawh tak a ni.
Engvângin nge he fiahna hi a pawimawh êm êm? Eng natna nge a hriatchhuah theih?
He test hi a pawimawh chhan ber chu mit hmalam atanga mit hnung lama nerve thlenga mit pum pui a enfiah theih vang a ni. Mit natna thenkhat a awm a, a tir lamah chuan engmah a lang lo. Mahse mit chhungah zawi zawiin an lo thang lian thin. An nghawng kan hriatchhuah hunah chuan a tlai tawh mai thei.
A dik tak chuan he slit lamp test hi i mit hriselna hriat lawkna tha ber a ni. Natna khirh ber ber pawh a tir lamah a hmuchhuak thei a ni.
He test hmanga hriat theih damdawi lam dinhmun pawimawh thenkhat han thlir ila.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Mit (cataract) a awm | Mit chhunga lens chu a thim a, chu chuan mit a tichhe zauh zauh a ni. |
| Glaucoma natna (Glaucoma) a awm | Mit chhunga pressure a sang a, mit nerve a tichhia a ni. Hei hian mit hmuh lohna a thlen thei a ni. |
| Mit hring (Dry Eye) a ni | Mit hian mittui a siam tling lo a, chu chuan mit a kang leh sen ang chi natna a thlen thei a ni. |
| Corneal Abrasion a awm thin | Mit hmalam (cornea)-a transparent membrane-a scratch emaw hliam emaw a awm. |
| Macular Degeneration (Macular tihchhiatna) a awm | Mit chhunga retina hmun thenkhat a chhiat, a bik takin kum upa lam a nih chuan a chhiat phah hle. |
| Zunthlum vanga mit chhiatna | Zunthlum vei te hian an mit a thisen kalna kawng a tichhia thei a. Hei hi hriat hmasak nan he test hi a pawimawh hle. |
A bik takin zunthlum i neih chuan , i doctor-in a tih angin mit enfiah leh slit lamp exam neih fo a pawimawh hle. Zunthlum natnain i mit a tihchhiat hi a hmaa i hriat theih chuan i mit i venghim thei a ni.
He test hian mit chhungah eng chiah nge a en?
I mit hi camera complex tak angin ngaihtuah rawh. He test hi he camera part zawng zawng hi a thawk tha em tih hriat nan tih a ni. Doctor hian a pawimawh ber pahnih a ngaihtuah ang.
1. Mit pawn lam thil
Chumi awmzia chu mit hmalam chu eng emaw chen chu kan hmu thei tihna a ni a, darthlalang hmang pawhin kan hmu thei tihna a ni.
- Conjunctiva: Hei hi mit var lai khuh tu membrane te tak te a ni. Mit sen, thisen chhuak hi he lai hmuna natna hrik awm vang a ni.
- Sclera natna: 1.1.Hei hi mit a var lai a ni. Mit tan khuhna nghet tak a pe a ni.
- Cornea: Mit hmalam a awm, glass ang maia lang chiang tak. Hemi hmang hian mit chhungah êng a lut thin. He test hian he part-a scratch emaw infection emaw awm zawng zawng chu awlsam takin a hmu thei a ni.
2. Mit chhunga thil inzawmkhawm (complex parts) te
Hengte hi mit hmuhna atana pawimawh tak takte chu an ni. Hengte hi kan hmu tlangpui lo.
- Iris: Hei hi mit rawng pe theitu part chu a ni. He hmun hi a ni mi thenkhat chu blue, brown, emaw black-a siamtu chu. Camera-a aperture ang bawkin mit chhunga êng lut zat a control a ni.
- Pupil : Hei hi iris lai takah black hole a ni. Eng eng takah chuan a te zawk a, thimah chuan a lian zawk bawk.
- Lens: Hei hi iris hnung lamah a awm a . Camera lens ang bawkin mit chhunga êng lut chu a focus a ni. He lens hi a chhum (cloudy) a nih chuan mittui tlakna (cataract) a awm thin.
- Retina: Hei hi mit hnunglam bang ang maia light-sensitive part a ni. I camera chhunga film emaw sensor emaw ang maiin ngaihtuah rawh. Hei hi mit chhunga êng lut chu lem (image)-ah a chantirna hmun a ni. Hemi chungchangah hian harsatna tenau tak pawh a awm a nih chuan, camera film hal ang chi hi chuan kan mit hmuhnaah nghawng lian tak a nei thei a ni.
- Optic Nerve: Hei hi retina-a image siam chungchang thu thluaka thawn chhuaktu cable a ni. He nerve hi glaucoma ang chi natnain a tichhia a ni.
Test hma leh test neih chhung hian eng nge thleng?
Hemi atan hian inbuatsaih tak tak tur a awm lo. Mahse thil pawimawh tak pakhat i hriat a ngai a ni.
A tam zawkah chuan doctor hian i mit chhung lam, retina leh optic nerve te chiang taka a hmuh a ngai thin. Chutianga tih theih nân chuan i mitmengah mittui tlakna (pipil) tizau tûrin mittui tlakna (eye drops) bik a dah ang . Hei hi Pupil Dilation an ti a . Pindan thim kawngkhar hawn a, chhung lam hawi ang mai a ni. Pupil a dilate chuan i mit chhung lam chu i hmu tha zawk thei.
Hriat reng tur: He damdawi hmang hian i mit i tizau a nih chuan darkar engemaw zat chhung chu i khalh thei tawh dawn lo. I mit chu a fiah deuh ang a, i mit chu êng êng tak lakah a sensitive ang. Chuvangin i test hmain mi pakhat i neihpui a pawimawh. A nih loh leh, kir lehna tur taxi ruahman rawh.
Hei hi test neih chhunga thil thleng chu a ni:
1. Chu machine hmaah chuan an thut tir che a.
2. I hmui chu hmun bik ah dah la, a chunga support-ah i hmai dah turin an ti ang che. Hei hian i lu chu a che thei lo ang.
3. Doctor chu machine sir lehlamah a thu a, i mit chhungah êng êng tak a rawn êng a, i mit chhung lam chu microscope hmangin a en a.
4. A chang chuan dye bik fluorescein an tih hmangin i mitmeng (cornea)-a scratch awm leh awm loh enfiah thin a ni. Hei hi drop angin emaw, lehkha te tak te angin i mit chungah dah a ni. A rawng chu greenish-yellow a ni. Lungngai suh, engmah a ti na lovang. He dye hi i hnawih chuan i mit (cornea)-a hliam tenau ber pawh chiang takin a lang ang.
Test zawhah eng nge ka ngaihtuah tur?
Test hnuah pawh normal takin i nung chhunzawm thei. Mahse, i mit chu damdawi hmanga tihzauh a nih chuan , heng thilte hi hre reng ang che:
- Driving pumpelh: A hmaa kan sawi tawh ang khan i mit a pangngai leh hma loh chuan lirthei khalh suh. Hei hian darkar 4-6 vel a awh tlangpui.
- Sunglass vuah: Mit hi ni êng lakah a sensitive em em a, pawn chhuah dawna sunglass vuah hi hahdamna ropui tak a ni.
- Lehkhabu chhiar, computer hman: Close-up hna, lehkhabu chhiar te, phone en te, computer hmanga hnathawh te hi a harsa deuh thei. He harsatna hi i mit a normal leh hunah a bo vek ang.
Risk a awm em? Engtikah nge Doctor ka hmuh nghal ang?
Slit Lamp Examination hi test him tak a ni . Risk a keng tel lo.
Mahse, very rarely , mi thenkhat chuan dilating eye drops atanga side effects an nei thei. Mahse, hengte hi a tenau hle.
- Lung a na hle tih a hriat
- Kawng a vawt
- I hmai a sen ang maia inhriatna
- Nausea emaw, luak chhuak emaw
Hetiang thil i hriat chuan doctor hnenah hrilh rawh.
Mahse, hemi chungchangah hian fimkhur hle ang che:
Test zawhah i mit a chhe hle thut a, a nih loh leh mit pakhat emaw, mit pahnih emawa i mit a hloh thut a nih chuan damdawi in Emergency Department (ETU)-ah rei vak lovah kal rawh. Hei hi medical emergency a ni thei.
Test result chu i hmu nghal thei ang. Hei hi thisen test ang number a ni lo. Doctor-in i mit a enfiah zawh hnu chuan a thil hmuh te, a buaina chu eng nge ni tih leh a hnua i tih tur chu a hrilhfiah ang che.
Take-Home Thuchah a ni
- Slit lamp exam hi i mit exam dan pangngaiah a tel ve a ni. Test hrehawm lo, him tak a ni.
- He test hian mit natna khirh tak tak, mitdel leh glaucoma te pawh a tir lamah a hmuchhuak thei a ni.
- Test hmaa damdawi hmanga i mit a zau a nih chuan i mit a pangngai leh hma loh chuan lirthei khalh suh. In lama haw theihna tur kawng dang ruahman lawk rawh.
- I mit hmuh danah inthlak danglamna emaw, i mitah harsatna thar i hmuh chuan mit enfiahna tihkhawtlai suh. Buaina i hriat chian hma chuan i mit hlu tak chu i humhim thei zawk ang.
- A bik takin zunthlum emaw, thisen sang emaw ang chi natna i neih chuan doctor-in a sawi angin i mit enfiah reng a pawimawh hle.
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