I mit chhunga tissue te hi a inzawm khawm em? Synechiae chungchang hi i zir chiang ang u!

A chang chuan kan mit hi a thinrim deuh thin a ni lawm ni? A châng chuan kan mit a sen a, a na a, a nih loh leh kan mit a hloh ang maiin kan inhria. Vawiin hian mit natna pakhat kan sawi dawn a, kan hriat tam tak, mahse hriat a pawimawh hle. Hei hi synechiae an ti a. He hming hriat hi a hlauhawm deuh thei a, mahse lungngai suh, eng nge a nih i hriat veleh chuan chutiang khawpa lian chu a ni lo tih i hrechhuak ang, a bik takin i hriat hmasak chuan.

Mit chhunga tissue adhesion chu eng nge ni? (Synechiae) A awlsam zawngin i hrethiam ang u

A awlsam zawngin, synechiae hi i mit chhunga tissue awmte inzawmkhawm (adhesion) a ni. A dik tak chuan, hei hi i mit rawng nei, iris, mit dum kan tih chu a inzawm lohna hmunah a inzawm khawmna hmun a ni . Mi thenkhat chuan mit dum an nei a, thenkhat chuan mit sen an nei tih i hre tawh mai thei a, chu rawng nei chu iris an ti a ni. Iris hi mit lai takah chuan black dot a ni a, chu chu mit (pupil) a ni . Chuvangin, iris chu a hmaa membrane chiang tak emaw, a hnung lama membrane emaw-ah emaw a innghat thei a ni.

Chutiang a nih chuan mit chhunga pressure a sang thei a, i mit hmuhna lamah pawh harsatna i nei thei bawk. Kan in chhunga window pahnih thlipui tleh karah a inzawm khawm ang maiin han ngaihtuah teh, mahse hei hi mit chhunga thil thleng a nih avangin a buaithlak deuh a ni. Hei hi `(Ocular Synechiae)` an ti \hin. `(Ocular)` tih awmzia chu mit nena inzawm tihna a ni.

Synechiae diagnosis hriat hi a hlauhawm deuh thei. I ngaihtuah mai thei, "Aw ka pathian, ka mit hi eng nge ni?" Mahse thu lawmawm tak chu he natna hi enkawlna tha tak tak a awm tih hi a ni. A pawimawh ber chu he dinhmun hi a rang thei ang bera hriat chian hi a ni. Chuvangin i mit hmuh danah danglamna eng emaw i hmuh chuan, emaw, i mit i en laiin thil danglam emaw, thil mak emaw i hriat chuan doctor i pan nghal tur a ni.

Adhesion (Synechiae) chi hrang hrang a awm em?

Ni e, mit chhungah hian adhesions (Synechiae) chi hnih lian tak a awm a. Kawngpui pahnih ang bawkin heng chi hnih hi adhesion awmna hmun a zirin an thliar hrang a ni.

• Posterior Synechiae: Hei hi i iris, a nih loh leh mit dum chu a hnung lama lens-a a innghah lai a ni. He lens hi camera-a lens ang bawkin light focus hmanga thil chiang taka hmuh theihna tura min puitu a ni. A dik tak chuan chanchinbu i chhiar emaw, hla taka mi i en emaw hian he lens hian i mit chu thlalak chu chiang takin a focus thei a ni. Dik tak chuan he posterior synechiae chi hi mit lama synechiae chi khat a ni ber. I iris chu i mit hnung lama mirror ang chi hmun te tak teah a innghat ang tih han ngaihtuah teh.

• Anterior Synechiae: Hei hi i iris, mit ring dum chu mit hmalam a awmna hmun a ni.Cornea hi mit a fiah, a hrual, a fiah, watch glass ang mai a ni. Hei hian kan mit a humhim a, mit chhunga êng a dah luh theih nan a pui bawk. Chuvangin, mit dum chu he cornea thianghlim takah hian a innghat a nih chuan anterior synechiae a lo awm ta a ni.

He natna hi tuin nge vei tam zawk? (Risk factor hrang hrang) 1.1.

Tu pawhin he synechiae an tih hi vei thei mahse, mi thenkhat chuan an vei theihna chance a sang deuh hlek a ni. Tute nge an nih i en ang u?

• Mit natna nei tan: Entirnan, uveitis hi mit chhung lam layer-a inflammation a ni. Iritis hi mit dum, iris-a inflammation a ni. Hetiang inflammation chi hrang hrang a lo awm hian mit chhunga tissue te hi a inzawm khawm duh zawk a ni. Vun a hliam lai ang bawkin a chang chuan a inzawm khawm thin.
• Mit hliam tuar tawhte tan: Thil pakhatin mit a rawn deng nghal a nih chuan, emaw, accident a awm a nih chuan, a hnuah heng adhesion chi hrang hrangte hi a lo awm thei a ni. Hei hi a chhan chu hliam a dam chuan scar tissue a lo awm a, a chang chuan chu scar tissue avang chuan heng adhesions te hi a lo awm thei bawk.
• Cataract nei tan: Cataract chu mit chhunga lens a clouding a ni. Hetiang dinhmun hian a chang chuan synechiae a thlen thei a, a bik takin mittui tlakna (cataract) a lo zual hle a nih chuan.
• Mit surgery nei tawhte tan: Entirnan, mitdel surgery hnuah hian damna kal zelah heng adhesion chi hrang hrangte hi a lo awm theihna chance tlemte chauh a awm.

Engvangin nge mit chhungah hian adhesions (Synechiae) a awm thin?

Mit chhunga tissue te inzawmkhawm, a nih loh leh synechiae lo awm chhan lian tak tak engemaw zat a awm.

Hei hi mit chhunga inflammation emaw, mit hliam vang emaw a ni fo. Inflammation a lo awm hian kan taksa hian a damna kawngah chemical thenkhat a siam chhuak thin. Chungte chuan a chang chuan tissue te chu a inzawm khawm thei a ni. Tin, hliam a awm chuan , scar tissue a lo awm bawk. He scar tissue hian iris, a nih loh leh mit dum chu a hma emaw, a hnung lama emaw membrane-ah a innghat thei a ni.

Ngaihtuah teh, i kutah kang i neih chuan, a dam chhoh zel chuan, vun chu a chang chuan a inzawm deuh a, a nih loh leh a inzawm khawm ang maiin a lang. Chu chu mit chhunga thil thleng a ni.

Tin, a chang chuan heng synechiae te hi pianpui a ni thei bawk. Chu chu he dinhmun hi pian tirh lamah a awm thei tihna a ni. Mahse chu chu a tlem deuh.

Nang pawhin heng symptoms te hi i nei ve em? Lo en ve teh...

Synechiae vei chuan symptom hrang hrang a nei thei. Heng zinga pakhat emaw a aia tam emaw i nei em tih hi han en teh:

• Taksa- mitmengPupil emaw iris emaw lian leh te, a pianzia inthlak danglam: Entirnan, mit chu a pangngai aia te zawk (Miosis) emaw, lian zawk (Mydriasis) emaw a ni thei. A châng chuan mitmeng chu a zungbun ni lo mah se, a pianzia chu a mumal lo thei a, a chhan chu iris chu a inzawm khawm thei a ni.
• Mit na, na emaw, kang emaw: Mit chhung atanga natna mak tak, rit emaw, kang emaw lo chhuak, mit chhunga thil awm ang maiin i hre thei.
• Mit sen: Mit a sen a, thisen chhuak angin a lang thei.
• Eng Sensitivity: Eng en chu i harsat mai thei. Eng pangngai pawh i mitah a khauh lutuk niin a lang thei.
• Vision Loss: I mit chu a fiah deuhin i hria a, a hma angin i hmu chiang lo thei bawk.
• Mit Tui: Mit atanga mittui lo chhuak ang maiin a lang thei a, tui a luang thla ang maiin a lang thei bawk.

Ngaihtuah teh, zing i thawh chuan mit pakhat chu a dang aiin a sen zawk a, a na deuh a, tukverh atanga êng lo chhuak chu en a harsa hle. Darthlalang atanga i mit (cornea) i en chuan a pianzia pawh a danglam deuh niin a lang. Chutiang thil a thlen chuan synechiae vang pawh a ni thei.

Hemi atang hian eng thil pawi ber nge thleng thei ang? (Buaina awm thei) .

Synechiae hi uluk taka enkawl a nih loh chuan a side effect hlauhawm ber chu glaucoma an tih natna a lo awm hi a ni. Glaucoma hi mit chhunga pressure sang lutuk avanga mit nerve tihchhiat a ni a, enkawl loh chuan mitdelna (mitdelness) a thlen thei a ni.

Hetiang thil hi engtin nge a lo awm tih i hria em? Kan mit chhungah hian tui chiang tak ``Aqueous Humor`` tih a awm a.He tui hian mit a chawm a, mit chhunga pressure awm reng, ``Intraocular Pressure.`` He tui hi mit chhungah hmun khat atanga hmun dangah a luang chhuak thin.

Chuvangin, synechiae avanga iris a inzawm khawm chuan aqueous humor luang chhuakna kawng chu a block thei a ni. Tui pipe a laiah a tlakbuak ang mai a ni. Tichuan he tui hi mit chhungah a lo awm khawm a, mit chhunga pressure (intraocular pressure) a tisang a ni. Hetianga pressure sang hian mit hnung lama optic nerve a tichhia a, chu chuan thluak lamah thuchah a keng tel a ni. Chutah chuan glaucoma a lo awm ta a ni.

Engtin nge doctor hian hei hi a hriat theih? (Diagnosis) tih a ni.

Synechiae i neih leh neih loh hriat chian nan mit lam doctor emaw mit lam doctor emaw i pan ngei ngei tur a ni. I mit an enfiah tlangpui ang a, i nei em tih an hre thei ang. He exam-ah hian:

• Visual Acuity Test: Hei hian i hmuh theih dan tur chiang taka hriat theih nan lehkha ziak chart chhiar a huam a ni.
• Visual Field Test: Hei hi i mit hian a sir lam atanga eng chen nge a hmuh theih tih hriatna a ni a, chu chu i peripheral vision a tha em em tihna a ni.
• Tonometry: Hei hi glaucoma enfiahna atana test ber a ni. Instrument bik hian mit chhunga pressure a teh thin.
• Slit-Lamp Exam: Hei hi microscope ang chi hmanraw bik a ni. Hei hian doctor chuan i mit peng hrang hrang, iris, lens leh cornea te chu chiang takin a hmu thei a, a ti lian hle bawk. Hei hian heng adhesions te hi a awm leh awm loh awlsam takin a hriat theih nan a pui thei che a ni.
• Optical Coherence Tomography (OCT): Hei hi scan bik a ni bawk. Mit hnunglam thlalak chiang tak tak, cross-sectional tak tak a la thei.

Hei hi eng enkawlna nge ni? Ngaihtuah buai suh, solution a awm!

Synechiae i nei tih i hriat chuan hlauthawng suh. Hetiang dinhmun hi enkawlna tur a awm. Enkawlna chu i symptoms nasat dan leh adhesions nasat danah a innghat a ni.

• Mydriatic Eye Drops: Heng drops te hi mit chungah an hnawih chuan mit chu a tizau a , chu chu mit chu a lian zawk tihna a ni. Tin, iris chhunga ruh (muscles) te pawh an ti hahdam bawk. Hei hian iris chu lens leh cornea atanga inthen turin a pui a, adhesion a lo awm loh nan a pui bawk.
• Corticosteroids: Hei hi damdawi chi khat a ni a, inflammation tihziaawmna a ni. Mit chhunga scar tissue tihchhiat nan an pui thei a, adhesions te pawh an paih chhuak thei bawk. I doctor chuan hengte hi steroid eye drop, ointment, pill, injection, leh a chang chuan IV infusion angin a pe thei che a ni.
• Glaucoma Damdawi: Mit drop leh damdawi thenkhat, beta-blockers leh prostaglandins te hian mit chhunga tui awm zat leh pressure tihziaawmna kawngah a pui thin. Heng damdawi te hian mit nerve tihchhiat reng tur leh mit hmuh lohna tur a veng thei a ni.
• Surgery: Synechiae hi glaucoma thlen thei khawpa na a nih chuan operation neih a ngai mai thei. Mit surgeon chuan laser hmangin emaw, mit chhungah incision te tak te a siam thei a, chu chuan tui chu a paih chhuak thei a, mit chhunga pressure a tihziaawm thei bawk. A chang chuan synechiae hi mitdel surgery nen a rualin enkawl theih a ni.

Hetiang dinhmun hi ven theih a ni em?

Mit natna, inflammation thlentu, uveitis ang chi i neih chuan i doctor nen synechiae i vei theihna tur chungchang sawipui rawh. Inflammation tihziaawmna tur leh scar tissue siam lo turin mittui tlakna emaw damdawi dang emaw a pe thei a ni. Hei hian a chang chuan synechiae lo awm tur venna kawngah a pui thei bawk.

Tin, mit kaihhnawih thil eng pawh tih hunah, thir tan emaw, thingphel emaw tih hian safety glass vuah a pawimawh hle a , hei hian mit hliam a thlen thei a ni.

Enkawlna ka hmuh chuan ka dam leh ang em? Eng ang thlirna nge ni ang?

A tlangpuiin synechiae hi hriat hmasak a nih a, dik taka hmuhchhuah a nih a, enkawl vat a nih chuan mit hmuhna a tichhe nasa lo. A tam zawkah chuan hlawhtling taka enkawl theih an ni.

Mahse, hei hi ngaihthah a, enkawl loh a nih chuan synechiae na tak chuan mit a tichhe vek thei a, mit hmuhna pawh a hloh vek thei a ni. Chuvang chuan i mit ah thil mak tak i hriat chuan Doctor rawn pan nghal rawh kan ti a.

Heng thilte hi i doctor hnenah zawh theihnghilh suh.

Doctor hmu tura i kal hunah heng zawhnate hi zawh theihnghilh suh:

• Ka `(Iris)` hi enkawl lohvin a mah chauhin a dam thei ang em?
• Mit surgery ka neih a ngai a nih chuan synechiae lo awm tur ven nan eng nge ka tih theih ang?
• Heng synechiae avang hian glaucoma vei theihna chance engzat nge awm?
• Synechiae hi a na zual zel tih hriattirna engte nge ni?
• He synechiae dinhmun hi hun kal zelah a zual zel dawn em ni?

Hêng zawhnate chhânna i hriat hunah chuan i dinhmun chu i hrethiam lehzual ang a, i hlauhthawnna pawh a tlahniam ang.

A tawi zawngin kan sawi tawh kha i hre reng ang u (Take-Home Message)

Okay, chuvangin vawiin a synechiae chungchanga kan sawiho pawimawh ber berte kha han thlir leh ila.

Synechiae chu i mit rawng nei, iris, hmalam cornea emaw, hnung lama lens emaw a inzawm khawmna a ni. Hei hi mit chhunga inflammation vang emaw, mit hliam vang emaw, operation avanga scar tissue vang emaw a ni tlangpui. A nasat chuan hei hian glaucoma ang chi natna hlauhawm tak a thlen thei a, chu chuan mit hmuhna a tichhe vek thei a ni.

Mahse, hlauh tur a awm lo. A chhan chu, hei hi enkawlna tha tak tak a awm a, chu chu mittui tlakna, damdawi, leh a tul chuan operation tih te hi a ni. A pawimawh ber chu, i mit emaw, i mit hmuh danah emaw danglamna emaw, thil danglam emaw i hmuh chuan mit lam doctor pan hmasa phawt ang che. Tichuan, i natna chu i hre thuai thei a, a enkawl dan tur dik tak i tan thei a, i mit hmuhna hlu tak chu i humhim thei bawk.

I mit hi a hlu em em a, chuvangin enkawl hi i mawhphurhna a ni.

`Synechiae, mit adhesions, mit dum, glaucoma, mit pressure, mit hriselna, mitdelna