I naute mitmeng kil khat chu a inhlat deuhin a lang em? Telecanthus chungchang hi han sawi ila!

I fa emaw, mi dang emaw mit chhung lam kil (hnar lam hawia awm) inkar hlat zawng chu a tlangpui aia rei deuh niin i hre ngai em? Hei hi i hmuh hian i hre duh deuh mai thei, a nih loh leh i hlau deuh pawh a ni thei. Hei hi medical science-ah chuan telecanthus kan tih chu a ni. Hei hi natna khirh tak angin a ri thei a, mahse hlau suh. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.

A awlsam zawngin Telecanthus hi eng nge ni?

Telecanthus hi, a awlsam zawngin, kan mitmeng chhung lam kil pahnih inkar hlat zawng tihpunna a ni a, a nih loh leh doctor-te’n `medial canthi` an tih chu a ni. A tam zawkah chuan hei hi pianpui a ni . Chu chu he dinhmun hi pian tirh lamah a awm thei tihna a ni. Hei hi a chhan ber chu genetic disorders a ni an ti .

Mahse, a chang chuan he telecanthus dinhmun hi kan hmaiah hliam leh hliam vang te, a nih loh leh hmaiah tumor awm chu operation hmanga lakchhuah a nih hnuah pawh a awm thei a ni.

Hei hi hming dang a awm a, chu chu `dystopia canthorum` tih a ni a, mahse `Telecanthus` tih hming hi hman tam ber a ni.

Chu chuan engtin nge ka fa chu a nghawng ang?

Telecanthus vei naupang nu leh pa i nih chuan i fa taksa leh rilru hahdamna tur ngaihtuah hi thil pangngai tak a ni. Mahse, chanchin lawmawm a awm! Telecanthus chauh hi a na lo va , a tlangpuiin mit lamah harsatna a thlen lo . Mahse, Telecanthus hi mit lama harsatna dang nen a awm chuan mit lama harsatna a awm thei.

Thil dang chu, i fa chu a lo upat deuh deuh chuan, chu chu a zak deuh emaw, a zak deuh emaw pawh a ni thei. "Ka mit hi midang zawng ang a ni lo," tiin an ngaihtuah mai thei. If this is affecting your child’s self-esteem , doctor nen telcanthus dinhmun chu surgery hmanga siamthat theih dan tur i sawi thei ang. Tin, rilru lam hriselna lama mithiamte nena inbiakna pawh hetiang hunah hian a \angkai hle thei bawk.

He natna hi tuin nge vei?

A tam zawkah chuan telecanthus hi pian tirh atanga awm, genetic disorder chhinchhiahna a ni. Telecanthus thlen thei genetic disorder lian ber ber thenkhat chu hetiang hi a ni:

• Cri du chat syndrome ( Hei hian naupang thanlenna leh thanlenna kawngah harsatna a thlen thei a, ui tap ang maia ri sang tak a siam thei bawk.)
• Down syndrome tih hi a ni
• Dubowitz natna a ni
• Ehlers-Danlos natna a ni
• Fetal alcohol syndrome (naupai laiin nuin zu a in a nih chuan nausen a lo awm thei) .
• Klinefelter natna a ni
• Noonan syndrome a ni
• Short syndrome `(SHORT syndrome)` tih hi a ni
• Turner syndrome a ni
• Waardenburg natna a ni

Naupangin genetic disease a neih theihna tur thil engemaw zat a awm bawk. Entir nan:

• Nuin naupai laiin intihhlimna atana ruihhlo a hman dan.
• Naupai laiin chemical tha lo emaw radiation emaw nena inzawmna.
• Chhungkaw zinga mi pakhat (biologically related) hian hetiang genetic disease hi a lo nei tawh bawk.

Puitlingte hian Telecanthus hi an nei thei em?

Hei hi a tlem deuh nachungin, a ni, he natna nei piang lo pawhin nakin lawkah telecanthus a vei thei a ni. A châng chuan, traumatic injuries emaw, hmaiah tumor awm emaw hian hmai pianzia a tidanglam thei bawk. Hei hian mit pakhat emaw, mit pahnih emaw kil khat chu a hnaih tir thei a ni. (Sorry, original article-ah khan "closer together" tih a ni a, mahse telecanthus tih awmzia chu "farther apart" tihna a ni. Chuvangin chu chu ka siam tha a ni. Accident emaw tumor emaw a awm chuan mit kil hrang hrang a inthlak danglam thei a, a hla zawk thei bawk.)

Hetiang dinhmun hi engtiang chiahin nge a awm?

Telecanthus hi a mah chauha neih hi a tlem hle . Genetic syndrome dang nen pawh hmuh tur a awm fo.

Telecanthus natna lan chhuah dan chu engte nge ni?

Telecanthus ngei pawh hian mit na leh mit lama harsatna a thlen lo tlangpui. Mahse, mit lo thanglian dan tichhe thei syndrome dang nena inzawm a lo awm chuan a hnuaia mi hi a thleng thei a ni:

• Mit hmuhna a hniam
• Myopia / hnai taka hmuh theihna
• Hyperopia (hla tak atanga thlir theihna) .

Telecanthus hi engte nge ni?

Mi thenkhat chu telecanthus ( congenital ) vei an piang a. Congenital telecanthus i neih chuan i mitmeng inzawmkhawmtu tendon - medial canthal tendon - te hi a sei lutuk emaw, a hmun dik takah a awm loh vang emaw pawh a ni thei. I mitmeng chhung lam kilte chu hnaih zawka rawn hruai ai chuan heng tendon te hian an rawn hruai hrang ta zawk a ni.

Mi dangte tan chuan nakin lawkah he natna hi a lo awm thei a, chu chu hliam emaw natna emaw thenkhat vang a ni. Entir nan:

• Naso-orbital ethmoid (NOE) tihchhiatna . Hengte hi fracture complex tak tak an ni.
• Squamous cell cancer natna a awm
• Basal cell cancer natna a ni

Traumatic Telecanthus awm chhan te

Traumatic telecanthus hi hmai hliam vang a ni. Tlu leh car accident hian naso-orbital ethmoid (NOE) fractures an tih chu ruh tliak a thlen thei a ni. Heng NOE fractures te hian i hnar, hnar ruh, mitmeng, hmai leh i luruh hmalam te a nghawng thei a ni. NOE fractures hian i medial canthal tendons a tichhia thei a, telecanthus a thlen thei bawk.

Traumatic telecanthus hi tumor vang pawh a ni thei - a tlangpuiin squamous cell carcinomas emaw basal cell carcinomas emaw a ni thei bawk . Heng tumor te hi mitmeng chhung lam kil khatah a lo awm a nih chuan lakchhuahna tur surgery hian medial canthal tendons a tichhia thei a, traumatic telecanthus a thlen thei a ni.

Pseudotelecanthus hi eng nge ni?

Hmai hliam na tak chuan mit inkar, hnar chunglam leh hmaiah te a hring thei a, a hliam a awm thei a, tui a awm thei bawk. Heng harsatnate hian mit chhung lam kilte chu hla takah a lang thei a ni. Mit lam doctor chuan hei hi `secondary telecanthus` emaw `pseudotelecanthus` emaw a ti thei ang. Hei hi a hliam hmasa atanga thliar hran nan a ni. Hei hian tendon problem tak tak a awm lo tihna a ni a, mit hla taka lang thei tur swelling a awm zawk tihna a ni.

Telecanthus hi engtin nge kan hriat theih ang?

Doctor chuan naute pian hnu lawkah mit chu a inhlat lutuk tih a hmu thei a. Naute mit chhung lam kil inkar hlat zawng (``inner canthal distance`') tehna atan ruler bik an hmang thin.

I fa pawhin hetiang test hi a nei thei bawk:

• CT scan a ni
• Genetic testing hmanga genetic natna hriat theih a ni
• X-ray hmanga enfiah `(X-ray)`

Doctor hian naupang hmai leh luruh lam thil dang a enfiah bawk ang. Telecanthus hi amah chauha awm a nih loh avangin i fa hian symptom dang a nei thei bawk. Genetic natna thenkhat telecanthus thlen thei hian naupang thinlung, kal, ruh leh nervous system-ah harsatna a thlen thei bawk.

Eng ang doctor nge Telecanthus hi a enkawl?

Telecanthus hi oculoplastic surgeon hmanga enkawl a ni tlangpui . Heng doctor te hi i:

• Mit sockets a awm
• Tear ducts te pawh a awm
• Hmai ruh

Thil tichhe thei harsatna enkawl dan...

A châng chuan lu leh kawng surgery lama tui tak otolaryngologist-te pawhin telecanthus hi an enkawl bawk.

Telecanthus hi hriselna lama harsatna dang avanga lo awm a nih tlangpui avangin i fate medical team-ah hian doctor chi dang pawh an tel thei a ni.

Telecanthus damdawi hi engte nge ni?

Telecanthus enkawlna ber chu operation a ni . Mi thenkhat chuan cosmetic vangin surgery an thlang thin. Heng surgery-te hi a hnuaia mi ang hian a ni thei:

• Tendon shortening leh fixation : Surgeon chuan i medial canthal tendon te chu a sei zawng dik takah a cut thin. Chumi hnuah chuan tendon tawi zawkte chu i hnar sir leh i mit zungpui inkar ruh pakhatah an inzawm leh thin. Hetiang tih dan hi congenital telecanthus atan hman a ni tlangpui.
• Transnasal wiring: Hetiang tih dan hi traumatic telecanthus atan hman a ni tlangpui. Surgeon chuan mit natna medial canthal tendon chu a la chhuak a, a dah leh ta a ni. Chumi hnuah chuan tendon chu i luruh ah wire te tak te hmangin an inzawm tir leh thin. Wire hi i mitmeng chhung leh hnar ruh chhunga khur te te hmangin a kal tlang thin .

Pawimawh: Telcanthus vei mild case, mit leh mahni inngaihsakna tichhe lo tan chuan enkawl a ngai lo mai thei.

Hei hi ven theih a ni em?

Telecanthus hi ven dan tur a awm lo. I fate hnena genetic condition pek chhuah i ngaihtuah chuan, doctor nen genetic counseling chungchang i sawi thei ang .

Telecanthus vei tan chuan eng nge a hmalam hun?

Telecanthus hi kum upat deuhin a na zual lo. Tin, a tlangpuiin enkawl a ngai lo (a chunga kan sawi chhan avanga a tul loh chuan). Telecanthus surgery hi a hlawhtling tlangpui. Mahse, operation hnuah chuan i medial canthi (inner corners) te chu a inhnaih leh thei (i.e., a hlat lo deuh thei). Mi thenkhat chuan operation vawi hnihna an mamawh mai thei.

Telecanthus, genetic condition hian hun rei tak chhunga natna khirh zawk a thlen thei a, chungte chu:

• Hmasawnna lama tlai lutuk
• Zirna lama harsatna nei te
• I thinlung, lung, chaw kawng leh taksa peng dangte harsatna.

I doctor hnenah eng zawhna nge i zawh tur?

Nang emaw i fa emaw hian Telecanthus i vei a nih chuan i doctor hnenah hetiang zawhna hi zawh a tha ang:

• Ka fa hian Telecanthus tih loh chu mit lama harsatna dang a nei em?
• Telecanthus hian enkawl a ngai em?
• Telecanthus avanga rilru leh rilru lama harsatna awmte chu engtin nge ka fa chu ka puih theih ang?
• Engtiang chiahin nge ka fa hian Telecanthus siamthat nan operation a neih theih ang?
• Telecanthus hi eng thilin nge a thlen?

Telecanthus leh Hypertelorism hi eng nge an danglamna?

Heng pahnih hi a buaithlak deuh thei a, mahse a danglamna tlem a awm.

• Telecanthus : Hemi ah hian i mitmeng chhung lam chauh a inhlat lutuk. Lateral canthi leh pupils inkar hlat zawng hi a nghawng lo. I mit chu a inhlat lutuk lo niin a lang thei a, mahse i mitmeng chhung lam kil chu i mit (iris) rawng nei nen chuan a inhnaih zawk hle thei.
• Hypertelorism : Hetiang natna vei te hian an mit chhung lam leh pawn lam kil tin an nei vek a, chubakah an mitmeng inkar hlat zawng pawh an nei bawk . Hypertelorism i neih chuan i mit chu a inhlat hle tih chiang takin a lang thei.

Heng dinhmun pahnih hi genetic disorder vang a ni thei. Telecanthus hi a then chuan pseudohypertelorism an ti bawk .

Telecanthus leh Epicanthus hi eng nge an danglamna?

• Epicanthus chu i mitmeng chunglam chhung lam, i mitmeng chhung lam kil chunglam a vun fold a ni. Mit lam thiam chuan hei hi epicanthal fold emaw monolid eyes emaw a ti thei bawk . (Hei hi Asia ramah chuan a awm fo thin.) Epicanthus leh telecanthus hi a awm dun thei a ni.

Telecanthus leh BPES (Blepharophimosis-ptosis-epicanthus inversus syndrome) te hi eng nge an danglamna?

BPES (Blepharophimosis-ptosis-epicanthus inversus syndrome) hi mit vel vun thanna tichhe thei a ni. Tin, telcanthus hmanga hriat chian a ni bawk. BPES natna lan chhuah dan chu:

• Blepharophimosis : Mitmeng hi a zim hle a, a lo thang tha lo a, a inhawng kim lo.
• Epicanthus inversus : Mitmeng hnuai lam chhung lam vun chu mitmeng chhung lam kil atanga chunglam hawiin a inzawm (epicanthus pangngai nen a inkalhin).
• Ptosis : Hei hi mitmeng chunglam hnuai lam hawia a tlak lai a ni.

Telecanthus hi thil awm lo tak ni mah se, nangmah emaw, i fa emaw tan chuan harsatna a ni thei. Genetic disorder vang a ni tlangpui a, i fa mit emaw taksaah emaw harsatna dang a thlen thei bawk.

A tawi zawngin, kan hriat reng tur thil (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian point pawimawh tak tak thenkhat i hrechhuak leh ang u.

• Telecanthus hi mit chhung lam kil inkar hlat zawng tihpun a ni. Hei hi pianpui natna a ni fo thin.
• Hei chauh hi a lo awm chuan natna lian tham leh mit lama harsatna lian tham a thlen lo tlangpui.
• Mahse, hei hi genetic diseases nen a inzawm thei a, chu chuan hriselna lama harsatna dang a thlen thei a ni.
• Naupang inngaihhlutna a nghawng a nih chuan surgery tih i ngaihtuah thei ang. Mental health counselling pawh a pawimawh hle.
• Hei hi ven theih ni lo mah se, genetic counseling ang chi thilte hian a hlauhawmna hriat chian nan a pui thei che a ni.
• Ringhlelna emaw harsatna emaw i neih chuan doctor nen inbiakna neihpui ngei ang che. Hlauthawng leh mualpho suh. I hriselna leh i naute hriselna hi a pawimawh ber a ni.

Nangmah chauh i ni lo tih hre reng ang che. A tha ber chu heng dinhmunte hi hriat chian a, damdawi lam thurawn tul tak tak lak hi a ni.

` Telacanthus, mit natna, thlah natna, naupang hriselna, surgery, symptoms, mit hriselna