I mit hmuh chu a fiah zauh zauh em? Hei hi Terrien Marginal Degeneration vang pawh a ni mai thei!

A chang chuan i mit chu a danglam deuh a, mit pahnihah a fiah lo deuh niin i hria em? Mit pakhatah chauh a ni mai thei. A tam zawkah chuan hetiang thil hi kan ngaihven vak lo a ni lawm ni? "Hei hi i tar hunah a thleng thin," tiin kan ngaihtuah thin. Mahse, mit natna hmuh tur awm lo thenkhat, heng ang symptoms atanga intan te pawh an awm. Vawiin hian kan sawi dawn a, chu chu hriat hlawh lo, mahse hriat hlawh tak condition kan sawi dawn a ni. Chu chu Terrien Marginal Degeneration tih hming pu condition a ni.

Terrien Marginal Degeneration tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, hei hi kan mit tichhe thei natna hmuh tur awm lo tak a ni. Hemiah hian thil thleng chu kan mit hma lama transparent membrane ni thin ‘cornea’ thenkhat chu a thim zauh zauh thin. Camera ang maiin han ngaihtuah teh. Cornea hi êng rawn luh tir leh thlalak chiang tak siam tura puitu ber a ni. Darthlalang chunglama glass awm ang mai a ni. Chuvangin, he mit (cornea) hi a lo hring tan chuan hun kal zelah thil chiang taka kan hmuh theihna a tibuai thei a ni.

Hei hi zan khat thil thuah a thleng lo. Zawi zawiin a lo thang lian fo thin. Chuvang chuan mi thenkhat chuan a tir lamah chuan an hre lo. Mahse, i hriat hmasak chuan i mit hmuhna humhim emaw, siam ṭhat leh emaw tura pui turin enkawlna i dawng thei a ni. Enkawlnaah chuan glasses , damdawi ṭhenkhat, leh a châng chuan i mitmeng siamṭhat emaw, thlak emaw tûra operation te pawh a tel ṭhin.

He Terian Marginal Degeneration (TMD) hian engtin nge a nghawng che?

Kan sawi tawh ang khan he natnaah hian mit (cornea) thenkhat chu a thim thin. Corneal degeneration a kal zel chuan cornea pawn lam kil chu a flatten tan thin. Hei hi peripheral corneal flattening an ti a. Chumi avang chuan astigmatism a lo awm thei a ni.

Astigmatism chu eng nge ni ?

Ngaihtuah teh, mit hrisel chu mawi takin a zungbun a, ball ang mai a ni. Tichuan êng chu hmun khatah chiang takin a focus a, thlalak chiang tak a pe a ni. Mahse astigmatism-ah chuan mitmeng (cornea) pianzia hi a danglam deuh a, egg ang maiin emaw, rugby ball ang maiin emaw a danglam deuh thin. Tichuan êng chu hmun khatah a focus lo va, hmun engemaw zatah a focus a, chuvangin i thil hmuhte chu a hlimthla, a inzawm khawm a, a chang chuan pahnih-ah pawh a inthen thei bawk.

Chuvangin, he astigmatism dinhmun hian i mit a ti fiah lo thei a, thil chiang takin i hmu thei lo mai thei. Terian Marginal Degeneration (TMD) hian mit pakhat chauh emaw, mit pahnih emaw a nghawng thei a ni.

Thu lawmawm tak chu mit natna dang thenkhat ang lo takin TMD hian mit natna a thlen lo tlangpui. Mahse, a châng chuan mit chu a sen a, a hring deuh thei a, chu chu inflammation a ni .

A tlem hle a, mitmeng chu a hring nasa hle a nih chuan a chhe thei a, a chhe thei bawk . Hei hi a thleng thut thei a, i mit a hliam emaw, a chhiat emaw chuan a thleng thei bawk. Hei hi emergency a nih avangin damdawi lam pan vat tur a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

He natna hi Terian Marginal Degeneration (TMD) tia koh a ni a , mipa kum 40 chunglam zingah hmuh tur a awm tam ber a, mahse, chu chuan midangte an vei thei lo tihna erawh a ni lo. Kum eng pawhah tu chungah pawh a thleng thei. Tin , inflammatory diseases thenkhat , rheumatoid arthritis leh juvenile idiopathic arthritis nei te hian TMD an vei tam zawk tih hmuhchhuah a ni bawk.

Terian Marginal Degeneration (TMD) hi engtiang chiahin nge a awm?

Hei hi a takah chuan thil awm lo tak a ni. Zirchiangtute chuan he natna hi mi engzat nge vei tih chiang takin an la hre thei lo. TMD hi kum 1900 khan French mit lam doctor Felix Terrien- a’n a sawi hmasak ber a ni.

Terian Marginal Degeneration (TMD) chi hrang hrang lian ber ber a awm em?

Scientist-te chuan he natna hi chi hnih lian tak, terian marginal degeneration ( TMD ) a awm niin an ngai.

1. Type 1: Hei hi kum 55 chunglam ah hmuh tur a ni tlangpui a, he type ah hian natna hi a zual zawi zawi a, inflammation chhinchhiahna engmah a awm lo (mit sen leh swelling ang chi).

2. Type 2: Hetiang chi hi inflammation a ni . Tlangval kum 20 leh 30 inkar ah a tam ber. Doctor-te pawhin hetiang chi hi a hnuaia natna nei teah an hmu tawh bawk.

• Anterior Basement Membrane Dystrophy: Hei hi thlahtute (genetic) atanga lo chhuak, coronary disease a ni.
• Erythema Elevatum Diutinum: Hei hi vun natna rei tak a ni.
• Posterior Polymorphous Dystrophy: Hei hi mit natna hmuh tur awm lo tak a ni bawk. Mit (cornea)-ah tui emaw thil dang emaw a siam khawm thin.

Terian Marginal Degeneration (TMD) ang natna dang a awm em?

Ni e, mit natna dang engemaw zat, heng TMD symptoms ang chi symptoms nei te hi an awm bawk. Chuvangin diagnosis dik tak neih a pawimawh em em a ni. Chumi hnuah chauh chuan enkawlna ruahmanna dik ber i hmu thei ang. Chung natna thenkhat chu:

• Acanthamoeba Keratitis natna a ni
• Corneal Ectasia (natna pawl pakhat, mitmeng pianzia a inthlak a, hun kal zelah astigmatism a pung) .
• Corneal Ulcer ( mitmeng hliam) .
• Keratoconus (chutah chuan mit (cornea) chu cone angin a rawn chhuak) .
• Marginal Furrow Degeneration (hei hian mit (cornea) a ti hring bawk) .
• Mooren’s Ulcer (Hei hi mit natna na tak a ni a, mitmeng a tichhe thei) .
• Mit natna (Ocular rosacea ) .
• Pellucid Marginal Degeneration (PMD) (Hei pawh hi mit natna hmuh tur awm lo tak a ni a, hun kal zelah mitdelna a thlen thin)
• Sclerokeratitis ( sclera leh mit natna) .
• Vernal Keratoconjunctivitis (VKC) (hun rei tak chhunga allergy na tak, mit chunglam nghawng thei) .

Hetiang symptoms hi natna tam takah a awm thei a, chuvangin thil danglam tak i hriat chuan mit lam doctor pan ngei ngei tur a ni.

Terian Marginal Degeneration (TMD) hi eng thilin nge a thlen?

Dik tak chuan zirchiangtute chuan TMD thlen chhan chiang tak an la hmu thei lo. Mahse, autoimmune disease (taksa immune system-in cell hrisel a beih na hmun) emaw, degenerative disorder (tissue emaw organ emaw a chak lo zauh zauh) emaw a nih an ring. Mahse, hengte hi finfiah a la ni lo.

Terian Marginal Degeneration (TMD) natna lan chhuahna chu engte nge ni?

A tam zawkah chuan temporomandibular joint degeneration (TMD) vei te hian symptom an nei lo. Chu chu buaina chu a ni. Mahse, ṭhenkhatah chuan hetiang hi i tawng thei a ni:

• Astigmatism hian mit hmuhna a tidanglam zauh zauh: Hei hian mit hmuhna chu zawi zawiin a fiah lo va, a fiah tawh lo ang maiin a lang thei tihna a ni.
• Mit mitmeng (cornea) a inthlauhna avanga mit a tickling emaw, a nuam lo emaw: Mit chhungah thil a inkhung ang maiin a lang thei a, mit chhungah hian hnim hnah a awm ang maiin a lang thei bawk.

A nasat lutuk chuan accident emaw hliam emaw a awm chuan mit (corneal perforation) (Puncture or Tear) . Hei hi medical emergency a ni a . Hei hian mitdelna nasa tak a thlen thei a ni. Chuvangin, i mit tichhe thei i neih chuan damdawi lam pan vat tur a ni.

Engtin nge Terian Marginal Degeneration (TMD) hi hmuhchhuah a nih?

Doctor te chuan mit enfiahna kimchang hmangin TMD hi an hmuchhuak thin . Chu natna chu dik taka an hriat chuan mit (cornea) ti hring (cornea) ti hringtu natna dang aiin an danglam thei a, enkawlna dik tak an pe thei bawk.

I mit lam doctor chuan i mit thlalak chipchiar tak tak la turin test dang a ti leh thei a, i mitmeng (cornea) a inthlak danglam leh awm loh a enfiah thei bawk. Heng test hrang hrangte hi:

• A hmalam Segment Optical Coherence Tomography hmanga siam a ni
• Confocal Microscopy hmanga thil tih a ni
• Corneal Topography (Hei hian mitmeng chunglam map a siam a) .
• Slit Topography scan dan tur a ni
• Ultrasound hmanga Biomicroscopy (UBM) hmanga enfiah a ni.

Heng test te hian doctor chuan i mit (cornea) dinhmun chiang takin a hre thei ang.

Terian Marginal Degeneration (TMD) hi damdawi a awm em?

Vanduaithlak takin TMD hi damdawi a la awm lo. Mahse, lungngai suh. Enkawlna hian i mit hmuhna a humhim thei a, harsatna a awm loh nan a pui thei bawk. Chuvang chuan early diagnosis hi a pawimawh em em a ni. Tichuan i doctor chuan i mamawh enkawlna a pe thei ang che.

Terian Marginal Degeneration (TMD) hi eng enkawlna nge ni?

A tam zawkah chuan temporomandibular joint degeneration (TMD) hi enkawlna bik a awm lo. I doctor chuan " watchful waiting " (chu chu symptoms en a, a na zual em tih en nghah) leh i dinhmun enfiah nan test neih fo a rawt thei bawk.

Mahse, he TMD natna hian i mit a nghawng a nih chuan corrective eyewear hi enkawlna atan hman theih a ni. Entir nan:

• Polycarbonate atanga siam glass: Hengte hi plastic pangngai aiin a chak zawk.
• Rigid, Gas-Permeable Contact Lens: Hengte hi contact lens chi khat khauh zawk, mit chhunga oxygen kal tlang theihna tur a ni.
• Scleral Lens te hi a awm a:Hengte hi contact lens lian tak tak, rigid tak tak an ni. Cornea pumpui an khuh vek a ni. Astigmatism an siam tha a, mit an venghim a, mit an ti tha bawk.

Inflammation na lo tak i neih chuan i doctor chuan mittui tlakna, hriak, a nih loh leh gel a pe thei che a ni . A chang chuan topical steroid pawh hman theih a ni. Mahse, an hmanna erawh a tlem hle a, a chhan chu mit (cornea) a ti thim zual thei a ni.

Terian Marginal Degeneration (TMD) vangin operation ka mamawh dawn em?

TMD natna zual zawkah chuan i mit hnathawhna humhim, enkawl leh siam that leh nan operation neih a ngai mai thei. I mit doctor pawhin corrective lens hmanga a puih loh chuan operation neih a rawt thei bawk.

I mit (cornea) a chhiat nasat chuan i doctor chuan mit (cornea) thlak (cornea transplant) a rawt thei ang . Hei hian donor hrisel tak emaw, artificial cornea emaw atanga tissue hman a huam a ni. Hetiang hian transplant i nei thei ang:

• Partial Thickness Transplant (Lamellar Keratoplasty): Hetah hian i mit (cornea) thenkhat chauh thlak a ni.
• Full Thickness Transplant - Penetrating Keratoplasty: Hetah hian i mitmeng zawng zawng chu thlak vek a ni.

I doctor chuan heng surgery te hi a hrilh belh ang che.

Terian Marginal Degeneration (TMD) lo awm tur venna tur hian ka tih theih tur a awm em?

TMD venna tur hian engmah tih theih a awm lo tak zet a ni a chhan chu a chhan dik tak hriat a la ni lo. Mahse, i mit venhim nan leh natna a zual zel loh nan hmalakna engemaw zat i nei thei a ni .

Cornea chhiat loh nan heng hun chhung hian mitmeng venna bun tum ang che:

• Bleach emaw chemical dang hmanga tihfai hunah.
• Pawn lama hnathawh hunah, lawn sawh ang chi.
• Baseball leh hockey ang chi infiamna khelh lai hian.
• Hmanraw hman lai emaw, paint hnawih lai emaw pawh nise.

Contact lens i bun a nih chuan mit emaw mit emaw natna veng turin i lens tihfai leh hrik paih dan tur thupek chu uluk takin zawm tur a ni. I mit doctor appointment te zawm a, enkawlna kaihhruaina zawm hian harsatna i veng thei a, i mit hlu tak chu i humhim thei bawk.

Terion Marginal Degeneration (TMD) ka neih chuan eng nge ka beisei ang?

Mi tam tak chuan Terian Marginal Degeneration (TMD) natna hi an nei a.Glasses emaw contact lens emaw hmangin a enkawl tha thei a, medical checkup pawh neih reng theih a ni bawk. Corneas na tak i neih chuan i mit venhimna tur leh i symptoms enkawl dan tur tha ber berte chu doctor nen sawiho rawh. Ngaihtuah buai suh, he dinhmun nen hian nun pangngai i hmang thei ang.

Terian Marginal Degeneration (TMD) hi engtikah nge damdawi lam thurawn i lak ang?

Terian Marginal Degeneration (TMD) dinhmun hi hriat hmasak a pawimawh a, chutiang chuan enkawlna tha tak i dawng thei ang. Mit natna, natna, emaw, mit hmuhna inthlak danglam emaw i neih chuan i doctor hnenah hriattir nghal rawh. I doctor chuan enkawlna kawng hrang hrang a pe thei che a, chu chuan hahdamna a pe thei che a, i mit a humhim thei bawk.

Mit hi kan taksa peng hrang hrang sensitive leh hlu ber pakhat a ni tih hre reng ang che. Chuvangin, i mitah danglamna emaw, lungawi lohna emaw i hmuh chuan ngaihthah lova damdawi lam thurawn zawng chu a finthlak hle ang.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Terrien Marginal Degeneration hi thil awm lo tak a ni a, kan mit (cornea) kilte a ti hring chhuak thin. He cornea hian chiang taka kan hmuh theih nan min pui thin. Mi tam tak chuan symptom engmah an hmu lo. Midang tan chuan corrective eyewear hian an mit a humhim thei a, harsatna a awm loh nan a pui thei bawk. Mit enfiah fo thin ang che. Tichuan i mamawh enkawlna chu i hmu thei tawh ang. I mit kha fimkhur rawh! A chhan chu khawvel hmuh tur mit pahnih chauh kan neih vang a ni.

Terrien Marginal Degeneration, Mit Natna, Cornea, Mit Hmuh lohna, Mit Hrisel lohna, Mit Hriselna