Zingkar i harh a, rang takin i mit chu a sen, a na, leh ênga hmuh harsa ang maiin i inhriat tawh ngai em? A nih loh leh i mit hmaah thil dum te te a lo inphah chhuak i hmu em? Heng thilte hi a chang chuan ‘mit natna’ tiin kan ngai thin a, mahse hei hi tlem tal ngaihven ngai thil a ni mai thei. Uveitis hi chutiang natna pakhat, ngaihven vat ngai a ni. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
Uveitis hi eng nge ni?
A awlsam zawngin uveitis hi kan mit chhunga layer ‘uvea’ an tih inflammation emaw swelling emaw a ni.
Kan mit hi ball te tak te ang mai a ni ang tih han ngaihtuah teh. He ball hian bang pathum a nei a, chu chu layer pathum a ni. Chu bang zingah chuan uvea chu a lai tak a ni. He layer hi mit thisen supply tu leh mit chawmtu pawimawh tak a ni. Chuvangin he part hi a inflamed chuan Uveitis kan ti thin. Hei hian mit pakhat chauh emaw, mit pahnih emaw chu a rualin a nghawng thei a ni.
Tunah chuan a hring hring mai mai niin i ngai mai thei. Mahse mit chu hmun tlemte a ni. Chuvangin he uvea hi a lo hring chhuah hian chu a hring avang chuan mit chhunga pressure a sang a, mit pianzia pawh a danglam deuh thei a ni. Mit pianzia hi kan mit hmuhna atan a pawimawh hle. Chuvangin he inthlak danglamna tenau tak pawh hian kan mit a ti fiah lo thei a, a ti buai thei bawk.
Hei hi uluk taka enkawl a nih loh chuan mitdelna nghet tak emaw, natna khirh tak thenkhatah chuan mitdelna emaw pawh a thlen thei a ni. Chuvangin hei hi ngaihthah tur a ni lo.
Uveitis natna lan chhuah dan chu engte nge ni?
Uveitis hian mit peng zawng zawng a nghawng dan inang vek lo. A natna hmun a zirin symptoms a inang lo. Doctor-te chuan chi thum ah an then a, chungte chu Anterior Uveitis, Intermediate Uveitis, leh Posterior Uveitis te an ni. A châng chuan a hmun pathumte hi a rualin a nghawng thei a ni. Hei hi Panuveitis an ti a.
Uveitis chi khat chu anterior uveitis a ni a, mit hmalam a nghawng a ni. A chi hrang hrang symptoms hi han thlir ila.
| Mit hmun a nghawng | Symptoms i hriat/hmuh te |
|---|---|
| Mit hmalam (Anterior) . (Hmuh tam ber type) |
|
| Intermediate & Posterior lam a ni |
|
Engvangin nge he Uveitis hi a lo awm? A chhante chu engte nge ni?
A tam zawkah chuan 50% leh 70% inkarah chuan a chhan chiang tak hmuh tur a awm lo . Doctor-te chuan `idiopathic` an ti. Chu chu chhan awm lovin a thleng tihna a ni. Mahse, a chhan awm thei engemaw zat a awm. Anmahni hi han en teh ang u.
| Chhanna category a ni | Sawifiahna leh entirnan |
|---|---|
| Infection awm thei te | Hetiang dinhmun hi taksaa hrik lut vang a ni thei.
|
| Taksa chhunga natna dang (Systemic Causes) . | A chang chuan uveitis hi mit lama harsatna awm mai a ni lo. Kan taksa pum huap natna dang chhinchhiahna a ni thei bawk. Hei hi a bik takin autoimmune natnaah a thleng thei a, chutah chuan kan taksa hriselna (immune system) ngei pawhin min dodal thin. |
| Mit Hliam a awm | Hei hi mit zai hnua mit hliam emaw, a hring emaw avanga lo awm thei a ni. |
| Damdawi thenkhat | Uveitis hi damdawi thenkhat side effect angin a awm thei bawk. |
Hei hi mi pakhat atanga kai theih a ni em?
Ni lo, Uveitis hi kai theih a ni lo. Mahse, uveitis thlentu chu natna hrik (e.g. TB) a nih chuan a hnuaia natna kai chu kai theih a ni.
Uveitis a nasat chuan eng nge thleng thei?
Enkawl vat loh chuan mit chhunga he natna hi harsatna lian tak a thlen thei a ni. Chung zinga ṭhenkhat chu:
- Cataracts: Mit lens a khuh avangin mit a fiah lo.
- Glaucoma: Mit chhunga pressure a san zel avangin mit hmuhna a hloh reng a, chu chuan mit nerve a tichhe thin.
- Retinal damage: Mit chhunga mit hmuhna pe theitu sensitive membrane a chhiat chhan chu swelling (Cystoid Macular Edema) emaw detachment (Detached Retina) vang a ni.
- Synechiae: Mit hmaa lens emaw cornea emaw-a iris inzawmna .
Hetiang thil laka inven dan tha ber chu a natna lan chhuah veleh enkawl tan hi a ni.
Engtin nge doctor hian uveitis hi a hriat theih ang?
Heng symptoms nei mit specialist i hmuh chuan i symptoms te, tun hnaia i natna te, leh accident i neih tawh zawng zawng te a zawt hmasa ang che.
Tichuan, hmanraw bik (`slit lamp`) hmangin i mit chhung lam chu i enfiah thin. Hei hian mit chhunga hliam chhinchhiahna a hmu thei a ni. Mit chhunga pressure pawh teh theih a ni (`tonometry`) a, mit hnung lama layer hrang hrangte inthlak danglamna zawng turin ``octogram`` scan pawh tih theih a ni bawk.
A châng chuan, uveitis awm chhan hriat tumin, i doctor chuan test engemaw zat tih belh leh turin a ti thei che a ni.
- Thisen test: Taksaah infection emaw immune system lama harsatna a awm leh awm loh enfiah thin ang che.
- X-ray emaw MRI scan: Kan rilruah emaw taksa hmun dangah emaw natna chhinchhiahna a awm leh awm loh enfiah thin ang che.
- Fluorescein Angiography: Mit chhunga thisen kalna kawng enfiahna atana test bik a ni.
Uveitis enkawlna tur engte nge ni?
Uveitis thlentu tam tak a awm avangin enkawl dan pawh a inang lo hle. Damdawi pakhat mah a awm lo. Enkawlna chu i uveitis thlentu leh mit eng hmun nge a nghawng danah a innghat a ni.
Enkawlna atana thil tum lian pathum a awm a, chungte chu:
1. Swelling (inflammation) tihziaawmna: Hemi atan hian Steroids hi damdawi hman tam ber a ni. Chungte chu mittui tlakna, mit vel injection emaw, pill emaw angin pek theih a ni.
2. Pain control: Mit natna tihziaawmna tur leh eng laka sensitivity tihziaawm nan special eye drops (cycloplegics) hman thin a ni. Chungte chuan mit mitmeng (pupil) a tizau a, mit ruh inzawmkhawm (contraction) a titawp a, natna a tiziaawm a ni.
3. A chhan bulpui enkawl dan: A chhan chu bacteria infection a nih chuan antibiotics pek theih a ni a, virus a nih chuan antivirals pek theih a ni bawk. A chhan chu immune system lama harsatna a nih chuan damdawi bik a ngai mai thei.
A pawimawh ber chu i doctor thupek dik taka zawm hi a ni. I damdawi ei hi a hun taka ei a, ni ruat saah checkup neih a pawimawh.
He dinhmun hi engtiang chiahin nge a pawi? A veng thei ang em?
Dik tak chuan Uveitis hi khawvela mitdelna leh mitdelna thlentu lian ber a ni. Mahse, hlauthawng suh. Enkawlna i hmuh nghal loh chuan chauh a hlauhawm . I symptoms i neih veleh doctor i pan a, enkawlna i tan veleh chuan i dam kim theihna chance a sang zawk a, i mit hmuhna tichhe thei tur i pumpelh thei bawk.
Uveitis hi a chhan hriat a nih loh fo avangin ven kim theih a ni lo. Mahse, kan risk tihziaawmna tur thil engemaw zat kan tih theih a awm.
- I mit enfiah fo rawh: Kum khatah vawi khat tal mit enfiah a pawimawh. Hetiang hian harsatna eng pawh chu a hmain hriatchhuah theih a ni.
- I mit venghim rawh: Hna hlauhawm tak tak i tih lai emaw, infiamna i khelh dawnin safety glasses vuah thin ang che.
- Infection enkawl vat rawh: Taksaah natna hrik a darh loh nan doctor pan vat tur a ni.
Engtikah nge doctor ka hmuh vat ang?
Heng symptoms te hi i neih chuan, ‘Mit lam harsatna mai a ni mai thei a, a mah chauhin a dam leh ang,’ tih mai mai suh, a rang thei ang bera doctor, a bik takin mit lam doctor pan rawh. He natna nen hian hun hi a pawimawh ber a ni.
Heng features te hi a bik takin ngaihven rawh:
- Mit na a zual zel a nih chuan.
- Vision a tlahniam nghal emaw, a bo emaw a nih chuan.
- I mit hmaah êng eng (flash of light) i hmuh chuan.
- I mit hmaah hmun dum (`floaters`) i neih thut a nih chuan, a nih loh leh i neihte chu a langsar hle a nih chuan.
- Photophobia, chu chu eng êng tak hian mit a ti na tihna a ni.
Uveitis enkawl mek i nih a, heng symptoms te hi a na zual a nih chuan doctor rawn nghal rawh.
Take-Home Thuchah a ni
- Uveitis hi mit chhung lam a inflammation a ni. A lan chhuah dan ber chu a sen, a na, leh mit a fiah lo.
- Hei hian a chhan hriat a nei lo mai thei a, mahse natna hrik, taksaa natna dang, accident vang te pawh a ni thei.
- Symptoms i neih chuan tihkhawtlai suh . A rang thei ang bera mit doctor pan hian mit hmuhna hloh reng tur a veng thei a ni.
- Doctor-in enkawlna a pek ang chiah chu zawm rawh. I mit hi i tan a hlu em em a ni. Chuvangin enkawl rawh.
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