Mi thenkhat chuan an kawr hnunglam, an kawrfual leh an kekawrte vun chu hmun dang aiin a dum zawk hle tih i hmu ngai em? Hei hi nangmah ngeiin i tawng tawh ngei ang. Sahbawn engzat pawh hmang la, i scrub tha pawh nise, he rawng dum hi a bo lovang. A takah chuan bawlhhlawh a ni lo. Damdawi lama hriat lar tak vun natna a ni. Chu chu vawiinah kan sawi dawn a ni.
Acanthosis Nigricans hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Acanthosis Nigricans hi kan vun hmun thenkhat, a bik takin vun folds te chu brown emaw black emaw a lo awm thin a ni. Heng hmuna vun hi a thim deuh a, khawih chuan a hring leh velvety ang maiin a lang thei. Hei hi a tawi zawngin ``(AN)`` kan ti bawk.
Vawi tam tak chu heng hmunte hi kan hmuh hian, "Aw, hei hi a bawlhhlawh a, silfai mai rawh," kan ti thin. Mahse hei hi bawlhhlawh layer a ni lo. Hei hi vun rawng inthlak danglamna a ni. Chuvang chuan sahbawn hnawih pawhin a paih chhuak thei lo.
Khawiah nge heng spot te hi hmuh tur a awm tlangpui?
Heng `(AN)` hrui te hi taksa khawi hmunah pawh lang thei mahse, vun a inzawm emaw, a inhnim khawmna hmunah te hmuh tur a tam ber. Entir nan:
- Kawng leh hnunglam vel (a tam ber) .
- Armpit hnuaiah
- Groin ah chuan
- Hmeichhiaah chuan hnute hnuaiah
- A chang chuan elbows leh knees ang hmunah pawh hmuh tur a awm bawk.
Hei hi hri kai theih a ni em? Thil awmdan hlauhawm tak a ni em?
A hmasa berah chuan he natna hi kai theih a ni lo. Chu chu mi pakhat atanga mi dangah a darh lo tihna a ni a, khawih emaw, kawng dang emaw hmangin a darh lo tihna a ni. Chuvangin hei hi hlau suh.
A pahnihna chu heng vun hrui te hi a hlauhawm em tih hi a ni. Dik tak chuan vun dinhmun `(AN)` ngei pawh hi a hlauhawm lo. Chu chu heng spot te hian harsatna lian tham a thlen dawn lo tihna a ni. Mahse, a pawimawh ber chu heng spot te hi kan taksa chhunga hriselna lama harsatna dang engemaw zat min pe thei tur warning sign a ni thei a ni. Chuvangin hetiang spot hi i hmuh chuan ngaihthah mai mai a tha lo. A tha ber chu i doctor hmu la, he thu hi sawipui ngei ang che.
He natna hi tuin nge vei tam zawk? Diabetes nen hian inzawmna a awm em?
Acanthosis Nigricans (AN) hian tu pawh a nghawng thei a, mahse mi thenkhat chu an hlauhawm zawk.
- Obesity: Hei hi a hlauhawm ber a ni. Taksa rihna a san chuan taksaa insulin level a sang chho zel a. Hetianga insulin level sang tak hi vun cell te a lo thang chak em em a, vun a thim chhan ber a ni.
- Chhungkaw zinga mi pakhatin he natna hi a neih chuan: Hetiang dinhmun hi genetic influence vang pawh a ni thei.
- Vun dum nei tan: Heng hmunte hi vun dum nei tan chuan chiang zawkin a lang thei.
Zunthlum leh AN inzawmna
Hei hi mi tam takin zawhna lian ber an neih chu a ni. "Thlarau dum hian sugar a awm tihna em ni?" Mi tam takin an zawt thin.
Ni e, `(AN)` leh zunthlum hi inzawmna nghet tak a awm a ni. Mahse chu chuan mipa dum zawng zawng hian zunthlum an nei vek tihna a ni lo.
Hetiang hian han ngaihtuah teh. Hormone insulin hian kan ei leh in atanga sugar (glucose) kan taksa cell te hi a lakluh theih nan a pui thin. Kan thau chhoh chuan a chang chuan kan cell te hian he insulin hi an chhang tha lo. Hei hi insulin resistance kan ti a ni . Tichuan, sugar chu cell chhungah a lut thei lo a, kan taksa hian insulin a siam tam zawk thin. He thisena insulin level sang hian vun cell te chu rang taka inthen darh a, vun a ti thim a, a dum ta a ni.
Insulin resistance hi prediabetes leh type 2 diabetes mellitus natna langsar tak a ni . Chuvangin `(AN)` hi i taksain zunthlum vei a hlauhawm tih hriattirna pawimawh tak a ni thei.
Engvangin nge heng vun rawng hi a lo lang? A chhante chu engte nge ni?
Insulin resistance kan sawi tawh bakah hian thil dang engemaw zatin `(AN)` a lo awm thei a ni. He table of causes hi han en ila.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Insulin level sang tak a awm | Thau lutuk hi prediabetes emaw diabetes emaw vang a ni thei. Hei hi a chhan tam ber a ni. |
| Genetics lam thil a ni | I chhungte hian he natna hi an neih chuan nang pawhin i vei theihna a hlauhawm hle. |
| Damdawi thenkhat | Damdawi thenkhat, birth control pill, steroid, leh growth hormone te avanga lo awm thei a ni. |
| Hormone kaihhnawih natna | Hormone inthlauhna avanga lo awm thei a ni a, chu chu thyroid natna leh Addison natna te a ni. |
| Cancer (a tlem hle) . | A tlem hle a, a bik takin heng hmunte hi a lo lang nghal a, rang taka a lo lang a nih chuan taksaa cancer awm theihna chhinchhiahna a ni thei. Chuvângin, inthlâk danglamna rang tak chu fimkhur rawh. |
Hetiang natna lan chhuah dan hi engte nge ni?
A lan chhuah dan ber chu vun rawng a inthlak a, mahse a rualin thil dang engemaw zat i hriat theih a awm bawk.
| Symptom a ni | Engtin nge a awm/a lan dan? |
|---|---|
| Hmun dum a awm | Vun hi a dum hring atanga dum dum thlengin a inang lo thei. |
| Velvet vun a ni | Heng hmun awmna hmun hi i khawih chuan vun pangngai aiin a thim zawk, a nem zawk a, a nem zawkin a lang. |
| Skin tags a awm bawk | Heng hmun thim takah hian vun natna te te a lo lang thei a ni. |
| Itching a ni | Mi thenkhat chuan heng hmunah te hian natna (itching) te te an nei thei bawk. |
| Hriak duhawm lo tak a ni | Vun inzawmkhawmna hmunah hian a chang chuan thawmhnaw a awm khawm thei a, rimtui lo tak a siam thei bawk. |
Pawimawh: Heng spot te hi a tlangpuiin zawi zawiin, thla tam tak chhung, a chang chuan kum tam tak chhungin a lo awm thin. Mahse heng spot te hi i vunah a lo lang nghal a, rang takin a lo lang a nih chuan ngaihthah suh. Doctor pan nghal rawh.
Doctor, engtin nge hei hi i diagnose? Eng nge a enkawl dan?
Hemi chungchangah hian doctor i pan chuan eng nge a nih chiah tih hriat tumin hma engemaw zat a la ang.
Engtin nge doctor hian hei hi a nemnghet theih ang?
1. Enfiah: A hmasa berin doctor chuan i vunah heng hmunte awmna hmunte hi uluk takin a enfiah ang. A tlangpuiin `(AN)` hi a lan dan a\angin hriat theih a ni.
2. A chipchiar zawka zawh che: I chhungkuaah hian hetiang natna hi an nei em tih te, eng damdawi nge i ei tih te, i rihna a danglam em tih te zawh che.
3. Thisen test: Zunthlum vang nia i rinhlelh chuan i thisen sugar leh insulin level endik turin thisen test turin an ti ang che.
4. Skin Biopsy: A tlem hle a, a natna hriat chian loh chuan vun te tak te tak te chu lak a, microscope hmanga enfiah turin thawn theih a ni.
Enkawlnate chu engte nge ni?
Heta kan hriatthiam tur pawimawh ber chu `(AN)` enkawl hian vun hring chauh enkawl tihna a ni lo va, a thlentu damdawi lam dinhmun hnuaia awmte enkawl tihna a ni zawk.
- Weight loss: Hei hi hei hi a tha ber leh a hlawk ber a ni. I thau lutuk avanga AN i neih chuan ei leh in tha leh exercise hmanga i taksa rihna tihtlem hian i insulin level a control thei ang a, zawi zawiin i vunah a dum awmte chu a tihziaawm ang. An bo vek thei hial a ni.
- A hnuaia awm enkawl dan: AN hi zunthlum emaw, thyroid harsatna emaw avanga lo awm a nih chuan, chu natna chu uluk taka enkawl chuan vun dinhmun pawh a ti tha ang.
- Damdawi tihtawp emaw thlak danglam emaw: Hetiang dinhmun hi damdawi chi khat avanga lo awm a nih chuan i doctor nen inbiain damdawi chu thlak theih a nih leh nih loh i en thei ang.
Heng enkawlna bulpui bakah hian i doctor chuan i vun lan dan tur siam that nan a hnuaia mite hi a rawn rawt thei bawk ang:
- Vun ti eng thei tur cream (Prescription cream) .
- Laser therapy emaw dermabrasion hmanga vun thickness tihziaawmna tur
- Cream emaw pill emaw retinoids awmna, vun ti eng theitu
Vaukhânna: Damdawi dawr emaw dawr emaw-ah kal ngai suh la, doctor rawn hmasa lovin i duh ang cream i hnawih ngai lo. Cream thenkhat hian i vun a ti na thei a, i dinhmun a ti na zual thei bawk.
Hetiang dinhmun hi pumpelh theih a ni em?
Ni e, a theih hle mai. (AN) thlentu ber chu thau lutuk leh insulin resistance a nih avangin, a ven dan tha ber chu chutiang dinhmunte chu control hi a ni.
- I taksa rihna hrisel tak vawng reng rawh.
- Sugar leh carbohydrates tamna ei tur (flour, buhfai, sweet drinks) control.
- Nitin exercise la.
- Diabetes ang chi medical condition i neih chuan control tha rawh.
Hetiang dinhmun hi hlauhawm lo mah se, kan taksain thuchah pawimawh tak min pek a ni. Chu thuchah hrethiam a, kan nunphung kan thlak danglam chuan `(AN)` chauh ni lovin, natna khirh tak tak, zunthlum, thisen sang, leh thinlung natna te lakah pawh kan inveng thei a ni. Chuvangin i vunah hetiang taka inthlak danglamna i hmuh chuan i doctor hnenah hemi chungchang hi sawi hreh suh.
Take-Home Thuchah a ni
- Kawng leh kawrfual-a lang dum, velvety patch te hi bawlhhlawh a ni lo. Anni hi vun natna an ni a, Acanthosis Nigricans (AN) an ti a ni.
- Hei hi hri kai theih a ni lo. Mahse, hriselna lama harsatna awm thei, prediabetes emaw diabetes emaw a nihna chhinchhiahna a ni thei.
- Hei hi a enkawlna tha ber chu a chhan bulpui enkawl hi a ni. I thau lutuk a nih chuan thau tihtlem hi a pawimawh hle.
- Heng hmunah hian doctor thurawn tel lovin i duh ang cream hnawih ngai suh. Vun a tichhe thei a ni.
- If these spots appear suddenly and rapidly , doctor pan nghal vat tur a ni.
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