I vunah hian hmun dum (Vitiligo) i nei em? A chanchin zawng zawng sawi ila!

Mi thenkhatin an vunah var an nei tih i hmu tawh em? Chutiang bawk chu i tawng tawh pawh a ni mai thei. Hei hi kan tih mai mai chu white spots, white patches, emaw doctor-te’n `(Vitiligo)` an tih fo thin angin a ni. Hei hi hmuhnawm deuhin lang mah se, a takah chuan natna hlauhawm tak a ni lo. Amaherawhchu hei hi hriat chian a pawimawh hle. Vawiin hian `(Vitiligo)` chungchang hi chipchiar tak leh awlsam takin sawi ila, kan sawi dawn em ni?

Vitiligo chu eng nge ni?

A awlsam zawngin, vitiligo hi i vun rawng a hloh (pigment) a ni. Hei hian i vun chu a pangngai aia a ti eng a, a chang chuan a var vek bawk. Heng vun centimeter khat aia te te hi macules an ti a, a lian zawk chu patch an ti bawk. Mahse, white spot kan ti tlangpui. Sam i neihna hmuna vitiligo i neih chuan chu sam pawh chu a var emaw, silver emaw a ni thei. Hetiang dinhmun hi i taksa immune system-in vun rawng siamtu cell chi khat melanocytes an tihchhiat vang a ni. Heng melanocyte te hian chemical pakhat melanin an tih chu an siam chhuak thin. He melanin hian kan vun, sam leh mit rawng petu a ni. Chuvangin heng cell te hi a bo chuan melanin siamchhuah a tawp a, vun hian a rawng a hloh ta a ni.

He dinhmun hian tute nge a nghawng ber?

Vitiligo hian chi hrang hrang leh mipa leh hmeichhia a nghawng thei a ni . Mahse, vun rawng dum zawk neiah chuan a tam zawk. Vitiligo hi kum eng pawhah a awm thei a, mahse a tlangpuiin kum 30 i tlin hmain a lang hmasa ber a, autoimmune condition thenkhat i neih chuan vitiligo vei theihna chance a sang deuh mai thei. Entir nan:

• Addison natna a ni
• Thisen tlakchhamna (Anaemia)
• Zunthlum (Type 1 ) .
• Lupus natna
• Psoriasis natna hi a ni
• Rum natna `(Rheumatoid arthritis )`
• Thyroid natna a ni

Vitiligo hi engtiang chiahin nge a awm?

Khawvel pumah hian mipui 1% aia tam chuan he vun var natna, Vitiligo hi an vei nia sawi a ni. Hei hian chutiang khawpa thil mak a ni lo tihna a ni.

Engtin nge vitiligo hi a lo intan a, a darh?

Vitiligo hi a tlangpuiin hmun dum te te tlemte atanga tan a ni . Chungte chu zawi zawiin i taksa pum puiah a darh thei a ni. A tam zawkah chuan heng hmunte hi i kut, i hmai, i kekawrte, i ke leh i hmaiah te hmuh hmasak ber a ni. Mahse, he natna hi i taksa khawi hmunah pawh a awm thei a, chu chu i hmui, hnar, mipat hmeichhiatna leh i hnute chhehvela mucous membrane te bakah i mit leh beng chhunga awm te pawh a ni thei. A châng chuan hmun lian tak takte chu a darh chhunzawm thei a, a lian chho zel thei a, mahse a châng chuan hmun khatah kum tam tak an awm thei bawk. Hmun te te awmna hmun hi hun kal zelah a danglam thei a, hmun thenkhatah chuan pigment a hloh a, a lo thang leh thei bawk. Vitiligo vei zawng zawng hian vun hi a inang vek lo. Mi thenkhat chuan hmul te te tlemte chauh an nei a, thenkhat erawh chuan an vun pumpuiah rawng hloh nasa tak an nei thei thung.

Vitiligo chi hrang hrangte chu engte nge ni?

`(Vitiligo)` hi chi hrang hrang a awm a. Eng nge an nih i en ang u:

• Generalized: Hei hi a tam ber chi a ni . Hetiang chi ah hian taksa peng hrang hrangah spot a lang thin.
• Segmental type: Hetiang type-ah hian taksa sir khatah chauh , a nih loh leh hmun khat chauh, kut emaw hmai emaw-ah emaw a lang chhuak thin.
• Mucosal type: Hei hian hmui leh/ emaw, mipat hmeichhiatna lama mucous membrane a nghawng a ni.
• Focal: Hei hi a rarer type a ni . Hetiang chi-ah hian hmun tlemteah a lo lang a, kum khat emaw kum hnih emaw chhung chu a bik takin a darh lo.
• Trichrome type: He type-ah hian a laiah target ang maia a var emaw, rawng nei lo emaw, a chhehvel a rawng hring emaw, a chhehvela i vun rawng pangngai ang chi hmun i hmu thei bawk.
• Universal type: Hei pawh hi a tlem hle bawk. In this , i vun 80% aia tam chuan a pigment a hloh vek.

Vitiligo natna lan chhuah dan chu engte nge ni?

`(Vitiligo)` natna lan chhuah dan ber chu:

• Vun emaw, mucous membrane emaw -a rawng danglam (colored patches) a awm . Chungte chu i vun rawng pangngai aia var emaw, a hring emaw angin a lang thei.
• I taksaa sam chu tangkarua, a dum, a nih loh leh a var a ni .

Symptoms hi a na lo hle thei a, chu chu hmun tlemteah chauh a awm tihna a ni a, a nih loh leh a na thei hle a, vun hmun zau tak a nghawng thei bawk. Mi thenkhat chuan vun rawng a hloh tan hmain a hmunah hian a hring chhuak thei.

Taksaah khawiah nge vitiligo symptoms hi a lan?

Vitiligo symptoms hi taksa khawi hmunah pawh vunah a lang thei a, mahse a hnuaia hmun hrang hrangah hian hmuh tur a tam ber.

• Kut a ni
• Ke
• Arm (kut) 1.1.
• Hmai
• Mucous membranes (ka chhung, hmui, hnar chhung) .
• Mipat hmeichhiatna (e.g. penis) .

Vitiligo hi engte nge ni?

Vitiligo hi a bul berah chuan i vunah pigment melanin hloh vang a ni. Mahse engvangin nge hetiang thil hi a thlen tih erawh hriat chian a la ni lo . Research atanga a lan dan chuan a hnuaia thilte hian vitiligo natna a thlen thei a ni:

• Autoimmune condition: I immune system chuan cell hrisel (he thu-ah hian melanocyte) te hi invader, bacteria tha lo ang chi, invader niin a ngai sual a ni. Hei hian immune system chu a ti overactive a, i melanocytes tichhe turin antibodies a siam chhuak thin.
• Genetic changes: I taksa DNA-a genetic mutation emaw, inthlak danglamna emaw hian melanocyte hnathawh dan a nghawng thei a ni. Vitiligo vei theihna tipungtu gene 30 chuang a awm a.
• Stress: Stress i neih reng chuan, emaw, hliam i neih hnua taksa lama stress i neih chuan melanocytes atanga pigment siam chhuah zat hi a danglam thei a ni.
• Environment triggers: Environment factors, ultraviolet radiation leh toxic chemicals nena inzawmna te pawh hian melanocytes hnathawh a nghawng thei bawk.

Hei hi genetic effect a ni em?

Vitiligo awm chhan hi zirchian mek a ni. Mahse, zirchianna atanga a lan dan chuan vitiligo vei zinga 30% vel chu genetically predisposed an ni . Chumi awmzia chu chu dinhmun chu thlah khat atanga thlah dangah a kai darh thei a, i chhungkuaa mi tu emaw chuan a neih chuan i vei tam zawk tihna a ni. Melanocyte hnathawh tichhe thei genetic mutation engemaw zat a awm a. He mutation hian i vun rawng pe tu cells te a target a nih chuan vitiligo i nei thei a ni.

Vitiligo hi a na em?

Ni lo, `(Vitiligo)` hi natna hrehawm tak a ni lo. Amaherawhchu, `(Vitiligo)` hian vun rawng eng tak a siam thei a, chu chu ni zung kang thlengin a na thei a, a na thei bawk. Chuvangin, ni laka inven a pawimawh hle . Sunscreen hman te, ni êng chak tak kara ni chhuahna hmuna chhuah loh te, invenna puan inbel te ang chi thil i tih tur a ni.

Vitiligo hian harsatna dang a thlen thei em?

Vitiligo hi vun hmel tichhetu ber ni mahse, harsatna thenkhat a awm thei a:

• Vun sensitive: Depigmented spots-ah hian melanocytes a awm loh avangin, chu vun hmunte chu vun dang zawng aiin ni laka sensitive zawk a ni thei. Hei hian an tan aiin an kang chak zawk thei a ni.
• Mit lam thil dik lo: 1.1.Vitiligo vei thenkhat chuan an retina (mit chhungril layer, light-sensitive cell awmna) ah thil danglam an nei thei a, an irises (mit rawng pe theitu) rawng pawh a danglam thei bawk. A chang chuan retina emaw iris emaw inflammation a awm thei a, mahse mit hmuhna erawh a nghawng lo tlangpui.
• Autoimmune natna dang vei theihna: Vitiligo vei te hian taksa immune system hnathawh tichhe thei autoimmune natna dang an nei tam zawk. Autoimmune natna tlanglawn tak takte chu hypothyroidism, zunthlum, leh thisen tlakchhamna te an ni.
• Psychological challenges: Vitiligo vei thenkhat chuan an vun lan dan hi an zak hle mai thei. Ṭhenkhat chuan mahni inngaihsakna hniam tak an nei thei bawk . Chu chuan lungkhamna emaw, lungngaihna emaw a thlen thei a, inthiarfihlim leh inthiarfihlim an tum thei bawk. Chutianga i inhriat chuan i doctor emaw, mental health counselor , emaw, i chhungte leh ṭhiante nen inbiakna neih a pawimawh hle.

Vitiligo hi engtin nge kan hriat theih ang?

Vitiligo hi doctor-in i vun enfiah mai maiin a hriat theih tlangpui. A châng chuan, doctor chuan i vun en nân Wood’s lamp an tih hmanrua a hmang thei bawk. He lamp hian i vunah ultraviolet (UV) light a ti eng a. Hei hian doctor chu vun natna dang aiin vitiligo chu a thliar hrang thei a ni. Chu bâkah, i damdawi lam chanchin leh chhûngkaw damdawi lam chanchin chungchâng zawhna an zawt thei bawk.

Eng dinhmun dang nge vitiligo ang maia lang?

I vun rawng tidanglam thei emaw, a pigment hloh emaw thei tur condition dang engemaw zat a awm bawk. Entir nan:

• Chemical leukoderma: Factory thenkhata chemical hman thin te hian vun cell te a tichhia a, vunah hmun dum, streaky emaw patchy emaw a awm thei.
• Tinea versicolor (ringworm): Hei hi yeast infection a ni. Tin, vun rawng dumah hmun dum a siam thei a, vun rawng dum chungah pawh a hring thei bawk.
• Albinism: Hei hi genetic condition a ni a, i vun, i sam leh/ emaw i mit ah melanin level hniam tak i nei a ni.
• Pityriasis alba: He natna hi vunah sen, scaly patches atanga tan a ni. Chumi hnuah chuan an bo a, light, scaly patches an hnutchhiah ta a ni.

Vitiligo hi engtin nge enkawl a nih?

``Vitiligo'' an tih hian i taksa a tichhe lo va, i hmel lan dan a nghawng ber avangin enkawl a ngai lo.. Mahse vitiligo zau tak i neih chuan, emaw, heng taksa natna lan chhuah dan hian i rilru hriselna a nghawng a nih chuan, i doctor chuan i tana tha tur damdawi zawng turin a pui thei che a ni. Heng enkawlnate hian a rawng hloh (repigmentation) emaw, a rawng la awm chu paih chhuakin vun pumpui chu rawng inang (depigmentation)-ah a hruai kir leh emaw a ni. Vitiligo enkawl dan tlangpui chu:

• Damdawi chi hrang hrang
• Light therapy hmanga enkawlna
• Depigmentation hmanga enkawl a ni
• Inzai
• Counselling pek a ni

Chung zinga pakhat zel chu chipchiar deuhin han sawi ila.

Damdawi chi hrang hrang

He natna hian vun a nghawng lohna tur damdawi chiang tak awm lo mahse, damdawi thenkhat chuan vun rawng hloh zat a ti hniam thei a, melanocytes te chu a lo thang leh thei a, vun rawng a siam tha leh thei bawk. Vitiligo damdawi ei turte chu:

• Corticosteroids (ointment emaw tablet emaw) 1.1.
• Janus kinase inhibitor (e.g., ruxolitinib hriak) ei tur a ni.
• Calcineurin inhibitor (ointment) te hi a tha hle.

Light therapy hmanga enkawlna

Light therapy, emaw ``phototherapy,`` tih hi i vun rawng siam thatna tura puitu a ni. Hei hian i doctor chuan light box, ultraviolet B ``UVB`` light, emaw medical laser emaw hmangin i vunah hun rei lote chhung a rawn eng ang. I vunah result hmuh theih nan light therapy session engemaw zat a ngai thei. He enkawlna hi damdawi ``psoralen`` tih chu ka atanga ei leh ultraviolet A ``PUVA`` light te inzawmkhawmna a ni a, ``Vitiligo hmun zau tak nei tan hman a ni.`` He enkawlna hi lu, kawr, ke ruh, kut chunglam, leh kea ``Vitiligo`` vei tan a tha hle.

Depigmentation hmanga enkawl a ni

He enkawlna hian i vun pangngai rawng chu vitiligo awmna hmun nena inmil turin i paih chhuak a ni. Hei hian damdawi "monobenzone" tih a hmang a ni. He cream hi i vun rawng neiah i hnawih chuan a var a, vitiligo awmna hmunte nen a rawng inang chiah a ni.

Inzai

Vitiligo vei tan chuan operation hi enkawlna kawng khat a ni. Surgery hmanga enkawlnaah hian:

• Skin grafts: I taksa peng dang atanga vun lak chhuah a ni a, vitiligo awmna hmunah dah a ni. Mahse, hei hian scarring, infection, emaw color hloh emaw a thlen thei a ni. Hei hi "mini grafting" an ti bawk.
• Blister grafting: Hetah hian i vun atang hian suction method hmangin blister siam a ni a, chu blister chunglam chu la in vitiligo i neihna hmunah glue a ni.

Mahse, a hnuaia natnate hi i neih chuan i doctor chuan operation a rawt lo mai thei:

• `(Vitiligo)` a darh chak chuan.
• Scars awlsam taka i hmuh chuan.
• Keloids i neih chuan, chu chu hliam aiin a lian zawk a ni.

Counselling pek a ni

Vitiligo vei ṭhenkhat chuan an vun inthlâk danglamna avânga mahni inngaihhlutna hniam, lungkhamna, a nih loh leh lungngaihnate hmachhawn tûra ṭanpui tûrin counseling emaw, rilru lam hrisêlna lama counselor emaw zawng chu a ṭangkai hle mai thei. Vitiligo hian stressful tak a ni thei a, nun i thlir dan leh i khawtlang inlaichinna a nghawng thei a ni. Chutiang a nih chuan i doctor chuan counselor hmuh emaw, support group-a tel emaw a rawt thei ang.

Vitiligo hi ven theih a ni em?

Vitiligo hi a chhan awm thei tam tak a nih avangin ven theih dan hriat a ni lo . Mahse, vitiligo vei theihna tur tihtlem nan a hnuaia mite hi i ti thei ang:

• Ni chhuahna hmuna thil him (e.g., sunscreen, lukhum) zawm.
• Nitin moisturizer hmangin i vun enkawl tha rawh.
• Rilru lama harsatna leh taksa hliam laka invenna.
• Autoimmune natna hnuaia awm a awm chuan uluk takin enkawl rawh.

Vitiligo i neih chuan eng nge thleng?

Vitiligo hian i hmel a tichhe thei a, khawtlang dinhmunah i vun i ngaih dan pawh a nghawng thei bawk. Mi tam tak chuan rilru lam hriselna lama counselor an bia a, chu chuan an inrintawkna leh mahni inngaihsakna an neih theih nan an pui thin.

Vitiligo hi damdawi a awm lo tih hre reng ang che. Mahse inenkawlna zawng i duh chuan i doctor chuan i tan leh i vun tana tha ber tur damdawi thlang turin a pui thei che a ni.

Vitiligo nen hian vun rawng (natural color) chu a rawn kir leh dawn em ni?

Vitiligo vei zinga 10% atanga 20% vel chuan an vun rawng an nei leh vek ang. Hei hi mite zingah a tam ber a, chungte chu:

• Kum 20 an tlin hma, chu chu kum naupang têa natna vei nia hriatte chuan .
• Natna hri leng sang ber thlengte chu thla ruk emaw a aia rei lovah an awm a ni.
• Hmai lam natna nei berte .

Hetiang hunah hian i pigmentation chu a lo kir leh mai thei lo:

• Kum 20 hnuah ``Vitiligo'' symptoms a lo lang a nih chuan.
• Ka hmui, ke leh ke (a bik takin kut zungtang) ah symptom a awm chuan.

Vitiligo spot te hi engtin nge kan thup theih ang?

I vun (Vitiligo) hmel lan danah i lungawi lo a nih chuan heng hmunte hi thup nan in lamah heng thilte hi i lo enchhin thei ang:

• Sunscreen SPF 30 aia sang hmang thin ang che . Sunscreen hman hian vun vun a ti tlem thei a, vitiligo awmna hmun leh vun pangngai inkara rawng inang lo pawh a ti tlem thei bawk.
• Pigment hlohna hmun khuh nan makeup hmang thin ang che. Hei atan hian medical makeup product bik a awm bawk.
• I sam rawng a lo bo tawh a nih chuan i sam dang nena inmil turin hair dye hmang la.
• Micropigmentation a awm thei . Hei hian i vitiligo spots te tattoo a huam a ni. Permanent makeup angin a thawk a, a natna lan chhuah dan thup nan a pui bawk.

Vitiligo hi a kai theih em?

Ni lo, Vitiligo hi natna hrik kai theih a ni lo. Taksa inhnawh tawnna hmangin mi pakhat atanga mi dangah a darh lo. Chuvangin Vitiligo vei bula awm hi i hlau tur a ni lo.

Engtikah nge doctor i hmuh ang?

A hnuaia thil awmte hi doctor hmu rawh:

• I vun rawng emaw i rawng emaw a bo nghal vat chuan .
• Pigmentation hloh chu taksa hmun zau takah a darh a nih chuan.
• Vun inthlak danglamna hian i rilru hriselna leh i hriselna a nghawng a nih chuan .

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh a tha:

• Eng chi Vitiligo nge ka neih?
• Ka vun hian a rawng a nei leh dawn em ni?
• Engtin nge ni laka ka inven ang?
• Ka vun enkawlna tur tha ber berte chu engte nge ni?
• Ka fate lo awm turte hian he dinhmun hi genes hmangin an pe chhuak thei ang em?

Tinea versicolor (ringworm) leh Vitiligo te hi eng nge an danglamna?

Tinea versicolor (ringworm tia hriat lar) leh vitiligo te hi i vun rawng (pigmentation) tichhe thei natna chi hrang hrang pahnih an ni. Tinea versicolor hi fungal infection a ni a, i vunah hian var, sen, sen, pink emaw brown emaw a lo lang thin. Vitiligo hi autoimmune condition a ni a, i vun hian a pigment a hloh a, i vun rawng pangngai aiin a eng emaw a var emaw a ni.

Piebaldism hi Vitiligo nen a inang em?

No. Heng pahnih hian vun emaw sam emaw ah hian a dum emaw, a hring emaw a awm a, mahse a danglam thung. Piebaldism hi i vun hmun khata melanocytes (pigment melanin siamtu cell) awm loh vang a ni. Piebaldism neia piang i ni. Vitiligo hi i taksaa melanocytes tihchhiat vang a ni. Vitiligo hi hun kal zelah a lo thang lian thin.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Vitiligo hi i vun lan dan chauh a nghawng a ni. A hlauhawm lo va enkawl pawh a ngai lo . Mahse, vitiligo vanga vun inthlak danglamna hian mahni inngaihsakna a tichhe thei a, inrintawk lohna a siam thei a, a nih loh leh i rilru a hahdam lo thei tih chu a dik a ni.

I taksa pianphung hian i rilru hriselna a nghawng dan chungchang hi doctor nen sawi hreh suh. Vitiligo damdawi awm lo mah se, i rilru hahdam zawka i awm theih nan enkawlna a awm.Nangmah chauh i ni lo, he dinhmun nena khawsa leh hlawhtling taka enkawltu tam tak an awm. Chuvangin a pawimawh ber chu chak taka awm hi a ni!