I vunah hian rough spot i nei em? Actinic Keratosis a ni thei!

I vunah, a bik takin ni chhuahna hmunah te, hrual, hnah hring (scaly spot) te i hmu ngai em? A châng chuan i ngaihven vak lo mai thei. Mahse, heng hmun thenkhat hi Actinic Keratosis an tih natna a ni thei. Hei hi hriat chian a pawimawh. Chuvangin vawiin hian tlem han sawi ila, kan sawi dawn em ni?

Actinic Keratosis hi eng nge ni?

A awlsam zawngin, actinic keratosis , solar keratosis tia hriat bawk hi vun natna chi khat a ni a, i vunah rough, scaly patches a awm thin. Chungte chu kum tam tak ni chhuahna avanga lo awm a ni tlangpui.

A pawimawh ber chu, he `(Actinic Keratosis)` hi precancer a ni . Chumi awmzia chu heng spot te hi uluk taka enkawl a nih loh chuan a then chu vun cancer chi khatah `(Squamous Cell Carcinoma) an tihah a chang thei tihna a ni. Lungngai suh, `(Actinic Keratosis)` zawng zawng hi cancer-ah a chang vek dawn lo. Amaherawhchu, risky an nih avangin fimkhur a pawimawh hle. Dik tak chuan, hei hi precancerous skin condition awm tam ber a ni . Khawvel hmun hrang hrangah mi maktaduai tam takin he natna hi an nei a ni.

Hetiang hi tuin nge nei tam zawk?

Heng thilte hi tumahin an hmachhawn duh lo. Mahse, mi thenkhat chuan ``Actinic Keratosis'' an vei tam zawk. He category-ah hian i tel ve em tih en rawh:

• Ni laka vun veng lo mi: Hei hi a chhan ber a ni. Sunglass, lukhum, sunscreen nei lo ni chhuahna hmuna awm rengte chu an hlauhawm zawk.
• Vun dum, sam dum emaw sen emaw nei: Mit sen emaw, sen emaw nei te pawh hi an hlauhawm zawk. Hei hi an vun hian ni laka vengtu pigment melanin a neih tlem vang a ni.
• Ni zung kang fo emaw, na tak emaw nei tawhte: Naupan lai atanga ni zung kang i nih chuan chu pawh chu a chhan a ni thei bawk.
• Mite taksa chak lohna nei : Hetiang dinhmun hi natna thenkhat (e.g., HIV ), emaw, cancer enkawlna atana immunotherapy , emaw, taksa peng thlak hnua damdawi ei emaw avanga taksa chak lohna a chak loh chuan a awm tam zawk.
• Kum 40 chunglam: Kum tam tak ni chhuahna hmuna kan khawlkhawm avang hian hengte hi kan tar chhoh zel avangin a lo lang thei a ni. Amaherawhchu, naupang zawkte pawhin an nei thei a, a bik takin ni chhuahna hmuna hun tam tak an hman chuan.

Engvangin nge actinic keratosis hi a lo awm?

Hei hi a chhan ber chu ni chhuahnaah ultraviolet (UV) rays a ni.Ni e, ni êng ang chiah hian vitamin D min pe vek a, mahse a tam lutuk chuan harsatna a thlen thei. UV rays hi ni atanga lo chhuak chauh a ni lo va, mi thenkhatin an vun a ti tha zawk nan an hman thin tanning bed ang chi artificial light device atanga lo chhuak a ni bawk.

Heng `UV` rays hian kan vun chunglam layer, `Keratinocytes` an tih cell te chu a tichhe thei a ni. He chhiatna hi hun kal zelah a kal zel chuan chu cell te chu a pangngai lo takin an lo thang lian tan thin. Chutah chuan heng `Actinic Keratosis` spot te hi a lo lang ta a ni. Thlai chu tui pek tam lutuk chuan a ro ang bawkin kan vun pawh hi `UV` rays a tawrh lutuk hian a chhe thin.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

Vawi tam tak chu Actinic Keratosis chhinchhiahna hmasa ber chu vunah hrual, sang tak emaw, vunah hmun emaw a ni. A rough angin a lang thei a, khawih chuan sandpaper ang maiin a lang thei. Chungte chu rawng hrang hrang a awm thei a:

• Gray rawng a ni
• Pink rawng a ni
• A rawng sen
• I vun rawng ang chiah, mahse a rough zawk.
• A châng chuan heng hmunah hian yellow emaw brown scales ang chi a awm thei bawk.

Hengte hi millimeter tlemte atanga centimetre hnih vel thlenga lian thei a ni . Ni chhuahna hmun, hmai, beng, lu vun, kawr, kut hnunglam, leh hmaiah te an hmu tam ber .

Symptom dang pawh a awm thei bawk:

• A hmun atanga thisen chhuak (a bik takin vagina atanga thisen chhuak) .
• A hmuna kang, tingling, emaw itching sensation a awm
• Hmei hring leh hring (`Actinic Cheilitis` an ti bawk) .
• A châng chuan vun ṭhang (`cutaneous horn`) chu rannung ki ang maia chunglam hawia chhuak i hmu thei .
• Lip rawng a danglam
• Chu lai hmunah chuan natna emaw, natna emaw

Pawimawh: I vunah hmun thar, lump, rawng danglam emaw, hmun awm tawh (a lian, a rawng danglam emaw, thisen chhuah emaw ang chi) a danglamna i hmuh chuan ngaihthah suh . Doctor hmu nghal rawh.

Engtin nge doctor chuan hetiang hi a nih leh nih loh chiang taka a hriat theih ang?

Hetiang mole chungchangah hian rinhlelhna i neih chuan i chhungkaw doctor emaw, dermatologist emaw i hmu thei ang .

Doctor chuan hetiang hian a ti tlangpui:

1. Vun uluk taka enfiah: I taksa pum vun, a bik takin ni chhuahna hmunte chu enfiah thin ang che.

2. Magnifying lens hman dan: A chang chuan magnifying glass hmangin a hmun chu chiang taka hmuh theih a ni.

3. Vun Biopsy: DoctorMole chungchangah rinhlelhna a awm a nih chuan, a nih loh leh a danglam deuha a lan chuan vun te tak te chu la in microscope hmanga en turin lab-ah an thawn thin. Hei hi a awlsam hle. Tlemte numbing a keng tel a ni. Hei hian diagnosis dik tak a siam thei a ni .

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu, Actinic Keratosis enkawlna tur a awm! I doctor chuan i spot neih zat, an lan dan leh an awmna hmun a zirin enkawl dan tur a rel ang.

Enkawl dan tlangpui engemaw zat a awm a:

Doctor office-a enkawl dan hrang hrang:

• Chemical peels: Hei hi medical-grade face mask ang a ni. I doctor chuan i blemish-ah chemical bik a hnawih a. Hei hian vun cell pawn lam ber a tichhia a, hna a thawk a ni. A hmun chu ni engemaw zat chhung chu a sen a, a na thei bawk. Mahse vun a dam chhoh zel chuan vun thar, hrisel tak a lo chhuak thin.
• Cryotherapy: Hetiang method hi mole te te pakhat emaw pahnih emaw i neih chuan hman theih a ni. Doctor chuan thil lum tak tak, liquid nitrogen ang chi hmangin mole chu a vawt tir thin. Ni engemaw zat hnuah chuan mole chu a hring chhuak ang a, a vawt ang a, a tla ang.
• Excision: Hetiang tih danah hian doctor chuan mole awmna hmun chu a numb hmasa thin. Tichuan, mole chu an scrap off a, a nih loh leh an cut chhuak a, chu hmunah chuan stitch pakhat emaw pahnih emaw an dah a. Hliam hi kar hnih atanga kar thum chhungin a dam leh thin.
• Photodynamic therapy (PDT): Spot tam tak i neih chuan, emaw, enkawl lai pawhin a lo let leh zel a nih chuan, i doctor chuan he enkawlna hi a rawt thei ang. Hetianga enkawlnaah hian a hmunah hian cream bik (``photosensitizing agent``) an hnawih a, darkar engemaw zat hnuah chuan light bik (``blue light`` emaw ``red light``) an dah a ni. Hei hian cancer hmaa cell awmte a tichhia a ni. Hetianga enkawlna hnu ni engemaw zat chhung chu ni hi i pumpelh vek tur a ni.

In lama enkawl dan:

A châng chuan, hliam tam tak i neih chuan, a nih loh leh a hrual chu a te lutuk a, hmuh theih loh khawpa hmuh theih loh a nih chuan, i doctor chuan in lama hman tûr topical cream emaw gel emaw a pe thei a ni. Hengte hi nitin thla engemaw zat (thla 4 thleng pawh a ni mai thei) hman a ngai a ni.

Entirna thenkhat chu hetiang hi a ni:

• `Diclofenac skin gel ( Voltaren ® gel)` – Pawimawh: Tunah chuan `Voltaren®` gel hi counter-ah lei theih ni mahse, doctor-in `(Actinic Keratosis)` atana a bik taka a rawt loh chuan nangmah chauhin i hmang tur a ni lo.
• ``Fluorouracil, emaw 5-FU vun cream (Fluorac®) emaw a ni thei''.
• ``Imiquimod vun cream (Aldara® emaw Zyclara® emaw)'' tih hi a ni.
• ``Ingenol mebutate topical gel (Picato®) hmanga siam chhuah a ni''.

Mi thenkhat chuan heng cream te hi an hnawih hian vun a sen, a kang emaw, a hring emaw a awm thei. Mahse chu chu enkawlnaah chuan a tel ve a ni. Thil hrehawmna i neih chuan i doctor hnenah hrilh rawh .

Enkawl hnua dam leh theih nan eng chen nge a duh? Ka lo let leh thei ang em?

Actinic Keratosis spot i neih zat, a lian leh te, leh enkawlna i dawn dan azirin dam hun chhung hi a inang lo ang. A tlangpuiin, enkawl hnu thla 3 vel ah chuan a spot te chu a bo vek tawh mai ang .

Spots a bo hnuah kum khatah vawi khat emaw vawi hnih emaw doctor pan a pawimawh hle . Immune system chak lo i neih chuan kum khatah vawi li emaw vawi nga emaw dermatologist i pan a ngai mai thei.

Ni e, Actinic Keratosis hi a lo kir leh thei a, a bik takin ni laka i vun i humhim chhunzawm loh chuan. Chuvangin, enkawl lai leh enkawl zawhah i vun ni laka venhim a pawimawh hle.

A pawimawh ber chu! Actinic Keratosis hi engtin nge kan pumpelh theih ang?

Hei hi he thawnthua a tha ber a ni. `(Actinic Keratosis)` lo awm tur ven nan thil tam tak kan tih theih a ni. A bulpui ber chu `UV` rays a tul lo taka inhriatchhuahna tihtlem hi a ni.

A hmanga i tih theih turte chu hetiang hi a ni:

• Nitin sunscreen hmang thin ang che: Sunscreen hnawih hi skip suh, ni eng emaw, thlasik lai emaw pawhin. Sunscreen SPF 30 (Sun Protection Factor) aia tlem lo, leh broad-spectrum (chu chu UVA leh UVB rays pahnih laka invenna) nei thlang rawh. Pawn chhuah hmain minute 15-30 vel hnawih la, i thawk hah, tui chawi, tui chawi a nih chuan darkar hnih danah hnawih leh thin ang che.
• Ni êng chak berte pumpelh rawh: UV êng hi zing dar 10 leh tlai dar 2 (hmun ṭhenkhatah chuan tlai dar 4) inkarah a chak ber lai a ni. Heng darkar chhung hian a theih ang anga ni laka i inhriat lohna chu tihtlem rawh.
• Ni êng siam (artificial sunlight) pumpelh: `(Tanning salons)`, `(sun lamp)`, `(tanning beds)` ang chi thil hman loh tur. Tin, `UV` rays tha lo tak tak an pe chhuak bawk.
• Ni laka invenna thawmhnaw ha rawh: Kawr sei, pants sei, lukhum zau tak, leh UV laka invenna sunglass a theih ang angin ha rawh.

Hetiang dinhmun hi kan hlau tur em ni?

Actinic Keratosis hi ngaihtuah tur a ni a, mahse ngaihtuahawm tur a ni lo . A tam zawkah chuan heng spot te hi enkawl dan dik tak chuan a dam vek thei a ni. Actinic Keratosis vei zinga 90% vel chuan vun cancer an nei lo.

Mahse, hre reng ang che, vun cancer tam zawk hi Actinic Keratosis atanga tan a ni. Chuvang chuan he dinhmun hi kan ngai pawimawh lo tur a ni. A hriat hma leh enkawl a nih chuan cancer a nih theihna a tlem zawk.

Engtikah nge Doctor hmuh a tha ber ang?

I vunah heng chhinchhiahna te hi i hmuh chuan doctor pan ngei ngei tur a ni:

• Vunah hmun pakhat chu thisen chhuak, vun hring, inflamed, emaw itchy emaw a nih chuan .
• Ran ki ang maia rawn chhuak vunah a lo thang lian i hmuh chuan .
• Patch thar, raised, red, emaw scaly patch a lo lang emaw, a awm tawhte a inthlak chuan emaw.

A awlsam zawngin, i vunah thil thar emaw, thil danglam emaw, rinhlelh awm emaw i hmuh chuan ngaihthah suh.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor i hmuh hunah heng zawhnate hi zawh loh theihnghilh suh:

• “Doctor, engvangin nge he `(Actinic Keratosis)` hi ka neih?”
• “Ka tan chuan eng enkawlna tha ber nge ni?”
• “Hêng enkawlnate hian eng hlauhawmna emaw, nghawng ṭha lo emaw a thlen theih?”
• “Eng complication nge ka fimkhur tur?”
• "Enkawl zawhah enge ka tih ang a, engtin nge ka inenkawl ang?"
• "Hetiang thil hi a thleng leh tawh loh nan enge ka tih ang?"

A tawp berah chuan thil hriat reng tur

Okay, so, `(Actinic Keratosis)` hi vun natna a ni a, enkawl leh enkawl vat ngai a ni . A tam zawkah chuan hengte hi surgery emaw cosmetics emaw hmangin tihdam theih a ni. A pawimawh ber chu ni êng leh `UV` rays laka i vun venhim hi a ni . Tichuan he natna hi nasa takin i tihtlem thei ang.

Actinic Keratosis i vei nia i hriat chuan doctor pan nghal la, thurawn la rawh . Enkawlna i zawn hma chuan vun cancer vei theihna a hniam zawk. I vun hi enkawl la, i thil hlu ber a nih avangin!