Hmai chunga butterfly rash: Acute Cutaneous Lupus (ACLE) chungchang hi thu awlsam takin i zir dawn nia

I hmui leh hnar sir zawng zawngah hnim hring hring ang maia lang, emaw, vun sen hring emaw i nei tawh em? Mi tam tak chuan ni zung emaw, allergy emaw chauh niin an ngai. Mahse a chang chuan thil pawi zawk chhinchhiahna a ni thei. Vawiin hian ‘Acute Cutaneous Lupus’ kan sawi dawn a, lupus chi khat, vun tichhe thei leh heng symptoms chiah hi a nei a ni.

A hmasain, Lupus hi eng nge ni?

A awlsam zawngin sawi ila, lupus hi autoimmune disease a ni. Dad, chu chu a buaithlak deuhin a ri em? Awle, ka han sawifiah teh ang. Kan taksa hian invenna system a nei niin han ngaihtuah teh. Immune system kan ti a. An hna chu pawn lam atanga taksaa lut, hrik, virus, bacteria ang chi hmelma te hriatchhuah leh beih a, natna laka min humhim hi a ni.

Mahse, lupus ang chi autoimmune disease nei miah chuan thil engemaw a kal sual thin. Chu defense system chuan a tisual a, ramdang invader leh kan cell leh tissue hrisel tak takte chu a hre thei lo. Chuvangin, kan cell hrisel tak takte chu an rawn bei tan ta a ni. Hei hian taksa peng hrang hrangah a hring thei a, a na a, a tichhia thei bawk.

Lupus chi hrang hrang awm tam ber leh awm tam ber chu Systemic Lupus Erythematosus (SLE) a ni. Hetiang dinhmunah hian autoimmune attack hi vunah chauh a ni lo. Tin, chhungril peng hrang hrang, kal, thinlung, lung, leh ruhkawr te pawh a nghawng thei bawk. Lupus vei mi pali zinga pathum vel chuan he natna hi an nei a ni.

Chuti a nih chuan cutaneous lupus chu eng nge ni?

'Cutaneous' tih thumal hi "vun nena inzawm" tihna a ni. Cutaneous Lupus Erythematosus (CLE) hi lupus hian vun a nghawng ber a ni. Hei hi immune system-in vun cells direct-a a beih hian a ni. Hei hian vunah hnah chi hrang hrang, hliam, leh vun natna a thlen thin.

Acute Cutaneous Lupus (ACLE) hi vun natna chi khat a ni. 'Acute' tih awmzia chu "rang taka thleng" tihna a ni. Chuvangin hetiang thila thil thleng chu a symptoms, a bik takin butterfly rash hi a lo lang nghal vek a ni. A tam zawkah chuan hei hi ni laka kan inhriat hnuah a thleng thin.

Cutaneous lupus chi hrang hrangte chu engte nge ni?

Lupus hi vun tichhe thei chi thum a awm a. Type tin hian rash hrang hrang an nei vek. Hei hi chiang zawka hrethiam tur chuan a hnuaia table hi en la.

He ACLE natna hi tuin nge vei tam zawk?

Lupus thlen chhan dik tak hi hriat chian a la ni lo a, mahse mi thenkhat chu an hlauhawm zawk tih hmuhchhuah a ni.

• Hereditary causes: I chhungkuaa mi pakhatin lupus emaw autoimmune natna dang emaw a neih chuan i hlauhawm thei bawk.
• Gender: Mak tak maiin he natna hi hmeichhiaah a tam zawk.
• Kum: Hmeichhia kum 20 leh 50 inkar zingah a awm tlangpui.
• Hnam: He natna hi hnam thenkhatah a tam zawk a, entirnan African leh Asian hnam chhuakte zingah a tam zawk.

SLE vei hmun thuma ṭhena hmun hnih vel chuan vun natna an nei a, ACLE pawh a tel. Mi thenkhat chu he butterfly rash a lo chhuah hnuah hian lupus an vei tih hmuhchhuah hmasak ber an ni.

ACLE natna lan chhuah dan chu engte nge ni?

A lan chhuah dan ber leh langsar ber chu kan sawi tawh butterfly rash kha a ni. Hei hi damdawi lam chuan ‘malar rash’ an ti a. ‘Malar’ tih awmzia chu hmui tihna a ni. Ni zung kang ang deuhin lang mah se, a na lo tlangpui. Mahse, a chang chuan a hring deuh thei.

He rash tha tak chu hun kal zelah hliam a hnutchhiah lo. Mahse, vun rawng a dam hnuah chuan chutiang hmuna vun rawng chu a hma aiin a eng deuh emaw, a dum deuh emaw a ni thei.

Butterfly rash bakah hian symptom dang a awm thei bawk.

• Ni chhuahna hnua kut leh keah vun rawng a chhuak thin.
• Ka chhunga hliam na tak tak (Canker sores).
• Vunah (hives) natna hrik sang tak tak a awm.
• Hun eng emaw chen atan sam tlakchhamna.

He "flare-up" hi eng nge ni?

ACLE vei hian symptom a nei reng reng lo. Symptoms cycle a awm a, chu chu a lo lang a, rei vak lo a reh a, a rawn lang leh ta a ni. Hetianga symptoms pung nghal mai hi "flare-up" kan tih hi a ni.

Heng flare-ups thlentu chhan bik, a nih loh leh ‘triggers’ a awm.

• Ni eng (UV rays): Hei hi a chhan ber a ni. Chuvang chuan ni chhuahna hmuna i chhuah chuan rash hi a na zual thin.
• Stress: Pressure lutuk leh lungkhamna ang chi thilte hian natna a tizual thei a ni.
• Hri kai theihna thenkhat.
• Mut tam loh vang.

He natna hi engtin nge kan hriat theih ang?

Heng symptoms te hi i neih chuan i chhungkaw doctor pan hmasak ber tur a ni. A mamawh angin dermatologist emaw rheumatologist emaw hnenah a refer ang che.

I doctor chuan i vun a enfiah ang. A châng chuan skin biopsy lak a ngai thei a , chu chu definitive diagnosis siam theih a ni . Hei hian vun te tak te chu vun awmna hmun atanga lak a, microscope hmanga enfiah a ni. Hei hian ACLE emaw vun natna dang emaw avanga vun rawng hi a lo awm em tih hriat theih nan a pui thei a ni.

Enkawlnate chu engte nge ni?

ACLE hi natna tihdam theih vek a ni lo. Mahse, symptoms leh flare-ups te hi enkawl dan dik tak chuan a control tha hle. I doctor chuan i natna lan chhuah dan nasat dan azirin enkawlna dik tak a pe ang che.

• Topical steroid ointments: Heng damdawi hi vunah vun awmna hmuna hnawih a ni . Entirnan, fluocinolone acetonide emaw hydrocortisone butyrate emaw te hi a ni. Chungte chuan hliam leh sen hring a ti tlem.
• Anti-inflammatory drugs: Dapsone emaw low-dose methotrexate ang chi damdawi hian natna leh hliam a tiziaawm thei.
• Malaria dona damdawi: `Hydroxychloroquine` (Plaquenil®) ang damdawi hi Malaria enkawlnaah a tha hle. Chauhna, vun rawng leh ruh natna te an tiziaawm.
• Immune-controlling drugs (Calcineurin inhibitors): Tacrolimus emaw pimecrolimus emaw ang chi damdawi hian immune system hnathawh chu eng emaw chen a control a, vunah a attack a ti tlem a ni.

Engtin nge flare-ups hi kan ven theih ang?

Damdawi ei ang bawkin flare-up thlen thei triggers te pumpelh hi a pawimawh hle. Lupus vei zinga 40% leh 70% inkar chuan UV light an hmuh hnuah flare-up an nei thin a, chuvangin ni laka invenna hi number one a ni tur a ni.

• Nitin ni chhuahna hmuna i chhuah dawnin sunscreen hmang thin ang che. Broad-spectrum sunscreen, SPF 30 aia tlem lo, UVA leh UVB rays pahnih laka invenna nei thlang rawh.
• Ni lum ber lai chu pumpelh rawh. Zing dar 10 leh tlai dar 4 inkarah a theih ang anga ni chhuahna hmuna chhuah loh tur.
• I khuh tha thei tur thawmhnaw ha la. Kawrfual sei, lukhum zau tak, leh sunglass ang chi thil hmang rawh.
• Tanning bed ang chi artificial UV light sources te chu pumpelh vek tur a ni.
• In chhunga hman tur fluorescent light thenkhat pawh hian UV rays tlemte a pe chhuak thei bawk. Chuvangin, anmahni nena rei tak inhriat pawh hi tih tlem tur a ni.

Ni laka invenna bak eng nge i tih theih ang?

• Ei leh in tha tak ei rawh. I ei tur ah thei, thlai, legumes, leh whole grains tam zawk dah tel bawk ang che.
• Insawizawi. Nitin exercise hahthlak lo, kea kal emaw yoga emaw tih ang chi hi ti thin ang che.
• Stress hi enkawl rawh. I rilru chu i duh angin ti hahdam la, chu chu ngaihtuahna emaw, music ngaihthlak emaw ang chi hi a ni.
• Mut tha rawh. Ni khatah darkar 7-8 tal mut thin ang che.
• Meizial i zuk chuan chawlhsan nghal rawh. Meizial zuk hian vun vun a ti na zual thei a, enkawlna damdawi hman tangkaina a ti tlem thei bawk.