Kan vun hi ni laka rei tak kan awm hian a chang chuan hmun te te, hrual, hnim hring a lo awm tih i hre tawh mai thei. Mi thenkhat chuan hengte hi ‘sunburn spots’ an ti bawk. Damdawi lam hawi chuan hengte hi `(Actinic Keratosis)` an ti a. Vawiin hian hengte enkawlna bik tak leh a damdawi hman dan tur kan sawi dawn a ni. Hei hi i cream pangngai in lama i hman theih ang kha a ni lo va, thil danglam tak a ni.
Aminolevulinic Acid hi eng nge ni?
A awlsam zawngin, hei hi solution bik a ni. Light therapy nen hman dun a ni. Chu chu, a hmasa berin doctor chuan he solution hi i vunah chutiang hmun hrual hrual te chu a hnawih hmasa ber tihna a ni. Tichuan, chu solution chuan chutiang hmuna cell mumal lote chauh chu êng lakah a sensitive hle a ni. Vun hrisel hi a nghawng vak lo.
Darkar engemaw zat hnuah doctor chuan a enkawlna hmunah chuan light blue bik a rawn eng a. Hei hian êng laka sensitive lo cells pangngai lo tak takte chu a tichhia a ni. Hetiang kalphung zawng zawng hi Photodynamic Therapy (PDT) tih a ni. Vun hrisel tichhe lovin harsatna nei cell chauh a target a, a tichhia a ni.
Enkawl hmaa doctor hnena hrilh tur thil
He enkawlna hi i tan hmain doctor hian i hriselna chungchang chiang taka a hriat a ngai a ni. Chuvangin a hnuaia condition te hi i neih chuan sawi tel ngei ngei tur a ni.
- Thisen chhuahna lama harsatna i neih chuan.
- Porphyria tih hming pu natna hlauhawm tak i neih chuan.
- I vun a sensitive hle a nih chuan, emaw, vun natna dang i neih chuan.
- `Aminolevulinic Acid` emaw a kaihhnawih chemical `(porphyrins) an tih emaw allergy i neih chuan.`
- Damdawi dang, ei tur dang emaw, preservative dang emaw allergy i neih chuan.
- Naupai i nih chuan, emaw naupai tum i nih chuan.
- Nu hnute pe lai i nih chuan.
Engtin nge he enkawlna hian hna a thawh?
Hei hi kalphung mumal tak a ni a, damdawi in emaw clinic emaw-ah tih a ni. Chumi atan chuan step lian pahnih a awm a.
1. Step hmasa ber: Doctor i pan hunah he `Aminolevulinic Acid` solution hi i vunah harsatna hmunah a hnawih ang. Hei hi uluk takin tih a ni. Tichuan in lamah a thlah ang che.
2. Step 2: Darkar 14 atanga 18 hnuah (Hei hi engtikah nge a nih tih chiang takin doctor in a hrilh ang che), damdawi inah i lo haw leh a ngai dawn a ni. Chumi hnuah doctor chuan minute engemaw zat chhung chu a enkawl lai hmunah chuan special blue light a rawn eng ang.
He enkawlna hi session khatah tih zawh a ni tlangpui. Mahse, a chang chuan a tul chuan he enkawlna hi kar 8 hnuah tih nawn leh a ngai mai thei.
A pawimawh ber chu, hei hi damdawi in lama hruai leh hman theih a ni lo. A kalphung zawng zawng hi damdawi lam enkawlna hnuaiah a thleng vek a ni.
Damdawi ka ei palh a nih chuan engtin nge ni ang?
Hei hi damdawi inah pek a nih avangin hetiang thil thleng theihna chance hi a tlem hle. Mahse, hetiang thil hi a thleng a nih chuan, chu chu overdose i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center -ah phone nghal rawh. A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
Enkawl laia i fimkhur ber tur chu!
He enkawlna chhung hian i vun hi êng lakah a sensitive hle ang. Chuvangin, i vun chu ni êng direct emaw, indoor light eng tak emaw-ah darkar 40 chhung i dah loh tur a ni .
- Pawn lama chhuah i ngai tak tak a nih chuan, kawrfual hrual zau tak , thawmhnaw kut sei tak ha la, i vun chu khuh ṭha rawh.
- Sunscreen hman hian he photosensitive condition bik hi a venghim lo. Hei hi hriat reng tur a ni.
- Sun lamp leh tanning bed ang chi artificial light source atanga hla takah awm rawh.
He damdawi nena inzawm thei damdawi dang
I vun êng laka sensitive thei damdawi dang pawh a awm a, chu chu Aminolevulinic Acid te hi a ni. He damdawi i ei lai hian damdawi dang i hman chuan i vun chu a sensitive lehzual thei a ni. Damdawi i ei zawng zawng hi doctor hnenah hrilh vek a pawimawh hle.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Diuretics thenkhat | Chlorothiazide, Hydrochlorothiazide tih te hi a awm a |
| Zunthlum damdawi thenkhat | Glipizide, Glyburide tih a ni |
| Antibiotics thenkhat | Fluoroquinolones, Tetracyclines, Sulfonamides te a awm bawk |
| Rilru lam natna thenkhat damdawi (Phenothiazines) . | Chlorpromazine, Prochlorperazine hmanga siam a ni |
| Thildang | St. John’s Wort, vitamin A, leh vitamin E awmna cream leh tablet te |
Side effect awm thei te chu engte nge ni?
Enkawlna dang ang bawkin, side effect awm thei a awm bawk. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu an awm fo. Hengte hi a danglamna hriat a pawimawh.
| Side effect hrang hrangte thliar hranna | |
|---|---|
| I doctor hnena hrilh nghal tur thil | |
| |
| Thil pawi lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
|
He list-a tel lo thil danglam tak i hmuh chuan i doctor nen inbiakna neih hreh suh.
Take-Home Thuchah a ni
- Aminolevulinic Acid hi ni zung vanga vun natna (Actinic Keratosis) enkawlna bik atana hman thin a ni.
- He enkawlna hi step hnih-a tih a ni a, a pum puiin damdawi in emaw clinic emaw-ah tih a ni.
- Damdawi dang i ei zawng zawng leh i damdawi lam dinhmun i doctor hriattir a pawimawh hle.
- Enkawl hnu darkar 40 chhung ni eng leh eng lutuk laka vun venhim a pawimawh hle. Hemi atan hian sunscreen pangngai hi a tawk dawn lo.
- Allergy na tak emaw, vun natna nasa tak emaw i neih chuan doctor rawn la nghal rawh.
- Doctor thupek leh follow-up appointment te zawm rawh.
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