I taksaah emaw, i naute te tak te taksaah emaw birthmark emaw spot emaw i nei em? Kan mite hian, "Pian chhinchhiahna a ni" an ti mai thei. A châng chuan hengte hi en hian tlem a ti hlauthawng thei che a ni. Chuvangin vawiinah hian heng pianpui chhinchhiahnate hi eng nge an nih tak tak tih leh kan hlauh tur nge hlauh loh tur tih hi han sawi ila.
Pian chhinchhiahna chu eng nge ni tak tak?
A awlsam zawngin, birthmark chu i vunah hmun emaw, a chhehvel vun aiin a rawng danglam zawka lang a ni. An tam hle mai. Mi zawng zawng deuhthaw hian an taksa hmun khatah birthmark an nei vek a. A hming ang ngeiin heng zinga a tam zawk hi kan pian tirh hian a awm reng a ni. Kan tar chhoh zel chuan pianpui chhinchhiahna thenkhat chu a bo vek thin. Mahse thenkhat chu, paih chhuah kan tum loh chuan dam chhungin kan hnenah an awm reng ang.
A pawimawh ber chu birthmark tam zawk hi a hlauhawm lo tak zet a ni . An hrehawm lo. Mahse, pianpui chhinchhiahna chi thenkhat (`(Congenital Nevi)`) hian vun cancer (`(Skin Cancer)`) vei theihna a tipung deuh thei a ni. Chuvângin, i pianna chhinchhiahna pakhat rawng, a pianzia, a lian leh te a inthlâk tih i hriat chuan, chu mi chungchâng chu doctor hnêna sawipui a ṭha ber.
Pianpui chhinchhiahna chi hrang hrangte chu engte nge ni?
Birthmark hi chi hnih lian takah kan ṭhen thei a. Strict takin sawi ila, an siam dan azirin hetiang hian an inthen a ni.
1. Vascular Birthmarks: Hengte hi naute pum chhunga a seilian laia vun hnuaia thisen kalna (blood vessels) te tak te insiam that loh vang a ni . Hei vang hian an rawng sen fo thin. Hetiang chi birthmark hi pian tirh lamah a awm thei a, pian hnu kar engemaw zat hnuah pawh a lo lang thei bawk.
2. Pigmented Birthmarks: Kan vun rawng pe thei cell chi khat a awm a, chu chu melanocyte kan ti a. Heng cell te hi hmun khata tam taka an inkhawm hian heng birthmark chi hrang hrang hi a lo awm thin. A chhehvel vun aiin rawng danglam tak an nei a. Brown, dum, leh a chang chuan blue pawh an ni thei.
Tunah chuan heng chi hrang hrangte hi chipchiar deuhin han thlir ila. Thu hriat chian nan hengte hi table pahnih ah ka rawn entir ang che.
Vascular Birthmark chi hrang hrang
Hengte hi a pian chhinchhiahna chi hrang hrang, a sen leh thisen kalna kawng nei te an ni.
| Mark chi hrang hrang | Hmêl lan dan leh hriat tur thilte |
|---|---|
| Strawberry atanga thisen chhuak (Hemangiomas) a awm | Hengte hi vun atanga rawn chhuak, strawberry ang chi bump te tak te, sen te an ni. Hmai, lu vun, rilru leh hnungzang-ah te an tam ber. Pian atanga kar tlemte chhungin an lo lang a, an thang chak hle a, chutah chuan hun engemaw chen chu an lian leh te inang vek an ni. Mahse lungngai suh, heng zinga a tam zawk hi i fa kum 9 vel a nih hunah chuan a bo vek ang. Mole awmna vun rawng chu a danglam deuh thei. |
| Cavernous Hemangiomas a awm thin | Hei hi a chunga kan sawi tak strawberry spot nen hian a inang a, mahse vun chhung thuk zawkah a awm a ni. A rawng chu sen-blue a ni thei a, sponge ang maia lang a ni. Chung zinga ṭhenkhat chu naupang sikul kal theihna hun a thlen hunah chuan anmahni chauhin an bo vek ang. |
| Port-Wine Stain a ni | Hengte hi vunah a awm, a hring hring, a sen hring hring (flat, purplish-red spots) a ni. Hmaiah an lang tam ber. Anmahni chauhin an bo lo va, dam chhung atan an awm tihna a ni. Hun a kal zel a, heng spot te hi a dum leh thim thei hle. Hmêl ang deuha taksa peng pakhata an lo lan chuan mi ṭhenkhat mahni inrintawkna a nghawng thei a ni. |
| Salmon Patch te pawh a awm (Stork Bite / Vantirhkoh Fawh) . | Nausen piang thar zinga 30%-50% vel chuan heng spot te hi an nei thin. Hengte hi pinkish spot a ni. Naute hmai, mitmeng, hmui chunglam, mitmeng inkar, leh a kawr hnung lamah te hmuh tur a tam ber. Hengte hi ngaihtuah tur a awm lo. Heng spot te hi naute a lo seilian chhoh zel chuan a mah chauhin a bo vek ang. |
Skin Pigment Cells avanga Pigmented Birthmark chi hrang hrang
Chûngte chu vun rawng petu cell-te aṭanga lo chhuak, brown, black, blue birthmarks a ni.
| Mark chi hrang hrang | Hmêl lan dan leh hriat tur thilte |
|---|---|
| Mongolian Spots (Dermal Melanocytosis / Mongolian Spots) te hi a awm a, a chhuahna hmun hi a nuam hle. | Hengte hi blue-gray spot an ni. Nu leh pa thenkhat chuan hliam ang maia an lan avangin an hlau hle. Naute hnute leh hnungzang hnuai lam ah an lang tam ber. Hengte hi kan rama naute zingah a hluar hle. Chungte pawh hi hlauhawm lo tak tak an ni a, hun kal zelah anmahni chauhin an bo vek ang. |
| A rilru a buai em em a, a rilru a hah em em bawk a. Pigmented Nevi / Moles | Hengte hi "moles" kan tih tlangpui te hi an ni. Vun rawng inang emaw, brown emaw black emaw pawh an ni thei. An sang emaw, a flat emaw pawh a ni thei. Taksa khawi hmunah pawh an awm thei a, pakhat chauh emaw, pawl hrang hrangah emaw an awm thei. |
| Congenital Nevi a ni | Hei hian pian tirh lama awm moles te a kawk a ni. Hengte hi ngaihven tur thil a ni. A vaiin mi 100 zinga pakhat velin an pian laiin mole an nei a. Heng moles te, a bik takin centimetre 20 aia lian te hian nakin lawkah vun cancer an nih theihna chance a tlem hle. Chuvangin i fa hian a pian tirh laia mole a awm a nih chuan doctor hnenah entir a, sawipui a pawimawh hle. |
| Café-au-lait hmun hrang hrangah a awm | A hming awmzia chu "coffee with milk" tihna a ni. Chungte chu a dum hring, oval ang maia awm a ni. Spot pakhat nei mah la, harsatna a awm lo. Mahse, i taksaah hian pawisa lem aia lian hmun engemaw zat i neih chuan , a chang chuan damdawi lam thil dang, `(Neurofibromatosis)` ang chi chhinchhiahna a ni thei bawk. Chuvangin chutiang hmun eng emaw zat i hmuh chuan Doctor pan a finthlak hle. |
Engvangin nge birthmark kan neih?
Hei hi a chhan pakhat chauh a awm lo a, mahse pianpui chhinchhiahna siamna chhan nia ngaih thil engemaw zat a awm a:
- Nausen pum chhunga a seilian lai hian vunah thisen kalna kawngte chu a lo thang tha lo.
- Vun rawng pe thei melanocyte cell te chu hmun khata pawl hrang hranga lo thang lian zel.
- Pian chhinchhiahna thenkhat chu thlahtute atanga lo chhuak a ni thei bawk. Chu chu genetic predisposition an ni tihna a ni.
- A tlem hle a, nau piang chhinchhiahna hi damdawi lam dinhmun dang hnuaia awm chhinchhiahna angin a lo awm thei bawk.
A pawimawh ber chu naupai laia nuin a tih leh tih loh engmah avanga nau piang chhinchhiahna a awm lo tih hi a ni. Chuvangin chutiang thil chu inthiam lo takin inhria suh.
Birthmark chungchangah doctor pan i mamawh apiangin
Pian chhinchhiahna tam zawk hi a hlauhawm lo hle laiin, kan hriat tur inthlak danglamna thenkhat a awm. I birthmark-ah hetiang thil hi i hmu a nih chuan doctor pan ngei ngei tur a ni.
- A hmun atanga thisen chhuak: A hmuna thisen chhuak chu a hrual awlsam emaw, a tenau emaw pawh ni se.
- Natna: A hmun chhungah emaw, a chhehvelah emaw natna i hriat chuan.
- Itching: Itching awm reng a awm chuan.
- Infection: A hmun chu a sen a, a hring a, a hring chhuak a nih chuan.
- Size tihpun: Spot chu a lian nghal vat a nih chuan.
- A pianzia emaw, a rawng emaw a inthlak: Mole kil hrang hrang a inthlak danglam chuan a rawng a inthlak a, a nih loh leh mole khata rawng engemaw zat a lo lang a nih chuan.
Heng symptoms te hi a chang chuan vun cancer chhinchhiahna hmasa ber a ni thei a, chuvangin ngaihthah suh. Damdawi lam thurawn lak hma chuan harsatna lian zawk a veng thei a ni.
Birthmark te hi paih theih a ni em? Enkawlnate chu engte nge ni?
Ni e, pianpui chhinchhiahna te chu paih theih a ni. I pianpui chhinchhiahna awmna hmun i ngaihtuah a nih chuan i doctor nen chuan lak chhuah tir turin i sawi thei ang. I doctor chuan vun cancer vei theihna a awm nia a hriat chuan paih chhuah a rawt mai thei.
Pawimawh tak: In lama pianpui chhinchhiahna chu nangmah chauhin paih chhuah, cut, scratch, hnawih tum ngai suh. Chutianga tih chuan natna khirh tak tak leh hliam na tak a thlen thei a ni.
Doctor-te hman dan hrang hrang a awm a, chungte chu:
- Laser Treatment (Laser Removal): Hetiang method hi ``Port-Wine Stain'' ang chi flat spot tan chuan a tangkai hle.
- Surgical Removal: Vun atanga moles lo chhuak te chu an tan chhuak a, an paih chhuak thin.
- Cryotherapy: Khaw lum lutuk hmanga mole tihchhiat.
- Cortisone Injection: Heng injection te hi Hemangiomas chi thenkhat tihtlem nan an hmang thin.
I doctor chuan i birthmark atan eng treatment nge tha ber tih a hrilhfiah ang che.
Nau piang chhinchhiahna hi ven theih a ni em?
A chhanna awlsam tak chu, ni lo. Nau piang chhinchhiahna veng tur hian engmah tih theih a awm lo. Anni hi thilsiam (natural occurrence) an ni.
Mahse, pianpui chhinchhiahna, a bik takin moles atanga lo awm thei harsatna (cancer hlauhawmna) chu kan tihtlem thei a ni. A tha ber chu vun venhimna ngaihtuah hi a ni .
- Ni laka inveng rawh: Ni êng chak tak laka invenna tlem ber, a bik takin zing dar 10 leh tlai dar 4 inkarah.
- Sunscreen tha tak hmang rawh: Ni chhuahna hmuna i chhuah dawnin i vunah SPF 30 aia sang sunscreen i hnawih ngei ngei tur a ni.
- Invenna thawmhnaw ha rawh: Kawr sei leh lukhum bun hian vunah ni chhuahna a ti tlem thei a ni.
Heng thilte hian i moles te chu ni zungin a kang thei a, a inthlak danglam thei bawk.
Take-Home Thuchah a ni
- Birthmark hi a tam hle a, a tam zawk hi chu a pawi lo tak zet a ni.
- A chi hnih a awm a, chungte chu vascular, thisen kalna atanga rawng sen a ni a, pigmented, vun rawng avanga brown/black spot te a ni.
- Hmun thenkhat, `(Salmon Patches, Strawberry Hemangiomas)` te hi hun kal zelah anmahniin an bo vek thin. Spot thenkhat, `(Port-Wine Stains)` ang chi te chu dam chhung atan a awm reng thin.
- In lama pianpui chhinchhiahna chu eng thil vang pawha mahni chauha paih tum ngai suh.
- I mole chu a rawng, a pianzia, a lian leh te a inthlak a, a nih loh leh a hnim, a na, a thisen a chhuak a nih chuan , doctor hmu nghal rawh.
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