I vunah hian a chang chuan hliam leh blue spot i nei thin em? (Bleeding Into the Skin) Hemi chungchang hi han sawi ila!

I vun chu a rawn sen nghal tih i hmu ngai em, a nih loh leh a sen hring te te a awm tih i hmu ngai em? A châng chuan engmah i khawih loh pawhin hetiang hi a thleng thei. Hei hi Bleeding Into the Skin kan tih mai chu a ni. Hei hi thil lian tak angin a lang thei a, mahse lungngai suh, a tam zawkah chuan chutiang chuan a pawi lo. Vawiin hian chipchiar takin sawi ila.

Hei hi vunah thisen chhuak hi eng nge ni?

A awlsam zawngin, hei hi i vun hnuaia thisen kalna kawng te tak te, a nih loh leh thisen kalna kawng , a puak chhuah hun a ni. Tichuan, chu vessel atang chuan thisen thenkhat chu a chhehvel tissue-ah a luang chhuak ta a ni. Tui pipe a chhuah tlem chuan a leak ang maiin han ngaihtuah teh. Chutianga thisen a chhuah chuan vun rawng a inthlak danglam tih kan hmu a, chu chu hliam emaw, a sen emaw a ni. A tam zawkah chuan hetiang hliam hi ni engemaw zat emaw, kar tlemte emaw chhungin a mah chauhin a dam leh thin.

Vun chhunga thisen chhuak chi hrang hrang a awm em?

Ni e, hei hi kawng hrang hrangin a thleng thei a ni. Heng hmingte hi i hre tawh ngei ang.

• Bruises: Hei hi bruise chi khat kan hriat zawng zawng zingah chuan a tam ber a ni. Miin thil a vuak emaw, a hliam emaw hian an awm tlangpui. An rawn lang thei a, a sen, a sen, a dum emaw, a sen emaw a ni thei. Hun kal zelah he rawng hi a inthlak a, an dam leh thin.

Tunah chuan chi hrang hrang chiang zawkte chu eng nge ni tih kan en ang:

• Petechiae: Hengte hi a te hle a. Pencil tip ang maia lian, red dot angin ngaihtuah rawh. Thisen kalna kawng te tak te tlemte a puak avanga lo awm an ni. Millimeter 2 (mm) aia te an ni. A dik tak chuan i crayon tip zau zawng vel.

• Purpura: Hei hi thisen kalna kawng tlemte, petechiae aia lian deuh, a puak chhuah lai a ni. Anni hi a sen hring hring (reddish-purple spots) angin an lang. Heng spot te hi a lian zawng chu millimeter 4 vel atanga inch khat vel (chu chu pencil eraser ang vel a ni a, cheng nga man ang vel a ni).

• Ecchymosis: Hei hi thisen kalna kawng tam tak, inhnaih tak tak, vawi khata a puak chhuah hian a ni. Hei hian vun hnuaiah thisen a pungkhawm a, hliam ang maiin a lang. Mahse, hei hi hliam vangin a awm reng reng lo.

• Hematoma: Hei hi thisen kalna kawng te tak te, a puak chhuak thin a ni. Chumi hnuah chuan thisen chu a khawlkhawm a, a chang chuan zungbun te tak te ang maiin a lang thei bawk. Hematoma tam zawk hi chu a na lo hle. Mahse, thluak, rilru, a nih loh leh taksa peng lian tak takah an awm a nih chuan , a na hle thei a, nunna pawh a hlauhawm thei bawk.

Tute nge vun chhunga thisen chhuak tam zawk?

Dik tak chuan tu pawhin hliam an tuar thei. Mahse mi thenkhat chuan an dawng duh zawk. Tute nge an nih hi han en teh:

• Kum 65 chunglam mite: I tar deuh deuh chuan i vun a hrual a, i thisen kalna kawng a chak lo bawk a, chuvangin awlsam zawkin i hliam thei a ni.
• Thisen tithianghlimtu (anticoagulants) ei thinte:He damdawi hian thisen zam a ti tlem a, chuvangin hliam tenau tak pawhin thisen chhuah a tipung thei a ni.
• Mite chuan thisen chhuah theihna tipung thei supplement ei thin, vitamin E.
• Vun rawng hring nei mi: A takah chuan vun rawng hring (light skin tones)-ah hian hliam hi a lang tam zawk.
• Contact sports thenkhat khel thinte: Rugby leh boxing ang chi infiamna an khelh lai hian bump leh tlak vangin hliam a awm thei.

Tin, damdawi lam dinhmun hnuaia awm ṭhenkhat chuan mi pakhat chu a hliam emaw, thisen chhuah emaw a thlen thei bawk. Entir nan:

• Hemophilia natna (Hemophilia) a awm
• Leukemia (thisen cancer) 1.1.
• Liver natna
• Lupus a ni
• Marfan syndrome a ni
• Meningitis natna (Meningitis) a awm
• Platelet natna, entirnan, thrombocytopenia (thisen platelet hniam) .
• Vitamin K tlakchhamna

Vun chhunga thisen chhuak leh vun sen hi eng nge a danglamna?

Hei hi zawhna tha tak a ni. Vun chhungah thisen i lut a nih pawhin vunah hmun sen ang maiin a lang thei. Mahse danglamna pawimawh tak a awm . I kut zungtang hmanga vunah thisen chhuahna hmun i press chuan chu hmun chu a var (blanch) lo ang. Chumi awmzia chu spot chu a rawng chu a awm reng dawn tihna a ni.

Mahse, erythema ang chi vun rawng i neih chuan chu hmun chu i press chuan rei lo te chhung chu a rawn sen vek ang. I hrethiam em?

Eng thilin nge vunah thisen a luh chhan?

Hliam hi a chhan ber a ni fo. Infiamna i khelh laiin thil i tawk a, i tlu a, i vuak a nih chuan (sorry, "hit" emaw "collude" emaw hi Sinhala tawng a ni zawk ang), hetiang hian hliam i tuar thei a ni. Hetiang hi kan tawng vek tawh. Naupan laiin khup blue i khelh lai kha i hre reng em?

A chhan dang pawh a awm:

• Tap emaw, khuh emaw, luak chhuak nasa emaw laia rilru hah: Hetih hun chhung hian taksa chhunga pressure a sang a, vunah thisen kalna kawng te te te chu a puak thei a ni. Naute thenkhat tap ri nasa tak leh an hmaiah sen te te te lo awm thin i hmu tawh mai thei.
• Tin , kekawrte hman avanga pressure emaw i keah cast neih emaw avanga pressure awm vang pawh a ni thei bawk .
• Kekawr, thawmhnaw, a nih loh leh glasses in fit lo bun: Chûngte chuan vun a hnawih reng emaw, a nawr reng emaw chuan, chu hmunah chuan thisen tê tê a chhuak thei a ni.

Intradermal bleeding hian eng symptoms nge a neih?

A châng chuan, a lan chhuahna awmchhun chu vun rawng a danglam . Chumi awmzia chu vunah hian a sen, dum, a sen, a sen hring chauh i hmu thei tihna a ni.

Mahse, a châng chuan hliam hi a hnuaia mite hian a zui thei a ni:

• A hrehawm hle mai
• A hring (Swollen) .
• A khawih pawhin a tender

Engtin nge doctor hian intradermal bleeding a hriat theih ang?

A tlangpuiin, doctor chuan i vun hmun chu a enfiah ang.Hei hi taksa enfiahna atanga hriat theih a ni . Zawhna a zawt thei che a ni:

• Engtik lai khan nge heng symptoms te hi i hriat hmasak ber?
• Symptom dang i nei em? (khawsik, taksa na ang chi) .
• Eng damdawi nge i ei? (a bik takin thisen tithianghlimtu) .
• Eng hliam nge a nih tih min hrilh thei ang em?
• I chhungkuaah hian tu emaw hian hliam awlsam tak emaw, thisen chhuak tam lutuk emaw thlen thei dinhmun an nei em? (e.g., hemophilia natna) .

I doctor chuan i hliamte hi damdawi lam dinhmun hnuaia awm a nih a rinhlelh chuan test te pawh a ti thei bawk a, chungte chu:

• Thisen test: Platelet count leh thisen zam theihna ang chi thil te enfiah thin.
• Bone marrow biopsy: Thisen cell siamna hmunah harsatna a awm em tih en nan.
• Urine test: Kal lama harsatna ang chi thil te enfiah thin ang che.
• Ultrasound, CT scan, emaw MRI scan: Hengte hian taksa chhung lam thlalak a la a.

Intradermal bleeding hi eng enkawlna nge ni?

A tam zawkah chuan he natna hi in lamah i enkawl thei a ni. Hriselna tenau te tan chuan hengte hi han ti ve teh:

• Ice pack hmangin a hliam chu minute 10-15 vel hnawih la. Ni khatah vawi tam tak hetiang hian ti thin ang che. Ice hi vunah direct-in hnawih lo la, puan in khuh rawh.
• Darkar 48 hmasa berah direct heat hmang lo la. Hei hian tui lum bottle leh tui lum inbual loh tur tihna a ni.
• Hliam awmna hmun chu chawi sang rawh. Entirnan, i ke a hliam a nih chuan a chungah pillow dah la.
• Natna tihziaawmna turin natna tidamtu ibuprofen (e.g. Advil®) emaw acetaminophen (e.g. Tylenol®) emaw ei thin ang che.

Amaherawhchu, vun hnuaia thisen chhuak chu a ṭhat loh emaw, a lo awm fo emaw chuan doctor-in enkawlna dang a lo enchhin thei a ni. Damdawi ṭhenkhat a pe thei che a, damdawi ṭhenkhat ei tawh loh turin a ngen thei che a ni. Tin, thisen chhuahna thlentu damdawi lam dinhmun (underlying medical condition) a awm chuan enkawl a ngai mai thei bawk.

Engtin nge vunah thisen chhuak tur i ven theih ang?

A tam zawkah chuan heng hliamte hi lu-a vuak hnuah a thleng thin. Chuvangin, a natna hmunah ice hnawih a, a sang taka dah hian hliam natna a tihziaawm thei a ni. Contact sports i khelh chuan invenna hmanrua hmang fo ang che.

Damdawi lam harsatna i neih chuan i hliam awlsam a nih chuan doctor thurawn la ngei ang che. Chronic conditions i neih chuan enkawlna tha tak neih hian heng harsatna te hi a ti tlem thei a ni.

Intradermal bleeding atang hian eng nge kan beisei theih ang?

A tlangpuiin vunah thisen chhuak hi a tlem hle.. Kar hnih vel chhungin a mah chauhin a reh tlangpui. Mahse, damdawi thenkhat (thisen tithianghlimtu ang chi) emaw, natna khirh tak tak emaw chuan awlsam takin i hliam thei. A hnuaia dinhmun enkawl hian i hliam theihna a ti tlem thei a ni. I doctor pawhin thisen chhuahna damdawi ei kha tihtawp a rawt thei bawk. (Mahse, i doctor thurawn tel lo chuan damdawi engmah ei kha bansan ngai suh.)

Vun hnuaia thisen chhuak hi a pawi thei em?

A tam zawkah chuan hei hi thil tenawm tak a ni. Mahse, hmun khatah symptoms a awm fo a nih chuan, emaw, kar hnih aia rei a lo ṭhat loh chuan, natna khirh zawk chhinchhiahna a ni thei.

Hemi chungchangah hian engtikah nge doctor kan hmuh ang?

Kar hnih aia rei vun hnuaia thisen chhuak i neih chuan doctor pan ngei ngei tur a ni. Tin, i hliam nen hian a hnuaia symptoms te hi i neih chuan doctor pan nghal tur a ni:

• I zun emaw, i ek emaw-ah thisen i awm chuan.
• Gums thisen a chhuah chuan (Bleeding gums).
• Syncope emaw dizziness emaw ang chi condition i neih chuan.
• Khawsik i neih chuan.
• Nausea emaw, luak chhuak emaw i neih chuan.
• Natna nasa tak emaw, a hring emaw a awm chuan.

Subcutaneous hemorrhage chu vun hnuai lama thisen kalna kawng te tak te a puak chhuah hian a ni tih hre reng ang che. Heng thisen kalna kawngte hian a chhehvel tissue-ah thisen a leak lut thin. Hei hian i vun chu a sen, a sen, a sen, a dum emaw a siam thei a ni. A châng chuan a rawng a danglam mai thei a, a nih loh leh a hmun chu a hring a, khawih pawhin a hmin thei bawk. A tam zawkah chuan hei hi thil tenau tak a ni a, kar hnih vel hnuah a dam leh ang.

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

Okay, chuvangin vawiin a kan sawi tawh atang khan thil pawimawh tak tak thenkhat i hriat nawn tir leh ang u.

• Vun hnuaia thisen chhuak, emaw, vun hliam emaw hi ngaihtuahawm tur a ni lo tlangpui. An awm fo a, hliam tenau emaw, tlu emaw atanga lo awm thei an ni.
• Petechiae, purpura, ecchymosis, leh hematoma chi hrang hrang a awm a. Chungte chu thisen chhuah zat leh a lan danah a inang lo.
• Mi thenkhat (tar, thisen tina damdawi ei thin) te chu awlsam takin an hliam thei.
• Hei hi in lamah ice hnawih a, hliamna hmunah dah a, natna tidamtu damdawi ei hmangin i enkawl thei bawk.
• Mahse, hliam a awm fo a, a lian a, a dam rei vak lo a, a natna dang (khawsik, zun chhunga thisen, natna nasa tak) a awm chuan doctor i pan ngei tur a ni.
• Heng hliamte hi damdawi lam dinhmun hnuaia awm vang a ni thei a, chuvangin damdawi lam thurawn lak a pawimawh hle.

Chuvangin, he thu hi in tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

`Hliam, hliam, vun chhunga thisen chhuak, petechiae, purpura, ecchymosis, hematoma, vun natna, first aid