Ni khaw vawt tak, ruah tlem a sur laia i kut zungtang leh ke ruhte i en hian, a hring emaw, a sen emaw, a hring emaw, a hring emaw, a hring emaw, a hring emaw te te i hmu em? A chang chuan natna tlem nen. Hei hi a takah chuan mi tam tak chunga thil thleng a ni. Tlem a nuam lo leh tithinrim deuh mah se, hlauh tur a ni lo. Vawiin hian he dinhmun hi kan sawi dawn a ni. Damdawi lamah chuan hei hi Chilblains , a nih loh leh Pernio kan ti thin.
A awlsam zawngin, heng Chilblain (Pernio) te hi eng nge ni?
Chilblains hi kan vunah hian bump te te, sen, sang tak tak a awm thin a ni. Khaw lum lutuk avanga lo awm an ni lo va, chu chu freezing cold tihna a ni. Chu ai chuan, hun rei tak chhûng boruak lum leh vawt deuha an awm vâng a ni zâwk . A dik tak chuan Sri Lanka-a Nuwara Eliya ang hmuna khaw lum lutuk hi hei hi a chhan lian tak a ni thei.
Hengte hi kut zungtang leh ke ruh ah a lang tlangpui a , mahse beng leh hnar ah pawh a lang thei bawk. Heng hmunte hi a sen, a sen, a sen hring emaw pawh a ni thei. Tin, a na thei bawk a, a kang thei a, a na thei bawk.
Tu pawhin he natna hi an vei thei a, mahse Body Mass Index ( BMI ) hniam tak tak nei, chu chu an thau tihna a ni a, chu chu an hlauhawmna a sang deuh hlek a ni. Tin, naute pawhin khaw lum atan an inchei dik loh chuan he natna hi an nei thei bawk.
Hei hi eng ang chiah nge ni?
Chilblains-ah hian symptom hrang hrang i hmu thei. A châng chuan heng hmunte hi a eng deuh pawh a lang thei. A lan chhuah dan bulpui te han thlir ila.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Vun rawng a danglam | Vunah hian a sen, a sen, a sen hring emaw a awm. Hei hi a lan chhuah dan tlangpui a ni. |
| Itching a ni | A natna hmunah hian natna nasa tak a awm thei. |
| Inflammation leh natna | Kut zungtang ang hmunah pawh kang leh natna i nei thei. |
| Vung | Chu vun hmun chu a lo hring thei a ni. |
| Blisters a awm | A then phei chuan a nasat chuan chutiang hmunah chuan tuiin a khat blisters a lo awm thei bawk. |
Engvangin nge hetiang hi kan chungah a lo thlen? Eng nge a chhan?
A awlsam zawngin, hei hi kan taksa hian khawsik a dona dan pangngai lo a neih vang a ni. Khua lum leh vawt kan tawrh hian kan vun hnuaia thisen kalna kawng te te chu a inzawm khawm thin . Tichuan, boruak lum zawka kan kir leh chuan heng thisen kalna kawngte hi a zau nghal vat thin. Hetiang inthlâk danglamna rang tak hi tuar thei lovin, thisen kalna kawngte chuan a chhehvêla tissue-ah tui a luang chhuak ṭan a ni. Hei hian a hring, a sen , leh natna a thlen thin .
He chhanna hi engvangin nge a awm tih hi zirchiangtute chuan an la hre chiang lo hle. Mahse, mithiam thenkhat chuan a chhan pawh a ni thei niin an ngai:
- Genetics lam thil a ni
- Hormone inthlak danglamna
- Taksa chhunga damdawi lam dinhmun dang (entir nan, connective tissue natna ) .
He natna hi tute nge vei theihna chance sang zawk?
Mi thenkhat chuan midang aiin chilblains an vei tam zawk. Chu risk factors te chu eng nge ni tih hi han thlir ila.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Taksa rih zawng (BMI) tlahniam . | Thin te hi risk sang zawk an ni a, a chhan chu an taksa lumna vawn reng a harsat deuh avangin. |
| Khaw lum leh vawt tak a ni | Hei hi khaw lum leh vawt tak, khaw lum leh vawt lo hmuna awmte zingah a tam zawk. |
| Meizial zuk | Meizial zuk hian thisen kalna kawng a tikhawlo a, chu chuan thisen kal a tikhawlo a ni. |
| Tâng tan incheina | Kekawr tight, socks, gloves, emaw thawmhnaw hak hian thisen kal a tichhe thei a, he dinhmun hi a tichhe zual thei bawk. |
| Damdawi lam thil dang | Thisen kal dan tichhe thei natna nei te chu an hlauhawmna a sang zawk. Entirnan: Lupus , Raynaud-a thil thleng , Peripheral Arterial Disease (PAD) . |
Engtin nge doctor hian hei hi a hriat theih?
A tam zawkah chuan i doctor chuan i vun enfiahin chilblains i neih leh neih loh a hre thei. Engtin nge heng symptoms te hi i neih tih leh eng chen nge i neih tawh tih ang chi zawhna zawh hian i doctor hnenah i natna chungchang hi a hre chiang thei a ni.
Mahse, a châng chuan natna dang, chutiang bawka chhinchhiahna lantîrna a awm a, chuvângin, i doctor chuan thisen test ṭhenkhat emaw, vun biopsy emaw neih a rawt thei a, chu chu a inang lo tih finfiah a ni.
Hei hi eng enkawlna nge ni?
Thu lawmawm ber chu a tam zawkah chuan chilblain te hi kar hnih atanga kar thum chhungin anmahni chauhin an dam a, enkawlna engmah an nei lo.A pawimawh ber chu khaw lum leh vawt laka inven a, taksa lum taka vawn reng hi a ni.
Mahse, he natna hi kar thum aia rei a awm reng emaw, a natna leh a natna a nasat chuan doctor pan ngei ngei tur a ni. Chumi hnuah chuan doctor chuan i tan damdawi dik tak a pe ang che.
Damdawi ei tur
Heng damdawi te hian thisen kalna kawng a tizau a, thisen kal a tichak bawk.
- Nifedipine (Adalat®) : Thisen kalna kawng a tizau thei.
- Pentoxifylline (Trental®, Pentoxil®) : Thisen kal dan a titha.
Topical Damdawi hman thin
Heng damdawi te hi vun natna hmuna direct-a hnawih thin a ni.
- Nitroglycerin (Nitrol®, Nitro-Bid®) a ni a, a man hi a to hle.
- Steroid awmna cream, betamethasone valerate (Beta-Val®, Valisone®) ang chi .
In lamah eng nge kan tih theih ang?
I doctor-in damdawi a pek bakah hian heng harsatnate tihziaawmna tur hian in lama tih theih engemaw zat a awm bawk.
- I kut leh ke vawt reng tur a ni. Socks leh mittens ha la.
- Thawmhnaw layer tam tak ha rawh. Thawmhnaw layer te tak te engemaw zat i ha hian layer thick pakhat aiin i taksa a lum zawk ang.
- Kawrfual ha rawh. Taksa lumna tam zawk hi lu kaltlangin a chhuak a, chuvangin lukhum bun hian taksa pum a lum theih nan a pui a ni.
- I vunah hian unscented moisturizer hnawih la. I vun vawt hian a ti na zual thei.
- Natna leh hliam tan NSAID i ei thei a, chu chu ibuprofen (Advil®, Motrin®) . Mahse damdawi eng pawh i ei hmain doctor zawt hmasa phawt a tha.
- A natna hmunte chu tui lum takah rei vak lo hnim la. Mahse, tui lum hmang suh tih hre reng ang che. Tin, vun hi hnawih na lutuk suh. Chutianga tih chuan natna chu a tizual thei a ni.
Engtikah nge Doctor hmuh a tha ber ang?
Hei hi a tlangpuiin natna khirh tak a ni lo. Mahse, a hnuaia mite hi doctor pan nghal tur a ni:
| Huntha | Engvângin nge chu chu a pawimawh? |
|---|---|
| Kar thum aia rei dam lo | Hei hi damdawi lam thil dang vang pawh a ni thei a, chuvangin uluk taka enfiah a ngai a ni. |
| Zunthlum i vei a, i keah chilblains i nei a nih chuan | Zunthlum vei te hian hriatna tha lo leh an kea thisen supply an neih loh avangin hliam tenau tak pawh hian natna khirh tak tak a thlen thei a ni. |
| Vun atanga pus a chhuak a nih chuan | Hei hi bacteria infection chhinchhiahna a ni a, enkawl vat a ngai a ni. |
| Khawsik emaw, khawsik emaw i neih chuan | Hei hi taksa pum puia natna hrik darh zel chhinchhiahna a ni thei bawk. |
Take-Home Thuchah a ni
- Chilblains hi khaw lum leh vawt tak karah a awm a, khaw lum vawt takah a awm lo.
- A laka inven dan tha ber chu taksa, a bikin kut leh ke, lum leh vawt taka vawn reng hi a ni.
- A tam zawkah chuan he natna hi kar 1-3 chhungin a mah chauhin a reh thin.
- A natna leh a na a nasat a, kar thum aia rei a daih emaw, natna hrik (pus, fever) chhinchhiahna i hmuh chuan doctor pan ngei ngei tur a ni.
- Zunthlum i vei a nih chuan i kea vun inthlak danglam a awm chuan doctor thurawn la nghal rawh.
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