I taksa pawh hives hmangin i hrual reng em? Heng hive te hi dam lo an ni em? (Chronic Hives) Hemi chungchang hi han sawi ila!

A châng chuan i taksaah bumps sen, itchy deuh deuh ṭhin tih i hmu ngai em? A chang chuan an itch nasa a, a chang chuan an na deuh bawk. A chang chuan ni khat emaw ni hnih emaw chhungin a bo thin a, mahse mi thenkhat tan chuan heng bumps te hi kar tam tak emaw thla tam tak emaw a awm thei. Chutiang dinhmun chu vawiinah kan sawi dawn a ni.

Chuti a nih chuan heng hive tihdam theih loh emaw, chronic hives emaw hi eng nge ni?

A awlsam zawngin, chronic hives hi i vunah itchy, red, raised bumps emaw welts emaw a ni a, kar khatah vawi hnih tal a lang thin. Heng welt, `wheals` tia koh bawk te hi kar ruk aia rei an awm chuan `chronic' emaw `persistent' emaw anga ngaih an ni .

He natna hi `Chronic Idiopathic Urticaria` tih hi i hre tawh mai thei. Chu chu tlem tal i hrethiam ang u, kan ti em?

• Chronic: Enkawlna nei chung pawha awm reng thei symptom emaw condition emaw. Chu chu hun engemaw chen hnua a mah chauha a ṭhat loh thil tihna a ni.
• Idiopathic: Symptom emaw condition emaw lo awm nghal, a chhan lang lo. A chhan dik tak chu hmuh a har khawp mai.
• Urticaria: Hei hi hives tih damdawi lam hming a ni. ‘er-ti-care-ree-ya’ angin a lam thin.

Urticaria leh Angioedema te hi eng nge ni? An pahnih inzawmna chu eng nge ni?

Hives, urticaria tia hriat bawk leh angioedema te hi a awm dun thei a ni. Hives hi i vunah red bumps emaw spot emaw lo lang thin a ni. Angioedema hi a chang chuan i vun layer thuk zawkah a awm thei bawk. He hliam hian i hmai, i hmui, i ril, i kut, i ke leh i serh te a nghawng thei a ni. Entirnan, a chang chuan hives hi hmui hring nen a inzawm thei bawk. I kawr a hring a nih chuan thawk a ti harsa thei bawk a, chuvangin doctor lam pan vat a pawimawh.

Hives pangngai leh chronic hives te hi eng nge an danglamna?

Chronic hives hi a tam zawk ``acute hives'' nen a danglam a ni.

• Acute Hives: Hengte hi darkar 24 chhungin a bo tan tlangpui (mahse a thar a lo lang thei). Mahse, kar ruk chhungin an bo vek tlangpui. Hengte hi tun hnaia virus infection emaw food allergy emaw ang chi thil vang a ni fo thin.
• Chronic Hives: Hei hi hives hi kar ruk aia rei, kar khatah vawi hnih tal awm thin a ni. Chronic hive thenkhat chu thla tam tak emaw, kum tam tak emaw pawh a awm thei. Thil lungchhiatthlak tak chu, a tam zawkah chuan a chhan hriat a awm lo. Chu chu thil dik lo i ei vang a ni lo tihna a ni.

He natna hi Chronic Hives an tih hi engtiang chiahin nge a awm?

Khawvel mihring 5% velin chronic hives an vei thei a ni. Chu chu za zela panga hi a tam tihna a ni lawm ni? He natna hi kum eng pawhah a lo awm thei a, mipa leh hmeichhia pawh nise. Mahse , hmeichhia kum 30 leh 50 inkar ah a tam deuh hlek a, a chhan dik tak chu a chiang lo a, mahse hormone inthlak danglamna ang chi thil nen a inzawm thei a ni.

Chronic hives awm chhan hi engte nge ni?

Dik tak chuan chronic hives vei tam tak chuan a chhan chiang tak an nei lo. Chu chu ‘idiopathic’ kan tih chu a ni. A tlem berah chuan damdawi emaw ei tur thenkhat allergy vang a ni. An nih chuan i ei leh in fo thin thil avanga lo awm an ni tlangpui. Entîr nân, mi ṭhenkhat chuan preservative emaw, artificial color emaw an allergy an nei thei a.

Chu mai ni lovin, mi thenkhat chuan an taksa lum leh vawt a inthlak thut hian hives an nei thei a, chu chu an lum lutuk emaw, an vawt lutuk emaw, exercise an tih lai te pawh a ni thei. A chang chuan, he natna hi thawmhnaw tight hak avanga vun a pressure vang pawh a ni thei. Entirnan, mi thenkhat chuan tui lum (`cold urticaria`) an lak hian hive an nei a, thenkhat erawh chuan an thawk hah leh an lum chuan hive an nei thung (`cholinergic urticaria`). Mi thenkhat chuan ni chhuahna hmuna an chhuah hian hive an nei thei bawk (`solar urticaria`).

Autoimmune natna hian chronic hives a thlen bawk em?

Ni e, chu chu a theih. Chronic hives vei mi panga zinga pakhat vel, a nih loh leh 20% vel chu ‘autoimmune disease’ dang an nei tih hmuhchhuah a ni. Chu chu immune system-in taksa cell ngei a beih nana natna a ni. Chutiang hunah chuan taksain a vun cell-te lakah ‘antibodies’ a siam thei a, chu chuan heng hliamte hi a siam thei a ni.

Entirna tlemte pe tur chuan:

• Celiac natna (protein gluten allergy) 1.1.
• Dermatomyositis (vun leh taksa ruh tichhe thei natna) .
• Zunthlum (a bik takin type 1 diabetes) .
• `Lupus` tih a ni
• Polymyositis (natna pakhat, taksa ruh tichhe thei) .
• Rheumatoid arthritis (chu chu ruh natna tihna a ni) .
• Thyroid natna (a bik takin Hashimoto-a thyroiditis) .
• Vitiligo (vunah a hring hring) .

Eng natna dang nge chronic hives thlen thei?

Chronic hives hi damdawi lam thil dang vang pawh a ni thei. Hengte hi a tam vak lo nain, doctor chuan hengte pawh hi a ngaihtuah ang.

• `Asthma natna` tih a ni
• Infection, entirnan, bacteria infection H. pylori (chu chuan pum na a thlen thei bawk) leh chronic infection, sinusitis ang chi te.
• `Thin natna`
• Cancer chi hrang hrang `Lymphomas` an tih, chu chu `Hodgkin lymphoma` leh `non-Hodgkin's lymphoma` tih a ni
• Vasculitis (thisen kalna kawng a na) .

Chronic Hives natna lan chhuah dan chu engte nge ni?

Heng hliamte hi taksa khawi hmunah pawh a lang thei a, a lan dan pawh mi hrang hrangah a inang lo thei bawk. Heng hliam te hi a pianzia leh a lian leh te pawh a awm thei. Ṭhenkhat chu pinhead ang maia te an ni thei a, ṭhenkhat erawh chu softball ang maia lian an ni thei!

Chronic hives natna lan chhuah dan ber chu:

• I vunah sen, sang, leh natna emaw, inflamed emaw, i vunah hliam emaw, bumps emaw a awm thei.
• Blanching: Hei hian blister lairil chu press a nih chuan a var tihna a ni. Hei hi rulhut seh tlangpui atanga thliar hran nan hman theih a ni.
• Vun a hrual lutuk (`pruritus` an ti bawk). Hetiang itching hi mi tam tak tan chuan tuar harsa tak a ni a, a bik takin zan lamah.
• Swelling, chu chu a hmaa kan sawi tawh kha a ni a, ‘angioedema’ an ti a. Hei hi mit, hmui leh ke leh ke kil velah a thleng thei a ni.

Chronic hives tan eng ang doctor nge ka hmuh ang?

He chronic hives condition hi hriatchhuah leh enkawl thei doctor engemaw zat an awm a:

• Allergist: A chhan chu a chang chuan hei hi allergy nen a inzawm thei a ni.
• Dermatologist: A chhan chu vun natna chungchangah hriatna bik an neih vang a ni.
• I chhungkaw doctor (primary care physicians): Basic examination a ti thei a, a tul chuan specialist hnenah a refer thei bawk.

Engtin nge he Chronic Urticaria dinhmun hi dik taka hriat theih?

I doctor chuan he natna hi i vun enfiahin i natna lan chhuah dan te, i chhungte zingah tu pawhin hetiang natna hi an nei em tih te, i damdawi ei dan te, leh i ei leh in dan te zawtin a hre thei ang.

I chronic hives thlentu dik tak hriat tumin (a nih loh leh a chhan thenkhat hriat loh nan) test vawi engemaw zat tih a ngai mai thei. A hnuaia mi pakhat emaw, a aia tam emaw i tih a ngai mai thei:

• Allergy test: `Allergen`, chu chu allergy thlentu thil i neih leh neih loh enfiah nan. Hei hi `skin prick test` emaw, thisen test emaw pawh a ni thei.
• Thisen test: Taksa antibody level (a bik takin IgE level), inflammation chhinchhiahna, thyroid hormone level, leh autoimmune natna nena inzawm antibody te enfiah thin ang che.
• Urine test: Bacteria infection a awm leh awm loh enfiah thin ang che.
• Vun biopsy hmanga tihchhuah: 1.1.Skin biopsy lak a ni a, a natna hriat chian nan leh a chhan dang hmuh tur awm lo, vasculitis ang chi te chu paih chhuah a ni. Hei hi a tlangpuiin a hliamte chu a lian lo hle emaw, enkawlna a dawng lo emaw a nih chuan an ti thin.

Chronic hives enkawlna tur engte nge ni?

Vanneihthlak takin heng chronic hives te hi enkawlna tur a awm a. A tum ber chu symptoms control a, nun pangngaia awm theihna tura phalsak che hi a ni.

• Allergy damdawi: Antihistamines ang chi damdawi, nitin ei theih, over-the-counter (OTC) emaw, doctor-in a pek theih emaw hian allergy tihziaawmna leh allergy tihziaawmna emaw, a veng emaw a pui thei a ni. A châng chuan, i doctor chuan a tlangpui aia tam a pe thei bawk.
• Allergy shots: Omalizumab (Xolair®) hi thla tin injection a ni a, taksain protein Immunoglobulin E (IgE) a siam chhuah a tikhawlo a ni. Allergy na tak nei te hian he IgE hi an siam tam lutuk thei a, chu chuan chronic hives leh asthma ang chi harsatna a thlen thei a ni. Hei hi enkawlna man to zawk ni mah se, damdawi dang dawng lote tan chuan a hlawk hle.
• Steroids: Corticosteroids, Prednisone (Deltasone®, Rayos®) te hian damdawi dang, a bik takin flare-up na tak tak laka a chhan loh symptoms te chu rang takin a control thei a ni. Mahse, hengte hi hman chhunzawm loh tur a ni a, hun rei lote chhung chauh hman tur a ni a, doctor-in a tih angin. Hun rei tak hman chuan side effect a nei thei.
• Hydroxychloroquine: Zirchianna pakhatah chuan autoimmune natna avanga chronic hives nei mi sawm zinga pariat chuan malaria damdawi hydroxychloroquine (Plaquenil®) thla thum emaw a aia rei emaw an ei hnuah an symptoms a tlahniam tih hmuhchhuah a ni.
• Cyclosporine: Hei hi immunosuppressant a ni. Chronic hives na tak enkawlnaah a tangkai hle. Amaherawhchu, rei tak ei a nih chuan side effect na tak a thlen thei a, chuvangin doctor enkawlna hnuaiah hman tur a ni.

A pawimawh ber chu he damdawi hi i tan a tha em tih leh eng chen nge i ei a ngai tih doctor nen inbiakna neih a ni. Nangmah chauhin damdawi ei mai suh.

Heng natna lan chhuah dan atanga hahdamna i hmuh theih nan in lamah eng nge i tih theih ang?

Ni e, in lamah heng thilte hi i enchhin thei a, itching leh inflammation tihziaawmna atan:

• Damdawi dawr atanga OTC anti-itch cream hnawih thin ang che. Calamine lotion ang chi thil te pawh i hmang thei bawk.
• Ni khatah vawi tam tak tui lum takah compress lum tak tak dah la (mahse, hre reng ang che, khawsik avanga vun a zual zel chuan hetiang hian ti suh – chu chu `cold urticaria` i neih chuan tihna a ni).
• Shower lum tak emaw, inbual emaw la. Shower lum tak lak hian a ti na zual thei.
• Hypoallergenic lotion leh cream hmangin vun vawt (dry skin) chu moisturize rawh. Moisturizer awlsam tak, rimtui lo tak thlang rawh.
• I vun ti na lo tur cotton nem tak atanga siam thawmhnaw loose-fitting ha la. Thawmhnaw tight hak hian a natna a tizual thei a ni. Wool ang chi puan hrual atanga siam thawmhnaw hak loh tur.
• A theih ang anga scratching tih loh tur. Scratching hian hun eng emaw chen chu a ti hahdam thei a, mahse a takah chuan vun a tichhe thei a, a tichhe zual thei bawk.

Heng chronic hives te hi kum tam tak chhung a daih thei em?

Chronic hives nei zinga a chanve vel, a nih loh leh 50% vel chu kum khat chhungin an hive hi a bo vek ang (a tam zawkah chuan enkawl lohvin). 20% dang chuan kum nga chhungin an hive an ti bo tawh dawn a ni. Mahse mi thenkhat tan chuan a rei zawk thei. Hun rei tak chhunga hives enkawl hian symptoms a tiziaawm thei a ni. Chuvangin lungngai suh, enkawlna a awm.

Engtikah nge doctor ka hmuh ngei ang?

Heng thilte hi i neih chuan doctor pan ngei ang:

• A hliam emaw, a hring emaw chu kar khat aia rei a nih chuan.
• Hliam chu natna vei anga lang (i.e. sen, hring, zun (pus-filled, emaw khawsik nei) a nih chuan.
• Thla engemaw zat danah a natna a lo lang leh thin a nih chuan.
• I vun chu tuar theih loh khawpa na a nih chuan i mut leh nitin hnathawhna a tibuai thei a ni.
• Thâwk harsa i neih emaw, i beng a hrual ang maia i hriat emaw, luak chhuak emaw i neih chuan emergency a ni. Damdawi inah kal nghal rawh.

Doctor hnenah eng nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh a tha ang:

• Eng thilin nge heng chronic hives te hi a thlen? A nih loh leh, eng thil nge anmahni thlentu ni thei nia i ngaih?
• Engtikah nge heng chronic hives te hi an dam leh ang?
• Allergy test ka nei tur em ni?
• Heng chronic hives te hi ka tan eng nge enkawlna tha ber?
• Itching tihziaawmna tur hian eng damdawi tha ber nge ni ang?
• He damdawi hian side effect a nei em?
• Eng complication nge ka ngaihtuah tur?
• Ka ei leh in leh nunphung tihdanglam ka ngai em?

Chronic hives hi stress emaw, lungkham vang emaw a ni thei em?

Dik tak chuan, stress leh lungkhamna hian vun dinhmun a tichhe thei a ni. Chu chu stress hian vun a ti na zual thei a, itchiness a ti na zual thei tihna a ni. Chuvangin, a chang chuan anti-anxiety damdawi te hian a pui thei a ni. Meditation, mindfulness, yoga, leh i rilru tih hahdamna tur mut tlem te ang chi thil te pawh i hlawkpui thei bawk. Taksa hrisel tan chuan rilru hlim hi a pawimawh hle tih hre reng ang che.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur? (In lama hruai tur thuchah)

Chronic hives (Chronic Urticaria) hi a itchy tak zet a, a nuam lo thei bawk. A châng chuan i hmel lan dânah pawh i lungawi lo thei bawk. Doctor-te chuan chronic hives awm chhan dik tak chu an hre chiang thei lo fo nachungin, damdawi antihistamines, steroids, leh a chang chuan immunosuppressant te pawh hian a pui thei a ni. In lama i tih theih tur thil te pawh a awm a, chu chuan a hring leh a hring tihziaawmna tur a ni.

A pawimawh ber chu mi tam tak tan chuan chronic hives hi hun kal zelah (kum khat emaw a aia rei emaw hnuah pawh a bo mai thei) a bo vek a ni. Chuvangin chak takin awm la, i doctor thurawn zawm rawh. Nangmah chauh i ni lo va, he natna hi i hneh theih nan doctor an awm bawk. I nunphung tichangtlung thei tur enkawlna a awm.

` Rash, chronic hives, urticaria, vun natna, itching, allergy, angioedema