I vunah hian hnim hring ang maia hmun i nei em? He cutaneous lupus chungchang hi i zir dawn teh ang!

Mi thenkhat chuan an hmui leh hnar sir zawng zawngah hnim hring ang maia sen hring an nei tih i hmu tawh em? A nih loh leh Sri Lanka ni na tak kara hun engemaw chen an hman hnuah an vunah hian vun rawng a lo lang nghal tihna em ni? Hengte hi vun lama harsatna chauh a ni lo. A chang chuan hengte hi kan taksa chhunga harsatna awm thei pawn lam chhinchhiahna a ni thei bawk. Vawiin hian hetiang symptoms lantir thei dinhmun kan sawi dawn a, chu chu mi tam takin an hre chiang lo hle a, mahse hriat chian a pawimawh hle. Chu chu Cutaneous Lupus a ni.

Cutaneous Lupus hi eng nge ni?

A awlsam zawngin sawi ila, cutaneous lupus hi kan vun tichhe thei autoimmune disease a ni. Tunah chuan he "autoimmune" thil hi eng nge ni tih i ngaihtuah mai thei. Awle, hetiang hian ka sawifiah ang.

Kan ram sipaite hi pawn lam hmelma laka min humhim turin an awm tih han ngaihtuah teh. Chutiang bawkin kan taksa pawhin immune system a nei bawk. A hna chu pawn lam atanga taksaa lut hmêlma hrik, virus, leh bacteria te do a, natna laka min humhim hi a ni.

Mahse, autoimmune disease-ah chuan thil vanduaithlak tak a thleng thin. Kan taksa ngei pawh hi a invenna system, immune system chu a buai hle. Tu nge ṭhian tih leh tute nge hmelma tih a hre thei lo. Chuvangin ram dang natna hrik a beih ai chuan kan cell hrisel tak takte chu a bei tan ta zawk a ni . Keimahni sipai ngeiin kan mite an beih ang mai a ni.

Cutaneous lupus-ah hian immune system hian kan vun cell te a bei a, vun a ti na reng a, chu chuan natna lanchhuahna a thlen a, chu chu vun rawng, vun, hnim hring, leh vun hring te a ni.

Hei hi mi zawng zawngin lupus an tih hian kan hriat chian natna tho a ni em?

No. Natna pakhat Systemic Lupus Erythematosus (SLE) tih i hre tawh mai thei. Chu pawh chu lupus chi khat a ni. Mahse SLE-ah chuan immune system hian vun chauh a bei lo. Kan taksa pum pui pawh a nghawng thei a, chutah chuan taksa peng lian tak tak, ruhkawr, thisen kalna kawng, kal leh thinlung te pawh a nghawng thei bawk.

Cutaneous Lupus Erythematosus (CLE) hi lupus chi khat a ni a, a bul berah chuan vunah chauh a awm a ni. Mahse, a chang chuan CLE vei tu emaw chuan a hnuah SLE a vei thei a ni. Chuvang chuan vunah lupus chhinchhiahna eng emaw a awm chuan fimkhur a pawimawh hle.

Lupus chi hrang hrang a awm em?

Ni e, cutaneous lupus hi a lo kal thei a, a kal thei bawk. Mi thenkhat tan chuan symptoms a lo thleng a, a bo bawk. Midang tan chuan symptoms an nei chhunzawm zel a, ni engemaw zat chu a na lo zawk a, ni thenkhatah chuan a na zawk bawk. He natna hi eng chen nge a lan chhuah dan leh vun natna chi hrang hrang a zirin an thliar hrang thin. A chi hrang hrang hi han thlir ila.

He natna lan chhuah dan engte nge ni?

Cutaneous lupus hian vun natna chi hrang hrang a thlen thei a. Symptom thenkhat chu lupus natna bik a ni. Mi dangte chu vun natna dangah hmuh tur a awm bawk. A lan chhuah dan bulpui te han thlir ila.

A lan chhuah dan tlangpui

• Red, scaly patches: Hengte hi discoid emaw annular emaw a ni thei a, a bik takin ni chhuahna hmunah chuan .Lu, kawr leh kut ah te hmuh tur a tam ber. Vun rawng dum zawk nei tan chuan heng hmunte hi purple emaw brown emaw angin a lang thei.
• Malar Rash: Hei hi mi tam zawkin lupus an ngaihtuah hian an ngaihtuah thin symptom a ni. Hnar leh hnar kawngkhar sir zawng zawnga lang, hnim hring, a thla a phar ang maia lang, vun sen a ni.
• Vun rawng a inthlak: A hmaa bawlhhlawh awm tawhna hmun a dam hnuah chuan chu hmuna vun rawng chu a hring (hypopigmentation) emaw, a dum (hyperpigmentation) emaw a ni thei.
• Photosensitivity: Lupus vei te hian ni ênga an awm chuan vun symptoms a tipung a. Hun rei vak lo ni-a kan awm pawhin vun a siam thei a, vun chu a na hle thei bawk.
• Sam tlakchham: Lu vunah lupus spot (discoid lesions) a lo awm chuan hliam a awm thei a, sam a tlakchham reng thei bawk.
• Ka chhung emaw, hnar chhung emawa hliam: Natna nei lo, hliam tenau te chu hmui chung lamah emaw, hmui chhungah emaw, hnar chhungah emaw a awm thei.
• Vun na leh vun hring: Hmun thenkhatah chuan a hring leh a hring a awm thei a, a bik takin mit vel (edema) a awm thei.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Kan sawi tawh ang khan hei hi autoimmune disease a ni. Chumi awmzia chu keimahni immune system-a tihsual vang a ni tihna a ni. Scientist te hian engvangin nge hetiang hi a thlen tih hi 100% in an la chiang lo. Mahse, thil hrang hrang inzawmkhawm chuan hmun a chang thei niin an ngai.

Genetic predisposition leh environment trigger te an ni .

A awlsam zawngin sawi ila, mi thenkhat chuan an gene-ah hian he natna chi hi an vei duhna tlem an nei a. Mahse chutiang predisposition an neih vang mai maia natna chu a lo awm lo. Chutiang genetic predisposition nei mi chu environment factor thenkhat a tawrh chuan immune system a tichak thei a, natna chu a lo lang thei bawk.

Risk tipungtu thil dangte:

• Hmeichhia nih: Hmeichhia hi mipa aiin lupus vei an tam zawk a, a bik takin estrogen level sang hun lai hian.
• Heredity: I chhungkuaa mi tu emaw chuan lupus emaw autoimmune disease dang emaw a neih chuan i hlauhawmna pawh a sang deuh thei bawk.
• Autoimmune natna dang neih: Autoimmune natna dang, thyroid natna leh rheumatoid arthritis nei te chu lupus vei an tam zawk.
• Damdawi thenkhat hun rei tak hman:Damdawi thenkhat, thisen sang damdawi leh epilepsy damdawi te hian hun rei tak hman a nih chuan lupus ang chi natna a thlen thei a ni.
• Rilru emaw taksa lama harsatna nasa tak: Taksa chunga lungkhamna nasa tak, natna kai nasa tak emaw, accident emaw ang chi te hian a chang chuan natna hi a tichhuak thei a ni.
• Meizial zuk: Meizial hi lupus thlentu chak tak a ni a, a natna lanchhuahna a tizual bawk.

Engtin nge doctor hian hei hi a hmuh theih?

Heng vun natna lanchhuahna te hi i neih chuan a tha ber chu doctor pan a ni a, a tha ber chu dermatologist . I symptoms te a zawt ang che a, i vun chu uluk takin a enfiah ang che.

Lupus rash thenkhat (malar rash ang chi) hi hriat nghal theih a ni. Mahse, spot thenkhat chu vun natna dang nen a inang avangin, a natna hriat chian nan test dang neih belh a ngai mai thei.

• Skin Biopsy: Hei hi hmun pakhat atanga numbing damdawi tlemte lak a, vun tlemte lak a, microscope hmanga enfiah a ni. Hei hian lupus nena inzawm vun cell-a inthlak danglamna a awm leh awm loh hriat theih nan a pui thei a ni.
• Direct Immunofluorescence: Hei hi vun biopsy-a test bik a ni bawk. Immune system hian vun a bei tih finfiahna a awm leh awm loh a hre thei.
• Thisen test: A chang chuan i doctor pawhin thisen test thenkhat a rawt bawk ang. Hengte hi vunah lupus awm bakah taksa chhungril peng hrang hrang tichhe thei SLE chhinchhiahna a awm leh awm loh enfiahna atana tih a ni.

Hei hi eng enkawlna nge ni?

Sawi hmasak ber leh pawimawh ber chu cutaneous lupus hi damdawi a la awm lo a , a chhan chu kan taksa hriselna (immune system) hnathawh dan nen a inzawm tlat a ni.

Enkawl dan tur ruahmanna chu lupus i neih chi hrang hrang, i natna lan chhuah dan nasat dan leh i nun a nghawng dan te ngaihtuah a ni.

Enkawl dan leh thupek lian ber berte chu:

1. Ni laka invenna: Hei hi a pawimawh ber leh tih ngei ngei tur a ni. Sri Lanka ni na tak laka invenna hi a theih ang anga tih tlem a ngai a ni.

• Zing dar 10:00 leh tlai dar 4:00 inkarah ni chak takah chhuah loh tur a ni.
• Pawn lama i chhuah chuan i taksa khuh thei thawmhnaw, lukhum zau tak leh kawrfual kawr sei tak te ha la.
• SPF value 50 aia sang a niDoctor-in a sawi angin sunscreen tha tak hmang ang che. Pawn atanga i chhuah hmain minute 20 vel hnawih thin ang che.

2. Topical Damdawi: 1.1.

• I doctor chuan vun natna leh vun natna (rashes) tihreh nan cream, lotion, a nih loh leh ointment a pe thei che a ni. Corticosteroid cream leh tacrolimus ointment te hi hman tam ber a ni.

3. Damdawi injection: 1.1.

• A chang chuan a hmunte chu a thim hle a, enkawlna a dawn loh chuan doctor chuan steroid damdawi chu a hmunah direct-in a inject thei bawk.

4. Damdawi ei tur:

• Skin symptoms a nasat emaw, topical medication hmanga control loh emaw a nih chuan oral medications pek theih a ni. Lupus damdawi hman tlanglawn ber chu hydroxychloroquine leh chloroquine te an ni . Hengte hian immune system overactivity control nan a pui thin.

5. Vitamin D: 1.1.

• Ni chhuahna pumpelh hian i taksaah vitamin D tlakchhamna a thlen thei a ni. I doctor chuan hei hi a test ang che a, a tul chuan vitamin D tablet a pe ang che.

Lupus natna vei huna ngaihtuah tur thil

Cutaneous lupus hi dam chhung zawnga natna a ni a, mahse uluk taka enkawl chuan hlawhtling takin i nung thei a ni. Hêng inthlâk danglamnate hi a tîrah chuan insiamrem a harsa mai thei a, mahse hun kal zêlah chuan i nunah a tel ve dâwn a ni.

• Vun bawlhhlawh te chu picking emaw scratching emaw pumpelh tur a ni. Chutianga tih chuan vun a tichhe zual thei a, bawlhhlawh thar a siam thei bawk.
• Mihring bawlhhlawh i ngaihtuah a nih chuan i doctor-in a rawt cosmetics bik hmang la, chu chu khuh nan hmang ang che.
• In leh hnathawhna hmuna fluorescent light (tube light) hman tlem thei ta ila a tha ang . Tin, UV rays tlemte an pe chhuak bawk.
• Doctor hmu fo ang che. I dinhmun enfiah turin check-up-ah tel fo la, SLE ang chi natna dang a awm leh awm loh enfiah bawk ang che.
• I rilru hriselna pawh ngaihtuah teh. I vunah bawlhhlawh hmuh theihte hian a chang chuan lungngaihna leh lungkhamna a thlen thei che a ni. Hetiang hunah hian i rintlak tak nen inbia la, a tul chuan counseling zawng rawh.

Cutaneous lupus hi nunna atana hlauhawm a ni lo. Mahse i nunphung a nghawng thei a ni. A pawimawh ber chu natna chungchang hriat chian a, doctor thupek uluk taka zawm a, i tana tha tur enkawlna leh nunphung zawng chhuah hi a ni.