Mi ṭhenkhat chuan an hmaiah, an hmuiah, a nih loh leh an lu vunah emaw, a sen, a sang deuh deuh tih i hmu ngai em? A châng chuan hengte hi an itch lo va, an na lo bawk. Mi tam takin hei hi vun natna pangngai anga an ngaih laiin, hei hi ngaihven deuh deuh a ngai thei a ni. Vawiin hian heng symptoms te hi ‘Discoid Lupus’ an tih condition kan sawi dawn a ni. Hei hi hming hriat loh deuh ni mahse, a chanchin hriat a pawimawh hle.
A awlsam zawngin, Discoid Lupus chu eng nge ni?
Discoid Lupus, a dik zawk chuan `Discoid Lupus Erythematosus (DLE)` tia hriat a ni a, kan vun hi direct-in a nghawng a ni. Lupus chi hrang hrang `Cutaneous Lupus Erythematosus (CLE)` classification-ah a tel a ni. `Cutaneous' tih thumal hi `vun nena inzawm` tihna a ni.Hei hian heng lupus chi hrang hrangte hian kan vun a nghawng ber tihna a ni.
Discoid lupus vei chuan a vunah, a bik takin a hmai, a hmui, a hnar leh a lu vunah te chu a zungpui, a sen, a sang deuh a, a thim deuh a ni. Chungte chu hun kal zelah a crusty thei hle. Hei hi chronic cutaneous lupus an ti bawk. Chronic tih awmzia chu rei tak daih tihna a ni.
Chuti a nih chuan ‘Lupus’ chu eng nge ni?
‘Lupus’ kan sawi hian natna pakhat `Systemic Lupus Erythematosus (SLE)` tih kan sawi fo thin. Lupus vei 100 zinga 70 vel chuan he natna hi an nei a ni.
Tunah chuan en teh, discoid lupus (DLE) hian vun a nghawng ber laiin, SLE an tih chi hian taksa pum a nghawng thung. Chu chu ‘systemic’ tih awmzia chu a ni. Autoimmune natna a ni . A awlsam zawngin kan taksa invenna system, immune system chu a kal a, kan cell leh tissue hrisel tak takte chu a rawn bei tan ta a ni. Hei hian taksa pum puiah inflammation, a nih loh leh inflammation a thlen a ni.
SLE vei chuan a tlangpuiin heng ang symptoms hi a nei thei a ni:
- Chhan awm lova khawsik lo thleng
- Joint na leh a hring
- Chauhna awm reng
- A rilru a na
- Vunah hmun hrang hrang leh bawlhhlawh chi hrang hrang lo lang
- Ni êng laka sensitivity (photosensitivity) 1.1.
A pawimawh ber chu discoid lupus vei zawng zawng hian systemic lupus erythematosus (SLE) an nei vek dawn lo a, chu chuan taksa pum a nghawng a ni. Chumi chungchang chu tlem kan sawi leh ang.
Lupus (CLE) chi hrang hrang vun tichhe thei chu engte nge ni?
Kan sawi tawh ang khan discoid lupus hi vun tichhe thei lupus chi khat a ni. A chi thum a awm a. Type tin hian vun natna pattern hrang hrang tlem an nei vek a.
| Lupus chi hrang hrang | Skin spot awm dan |
|---|---|
| Discoid Lupus a ni | A zungpui, a thuk, a sen, a hnah hring, pawisa lem ang mai. A tam zawk chu hmai, beng leh lu vunah a lang. |
| Subacute Cutaneous Lupus a awm a ni | Ring ang chi emaw, scaly patch emaw a awm. A tlangpuiin rilru, hnungzang leh kawr ah a lang thin. |
| Acute Cutaneous Lupus a awm thin | Hei hi "butterfly rash" hmingthang tak awmna hmun a ni. Ni zung ang maia rawng sen, hmui leh hnar sir zawng zawngah a rawn lang chhuak a. |
Mi pakhatin lupus chi khat aia tam a nei thei em?
Ni e, a thleng thei. Mi thenkhat chuan lupus chi khat chauh an nei. Chumi awmzia chu mi thenkhatin SLE chauh an nei thei a, thenkhat erawh chuan DLE chauh an nei thei tihna a ni. Mahse a chang chuan mi pakhatin a rualin lupus chi khat aia tam a nei thei.
Mahse hei hi hre reng ang che. Discoid lupus (DLE) vei tam zawk hian systemic lupus erythematosus (SLE) an nei lo a, hei hian taksa pum a nghawng a ni. DLE vei zinga 5% vel, a nih loh leh mi 100 zinga 5 vel chuan a hnuah SLE an vei ang. Tin, SLE vei zinga hmun li a\anga hmun khat (25%) vel chuan discoid lupus-a hmuh ang chi vun natna an nei ang. Chuvangin condition pahnih inkarah hian inzawmna a awm a, mahse pakhat nei zawng zawng hian a dang an nei vek dawn lo.
Eng thilin nge discoid lupus hi a thlen? Tu nge hlauhawm ber?
Dik tak chuan doctor-te chuan lupus awm chhan dik tak hi an la hre lo a, discoid lupus pawh a tel. Mahse kan taksa hriselna (immune system)-a thil dik lo avanga lo awm a ni tih erawh a chiang hle. Tin, he natna hi chhungkaw hrang hrangah a kal tlangpui bawk . Chumi awmzia chu i chhungkuaa mi pakhatin lupus ang chi autoimmune disease a neih chuan nang pawh i hlauhawm thei tihna a ni.
Tute nge discoid lupus vei theihna sang zawk tih hi han thlir ila.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Mipa leh hmeichhe thliarna | Hmeichhia hian mipa aiin he natna hi an vei theihna a sang zawk hle. |
| Kum | Kum 15 leh 44 inkar ah a awm tlangpui a, a bik takin hmeichhia kum 30 leh 40 inkar zingah a tam ber. |
| Vun rawng/hnam | Research atanga a lan dan chuan vun dum zawk (e.g., African emaw Asian hnam chhuak) te chu vun dum zawk nei te aiin he natna hi an vei theihna a sang zawk a ni . |
Discoid lupus natna lanchhuahna leh harsatna awmte chu engte nge ni?
A symptom ber chu a hmaa kan sawi tawh discoid lesions te hi a ni.
- Hmun: Lu vun leh hmaiah hmuh tur a tam ber a, mahse taksa peng dangah pawh a awm thei a, a bik takin ni chhuahna hmunah a awm thei bawk.
- A nihna: Heng hmunte hi a na lo tlangpui a, a hnim lo bawk . An sen a, a sang deuh a, a then chu a chung lamah chuan scaly angin an lang bawk.
- Nakin lawka thil awm dan: Heng hmunte hi a dam hnuah chuan hliam leh rawng a danglam thei . A chang chuan vun hi a var emaw, a sen/dum emaw a ni thei.
Harsatna awm thei te
- Sam tlakchham: Lu vunah heng hmunte hi a lo lang a nih chuan chu lai hmuna sam chu a tla chhuak thei a ni. A pawi ber chu chu hmunah chuan hliam a lo awm chuan sam sei chu a tawp vek thei a ni .
- Vun cancer hlauhawmna: 1.1.Discoid lupus spot rei tak i neih chuan chutiang hmunah chuan vun cancer vei theihna a sang lo hle. A bik takin heng hmui te hi ka chhungah a lo awm a nih chuan vun cancer chi khat squamous cell carcinoma an tih chu a lo awm theihna a sang thei hle.
- Chilblain Lupus: Hei hi a awm lo hle. Hetiang dinhmunah hian khawsik a awm chuan vunah hian purple spot emaw patch emaw a lang thin. Hengte hi a hrehawm thei hle.
He natna hi engtin nge kan hriat theih ang?
Heng symptoms te hi i neih chuan a tha ber chu dermatologist pan hi a ni . A enfiah ang che a, test a kalpui ang a, i diagnosis chu a nemnghet ang.
Hei hi skin biopsy an ti a . Hei hian anesthesia hnuaia a hmun atanga vun te tak te tak tak lak a huam a ni. Chumi hnuah lab-ah thawn a ni a, microscope hmangin enfiah a ni. Chu cell-a inthlak danglamna kan en chuan discoid lupus nge vun natna dang a ni tih chiang takin kan hre thei a ni.
Enkawlnate chu engte nge ni?
Discoid lupus hi a dam kim thei lo. Mahse, enkawlna hian natna lan chhuah dan a thunun thei a, flare-up thar a veng thei a, nun pangngaia i nun theih nan a pui thei bawk. I doctor chuan i natna lan chhuah dan nasat dan a zirin i tan enkawlna dik tak a pe ang che.
Enkawlna hmanraw pawimawh thenkhat chu a hnuaia mi ang hian tarlan a ni.
| Enkawlna chi hrang hrang | Functionality leh entirnan te |
|---|---|
| Steroid Ointment hmanga siam a ni | Hengte hi cream a ni a, rash-ah direct-a hnawih a ni. Vun chhunga inflammation leh swelling te an tiziaawm a ni. Entirnan: `fluocinolone acetonide`, `hydrocortisone butyrate` tih te hi a ni. |
| Malaria dona damdawi hman a ni | Hengte hi pill i ei thin te an ni. Mak ti suh, Malaria damdawi hmante hi lupus tan pawh a tangkai hle. Skin spot tihziaawmna leh hahna tihziaawmna atan an pui bawk. Entirnan: `hydroxychloroquine (Plaquenil®)` tih te hi a ni. |
| Immune controlling damdawi (Calcineurin Inhibitors) te hi a tha hle. | Hengte hi hriak chi hrang hrang an ni bawk. Immune system hnathawh chu eng emaw chen an control a, inflammation an tihziaawm bawk. Entirnan: `tacrolimus`, `pimecrolimus` tih te hi a ni. |
| Anti-inflammatory damdawi dang | Natna a nasat zawkna hmunah chuan doctor-te chuan damdawi ei tur, dapsone leh methotrexate te pawh an pe thei bawk. |
Pawimawh: Heng enkawlna zinga eng pawh hi damdawi lam thurawn atanga tan chauh tur a ni . Damdawi hi mahni chauhin hmang suh.
Engtin nge flare-ups hi kan ven theih ang?
Discoid lupus vei tu pawhin an hriat tur chu hetiang hi a ni. Lupus vei zinga 70% vel tan chuan ni atanga ultraviolet (UV) light an hmuh chuan an natna lan chhuah dan chu a na zual hle. Hei hian a awmzia chu hmul thar a lo lang thei a, hmun awmsa chu a sen thei a, a lian thei bawk. Hei hi kan ram ang ram, kum khat chhunga ni chak tak neia cheng tan chuan a pawimawh zual hle.
Ni laka inven nan leh natna a zual zel loh nan a hnuaia mi ang hian ti rawh:
- Nitin ni chhuahna hmuna chhuah hmain sunscreen hnawih thin ang che. Broad-spectrum (UVA leh UVB pahnih laka a venghim) sunscreen SPF 30 tal nei thlang rawh.
- Pawn chhuah dawn chauh ni lovin, in chhunga awm lai pawhin sunscreen hman a tha a, a bik takin tukverh bula i awm chuan.
- Darkar 4 danah sunscreen hnawih leh thin ang che. I thawmhnaw i chhuah hmain emaw tui chhunga i luh hmain hnawih leh thin ang che.
- Zing dar 10 leh tlai dar 4 inkarah ni êng chak ber berte chu a theih ang anga pumpelh tur a ni.
- Pawn lama i chhuah dawnin, thawmhnaw kut sei, kawrfual zau tak, leh umbrella ang chi thil hmang rawh .
- In chhunga fluorescent light pawh hian UV rays engemaw zat a pe chhuak thei a, chuvangin chutiang light hnuaiah chuan rei tak awm loh tur a ni.
- Tanning bed hmang ngai suh .
Heng step te hi uluk taka i zawm chuan i symptoms te chu nasa takin i control thei ang.
Take-Home Thuchah a ni
- Discoid lupus hi hun rei tak chhunga awm thin lupus chi khat a ni a, vun a nghawng ber a ni.
- Hei hian hmai leh lu vunah hian round, red, coin ang chi a lo lang thin. Hengte hi a tlangpuiin a na lo va, an itch lo bawk.
- Dam vek theih ni lo mah se, damdawi hmanga enkawlna hmangin a natna lan chhuah dan chu a thunun thei hle.
- Ni laka invenna hi a ngai! Nitin sunscreen hman leh ni êng na tak pumpelh hi natna a zual zel loh nan a pawimawh hle.
- I vunah hetiang spot i neih chuan dermatologist hnenah thurawn dil ngei ang che.
- Skin blemishes te chu scratch emaw pick at emaw suh. Hei hian scarring leh infection a thlen thei a ni.
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