I sam tlakchham chungchangah i lungkham em? A chungchang zawng zawng hi i zawng chhuak vek ang u (Hair Loss) .

I comb-ah emaw, bathroom floor-ah emaw, zing i thawh hunah i pillowcase-ah emaw... Heng hmuna sam tam zawk i hmuh hian tlem chuan hlauhna leh lungkhamna i neih hi thil pangngai tak a ni. "Aw, ka sam zawng zawng ka hloh vek dawn em ni?" "Ka bald dawn em ni?" Hetiang zawhna hi i rilru hnung lamah a lo chhuak thin. Mahse, lungngai suh. Sam tlakchham hi mi tam tak tan chuan thil awmze nei tak a ni. A châng chuan sam tlem tê tê pawha lungawi lo tak tak an awm a, sam tam tak hloh a, sam sei pawha ngaihsak vak lo an awm bawk. Chuvangin, vawiin hian he sam tlakchham chungchang hi kan sawi dawn a, a nih loh leh damdawi lam atanga thlir chuan alopecia chungchang hi kan sawi dawn a ni.

I en hmasa phawt ang u, he sam hi eng nge ni?

A awlsam zawngin, kan taksa hmun tinah deuhthaw hian sam kan nei a, kan kutphah, kan kephah, kan mitmeng, leh kan navel ang chi hmun tih loh chu. Mahse a then chu a tha em em a, kan hmu thei lo.

Kan sam hi protein bik keratin tih atanga siam a ni . Hei hi vun chhunga sam zung (hair follicles) atanga lo chhuak a ni. Heng sam zungte hian sam cell thar an siam chhuah rual hian vun chunglam atang hian cell hlui te chu an nawr chhuak thin. Kan hmuh leh kan khawih sam hi a takah chuan keratin cell thi awmkhawm a ni. A vaiin puitling pakhat hian a lu-ah sam 100,000 leh 150,000 inkar a nei a. Ni khatah sam 50 atanga 100 vel hloh hi thil pangngai a ni. Chuvangin, comb-a sam tlemte awm chu hlauh a ngai lo.

A pawimawh ber chu kan sam tin hian nun kawng (life cycle) kan nei vek a ni. Thlai ang bawkin stage lian pathum a nei a:

• Anagen Phase: Hei hi sam zung (hair shaft) active taka a lo seilian lai a ni. He phase hi a tlangpuiin kum hnih atanga kum riat chhung a awh thei.
• Catagen Phase: Hei hi hun tawi, inthlak danglamna hun a ni. Hair follicle chu a lo thang lian tawh lo va, a dawt leh tur atan a inbuatsaih ta a ni. Hei hi kar hnih atanga kar thum vel a ni.
• Telogen phase: Hei hi ‘resting’ phase a ni. Thla hnih atanga thla thum vel a daih. Hemi hun chhung hian sam zung (hair follicle) chu sam zung (hair shaft) atang hian a inthen a. He phase tawp lamah hian hair follicle chu a tla chhuak a, a hmunah hair follicle thar a lo piang tan ta a ni.

He cycle hi kan tar chhoh zel chuan a slow deuh thin. Chuvang chuan kan tar chhoh zel chuan sam a thim thin.

Sam tlakchhamna chi hrang hrangte chu engte nge ni?

Sam tla hi chi hrang hrang a awm a. Chûng zînga ṭhenkhat chu i hre tawh mai thei. Table pakhat hmangin i hrethiam mai ang u.

Engvangin nge kan sam kan hloh? A chhan engte nge ni?

Sam tlakchham chhan pakhat chauh a awm lova, chhan tam tak a awm thei. A bulpui berte han thlir ila.

Hormone leh Genes te

A chang chuan kan taksaa hormone inthlauhna, a bik takin mipa hormone androgens an tih (hmeichhiaah pawh tlem tea siam chhuah) level inthlak danglam hian sam a ti tla thei a ni. Tin, kan nu leh pate a\angin, chu chu kan genes hmangin kan rochun thei bawk.

Natna leh Damdawi

Thyroid natna, zunthlum, lupus, leh iron tlakchhamna te hian sam a tikehsawm thei vek a ni. Tin, cancer tan chemotherapy te, thisen tithianghlimtu damdawi te, thisen sang damdawi thenkhat te pawh hian rei lo te chhung sam a tikehsawm thei bawk.

Kan Nunphung leh Ei leh In

Tin, protein tlem ei emaw, calorie tlem lutuk ei emaw zawm hian hun eng emaw chen chu sam a ti tla thei bawk. Vitamin A, B, C, D, E, leh minerals zinc leh iron te tlakchhamna te pawhin hei hi a thlen thei a ni.

Sam enkawl dan tur

I sam shampoo, bleaching, dye leh tihfai fo hian hair shaft a tichak lo va, a ti chhe thei bawk. Tin, sam khih te, rollers hman te, lum lutuk hnawih te hi i sam tan a tha lo.

Engtin nge he thil awm chhan dik tak hi i hmuh chhuah?

I sam a tlakchham nia i rinhlelh chuan a tha ber chu doctor, a bik takin dermatologist pan hi a ni. A chhan i hmuh hma chuan enkawlna i tan hma thei ang.

I doctor chuan heng thilte hi a ti ang:

• Medical history leh taksa enfiahna: I hriselna chungchang te, i chhungte zingah he natna hi an nei tawh em tih te, eng damdawi nge i ei tih te zawh i ni ang.
• Luruh enfiah: Luruh hi natna hrik leh inflammation a awm leh awm loh enfiah thin a ni. A châng chuan, trichoscope an tih hmanraw bik hmangin luruh chu tihzauh theih a ni.
• Thisen test: Iron level, vitamin D level, leh thyroid hormone level te enfiah nan thisen test turin an ti mai thei che.
• Biopsy: A chang chuan lu vun atanga vun te tak te lakchhuah a ni a, lab-ah test turin an thawn thin a, hei hian scarring alopecia ang chi condition te chu a hriat theih nan a pui thei a ni.

Sam tlakchhamna damdawi te chu engte nge ni?

Thu lawmawm tak chu sam tlakchhamna damdawi tam tak a awm a, a chhan a zirin.

Damdawi chi hrang hrang

• Minoxidil (Rogaine nen a inang): Hei hi tui emaw foam emaw a ni a, lu vunah direct-a hnawih a ni. Hmeichhia leh mipa tan pawh hman theih a ni.
• Finasteride (Propecia nen a inang): Hei hi mipa hnena pek thin pill a ni.
• Damdawi dang: I doctor chuan alopecia areata ang chi natna atan steroid injection emaw cream emaw a rawt thei a, hmeichhiate hormone inthlak danglamna avanga sam tlakchhamna atan birth control pill thenkhat pawh a rawt thei bawk.

Damdawi lam kalphung leh surgery te

• Hair Grafting/Hair Transplant: Hair follicles hi taksa peng dang (a tlangpuiin lu hnunglam atanga) lak a, sam awm lohna hmunah phun leh a ni.
• Light Therapy: Low-level laser therapy hi sam zungte tihchak nan hman a ni.
• Platelet-Rich Plasma (PRP) Therapy: Plasma hi i thisen atanga lakchhuah a ni a, sam sei chak nan lu vunah inject a ni. Hei hi tunah chuan Sri Lanka-ah chuan a lar hle tawh a ni.