I armpit leh groin-a lang fo thin boils na tak tak i nei bawk em? (Hidradenitis Suppurativa) tih hi a awm a.

A châng chuan kan armpit, groin, leh kan hnute hnuai lam ang chi thawmhnaw awmna hmunah te hian bump lian tak tak, na tak tak kan nei ṭhin a ni lawm ni? Pakhat chu a dam dawn lai tak chuan pakhat dang a rawn lang leh ta a. A châng chuan heng bumps te hian pus a ooze a, rimchhia pawh a nei thei. Mi tam tak chuan vun natna pangngai emaw, thawmhnaw hring emaw ang maia an ngaih laiin, a takah chuan vun natna danglam tak, hun rei tak chhunga awm thei an ni thei. Vawiin hian damdawi lam hawia Hidradenitis Suppurativa (HS) tih hming pu condition kan sawi dawn a ni. A buaithlak deuh niin a lang a, mahse thumal awlsam takin han then ila.

Hidradenitis Suppurativa (HS) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, HS hi hun rei tak chhunga vun natna a ni a, kan vun chhunga sweat glands tamna hmunah hian bumps, lumps leh boils lo awm leh thin, na tak tak a awm thin. Mi thenkhat chuan ‘acne inversa’ an ti bawk.

Hei hi pimple pangngai ang a ni lo. HS hi kan taksa ngeia immune system a malfunction vang a ni. A dik tak chuan sam zungte autoinflammatory disease a ni . Thil thleng chu kan taksa invenna (defence system) ngei hian chhan awm lovin kan sam zung (hair follicles) te hi a rawn bei thin a ni. Hei hian a ti hring a, a sen a, bump na tak tak a siam bawk. Hun a kal zel a, hengte hi vun hnuaia pus-filled abscesses leh sinus tracts-ah a lo chang thei a ni.

HS-ah hian eng chi vun natna nge awm?

HS-ah hian vun inthlak danglamna chi thum hmuh tur a awm a. Chung zinga pakhat emaw, a aia tam emaw i nei thei.

Tute nge HS vei tam ber? Risk factors te chu engte nge ni?

He natna hi tu pawhin vei thei mah se, mi thenkhat chuan an vei duh zawk a ni.

• Hmeichhia tan: Hmeichhia hian mipa aiin HS an vei tam zawk.
• Chhungkaw chanchin: I nu, i pa emaw, i chhungte hnai tak emaw chuan he natna hi a neih chuan nang pawhin i vei theihna a sang zawk a ni.
• Hormone inthlak danglamna: Puitling hnu leh menopause vel a hormone level (a bik takin estrogen leh androgens ) inthlak danglamna hian hei hi a thlen thei a ni. Hmeichhe thenkhat tan chuan thla tin an period hmain symptoms a na zual thin.
• Meizial zuk: Meizial zu thinte hi HS vei theihna chance a sang zawk hle.
• Obesity: I taksa rihna sang pawh hi hei hi a nghawng lian ber a ni.
• Hirsutism: Taksa sam sei tam lutuk thei dinhmun nei te pawh hi an hlauhawm hle.

Khawiah nge HS tumor hi a awm tam ber?

Heng tumor te hi vun a inhnim khawmna hmunah a lang tlangpui a, a thawmhnaw a chhuak a, a lum leh a hnim reng bawk.

• Armpit a ni
• Groin area a ni
• Hnute hnuaiah
• A hnute leh hnungzang (anus) hmunah
• Inner thigh
• A hnunglam a ni
• A kawr vel chu

Hengte hi mipat hmeichhiatna hmanga kai theih natna (STD) an ni em?

No. A ni lo tak zet. HS hi mipat hmeichhiatna hmanga kai theih natna (STI) a ni lo . Natna hrik kai theih pawh a ni lo. Chuvangin a tul lovah hlau suh.

HS hi enkawl tha a nih loh chuan complication awm thei

HS hi rei tak enkawl loha dah a nih chuan harsatna engemaw zat a awm thei a ni. Hengte hi mi zawng zawngah a thleng lova, mahse fimkhur a pawimawh hle.

• Scars: Boils a dam hnuah chuan chutiang hmunah chuan scars khauh leh thuk tak a lo awm thei a ni.
• Infection: Bacteria hi hliam inhawng hmangin a lut thei a, vun natna na tak (cellulitis) a thlen thei bawk .
• Lymphatic system tihchhiat: Hun rei tak a hring chuan lymphatic system a tichhe thei a, kut emaw ke emaw a ti na thei a ni.
• Fistula: A tlem hle a, vun hnuaia tunnel (sinus tracts) lo awm chu chhungril lam thil, intestines emaw bladder emaw nen a inzawm thei a ni.
• Anemia: Hun rei tak chhung inflammation hian thisen tlakchhamna a thlen thei.
• Psychological effects: Natna reng reng, pus-filled cysts, leh scarring hian rilru hahna, lungkhamna, a nih loh leh lungngaihna a thlen thei a ni .
• Skin cancer: Hei hi a tlem hle a, mahse hun rei tak chhunga hliam dam thei lo atanga vun cancer chi khat vei theihna chance a tlem hle.

HS condition nei tan tu nge ka consult tur?

Heng symptoms te hi i neih chuan a tha ber chu dermatologist pan hi a ni . A châng chuan, general practitioner-te chuan hei hi tumor emaw infection emaw awlsam tak niin an ngai sual thei bawk. Mahse dermatologist chuan heng symptoms te hi dik takin a hmuchhuak thei a, i tana enkawlna tha ber a pe thei bawk.

Doctor chuan i natna lan chhuah dan a ngaithla ang a, i vun a enfiah ang. Hei hian test dang a mamawh lo tlangpui.

HS enkawlna tur engte nge ni?

HS hi damdawi a la awm lo. Mahse, natna lan chhuah dan control nan te, hliam thar venna tur te, leh hliam tuar tlem zawkna tur te hian enkawlna tha tak tak a awm nual. Enkawlna chu i dinhmun nasat danah a innghat a ni.

1. Vun enkawl dan

• Antiseptic wash: Doctor chuan nitin boil awmna hmunte tihfai nan sahbawn bik a rawt thin.
• Antiperspirants: Vun sensitive tan chuan rimtui tel lo thil i hmang thei.
• Retinoids: Heng cream te hian vitamin A a pai a, inflammation a tiziaawm a, vun cell renewal a tichak bawk.

2. Natna control

• Compress lum emaw lum emaw: Ice pack emaw tui lum bottle emaw hnawih hian natna leh hliam a tiziaawm thei.
• Natna tihziaawmna hriak: Cream-a local anesthetics Lidocaine ang chi te hian hun eng emaw chen atan natna a tiziaawm thei a ni.
• Painkillers: Doctor-in a tih angin, a tul chuan natna tidamtu damdawi pangngai emaw, damdawi chak zawk emaw i ei thei a ni.

3. Doctor-in damdawi a pek

• Antibiotics damdawi: 1.1.Infection enkawl nan antibiotics pek a ni lo. HS-a inflammation lo awm thin control nan pek an ni. A châng chuan, a dose tlem chu thla engemaw zât chhûng ei chhunzawm zêl tûra tih a ni thei bawk.
• Biologic therapy: Damdawi (Adalimumab) ang chi hian immune system hnathawh a control a, inflammation a ti tlem bawk.
• Metformin: He zunthlum damdawi hian hormone level leh insulin resistance control-in HS atanga chhanchhuahna engemaw chen a pe thei bawk.
• Birth control pills: Hengte hian hmeichhiate hormone inthlauhna a thunun thei a, thlasik hmaa symptoms na zual loh nan a veng bawk.

4. Natna a zual huna enkawl dan leh tih dan tur

Symptoms a nasat emaw, enkawlna dang a chhan loh emaw chuan i doctor chuan hetiang hi a rawt thei ang:

• Steroid injection: Steroid hi tumor na takah direct-in inject theih a ni a, chu chuan rang takin a hring leh a na a tiziaawm thei a ni.
• Incision leh drainage: Abscesses lian tak tak a awm chuan incision te tak te siamin pus chu drain a pe a, relief a pe bawk.
• Laser hmanga enkawlna: Laser hmang hian sam hnah emaw, tumor emaw paih chhuah theih a ni.
• Surgery: A chang chuan, sinus tracts leh vun chhia te chu surgery hmanga paih vek (deroofing or excision) a ngai thin.
• Botox® injection: He treatment hi thawk hah lutuk control nan hman theih a ni.

HS lo awm leh tur venna atana kan tih theih tur

Risk factor thenkhat (chhungkaw history ang chi) kan thunun theih loh laiin, symptoms a zual zel tur leh harsatna a thlen loh nan thil engemaw kan tih theih a awm.

• Meizial zuk pumpelh: Meizial i zuk chuan i tih theih ṭha ber chu bansan hi a ni. Hemi chungchangah hian doctor hnenah tanpuina dil rawh.
• I taksa rihna control: I taksa rihna tihtlem hian vun a ti tlahniam a, hormone level control nan a pui a, hei hian symptoms tihziaawmna kawngah nghawng lian tak a nei thei a ni.
• Thawmhnaw hrual (loose clothing) ha: Thawmhnaw tight lo, cotton ang chi thil hmanga siam, i vun thawk thei tur ha.
• Thawmhnaw control: Hmun lum leh vawt te chu a theih ang anga pumpelh tur a ni. I thawmhnaw a chhuah chuan tifai vat rawh.
• Hriak rimtui loh tur: Sahbawn rimtui tak tak, deodorant leh vun cream te hman loh tur. Hengte hian vun a ti sensitive thei hle.

Hetiang dinhmun nena nun hi a châng chuan rilru lama harsatna a ni thei. Natna, lungawi lohna leh hmel lan danah hian awm reng suh. Nangmah chauh i ni lo. I rintlak emaw, i doctor emaw hnenah i rilru put hmang sawipui rawh. A tul chuan mental health counselor tanpuina i la thei bawk.