Vun chunga hmun hrual (rough spots) atana hman thin gel (Ingenol Mebutate) chungchang hi i zir dawn em ni? (Actinic Keratosis leh Ingenol Mebutate Gel) te hi a tha hle.

I vunah hian rough, scaly, a chang chuan bumpy patch i nei em, a bik takin ni chhuahna hmunah te? I khawih hian sandpaper ang maiin an inhria em? Damdawi lamah chuan he natna hi `(Actinic Keratosis)` kan ti a. A awlsam zawngin sawi ila, ni zung chak tak ultraviolet rays (`(UV rays)`) avanga kan vun cell te a tihchhiat avanga inthlak danglamna tenau tak a ni. Hengte hi a chang chuan vun cancer (`(skin cancer)`)-ah a chang thei a, chuvangin rang taka enkawl a pawimawh hle. Chuvangin, i doctor chuan he `(Actinic Keratosis)` natna enkawlna atan hian `(Ingenol Mebutate)` tih gel a pe mai thei. Hei hi brand name `(Picato)` hnuaiah i hmu mai thei. Vawiin hian he damdawi hi chipchiar takin kan sawi dawn a, a hman dan tur leh fimkhur tur te kan sawi dawn a ni.

He damdawi hi ka hman hmain doctor hnenah eng nge ka hrilh ang?

Awle, i doctor hian he `(Ingenol Mebutate)` gel hi a rawn pe che ta ang u. I hman tan hmain doctor emaw pharmacist emaw hnenah thil pawimawh tlemte i hrilh tur a awm. Mahni himna atan heng thilte hi thup lova hrilh hi a pawimawh hle. A chhan chu, he thu hriat a\ang hian doctor chuan he damdawi hi i tan a tha em tih emaw, eng fimkhurna nge i zawm tur tih emaw a rel ang.

• Cancer i neih emaw, i vei tawh emaw a nih chuan: Hei hi vun cancer tan a pawimawh hle a, damdawi thenkhat hian cancer nen a inzawm tha lo thei a ni.
• Vun natna dang emaw vun sensitivity: Vun natna, vun sen, vun rawng, emaw vun natna dang (e.g., eczema, psoriasis) nei thei i neih chuan min hriattir dawn nia. He gel hian chutiang dinhmun chu a tizual thei a ni.
• Vun natna i neih chuan: Damdawi hnawih tur hmunah emaw, a bulah emaw bacteria, fungal, hliam natna i neih chuan i hrilh bawk tur a ni. He gel hi natna hrik awmna hmunah hnawih chuan a ti na zual thei.
• He damdawi (Ingenol Mebutate), damdawi dang, ei tur, dye, emaw, preservatives emaw i allergy i neih chuan: Damdawi eng emaw avanga allergy i neih tawh chuan (e.g., vun rawng, vun natna, thawk harsa) i doctor hnenah hrilh ngei ang che.
• Naupai emaw, naupai tum emaw i nih chuan: Hei hi a pawimawh hle. Damdawi thenkhat chuan naupai laiin nausen a tichhe thei a ni. Chuvangin, he thu hi i doctor hnena hrilh chu nghak suh.
• Nu hnute petu i nih chuan: Damdawi thenkhat chu hnute hnute hmangin i naute hnenah a kal thei. Naute tan a pawi thei hle. Chuvangin he thil hi i doctor hnenah pawh hrilh bawk ang che.

Heng thilte hi i neih tawh chuan i doctor chuan he damdawi hi i tan a tha em tih a rel thei a, i hman dan a thlak thei a, a him zawk tur a rawn rawt thei bawk. I himna hi a pawimawh ber tih hre reng ang che.

Engtin chiah nge he gel hi i hman?

He damdawi hman dan dik tak hriat a pawimawh hle. Hei chauh hi damdawi atanga hlawkna tam ber hmuh theihna tur leh side effects tih tlem theihna tur a ni. Doctor thupek dik takin i zawm tur a ni.

• Topical: Hei hi damdawi ei tur a ni lo . Damdawi a ni a, vun natna hmun, chu chu ``Actinic Keratosis`` spot awmna hmunah chauh layer te tak tea hnawih tur a ni. A chhehvel vun hrisel chu khawih tir suh.
• Damdawi hi a hnawih hnuah minute 15 vel dah la: Damdawi hi vunah hnawih la, a vawt vek hma chu minute 15 vel nghak rawh. Hemi hun chhung hian chu hmun chu thawmhnaw atanga hla takah dah tum la, eng thil pawh laka hla takah dah tum la, thli laka hla takah dah tum ang che.
• Darkar 6 chhung sil suh, khawih suh, thawk hah suh: Damdawi i hnawih hnu darkar 6 chhung chu tuiin sil suh, khawih fo la, chak takin hnawih suh, emaw, thawk hah lutuk thei thil ti suh. Chutianga tih chuan damdawi hmanna a ti tlem thei a, vunah duh loh zawngin nghawng a nei thei bawk.
• Darkar 6 hnuah i sil theih: Darkar 6 hnuah chuan sahbawn nem leh tui lum hmangin uluk takin i silfai thei ang. Nang takin hnawih suh.
• A hun takah leh a dik taka hmang rawh: Doctor-in ni engzat nge i hnawih tur tih leh ni khatah vawi engzat nge i hnawih tur tih chu zawm rawh. A tlangpuiin he damdawi hi hun rei lote chhung, ni 2 emaw ni 3 emaw ang chi hman tur a ni. I duh angin a tam emaw tlem emaw hnawih suh.
• Course zawh rawh: Ni khat emaw ni hnih emaw hnuah chuan bawlhhlawh i nei tlem thei. Mahse, i doctor-in a pek ni zawng zawng chu damdawi hi hmang rawh. Chutiang a nih loh chuan a chanve vel chu tawp suh. I doctor-in a tih che chauhvin titawp rawh.

Pawimawh: He damdawi i hnawih dawn hian kutkawr bun a tha ber a, a bik takin i kut hian vun sensitive tak a neih chuan a tha ber. Chutiang a nih loh chuan damdawi i hnawih zawh veleh sahbawn leh tuiin uluk takin kut sil nghal tur a ni. Hei hian damdawi chu i kut zungtang chungah a awm loh nan leh hmun dangah a darh loh nan a pui ang.

He damdawi hi naupangte hnena pek tur em ni?

He damdawi hi naupang tê tê emaw, nausen emaw tan a tha lo tlangpui. Mahse, i doctor-in special case-a a pek che chuan i doctor nen sawiho rawh. Naupang tê tête hnêna he damdawi hi i hman hunah fimkhur zual a ngai mai thei. Chuvang chuan naupang enkawltu (Pediatrician) hnen atanga thurawn lak a tha ber.

Damdawi tam lutuk ka hnawih palh a nih chuan engtin nge ni ang?

He damdawi hi i hman tam lutuk emaw, i ei palh emaw i tih chuan damdawi in hnai ber emergency room-ah kal nghal la, a nih loh leh poison control center call rawh. Overdosing hian vun a tichhe nasa thei hle.

He damdawi hi i tan chauh a ni!

Hei hi hriat reng tur pawimawh ber a ni. Doctor chuan he damdawi hi a rawn pe che a ni. I natna avang hian. Chuvangin hei hi midang hnenah pe ngai suh. I ṭhenawmin nangmah ang mole nei mah se, hei hi hmang tir suh. A tichhe thei a, a chhan chu mi zawng zawng vun hi a inang vek lo va, mole zawng zawng hi `(Actinic Keratosis)` an ni vek lo.

Damdawi i ei theihnghilh chuan engtin nge i tih ang?

A chang chuan kan damdawi ei hi kan theihnghilh thin. Hei hi kan nitin nun kan kalpui danah chuan thil pangngai tak a ni. He gel hi i hnawih theihnghilh a nih chuan i hriatreng veleh hnawih nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan (entir nan, darkar tlemte chhungin) i missed dose kha skip la, a hnuaia dose chu a hun ruatah hnawih rawh. Dose pahnih chu vawi khatah ei ngai suh, a theihnghilh tawh chu siam that nan. Chutianga tih chuan side effects a thlen theihna a tipung a ni. Ringhlelna i neih chuan i doctor emaw pharmacist emaw zawt la.

He damdawi hi thil dangin a inzawm thei em?

Ingenol Mebutate Gel hian damdawi dang nen hian inzawmna a nei tlem hle niin an sawi tlangpui. Mahse, he gel i hnawih na hmunah hian doctor rawn hmasa lovin cream, lotion, oil, sunscreen emaw vun damdawi dang emaw hnawih suh. Chutianga tih chuan he gel hnathawhna a tibuai thei a, vun duh loh zawng a tichhe thei bawk.

I damdawi ei zawng zawng (i doctor-in a pek, over-the-counter), herbal products (herbs), vitamin, leh dietary supplement te chu i doctor hnenah hrilh rawh. Tin, zu i in emaw, zu i in emaw, ruihhlo dang i hman emaw chuan i doctor hnenah hrilh bawk ang che. Engkim hrilh vek a tha ber, thil thenkhat chu he damdawi nen hian a inzawm thei a ni.

He damdawi ka hman hian eng thil dang nge ka fimkhur tur?

He damdawi i hman lai hian tlem a fimkhur deuh tur thil tlemte a awm. Heng thupekte hi uluk taka i zawm chuan damdawi atanga hlawkna tam ber i hmu thei a, a hlauhawmna pawh i ti tlem thei bawk.

• Mit, hmui leh hnar chhungah lut suh: Hei hi a pawimawh hle. He gel hi eng dinhmunah pawh i mit, i hmui leh hnar kawngkhar chhungah lut suh. I mitah i lut palh a nih chuan tui thianghlim (tap tui) tam takin minute 15 vel i mit chu silfai nghal rawh. Tichuan a rang thei ang bera Doctor rawn pan rawh. I kâ emaw, i hnar emaw a luh chuan tuiin uluk takin silfai la, doctor hnenah hrilh rawh.
• Vun natna a zual thei: He damdawi hi doctor-in a pek natna ``Actinic Keratosis`` tan chauh hman tur a ni. Chutiang a nih loh chuan, i vun awm nia i hriat pimple emaw, spot emaw-ah i hnawih chuan i vun awmsa chu a tichhe thei a ni.
• Midang pawhin damdawi an ei thei:Hei pawh hi i fimkhur hle a ngai a ni. Damdawi i hnawih na hmun, a vawt hnuah pawh mi dang (a bik takin naupang te) emaw, ran vun emaw vunah a tlak chuan side effect an nei thei bawk.

I kutah damdawi i dah a, chu chuan naute te tak te i la a, chu damdawi chu an vunah a lut thei tih han ngaihtuah teh. Chuvangin, midang (a bik takin damdawi hnawih na hmun) nena vun inhnaih loh i pumpelh theih loh chuan chu hmun chu thawmhnaw in khuh rawh. Damdawi hi midang vunah i kai palh a nih chuan chu mi emaw, rannung emaw chungah chuan sahbawn leh tuiin silfai nghal rawh.

• Skin cancer hlauhawmzia fimkhur rawh: Actinic Keratosis hi nakin lawkah vun cancer a thlen thei a ni. He damdawi hian chu hlauhawmna chu tihziaawm thei mah se, vun cancer i vei theihna tur chu i doctor nen sawiho rawh. Risk a sang deuh mai thei. Chuvangin, ni chhuahna hmuna i chhuah dawnin fimkhur hle ang che, chu chu sunscreen hnawih te, lukhum bun te, leh i taksa khuh thei thawmhnaw ha te hi a ni.

He damdawi hian eng side effect nge a neih theih?

Damdawi dang ang bawkin he `(Ingenol Mebutate)` gel hian mi thenkhatah side effect a nei thei a. Mahse, mi zawng zawngin an hmu vek lo. Ṭhenkhat chu a nasat em avangin doctor hnenah hriattir nghal tur a ni. Ṭhenkhat chu mi pangngai an ni a, ni rei lote hnuah an bo vek ang. Damdawi hmanna hmuna vun reaction hi a tam zawk chu beisei tur a ni.

I doctor hnena i hrilh nghal tur side effects:

• Allergic reaction na tak: Vun natna nasa tak, vun na tak, hnim hring, hmai, hmui, lei emaw, kawr emaw a hring, leh thawk harsa. Heng symptoms zinga pakhat tal i neih chuan emergency a nih avangin damdawi lam pan vat tur a ni.
• Kang na tak, na, a hring, a hnah, a hring, a hnah hring: Vun a kang nasat, a sen, a hring, leh a hring hring te hi a tlangpuiin beisei tur a ni. Mahse, hengte hi a nasat, tuar theih loh, a darh zel a nih chuan i doctor hnenah i hrilh tur a ni .
• Mit na, sen, mit hmuh fiah lo: Damdawi hi i mitah lut lo mah se, i mit a la nghawng thei tho. Chutiang a nih chuan doctor hnenah hrilh rawh.
• Vun a sen, a hring, a hring, a hring (ka chhungah pawh a awm thei): Hengte hi chhinchhiahna na tak a ni thei bawk.

Doctor hnena i hrilh ngai lo tlangpui (mahse a awm reng emaw, a buaithlak emaw a nih chuan report tur a ni):

• Lu na
• Damdawi hnawih na hmun vun a hring, a sen, a vawt, a hring, leh a hring (hengte hi ni engemaw zat chhungin a reh tlangpui)
• Hnar luang , rilru na

He list hi side effect awm thei zawng zawng a ni lo. Thil danglam tak i hriat chuan doctor zawt la. Side effects te chu FDA (Food and Drug Administration) hnenah i report thei bawk a, chu chuan chutianga tih dan tur a nei a ni. (Sri Lanka-ah chuan i doctor emaw, National Drug Regulatory Authority emaw hnenah i report thei).

He damdawi hi engtin nge i dahkhawm?

Damdawi dah that hi a quality vawng reng turin a pawimawh hle. Chutiang a nih loh chuan damdawi hian a chakna a hloh thei a, a chhe thei bawk.

• Naupang leh ran vulhte thlen lohna hmunah dah rawh: Hei hi a pawimawh hle. Naupang tê tête chuan hengte hi an khawih emaw, an kâa an dah emaw chuan harsatna lian tak a ni thei. Ran vulh pawh chutiang bawk chu a ni.
• Refrigerator-ah dah tur: He gel hi degree Celsius 2 leh 8 (36 leh 46 degree Fahrenheit) inkar temperature-ah dah tur a ni a, chu chu refrigerator-a thlai kan dahna hmun (freezer-ah ni lo)-ah dah tur a ni tihna a ni.
• Freeze loh tur: Freezer-ah dah loh tur. Chutianga tih chuan damdawi chu a thawhrimna a hloh phah thei a ni.
• Expired a nih chuan hmang suh: Damdawi packet emaw tube emaw-ah expiry date (`(expiration date)`) en rawh. Date a liam tawh chuan damdawi hman loh tur. Damdawi hman loh zawng zawng chu paih vek rawh.

Damdawi hman loh, expire tawhte chu engtin nge i paih thin?

Hei pawh hi a pawimawh hle. Damdawi bawlhhlawh bawmah paih mai mai emaw, toilet-a paih mai mai emaw hi a dik lo fo. Chutianga tih chuan boruak a tichhe thei a ni.

• Damdawi pek let lehna programme: Damdawi dawr leh health center thenkhatah chuan damdawi hman loh lak let lehna tur programme an nei a. I damdawi dawr emaw, tualchhung health official-te emaw hnenah an nei em tih zawt rawh.
• Label enfiah: Chutianga paih dan tur a awm loh chuan damdawi label emaw, a kaihhnawih lehkhabu emaw chu bawlhhlawh bawmah paih tur nge toilet-a paih tur tih hriattirna a awm em tih enfiah rawh.
• Doctor zawt rawh: I chhui chhuak thei lo a nih chuan doctor emaw pharmacist emaw zawt rawh.
• Bawlhhlawhah i paih a nih chuan (a remchan chuan chauh): Bawlhhlawhah paih a him em tih i finfiah hnuah, damdawi chu bawm atang chuan la chhuakin, ui bawlhhlawh, lei emaw, coffee ground hman tawh ang chi thil nen chawhpawlh la, bag emaw, bawm emaw khar nghet takah dah la, bawlhhlawh bawmah paih rawh. Hei hi mi dang emaw, rannung emaw damdawi ei leh hman loh nan a ni.

A tawp berah chuan thil hriat reng tur

Okay, he `(Ingenol Mebutate)` gel chungchang hi kan sawi nasa hle a ni lawm ni? A awlsam zawngin sawi ila, hei hi vun hrual hrual (rough patches) enkawlna a ni a, chu chu `(Actinic Keratosis)` an tih a ni a, chu chu ni zung avanga vun tihchhiatna a ni. Hetiang enkawlna hi neih a pawimawh a, a chhan chu heng patch te hi nakin lawkah vun cancer ah a chang thei a ni.

A pawimawh ber chu he damdawi hi i doctor-in a tih ang chiah, a hrilh ang chiah che chauh i hmang tur a ni. I duh angin hmang suh.

• Natna dang i neih te, damdawi dang i ei te, allergy i neih te chu doctor hnenah hrilh rawh.
• Damdawi hman dan tur, a vawt hun tur leh a silfai hun tur te zawm tur a ni.
• I mit, i hmui leh i hnar chhungah lut suh.
• Side effects fimkhur la, thil pawi tak i hriat chuan doctor hnenah hrilh nghal rawh.
• Damdawi chu uluk takin dah la, refrigerator-ah dah la, naupang laka hla takah dah rawh.
• He damdawi hi nangmah tan chauh a ni a, midang hnenah pe suh, spot inang nei pawh nise.

He damdawi chungchanga zawhna dang i neih chuan, emaw, ngaihtuahna leh rinhlelhna i neih chuan, i doctor, pharmacist, emaw health worker emaw zawt hreh suh. An pui ang che. Hrisel takin awm la, fimkhur rawh!

` Ingenol Mebutate, Actinic Keratosis, Skin Gel, Vun Natna, Vun Cancer, Damdawi Side Effects, Skin Ointment, Picato