I private area-ah vun inthlak danglam emaw, white spot ang chi emaw, i hrual reng emaw i nei em? A chang chuan hetiang thil hi mi hnena sawipui hi a harsa deuh thin a ni lawm ni? Mahse hei hi mi tam takin ngawi renga an tawrh thin a ni a, mahse uluk taka enkawl a nih chuan a thunun theih hle. Vawiin hian he vun natna `( Lichen Sclerosus )` tih hi kan sawi dawn a, mi tam takin an la hriat ngai loh, mahse hriat a pawimawh hle.
A awlsam zawngin, Lichen Sclerosus chu eng nge ni?
Lichen Sclerosus hi vun natna rei tak a ni a, kan vun a nghawng nasa hle a, a bik takin mipat hmeichhiatna leh hnute chhehvel vun a tichhe nasa hle. Hei hian chutiang hmuna vun chu a ti hring a, a var a, a ti na a, a ti na bawk.
Hetiang dinhmun hian hmeichhiaah chuan vagina pawn lam (vulva) a nghawng thei a, mipaah chuan penis leh a foreskin (foreskin) a nghawng thei a, mipa leh hmeichhiaah pawh anus vel a nghawng thei bawk. A tlem hle a, taksa peng dang, kawr, rilru leh hnungzang-ah te pawh a awm thei bawk.
A pawimawh ber chu hei hi dam chhung zawnga dinhmun a ni. Chu chu a dam kim thei lo tihna a ni. Mahse lungngai suh, inenkawlna mumal tak i neih chuan a natna lan chhuah dan chu i thunun thei a, nun pangngaiin i nung thei a ni. Enkawl loh chuan vun hliam , inpawlna hrehawm (dyspareunia), zun harsatna , leh, a tlem hle a, vun cancer (squamous cell carcinoma) vei theihna a tipung thei bawk.
He natna hi a lo awm chuan eng ang nge a nih? Eng nge a lan chhuah dan?
Natna hi i serh emaw, i hnute emaw, i hnute emaw, a chhehvel emawa vun te tak te, var, eng mawi tak, sang deuh atanga intan a ni. Hun a kal zel a, heng patch te hi an inzawm khawm a, parchment paper ang maia lang, wrinkled, white patch an siam thin.
A lan chhuah dan ber leh harsatna dangte chu a hnuaia table-ah hian chiang takin tarlan a ni.
| Symptom chi hrang hrang | Hrilhfiahna |
|---|---|
| Vun a inthlak danglam thin | A dum, a eng emaw, a hring emaw a awm. Vun a ti thim a, a hring a, a chhe awlsam bawk. |
| Hrisel lohna neia hriatna | Itching na tak (a bik takin zanah), natna, inflammation, leh hahdam lohna. |
| Vun hliam | Itching fo hian vun natna, ulcer leh blisters te a thlen thei a ni. A châng chuan thisen a chhuak thei bawk. |
| Harsatna dang | Mipat hmeichhiatna hman laia natna, zun laia natna (Dysuria), zun luang chak lo emaw, darh zau emaw. |
| Mipa tana mizia bik | Foreskin tightness leh hnunglam hawi theih lohna (Phimosis). Penis atanga tui chhuak pangngai lo. |
Heng symptoms te hi mi zawng zawng tan a inang vek lo tih hre reng ang che. Mi thenkhat chuan he natna hi an nei thei a, symptom engmah nei lovin an nei thei bawk.
He natna vei theihna hlauhawm ber chu tute nge ni?
Hetiang dinhmun hi tu pawhah, kum eng pawhah a awm thei a, mahse mi thenkhat chu a hlauhawmna a sang deuh hlek a ni.
- Postmenopausal hmeichhia: He natna hi kum 40 leh 60 inkar hmeichhiaah a tam ber.
- Hmeichhe naupang kum tling lo (prepubescent girls): He natna hi hmeichhe naupangte pawh a awm thei.
- Mipa, an hmai vun la chhuak lo: Mipa zingah chuan hmai vun nei te hian hetiang hi an nei tam zawk.
- Natna dang nei mi: Autoimmune diseases , diabetes , allergy, emaw body mass index (BMI) 30 aia tam ( obesity ) i neih chuan i risk chu tlem a sang thei.
Engvangin nge he natna hi a lo awm? Hri kai theih a ni em?
Dik tak chuan doctor-te chuan Lichen Sclerosus awm chhan chiang tak an la hmu lo. Amaherawhchu, thil engemaw zat chu he thila mawhphurtu nia ngaih a ni.
- Immune system problem: Hetiang dinhmun hi kan taksa defense system ni bawk immune system hian a vun cell hrisel tak takte a rawn bei sual vang niin an ngai.
- Genetic influence : Chhungkuaa mi tu emaw hian he natna hi a vei a nih chuan midang pawhin an vei theihna chance tlemte an nei a ni.
- Hormone inthlak danglamna: Taksa hormone level inthlak danglamna hian hei hi a nghawng thei a ni.
- Vun chhiatna: Chu lai hmuna vunah hliam tuar, accident, hliam emaw, mipat hmeichhiatna lama tihduhdahna emaw a awm tawh a nih chuan, chu hmunah chuan he natna hi a lo lang thei a ni.
A pawimawh ber chu Lichen Sclerosus hi natna hrik kai theih a ni lo. Chumi awmzia chu khawih emaw, sex emaw, thawmhnaw emaw, towel emaw ang chi thil insem hmangin mi pakhat atanga mi dang hnenah a darh thei lo tihna a ni. Tin, mipat hmeichhiatna hmanga kai theih natna (STI) a ni lo bawk.
He natna hi Doctor-in engtin nge a hriatchhuah a, a enkawl?
Heng symptoms te hi i neih chuan a tha ber chu Doctor pan a ni. I natna lan chhuah dan a zawt ang che a, a natna hmun chu a enfiah ang.
A tam zawkah chuan natna hi enin a hriat theih a ni. Mahse, a chang chuan a natna hriat chian nan vun te tak te tak te chu la in laboratory-ah test turin an thawn thin. Hei hi ``Biopsy`` test an ti a.
Diagnosis i hriat chian hnuah i doctor chuan i tana enkawlna tha ber tur a ruat ang.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Corticosteroids hman tur a ni | Hei hi a enkawlna ber leh hman tlanglawn ber a ni. Steroid cream chak tak Clobetasol ang chi chu a natna hmunah hian hun bituk chhung hnawih tur a ni a, chu chu i doctor-in a tih angin hnawih tur a ni. Hei hian itching, inflammation, leh vun inthlak danglamna te a control ang. |
| Immunosuppressant hmanga taksa hriselna tichhe thei | A then phei chuan Tacrolimus ang chi topical medication te pawh hman a ni. Hengte hian immune system hnathawh control-na leh vun chhiatna tihziaawmna hmangin hna an thawk a ni. |
| Light therapy (Thlalak hmanga enkawlna) . | Special lamp atanga ultraviolet (UVB) rays hmanga vun target, vun natna leh inflammation tihziaawmna enkawlna a ni. Mahse, hei hi mi zawng zawng tan a inhmeh lo. |
| Inzai | Mipain foreskin tight (Phimosis) a neih chuan Surgical procedure Circumcision tih a nei thei a ni. Urethra a zim chuan Urethroplasty tih surgical procedure a neih a ngai mai thei. Hei hi enkawlna dang a hlawhchham hunah tih a ni. |
I doctor pan fo a, check-up neih a pawimawh a, enkawl lai leh a natna lan chhuah dan a reh hnuah pawh, vun inthlak danglamna, cancer inthlak danglamna ang chi, a hmaa hriat theih nan.
Kan natna lan chhuah dan thunun turin keimahni ngeiin eng nge kan tih theih ang?
I doctor-in enkawlna a pek rual hian i nunphung tihdanglamna tenau te hian heng natna lan chhuahnate hi thunun kawngah kawng thui tak a zawh thei a ni.
- Thawmhnaw hrual (loose clothing) ha: Underwear leh pants tight tak tak ai chuan taksaa tight lo cotton ang chi thil hmanga siam loose clothing ha zawk tur a ni.
- Savun rimtui lo hmang rawh: Sahbawn, shower gel, leh bubble bath ang chi thil rimtui leh chemical awmna hmang lo la. Savun awlsam tak, rimtui lo hmang rawh.
- I vun vawt reng rawh: Inbual zawhah towel hmanga i vun chak taka hnawih ai chuan i vun chu pat dry rawh.
- Moisturizer hmang rawh: Doctor hnenah thurawn zawt la, ni khatah vawi tam tak moisturizer awlsam, rimtui lo leh rawng tel lo hmangin hnawih rawh.
- Scratching pumpelh: Itching a awm chuan a theih ang anga scratching pumpelh tur a ni. Hei hian vun a tichhe zual mai dawn a ni.
- Vun tichhe thei thil tih tlem: Cycle khalh emaw, sakawr khalh emaw, hun rei tak chhunga khalh ang chi thil tih hian vun a ti buai thei a, natna lan chhuahna a ti na zual thei bawk.
Engtikah nge Doctor ka hmuh ang? Emergency chu eng nge ni?
I serh hmun emaw, i hnute chhehvel emaw-ah emaw, i taksa peng hrang hrangah emaw, thil danglam emaw, natna emaw i hmuh chuan ngaihthah suh la , doctor pan nghal rawh. Natna hi a hmaa hriatchhuah a nih poh leh enkawl leh thunun a awlsam zawk thin.
Tin, enkawl tan hnua symptoms a lo lang leh a nih chuan, emaw, vun natna emaw, tumor thar emaw i neih chuan doctor hnenah hriattir ngei ang che.
Emergency: I zun theih loh tak tak a nih chuan, i bladder a block ang chi chu emergency a ni. Hetiang a nih chuan damdawi in pakhat emergency room (ETU) ah i kal nghal tur a ni.
Take-Home Thuchah a ni
- Lichen Sclerosus hi hun rei tak chhung natna a ni a, mipat hmeichhiatna hmun vun a tichhe thei a ni.
- Hei hi natna hrik kai theih emaw, mipat hmeichhiatna hmanga kai theih natna emaw a ni lo.
- A lan chhuah dan ber chu a var (white patches), a natna nasa tak, leh natna te hi a ni.
- He natna hi tihdam kim theih ni lo mah se, steroid ointment ang chi enkawlna hmanga tihdam theih a ni.
- Symptoms i neih chuan Doctor hmuh hi zak leh hlau suh. Enkawl tan hma a pawimawh hle.
- Enkawl lai leh enkawl zawhah doctor-in a tih angin checkup neih reng a pawimawh hle.
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