I vagina-ah, chu chu i ‘private part’-ah natna na tak i nei nghal em? Tlem chuan i chau deuh a, i chau deuh mai thei a, chubakah khawsik pawh i nei thei bawk. Hei hi mipat hmeichhiatna lam a ni lo tih nangmah ngeiin hre mah la, hlauhna leh mualphona nasa tak i la nei tho tho. I nu hrilh i hlau mai thei a, i thianpa hrilh i hlau mai thei a, thil thleng chu i ngaihtuah thiam lo mai thei bawk. Chutiang a nih chuan hei hi thil awm lo, mahse hlauhawm vak lo, ‘Lipschütz Ulcer’ tia koh a ni thei. Hemi chungchang hi vawiinah hian chipchiar takin, hahdam takin sawi ila.
Lipschütz Ulcer hi eng nge ni? A awlsam zawngin...
Lipschitz ulcer hi a awm lo hle a, mahse a na hle a, vagina-ah a awm thei. A pawimawh ber chu mipat hmeichhiatna hmanga inkaichhawn an nih loh vang a ni. Chu chu mipat hmeichhiatna hmanga kai theih natna an ni lo tihna a ni. He thu i hriat hian tlem i thlamuang mai thei, a dik em?
Heng hliam pakhat emaw a aia tam emaw hi i vulva-ah a awm tam ber a, a bik takin inner labia minora-ah a awm tam ber. Mahse a chang chuan pawn lam labia majora-ah te, vaginal opening-ah emaw, urethra-ah te pawh an lang thei bawk. Heng hliamte hi khawsik leh hahna ang chi symptoms te nen pawh a inzawm thei bawk.
‘Non-sexually acquired genital ulcerations’ leh ‘ulcus vulvae acutum’ an ti bawk. He hming hi he ulcer hi a sawi hmasak bertu doctor Benjamin Lipschütz hming chawia vuah a ni.
A tha ber chu heng hliamte hi anmahni chauhin an dam fo thin , a tlangpuiin kar hnih atanga kar ruk chhungin an dam thin. Mahse, natna leh hrehawmna chu tuar theih loh a nih avangin doctor-te chuan chutiang chhinchhiahnate chu enkawl turin an pui thei che a ni.
Lipschütz Ulcer hi engtiang chiahin nge a tlem? Tuin nge dawng duh zawk?
Hei hi zirchiangtute tan chuan engtiang chiahin nge a awm tih sawi a harsa a, mahse a tlem hle tih hriat a ni . Chu chu i hmuh fo thin thil a ni lo tihna a ni. Mahse hmeichhe naupang a nghawng tam ber a, a bik takin:
- Kum 20 hnuai lam tan chuan Zirchianna pakhatah chuan a lo intan kum zat chu kum 15 vel a ni tih hmuhchhuah a ni a, chu chu tleirawl i nih chuan hei hi hriat chian a tha tihna a ni.
- Mipat hmeichhiatna lama inhmang lote tan. Chu chu thla thum emaw a aia rei emaw, oral, anal emaw vaginal sex hmang lote tihna a ni.
Mipaah Lipschitz ulcer vei report an tlem hle. An lo awm tak tak chuan ulcer chu scrotum-ah a awm thin.
Chuvangin i naupan lai leh mipat hmeichhiatna lama inhmang lutuk lo i nih chuan hetianga hliam i neih hian a tul lova i hlauhthawn loh a pawimawh a, a chhan chu mipat hmeichhiatna hmanga kai theih natna avanga lo awm a ni lo.
Lipschütz Ulcer natna lan chhuahna chu engte nge ni?
A lan chhuahna ber chu labia chunglam (a nih loh leh a chang chuan vulva hmun dangah) natna lian tak, na tak, thuk tak a ni. A natna chu a lo lang rang hle tlangpui a, a lo lang nghal mai mai . Vawiin hian a tha a, a tuk zingah hliam a nei thei bawk.
I dam lo mai thei, mononucleosis (mono) an tih virus infection i neih ang bawkin, flu pangngai nen i tih ang bawkin. A symptoms te nen a lo thleng thei a:
- Fever (taksa chu a sen vek niin a lang mai thei) .
- Taksa na leh ruh natna (tisaah hnah hring ang maiin a lang) .
- Chauhna (engmah ti thei lo anga inhriatna) .
- Kawng leh kawr chhunga lymph node hring (kut chhunga hriat theih tur hnah te tak te ang chi) .
- Thlarau na emaw, tonsils hring emaw
- Khuh emaw, rilru na tak emaw
- Zun laiin natna (dysuria) (urinary tract infection ang chi) .
Heng symptoms te hi i neih chuan doctor pan a, a dik taka hriat a pawimawh a, heng symptoms te hi natna dang nen a inang thei a ni.
Lipschütz Ulcer hi eng ang nge a nih?
Tunah chuan he ulcer hi eng ang nge a nih tih hi han en ila. A tlangpuiin Lipschitz ulcer hian hengte hi a nei a:
- A pianzia chu a zungpui a, a sei zawng chu cm 1 aia tlem lo a ni. (Chu chu pawisa fai te tak te ang vel a ni)
- Vulva-ah a lang tam ber a, a bik takin labia minora chhung lam a ni.
- Hliam lai takah hian hmun fiah tak a awm a. Hei hian tissue thi emaw, chhia emaw (necrosis) a nei thei. Hei hian hliam lai tak chu a dum emaw, a dum emaw angin a lang a, kangmei te tak te ang mai a ni. A châng chuan he center hian crust a siam chuan grey emaw black emaw pawh a lang thei bawk.
- Hliam kil hi a tlangpuiin red-purple a ni a, a chang chuan a hring angin a lang thei bawk.
- Hliam lai leh a sir inkarah hian inthenna chiang tak a awm a.
Vawi tam tak chu chutiang hliam pahnih chu hmuh theih a ni a, an inhmachhawn a, bilaterally symmetrical an ni. ‘Kissing lesions’ ang chi te hi a ni. Chu chu, dinglam leh veilam labia-ah te, an inhmuhna hmunah te lesions a lo awm tihna a ni.
Engvangin nge Lipschütz Ulcer hi a lo awm? Eng nge a chhan?
Doctor-te chuan Lipschitz ulcer thlentu hi eng nge ni tih chiang takin an la sawi thei lo.Mahse Epstein-Barr virus (EBV) ang chi infection nen a inzawm niin an ngai a, virus emaw bacterial infection dang nen pawh a inzawm niin an ngai. Ngaihtuah teh, i immune system hian infection emaw virus emaw a overreact a, chuvang chuan he lesion hi a lo awm mai thei. I taksa chhungah "indona" tlemte a thleng ang mai a ni.
Lipshitz ulcer thlentu nia hriat chhuah virus emaw bacteria thenkhat chu:
- Cytomegalovirus (CMV) natna hrik pai a ni.
- Influenza A leh influenza B - khawsik natna thlentu virus te an ni
- Mumps a awm
- Salmonella - Hei hi bacteria a ni a, chu chuan pum a ti na a.
- Mycoplasma a awm a
- Group A Streptococcus - hripui natna thlentu hrik a ni
- Covid-19 (COVID-19) a awm tawh lo.
Mahse thil tam takah chuan tun hnaia virus emaw infection emaw history chiang tak a awm lo a, chuvangin hei hi thil mak deuh a ni.
Lipschütz Ulcer hi a kai theih em?
Hei hi mi tam takin harsatna an neih a ni. No. Lipschitz ulcer hi taksa inhnaih emaw taksa tui emaw hmanga darh a ni lo. Chuvangin midang i neih vang mai maia hri kai tur ngaihtuah buai a ngai lo tak zet a ni. An nei tu khawih emaw, an hman towel hmanga emaw i theh darh thei lo.
Hei hi risk factor bik a awm em?
Vagina nei apiangin Lipschitz ulcer an nei thei. Mahse, kum 20 hnuai lam leh tun hnaia (kar tlemte chhunga) virus emaw bacteria emaw infection i neih chuan i hlauhawmna a tipung thei a ni. Hei hian khawsik emaw flu emaw i neih veleh a rawn lang nghal thei tihna a ni.
Lipschütz Ulcer vang hian eng harsatna nge awm thei?
Lipschitz ulcer hian hun rei tak chhung hriselna lama harsatna a thlen tam lo. Mahni chauhin an dam fo thin. Mahse, a châng chuan a hnuaia mite hi a thleng thei a ni:
- Scarring: Hliam chu a lian emaw, a thuk emaw a nih chuan a dam hnuah chu hmuna vun rawng a danglam thei a, hliam tenau a awm thei. Mahse, hei hi a langsar vak lo.
- Emotional distress: Hliam hi a na thei a, nitin thiltih te, sikul leh infiamna te a tibuai thei bawk. Thil awm lo tak a nih avangin a chang chuan mipat hmeichhiatna hmanga kai theih natna (STI) tia ngaih sual theih a ni. Hei hian lungkhamna nasa tak, mualphona leh mahni inngaihhlutna a thlen thei a ni. Hlauhna i nei mai thei, "Aw, thil pawi tak ka nei em?"
- Zun chhuah theih lohna (Urinary retention): .Hei hi a tlem hle a, mahse a hliam awmna hmun azirin zun harsatna leh zun retention a thlen thei a ni. Chutiang a nih chuan catheter (zun chhuahna atana hman tur tube) dahin bladder chu a hring chhuak thei bawk.
Mahse, heng harsatnate hi a tlem hle tih hre reng ang che. Mi tam zawk hi harsatna nei lovin an dam leh thin.
Engtin nge doctor chuan Lipschütz Ulcer hi a hriat theih ang?
Doctor chuan i natna lan chhuah dan a ngaithla hmasa ang a, i vaginal area chu mit ngeiin a enfiah ang. Tun hnaia i hriselna chanchin pawh an zawt ang a, tun hnaia virus emaw bacterial emaw natna (khawsik, khawsik, rilru na ang chi) te pawh an zawt ang.
Vawi tam tak chu, mipat hmeichhiatna lama ulcer awm chhan tam berte chu an paih chhuak hmasa ang. Entirnan, natna dang, mipat hmeichhiatna hmanga kai theih natna (STI) (genital herpes, HIV, leh syphilis ang chi) emaw, Behçet natna ang chi emaw chu an paih chhuak hmasa ang. Heng dinhmunte hi test turin an order thei bawk. Hengte hi an paih chhuah hnuah chauh Lipschitz ulcer an ngaihtuah ang.
Eng dinhmun dang nge hetiang chhinchhiahna nei?
Doctor-in diagnosis a siam hunah, i natna lan chhuahna ang chiah nei thei dinhmun dang pawh an ngaihtuah ang. Hei hi ‘differential diagnosis’ an ti a. Genital ulcers thlen thei leh Lipschitz ulcers ang chi symptom nei thei dinhmun thenkhat chu:
- Genital herpes a awm thin
- HIV hrik kai
- Syphilis natna a ni
- Sjögren-a natna (syndrome) a ni
- Behçet natna a ni
Chuvang chuan diagnosis dik tak neih theih nan doctor pan a pawimawh hle. Eng nge a nih tih chu mahni chauha thutlukna siam a harsa khawp mai.
Lipschütz Ulcer hi autoimmune natna a ni em?
Doctor-te chuan hei hi autoimmune condition-ah an dah lo. Mahse, autoimmune natna dang nen a inzawm tlat thei tih finfiahna engemaw zat a awm a, autoimmune natna hmahruaitu pawh a ni thei bawk. Hei hi zirchian belh zel a ni.
Lipschütz Ulcer hi engtin nge enkawl a nih?
Thu lawmawm tak chu Lipschitz ulcer hian enkawlna lian tham a mamawh ngai lo. I doctor chuan ulcer avanga natna leh hrehawmna enkawl dan tur a sawipui ang che. A tum ber chu thlamuanna pek che hi a ni.
Hengte hi enkawl dan tur thenkhat chu a ni:
- Sitz baths: Hei hi tui lum nena khat bathtub (or basin lian takah) minute 10-15 vel thut a ni. Hei hi ni khatah vawi hnih emaw vawi thum emaw i ti thei a ni. Tui lum chuan a hmun chu a ti reh ang a, natna a tiziaawm ang a, a tifai bawk ang.
- A theih phawt chuan thawmhnaw tight emaw underwear emaw hak loh tur. Cotton ang chi natural material atanga siam thawmhnaw hrual, thawk hahdam tak ha rawh.
- Over-the-counter (OTC) natna damdawi, acetaminophen emaw ibuprofen emaw hman hi doctor-in a tih angin ei tur a ni .
- Topical anesthetic hmangin a hmun chu a numb thei ang. Entirnan, lidocaine awmna cream (over-the-counter emaw prescription nen emaw lei theih). Hei hian hun eng emaw chen chu a hmun chu a ti hlim lo ang.
A nasat deuh deuhah chuan a natna a nasat emaw, a hliam a lian emaw a nih chuan, corticosteroid damdawi chu eiin emaw, a chungah emaw pek theih a ni a, chu chuan hliam chu a dam thuai theih nan a pui thei a ni. Bacteria infection hmuhchhuah a nih chuan (hliam chu a luang chhuak niin a lang a nih chuan doctor chuan antibiotics a pe ang.
Hliam tenau te hian heng in lama damdawi te hi a chhang tha hle a, mahse hliam lian zawkah chuan a natna control nan damdawi prescription a ngai mai thei.
Lipschütz Ulcer hi a dam em?
Ni e, a dik tak zet! Sawi tawh ang khan heng hliamte hi kar hnih atanga kar ruk chhungin a dam vek tlangpui. A pawimawh ber chu dawhtheihna hi a ni.
Lipschütz Ulcer ka neih chuan eng nge ka beisei ang?
Lip ulcer tam zawk hi kar hnih atanga kar ruk chhungin a mah chauhin a dam thin. Scarring leh harsatna dangte hi a tlem hle. Tin, heng ulcer te hi a lo lang leh tlem hle bawk. Chuvangin vawi khat an lo thlen vang mai maia an thleng leh tur chu ngaihtuah buai suh.
Natna chu tuar theih loh khawpa na i hriat a, i nitin nun a nghawng nia i hriat chuan i doctor nen natna tihziaawmna tur kawng hrang hrang sawipui rawh. Natna chu i tuar a ngai lo.
Lipschütz Ulcer hi ven theih a ni em?
Eng thil nge a thlen tih chiang taka sawi a harsa a, chuvangin a ven dan tur chiang taka sawi a harsa hle. Mahse, taksa hriselna (immune system) nena inzawm a nih theih avangin virus leh infection laka invenna leh hriselna zawng zawng tha tak neih a \angkai thei hle.
Ṭanpui theih tur tips ṭhenkhat chu hetiang hi a ni:
- Chaw tha tak tak (thlai, thei, sa thau lo ang chi) ei thin ang che. Processed foods, sugary foods, leh saturated fats tamna ei tur te chu a theih ang anga inthiarfihlim rawh.
- Condom hman ang chi sex him tak hmang rawh. Lipschitz ulcer hi mipat hmeichhiatna atanga kai ni lo mahse, mipat hmeichhiatna atanga kai theih natna hian i taksa hriselna leh hriselna zawng zawng a nghawng thei a ni.
- Mut tha (ni khatah darkar 7-8 tal) la, stress hi enkawl rawh. Yoga leh meditation ang chi thilte hian a pui thei a ni.
- Nitin sahbawn leh tui nem tak hmangin i serh hmun chu fai takin vawng reng ang che. Sahbawn rimtui emaw, douche emaw hmang lo la, hengte hian vagina natural balance a tibuai thei a ni. Tin, i thawmhnaw sil fo la, fai takin vawng reng bawk ang che. Hei hian bacteria infection a tihziaawm thei a ni.
Engtikah nge Doctor ka hmuh ang?
Lipschitz ulcer symptoms i neih chuan doctor pan nghal rawh. Tikhawtlai suh. Heng symptoms te hi:
- Genital hliam na tak, thuk tak, a bik takin labia-ah.
- Flu ang chi natna lan chhuah dan, khawsik, hahna, leh taksa na.
- Tun hnaia virus emaw bacteria emaw natna.
Lipschitz ulcer enkawlna pakhat chauh awm lo mah se, doctor chuan dik takin a enfiah thei a, i natna leh i rilru hahna chu a enkawl thei bawk. Tin, natna khirh zawk a nih loh nan an enfiah thei bawk.
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
Lipschütz Ulcer hi mipat hmeichhiatna hmanga kai theih loh natna awm lo tak a ni. Doctor-te chuan a chhan dik tak hriat tumin an la zir belh zel a ni. Heng symptoms te hi i neih chuan hlauthawng lo la, zak lo la, doctor pan la, thurawn la rawh. Natna leh lungawi lohna i tuar a ngai lo. Ulcer a dam hma loh chuan nun pangngaia awm turin tanpuina i dawng thei ang.
A awlsam zawngin:
- Hei hi mipat hmeichhiatna hmanga kai theih natna a ni lo. Hei hi a pawimawh ber a ni.
- Hmeichhe naupang, mipat hmeichhiatna lama inhmang lote zingah a awm tam ber.
- Amah chauhin a dam fo thin.
- Amaherawhchu, a na avangin doctor pan a, natna khirh dang a awm leh awm loh finfiah a pawimawh hle.
- Natna enkawl dan leh enkawl dan dik tak chuan he hun hi harsatna awm lovin a hmang thei a ni.
Nangmah chauh i ni lo, chutiang harsatna tawk midang pawh an awm. Chuvangin tanpuina dil hlau suh.
` Lipschütz Ulcer, Vaginal Ulcer, Genital Ulcer, Painful Ulcer, Vaginal Disease, Hmeichhe Natna, Hmeichhe naupang natna











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