I vunah a var, ‘Vitiligo’ an tih natna avang hian i lungngai em? Hei hi a takah chuan mi tam takin harsatna an neih a ni. Hei hian natna khirh tak a thlen lo nachungin, khawtlang kan hmachhawn dawnin tlem a nuam lo deuha inhriat hi thil pangngai a ni. Mahse, chanchin lawmawm a awm. Tunah chuan hei hi enkawl dan tha tak a awm ta. Vawiin hian hetiang enkawlna bik atana hman thin cream chungchang kan sawi dawn a ni.
Methoxsalen chu eng nge ni?
A awlsam zawngin sawi ila, Methoxsalen hi damdawi a ni a, vun chhunga pigment hloh chu a siam tha leh a, light lakah a sensitive zawk bawk. Vitiligo natna enkawlna atan hman a ni.
Mahse hei hi i vunah i hnawih cream mai a ni lo. Treatment bik nen a thawk dun a ni. PUVA treatment kan ti a . Chu chu Psoralen tih damdawi (Methoxsalen-in a telna damdawi chi khat) leh UVA (ultraviolet A) light hmanga enkawlna a ni.
Hetiang hian han ngaihtuah teh. I doctor chuan he Methoxsalen cream hi i whiteheads awmna hmunah chauh a hnawih ang. Tichuan, rei vak lo hnuah chuan machine bik chuan ultraviolet A (UVA) light hmangin chutiang hmunte chu a target ang. Damdawi hian i vun chu êng lakah a sensitive tawh avangin, he êngin a rawn deng hian vun rawng siamtu cell (melanocytes) te chu a tichak a, zawi zawiin whiteheads te chu a rawng a lo let leh tan ang.
A pawimawh ber chu, hei hi damdawi in lama hruai leh hman theih a ni lo. Hei hi damdawi in emaw, damdawi in emaw-ah doctor emaw, damdawi lam thiam trained emaw enkawlna hnuaia tih tur a ni.
He enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He enkawlna hi mi zawng zawng tan a tha lo. Chuvangin, doctor nena inbiak dawnin a hnuaia condition te hi i neih chuan sawi tel a pawimawh hle. I himna atan a pawimawh hle.
| I dinhmun emaw i harsatna emaw | Engvângin nge chu chu a pawimawh? |
|---|---|
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan. | He damdawi leh light therapy hian naute pum chhunga naute a nghawng thei a ni. |
| Mit natna eng pawh (e.g. cataracts , mit lens lakchhuah a nih chuan). | PUVA enkawlna hian mit a tichhe thei bawk a, chuvangin venhimna bik a ngai a ni. |
| Skin cancer i nei tawh emaw, i nei mek emaw a nih chuan. | He enkawlna hian vun cancer vei theihna a tipung deuh thei a, chuvangin chutiang history i neih tawh chuan a tha lo mai thei. |
| Damdawi lam harsatna bik, thinlung natna, (Porphyria) emaw (Xeroderma pigmentosum) . | Chutiang dinhmun a awm chuan PUVA enkawlna hian harsatna a thlen thei a ni. |
| Vun light laka photossensitivity i neih chuan. | He damdawi hian vun chu eng lakah a sensitive bawk a, chuvangin chutiang natna i neih tawh chuan a pawi hle thei. |
| Tun hnaia radiation therapy i neih tawh chuan. | Radiation therapy leh PUVA te hi inkawp hian vunah nghawng tha lo a tipung thei a ni. |
| Damdawi dang, ei tur dang, dye dang emaw, preservatives dang emaw allergy i neih chuan. | Doctor chuan damdawi allergy a awm theih dan tur chu a hre lawk thei a ni. |
He damdawi hi ka ei tam lutuk chuan engtin nge ni ang?
Hetiang thil thleng theihna chance hi a tlem hle. A chhan chu he thil hi in lama hruai phalsak i ni dawn lo. Doctor chuan a pe ang. Mahse hetiang thil hi a thleng tawh nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh . A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
Enkawl laia fimkhur em em tur thil
Hetiang enkawlna i neih hian i lam atanga tanpuina tam tak i mamawh a ni. Hêng thilte hi a bîk takin fimkhur hle ang che.
Ni laka invenna hi number one-ah siam rawh!
Hei hi a pawimawh ber a ni. He damdawi i hnawih hnu hian i vun chu ni êng lakah a sensitive hle. Chuvângin, ni ênga rei vak lo awm pawhin kangmei, vun, leh hliam na tak a thlen thei a ni.
- PUVA enkawl hma darkar 24 chhung leh enkawl hnu darkar 48 chhung ni chhuahnaah inthiarfihlim vek tur a ni.
- Hriak hi i hnawih chauh a nih chuan a hnuah darkar 12 atanga darkar 48 chhung ni chhuahna hmunah awm rawh.
- Pawn chhuah a ngai tak tak a nih chuan i vun khuh tha thei thawmhnaw ha rawh . Kawr kawr sei, pants leh lukhum ha rawh.
- Ni chhuahna hmun zawng zawngah SPF 15 aia tlem lo sunscreen hmang thin ang che. Mahse, enkawl mekna hmunah sunscreen i hnawih hmain doctor i zawt hmasa tur a ni.
- Sun lamp leh sun tanning bed ang chi artificial light sources te chu pumpelh vek tur a ni.
I ei leh in te hi han en teh.
Chaw thenkhat hian i vun eng laka a sensitivity a tipung thei bawk. Entirnan, lemon, theipui, parsley, parsnip, mustard, carrot, leh celery te. He damdawi i ei lai hian heng ei tur te hi doctor nen sawiho hi a finthlak hle.
Vun inthlak danglamna hi ngaihven rawh.
He damdawi hi rei tak hman a nih chuan vun cancer vei theihna a tipung deuh thei a ni. Tin, ni chhuahna ang bawkin vun hi a upa hma thei bawk. Chuvangin i vun hi ngaihven fo ang che.
Thil thar, thil danglam tak, hmul, hliam, hliam dam lo, emaw, rawng danglam emaw i hmuh chuan eng ang pawhin te pawh ni se, doctor hnenah entir nghal rawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common. Hengte hi hriat chian a pawimawh.
| I doctor hnenah hriattir nghal rawh! | |
|---|---|
| Allergy natna lan chhuah dan | Skin rash , natna nasa tak, hmai, hmui emaw lei emaw a hring. |
| Skin reaction na tak tak a awm | Burning sensation, blistering, vun sen nasa emaw vun hring emaw. |
| A awm reng chuan doctor hnenah hriattir tur a ni. | |
| Vun lama harsatna awm fo | A hring (moderate itching) a, vun a vawt. |
He list-ah hian side effect awm thei zawng zawng a tel lo. Thil danglam tak i hmuh chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Methoxsalen hi topical cream mai a ni lo. Doctor enkawlna hnuaia tih PUVA treatment-a tel a ni.
- Enkawl hma leh enkawl zawhah ni laka inven a pawimawh hle a, chutiang a nih loh chuan i vun chu nasa takin i tichhe thei a ni.
- I doctor hnenah damdawi dang zawng zawng, vitamin leh damdawi lam dinhmun i ei tur zawng zawng chu enkawl hmain hrilh hmasa phawt ang che.
- I vunah danglamna danglam tak (spots, sores, severe redness) a awm chuan doctor hnenah report nghal rawh.
- Hei hi instant result pe thei tur treatment a ni lo. Results kimchang hmuh theih nan thla 6-9 emaw a aia rei emaw a ngai thei. Chuvangin dawhthei la, i doctor thupek chu zawm rawh .
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