Darthlalangah i en a, "Ka hmai hi a hma aia hring leh zungbun zawkin a lang?" I hmui chu a khat zawkin i hria em, i hmai pianzia pawh a danglam tawh em, thla bial ang maiin a lang em? Damdawi lam khawvelah chuan hei hi ‘Moon Face’ emaw ‘Moon Facies’ emaw tiin kan sawi thin. Hei hi a tlangpuiin medical emergency a nih loh laiin, a chhan bulpui hriatthiam leh eng step nge tih tur tih hriat hi Nirogi Lanka nena in hriselna zinkawng atan a pawimawh hle.
A awlsam zawngin ‘Moon Face’ tih hi eng nge ni?
‘Moon Face’ hi i hmai sir lehlamah thau a awm khawm a, chu chuan a zungbun, a puffy hmel a siam a ni. A then phei chuan rounding hi a langsar tawk thei a, hmalam atanga i en chuan i beng chu a thim thei a ni. A chang chuan ‘Cortisol Face’ an ti a, a chhan chu i taksaa hormone cortisol level atanga lo chhuak a nih vang a ni. He dinhmun ngei pawh hi natna nei lo a nih tlangpui laiin, i hmel danglamna hian i inrintawkna a nghawng thei a, kan thlawp che a ni.
‘Thla Hmêl’ lo awm chhan berte chu engte nge ni?
‘Moon Face’ lo awm chhan bulpui ber engemaw zat a awm. Anmahni hi i chhui chhuak ang u.
1. Hun rei tak chhung steroid damdawi hman
Hei hi ‘Moon Face’ awm chhan ber leh a chhan ber a ni. Hun rei tak chhung prednisone ang chi corticosteroids pek i nih chuan he side effect hi i nei thei a ni. Damdawi thiamte chuan heng damdawi te hi natna hrang hrang atan an pe a, chung zingah chuan:
- Cancer thenkhat (leukemia emaw lymphoma emaw ang chi) .
- Inflammatory condition hrang hrang, arthritis leh asthma te
- Autoimmune natna, lupus ang chi te
- Vun natna chi hrang hrang
Steroids hun rei tak i ei hian i adrenal glands a nghawng a, chu chuan cortisol overproduction a thlen thei a ni. Hun a kal zel a, he hormone inthlauhna hian taksa rihna a tipung thei a, tui a tikhawlo thei a, hmai hmuna thau a sem darh thei bawk—chu chuan ‘Thla Hmêl’ a tipung thei a ni.
2. Cushing-a natna (Cushing’s Syndrome) a ni
Hei hi hormonal disorder a ni a, i taksain hun rei tak chhung cortisol a tam lutuk a awm chuan a lo awm thin. Steroid hman piah lamah, hei hi pituitary gland emaw adrenal glands- a stress nasa tak emaw, a lo thang lian (tumors) vang a ni thei .
3. Thyroid natna (hypothyroidism) a awm
I thyroid gland-in thyroid hormone (Hypothyroidism) a siam chhuah tlem chuan i taksa metabolism a slow thin. He hormone hian sugar molecule process a puih avangin a tlem chuan vun hnuaiah heng molecule te hi a awm khawm thei a ni. Sugar hian tui a hip avangin hei hian tui a tikhawlo a, hmai a ti na bawk.
Engtin nge he natna hi hriatchhuah leh enkawl a nih?
Prednisone ang chi steroid damdawi i ei a nih chuan i doctor chuan i ‘Moon Face’ chhan a nih leh nih loh a hre thei mai thei. Chutiang damdawi i ei loh chuan i doctor chuan a chhan bulpui hriat nân diagnostic test bik a nei ang.
| Test chi hrang hrang | Hrilhfiahna |
|---|---|
| Diagnosis tih a ni | Thisen test te, zun test te, leh i cortisol level enfiah te. A then phei chuan CT scan emaw MRI scan emaw tih a ni thei bawk. |
| Tihdamna | Enkawlna kawng hrang hrangte chu a chhan bulpui (underlying cause) angin khauh takin siam a ni. |
Note pawimawh tak!
Steroid i ei a nih chuan doctor rawn hmasa lovin i dose kha titawp ngai lo la, thlak ngai suh. Chutianga i tih chuan i taksa mamawh cortisol level chu a tlahniam nghal thei a, chu chuan side effect na tak tak a thlen thei a, chu chu hah lutuk, hmui natna, leh taksa chak lohna nasa tak a thlen thei a ni. Emergency a nih chuan i hnai ber emergency department-ah enkawl nghal tur a ni a, 911 ah call rawh.
'Moon Face' enkawl turin eng nge ka tih theih ang?
‘Moon Face’ hi a pum puia ven a harsat laiin, a hring (swelling) enkawlna atana pui turin nunphung awlsam tak tak i hmang thei a ni:
- Sodium ei tlem: I chaw eiah chi (salt) dah belh loh tur. Processed leh packaged food-ah hian sodium a tam fo a, hei hian i taksaah tui a vawng reng a, hmai a ti na a tipung bawk.
- Tay hydrated: Tui in hian swelling a tipung niin i ngai mai thei a, mahse a takah chuan a kalh zawng a ni. I tui tlakchham chuan i taksa hian tui a chelh tlat thin. Nitin tui tlem i in ngei ngei tur a ni.
- I taksa rihna hrisel tak vawng reng tur:Nirogi Lanka-a i doctor nen thawk ho la, ei leh in leh exercise plan inthlau tak siam rawh. Taksa thau zawng zawng tihtlem hian hmai thau lan dan a tihziaawm thei a ni.
- Mut tha rawh: Mut tlem hian hmai a ti na zual thei. Chawlh hahdam dah pawimawh hi i damna atan a pawimawh hle.
Hemi chungchang hi ka doctor nen kan sawi dun tur em ni?
Ni e, a dik tak zet. ‘Moon Face’ hian mualphona emaw, lungngaihna emaw a thlen che a nih chuan, i rilruah dah reng suh. I hmel lan dan, a bik takin i hmel hi i inrintawkna nen hian a inzawm tlat a ni. Nirogi Lanka-a i doctor nen zalen takin inbiakna nei la, chutiang chuan:
- A theih chuan damdawi dang zawng rawh.
- Fluid retention tihtlem nan strategy dang siam belh rawh.
- Emotional impact i hmachhawn theih nân ṭanpuina pe rawh.
Take-Home Thuchah a ni
👩🏽 ⚕️ Zawhna tam tak (FAQs) .
💬 Lung natna hi eng nge ni a, a hlauhawm em?
I hlauhthawn emaw, i hlauthawng emaw a nih chuan i thinlung a tlan chhuak hi thil pangngai tak a ni. Mahse, ‘Heart Palpitations’ dik tak chu i thinlung chu rang taka a thawk thut (minute khatah beat 100 chuang) emaw, chhan hriat loha i rilruah a rawn beng ang maia i hriat emaw—i chawlh lai pawhin a thleng thin. Chutianga mahni thinlung thawk hriat chu thil hlauhawm tak a ni thei a, Nirogi Lanka atanga damdawi lam pan ngai, heart rhythm disorder (arrhythmia) hnuaia awm tih hriattirna langsar tak a ni thei bawk.
💬 Thinlung natna rang tak, sawifiah theih loh chhan berte chu engte nge ni?
A chhan ber chu: 1) Lungkhamna emaw, Panic Attacks emaw, taksa lama hlauhna nasa tak thlen thei; 2) Caffeine, nicotine, emaw thil phal loh ang chi stimulant ei tam lutuk; 3) Hyperthyroidism, chutah chuan thyroid gland overactive chuan heart rate a nghawng a; leh 4) Ngaihtuahna lian ber: Atrial Fibrillation (AFib). AFib hi cardiac electrical issue a ni a, professional care a ngai a, thisen zam a thlen thei a, stroke a thlen thei bawk.
💬 Engtikah nge nghah ka chawlhsan ang a, 911 emaw emergency services emaw ka call nghal ang?
Hun rei lote chhunga rilru natna chu a mah chauhin a reh thei a, mahse heng hlauhawm chhinchhiahnate ruala i tawn chuan emergency doctor tanpuina i dil nghal tur a ni: 1) I rilru natna nasa tak emaw, pressure emaw (heart attack chhinchhiahna awm thei) 2) Thâwk hahna nasa tak; 3) Fainting, lightheadedness, emaw, hriatna hloh nghal mai emaw; emaw 4) Vun lum leh hnim hring (clammy skin) nena inzawm, thawmhnaw tam tak (profuse sweating) emaw. Hetiang a nih chuan damdawi in emergency room hnai ber pan la, ECG hmanhmawhthlak tak neihpui rawh.
