A chang chuan darthlalangah i en a, “Engvangin nge ka hmai chu a zungbun leh a hring ang maia a lan?” emaw, ṭhian emaw, chhûngte emaw chuan a rawn kawhhmuh a ni mai thei em? Damdawi khawvelah chuan he hmai round zauh zauh hi ‘Moon Facies’ tia hriat a ni. A hming chu thil danglam tak angin a lang thei a, mahse, a tlangpuiin hlauhthawn tur thil a ni lo. Amaherawhchu, a chhan dik tak hriat chian a pawimawh hle. Chuvangin, he thu hi awlsam tak leh chiang takin sawi ila.
Moon Facies hi eng nge ni tak tak?
A awlsam zawngin, Moon Facies tih hian i hmai sir lama thau awmkhawmna a kawk a, chu chuan i hmai chu a zungbun, a khat, leh a châng chuan a hring chhuak ang maiin—thla bial ang maiin a lang a ni. Hei hi a ni a, ‘Moon Face’ tih hming a pu ta a ni. A châng chuan, thau chu a pung nasa lutuk a, mi pakhatin i hma lam aṭanga a rawn en che pawhin i beng pawh a lang lo mai thei.
Mi tam tak chuan hei hi taksa rihna tihpunna chhinchhiahna pangngai mai niin an ngai. Hei hi thau lutukah hmuh theih a ni tih chu a dik laiin, chu chu a chhan a ni ngai lo. A chhan lian ber chu i taksa hormone pakhat inthlak danglamna a ni fo thin.
Moon Facies hi natna tak a ni lo va; chhinchhiahna a ni. I taksa atanga signal lo chhuak, chhungril lama inthlak danglamna a awm tih hriattirna a ni.
A chhan ber: ‘Cortisol’ hormone
Kan taksaah hian cortisol tih hormone bik kan nei vek a. I kal chung lam deuha awm, adrenal glands tia hriat, gland te tak te pahnih, triangular tak pahnih atanga siam a ni. Cortisol hi a pawimawh hle a; stress i hmachhawn theih nan a pui a, thisen sugar level a tidanglam a, infection a do bawk.
Mahse, eng thil vang pawha rei tak i cortisol level a sang reng chuan a side effect pakhat chu Moon Facies a ni thei. Cortisol a san rengna damdawi lam dinhmun chu ‘Cushing’s syndrome’ an ti a. Chuvangin, Moon Facies hi Cushing’s syndrome chhinchhiahna bulpui ber anga ngaih a ni fo thin.
Eng thilin nge Moon Facies hi a thlen?
Cortisol level a san a, Moon Facies a thlen chhan pawimawh tak tak a awm. Hengte hi a awlsam zawngin han thlir ila.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Steroid Damdawi hman tur | Hei hi a chhan tam ber a ni. Reumatoid arthritis emaw asthma ang chi natna enkawlna atana prednisone ang chi steroid hun rei tak hman hnuah a thleng fo thin. |
| Pituitary Gland chungchanga thil awm dan | Thluaka pituitary gland hian ACTH hormone a siam tam lutuk a. He hormone hian adrenal glands te chu ‘cortisol siam’ turin signal a pe a ni. |
| Adrenal Gland Tumor a awm thin | Adrenal glands-a tumor (benign emaw malignant emaw pawh ni thei) hian direct-in cortisol tam lutuk a siam thei a ni. |
| Tumor dang a awm | A tlem hle a, lung emaw pancreas ang chi taksa peng hrang hranga tumor awm hian ACTH tam lutuk a siam thei bawk. |
Steroid leh Moon Facies inzawmna
Hei hi mi tam tak tan chuan point pawimawh tak a ni. Hun rei tak chhunga steroid damdawi, prednisone ang chi hi arthritis, asthma, vun natna emaw, autoimmune natna dang emaw ang chi natna atan i ei em? Chutiang a nih chuan Moon Facies i neih theihna chance a sang zawk a ni.
Dik tak chuan hmai rounding leh taksa rihna tihpun hi steroid hman avanga side effect awm tam ber zinga mi a ni. Heng symptoms lo awm dan hi i dose leh i enkawl hun chhung a innghat a ni.
Note pawimawh tak a ni!
I hmai a round vang emaw, i thau lutuk vang emaw chauhvin i steroid pek kha titawp ngai suh la, nangmah chauhin a dose pawh thlak ngai suh. Heng damdawi te hi tihtawp nghal chuan hriselna lamah nghawng na tak a thlen thei a ni. Heng inthlak danglamna te hi i hriat chuan doctor nen inbia la, an thupekte chu uluk takin zawm rawh.
Engtin nge diagnosis dik tak ka hmuh theih ang?
I hmel a danglam nia i rinhlelh chuan i doctor rawn tur a ni. I natna lan chhuah dan te an zawt ang che, chungte chu:
- Eng damdawi nge i ei?
- Eng chen nge heng inthlak danglamnate hi a lo intan?
- Facial rounding tih loh chu taksa lama danglamna dang a awm em?
Cushing’s syndrome nen hian Moon Facies hi chhinchhiahna dang a awm fo thin a, chu chu a kawr hnung lamah “buffalo hump” a awm a, pum chhungah thau a awm khawm a, ke ruhte a hring bawk. I doctor chuan heng chhinchhiahna te hi a enfiah ang.
I mamawh dan azirin i doctor chuan i cortisol level tehna atan thisen test leh zun test a ti thei bawk. Tumor a awm thei nia an rin chuan MRI emaw CT scan emaw atan an refer thei bawk.
Enkawlnate chu engte nge ni?
Enkawlna chu i Moon Facies awm chhan bulpuiah a innghat vek a ni.
- A chhan chu steroid damdawi a nih chuan: I doctor chuan a hmantlak ber dose zawng chhuah a tum ang. Heng symptoms te tihziaawmna tura pui turin alternate-day dosing emaw, enkawlna dang emaw an rawt thei bawk.
- A chhan chu tumor a nih chuan: He buaina hi thluak, adrenal gland emaw hmun dangah emaw tumor avanga lo awm a nih chuan, surgery hmanga tumor lakchhuah hian a natna chu a chinfel theih fo thin.
- A chhan dang: A then phei chuan i doctor chuan damdawi dang emaw, radiation therapy ( oncologist -led care) emaw a rawt thei bawk.
Takeaway pawimawh ber chu a chhan thliar lovin i doctor enkawlna tur ruahmanna zawm hi a ni.
Take-Home Thuchah a ni
- Moon Facies chu thau awmna avanga hmai rounding tihna a ni. A tlangpuiin hlauhawm nghal a nih loh laiin, a chhan hriat chian a pawimawh hle.
- A chhan ber chu hun rei tak chhunga cortisol ( hormone) a san vang a ni) levels, Cushing’s syndrome tia sawi fo thin a ni.
- Hun rei tak chhung steroid damdawi hman hi Moon Facies thlentu a ni.
- Heng inthlak danglamna te hi i hriat chuan doctor nen inbia ang che. Nangmah chauhin i damdawi ei kha titawp ngai suh, thlak ngai suh .
- Enkawlna chu a bulpuiah a innghat a, chuvang chuan diagnosis dik tak neih a pawimawh hle.
Moon Facies, Cushing’s syndrome, cortisol, steroid, hmai vun natna, prednisone, hriselna chungchanga hriatna
