I vunah, a bik takin naupang tête ke-ah, khawsik aṭanga lo chhuak thei ang maia lang, sen, bluish-red, net ang maia awm i hmu ngai em? A nih loh leh nangmah ngeiin i vunah hetiang thil hi i hmu a, i hlau hle mai thei bawk. Mi tam tak chuan hei hi thil pangngaiah an ngai laiin, a châng chuan a hnuaia awm dinhmun dang chhinchhiahna a ni thei bawk. Chuvangin vawiin hian he natna hi Mottled Skin an tih, a nih loh leh damdawi lam atanga thlir chuan Livedo Reticularis tih hi han sawi ila.
Mottled Skin hi eng nge ni?
A awlsam zawngin, hei hi kan vun hnuaia thisen kalna kawng te tak te te a inkharkhip avanga lo awm thin a ni. Kan thisen kalna kawnga thisen kal dan mumal lo a nih chuan vun hnuaiah oxygen tlachham thisen a awm thin. Chutah chuan vun chung lamah blue-red, lace ang chi pattern a rawn lang ta a ni. Hei hi Mottled Skin emaw Livedo Reticularis emaw kan tih chu a ni.
Hei hi eng chi hrang hrang nge ni ber?
He dinhmun hi inang deuhin lang mah se, a lo awm dan azirin chi hrang hrangah then theih a ni. Hei hi hriatthiam a pawimawh a, enkawl dan tur chu a chi hrang hrangah a innghat a ni.
| Lampang | Hrilhfiahna | Tuin nge dawng tam ber? |
|---|---|---|
| A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. | Hei hi kan hmuh tam ber leh hlauhawm lo chi a ni. Khaw lum lutuk kan tawh hian a thleng a, taksa a lum leh chuan a mah chauhin a bo thin. | Nausen te te, naupang te, leh hmeichhe naupang vun dum nei te. |
| A hmasa ber atan Livedo Reticularis tih a ni | Hei pawh hi hun eng emaw chen atan a ni. Mahse khawsik vang a ni lo . A chhan dik tak erawh hriat a la ni lo. Hetiang chi hi a hnuaia damdawi lam natna dang a awm loh tih finfiah hnuah chauh hmuhchhuah a ni. | Tu chungah pawh a thleng thei. |
| Secondary Livedo Reticularis tih a ni | Hei hi kan ngaihtuah ber tur chi chu a ni . Hetah hian he vun rawng hi taksaa thil awm dang (underlying condition) avanga side effect angin a lo awm thin. A hnuaia dinhmun enkawl a nih hma chuan a bo lo vang. | Damdawi lam harsatna (e.g. autoimmune diseases) nei te. |
Hei bakah hian chi dang a awm em?
Ni e, chi hrang hrang dang engemaw zat a awm bawk.
- Congenital type (Congenital Livedo Reticularis): Nausen thenkhat chuan an pian tirh atangin hetiang hi an nei thin. Kut emaw ke emaw-ah a lang tlangpui. A châng chuan thluak, mit emaw, thinlunga harsatna dangte nên a inzawm thei bawk.
- Erythema ab igne: I laptop chu i kawngah dahin hna thawk reng la, a nih loh leh tui lum bottle hmun khatah rei tak i vawn lai kha han mitthla teh. Mi thenkhat chuan an ke inkar ah hian charcoal iron an keng thin. Hetiang vun vun rawng hi hun rei tak chhung lum lutuk avanga lo awm thei a ni bawk.
Vun hring (mottled skin) awm chhan hi engte nge ni?
Secondary Livedo Reticularis hi a chhan awm thei tam tak a awm a, chu chu a hmaa kan sawi tawh kha natna dang avanga lo awm chi a ni. Chuvang chuan i hmuh veleh Doctor pan vat a pawimawh.
A pawimawh ber chu i vunah hetiang pattern hi i hmuh chuan, "Khawsik mai mai a ni mai thei," ti mai lovin doctor hmu la, thurawn la ngei ang che. Natna khirh tak chhinchhiahna hmasa ber a nih theih avangin.
A hnuaia tarlan te hi a chhan lian ber berte chu a ni.
| A chhan Category a ni | Entirna leh sawifiahna awlsam tak |
|---|---|
| Autoimmune leh Connective Tissue natna te | Heng natnate hi kan taksa ngeiin kan taksa a venghimtu (immune system)-in kan cell-te a beih nasat em emna natna a ni. Entirnan: Lupus, Rheumatoid Arthritis, Fibromyalgia te hi a ni. |
| Vascular Disorder awm thei te | Thisen kalna kawng khar emaw, a zim emaw avanga natna lo awm. Entirnan: kea thisen zam (Deep Vein Thrombosis - DVT), Antiphospholipid Syndrome. |
| Infection awm thei te | Hetiang dinhmun hi bacteria leh viral infection thenkhat vang pawh a ni thei. Entirnan: Tuberculosis, Hepatitis C, Meningococcal Disease. |
| Damdawi thenkhat (Medication Reactions) . | Hetiang dinhmun hi damdawi thenkhat side effect angin a awm thei bawk. Damdawi i ei tur chungchang doctor nen inbiakna neih a pawimawh. |
| Neurological Condition hrang hrang a awm | Thluak pawn lama nerve leh spinal cord tichhe thei natna. Entirnan: Multiple Sclerosis (MS), Parkinson natna. |
| Ngawt | Cancer chi thenkhat, a bik takin thisen kaihhnawih cancer te hian thisen kal dan a tibuai avangin he symptom hi a thlen thei a ni. |
| Nunna tawp | Mihring nun tawp dawnah chuan taksaa thisen kal dan a tlahniam zauh zauh a. Chutih lai chuan hetiang vun lem hi i hmu mai thei bawk. Mahse chutih rual chuan symptom dang, thawk harsa tih te pawh a lo lang bawk. |
Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?
Hetiang symptom nei doctor i hmuh hian a tih hmasak ber tur chu i vun uluk taka enfiah hi a ni. Tichuan, i damdawi lam chanchin te, chhungkaw damdawi lam chanchin te, leh damdawi i ei lai te an zawt ang che.
- Test: Rinhlelhna a awm chuan a chhan hriat tumin thisen test emaw,Urine test pawh tih a ni thei. A tlem hle a, vun biopsy pawh tih theih a ni.
- Enkawlna: Enkawlna chu vun hring (mottled skin) i neih chi leh a chhan a innghat a ni.
- Khaw lum atanga lo chhuak type tan: I tih tur chu thil awlsam tak a ni. I taksa ti lum rawh. Tui lum-a inbual leh khaw lum laka invenna thawmhnaw hak hi a tawk.
- Natna dang avanga lo awm chi tan: Hetah hian a pawimawh ber chu a hnuaia natna awm chu dik taka enkawl hi a ni . Entirnan, thisen zam harsatna a awm chuan thisen tithianghlimtu damdawi (`Anticoagulants`) i pe thei ang. Doctor-in a enkawl dan tur dik tak chu a rel ang.
- Khua lum vanga awm chi tan: Hei hi lumna i tawh loh chuan a bo fo thin. A awm reng chuan doctor chuan damdawi hmanga siam cream a pe thei bawk.
Take-Home Thuchah a ni
- Mottled Skin hi vun chung lamah blue-red, mottled pattern a lo lang thin a ni. Hei hi vun hnuaia thisen kalna kawng a chhiat vang a ni.
- Vawi tam tak, a bik takin naute zingah hian hei hi khawsik vang a ni. A pawi lo va, taksa a lum chuan a bo vek.
- Mahse, he pattern hi khawsik i neih loh lai pawhin a lo awm a, a awm reng lai pawhin a lo awm a, a nih loh leh natna dang, khawsik, ruh na, thawk harsa tih te nen a awm a nih chuan natna khirh tak chhinchhiahna a ni thei.
- Chuvangin, i emaw i fa emaw vunah hetiang pattern hi i hmuh chuan ngaihthah suh la , a chhan dik tak hriat tumin doctor pan ngei ang che.
- Damdawi lam harsatna tam tak chu a hmaa hriatchhuah a nih chuan hlawhtling taka control theih a ni tih theihnghilh suh ang che.
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