I naute hian birthmark a nei em? Kan sawi dawn nia!

Nu i nih angin i fate vunah hmun te tak te emaw, rawng danglam emaw i hmuh hian tlem i lungkham hi thil pangngai a ni lawm ni? A tam zawkah chuan hengte hi ‘birthmarks’ kan tih te hi a ni. Ṭhenkhat chu a bo mai mai laiin, tlem tal ngaihtuah a ngaih hun a awm bawk. Chuvangin, vawiin hian heng pianpui chhinchhiahnate hi i hriatthiam theih tur awlsam takin i sawi dawn nia, a tha em?

Pian chhinchhiahna chu eng nge ni?

A awlsam zawngin sawi ila, birthmark chu naute pum chhunga a la awm lai emaw, a pian hnu emawa vunah hliam emaw, bawlhhlawh emaw lo awm a ni. An pianzia, rawng leh size hrang hrangah an awm. Ṭhenkhat chu vun level inangah an awm a, ṭhenkhat erawh chu an sang zawk thung. Ṭhenkhat chuan a sir hrual (smooth edges) an nei a, ṭhenkhat erawh chuan a sir mumal lo (irregular edges) an nei thung. Color pawh chutiang bawk chu a ni; brown, light brown, black, leh light blue atanga pink, red, leh purple thlengin an awm thei. A pawimawh ber chu pianpui chhinchhiahna tam zawk hi a hlauhawm lo. A tam zawk chu hun kal zelah an bo emaw, an tlahniam emaw ang. Mahse, a tlem hle a, pianpui chhinchhiahna thenkhat hi hriselna lama harsatna dang nen a inzawm thei a ni. Chuvang chuan heng pianpui chhinchhiahna te hi hriat chian a pawimawh hle.

Engvangin nge heng pianpui chhinchhiahna te hi a lo awm?

Tunah chuan, "Engvangin nge ka naute chungah hetiang thil hi a thlen? Naupai lai khan thil dik lo ka ti em?" Chu chuan bum che suh se. Thudik tak chu, doctor-te hian nau neihna chhinchhiahna tam zawk hi a chhan dik tak an la hre lo. An dang thei lo. Naupai laia i thil tih leh tih loh avanga lo awm an ni lo. Naute i neih laiin hliam tenau emaw, vunah hliam emaw avanga lo awm an ni lo. Birthmark chi thenkhat chu chhungkaw hrang hrangah a kal tlangpui a, mahse genetic cause bik erawh hmuhchhuah a la ni lo. Chuvangin, lungngai suh, i sualna a ni lo.

Pianpui chhinchhiahna chi hrang hrangte chu engte nge ni?

Birthmark hi chi hnih ah then theih a ni. An siam danah an danglam a, chuvangin eng thilin nge an siam tih pawh an inang lo.

• Vascular Birthmarks : Hengte hi kan taksaa thisen kalna kawng te te insiam that loh vang a ni. Thisen kalna kawng tam lutuk chu hmun khatah a inzawm khawm emaw, a tlangpui aia zau leh lian zawk emaw a ni thei.
• Pigmented Birthmarks: Hengte hi kan vun rawng pe tu cell (pigment cells) te hmun khatah an lo thang tam lutuk a, chu chu an inzawm khawm tihna a ni.

Tunah chuan heng chi hrang hrangte hi chipchiar deuhin han sawi ila.

Vascular birthmarks chungchang hi han sawi hmasa ila.

Birthmark chi hrang hrang awm tam ber chu macular stains, hemangiomas, leh port-wine stains te hi an ni. Hengte hi eng nge an nih tih hi han thlir ila.

Macular stains emaw ‘salmon patches’ emaw a awm thei.

Mi thenkhat chuan hengte hi ‘salmon patches’, ‘angel kisses’ emaw ‘stork bites’ emaw an ti bawk. Hengte hi thisen kalna kawng nena inzawm birthmark chi hrang hrang zingah chuan a tam ber a ni. A sen hring hring, a chang chuan pink an ni. A tlangpuiin hmaiah te, mitmeng chung lamah te, kawr hnung lamah (Crow’s feet an ti bawk), hnar chung lamah, hmui chunglam emaw, lu hnung lamah emaw an awm tlangpui. Naute a tap emaw, theihtawp a chhuah emaw chuan heng hmunte hi a thim thei tih hre reng ang che. Hei hian hlauthawng suh. A tam zawkah chuan naute kum khat emaw kum hnih emaw a tlin meuh chuan heng hmunte hi a bo vek ang. Kawr hnung lama hmun thenkhat chu rei vak lo a awm thei a, puitlin thlengin a awm thei bawk. Mahse harsatna an ni lo.

Hemangiomas emaw ‘strawberry chhinchhiahna’ emaw a awm thei.

Hemangiomas hi birthmark chi khat a ni a, mi thenkhat chuan ‘strawberry marks’ an ti a, a chhan chu vun chunglam a awm chuan strawberry ang mai a ni. Vun chunglam an awm chuan ``superficial hemangioma'' an ti a, vun hnuai thuk takah an awm chuan ``deep hemangioma'' an ti a, a then chu layer pahniha an awm chuan ``compound hemangioma'' an ti bawk. Hemangioma chu vun te tak te, sang tak, a sen dum thei a ni. Strawberry te tak te ang maiin han ngaihtuah teh. A tlangpuiin an pian hnu ni engemaw zat emaw, kar engemaw zat emaw hnuah an lang lo va, chutah chuan an lo lang leh thin. Deep hemangiomas, vun hnuai thuk tak takte hi vun thuk zawka thisen kalna kawngte nena inzawm a nih avangin blue angin a lang thei. Hemangiomas chungchanga thil pawimawh tak chu naute dam chhung thla 6 chhungin a thang chak hle a ni. Nu te hian an hmuh chuan an hlauthawng thin. Mahse, chu mi hnuah chuan an lo tlem tlangpui a, an lo te deuh a, kum 5 leh 10 inkarah an bo vek a, mahse, hemangiomas lian thenkhat chu an lo tlem chuan vunah hian hmel danglam tak a hnutchhiah thei a, chu chu hliam te tak te a ni. A tul chuan hei hi a hnuah surgery tenau tak hmangin siamthat theih a ni. Mi dangte chuan vunah hian rawng sen (red pigment) an hnutchhiah a, chu chu laser hmanga enkawlna bik hmangin a pui thei bawk. Taksa khawi hmunah pawh awm thei mah se, lu emaw, kawr emaw-ah an lang tam ber. Amaherawhchu, mit, hnar, ka bulah an awm chuan a chang chuan mit hmuhna, thawk leh ei leh in te a tibuai thei a ni. Chutiang a nih chuan Doctorin a enkawl ang.

Port-wine a awm a

Hengte hi taksa hmun dangah red wine tlem te te a luang chhuak ang maia lang spot te an ni. Chutiang chuan an hming an pu ta a ni. Hmai, kawr, kut leh ke-ah te hmuh tur a tam ber. Heng port-wine stain te hi eng ang pawhin a lian thei a, dot te tak te atanga stain lian tak thlengin a awm thei. Mahse, anmahniah hian thil danglam tak a awm a,Chûngte chu naute a lo ṭhan chhoh zêl chauhvin, chu chu naupang a lo ṭhan chhoh zêl chuan a lian zâwk a ni. Hun a kal zel a, an thim zual a, enkawl loh chuan kum chanve velah chuan an lo hring chhuak thei a, lungpui ang mai pawhin an inhriat phah thei bawk. Chûngte chu amahin a bo ngai lo vang a, chu chu hriat reng a pawimawh. Doctor-te chuan mit bula port-wine stains te hi an ngaihtuah hle a, mit lamah harsatna a thlen em tih an en a ni. Heng spot te hi hmai hmun thenkhatah a awm a nih chuan test dang, MRI scan ang chi, thluaka nghawng a neih leh neih loh enfiah a ngai mai thei.

Tunah chuan pigmented birthmarks kan en ang.

Hetiang chi pianna chhinchhiahna langsar ber, vun rawng pe thei cell-te avanga lo awm chu ‘Café-au-lait’ spot, ‘Mongolian’ spot, leh moles kan tih tlangpui, damdawi lama ‘congenital nevi’ tia koh te hi an ni.

Café-au-lait hmun hrang hrangah a awm

Hengte hi spot awm fo tak tak an ni. A hming awmzia chu "coffee with milk" tihna a ni a, a chhan chu a hmunhma rawng a nih vang a ni. Taksa khawi hmunah pawh an lang thei. A châng chuan i naute a lo upat deuh deuh chuan heng spot te hi a pung thei a ni. Spot pakhat emaw pahnih emaw neih pawh a pawi lo. Mahse, i naute hian café-au-lait spot paruk (6) aia tam, pencil eraser aia lian (nausen te tan) emaw, hmun li a\anga hmun khat aia lian (naupang upa deuh tan) a neih chuan, chu chu i doctor hnenah hrilh a pawimawh hle. A chhan chu, hre reng ang che, heng spot tam tak neih hi neurofibromatosis tih hming pu genetic condition chhinchhiahna a ni thei. Hetiang dinhmun hian nerve cells te chu a lo thang lian lo hle a ni. Chuvangin heng spot tam tak i hmuh chuan doctor hrilh a pawimawh hle.

Mongolian hmun hrang hrangah a awm

Chungte chu a flat, blue-gray spot a ni. Hliam ang maia lang mah se, hliam an ni lo. An hnute emaw, hnungzang hnuai lam emaw-ah an lang tam ber. Naupang vun dum, Asian, American Indian, African, Hispanic, leh Southern European hnam chhuakte zingah an tam hle. Kan rama naupang tam takin an nei ve bawk. Enkawlna engmah an mamawh lo va, sikul an tlin meuh chuan an bo vek fo a, an pawi lo.

Moles/Nau piang chhuak nevi

‘Birthmarks’ hi brown spot kan ti tlangpui a, damdawi lam chuan ‘nevi’ (plural) emaw ‘nevus’ (singular) emaw tia hriat a ni. Mi tam zawk chuan an dam chhungin engtik lai pawhin heng spot te hi an nei thin. Pian tirh laia hmun awm chu ‘congenital nevus’ an ti a, hengte hi dam chhungin an awm reng a ni. Hengte hi a tlangpuiin hlauhawm lo mahse, congenital nevi lian tak tak emaw, lian tak emaw, chu chu kutphah ang maia lian, a hnuah chuan ‘melanoma’, vun cancer-ah a lo chang tlem zawk a ni.Mahse, chu risk pawh chu a tlem hle. Mole te tak te, pianpui atanga lo chhuak hlauhawmna a awm thei a, mahse chu pawh chu a tlem hle. Heng hmunte hi a sen hring, a dum, a dum emaw a ni thei a; an flat emaw, an sang emaw pawh a ni thei; a châng chuan sam pawh an lo chhuak thei bawk.

Nau piang chhinchhiahna hi engtin nge kan enkawl ang?

Tunah chuan heng spot zawng zawng hi enkawl a ngai em tih i ngaihtuah mai thei. Ni lo, an ti lo. Macular stains, a nih loh leh salmon patch te hi a tlangpuiin a mah chauhin a bo thin. Kawng hnung lama awmte chu rei lo te an daih thei a, mahse an langsar vak lo va, harsatna an nei lo. Thisen kalna nena inzawm birthmark dang tam zawk chu a tul chuan enkawl theih a ni. Port-wine stains leh hemangiomas thenkhat hian naupangte chu an hmel lan dan a nghawng avangin rilru lamah a nghawng thei a, a bik takin hmaiah an awm a nih chuan. Hmun langsar lo tak takah hemangiomas te tak te te hian enkawl a ngai lo tlangpui. A chhan chu kan sawi tawh ang khan naupang kum 10 a tlin meuh chuan a tam zawk chu anmahni chauhin an tlahniam thin. Mahse, doctor-te chuan hemangiomas lian tak tak leh hmuh theiha an enkawl thin. Damdawi thenkhat (propranolol leh steroid ang chi) chu hemangioma-ah direct-in inject a ni a, thenkhat chu thisenah (IV hmangin) pek a ni a, thenkhat chu ka hmanga ei a ni bawk. Port-wine stain nei naupangte chuan laser hmanga enkawlna an hlawkpui thei. Hei hian a bawlhhlawh rawng ti eng turin high-intensity beam of light (laser) hman a huam a ni. Stain tam tak chu pulsed-dye laser an tih laser chi khat hmanga vawi tam tak enkawl hnuah a eng thei a ni. Stain thenkhat chu a lo lang leh thei a, enkawl belh a ngai bawk. Laser hmanga enkawlna hi naute a la naupan lai atanga tan a ni tlangpui a, a tlangpuiin thla engemaw zat a ni. Hei hi a chhan chu stain leh thisen kalna kawng te a la tlem avangin result a tha hle. Lu leh kawng a stain te hian laser hmanga enkawlna a dawng tha hle. Special makeup, a nih loh leh cosmetics hian port-wine stain chu rei lo te chhung atan a khuh thei a ni. Pigmented birthmarks hi a tlangpuiin enkawl a ni lo va, a lo thang lian turin an dah mai thin. Mahse, congenital moles, a bik takin lian tak tak, leh a chang chuan café-au-lait spot, a hmaa kan sawi tawhte chu enkawl a ni. Doctor-te chuan heng birthmarks te hi operation hmangin an paih thei a, a bik takin congenital nevi lian emaw lian emaw te hi an paih chhuak thei a ni. Mahse, a lian zawkte lak chhuah chu a harsa zawk thei a, tih dan tam tak a ngai thei bawk. Café-au-lait spot te hi laser hmanga tihbo theih ni mahse, a lo kir leh thei.

Engtikah nge doctor i hmuh ang?

Hei hi a pawimawh hle. I naute taksaa i hriat hmasak ber veleh doctor hnenah eng chi nge a nih, eng monitoring nge a mamawh tih leh enkawlna a mamawh leh mamawh loh hriat chian a tha ber. Chubakah chuan,

Pian chhinchhiahna atanga thisen chhuakDraining, na, itchy, emaw red, swollen, or oozing pus a nih chuan doctor i pan nghal ngei tur a ni.

Thisen chhuak hliam dang ang bawkin, hliam chu sahbawn leh tui hmangin silfai la, gauze bandage fai tak hnawih la, thisen chhuak a reh thlengin pressure pe rawh. Thisen chhuah a reh loh chuan Doctor ko tur a ni. A chang chuan hemangiomas hian hmun thenkhatah open sores a nei thei a, chu chu a kai thei bawk. Pigmented birthmark hi a tlem hle. Mahse, normal moles, a bik takin congenital nevi te hi an dam chhungin an lian leh te, an rawng, an pianzia leh an san zawng a inthlak leh awm loh enfiah tur a ni. Hrilhfiahna lian tham i hmuh chuan i doctor hnenah hrilh rawh .

Eng dang nge i hriat duh?

Nausen piang thara birthmark i hmuh hian, a bik takin a lian emaw, a hmai ang hmuna hmuh theiha awm emaw a nih chuan, a tir lamah chuan tlem chuan i mangang a, i lungngai deuh mai thei. Chu chu thil pangngai a ni. Pian chhinchhiahna chu hmuh theih hmuna a awm chuan mi thenkhatin zawhna an zawt a, mak tak maiin an en mai thei. Tlemte chuan a ti na thei hle. Chutiang hunah chuan, anmahni pêk tûra chhânna awlsam tak rilrua neih chu a ṭanpui ang che. Mi tam zawk chuan sual vangin an ti lo va, thil hriat duhna mai mai an ni. Mahse, line an pelh a, zawhna an zawh emaw, an hliam emaw a nih chuan, chu chu ngilnei taka hrilh theihna i nei a ni. Naupangte chuan an nu leh pate’n chutiang dinhmun an hmachhawn dân leh an thusawi dân chu an naupan lai aṭangin an en reng tih hre reng ang che. Chutiang chuan midangte thiltih dan hmachhawn dan an zir thin. Naupangte hnena pianpui chhinchhiahna chungchang awlsam tak leh tlang taka sawi hian an sam rawng emaw, an mit rawng emaw ang bawkin anmahni taksa peng pakhat anga pawm turin a pui a ni. Miin a chungchang a zawh chuan chhanna awlsam tak pe rawh. Entirnan, "Hei hi pianpui chhinchhiahna mai a ni. Ka piang a ni," tih ang chi thil. Tin, chhungte leh thiante hual vela fa neih hi naupang pangngai anga entu, hmangaihtu leh thlawptu neih hi naupang rilru hriselna leh mahni inrintawkna atan a pawimawh hle.

Chuti a nih chuan, he thawnthu atang hian take-home message kan lak tur berte chu engte nge ni?

Okay, tunah chuan kan sawi tawh atang khan point pawimawh ber berte kha han hrechhuak leh ila.

• Pian chhinchhiahna tam zawk hi a hlauhawm lo va, tam tak chu anmahniin an bo vek ang. Chuvangin tul lova lungngai suh.
• Nau piang chhinchhiahna awm chhan hi hriat chian a ni lo fo va, ven theih a ni lo. Chumi chungchangah chuan inthiam lohna nei suh.
• Pianpui chhinchhiahna chi hnih a awm a, chungte chu vascular leh pigmented te an ni. Type tin chhungah hian subtype dang a awm bawk.
• Pian chhinchhiahna zawng zawng, a te pawh ni se, doctor hnenah entir hmasa a, thurawn lak hmasak a pawimawh hle.
• Spot thenkhat, hemangiomas leh port-wine stains te hi enkawl a ngai thei a, a bik takin a lan dan, mit hmuhna (mit hnaih a nih chuan), ei leh in (k bulah a nih chuan), thawk (hnar hnaih a nih chuan) a tibuai a nih chuan.
• Café-au-lait spot 6 aia tam i neih chuan, a lian a nih chuan, emaw, pianpui moles lian leh te, a rawng emaw, a pianzia emaw a inthlak danglam tih i hriat chuan doctor hnenah hrilh ngei ang che.
• A pawimawh ber chu birthmark nei naupang hnenah i hmangaihna, i thlawpna leh boruak pangngai leh hlim tak pe rawh.

Hei hian birthmark chungchanga i zawhna tam tak a chhan ka beisei. Zawhna dang i neih chuan chhungkaw doctor emaw naupang enkawltu emaw zawt hreh suh.

---

Pian chhinchhiahna, Naute vun, Vun Spot, Hemangioma, Laser hmanga enkawl