I vun hi a hring reng a, a sen reng em? Hei hi Eczema / Atopic Dermatitis a ni thei! Hemi chungchang hi kan sawi dawn em ni?

A châng chuan i emaw, i fa tê emaw vun chu a hrual ṭan nghal a, a sen a, a hring chhuak a, chu chu a tithinur tak zet a ni lawm ni? A châng chuan a hnim nasa lutuk a, mut pawh i mut ṭha thei lo. He vun natna hi ‘eczema’ kan ti fo nachungin, hei hi damdawi lam natna, eczema an tih a ni thei. Vawiin hian he eczema chungchang kan sawi dawn a, a bik takin common type atopic dermatitis an tih hi kan sawi dawn a ni. Lungngai suh, i hriat chian chuan chutiang chuan thunun harsa a ni lo.

Eczema chu eng nge ni?

A awlsam zawngin, eczema hi kan vun venhimna layer a chak lo va, a vawt a, a hring a, a vun a ti na a ni . Kan vun hian pawn lam bang ah khur te te a nei ang mai a ni. Tichuan, boruak chhunga thil awmte, sahbawn chhunga leivut leh chemical awm ang chi te hian awlsam takin vun chhungah a lut a, vun reaction a siam thin. Hei hi inflammation, redness, leh itching kan tih chu a ni.

Eczema hi chi hrang hrang a awm a. Entirnan, kut a dyshidrotic eczema, nummular eczema, coin ang chi patch siamtu, leh seborrheic dermatitis, lu vun leh mitmeng tichhe thei chi hrang hrang a awm. Mahse kan hmuh tam ber chi, a bik takin naupang tê tête zîngah chuan atopic dermatitis . Dik tak chuan mi tam zawkin ‘eczema’ an tih hian atopic dermatitis tihna a ni. ‘Atopic’ tih thumal hian a natna chu allergy nen a inzawm tihna a ni. Hei hian a awmzia chu, asthma emaw, hay fever ang chi allergy nei chhungkaw naupangte hian he eczema hi an vei tam zawk tihna a ni.

Engtin nge eczema i vei tih i hriat theih ang? Eng nge a lan chhuah dan?

Eczema natna lan chhuahna ber leh tibuaitu ber chu tuar theih loh khawpa natna hi a ni . ‘Itch hian vun a ti na a, itch hian vun a ti na lo’ an ti \hin. A itching chu chutiang khawpa na chu a ni thei. Hei vang hian naute hi an tap nasa em em a, an muhil thei lo.

Eng symptom dang nge i hmuh theih?

• Vun chu a vawt a, a hring (scaly) bawk. A chang chuan coconut hnah ang maiin a lang thei.
• A vun chu a sen vek a. A natna hmun hi a sen tlangpui.
• Blisters te tak te angin an lang thei. A hrual chuan hengte hi a puak darh thei a, tui ang maia tui a chhuak thei a, chutah chuan crust a siam thei bawk.
• Heng symptoms te hi a awm reng lo. A chang chuan an reh a, a chang chuan an flare leh bawk. He flare-up hi ‘flare-up’ kan ti a. A lo kal a, a kal zel a, thlipui ang maiin.
• Zanah a na zual thei a, hei hian mut a tibuai fo thin.

Tunah chuan en teh, heng symptoms te hi kum upat dan azirin a danglam deuh thei.

Naute naupang (kum khat hnuai lam)-ah engtin nge eczema hi a lo awm?

Nausen kum khat hnuai lam eczema a lo awm chuan hmui, hmai emaw lu vunah emaw hmuh hmasak ber a ni fo thin.Ngaihtuah teh, i naute hmui mawi tak, bawnghnute ang mai chu a sen vek a, a hring hring te te a awm a, chu chu a hrual tum a ni. A chang chuan hei hi khup, khup leh taksa peng dang thlengin a darh thei bawk. Mahse mak tak maiin diaper hmunah hmuh tur a awm lo. Hei hi chu hmunah chuan tui a tam lutuk vang pawh a ni thei.

Naupang tê tê leh naupang kum hnih chunglam chu engtin nge ni ang?

Naupang tête kum hnih hnua eczema a lo awm chuan, a ke ruh, khup hrual, kutphah, ke ruh leh kawr te ang chi hmunah a awm tam ber. Heng hmuna vun hi a hrual reng avangin a thim thei a, savun ang mai a ni thei bawk. Vun rawng pawh a danglam thei bawk. A chang chuan kephah leh kephah ah pawh eczema a lang thin. Hei hian a tibuai deuh thei a, nitin hna thawh a harsat phah thei a ni.

Engtin nge eczema hian puitlingte a nghawng?

Puitlingah eczema a awm chuan a chunga kan sawi tawh ang khan elbows leh knees-ah pawh a lang thei bawk. Kut, kawr leh hmaiah pawh hmuh theih a ni . Mi thenkhatah phei chuan taksa pum puiah a darh thei a ni. Puitlingah chuan eczema hian a chang chuan vun a ti vawt hle a, a ti hring thei bawk . Eczema hi rei tak a awm tawh chuan vun chu a thim thei a, a rawng pawh a dum thei bawk.

A pawimawh ber chu eczema hi kai theih a ni lo tih hi a ni. Chumi awmzia chu midang hnenah i thehdarh thei lo tihna a ni.

Engvangin nge eczema hi a lo awm? A chhante chu engte nge ni?

Hei hi a chhan awmchhun a ni tih chiang taka sawi a harsa tak zet. Doctor-te chuan thil hrang hrang inzawmkhawm hian eczema lo awm chhan hi a thlen niin an ngai. A chhan berte han thlir ila.

• Genetics: Hei hi thil pawimawh tak a ni. I chhungkuaa mi pakhatin eczema, asthma, hay fever ang chi allergy a neih chuan eczema i vei tam zawk. Chumi awmzia chu rochun a ni thei tihna a ni.
• Immune System Response: Kan taksa hian immune system a nei a. Hei hian natna laka min vengtu chu a ni. Eczema vei teah chuan he immune system hian thil hlauhawm lo (e.g., leivut, pollen) pawh a overreact thin. Hei hian vun a ti na a, a ti na bawk.
• Skin Barrier Dysfunction: Vun hrisel hian pawn lamah thau leh hriak venna layer a nei a. Hei hian vun a ti hnim reng a, natna hrik leh allergen ang chi thil a luh loh nan a veng bawk. Eczema vei teah chuan he venhimna hi a siam tha lo hle. Gap a nei niin a lang. Chuvangin, vun hi a vawt nghal vat a, pawn lam atanga thil awmte chuan awlsam takin vun chhungah a lut thei a, harsatna a thlen thei bawk.
• Environment thilte: 1.1.Kan chhehvel thil thenkhat hian eczema a ti na thei bawk. Hengte hi ‘triggers’ kan ti thin. Hengte hi tlem tal chu chipchiar zawkin kan sawi dawn a ni.

Eczema thlentu (triggers) te chu engte nge ni?

Eczema vei zawng zawng hi thil inang hian a nghawng vek lo. Mahse a tlangpuiin eczema ti na thei, a nih loh leh flare-up thlen thei thil tlemte a awm. Hengte hi hriat chian a, a theih ang anga inthiarfihlim a pawimawh.

• Vun ti vawt thei thil: Sahbawn na tak, detergent (washing powder), shampoo thenkhat, leh tui lum a inbual fo thin. Chûngte chuan vun aṭanga a natural oils te chu a hlihsak a, a ti vawt lehzual a ni.
• Thil tibuaitu: Puan thenkhat (a bik takin wool, synthetic fabric thenkhat), rimtui, cosmetics thenkhata chemical, zuk leh hmuam meikhu.
• Allergens awm thei te:
• House dust mites: Hengte hi thil nung te tak te, khum, pillow, mattress leh carpet-a cheng an ni.
• Ran vun leh sam (Pet dander): ui, ui atanga lak.
• Pollen: Pangpar leh thlai atanga pollen.
• Moulds te pawh a awm.
• Chaw thenkhat: Bawnghnute, artui, buhfai, soy, leh buhfai te hian mi thenkhat (a bik takin naupang te te) ah allergy a thlen thei a, eczema a ti na zual thei bawk. Mahse , ei tur allergy i rinhlelh chuan, chu chaw chu damdawi lam thurawn tel lovin ei mai mai suh.
• Khua a inthlak danglam: Khua lum lutuk, khaw vawt lutuk emaw, khaw lum lutuk leh thawk hah lutuk hian eczema a tizual thei bawk.
• Stress: Mak ti suh, stress hi eczema a lo chhuah chhan lian tak a ni bawk! Exam hun leh hna thawh nasat laiin eczema a na zual tih i hre tawh ngei ang.
• Infection: Bacteria (e.g., Staphylococcus) leh viral (e.g., Herpes) infection thenkhat pawhin eczema a ti na zual thei bawk. Heng infection te hi awlsam takin vun hi scratching hmanga tihchhiat a nih chuan a lo awm thei a ni.

Pawimawh: Nangmah emaw, i fa emaw tibuaitu thilte hriat theihna turin diary tlem tal ziah a tha. Hei hian eczema thlentu chu eng nge ni tih hriatna a pe ang che.

Doctor-te hian engtin nge eczema hi an hriat theih?

A tam zawkah chuan doctor chuan i emaw i fa emaw vun a enfiah ang a, i natna lan chhuah dan a zawt ang che a, eczema i vei em tih a hriat theih nan. Doctor chuan vun lan dan te, a natna awm dan te, i chhungte zingah tu emaw chuan eczema ang chi natna an nei em tih te a ngaihtuah ang.

Eczema hriat theih nan thisen test bik a ngai lo tlangpui. Mahse, a chang chuan i doctor chuan allergy rinhlelh a nih chuan test a ti thei bawk. Tin, vun natna a awm nia rinhlelh a nih chuan vun tlemte lak a, test theih a ni bawk.

Engtin nge eczema hi kan control theih ang? Enkawlnate chu engte nge ni?

Eczema hi damdawi awm lo mah se, a natna hi enkawl dan tur tam tak a awm a, a natna tihziaawmna tur leh i vun hrisel taka awm theihna tur kawng tam tak a awm. Lungngai suh, i doctor thurawn zawm a, i vun uluk taka enkawl chuan i hrisel thei ang. A tum ber chu:

• Itching leh inflammation control.
• Vun tihdamna.
• Flare-up awm zat tihtlem.

Okay chuti a nih chuan eng nge kan tih theih tih i en ang u.

1. Vun vawt taka vawn reng - hei hi a pawimawh ber a ni!

Eczema vei tan chuan ni khatah vawi hnih tal moisturizer tha tak hman a pawimawh hle. Chu aia tam pawh a ni mai thei. Moisturizer hian moisture a lock in a, a vawt lo va, vun venhimna a tichak bawk.

• Eng ang moisturizer nge tha ber? Hriak rimtui lo, thick cream emaw ointment emaw a tha ber. Lotion hi tui a tam zawk avangin a vawt nghal vat thin. I tan moisturizer tha ber tur doctor zawt rawh.
• Engtikah nge dil tur? Inbual atanga minute 3 chhungin moisturizer hnawih a tha ber a, chutih lai chuan i vun a la hnim. Tin, ni khatah vawi hnih khat vel hnawih la, a bik takin i vun a vawt tih i hriat apiangin hnawih thin ang che.

I vun hi tuikhuah ang maiin ngaihtuah rawh. Moisturizer hian a tih tur chu chu tank chhunga khur awmte chu khar a, tui a chhuah loh nan a titawp a ni. I hrethiam em?

2. Chu ‘Triggers’ te chu hlat rawh.

I eczema ti na zualtu thilte i hriat hnu chuan a theih ang anga pumpelh tum ang che. Entir nan:

• Savun khauh ai chuan cleanser nalh tak, rimtui lo hmang zawk ang che.
• Thawmhnaw i sil dawnin detergent rimtui lo, mild tak thlang rawh. Silfai zawhah uluk takin silfai thin ang che.
• Wool emaw puan rough emaw hmang lovin, cotton ang chi puan nem tak ha rawh.
• I in chhunga leivut natna (dust mites) tihtlem la, khum chu tui lum takah silfai fo la, a theih chuan carpet te pawh paih chhuak thin ang che.

3. Doctor-in damdawi a pek chu dik takin hmang ang che.

A chang chuan moisturizer ringawt pawh a tawk lo mai thei. Chutiang a nih chuan doctor chuan hriak chi hrang hrang a pe ang. When using these , doctor-in a rawt ang chiaha hman a pawimawh hle a, hun bituk chhung atan pawh hman a pawimawh hle bawk.

• Topical corticosteroids: Hengte hi eczema damdawi an pek tam ber a ni. Cream emaw ointment emaw angin an lo awm thin. Inflammation leh itching tihziaawm thuai hmangin hna an thawk thin. Chakna hrang hrangah an awm thei. I doctor chuan i dinhmun atana chakna leh hun chhung dik tak a hrilh ang che. Ngaihtuah buai suh, thupek anga hman a nih chuan an him hle a, an tangkai hle bawk.
• Topical calcineurin inhibitor (TCIs) te hi a hnuaia mi ang hian a awm a:Hengte hi vun natna tihziaawmna hriak chi dang an ni. Steroid an neih loh avangin a chang chuan hmai leh kawr ang chi hmun sensitive tak takah emaw, hun rei tak hman atan emaw an pe thin.
• Antihistamines: Hengte hi pill angin a awm thin. A bik takin zan lamah, i mut that theih nan itching tihziaawmna atan pek theih a ni. Mahse, eczema an tidam lo va, itching control nan chauh an pui thin.
• Antibiotics: Vun natna a lo awm chuan a enkawl nan antibiotics pek theih a ni.

A nasat deuhah chuan oral corticosteroid emaw immunosuppressant dang emaw pek theih a ni a, mahse doctor enkawlna hnuaiah chauh pek theih a ni.

4. I inbual danah fimkhur rawh.

Eczema vei tan pawh inbual tha a pawimawh hle.

• Nitin inbual la, mahse minute 5-10 aia rei inbual suh.
• Tui lum hmang suh. Tui lum hi a tha ber.
• Sahbawn khauh tak tak ei loh tur. Thianghlimna nem tak, sahbawn tel lo hmang rawh. Eczema awmna hmunah chauh sahbawn hnawih thin ang che.
• I taksa chu khauh lutuk suh. Towel hmangin pat dry rawh.
• I inbual atanga minute 3 chhungin moisturizer hnawih la, chutih lai chuan i vun chu a la hnim reng a ni. Hei hi theihnghilh suh ang che!

5. Itching control dan tur tips.

Itching hi harsatna lian ber a ni. Mahse scratching hian a takah chuan vun a tichhe thei a, eczema a ti na zual thei bawk. Chuvangin, a theih ang anga scratching control a pawimawh.

• I nail te kha tawi takin dah la , chutiang chuan i hrual pawhin i vun a tichhe tlem zawk ang.
• Zanah i scrub a nih chuan i naute chungah cotton mittens i dah thei bawk.
• I hrual duh chuan moisturizer tlem tal hnawih la, a nih loh leh chu hmunah chuan cold compress dah la.
• Doctor-in antihistamines a pek chuan uluk takin hmang ang che.

Engtin nge eczema nen hian nun chu a nih?

Eczema hi a chang chuan lungchhiatthlak tak a ni thei bawk. A rilru a buai reng a, a hliam hmuh theih avangin a mualpho thei a, a lungchhiatthlak thei bawk. Hei hian naupang tê tête a nghawng bîk thei a ni.

• Nangmah chauh i ni lo: Eczema hi natna tlanglawn tak a ni. I doctor emaw, chhungte emaw, i ṭhian rintlak tak emaw hnenah hemi chungchang hi sawipui rawh.
• Stress enkawl dan: Kan sawi tawh ang khan stress hian eczema a ti na zual thei. Chuvângin, i hlim theihna tûr thilte ti la, exercise la, ngaihtuah la, mut ṭhat rawh. Heng thilte hian stress tihziaawmna kawngah a pui ang.
• Support group: Ram thenkhatah chuan eczema vei tan support group a awm a. Hengte hi midangte tawn hriatna leh thlamuanna hmuhna hmun tha tak a ni thei.

Eczema natna vei hian nun pangngai leh hlim takin i hmang thei tih hre reng ang che. A pawimawh ber chu inrelbawlna mumal leh rilru tha neih hi a ni.

Engtikah nge doctor i hmuh ang?

In lama damdawi leh over-the-counter damdawi hmanga i eczema i control theih loh chuan emaw, a hnuaia symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.

• Mut tibuaitu tur khawpa na tak leh sen hring a nih chuan.
• In lama enkawlna hmanga hmasawnna a awm loh chuan.
• Vun chu a sen a, a hring a, tui a chhuak a, a nih loh leh a hring ang maiin a lang a nih chuan hengte hi vun natna chhinchhiahna a ni thei.
• Vun hian khawsik ang chi a neih chuan, emaw, natna nen blisters a lo lang a nih chuan.
• Eczema hian naupang nitin hnathawh leh sikul hnathawh a tibuai a nih chuan.
• Hemi chungchangah hian rinhlelhna emaw hlauhna emaw i neih chuan.

Doctor chuan i dinhmun dik takin a teh thei a, a tul chuan damdawi chak zawk a pe thei che a, a nih loh leh vun lam doctor hnenah a refer thei bawk.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Eczema, a bik takin Atopic Dermatitis hi vun natna a ni a, a ti buai deuh thei a, mahse enkawl dan dik a nih chuan a control tha thei hle Hlauhthawn chhan tur a awm lo.

• A pawimawh ber chu i vun chu engtik lai pawhin a hnim reng tur a ni. Ni khatah vawi eng emaw zat moisturizer tha tak hnawih theihnghilh suh.
• I eczema tizualtu trigger te chu hriatchhuah la, pumpelh rawh.
• Damdawi hi i doctor-in a sawi ang chiah khan hmang ang che. Steroid cream hi hlau suh. Doctor-in a sawi anga hman a nih chuan an tangkai hle.
• Scratching hi a theih ang anga control rawh. Scratching hian a dinhmun a ti na zual mai ang.
• Vun natna chhinchhiahna (yellow crusts, pus) i neih chuan doctor pan nghal rawh.
• Eczema hi kai theih a nih loh avangin midang nena inpawh tawn hi hlau suh.
• Positive takin awm rawh. Uluk taka enkawl a nih chuan eczema natna nen hian nun pangngai, nuam tak i hmang thei ang.

Nangmah emaw, i chhungkuaa tu emaw hian hetiang harsatna hi i nei a nih chuan nangmah chauhin hrehawm tuar suh, damdawi lam thurawn zawng rawh. Tichuan i mamawh tanpuina i hmu ang.

` Eczema, atopic dermatitis, vun natna, itching, naupang enkawlna, vun enkawl, vun vawt