I ke a hring a, vun a hrual em? Hemi (Pretibial Myxedema) chungchang hi i zir chiang ang u!

I ke vun, a bik takin khup hnuai lam vun chu a lo hring nghal a, a thim a, a chang chuan a rawng a danglam tih i hmu ngai em? Nge hmun thenkhatah chuan orange hnah ang maiin a lang em? Heng symptoms te hi i neih chuan Pretibial Myxedema tih hi i nei thei a, chu chu vawiin hian kan sawi dawn a ni.

Hei hi eng nge ni (Pretibial Myxedema)? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, Pretibial Myxedema, Graves’ Dermopathy an tih pawh hi Graves’ Disease chi khat a ni a, kan vun tibuaitu a ni. Kan vun thuk zawka carbohydrates leh sugars, a dik zawka sawi chuan glycosaminoglycans emaw mucopolysaccharides emaw a awm khawm vang a ni. Chungte chu ke hnuai lam, khup hnuai lamah an pung khawm ber a ni. Hei hi ke a hring a, vun a lum a, vun a hring (scaling plaques) a nih chuan a ni. "Pretibial" leh "Myxedema" tih hian eng nge a awmzia?

• "Pretibial": Hei hian khup hnuai lama kan ke sir lama ruh lian tak, `(tibia)` hma lam a sawina a ni. Sinhala tawnga kan sawi chuan "in front of the shinbone" ang mai a ni.
• "Myxedema": Hei hian kan vun hnuaia tissue awmte a hring tihna a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

(Pretibial Myxedema) Tu pawhin vei thei mah se, mi thenkhat chuan an vei duh zawk. Anni chu:

• Graves natna vei: Hei hi ngaihtuah ber a ni.
• Thyroid lama harsatna nei te: Hei hian `(Hypothyroidism)` (thyroid hormone hniam ) emaw `( Hyperthyroidism )` ( thyroid hormone sang ) ang chi dinhmun a kawk a ni.
• Mit natna khirh tak nei te: Hei hi Graves’ Disease nen pawh a inzawm fo bawk.
• Kum 40 leh 60 inkar te.
• Hmeichhia: Hetiang dinhmun hi mipa aiin hmeichhiaah a tam zawk.

Ngaihtuah teh, i ṭhenawm Aunt Susila hian hun engemaw chen chu thyroid lama harsatna a nei tawh a. Vawikhatmah a ke khup hnuai lam chu a lo hring vek tih a hmu a, a vun chu a sen deuh a, a khawih chuan bump te te ang maiin a lang. A tirah chuan thawhrimna vang pawh a ni mai thei tih a ngaihtuah a. Mahse doctor hnena a entir hnuah chauh Pretibial Myxedema a ni thei tih a hrechhuak ta a ni.

Pretibial Myxedema chi hrang hrangte chu engte nge ni?

Hetiang dinhmun hi chi li a awm a. A natna lan chhuah dan hi a zirin a danglam deuh thei: 1. Diffuse: Hei hi a tam ber chi a ni. Hei hi non-pitting edema a ni a, vun hi vun a press chuan a bulge lo. 2. Plaque: 1.1.A hring bakah hian vun chung lamah hian plaques thickened, raised, crusty plaques a awm bawk. 3. Nodular: A hring bakah hian vun hnuaiah hian nodules khauh tak tak a awm bawk. 4. Elephantiasis: Hei hi a awm lo ber a ni. Hetiang chiah hian vun hnuaiah lymphatic fluid a pung khawm a, vun chu wart ang maia lang, rough angin a lang.

(Pretibial Myxedema) natna lan chhuah dan chu engte nge ni? Anmahni hi i hre chiang ang u!

Hetiang dinhmun hi i neih chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei ang:

• Swelling: I ke vun hi a hma ni aiin a lian zawkin a puffier zawkin a lang.
• Vun hnuaia hnah khauh tak tak: Hengte hi i kut hmanga i khawih hian hriat theih a ni.
• Vun hmun thenkhat chu a thim a, plaque ang mai a lo ni ta a: sangha zung ang mai a ni.
• Vun leh sam zungte hian eng mawi tak, waxy texture an nei a: Orange peel ang maiin a lang thei .
• Vun rawng a danglam: yellow leh orange atanga brown, red, leh purple thlengin a awm thei.
• A natna hmunah hian thawmhnaw a tam emaw, sam a sei lutuk emaw a awm.
• Vun a na emaw, a na emaw a ni.

A tirah chuan vunah hnah khauh tak angin a intan thei a ni. He lump hi hun kal zelah a lian chho thei a, a nih loh leh lump dang nen a inzawm khawm thei bawk.

Heng symptoms te hian taksaah khawiah nge a nghawng ber?

Pretibial Myxedema natna lan chhuah dan tlangpui chu:

• Khup hnuai lam keah chuan.
• Kephah hnuai lamah.
• A shins chu shin area ah a awm.

A chang chuan hmel inthlak danglamna hi Graves’ Disease emaw thyroid natna vang emaw a ni thei a, mahse chu chu thil danglam tak a ni.

Engvangin nge (Pretibial Myxedema) kan neih? A chhante chu engte nge ni?

Hei hi a chhan dik tak chu hriat chian a la ni lo nain, zirchianna a\angin thil engemaw zat a lo chhuak a ni. Hei hi a chhan ber chu vun `(dermis)` leh `(hypodermis)` layer-a kan sawi tawh ang khan sugar compound `(glycosaminoglycans emaw mucopolysaccharides)` a awm khawm vang a ni. Mahse, engvangin nge chutiang chuan a pungkhawm? 1. Immune system process `(Autoimmune response)`: A awlsam zawngin kan taksa ngeiin kan invenna system hian min do tan hna a thawk tan a. Hetah hian kan defence system hian kan cell te chu thyroid hormone laka `(antibodies)` siam turin signal a pe a. Heng `(antibodies)` te hian cell te hian `(glycosaminoglycans)` an tih chu a tam zawkin a siam chhuak thin. 2. (T lymphocyte) cells activation: `(T lymphocytes)` hi kan immune system-a cell chi khat bik a ni. Heng cell te hi vun tissue ah lut in messenger proteins `(cytokines)` an tih chu an chhuah tir thin. Heng cytokines te hian cell te hian glycosaminoglycans tam lutuk an siam chhuak thin. 3. Hliam chhanna:I ke hnuai lam, pretibial area-ah hliam i nei tih han ngaihtuah teh. Hypothyroidism i neih chuan hliam na hmunah hian immune cell leh protein te a awm khawm thei a ni. Hei hi a chhan chu thyroid hormone hian tissue-a heng compound awmkhawmna hi a control vang a ni. Hormone a tlakchham chuan chu control chu a bo ta a ni.

Engtin nge doctor hian Pretibial Myxedema hi a hriat theih ang?

Doctor i hmuh chuan i natna lan chhuah dan leh i damdawi lam harsatna dang i neih dan (`(medical history)`) a zawt hmasa ang che. Tichuan an enfiah ang che (`(physical exam)`). Hei hi (Pretibial Myxedema) a nih leh nih loh finfiah nan doctor chuan a hnuaia test te hi a ti thei ang:

• Thisen test: I thyroid hormone level enfiah thin ang che.
• Skin biopsy: Hei hi natna a awm leh awm loh hriat nan leh vunah glycosaminoglycans level tehna atan hman theih a ni.

Hei hi enkawl dan tur a awm em? Eng nge tih theih ang?

A tam zawkah chuan Pretibial Myxedema symptoms hi cosmetic chauh a nih avangin enkawl a ngai ngai lo. Chu chu, chhiatna lian tham an thlen lo tlangpui tihna a ni . Mahse, a lan danah i lungawi lo emaw, symptom dang (itching, pain) i neih chuan enkawl dan tur a awm.

• Compression socks emaw stockings emaw bun: Hei hian a hring (swelling) a tiziaawm thei.
• Topical cream emaw ointment emaw: Itching leh swelling a veng.
• Oral leh topical medications leh injections: Vun hnuaia lumps tihtlem emaw, a lan dan inthlak danglamna tih tlem emaw nan.
• Graves natna emaw Thyroid Condition emaw enkawl dan: Hei hi thil pawimawh ber a ni . A chhan bulpui ber enkawl a nih chuan Pretibial Myxedema symptoms hi a reh fo thin.
• Plasmapheresis: Hei hi a buaithlak deuh deuh a ni. Thisen tui (plasma) chu lakchhuah a, thisen cell sen leh var leh platelet te chu solution thara thlak a, taksaah dah leh a ni. Hei hi mi zawng zawng tih theih a ni lo.

Pawimawh: Surgery hian subcutaneous nodules te chu paih chhuak thei mahse, a tlangpuiin a tha lo. Hei hi a chhan chu, operation hnua vun a dam chhoh zel chuan hliamna hmunah nodules te hi a lo lang leh duh zawk a ni. Hei hi taksain surgery hmun chu "hliam" angin a enkawl vang a ni.

Pretibial Myxedema tan hian eng damdawi nge pek thin?

I doctor chuan he natna lan chhuahna tihziaawmna turin heng ang damdawi hi a pe thei che a ni:

• (Corticosteroids) te hi a awm a.Hengte hi topical medications an ni a, swelling, inflammation, leh itching tihziaawmna tura puitu an ni.
• (Pentoxifylline): Hei hi damdawi ei a ni a, kea thisen kal dan a titha a ni.
• (Octreotide): Hei hi injection a ni. Vun hnuaia lumps lian tham a ti tlem thei.
• (Rituximab): Hei hi thisen kal tlanga infusion a ni bawk. Kan taksa antibody te hnathawh that nan a pui thin.
• Intravenous immunoglobulin (IVIG): Hei hi damdawi vein pakhata pek thin a ni bawk. Immune system-a antibody awmte hnathawh a tichak a ni.

Damdawi thar i tan hmain i doctor nen a side effects te, eng chen nge i ei tur tih te, leh tuna i ei mek damdawi dang nen harsatna a thlen dawn em tih te sawipui hmasa phawt ang che.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Pretibial Myxedema symptoms i neih hun chhung hi i natna nasat dan azirin a inang lo ang. Enkawlna a awm chuan kar tlemte atanga thla engemaw zat chhungin natna lan chhuah dan a tha thei hle. Enkawlna tel lo chuan a châng chuan a natna chu a mah chauhva a reh theih nân kum engemaw zât a la ngai thei a ni. Mahse, i ke hnuai lam hliam i neih chuan chu natna chu a lo lang leh thei tih hre reng ang che.

Hetiang (Pretibial Myxedema) hi a lo thlen loh nan kawng a awm em?

Hei hi a thlen loh nan a taka ven theih a ni lo va, mahse i hlauhawmna tihziaawm nan a hnuaia mi ang hian i ti thei ang:

• Zuk leh hmuam hman loh tur.
• I thyroid function tichhe thei condition i neih chuan uluk taka enkawl tir rawh.
• I keah compression socks emaw stockings emaw bun la.

Kei pawhin he natna hi ka neih chuan engtin nge ni ang? Hlauh tur thil a ni em?

Pretibial Myxedema vei tan chuan prognosis hi a tlangpuiin a tha hle. I symptoms hian i hmel lan dan chauh a nghawng a nih chuan enkawlna i mamawh lo mai thei. Mild case i neih chuan a tlangpuiin a mah chauhin a bo vek ang. I case a na zawk a nih chuan prognosis a tha a, mahse a dam kim theih nan kum engemawzat a ngai thei.

Doctor hmuh ka ngai em?

Pretibial Myxedema hi a dam hnuah pawh a lo lang leh thei a, a bik takin i ke hnuai lam hliam i neih chuan. Chuvangin, i natna lan chhuah dan a reh a, a lo lang leh a nih chuan i doctor nen inbia ang che. Tin, natna emaw, na tak emaw i neih chuan doctor pan ngei ngei tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnena i kal dawnin hetiang zawhna thenkhat hi inpeih reng a tha:

• Pretibial Myxedema tanpui nan compression socks ka hmang thei ang em?
• Pretibial Myxedema hi enkawlna ka mamawh em?
• Ka symptoms hi thyroid condition hnuaia awm vang a ni em?
• Pretibial Myxedema natnain ka vun a nghawng chu engtin nge ka enkawl ang?

(Pretibial Myxedema) leh (Erythema Nodosum) te hi eng nge an danglamna?

Heng pahnih hian kan vun a nghawng a, a bik takin khup hnuai lama kan ke vun hi a nghawng a ni. Mahse, a lan chhuah danah hian danglamna a awm a:

• (Pretibial Myxedema): Hei hian a hring a, a hring, a thim, coral ang chi plaques a siam bawk.
• (Erythema Nodosum): Hei hian vunah a hring a, vunah te te, na tak tak a siam bawk.

A tawp berah chuan thil hriat reng tur

Pretibial Myxedema hi a tlangpuiin enkawl ngai lo a ni. A tam zawkah chuan a mah chauhin a bo vek. Mahse, hmel danglam hian a tibuai che a nih chuan enkawlna tur a awm. Compression socks bun hian swelling a tihziaawm thei a, i rilru a hahdam zawk bawk. I ke hnuai lam natna emaw, na tak emaw i neih chuan doctor nen inbiakna neihpui ngei ngei tur a ni. Tin, he natna hi Graves’ Disease leh thyroid harsatna nen a inzawm fo bawk a, chuvangin chutiang pawh chu hriat a pawimawh hle.

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