I vunah pawh tuar theih loh khawpa natna leh bumps i nei em? (Prurigo Nodularis) chungchang hi i zir dawn teh ang!

I vunah hian i tuar theih loh khawpa khauh, sang tak i nei em? Zanah a itching hi a na zual em? A châng chuan, heng bumps te hian natna a kai thei a, thisen a chhuak thei a, a tawpah chuan scabs a lo ni thei bawk. Hetiang hi i tawng tawh a nih chuan vun natna Prurigo Nodularis (PN) tih i nei thei. Vawiin hian chipchiar tak leh awlsam takin i sawi dawn nia.

Prurigo Nodularis chu eng nge ni?

A awlsam zawngin sawi ila, vun natna a ni. A lan chhuah dan ber chu vunah hian bumps khauh, sang tak a awm. Heng bumps te hi vun hring leh hnim hring in a khuh fo thin. An itchy hle thei bawk , a bik takin zan lamah. Heng bumps tlemte chauh hi i nei thei a, hmun khatah tam tak i nei thei bawk.

Heng bumps te hi taksa khawi hmunah pawh lang thei mahse, a tam ber chu:

• Pum (pui chhung hmun) .
• Kut a ni
• Ke te
• Luruh (lu vun) .
• A kekawrte
• Upper back

A pawimawh ber chu he natna hi a rei tawh hle a ni . Chumi awmzia chu rei tak a daih thei tihna a ni a, a chang chuan a tha chho zel a, a lo lang leh thei tihna a ni. Chuvangin, dawhtheihna leh inenkawlna tlem a mamawh thil a ni.

He natna hi tuin nge vei tam ber?

Dik tak chuan tu pawhin `(Prurigo Nodularis)` an nei thei. Mahse, mi thenkhat chuan an nei duh zawk. Entir nan:

• America ang ramah chuan African American zingah a awm fo thin.
• Kum 40 leh 69 inkar puitling zingah hmuh tur a tam zawk .
• Hmeichhia zingah pawh a hluar deuh niin a lang .

Tin, vun natna thenkhat i neih chuan `(Prurigo Nodularis)` vei theihna a sang thei bawk.

Mite chu vun natna vei theihna sang zawk an ni

Heng vun natna nei te hi an hlauhawm zawk:

• `(Bullous pemphigoid)` (vun natna a ni a, a hring chhuak) .
• `(Cutaneous T-cell lymphoma)` (vunah cancer chi khat) .
• Eczema (Eczema / Atopic dermatitis) natna hrik pai a ni.
• Keratoacanthomas (ni chhuahna avanga vun natna chi khat) .
• Lichen planus (vun leh vun natna) .
• Prurigo chi dang (vun natna dang, vun natna avanga lo awm) .
• Psoriasis natna a ni
• Vun a vawt lutuk (Xerosis cutis) .

Hriselna lama harsatna dang avanga hlauhawmna sang zawka awmte

Vun natna chauh ni lovin, hriselna lama harsatna dang thenkhat pawhin ``Prurigo Nodularis'' vei theihna a tipung a ni.

• `(Cancer)` (Cancer) a ni.
• Bacteria, virus leh parasitic infection thenkhat
• Zunthlum
• Gout tih hi a ni
• `(HIV - Mihring Immunodeficiency Virus)` kai a ni
• Iron tlakchhamna (anemia) .
• Kidney failure emaw, kal natna rei tak emaw
• Liver natna
• Lupus (connective tissue natna) .
• Nervous system lama harsatna awm thei
• Rilru lam hriselna lama harsatna thenkhat, entirnan, psychogenic pruritus emaw Obsessive-Compulsive Disorder (OCD) emaw.
• Thyroid natna a ni

Pawimawh: Heng natnate hi i neih chuan `(Prurigo Nodularis)` i nei ngei ang tihna a ni lo. Mahse, a hlauhawmna chu a sang hle tih hre reng ang che.

Prurigo Nodularis hi engtiang chiahin nge a awm?

United States-ah chuan statistics atanga a lan dan chuan mi 100,000 zinga 72 velin he natna hi an vei a ni. Mahse, mithiamte chuan he natna vei tak tak hi a tam zawk thei niin an ngai. A chang chuan vun natna dang nen a awm dun thin avangin doctor ten dik taka an hriat theih loh chang a awm thin.

Hei hi eng symptoms nge ni?

`(Prurigo Nodularis)` natna lanchhuahna lian ber ber engemaw zat a awm. Eng nge an nih i en ang u:

• Skin-a raised bumps : Hengte hi a tlangpuiin a hring, a hring (dry crust)-in a khuh thin. Bumps chu i vun rawng inang a ni thei a, a nih loh leh light pink, dark red, brown, emaw black emaw a ni thei bawk.
• Bumps lian leh te hi a thuk zawng a inang lo thei : Bumps thenkhat hian epidermis, vun chunglam layer leh dermis, middle layer pahnih a nghawng thei.
• Intense itching : Hei hi he natna lan chhuahna ber leh nuam lo ber a ni. Mi thenkhat chuan a hnim bakah hian kang emaw, hnim hring emaw an nei thei bawk.

Lump chi hrang hrangte chu hetiang hi a ni:

Heng lumps te hi chi thum ah then theih a ni:

• Nodules : Hengte hi centimeter 1 aia lian an ni a, vun epidermis-ah an lut tawh a ni.
• Papules : Hengte hi centimetre 1 aia te a ni a, vun chunglam chauh a awm.
• Plaques : Hengte hi a thuk lo, a hnah (scaly lesions) a ni a, cm 1 aia lian mahse vun hnuai lamah a inzar pharh lo.

Eng thilin nge Prurigo Nodularis hi a thlen?

A hmasa berah chuan hei hi natna hrik kai theih a ni lo . Chu chu khawih hmanga mi pakhat atanga mi dangah a darh lo tihna a ni.

Hei hi a chhan dik tak chu hriat chian ni lo mah se, thil ṭhenkhat chuan chanvo an nei niin an ngai:

• Vun chhunga nerve cell emaw immune cell emaw hnathawh tam lutuk.
• Heng bumps te hi vun natna dang avanga natna nasa tak avanga lo awm thei a ni a, vun hrual reng leh vun tihchhiat atanga lo awm thei a ni. A dik tak chuan itch-scratch cycle a awm thin. Scratching hian bumps a siam a, bumps a lo lan chuan scratching nasa zawk a siam thin.
• Damdawi thenkhat, entirnan cancer tan thenkhatChemotherapy damdawi hian ``Prurigo Nodularis'' a thlen thei bawk.

Engtin nge hei hi hriat chhuah a nih?

Heng symptoms te hi i neih chuan dermatologist i pan ngei ngei tur a ni. I vun a enfiah ang. Bumps lian leh te, a rawng leh a awmna hmun te an en ang. Tin, engzat nge i scratch tih leh engtikah nge i itching a na zual tih an zawt bawk ang che.

Pawimawh: Vun natna dang, hriselna leh allergy i neih apiang chu doctor hnenah hrilh ngei ang che. He information hian `(Prurigo Nodularis)` chu condition dang atanga thliar hrang turin a pui dawn a ni.

Eng test nge tih thin?

A tlangpuiin hetiang test hi tih theih a ni:

• Dermoscopy : Hetiang tih danah hian doctor chuan i vun chu kut hmanga tih, eng magnifying device (dermoscope) hmangin a enfiah thin. Hei hian doctor chuan vun hliam chu a ti lian thei a, vun a tan ngai lovin a ti lian thei a ni.
• Thisen leh zun test : Thisen chhiar kimchang (CBC), basic metabolic panel (BMP), leh zun zirchianna hian kan sawi tawh ang khan liver, thyroid, emaw kidney lama harsatna awmte hriatchhuahna kawngah a pui thei a, chu chuan hei hi a thlen thei bawk.
• Skin biopsy : Hetah hian vun te tak te (vun chunglam - epidermis leh middle layer - dermis te pawh tel) chu a natna hmun atang hian lakchhuah a ni a, microscope hmangin an enfiah thin. Hei hi tih a nih hmain area chu numbed a ni. Hei hi cell pangngai lo leh natna chhinchhiahna dang awm leh awm loh enfiah nan hman theih a ni.

Enkawlnate chu engte nge ni?

A tha ber chu, `(Prurigo Nodularis)` enkawlna tur a awm. Mahse, natna khirh tak a nih avangin enkawlna hian hun engemaw chen a daih thei a, dawhtheihna a ngai a ni.

Enkawlna bulpui ber

Natna vei na lo tan chuan a hnuaia enkawlna te hi hman a ni tlangpui:

• Vun chhunga injection : Damdawi hi a natna hmunah direct-a inject a ni. Anti-inflammatory drugs corticosteroids an tih chu vunah an inject chuan inflammation a reh a, natna, sen leh itching te chu rang takin a reh thei a ni.
• Topical treatments : Damdawi thenkhat chu vunah direct-in cream emaw ointment emaw angin an hnawih thin.
• Calamine lotion hi itching tihziaawm nan an hmang fo thin.
• Doctor chuan topical corticosteroids, vitamin D awmna cream emaw, calcineurin inhibitor (immune system titawptu damdawi) emaw a rawt thei bawk.

An tling lo a nih chuan engtin nge ni ang?

A châng chuan, a chunga kan sawi tak injection leh ointment ringawt hian hahdamna nasa tak a pe lo mai thei. Chutiang a nih chuan, i doctor chuan enkawlna dang a rawt thei a, chu chu:

• Cryotherapy : Hei hian liquid nitrogen hmangin warts lian tak tak emaw, itchy tak tak emaw chu a freeze thin. He enkawlna hi corticosteroid injection nen an inkawp fo thin.
• Immunosuppressants : Heng damdawi te hian i immune system a overreact loh nan a titawp a ni. He enkawlna hi autoimmune disorder, lupus emaw psoriasis emaw avanga Prurigo Nodularis i neih chuan pek theih a ni.
• Phototherapy : Hei hian ultraviolet light hmangin vun natna a tiziaawm a, vun natna a tidam thei bawk. Histamines an tih chemical siamtu immune cells te chu a ti reh a, a thawk a ni. Enkawlna engemaw zat a ngai tlangpui.

He natna hi a dam kim vek dawn em ni?

A châng chuan, `(Prurigo Nodularis)` hi a mah chauhin a ṭhat phah ṭhin. Mahse, kan sawi tawh ang khan hei hi vun natna rei tak a ni . Chumi awmzia chu thla engemaw zat emaw, a aia rei emaw pawh a daih thei tihna a ni. A châng chuan, vun natna chu rei lo têah a ṭha a, a lo lang leh thei bawk.

Heng bumps thlentu trigger te hi i hriat theih chuan nakin lawkah he natna hi a lo awm leh tawh loh nan kawng engemaw takah a kal ang.

He natna atanga harsatna na tak tak thleng hi a tlem hle. Mahse, natna hrik kai natna (infected lesions) a lo awm thei a ni. A hliam dam tawhna hmunah pawh hliam emaw vun rawng danglam emaw a awm thei bawk.

Engtin nge he thil thleng lakah hian a theih ang anga kan inven theih ang?

`(Prurigo Nodularis) lo awm tur venna tur kawng awm lo mah se, vun natna tihziaawmna tur, vun tichhe zual tur leh vun thar lo lang tur tihziaawmna tur thil engemaw zat kan ti thei a:

• Ni êng pumpelh la , SPF 30 tal nei sunscreen hmang bawk ang che.
• Keep your nails short , i seh chuan vun a tihchhiat theihna a tlem avangin.
• Hmun lum atanga hlat la , a theih ang anga thawk hahna thil tih loh tur.
• I vun tana tha tur gentle cleanser leh moisturizer hmang la.
• A theih chuan, thawmhnaw kut sei tak leh kutkawr , a bik takin tum loh taka scratcher i nih chuan ha rawh .
• Skin bumps-ah thisen a chhuak a nih chuan antibiotic ointment hnawih ngei ngei tur a ni a, bandage fai takin khuh tur a ni.

Engtikah nge Doctor ka hmuh ang?

Heng natna lanchhuahna te hi i hmuh chuan doctor pan nghal rawh :

• Hliam atanga hnim emaw tui dang emaw a chhuak a nih chuan.
• Khawsik i neih chuan .
• Hliam vel chuNatna, natna, emaw, hliam emaw a awm chuan.
• Hliam chhehvel vun chu a sen emaw a lum emaw a nih chuan .
• Hliam vel ah line sen i hmuh chuan.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

`(Prurigo Nodularis)` i neih chuan doctor i tlawh hunah heng zawhnate hi zawh theihnghilh suh:

• `(Prurigo Nodularis)` ka neih lai hian ei tur ka ei loh tur a awm em?
• Hei hi home remedies a awm em?
• Engtin nge scarring hlauhawmna tihziaawm theih ang ?
• Engtin nge itching tihziaawm theih ang , a bik takin zan lamah?
• Hei hi `(Prurigo Nodularis)` hi a hnuaia damdawi lam dinhmun dang avanga lo awm a ni em ?

A tawp berah chuan hei hi ka sawi tur che u a ni (Take-Home Message) .

`(Prurigo Nodularis)` hi a chang chuan enkawl harsa leh tibuaitu a ni thei. Thla tam tak a daih thei a, a chang chuan a rei zawk pawh a daih thei a, a dam leh thei a, a lo let leh thei bawk. Treatment pakhat a hlawhtlin loh chuan a dang i enchhin a ngai a, hei hian a ti lungngai thei hle. Chuvangin, i thusawi ngaithlatu tur dermatologist thlan a pawimawh hle .

Chutih lai chuan i vun chu a tha thei ang bera awm tir tum ang che. Scratching tihtawp a harsa a, mahse `(Prurigo Nodularis)` nodules scratch hian thil a ti na zual ang a, infection a thlen ang a, scarring a thlen ang Tin, itching a ti na zual bawk ang.

I vun chu a lum leh vawt thei ang bera vawng la. Scratch i duh chuan calamine lotion ang chi hi hnawih zawk tum ang che. Nangmah chauh i ni lo tih hre reng la, damdawi lam thurawn leh enkawlna dik tak nen chuan he natna hi thunun theih a ni.

` Prurigo nodularis, vun hring, vun natna, vun natna, vun natna, vun enkawl dan, vun natna rei tak awm thei te