Vun natna khirh tak tak, rang tak i nei em? Pyoderma Gangrenosum chungchang hi i zir dawn teh ang!

I vunah hian blister te tak te emaw, red spot emaw, blister te tak te emaw, red spot emaw atanga intan a, rang taka ulcer lian tak, na takah a chang tawh ngai em? Hmun khat aia tam a thleng thei a, mahse i taksa hmun engemaw zatah a thleng thei bawk. Hei hi a takah chuan ngaihven engemaw zat mamawh leh a buaithlak deuh thei dinhmun a ni. Vawiin hian vun natna pakhat Pyoderma Gangrenosum tih kan sawi dawn a, chu chu natna hmuh tur awm lo mahse hriat tur pawimawh tak a ni. Ngaihtuah buai suh, awlsam takin i vawng ang u.

He Pyoderma Gangrenosum hi eng nge ni?

A awlsam zawngin, pyoderma gangrenosum hi chronic , a awmzia chu hun rei tak daih thei, leh vun natna lo lang leh zel tihna a ni. Thil thleng chu i vunah hian a hmasa berah chuan blisters te te, rawng danglam (red, purple, blue, brown, or black) emaw, fluid-filled blisters (bullae) emaw a lo awm tan thin. A hlauhawm zawk chu hengte hi rang takin an lian thei a, an inzawm khawm thei a, deep, open sores (ulcers) an lo ni thei bawk .

Thil pakhat chu pimple te tak te anga intan a, ni engemaw zat chhungin nickel ang maia lian ulcer na takah a chang ta a nih chuan eng ang nge a nih ang tih han ngaihtuah teh? Chu chu hetah hian a thleng thin. Mi thenkhat chuan ulcer pakhat chauh an nei thei a, mahse a nasat chuan vawi khatah ulcer tam tak a awm thei. Heng ulcer te hi a na thei hle .

Pawimawh tak chu, pyoderma gangrenosum hi systemic diseases dang nen a inzawm fo thin , chu chu vun lama harsatna mai a ni lo tihna a ni.

Tuin nge hetiang hi dawng thei ber?

Pyoderma gangrenosum hi kum eng pawhah a awm thei a, mahse naupangteah chuan a tlem hle . Hmeichhia kum 20 leh 50 inkar ah a tam ber a, a hnuaia natna te hi i neih chuan pyoderma gangrenosum i vei theihna a sang zawk thei bawk.

• Rheumatoid arthritis - Hei hi ruhkawr a ti na a.
• Ulcerative colitis - Intestine lianah ulcer awmin inflammatory condition a ni.
• Crohn’s disease - Inflammatory condition dang, chaw ei kawng a awm thin.
• Cancer chi thenkhat, entirnan, thisen cancer, leukemia emaw lymphoma emaw.

United States-ah hian mi sang za zinga pakhat velin a thleng niin an sawi . Chutiang chuan a awm lo tihna a ni.

Hei hian engtin nge taksa a nghawng? Eng nge a lan chhuah dan?

Pyoderma gangrenosum hian i vunah hian blisters te te, rawng danglam tak tak leh inflammation, chu chu a hring leh a sen tihna a ni. Heng blisters te hi taksa khawi hmunah pawh a lang thei a, mahse ke, ke ruh leh ke (lower extremities) ah hmuh tur a awm tam ber .

Heng blisters te hi rang takin a puak thei a, ulcer lian tak tak, na takah a chang thei a, a darh thei bawk.A lan chhuah dan ber chu:

• Pus-filled blisters te tak te, rawng danglam (red, purple, blue, brown, or black) te. Chungte chu rang takin an lian .
• Open sores (ulcer) a lo awm thin. Heng hliam chhehvel kilte hi a sang a , chiang takin a lang .
• Hliam vel a hring leh natna nasa tak a awm .
• Mi thenkhat chuan khawsik an nei thei bawk .
• Joint pain pawh a awm thei bawk.

Heng hliamte hi a chang chuan a lian hle a, a thuk hle thei bawk , a natna pawh tuar theih loh a ni thei bawk.

Zirna thenkhatah chuan pyoderma gangrenosum vei zinga 70% thlengin a rualin natna dang (comorbidities) pakhat aia tam an nei thei tih hmuhchhuah a ni. Pyoderma gangrenosum hi natna dang nena inzawm chuan thihna hlauhawmna hi 30% thlengin a pung thei niin an sawi. Chuvang chuan hei hi ngaihthah tur a ni lo.

Hei hi autoimmune natna a ni em?

Ni e, pyoderma gangrenosum hi autoimmune natna a nih rin a ni . A awlsam zawngin i taksa invenna system, immune system hian nangmah ngeiin i vun cell te chu a bei thin. Mi thenkhat tan chuan a chunga kan sawi tak natna dangte hi enkawl a nih chuan pyoderma gangrenosum hi a reh thin.

Engvangin nge pyoderma gangrenosum hi a lo awm?

Medical expert-te chuan a chhan dik tak an la hre lo , mahse pyoderma gangrenosum vei zinga a chanve aia tam chuan natna dang (arthritis, leukemia, leh Crohn’s disease ang chi) an nei a, a hmaa kan sawi tawh ang khan.

Chu bakah, pyoderma gangrenosum hi vun hliam, abrasion, emaw surgery (pathergy) hnuah pawh a awm thei bawk . I kutah abrasion te tak te, emaw, operation tenau te emaw han ngaihtuah teh, hetah hian he natna hi a intan thei a ni. A châng chuan heng hliam te hi operation hnuah stoma site vel ah pawh a lo awm thin. Hei hi peristomal pyoderma gangrenosum an ti a.

Hei hi hri kai theih a ni em?

No. Pyoderma gangrenosum hi kai theih a ni lo . Vun leh vun inzawmna hmangin mi pakhat atanga mi dangah a darh thei lo. Hei hi mi tam takin an ngaihtuah a, chuvangin hemi chungchang hi chiang taka sawi a pawimawh.

Doctor-te hian engtin nge hei hi an hriat?

Dik tak chuan pyoderma gangrenosum hmuhchhuah hi a harsa deuh thei a ni . A natna a nih leh nih loh finfiah thei tur test chiang tak a awm lo. Chuvangin, doctor-te chuan vun lama harsatna ang chi natna dang thlen thei tur awm lo turin test an ti tlangpui. Chu chu, natna dang, symptom inang nei te chu a awm loh nan an enfiah hmasa tihna a ni. Entir nan:

• Infection chi hrang hrang.
• Vun cancer natna a awm.
• Thisen kalna kawng vun a inflammation.
• Lupus natna.
• Sweet syndrome tih hming pu natna pakhat.

Chumi atana test-naah chuan:

• Thisen test a ni.
• Vun te tak te enfiah nan lak (Biopsy).
• Bone marrow sample lak - a bik takin thisen cancer ang chi thil rinhlelh a nih chuan.
• Proctoscopy hmanga enfiah a ni.
• Colonoscopy - Crohn natna ang chi dinhmun rinhlelh a nih chuan.

Heng test zawng zawng tih zawh a nih hnu leh thil dang zawng zawng tihbo a nih hnuah chauh doctor chuan pyoderma gangrenosum a ni tih a sawi chhuak ta a ni.

Enkawlnate chu engte nge ni?

Pyoderma gangrenosum hi enkawlna kawng hrang hrang a awm a. Scarring awm lo turin a hmaa hriatchhuah leh enkawl a pawimawh .

A tlangpuiin, a na lo zawkte tan enkawlna

Hliam a na lutuk loh chuan doctor chuan topical cream emaw ointment emaw a pe thei a ni. Chung zingah chuan:

• Corticosteroids: Heng damdawi te hi inflammation tihziaawmna damdawi an ni. Hliamah cream angin hnawih theih a ni a, pill angin ei theih a ni bawk. Entirnan: cortisone, prednisone tih te hi a ni. Mahse, hengte hian side effects a nei thei a, chu chu ei duhna tihpun, taksa rihna sang, mood swing, hmai vun, leh mut theih lohna te hi a ni.
• Nonsteroidal anti-inflammatory drugs (NSAIDs): Hengte hi natna tidamtu an ni. Entirnan: aspirin, ibuprofen te hi a ni. Chûngte chuan gas , pum na, pum na, luak chhuak, luak chhuak, ril\am, leh chaw ei khamna a thlen thei a ni.
• Silver sulfadiazine skin cream: Hei hi a takah chuan antibiotic cream a ni a, kangmeiah hnawih a ni a, natna kai loh nan. Hetiang dinhmun atan pawh hian a chang chuan hman a ni. Itching, fever, chills, skin lesions, leh ni êng laka sensitivity a thlen thei.

Tlem a khauh deuh em?

Hliam a nasat zawk chuan doctor chuan heng ang enkawlna hi a pe thei ang:

• Immunosuppressant damdawi: Hengte hian i immune system-in a taksa a tihchhiat theihna a tihtlem avangin hna a thawk a ni. Entirnan: mycophenolate, cyclosporine te hi a awm thei.
• Biologic agents: Hengte hi damdawi chi thar zawk an ni. Taksa chhunga protein bik, inflammation thlentu target-in hna an thawk a ni. Entirnan: infliximab, adalimumab, ustekinumab te hi a ni.
• Hyperbaric oxygen therapy: Hei hi chamber bik chhungah oxygen 100% pek a ni. Taksa tissue damna a ti chak zawk niin an sawi.

Surgery chungchang pawh i zir ang u.

A then phei chuan hliam atanga tissue thi surgery hmanga lakchhuah (debriding) hi a \angkai thei hle. Mahse, hei hian risk a nei bawk .Vun chhiatna (pathergy) hian pyoderma gangrenosum symptoms a ti na zual thei a, hei hi fimkhur takin leh i doctor duhthlanna angin tih tur a ni.

A chang chuan skin graft pawh tih theih a ni. Chumi awmzia chu taksa peng hrisel tak atanga vun lak chhuah a, hliamna hmuna dah luh a ni tihna a ni.

Hetiang natna nei mi i nih angin eng nge i hriat tur?

Pyoderma gangrenosum i neih chuan i vunah trauma chi hrang hrang – cuts, scrapes, bruises – hian i symptoms a ti na zual thei . Chuvangin a theih ang anga fimkhur a ngai a ni. Huanah emaw, kitchen-ah emaw hna i thawk tih han mitthla teh, i hliam tlemte pawh hi harsatna lian tak a ni thei.

Tin, hliam thianghlim taka vawn hi natna hrik laka invenna atan a pawimawh hle bawk .

• Hliam te chu tui thianghlim, luang chhuak leh sahbawn hmangin uluk takin silfai thin ang che.
• Tichuan, uluk takin hliam chu nonadhesive bandage hmangin khuh rawh. Hei hian bawlhhlawh leh hrik a luh loh nan a veng ang.
• I dermatologist chuan hliam fai dan tur leh bandage hnawih dan tur a hrilh belh ang che. Chu thupekte chu ngun takin zawm rawh.
• Ointment pek i nih chuan hliam chu silfai la, ointment chu hnawih la, chutah chuan bandage rawh.

Hliam na tak tan chuan i doctor chuan hydrocolloid bandage hman a rawt thei ang . Chungte chuan hliam chu a hrual lehzual loh nan leh natna hrik a kai loh nan a venghim a ni. Ni hnih atanga ni thum chhungin vunah an "melt" ang.

Eng chen nge tihdam a ngaih?

Pyoderma gangrenosum hi enkawl harsa tak a ni . Enkawlna \ha tak nei mah se, hliamte chu a dam theih nan kar tam tak, a châng chuan thla tam tak a ngai thei bawk. Chuvangin i dawhtheih a ngai a ni.

Hei hi ven theih a ni em?

A chhan dik tak hriat a nih loh avangin, a ven dan tur chiang taka sawi a harsa hle . Mahse, risk factors leukemia emaw inflammatory bowel disease emaw i neih chuan, vun lama harsatna thar (a bik takin hliam lo thang chak) i neih chuan i doctor hnenah hrilh nghal rawh I doctor hnenah dermatologist emaw, pyoderma gangrenosum chungchanga tawnhriat nei specialist dang emaw hnenah refer turin hrilh rawh.

Engtikah nge Doctor ka hmuh ang?

Heng thil thlengah hian doctor i pan ngei tur a ni:

• Inflammatory bowel disease, arthritis, emaw thisen lama harsatna i neih a, blisters emaw sores emaw i neih chuan a lian nghal vat a nih chuan .
• I hliam chu natna hrik (red, purple, gray emaw white emaw, a hring emaw, a na emaw) a nih chuan .
• Symptom thar i neih chuan .
• Damdawi ei hnua side effect na tak i neih chuan.

I doctor zawh tur zawhna pawimawh

Doctor hmu tura i kal hian heng zawhnate hi zawh a pawimawh hle a ni:

• Engtin chiah nge pyoderma gangrenosum ka nei tih i sawi?
• Pyoderma gangrenosum ka neih loh chuan eng vun natna dang nge ni thei ang?
• Eng ang test nge tih i beisei?
• Eng ang damdawi emaw, enkawl dan emaw i rawt?
• Cream ka hnawih tur emaw, damdawi in tur emaw min pe thei ang em?
• Heng damdawi leh enkawlna te hian a side effects kimchang chu eng nge ni?
• Ka natna lan chhuah dan tihtlem nan eng nge ka tih belh ang?
• Dermatologist, plastic surgeon, gastroenterologist, immunologist emaw, specialist dang emaw ka pan tur em ni?

Heng zawhnate hi zawh a, i dinhmun hriatthiamna chiang tak neih a pawimawh hle.

Pyoderma Gangrenosum leh Ecthyma Gangrenosum te hi eng nge an danglamna?

Heng hming pahnihte hi eng emaw chen an inang a, chuvangin an inthlau thei hle.

Ecthyma gangrenosum hi vun natna hlauhawm tak a ni a , tui leh leia awm tam tak Pseudomonas bacteraemia vang a ni. Tin, vun natna leh a chhehvel tissue necrosis a thlen thei bawk. Immune system chak lo nei te a nghawng tam ber .

Pyoderma gangrenosum hian vun natna a thlen bawk. A chhan dik tak hriat a la ni lo. Autoimmune disorder nia ngaih a ni. Mahse, a bul berah chuan taksa hriselna chak lote nghawng thei dinhmun a ni lo .

Pyoderma gangrenosum lesions chi hrang hrang a awm em?

Ni e, pyoderma gangrenosum lesions hi chi li a awm a, chungte chu:

• Classic pyoderma gangrenosum: Hei hi a tam ber a ni. Ke ah hian hliam na tak tak a awm tlangpui.
• Atypical emaw bullous pyoderma gangrenosum: Hetiang chi hi tuiin a khat blister angin a lang. Kut ah hmuh tur a awm tlangpui. Leukemia vei zingah a tam zawk.
• Pustular pyoderma gangrenosum: Kut leh keah hian blisters (pustules) te tak te, pus-filled blisters angin a lang. Hei hi inflammatory bowel disease nei te zingah a tam zawk.
• Vegetative pyoderma gangrenosum: Hetiang chi natna hi a na lo tlangpui.

A tawp berah chuan thil hriat reng tur

Pyoderma gangrenosum hi vunah hnah te tak te atanga intan a ni a, rang takin hliam lian takah a chang thei a ni. It can be difficult to diagnose and treat , chuvangin nang leh i doctor te pawhin in dawhtheih a ngai a ni.

I vunah trauma eng pawh laka fimkhur a pawimawh hle tih hre reng la, hei hian hliam thar a thlen thei a ni.

Pyoderma gangrenosum a nasat a, comorbidities dang i neih chuan natna nasa tak a thlen thei a, hliam na tak a thlen thei a, nunna atana hlauhawm pawh a thlen thei bawk. Chuvangin, autoimmune disease i neih a, vun natna lian tham tak i neih chuan doctor pan nghal rawh. A hmaa hmuhchhuah leh enkawl hian i dam leh thei a ni. Don't panic , mahse fimkhur rawh.

` Pyoderma Gangrenosum, Vun natna, Hliam, Ulcer, Immune System, Dermatology, Natna rei tak awm thei te