I comb, bathroom floor, leh pillowcase ang chi hmunah pawh sam i hloh tam zawk em? Sam tlakchham hi mi tam tak tan chuan harsatna awm fo a ni. Mi thenkhat tan chuan sam tla tlemte pawh hi thil lian tak a ni thei. Mi dangte tan chuan sam an hloh tan hma loh chuan thil lian tak a ni lo mai thei. Chuti a nih chuan engvangin nge hetiang hi a lo awm, eng nge tih theih ang, vawiinah hian chipchiar takin sawi ila.
I en hmasa phawt ang u, he sam hi eng nge ni?
A awlsam zawngin sawi ila, sam hi kan vunah sam a ni. Kan taksa hmun tinah deuhthaw hian sam kan nei a, kan kutphah, kan kephah, leh mitmeng ang chi hmun tlemte tih loh chu, a then chu a fim em em a, kan hmu thei lo.
Sam hi protein pakhat keratin an tih atanga siam a ni . Chungte chu kan vunah sam zung (hair follicles) atanga lo chhuak a ni. Heng sam zungte hian sam cell thar an siam chhuah rual hian cell hlui te chu vun atangin an nawr chhuak thin. I sam hmuh hi a takah chuan keratin cell thi awmkhawm a ni. Puitling zatve chuan an lu-ah sam 100,000 leh 150,000 inkar an nei a. Ni khatah sam 100 vel hloh hi thil pangngai a ni a, chuvangin i hairbrush-ah tlemte i hmuh chuan ngaihtuah buai a ngai lo.
Engtik lai pawhin i lu sam 90% vel chu a lo thang lian zel a ni. Sam tin hian nun kawng hrang hrang a nei vek a. He cycle hi phase lian pathum ah then a ni.
| Hunbi | A awlsam zawngin... | Hun |
|---|---|---|
| Anagen a ni | Sam active taka sei leh sei hun chhung. | Kum 2 atanga kum 8 inkar a ni |
| Catagen a ni | Transitional period, a thanna a tawp a, hair follicle chu a chhuah theih nan a inbuatsaih thin. | Kar 2 atanga kar 3 chhung a ni |
| Telogen a ni | Sam chawlh hahdam hun a ni tawh. Hemi hun tawp lamah hian sam a tla chhuak ang. | Thla 2 atanga thla 3 chhung a ni |
He chawlhna hun (Telogen) tawp lamah hian sam zung chu a tla chhuak a, sam zung tharin a thlak a, chu chuan a than chhoh dan chu a tan leh ta a ni. He growth rate hi kan tar chhoh zel chuan a tlahniam deuh thin.
Sam tlakchhamna chi hrang hrang a awm em?
Ni e, damdawi lam chuan hair loss alopecia kan ti a. Hei pawh hi chi hrang hrang a awm bawk.
- Androgenic Alopecia: Hei hi a tam ber a ni. Genetic condition a ni.
- Mipa Pattern Baldness: Kum naupan lai atang tawhin a intan thei a, kum 20 i tlin atang pawhin a intan thei bawk. A lan chhuah dan ber chu hmai sir lehlamah sam a tlahniam a, lu chunglam a sam a hring (balding) a ni.
- Hmeichhe Pattern Baldness: Hei hi kum 40 an tlin hnuah hmuh tur a awm tlangpui a, mipa angin patch-a balding ai chuan lu zawng zawngah sam a tla vek. Lu lallukhum chunga sam hi a hring bik hle.
- Alopecia Areata: Hei hi kan taksa hriselna (immune system) ngeiin sam zung (hair follicles) a rawn beih sual hian a ni. Hei hian rang takin, patchy baldness a thlen thin. Naupang leh tleirawl puitlingte a nghawng tam ber. Mahse thu lawmawm tak chu kum tlemte chhungin mi 90% vel chuan an sam an ti sei leh ang.
- Telogen Effluvium: Hei hi hun eng emaw chen atana awm a ni. Ngaihtuah teh, stressor lian tak, nau i neih hnuah, a nih loh leh natna lian tak i neih hnuah, rang takin sam tam tak i hloh ṭan ta a ni. Heta thil thleng chu sam tam tak chu chawlhna hun (Telogen phase)-ah a lut nghal a, a tla chhuak ta a ni. A chhan a bo tawh chuan a pangngaiin a awm leh ta a ni.
- Traction Alopecia: Sam hi a hrual nghet lutuk (tight braids, ponytails) hmanga styling, leh hot comb hman hian sam zungte a tichhe thei a, sam a tlakchham reng thei bawk.
- Scarring Alopecia: Vun natna thenkhat (cellulitis, folliculitis) emaw lupus ang chi natna hian lu vunah hliam a thlen thei a, chu hmunah chuan sam a tlakchham reng thei a ni.
Awle, engvangin nge ka sam hi hetiang hian a tlak chhuah? A chhan engte nge ni?
Doctor-te chuan engvangin nge sam zung thenkhat hian a dang aiin an than chakna cycle tawi zawk tih hi chiang takin an la hre lo a, mahse sam tlakchhamna thlentu lian tak tak engemaw zat a awm thung.
A pawimawh ber chu, sam i hloh nia i rinhlelh chuan a chhan dik tak chu zawng chhuak rawh.Doctor hmu la, thurawn la rawh.
- Hormone: Sam tlakchhamna hi hormone inthlauhna vang a ni thei a, chu chu androgens te hi a ni a, hei hian hmeichhia leh mipa a nghawng thei a ni.
- Genes: Nu leh pa pahnih atanga gene rochun te hian sam sei (baldness) neih duhna kawngah nghawng lian tak a nei a.
- Stress, natna, leh nau neih: A hmaa kan sawi tawh ang khan hengte hian hun eng emaw chen chu sam a tlakchham (Telogen Effluvium) a thlen thei a ni.
- Damdawi thenkhat: Cancer tan Chemotherapy, thisen tizautu damdawi, thisen sang damdawi thenkhat, leh naupai venna damdawi te hian hun eng emaw chen chu sam a tikehsawm thei a ni.
- Damdawi lam thil dang: Thyroid natna, zunthlum, lupus, iron tlakchham vanga thisen tlakchhamna, leh ei leh in lama harsatna thenkhatte hian sam a tikehsawm thei.
- Nutritional deficiencies: Protein tlakchhamna ei leh in, vitamin A, B, C, D, E, leh iron leh zinc ang chi nutrients te hi sam tlakchhamna thlentu a ni bawk.
- Hairstyle: Chemical hmanga enkawl fo (dyeing, perming) leh lum lutuka inhnim hian sam a tichak lo thei a, a tikehsawm thei bawk.
Engtin tak nge doctor hian hei hi a hriat chian?
Sam lama harsatna nei doctor i hmuh chuan a chhan zawng turin step engemaw zat a zawm ang.
1. Medical history leh examination: I hriselna chungchang te, i chhungkuaa tu emaw hian he harsatna hi an nei em tih te, eng damdawi nge i ei tih te zawhna i dawng ang. I luruh chu uluk takin an enfiah ang.
2. Thisen test: Iron level, vitamin D, leh thyroid hormone te enfiah nan thisen test turin an ti mai thei che.
3. Trichoscopy: Hei hi test a ni a, camera ang deuha hmanraw bik hmanga lu vun leh sam zungte tihpunna a ni.
4. Skin biopsy: A chang chuan, lu vun atanga vun te tak te tak te lakchhuah a, enfiah thin a ni a, a bik takin scarring alopecia a awm leh awm loh enfiah nan.
Sam tlakchhamna damdawi te chu engte nge ni?
Enkawlna chu sam tlakchham chhanah a innghat a ni. A chhan thenkhat chu enkawl a nih chuan a lo thang leh ang a, mahse natna thenkhat (Scarring Alopecia ang chi) erawh chu a awm reng thung. Enkawlna chuan sam tlakchhamna a titawp ang.
A natna tlanglawn ber, Androgenic Alopecia (baldness) hi enkawlna bulpui engemaw zat a awm.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Damdawi chi hrang hrang | |
| Minoxidil a ni | Lu vunah direct-a hnawih tui emaw foam emaw. Hei hian hair follicles a tichak a, an than chhoh theih nan a pui bawk. |
| Finasteride hmanga siam a ni | Hei hi mipa tan phalna pek pill a ni. Sam tlakchhamna thlentu hormone pakhat a control a ni. |
| Enkawlna dang (Procedures) . | |
| Sam Grafting/Transplant tih a ni | Lu hnung lam ang chi sam tha awmna hmun atanga sam zungte lak a, sam awm lohna hmuna phun leh. |
| PRP hmanga enkawlna (Platelet-Rich Plasma Therapy) hmanga enkawl a ni. | Mahni thisen atanga lak chhuah plasma chu sam sei chak nan lu vunah inject a ni. |
| Light Therapy hmanga enkawl a ni | Sam zungte chu light beam bik (low-level laser) hmanga tihchak. |
Heng enkawlnate hian hun a duh tih hre reng ang che. Thla 3-6 chhung chu result hmuh tur a awm lo mai thei. Tin, "ni 7 chhunga sam sei" thei cosmetics hrang hrangah pawh fimkhur rawh. Doctor thiam tak thurawn chauhvin enkawl tan fo ang che.
Sam tlakchham loh nan eng nge kan tih theih ang?
Sam tla zawng zawng hi ven theih a ni lo, a bik takin genetic cause a awm chuan. Amaherawhchu, kan tih theih tur a awm.
- Ei leh in inthlau tak ei rawh:Protein, iron, zinc, leh biotin (vitamin B7) te ang chi ei tur tha tak tak ei thin ang che.
- I sam chu ngilnei takin awm rawh: I sam kha khauh lutuk kha pumpelh rawh. Shampoo leh conditioner nem tak hmang rawh.
- Khua lum lutuk loh tur: Curling iron, straighteners leh blow dryer hman kha tihtlem (setting hniam takah tih loh chu).
- Stress enkawl rawh: Yoga, meditation, leh exercise ang chi thil hmangin i stress tihziaawm rawh.
Take-Home Thuchah a ni
- Sam tlakchham hi a awm fo thin. Nangmah chauh i ni lo.
- Ni khatah sam 50-100 vel hloh hi thil pangngai a ni. Chu aia tam i hloh emaw, patch-a i balding emaw a nih chuan ngaihven rawh.
- A pawimawh ber chu harsatna i neih chuan a rang thei ang bera Doctor thiam tak hmuh hi a ni. A chhan hmuhchhuah hma poh leh enkawl theihna chance a sang zawk.
- Tunah chuan sam tlakchhamna damdawi tha tak tak a awm tawh a, chuvangin beiseina bansan suh.
- Hei hian i rilru hriselna a nghawng a nih chuan i doctor nen pawh sawipui rawh. Chumi atan pawh chuan tanpuina i dawng thei bawk.
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