I kut a na a, a sen em? Hei hi Tinea Manuum pawh a ni thei!

I kut chu a chang chuan tuar theih loh khawpin a na em? A nih loh leh an sen leh flaky angin an lang em? Mi thenkhat tan chuan an kutphah a vawt hle thei a, vun a hrual thei a, hmun thenkhatah phei chuan a chhe thei bawk. Hetiang symptom kan neih hian vun lama harsatna tenau tak mai mai niin kan ngai thin. Mahse, hei hi a takah chuan fungal infection a ni thei. Chu chu vawiina kan sawi tur dinhmun, `Tinea Manuum` tih chu a ni. Lungngai suh, he thu hi chipchiar takin sawi ila.

Tinea Manuum chu eng nge ni? I han chhui chiang teh ang!

A awlsam zawngin, Tinea Manuum hi fungal infection a ni a, i kut pakhat emaw, kut pahnih emaw a awm thei a ni. I vun chunglam layer a nghawng a ni. Mi thenkhat chuan ``Ringworm'' an ti bawk. Mahse, ``Ringworm'' tih hming hian sawi mah se, a chhungah hian rulhut a awm lo. Chu chu he natna hi a lo thlen hian a chang chuan ring ang maiin a lang a, ring ang maiin a lang thin. Chu ring chhehvelah chuan hmun sang deuh a awm thei a, chu chu rulhut ang mai a ni.

He natna hi Tinea Manuum tia koh hian i kut hmun hrang hrang a nghawng thei a ni.

• I kut chu.
• Kut hnung lamah chuan.
• Kut zungtang inkar vun fold te tan.

Tinea Manuum hi Tinea Pedis (Athlete’s Foot tia hriat bawk), kea fungal infection nen an inthlau fo thin. Mahse, kut ah pawh a thleng thei.

He thil hi tuin nge dawng tam ber? Engtiang chiahin nge a hluar?

Tinea manuum hian kum eng pawh ni se, mipa leh hmeichhia pawh a nghawng thei. Mahse, mipa naupang leh mipa upa zawkah hmuh tur a tam ber.

Khawvel mihring 25% velin fungal infection an vei nia chhut a ni. Chung zingah chuan Tinea Manuum leh Tinea Pedis te hi doctor ten an hmuhchhuah tam ber infection pahnih an ni. Ram thenkhatah chuan Tinea Manuum hi fungal infection zawng zawng zinga 13% vel a ni.

Tinea Manuum hi kut pahnih ah a awm thei a, mahse a tam zawkah chuan kut pakhatah chauh a awm thin. Hei hi doctor-te zingah "Two feet, one hand syndrome" tia hriat a ni bawk. Chumi awmzia chu ke pahniha Tinea Pedis i neih chuan kut khatah Tinea Manuum pawh i nei tihna a ni. Hei hi 65% velin a thleng thin. Kut leh ke pahniha fungal infection hi 20% velin a awm a, kut pakhatah chauh Tinea Manuum hi 12% velin a awm a, kut pahnihah Tinea Manuum hi 4% velin a awm bawk.

Tinea Manuum natna lanchhuahna chu engte nge ni?

A lan chhuah dan ber chu kut hnung lamah itchy, circular spot awm a ni. Mi pakhatah chuan vun hring nei tan chuan heng hmunte hi a sen emaw, a sen emaw a lang thei. Mi pakhatah chuan vun dum nei tan chuan a sen emaw, a sen emaw a lang thei. Heng hmunte hi a chang chuan a laiah a chiang thei a, a chhehvelah chuan circle engemaw zat a siam thei bawk. Circle te hi a chang chuan a sang thei a, scaly angin a lang thei bawk.

I kutphah chunga vun chuA thim thei hle. A vawt nasa thei bawk . Palm-ah hian crack thuk tak tak i hmu mai thei. A crack te chu a chhungah chuan white peeling ang maiin a lang thei. Kutphah chu a hnim emaw, a hring lo emaw pawh a ni thei. A chang chuan natna leh hliam a awm thei bawk .

I kut zungtang vel vunah hian hmun sen i hmu thei a, chubakah blisters leh pimples te pawh i hmu thei bawk. Thil tam takah chuan he natna hi i nail-ah pawh a darh thei a ni .

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

Tinea Manuum hi fungus chi khat atanga lo chhuak a ni. Heng fungi te hi hmun lum leh vawt takah an thang lian thin. Kan ram ang chi tropical environment-ah pawh an awm fo. Tin, hmun hnim, vantlang inbualna leh gym-a locker room-ah te pawh an hlawhtling hle.

Tinea Manuum hi natna hrik kai thei tak a ni. He natna vei, natna vei rannung emaw, leilung hnim hring nei emaw i khawih chuan i nei thei a ni. Fungus nei thil emaw, fungus awmna hmun khawih emaw i hman chuan i hmu thei bawk. Fungus hian natna hrik kai thil leh lei chung lamah rei tak a nung thei a ni.

Mi tam tak chuan Tinea Manuum an neih hmain an keah Tinea Pedis (Athlete ke) an nei thin. He fungus hi a kai thei hle a, chuvangin i ke i hrual chuan i kut ah a darh thei a, Tinea Manuum a thlen thei bawk.

Hetiang hi tu nge vei thei ber?

Tinea Manuum thlentu fungus hian boruak lum leh hnim hring a duh tih kan sawi tawh a. Chuvangin, he natna hi i vei theihna tipungtu thil thenkhat chu hetiang hi a ni:

• Tropical environment-a awm: Kan Sri Lanka ang bawkin.
• Hmun lum leh vawt tak takah zin chhuah.
• Mipui inbualna, locker room, indoor swimming pool, leh gym te hman.
• Mi tam tak chu boarding house ang hmunah te an cheng dun a.
• Taksa infiamna hrang hrang, wrestling leh football khelh.
• Thawmhnaw, towel, khum, comb, leh infiamna hmanrua ang chi thilte midangte hnena insem.

Tin, mi thenkhat kut hmanga hnathawkte chuan an nei tam zawk bawk. Entir nan:

• Midang nena inpawh tak, massage therapist leh hairdresser te ang chi te.
• Rannung nena thawk ho, lo lama thawk leh ran enkawltu te ang chi te.
• Car mechanic, machine operator, chemical hmanga hnathawkte.

Risk factor dang engemaw zat a awm bawk:

• Mipa nihna.
• Thisen sang (Hypertension).
• Immune system chak lo (e.g. HIV/AIDS, cancer, zunthlum ang chi dinhmun avang).
• Atherosclerosis natna a ni.
• Thau lutuk.
• Thaw chhuak lutuk (Hyperhidrosis).

Engtin nge hei hi a kai darh?

Tinea Manuum hi natna hrik kai theihna sang tak a ni. Kawngpui pathum hmanga kai theih a ni.

Mite hnen atangin

Infection nei mi pakhat nen direct-a i inzawm chuan i nei thei bawk. Chu mi chuan symptoms a nei thei a, a nei lo thei bawk. Mahse carrier an nih chuan hri kai chu an thehdarh thei a ni.

Rannung a\angin

Ran hri kai i khawih pawhin i nei thei bawk. Ui leh vawk ang chi ran vulh (a bik takin ui note leh ui no) atanga kai theih a ni a, lo neitu rannung, bawng, sakawr, vawk, leh kêl atanga kai theih a ni bawk.

Thil nung lo (Fomites) atanga lo chhuak .

Fomites chu thil emaw thil emaw, natna hrik keng thei a ni. Heng fungi te hi thil chi hrang hrang, thawmhnaw, towel, leh mutna te insem hmangin a darh thei a ni. Tin, hmun hnim (e.g., locker room, vantlang inbualna)-ah pawh hmun khauh takah an awm thei bawk.

I taksa peng khat atanga hmun dangah a darh thei a, chubakah leia fungus, boruak chhunga thil hrik kai te a khawih atang pawhin a darh thei bawk.

Engtin nge doctor hian tinea manuum hi a hriat theih ang?

Doctor i pan hunah i natna lan chhuah dan an zawt ang che a, an enfiah ang che. I kutphah te, i kut hnunglam te, i kut zungtang te chu an en ang. I ke pawh an en fo ang, a chhan chu Tinea Manuum vei tam tak chuan Tinea Pedis (ke fungal infection) an nei bawk.

Doctor chuan hri kai awmna hmun sample tlemte lak a duh mai thei a, test dang tih belh lehin Tinea Manuum a nih leh nih loh finfiah a duh mai thei.

Eng test nge tih a nih?

Tinea Manuum dik taka hriat theih nan a hnuaia test te hi tih theih a ni:

KOH test (KOH stain) hmanga enfiah a ni.

Hei hian doctor chuan i kut natna hmun atanga vun tlem te chu zawi zawiin a hrual thin. Lab-ah chuan vun scraping te chu microscope slide-ah dahin, potassium hydroxide (KOH) drop khat dahin, microscope hmangin sample chu enfiah a ni. KOH hian fungus a awm leh awm loh hriat a ti awlsam hle. A tlangpuiin darkar 24 chhungin result hi hmuh theih a ni.

Fungi chin dan (Culture) 1.1.

`KOH` test hi a chiang lo a nih chuan i doctor chuan `Culture` a order thei ang. `Culture` chu fungi lo thang lian thei tur medium a ni. Chumi hnuah chuan technician chuan eng fungus chi nge i natna thlentu tih chiang takin a hre thei ang. Hei hi `KOH` test aiin a dik zawk a, mahse result a lo let leh theih nan kar engemaw zat a la ngai thei.

Dermoscopy hmanga enfiah a ni

A châng chuan i doctor chuan dermoscopy tih hmangin i kutah fungal infection a awm leh awm loh a enfiah thei bawk. Hei hian kut zungtang hman theih dermoscope an tih hman a huam a ni. Magnifying lens leh light system a nei bawk. Mit hmuh theih loh chipchiar tak tak a hmu thei a ni. Tinea manuum i neih chuan i kut zungtang chhungah hian var, hnah hring (scaly patches) i hmu fo ang.

Tinea Manuum hi eng enkawlna nge ni?

I doctor chuan tinea manuum enkawlna atan antifungal damdawi a pe ang che. A tam zawkah chuan in lamah pawh over-the-counter cream hmangin i enkawl thei a ni. He antifungal cream hi a natna hmunah ni khatah vawi khat emaw vawi hnih emaw kar ruk vel hnawih tur a ni. Heng cream te entirnan Miconazole (e.g. Monistat 7®) leh Clotrimazole (e.g. Lotrimin®) te hi an ni.

Mahse, a then phei chuan i doctor chuan antifungal damdawi ei tur a pe thei a ni. I natna hi i nail-ah emaw, i taksa hmun zau zawkah emaw a darh tawh a nih chuan damdawi ei a ngai mai thei. A hnuaia thil thlengah hian damdawi ei i mamawh thei bawk:

• I immune system a chak loh chuan.
• Damdawi zawng zawng a thawk tha lo a nih chuan.
• He natna hi i kai fo chuan.

Damdawi ei tur entirnan `(Terbinafine)` (e.g. `Lamisil®`) leh `(Itraconazole)` (e.g. `ONMEL®`) te hi an ni.

Engtin nge hetiang thil thleng hi ka tihtlem theih ang? Inven dan tur

Tinea Manuum laka invenna tur thil tam tak a awm a. I tih theih ṭhenkhat chu hetiang hi a ni:

• Faina tha vawng reng rawh: I kut sil fo la, silfai la, uluk takin vawt rawh. I nail te chu tawi leh fai takin dah la.
• I ke hrual loh tur: I ke i hrual chuan i kut ah fungus i kai tam zawk.
• Athlete ke enkawl vat rawh: Athlete ke i neih chuan taksa peng dang, i kut pawh tiamin a darh loh nan rang tak leh kim taka enkawl a ngai a ni.
• Topical steroid cream hmang suh: Corticosteroid hian hun eng emaw chen chu a ti reh thei a, mahse fungal infection a tidam thei lo va, a natna hriat a tikhawtlai thei bawk.
• Mimal thilte chu mi dangte hnênah insem suh: Fungus awm thei thil, thawmhnaw, towel, leh khum puan te chu insem suh.
• Ran bula awmin fimkhur rawh: Rannung emaw ran dang emaw i khawih emaw, i khelhpui emaw hnuah i kut chu uluk takin silfai thin ang che. I ran vulh hian fungal infection a nei nia i hriat chuan ran enkawltu hnenah hruai rawh.
• Player i nih chuan hei hi han ngaihtuah teh:I taksa nena inzawmna nei sport i khelh chuan practice leh inelna zawhah inbual nghal rawh. Infiamna bungrua mi dangte hnenah insem suh la, i uniform leh bungrua dangte chu fai takin vawng reng ang che.

Tinea manuum i neih chuan eng nge thleng? Eng chen nge tihdam a ngaih?

Tinea Manuum hian i kut vun a ti vawt a, a ti na thei bawk. In lamah pawh over-the-counter antifungal damdawi hmangin i enkawl thei bawk. Mahse, tinea manuum hi a chang chuan enkawl a harsa thei hle. Antibiotic ei ang bawkin antifungal damdawi ei vek a pawimawh. Spot te chu a te deuh tih i hmu mai thei a, mahse enkawlna i tih zawh loh chuan a lo let leh thei a ni.

Doctor-in a pek hun chhung zawng zawng chu damdawi i ei a ngai tih hre reng ang che. Chumi hnuah chauh chuan i dam kim vek ang.

Infection a awm reng chuan doctor pan tur a ni. I dinhmun chu a hmuchhuak thei a, enkawlna tha ber a rawt thei bawk. Infection a thianghlim loh chuan i doctor-in antifungal damdawi a pek i ei a ngai mai thei. Hun engemaw chen a la ngai thei a, mahse tinea manuum infection te hi a tawpah chuan a thianghlim ang.

Fungal infection hi enkawl harsa tak a ni thei. Chuvangin antifungal damdawi eng pawh hi a thupek ang chiaha hman a pawimawh. I natna chu a lo thianghlim tawh angin lang mahse, a enkawl kim loh chuan a lo let leh thei a ni. Antifungal damdawi hi kar ruk thleng i hman chhunzawm a ngai mai thei , damdawi package-a thupek angin. Kar ruk hnuah pawh i natna a lo thianghlim loh chuan doctor pan rawh.

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

Okay, chuti a nih chuan Tinea Manuum chungchang hi kan sawi tam tawh a ni lawm ni? A tawp berah chuan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Tinea Manuum hi fungal infection a ni a, worm infection a ni lo.
• Hei hi hri kai theih a nih avangin faina fimkhur a pawimawh hle.
• Hei hi enkawlna dik tak hmanga tihdam theih a ni. Mahse, damdawi chu doctor-in a pek hun chhung zawng zawng hman a ngai a ni.
• In lama enkawlna hian a puih loh chuan doctor pan ngei ngei tur a ni.
• Hetiang natna vei theihna tur hian invenna tur ruahmanna siam hi a tha ber a ni. A bik takin i keah fungus i neih chuan i kut ah i theh darh loh nan fimkhur rawh.

Tinea manuum hi natna hrik itchy, nuam lo tak a ni. Mahse, in lamah antifungal damdawi hmangin i enkawl thei a ni. Mahse, hun rei tak a la ngai. Package-a instruction awmte zawm a, enkawlna tihfel a pawimawh hle. Mahni chauha enkawl harsatna i neih chuan Doctor hnenah tanpuina zawng rawh. I tanpui turin an awm reng a ni. Hetiang natna leh itching hi i tuar a ngai lo.

`Tinea Manuum, Fungal Infection, Kut a Fungus, Vun Natna, Ringworm, Tinea Manuum, Antifungal