VITILIGO AMASUNG CAMOUFLAGE

Khusemgi oiba akhanaba potsak khara, atamnana semdok sajilaga, unsada kuchugi- leiteng oina teisanduna/kupshanduna, unsada phajadaba, dakpu oire, kuchuda ahongbabu oire, madubu uhandanaba amadi hena phajanaba(aesthetic) maong ama gi damak sijanariba pambesingbu camouflage haina khangnei. Makhoising ashi ayambana khutsemgi oiba chemical agent singni. Pambei ashina kanagumba amabu hena ningthina phajahanba, mirak tinbada pukning wakhal nungaihanbata natana social image phanghanba ngami. Ashigumba potsaksing ashi tangai phadana, hakchang sokhandabata natana, allergic reactions sing thokhandaba machaksing oiba tai. Loinana laina, nungaina sijanaba yaba pambei oigadabani.

Tashengna camouflage dang haiba taragadi, kuiraba matamdagi houna mioibana sijanaduna laklabani. Nunggi jugki matamda gi houraduna, Romans amadi houjiki matam phaobada lanmisingna mai mita amuba machuna chingba teisinduna, mashak lotnanaba natraga khangdanaba upai kaya sijanari. Modern camouflage makti cinema, drama, theatres na chingba kaya gi khumang chousinlakpadagini haiba yai. Makhoina tangaiphadana arts ki effects sing uthoknaba camouflage sijinaba darkar oi.

Vitiligo na maram oiduna, mioibadu yengbada nungaitaba(disfiguring) ama iroinahali. Maram ashina vitiligo gi patient kayana mahousagi punshi mahingda chaona ahonghba amadi akaiba pi. Matam pumbada makhoina vitiligo gi laiong ashi hena mapal thokpa unsagi maphamsingda sandorakadara haibagi nungnangba ama adum lei. Maram ashina mapalthongda(mai, ngak, khutsana chingba) vitiligo pakpa singna hena thuna layengnabagi upai thiba mahousani. Laibak thibana, ashigumba maphamsingda thokpa vitiligo singdi, layengbada, maipakpagi changsu nemi, pharakpa tarabasu matam yamna change. Maram ashina, ashigumba patients singna saraba weather gi matam dasu, meishagi nungaitaba kaya tungoinaraga, anaba maphamsingdu mina udanaba, phirol hena setchan li (haibadi long sleeves shirts, trousers hand gloves na chingba). Mashimaksu camouflage makhal amani, adumakpu mirak tinbada hena nungaiba(socially acceptable) phibham amadi nate.

Mathakta pankhriba phibhamsing ashidagi vitiligo gi damak medical camouflage gi tangaiphadaba ashi laklibani. Vitiligo gi damak camouflage system asi ani thokna khanaba yai. A)Ngaihaki oiba(temporary) amadi B) Matam kuina chatpa( permanent/semi-permanent).

Ngaihaki oiba camouflage di, ayambana, maru oina nupi oibisingna sijanariba ake amougi leitengsingda yumpham oibani. Icham chamna sijanariba face powder, lotions, cream, mascara, lipstick na chingba sijanaduna, ngaihaki oina vitiligo patch amabu mapung phana lotsinba mak natrabasu, yamna ningthina uhandaba ngami. Makhoising ashina mapung phaba, camouflage effect amadi piba ngamde. Pendaba ama adum erieta lei.Houjiki matamdadi skin gi clinic kayada, atamnana test touraba, camouflage consultants, trained nurses amadi dermatologist kaya ama gi khudong chaba leiri. Achamba cosmetics singsu akhanaba maongda, specialized technique sing sijanaduna hena kanaba camouflage gi paotak piri. Masidagi hendoktuna, especially designed(semlaba), unsadasu sokhandaba(inert) camouflage system sing ama, mi midugi kuchuga mapung phana chanahanba ngamba/ lotsinba ngamba upai kaya ama sijanare. Ashigumba potsaksingsigi matengna matam sanglapna, social functions amadi work place singda mirak tinba ngambada chaona mateng pi ,amadai masagi oiba confidence level da chaona kanaba kaya pi. Masimakna pukning hakchang da nungaiba inot pi, loinana vitiligo gi layengbadasu kanaba kay pi. Vitiligo patients gi confidence level hengatpa haiba simaksu, layengbada mai paklaba amagumbani haiba yai. Hiramsigi damak, ‘Dermacolor-Kryolan camouflage system’ amadi, ‘ C tone’ gi product sing marketa adum phangli.

Permanent natraga semi-permanent camouflage system di dermatologist/doctor singgi matengdana oithokhanli. Matangsida, permanent haidadana semi-permanent haibagi maramdi, unsha ashi ahongba naiba, continuing growth status amani. Maram ashina permanent camouflage asi mantam sangna(chahi kaya ama) leiba ngamlabasu, tapna tapna manglakpa yai. Upai ashi unsada sijinaba minor operation makhal amani. Micro pigmentation hairagasu khangnei. Upai sida, Iron oxides ki colour(pigments) combinations kaya ama sijanei. Maimitki, chimbal mayagumba, apikpa vitiligo gi patch nachingbada sijinabada yamna khudong chai. Toubatabu, dermatologist aduna niyom chumna patient selection touba darker oi. Maramdi vitilgo da ‘Koebnerization’ haiba tangkak ama leigali. Ashigumba matangda micropigmentation gi operation toururabadi, vitiligo gi patch adugi akoibada thuna ngouthorakpa yai amadi kanabagi mahuta nungaitaba thokhanba yai. Operation ashida local anaesthesia sijanei amadi, sengna sengdok laba vitiligo patch adugi unsagi epidermis ki makhada(dermis layer da),special micro pigmentation mechine gi mateng na niyom chumna semlaba pigment adu kupna thajanduna manaba kuchu semi. Matangsida dermatologist tuna pigments mixing touduna, kuchu ga yamna manaba machugi kuchu ama semba gi, hena heitho singthoba darker oi. Masigi process ashigi khudong chadaba kaya amasu lei, madusu khangjanba darker oi. Pigments singsi yamna inert oirabasu, karigumbada tangna, operated maphamduda foreign body reaction thokpa yai. Ashigumba(permanent camouflage) pigment touraba mapham singdi nungsagi mangalna tanning(musalhanba/kahatpa) touba ngamde, maram ashina, atopa normal oiba maphamsingdu karigumbada tanning touraba matamda, kuchugi phibhamda yamna manadaba, toptopna tahanba yabagi oithokpa lei.

 

Dr. Karam Lokendro, MD