Unshagi leina ayamba meyoibadugi mashada ngungaitaba pibada natana,mashagi mapalthongi phajaba (body image) da akaiba kaya ama pi.Maiythonggi phajaba/chinglemba, haiba taragadi,mamaida dak leitaba,kuchu kumen sengba amadi, tanan tananba unshagi saktam amada leiba tangaiphadea.Mapalthongi unshada/shaktamda,unshagi leina ama na thokhanba dakpham natraga kuchu da ngouthokpa ,mushanba,marang marang langba na chingba thokpa matamda,meyoibadugi pukningda phaoriba nungnagba ehul adu, atopa,hakchangi phibhamda soinaibasingdagi hanthaba natee.Maramsing asidagi,mirak tinniglaktaba matamda,khangna chanaba amadi sakhangnadaba meyoising na ,khara khajik ,natraga henjina nariba meyoidugi phibhamda comment (paodamlakpada) pirakpada,kayagi matik nungnangba,nungaitaba pukninggi ehul adudi,laibak thiraba mahaktana ,thamoi kainabagi machak oirakee.Mashina maram oiraga wakhal mayeng tanabagi phibhamda hek hek oihanduna,mirak tiningdada, tokhainingbagi cheitheng kaya ama thokhahli.
Ashumna unsagi leinasingna pukning wakhalda,eshagi self-esteem da pukning pikhanabagi tanja ama oirabasu,meyoidugi,psychological(wakhalgi sakti) gi makha yamna pongani.Haibadi,psychologically(wakhal)yamna mapungphana kanlabadi(strong),thoidokna akaiba pidaba yai,haibadi thousadaba/khanludaba ngamee.Adubu meyoi khudingmaki,thamoi/wakhal chetpagi pangaldi manade.Maramsing ashina,unsagi leina nabana maram oiduna,mai mita/hakchangi unshagi maphamsingda dakpham kaya(ngothorakpa,mushinlapa,langba) thokpa matamda,tashengna leinadugi phibhamdudagi henna,wakhalgi stressful na(pukning leitadaba) hena akaiba piba yai.Maram ashidagi positive image(chinglemba) ama sagatpada akaiba thokhanli.
Chatnabi ama oina,hakchangi phibham phajaba,chinglemna uba amabudi samajda hena ekaikhumnaba,marup mapang tinaningba lei.Mashigi ona teinabada,hakchangi phibham soinaiba amadi ,unshada dakpham kaya leiriba meyoi kayabudi,hangoinana,tinaningdaba thokanli.Taseng tashengna mai mita phibham kaina dakpham leirabadi,samajda mirak tinba, amadi marup mapang semgatpada apanba thokanli.Makhoibu,thaoibidaba,tokhaibiba,inthokpiba phaoba yaoee.
Hakchangi phibham sionaba sing(physically handicapped),maru oina khong khut soiba,mit na udaba tadaba,emapuknungi oina wakhal loushing watpasing na chingba, singidi psychological (wakhal pukning) gi oiba,thijan humjinba,khanna neinaba,tengbangi oiba sharkargi amadi, social support gi system kaya ama thengnei,lei.Laibakthibadi,ashigumba,thijan humjanbagi natraga,support system(samajna yokhatpiba/tengbangbiba) asi unshagi leina naraba singda erei letabagu touee.Eikhoina khangadabadi,unshagi leinana thokhanba,mai mit,kuchu kumengi,dakphamsinggi soinaibasingna,maram oiraga,mirak tinba(socialisation) da akaiba kaya ama pibadagi hendoktuna,social prejudice(samajna lannathajanaba,inthokpiba,thaoibidaba) kaya ama thokhanduna,meyoiba kayagi hingbagi/hingnibagi echelda kaihandaba natee.Maram sing ashina,masagi anabadugi maramda lanthengnabadagi,social(samajgi) prejudice, thengnabana yamna henba potlum oihanba yai amadi oihanli.
Vitiligo di unshagi soinaiba phibham amani.Phinungda,pikna,lotuna leiba singidi,kharagi makhei saphe haiba yai.Adubu mapal thokna Vitiligo paklaba singgi soinaibagi phibhamsing taseng tasengna merakta uba phangi.Khwaidagi hena nungaitriba waphamdi,Vitiligo leina gi maramda,samajna muna khangdaba,lanna thajanaba,samna soknabada lounei haibadagi hendokuna laithung makhal amani haina lounabagi chang wangna leiri.Leprosy ga Vitiligo ga amatagum laounaba,mapungphana khenei(mari suklei leinadaba) haina khangdaba kaya ama, eikhoigi erakta leiri.Leprosy di meihouroldagi houna social stigma amaga loinana leirakee.Maramsimakti,Leprosyna,hakchangi phibham soinabagi chang wangna leiramba amadi,layengduna phahanba ngambagi upai liramdabanani.Houjikti Leprosy mapung phana pahanba ngamle.Eikhoina houjik uriba, meyoi khrada Leprosyna soinaiduna phibham sokna leiriba sing ashidi,matam chana layengthoktaba(ayambana,khangdaba amadi samajgi miyeng kibadagi,lottuna thamba) na maram oiraga,masagi mahikki phibhamdi mapung phana muthatlabasu,soinabagi(pangthabagi) phibham ama leihoubaduni.Houjiki matamdadi,Surgery,plastic surgery amasung orthopaedic surgery kaya gi upaina Leprosy gi soinaiba kaya amasu maipakna phagathanba ngamle.Masingumba lana thajanabagi, samajgi amadi ,mamit tangba gumba phibham asi eikhoi puna thengnamiduna,manghanba mathou tai.
Vitiligo paklaba anabasing ayambana,masagi unshagi soinabagi phibhamda,nungnagba,pukning waba,hena atopa unshagi maphamda sandorakadara,phaba ngamaroidara,yumbanlonda akaiba piragadara,echa ishuda,emung manungda sandorakadara,emanabana,marimatana,samajna hangoiradara haibagi nungnagbana ayambani.Makhoigumba kaya amana masana masabu samajdagi lapthokchaba amadi samajnasu inthokpiba,thaoibidaba thengnei haibagi paodam lei.Mashigumba phibham sing asina,Vitiligo patient singna,Samajda/mirakta chaothokna maromdom lepchaba ngambagi sakti hanthanabagi machak ama oihanba yai.
Tasengba makti,Vitiligo di kuchuda ahongba,machete machetagi hendoktuna unshagi mapham ayambada ngouthorakpa natana hakchangi,nunggi oiba(health) da ayambana akaiba pide.Vitiligo na naraba meyoi kharada,atopa anaba (nungi oiba),eg.Diabetis mellitus,thyroid ki leina,auto immune diseases,ee watpagi leina loinaba yaoee,amasung,makhoising adudi,makhoigi,nunggi oiba leina gi phibhamna,mahaki health ki yumpham oigani.Masisu tangna thok pani.Maramsing ashina,eikhoi clinician(dermatologist)singna,Vitiligo gi anaba khudingda hai “thawai waganu,nahaki leina Vitiligo haibasidi nadabagumbani,hakchangda karisu kairoi,mahikna thokhanba laina natte,samna soknabada lounade,yumbanlonda akaiba oide,chinjakta ahongba leiroi –aphaba chinjaksing chabada akaiba leite,punshi nungshangna hingbada karisu kairoi…..samjanlabada nadabagumbani haina”.Adumakpu eikhoina kayarak hana hairabasu,leinasigi maramda sugaina taklabasu,Vitiligo patient kayana,hairibasingsi,haraona tanigee,tai,pukningna yana loushanbirabara haibasidi, chaona hangba yaba waphamni.Amukashu hairabada,Vitiligo(ayambadi)nadabagumbani,senglabani,Kuchugi ahongba,chatnabigi mityengda nungaitaba natana,hakchangda kaide,punshi khongchat,hingbagi,pangal lousingda karimata mayeng tade.Pumnamaksu chumi,adubu oisanu,samajnadi Vitiligo gi chamlaba(innocent)gi wari mapung phana/sengna khangdari.Taiyonabada laithunggumna lounari,hangoinari.
Eikhoi layengliba doctor singisu,landaba natte.Haibadi,eikhoi ayambana Vitiligobu laina loubi, “he ra karisu natteda,Vitiligo bu, karino,cosmetic problem danina,khanluranu,kaothokpa tamu” na chingba.Masi gi waheisingsi,Vitiligo patientsingna yade/yaningde,makhoidadi Vitiligo si achouba potlumni,amadi yamna chaoba pukning wakhalgi lanphamni.Maramsing ashidagi,eikhoina Vitiligo bu laina louba yade,cosmetic disorder ngakta natte,nunggi,pukninggi(psychological) oiba achouba lanjao ama mayoknaba mathou tai hainingi.Eikhoi khudingmak punna lepminaduna,samajbu gyan tahanba darkar oi.Punamaksi ga loinana,awaba amana, Vitiligo mapung phana phahanba ngamba,amata oiba,khwaidagi mai pakle haiba layeng pathap leitaba sini.Adubu houkhiba decade sida,Vitiligogi hiramda kaya ama nouhounana khanglapaga loinana,layeng pathap kayada hena kanaba kaya ama leiraktabadi nate.Eikhio,pukning hanthahangumsi,asha tousi,soidana,Vitiligogi hiramda mayek sengna khanlakhigani.Maduphaobadi,samajna Vitiligo bu lanna thajanabagi lan asidi adum mayoknakhiba tari.
“Colours redefined with dignity”.
Dr. Karam Lokendro, MD
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