Angang singda Vitiligo

Angangsingda naba Vitiligo ashi,doctor singna khangdopada thoidokna lude.Vitiligo ni haina khangnaba khongthangda, thoidok hendokna laboratory test mayam ama tourubagi darkar kaya leigande.Adubu ahalsingda thengnaganba Vitiligo makhal singdagi,thoidokna toptopa khenaba kaya ama lei.Layengbagi hiramdasu,thuna khangdokpa amadi leinasigi maramda,mama mapasing ga thuna gyan taminaduna,matam chana layenglabadi,maipakna amadi thuna phanabagi achouba upaini.

Pikliba angang singda,chada angang kaya ama Vitiligo na nai haibagi ashengba chapchabadi khangde,adubu,angangsingi vitiligo di ayambana,chahi nouringeida houganli.Angangda Vitiligo ashi masagi chahi 4-8 da houganli amasung 25% gumbadi masagi chahi 10 gi makha da houganli.Medical record singda,pokpada ngairiba angang da amasung poklapadagi houna,Vitiligo palakpa gi paodam sing lei.Pokpada ngairiba angangsingdi,masagi kuch ashi ngouba amadi (nganglap) toubana,Vitiligo pakle habasi hekta khangdaba yai.Adubu asum asum angangdubu mapalda puthok pirakpbadagi,nungshagi meisha phangbadagi,kuchu maksanlapaga loina na,Vitiligo mayek sengna urakpa ngamhanli.

Segmental vitiligo(SV) haina khangnaba,hakchangi tangkhai nama tada,madusu,unshada nerves singna sandorakpa/chenlakpa gi mapasingda,natraga hakchangi tangkhai gi segment amatangda Vitiligo pakpa asi ahalsingdagi yamna hena toina angangsingdana thengnei.SV ashi maida,ngakta,thabak-pukta,pambom/khudang amadi pheigan/khubom sing da mathang manao oina toina thengnaba mapham singni.Ahalsingda toina naganba non segmental vitigo(NSV) su angangsingda adum toina thengnei.Angansing da (sansaduna chatliba angang singda), NSV na khwaida gihena Vitiligo touganba maphamdi thun/ning amadi amangthongi maphamsingdani.Masi Koebner phenomenongi maram na oihanbani haina thajanei.Khu/khru,khuning,khurai,khusa sing ashi, angang gi Vitiligo da toina thengnei.Masisu sokpa panba touganba mapham sing oibana,oiramba yai.Puk amadi ning gi mapa (sacrum) da naganli,adubu nangganda di kaya toina thengnagande.Mapram singda naba Vitiligo angasingda toina thokande.

Koebner phenomenon haina khangnaba, haibadi,Vitiligo naganbasing da sokpa panba maphamsingda,Vitiligo laina ashi thuna sandorakpa ashi angang singdana hena toina thokanli.Angansingda Vitiligo ga thyroid laina singga loinaba,ahalsingdagi hena thokanli. Atopa autoimmune gi lainasing,haibadi alopacea areata(samjabi),Diabetis mellitus,Addition`s disease angangsingi Vitiligo na ahalsingdagi hena loinaganli.ANA positive oiba amadi masadadi autoimmune gi anabagi laiongdi leitaba,angangsingi Vitiligo da thengnei.Masida natana,emungi, egi mari mata singda,auto immune disorder gi laina hena naganba thengnei haibagi reportsing lei.Maduda natana emung manugi egi, mari matasingda Vitiligo nabagi wari  leiganli(first degree and second degree generations).Vitiligo ga loinana sam thuna pok horakpa, ahalsindagi hena toina angangsingdana thokpa yai.

Pikliba,nouriba angangsing oibana,masa masada,phauba psycho social gi nungnangba yamna laina khangdokpa ngamgande.Adubu negative feelings,haibadi,mirak tinaningdabagi nungnangba amadi adum uganli.Vitiligo na life threatening haibadi,hakchang kayata kaya sokhandrabasu,angangdugi,pukning ehul,amadi pushi mahingi heinigbagi hiramda yamna saphu piba yai.Loinana mama mapa oba singda su hena nungnangba,ninghannaba pokhanli.

Angangsingi Vitiligo ga haiphet yengbada manaba,adubu mapung oina khenaba unshada ahongba khenaba kharadi, “naevus depigmentosus(cha makhal ama)”, “post imfamatory hypomelanosi(sokpa/chathatptadagi oirakpa ngouthokpa)” na chingbani.Woods lamp ki mateng na masigi leina khandokpa ngami.

Vitiligo layengbagi hiramda,angangsingga ahalsinga thoidokna khenaba leite.Adubu angangsingdadi,hena aggressive oiba,hena mathou kanba hidaksingdi toina pijanade/piningde.Energy base treatment modalities haina khangnaba pambeising,PUVA,PVA SOL,Narrow band UVB,Eximer laser singna,hena pamnei amadi hena kanaba pi.Adubu khudong chadabadi,laiyeng sigi damakta,special center sing da toina,matam sangnna chatpa darkear oi ,maduna angang dugi nurseries ,schools na achingba chatpada ayetpa oibada natana,angangdugi loinariba ahal amagisu chaona matam manghanli.

 

Dr. Karam Lokendro, MD