Nang pawhin swelling i nei em? He swelling (edema) chungchang hi han sawi ila!

I ke, i ke ruh emaw, i kut emaw a lo hring chhuak nghal tih i hmu ngai em? A nih loh leh a chang chuan i hmai a hring chhuak thin em? He taksa hmun hrang hranga natna hi damdawi lama kan sawi thin `(Edema)` emaw Sinhala tawngin `edima' tih mai mai a ni. Hei hi a takah chuan kan taksa tissue chhunga tui a awm khawm hian a thleng thin.

He swelling (edema) hi tuin nge vei tam zawk? A awm fo em?

Dik tak chuan he natna (swelling) an tih hi tu pawhah a lo awm thei a ni. Mahse nu naupai leh kum 65 chunglam ah hmuh tur a awm fo bawk.Tin, he swelling hi a tam hle bawk. A chhan chu, a thlen thei thil tam tak a awm a ni. Swelling tenau thenkhat chu a mah chauhin a dam thin avangin mi engzat nge hetiang hi an vei tih chiang taka sawi a harsa hle.

Edema a lo awm chuan taksaah eng nge thleng? Eng nge a lan chhuah dan?

Chuvangin, he hliam `(Edema)` hi a lo awm chuan i taksa peng thenkhat chu a lian a, chu chu a hring chhuak tihna a ni. Tichuan i nitin hna thawh chu a harsa deuh thei a ni. Ngaihtuah teh, i ke a hring a nih chuan kal a har a ni lawm ni? Mahse, chanchin lawmawm a awm. A hringna hmun chu tlem a sang zawka dah emaw, hmun khata thut emaw, ding emaw rei tak i nih chuan, tlem i che vel a nih chuan, he hliam hi i tihziaawm thei a ni. Tichuan hahdamna i nei ang.

Mahse, a châng chuan he swelling hi underlying condition dang symptom a ni thei tih hre reng ang che. Chuvangin heng symptoms te hi i neih chuan Doctor pan a tha ber.

Tunah chuan he swelling symptoms ber berte chu engte nge ni tih i lo en ang u:

• I taksa hmun khat chu a hma ni aiin a lian zawkin a lang a, chu chu a hring angin a lang tihna a ni .
• A hringna hmuna vun chu a inzawm khawm a , a eng chhuak .
• I ke, i ke ruh, a nih loh leh i ke a hring a nih chuan kal a harsa thei .
• Mi thenkhat chu an khuh thei a , thawk pawh an harsa thei bawk .
• A hringna hmun chu a khat a , a tight hle bawk .
• A natna hmunah hian natna emaw, natna emaw a awm thei.

Engvangin nge taksa hi hetiang hian a lo hring chhuak? Edema awm chhante chu engte nge ni?

Okay, tunah chuan doctor in edema i nei tih a hrilh tawh che a, i tih duh leh tur chu engvangin nge he tui hi i taksaah a lo awm khawm tih ngaihtuah chhuah hi a ni. Hei hi a thlen thei thil engemaw zat a awm. Eng nge an nih i en ang u.

• Gravity: A awlsam zawngin sawi ila, hmun khata rei tak i thut emaw, i ding emaw chuan i taksaa tui ang chi thilte chu a pianphungah i kut, ke leh keah a awm khawm thin. Hei hi ``dependent edema.`` an ti a, nitin chair-a thawk a, tlai lamah a ke a hring deuh ang maia inhria mi pakhat chu han ngaihtuah teh? Chutiang chu a ni.
• Vein chhunga valve chak lo (venous insufficiency): .Kan vein te hian a chhungah valve te te an nei a. Chungte chu a chak lo deuh chuan thisen thisen chu thinlungah phurh leh a harsa ta hle a ni. Hei hian keah thisen a khawlkhawm thei a, a hring thei a, chu chuan chu thisen blue (varicose veins) chu a lo lang thei a ni.
• Taksa chhunga natna dang: Natna thenkhat chhinchhiahna a ni thei bawk. Entirnan, heart failure , lung, liver , kidney, leh thyroid natna nei te chuan an lo hring thei a. Hei hi thil pawimawh tak a ni a, a chhan chu hetiang hi a lo awm a nih chuan a hnuaia natna awm chu enkawl a ngai a ni.
• Damdawi hmansualna : Damdawi thenkhat, thisen sang damdawi leh natna tihdamna damdawi te pawhin a nghawng tha lo angin a hring thei bawk .
• Nutritional deficiencies: Ei leh in inthlau tak i ei loh chuan, emaw , chi (sodium) tamna ei tur i ei tam chuan i taksa hian tui a vawng reng thei a, a hring thei bawk.
• Naupai : Nausen pum a lo sei chhoh zel chuan pum hnuai lam thisen kalna kawngte chu a inzawm khawm a, hei vang hian naupai lai hian ke hring hi a awm fo thin.
• Immune system disorders: Swelling hi allergic reaction, infection, kang, hliam , emaw thisen zam ang chi thil vang pawh a ni thei bawk.

Engtin nge doctor hian edema hi dik taka a hriat theih ang?

Doctor hmu tura i kal hunah chuan a rawn enfiah hmasa ang che, i hliam i nei em tih a en ang. Tichuan a chhan zawng turin test a ti ang. Doctor chuan i taksaa a hring hringte chu uluk takin a en ang a, a bik takin vun inzawm leh eng anga lang zawng zawng chu uluk takin a en ang.

Tichuan, a hring nasat zia hriat nan ``pitting test'' an tih test an ti thin. He test-ah hian doctor chuan i vun hring chu a kut zungtang hmangin second 5 atanga 15 vel a press thin. A kut a lak chhuah hnu chuan chu hmunah chuan khur te tak te a lo piang ta a ni. Chu khur chuan i tissue chhungah tui a awm khawm tih a tilang a ni.

He ``pitting test'' hnuah hian pits te chu a pangngaia an lo kir leh theih nan eng chen nge a rei tih atanga swelling (grading) degree chu a hriat theih a ni. A hnuaia mi ang hi a ni:

• Grade 1: Khur mm 2 vel a lo awm a, chu chu a dam nghal vat (a tihkhauh veleh).
• Grade 2: 3-4 mm hole siamin second 15 aia rei lovah a dam leh thin.
• Grade 3: 5-6 mm khur a lo awm a, chu hliam chu second 15 aia rei a dam a, mahse minute 1 (second 60) aia rei lovah a dam leh thin.
• Grade 4: Khur lian tak, millimeter 8 vel a ni a, a dam theih nan minute 2-3 vel a ngai.

Edema hi engtin nge kan enkawl ang? Swelling tihtlem nan eng nge tih theih ang?

Swelling enkawl dan chu a chhan ah a innghat tak zet a ni. A bik takin, a hring hi hriselna dinhmun dang avanga lo awm a nih chuan, chu chu enkawl chu a pawimawh ber a ni.

Entirna tlemte pe tur chuan:

• Chu hliam chu lung natna, emphysema emaw chronic bronchitis emaw avanga lo awm a nih a, zu in mi i nih chuan i doctor chuan meizuk khap turin a fuih ang che
• Chronic heart failure leh edema i neih chuan nunphung tihdanglam turin an hrilh mai thei che a, chu chu i rihna, tui in leh chi i ei dan enfiah te hi a ni. Zu in tlem turin an hrilh mai thei bawk.
• I damdawi ei avanga side effect anga swelling i neih chuan i doctor chuan damdawi chu a titawp thei a, a dose pawh a tihtlem thei bawk. Mahse doctor thurawn tel lo chuan i damdawi ei kha bansan ngai suh.

A chhan bulpui enkawlna bakah hian tui tlakchhamna tihtawp nan nangmah ngeiin thil engemaw zat i tih theih a awm a:

• I thut emaw, i mut emaw chuan i ke hnuaiah pillow dah la, i thinlung level aia sangah dah la.
• Hun rei tak ṭhut emaw, ding emaw ai chuan tlem tal inher la, kea kal rei vak lo.
• Special support socks/stockings emaw sleeve emaw ha la. Hengte hian taksa hmun hrang hrangah pressure tlem a pe a, tui awm zat a ti tlem bawk. Persistent swelling nei tan pheikhawk bik (edema shoes) pawh a awm a, chu chu swelling tanpui thei tura siam a ni.
• I chaw eiah chi (salt) tlem zawk rawh.
• I doctor-in damdawi a pek che chu a hrilh ang chiah khan ei rawh. I doctor chuan damdawi chi khat ‘water pill’ (diuretic) an tih chu a pe thei che a ni. Hei hian i taksain zun kaltlangin tui tam lutuk a paih chhuak thei a ni.

Edema i neih lai hian eng thil nge i ei loh tur?

A chang chuan i ei leh in a chi (sodium) tam lutuk vangin a hring thei bawk. Salt hian i taksaah tui a vawng tlat a, chu chuan i tissue-ah a luang lut thei a, a hring chhuak thei bawk. Chuvangin, i ei leh in a chi (salt) tihtlem hi swelling tihziaawmna tha tak a ni thei. Hei hian a awmzia chu packaged foods, canned foods, leh instant noodles te hian chi a pai tam hle a, chuvangin tihtlem a tha hle.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I hliam chhan a zirin hei hi hun eng emaw chen atan emaw, a awm reng emaw pawh a ni thei. Swelling hi ni engemaw zat chhungin a tlahniam tlangpui. A hring hi ni hnih hmasa berah a langsar ber a, ni thumnaah a tlahniam tan tur a ni. I doctor thupek dik taka zawm chuan a hring chu i tihziaawm thei a ni. Ni engemaw zat enkawl hnuah a hring a tlahniam lo a nih chuan doctor nen inbiakna neih leh tur a ni.

Edema hi ven theih a ni em?

A châng chuan, a hring chhan chu a bulpui ber, thinlung natna, thin natna, emaw, kal natna emaw a nih chuan, chu chu pumpelh kim theih a ni lo mai thei. Mahse i doctor nen thawkdunin a symptoms te chu i enkawl thei a ni.

Mahse a hring chhan chu chi ei tam lutuk vang a nih chuan i chaw ei tur chi tlem zawkin a hring loh nan i veng thei a ni.

Tin, inher kual fo hian a hring lo thei bawk. Thut emaw, ding reng emaw hian i taksa tissue-ah tui a awm khawm thei a ni. Rei lutuk i thut chuan tho la, a theih chuan tlem tal inher kual rawh. Hei hian swelling tihziaawmna kawngah a pui thei a ni.

Edema ka neih chuan eng nge ka beisei ang? Engtin nge ka in enkawl ang?

I taksaah lump i neih chuan doctor pan nghal a pawimawh. Hei hi a chhan chu lump hian i vun a tizau thei a, enkawl loh chuan a zung chu a na zual a, hriselna lamah harsatna lian tak a thlen thei a ni.

Swelling hi hun rei lote chhung emaw, rei tak emaw pawh a ni thei a, a chhan a zirin. A hring chhuak thei tur underlying conditions enkawl dan tur treatment a awm. A dang pawhin, nunphung awlsam tak thlak danglamin tui awm leh hring (fluid retention leh swelling) tihziaawmna tur i siam thei bawk.

Swelling i neih chuan swelling tihziaawm nan hengte hi ti rawh:

• Nunphung thlak danglam la, chu chu meizuk bânsan leh i ei leh in tihdanglam ang chi hi a ni.
• I inher kual fo thin.
• Mut emaw, ṭhut emaw pawhin i ke chu chawi sangin dah la.
• Compression socks, sleeve emaw, stocking emaw ha rawh.

Pawimawh tak: I hringna hmunte chu pressure nasa zawk, hliam leh temperature sang zawk lakah venhim a pawimawh hle. Hei hi a chhan chu vun hi a hringna hmuna a chhiat chuan a dam rei zawk ang a, natna kai theihna a sang zawk bawk.

Engtikah nge Doctor ka hmuh nghal ang?

A hnuaia mi i neih chuan , damdawi lam thurawn zawng nghal rawh:

• A hringna hmunah natna emaw, vun rawng danglam emaw a awm chuan.
• Vun a hringna hmuna vunah open sore a awm chuan.
• Thâwk harsa i neih chuan .
• Taksa sir khatah kut emaw ke pakhat chauh a hring a nih chuan .
• Kea kal emaw, che vel emaw harsatna i neih chuan .

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hunah heng zawhnate hi zawh a tha ang:

• Engvangin nge he swelling (edema) hi ka neih?
• Ka chaw eiah chi (salt) hi ka tihtlem tur em ni?
• Enkawlna hian side effect a nei em?
• Ka ke ruh a hring (swelling) tihziaawmna turin special compression socks ka bun a ngai em?

Chuti a nih chuan, he swelling (edema) chungchangah hian eng thil nge kan hriat reng tur pawimawh ber?

Okay, kan sawi tawh zawng zawng atang hian tunah chuan edema chu eng nge a nih, engvangin nge a lo awm tih leh eng nge tih theih tih te chu i hrethiam tawh tur a ni.

A awlsam zawngin:

• Swelling hi taksa peng hrang hranga tui awmkhawm vang a ni.
• Hei hi chhan tam tak a awm thei. Ṭhenkhat chu a awlsam a, ṭhenkhat erawh chu a hnuaia awm dinhmun chhinchhiahna a ni thei thung.
• Hriselna danglam tak i neih chuan, a bik takin thawk harsa i neih chuan, kut/ke pakhat chauh i hring a nih chuan, emaw, natna kaihhnawih i nei a nih chuan doctor pan nghal tur a ni.
• A tam zawkah chuan he natna hi nunphung tihdanglamna tenau (chi ei tlem, exercise, a hringna hmun sang taka dah) leh i doctor-in enkawlna a pek hmangin control theih a ni.
• Doctor rawn hmasa lovin damdawi ei kha titawp ngai suh, a dose pawh thlak ngai suh.

Chuvangin, nangmah emaw i hriat mi emaw hian hetiang swelling hi i vei a nih chuan hlau suh. Damdawi lam thurawn leh enkawlna dik tak hmanga enkawl theih a ni. A pawimawh ber chu i taksa enkawl reng hi a ni.