Thisen zam chungchang hi i zir belh ang u. Ngaihtuah buai suh, kan inbia ang u!

Heng thisen zamte hi eng nge an nih a, engvangin nge an lo awm tih i ngaihtuah ngai em? A châng chuan nasa takin min ṭanpui a, a châng chuan harsatna lian tak tak an thlen thei bawk. Chuvangin, vawiin hian heng thisen zam, chu chu thisen zam , chipchiar tak leh awlsam takin kan sawi dawn a ni. Lungngai suh, hei hi hriat a pawimawh hle.

Thisen zam chu eng nge ni tak tak? Engtin nge a lo pian chhuah?

A awlsam zawngin, thisen zam (blood clot) chu i thisen kalna kawng chhunga thisen thim, inzawmkhawm chi khat a ni. Thisen cell leh thil dang atanga siam a ni. Ngaihtuah teh, khawi emaw laiah hliam i neih emaw, operation i neih emaw hian heng thisen zamte hian thisen chhuah tam lutuk laka venhimna kawngah a pui ber a ni.

Mahse, a chang chuan damdawi lam thil dang vangin thisen zam a lo awm thei a, chu chu natna dinhmun thenkhat vang a ni. Chu chu heng thisen zam hian symptom hrang hrang a thlen thei a, a chang chuan kan nunna pawh a tichhe thei a ni.

Tunah chuan he thisen zam hi eng atanga siam nge a nih i en ang u. A bulpui ber chu thil pahnih atanga siam a ni : platelets leh fibrin .

• Platelets hi, a dik tak chuan, kan thisena cell te tak te, rawng nei lo tak tak an ni. I ruhroah an lo piang chhuak thin.
• Fibrin hi thisenah protein bik a awm a. A sticky deuh a, thread sei tak ang mai a ni.

Chuvangin, i thisen kalna kawngah thil a thlen chuan heng platelet leh fibrin te hi an inzawm khawm a, a chhiatna hmun chu an "seal" a, a dik zawk chuan seal an dah a ni. Hei hi thisen chhuah a reh dan a ni. Band-aid dah ang mai a ni.

Thisen zam chu hnai tak atangin i hmu ngai em? Jelly ball sen, mesh hmanga inzawm khawm ang mai a ni. Tlem i han en chuan plate te tak te ang maia cell te i hmu thei ang. Chu chu platelet a ni. Chu mesh chu fibrin a ni. Thisen zam chu a sen a, a chhan chu hliam atanga thisen a luang chhuah hian thisen sen (red blood cells) te hi he fibrin mesh chhungah hian an tang tlat thin.

Thisen zam hi kan taksa tan a tha reng em? A nih loh leh an chhe thei em?

Dik tak chuan thisen zam chu khandaih hriam pahnih nei ang mai a ni. A châng chuan kan nunna chhanhimna kawngah pawh an ṭanpui ṭhin. Engtin nge tih i hria em?

Ngaihtuah teh, i sam i sam lai hian tlem i cut a. A nih loh leh kitchen-a hnathawh laiin i kut chu tlem i hliam a ni. Chutiang thisen zam avang chuan second emaw minute tlemte emaw chhungin thisen chu a tawp ta a ni. I thisen kalna kawng nalh tak takte a chhiat hunah invenna hmasa ber an ni.Thisen chhuahna a titawp a, chhiatna lian tham a veng bawk. Hei hi taksaa thil awm dan pangngai a ni.

Mahse, thisen zam hi a tha reng reng lo. A châng chuan, thisen zam a lo awm thei a, a ṭul lo va , hliam engmah a awm lo. Entirnan, hmun khatah rei tak i awm a ngai a, chu chu thlawhna rei takah darkar tam tak i ṭhut a ngai a, a nih loh leh operation hnu ni tam tak khumah i awm a ngai a nih chuan thisen kal a tichhe a, thisen zam a lo awm thei a ni. Tin, damdawi lam thil thenkhat chuan thisen zam a tipung bawk. Chutah chuan buaina chu a intan ta a ni. Heng thisen zam duh loh tak takte hian thisen kal dan a tibuai a, hriselna lama harsatna lian tak a thlen thei a ni.

Taksa khawiah nge thisen zam hi a lo awm tam ber? Anmahni nena inzawm risk lian ber berte chu engte nge ni?

Dik tak chuan thisen zam hi i taksa khawi hmunah pawh a lo awm thei a ni. A chhan chu i taksa pum puiah, i lu atanga i ke thlengin thisen kalna kawng a darh vek a ni. Mahse, hmun pawimawh tlemte a awm a, chutah chuan an lo awm tam zawkna leh a hlauhawmna a tipung zawk a ni.

• Thisen kalna thisen zam: Chungte chu i kut leh keah a lo awm fo thin a, a bik takin i ke ruh thuk takah a lo awm fo thin . Hetiang dinhmun hi damdawi lam chuan deep vein thrombosis (DVT) an ti a. Hei hi thil hlauhawm tak a ni a, a chhan chu i kea clot lo awm chu a inthen thei a, i thisen nen a kal thei a, taksa peng pawimawh dang, lungah a awm thei a ni.
• Arteries-a thisen zam: Arteries chu thinlung atanga taksa peng hrang hranga thisen phurtu thisen kalna kawng a ni. Heng arteries-ah hian thisen zam a lo awm a nih chuan a hnuaia mi hi a thleng thei a ni:
• A châng chuan heng thisen zamte hi lung kawng ( arteries ) ah a awm thei bawk . Hei hi pulmonary embolism an ti a . Hei hi natna khirh tak, nunna atana hlauhawm tak pawh a ni.
• Tin, thisen zam chu thluaka thisen petu artery-ah a lo awm a nih chuan thluak hmun thenkhata thisen kalna chu a buai thei a, chu chuan stroke a thlen thei a ni.
• Heart a thisen pe chhuaktu coronary arteries ah thisen zam a lo awm a nih chuan heart muscle hian thisen a hloh a, heart attack a awm thei bawk.

Hei hi a pawimawh hle: Kan sawi tak dinhmun, `(DVT)`, `(Pulmonary Embolism)`, `( Stroke )` leh `(Heart Attack), te hi a pawi hle. Chuvangin heng natna lan chhuah dan hriat chian hi i nunna leh i hmangaih tak takte nunna humhim nan a pawimawh hle.

Engtin nge thisen zam i nei tih i hriat theih ang? Eng nge a lan chhuah dan?

Thisen zam chu vein emaw artery emaw-a a lo awm leh awm loh bakah a lo awmna hmun a zirin symptoms a inang lo thei. A lan chhuah dan bulpui te han thlir ila.

• Kea deep vein thrombosis ( DVT ) natna lan chhuah dan:
• I keah na nghal emaw, a khauh emaw i nei thei a, a bik takin i kekawrte emaw, i ke ruh emaw-ah.
• A ke natna chu a hring thei .
• Ke vun hi a rawng a danglam thei (a sen, a sen, a hring emaw a ni thei).
• A ke natna chu a ke dang aiin a lum zawkin a hria.
• Thisen zam chu lung chhunga a tlakbuak (Pulmonary Embolism) a nih chuan a lan chhuah theih dan:
• Vawikhatmah, sawifiah theih lohvin thawk hahna a awm thei.
• Sharp chest pain (he natna hi a zual thei a, a bik takin thawk lak emaw, khuh emaw hian).
• Khuh (thisen tlem pawh khuh pawh a ni mai thei).
• Lungphun chak lo tak .
• Luak chhuak (vertigo) emaw, rilru hah emaw .
• Thinlung chhunga thisen zam vanga heart attack chhinchhiahna: 1.1.
• A rilru a buai em em a, a rilru a buai em em bawk a, a rilru a buai em em bawk a, a rilru a buai em em bawk a . He natna hi kut veilam, kawr, hmui, kekawrte emaw, hnungzang emaw thlengin a darh thei a ni.
• Thâwk lak harsat .
• Vawikhatmah thawk hah lutuk .
• Nausea emaw luak chhuak emaw .
• Luak chhuak (vertigo) emaw, muhil lo thleng tur anga hriatna emaw .
• Thluaka thisen zam (acronym FAST hi hriat reng a awlsam):
• F (Face Drooping): Hmai sir khat chu a tla emaw, a tla emaw a ni. I nuih chuan hmui kil khat chu a tla thla niin a lang.
• A (Arm Weakness): Kut pakhat emaw, ke pakhat emaw a natna emaw, a chak lohna emaw. A ruala kut pahnih chawi sang tura tih chuan kut pakhat a tla thei.
• S (Speech Difficulty): Thumal slurring, thumal hriatthiam harsa tak tak hman, emaw, tawng thei lo tak tak pawh.
• T (Emergency services biak hun): Heng natna lan chhuahna zinga pakhat tal a awm chuan damlo chu damdawi inah hruai nghal tur a ni

I theihnghilh suh: Nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan doctor pan nghal rawh. Hun hi a pawimawh ber a ni. Inenkawl vat chuan nunna a chhanhim thei a, hun rei tak chhung chak lohna a veng thei bawk.

Thisen zam nena inzawm damdawi lam dinhmun bikte chu engte nge ni?

Thisen zam harsatna hi damdawi lam thil chi hrang hrang nen a inzawm thei a ni. Kan sawi tawh ang khan hliam hnua thisen zam (blood clots) lo awm hi thil pangngai tak a ni. Taksa invenna (natural defense mechanism) a ni. Mahse, thisen zam chungchangah hian ngaihven bik ngai natna chi hnih a awm a. Chungte chu thisen zam awlsam lo tura venna natna leh thisen chu a pangngai lo taka a tikhawlo thei natna te an ni.

Thisen chhuahna lama harsatna awm thei

Hetiang dinhmunah hian i thisen chu a clot tha lo va, engtikah nge a clot tur a ni. Chumi awmzia chu cut tlemte pawh hian thisen a chhuah tam thei tihna a ni. Hei hi a hlauhawm hle thei a, thisen chhuah thunun a harsat avangin.

Entirna thenkhat chu hetiang hi a ni:

• Von Willebrand natna: Mi tam tak tan chuan he natna hi an nu leh pate rochun a ni. Chu chu rochun a ni tihna a ni. Mahse, nakin lawkah natna dang, cancer, autoimmune disorder (taksa immune system-in a cell a beih na hmun), leh thinlung natna te avanga harsatna angin a lo awm thei bawk.
• Thrombocytopenia: Hei hi i thisena platelet awm zat dik lo taka a tlahniam lai a ni. Platelet a tlem chuan thisen zam a tichhe thin.
• Inherited Hemophilia: Hei pawh hi natna a ni ber a, rochun atanga lo chhuak a ni. Heta thil thleng hi taksain thisen zam chhuahna atana pawimawh protein thenkhat ( clotting factors tia koh) a siam tling lo tih hi a ni.

Thisen zam natna / Hypercoagulable state

Hei hi a chunga kan sawi tak dinhmun nen hian a inkalh tak zet a ni. Taksain a tul lova thisen zam a siam chhuah theih loh vang a ni. Heng dinhmun thenkhat hi pian tirh lamah (i.e., genetic) a awm thei a, thenkhat erawh chu nakin lawkah a lo awm thei thung.

Entirna thenkhat chu hetiang hi a ni:

• Factor V Leiden: Hei hi inherited blood clotting disorder awm tam ber a ni. Deep vein thrombosis (DVT) emaw pulmonary embolism emaw vei theihna a tipung deuh a ni.
• Prothrombin Gene Mutation: Hei pawh hi Factor V Leiden ang chi inherited condition a ni bawk. Tin, DVT emaw Pulmonary Embolism emaw vei theihna pawh tlem a tisang bawk.
• Antiphospholipid Syndrome: Hei hi autoimmune disorder a ni a, thisen zam a tipung nasa hle.

Eng thil dang nge thisen zam awm theihna tipung?

Damdawi lam dinhmun bik kan sawi tawh bakah hian thisen zam theihna tipung thei thil dang tam tak a awm bawk. Eng nge an nih i han thlir teh ang. Hengte hi hriat chian hian i hlauhawmna a tihziaawm thei a ni.

• Kum:A tlangpuiin kum 65 chunglamte chu naupang zawkte aiin thisen zam an vei theihna a sang zawk.
• Naupai leh nau neih hnu: Naupai laiin taksaa hormone leh thildang inthlak danglamna avang te, nau neih hnuah pawh hmeichhiate hian thisen zam an neih theihna a sang hle.
• Obesity: Taksa rihna a san chuan thisen zam a awm theihna a sang hle.
• Cancer: Cancer chi thenkhat leh cancer enkawlna thenkhat (e.g., chemotherapy) hian thisen zam a tipung thei a ni.
• Birth control pill emaw hormone therapy: Naupai venna pill thenkhat, a bik takin hormone estrogen , leh hormone therapie thenkhatah pawh thisen zam a awm theihna a tipung bawk.
• Meizial zuk: Meizial zuk hi thisen kalna kawng tichhetu lian tak a ni a, thisen awm dan a tidanglam a, thisen zam a tipung nasa hle bawk.
• Immobility: As we’ve discussed before, being in one place for a long time , thlawhna rei tak emaw, rel-a chuang emaw, operation hnua khumah chawlh emaw, a chhan dang emaw pawh nise, thisen kal dan a tikhawtlai thei a, thisen zam a tipung thei bawk.
• COVID-19: Damdawi lam zirchianna atanga a lan danin, coronavirus natna 2019 (COVID-19) na taka kai tawhte chu thisen zam an neih theihna a sang hle.
• Damdawi lam harsatna dang: Damdawi lam natna rei tak tak thenkhat, zunthlum, thisen sang, thinlung natna, leh kal natna te pawhin thisen zam a tipung thei bawk.
• Chhungkaw chhunga thisen zam chanchin: I chhungte hnai tak tak (nu leh pa, unau) te hian thisen zam an nei tawh a nih chuan i hlauhawmna engemaw chen i tawk thei bawk.

Heng thisen zam hlauhawm tak takte hi a lo awm loh nan eng nge kan tih theih ang?

Hei hi mi tam tak tan chuan zawhna pawimawh tak a ni. Dik tak chuan congenital, chu chu genetic, blood clotting disorder (e.g., `Factor V Leiden`) i neih chuan natna hi a pumpelh kim thei lo. Tin, natna avanga thisen zam lo awm thin te hi tihtawp vek a harsa bawk. Mahse, hlau suh! Damdawi (e.g., thisen tithianghlimtu) ei a, doctor-in a pek dan zawm hian i dinhmun chu i thunun thei a, thisen zam theihna pawh nasa takin i tihziaawm thei bawk.

Mi dangte tan chuan, chu chu genetic condition nei lote tan chuan thisen zam an neih theihna tur tihtlem nan thil engemaw zat an ti thei a ni. Hengte hi zawm hian nun hrisel tak i nei thei ang:

• Kum tin check-up nei rawh: I chhungkaw doctor pan fo a, taksa enfiahna kimchang neih a pawimawh. Hei hian thisen zam (blood clots) awm theihna tur risk factor eng emaw zat hriatchhuahna kawngah a pui dawn a ni.
• I kum a zirin cancer screening neih fo thin ang che:I kum leh mimal risk nena inmil cancer screening i neih hian cancer vanga thisen zam i neih theihna chu i tihtlem thei a ni.
• Taksa rihna hrisel tak vawng reng rawh: I san zawng a zirin taksa rihna hrisel tak vawng reng tum ang che. A tul chuan nutritionist emaw doctor emaw hnen atangin thurawn la rawh.
• Meizial zu in pumpelh vek rawh: Meizial i zuk chuan bansan turin theihtawp chhuah rawh. Hei hian thisen zam mai bakah natna dang tam tak lakah a venghim thei ang che. Meizial zuk bânsan tura ṭanpuina i mamawh chuan doctor nen inbia ang che.
• Stay Hydrated: Ni khata tui mamawh zat (a tlangpuiin glass 8-10) in hian thisen viscosity a ti tlem a, thisen kal a ti awlsam bawk.
• Birth control leh hormone therapy chungchangah fimkhur rawh: Birth control pill i hman chuan i doctor nen estrogen tel lo alternative chungchang sawipui rawh . Tin, hormone therapy chungchang hi doctor nen sawiho la, mi thenkhat thisen zam a tipung thei a ni.
• A theih ang anga thawkrim rawh: Hmun khatah rei lutuk thut suh la, nitin exercise engemaw zat nei bawk ang che. Ni khatah minute 30 tal kea kal, tlan, tui chawi, cycle khalh ang chi thil i ti thei a ni. Office-a hnathawh lai pawhin tho la, tlem tal inher kual la, i kut leh ke kha han hrual la, darkar khatah vawi khat tal. Hun rei tak i zin hunah, car emaw thlawhna emaw-a i awm lai pawhin, i ke chu a theih ang anga vawrh la, tho la, a chang chuan tlem tal i kal kual vel ang.

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

Okay, chuvangin vawiin khan Blood Clots chungchanga thu pawimawh tak tak kan sawi a. Tunah hian he thu hi chiang taka in hriatthiam ka beisei. I theihnghilh suh, hriatna hi invenna tha ber a ni.

A awlsam zawngin sawi ila, thisen zam hi kan taksa tan a pawimawh hle a, mahse a chang chuan a hlauhawm hle thei bawk. Chuvangin hei hi hriat chian a pawimawh.

Hliam tenau avanga thisen chhuak tihtawp tura puitu heng thisen zamte hian a châng chuan a ṭul lovah, hmun dik lovah, thisen kalna kawngte a tikhawlo thei a, hrisêlna lama harsatna lian tak, nunna atana hlauhawm tak, heart attack, stroke, leh pulmonary embolism te a thlen thei a ni.

Thisen zam a lo awm theihna chhan tam tak a awm. Ṭhenkhat chu kan veng thei lo, genetic conditions ang chi te. Mahse, chutiang dinhmun chu i nei a nih pawhin i hlauhawmna chu i thunun thei a, damdawi lam thurawn zawm a, nunphung hrisel tak tihdanglamna hmangin nun pangngai i hmang thei a ni.

Kawng lehlamah chuan kan thunun theih tur risk factor tam tak a awm bawk. Thil awlsam tak tak, zu in loh te, taksa rihna hrisel neih te, nitin active taka awm te, tui in tam te, leh damdawi lam thurawn zawm te hian thisen zam hlauhawmna nasa takin a ti tlem thei a ni.

Thisen zam lo awm tur chungchangah ngaihtuahna emaw rinhlelhna emaw i neih chuan, emaw, nangmah emaw, i hriat miin emaw kan sawi tawh ang chi natna lan chhuahna i neih chuan, doctor hnenah sawipui rawh. I hriselna zawng zawng a enfiah ang a, i tana thurawn leh enkawlna tha ber ber a pe ang che. Symptoms hi ngaihthah leh ngaihthah ngai suh. Thil tih hmasak hian nunna a chhanhim thei tih hre reng ang che.

Chuvangin, mi zawng zawng hrisel leh hlim takin awm rawh u! Ni dangah hian hetiang health topic pawimawh dang nen kan inhmu leh dawn a ni!

` Thisen zam, DVT, Pulmonary Embolism, Stroke, Lung natna, Thisen zam, Thisen kalna kawng