He Vascular Surgeon hi tu nge ni? Hemi chungchang hi awlsam takin han sawi ila!

' Vascular surgeon ' tih hi i hre tawh em? A hming hi a mak deuh mai thei a, a nih loh leh tute nge an nih tih pawh i hre vak lo mai thei bawk. Mahse hengte hi kan taksa chhunga thisen kalna kawng nena inzawm natna tihdamna kawnga pawimawh tak , specialist doctor pawl an ni. Chuvangin, vawiin hian heng mite hi tute nge an nih, eng nge an tih tak tak, chutiang doctor i hmuh chuan eng nge thleng dawn tih te, awlsam takin kan sawi dawn a ni.

He vascular surgeon hi tu nge ni?

A awlsam zawngin sawi ila, vascular surgeon chu i taksaa thisen kalna kawng nena inzawm natna, i thinlung leh thluaka thisen kalna kawngte tih loh chu enfiahtu leh enkawltu doctor a ni. Ngaihtuah teh, kan taksa hian thisen kalna kawng network a nei a, chu chu mel 60,000 vel, a nih loh leh kilometre 96,000 vela sei a ni! Chung zingah chuan arteries - thinlung atanga taksa peng dang thlenga thisen phurtu vessels te, veins - taksa atanga thisen phur kir lehtu vessels te, leh lymphatic vessels - lymph fluid phurtu vessels te, taksa invenna system puitu te a ni.

Chuvangin heng vascular surgeon te hi heng vessel zawng zawng, an hnathawh dan leh a chhunga natna awm thei te hi thuk taka hre chiangtu mithiam an ni. I thisen kalna kawngah harsatna a awm chuan heng mite hian a enkawl dan tur leh hrisel taka awmtir turin an pui thei che a ni.

Chûng doctor zînga pakhat chu an office-ah emaw, damdawi inah emaw, operation i neih a ngai a nih pawhin i hmu thei a ni. Heng mite hi damdawi lama harsatna lian tak tak chinfel dan leh complex anatomy hmanga hnathawh thiam tak an ni. Dik tak chuan, a châng chuan "surgeon's surgeon " tia koh an ni. Chumi awmzia chu, surgery dang i tih laiin beisei loh taka thisen chhuak emaw, thisen kalna kawng khar emaw i neih chuan heng vascular surgeon-te hi chhanchhuaktu an ni tihna a ni.

Heng doctor-te hian eng nge an tih?

Okay, chuti a nih chuan vascular surgeon hian eng nge a tih tak tak? I han en teh ang.

Heng mite hian i thinlung emaw thluak emaw chauh ni lo, thisen kalna dang zawng zawng nghawng thei natna nei mi an enkawl a ni.

• Thisen kalna kawng lama harsatna i neih theih dan tur an zirchiang ang .
• Natna hriatchhuah.
• Tichuan i duh ang treatment plan siam a ni ang.

He enkawlna ruahmannaah hian damdawi leh nitin nun tihdanglamna te pawh a tel thei a – entirnan, exercise lak leh i ei leh in tur fimkhur hi.

A chang chuan heng doctor te hian i taksa peng chu an chhanhim thei a , a chang chuan i nunna chhanhim thei bawk . Stroke ang chi condition te an veng thei a, aneurysm a rupture loh nan an titawp thei a, arteries block avanga natna awm chu an ti reh thei bawk.

Tin, thisen kalna kawng natna enkawl nan procedure hrang hrang leh surgery hrang hrang tih a ni bawk. Chûng zîngah chuan minimally invasive treatment te, catheter hmanga enkawlna te, incision tenau hmanga tih te, leh complex open surgery , incision lian tak tak te pawh a tel a ni. A châng chuan, an pahnih hlawkna inzawmkhawmna hybrid treatment an ti bawk.

A pawimawh ber chu, vascular surgeon chuan mimal angin a hre chiang ang che a, hun rei tak chhung tanpuina a pe ang che . Hei hi a chhan chu vascular diseases hi hun rei tak chhunga awm, kum tam tak chhung enkawl ngai a nih fo vang a ni. Vascular problem nei tam tak chuan hriselna lama harsatna dang an nei bawk. Chuvangin an enkawl dan tur ruahmanna chu a buaithlak deuh thei a ni. Chutiang hunah chuan vascular surgeon-te chuan specialist dangte nen thawk hovin i enkawlna chu an inrualrem ṭhin.

Heng mite hian eng ang natna nge an enkawl?

Tunah chuan vascular surgeon-te’n an enkawl natna lian ber berte han thlir ila. He list hi a sei deuh thei a, a chhan chu natna chi hrang hrang an enkawl avangin:

• Aortic aneurysms - Hei hi i aorta wall-a bulge awm a ni.
• Atherosclerosis - Hei hi atherosclerosis chi khat a ni ber. Hei hi thisen kalna kawng chhungah thau (fatty deposits) a lo awm a, chu chuan thisen kalna kawng (vessels) a ti tawi a ni.
• Autoimmune diseases of the blood vessels - taksa peng hrang hrang (immune system) in taksa cell ngeia a beih nana natna.
• Thisen zam - Hengte hi thisen kalna kawng emaw, thisen zam emaw-ah a awm thei.
• Carotid artery disease - Hei hi thluaka thisen petu kawng chhunga thisen kalna kawng lian tak (major artery) a block emaw, a tawi emaw a ni.
• Cerebrovascular disease - thluaka thisen petu vessels nena inzawm natna.
• Chronic limb-threatening ischemia hi taksa peng pakhata thisen pek that loh vanga nunna atana hlauhawm tak a ni.
• Chronic venous insufficiency hi kea veins tihchhiat vang a ni.
• Vein thuk tak (DVT) .
• Dialysis tih a ni(Dialysis) Access buatsaih leh enkawl dan - Hei hi kal (kidney failure) nei tan chuan a tul a ni.
• Zunthlum kaihhnawih ke ulcer .
• Aneurysm avanga minimally invasive treatment hnuah endoleak (hmun dik lo atanga thisen chhuak) .
• Pum chhunga artery pakhat compression avanga lo awm (Median arcuate ligament syndrome - MALS) .
• Intestine-a thisen kal tlem (Mesenteric ischemia) .
• Pum chhunga thisen kalna kawng (Nutcracker syndrome) .
• Kawr leh kut chhunga thisen kalna kawng leh nerve te compression (Thoracic outlet syndrome) .
• Kea thisen kalna kawng a tawi (Peripheral artery disease - PAD) .
• Peripheral artery leh venous aneurysm te a awm thin .
• Popliteal artery entrapment natna hi a awm a .
• Pelvis chhunga vein pakhat compression (May-Thurner syndrome) .
• Stroke - A chang chuan hei hi thisen kalna kawng a inkhar vang a ni.
• A chunglam venous thrombosis a awm thin.
• Varicose veins a awm thin .

He list hi i en chuan heng doctor-te hian natna chi hrang hrang an enkawl dan hi i hmu thei ang. Heng natna zawng zawng hi thisen kalna kawng (blood vessel system) lama harsatna engemaw zat avanga lo awm a ni.

Natna hriat theih nan eng test nge hman thin?

Vascular surgeon leh an team-te chuan thisen kalna kawng lama harsatna awmte hriat nan test chi hrang hrang an hmang a. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Ankle/brachial index (ABI) - Hei hi test awlsam tak a ni a, kea thisen kal zat leh kut chhunga thisen sang nen khaikhin a ni.
• Chest X-ray - Hei hi thisen kalna kawng harsatna thenkhatah pawh a pawimawh thei bawk.
• CT angiogram - Hei hi CT scan bik a ni a, thisen kalna kawng chipchiar tak, three-dimensional (3D) thlalak a la thei a ni.
• Magnetic resonance angiogram (MRA) - Hei hi thisen kalna kawng en nana scan chi dang a ni. MRI machine a hmang a ni.
• Vascular ultrasound / Doppler ultrasound - Hei hian sound wave hmangin thisen kalna kawng chhunga thisen kal dan enin thisen kalna kawngkhar chhungah blockage a awm leh awm loh en nan a hmang thin. Hei hi test hrehawm lo leh him tak a ni.

Heng test-te hian doctor-te chu i thisen kalna kawnga harsatna tak tak chu eng nge ni tih chiang takin a hriat theih nan a pui a ni.

Heng mite hian eng ang surgery/treatment nge an tih?

Vascular surgeon te hian enkawlna leh surgery hrang hrang tih theihna an nei a. Hei hi i dinhmun a zirin an ti vek a, i tana tha ber tur method an thlang thin. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Arterial aneurysm te chu operation tih a ni(Aneurysm surgery) - Hengte hi traditional open surgery a ni thei.
• Angioplasty - Artery emaw vein emaw a plaque emaw thisen zam emaw paih chhuah a, balloon inflating hmanga thisen kalna kawng hawn dan. A châng chuan stent , mesh tube te tak te, chu vessel chu a inhawng reng theih nân an dah ṭhîn.
• Atherectomy - Thisen kalna kawng atanga thau awm (plaque) te chu a tlem berah paih chhuah.
• Endarterectomy - Thisen kalna kawng atanga thau awmte surgery hmanga paih chhuah dan dang (e.g., carotid endarterectomy).
• Endovascular repair of abdominal, thoracic and thoracoabdominal aortic aneurysms (EVAR, TEVAR) - Hei hi enkawlna a ni a, chu chu groin-a incision te tak te hmangin catheter dahin tube kaltlangin, incision lian tak siam lovin a awm a ni.
• Bypass surgery for blockages in the great arteries and arteries in the limbs - chu blockage bypass a, taksa peng dang atanga lak chhuah vein emaw artificial tube hmanga kawng thar siam.
• Popliteal entrapment operation tih a ni.
• Thisen kalna kawngah stent dah .
• Vena cava filter placement - Kea thisen zam lo awm chu thinlung emaw lung emaw a kal loh nan great vein-a filter te tak te dah a ni.
• Transcarotid artery revascularization (TCAR) hmangin kawr chhunga thisen kalna tha zawk siam a ni.
• Thoracic outlet surgery hmanga thisen kalna kawng leh nerve-te compression siamthatna tur a ni.
• Dialysis atana hman theihna tur kawng (e.g. fistula, graft) buatsaih leh enkawl .
• Thrombectomy tih hi thisen kalna kawng emaw, thisen zam (vein) atanga thisen zam lakchhuahna a ni.
• Thisen zam tihthianghlim nan damdawi pek (Thrombolytic therapy - clot busters) .
• Median arcuate ligament syndrome siamthat nan open surgery neih a ni .
• Herniated disc (Nutcracker syndrome) siamthatna tur open surgery neih a ni.
• Endovascular ablation of insufficient veins - Hei hi kea vein chak lo, leaky te tan laser emaw radiofrequency wave hmanga enkawlna a ni.

Engvangin nge vascular surgeon hnenah refer i nih?

I primary care provider chuan i thisen kalna kawng a thawh that lohna tur natna i neih chuan vascular surgeon hnenah a refer thei che a ni. Ngaihtuah teh, thisen kalna kawng hrisel tak takte hian i taksa peng tinah thisen an phur a. Chuvangin, thisen kalna kawng khat a chhiat chuan taksa pumpui a nghawng thei a ni. Chuvangin vascular surgeon te hian thil dik lo zawng chhuak leh siamthat kawngah hian chanvo pawimawh tak an nei a ni.

A tlangpuiin, mi pakhatin he specialized care chi hi a mamawh hunah vascular surgeon a tawk hmasa ber thin. Mahse, a châng chuan, damdawi lam emergency-ah ang chiah hian, beisei loh takin pakhat i tawk thei a ni.

‘Surgeon’ tih thumal hi a hlauhawm deuh thei. Mi tam zawk chuan vascular surgeon an mamawh hma chuan eng nge a nih chiah an hre lo. Mahse a nihna takah chuan heng doctor-te hian operation tih mai ni lovin, thil dang tam tak an ti a ni. Damdawi hmanga harsatna hrang hrang, nunphung thlak danglam te, leh thil tihsual tlem ber hmanga enkawl an ni.

Mahse, operation i neih chuan, a hnua i dinhmun enfiah turin he doctor hi i pan chhunzawm zel a ngai dawn a ni. Tichuan, nang leh doctor chuan harsatna thar lo awm apiang chu i enfiah thei ang.

I doctor chuan vascular surgeon hnenah a refer che a nih chuan zawhna tam tak i nei thei. ‘Engvangin nge he doctor hi ka hmuh a ngaih?’, ‘Eng nge a hnua lo thleng ang?’, ‘Operation ka mamawh ang em?’ a ti a. Vascular surgeon-te hian natna chi hrang hrang an enkawl avangin leh enkawlna chi hrang hrang an neih avangin operation i mamawh lo mai thei tih hre reng ang che. Mahse, operation a ngai a nih chuan i doctor chuan a chhan leh eng nge thleng dawn tih chiang takin a hrilhfiah ang. Zawhna emaw, ngaihtuahna emaw i neih chuan anmahni nen sawiho rawh. Chutiang chuan i tana tha tur enkawlna i hmu thei ang, diagnosis atanga recovery thlengin.

Tlemte hre reng ang che.

Okay, chuvangin kan sawi tawh atang hian i tana thil pawimawh tlemte chu tawi te tein i hrechhuak ang u:

• Vascular surgeon chu i thinlung leh thluak tih loh thisen kalna kawng zawng zawng natna enkawltu specialist a ni.
• Heng mite hian surgery chauh an ti lo. Damdawi, nunphung thlak danglam, enkawlna tenau te ang chi thil tam tak an hmang thin.
• Thisen kalna kawng lama harsatna i nei nia i ngaih chuan , emaw, i doctor-in chutiang specialist hnenah a refer che a nih chuan hlau suh.
• I dinhmun leh i enkawl dan te zir rawh. Doctor nen zalen taka inbiakna neih a pawimawh hle.
• Thisen kalna hriselna hi kan taksa pum hriselna atan a pawimawh hle , chuvangin enkawl a phu hle.

Chuvangin, tunah chuan vascular surgeon te hi i hrethiam zawk ka beisei. Hemi chungchanga zawhna i neih chuan Doctor biak hreh suh!

` Vascular Surgeon, Vascular Diseases, Arteries, Veins, Surgery, Thisen kal dan