He ‘extravasation’ hi eng nge ni? A awlsam zawngin i hrethiam ang u!

‘Extravasation’ tih thumal hi i hre ngai em? I doctor hnen atangin i hre tawh mai thei a, cancer enkawlna chungchang i zirchian laiin i hre tawh mai thei bawk . A nihna takah chuan damdawi lam thumal tlemte ni mah se, awmzia pahnih a nei. Pakhat chu kan taksa chhunga thil thleng (natural process) a ni. A dang chu damdawi kan pek hian a chang chuan a lo awm thei a, a bik takin cancer enkawlna (chemotherapy) lai hian harsatna tenau tak a ni. Vawiin hian heng pahnih chungchang hi kan sawi dawn a, awlsam takin, in hriatthiam theih nan.

‘Extravasation’ an tih hi eng nge ni?

A awlsam zawngin ‘extravasation’ tih hi kan taksa chhunga cell awmte thisen kalna (thisen kalna hmun) atanga chhuakin a chhehvel tissue-a an kal luh dan a ni. Latin tawng pahnih atanga siam a ni. 'extra' tih awmzia chu "pawn lam" tihna a ni a, 'vas' tih awmzia chu "vessel" tihna a ni. Chuvangin "bêl aṭanga chhuak" tih ang chi tihna a ni.

Hetiang hian han ngaihtuah teh. Hliam te tak te i neih hian emaw, i taksaah natna hrik a luh chuan, a chhanchhuak hmasa ber chu i thisen var (white blood cells) te hi a ni. I taksa chhunga police awm ang mai an ni. Heng thisen var te hian i thisen kalna kawngah an kal a, chu thisen kalna atang chuan an zuang chhuak a, hliam emaw, natna hrik emaw lam pan chuan an kal a ni. Hetianga zuang chhuah dan hi ‘extravasation’ kan ti a ni. Hei hi i taksa invenna atana thil pawimawh tak a ni .

Tin, lungchhiatthlak takin he ‘extravasation’ kalphung ang chiah hi cancer cell-te hian taksa pum puia darh turin an hmang a, chu chu hmun khat atanga hmun danga kal (chu chu `metastasis` kan ti bawk) tihna a ni.

Engtin nge cancer cell-te hian hetiang hi an tih?

Cancer cells te chu original tumor atang hian an inthen hmasa thin. Chumi hnuah chuan heng cell-te hian kan taksaa thisen kalna kawng te ber ber, capillaries , an tih kal tlangin thisenah an kal a. An kal lai hian heng cancer cell-te hi thisen kalna kawng hrang hrang siamtu endothelium , tissue layer te tak teah an inzawm a ni.

A tirah chuan heng cancer cell te hi endothelium-ah an kal a. Hun engemaw chen hnuah chuan endothelium-ah nghet takin an inzawm ta a ni. (Hei hi kan thisen var thenkhat, cell chi khat platelet an tih te hian a pui a ni. Damdawi lam zirchiangtute chuan he thil hi an zirchiang nasa hle a, a chhan chu kan tihtawp theih chuan cancer darh zel hi kan tikhawtlai thei niin an ngai a ni.) A tawpah chuan heng cancer cell te hian thisen kalna kawng bang te chu an tichhia a, tissue chhungah an kal chhuak ta a ni. Chumi hnuah chuan cancer cell te chu an muhil thei a, an thi thei a, hmun thara tumor thar an siam tan thei bawk.

I ngaihtuah mai thei, "Ka taksaah hetiang hian 'extravasation' ka neih chuan ka hre ve ang em?" Thisen varte’n natna hrik an do lai hian, a hring leh a sen ang chi thil i hre mai thei. Mahse, cancer a darh huna lo awm 'extravasation' hmang hian a tir lamah chuan chutiang chhinchhiahna lian tak chu i hmu lo mai thei . Medical test-ah he ‘extravasation’ hi direct-in a lang lo nachungin, thisen a thisen var awm zat leh cancer marker te ang chi thilte chu thisen test hmangin a enfiah theih a ni.

Damdawi lam dinhmun ‘extravasation’ an tih chu.

Tunah chuan doctor-te’n ‘extravasation’ an tih awmzia dang chu han sawi ila. Hei hi cancer vei te chu chemotherapy damdawi intravenous (IV) , damdawi chi khat, tube (cannula) hmanga vein chhunga pek an nih hian a dik hle.

Damdawi thenkhat chu vein-ah direct-a pek a ni tih i hre tawh mai thei. Cancer enkawlnaah chuan he damdawi hi IV tube hmangin thisenah direct-in pek a ni. He IV tube hi i kut emaw i kutphah emaw vein nen a inzawm tlangpui. Chumi hnuah chuan damdawi chu plastic bag atang hian tube hmangin i thisenah pump lut a ni. A chang chuan cannula hman a ni a, chu chuan hun engemaw chen chhung chu i taksaah damdawi chu zawi zawiin a inject thin.

Tunah chuan, cancer dona damdawi thenkhat chu ``vesicants'' an ti a, chu thumal awmzia chu ``vesicants siamtu'' tihna a ni.Heng ``vesicants'' damdawi te hi IV line emaw ``cannula'' atanga an leak chhuah chuan a chhehvela tissue hrisel tak tak te chu an tichhe thei a ni. Chu chu damdawi lam chuan ``extravasation,'' kan tih chu a ni a, chu chu damdawi chu vein atanga a leak chhuak a, tissue a tichhia a ni .

Chutiang a nih chuan damdawi dawngtu chuan IV awmna hmunah kang leh natna a nei thei a ni. Damdawi chu cannula hmanga a leak chuan a hmun chu a khauh thei a, a hring thei a, a sen thei bawk.

Mahse hetah hian thil pawimawh tak hriat reng tur a awm . Cancer damdawi chi khat ‘vesicant’ pek i nih chuan i doctor leh nurse te hian an hre chiang hle. Hospital-te chuan he ‘extravasation’ hi venna tur policy leh kaihhruaina chiang tak an nei a. Damdawi an pek hunah uluk takin an vil reng che a, harsatna an hmuh chuan an siam that nghal vat thin.

Hetiang ‘extravasation’ hi cancer enkawlnaah a awm fo em?

Ni lo, hei hi chutiang chuan a awm lo., mahse thil theih loh a ni lo. Zirchianna pakhatah chuan cancer enkawlna zinga 6% vel chuan ‘extravasation’ tenau an nei tih hmuhchhuah a ni. Medical staff IV hmanga cancer damdawi pe thinte hi a bik takin he thil hi laka invenna tur leh a lo awm a nih chuan enkawl vat turin an zirtir a ni.

Hei hi harsatna lian tak a ni em?

Ni e, a châng chuan hei hi thil pawi tak a ni thei . Ngaihtuah teh, cancer cell tihlum thei damdawi chak tak takte hian tissue hrisel pawh a tichhe thei a ni lawm ni? Chuvangin damdawi chu IV atanga a leak chhuah chuan natna a thlen thei a, tissue a tichhia thei bawk. Symptoms hi a lang nghal thei a, ni engemaw zat hnuah pawh a lang thei bawk.

‘Extravasation’ a lan chhuah dan chu engte nge ni?

• IV emaw cannula emaw dahna hmuna natna nghal .
• A kang emaw, a hliam emaw .
• Chu lai hmunah chuan vun a sen a ni .
• Pockmark emaw blister emaw a awm thei .
• Inhliam .
• Vun a var (hei hi tissue tihchhiatna chhinchhiahna a ni thei).

Extravasation hlauhawmna tipungtu thil a awm em?

Ni e, thil thenkhat chuan he hlauhawmna hi tlem a tipung thei a ni. Mahse medical staff te hian heng risk factors te hi an hre chiang a, chuvang chuan he risk tihtlem nan hma an la thin.

• Vein te tak te emaw chak lo emaw nei tan .
• Thisen kalna kawng pangngai aia rang zawka puak thin tan chuan .
• Cancer enkawlna avanga thisen kalna kawng a thim emaw, a khauh emaw tan .
• IV dah tumnaah thisen kalna kawng inher kual nei te tan.

He ‘extravasation’ hi engtin nge an enkawl?

Cancer damdawi pe thin medical staff te chuan he ‘extravasation’ hi ven hi an ngaih pawimawh ber a ni. Mahse, vanduaithlak takin a lo thleng a nih chuan harsatna lo awm apiang rang taka chinfel turin an zirtir bawk. An tih tlangpui step thenkhat chu hetiang hi a ni:

• IV kaltlanga damdawi ei hi tihtawp nghal a ni ang.
• A theih ang angin damdawi paih chhuah zawng zawng chu a hmun atang hian paih vek tur a ni.
• IV chu lakchhuah a ni a, paih a ni.
• A kut natna chu a sang deuh (elevating) a ni .
• Simptoms tihziaawm nan cream hnawih thin ang che.
• Cold compress an hmang thin. Cold compress hian natna a tiziaawm. Thisen kalna kawng a tikhawlo bawk a, chu chuan damdawi la awm zawng zawng a darh zel tur chu a ti tlem a ni.
• In some cases , warm compress an hmang thin.Warm compress hian thisen kal a tipung a, hei hian IV site chhehvela damdawi awm zat paih emaw tihtlem emaw a pui thei a ni. (I doctor chuan compress lum emaw, lum emaw hman a rem dawn tih a rel ang.)

‘Extravasation’ hnuah eng nge thleng?

I dinhmun a zirin a danglam thei. I medical team chuan extravasation avanga harsatna awmte chu an enkawl ang. Chumi hnuah chuan i dinhmun chu an enfiah ang a, harsatna thar a lo awm em tih emaw, i dinhmun a na zual em tih emaw an enfiah ang.

A châng chuan, IV site dang hmangin enkawlna i chhunzawm thei bawk. A châng dangah chuan i doctor chuan i dam hma loh chuan ni engemaw zât enkawlna sawn hlat tûrin a rawt thei bawk. Mahse, in lama in enkawl dan tur chipchiar takin an pe ang che. Entir nan:

• Extravasation hnuah ni khat tal (minute 15-20 vel, ni khatah vawi li atanga vawi ruk) i kut ah compress lum emaw, lum emaw hnawih turin an ti thei che a ni. I doctor chuan hetiang tih dan tur dik tak a hrilh ang che.
• Kut natna chu chawi sang turin i hrilh thei bawk .

Enkawlna ka chhunzawm thei dawn em ni?

I dinhmun ah pawh a innghat bawk. Zirna hrang hrangah chuan mi tam zawk chuan enkawlna an chhunzawm thei tih a tarlang . A châng chuan IV chu thlak theih a ni a, extravasation hnu lawkah enkawl ṭan theih a ni bawk. Hun dangah chuan extravasation symptoms a reh vek hma loh chuan enkawlna tihkhawtlai theih a ni.

Engtikah nge doctor hnenah ka hriattir ang?

Extravasation symptoms i beisei aia rei a awm reng chuan i doctor hnenah hriattir ngei ang che .

A tawi zawngin, kan hriat reng tur thilte chu hetiang hi a ni (Take-Home Message):

Tunah chuan ‘extravasation’ tih thumal hian awmzia pahnih a nei tih i hre ta. Pakhat chu cancer cell-te’n taksa pum puia an darh theihna tura an hman natural process hi a ni. A dang chu IV atanga chemotherapy damdawi a leak chhuah avanga lo awm thei medical condition a ni.

Pawimawh tak chu he complication ‘extravasation’ an tih hi cancer enkawlnaah chuan thil mak a ni lo. Medical staff te chu a bik taka invenna tur leh a lo awm chuan enkawl vat turin an zirtir a ni.

Cancer natna chemotherapy i lak dawn a nih chuan i doctor emaw nurse emaw nen in enkawl laiin eng nge i beisei tur tih leh a side effects awm tlangpui te chu sawipui rawh. Chutiang chuan thil danglam tak i hriat chuan thil pangngai emaw, report nghal ngai thil emaw chu i hre thei ang. Ngaihtuah buai suh, i medical team te chu tanpui turin an awm a ni.

` Extravasation, cancer enkawlna, chemotherapy, IV leak, vein atanga damdawi leak, cancer darh, cell migration