Gym-a i kal emaw, i tlan emaw, i workout emaw hian i ke ruhte chu na tak, hliam na tak i nei em? Mahse mak tak maiin a natna chu rei vak lo chawlh hnuah a reh vek em? Mi tam tak chuan hei hi thil pangngaiah an ngai a, taksa ruh natna a ni mai thei, mahse chutiang chu a ni ngai lo. A châng chuan a chhan bulpui ber chu natna danglam, hriat hlawh lo tak a ni thei bawk. Vawiin hian chutiang dinhmun tlemte, hriat hlawh tak pakhat kan sawi dawn a ni.
A awlsam zawngin Adventitial Cystic Disease hi eng nge ni?
Hei hi a buaithlak deuhin a lang thei a, mahse hriatthiam a awlsam hle. Adventitial Cystic Disease hi kan taksa chhunga thisen kalna kawng (artery emaw vein emaw) bang chhungah tuiin a khat sac, bubble (cyst) ang chi a lo awm thin a ni.
Tui pipe awm angin han ngaihtuah teh. Chu pipe bang chhunga balloon te tak te chu a lo hring chhuak a. Chuti a nih chuan eng nge thleng? Pipe kaltlanga tui luangna tur hmun a tlahniam a, tui luang tur pawh a tikhawlo a ni. Chu chu he natnaah hian a thleng thin. Kan thisen kalna kawng bang hi layer engemaw zat atanga siam a ni. Hetah hian he tui tumor hi thisen kalna kawng pawn lam ber, adventitia . He tumor hi a lo lian chhoh zel chuan thisen kalna kawng chu a ti zim a, thisen kalna kawng chu a ti zim a ni. A bik takin kan kal emaw, kan tlan emaw hian, kan kein thisen tam zawk a mamawh hunah, he narrowing hian thisen tling tawk chu taksa peng hrang hrangah a kal thei lo. Chu chu a na chhan ber a ni.
A tam zawkah chuan he natna hian kan khup hnung lama kal thisen lian ber popliteal artery a nghawng a ni . He artery hian kan khup leh kan ke hnuai lam ruh te hnenah thisen a pe a. Mahse, a tlem hle a, 15% velin heng tui-a khat cyst te hi taksa chhunga thisen kalna kawng dangah pawh a lo awm thei a ni.
He natna hi tuin nge vei tam ber?
Hei hi he natna chungchanga mak tih ber chu a ni. A tlangpuiin thisen kalna natna hi cholesterol sang, thau lutuk, leh zunthlum vei te zingah a awm thin. Mahse he natna hi chutiang chu a ni lo.
- Mipa kum 40 leh 50 inkar ah a awm tam ber .
- Hmeichhia aiin mipa hian a let nga velin he natna hi an vei tam zawk a ni .
- Mak tak mai chu hei hi natna dang nei lo leh hrisel, active nun hmangtute zingah a thleng thin .
Chumi awmzia chu mi hrisel, exercise tha tak i nih pawhin he natna hi i nei thei tho tihna a ni. Vascular diseases risk factor dang, cholesterol sang leh thau lutuk te hian hei hi a nghawng tih finfiahna a awm lo. Hei hi natna hmuh tur awm lo tak a ni. A vei tlem hle a, 0.1% vel chu thisen kalna natna zawng zawngah a ni.
He natna lan chhuah dan berte chu engte nge ni?
He natna lan chhuah dan ber leh langsar ber chu intermittent claudication an tih hi a ni . A awlsam zawngin, "Exercise laiin taksa natna lo awm leh chawlh hahdam huna bo thin" tihna a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Rolling pin ang maia natna | Exercise kan tih hian bawnghnute ruh natna nasa tak emaw, cramp ang maia hriatna emaw, a bik takin kea kal emaw, tlan lai emaw hian. |
| Chawlh laiin natna tihziaawmna | Exercise i chawlhsan a, minute engemaw zat i chawlh chuan a natna chu a bo vek tawh mai. |
| Ke pakhat a nghawng fo thin | He natna hi ke pakhat chauh ah a awm tlangpui a, mahse a tlem hle a, ke pahnih ah a awm thei. |
| Swelling (a tlem hle) . | Vein pakhatah tui a awm khawm chuan keah a hring chhuak tih i hmu thei. Mahse, hei hi a tlem hle. |
Engvangin nge hetiang hi a lo awm?
Doctor-te chuan hei hi eng thil nge a thlen tih chiang takin an la sawi thei lo a, mahse a chhan ni thei tur theory engemaw zat a awm.
- Embryonic development laia harsatna lo awm: Mi thenkhat chuan, naute chu nausen pum chhunga a lo thanglian zel angin, heng fluid-filled cysts siam thei cell chi khat chu thisen kalna kawngah a lut thei niin an ngai.
- Connective tissue natna: Taksa connective tissue tichhe thei dinhmun thenkhat hian thisen kalna kawngah heng tumor chi hrang hrangte hi a siam thei a ni.
- Joint-a lo awm: Mi thenkhat chuan ruh chhungah hetiang tumor hi an nei tam zawk mai thei.
- Accident emaw, hun rei tak chhunga stress awm emaw:Thisen kalna kawng a trauma emaw, chetna chi khat tih nawn fo avanga stress repetitive emaw hian thisen kalna hmun thenkhat a tichhia a, chu hmunah chuan tumor a siam thei bawk.
A pawimawh ber chu he natna hi rilru lam natna avanga lo awm a ni lo tih hi a ni. Chuvangin cholesterol leh thisen sang ang chi thil ngaihtuah buai a ngai lo.
Engtin nge natna hi dik taka kan hriat theih ang?
He natna hi hriat chian a harsa deuh thei. Mi hrisel tak takah a awm avangin doctor-te chuan a tir lamah chuan hetiang natna rapthlak tak hi an ngaihtuah ngai lo. Chuvangin exercise i tih laiin khup hnunglam emaw, i groin area emaw-ah pawh natna i neih chuan i doctor hmu la, chu chu hrilh ngei ang che .
I natna lan chhuah dan hi he natna dang ang chi, Popliteal Artery Entrapment Syndrome (PAES) emaw Chronic Exertional Compartment Syndrome emaw avanga lo awm pawh a ni thei. Chuvangin, i doctor chuan heng natna zawng zawng hi a dik taka a hriat hmain a paih chhuak vek ang.
Doctor-in test a tih te
A hmasain doctor chuan taksa a enfiah ang che a, i ke leh i khup hnunglam (popliteal artery) pulse a awm leh awm loh a enfiah ang. Pulse a chak lo emaw, a awm lo emaw a nih chuan, a bik takin i khup i ben hian thisen kal dan a block tih a tilang thei.
Tin, a hnuaia test te hi a natna hriat chian nan tih theih a ni bawk.
| Fiahna | Eng thil nge thleng? |
|---|---|
| Ankle-Brachial Index (ABI) a ni a, a chhuahna tur hmun hi a inang lo hle. | I kut leh kea thisen sang tehna leh tehkhin a ni. I ke a thisen sang a hniam chuan blockage a ni tih hriat theih a ni. |
| Duplex Ultrasound hmanga tih a ni | Hei hian thisen kal tlanga thisen kal dan chu video angin a en thei a ni. Fluid leh blockage chu chiang takin a lang thei. |
| CT Angiogram hmanga enfiah a ni | CT scan hi taksaah dye bik inject a ni. Thisen kalna kawng chipchiar tak tak 3D image hmuh theih a ni a, chu chuan a block na hmun dik tak chu a hriat theih a ni. |
| MRI hmanga siam a ni | Hei hian thisen kalna kawng leh a chhehvel tissue te thlalak chiang tak tak lak theihna leh fluid-filled cyst awmna leh a nihna hriat theihna a siam bawk. |
Engtin nge enkawl a nih?
A chang chuan heng cyst te hi enkawl ngai lovin anmahni chauhin an bo thei bawk. Mahse chu chu a tlem hle. Vawi tam tak chu enkawlna hlawhtling ber chu operation hmanga cyst lakchhuah hi a ni.
A then phei chuan doctor chuan needle hmangin cyst chhunga tui awm (cyst aspiration) chu operation tel lovin a la chhuak thei bawk. Hei hi operation aiin a awlsam zawk a, mahse cyst lo kir leh theihna a tipung thung. Tui balloon chu needle hmanga empty tum ang mai a ni a, mahse a khat leh thei.
Surgery an tih lai hian surgeon chuan a tui leh thisen kalna kawng chhia chu a paih chhuak thin. A natna a nasat em em a, chu chu thisen kalna kawng a inkhar nasa hle tihna a nih chuan kawng dang pawh hman theih a ni. Entir nan:
- Vein Graft: Taksa peng dang atanga lak chhuah vein hrisel chi khat chu thisen kalna kawng chhia siam that nan hman a ni.
- Synthetic Patch: Thisen kalna kawng chu synthetic patch hmanga siam that a ni.
- Bypass Surgery: Thisen kalna tur kawng thar siam a ni a, chu chuan blockage chu bypass a ni.
Enkawl hnuah eng nge thleng?
Eng enkawlna pawh hnuah he cyst hi a lo awm leh theihna chance a awm. Chuvangin, enkawl hnuah pawh hun rei tak enkawl, scan ang chi hi a ngai a ni.
Mahse, surgery hmanga tumor lakchhuah hnuah mi tam tak chuan natna leh cramping atanga rehdamna famkim an nei thin. Zirchianna pakhatah chuan thisen kalna kawng chu vein graft hmanga surgery hmanga siamthat a nih chuan a lo lang leh theihna a tlem ber tih hmuhchhuah a ni.
Hei hi ven theih a ni em?
No. Tunah hian he natna hi a awm loh nan tihkhawtlai theih a ni lo. A tha ber chu i natna lan chhuahna, ke na, pressure, cramping, emaw swelling te ang chi i hmuh veleh doctor pan mai tur a ni .
Take-Home Thuchah a ni
- Adventitial Cystic Disease hi thisen kalna kawng bang-ah tuiin a khat cyst a lo awm a, chu chu thil awm lo tak a ni. Khup hnung lama artery-ah hmuh tur a tam ber.
- A lan chhuah dan ber chu exercise laiin natna khirh tak, hliam na tak a ni a, i chawlh laiin a bo vek a ni.
- Mipa hrisel, active, kum chanve vel, natna dang nei loah a awm tam ber. Cholesterol ang chi risk factor pangngaiin a nghawng lo.
- Hetiang symptoms i neih chuan thil pangngaiah ngai suh la, doctor hmu ngei ang che.
- Enkawlna hlawhtling ber chu surgery hmanga cyst lakchhuah hi a ni.
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