Mi hrisel, thawkrim tak ni mah la, exercise i tih lai emaw, i kal lai emaw hian i ke hnuai lam, a bik takin groin area-ah natna emaw, tightness emaw i nei ngai em? Hun engemaw chen hnuah a bo a, thil dang i tih hunah a rawn let leh thin. Hei hi thil lian tak a ni lo tih i ngaihtuah mai thei. Mahse, hei hi a takah chuan Adventitial Cystic Disease tih hming pu natna hlauhawm tak chhinchhiahna a ni thei. Chuvangin, vawiinah hian he thu hi chipchiar deuhin han sawi ila.
Adventitial Cystic Disease hi eng nge a nih tih hi awlsam takin han thlir ila.
A awlsam zawngin, Adventitial Cystic Disease hi thisen kalna kawng, thisen kalna kawng emaw, thisen kalna kawng emawa tuiin a khat sac, cyst , an tih chu a lo awm a ni. Hei hi thisen kalna kawng pawn lam ber adventitia- ah a thleng bik a ni. Thisen kalna kawng pawn lama bulge te tak te, tui pipe ang maia thisen kalna tur tikhawlotu chu han mitthla teh. Chu chu hetah hian thil thleng a ni.
He cyst hian thisen kalna kawng a tikhawlo a ni. He harsatna hi a pung thei a, a bik takin kan che emaw, kan exercise emaw hian. A tam zawkah chuan he natna hian popliteal artery , kan khup leh ke hnuai lam ruh te thisen pe chhuaktu artery lian tak a nghawng a ni. Mahse, a tlem hle a, 15% velin popliteal artery tih loh thisen kalna kawng dangah cyst a lo awm thei a ni.
Hetiang dinhmun hian tute nge a nghawng nasa ber?
Adventitial Cystic Disease hi mipa kum 40 leh 50 inkarah hmuh tam ber a ni a, a nihna takah chuan hmeichhia aiin mipain he natna hi a let nga velin an vei tam zawk niin an sawi.
Thil mak tak pakhat chu he natna hian natna khirh dang nei lo mi hrisel, thawkrim tak takte a nghawng fo thin hi a ni. Kan hriat tlangpui chu thau lutuk emaw, cholesterol sang emaw hian thisen kalna natna dang a thlen thei tih kan hria. Mahse, chutiang risk factor chuan Adventitial Cystic Disease a nghawng tih hmuhchhuah a la ni lo.
Hetiang dinhmun hi engtiang chiahin nge a awm tak tak?
He natna hi i la hre ngai lo mai thei. A chhan chu a natna hlauhawm tak a nih vang a ni . Vascular disease zawng zawng ngaihtuah chuan he natna hian percentage tlemte chauh a nghawng a, 0.1% vel a ni. Chumi awmzia chu mi tlemte chauhvin an nei tihna a ni.
He natna lan chhuah dan engte nge ni? Nang pawhin hengte hi i nei em?
He natna lan chhuah dan ber leh langsar ber chu intermittent claudication a ni.A condition tih a ni. A awlsam zawngin sawi ila, hei hi thisen pek tlem avanga taksa ruh chak lohna emaw, natna emaw hriatna a ni. Hei hi i che emaw, exercise i tih emaw hian a thleng tlangpui. He natna hi chawlh hahdam deuh hnuah a reh thin.
Mi tam tak tan chuan he natna hi calf area-a muscle atanga lo chhuak a ni (calf muscle pain) . Tlemte i kal emaw, i tlan emaw, stairs tlemte i lawn emaw hian, rang takin i ke bawnghnute chhung atang chuan natna mak tak leh khauh tak a lo chhuak ta niin han ngaihtuah teh. Hun engemaw chen i din chuan a reh a, i kal chuan a intan leh thin. Chu chu a ni. A tam zawkah chuan hei hian ke pakhat chauh a nghawng a ni. Mahse, a tlem hle a, hetiang hian ke pahnih a nghawng thei.
Eng emaw chhan vanga he cyst hi vein (hei pawh hi a tlem hle)-ah a lo awm a nih chuan ke chu a hring thei a ni.
Engvangin nge Adventitial Cystic Disease hi a lo awm? A chhante chu engte nge ni?
Mithiamte chuan he natna thlentu hi eng nge ni tih chiang takin an la hre lo a, mahse he natna thlentu nia an ngaih thil tlemte a awm a:
- Nausen pian laia cell: Nausen pum chhunga nausen lo thanglian lai hian heng cyst siam thei cell te hi thisen kalna kawngah an lut thei a ni.
- Connective tissue disorders: Connective tissue disorder thenkhat hian thisen kalna kawngah hetiang cysts lo awm theihna a tipung thei a ni.
- Joint-related: Mi thenkhat chuan an ruh bulah hetiang cyst hi an nei tam zawk mai thei.
- Trauma emaw repetitive stress: Thisen kalna kawng hliam vang emaw, pressure (stress) chhunzawm zel vang emaw pawh nise, thisen kalna hmun thenkhat a chhe thei a, chu chuan cyst a siam thei a ni.
Mahse thil pakhat chu a chiang. Tuna finfiahna kan hmuh dan chuan Adventitial Cystic Disease hi rilru lam natna avanga lo awm a ni lo.
Engtin nge he natna hi dik taka hriat theih a nih? (Diagnosis) tih a ni.
He natna hi hriat a har deuh thei. A chhan chu, a hmaa kan sawi tawh ang khan, thisen kalna natna dang thlen theihna tur risk factor nei lo mi hrisel tak takah a awm fo thin. Chuvangin exercise i tih laiin khup hnunglam emaw, groin area emaw-ah pawh na i neih chuan doctor pan ngei ngei tur a ni a, chu chu hrilh ngei ang che.
Hetiang dinhmun hi thisen kalna kawng natna dang, Popliteal Artery Entrapment Syndrome (PAES) emaw Chronic Exertional Compartment Syndrome emaw ang chi te nen a inang thei a ni. Chuvangin, i doctor chuan he natna hi a hriat hmain natna dang a awm lo ang.
I doctor-in a enfiah hunah i ke leh i khup hnunglam, popliteal artery-a pulse awm chu a hre thei ang. Pulse i hriat loh chuan, a bik takin i khup i ben hian thisen kal dan a block tih a tilang thei.
Chu bakah, doctor chuan he natna hi finfiah nan test dang engemaw zat a ti thei bawk:
- Ankle-Brachial Index (ABI): Hei hian i ke hnuai lam thisen sang a teh a.
- CT Angiogram: Hei hi thisen kal dan leh thisen kalna kawngkhar a block a awm leh awm loh hriat nan hman theih a ni. Thisen kalna kawng thlalak lak ang mai a ni.
- Duplex Ultrasound: Hei hian i ke atanga thisen luang chhuak chu moving image a hmu thei a.
- MRI: Hei hian thisen kalna kawng chhungah emaw, a chhehvelah emaw cyst chiang takin a hmu thei.
Heng test te hnuah chauh doctor chuan Adventitial Cystic Disease i neih leh neih loh chu chiang takin a hrilh thei ang che.
Hei hi eng enkawlna nge ni?
A chang chuan heng adventitial cyst te hi anmahni chauhin an bo thei bawk. Mahse, a tam zawkah chuan enkawlna hlawhtling ber chu operation hmanga cyst lak chhuah hi a ni .
A then phei chuan i doctor chuan cyst chu needle hmanga aspirate turin a rawt thei bawk. Hei hi operation aiin invasive lo zawk a nih laiin, cyst lo awm leh theihna a tipung a ni.
Surgery i neih chuan i surgeon chuan cyst leh thisen kalna kawng chhia chu a la chhuak ang. I dinhmun a na zawk a, chu chu thisen kalna kawng a block vek tihna a nih chuan tih dan dang a ngai mai thei. Chutiang a nih chuan, i surgeon chuan i taksa peng dang aṭanga vein graft emaw, synthetic patch emaw hmangin thisen kalna chu a siam ṭha thei a, thisen kal dan pangngai a siam ṭha leh thei bawk. A nih loh leh, bypass surgery i ti thei a, chu chuan thisen kalna kawng thar a siam a, chu chuan thisen kalna kawngkhar a khar vel a ni.
Hetiang thil hi kan veng thei ang em?
Dik tak chuan Adventitial Cystic Disease hi ven dan tur bik a awm lo . A chhan dik tak hriat a nih loh avangin a ven dan tur sawi a har hle.
Mahse, i tih theih ṭha ber chu i ke natna, pressure, bengchheng emaw, i ke hring emaw i hriat veleh damdawi lam thurawn lak hi a ni. Chutiang chuan a natna chu rang takin i hre thei a, enkawlna i tan thei bawk.
Enkawl hnuah eng nge thleng? Eng ang thlirna nge ni ang? (Hmuh dan tur) .
Adventitial Cystic Disease tan eng damdawi pawh hmang se, .Cyst hi a lo awm leh theihna chance a awm. Chuvangin, enkawl hnuah pawh doctor enkawlna hnuaia rei tak awm reng a, imaging exam neih a ngai tlangpui.
Mahse, mi tam tak chuan cyst removal surgery an neih hnuah natna leh lameness atanga hahdamna an hmu tawh a ni. Zirna tenau pakhatah chuan vein graft hmanga cyst lakchhuah hian a lo lang leh theihna a ti tlem tih hmuhchhuah a ni.
A pawimawh ber chu heng symptoms te hi i neih chuan Doctor hmu a, sawi chhuah hlau suh. Natna i hriat chian hma chuan enkawl tanin i dam thuai thei a ni.
I doctor zawh tur zawhna pawimawh thenkhat
Adventitial Cystic Disease i vei tih hmuhchhuah i nih chuan i doctor hnenah zawhna i zawt mai thei a, chungte chu:
- Exercise ka tih hian ke natna tihziaawmna tur thil ka tih theih a awm em?
- Engtin nge enkawlna hnua he cyst lo awm leh theihna hi ka tihziaawm theih ang?
- Thisen zam a awm theihna tur a awm em?
- He cyst hi paih chhuah nan hian operation ka mamawh em?
- He cyst hi enkawl loh chuan a mah chauhin a bo dawn em ni?
Heng zawhnate bakah hian doctor hnenah i neih leh rinhlelhna i neih apiang zawt thin ang che.
A tawi zawngin heng thute hi hre reng ang che (Take-Home Message) .
Okay, chuvangin kan sawi tawh atanga thu pawimawh thenkhat tawi te tein i hriat nawn tir leh ang u:
- Adventitial Cystic Disease hi thisen kalna kawng, a bik takin popliteal artery-ah cyst a lo awm a, thisen kal dan a tikhawlo a ni.
- Hei hian mipa hrisel, active kum 40-50 inkar a nghawng tam ber .
- A lan chhuahna ber chu exercise neih laiin ke hnuai lam, a bik takin groin area-a natna emaw, ke ruh tliak emaw a ni (intermittent claudication) . Hei hi chawlh hahdam rualin a tlahniam thin.
- A chhan bik erawh hmuhchhuah a la ni lo.
- Test hrang hrang (ABI, CT Angiogram, Duplex Ultrasound, MRI) hmangin natna hriat theih a ni.
- Surgery hmanga cyst lakchhuah hi enkawlna hlawhtling ber a ni tlangpui .
- Hei hi ven dan tur bik awm lo mah se, a lan chhuah veleh damdawi lam thurawn lak a pawimawh hle.
- Enkawl hnu pawh hian natna a lo awm leh theih avangin hun rei tak chhung damdawi lam enkawl a ngai a ni.
Chuvangin, heng symptoms te hi i neih chuan doctor pan a, ngaihthah lova thurawn lak a tha ber. A chhan chu, natna dang ang bawkin, a hriat hma chuan enkawl leh dam theihna chance a sang zawk a ni.
`adventitial cystic disease, popliteal artery, intermittent claudication, ke na, thisen kalna natna, cyst, thisen kalna kawng khar, ke na, thisen kalna kawng khar, cyst, popliteal artery
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh