I kut ah natna leh natna i nei em? Hei hi Arterial Thoracic Outlet Syndrome a ni thei ang em?

I kutah natna mak tak tak emaw, i kutah khawsik emaw i nei ngai em? A nih loh leh i kut chu a rawng a inthlak emaw, i tan hnuah a dam rei leh rei emaw tih i hmu em? Hengte hi thil pangngai anga ngaih mai suh. Hei hi damdawi lam natna `(Arterial Thoracic Outlet Syndrome)` tih chhinchhiahna a ni thei. Hemi chungchang hi vawiin hian chipchiar tak leh awlsam takin i sawi dawn nia.

Hei hi eng nge ni `(Arterial Thoracic Outlet Syndrome)`? A awlsam zawngin i hrethiam ang u, kan hrethiam dawn em ni?

A awlsam zawngin, `(Arterial Thoracic Outlet Syndrome)` chu kan thisen kalna kawng lian ber (arteries) pakhat chu kan kawr leh kan ruh inkar hmun (hei hi `(Clavicle)` kan ti) a, chu chu `(Thoracic Outlet)` an tih hmunah a inhnawh khawm tihna a ni. I hria em, arteries hi kan thinlung atanga taksa pum puia thisen phurtu channel a ni. Chuvangin, he `(ATOS)` condition nei miah hian he hmun `(Thoracic Outlet) an tih ah hian artery pakhat a compress thin.`

Tui pipe a inkhar ang maiin ngaihtuah la, chu chuan tui luang a ti tlem a ni. Hetianga artery a inkhar chuan thisen kal dan a tikhawlo thei a ni. A enkawl that loh chuan hriselna lama harsatna lian tham a thlen thei a ni. Mi thenkhatah chuan he blockage hian artery wall a tichak lo thei a, balloon ang maiin a bulge thei bawk. ``Aneurysm'' kan ti a. Chuvangin heng symptoms te hi i neih chuan Doctor pan a, in check out a pawimawh hle.

Tute nge ``Arterial Thoracic Outlet Syndrome'' vei tam zawk?

Thoracic Outlet Syndrome chi hrang hrang ang bawkin hmeichhia kum 20 leh 50 inkar ah a tam ber a, a tam zawkah chuan he arterial compression chi hi kawr chhungah extra rib (cervical rib an tih) a awm vang emaw, rib hmun dik lo a awm vang emaw a ni. He extra rib hi kan rib hmasa ber chungah a awm tlangpui.

Hei hian eng harsatna nge a thlen theih? Engvangin nge hei hi a hlauhawm?

Dik tak chuan `(Arterial Thoracic Outlet Syndrome)` hi `(Thoracic Outlet Syndrome)` chi hlauhawm ber a ni. A enkawl that loh chuan he `(ATOS)` hian i thisen kalna kawngah thisen zam hlauhawm tak a siam thei a ni. Heng thisen zamte hian i kut leh kut a thisen kalna tur a tikhawlo thei a ni. A tlem hle nachungin heng thisen zamte hian thluak lamah pawh kalin `(Stroke)` ang chi natna a thlen thei bawk.

Chuvangin Thoracic Outlet Syndrome symptoms nei nia i hriat chuan a rang thei ang bera enkawl a pawimawh.

`(Arterial Thoracic Outlet Syndrome)` hi engtiang chiahin nge a awm?

Dik tak chuan Thoracic Outlet Syndrome chi hrang hrang hi a tlem hle. Mi engzat nge nei tih chiang takin data a awm lo. Mahse, Arterial TOS an tih chi hi a tlem ber. Hetiang chi hi Thoracic Outlet Syndrome vei mi 100 zinga pakhat aia tlem loah hmuh a ni.

``Arterial Thoracic Outlet Syndrome'' hi engte nge ni?

ATOS vei tam tak chu a hmaa kan sawi tawh ang khan an pian tirh atangin an ruh (Clavicle) chungah extra rib (Cervical Rib) an nei a. Kan kut leh ke ruh inkar artery, Subclavian Artery an tih hian kan kut, kut, kawr leh lu thlengin thisen a phur a. Chu extra Cervical Rib avang chuan he Subclavian Artery hi a compress thei a, thisen kal a tikhawlo thei a, thisen zam a lo awm thei bawk. Heng thisen zamte hi a chang chuan a inthen thei a, kut hnuai lamah a kal thei a, thisen kalna tur a tikhawlo thei bawk.

Chhan dang pawhin hei hi a nghawng thei a ni:

• Thau lutuk: Taksa rihna a san chuan ruhkawr chungah pressure dang dah belh a ni.
• Physical Trauma: Motor accident avanga hliam ang chi hliam.
• Poor Posture: Hun rei tak chhung hmun khata thut, hnathawh laiin hmalam pan, etc. ang chi thil te.
• Naupai (`(Naupai)`).
• Repetitive Movements: Entîr nân, tennis racket hrual te, softball emaw baseball emaw paih te, emaw, i lu chunga box rit tak tak chawi te.

`(Arterial Thoracic Outlet Syndrome)` natna lan chhuah dan chu engte nge ni? Engtin nge a hriat chhuah?

Hetiang natna lan chhuahna hian i kut zungtang, i kutphah emaw, i kut pum pui emaw a nghawng fo thin. A lan chhuah dan tlangpui chu kut pakhata tingling emaw numbness emaw a ni. Heng symptoms te hi i kut hmanga thil i tih hian a na zual thei a, i kut i chawlh tir hian a tha zawk thei bawk. ATOS vei te hian an kawr leh kekawrteah na an nei lo tlangpui.

ATOS hian i thisen kal a tihtlem theih avangin i kut zungtang, kut leh kut ah hetiang thil hi i hmu mai thei:

• Khua a vawt.
• Numbness emaw tingling sensation emaw a awm thei.
• Natna (`(Natna)`).
• Pale Discoloration a ni.
• Zawi zawiin hliam a dam thei.

Ngaihtuah teh, Nilanthi Akka hian zing atanga zan thlengin computer-ah hna a thawk thin. A kut dinglamah natna mak tak mai a nei tan tawh a, a rilru a buai deuh bawk. A chang chuan a kut chu a vawt tih a hriat. Chauhna vang niin a ngai a. Mahse heng symptoms te hi zawi zawiin a pung zel a nih chuan `(ATOS)` a ni thei.

Engtin nge doctor-te chuan he natna (Arterial Thoracic Outlet Syndrome) hi an hriat theih?

``Arterial Thoracic Outlet Syndrome'' symptom i neih chuan i doctor chuan i kawr leh i kekawrte chu a enfiah hmasa ang. I joint ``Range of Motion'' check turin movement thenkhat tih tir turin an ti ang che.

Doctor pawhin i thisen sang a teh ang a, i symptoms te a zawt ang che. ATOS an rinhlelh chuan i Thoracic Outlet enfiah nan test engemaw zat an ti leh mai thei.

Hemi atan hian eng test nge tih a nih?

Hei hi ``Arterial Thoracic Outlet`` dinhmun dik tak chu a ni`(Imaging Tests)` tih hi thutlukna siam la, chu chu i taksa chhung lam entu test a ni. Heng test te hi i thisen kalna kawng, thisen kal dan leh i chhungril lam thil awm dan enfiah nan tih theih a ni:

• Ultrasound scan: Hei hian sound wave hmangin taksa chhung lam a en a, a bik takin thisen kal dan en nan a hmang thin. Hei hi he natna hriat theihna atana test hman hmasak ber a ni fo thin.
• Arteriogram: Tube te tak te, te tak te (catheter) leh tui bik (contrast dye) te chu i thisen kalnaah dahin, X-ray lak a ni.
• CT scan: X-ray hrang hrang lakkhawmin chipchiar taka thlalak siam a ni.
• MRI scan (`(MRI)`): Radio wave leh magnetic field hmangin chipchiar takin thlalak a la thin.
• X-ray (`(X-ray)`): Thlalak hi radiation dose hmanga lak a ni.

`(Arterial Thoracic Outlet Syndrome)` enkawl dan tur chu engte nge ni?

He natna hi Arterial Thoracic Outlet Syndrome an tih hi operation hmanga enkawl a nih a rinawm ber. Mahse, operation hmain i doctor chuan thisen tithianghlimtu damdawi, Warfarin (Coumadin®) emaw Heparin (Hep-LockTM) emaw a pe thei a ni. Injection emaw, kawng dang emaw hmangin clot awmsa chu paih chhuah an tum thei bawk.

Surgery neih chhung hian doctor chuan hetiang hi a ti thei a:

• I extra rib (`(Cervical Rib)`) thenkhat chu lakchhuah a ni a, chu chuan pressure a ti tlem a ni.
• I taksa peng dang atanga lak chhuah artery hrisel tak chu a chhia thlak nan (`(Arterial Graft)`) dah a ni.
• Artery chhia thlak nan artificial tube dah a ni a, thisen kal dan tur a siam tha leh a ni.

He `(ATOS)` risk tihtlem nan hian eng nge kan tih theih ang?

Hetiang thil hi a thleng lo thei lo a, mahse traffic jam avanga accident i neih theihna tur tihziaawmna turin nunphung tihdanglamna engemaw zat i siam thei ang:

• I taksa chi, kum leh mipa leh hmeichhia nena inmil tur taksa rihna hrisel tak vawng reng rawh.
• Bag rit tak tak chu ke pakhatah phur loh tur.
• Overhead movement fo thin kha tihtlem rawh.
• Weight lifting emaw resistance exercise emaw hmangin i kekawrte kha tichak rawh.
• Nitin i kawr, i kekawrte leh i rilruah stretch ti thin ang che.

`(ATOS)` dinhmun thlirletna chu eng nge ni? Kan hlau tur em ni?

Dik tak chuan, enkawl loh chuan Arterial Thoracic Outlet Syndrome (ATOS) hian harsatna lian tak tak, thisen zam, kut leh ke hliam, leh (a nasat lutuk chuan) kut zungtang hloh thlengin a thlen thei a ni. Mahse, thu lawmawm tak chu, enkawlna i zawn hma poh leh i hlawhtlinna chance a sang zawk tih hi a ni. Chuvangin, ATOS i vei theihna tur symptom i neih chuan doctor pan nghal rawh.

Doctor hnen atangin eng nge hriat belh i duh?

Doctor nen in inhmuh hunah zawhna te chu i zawt thei ang:

• Ka natna lan chhuah chhan ber chu eng nge ni?
• Hei hi eng nge a nih chiang taka hriat theih nan eng test nge ka tih ang?
• Eng enkawlna kawng nge awm?
• Surgery ni lo enkawlna hian ka natna lan chhuah dan a tidam ang em?
• Symptoms tihziaawmna turin ka nunphungah eng inthlak danglamna nge ka siam theih ang?

A tawp berah chuan hriat reng tur (Take-Home Message) .

Arterial Thoracic Outlet Syndrome (ATOS) hi thoracic outlet-a subclavian artery-a awm a ni a, a natna hi a ni. Hei hi artery a compress a, thisen zam a lo awm tan lai a ni. Heng clots te hi a chhe thei a, kut hnuai lamah a kal thei a, natna leh rilru hahna a thlen thei bawk. Enkawl hmasak hian harsatna a thlen theihna a ti tlem thei a ni. ATOS symptoms i neih chuan Doctor pan nghal tur a ni. Ngaihtuah buai suh, he natna hi damdawi lam thurawn leh enkawlna dik tak nen enkawl theih a ni.

` thoracic outlet syndrome, arterial thoracic outlet syndrome, ATOS, kut na, kut natna, thisen zam, serh ruh, subclavian artery