I nunah i la neih ngai loh angin lu na nasa tak i nei nghal a nih chuan engtin nge ni ang? A nih loh leh chhan awm lovin seizure ang chi i neih thut chuan? Heng thilte hi thil pangngai anga ngai fo mah ila, a chang chuan he thil hi kan hriat tam loh chhan, mahse kan ngaihtuah em em tur chhan a awm thei. Chu chu chutiang dinhmun hmuh tur awm lo, mahse na tak thei tak, tunlaia kan sawi mek pakhat, AVM tih chu a ni.
A awlsam zawngin sawi ila, he AVM (Arteriovenous Malformation) hi eng nge ni?
Kan taksaa thisen kal dan hi kawngpui kalphung angin han ngaihtuah teh. Arteries te hi highway ang a ni. Thisen thianghlim, oxygen tamna thinlung atanga thluak leh taksa peng dang zawng zawng thlengin an phur a ni. Vein te hi kawngpui te tak te ang a ni. Thisen hman tawh, oxygen tlachham lo chu thinlungah an rawn hruai kir leh thin.
Heng highway (arteries) leh kawngpui te zawk (veins) inkarah hian junction a awm a, chu chu speed inrem leh control turin a ni. He junction hi thisen kalna kawng te tak te, capillaries kan tihte network a ni. Hei hi highway atanga thisen lo chhuak pressure tihhniamna hmun a ni a, oxygen leh nutrients te chu a chhehvel tissue te hnenah pek a ni a, chutah chuan veins ah thawn kir leh a ni.
Tunah chuan han ngaihtuah teh, eng emaw chhan vanga he junction (capillaries) hi a bo a, highway (artery) chu kawngpui te tak te (vein) nen a inzawm nghal a nih chuan eng nge thleng ang? Thisen chak tak, pressure sang tak chu pressure tuar thei lo vein chak lo takah a tlan lut a nih chuan chu vein chu a puak thei a ni.
Chu thisen kalna kawng danglam tak, inzawm tlat chu Arteriovenous Malformation , a nih loh leh AVM kan tih chu a ni. He tangled tangle hi sava awmna ang mai hian hlauhawmna nasa tak a thlen thei a ni.
AVM hi chi hnih a awm a, chungte chu:
AVM hi kan taksa khawi hmunah pawh lo piang chhuak thei mah se, a bul berah chuan chi hnih ah then theih a ni.
| AVM chi hrang hrang | Hmun leh sawifiahna |
|---|---|
| Thluak AVM te | Hengte hi a tam ber a ni. Thluak tissue chhungah emaw, thluak chung lamah emaw, thluak bul chhungah emaw, ruhroah emaw an lo thang lian thei a ni. Hengte hi a hlauhawm ber a ni. |
| Taksa hmun danga awm AVM (Peripheral AVMs) . | Hengte hi thluak pawn lam khawi hmunah pawh a thleng thei. Entirnan, heng nodules te hi taksa peng hrang hrang, hmai, kut, ke, thinlung, thin, emaw lung emaw ah pawh a awm thei bawk. |
AVM natna lan chhuah dan chu engte nge ni?
Hemi chungchanga thil mak tak chu AVM nei zinga 15% vel hian symptom an nei lo. A tam zawkah chuan i nei tih chu a puak a, thluaka thisen a chhuah tan hnuah chauh i nei tih i hrechhuak thin. Mahse, mi thenkhat chuan symptom thenkhat an nei thei.
| Symptom category hrang hrang a awm | Symptoms awm thei te |
|---|---|
| Thluak nena inzawm Symptoms | |
| Nervous system lama harsatna a awm | - Hriat lohna nei emaw nei lo emaw seizures . - Lu natna nasa tak, rang tak . - Taksa sir khata thau chak lo emaw, taksa peng khata paralysis vek emaw. - Taksa chhunga rilru hahna. - Kal, tawng, hriatrengna, ngaihtuahna, emaw hmuh theihna lama harsatna. |
| Rilru leh rilru lama harsatna a awm | - Nausea leh luak chhuak. - Luak chhuak. - Rilru buai emaw, thil hmuh theih loh emaw. |
| Taksa peng dang a symptoms | |
| Lung, ruhro leh pum | - AVM hi lung chhungah a awm chuan exercise i tih laiin thawk hah emaw thisen khuh emaw i nei thei. - AVM chu spinal cord-ah a awm a nih chuan, rang takin hnungzang na tak leh ke ruh a na hle. - Pum natna. |
| Limbs leh vun te | - Kut, ke emaw, ke ruh emawa lumps lo lang. - A natna hmuna natna leh hliam. |
Engvangin nge heng AVM te hi an lo awm?
Scientist-te chuan he natna hi a chhan dik tak hi an la hre lo a, mahse pianpui natna a nih an ring . Chumi awmzia chu naute chu nausen pum chhunga a lo seilian angin thisen kalna kawng (blood vessel knots) a lo awm tihna a ni. A tlem hle a, thlah kal zelah an inthlak danglam thei.
AVM hian taksaah eng chhiatna nge a thlen theih?
AVM neih hian harsatna lian pathum a thlen thei a, chungte chu:
- Thisen chhuah: Hei hi a hlauhawm ber leh hlauhawm ber a ni . Pressure sang tak hnuaia arteries atanga thisen luang chhuak chu pressure tuar thei lo vein chak lo tak takah a luh chuan veins te chu a puak thei a ni. He thisen chhuahna hi thluak chhungah a awm chuan stroke a thlen thei a, thluak a tichhe vek thei a, thihna pawh a thlen thei bawk.
- A chhehvel tissue-te press: Thisen chu a pangngai lo taka a khat chhoh zel chuan he thisen kalna kawng hi a lian thei a, a chhehvel thluak hmun emaw nerve emaw a press thei bawk. Hei hian symptoms, seizure leh muscle chak lohna te a thlen thei a ni.
- Depleting tissues of oxygen: A hmaa kan sawi tawh capillary junctions te hi a awm loh avangin thisen chhunga oxygen leh nutrients te chu a chhehvel tissue te nen an inthleng lo. Thisen hi artery atanga vein-ah a kal nghal a ni. Chuvang chuan chu lai hmuna tissue leh nerve cell-te chuan ei tur mamawh an dawng lo va, an thi thei a ni.
Engtin nge doctor hian hei hi a hmuh theih?
I natna lan chhuah dan a ngaihthlak hnuah i doctor chuan a enfiah ang che. A chang chuan stethoscope hmanga ngaihthlak hian "bruit" ri danglam tak i hre thei a, chu chu AVM kaltlanga thisen kal chak lutuk vang a ni.
Mahse AVM a awm leh awm loh chiang taka finfiah tur chuan special imaging test engemawzat tih a ngai a ni.
- MRI (Magnetic Resonance Imaging) scan: Magnetic wave hmang hian thluak leh thisen kalna kawngte thlalak chiang tak tak hmuh theih a ni.
- CT (Computed Tomography) scan: X-ray hmangin thluak cross-sectional image hrang hrang lak chhuah a ni.
- Catheter Angiography: Hei hi AVM zawn nan test tha ber a ni. He test-ah hian tube te tak te (catheter) chu groin emaw arm emaw chhunga vein kaltlangin dahin thluaka thisen kalna kawng hrang hrangah kaihruai a ni. Chumi hnuah chuan thisen kalna kawngah dye bik an inject a, chu chuan thisen kalna hmun, a lian leh te, a pianzia chu X-ray-ah chiang takin a hmu thei a ni.
AVM enkawlna tur engte nge ni?
AVM enkawl tura thutlukna siam, leh enkawl a nih chuan eng enkawlna nge hman tur tih chu thil engemaw zatah a innghat ang. I doctor chuan i kum, i hriselna, AVM lian tham leh awmna hmun, leh a rupture theihna tur a ngaihtuah ang.
Enkawlna tum ber chu thisen chhuah theihna tihtlem emaw, tihbo vek emaw a ni.
| Enkawl dan tur | Engtin nge kan tih ang |
|---|---|
| Inzai | Hei hi enkawlna hlawhtling ber a ni. Neurosurgeon chuan thluaka incision te tak te a siam a, AVM-a thisen petu thisen kalna kawng leh a chhuahna thisen kalna kawngte chu a khar a, thisen kalna chu a paih chhuak vek a ni. AVM hi paih kim vek a nih chuan natna chu a dam tawh a ni. |
| Embolization tih hi a ni | Hei hi operation a ni lo. Angiography ang bawkin AVM chhungah hian catheter dahin, chuta tang chuan glue ang chi thil bik emaw, wire coil te te emaw dahin thisen kalna kawng chhunga thisen kal dan tur a titawp a ni. Hetiang tih dan hi a chang chuan operation hmaa a hlauhawmna tihtlem nan an hmang thin. |
| Gamma Knife® Radiosurgery hmanga tih a ni | Hei pawh hi surgery a ni lo. Hetah hian radiation beam tam tak chu AVM chu chiang takin an tum a ni. He radiation hian thisen kalna chu thla emaw kum emaw chhungin a ti tlem zauh zauh a, a khar a, a thawk thei lo bawk. |
Chu bâkah, i doctor chuan natna lan chhuahna, seizures emaw, lu na emaw ang chite control nân damdawi a pe thei bawk.
Engtikah nge damdawi lam thurawn lak nghal tur!
AVM nei mi pakhatin symptom engemaw zat a neih chuan emergency a ni.
Nangmah emaw, i hriat mi emaw chuan "ka nunah lu na ber", seizures, kut leh ke hloh, emaw, hmuh/thu sawi harsat emaw i tawk nghal a nih chuan, damdawi in hnai ber Emergency Department (ETU)-ah tihkhawtlai lohvin kal rawh.
Hengte hi thluaka thisen chhuak chhinchhiahna a ni thei. Enkawlna hmuh thuai hian nunna a chhanhim thei a, thluak chhiatna a ti tlem thei bawk.
Take-Home Thuchah a ni
- AVM hi thisen kalna kawng (blood vessel tumor) awm lo mahse hlauhawm tak, pian tirh atanga awm a ni.
- Hei hi a hlauhawm ber leh hlauhawm ber chu a puak darh thei a, thluaka thisen a chhuak thei (stroke) .
- Mi tam zawk chuan symptom an nei lo. Mahse, i taksa sir khatah lu na, na tak, seizure, chak lohna ang chi symptoms i neih chuan emergency a ni. ETU ah kal nghal rawh.
- Tunlai hian enkawlna kawng hlawhtling tak tak, surgery, embolization, radiosurgery te a awm ta.
- AVM i vei tih hmuhchhuah a nih chuan hlauthawng suh. I dinhmun enkawlna tha ber chungchang chu i doctor nen zalen takin sawipui rawh.
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