I kut chu a lo hring leh a rawn sen nghal em? Hei hi Axillo-Subclavian Vein Thrombosis (ASVT) a ni thei ang em?

Tlangval hrisel tak, cricket khel, gym-a workout nasa tak i nih angin han ngaihtuah teh. Mahse, rang takin i kut chu a na tan a, a lo hring chhuak a, a sen deuhin a lang. Muscle strain ang chi thil nia ngaih a ni tlangpui. Mahse hei hi a pawi zawk thei a, mahse enkawl theih tak a ni. Vawiin hian chutiang dinhmun pakhat, ‘Axillo-Subclavian Vein Thrombosis’ emaw a tawi zawngin ASVT emaw kan sawi dawn a ni.

A awlsam zawngin, he ASVT hi eng nge ni?

A awlsam zawngin, ASVT chu i kut chunglam vein thuk tak, axillary vein emaw subclavian vein emaw-a thisen zam lo awm hi a ni. Hei hi i kut hliam hnuah emaw, i kut i hman tam lutuk a, thil inang i tih leh nawn leh hunah emaw a thleng tlangpui. Hetiang dinhmun hi Paget-Schroetter syndrome leh effort-induced thrombosis an ti bawk.

Hei pawh hi DVT chi khat a ni em? Eng nge a danglamna?

Ni e, ASVT hi deep vein thrombosis (DVT) chi khat a ni bawk. Mahse DVT chungchang kan hriat tlangpui hian kea thisen zam (blood clots) lo awm thin thu kan hre thin. Hmun khata rei tak ṭhut, thau lutuk, leh tar ang chi thilte avanga lo awm a ni. Mahse he ASVT tia koh condition hi chu chu a danglam hle.

He danglamna hi a hnuaia table atang hian awlsam takin i hrethiam thei ang.

He natna hi tuin nge vei tam zawk?

Hei hi thil mak tak angin lang mah se, ASVT hi taksa hrisel, hrisel, leh active , a bik takin kum 15 leh 45 inkar te zingah a awm tam ber.

Hetiang mite hi han ngaihtuah teh:

• Mite chu exercise emaw, kut chawi chhuahna infiamna emaw, cricket-a fast bowling te, volleyball khelh te, tui chawi te, a nih loh leh rit phurh te ang chi infiamna lama inhmangte.
• Kut hna thawk, painter leh electrician ang chite.
• Thisen zam (blood clotting disorder) nei te pawh an hlauhawm hle.

Hetiang natna lan chhuah dan hi engte nge ni?

ASVT symptoms hi a lang nghal tlangpui. A lan chhuah dan ber chu:

• Kut a na.
• Kut chhunga veins te chu a bulging a, chiang takin a lang thei bawk.
• Kut vun rawng blue a inthlak (Cyanosis).
• Kut a rit emaw, a hah emaw tih hriatna.
• Kut a hring nghal (hei hi a lan chhuah tam ber a ni).

ASVT awm chhan dik tak chu eng nge ni?

Hei hi a hnathawh dan chu a ni. I kekawr iptea thisen kalna kawng (vein) tui pipe ang maia awm chu han mitthla teh. He pipe sir lehlamah hian rib leh muscle pakhat chu nghet takin an inzawm khawm a. Exercise emaw, i kut chawi chhuahna hna emaw i tih chuan, chu ruh leh ruh inkarah chuan vein chu a inhnawh khawm a, chu chuan a hliam a ni.

Hun a kal zel a, he hliamna hmunah hian scar tissue a lo awm a, chu chuan vein chu a ti tawi lehzual a ni. Hei hian thisen kal dan a tikhawtlai a ni. Chutah chuan thisen zam (blood clots) a lo awm tan ta a ni. He vein hi a block chhan bulpui ber chu thoracic outlet syndrome (TOS) an ti a.

Engtin nge hei hi i hmuh theih, Doctor?

I symptoms a zirin i doctor chuan hei hi a rinhlelh chuan taksa enfiah hnuah test eng emaw zat a ti ang.

• Duplex ultrasound: Hei hi test tam ber a ni. Sound wave hmangin thisen kalna thisen kal dan a en a, thisen zam a awm em tih a en bawk.
• Catheter-guided venography: Tube te tak te (catheter) chu vein chhungah dahin, dye bik an inject a, X-ray hmangin thisen zam awmna hmun leh vein chu engtiang chiahin nge a block tih hriat a ni.
• CTA (computerized tomography angiography): CT scan hmangin thisen zam chipchiar takin thlalak a la a.
• MRA (magnetic resonance angiography): MRI scan hmanga thisen kalna kawng enfiah.

Hei hi eng enkawlna nge ni?

ASVT hi enkawl ngai a ni. Enkawlna tihkhawtlai hi a tha lo. Enkawl dan ber chu `Thrombolysis` a ni.

Enkawl dan tur

• Thrombolysis (clot dissolving): Hei hian clot-dissolving damdawi chu clot awmna vein-ah direct-a cannula ang chi tube (catheter) hmanga pek a ni.
• Thrombectomy (thisen chhuahna): A châng chuan doctor-te chuan he thisen zam hi taksain operation tenau hmangin an paih chhuak ṭhin.
• Blood thinners: Thisen zam kha lakchhuah a nih hnuah, thisen zam a lo awm leh tawh loh nan thla engemaw zat chhung thisen tina damdawi pek i ni ang.

He enkawlna rual hian doctor chuan thurawn dang a pe ang che.

• Kut chu a natna lan chhuah dan a reh hma loh chuan chawlh tir.
• Arm sang taka vawn chu ``arm elevations`` an ti a.
• Physics therapy-a hruai luh a ni.
• A kut ah hian bandage ang chi khuhna bik (compression sleeve) vuah.

Ṭhenkhatah chuan, thisen zalen taka a luang chhuah theih nân, taksa ruh tê tê emaw, ruh hmasa ber aṭanga thisen kalna kawng tikhawlotu emaw chu operation hmangin an la chhuak a ni.

Enkawl hnuah eng dinhmun nge a awm?

Hei hi a pawimawh ber a ni. ASVT hi a hmaa hriatchhuah a nih a, a hmaa enkawl tan a nih chuan a result a hlawhtling hle. Zirna hrang hrangah hlawhtlinna rate 90% leh 95% inkar a awm tih hmuhchhuah a ni.

Mahse, mi thenkhat chuan `post-thrombotic syndrome (PTS) an tih complication an nei thei a ni.` Hei hian a awmzia chu enkawlna hnuah pawh kut natna, rit leh hliam ang chi symptoms te chu a awm reng tihna a ni. Chuvang chuan Doctor thupek dik taka zawm a pawimawh hle.

Hetiang dinhmun hi ven theih a ni em?

A pumpelh kim thei lo nain, a hlauhawmna tihziaawmna tur thil engemaw zat i tih theih a awm.

• Exercise hahthlak tak tak ti suh la, hna rei tak thawk suh la, a inkar ah chawlh la rawh.
• Exercise i tih hma leh i tih zawhah stretch ti la, i kut ruhte chu i tizau thei ang.
• I taksa ruhte’n an tuar theih loh thil rit phur suh.
• A theih phawt chuan i non-dominant arm chu hman tum ang che.

Engtikah nge Doctor ka hmuh ang?

ASVT (swelling rang, na, blueness of the hand) a lan hmasak ber chuan doctor pan nghal rawh. Tin, a hnuaia symptoms te hi a lo awm chuan emergency anga ngaih la, damdawi in Emergency Treatment Unit (ETU) ah kal nghal rawh.

• A rilru a na
• Thâwk harsa (dyspnea) .
• Numbness a awm