I kut ah thisen zam i nei em? (Axillo-Subclavian Vein Thrombosis) - Hemi chungchang hi han sawi ila!

A châng chuan i kut chu a na nghal zung zung a, i hring chhuak a, a nih loh leh i rawng dum i nei em? A nih loh leh i kut chu a bengchheng emaw, a rit emaw tih i hria em? Hengte hi ngaihthah tur symptom a ni lo. I kut emaw, i kutphah emawa vein lian takah thisen zam a ni thei. Damdawi lam hawi chuan hei hi (Axillo-Subclavian Vein Thrombosis) emaw (ASVT) emaw kan ti thin. Lungngai suh, he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Hei hi eng nge ni (Axillo-Subclavian Vein Thrombosis)?

A awlsam zawngin, Axillo-Subclavian Vein Thrombosis (ASVT) chu subclavian vein , i kekawr iptea vein lian tak, emaw, i armpit-a vein axillary vein emaw-ah thisen zam a lo awm hian a ni. I thisen kalna chu tui pipe angin ngaihtuah rawh. He vein bula rib emaw sa chi khat emaw a press chuan thisen kal dan a tikhawlo thei a, thisen zam a siam thei bawk.

Hetiang dinhmun hi i kut chunglam hliam vang emaw, i kut i chet nawn fo avanga i stress vang emaw a ni fo thin. Mi thenkhat chuan Paget-Schroetter syndrome an ti a, thenkhat chuan effort-induced thrombosis an ti bawk a, chu chu "thawhrimna avanga thisen zam" tihna a ni.

Hei hi (Deep Vein Thrombosis - DVT) hi a awm lo em ni?

Ni e, chu harsatna chu i nei thei a ni. (ASVT) hi a takah chuan natna chi khat (Deep Vein Thrombosis) emaw (DVT) emaw an tih a ni. (DVT) chu taksa chhung thuk tak vein pakhata thisen zam a lo awm hian a ni. Mahse a tam zawkah chuan (DVT) chungchang kan sawi hian kea thisen zam (blood clots) lo awm thin kan sawi thin. Thau lutuk, taksa chak lohna, tar, emaw thisen kalna kawng nena inzawm natna dang emaw avanga lo awm an ni fo.

Mahse, kut chhunga thisen zam, ASVT tia koh hi accident avanga emaw, kut hman rei tak avanga emaw a awm fo thin. Heng natna pahnih hi a lan chhuah dan leh enkawl dan hi a chang chuan a danglam thei bawk.

Hetiang (ASVT) hi tute nge vei tam zawk?

He natna hi tu pawhin an vei thei a, mahse mi thenkhat chu an hlauhawm zawk. Chung zingah chuan:

• Active reng reng, a tlangpuiin hrisel .
• Thalai kum 15 leh 45 inkar te .
• Infiamna khel (e.g. cricket-a fast bowler, tui chawi, weight lifter) emaw, kut phar chhunzawm zel (e.g. painter, electrician, heavy lifting hna thawk) emaw te . Ngaihtuah teh, i kut chu chutiang bawka chawi sang leh hrual chunga i hnathawh hian chu thisen kalna chu pressure a awm thin.
• Genetic blood clotting disorder thenkhat nei te .

(ASVT) chi hrang hrang a awm em?

Ni e, (ASVT) hi chi hnih a awm a:

1. ASVT hmasa ber: 1.1.Hei hi a chi khat ber a ni a, kut chak taka che leh tih nawn fo avanga lo awm a ni.

2. Secondary ASVT: Hei hi i rilru chunglam a medical device thenkhat dah vang a ni. Entir nan:

• (Central venous catheter) (vein lian takah tube dah) .
• (Defibrillator) (thinlung hnathawhna tur siam\hatna hmanrua) .
• (Pacemaker) (thinlung thawk dan control thei hmanrua) .
• (Medication port) (Damdawi pekna atana vun hnuaia dah hmanrua te tak te) .

Heng hmanrua te hian thisen kalna kawng a tikhawlo thei a, thisen zam a siam thei bawk.

Engtiang chiahin nge (ASVT) hi a hluar?

Dik tak chuan ASVT hi a awm fo lo. Statistics atanga a lan dan chuan kum khatah mi 100,000 zinga mi pakhat emaw pahnih emaw ah a awm thin. Mahse, upper extremity-a DVT awm zawng zawng zinga 10% atanga 20% chauh hi ASVT vang a ni. Chuvangin, chutiang lam atanga thlir chuan number langsar tak a ni.

(ASVT) natna lan chhuah dan chu engte nge ni?

ASVT i neih chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei ang:

• Kut na: A lo intan thut a, a chang chuan a na hle.
• Kut chhunga thisen kalna (veins) hmuh theih: Thisen kal dan (constricted blood flow) avanga thisen kalna (veins) chu a bulging angin a lang thei.
• Vun rawng dum (Cyanosis): Kut vun hi a dum thei. Chumi awmzia chu oxygen tlakchhamna a awm tihna a ni.
• Kut a rit emaw, hah emaw hriatna: I kut chawi emaw, chet emaw harsa i ti mai thei.
• Kut a hring chhuak nghal: Kut chu a hring chhuak nghal a.

Pawimawh tak chu, hmun thenkhatah (10% - 20%) he thisen zam hi thisen zam atanga chhuakin thisen kaltlangin, lungah a kal thei a ni. Hei hi Pulmonary Embolism (PE) an ti a. Hei hi dinhmun hlauhawm tak a ni . Lungah chhiatna nasa tak a thlen thei a, nunna atana hlauhawm pawh a ni thei. Chuvangin, heng symptoms te hi i tawn tan chuan hun khawhral lovin doctor pan ngei ngei tur a ni.

Engvangin nge hetiang (ASVT) hi a lo awm?

Kan sawi tawh ang khan a chhan ber chu kut inthlak nawn fo vang a ni. Ngaihtuah teh, rit i chawi reng emaw, infiamna i khel reng emaw a ni. Tichuan i ke leh i kekawr bul vel ruh te chu a chau thei a, a hring thei bawk. Heng ruh hring te hian chutah chuan thisen kalna kawng (a bik takin subclavian emaw axillary veins) te chu a compress thei a ni.

Hun kal zelah he pressure hian vein wall a tichhe thei a, scar tissue a siam thei bawk. Chumi hnuah chuan vein chu a chhung lam a\angin a zim a, chu chuan a chhunga thisen luang chhuak thei chu a ti tlem ta a ni. Hei hian thisen kal tha lo leh thisen zam theihna a tipung thei a ni. Hetiang dinhmun hi Thoracic Outlet Syndrome (TOS) an ti \hin.A ti bawk. Chumi awmzia chu rilru chunglam (thoracic outlet) hmun chu a tawi a, chu chuan vein leh nerve-ah pressure a siam tihna a ni.

A châng chuan ASVT hi ruh hmasa lama thil danglam vang emaw, armpit leh shoulder area-a vein vel muscle emaw ligament emaw a inthlak vang emaw a ni thei.

Engtin nge doctor hian hei (ASVT) hi a hriat theih?

A hmaa kan sawi tawh ang chi natna lan chhuahna nei doctor i pan chuan a enfiah hmasa phawt ang che. Doctor chuan i kut a hring, rawng inthlak danglam, leh thisen kalna bulging te ang chi thilte chu a mitmeng khatah a hmu thei ang.

Tichuan, test tlemte i tih a ngai mai thei a, chu chu i hriat chian theih nan:

• (Duplex ultrasound): Hei hi test hmasa ber a ni fo thin. Sound wave hmangin vein chhunga thisen kal dan a en a, thisen zam a awm em tih a en bawk. Hei hi test hrehawm lo, awlsam tak a ni.
• Catheter-guided venography: A chang chuan he test hi an ti thin. He test-ah hian tube te tak te, te tak te (catheter) chu vein pakhat kaltlangin thisen zam awmna nia ngaihna hmunah an kalpui a, chu chu catheter kaltlangin vein chhungah hian dye bik an inject a ni. Chumi hnuah X-ray hmangin vein chu khawiah nge a block tih leh clot chu engzat nge a lian tih hriat a ni.
• (CTA - computerized tomography angiography): Hei hi CT scan nen a inang a, mahse thisen kalna kawngte chu a bik takin a en a ni. Dye inject hmanga tih a ni bawk.
• (MRA - magnetic resonance angiography): MRI scan hmanga thisen kalna kawng enfiahna test a ni.

Heng test te hian natna (ASVT) hi a awm leh awm loh, khawiah nge a awm tih leh engtiang chiahin nge a nasat tih chiang takin a hriat theih a ni.

(ASVT) enkawlna tur engte nge ni?

A tha ber chu, ASVT enkawlna tha tak tak a awm. Enkawlna ber chu thrombolysis emaw thrombolytic therapy emaw an ti a .

Hei hian thisen zam chu tithianghlimtu damdawi inject a, a hmaa kan sawi tawh ang khan thisen zam awmna vein-ah direct-in tube te tak te (catheter) hmangin a paih chhuak a ni. Hei hian thisen zam chu a tithianghlim a, vein chhunga thisen kal dan a siam tha leh bawk.

A châng chuan, he (thrombolysis) enkawlna hi thil pakhat (thrombectomy) . Chu chu thisen zam chu mechanical emaw, surgery tenau emaw hmanga lak chhuah tihna a ni.

Heng enkawlna i neih zawh hian thisen zam (blood clots) a lo awm leh tawh loh nan thla engemaw zat chhung thisen -thinning medication , Warfarin emaw tunlai damdawi dang emaw pek i ni ang. He damdawi hi i doctor-in a hrilh che chhung dik tak ei a pawimawh hle .

Chu bakah, doctor chuan a hnuaia thurawn te hi a pe bawk ang che:

• Kut natna chu a natna lan chhuah dan a reh vek hma loh chuan hman tlem tur a ni .
• A theih chuan i kut chu tlem han chawi sang la (arm elevations).
• Taksa lam enkawlnaEn rawh. Hei hian i kutah chetna leh chakna i neih leh theih nan a pui ang che.
• A kut natnaah hian compression sleeve (sock tight ang chi) vuah tur a ni. Hei hian swelling a tihziaawm bakah thisen kal dan a titha ang.

Surgery neih a ngai dawn em ni?

Thil engemaw takah chuan, a ni. A blockage chu a chhuah vek theih nan leh thisen zam a lo awm leh theihna tur a tihziaawm theih nan operation neih a tha thei bawk. He surgery hian blockage chu lakchhuah a ngai a ni. Entirnan, ruh hmasa ber emaw, sa chi khat emaw, blockage siamtu chu lakchhuah theih a ni. Hei hian thisen chu thisen zalen takin a kal thei a ni.

(ASVT) hmasawnna tur ven nan eng nge kan tih theih ang?

A pumpelh kim thei lo nain, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm a:

• I kut a ruh te chu zawi zawiin chet tir fo la , stretch ang chi exercise te pawh ti thin ang che .
• I taksa ruhte chu hnathawh tam lutuk suh .
• Thil rit i chawi emaw, chak taka exercise i tih emaw chuan, a inkarah chawlh hahdam deuh rawh .
• A theih phawt chuan i kut thunun thei lo hmangin hnathawh tum ang che . (e.g. kut dinglam hmang i nih chuan a theih chuan i kut veilam hmang rawh).

Enkawl hnuah eng dinhmun nge awm ang?

ASVT vei tam zawk chuan enkawl hnuah an ti tha hle . Zirna hrang hrangah chuan natna hi hriatchhuah leh enkawl hmasak a nih chuan, a lan chhuah tan meuh chuan 90% atanga 95% vel hlawhtlinna rate a awm tih a tarlang .

Mahse, mi thenkhat chuan Post-thrombotic Syndrome (PTS) tih hming pu complication an nei thei a ni. Hetah hian hun rei tak chhung natna, rit lutuk, leh a kut natnaa hliam ang chi symptoms te chu a awm reng thei a ni. Chuvang chuan enkawl hnuah pawh doctor thupek zawm a pawimawh.

Engtikah nge doctor kan hmuh vat ang?

ASVT chhinchhiahna hmasa ber i hmuh chuan damdawi lam thurawn zawng nghal rawh . Tihkhawtlai suh, a bik takin a hnuaia thilte hi i tawn chuan:

• A rilru a na
• Kut emaw ke pahnih emaw a natna
• Thâwk harsa (dyspnea) .

Hengte hi Pulmonary Embolism (PE) ang chi natna hlauhawm tak chhinchhiahna a ni thei.

(ASVT) Chutiang a nih chuan doctor hnenah eng zawhna nge i zawh ang?

I doctor-in ASVT i vei thu a hrilh che chuan hetiang zawhna thenkhat hi zawh a tha ang:

• Thisen zam ka neih theihna tur tihtlem nan eng nunphung tihdanglam nge ka tih theih ang?
• Exercise ka chhunzawm thei ang em, kut hnathawh pawh ka ti thei ang em?
• Thisen zam a lo awm leh tawh loh nan eng nge ka tih theih ang?
• Thisen tithianghlim thei damdawi hi eng chen nge i ei a ngaih?

Hriat reng tur pawimawh ber (Take-Home Message) .

Tunah chuan vawiin a kan sawiho (Axillo-Subclavian Vein Thrombosis - ASVT) hi hriatthiamna tha zawk in neih ka beisei. A tawi zawngin:

• (ASVT) hi i kut emaw, i kutphah emawa vein lian takah thisen zam a lo awm a.
• Hei hi kut chu hman chhunzawm zel, hahthlak taka hman a nih avangin a thleng fo thin.
• I kutah natna rang tak, vun hring, leh vun rawng sen ang chi symptoms i neih chuan i ringhlel mai thei.
• Thrombolysis (thisen hrualna damdawi) leh thrombectomy (thisen hrual paih) te hi a enkawl dan ber a ni.
• A pawimawh ber chu natna hi hriat hmasak a, enkawl tan a ni. Chutianga i tih chuan damna famkim neih theihna chance i nei tha zawk hle.

Heng symptoms te hi i neih chuan hlau suh la, rei lovah Doctor pan rawh. Hrisel takin awm rawh!

` axillo-subclavian vein thrombosis, ASVT, thisen zam, kut zungtang, kekawrte na, kut hring, DVT, Pulmonary Embolism, Paget-Schroetter syndrome