I ke a hring a, i thisen kalna chu a knot em? Hei hi Chronic Venous Insufficiency (CVI) a ni thei bawk.

Nilengin i ding hnuah tlai lamah i ke a hring bawk em? I ke chu a rit leh a na mai mai em? I ke vun chu a rawn sen tawh a, i thisen zam pawh a lang thei em? Chûng thilte chu hahna mai maiah i ngai mai thei a, mahse, enkawlna engemaw chen mamawh damdawi lam dinhmun chhinchhiahna a ni thei. Vawiin hian chutiang dinhmun, Chronic Venous Insufficiency, a tawi zawngin CVI kan sawi dawn a ni.

A awlsam zawngin CVI chu eng nge ni?

Kan taksa chhunga vein awmte hi kawng khata kalna angin ngaihtuah rawh. Vein, a bik takin kea awmte tan chuan harsatna lian ber chu thisen chu thinlung lam hawia chho leh a, gravity dodalna a ni. He hna thawk tura pui turin kan thisen zamte hian an chhungah gate ang chi thil te te an nei a. Damdawi lamah chuan hengte hi ‘valve’ kan ti thin. Heng valve te hian thisen chu a chhoh hunah a hnuai lam pan leh tur chu a titawp thin.

Chronic Venous Insufficiency (CVI) hi i ke a thisen zam a chhiat a, ka sawi tawh valve te pawh a thawk tha lo a ni. Hei hian i keah thisen a ti sang lo va, a tipung zawk thin. Hei hi venous reflux kan ti a . Hetianga thisen a inkhawm chuan thisen kalna kawng chhunga pressure a sang chho zel a ni. Hun a kal zel a, hei hi CVI kan tih chu a ni.

Hetiang chhiatna hi i ke chhunga vein chi hrang hrangah a thleng thei a ni:

• Deep veins: Hei hi taksa chhungril thuk tak, taksa peng hrang hrang inkara kal chhuak vein lian tak takte an ni.
• Superficial veins: Hengte hi vun hnaih takah, lei chung hnuai chiaha awm an ni.
• Perforating veins: Heng veins te hian a chunga kan sawi tak vein chi hnih te hi a thlunzawm a ni.

A tir lamah chuan natna lan chhuahna tenau tak tak atanga tan ni mahse, hun kal zelah CVI hian i nitin nun a tibuai thei a, harsatna lian tak tak a thlen thei bawk.

CVI leh post-thrombotic syndrome hi thil inang an ni em?

Hming pahnihte hian harsatna inang a kawk a, chu chu ke ruh (veins) tihchhiatna a ni. Mahse a danglamna tlem a awm. Post-thrombotic syndrome hi ke ruh thuk takah thisen zam (Deep Vein Thrombosis - DVT) avanga CVI natna a ni. Clot a chhuah hnuah a awmna vein wall-ah hliam na tak a awm a, chu chuan valve a tichhia thei a ni. Kum khat emaw kum hnih emaw chhunga DVT nei tawh zinga 20% atanga 50% velah post-thrombotic syndrome hi a awm theih a rinawm.

CVI hi engtiang chiahin nge a hluar a, engtin nge ka taksa a nghawng?

Venous disease hi a takah chuan a tam hle. Entîr nân, puitling pathum zînga pakhat vêl chuan varicose veins an nei . Heng mite zingah hian kum tin mi 50 zinga pakhat velin CVI an nei ang.

CVI hian kum 50 chunglam a vei tlangpui a, kum upat danah a hlauhawmna a sang chho zel. A pum puiin puitling 20 zinga pakhat velin CVI an nei a ni.

CVI avanga kea thisen kal a khar chuan veins chhunga pressure chu nasa takin a sang chho thin. He pressure sang tak hi enkawl loh chuan kan taksaa thisen kalna kawng te tak te (capillaries) te chu a puak darh thei a ni. Chu lai hmuna vun chu a rawng sen hring hring a lo ni ta a ni . Tin, vun hi a hrual tlem ber pawhin awlsam takin a hliam thei bawk.

Heng thisen kalna kawng chhete hian:

• Chu hmunah chuan tissue inflammation a awm
• Tissue tihchhiat a ni
• Venous stasis ulcers (hei hi vun chunglama hliam lo awm leh awlsam taka dam lo a ni) .

Heng ulcer chi hrang hrangte hi a dam awlsam lo va, natna hrik a kai thei bawk. He natna hi a chhehvel tissue-ah a darh chuan cellulitis kan ti a ni. Hei hi enkawl vat loh chuan dinhmun hlauhawm tak a ni thei.

CVI natna lan chhuah dante chu engte nge ni?

Heng symptoms zawng zawng hi vawi khatah i neih vek a ngai lo. Pakhat emaw pahnih emaw chauh i nei mai thei. Heng symptoms te hi i dinhmun a lo hmasawn danah a innghat a ni.

CVI stage hrang hrangte chu engte nge ni?

Doctor-te chuan vascular disease hi stage 0 atanga 6-ah an thliar hrang a, chung zinga pakhat chu CVI a ni. I doctor chuan i enfiah huna a hmuh dan a zirin stage chu a ruat ang.

• Stage 0: Hmuh theih loh chhinchhiahna a awm lo a, mahse ke na leh hah ang chi symptom i nei thei.
• Stage 1: Spider vein a lo lang thin.
• Stage 2: Varicose vein 3 mm aia zau a lo lang.
• Stage 3: Ke ah hian a hring (edema) a awm a, mahse vun a danglam lo.
• Stage 4: Vun rawng leh vun rawng inthlak danglamna (e.g., browning) a intan thin.
• Stage 5: Ulcer a lo awm a, a dam hnuah scar a lo awm bawk.
• Stage 6: Ulcer active, dam lo awm.

CVI thlentu berte chu engte nge ni?

Ka sawi tawh ang khan CVI awm chhan ber chu kea vein-a valve awmte hnathawh that loh vang a ni. Heng valve te hi a chhiat theih chhan hrang hrang a awm.

• Pianpui atanga lo chhuak: 1.1.Mi thenkhat chu an vein-ah valve chak lo nei lo emaw, chak lo nei emaw an piang thei.
• A chhan bulpui ber: A chhan bik awm lo chuan thisen kalna kawngte chu a chak lo va, thisen kalna kawngte chu a zau a, valve te chu a khar tha lo thei bawk.
• A chhan pahnihna: Damdawi lam thil dang avanga thisen kalna (veins) a chhiat. Hei hi a chhan ber leh a tam ber chu deep vein thrombosis (DVT) a ni. Thisen zam hian valve te a tichhia a ni.

Engtin nge doctor hian hei hi a hriat chian?

Doctor hmu tura i kal dawnin a tih hmasak ber chu i ke te uluk taka enfiah hi a ni. Thil hring, vun rawng inthlak danglam, leh hliam ang chi thil a zawng thin.

Tichuan, Vascular Ultrasound test hmangin natna chiang zawka hriat theih a ni. Hei hian sound wave hmangin computer screen-ah i thisen kalna (veins) thlalak a siam a. Hei hian eng vein nge a chhiat tih leh khawiah nge a chhiat tih chiang takin a hriat theih nan a pui thei che a ni. Hei hi test hrehawm lo, awlsam tak a ni.

CVI enkawlna tur engte nge ni?

CVI enkawlna atana thil tum lian tlemte a awm a:

• Kea thisen kal dan tihchangtlun.
• Hliam damna tura puih leh a lo lang leh tur venna.
• Vun hmel tihchangtlun.
• Natna leh hliam tihziaawmna.

Enkawl dan hi hmunpui engemaw zatah then theih a ni.

1. Nunphung inthlak danglamna

Hei hi enkawlna hmasa ber leh pawimawh ber a ni.

• I ke chawi sang: I ke chu i thinlung chungah minute 30 vel chawi sang la, ni khatah vawi thum vel chawi sang rawh. Hei hian i thisen kalna (veins)-a pressure a tihziaawm ang.
• Exercise: Kea kal hi a ropui hle. I kal hian bawnghnute ruh (calf muscles) hian thisen chu thisen kalna kawng (veins)-ah a pump chhuak thei a ni. Hei hi "thinlung pahnihna" an ti bawk.
• Weight management: I taksa rihna a san chuan i thisen kalna kawng (veins) ah pressure tam zawk a awm thin. I san zawng atan taksa rihna hrisel tak neih a pawimawh hle.

2. Compression Therapy hmanga enkawl theih a ni

Hei hi CVI enkawlna atana thil pawimawh tak a ni. A bik taka siam, tight stockings (compression stockings) bun a ni. Heng stockings te hian ke pawn lamah pressure a pe a, thisen inzawmkhawm tihtlem nan leh chunglam hawia kalpui turin a pui a ni.

3. Damdawi chi hrang hrang

• Antibiotics: Vun hliam hi bacteria in a kai chuan a dam nan pek thin a ni.
• Anticoagulants damdawi te: 1.1.DVT ang chi natna i neih emaw, hlauhawma i awm emaw chuan hengte hi a tha hle.
• Unna boot: Hei hi bandage bik a ni a, damdawi gel hnawih a ni. Hliam a dam theih nan a pui a, keah pawh pressure a pe bawk.

4. Surgery ni lo enkawlna leh surgery

Nunphung thlak danglam leh compression therapy hmanga natna chu a thunun loh chuan doctor chuan enkawlna dang a ngaihtuah thei a ni.

Engtin nge CVI hi ven theih ang?

A châng chuan he dinhmun hi pumpelh kim theih a ni lo. Mahse, a hlauhawmna tihtlem nan thil engemaw i tih theih a awm a:

• Meizial zuk loh tur.
• Hun rei tak chu dinhmun inang (ding emaw thut emaw)-ah awm suh. Position thlak fo la, tlem tal kal kual rawh.
• I taksa rihna hrisel tak vawng reng rawh.
• Exercise neih fo thin ang che.
• Chi ei tlem la, thinlung hriselna atana tha ei tur ei rawh.

Engtikah nge Doctor i hmuh ang?

CVI symptoms emaw risk factors emaw i neih chuan doctor pan ngei ngei tur a ni. Bik takin,

• I natna lan chhuah dan thar emaw, a zual zel emaw a nih chuan.
• I tana compression stockings pek che chu a fit tha lo a nih chuan (a hrual tur a ni lo, hei hian thisen kal a tikhawtlai zual thei a ni).

Vein lama harsatna hi a chang chuan cosmetic issue mai ni lovin a tam zawk. CVI hi natna zual zel a ni a, i nunphung a nghawng thei a ni. Chuvangin, damdawi lam thurawn dik tak i lak a, a enkawl dan dik tak i zawm chuan he natna hi i thunun tha thei a, nun nuam tak i hmang thei bawk.