Kal laiin ke na i nei em? (Claudication) a ni.

Kawngpuiah chuan hla vak lovah i kal ang tih han ngaihtuah teh. Vawikhatmah i keah, a bik takin i bawnghnuteah natna na tak, hliam na tak i nei ta a ni. I tuar theih tawh lohna hmunah i ding a ngai a ni. Mak tak maiin minute engemaw zat i chawlh chuan a natna chu a reh zauh zauh thin. I kal tan leh chuan rei vak lo i kal hnuah natna chu a lo lang leh thin. Hetiang thil tawn hi i tawng tawh em? Tichuan he thuziak hi i tan a pawimawh hle ang. Vawiin hian he condition, chu chu claudication chungchang kan sawi dawn a ni.

Claudication chu eng nge ni?

A awlsam zawngin, claudication hi natna a ni lo va, symptom a ni . Khawsik hi natna a nih loh ang bawkin hri kai chhinchhiahna a ni. I thawhrim lai, kea kal ang chi taksa ruh natna i neih thinna a ni a, chawlh hahdam laiin a natna chu a bo vek thin. He natna hi keah a awm tam ber.

Hetiang hian han ngaihtuah teh. Kan hnathawh lai te, kan kal lai te hian kan taksa peng hrang hrangte hian a hma aia tam oxygen an mamawh a ni. He oxygen hi thisen hian taksa peng hrang hrangah a hruai lut thin. Chuti a nih chuan, ke thlenga thisen phurtu thisen kalna kawngte chu eng emaw vanga a inkhar emaw, a zim emaw a nih chuan eng nge thleng ang? Kan kal hian thisen hian taksa ruhte mamawh oxygen extra chu a pe thei lo. Chutah chuan taksa ruhte chuan natna an nei a, "Oxygen ka nei tlem hle" tih signal an pe che a ni. I ding a, i chawlh chuan taksa ruhte hian oxygen tam tak an mamawh lo. Chuvangin an hnena thisen luang zat pangngai an nei a ni. Tichuan a na chu a reh ta.

A tam zawkah chuan hei hi a chhan ber chu Peripheral Artery Disease (PAD) an tih natna a ni. Hei hi taksa peng hrang hrang, a bik takin ke-a thisen phurtu thisen kalna kawng (arteries) a zim (narrowing) a ni. Hetianga thisen kalna kawng a zim chhan ber chu Atherosclerosis , a ni a, chu chu thisen kalna kawngkhar chhunga cholesterol ang chi thil awm avanga thisen kalna kawng khauh leh zim zauh zauh hi a ni.

Claudication natna lan chhuahna chu engte nge ni?

Mi thenkhat chuan a tir lamah chuan symptoms an nei lo mai thei a, mahse symptom nei te chuan an ke emaw ke emaw ah heng symptoms hi an nei tlangpui.

Hetiang dinhmun hi tute nge hlauhawm ber?

Claudication hi risk factor engemaw zat a awm. Hengte hi i neih chuan tlem tal i fimkhur tur a ni.

• Meizial zuk: Hei hi a hlauhawm ber leh pawi ber a ni . Meizial zuk hian thisen kalna kawng a tichhia a, a block theihna rate a tisang bawk.
• Diabetes: Zunthlum vei te hian thisen kalna kawng a tichhe nasa zawk.
• Cholesterol sang: Thisen a cholesterol level a san chuan thisen kalna kawng bangah a tla thla a, a tikhawlo a ni.
• Thisen sang: Thisen sang hian thisen kalna kawng a tichhia a, atherosclerosis hlauhawmna a tipung bawk.
• Kidney Disease: Kidney function tlahniam hian hei hi a nghawng thei bawk.
• Kum: Kum upat deuh deuh hian atherosclerosis lo awm theihna natural tendency hi a pung zel a.
• Chhungkaw chanchin: I chhungkuaa mi tu emaw chuan thinlung natna emaw PAD ang chi natna a neih chuan nang pawh i hlauhawm zawk bawk.

Engtin nge doctor hian hei hi a hmuh theih?

Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. I natna lan chhuah dan chipchiar takin a zawt hmasa ang che. Tichuan i ke chu a enfiah ang.

• Kete hi a rawng a danglam tawh em?
• Hliam dam rei tak tak i nei em?
• I ke sam chu a tla chhuak tawh em?
• I ke leh kea pulse awm chu i hre thei em?

Hetiang thil hi kan en hnuah hian test eng emaw zat tih a ni thei a, chu chu a natna hriat chian nan leh a nasat dan hriat theih a ni.

Hei hi eng enkawlna nge ni?

He natna hi enkawl dan tur hrang hrang a awm a, chu chu nangmah ngeiin i tih theih thil awlsam tak tak atanga tan a ni.

1. Nunphung inthlak danglam (hei hi a pawimawh ber!) .

Hei hi claudication damdawi tha ber a ni. Heng thilte hian i doctor-in damdawi a pek che aiin a pui zawk ang che.

• Meizial zuk bân: Meizial zu mi i nih chuan vawiinah, tunah ngei hian i bânsan a ngai a ni . Chu chu i tanpui theihna lian ber a ni.
• Kal:"Ka kal lai hian a na a, chuvang chuan ka kal tawh lo ang?" i ngaihtuah mai thei. Mahse, chu chu a dik lo. Chumi atana exercise tha ber chu kea kal hi a ni. Doctor chuan kar khatah ni 3-5 vel, ni khatah minute 50 vel kal turin a hrilh ang che. Natna a lo intan hunah chawlhsan la, natna a reh hunah kal leh rawh. Zawi zawiin natna nei lova i kal theihna hlat zawng chu a zual zel dawn tih i hmu ang.
• Thinlung hrisel ei tur: Ei leh in hriak, chi, leh sugar tlem, thei leh thlai tamna ei tur.

2. Damdawi chi hrang hrang

Nunphung inthlak danglamna rual hian i doctor chuan heng ang damdawi hi a pe thei che a ni.

• Thisen sang tihhniamna damdawi (e.g. ACE inhibitor) .
• Cholesterol tihhniamna damdawi (e.g., `Statins`) .
• Thisen zam venna damdawi (e.g. Aspirin, Clopidogrel) .
• Thisen kalna kawng hawngtu leh thisen kal dan tichaktu damdawi (e.g., `Cilostazol`) .

3. Enkawl dan bik (Procedures) .

Damdawi hmanga control harsa leh natna a nasat chuan doctor chuan hetiang enkawlna hi a hmang thei a ni.

• Angioplasty: Hei hian thisen kalna kawngkhar khar chhungah balloon te tak te dahin, a khar chu hawn nan inflating a ni.
• Stent dah dan: Angioplasty hmanga artery a hawn hnuah, a block leh loh nan mesh ang chi tube te tak te (`stent`) dah a ni.
• Bypass Surgery: Blockage a nasat chuan thisen kalna kawng thar siam a ni a, taksa peng dang atanga lak chhuah vein emaw, artificial vein emaw hmangin blocked area chu bypass a ni. Hei hi natna khirh tak takah chauh tih a ni.

Claudication tih loh chu ngaihtuah tur dang a awm em?

Awle. Ke natna thlentu natna dang engemaw zat a awm a, chu chuan claudication ang chi symptom a nei thei a, mahse a na zawk thei bawk. Chuvangin ke na hi ngaihthah tur a ni lo.

• Deep Vein Thrombosis (DVT): Hei hi ke ruh thuk takah thisen zam a lo awm hian a ni. He clot hi a lo chhuak a, lung chhunga vein pakhatah a awm chuan nunna atana hlauhawm emergency a ni thei . Chu chu `Pulmonary Embolism` an ti a. Chuvangin, rang taka i ke a hring, sen, leh na i neih chuan doctor pan emaw, ETU (Emergency Treatment Unit) pan nghal tur a ni.

• Chronic Compartment Syndrome: Hei hi taksa peng pakhat vel compartment chhunga pressure a lo pung a, thisen kal dan a tikhawtlai a ni. Hei hian exercise neih laiin natna a thlen thei bawk.

Chuvangin, eng dinhmun nge i neih tih chiang taka hriat theih nan doctor kutah i dah mai tur a ni.