I taksa peng hrang hrangah thisen kal a tlahniam em? (Critical Limb Ischemia) Hemi chungchang hi han sawi ila!

A châng chuan i kut, ke, a nih loh leh i kut zungtang-ah natna nasa tak emaw, rilru hahna emaw i nei em? Hliam te tak te pawh hi a dam theih nan hun rei tak a ngai mai thei? Nge i ke chu a vawt reng em? Chûngte chu ngaihthah mai mai tûr symptom a ni lo. Vawiin hian heng symptoms te hi a thlen thei dinhmun kan sawi dawn a, chu chu a na deuh hlek a, mahse uluk taka i hriat chuan enkawl theih a ni.

Critical Limb Ischemia (CLI) hi eng nge ni?

A awlsam zawngin, Critical Limb Ischemia, a tawi zawngin CLI tih hi i kut, ke leh ke pakhat emaw, a aia tam emaw thisen kal khap tlat a ni. Tui pipe chhunga drain khar ang mai a ni. Chutianga thisen kal chu tihtawp a nih chuan chu hmunte chuan oxygen leh nutrient an mamawh chu an hmu lo.

Hemi avang hian eng nge thleng?

• Natna nasa tak a awm . A châng chuan he natna hi tuar theih loh a ni thei.
• The limbs become numb , leh hriatna chu a tlahniam ta a ni.
• Ke, ke, a nih loh leh kut hliamte chu a dam theih nân hun rei tak a ngai a ni . A châng chuan hliam tenau tak pawh hi hliam lian takah a lo chang thei bawk.

Hei hi natna khirh tak a ni a, a chhan chu thinlung natna, kut tan, leh thihna thlengin a tipung a ni.

Critical Limb Ischemia hi a takah chuan Peripheral Artery Disease , peripheral artery disease an tih, natna khirh tak a ni. He PAD hi kan thisen kalna (thinlung atanga taksa peng dang panna thisen kalna vein) chhungah ``atherosclerotic plaque'' an tih, thau layer a lo awm a, chu chuan a ti tawi emaw, a tikhawlo emaw a ni. Chuvangin, thisen kal khap a nih chuan kan taksa ruh leh kan taksa pengte tan hrisel taka awm te, chak taka awm te, hliam a awm chuan a dam theih nan a harsa thin. He CLI natna hming dang chu ``chronic limb-threatening ischemia'' tih a ni.

He natna hi tuin nge vei tam zawk?

Dik tak chuan PAD, emaw peripheral artery disease nei apiangin CLI an nei thei a ni. He risk hi i upat deuh deuh chuan a pung zel a ni .

Hei bakah hian risk factor dang engemaw zat a awm bawk. Hengte hi i tan a hman theih em tih en rawh:

• Chronic Kidney Disease : Kal hnathawh that loh chuan taksaah harsatna dang a awm thei.
• Diabetes Mellitus : Zunthlum hi thisen kalna kawng tichhe theitu lian tak a ni.
• Thisen sang (Hypertension) : Thisen sang hi a sang reng a nih chuan thisen kalna kawng (arteries) tan pawh a tha lo.
• Cholesterol sang (Hyperlipidemia) : Thisen chhunga thau awm zat hi thisenah cholesterol tha lo awm zat a san vang a ni.
• Meizial zu leh zuk leh hmuam hman: Hei hi natna tam tak nena inzawm tlat thil a ni. Tin, thisen kalna kawng (arteries) te pawh nasa takin a tichhia bawk.

Ngaihtuah teh, kan in chhungah tui pipe system kan nei a. Hun a kal zel a, chu pipe chhungah chuan rust leh bawlhhlawh ang chi thil a lo awm a, a tikhawlo ta a ni. Chutiang chu kan thisen kalna kawngah pawh a ni. Heng risk factors te avang hian thisen kalna kawngte chu zawi zawiin a inkhar tan thin.

Critical Limb Ischemia hian nunna a tichhe thei em?

Ni e, a dik tak zet . Hei hi dinhmun pawi tak a ni. Critical Limb Ischemia hian nunna atana hlauhawm hriselna lama harsatna lian tak tak i neih theihna a tipung nasa hle a, chubakah thihna pawh a tipung bawk.

Statistics atanga a lan dan chuan Critical Limb Ischemia vei atanga kum khat chhungin :

• Mi pathum zinga pakhat vel chu ke ruh an tan a ngai dawn a ni.
• Mi pali zinga pakhat vel chu a thihpui thin. Heng thihna thlentu ber chu lung natna emaw, stroke emaw ang chi dinhmun a ni.

Heng statistics chauh hian hei hi a pawi zia a tilang chiang hle. Chuvangin, symptoms i neih chuan tihkhawtlai loh a tha ber .

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi thil tenawm tak a ni lo. Khawvela mi tam takin he dinhmun hi an tuar a ni. Hetiang dinhmun hi kum upa lam leh a hmaa kan sawi tawh ang risk factors (zunthlum, thisen sang, meizuk ang chi) nei te zingah a awm fo thin. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

He natna lan chhuah dan engte nge ni?

Critical Limb Ischemia chhinchhiahna ber leh langsar ber chu ke emaw ke emaw natna nasa tak a ni . He natna hi a nasat em avangin zanah a kaitho thei che a ni. Mi thenkhat chuan he natna hi tihziaawm an tum a, khum atanga an ke an dah a, a nih loh leh tho chhuakin room chhungah an kal kual thin.

Mahse, mi thenkhat chuan hetiang natna hi an hre lo mai thei. Mahse, a hnuaia symptom dang pakhat emaw a aia tam emaw an nei thei a ni:

• Kut, ke emaw, ke emaw a vawt reng reng .
• Ke vun chu a hring, a eng, sam nei lo, a nih loh leh a vawt lutuk .
• Ke emaw ke emawa hriatna chak lo emaw, hloh emaw .
• Ke, ke emaw, kut emawa rilru natna emaw, hriatna hloh emaw .
• Ke emaw ke emaw a hliam hi a dam rei hle . Scratch tenau pawh hi hliam lian leh thuk takah a chang thei.
• A châng chuan vun rawng a danglam thei a, gangrene chhinchhiahna a lang thei a, hei hi tissue thihna hmun a ni .
• Ke ruh (toenail) a thick (thickening) thin.

Heng symptoms te hi i neih chuan damdawi lam pan vat a tha ber.

Eng thilin nge Critical Limb Ischemia hi a thlen?

A chhan ber chu a hmaa kan sawi tawh Peripheral Artery Disease (PAD) vang a ni., chu chu peripheral arterial disease tihna a ni. He natna khirh tak Critical Limb Ischemia an tih hi i thisen kalna kawngte chu thla tam tak, kum tam tak chhung pawh a zim emaw, a inkhar emaw a nih chuan a lo awm thin. A dik tak chuan hei hi PAD stage hnuhnung ber, na ber a ni.

He natna hi engtin nge an hriat chhuah?

I doctor chuan i natna lan chhuah dan leh hriselna lama harsatna dang i neih (zunthlum emaw thisen sang emaw ang chi) a zirin Critical Limb Ischemia a ringhlel thei.

Ringhlelna chu finfiah nan leh a natna nasat dan dik tak hriat theih nan doctor chuan test dang engemaw zat a ti thei bawk. Chung zinga ṭhenkhat chu:

• CT scan hmanga tih a ni
• MRI Scan (MRI) hmanga tih a ni.
• Angiograms : Hetah hian thisen kalna kawng (arteries)-ah tui bik (special fluid) inject a ni a, X-ray hmangin a blockage awmna hmun leh engzat nge a awm tih hriat a ni.
• Ultrasounds : Hengte hmang hian thisen kal dan leh thisen kalna kawng (arteries) dinhmun te kan hmu thei a.

Heng test-te hian a bik takin:

• I kut, kut zungtang, ke ruh, ke leh ke ruh chhunga thisen a kal dan .
• Hliam dam chak dan leh a dam dan , a awm a nih chuan.
• Artery hi engtiang chiahin nge a tawi emaw, a block emaw .

Hei hi eng enkawlna nge ni?

Critical Limb Ischemia hi enkawl vat a ngai a ni . I taksa peng hrang hranga thisen kal dan dik tak a rang thei ang bera siam leh chuan ke ruh tliak theihna a ti tlem thei a ni.

I doctor chuan a hnuaia enkawlnate hi a rawn rawt thei ang:

• Damdawi : Damdawi chi hrang hrang, thisen tizautu, thisen sang tihhniamna damdawi, leh Cholesterol tihhniamna damdawi te hi a pe thei a.
• Endovascular treatment : Hengte hi a tlem berah, surgery ang maia incision lian tak siam ngai lovin tih a ni.
• Angioplasty : Hei hi thisen kalna kawng khar chhungah balloon ang chi hmanrua dahin, thisen kalna kawng zau zawka tihzauh nan inflating a ni. A châng chuan stent , mesh ang chi tube te tak te chu thisen kalna kawng chu a zim leh tawh loh nân an dah ṭhîn.
• Atherectomy : Hetiang tih danah hian hmanraw bik hmangin thisen kalna chhunga thau layer plaque an tih chu paih chhuah a ni.
• Surgery : A chang chuan artery siamthat emaw, artery thar (i taksa hmun dang atanga lo chhuak vein emaw artificial tube emaw) hmanga thlak emaw a ngai thei bawk.

Hêng enkawlna zînga pakhat mah hian thisen kal dân dik a siam ṭha thei lo a nih chuan, doctor chuan kut zungtang, kut ṭhenkhat, ke ruh, ke ṭhenkhat, a nih loh leh ke ṭhenkhat chu tansak a ngai ang. Critical Limb Ischemia vei te hnen atanginMi panga zinga pakhat vel chu a tâwpah chuan he operation chi hi an neih a ngai dâwn a, a bîk takin zunthlum vei tân chuan .

Engtin nge he hlauhawmna hi tihziaawm theih ang?

Critical Limb Ischemia vei theihna tur tihtlem nan i PAD (peripheral artery disease) hi uluk taka enkawl a ngai hmasa ber a ni. Chu bakah, a hmaa kan sawi tawh risk factors te pawh tihtlem tum a ngai bawk.

• I kum, i mipa leh hmeichhia, leh i taksa chi hrang hrang nena inmil tur taksa rihna hrisel tak vawng reng ang che .
• Exercise tih fo thin ang che . I exercise routine-ah hian strength training, flexibility exercise, leh aerobic exercise te pawh telh bawk ang che. Ni khatah minute 30 tal kea kal pawh a tha hle.
• I thisen sang leh cholesterol level chu hrisel range chhungah dah tum ang che .
• Damdawi lam harsatna dang, zunthlum ang chi i neih chuan uluk takin enkawl rawh . I doctor thupek ang chiah kha zawm rawh.
• Stress tihziaawm rawh . Thil hrisel tak tak hmanga chawlh hahdam tum ang che, chu chu meditation emaw, ṭhian nena inbiakna therapy emaw ang chi hi a ni.

Hetiang dinhmun hi eng nge a thlir ang?

Critical Limb Ischemia hi harsatna lian tham a thlen thei a, dam chhung a ti tawi thei bawk. Chuvangin, he natna lan chhuahna i neih chuan, a nih loh leh PAD (peripheral arterial disease) chhinchhiahna i neih chuan doctor pan nghal rawh . Enkawlna i hmuh hma chuan harsatna lian tak tak i nei lo va, i taksa peng pakhat pawh i hloh thei lo .

Critical Limb Ischemia natna hi eng chen nge i dam theih ang?

Dik tak chuan Critical Limb Ischemia vei thihna rate hi a sang deuh hlek a ni. Hriat chhuah a nih hnuah, he natna vei zinga a chanve vêl chauh hi kum nga aia rei an dam . Heng mite zinga a tam zawk hi chu lung natna emaw, stroke emaw avanga harsatna awm vangin an thi thin. Chuvang chuan enkawl hmasak leh nunphung thlak danglam hi a pawimawh em em a ni.

Doctor hnenah eng zawhna nge i zawh theih ang?

Critical Limb Ischemia i neih chuan, emaw, i rinhlelh chuan, i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Critical Limb Ischemia natna lan chhuah hmasak berte chu engte nge ni?
• He natna hi hriat chian nan eng test nge tih thin?
• Critical Limb Ischemia enkawl dan tur chu engte nge ni?
• Hetiang hi ka enkawl loh chuan eng nge thleng thei ang?
• PAD ka neih chuan engtin nge Critical Limb Ischemia vei theihna ka tihtlem theih ang?

Heng zawhnate hi zawh hreh ngai suh. I dinhmun hriat chian a pawimawh hle.

Critical Limb Ischemia nen hian i kal thei ang em?

Ni e, kea kal hian a châng chuan Critical Limb Ischemia -a natna kaihhnawih natna chu a tihziaawm thei a ni . Tin, i taksa tihchet leh kal fo chuan i keah thisen a kal tam zawk ang. Hei hi Critical Limb Ischemia tan chuan a tha ber a ni. Mahse, i kal laiin i ke natna a zual zel nia i hriat chuan, chu chu i doctor hnenah i sawipui ngei tur a ni .

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Chuvangin, vawiin a kan sawi tawh Critical Limb Ischemia hi i taksa peng hrang hranga thisen kal chu nasa taka tihkhawtlai a nih chuan natna khirh tak a ni . Hei hi Peripheral Artery Disease (PAD) an tih natna khirh tak a ni. Hei hian thinlung lama harsatna i neih theihna a tipung a, i dam chhung pawh a ti tawi bawk.

A pawimawh ber chu symptoms a lan veleh doctor advice lak nghal vat hi a ni . Chutianga i tih chuan result tha tak i neih theihna tur leh ke ruh pakhat hloh lohna tur chance tha zawk i nei ang. Nunphung hrisel zawm hian chutiang dinhmun laka invenna atan a pui bawk.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor nen inbiakna neih hreh suh. I mamawh thurawn a pe thei che a ni.

` Critical limb ischemia, ke na, thisen kalna kawng khar, peripheral arterial disease, gangrene, angioplasty, zunthlum