I ke chu a hring nghal a, a na em? DVT (Deep Vein Thrombosis) a ni thei bawk .

I ke pakhat chu a lo hring nghal a, khawih pawhin a lum tawh em? I kal emaw, i din emaw hian a na em? I ke vun chu a sen a ni mai thei? Mi tam tak chuan ke ruh tliak emaw, ke ruh tliak emaw mai mai niin an ngai. Mahse, a châng chuan thil pawi zâwk a ni thei a, ngaihven nghâl ngai a ni. Vawiin hian thisen kalna kawng thuk takah thisen zam , a nih loh leh damdawi lama Deep Vein Thrombosis (DVT) tia hriat thin chungchang kan sawi dawn a ni.

A awlsam zawngin DVT chu eng nge ni?

Kan taksaah hian thisen kalna kawng chi hnih a awm a. Pakhat chu vun hnuaia hmuh theih superficial veins te hi a ni. A dang chu taksa chhung thuk taka tlan chhuak vein lian tak takte hi a ni. Deep Vein Thrombosis (DVT) tih hi heng vein thuk tak takah hian thisen zam (thrombus) a lo awm a. Tui pipe-a bawlhhlawh chi khat, tui luang chhuak tur tikhawlo ang maiin han ngaihtuah teh. He thisen zam hian thisen kalna chu a pumin emaw, a then emaw a tikhawlo thei a ni. Hetiang dinhmun hi ke ruh (a bik takin kawr emaw, hnute emaw), leh ke ruh (pelvis)-ah a awm tam ber. Mahse, a tlem berah chuan kut, thluak, intestines, liver , a nih loh leh kal (kidney) vein-ah thisen zam a lo awm thei a ni.

Engvangin nge DVT hi a hlauhawm theih?

DVT dinhmun chu a awm ang anga a awm reng chuan nunna atana hlauhawm a ni lo. Mahse, a hlauhawm ber chu he vein chhunga thisen zam lo awm tawh chu chuta tang chuan a inthen a, thisen kal tlangin a kal tan a nih chuan a ni. Ngaihtuah teh, thisen zam (hei hi `emboli` kan tih) chu lung chhunga thisen kalna kawng khatah a kal nghal a, a tlakbuak chuan eng nge thleng ang? Chu chu Pulmonary Embolism (PE) kan tih chu a ni. Hei hi emergency hlauhawm tak, nunna atana hlauhawm tak a ni. Chuvangin DVT i vei nia i rinhlelh veleh natna hriatchhuah leh enkawl vat a pawimawh. Chu bâkah, DVT vei zînga a chanve vêl chuan hun rei tak chhûnga harsatna, Post-Thrombotic Syndrome , an nei thei bawk.Hei hi thisen zam hian thisen kalna kawng chhunga valve nalh tak takte a tihchhiat a, chu chuan keah thisen a pump tha lo a, kea thisen a khawlkhawm thin a ni. Hei hian vun a ti na thei a, a na a, vun a rawng a tidanglam (browning) a, hliam dam harsa (venous stasis ulcers) te pawh thla tam tak emaw kum tam tak chhung emaw a thlen thei a ni.

Engtin nge DVT i nei tih i hriat theih ang? Eng nge a lan chhuah dan?

DVT vei zawng zawng hian symptoms an nei vek dawn lo. Mi 30% velin DVT an nei thei a, symptom engmah a awm lo. Mi thenkhat chuan symptoms na lo tak tak an nei thei a, an hre lo pawh a ni thei. Mahse, a lan chhuah dan tlangpui thenkhat a awm. Heng symptoms te hi i neih chuan, a bik takin ke pakhatah chauh a awm chuan i ngaihtuah tur a ni.

Pulmonary Embolism (PE) natna lan chhuah dan hi hre reng ang che!

Mi thenkhat chuan thisen zam a chhuah a, an lung chhunga a tlak hnuah chauh DVT an nei tih an hrechhuak thin. Chuvangin a hnuaia symptoms te hi fimkhur hle ang che.

• A rilru a na nghal
• Thâwk harsa
• Thisen a khuh chhuak
• Luak chhuak (vertigo) .
• Spell (spell) siam tur chuan

DVT vei theihna tur risk factors te chu engte nge ni?

Tu pawhin DVT an vei thei a, mahse mi thenkhat chu an hlauhawm zawk. Eng nge an nih i han thlir teh ang.

• Hun rei tak chhunga thut reng: Colombo atanga Jaffna, Sri Lanka pan tur bus-a chuang emaw, ram pan tur chuan darkar tam tak thlawhnaah emaw i chuang ang tih han ngaihtuah teh. Chutiang zinkawng thui takah chuan i ke te chu a hmun khata dah reng chuan thisen kal a tikhawtlai thei a, thisen a tikhawlo thei bawk. Chutiang bawkin major surgery hnuah pawh, damlohna avanga ni tam tak khumah i awm a ngai a nih pawhin.
• Surgery emaw accident emaw: Surgery emaw accident emaw avanga veins a chhiat chuan thisen zam a awm theihna a sang hle.
• Kum 40 chunglam: Kum upat deuh deuh chuan a hlauhawmna a sang zauh zauh thin.
• Naupai leh nau neih hnu: Naupai lai leh nau neih hnu kar 6 vel DVT vei theihna a sang ber.
• Overweight/Obesity: Mi thau lutuk te hi an hlauhawm zawk.
• Meizial zuk: Meizial zuk hian thisen zam a tipung a.
• Cancer leh cancer enkawlna: Cancer leh cancer enkawlna chi thenkhat (e.g. chemotherapy) hian DVT vei theihna a tipung a.
• Birth control pill emaw hormone therapy: Birth control pill leh hormone therapy hormone estrogen awmna hian thisen zam a tipung deuh thei a ni.
• Chhungkaw chanchin: I chhungkuaa mi tu emaw (nu, pa, unau) DVT nei tawh a nih chuan nang pawh i hlauhawm hle.
• Genetic causes: Mi thenkhat chu an pianpui hian an thisen a tikhawlo awlsam thei khawpa natna nei an ni thei.
• Damdawi lam thil dang: Autoimmune natna, lupus, inflammatory bowel disease, varicose veins (ke-a varicose veins), leh COVID-19 infection te hian DVT vei theihna a tipung thei bawk.

Doctor, engtin nge DVT hi dik taka i hriat theih ang?

DVT symptoms i neih chuan i doctor chuan a enfiah hmasa ang che a, i medical history leh risk factors te a zawt ang che a, chutah chuan test eng emaw zat a order ang a, i diagnosis tih finfiah a ni ang.

• Duplex Venous Ultrasound: Hei hi DVT hriat theihna atana test ber leh hman tlanglawn ber a ni. Nausen scan nen a inang hle. A hrehawm lo. Vein-a thisen kal dan leh thisen zam a awm leh awm loh chiang takin a hmu thei a ni.
• Venography: Hei hi hman tam a ni tawh lo. Hei hian vein pakhatah tui bik (dye) inject a, X-ray lak a huam a ni.
• MRI emaw CT scan: A chang chuan heng test te hi thisen zam thuk tak, pum emaw thluak emawa thisen zam awm nia rinhlelhna a awm chuan tih theih a ni.
• Thisen test bik: Chhan hriat loha DVT i vei a nih chuan, emaw, chhungkaw history i neih chuan, i doctor chuan thisen zam tichhe thei genetic condition te enfiah turin thisen test bik neih a tum mai thei.

DVT enkawl dan tur chu engte nge ni?

DVT enkawlna kawngah hian tum lian tlemte a awm.

• Thisen zam lian zel tur tihtawp.
• Chu thisen zam chu a chhuak lo va, lung chhunga a kal loh nan.
• Thisen zam thar siam chhuah tihtawp.
• Hun rei tak chhunga harsatna (Post-Thrombotic Syndrome) awm theihna tihtlem.

Heng thil tumte tihhlawhtlin nan hian enkawlna kawng hrang hrang a awm a.

1. Thisen tithianghlimtu (Anticoagulants) .

Hei hi Mizo tawngin `Anticoagulants` an ti a. Heng damdawi te hian thisen zam theihna a tihtlem avangin hna a thawk a ni. A pawimawh ber chu heng damdawi te hian thisen zam lo awm tawh chu an ``dissolve'' lo tih hi a ni. Chu ai chuan a lian zawk a, clot thar a lo awm loh nan an titawp zawk thin. Hun a kal zel a, taksa pianphung (natural process) hian zawi zawiin thisen zam chu a tithianghlim thei a ni. Hemi atan hian damdawi ``Warfarin`` leh ``Heparin`` te hman a ni. I doctor chuan eng damdawi nge i tana tha tur leh eng chen nge i ei tur tih a rel ang. A tlangpuiin, he damdawi hi thla 3-6 chhung emaw, mi thenkhat tan chuan i dam chhung zawng emaw i ei a ngai dawn a ni.

2. Compression Stockings te hi a awm thei

Hengte hi socks pangngai ang a ni lo. Hengte hi a bik taka siam socks an ni a, ke ruh vel a in fit tha hle. Ankles vel a tight hle tura siam an ni a, zawi zawiin khup lam hawiin an tight lo deuh thin. Hei hian thisen chu ke chungah a luang chhuak a, a ding reng lo. Nitin hengte hi hak hian ke ruh natna leh natna chu 50% velin a tihziaawm thei a ni.

3. IVC Filter hmanga siam a ni

Hei hi mi zawng zawng tan enkawlna a ni lo. Thisen tithianghlimtu damdawi ei thei lo, emaw, ei laia thisen zam (blood clots) nei tan chuan a tha hle. Hetah hian taksa vein lian ber, `Vena Cava`-ah hian mesh ang chi hmanrua te tak te (`filter`) dah a ni. Hei hi kea thisen zam chhe tawh chu lung chhunga a kal hmain man nan a ni.

Engtin nge DVT lo awm leh lo turin ka ven theih ang?

DVT i neih tawh chuan a lo thleng leh tawh loh nan i ven a pawimawh. Tin, DVT vei hlauhawm i nih chuan a lo thleng leh tawh loh nan hma i lak a ngai bawk.

DVT i neih tawh chuan:

• Doctor-in a pek damdawi dik tak leh a hun takah ei tur a ni. Ni khat pawh lo tlai tawh suh.
• Clinic leh thisen test hun ruat saah kal thin ang che.
• Nunphung hrisel (ei leh in tha, exercise, leh meizuk loh) hmang rawh.

DVT vei hlauhawm i nih chuan, a venna atan:

• Khualzin thui takah: Tho la, darkar khatah vawi khat tal kal kual rawh. Thut laiin exercise tenau te, i ke ruhte rotate leh i ke ruhte chu a chung leh a hnuai lam sawn ang chi te ti thin ang che.
• Operation zawhah: Khum atangin tho la, a rang thei ang bera kal tan rawh. I doctor-in a hrilh che angin ti rawh.
• Tui tlem in fo thin ang che.
• I doctor nen inbia la, i risk tihtlem dan tur thurawn la rawh.

DVT, Deep Vein Thrombosis, Thisen zam, Vein-a thisen zam, Ke hring, Pulmonary Embolism, Thisen Thinners, Anticoagulants, Thisen tihthianghlimna damdawi, Ke na