I ke thisen zam ah thisen zam i nei tawh em? (Deep Vein Thrombosis - DVT) chungchang hi han sawi ila!

He natna `(Deep Vein Thrombosis)` emaw DVT emaw an tih hi i hre tawh em? Nangmah emaw, i hriat mi emaw chuan rang takin ke a na a, a na a, doctor hmu turin a kal a ni mai thei. Vawiin hian eng nge a nih tak tak, engvangin nge a lo awm, a hlauhawm em, eng nge tih tur tih te han sawi ila, okay?

DVD hi eng nge ni tak tak?

A awlsam zawngin sawi ila, DVT (`(Deep Vein Thrombosis)`) chu kan taksa chhung thuk takah thisen zawrh (`(thrombus)`) siam a ni. Tui pipe-a bawlhhlawh chi khat a tlak ang maiin han ngaihtuah teh. Heng thisen zam (blood clots) lo awm chhan lian tak pahnih a awm a. Pakhat chu vein te hi eng emaw ti takin a chhiat vang a ni. A dang leh chu thisen kal chakna a tlahniam a, chu chu thisen chu a kal zawi hle tihna a ni.

Thisen zam a lo awm chuan thisen kalna kawng (vein) kal tlanga thisen kal chu a titawp vek emaw, a then emaw a tikhawlo thei a ni. A tam zawkah chuan DVT hi ke hnuai lam (ankle), kekawr bul emaw, hip emaw vein-ah a awm thin. Mahse, DVT hi taksaa vein thuk dang, kut, thluak, intestines, liver, leh kidney-ah te pawh a awm thei bawk.

Engtiang chiahin nge DVT hi a hlauhawm?

Tunah chuan i ngaihtuah mai thei, thisen zam mai a ni a, chuti a nih chuan engvangin nge a hlauhawm ang? Awle, DVT hi a awmna hmunah a awm reng chuan accident lian tak a thlen lo mai thei. Mahse a hlauhawm ber chu heng veins chhunga thisen zam lo awm hi a chhuak thei a, thisen nen hian taksa pum puiah a fang kual thei a ni.

Thisen zam (embolus) lo chhuak chu lung chhunga thisen kalna kawng khatah a tang a nih chuan han ngaihtuah teh, chu chu thil hlauhawm tak a ni . Damdawi lamah chuan ``Pulmonary Embolism'' emaw PE emaw kan ti thin. Hei hian nunna a tichhe thei a, chuvangin a natna lan chhuah dan hriat chian a, a natna hriatchhuah a, enkawl tan thuai a pawimawh hle.

Chu mai pawh ni lovin, an kea DVT nei zinga a chanve vel, emaw, pahnih zinga pakhat vel emaw chuan thla tam tak chhung, kum tam tak chhung emaw, kum tam tak chhung emaw, an keah natna leh hliam an nei fo thei. Hetiang dinhmun hi ``post-thrombotic syndrome'' an ti a. Hei hi DVT hian vein chhunga valve nalh tak tak leh veins chhung lam bang a tihchhiat avangin thisen chu chunglam hawia kal tha lovin hmun khatah a awm khawm thin a ni. He natna leh hliam hi thisen zam chhunga pressure sang vang a ni.

Post-thrombotic syndrome hian a hnuaia symptoms te hi a huam thei a ni:

• Ke ah thisen a awm khawm.
• Ke a hring chhunzawm zel tih hi.
• Vein chhunga pressure a sang chho.
• Ke vun rawng a inthlak a, a chang chuan a sen deuh bawk.
• Venous stasis ulcer hi kea hliam dam harsa tak a ni.

DVT leh deep vein thrombosis hi eng nge an danglamna?

Vein a hring, a sen, leh khawih pawhin a na tih i hre tawh ngei ang. `(Superficial Venous Thrombosis)` an ti a (mi thenkhat chuan `(phlebitis)` emaw `(superficial thrombophlebitis)` emaw an ti bawk). I vun hnuaiah chauh a awm a, .Thisen zam (blood clot) chu a bul hnaia vein-ah a lo awm a. Hetiang thisen zam hi a chhuak a, lungah a kal hi a tlem hle. Mahse, thisen zam chu deep vein system-ah a kal a nih chuan a thlen theihna chance tlemte a awm.

Doctor chuan vun hnaih ber vein-ah thisen zam a awm leh awm loh chu taksa chu palpating leh exam-in a hre thei tlangpui. Mahse, DVT, chu chu vein thuk takah thisen zam a nih thu chiang taka hriat theih nan ultrasound test neih a ngai tak zet a ni.

He DVT hi engtiang chiahin nge a awm?

Hei pawh hi hriat a pawimawh. America ang ram statistics i en chuan kum tin puitling 1,000 zinga pakhat atanga pathum inkar velin DVT emaw a rah chhuah `(Pulmonary Embolism)` (PE) emaw an vei niin an sawi. DVT/PE vangin kum tin mi nuai thum vel an thi niin an sawi bawk. Ngaihtuah teh, DVT/PE hi heart attack leh stroke hnua vascular disease awm tam ber pathumna a ni.

DVT/PE hi kum eng pawhah a awm thei a, mahse naupang leh puitling tleirawlah chuan a tlem hle. Kum 60 chunglam ah a tam ber a, thil pawimawh dang pakhat chu DVT hi a chanve aia tam natna avanga damdawi ina enkawl lai emaw, operation hnua enkawl lai emaw a ni. A chhan ber chu Damdawi ina kan awm lai hian a pangngaiin kan che thei lo va, khumah rei tak kan awm a, chu chuan kea thisen kal a ti tlem a ni.

DVT natna lan chhuah dan chu engte nge ni?

DVT hi ke emaw kut zungtang emaw vein-ah a awm tlangpui. Mak tak maiin DVT vei zinga 30% vel, a nih loh leh mi pathum zinga pakhat vel hian symptom an nei lo! A châng chuan a lan chhuah dân chu a na lo hle a, mi ṭhenkhat chuan an hre lo pawh a ni thei.

Mahse, DVT rang tak (acute) a lo awm dan chhinchhiahna chu:

• Ke emaw kut emaw a hring (a chang chuan hetiang hi a thleng thut).
• Ke emaw kut emaw a na emaw, a na emaw (hei hi ding emaw, kal emaw chauhvin hriat theih a ni).
• Ke emaw kut emaw a hring, a na hmun chu a dang zawng aiin a lum zawk tih hriat.
• Chu hmuna vun sen emaw, rawng danglam emaw.
• Vun hnaih ber vein te chu a tlangpui aia lian leh bulging angin a lang.
• Pum na emaw, pum sir lama na emaw (chu chu pum chhunga thisen zam thuk tak takah thisen zam a lo awm chuan a thleng thin).
• Lu na nasa tak (a tlangpuiin a tan tirh lamah a thleng nghal) leh/ emaw, seizures (hei hi thluaka thisen zam a lo awm chuan a thleng thin).

Mi thenkhat chuan DVT an nei tih an hre lo va, an ke emaw, an kut emaw atanga clot chu a lo chhuak a, an lungah a kal hma loh chuan. Chutah chuan pulmonary embolism (PE) symptoms an nei tan a, chu chu rilru natna nghal, thawk hah, thisen khuh, luak chhuak, leh hriatna hloh te pawh a ni thei.

Hei hi hriat reng tur a ni: DVT symptoms pakhat emaw a aia tam emaw i neih chuan khawngaihin symptoms reh hun nghak suh. Doctor ko nghal la, a nih loh leh i damdawi in hnai ber emergency room-ah kal rawh. Enkawl vat chuan harsatna lian tham a veng thei a ni.

DVT awm chhante chu engte nge ni?

Tunah chuan DVT awm chhan tlangpui, a nih loh leh risk factors te hi han en ila. Hengte hi i tan a hman theih chuan DVT chungchangah hian tlem tal fimkhur a tha:

• Chhungkaw history-a thisen zam awm theihna tipung thei genetic condition nei.
• Cancer leh a enkawlna thenkhat (chemotherapy ang chi).
• Nangmah emaw, i chhungte zinga tu emaw hian DVT i lo nei tawh a nih chuan.
• Hliam emaw, operation emaw, hun rei tak che thei lo avanga thisen kalna kawng thuk takah khap.
• Hmun khata awm, che lo, rei tak. Bus thui tak, rel emaw, thlawhna emawa zin emaw, operation emaw, hliam na tak tuar emaw hnua khumah kan awm lai ang chi.
• Naupai emaw, tun hnaia naute neih emaw (a hlauhawmna chu kar 6 hmasa berah a sang ber).
• Kum 40 chunglam (mahse DVT hi kum eng pawhah a lo awm thei tih hre reng ang che).
• Thau lutuk/thau lutuk .
• Autoimmune natna lupus, vasculitis, emaw inflammatory bowel disease (IBD) ang chi nei.
• Zuk leh hmuam thil (cigarette, beedis ang chi) hman.
• Varicose veins vei te pawh DVT vei theihna a sang hle.
• Birth control pill emaw hormone therapy engemaw emaw ei .
• Central venous catheter (vein lian tak chhunga tube dah) emaw, pacemaker (heart rate control tu device) emaw taksa chhunga dah luh.
• Tun hnaia COVID-19 kai a nih avangin DVT vei theihna a tipung bawk.

Engtin nge DVT i nei tih i hriat theih ang?

DVT symptom nei doctor i hmuh chuan i symptoms te, i damdawi lam dinhmun dangte leh i chhungte zingah hetiang natna hi an nei tawh em tih te an zawt hmasa ang che. Tichuan an enfiah ang che. Chumi hnuah chuan DVT i neih leh neih loh finfiah nan a hnuaia test pakhat emaw a aia tam emaw an ti thei ang:

DVT hriatchhuahna test te

• Duplex venous ultrasound : Hei hi DVT hriat theihna atana hman tlanglawn ber, natna nei lo, tih awlsam ber a ni.Hei hian ultrasound an tih sound wave hmangin thisen kalna thisen kal dan a en a, thisen zam a awm em tih a en bawk. He test titu hian i ke emaw i kut emaw ah ultrasound probe a dah a, pressure zawi zawiin a pe thin. I press laiin vein a inzawm tha lo a nih chuan doctor chuan chutah chuan thisen zam a awm thei tih a ringhlel mai thei. He ultrasound result hi a chiang vak lo a nih chuan doctor chuan test dang a ti leh thei bawk.
• `(Venography)` : Hei hi taksa chhunga test a ni. Tunlai hian hman a tlem hle. Hetah hian kawr emaw, kawr emaw vunah hian incision te tak te siam a ni a, chuta tang chuan tube te tak te (`(catheter)`) chu vein-ah dahin, vein-ah hian tui bik (contrast material) an inject a ni. Tichuan, X-ray image an la a, thisen zam avanga thisen kalna chu a block em tih enfiah a ni.
• Magnetic Resonance Imaging (MRI) emaw Magnetic Resonance Venography (MRV) : MRI hian taksa chhunga taksa peng leh insiam dante chu chiang takin a la thei a. MRV hian thisen kalna (veins) thlalak a la thei a, a bik takin taksa hmun bikte chu a la thei a ni. MRI leh MRV hian ultrasound emaw CT scan emaw aiin thu chiang zawk a pe thei fo.
• Computed tomography (CT) scan : Hei hi X-ray technology hmanga taksa chhungril cross-sectional thlalak lak dan dang a ni. Doctor chuan CT scan hmangin pum, pelvis emaw thluaka DVT a hmuh theih bakah lung chhunga thisen zam (pulmonary embolism) a zawng thei bawk.

A châng chuan, i doctor-in thisen zam natna i neih a rinhlelh chuan, rochun emaw, i neih emaw pawh ni se, chu chu zawng tûrin thisen test bîk a ti thei a ni. Hei hi heng ang case-ah hian a pawimawh hle:

• Tun hmaa thisen zam i neih tawh a, chu chu a chhan chiang tak dang i hmu thei lo a nih chuan.
• Hmun danglam takah thisen zam i neih chuan, i rilru, i thin, i kal emaw, i thluak emaw a ni.
• I chhungte hian thisen zam history tha tak an neih chuan.
• I chhungte zinga mi pakhatin thisen zam (hereditary blood clotting disorder) bik a vei tih hmuhchhuah a nih tawh chuan.

DVT nei hian nitin nun hi engtin nge a awm?

DVT i neih hian ni hmasa berah i keah natna leh hliam engemaw zat i nei thei a, chu chuan i kal kual a, i thil tih dan pangngai tih a ti harsa thei a ni. Mahse , lungngai suh, zawi zawiin i thiltih pangngaiah i kir leh thei ang .

I ke a hring a, a rit tih i hriat chuan khumah muin i ke hnuaiah pillow pakhat emaw pahnih emaw dahin i kekawrte chu i lu atanga inches 5-6 vel a sangin dah tum ang che. Hei hian i ke atanga i thinlung thlenga thisen kal dan a ti tha ang a, a hring (swelling) a ti tlem bawk ang.

Chu bâkah, hengte hi han ngaihtuah teh:

• Hun rei tak i thut a ngai a nih chuan (e.g., office-a hnathawh laiin, TV en laiin), darkar chanve danah vawi khat tal i hips hma leh hnung lama sawn ngai exercise ti rawh.
• Tho la, i harh apiangin minute engemaw zat tal chu kal kual rawh. Hei hi thlawhna thui takah emaw, bus, rel emaw, car ang chi lirtheia zin rei emaw i nih chuan a pawimawh hle.
• I doctor-in a pek chuan i khup thlenga lo thleng tur special compression stockings ha la. Hengte hi zing leh tlai tin hak hian ke na leh hliam 50% thlengin a tihziaawm tih hmuhchhuah a ni.
• Hliam na tak thlen thei thil (e.g., high-impact running or jumping sports) te chu hun engemaw chen chu pumpelh rawh.
• Tui tam tak in fo la, a bik takin zin chhuah hunah, i taksa chu tui tlakchham tir suh.

DVT enkawl dan tur chu engte nge ni?

DVT vei thenkhat chu inenkawlna atan damdawi inah an awm a ngai mai thei a, mahse mi tam zawk chu in lamah enkawl theih an ni a, an doctor-in damdawi a pek angin an ei thei a, clinic-ah (outpatient) an kal thei bawk.

DVT enkawlna atana hmanraw lian ber berte chu:

• Thisen zam lo turin thisen tithianghlimtu (anticoagulants) pek.
• A hmaa ka sawi tawh chu compression stockings bun hi a ni.
• Nitin ke (ke) natna vei chu vawi tam tak chawi sang.

A tlem hle a, DVT hi a darh zau hle a nih chuan enkawlna bik (catheter-based procedures) a ngai mai thei.

Heng enkawlnate hian thil tum lian tak tak engemaw zat a nei a:

• A tum ber chu thisen zam awmsa chu a lian lo va, a chhehvel thisen dangah a darh loh nan tihtawp a ni.
• Thisen zam chu vein atanga chhuak a, thisen nen lung thlenga kal (pulmonary embolism thlentu) ven.
• Nakin lawkah hetiang thisen zam hi a lo awm leh theihna tur tihtlem.
• He thisen zam avanga hun rei tak chhunga harsatna (e.g., chronic venous insufficiency, ke hring leh vun rawng inthlak danglamna thlentu) venna.

Damdawi chungchanga heng thilte hi hre reng ang che

I doctor-in DVT damdawi a pek chuan hengte hi fimkhur hle ang che:

• I damdawi chu i doctor-in a tih ang chiah chiah, a hun takah, a dose dik takah ei rawh. Ni khat pawh lo tlai tawh suh.
• I thisen test chu doctor-in a tih ang chiah khan ti la , i lab appointment pawh tlawh loh tur a ni. (Thisen tithianghlimtu thenkhatah chuan thisen zam theih dan enfiah nan thisen test neih fo a ngai thin.)
• Damdawi thar engmah (over-the-counter painkillers, vitamins, leh Ayurvedic damdawi te pawh tel) ei tan suh la, tuna i ei mek damdawi eng pawh hi doctor rawn hmasa lovin ei tawh suh.
• I ei leh in chungchang doctor nen sawiho rawh. Thisen tithianghlimtu thenkhat (warfarin ang chi) hian ei tur thenkhat (legumes ang chi) i ei zat a tihtlem thei. Chuvangin hei hi fimkhur rawh.

DVT enkawlna chungchang tlem tal

Anticoagulants (thisen tithianghlimtu) .

He damdawi hian i thisen chu awlsam taka a inzawm loh nan a veng ber a ni. Thisen zam awmsa te chu a lian zel tur a titawp bawk a, a inthen a, a inher kual loh nan a veng bawk.

Pawimawh tak chu heng anticoagulants te hian thisen zam chu an "dissolve" lo. I taksa natural mechanism chuan zawi zawiin clots chu a tithianghlim a. Mahse, a chang chuan clots te hi a bo vek lo. An tih chuan an lo tlem a, vein chhungah "scar" te tak te angin an awm reng a ni. A chang chuan heng "hlui" clots te hian ke a ti na reng thei a, mahse a tam zawkah chuan symptom lian tham a thlen lo.

Anticoagulant chi hrang hrang a awm a. Entirnan, warfarin (Coumadin tih hminga hralh chhuah), heparin (injection anga pek), leh direct oral anticoagulants (DOACs) thar zawk emaw, novel oral anticoagulants (NOACs) (e.g. rivaroxaban, apixaban, dabigatran) te. I doctor chuan eng damdawi chi nge i tana tha ber leh him ber tih a hrilh ang che.

Anticoagulant i ei a ngai a nih chuan eng chen nge i ei tur tih chu i dinhmun a zirin a ni. Mi thenkhat chuan thla engemaw zat (a tlangpuiin thla 3-6 vel) chauh an ei a ngai a, thenkhat erawh chuan an dam chhung zawng an ei a ngai mai thei. Hei hi thil hrang hrangah a innghat a ni:

• Hetiang thisen zam hi i nei tawh em?
• Hun rei tak chhunga i natna, cancer emaw, autoimmune disease emaw (chutiang a nih chuan rei tak anticoagulant i ei a ngai mai thei a, chu chuan thisen zam (blood clot) i neih theihna a tipung a ni).

Anticoagulants hian side effect a neih tam ber chu thisen chhuah hi a ni. Heng damdawi i ei lai hian i ha i silfai laiin i hmuiah hliam awlsam tak, i hmui atanga thisen chhuak tam lutuk i neih chuan i doctor ko nghal rawh.

`(Compression Stockings)` (A bik takin socks tight tak tak)

I doctor chuan i ke ruh natna tihziaawmna tur emaw, tihbo emaw nan special compression stockings ha turin a hrilh thei che a ni. Hetianga a hring chhuak chhan ber chu DVT avanga i thisen kalna chhunga valve nalh tak takte tihchhiat a ni. I thisen kalna chu DVT in a tihkhawtlai avangin swelling a awm thei bawk.

Compression stocking tam zawk hi khup hnuai lama hak ang chi a ni. Heng stockings te hi ke ruh lamah a tight deuh a, zawi zawiin ke atanga i kal chhoh chuan a tight lo deuh thin. Hei hian keah pressure (compression) slow, uniform tak a siam a, thisen inzawmkhawm a ti tlem a, chunglam pan turin a pui bawk. Mi thenkhat chuan kum hnih emaw a aia rei emaw an hak a ngai thin. Zirna hrang hrangah chuan heng stocking te hi nitin zing atanga tlai thleng (leh zan mut lai ni lo) hak hian ke natna leh hliam 50% thlengin a tihziaawm thei tih hmuhchhuah a ni.

A châng chuan, operation lian tak hnuah, damdawi ina i awm laiin DVT venna atana i ke bulah dahin, a hun hunah tihkhauh leh tihzauh ṭhin, hmanraw bik (`(intermittent pneumatic compression devices)`) bun mi i hmu thei bawk. Hengte hi damdawi in pawna hman a tha lo. Tin, kea DVT nei tawh tan pawh heng device te hi a tha lo.

DVT atana kalphung bik

DVT hi damdawi hmanga enkawl theih a ni fo. Mahse, eng emaw chhan vanga thisen tithianghlimtu damdawi i ei theih loh chuan, emaw, dik taka ei chung pawha thisen zam i neih chhunzawm zel chuan, i taksaa vein lian ber (the vena cava)-ah hian hmanraw bik (inferior vena cava filter emaw IVC filter emaw) dah turin surgeon chuan operation a tih a ngai mai thei.

Hei hi a hmun chu numbing hmanga tih a ni tlangpui. Surgeon chuan he `(IVC filter)` hi tube te tak te (`(catheter)`) hmangin i groin emaw i kawr chhunga vein lian takah a dah a, chutah chuan a la a, taksa hnuai lam atanga thinlung thlenga thisen phurtu vein lian ber `(vena cava)` ah a dah a ni. He filter hian a tum ber chu i ke vein-a thisen zamte chu a chhe vek a, a chhoh loh nan, leh thisen zam lian tak tak (`(emboli)`) chu i lungah a kal a, `(pulmonary embolism)` a thlen loh nan a ni. Mahse hre reng ang che, `(IVC filter)` hian `(pulmonary embolism)` hlauhawmna a tihziaawm laiin, i thisen kalna kawnga thisen zam thar lo awm chu a titawp lo.

Engtin nge DVT vei theihna ka tihtlem theih ang?

"Tihdam aiin invenna a tha zawk," an ti. Chuvangin DVT chungchangah pawh chu chu a dik a ni.

DVT i nei tawh a, enkawl i zo tawh a nih chuan nakin lawkah DVT/PE thisen zam dang i neih theihna tur tihtlem nan a hnuaia mi ang hian i ti tur a ni:

• I damdawi ei tur chu i doctor-in a tih ang chiah khan ei la, hun bituk chhung chu ei rawh.
• Doctor appointment leh lab test te pawh tlawh loh tur a ni. Heng ni te hi i doctor-in i enkawlna a hlawkzia leh i damdawi hman zat thlak a ngai em tih a hriat theih hun tur a ni.
• Nunphung hrisel tak siam danglam la, chu chu ei leh in inthlau tak ei te, nitin exercise lak te, leh zuk leh hmuam hman bânsan vek te hi a ni.

DVT i la nei ngai lo a, mahse a chunga kan sawi tak risk factor pakhat emaw a aia tam emaw i neih chuan DVT laka invenna tur fimkhur rawh:

• Hmun khatah rei tak i thut a ngai a nih chuan (e.g., office-ah, zin rei takah) exercise light engemaw zat, i hip sang leh hnuai lama sawn leh i kekawrte rotate te hi darkar chanve danah vawi khat tal ti thin ang che.
• Flight rei takah i chuang a nih chuan darkar khatah vawi khat tal tho la, aisle-ah chuan kal kual rawh. Car rei tak (bus, car) i kal a nih chuan darkar khat emaw darkar hnih emaw chhungin vawi khat tal car atang hian chhuak la, tlem tal inher kual la, i ke chu tlem tal han hrual rawh.
• Natna emaw, zai emaw hnuah khum atangin tho la, a rang thei ang bera kal tan rawh. I kal kual tan hma poh leh DVT i vei theihna a tlem zawk.
• Surgery lian tak hnuah i doctor-in a pek chuan damdawi (e.g., heparin injection te) emaw, compression stockings bun emaw la, thisen zam a awm theihna tur a ti tlem thei ang.
• Hun ruat saah doctor hmu la, DVT vei theihna tur a tihziaawm theih nan a thupek dik tak zawm rawh.

DVT ka neih chuan eng nge ka beisei theih ang?

DVT avanga thisen zam chu a bo vek theih nan thla tam tak atanga kum khat vel a ngai thei. Chuvangin, i thisen tithianghlimtu damdawi ei chhunzawm zel a pawimawh a, compression stocking i bun chhunzawm zel a pawimawh a, i damdawi pek a nih chuan i doctor-in chawlhsan tura a tih hma loh chuan i bun chhunzawm zel a pawimawh.

Thisen tithianghlimtu (a bik takin warfarin) i ei dawnin thisen test (INR test) neih fo a ngai ang a, chu chuan a dose dik tak i dawng tih hriat chian a ngai ang. I doctor pawhin a hnuah ultrasound tam zawk tih a duh mai thei a, chu chuan i thisen zam chu a la awm em tih te, a lian lo emaw, a lian chho zel em tih te, leh i thisen kalna kawngte a kal dan te enfiah a duh mai thei bawk.

Engtikah nge ka doctor ka hmuh leh ang?

I natna lan chhuah dan (ke na leh hliam ang chi) te chu enkawl laiin a lo tha lo emaw, a na zual emaw a nih chuan doctor hnenah hrilh nghal rawh. Tin, thisen tithianghlimtu i ei laiin i hliam awlsam zawk a nih chuan, emaw, thlasik thisen chhuak nasa tak i neih chuan doctor hnenah hrilh rawh.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

Hei pawh hi a pawimawh hle. Thisen tithianghlimtu damdawi i ei laiin a hnuaia thilte hi i tawn a, chu chu thisen chhuak tam lutuk chhinchhiahna i lantir tihna a nih chuan damdawi in emergency room-ah kal nghal rawh:

• A ril chu thisenin a sen hring dup a nih chuan, a nih loh leh coffee ground ang maia a dum a nih chuan.
• A zun chu thisenin a sen hring dup a nih chuan, emaw, ek chu a dum hring hring leh a hmin a nih chuan.
• I hnar, i hmui, hmun dangah pawh khap theih loha thisen i chhuah chhunzawm chuan.
• Stroke symptoms i neih chuan, lu na thut, na tak, mit a danglam, tawng harsa, taksa sir khata chak lohna te hi i nei a nih chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

DVT i vei tih hmuhchhuah a nih chuan i rilruah zawhna tam tak a awm hi thil pangngai a ni. I doctor hnenah hetiang thil hi zawh hlau suh:

• Eng chen nge he thisen tithianghlimtu hi ka ei a ngai dawn?
• Engtikah nge normal taka ka zin leh theih ang (a bik takin zin rei, thlawhna)?
• Doctor hnenah engzat nge ka hmuh ang (`(follow-up appointment)`)?
• Ka ei leh inah hian danglamna bik ka siam a ngai em?
• He damdawi hi ka ei lai hian eng thil nge ka tih loh tur?

Chuti a nih chuan, he thawnthu atang hian eng nge kan hruai haw ang?

DVT hi hlauh tur a ni lova, mahse , ngaihthah tur a ni lo bawk. Khawvel hmun hrang hranga mi tam tak tuar thei dinhmun a ni a, hlawhtling taka enkawl theih a ni.

A pawimawh ber chu, .Symptoms i neih chuan doctor pan nghal la, a rawtna ang chiah hian enkawl rawh. Thisen tihthianghlimna damdawi an pek che a nih chuan a hun takah ei la, i doctor-in a rawtna angin test nei rawh. I hriselna chungchanga zawhna emaw, ngaihtuahna emaw i neih apiang chhanna tur i doctor hi a tha ber a ni. Chuvangin, tlang takin sawipui la, i dinhmun enkawlna tha ber chu hmu rawh. Hrisel takin awm rawh!

` Deep Vein Thrombosis, DVT, thisen zam, vein, Pulmonary Embolism, PE, ke hring, thisen tithianghlimtu, compression stocking, thisen zam, venous thrombosis