I lu-ah thisen kalna kawng dik lo (abnormal blood vessel problem) i nei em? (Dural Arteriovenous Fistula - dAVF) Hemi chungchang hi han sawi ila!

I lu chhungah hian a chang chuan thawm i hre thin em? A nih loh leh lu na i nei fo em? Heng thilte hi thil pangngaiah i ngai mai thei a, mahse a chang chuan he thil hnung lamah hian ngaihven deuh ngai thil a awm thin. Chu chu dural arteriovenous fistula (dAVF) an tih chu a ni. Hemi chungchang hi awlsam takin han sawi ila.

Dural arteriovenous fistula (dAVF) tih hi eng nge ni?

A awlsam zawngin kan thluak leh kan ruhro vel ah hian venhimna hnah te tak te a awm a. Hei hi dura mater kan tih chu a ni . Lehkhabu hnunglam cover ang mai a ni.

Tunah chuan en teh, kan taksa peng tinah thisen phur thei tur thisen kalna kawng network kan nei a. Arteries hian thinlung atanga thisen thianghlim, oxygen tamna chu taksa peng dang zawng zawng, thluak pawh tiamin, a phur lut vek a ni. Vein hian thisen hman tawh, oxygen tlakchhamna chu thinlungah a phur kir leh thin. Hêng thisen kalna leh thisen kalna kawngte inkârah hian thisen kalna kawng ṭha tak tak a awm a, chu chu capillaries kan ti a ni. Heng capillaries te hian thisen kal dan an control a, taksa peng hrang hrangah thisen an sem darh tha hle.

Tunah chuan, he fistula tia koh dinhmunah hian artery pakhat chu vein nen direct-in a inzawm a, capillaries inkara system awm lovin. Tui pipe lian tak chu pipe te tak te nen a inzawm nghal ang maiin han ngaihtuah teh. Tichuan, chu vein chhungah chuan thisen chu speed sang tak leh pressure sang tak hnuaiah a tlan lut ta a ni. Vein pakhat chu chutiang thisen leh pressure tam tak chu a thiam lo.

Chuvangin, he dural arteriovenous fistula (dAVF) an tih hi dura mater, thluak hual veltu membrane chhunga artery leh vein inzawmna dik lo tak a ni. A chang chuan i doctor chuan hei hi dural arteriovenous malformation a ti thei bawk .

He inzawmna pangngai lo hian thisen kalna kawng chhunga thisen sang chu a nghet lo thei a, thisen kalna kawng pianzia a danglam thei a, thisen chu a kal tur lam hawiin a kal lo thei bawk. A châng chuan, thisen kalna kawng chu a puak thei a, a chhan chu pressure sang tak a tuar thei lo. Chutiang a nih chuan nunna atana hlauhawm thisen chhuahna a thlen thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan he dinhmun (dAVF) hi chutiang chuan a awm lo. Entirnan, United States-ah chuan kum khatah mi 100,000 zingah 0.15 leh 0.19 inkar velin a thleng niin an sawi. Chu chu a tlem hle tihna a ni.

Hei (dAVF) hi natna khirh tak a ni em?

Hei hi a hnathawh dan chu a ni. Ṭhenkhat (dAVF) hi a na lo hle a, hriselna lama harsatna lian tham a thlen lo. Mahse, ṭhenkhat chu a pawi hle a, nunna atana hlauhawm thei an ni. A bik takin thisen kalna kawng a puak a, thisen a chhuah chuan, a chunga kan sawi tawh ang khan thluak tissue a tichhe thei a, stroke a thlen thei bawk .

A pawimawh ber chu natna lanchhuahna i neih chuan a rang thei ang bera Doctor pan hi a ni. Nangmah emaw, i hnaih ber emawin stroke symptoms (e.g., a sir khatah chak lohna, tawng thiam lo, hriatna hloh) i neih chuan 911 emaw emergency room hnai ber emaw i call nghal tur a ni.

(dAVF) natna lan chhuah dan chu engte nge ni?

A châng chuan (dAVF) i neih pawhin symptoms i nei lo thei . Mahse symptoms i neih chuan a nasat loh atanga na tak thlengin a awm thei. Tin, thluaka fistula awmna hmun a zirin symptom pawh a inang lo. Hengte hi zawng rawh:

• Lu na: Lu na pangngai mai ni lovin, lu na chi thar, a chang chuan a na deuh deuh a ni thei.
• Nausea leh vomiting: Hengte hi a thleng thei a, a bik takin lu na nen.
• Pulsatile tinnitus: Hei hi a lan chhuah dan chiang tak a ni. I beng chhunga "ringing" emaw "buzzing" emaw ri ang mai a ni a, i thinlung thawk dan nen a inang. Mi thenkhat chuan "i beng chhunga ri ri" tiin an sawi bawk.
• Mit a inthlak danglam: Mit a fiah nghal vat a, mit pahnih a hmu a, a nih loh leh mit a fiah lo tih hriat a ni bawk.
• Thusawi emaw, tawng emaw harsatna: Thusawi thiam lo, tawng thei lo ang maia sawi.
• Kal laiin balance hloh, hnathawh laiin kut leh ke thunun harsa.
• Muscle weakness or numbness: Kut, ke leh hmai sir khata awm emaw, chak lohna emaw hriatna.
• Hmai, kut leh kea natna.
• Hriatrengna hloh.
• Thil danglam tak hriatna emaw, hriatna emaw.

Heng symptoms te hi i thluak chhunga thisen chhuah vang a ni tlangpui . Chuvangin heng symptoms te hi i neih chuan doctor pan nghal rawh.

Hei (dAVF) hi engte nge ni?

Doctor te chuan dAVF hi eng nge a thlen tih chiang takin an la hre lo . Mahse, scientist tam tak chuan lu natna avanga lo awm thei niin an ngai . Hliam hnu kum tam takah a lo lang thei. Zirchianna thenkhatah chuan thluaka thisen phurtu thisen kalna kawngkhar (blood vessels) a inkharkhip nen a inzawm niin an sawi. He blockage hi natna emaw, accident emaw, thil dang emaw avanga lo awm thei a ni. Entir nan:

• Thrombosis (Thrombosis) a awm thin.
• Thluak hliam na tak.
• Thluak surgery, craniotomy tih ang chi te.

A tlem berah chuan mi pakhat chu hetiang (dAVF) nei hi a piang thei a, mahse, rochan atanga lo chhuak a ni lo. He dinhmun hi zirchian mek a ni.

Tute nge hetiang (dAVF) vei theihna sang zawk?

He natna (dAVF) hi kum eng pawhah a lo awm thei a, mahse puitling kum 40 leh 60 inkar ah a awm tam ber .

(dAVF) avanga harsatna awm thei te chu engte nge ni?

Hei (dAVF) avanga harsatna awmte hi a chang chuan nunna atana hlauhawm thei a ni. A bulpui berte chu:

• Thluak tissue chhunga thisen chhuak (hemorrhage).
• Luruh chhungah thisen a chhuak a, mahse thluak pawnah erawh thisen a chhuak (Subdural hematoma).
• Thluak leh a chhehvel venhimna membrane inkara thisen chhuak (Subarachnoid hemorrhage).
• Luruh chhunga pressure tihpun (intracranial pressure).
• Seizures a awm thin.
• Thai.

Ngaihtuah teh, kan in tuikhuah tui dahna pipe lian tak nena inzawm tap te tak te chu a lo chhuak nghal a nih chuan eng nge thleng ang? In chhung zawng zawngah tui a awm vek ang. Chu chu thluak chhungah thisen kalna kawng a puak a nih chuan a thleng ang. Chuvang chuan hei hi a hlauhawm em em a ni.

Engtin nge he (dAVF) natna hi hriat chhuah a nih?

Doctor chuan he natna (dAVF) hi heng step te hi a tih zawh hnuah a hmuchhuak thin:

• Taksa enfiahna.
• Nervous system nena inzawm test.
• Imaging test bik neih a ni.

Heng test te i tih hian i doctor chuan i natna lan chhuah dan leh i natna hmasa chungchang chipchiar takin a zawt ang che.

A châng chuan, symptoms i nei lo thei a, chhan dang vanga i thluak emaw, i ruhro emaw imaging test i neih hian accident-a hmuhchhuah a ni thei bawk.

Hriat theihna tura puitu test bik (dAVF) .

Doctor chuan i thisen kalna kawngte thlalak tha tak a la thei a, hetiang test hi hmangin hetiang (dAVF) hi i nei em tih a enfiah thei bawk :

• MRI (Magnetic Resonance Imaging) scan emaw MRA (Magnetic Resonance Angiography) scan emaw hmanga tih theih a ni.
• CT Angiography (CTA - Computed Tomography Angiography) hmanga enfiah a ni.

Heng test pahnih hi a na lo va, hrehawmna a thlen vak lo. Anni hian i doctor-in i nervous system-a thisen kalna kawngte chiang taka a hriat theih phah a, chu chuan i natna lan chhuahna a thlen thei a ni.

Hetiang imaging test (dAVF) hian ngaihtuahna a siam a nih chuan, i doctor-te chuan specialized test dang cerebral angiogram tih chu an sawipui ang che.

Cerebral angiogram hi non-invasive test a ni a, i thluaka thisen kalna kawngte thlalak tha ber, chiang ber ber a siam thei a ni. He test-ah hian doctor-te chuan i kutphah emaw, ke chunglam emawa thisen kalna kawngah tube te tak te tak – catheter kan ti a – an dah a, i kawr chhunga thisen kalna kawng hmangin i thluak chhunga thisen kalna kawngah an thread a ni. Tichuan, chu catheter hmang chuan tui bik an inject a ni.Taksaah hian contrast agent an inject a. I thisen nen a inhmeh chuan X-ray video-ah thisen chu thluaka thisen kalna kawng hrang hrangah a luang chhuak a, thisen kalna kawng atanga a lo let leh angin a lang thei a ni. Hei hian doctor-te chu dAVF hi eng ang chiah nge a nih tih leh a enkawlna tha ber chu eng nge ni tih chiang taka hriat theihna a siamsak a ni.

Hetiang natna (dAVF) hi damdawi a awm em?

Ni e, enkawlna hian he fistula hi a paih chhuak thei a, thisen kalna kawng pangngaiah a awm leh thei bawk. Hei hian symptom thar leh complication thar a tihziaawm thei a, a veng thei bawk.

Engtin nge (dAVF) hi enkawl a nih?

He (dAVF) enkawlna hian a tum ber chu artery leh vein inzawmna dik lo (fistula) tihbo a ni. Enkawlna kawng hrang hrang a awm thei a, chungte chu:

• Surgery: Open surgery hmangin thisen kalna kawng a natna (fistula) awm chu paih chhuah theih a ni.
• Endovascular embolization: Hetah hian kan sawi tawh ang khan i thisen kalna kawng pakhatah tube te tak te (catheter) te tak te, fistula awmna hmunah a kal a, chu chu khar a ni. Leak chunga seal dah ang mai a ni.
• Stereotactic radiosurgery: Hei hi radiation therapy chi khat a ni. Hei hian targeted beams of radiation chu fistula inzawmna thisen kalna kawng a nghawngah a kal a, chu chu a block ta a ni.

I doctor chuan i tan enkawlna tur tha ber a ruat ang. Hei hi thil tam takah a innghat ang a, chung zingah chuan (dAVF) , i hriselna tlangpui, a lan chhuah dan, leh thisen chhuah emaw, harsatna i neih theihna te pawh a tel ang.

Symptom i neih loh chuan i doctor chuan a enkawl nghal lo mai thei a, mahse harsatna i neih loh nan a enkawl reng thei che a ni.

(dAVF) hi eng prognosis nge ni?

I prognosis hi thil tam takah a innghat a, chu chu fistula awmna hmun leh thisen chhuak a nih leh nih loh te hi a ni. A hmaa hmuhchhuah leh enkawl a nih chuan a prognosis a tha tlangpui. Vanduaithlak takin thenkhat (dAVF) hian harsatna awm reng emaw, nunna atana hlauhawm emaw a thlen thei a ni. Chutiang harsatna a lo awm chuan, ṭanpui tûrin aftercare leh ṭanpuina service a awm a, chu chu physical therapy , occupational therapy , leh speech therapy te hi a ni.

I doctor chu i dinhmun a zirin outlook dik ber pe theitu che a ni.

(dAVF) atanga damchhuah zat.

Hetiang dinhmun (dAVF) hi a tam vak loh avangin damchhuah zat chungchanga zirchianna chu kalpui mek a ni. Tuna zirchianna hrang hrangah chuan kum khata he natna avanga thihna rate hi a ni11% leh 19% inkar vel nia chhut a ni. Chumi awmzia chu a then phei chuan kum khata damchhuah zat chu 80% aia tam a ni thei tihna a ni.

Hetiang (dAVF) dinhmun hi ven theih a ni em?

Hetiang dinhmun (dAVF) hi ven dan tur hriat a ni lo . Mahse, he natna thlen thei hriselna dinhmun (thisen chhuah lohna ang chi) control-na hmangin i hlauhawmna chu i tihtlem thei a ni. Infiamna leh thil dang i khelh hunah invenna hmanraw mumal tak bun hmangin lu hliam lakah i inveng thei bawk.

Engtik hunah nge doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan rawh:

• Lu na tak, na tak a ni.
• Muscle chak lohna emaw, rilru hahna emaw.
• I thusawi, i kal dan, i balance, emaw, i mit hmuh danah inthlak danglamna.
• A bul tan thar, beng chhunga ri (Pulsatile tinnitus).

Nangmah emaw, i hnaih ber emawin stroke symptoms (e.g., a sir khatah chak lohna, tawng thiam lohna, hriatna hloh) i neih chuan 911 emaw, emergency room hnai ber emaw i call nghal tur a ni. Hun hi a pawimawh ber a ni!

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hian hetiang zawhna hi zawh a tha ang:

• He fistula hi khawiah nge a awm?
• Eng enkawlna kawng nge i rawt?
• Surgery ka mamawh tak tak em?
• He enkawlna hian eng side effect nge a neih?
• He fistula hi enkawl hnuah a lo awm leh thei ang em?
• Eng chen nge test neihna tur ka lo haw leh a ngai dawn?

A tawp berah chuan take-home message

He natna hi dural arteriovenous fistula (dAVF) tia koh hian i nunah nghawng lian tak emaw, tlem emaw a nei thei a ni. A châng chuan harsatna tenau tak, doctor enkawlna hnuaia awlsam taka enkawl theih a ni thei bawk. Mahse, a natna hriatchhuah a, enkawl vat loh chuan harsatna awm reng emaw, nunna atana hlauhawm emaw a thlen thei a ni.

Symptoms i neih emaw, thil engemaw i ngaihtuah emaw chuan doctor emaw emergency room emaw ko nghal rawh. Fistula tihbo theihna tur leh i taksa peng zawng zawnga thisen kal leh theihna tur enkawlna a awm. Enkawlna chi hrang hrang a awm a, chung zawng zawng chu open surgery a ngai lo. I medical team chuan i symptoms te chu an evaluate ang a, complications laka invenna tur treatment plan tha ber an siam ang.

I hriselna i hre chiang ber. Chuvangin i taksaah danglamna eng emaw i hmuh chuan ngaihthah suh. Thil tih vat chuan dinhmun khirh tak tak tam tak a veng thei a ni.

` Dural arteriovenous fistula, dAVF, thluak thisen kalna kawng, lu na, pulsatile tinnitus, thluaka thisen chhuak, stroke