Zingkar i thawh hian a chang chuan tlem a puffy leh rit deuhin i inhria em? A nih loh leh office chair-ah nilengin i thut ang maiin i hria em, a nih loh leh bus-ah rei tak i thu a, bus atanga i chhuk a, i ke leh i ke ruhte chu a hring nasa hle a, i kekawrte pawh a nghet hle tih i hria em? Hei hi mi tam tak chunga thleng thin a ni tak zet a ni. Damdawi lamah chuan he natna hi swelling emaw ‘edema’ emaw kan ti thin. A tam zawkah chuan hei hi ngaihtuahawm tur a ni lo va, a chang chuan kan taksa chhunga natna khirh tak dang chhinchhiahna a ni thei bawk. Chuvangin, he thil chungchang hi hlauthawng lova hriat vek a pawimawh hle. Vawiin hian he thu hi han sawi mai ila.
Chuti a nih chuan, edema chu eng nge ni tak tak?
A awlsam zawngin sawi ila, edema chu kan taksa tissue-a tui, a bik takin tui a awm khawm a, chu chuan a ti hring chhuak thin. Kan taksa hi thisen kalna kawng leh lymphatic vessel an tih, tube te tak te network-in a khat ang tih han ngaihtuah teh. Chung chu taksa mamawh phurtu leh bawlhhlawh paih chhuaktu tui te an ni. A châng chuan he system-a thil dik lo a awm chuan he tui ṭhenkhat hi tissue-ah a luang lut a, chutah chuan a pung khawm ṭhin. Chutah chuan chu hmun chu a lo hring chhuak ta a ni.
He hliam hi taksa khawi hmunah pawh a awm thei a, mahse a hmuh tam ber chu:
- Ke pahnih chungah
- Ankles a tha khawp mai.
- Keah chuan
- Kut pahnih ah chuan
- Hmaiah chuan
Hei hi kum eng pawha thleng thei mah se, naupai leh kum 65 chunglam ah a tam zawk a, a tam zawkah chuan a hring tenau a nih chuan ni khat emaw ni hnih emaw chhungin a mah chauhin a bo vek ang. Chuvangin hei hi engtiang chiahin nge a awm tih chiang taka sawi a harsa hle.
Bloating symptoms te chu engte nge ni? Engtin nge i hriat chian?
Swelling i nei tih hriat chu chutiang chuan a harsa lo. A lan chhuah dan ber chu i taksa hmun thenkhat chu a tlangpui aia lian leh hring zawka inhriat hi a ni. Hengte hi i ngaihven thei bawk.
| Symptom a ni | I rilru put hmang/i hmel lan dan |
|---|---|
| Puffy/enlarged hmel lan dan | Taksa peng pakhat (e.g., ke, kut) chu a tlangpui aia lianin a puak niin a lang. |
| Vun inthlak danglam | A hringna hmuna vun chu a inzawm khawm hle a, a eng hmel hle bawk. |
| A rit leh a nghet lo | A hringna hmun chu a tight leh rit hlein a lang a, a chhunga thil pakhatin a khat ang maiin a lang. |
| Kal harsat | I ke, ke ruh emaw, i ke emaw a hring chuan kal a harsa thei a, i rilru a buai thei bawk. |
| Tlem a na deuh | A châng chuan a hringna hmunah hian natna emaw, natna emaw tlem i nei thei bawk. |
| Khuh emaw thawk harsa emaw | Hei hi symptom pawi zawk a ni. Hei hi lungah tui a awm khawm (pulmonary edema) chuan a thleng thei. |
Engvangin nge ka taksa hi hetiang hian a lo hring chhuak? A chhante chu engte nge ni?
A hring chhan pakhat chauh a awm lo, a tam thei hle. Doctor i pan dawn chuan a tih hmasak ber tur chu i hliam chhan chu eng nge ni tih hriat a ni ang.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Gravity a ni | Rei tak i ding emaw, i thut emaw chuan i taksaa tui awm chu gravity vangin i ke leh keah a pianphungah a pung khawm thin. Hei hi ``dependent edema`` an ti bawk. |
| Venous Insufficiency a awm lo | Kan kea vein te hian a chhungah hian valve te te an nei a. Chungte chuan thisen chu hnuai lama luang chhuak tur chu a titawp a, chunglam, thinlung lam pan chuan a nawr chho ta a ni. Heng valve te hi a chak loh chuan thisen chu a luang chhuak tha lo va, keah a inkhawm thin. Hei hi varicose veins phenomenon nen pawh a inzawm tlat a ni. |
| Natna hnuaia awm dangte | Swelling hi natna dang chhinchhiahna a ni thei bawk a, chu chu thinlung chak lohna, lung, thin, kal, a nih loh leh thyroid natna te hi a ni . Hei hi thil pawimawh tak a ni. |
| Damdawi ei avanga side effects awm thei | Damdawi thenkhat, entirnan, thisen sang damdawi thenkhat leh natna tidamtu damdawi te hian side effect angin a hring thei bawk. |
| Ei leh in dik lo | Diet inthlau tak i ei loh chuan, a bik takin i chawah chi (sodium) i dah tam lutuk chuan i taksa hian tui a vawng reng thei a, a hring thei bawk. Sa/sangha hring, sausage, sauce, leh packaged food kan ei te hian chi a pai tam hle. |
| Naupai lai | Naupai lai hian nausen pum a lo sei chhoh zel chuan pum hnuai lam thisen kalna kawng lian tak takte chu a inzawm khawm a. Chuvang chuan ke a hring chhuak a, ke atanga chunglam panna thisen kal a tikhawlo thin. |
| Immune system lama harsatna a awm | Swelling hi allergic reaction, infection, kang, hliam, thisen zam vang pawh a ni thei. |
Engtin nge doctor hian hei hi a hriat chian? Swelling level a awm em?
Doctor i pan hunah i taksa a en hmasa phawt ang. A rilru a buai em em a, a rilru a hah em em bawk a, a rilru a buai em em bawk a.
Tichuan test bik a tih thin a awm bawk. ‘Pitting test’ an ti a.Heta i tih tur chu i kut zungtang chu a hringna hmunah second 5 atanga 15 vel nghet takin i hmet ang. I kut zungtang i lakchhuah hian indentation te tak te a lo awm a nih chuan tissue-ah tui a awm khawm tih a nemnghet a ni.
Heng hliamte hi a pangngaia an lo kir leh thuai dan azirin a hring nasat dan hi level hrang hrangah then a ni.
| Pawl | Pit Thuk zawng | Rebound Hun a ni |
|---|---|---|
| Pawl 1 a ni | Millimeter 2 vel zeta sei khur te tak te | A hmet veleh a normal leh nghal. |
| Pawl 2 a ni | A khur chu 3-4 millimeter vel a ni | Second 15 aia rei lovah a dam leh thei. |
| Pawl 3 a ni | A khur chu 5-6 millimeter vel a ni | Second 15 atanga 60 chhungin a dam leh ang. |
| Pawl 4 a ni | Groove 8 millimeter vel thuk a ni | A pangngaia a awm leh theih nan minute 2-3 vel a ngai a ni. |
Engtin nge swelling hi i enkawl?
Swelling enkawl dan chu a chhan a zirin a ni. Doctor-te chuan a hring tihziaawmna tûr damdawi pêk mai ai chuan, a chhan bulpui chu enkawl an tum a ni.
- Lung natna avanga lo awm a nih chuan:Entirnan, ``Emphysema'' emaw ``Chronic Bronchitis'' ang chi natna avanga meizuk i nih chuan i doctor chuan meizuk kha bansan vek turin a fuih ang che.
- Chronic heart failure ang chi natna i neih chuan i taksa rihna control tur, nitin tui i in tur tihtlem tur leh i ei leh in a chi awm zat control turin an hrilh mai thei che a ni. Zu i in chuan ti tlem turin an ti bawk mai thei.
- Damdawi pakhat side effect: I damdawi ei avanga a hring chhuak tih a hriat chuan i doctor chuan damdawi chu a titawp thei a, a dose a tihtlem thei a, damdawi dang hmangin a thlak thei bawk.
Thil pawimawh tak pakhat hre reng ang che: Damdawi engmah ei kha bansan ngai suh la , doctor rawn hmasa lovin mahni chauhin a dose pawh thlak ngai suh. Chutianga tih chuan i damdawi lam dinhmun dangte chu a tichhe thei a ni.
In lamah eng nge i tih theih ang, swelling tihtlem nan?
A chhan i enkawl lai hian, i taksain i tih theih tur thil awlsam tlemte a awm a, chu chuan a hring vanga natna awm thin chu a tihziaawm thei a ni.
- I ke kha chawi sang rawh: I thut emaw, i mut emaw hian i ke hnuaiah pillow pahnih emaw pathum emaw dah la, i thinlung level aia sangah dah la. Hei hian gravity dodal zawngin i taksaah tui a luang lut leh thei a ni.
- Hmun khatah awm reng suh: Hmun khatah thut leh ding rei lutuk suh. Tho la, tlem han kal kual la, i ke kha ti che la, darkar khatah vawi khat tal.
- Socks bik hmang rawh: Support socks emaw compression stockings emaw chu damdawi dawrah a awm a. Hengte hian a hringna hmun chu pressure nem tak a pe a, tui a awm khawm loh nan a pui bawk.
- Chi tihtlem: Hei hi a pawimawh hle. Chi i ei zat tihtlem rawh. Canned foods, sauce, sausage, pickles, leh dried fish-a chi (salt) awm zat chu a theih ang anga tihtlem tur a ni.
- I doctor thurawn zawm rawh: Diuretic (a tlangpuiin ‘tui pill’ an tih) pek i ni thei a, chu chuan i taksain zun a tui tam lutuk a paih chhuak thei a ni. Damdawi hi a hun takah ei tur a ni.
Eng dinhmunah nge doctor pan vat a ngai?
Normal swelling chauh ni mahse, symptom thenkhat a awm chuan emergency a ni thei. Chutiang a nih chuan Doctor i pan nghal tur a ni.
| Heng symptoms te hi i neih chuan doctor rawn la nghal rawh. |
|---|
| A hringna hmunah natna nasa tak, sen, emaw vun rawng danglam emaw a awm chuan. |
| Vun a chhe tawh a, a hringna hmunah hliam inhawng a lo awm a nih chuan. |
| Thâwk harsa emaw i rilru natna emaw i neih chuan . Hei hi emergency a ni a, damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. |
| Ke emaw kut pakhat chauh a lo hring chhuak nghal a nih chuan (hei hi thisen zam chhinchhiahna a ni thei). |
| A hring chu a nasat em avangin i kal thei lo va, i taksa pawh i che thei lo a nih chuan. |
Swelling hi ngaihthah mai mai tur a ni lo. A châng chuan natna khirh zawk chhinchhiahna hmasa ber a ni thei bawk. Chuvangin, natna danglam bik i neih chuan a chhan hriat tumin doctor pan a finthlak fo ang.
Take-Home Thuchah a ni
- Edema chu taksa peng hrang hranga tui awmkhawmna a ni. A pangngai emaw, natna khirh tak chhinchhiahna emaw pawh a ni thei.
- Hun rei tak ding te, chi ei tam lutuk te, naupai te, leh thinlung, kal leh thin natna te hian hetiang hi a thlen thei vek a ni.
- Thâwk harsa i neih rualin, i ke pakhat chauh i hring emaw, i rilru na emaw i neih chuan doctor pan nghal rawh. Hei hi emergency a ni thei.
- In lamah chuan ke sang taka vawn reng te, chi ei tlem te, leh kea kal tlem te hian a hring (swelling) a tiziaawm thei a ni.
- Damdawi hi i duh angin ei ngai suh la, doctor rawn hmasa lovin ei kha bansan ngai suh.
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