A chang chuan, i taksa chhungril lamah harsatna lian tak tak i nei thei a, i hre lo pawh a ni thei. Chutiang harsatna pakhat chu femoral artery aneurysm a ni. A awlsam zawngin, i kawr chhunga thisen kalna (artery) lian tak, hip joint bulah chuan balloon ang maiin a rawn chhuak chhuak a, chu chu ``Femoral Artery Aneurysm'' an ti a ni. Hei hi ngaihtuah tur a ni a, a chhan chu a chang chuan he natna hi
engmah chhinchhiahna awm lovin i nei thei a ni .
Femoral artery aneurysm hi eng nge ni tak tak?
Tui pipe hi han ngaihtuah teh. He pipe bang hi hmun khatah a chak lo va, a bulh zauh zauh thin. Chutiang chu a ni. I kawr chhunga thisen kalna bulpui (`femoral artery` an tih) chu a lian zawng
aiin a let hnih velin a bulge a . Hei hi thisen kalna kawng (blood vessel wall) layer zawng zawng a inzawm vek avangin a thleng thin. Chutianga thisen kalna kawng chu a chak loh chuan
a puak darh mai thei . A puak chuan hei hi thisen kalna kawng lian tak a nih avangin vawi khatah taksa atangin thisen tam tak a bo thei a ni. Chu chu dinhmun hlauhawm tak a ni tak zet a ni. Tin, he bulge-ah hian thisen zam a lo awm a, vein-ah a tang thei a, a nih loh leh hmun dangah a chhuak a, vein a block thei bawk.
Heng swellings hi a awmna hmun a zirin chi hrang hrang a awm em?
Ni e, doctor-te chuan he ``Femoral Artery Aneurysm`` hi
a hmun dik tak angin an classified a . I kawr chhunga thisen kalna bulpui ber, ``common femoral artery`` ti ila, hmun engemaw zatah hnah te zawkah a inthen a.
- He main vein branches hma hian swelling thenkhat a awm thei .
- Mi dangte chu branch inthenna hmunah , emaw, branch inthenna hmunah emaw, ``profunda femoral artery`` emaw ``superficial femoral artery`` emaw ah a thleng thei bawk.
He classification hi hmun hrang hranga tih a ni a, a chhan chu a chang chuan a hringna hmun bik a zirin enkawlna hi a danglam deuh thei a ni.
He natna hi tuin nge vei tam ber?
Tu pawhin he natna, ``Femoral Artery Aneurysm'' an tih hi vei thei mah se, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni.
- Hmeichhia aiin mipain an vei tam zawk.
- He risk hi kum 70 chunglam tan a sang hle a ni .
Chu bakah, heng thilte hi i neih chuan i hlauhawm thei bawk:
- Thisen sang : I thisen sang a san reng chuan.
- Cholesterol sang : Cholesterol sang hi thisen a thau awm hi a ni.Cholesterol level sang tak i neih chuan .
- Connective tissue natna : Taksa tissue tichhe thei natna tlemte a awm a, entirnan, Ehlers-Danlos syndrome emaw Marfan syndrome emaw. Heng natna vei te pawh hi an hlauhawm hle.
- Zuk leh hmuam thil hman : He hlauhawmna hi cigarette, beedis, betel nut emaw, zuk leh hmuam chi dang emaw in thinte tan chuan a sang zawk a ni.
- Atherosclerosis : Hei hi a chhan ber a ni fo. Atherosclerosis chu thisen kalna kawng bang a thau awmkhawm a ni a, zawi zawiin a ti tawi a ni. Heart attack i lo nei tawh a nih chuan, emaw, i kea thisen kalna kawng hrang hrangah harsatna i neih chuan, peripheral artery disease ang chi te chuan atherosclerosis i vei thei a ni.
- Chhungkaw chanchin : I chhungkuaa mi tu emaw, i nu, i pa emaw, i unaute emaw hian hetiang hian aneurysm hi a lo vei tawh a nih chuan i hlauhawmna a hniam zawk thei bawk.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Dik tak chuan he `(Femoral Artery Aneurysm)` hi
a awm lo hle a ni . Chu chu natna tlanglawn tak a ni lo tihna a ni. Mahse, a tlem hle nachungin mi thenkhat chuan ke pahnihah hian heng hliam hi an nei thei a ni. Mi dangte chuan he femoral artery-ah chauh ni lovin, taksa chhunga thisen kalna dang (entir nan, pum chhunga aorta)-ah te pawh a rualin heng swellings (aneurysms) te hi an nei thei bawk. Statistics atanga a lan dan chuan he natna hian mipa 0.007% chauh a nghawng a ni. Hmeichhia zingah chuan he percentage hi a hniam zawk daih. Chuvangin, hei hi a tlem hle tih ngaihtuah hlau suh, mahse hei hi hriat chian a pawimawh hle.
Heng thisen kalna kawngte hi a zau a nih chuan taksaah eng nge thleng?
`(Femoral Artery Aneurysm)` i neih chuan a hlauhawmna lian ber pahnih a awm. 1.
Thisen zam : Thisen zam (Blood clot) : Aneurysm awmna hmunah hian thisen zam a lo awm thei a, chu vein-ah chuan a tang thei a ni. A nih loh leh, thisen zam chu a chhuak thei a, thisen kal tlangin hmun dangah (entir nan, ke hnuai lam emaw ke hnuai lam emaw-ah) thisen kalna kawng te tak te chu a tikhawlo thei a ni. Hei hian chu lai hmuna thisen kal chu a titawp thei a, harsatna a thlen thei bawk. 2.
Rupture : Hei hi a hlauhawm ber a ni. Artery wall chak lo tak chu a bulge thei a, a puak nghal thei bawk. Chutiang a nih chuan, a hmaa kan sawi tawh ang khan thisen chhuahna nasa tak a thlen thei a, thihna thlengin a thlen thei bawk.
Hei hi eng symptoms nge ni?
A tam zawkah chuan, .
Hetiang natna vei zinga 40% vel hian symptom an nei lo! Chu chu a hlauhawm ber chu a ni. Mahse, symptoms a lo lang a nih chuan:- I groin-ah lump : I groin area-ah lump i nei thei. A châng chuan, he lump hi a throbbing (pulsating) ang maiin a lang thei.
- Ke hnuai lam a hring : Ke hnuai lam a hring thei.
- Groin emaw ke emaw a natna emaw pressure emaw : I groin, thigh area, emaw ke emaw ah natna emaw, pressure i neih emaw i nei thei.
- Thisen zam : A hmaa kan sawi tawh ang khan thisen zam chhinchhiahna (e.g., khawsik thut, vun rawng, natna nasa tak) a awm thei.
- Bloating : Hei hi a thleng tlem hle a, mahse a thleng a nih chuan harsatna lian tak a thlen thei a, natna rang tak, na tak a thlen thei a ni.
Hriat reng tur chu engmah chhinchhiahna nei lovin a awm thei a, chuvangin risk factors i neih chuan doctor nena inbiakna neih a tha.
Eng thilin nge hei hi a thlen?
Femoral artery wall hi a chak lo va, hetiang bulging (aneurysm) hi a thlen theih chhan hrang hrang a awm.- Atherosclerosis : Hei hi a chhan ber leh a tam ber a ni . Thisen kalna kawng chhungah thau a lo punkhawm chuan thisen kalna kawngte chu a thim zauh zauh a, an elasticity a hloh a, thisen pressure chu an tuar thei tawh lo va, hmun thenkhatah chuan an chak lo thei a, an bulge thei bawk.
- Thisen sang : Thisen sang rei tak a awm chuan thisen kalna kawngte chu pressure nasa tak hnuaiah a awm reng thin. Hei hian vein bang a tichak lo thei bawk.
- Trauma : Thigh area-a thisen kalna kawng chu accident emaw, hliam thut emaw avanga tihchhiat a nih chuan a hnuah a lo hring chhuak thei a ni. Entirnan, damdawi lam thil thenkhat (catheter dah ang chi) avanga hliam tenau te hi a chhan a ni thei.
- Connective tissue natna : Sawi tawh ang khan taksaa connective tissue tichhe thei natna tlemte nei, Ehlers-Danlos syndrome, Marfan syndrome, emaw adventitial cystic disease emaw nei te hian thisen kalna kawng bang hi pianpuiin an chak lo thei a ni.
- Behçet natna : Behçet natna hian thisen kalna kawng a ti na thei bawk a, hetiang hian a hring thei bawk.
Hei vang hian i femoral artery wall chu a chak lo va, thisen pressure hnuaiah zawi zawiin a inzawm khawm a, hetiang hian aneurysm a siam thin. Engtin nge doctor-te hian hei hi an hriat chhuah?
Doctor i pan chuan taksa enfiahnaah i groin-ah lump a awm tih an hre mai thei. Mahse i groin-a lump zawng zawng hi aneurysm a ni vek lo. A chang chuan hernia a ni thei bawk. Chuvangin, eng nge a nih chiang taka hriat theih nan, leh a bulge hi engzat nge a lian tih chiang taka hriat theih nan, khawiah nge a awm tih leh eng nge a nih tih hriat tumin, i doctor chuan test thenkhat tih tir ang che:- Ultrasound scan : Hei hi test awlsam tak, na lo tak a ni a, thisen kalna chhungril, a hringna hmun leh a lian zia te a en thei a ni.
- CT angiogram : Hei hi CT scan chi khat bik a ni. He test-ah hian i thisen kalna kawngah hian dye bik (contrast dye) an inject a, CT scanner hian thisen kalna kawng chipchiar takin three-dimensional (3D) thlalak a la a ni. Hei hian blockage chungchangah hian information tam tak a pe thei a ni.
- M.R. Angiogram (Magnetic Resonance Angiogram - MRA) : Hei hi MRI scan bik a ni a, thisen kalna kawng a en a, CT angiogram nen a inang.
Heng test atanga information i hmuhte atang hian doctor chuan eng damdawi nge i tan a tha ber tih a rel ang. I ke chhunga thisen kalna kawng hring hringte hi engtin nge i enkawl?
``Femoral Artery Aneurysm'' rupturing awm theihna hi a tlem hle (1% atanga 14% vel). Chuvangin, mi zawng zawng hian operation an mamawh nghal vek dawn lo . Mahse, i doctor chuan a hnuaia thil thlengah hian aneurysm siamthat nan operation neih a rawt thei ang:- Symptoms (e.g. natna, hring, thisen zam) i neih chuan .
- A hring a puak chuan (hei hi emergency a nih avangin operation nghal a ngai).
- A hring a lian chho zel a nih chuan (doctor chuan a enfiah fo ang).
- Bulge diameter chu centimetre 2.5 (inch khat vel) aia lian a nih chuan .
He bulge siamthat nan hian doctor-te chuan `open surgery` an ti tlangpui. Chu chu vun an tan a, thisen kalna kawng an en nghal tihna a ni. Hei hi camera hmanga incision te te hmanga tih fo thin `laparoscopic` surgery a ni lo. Surgeon chuan thisen kalna kawng hring, chak lo tak chu a la chhuak a, chu chu artificial tube hmangin a thlak a, chu chu `fabric graft` (puan chi bik atanga siam tube) an ti a ni. Hei hi kangmei chhuahna hose-a hmun chak lo tak chu cut chhuakin, a thar leh chak zawk hmanga thlak ang mai a ni. Tichuan thisen kal chu mumal tak leh tihtawp lohvin a kal leh thei tawh ang.
He surgery hnuah hian eng harsatna nge thleng thei?
Surgery dang ang bawkin, he femoral artery bypass grafting surgery hnuah hian harsatna engemaw zat a awm theihna chance tlemte chauh a awm. Mahse doctor-te chuan hengte hi an fimkhur hle a ni.- Infection : Surgery hliam hi a fester thei a, a infect thei bawk.
- Thisen chhuah : Operation hnuah thisen a chhuak thei.
- Thisen zam: Keah thisen zam a lo awm thei.
Hengte hi thunun theih thil a ni tlangpui. Thil danglam bik i hriat chuan doctor hnenah i hrilh nghal tur a ni. Hetianga enkawl hnu hian eng chen nge a dam leh theih?
Surgery zawhah ni thum atanga ni sawm vel damdawi inah i awm a ngai dawn a ni. Thla khat emaw a aia rei emaw a ngai thei a, a dam kim theih nan leh thil tih dan pangngaia a kir leh theih nan. Chuvangin, doctor thupek dik taka zawm a, he hun chhung hian dawhthei taka awm a pawimawh hle. He risk tihtlem nan hian eng nge ka tih theih ang?
Kan sawi tawh ang khan he `(Femoral Artery Aneurysm)` lo awm chhan ber chu `(Atherosclerosis)`, thisen kalna kawnga thau tam lutuk vang a ni. Chuvangin, control hian heng aneurysm te hi a ti tlem thei a ni.- I cholesterol level leh thisen sang control rawh . Damdawi doctor-in a pek angin ei thin ang che.
- Exercise tih fo thin ang che . Ni khata minute 30 vel kal ang chi thil awlsam tak pawh hi a tha hle.
- Chaw hrisel, thau tlem ei rawh . Thei, thlai leh fiber tamna ei tur tam zawk ei rawh.
- Meizial i zuk chuan titawp vek rawh . Zuk leh hmuam thil pawh hmang tawh suh. Hei hi a pawimawh hle.
- Mi thenkhat tan chuan heng nunphung inthlak danglamna bakah hian doctor chuan cholesterol tihhniamna damdawi ei chhunzawm zel turin a rawt thei bawk.
Hetiang hian bloating ka nei a nih chuan eng nge ka beisei ang?
He `(Femoral Artery Aneurysm)` hi enkawl loh chuan a mah chauhin a bo lovang. I doctor chuan i nei tih a hrilh che chuan a check fo ang (`follow-up` nei turin lo kal turin a hrilh ang che). Chu chu, `(Ultrasound scan)` ang chi test te chu interval engemaw zatah a ti ang a, a hliam a lian chho zel em tih leh harsatna dang a awm em tih a enfiah ang. Chuta ṭang chuan operation a ngai nge, rei vak lo nghah a ngai dawn tih a rel ang. Heng surgery te result hi a tha hle tlangpui. Surgery neih lai hian thihna hlauhawmna a tlem hle a, 1% leh 5% inkar a ni. Surgery an neih atanga kum nga hnuah pawh thisen kalna kawng siamthat tawh zinga 85% vel chu a la thawk tha hle a, thisen kal danah harsatna a awm lo. Hei hi chanchin lawmawm tak a ni. Engtin nge ka in enkawl ang?
`(Femoral Artery Aneurysm)` i nei a, zai i nei tawh a, a nih loh leh doctor-in a enkawl loh chuan i dam chhung zawngin i thisen kalna kawngte chu doctor-in a enfiah fo a ngai dawn a ni. Hetianga regular check-up hian aneurysm thar eng pawh chu a lian leh a puak hmain a hriat theih nan a pui thei a ni. Meizial i zuk chuan heng aneurysm te hi a ti lian thei a ni. Chuvangin i doctor chuan meizuk bansan turin a fuih ngei ang che. Tin, i cholesterol leh thisen sang control dan tur dik tak zawm tur a ni. Engtikah nge emergency care-ah ka kal ang?
I ke emaw i ke emaw hian heng symptoms zinga pakhat emaw a aia tam emaw a lan thut chuan damdawi in emergency room-ah i kal nghal tur a ni a, tihkhawtlai lohvin :- Ke chu a chak lo emaw, nunna nei lo anga a inhriat chuan.
- Ke chu a lo hring nghal a nih chuan .
- Natna tuar theih loh i tawk a nih chuan .
- I ke a hring a nih chuan .
- I ke chu i khawih chuan a ke dang aiin a vawt zawk tih i hriat chuan.
- Ke chu a rawn sen emaw , a rawng a danglam emaw a nih chuan.
Heng symptoms te hian kea thisen kal danah harsatna lian tak a awm tih a tilang a, chu chu a hring hian thisen a tichhe thei emaw, a hring chu a puak thei emaw tihna a ni thei. Chuvangin, hun khawhral lova inenkawlna dawn vat hi nunna chhanhimna a ni thei. Doctor hnenah eng zawhna nge ka zawh ang?
He natna chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan doctor zawt hreh suh. Entirnan, hetiang zawhna hi i zawt thei ang:- "Doctor, eng thil chiah nge ka thisen zam natna hi a awm chhan?"
- "Hemi atan hian surgery ka mamawh tak tak em? Enkawlna dang a awm lo em ni?"
- "Ka taksa hmun dangah hetiang hian ka hring tam zawk thei ang em?"
- "Ka cholesterol level tihhniam thei tur ei tur chungchangah thurawn min pe thei ang em?"
Hetiang zawhna zawh a, i dinhmun hriatthiamna tha zawk neih hi a pawimawh hle. `Femoral Artery Aneurysm` leh `Pseudoaneurysm` hi eng nge an danglamna?
A châng chuan `(Pseudoaneurysm)` tih thumal pawh i hre mai ang. Hei hian "false bulge" tihna a ni. He `(Pseudoaneurysm)` hi kan sawi tawh `(Femoral Artery Aneurysm)` tak tak aiin a tam zawk. A tlangpuiin, `(Pseudoaneurysm)` chu i thisen kalna kawng (medical procedure) hnuah (entir nan, `(angiogram)` tih emaw, `(catheter)` dah emaw) a lo awm a, chu thisen kalna bang chu a chhe deuh a, thisen thenkhat chu a luang chhuak a, thisen kalna kawng vel chu a inzawm khawm a, lump a siam a ni. A danglamna ber chu `(aneurysm)` tak takah chuan thisen kalna kawng bang layer zawng zawng chu a inzawm vek a, a bulge vek a ni. Mahse `(pseudoaneurysm)`-ah chuan chutiang chu a thleng lo va, thisen kalna kawng bang chhunga khur atanga thisen chhuak chhuak a ni. He thawnthu atang hian eng thuchah nge in lama kan hruai duh?
Chuvangin, rei tak kan sawi tawh femoral artery aneurysm hi a tlem hle nachungin, nang leh i chhungte tan chuan hriat chian a pawimawh hle.- Hei hi asymptomatic a ni fo thin .
- Risk factors (thisen sang, cholesterol, meizuk, chhungkaw history) i neih chuan doctor rawn la .
- I doctor-in i nei tih a hriat chuan hlauthawng suh. A puak hmaa operation hmanga tihbo theih tur enkawlna \ha tak tak a awm .
- Hetiang natna chi hrang hrang enkawlna lama tawnhriat nei doctor nena inhmuhkhawm chu i tan chuan thlamuanna nasa tak a ni ang.
- I hriselna enkawl reng la, nun hrisel takin nung la, i doctor thupek dik takin zawm rawh.Tichuan hetiang hriselna lama harsatna tam tak i pumpelh thei ang a, hrisel takin i awm thei ang.
Zawhna dang i neih chuan i chhungkaw doctor emaw, specialist emaw nen inbia ngei ang che.
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