I keah hliam te tak te emaw, scrape emaw, dam lo leh la awm reng i nei em? Fluid oozing a ni mai thei? A nih loh leh i ke vun chu a rawng a inthlak a, a rimchhia em? Hengte hi hliam pangngai a ni lo. Damdawi lam hawi chuan heng ulcer kan ti a. A bik takin zunthlum i vei chuan hei hi ngaihtuah nawn leh tur a ni. A chhan chu he dinhmun hi uluk taka enkawl a nih loh chuan a nasat theihna chance a sang hle. Chuvangin, vawiinah hian i sawi vek ang u.
A awlsam zawngin, ke ulcer hi eng nge ni?
Ke ulcer chu i vunah, a bik takin i ke emaw, i ke ruh emawa hliam inhawng tak, a dam lo va, a awm reng lo va, a lo lang leh lo mai mai a ni.
Hetiang dinhmun hi zunthlum nen a inzawm fo thin. Neuropathy, zunthlum natna complication a ni a, keah hian hriatna a hloh thei a ni. Tichuan, i keah hian scrape te tak te emaw, cut emaw pawh i hmu lo mai thei. I hre lo mai thei a, mahse he hliam te tak te hi zawi zawiin a lian leh a thuk a, ulcer a lo ni ta a ni.
Heng ulcer te hi natna hrik kai awlsam tak an ni. A châng chuan heng natnate hi a nasat em avangin ke emaw ke ruh emaw hmun thenkhat tan a ngai thei bawk.
Hei hi han ngaihtuah teh: Zunthlum vei zinga 15% vel chuan an dam chhungin ke ulcer an nei ang. Tin, vanduaithlak takin, pakhat nei zinga 14% leh 24% inkar chuan an ke thenkhat chu lakchhuah a ngai dawn a ni. Chuvangin hei hi ngaihthah tur a ni lo.
Hetiang dinhmun hi tuin nge tawk tam ber?
Tu pawhin ke ulcer nei thei mahse, mi thenkhat chu an hlauhawm zawk. A hnuaia condition te hi i neih chuan extra vigilant a pawimawh:
- Diabetes: Hei hi a hlauhawmna ber a ni.
- Circulatory problems: Kea thisen kal tha lo a nih chuan hliam hi a dam rei zawk thin.
- Lung natna: Lung natna hian thisen kal dan a tichhe bawk.
- Thau lutuk: Taksa rihna a san chuan kea pressure pawh a sang chho zel bawk.
- Kidney Natna a awm.
- Ke ruh tliak: Entirnan, bunion emaw hammertoe ang chi dinhmun.
- Zuk leh hmuam leh zu hman: Heng tih dante hian a hlauhawmna a tipung bawk.
He ulcer hi eng ang nge a nih a, eng stage nge a awm?
Ke ulcer hi chi hrang hrang leh rawng hrang hrang a awm thei. A tlangpuiin thuk tak, crater ang maia lang an ni.
Ulcer awm dan leh a rawng
Heng hliamte hi sen, pink, red, gray, emaw dum emaw a ni thei.I hliam chu a dum a nih chuan chu lai hmuna tissue cell te chu a thi tawh tihna a ni (Necrosis emaw Gangrene emaw). Hei hi dinhmun pawi tak a ni.
Ulcer lian tham leh thuk zawng
Chungte chu ruh te tak te ang maia te atanga tan thei a ni a, enkawl tha a nih loh chuan ke pum pui khuh turin a lo thang lian thei bawk. Hliam thuk zawng pawh a pung zauh zauh bawk. Doctor ten he thuk zawng tehna atan hian hmanraw hrang hrang an hmang thin. Entirnan, Wagner classification angin stage 6 a awm a.
| Pawl | A dinhmun sawifiahna awlsam tak |
|---|---|
| Stage 0 ah a awm | Vun hi a chhe lo a, mahse a risky hle. |
| Stage 1-na a ni | Hliam thuk lo tak, vun chunglam layer-ah chauh awm. |
| Stage 2-na a ni | Hliam hi a thuk a, tendon thlengin a zau thei bawk. |
| Stage 3-na a ni | Hliam chu ruh thlengin a kal thuk tawh a, ruh chu hmuh theih a ni. |
| Stage 4-na a ni | Ke hmalam (Gangrene) a tissue thihna. |
| Stage 5-na a ni | Ke pum pum tissue chu a thi tawh (Gangrene). |
Ulcer a lo awm tih hriat hmasak berte chu engte nge ni?
Ulcer a lo awm tan chuan i ke vunah hian hetiang hian a inthlak danglam tih i hmu thei ang:
- Vun vawt, chhe tawh tak
- Vun chu coral ang mai a lo ni ta
- Vun a sen vek
- Rash ang maia lang
Hliam a nasat zawk chuan a lan chhuah dan te chu:
- Hliam chhehvel vun thick (calus ang chi) .
- Hliam atanga tui emaw, zun ang maia chhuak (i sock-ah a awm thei) .
- Vun ah hian brown spot a awm
- A rimchhia leh rimchhia
Heng ke ulcer hi chi hnih a awm a, chungte chu:
I ke a nghawng thei ulcer chi hnih a awm a. An pahnih inthlauhna hriat hi inenkawlna atan a pawimawh hle.
| Mihring ziarang | Neurotrophic Ulcers te hi a awm a | Arterial Ulcers a awm thin |
|---|---|---|
| A chhan ber | Zunthlum vangin neuropathy a awm. | Thisen kalna kawng a zim (Peripheral Arterial Disease) avanga thisen kal tlem. |
| Na | A tlangpuiin natna a awm lo . | Natna nasa tak a awm , a bik takin zan lamah. |
| Hmun | Vawi tam tak chu ke kephah, taksa rihna tlak tamna hmunah. | Heels, ke ruh, ke ruh inkar, leh pheikhawk pinch na hmunah te. |
| Landan | Pink/red rawng a ni. Hliam kilte chu a chawi sang a. | Yellow, gray, emaw dum emaw a ni. A tlangpuiin thisen a chhuak lo. |
Hei hi engtin nge enkawl a nih?
Enkawlna tum ber chu hliam tihdam te, natna tihziaawmna te, a lo awm leh tawh loh nan te a ni. Enkawl dan tur chu ulcer i neih chi leh a chhan a zirin a danglam ang.
Nonsurgical Treatment te pawh a awm bawk
He enkawlna hi a tir lamah chuan ulcer tan a hlawhtling thei a ni.
- Topical wound care: Hliam hi hnim leh khuh a nih chuan a dam rang zawk.
- Antibiotics: Infection a awm chuan.
- Off-loading: Hliam chu pheikhawk bik emaw, cast emaw, wheelchair emaw hmangin a rihna a reh thei.
- Ke chu sang taka vawn reng.
Surgery hmanga enkawl dan tur
Ulcer a nasat chuan, a bik takin a kai a nih chuan zai a ngai mai thei.
- Debridement: Tissue natna hrik emaw thi emaw lakchhuah.
- Skin grafts: Skin grafts hi hliam tuam nan hman a ni.
- A tul chuan ruh thenkhat lakchhuah emaw siamthat emaw.
Risk tihtlem nan eng nge ka tih theih ang?
Hei hi a pawimawh ber a ni. Heng tih dante hi zawm hian heng ulcer te hi a lo awm loh nan i veng thei a, lo awm ta se, lo kir leh tur chu a titawp thei bawk.
A pawimawh ber chu, zunthlum i vei a nih chuan nitin i ke enfiah thin kha tih danah siam la.
- Nitin i ke enfiah: I inbual zawhah leh pheikhawk i bun hmain i ke kephah te, i ke ruh inkar leh i nail vel te uluk takin en thin ang che. Blisters, cuts, cracks, redness, emaw swelling emaw zawng rawh. Darthlalang hmangin i ke en rawh. I theih loh chuan chhungte hnenah hrilh rawh.
- I zunthlum hi uluk takin enkawl rawh: I doctor thupek dik takin zawm rawh.
- Kekawr bul lovin kal ngai suh, in chhungah pawh.
- I fit tha leh nuam tak pheikhawk bun rawh. Kekawrte hi a tight lutuk tur a ni lo va, a lian lutuk tur a ni lo.
- I nail i tan dawnin fimkhur rawh: I nail te chu inbual zawha a nêm chuan a sir lam hawiin cut nghal rawh.
- Meizial zuk loh vek tur a ni.
- Thisen sang leh cholesterol level control.
- I taksa rihna hrisel tak vawng reng rawh.
- Harsatna tenau ber pawh i hriat chuan doctor pan nghal rawh.
Take-Home Thuchah a ni
- Zunthlum i vei a nih chuan nitin i ke enfiah hi a pawimawh zawk.Ti ngei ang che. Hei hi dam chhung zawng tih danah siam rawh.
- I ke emaw, i ke ruh emawa hliam dam lo, a sen, a hring, a rimchhia, emaw, a rawng a inthlak emaw i hmuh chuan doctor pan nghal rawh .
- Kekawr bul lova kal loh tur, in lamah pawh. I kea hliam tenau te pawh a na thei hle.
- Meizial zuk hian thisen kal a tibuai avangin he dinhmun hi a tichhe thei a ni. Chuvang chuan meizuk hi kan pumpelh a pawimawh hle.
- Hetiang dinhmun hi hlau suh. A hmaa hriatchhuah a nih a, uluk taka enkawl a nih chuan harsatna lian tham awm lovin a enkawl tha thei a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Isradipine (Isradipine / DynaCirc) capsule/tablet hi eng natna atan nge hman thin?
Hei hi thisen sang pill (Calcium Channel Blocker - CCB) tha tak, ‘High Blood Pressure’ control nana siam a ni! He damdawi hian thisen sang a tihniam mai bakah heart rate a tichhe lo a, chuvangin doctor ten damdawi him atan an hmang thin.
💬 Engtin nge he thisen sang pill (Isradipine) ei hian kan thisen sang a tihhniam nghal?
Thisen kalna kawng a inzawm/contract leh pressure a san theih nan chuan ‘Calcium’ particle te hi thisen kalna thauah a lut ngei ang! He damdawi hi thisenah a luh meuh chuan chu thisen kalna kawng chhunga calcium gate (L-type calcium channels) awm zawng zawng chu 100% in a block/close a, a lock vek bawk! Calcium a luh loh avangin thisen kalna chu a inzawm lo va, a lo chhuak nasa hle (Vasodilation). Tichuan thisen chu lui ang maiin awlsam takin a luang a, pressure a tlahniam ta a ni.
💬 He damdawi (Isradipine) ei hian eng side effects ti thinrim tak nge a neih?
Hei hi a side effect lian ber leh tibuaitu ber chu mi thenkhat chuan ‘lu na’ leh ‘flushing’ (thisen kalna kawng zau lutuk vang) an nei thei a ni. Tin, CCB pill dang ang bawkin ke ruh/ke hring (peripheral edema) leh thinlung thawk chak tak (palpitations) (reflex tachycardia) te pawh a awm thei bawk.











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