I ke, a bik takin i bawnghnuteah hian hla vak lo i kal hian a hrual emaw, a inher emaw ang maiin natna nasa tak i nei em? Mahse, i chawlhsan a, rei vak lo i chawlh chuan natna chu a bo vek em? Hei hi i tana thil tawn hriat lar tak a nih chuan he thupui kan sawi tur hi i tan a pawimawh hle ang. Hetiang dinhmun hi medical science-a ``Intermittent Claudication`` kan tih hi a ni.
A awlsam zawngin, Intermittent Claudication chu eng nge ni?
Hei hi natna tak tak a ni lo va, natna lanchhuahna a ni. A awlsam zawngin, i kal lai ang chi, i taksa peng hrang hranga i natna a ni. Mahse he natna hi i chawlh hahdam chuan a bo thin. A châng chuan he natna hi a na lutuk a, kea kal chu i chawlhsan a ngai ṭhin.
Hei hi i taksa hian thisen kal danah harsatna a neih vang a ni . I kal hian i ke ruh chhunga cell te hian a tlangpui aia tam oxygen an mamawh a ni. Mahse chu ruhte chuan thisen kaltlangin thisen (leh oxygen) an hmuh tlem chuan natna i nei tan thin. I ding a, i chawlh chuan taksa ruhte hian oxygen an mamawh tlem a, chuvangin thisen tlemte an hmuh chu a awm reng a ni. Chuvangin a natna chu a reh ta a ni.
He hrehawmna hi engtin nge a awm?
Mi tam tak chuan hei hi natna khirh tak, dull tak angin an ngai thin. Muscle pakhat chu hrual emaw, pinch emaw ang maiin a lang. Mi thenkhat chuan "Charley sakawr" an ti bawk. Exercise i tih tam poh leh kea i kal tam poh leh i natna a zual zel ang. A then phei chuan thisen kal that loh avangin keah nerve te pawh a ti na thei bawk.
Hei hi ruh natna a ni lo. Natna chu ruh na ang maia hriat ni mah se, `(Arthritis) a ni lo
Engvangin nge hetiang hi a lo awm? A chhan ber chu eng nge ni?
He natna lan chhuah chhan ber chu Peripheral Artery Disease (PAD) tih natna a ni. Kan taksa chhunga thisen kalna kawngte hi tui pipe ang maiin han ngaihtuah teh. Hun a kal zel a, tui pipe chhungah hian rust leh bawlhhlawh a lo awm a, pipe chhunga khur te pawh a inkhar a, chutiang bawkin kan thisen kalna kawng (arteries) chhungah thau leh cholesterol a lo awm khawm a, "plaque" an tih chu a lo piang ta a ni. Hei hi `(Atherosclerosis)` kan ti a.
Thisen kalna kawngte chu platelet-in a zim chuan a chhunga thisen kal zat chu a tlahniam a ni. Hei hi kea thisen petu thisen kalna kawngte chu hetiang hian a zim a, chu chu PAD an ti a ni. Hei hian exercise i tih laiin i kein oxygen a hmuh tlem chuan natna a thlen a, chu chu i kal lai ang chiah hian a ni.
Hei hi hriat theih nan doctor hian eng test nge a tih?
Hetiang symptoms i neih chuan, .Doctor i pan ngei ngei tur a ni. Doctor chuan he natna thlen chhan dik tak hriat tumin test hrang hrang a ti thei a ni.
| Fiahna | A awlsam zawngin, engtin nge i tih? |
|---|---|
| Taksa lam Exam | I ke leh ke chu pulse a awm leh awm loh enfiah a ni ang. Pulses a chak lo emaw, hriat loh emaw a nih chuan harsatna a awm tih hriattirna a ni. |
| Ankle-Brachial Index (ABI) a ni a, a chhuahna tur hmun hi a inang lo hle. | I kut leh ke ruh a thisen sang chu teh a, tehkhin a ni. An pahnih inkarah hian danglamna lian tak a awm a nih chuan PAD chhinchhiahna a ni. |
| Angiogram hmanga enfiah a ni | Liquid bik (contrast dye) inject a ni a, X-ray hmangin thisen kalna kawngkhar a inkharkhipna hmunte chu an hmuchhuak a ni. |
| CT emaw MRA emaw hmangin | Hengte hi scan chi hrang hrang an ni bawk. CT angiogram emaw MRA test emaw hmangin thisen kalna kawnga harsatna awmna hmun chu chiang takin a hriat theih. |
| Vascular Ultrasound hmanga tih a ni | Sound wave hmanga scan a ni. Hei hian thisen kalna kawng a zimna hmun a hmu thei a ni. |
He natna hi engtin nge enkawl a nih?
Enkawlna tum ber chu kea thisen pek that hi a ni. Heng enkawlnate hian natna hi tidam kim thei lo mah se, a natna lan chhuah dan a thunun thei a, nun a ti awlsam thei bawk. Enkawl dan hi chi thum ah then theih a ni.
1. Nunphung thlak danglam
Heng thilte hi nangmah ngeiin i ti thei a ni.
- Kal dan pangngai: 1.1.Ni khatah minute 30 tal kea kal tur a ni a, kar khatah ni 3 chhung kal tur a ni. Natna i hriat hunah chawlhsan la, chawlh la, kal leh rawh. Hei hian i keah thisen kalna kawng thar siam turin a pui ang.
- Taksa rihna hrisel tak vawn reng: Taksa rihna a san chuan he dinhmun hi a na zual thei a ni.
- Ei leh in hrisel: Zunthlum, cholesterol sang, leh thisen sang te thunun thei ei tur ei thin ang che.
- Meizial zu leh zuk leh hmuam bansan vek: Hengte hi thisen kalna kawngte tan a pawi hle.
- Stress management: Rilru hriselna hian thinlung leh circulatory system hriselna a nghawng nghal vek a ni.
2. Damdawi chi hrang hrang
I doctor chuan damdawi a pe thei a, chungte chu:
- Thisen tithianghlimtu: Hengte hian harsatna lian tak tak, thisen zam lo awm leh thisen kalna kawng khar nghal mai te chu a veng thei a ni.
- Statins: Hengte hian cholesterol level a tihhniam bakah thisen kalna kawng chhunga plaque siam dan a control bawk.
- Thisen sang damdawi: Hengte hian thisen kalna kawng a tizau a, thisen kal a ti awlsam bawk.
- Zunthlum damdawi: Zunthlum vei i neih chuan tha taka control a pawimawh hle.
3. Surgery emaw tih dan dang emaw
Nunphung a inthlak a, damdawi in a thunun loh chuan i doctor chuan operation emaw, tih dan dang emaw a rawt thei ang.
- Angioplasty: Balloon ang chi hmanrua chu thisen kalna kawng zim takah dahin, thisen kalna kawng zau zawka siam turin inflated a ni.
- Stent dah: Angioplasty hnuah thisen kalna kawng a zim leh tawh loh nan mesh ang chi (stent) dah a ni.
- Bypass Surgery: Taksa peng dang atanga thisen kalna kawng thar siam a ni a, chu chu blockage vel a thisen kalna tur kawng thar siam ang chiah a ni.
Engtikah nge doctor i hmuh ang?
``Intermittent Claudication`` i nei tih i hriat tawh chuan a bik takin a hnuaia symptoms te hi hre reng ang che. Heng zinga pakhat tal i neih chuan doctor hmu nghal la , Emergency Department (ETU) ah kal rawh .
- Ke emaw ke emaw ah khawsik nasa tak emaw, rilru hahna emaw i neih chuan.
- Kea hliam a dam rei a nih chuan, a nih loh leh hliam thar (ulcer) a lo awm a nih chuan.
- Hliam chhehvelah natna hrik (swelling, redness, na, warmth) chhinchhiahna a awm chuan.
- I rilru natna emaw, thawk harsa emaw i neih chuan ke na nen.
- I chawlh lai pawhin ke na i neih chuan .
- If you have sudden , severe pain emaw, natna chu a awmna hmun atanga hmun danga a kal chuan.
Hetiang dinhmun hian kea kal leh nitin hnathawh pawh a ti harsa thei hle. Amaherawhchu, a hmaa hriatchhuah leh enkawl dan dik a nih chuan a nasat loh nan a veng thei a, nun pangngaiin i nung thei bawk.
Take-Home Thuchah a ni
- Intermittent claudication hi natna a ni lo va, thisen kal dan lama harsatna avanga symptom a ni. A chhan ber chu Peripheral Artery Disease (PAD) a ni.
- I kal laiin i ke (a bik takin bawnghnute) ah na i nei a, i chawlh laiin a bo a nih chuan i doctor nen pawh sawipui ngei ang che.
- Meizial zuk bânsan te, kea kal fo te, ei leh in hrisel ei te, leh i taksa rihna tihtlem te hian he natna hi thunun kawngah kawng thui tak a zawh thei a ni.
- Damdawi te hi Doctor-in a sawi ang chiaha hman a pawimawh hle.
- Chawlh lai pawhin na i nei a, i ke a hrual a, i hliam a dam lo a nih chuan damdawi lam thurawn zawng nghal rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh