I keah hliam dam lo tur i nei em? Leg Ulcers chungchang hi i zir vek ang u!

Kan kea hliam te tak te kan neih hian ni rei lo te chhungin a dam leh ang tih kan ngaihtuah vek a. Mahse, a chang chuan, heng hliamte hi a dam theih nan kar tam tak, thla tam tak pawh a ngai thei a, harsatnaah a awmtir thei che a ni. Chutiang chuan kan kea hliam thinrim tak tak lo awm thin, a dam theih nan hun rei tak a duh thin te chu kan sawi dawn a ni. Damdawi lam hawi chuan hengte hi `(Leg Ulcers)` an ti a.

Heng ke ulcer dam lote hi engte nge ni?

A awlsam zawngin, ke ulcer chu hliam enkawl ni mah se kar hnih aia rei lo dam lo tihna a ni . Heng ulcer te hi i ke ruh leh khup inkar ah a awm tlangpui.

Heng hliamte hian tui (pus a ni thei) a chhuak fo thin . Enkawl that loh chuan heng hliam te hi a lian thei hle. Entirnan, ke hliam i neih a, thla thum chhung enkawl hnuah a dam lo a nih chuan, chronic condition ah kan ngai a ni .

Khawvel ram changkang thenkhat statistics atanga a lan dan chuan puitling 1% velin he natna hi an vei a ni. He harsatna hi kum 65 chunglam zingah a tam hle a, an zinga 4% vel chuan an keah hliam dam lo an nei thei a ni. Chuvangin hei hi ngaihthah tur a ni lo.

Engvangin nge ke ulcer hi a awm thin?

Ke ulcer lo awm chhan tam tak a awm thei. A bulpui berte han thlir ila.

1. Vein lama harsatna (Chronic Venous Insufficiency) .

Hei hi ke ulcer awm chhan ber a ni. Kan kea vein te hian a chhungah hian valve te te an nei a. Chûngte chu kawngkhâr ang mai a ni. An hna chu thisen chunglam, thinlung lam pan leh hnunglam pan lo tura ven hi a ni. Mahse heng valve te hian hna an thawk tha lo a nih chuan thisen chu a back up thei a, ke hnuai lam ah a pool thei bawk .

Tui pipe-a valve chhe, hmun khatah tui a awm khawm ang maiin han ngaihtuah teh. Hetianga thisen a inkhawm chuan ke chhunga thisen kalna (veins) chhunga pressure a sang chho zel a ni. Tichuan, vunah thisen kalna kawng te tak te te chu a puak darh thei a ni. Hei hian vun a ti na a, a ti na a, vun a vawt a , a tawpah chuan vun a ti chhe a, ulcer a lo awm bawk.

2. Zunthlum (Diabetes Mellitus) .

Zunthlum (`(Diabetes Mellitus)`) hi harsatna tam tak thlen thei natna a ni tih i hria a. Zunthlum vei thisen sugar level a sang reng avangin thisen kalna kawng chhungah thau a awm a, chu chuan a tikhawlo zo ta a ni . Tui pipe hlui chhungah rust a lo awm ang bawkin.

Hetianga thisen kalna kawng (veins) a inkharkhip chuan kea thisen kal zat a tlahniam thin. Chuvangin, nerve te hi a chhe thei a ni . Hei hi `(Diabetic Neuropathy)` kan ti a. Hetianga nerve a chak loh chuan hliam tenau emaw, i kea hliam emaw pawh i hre lo mai thei. A châng chuan, i kekawrtea hliam tê tê a innghah pawh hi hliam lian tak a nih hma loh chuan i hre lo mai thei. Tin, zunthlum vangin hliam chu a dam zawi zawi hle bawk .

3. Peripheral Artery natna (PAD) .

Hetiang dinhmunah hian zunthlum ang chi thil a thleng thin. Kan taksa peng hrang hranga thisen phurtu thisen kalna kawng chhungah thau (atherosclerosis) a lo awm a, zawi zawiin chu thisen kalna kawngte chu a tikhawlo a ni. A dik tak chuan kan kea thisen phurtu thisen kalna kawng lian ber berte chu a inkharkhip ta a ni .

Chuti a nih chuan eng nge thleng? Kein thisen a hmu tawk lo. Chuvangin oxygen leh nutrients an hmu tlem hle. Chutiang a lo thlen chuan hliam tenau tak pawhin a dam theih nan hun rei tak a mamawh a ni. Zunthlum vei te pawhin he natna (PAD) hi an vei tam zawk bawk .

4. Thisen sang / Hypertension

Thisen sang (hypertension) pawh hi silent enemy a ni. A thunun tha lo a nih chuan ke hnuai lam, a bik takin ke ruh (ankle) ah ulcer na tak (Martorell ulcer) a thlen thei a ni. Thisen sang hian vun chhunga thisen kalna kawng te tak te (capillaries) te chu a tikhawlo a, vunah thisen kalna tur a titawp a ni. Chumi hnuah chuan vun cell te chu an thi a, ulcer angin an lang ta a ni.

Tute nge ke hliam vei theihna sang zawk?

Mi thenkhat chuan midang aiin heng ke hliam te hi an nei tam zawk. Tute nge an nih i en ang u:

• Hmeichhia tan: Hmeichhia hian mipa aiin he natna hi a let hnih velin an nei tam zawk.
• Taksa rihna tam lutuk: He hlauhawmna hi thau lutuk vang emaw, naupai laiin taksa rihna sang vang emaw a ni thei.
• Chhungkaw chanchin: I chhungkuaa mi pakhatin vein lama harsatna (e.g., varicose veins) a neih chuan he natna hi i nei thei bawk.
• Damdawi lam thil dang: Zunthlum, thisen sang, leh ruh natna nei te.
• Surgery: Hip replacement surgery emaw khup thlak surgery nei tawh tan.
• Hliam leh chetsualna: Hliam na tak tak, ruh tliak ang chi.
• Taksa tihchak loh: Hmun khata rei tak awm, kea kal lo, paralysis ang chi dinhmun nei te tan.
• Meizial zuk: Meizial hian thisen kalna kawng a tichhe thei a, thisen kal dan a tichhe thei bawk.
• Vein lama harsatna dang: Varicose veins, vasculitis, leh venous thromboembolism ang chi natna nei tan.

Ke ulcer natna lanchhuahna chu engte nge ni?

Engtin nge ke hliam i hriat theih? A lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Hliam dam lo: Hei hi a lan chhuah dan ber a ni. Kar hnih enkawl hnua hliam a dam loh chuan `(Leg Ulcer)` a ni thei.
• Hliam lan dan: Hliam chu a sen, a sen, a sen, a nih loh leh a sen a ni thei . A châng chuan, heng rawng engemaw zât chu inhmeh takin a lang thei bawk. Hliam ah hian tui emaw thil dang emaw a chhuak thei bawk .
• Vun inthlak danglamna:
• Hliam chhehvel vun chu a vawt thei a, a hring thei a, a hring thei bawk .
• Vunah hnah khauh tak tak ang chi thil a lo lang thei a, vun pawh a tight thei bawk.
• Vun rawng chu a danglam thei a , a sen, a sen, a nih loh leh a sen hring, hliam ang maiin a lang thei .
• Natna: I ke na i nei thei a, a bik takin rei tak i din hnuah .
• Swelling: Ke hnuai lam ah hian swelling (edema) hmuh tur a awm thei.

Ke ulcer hi engtin nge kan hriat theih ang?

Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. A tlangpuiin heng hliamte hi vascular specialist-in a enfiah ang. I vun leh hliam chu uluk takin a enfiah ang.

Chu bakah, hetiang test hi i ti thei bawk:

• Ankle-brachial index test: Hei hi ultrasound technology hmangin kea thisen sang leh thisen kal dan tehna a ni.
• Biopsy: Hliam atanga vun cell leh tui sample lak a, microscope hmanga enfiah a, infection emaw vun natna dang emaw a awm leh awm loh enfiah a ni.

Ke hliam hi engtin nge kan enkawl ang?

Ke ulcer hi tihdam a harsa deuh thei. A châng chuan , enkawlna pawh ni se, ulcers chu thla tam tak emaw, kum tam tak emaw pawh a awm thei . Mahse, lungngai suh, uluk taka enkawl an nih chuan an dam thei a ni.

Enkawl dan tur chu hliam chi leh a chhan ang chi thilah a innghat a ni. Doctor thil tum ber chu:

1. Hliam tihdam.

2. Swelling tihziaawmna.

3. Hliam a dam laiin a lo nawn leh loh nan.

Enkawl dan tlangpui thenkhat chu hetiang hi a ni:

• Compression therapy: Kea thisen kal thatna tura pui turin stocking chi hrang hrang (compression stockings) emaw bandage emaw hman a ni. Chungte chuan keah pressure a pe a, thisen chu a sang chhoh tir thei a ni.
• Leg elevation: Ni khatah darkar khat tal, ni ruk tal i ke chu i thinlung atanga sang taka dah hian thisen chu thinlungah a kal leh thei a ni.
• Hliam enkawl: Hei hi a pawimawh hle.
• Doctor hnenah hliam atanga vun thi chu lakchhuah tir (`(debridement)`).
• Hri kai loh nan topical antiseptics hman.
• Hliam chunga bandage chu thlak fo thin ang che.
• Damdawi: 1.1.
• Hliam ah infection a awm chuan antibiotics pek theih a ni.
• Thisen kalna kawng zau zawka puitu leh thisen kal dan tichangtlung thei damdawi (vasodilators) pawh pek theih a ni.
• Hyperbaric oxygen hmanga enkawlna (`(Hyperbaric oxygen therapy)`): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hi enkawl dan bik a ni. Hyperbaric chamber-ah i thu a, oxygen thianghlim i thawk chhuak thin. Hei hian thisenah oxygen a tipung a, chu chuan hliam damna a ti chak hle.
• Vein enkawl dan: Varicose veins ang chi harsatna i neih chuan sclerotherapy (veins-ah damdawi inject) emaw endovascular ablation (veins chhung atanga tihlum a, seal off) ang chi enkawlna i nei thei bawk.
• Surgery: A châng chuan thisen kalna kawng chhia chu paih chhuah, siamṭhat, thlak, a nih loh leh bypass tûrin operation neih a ngai thei bawk.
• Skin grafts: Hliam hi inches 4 aia lian a nih chuan, emaw, enkawlna dangin a dam loh chuan taksa peng dang atanga vun lak a, hliam chungah grafted theih a ni.

Ke ulcer hi engtin nge kan ven theih ang?

Ke hliam chu a dam leh a nih pawhin a lo lang leh thei hle . Chuvangin, hengte hi kan enkawl a pawimawh hle a ni:

• I thut emaw, i mut emaw chuan i ke chu i thinlung aia sang zawka dah chu tih dan phung siam rawh . I ke hnuaiah pillow te tak te ang chi thil i dah thei bawk.
• I taksa rihna hrisel tak vawng reng rawh . Taksa tihchakna tam tak nei rawh . Nitin tlem tal kea kal pawh a tha.
• Thisen kalna tichhe thei dinhmun, zunthlum, thisen sang, cholesterol sang, a nih loh leh Raynaud’s syndrome ang chi i neih chuan control tha rawh . I doctor thupek chu uluk takin zawm rawh.
• Meizial zu mi i nih chuan chawlhsan ngei ang . Hemi atan hian doctor hnen atangin tanpuina i dil thei bawk.
• Vun a vawt loh nan gentle cleanser hmang ang che . Inbual zawhah moisturizing lotion hnawih thin ang che .
• Ni khatah darkar khat tal compression stocking emaw bandage emaw ha thin ang che . Hei hian i keah thisen kal a titha ang. I doctor hnenah i tana tha tur thlang turin hrilh rawh.

Ke ulcer avanga harsatna awm thei te chu engte nge ni?

Hliam dam lo a awm reng chuan harsatna dang a thlen thei a ni.

• Bone infection (Osteomyelitis): Hliam hi a thuk a, ruh ah natna a thlen thei. Hei hi a nasat chuan ke ruh tliak pawh a thlen thei a ni.
• Cellulitis: Vun leh vun hnuaia tissue te bacteria infection na tak a ni. Hliam vel chu a sen thei a, a hring thei a, a lum thei bawk.
• Sepsis: He natna hian thisen a thlen chuan nunna atana hlauhawm a ni thei.
• Skin cancers: Vun cancer chi khat (squamous cell carcinoma) hi a chang chuan hliam rei tak, dam thei lo atanga lo awm thei a ni.

Ke hliam nei tan chuan eng nge a hmalam hun?

Ke hliam hian a chang chuan rualbanlohna a thlen thei bawk . Heng hliamte hian kea kal, hnathawh leh nun pangngaia nun a ti harsa thei hle. Doctor pan fo te, hliam enkawlna hmun te, damdawi ina dah te pawh an mamawh thei a ni.

Engtikah nge Doctor ka hmuh ang?

I keah hliam dam lo i neih a, heng symptoms te hi i nei ve bawk a nih chuan doctor pan nghal rawh :

• Khawsik emaw, khawsik emaw.
• Hliam nena inzawm natna nasa tak a awm a nih chuan mut theih lohna emaw nitin thil tih theih lohna emaw a awm chuan .
• Hliam chu a kai tih chhinchhiahna: hliam chhehvel a sen, a lum, a hring, leh hliam atanga tui rimchhia lo chhuak.

Ka doctor hnenah eng nge ka zawh ang?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• "Doctor, engvangin nge ka keah hian he hliam hi ka neih?"
• "Eng enkawlna tha ber nge ka neih theih ang?"
• "He hliam hi tihdam nan leh a lo thlen leh tawh loh nan eng inthlak danglamna nge ka siam theih ang?"
• "Complication awm thei tur chhinchhiahna bikte chu engte nge ni?"

Ke ulcer hi a na a, a nuam lo a, a dam nan hun rei tak a ngai a ni. Chuvangin, hri kai venna tur leh hliam damna tura pui turin specialized wound care a ngai a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chuvangin, kan sawi tawh ang khan, ke ulcer (`(Leg Ulcer)`) dam lo (`(Leg Ulcer)`) hi awlsam taka enkawl theih thil a ni lo. Mahse, hlauthawng suh. Hetiang harsatna i neih chuan i tih hmasak ber tur chu doctor thiam tak hmuh a, a chhan dik tak hriatchhuah a, enkawl dan dik tak tan hi a ni.

I doctor thupek uluk taka zawm te, i hliam enkawl dan te, meizuk i nih chuan meizuk bânsan te, i rihna control te, leh zunthlum ang chi natna hnuaia awm eng pawh enkawl te hian he natna hi enkawl kawngah nasa takin a pui thei che a ni. Heng hliamte hi a dam hnuah pawh a lo lang leh thei tih hre reng la, chuvangin doctor thupek zawm chhunzawm zel a pawimawh. Dam leh thuai turin duhsakna kan hlan e!

` Ke ulcer, zunthlum, thisen sang, vein lama harsatna, hliam dam, vun natna