I ke a hring a, a na em? Hei hi (May-Thurner Syndrome) vang pawh a ni thei!

A chang chuan kan ke hi chhan awm lovin a hring a, a na a ni lawm ni? A bik takin ke veilam. Mi tam takin hei hi an ngaihven vak lo. Mahse hei hi thil awlsam tak a ni lo mai thei. Vawiin hian kan hriat ngai loh, mahse tlawh tlak nia kan hriat vek dinhmun kan sawi dawn a ni. Chu chu `(May-Thurner Syndrome)` a ni. Hei hi `(Cockett syndrome)` emaw `(Iliac vein compression syndrome)` emaw an ti bawk.

``May-Thurner Syndrome'' hi eng nge ni tak tak?

A awlsam zawngin, `(May-Thurner Syndrome)` chu i dinglam iliac artery (`Right Iliac Artery`) leh i veilam iliac vein (`Left Iliac Vein`) te in compress a ni. Tunah chuan heng iliac arteries leh veins te hi eng nge an nih i ngaihtuah mai thei. I ke dinglam thlenga thisen phurtu thisen kalna kawngpui ber chu right iliac artery a ni. Left iliac vein hi thisen kalna bulpui ber a ni a, i ke veilam atanga thisen chu thinlungah a phur kir leh thin. Chuvangin, he `(May-Thurner Syndrome)` ah hian chu compression chuan i ke kal tlanga thisen kal chu a tibuai thei a ni.

Hei hian taksaah eng nge a tih? Engtin nge a nghawng?

Tunah chuan hei hian taksaah eng nge a tih leh engtin nge a nghawng tih i ngaihtuah tawh mai thei. A bulpui ber chu he pressure avang hian thisen chu keah, a bik takin ke veilam ah a awm tan a , chu chu left iliac vein kaltlangin a chho nghal mai a, chu chu thinlung lam pan a ni. Chutiang a nih chuan thisen zam chu thisen zam thuk takah a lo awm thei a ni . Hei hi damdawi lamah chuan `(Deep Vein Thrombosis)` emaw `(DVT)` emaw kan ti thin. Hei hi condition ngaihven deuh a ngai a ni. `(DVT)` symptoms chu hetiang hi a ni thei:

• Kea vun rawng a inthlak (red, blue pawh a ni mai thei).
• Ke chhunga veins te chu a bulging leh a hring chhuak angin a lang.
• Ke na, natna nasa tak, emaw khawih a nasat lutuk.
• Ke a hring leh a rit tih hriatna.

Hmeichhe thenkhat chuan May-Thurner syndrome bakah hian pelvic congestion syndrome (PBS) an nei thei bawk. Doctor-te chuan he pelvic pain rei tak hi pelvis chhunga veins (i.e., pum hnuai lam)-a harsatna awm vang niin an ngai.

Engtin nge hei hian thisen kal dan a tihbuai?

Kan taksa thisen kalna kawng (arteries leh veins) kaltlangin thisen a kal zel a. I hriat reng angin, thisen kalna kawngte chuan thinlung aṭangin thisen thianghlim, oxygen awmna chu taksa peng dang zawng zawngah a phur a ni. Chu hmunte chuan oxygen leh nutrients an dawn hnuah chuan vein-te chuan thisen deoxygenated, thianghlim lo chu thinlung leh lungah an phur kir leh thin.

Kan taksa hmun thenkhatah chuan heng thisen kalna kawng leh thisen kalna kawngte hi an inkawp a. Chutiang bawkin kan pelvis chhungah pawh dinglam iliac artery chu veilam iliac vein chungah a awm a. A tlangpuiin hei hi a buaithlak lo. Mahse, `(May-Thurner Syndrome)` vei tan chuan dinglam iliac artery hian left iliac vein chu pressure a siam a. Tui pipe a awm tih han ngaihtuah teh, mi pakhatin a ke a pen chuan eng nge thleng ang? Tui luang chhuak a har khawp mai, a dik em? A dik tak chuan hetah pawh hian hetiang thil hi a thleng ve tho.Left iliac vein a compress avangin thisen zalen taka kal a harsa thin.

He natna hi tuin nge vei tam zawk?

He ``May-Thurner Syndrome'' hi hmeichhiaah hian a tam zawk deuh niin a lang . Kum 20 leh 50 inkar puitlingah pawh a awm ve deuh bawk .

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan iliac vein thrombosis hi i ngaihtuah aiin a tam zawk. Zirna thenkhatah chuan mi panga zinga pakhat vel hian hetiang thrombosis hi an nei thei tih an sawi! Mahse mak tak mai chu, mi tam takin iliac vein thrombosis nei mahse, `(May-Thurner Syndrome)` vei bik an awm lo. Hei hi a chhan pakhat chu mi tam takin `(DVT)` ang natna an neih hma loh chuan `(May-Thurner Syndrome)` symptoms an neih loh vang a ni thei.

`(May-Thurner Syndrome)` natna lan chhuah dan chu engte nge ni?

May-Thurner Syndrome vei tam tak chuan symptoms an nei lo , a bik takin kan sawi tawh DVT an neih loh chuan. Symptoms a awm tak tak chuan ke veilam chauh a nghawng tlangpui . Chûng zîngah chuan:

• Kea rit tih hriatna. Lung a innghat ang maiin, a nuam lo hle.
• A chang chuan keah hliam dam lo (ulcer) a awm thei bawk.
• I keah na emaw, chhungril atanga lo chhuak cramp emaw i nei thei.
• Vun rawng a danglam thei. Blue emaw brown emaw a lo ni thei bawk.
• Ke a hring chhuak.
• Varicose veins ang chi dinhmun a awm thei.

Eng thilin nge `(May-Thurner Syndrome)` a thlen?

A chhan ber chu dinglam iliac artery hian veilam iliac vein a nawr vang a ni. Mahse doctor-te chuan hetiang thil a thlen chhan dik tak erawh an la hmu thei lo . Chu chu taksa insiam dan inthlak danglam vang mai pawh a ni thei tihna a ni.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

Heng symptoms te hi i neih chuan i tih hmasak ber tur chu doctor pan a, i symptoms te leh i health history te chiang taka sawipui tur a ni. Doctor in a enfiah ang che. Tichuan, heng thisen kalna kawngte hi enfiah thei tur test bik thenkhat an ti mai thei bawk.

• `CT (Computed Tomography) scan` : Hei hian X-ray leh computer bik hmangin thisen kalna kawng cross-sectional thlalak a la thin. Chumi hnuah chuan blockage a awm leh awm loh en theih a ni.
• `MRI (Magnetic Resonance Imaging)` : Hei hian magnet, radio wave, leh computer hmangin thisen kalna kawng chipchiar takin a siam chhuak thin.
• Ultrasound: He test hian sound wave hmangin taksa chhunga thisen kal dan a en a, a bik takin thisen kalna kawng (Doppler Ultrasound).
• Venogram : Hetah hian vein pakhatah special dye (contrast dye) inject a ni a, chu dye chu X-ray hmangin thisen kal danah blockage a awm em tih enfiah a ni.
• ``Catheter-based venogram'' pawh tih theih a ni. Chumi awmzia chu vein pakhatah tube te tak te (catheter) dahin chuta tang chuan dye an inject tihna a ni.
• Intravascular Ultrasound (IVUS) : Hei hi test hmasawn deuh deuh a ni. Hetah hian thisen kalna kawngah catheter dah a ni a, ultrasound device (probe) te tak te chu catheter kaltlangin thisen kalna kawng chhung lam thlalak chiang tak, chipchiar tak tak lak a ni. Hei hian pressure awm zat dik takin a teh thei a ni.

Hei hi eng enkawlna nge ni?

`(May-Thurner Syndrome)` enkawl hian tum lian tak pahnih a awm a. Pakhat chu thisen kal dan tihchangtlun hi a ni . A dang chu `(DVT)` vei theihna tihziaawmna tur a ni. I dinhmun azirin i doctor chuan a hnuaia enkawlna te hi a rawn rawt thei ang:

• Angioplasty leh Stenting : Hei hi enkawl dan tlangpui a ni. Hetiang tihnaah hian balloon te tak te hmanga catheter chu left iliac vein blocked chhungah dah a ni. Blockage awmna hmun dik tak a thlen chuan balloon chu a inflated ta a ni. Hei hian vein blocked chu a hawng a ni. Tichuan, a khar leh tawh loh nan mesh tube te tak te, stent , an tih chu an dah a, chu balloon chu an la chhuak ta a ni. Hei hi kawngpui inkharkhip (blockage) hlihsak a, kal awlsam zawk nan kawngpui siam ang a ni.
• Bypass surgery : A châng chuan, hmun dang aṭanga tissue lak chhuah emaw, artificial tube emaw hmanga vein block chu bypass-na hmangin kawng thar siam a ni. Hei hian thisen kal dan a siam tha leh thin. Hei hi operation lian tak a ni.
• Right iliac artery shunting : A tlem berah chuan left iliac vein-a pressure tihziaawmna turin right iliac artery chu tlem a tiharh theih nan operation tih theih a ni. A châng chuan, pressure tihziaawmna tûrin vein leh artery inkarah tissue chi khat dah a ni thei bawk.

`(DVT)` i siam chhuah chuan eng nge i tih ang?

Tunah chuan ``May-Thurner Syndrome'' vangin ``DVT'' i nei tih han ngaihtuah teh. Chutiang a nih chuan, a chunga kan sawi tak enkawlna bakah hian doctor chuan enkawlna engemaw zat a belh leh ang:

• Anticoagulants : Hengte hian thisen zam a veng a, thisen zam awm tawhte chu a lian zel tur a titawp a, thisen zam awmsa chu zawi zawiin a tithianghlim thei hial a ni.
• Clot-busting medications / Thrombolytics : Hengte hi thisen zam tihthianghlim nan direct-a pek thin damdawi chak tak a ni. Heng damdawi te hi catheter hmanga pek a ni fo a, thisen zam chhungah direct-in pek thin a ni.
• `Vena Cava Filter` : Hei hi mesh ang chi hmanrua te tak te a ni. `Inferior Vena Cava` hi kan taksa vein lian ber a ni. Hei hi ke leh pum atanga thisen chu thinlungah a kalna hmun a ni. He filter hi chu vein chhungah dah a nih chuan kea thisen zam lo awm chu kawng atanga chhuakin lung lam pan turin a veng a ni.

Hetiang thil thleng tur ven dan tur a awm em?

Dik tak chuan he ``May-Thurner Syndrome'' hi a lo thlen loh nan kawng chiang tak a awm lo ., a chhan dik tak hriat a la nih loh avangin. Mahse i thisen kal zawng zawng chu a tha zawngin i vawng thei a, a hnuaia mi ang hian i thisen zam theihna a ti tlem thei bawk:

• Hmun khatah thu rei lutuk suh. Office-a hnathawk i nih chuan tho la, tlem tal kal kual la, i ke kha han hrual la, darkar khatah vawi khat tal.
• Tui tam tak in thin ang che. Ni khatah tui litre 2-3 tal in a tha ber.
• Exercise regular , a bik takin aerobic exercise (kea kal, tlan, leh cycle khalh ang chi).
• Damdawi dang, zunthlum, hypertension, emaw peripheral artery disease (PAD) i neih chuan i doctor nen inbia la, uluk takin control rawh.
• Meizial i zuk chuan bansan ngei ang . Meizial zuk hian i thisen kalna kawng a tichhe hle.
• I doctor-in a rawt chuan special compression stockings ha la. Hengte hian i kea thisen awm zat tihtlem nan a pui a, chunglam pan turin a pui bawk.

Hei hian eng harsatna nge a thlen theih?

`(May-Thurner Syndrome)` buaina ber chu kan sawi tawh `(DVT)` hi a ni. Mahse, chu aia hlauhawm zâwk thil a awm . Chu chu kea thisen zam lo awm tawh chu chuta tang chuan a inthen a, thisenah a kal a, lung chhunga vein pakhatah a tang a nih chuan a ni. Chu chu `(Pulmonary Embolism)` (lung chhunga thisen chhuak) kan ti a.

Pulmonary Embolism hi nunna atana hlauhawm tak medical emergency a ni. If you have any of these new or worsening symptoms , damdawi in hnai ber emergency department-ah kal nghal la emaw ambulance ko la:

* Thisen khuh chhuakin mucus a nei.

* Lung na (heart palpitations) (Thut beat rang emaw, mumal lo emaw).

* Thâwk harsa na tak, thawk hah ang maia inhriatna (Dyspnea).

* I rilru natna nasa tak i tawrh thut a, chu chu i thawk chhuah laiin a zual zel a nih chuan.

`(May-Thurner Syndrome)` vei tan chuan hmalam hun eng nge ni?

Mi tam tak chu May-Thurner Syndrome neiin harsatna nei lovin dam rei tak, hrisel takin an khawsa a. Symptoms i neih loh chuan condition i nei tih pawh i hre lo mai thei.

Mahse, kan sawi tawh `(Deep Vein Thrombosis - DVT)` symptoms (i hring, sen, na, ke lum ang chi) i neih chuan doctor pan ngei ang che `(DVT)` hi damdawi leh a tul chuan enkawlna dang hmangin hlawhtling taka control theih a ni fo.

Doctor hnena zawhna zawh tur

May-Thurner Syndrome i neih emaw, i neih theih nia i ngaih emaw chuan, i doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:

• ``May-Thurner Syndrome'' ka natna lan chhuah dante chu engte nge ni?
• Ka natna lan chhuah chhan ber chu eng nge ni?
• Hei hi chiang taka hriat theih nan eng ang test nge ka tih ang?
• `(DVT)` a lan chhuah dan chu engte nge ni? Ka hmuh chuan engtin nge ka tih ang?
• `(Pulmonary Embolism)` a lan chhuah dan chu engte nge ni? Ka hmuh chuan engtin nge ka tih ang?
• ``May-Thurner Syndrome'' hi eng enkawlna nge i rawt? A thatna leh that lohna chu engte nge ni?
• Enkawlna hnua natna lan chhuah leh theihna chance engzat nge awm?

`(May-Thurner Syndrome)` hi nunna atana hlauhawm a ni em?

`(May-Thurner Syndrome)` hi direct-in nunna atana hlauhawm a ni lo. Mahse, harsatna hlauhawm tak `(Pulmonary Embolism)` tih a thlen thei a ni. Chu chu nunna atana hlauhawm chu a ni. Chuvangin `(Pulmonary Embolism)` symptoms hriat chian a pawimawh hle a, chutiang thil i hriat chuan doctor thurawn la nghal a pawimawh hle .

Engtin nge `(May-Thurner Syndrome)` i vei tih i hriat theih ang?

Dik tak chuan `(May-Thurner Syndrome)` i vei tih chiang takin i hre thei lo mai thei a, a chhan chu mi tam takin `(DVT)` symptom an neih hma loh chuan an nei tih pawh an hre lo.

Kan hriat chian theihna awmchhun chu a hmaa kan sawi tawh imaging test (CT, MRI, Venogram, IVUS ang chi) te kha doctor-in a tihsak a, left iliac vein chu right iliac artery atanga a chhuak tih finfiah hi a ni.

Thil pawimawh hriat reng tur (Take-Home Message) .

Okay, chuvangin, rei tak kan sawi tawh ``May-Thurner Syndrome'' chungchanga i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• May-Thurner Syndrome hi i dinglam iliac artery-in i left iliac vein a compress a, i ke veilam atanga i thinlunga thisen kal leh tur a tikhawlo a ni.
• Hei hian ``Deep Vein Thrombosis - DVT'' (thisen thuk takah thisen a chhuak) tih natna a thlen theihna a tipung a ni.
• Mi tam zawk chuan symptom engmah an nei lo . Symptoms a awm tak tak a nih chuan ke veilam na, a hring, a rit leh vun rawng inthlak danglam ang chi thil a ni fo thin.
• Enkawlna hian pressure tihhniam a tum a, thisen kal dan siam that leh DVT vei theihna tihziaawm a tum bawk. Angioplasty leh stenting te hi enkawl dan tlangpui a ni.
• DVT symptoms (rang taka hring, na, sen, i ke khawih a lum) i neih chuan doctor pan nghal rawh.
• ``Pulmonary Embolism'' (thâwk harsa nghal, rilru na, thisen khuh, muhil tih hriat) symptoms hi medical emergency a ni. Chutiang a nih chuan tihkhawtlai lovin damdawi in pan nghal mai tur a ni.

Hetiang dinhmun hi hriat chian a pawimawh hle. A chhan chu, hriat hmasak a nih chuan harsatna lian tham lo thleng tur venna kawngah kawng thui tak a zawh dawn a ni. Hlauthawng suh, mahse a chunga kan sawi tak symptoms te hi hre reng la, a tul chuan doctor lam pan hreh suh.

`May-Thurner Syndrome, Iliac Vein Thrombosis, DVT, Deep Vein Thrombosis, Ke Nang, Ke Na, Pulmonary Embolism, Thisen zam, Vein Disease te a awm bawk