I naute ke pawh a hring ve em? Hei hi Milroy-a Natna a ni thei!

I fate ke, a bik takin khup hnuai lam chu a hring mai tih i hre ngai em? A châng chuan hei hi pian hnu lawkah hmuh theih a ni. A nih loh leh ni engemaw zat hnuah a lo lang thei bawk. Hemi chungchangah hian nu leh pa tam takin an lungkham deuh hi thil pangngai a ni. Hetianga kea a hring chhuak chhan pakhat chu Milroy natna an ti a. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

Milroy-a Natna hi eng nge ni?

A awlsam zawngin, Milroy-a natna hi natna chi khat, primary lymphedema . "Primary" tih awmzia chu natna dang avanga lo awm a ni lo, amah chauha lo awm tihna a ni. Congenital condition a ni a, chu chu pian tirh lamah a awm thei tihna a ni. Genetic condition a ni a, rochun a ni tihna a ni.

Kan taksa hian lymphatic system an tih system a nei a. Hei hi kan taksa atanga bawlhhlawh paih chhuaktu drainage system ang a ni. He lymphatic system-a lymphatic channel leh lymph node te hi a lo thang tha lo a nih chuan a thawk tha thei lo. Tichuan, lymph fluid a luang tha lo va, hmun khatah a awm reng a ni. Hei hi lymph fluid a pungkhawm dan a ni a, naute ke, a bik takin ke hnuai leh ke hnuai lam a ti na a ni. Tui pipe a inkhar a, hmun khatah tui a khat ang chi hi han ngaihtuah teh.

Milroy natna hi hereditary lymphedema type I tia hriat a ni bawk.

Hetiang dinhmun hi hriatchhuah hi a harsa deuh thei a, a chhan chu doctor-te hian hetiang damlo hi an hmu fo lo. Mahse i naute keah a hring tih i hriat chuan doctor zawh a pawimawh hle. A chhan chu i natna i hriat chian hma chuan enkawlna i tan thuai thei a ni. Hlauhawm loh a pawimawh bawk.

Milroy natna hi engtiang chiahin nge a tlem?

Hei hi a takah chuan thil awm lo tak a ni . Nausen piang 6,000 zinga pakhat vel a nghawng a ni. Mipa aiin hmeichhiaah a tam zawk . Hetiang natna nei tlangval zawng zawngah hian hmeichhe naupang pahnih tal an awm niin an sawi.

Milroy natna lanchhuahna chu engte nge ni?

I naute hian a pian tirh atangin heng symptoms te hi a nei thei a ni. A châng chuan rei vak loin an rawn lang thei bawk. I naute hian heng symptoms te hi a nei em tih enfiah rawh:

• Ke hnuai lam a hring (edema): He hliam hi khup hnuai lamah hmuh tur a awm tlangpui. A chang chuan ke pakhatah chauh a awm thei a, a tam zawk erawh chu a pahnih ah a awm thin.
• Ke hnuai lam thisen bul (bulging veins): A chang chuan, a hring (swelling) nen chuan thisen zam (veins) te chu chiang takin a lang thin.
• Testicles a hring (hydrocele): Mipa naupang testicles te chu a hring thei a, tuiin a khat thei bawk. Hei hi nu leh pate tan chuan a hlauhawm deuh thei a, mahse damdawi lam dinhmun chhinchhiahna a ni thei bawk.
• Ke ruh chunglam hawia ben:Nail pianzia chu a danglam thei a, chunglam hawiin a lang thei bawk.
• Skin lumps te tak te (papillomatosis): Hengte hi cancer natna a ni lo va, mahse vunah hian bump te te angin a lang thei a, a chang chuan cauliflower te tak te ang mai a ni.
• Gastrointestinal issues: Naute thenkhat chuan an pum a na thei a, an luak chhuak thei a, an luak chhuak thei bawk. Hei hi mi zawng zawngah a thleng lo, mahse a thleng thei.

Milroy natna hi engte nge ni?

Milroy natna thlentu ber chu FLT4 tih gene pakhata mutation (variant) a ni. Genes hi kan taksa chhunga thil awm zawng zawng thunun thei tur thupek tlemte ang mai a ni. He FLT4 gene hian lymphatic system a siam that theih nan a pui thin. Chuvangin he gene-ah hian inthlak danglamna tlemte, chu chu mutation a awm chuan lymphatic system hi a insiam tha lo.

A tam zawkah chuan Milroy natna vei naupang nu leh pa pakhatin he natna hi a nei a ni. Autosomal dominant pattern ah a inherit a ni . Chumi awmzia chu nu leh pa pakhat chauhin natna thlentu gene nei mah se naupangin natna a vei thei tihna a ni. Entirnan, nu leh pa pahnihin gene mutation an neih chuan naupang tin hian natna rochun theihna chance 50% an nei a ni. Chhungkaw khata unau zingah pawh, natna lan chhuah dan nasat dan, a nih loh leh natna lan chhuah kum chu a inang lo thei hle. Naupang pakhat hian a hring nasa hle thei a, pakhat zawk erawh chuan chutiang chuan a na lo thei bawk.

FLT4 gene mutation nei naupang 10 zinga 9 chuan kum 3 an tlin chuan ke natna lanchhuahna an nei a ni .

He natna hi engtin nge an hriat chhuah?

Milroy natna hi doctor-in taksa enfiahna hmangin a hmuchhuak a ni . Doctor chuan naute ke chu ngun takin a en ang a, a hring chhuak, vun inthlak danglam leh nail pianzia a awm leh awm loh a en ang. Tin, a hnuaia test te hi tih theih a ni bawk:

• Ultrasound: Hei hi naupai laia nu pum scan a ni a, a chang chuan naute keah hliam a awm leh awm loh a hriat theih. Naute pian hnuah keah pawh tih theih a ni.
• Lymphoscintigraphy: Hei hi test bik deuh a ni. He test-ah hian vun hnuaiah radioactive material tlemte inject a ni a, camera hmangin lymphatic system kal tlanga a kal lai en a ni. Hei hian lymphatic system hnathawh dan leh blockage a awm leh awm loh a entir thei a ni.
• Genetic testing: Hei hian FLT4 gene-ah mutation a awm leh awm loh finfiah nan a pui a ni. Hei hian thisen sample lak a huam tlangpui.

I fa doctor chuan pediatric-certified lymphedema therapist hnenah pawh a refer thei che a, chu chu heng natnate enkawlna lama tui tak a ni.

Milroy natna hi engtin nge enkawl a nih?

He natna avanga hring dup hi in lama enkawlna a awm. Heng enkawlnate hian a hring (swelling) thunun nan te, harsatna awm thei te tihziaawmna tur te, naupang nunphung tihchangtlunna tur te a ni. Milroy natna hi ke hring enkawl danah chuan:

• Compression therapy: Compression socks emaw bandage emaw bik hman. Hengte hian keah pressure nem tak an pe a, chu chuan a hring a ti tlem a, lymph fluid chu taksaah a luang lut leh thei bawk.
• Kinesiology tape (KT tape): Hei hi infiammiten an hman thin adhesive tape bik a ni. Tin, a chang chuan damna tichaktu hmangin swelling tihziaawmna atan a pui thei bawk.
• Support pe thei pheikhawk: Kekawr in fit tha, support thei leh tight lo bun a pawimawh.

A tam zawkah chuan heng enkawlna awlsam tak takte hian rah tha tak a pe ang che. An thawk tha lo a nih chuan lymphatic drainage massage i ti thei ang . Hei hi gentle massage technique a ni a, specially trained therapist ten an tih thin a ni. Hmun block atanga lymph fluid paih chhuah nan a pui a, a chhuak tha thei bawk. Doctor in hetiang hian a ti thei a, a nih loh leh in lama tih dan tur zirtir i ni thei bawk.

Heng hmanrua te hian hna a thawk lo a nih chuan i doctor chuan i fa lymphatic system hnathawh that zawk nan operation neih a rawt thei ang. Mahse, hei hi a tawp ber anga ngaih a ni fo. Hei hian a huam thei ang:

• Tissue natna nei chu lakchhuah.
• Bypass procedure hmanga lymph fluid luang chhuak chu hmun tha zawka kaltir: Kawngpui khar vel atanga kawng thar siam ang mai a ni.
• Naupang taksa hmun dang atanga kea lymph node hrisel tak tak dah luh. Hei hi vascularized lymph node transfer an ti a .

Ka fa hian hetiang dinhmun hi a nei a nih chuan eng nge ka beisei ang?

Milroy natna hi thil awm lo tak a nih avangin i fa zirtirtute emaw, i fa nunah mi dangte hnenah emaw hrilhfiah a ngai mai thei. Entirnan, i fain sikulah a ke a bump a nih chuan naupang dang aiin a na zawk deuh thei a, hri kai theihna a sang zawk bawk. Hemi chungchang sawi hian zirtirtu pakhat chu gym class-a i fain thawmhnaw a thlak rei zawk chhan, a nih loh leh pheikhawk bun loh a hlauhawm chhan (hliam leh hri kai hlauhawmna avang) a hriatthiam theih nan a pui thei a ni. Mahse , lungngai suh, i fa hian a class-a naupang dangte tih ang tam zawk chu a ti thei a ni.

Milroy natna hi a chronic a ni, chu chu hun rei tak chhunga awm thei a ni tihna a ni. Ke ruh natna hi mi thenkhatah chuan a pung zauh zauh thei a, thenkhatah chuan a tlahniam deuh thei bawk. He hliam hi enkawl loh chuan a natna hmun chu lungpui ang maiin a khauh a, a khauh thei bawk. Tin, he natna vei te hian vun natna cellulitis an tih chu an nei thei bawk. Hei hi vun a sen a, a lum a, a na bawk. Hei hi natna hlauhawm tak a ni a, a chang chuan thisenah a darh thei bawk. Chuvang chuan i vunah inthlak danglamna tenau i hmuh pawhin doctor hnenah hrilh a pawimawh.

Engtin nge ka fa ka enkawl ang?

Milroy natna vei i fa enkawl dan tur thenkhat chu hetiang hi a ni:

• I fa vun hi uluk takin enkawl rawh. Nitin ke vun hi fai takin vawng la, vawt tha la, moisturizer hnawih bawk ang che. A hliam tenau, a hliam, rulhut seh emaw, natna hrik emaw a awm chuan a rang thei ang bera enkawl rawh. Hei hian cellulitis ang chi natna vei theihna a tihziaawm thei a ni.
• I ke hliam lo turin bei rawh. Inkhelh lai te, tlan lai te, zuang lai te hian i ke khuh thei thawmhnaw ha la. Pawnah pheikhawk nei lovin kal tir suh ang che. Milroy natna vei naupangte hi midang aiin hri kai an hlauhawm zawk.
• I fa ke chu hmun khatah awm tir suh la, sawn fo thin ang che. Exercise light tak tak leh ke chawi sang leh tihhniam hian a hring (swelling) a tiziaawm thei a ni.
• Taksa tihchak, a bik takin tui chawi hi fuih rawh. Tui pressure hian a hring (swelling) a pui thin. Tin, ruhkawr chunga exercise nem tak tak, kea kal leh cycle khalh te pawh a tha hle.
• I fa damdawi eng pawh i pek hmain i doctor zawt hmasa phawt ang che. Damdawi thenkhat, entirnan, natna tidamtu thenkhat te hian a hring a tipung thei a ni.
• I ei tur a chi (salt) awm zat tihtlem la. Chi (salt) hian taksaah tui a tipung a, chu chuan a hring (swelling) a tipung thei bawk.
• I fate chu chaw tha tak tak pe rawh. Thlai, thei leh protein tha lo ei tur inthlau tak hian i fain a mamawh ei tur tha a hmuh theih nan a pui a ni.

Engtikah nge ka fa hian doctor a hmuh ang?

Milroy natna vei naupang chu checkup reng reng a ni ang . Hei hian doctor chuan naupang dinhmun te, a hliam dan te, enkawlna a thawk tha em tih te, leh a natna chu a awm reng em tih te, a na zual zel em tih te a hmu thei a ni. Enkawlnain a \angkai lo nia i hriat chuan, i fa ke ruh a na zual a nih chuan, a sen a nih chuan, a lum a nih chuan, a nih loh leh i fain khawsik a nei a nih chuan, i fa doctor nen inbia ngei ang che. A châng chuan i fate chu an taksa pengte awlsam zâwka an hman theih nân leh ni tin hna an thawh theih nân occupational therapist a hmuh a ngai mai thei.

Ka fa doctor hnenah eng zawhna nge ka zawh ang?

I fa doctor hnena zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:

• "Kan chhungkuaah hian he natna vei theihna hlauhawm an awm em? Genetic counseling kan la tur em ni?"
• "Milroy natna vei te tanpuitu pawl i hria em? Sri Lanka-ah hian hetiang pawl hi an awm em?"
• "Engtin nge ka fa tan compression garment dik tak ka thlan ang? Khawiah nge ka hmuh theih ang?"
• "I thil tawn danah chuan heng enkawlna awlsam tak takte hi engtiang chiahin nge an hlawhtlin? Engtik laiin nge surgery hi kan ngaihtuah ang?"
• "I fa ke vun venhim nan eng thil bik nge i tih tur?"

Milroy natna vei fa neih hi natna pangngai nei fa neih ang a ni lo. I fa enkawlna kawnga hmalakna hmasa ber chu nangmah leh midangte he natna chungchang hi zirtir hi a ni. I theih ang tawkin zir la, i fa medical team-te zawhna zawh pawh hlau suh. Nangmah chauh i ni lo va, tanpui thei tur mi tam tak an awm bawk.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian point pawimawh ber berte hi han recap leh ila:

• Milroy natna hi pian tirh atanga lo awm thei a ni a, genetic factors avanga lymphatic system hnathawh tichhe thei a ni a, chu chuan ke a ti na a ni.
• This is rare , mahse i naute ke a hring a nih chuan damdawi lam thurawn lak a pawimawh hle. Diagnosis leh enkawl vat a pawimawh hle.
• Enkawlna hrang hrangah chuan compression socks, special tape, lymphatic drainage massage, a chang chuan surgery te pawh a tel.
• Since this is a chronic condition , naupang enkawl tha a pawimawh a, vun enkawl a pawimawh a, natna hrik laka venhim a pawimawh a, damdawi lam enkawlna mumal hnuaia dah a pawimawh bawk.
• Lungngai suh. He natna chungchâng hriat chian leh i doctor-te nêna thawhhona hmang hian i fa chuan nun pangngai nun kawngah kawng thui tak a zawh thei a ni.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor emaw, naupang enkawltu emaw nen inbiakna neihpui ngei ang che.

` Milroy-a natna, Lymphatic System, Naupang ke a hring, Lymphedema, Pianpui Natna, Genetic Diseases, Enkawl dan