Nutcracker Syndrome hi eng nge ni? A awlsam zawngin sawi ila.

I hnungzang veilam hnuai lam emaw, i pum hnuai lam emaw ah natna i nei fo em? A nih loh leh i zun chhungah thisen tlem i hmu em ? Hetiang symptoms i neih chuan a chhan chu i hriat ngai loh natna hlauhawm tak a ni thei. Vawiin hian he natna Nutcracker Syndrome an tih hi kan sawi dawn a ni. He thu hi hre hlau suh. Hei hi a pawi lo tlangpui a, hemi chungchang hre chiangtu specialist chuan a pui thei che a ni.

A awlsam zawngin, Nutcracker Syndrome hi eng nge ni?

Nutcracker pakhat hi han ngaihtuah teh. Nutcracker hmanga nut crack ang mai a ni. Hetiang dinhmunah hian i kal veilam atanga thisen phur chhuaktu vein lian ber, aorta chu i pum chhunga thisen kalna kawng lian dang pahnih inkarah a inhnawh khawm thin. Hei vang hian Nutcracker Syndrome an ti a ni.

Hetianga vein a inkhar chuan a chhunga thisen kal chu a tlahniam a, a nih loh leh thisen sang a san a, thisen chu kawng dik lo lamah a luang tan ta a ni. Hei hian zun a natna leh thisen ang chi symptoms a thlen thin a ni .

A tam zawkah chuan he vein hi kan thinlung atanga lo chhuak main artery (aorta) leh kan intestines -a thisen petu artery (superior mesenteric artery) inkarah a tang a ni. Hei hi anterior nutcracker syndrome an ti a . A tlem hle a, he vein hi main artery leh spine inkarah pawh a tang thei bawk . Hei hi posterior nutcracker syndrome an ti a .

Nutcracker Syndrome natna lan chhuah dan chu engte nge ni?

A tirah chuan thil lian tham i hre lo mai thei. Mahse vein hi rei tak a block chuan symptom hrang hrang a lang thei. Hengte hi dawhkan pakhatah han en ila.

Renal vein kal tlanga thisen a kal tha theih loh chuan chu thisen pressure chuan pelvis chhunga vein dangte pawh a nghawng thei bawk. Hei vang hian mipa leh hmeichhia a zirin symptoms a inang lo.

He natna hi a awm reng reng lo. A châng chuan hmeichhiate chu an che vel lai emaw, hmun ṭhenkhatah emaw, thlasik laiin emaw a na zual thei bawk.

Nutcracker Phenomenon leh Nutcracker Syndrome inthlauhna

Hetah hian thil dang kan hriatthiam a ngai a ni. Chu chu heng pahnih inthlauhna chu a ni.

• Nutcracker Phenomenon: Hetiang a nih chuan, a chunga kan sawi tak renal vein kha block ni mahse, symptoms i nei lo .
• Nutcracker Syndrome: Hetiang a nih chuan vein a block a, symptoms i nei bawk .

Doctor ten he phenomenon hi an enkawl lo tlangpui. Mahse a hnua symptoms a lo lang a nih chuan doctor hmu ngei tur a ni a, i sawipui ngei tur a ni.

Hetiang dinhmun a lo awm chhan te hi engte nge ni?

Hetiang thil a thlen theih nan hian i lam atangin “sualna” a awm lo. A chhan langsar zualte chu:

• Thisen kalna kawng angle chu congenital narrowing a ni.
• Belly fat hloh (a hring emaw, a rihna tlahniam nghal vang emaw).
• Sudden height gain (rapid growth spurt, a bik takin tleirawl lai).

A awlsam zawngin, heng thilte hian thisen kalna tur hmun a ti tlem a ni. A tlangpuiin chutah chuan vein venhimna atan fat pad a awm thin. Chu chu a thim deuh deuh chuan, a nih loh leh thisen kalna kawng a inthlak chuan thisen kalna chu a inkhar thei a ni.

A chhan hmuh tur awm lo dang:

• Pancreas bula emaw, pum chhunga emaw awm tumor.
• Lymph node a lo hring chhuak.
• Aorta lian zawk.
• Naupai (uterus lian zawkin a chhehvel veins a press vang).
• Spinal problems (a hnungzang hnuai lam curvature tihpun ang chi).

Engtin nge diagnosis hi siam a nih?

Nutcracker Syndrome hi hriat a harsa thei hle a, a chhan chu a natna lan chhuah dan (pum na, zun chhunga thisen) te hi natna tlanglawn dang, kal lung, zun kawng infection, leh endometriosis te nen a inang hle a ni. Chuvangin i doctor chuan a chhan dang a enfiah hmasa ang.

Chutiang chhante chu paih chhuah a nih hnuah, Nutcracker Syndrome nia rinhlelh a nih chuan, renal vein occlusion enfiah nan a hnuaia test te hi tih theih a ni:

• Urinalysis: Hei hian thisen tla te tak te, mit ngeia hmuh theih loh khawpa te pawh a hmuchhuak thei a ni.
• Doppler ultrasound: Hei hi natna nei lo test a ni a, sound wave hmangin renal veins kal tlanga thisen a kal chak dan tehna a ni. Hei chauh hian diagnosis chu a nemnghet thei lo nain, clues pawimawh tak tak a pe thei a ni.
• CT angiography (CTA) emaw MR angiography (MRA): Heng scan chi hrang hrang hmang hian pum chhunga thisen kalna kawng hrang hrangte chu chiang takin a lang thei a. Vein pakhat a block em tih te, thisen hnunglam a luang em tih te, kawng dang a zawh em tih te chiang takin an hmu thei a ni.
• Venogram: Hei hian vein chhungah tube te tak te dahin, a block hma leh a block hnua pressure teh a ni. Pressure-ah danglamna nasa tak a awm chuan hei hi he dinhmun hi a awm tih finfiahna nghet tak a ni. Hetih lai hian IVUS (intravascular ultrasound) tih technique hmangin vein chhung lam en theih a ni bawk.

Enkawlnate chu engte nge ni?

Enkawlna chu i natna lan chhuah danin i nitin nun a nghawng danah a innghat a ni. Mi thenkhat chu enkawlna awlsam tak leh hun kal zelah an dam leh thin. Mi dangte chuan zai an ngai mai thei.

Monitoring leh symptom control

I natna lan chhuah dan a na lo a nih chuan i doctor chuan fimkhur taka nghah a rawt thei ang. A bik takin naupang tê têah chuan he dinhmun hi taksa a lo ṭhan chhoh zêl chuan a mah chauhin a ṭhat chhoh a rinawm. Hemi chhung hian:

• Painkiller (e.g. paracetamol) hman theih a ni.
• Kal tanpui thei damdawi thenkhat (e.g. ACE inhibitors) pek theih a ni.
• I taksa rihna tihtlem chhan a nih chuan i taksa rihna engemaw chen tihpun turin an fuih mai thei.
• Scan emaw zun test emaw hmangin a dinhmun hi enfiah fo a ni.

Surgery leh tih dan dangte

Symptoms a lo tha lo emaw, i nitin nun nasa taka tibuaitu emaw a nih chuan operation tih i ngaihtuah a ngai mai thei. I tana duhthlan tur tha ber chu i kum, hriselna leh i natna lan chhuah danah a innghat ang.

• Renal vein transposition: Hei hian vein blocked chu lakchhuah a, hmun tam zawk awmna hmuna inzawm leh a huam a ni. Hei hi surgery neih tam ber leh hlawhtling ber a ni.
• Stenting: Vein blocked chhungah hian mesh tube (stent) te tak te dahin a inhawng reng thin. Mahse, hei hi thalai tan chuan duhthlan tur tha ber a ni lo, heng stent te hi kumkhuain an daih loh avangin.
• Gonadal vein embolization: Hei hi pelvis-a thisen zam hring (swellen veins) enkawlna atan hman a ni. Chu thisen kalna chu a tikhawlo a ni. Hei hi pelvic pain hi harsatna lian ber a nih chuan a \angkai thei ang.
• Renal auto-transplant: Kal pumpui chu lakchhuah a ni a, taksa hmun remchang dangah dah a ni. Hei hi thil dang zawng zawng a hlawhchham phawt chuan tih a ni.

Nutcracker Syndrome, Kal na, Zun a thisen, Flank na, Hematuria, Left side na