I kal veilam vein chu a tight deuh niin i hria em? Nutcracker Syndrome tih a ni! I sawi dawn nia.

I pum veilam emaw, i ruhro emaw ah natna i nei tawh em? A nih loh leh i zun chhungah thisen i hmu tawh em? A chang chuan heng thilte hi ngaihthah theih a ni. Mahse, ngaihven deuh ngai dinhmun chhinchhiahna an ni thei bawk. Chutiang dinhmun pakhat, sawi tam loh, mahse hriat tur pawimawh tak chu Nutcracker Syndrome an ti a. Vawiin hian chipchiar tak leh awlsam takin kan sawi dawn a ni.

Nutcracker Syndrome hi eng nge ni? Eng thil chiah nge thleng?

A awlsam zawngin, Nutcracker Syndrome hi i kal veilam atanga thisen kalna kawng lian tak (``left renal vein`` tia koh bawk) a inkharkhip thinna a ni. He thisen kalna kawng hi i kal veilam atanga thisen thianghlim chu i thinlungah a phur kir leh thin a ni. Chuvangin, he vein hi a block chuan thisen kal a tikhawlo thin.

Ngaihtuah teh, he thisen kalna hi i kal veilam atanga lo chhuak hi, kan pum chhunga thisen kalna kawng lian pahnih kaltlangin thinlungah a kal a ngai a ni. Pakhat chu kan pum chhunga thisen kalna bulpui ber a ni a, chu chu ``abdominal aorta`` a ni. A dang chu ``superior mesenteric artery`` a ni. A tlangpuiin renal vein hian heng artery pahnih hi engmah tikhawlo lovin a kal thei a ni.

Mahse, nutcracker syndrome vei mi pakhatah chuan chu thisen kalna kawng lian pahnih chu nutcracker hmui pahnih ang maiin an inzawm khawm a, renal vein chu a ti hrual a ni . Nut chu nut hmanga tihchhiat ang maiin. Chuvangin "nutcracker" tih hming a pu ta a ni. A tight chuan renal vein chhungah thisen sang a sang a, thisen chu hnunglam hawiin a luang tan ta a ni. Hei hian a chhehvela thisen kalna kawng te te pawh a ti hring thei bawk.

He tightening hi engtin nge a awm tih a zirin chi hnih lian tak a awm a:

• Anterior Nutcracker Syndrome: Hei hi a tam ber a ni. Renal vein chu abdominal aorta hmaah a compress a, chu chu pum hmalam a ni tihna a ni.
• Posterior Nutcracker Syndrome: Hei hi a tlem zawk. Hetah hian renal vein chu abdominal aorta hnung lamah compress a ni a, chutah chuan spine leh aorta inkarah a kal a ni.

Thil dang rarer deuh pawh a awm a, mahse kan sawi tam a ngai lo.

Nutcracker Phenomenon leh Nutcracker Syndrome inthlauhna

An pahnih hi tibuai suh. Nutcracker Phenomenon hi renal vein a narrowing a, mahse symptoms a awm loh chuan a ni. A chang chuan condition dang scan laiin accident-in hmuhchhuah a ni.

Mahse, Nutcracker Syndrome hi a tight bakah hian symptoms i neih hian a ni. Chu chu he tightness avang hian hrehawmna i tawk tihna a ni. Chu chu enkawl ngai a nih lai a ni.

Engvangin nge hei hi "The Nutcracker" an tih?

Ka sawi tawh ang khan, kum 1937 khan damdawi lam zirchiangtu pakhat chuan he natna hi pum chhunga thisen kalna kawng lian pahnih "sakeibaknei hmui pahnihin renal vein a hrual ang maiin" tiin a sawi. "Savain banana a tihkeh ang mai" a nih thu a sawi bawk. Chuvang chuan hetiang hian an ko thin. Hei hi damdawi lama hming pangngai chu `left renal vein entrapment syndrome .'

He natna hian tute nge a nghawng ber? Engtiang chiahin nge a hluar?

Nutcracker syndrome hian naupang bakah puitling kum 60 thleng a vei thei a, mahse, zirchianna thenkhat chuan kum sawmhnih, kum sawmhnih leh kum sawmthum inkar mite zingah a tam zawk tih an sawi Body mass index (BMI) hniam neiah pawh a tam zawk a, chu chu an thin tihna a ni .

This is considered a rare condition , mahse mi engzat chiah nge an neih tih erawh data a awm lo.

Nutcracker Syndrome hi eng nge a hlauhawm? Harsatna a awm thei em?

A châng chuan hei hian natna lan chhuahna lian tham a thlen thei lo va, a mah chauhin a reh thei bawk a, a bik takin naupangteah chuan. Mahse, enkawl loh chuan hun kal zelah harsatna a thlen thei a ni. Chung zingah chuan:

• Renal vein chhungah thisen zam (blood clots) a lo awm thin.
• Hun kal zelah renal veins-a pressure sang vangin kidney chhiatna a awm thin .
• Mipain mipa nau pai theih lohna an tawk thei a , hmeichhiain hmeichhia nau pai theih lohna an tawk thei bawk .
• I nun tichhe thei khawpa natna nasa tak a thleng thei a ni.

Pawimawh: Mi zawng zawngin heng harsatnate hi an tawk vek dawn lo. Amaherawhchu, symptoms i neih chuan doctor pan vat a, thurawn lak a tha ber.

Eng nge a lan chhuah dan? I hriat theih tur leh i doctor-in a hmuh theih tur

Nutcracker syndrome hi symptom engemaw zat a awm a. I tawn theih thilte chu:

• Zun chhunga thisen (hematuria): Hei hi a lan chhuah tam ber a ni. Zun chu pink, red, brown emaw a ni thei.
• Ding laia luak chhuak tih hriat (orthostatic hypotension): Hei hian a awmzia chu i ding nghal mai chuan i mit a sen a, i luak chhuak tihna a ni.
• Left flank pain: Veilam sir, ruh hnunglam chiah ah natna a awm thei.

Heng symptoms te hi mipa leh hmeichhia a zirin a danglam deuh thei bawk.

Mipa tan: Varicocele an tih, chu chu testicles-a thisen kalna kawng a hring chhuak thei a ni.

Hmeichhia hian pelvic congestion syndrome symptoms an nei thei a, hei hi pelvic area-a thisen inzawmkhawm vang a ni. Chung zingah chuan:

• Mipat hmeichhiatna hman laia natna (dyspareunia).
• Zun laiin natna (dysuria).
• Pum hnuai lam, chu chu pelvic area (pelvic pain) a na.

Heng bakah hian doctor-in test hmanga a hriat theih tur symptoms a awm bawk. I hmu thei lo.

• Thisenah thisen sen (red blood cells) tlakchhamna, chu chu thisen tlakchhamna (anemia) tihna a ni.
• Microhematuria chu zun chhunga thisen awm, microscope hmanga hmuh theih chauh a ni.
• Proteinuria chu zun chhunga protein tam lutuk awm hi a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Nutcracker Syndrome thlentu ber chu i thisen kalna kawng a inthlak danglam vang a ni . A châng chuan heng inthlâk danglamna hi i nu pum chhunga i la awm laiin, i thisen kalna kawng a lo awm lai hian a thleng ṭhin. A châng dangah chuan tleirawl laia taksa rihna a san thut (growth spurts) lai te, puitling laia taksa rihna tlahniam nghal (weight loss) lai pawhin a thleng thei bawk. Thil engemaw takah chuan a chhan hmuh tur a awm lo .

Engtin nge hei hi i hriat chian tak? Eng test nge tih thin?

Nutcracker Syndrome hmuhchhuah nan hian hun engemaw chen a ngai thei a, a chhan chu doctor-te chuan natna dang tam tak an paih chhuah a ngai a ni. Diagnosis hi taksa enfiahna atanga tan thin a ni . I doctor chuan i symptoms te a zawt ang che a, i symptoms te pawh a zawt ang che. Tichuan, a hnuaia test pakhat emaw, a aia tam emaw chu thu belhchian dawl zawk hriat tumin an order thei ang:

• Thisen test a ni
• CT scan (CT scan - Computed Tomography hmanga enfiah) a ni.
• Doppler ultrasound hmanga test `(Doppler ultrasound)` hmanga enfiah a ni
• Intravascular ultrasound (IVUS) hmanga thisen kalna kawng (intravascular ultrasound) hmanga tih a ni.
• MRI scan `(MRI - Magnetic Resonance Imaging hmanga enfiah)` tih a ni
• Venogram (Dye inject hnua veins X-ray lak) 1.1.
• Urinalysis tih a ni

Nutcracker Syndrome hi eng enkawlna nge ni?

Enkawlna chu i kum leh i natna lan chhuah nasat danah a innghat. I dinhmun azirin i doctor chuan enkawlna nasa lo zawk hmangin a ṭan thei a ni . Hengte hian a puih loh chuan, a nih loh leh i natna lan chhuah dan a zual chuan operation i mamawh mai thei.

Conservative Management lam hawi

Mi tam tak tan chuan, a bik takin naupang kum 18 hnuai lam tan chuan hei hi i fa rihna tihtlem nana hmalakna hmasa ber a ni. I fain nutcracker syndrome a neih chuan i doctor chuan kum hnih thleng hetiang hi chhunzawm zel turin a rawt thei ang. Hei hian i fa chu a dinhmun enfiah chungin a taksa rihna a tihpun theih nan tanpui a huam a ni. Pum chhunga rit a san chuan renal vein-a pressure a tlahniam thin. Puitlingte chu thla ruk vel chhung chu hetiang approach hi enchhin turin an chah.

He general management hian kal (kidney) hnathawhna tura puitu damdawi te pawh a huam thei bawk. Entir nan:

• ACE inhibitor te hi a ni
• Aspirin a ni

Surgery hmanga hmalakna

Symptom na tak tak i neih a, enkawlna pangngaiin a hlawhtlin loh chuan operation emaw, minimally invasive procedure emaw i mamawh mai thei. I doctor chuan i duhthlan tur te, a thatna leh that lohna te, minimally invasive procedure te hi i tan a tha em tih te a sawipui ang che.

Surgery tum ber chu kal atanga thinlung thlenga thisen kal theihna tur kawng mumal tak, daltu awm lo siam a ni.

Nutcracker Syndrome vei enkawlna leh tih dan thenkhat chu:

• Renal vein transposition: Hei hian i kal veilam vein chu la chhuakin, inferior vena cava an tih vein lian takah i inzawm leh a ni. Hei hian superior mesenteric artery leh aorta kal tlanga kal a ngai tawh lo. Hei hi laparoscopically , chu chu incision te te tlemte hmanga tih theih a ni.
• Stent insertion: Hei hian vun chhunga khur te tak te hmangin renal vein blocked chhungah tube te tak te , stent an tih chu dah a ni. He tube hian vein a hawng a, thisen chu zalen takin a kal thei a ni.
• Renal autotransplantation surgery: Hetah hian i kal veilam chu lakchhuah a ni a, i taksaah, hip ruh-ah dah leh a ni.

Heng surgery te hi a hlauhawm em?

Nutcracker Syndrome surgery apiang hian risk engemaw zat a keng tel vek a ni. I doctor nen i surgery tur a hlauhawm dan tur chu uluk takin sawipui rawh.

Heng surgery zingah hian renal autotransplantation hi a invasive ber a ni. A harsatna ber chu kal (kidney failure) leh thisen chhuah te hi a ni. Hetiang surgery ti fo thin surgeon tawnhriat ngah tak tak te nen damdawi in lian takah enkawl a nih chuan harsatna awm thei chu a tlahniam thei a ni

Hetiang thil thleng hi tihtlem dan tur a awm em?

Dik tak chuan he natna hi vei theihna tur tihtlem dan tur hriat a la ni lo . Nutcracker syndrome hi a lo awm nghal mai mai a, thlahtute atanga lo chhuak a ni lo.

Mahse, doctor-te chuan chhan dang avanga test an tih laiin nutcracker phenomenon (asymptomatic renal vein stenosis) hi accident-in an hmu fo thin. Chuvangin, i medical test leh clinic appointment te i zawm zel a pawimawh hle. Tichuan, natna lan chhuah hmain renal vein stenosis i nei em tih i hre thei ang. Tichuan, symptoms a awm chuan enkawlna i zawn vat a ngai tih i hre tawh ang.

Nutcracker Syndrome vei te hmalam hun eng nge ni ang?

Naupang tan chuan a rah chhuah hi a tha hle tlangpui. Naupang tam tak chu enkawlna lian tham, surgery ang chi tellovin an dam leh thin. Puitling tan chuan a natna lanchhuahna nasat dan leh enkawlna tan hun chhung a zirin a chhuah dan a inang lo. I dinhmun thlirletna chungchang chu i doctor nen sawiho rawh.

Engtikah nge Doctor ka hmuh ang? Eng zawhna nge ka zawh ang?

Nutcracker syndrome symptoms i neih chuan, emaw i symptoms a zual a nih chuan , doctor pan ngei ngei tur a ni.

Surgery i neih chuan in lama in enkawl dan tur chungchangah doctor thupek uluk takin zawm tur a ni. Tin, follow-up appointment- ah pawh kal ngei ang che .

I doctor-in Nutcracker Syndrome i vei thu a hrilh che chuan zawhna tam tak i nei thei. I enkawl dan tur leh enkawlna zawn hun tha ber chungchang i theih ang anga hriat a pawimawh. Zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:

• He dinhmun hian engtin nge ka taksa a nghawng?
• Ka dinhmun hi engtiang chiahin nge a nasat?
• Enkawlna ka mamawh em? A nih chuan engtikah nge?
• Eng treatment option nge ka tan a tha ber?
• He enkawlna hlawhtlinna hi engzat nge ni?
• Enkawlna hian eng hlauhawmna nge a neih?
• Eng chen nge a dam theih ang?

Nutcracker syndrome vei thenkhat chuan vein problem dang an nei thei bawk. I natna dang i neih leh enkawl dan tur chu i doctor nen sawiho rawh.

Hun engemaw chen chu symptoms i nei tawh a, mahse a chhan i hriat loh chuan a tawpah chuan diagnosis i neih chuan hahdamna a ni thei. Mahse, enkawlna kawng hrang hrang leh operation i mamawh dawn leh dawn loh ngaihtuah pawh a hlauhawm deuh thei bawk. Thu lawmawm tak chu zirchiangtute chuan he natna hi an zir belh zel a, minimally invasive method hmanga enkawl dan tur pawh an zir belh zel a ni. I doctor nen i tana enkawlna tur ruahmanna tha ber leh hmalam hun atana i beisei tur chungchang sawipui rawh.

A tawp berah chuan thu pawimawh thenkhat (Take-Home Message) .

Okay, chuvang chuan Nutcracker Syndrome chungchang hi kan sawi nasa hle. Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Hei hi left kidney a thisen kalna kawng a block avanga lo awm a ni .
• I zun a thisen emaw, i veilam a na emaw ang chi symptom i neih chuan doctor pan rawh.
• Naupangte chu anmahniin an dam thei fo .
• Puitling tan chuan enkawlna chi hrang hrang a awm a, a natna lan chhuah dan azirin operation pawh a awm thei.
• Hlau suh, mahse inhriattir a pawimawh. I doctor nen zalen takin inbiakna nei la, i tana tha tur enkawlna tur thlang rawh.

He thu hi i tangkaipui ngei ka beisei. Hrisel takin awm rawh!

` Nutcracker syndrome, kal natna, kal veilam vein, thisen kalna kawng a stenosis, zun chhunga thisen, pum na, surgery