I keah, a bik takin groin area-ah i kal laiin na emaw, na emaw i nei em? He natna hi i kal hlat deuh chuan a pung a, i ding reng chuan a tlahniam em? Heng symptoms te hi i neih chuan he natna hian a nghawng thei bawk. Lungngai suh, hei hi mi tam tak tuar thei dinhmun a ni. Vawiin hian hei hi eng thil nge a thlen tih leh tunlai enkawl dan Atherectomy tih hi han sawi ila.
PAD chu eng nge ni? Engvangin nge veins hi a inkharkhip?
A awlsam zawngin PAD hi Peripheral Artery Disease tihna a ni. Sinhala tawngah chuan kan taksa peng hrang hrang ang chi taksa peng hla tak tak thlenga thisen phurtu thisen kalna kawng (arteries) inkharkhip a ni. Hun a kal zel a, rust leh bawlhhlawh ang chi thilte chu tui pipe-ah a innghat tih han ngaihtuah teh. Chutiang bawkin kan thisen kalna kawng chhungah "plaque" a awm thei bawk. He plaque hi cholesterol, thau, leh calcium ang chi thil awmkhawm atanga siam layer a ni. Damdawi lamah chuan hei hi (Atherosclerosis) kan ti thin.
Hetianga inkharkhip avang hian thisen kalna kawng chu a zim zauh zauh a, a chhunga thisen kal zat chu a tlahniam zel a ni. Exercise i tih emaw, i kal emaw hian i ke ruhte hian thisen an mamawh tam zawk a, chu chu oxygen tam zawk tihna a ni. Mahse thisen kalna kawng a inkhar tlat avangin thisen mamawh zat an hmu lo. Chutah chuan natna leh rilru hahna chu a lo thleng ta a ni.
Atherectomy tih hi eng enkawlna nge ni?
Atherectomy hi thisen kalna kawng khar chhunga plaque lo awm tawh chu paih chhuah emaw, tihfai emaw hmanga enkawlna bik a ni. Hei hi surgery lian tak a ni lo. Chu chu i thisen kalna kawng pakhatah tube (catheter) te tak te tak te dah luh a, a blockna hmuna kaihhruai a ni. He tube tawp lamah hian blade te tak te, hrual hrual emaw, laser light pe chhuak thei hmanrua emaw a awm a.
A dik tak chuan hei hi pipe khar chhunga wire dah a, a chhunga bawlhhlawh awmte chu hrual chhuah ang mai a ni.
He device hian plaque khauh tawh chu a tikehsawm a, a scrape chhuak bawk. A châng chuan, he enkawlnaah hian thisen kalna kawng hawn belh nân balloon angioplasty emaw, a khar leh loh nân stent emaw hman a ngai thei bawk. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.
Atherectomy chi hrang hrang engzat nge awm?
Ni e, doctor-te chuan thisen kalna kawngkhar blockage awm dan leh awmna hmun a zirin atherectomy technique hrang hrang an hmang thin. A chi hrang hrang a awm a.
| Atherectomy tih chi a ni | A awlsam zawngin, eng nge thleng |
|---|---|
| Excisional Atherectomy tih a ni | Yellow layer chu a sir khatah blade hriam tak hmanga tan a ni. |
| Laser hmanga lakchhuahna Atherectomy | Laser beam hmangin yellow layer chu a tithianghlim a, a vaporize a, a tichhia bawk. |
| Orbital Atherectomy tih a ni | Yellow layer chu sandpaper ang chi, rang taka inher thei device hmangin an scrape off a ni. |
| Rotational Atherectomy hmanga tihchhuah a ni | Blade te tak te tam tak nei device chu circle-ah an herh kual a, chu chuan yellow layer chu a tikehsawm a, a paih chhuak thin. |
He enkawlna hma hian eng nge ka tih ang?
Hetiang enkawlna i neih hma hian i doctor chuan i thisen kalna kawngte chu engtiang chiahin nge a block tih hriat chian nan test eng emaw zat a ti ang.
- Angiography: Test-ah hian dye bik an inject a, X-ray hmangin veins map siam a ni.
- Vascular Ultrasound: Sound wave hmanga thisen kalna thisen kal dan enfiahna leh blockage awmte hriat theihna scan a ni.
I enkawl hma ni khatah chuan thupek bik engemaw zat i dawng ang.
- Ei leh in bansan a hun tawh.
- I damdawi ei emaw, tihtawp emaw chungchang, a bik takin anticoagulants .
Heng zawng zawng hi i doctor thurawn ang chiaha zawm a pawimawh hle .
Enkawl lai hian eng nge thleng?
Damdawi in i kal hunah chuan i hak tur gown bik pek i ni ang. Tichuan, enkawl chhungin natna i neih loh nan i rilru ti na thei tur damdawi pek i ni ang. Hei hi i hriat loh laiin tih a ni fo a, mahse, mild sedation hmangin.
1. Doctor chuan i groin emaw i kut emaw a thisen kalna kawngkhar te tak te a siam ang a, chuta tang chuan tube te tak te (catheter) a thun ang.
2. Tichuan X-ray screen en laiin tube chu uluk takin vein blocked awmna hmunah a kaihruai a.
3. Blockage i thlen chuan tube tawp lama device (blade emaw laser emaw) chu activate la, yellow layer chu scrape emaw cut chhuak rawh.
4. Hetiang thil hi thisen kal dan tur daltu a awm loh thlengin vawi tam tak tih leh theih a ni.
A tlangpuiin he thil tih zawng zawng hi darkar hnih vel a ni.
Enkawlna hnuah eng nge beisei tur?
Enkawl zawhah chuan catheter dahna hmun atanga thisen chhuah loh nan darkar engemaw zat (darkar 6 vel pawh a ni mai thei) khumah i muhil a ngai dawn a ni. Hemi chhung hian nurse te hian i thisen sang leh pulse an enfiah reng ang.
A tam zawkah chuan hei hi damdawi ina awm ngai lovin ni khata haw theihna tur enkawlna a ni. Amaherawhchu, mi thenkhat chu ni khat chhung damdawi inah an awm a ngai mai thei. I dinhmun a zirin a ni. Ni rei vak lo hnuah hna pangngai i thawk leh thei tawh ang. Mahse, doctor hnenah thurawn dil a tha ber.
Hei hian eng nge a thatna?
Atherectomy thatna ber chu incision te tak te hmanga tih theih a ni a, surgery lian tak hmanga tih ai chuan . Hei hian dam hun a ti rei lo va, natna a ti tlem a, hliam a ti tlem bawk.
Side effect emaw risk emaw a awm em?
Damdawi enkawlna dang ang bawkin, hlauhawmna engemaw zat a awm thei.
- Yellow layer i scrape chuan a then te te chu a chhe thei a, i hmaa vein te tak te dang ah a tang thei bawk.
- A tlem hle a, scraping device hian vein wall a tichhia a, scratch emaw hole emaw a siam thei.
Mahse hengte hi a thleng fo lo. Doctor tawnhriat ngah tak takte chuan heng hlauhawmnate hi tihtlem nan a tul apiang an ti thin.
Engtikah nge Doctor i hmuh leh duh?
Enkawlna i zawh hnua i haw hunah i doctor i ko nghal tur a ni a, i natna lan chhuah dan thar i neih chuan emaw, i natna awm tawh zawng zawng a na zual emaw a nih chuan i doctor i ko nghal tur a ni . A bik takin a hnuaia mite hi fimkhur hle ang che:
- Groin emaw, ke enkawl emaw a natna nasa tak.
- Ke a hring (Edema) .
- Enkawlna hmuna sen emaw, lumna emaw a awm .
- Ke enkawl laiah chuan a vawt emaw, a hring emaw tih hriat.
Hetiang thil i hriat chuan ngaihthah suh. Damdawi lam thurawn zawng nghal rawh.
Take-Home Thuchah a ni
- PAD (Peripheral Artery Disease) hi taksa peng hrang hranga thisen kalna kawngte a zim a, a zim deuh thin. Hei hian kea kal laiin ke a ti na thei a ni.
- Atherectomy hi tunlai enkawlna hmanraw tha tak a ni a, thisen kalna kawngkhar (bloked arteries) te chu thin tube hmangin a paih chhuak a, operation lian tham a awm ngai lo.
- He enkawlna hi a tlangpuiin a him a, a dam hun pawh a rei lo hle.
- Enkawl hma leh enkawl hnua doctor thupek khauh taka zawm a pawimawh hle.
- Enkawlna hnua natna danglam bik (na, hliam, hliam) i neih chuan doctor hnenah hriattir nghal rawh.
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