I kal laiin i ke a na em? Peripheral Artery Disease (PAD) a ni thei ang em?

I keah natna emaw, rilru hahna emaw i nei em, a bik takin hla vak lo i kal emaw, stairs i chhoh emaw hian? Rei vak lo a thut hnuah a reh lo em ni? Mi tam tak chuan hei hi tar chakna emaw, ruh natna emaw avanga thil awm pangngai niin an ngai a, mahse thil pawi zawk chhinchhiahna a ni thei. Vawiin hian Peripheral Artery Disease, a nih loh leh PAD tih hming pu, heng symptoms te hi a thlen thin kan sawi dawn a ni. Hei hi a hmaa hriat chhuah a nih chuan awlsam taka enkawl theih tur condition a ni.

A awlsam zawngin, Peripheral Artery Disease (PAD) hi eng nge ni?

Awle, hetiang hian han sawi ila. Kan taksa peng zawng zawnga thisen phur thei thisen kalna kawng ( arteries ) network kan nei a, a dik em? In chhung zawnga tui phur thei plumbing system ang mai a ni. Peripheral Artery Disease (PAD) chu chu thisen kalna kawngte, a bik takin ke, hip leh a chang chuan kut thlenga thisen phurtu te chu zawi zawiin a zim deuh thin hi a ni.

Hun a kal zel a, i in chhunga tui pipe-te chu a hnim a, bawlhhlawhin a khuh a, chu chuan tap aṭanga tui luang chu a ti tlem ta niin han ngaihtuah teh. Chutiang bawkin thau leh cholesterol ang chi thil te chu kan thisen kalna kawngah a pungkhawm a, ‘plaque’ a siam thin. Damdawi lamah chuan hei hi (atherosclerosis) kan ti thin. He plaque hian thisen kalna kawng chhunga hmun awm chu a ti tlem a ni. Chu chuan an kal tlanga thisen kal chu a tikhawlo a ni. Chu natna chu ke ruhte hian thisen atanga an mamawh oxygen leh nutrients an dawn loh atang hian a intan thin.

He natna hian khawvel pumah mi maktaduai 200 chuang a vei a ni. Kum upat rualin a vei theihna a sang chho zel. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

PAD natna lan chhuah dan chu engte nge ni?

Mi tam tak chuan a tir lamah symptom an nei lo. Mahse, natna a zual zel chuan heng symptoms te hi a lo lang thei a ni. A lan chhuah dan bulpui te han thlir ila.

Mipa tan chuan he natna hian penis-a thisen supply a tichhe thei a , chu chuan erectile dysfunction a thlen thei a ni .

Tute nge PAD vei theihna chance sang zawk?

He natna hi tu pawhin vei thei mah se, mi thenkhat chu an hlauhawmna a sang zawk. Heng risk factors te hi i nei em tih en rawh .

• Meizial zu thinte tan : Hei hi risk factor ber leh na ber a niMeizial zuk hian thisen kalna kawng chhung lam bang smooth tak chu a tichhia a, clots siam chak zawk a ni.
• Zunthlum vei tan : Thisen sugar level sang hian thisen kalna kawng a tichhe thei bawk. Zunthlum vei leh meizuk ve ve ve ve mi pakhat chu PAD vei theihna chu a let hnih atanga a let li velin a sang zawk a, chu chu natna pahnih nei lo mi aiin a let hnih atanga a let li in a ni.
• Thisen sang nei tan: Pressure a san chuan thisen kalna kawng bang a chhia a, thisen zam (clots) siam a awlsam phah thin.
• Cholesterol emaw triglyceride level sang tak nei tan: Thisenah thau a tam poh leh thisen kalna kawngah plaque angin a awm theihna chance a sang zawk.
• Kidney natna khirh tak nei tan.
• I chhungkuaa mi tu emaw chuan PAD, thinlung natna emaw, stroke emaw a vei tawh a nih chuan.

Enkawl loh chuan eng nge a rah chhuah pawi tak awm thei?

Hei hi i ngaihthah a, ke lama harsatna mai nia i ngaih chuan a rah chhuah pawi tak a nei thei a ni.

Pakhat chu kea thisen kalna chu a tawp vek a, tissue chu a thih tan chuan a ni. Hei hi gangrene an ti a . Chutiang a nih chuan taksa pum puia natna darh zel tur ven nan kut zungtang, ke ruh emaw, ke thenkhat emaw tan a ngai mai thei . Mahse lungngai suh, hetiang thil hi a thlen loh nan doctor ten theihtawp an chhuah mek a ni.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

Doctor i pan hunah i symptoms te a zawt hmasa ang che. Tichuan i ke chu a enfiah ang. A bik takin, i ke hmun hrang hranga pulse awm chu a hre ang a, thisen kal dan a inthlak danglam leh awm loh a enfiah ang.

Tichuan, natna hriat chian nan test eng emaw zat tih theih a ni:

• Ankle-brachial index (ABI): Hei hi test awlsam tak, natna nei lo a ni. I kut a pressure leh i ke ruh a pressure te a teh a, a pahnih hi a khaikhin a ni. A tlangpuiin i ke ruh chhunga pressure chu i kut a pressure aiin a sang deuh tur a ni. A hniam chuan i kea thisen kal danah harsatna a awm tihna a ni.
• Vascular ultrasound hmanga enfiah a nih chuan:Hei hi naute scan ang mai a ni. Thisen kalna kawng chhunga thisen kal chak dan leh blockage eng pawh a hre thei.
• Pulse volume recording (PVR): Hei hian kea thisen kal zat tehna a ni.
• CT angiogram / MRA (Magnetic resonance angiogram – MRA): Hengte hian thisen kalna kawng chipchiar takin a la thei a, a block na hmun dik tak leh a zau zawng a hriat theih bawk.

PAD enkawl dan tur chu engte nge ni?

Enkawlna chu i natna lan chhuah dan nasat danah a innghat. A tir lamah chuan nunphung thlak danglam leh damdawi hmangin an thunun tha thei hle.

1. Nunphung tihdanglam

Hei hi enkawlna lungphum a ni.

• Exercise: Exercise, a bik takin supervised exercise (Structured Exercise Therapy) hi a hlawk hle. Hetah hian treadmill-a kal tura siam i ni. I ke a na tan chuan rei vak lo i ding a, a na a reh chuan i kal leh thin. Hei hian i keah thisen kalna kawng thar a tipung a ni.
• Thinlung hrisel ei tur: Thlai, thei, nut, leh whole grains tamna, hriak leh chi tlemna eitur hman a pawimawh hle.
• Meizial Zuk Bansan: Ka sawi nawn leh a, nangmah tan i tih theih tha ber chu i zuk loh chuan vawiinah hian i bânsan hi a ni. Hemi chungchangah hian i doctor hnenah tanpuina dil rawh.

2. Damdawi (damdawi chi hrang hrang) .

I doctor chuan heng damdawi chi hrang hrangte hi a pe thei ang.

• Blood thinners: Thisen zam a ti tlem a, thisen kal a ti awlsam bawk. (Ex: Clopidogrel, Aspirin) te hi a tha hle a ni.
• Cholesterol tihhniamna damdawi (Statins): Thisen kalna kawnga plaque awm zat a ti tlem.
• Thisen sang damdawi: Thisen kalna kawng chhiatna tihziaawm.
• Vasodilators: Heng damdawi te hian thisen kalna kawng a tizau deuh a, natna awm lovin i kal theihna tur a tipung a ni. (Ex: Cilostazol) a ni.

3. Ke enkawl dan bik

PAD vei tan chuan an ke enkawl hi a pawimawh hle.

• Nitin i ke chu hliam, a hring leh a rawng danglam leh awm loh enfiah thin ang che.
• Nitin sahbawn hmangin kut sil la, uluk takin vawt la, i ke ruh inkarah pawh vawt rawh.
• Kekawr bul lovin kal ngai suh.
• Kekawr leh socks hrual, in fit tha, nem tak hmang rawh.

4. Thiltih dan leh Surgery te

Damdawi hmanga thunun theih loh leh nunphung tihdanglam theih a nih loh chuan, a nih loh leh natna a nasat chuan hetiang enkawlna hi i pan a ngai mai thei.

• Angioplasty: Thisen kalna kawngkhar khar chhungah hian tube te tak te (catheter) dahin a tawp lamah balloon ang maia phuhrukin a khar chu a zau zawk a ni. A chang chuan mesh ang chi thil te tak te, stent an tih chu a khar leh tawh loh nan an dah lut thin.
• Atherectomy: Catheter hmangin thisen kalna kawng chhunga plaque awm chu an scrape chhuak thin.
• Peripheral artery bypass surgery: Heart bypass surgery ang bawkin taksa peng dang atanga thisen kalna emaw artificial artery emaw hmanga thisen kalna kawngkhar blocked bypass hmanga thisen kalna kawng thar siam a ni.

Engtikah nge Doctor ka hmuh ang? Engtikah nge ETU ah hian ka kal ang?

Heng thilte hi i hriat chuan doctor hmu ngei ang che.

• Symptoms a intan chauh a nih chuan emaw, symptoms awmsa a na zual zel a nih chuan.
• Kea kal a harsat lutuk a, hna pangngai pawh i thawk thei lo a nih chuan.
• I ke a na a nih chuan ding mai mai pawh nise.
• I kea hliam dam lo tur i neih chuan.

Damdawi ina kal vat a ngaih huna thil awm dan:

PAD hi dam chhung zawnga natna a ni. Mahse, uluk taka enkawl a nih chuan nun pangngai i hmang thei a ni. Doctor nen inbiak reng a pawimawh.

Peripheral Artery Disease, PAD, ke na, sam tlakchham, thisen kalna kawng khar, atherosclerosis, meizuk, zunthlum