I ke chu a sen a, a na hle em? Chu chu Phlegmasia Cerulea Dolens a ni em? Hemi chungchang hi han sawi ila!

I ke emaw, i kut emaw chhunga vein chhungah thisen zam a lo awm a, chu chu a sen a, a hring a, a na tih i hre tawh em? Hei hi natna khirh tak a ni a, mahse chutiang chuan a awm lo. Vawiin hian he natna hi `Phlegmasia Cerulea Dolens` tih hi kan sawi dawn a ni. Lungngai suh, fimkhur a pawimawh.

Hei hi eng nge ni `Phlegmasia Cerulea Dolens`?

A awlsam zawngin sawi ila, `Phlegmasia Cerulea Dolens` hi kan taksa thisen zam lian tak emaw, thisen zam tam tak emaw, a bik takin ke (leh a chang chuan kutphah) (`Deep Vein Thrombosis` emaw `DVT` tia hriat bawk)-a thisen zam tam tak a awm chuan thisen kalna kawng a tikhawlo vek a ni. Tui pipe pakhat chu bawlhhlawh lian takin a khar a, chu chuan tui chu a luang chhuak lovin a inzawm khawm ta tih han mitthla teh.

Hetianga vein a block hian thisen a kal tha lo. Thisen chu a luang thla thei lo va, a back up thei lo bawk. Chuti a nih chuan eng nge thleng? Chu hmunah chuan thisen a awm khawm a, chu chuan ke chu a ti hring chhuak ta a ni. He swelling hian vein chhunga pressure a ti sang a, oxygen phur thei arteries te chu pressure a siam a ni. Tui hip thei lo sponge hnim lutuk ang mai a ni. I hrual chhuah hma loh chuan tui tam zawk i dah thei lo. Chu chu hetah hian a thleng thin. Hei hian tissue-a oxygen thleng pawh a ti tlem bawk.

A pawimawh ber chu hei hi medical emergency a ni . Hriatchhuah leh enkawl vat a nih loh chuan ke chu a chhe thei a, nunna pawh a tichhe thei a ni. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan `Phlegmasia Cerulea Dolens` hi a awm lo hle a ni . Chu chu hmuh tur awm lo tak a ni tihna a ni. Doctor thenkhat chuan an career chhung zawngin hetiang damlo hi vawi khat emaw vawi hnih emaw chauh an hmu thin. Chuvangin, statistics lian tak tak a awm lo.

`Phlegmasia Cerulea Dolens` natna lan chhuah dan chu engte nge ni?

A hming awmzia chu "a na tak blue swelling" tihna a ni. Chu chuan a lan chhuah dan a sawifiah a ni. I ke emaw, i kut emaw-ah heng zinga pakhat tal hi zawng rawh:

• Vun rawng danglam: A sen, bluish-purple rawng a lo lang thei. He rawng hi ke pum puiah a darh thei.
• Natna nasa tak: Natna pangngai mai ni lovin, tuar harsa tak tak natna.
• Swelling: A hring nasa hle a, khawih harsa tak angin a lang.
• Skin blisters: A chang chuan fluid-filled blisters (`blisters`) a lo lang thei bawk.
• Numbness emaw tingling emaw: Pricking emaw tingling emaw ang maiin a lang thei.

Kan taksa circulatory system insiam dan avang hian he natna hi ke veilam ah a awm tam zawk niin an sawi bawk .

`Phlegmasia Cerulea Dolens` hi engte nge ni?

Hei hi a chhan ber chu thisen zam lian (Venous Thromboembolism) vang a ni.Hei hi kea `DVT` awm avanga harsatna angin a thleng tlangpui. Chu chu thisen zam chu thisen zam (vein)-ah a lo piang a, a lian a, venous system zawng zawng a tikhawlo tihna a ni.

Hemi atan hian tute nge hlauhawm ber?

`Phlegmasia Cerulea Dolens` vei theihna tur risk factors hi a tlangpuiin thisen zam vei theihna risk factors nen a inang tlangpui. Anni chu:

• Cancer: Hei hi a hlauhawm ber leh a tam ber a ni.
• Surgery: Surgery lian tak hnuah.
• Inhliam: Hliam na tak, a bik takin ke ruh a awm.
• Naupai: Naupai lai leh nau neih hnuah.
• Naupai venna damdawi ei emaw hormone therapy emaw:
• Inflammatory Bowel Disease (IBD) atanga lo chhuak a ni.
• Body Mass Index (BMI) 30 aia tam: Hei hian thau lutuk tihna a ni.
• Thisen zam (blood clotting disorders): Mi thenkhat chu an pianpuiin an thisen a zam awlsam duhna nei an ni thei.
• Venous insufficiency: Vein chhunga valve te hian hna an thawk tha lo.
• May-Thurner syndrome: Ke veilam vein pakhat chu artery in a compress a.
• Lung lam chak lohna: 1.1.
• Hmun khata rei tak awm/khumah inkhung (`Inability to move around`): Entirnan, operation lian tak hnuah ni engemaw zat khumah i awm a ngai a nih chuan

He natna hi kum 40 leh 50 inkar ah a awm tam ber nia sawi a ni .

`Phlegmasia Cerulea Dolens` avanga harsatna awm thei te chu engte nge ni?

Hei hi natna khirh tak a ni a, harsatna pawh a na thei hle.

`Phlegmasia Cerulea Dolens` vei zinga 50% vel chuan `Gangrene` tih natna an nei thei a, chu chu tissue thihna a ni . Gangrene a lo awm chuan a chang chuan ke emaw kut emaw tan a thlen thei bawk.

Tin, heng mite hian `Pulmonary Embolism` tih natna an nei thei bawk a, chu chu thisen zam a ni a, chu chu lungah a kal a ni . Hei pawh hi nunna atana hlauhawm tak a ni.

`Phlegmasia Cerulea Dolens` hi engtin nge kan hriat theih ang?

Heng symptoms te hi i neih chuan doctor in i medical history a enfiah ang a, physical exam a ti ang. Zawhna an zawt thei che a, chungte chu:

• "Engtik atang khan nge heng symptoms te hi a lo intan?"
• "He thil vang hian eng nge i tih theih loh?"
• "Tun hmain thisen kalna kawng lama harsatna i neih avangin enkawl i lo ni tawh em?"
• "I chhungte zingah thisen zam chungchangah harsatna nei an awm em?"

Eng ang test nge tih a nih ang?

`Phlegmasia Cerulea Dolens` i vei em tih chiang taka hriat duh chuan i doctor chuan a hnuaia test te hi a ti thei ang:

• Ultrasound hmanga enfiah a ni:Vein-a thisen zam awm leh awm loh leh thisen a kal dan enfiah thin ang che.
• Thisen test: Thisen zam chhinchhiahna, infection status, etc. te enfiah thin ang che.
• `Computed Tomography Angiogram (CT Angiogram):` Hei hian thisen kalna kawng chipchiar tak a la thei.
• Magnetic Resonance Angiogram (MR Angiogram): Hei hi thisen kalna kawng (veins) thlalak lak dan dang a ni.

`Phlegmasia Cerulea Dolens` hi engtin nge kan enkawl ang?

Hei hi emergency a nih avangin enkawl tan nghal a ngai a ni.

Doctor chuan i ke chu i thinlung atanga degree 60 velin a chawi sang hmasa ang . Hei hian i ke ruh (veins) atanga thisen chhuak turin a pui a, thisen kalna a ti tha a, a hring (swelling) a ti tlem bawk. Fluid an pe thei bawk che a, i ke zawng zawng chu compression bandage-in an khuh thei a, tlem tal kal kual turin an ti thei bawk.

Vawi tam tak , damdawi bakah hian damdawi lam kalphung pawh a ngai thin. I ke a hring emaw, gangrene chhinchhiahna a awm emaw chuan i ke chu hlauhawm takah a awm tihna a ni. Doctor-te chuan thisen zam chu a rang thei ang bera paih chhuah an tum ang a, gangrene a lo luh hmain Phlegmasia Cerulea Dolens chu enkawl an tum ang.

Enkawlna tum berte chu:

• Thisen zam paih chhuah.
• Vein hawn leh thisen kal dan siam that.
• Thil awmdan a chhe zual loh nan titawp rawh.

Damdawi leh enkawlna bikte

`Phlegmasia Cerulea Dolens` tan hian a hnuaia enkawlna te hi hman theih a ni:

• Anticoagulant damdawi: Entirnan, Heparin ang chi damdawi. Chung damdawi chu thisen zam chhunga inject thin a ni.
• `Thrombolysis`: Hemiah hian tube te tak te `catheter` an tih chu vein kaltlangin thisen zam awmna hmunah an kal a, chuta tang chuan damdawi an pe a, chu chuan thisen zam chu a tithianghlim a ni.
• `Thrombectomy`: Hei hian thisen zam chu incision te tak te hmang emaw, surgery lian zawk (`open procedure`) hmanga lakchhuah a ni.
• Angioplasty leh/ emaw stent dah: May-Thurner syndrome vei te chu thisen kalna kawng hawn reng nan tih a ni.

Enkawlna avanga harsatna/side effect awm thei

Thisen zam chhuahna tur surgery lian tak (`open surgery`) hian harsatna a thlen thei a, chungte chu:

• Thisen zam a lo awm leh theihna chance a sang.
• Thisen kalna kawng a chhiat.

Anticoagulants leh thrombolysis hmanga enkawlna hian thisen chhuah theihna a keng tel a ni . Thrombolysis hian pulmonary embolism a thlen theih avangin doctor-te chuan a venna atan inferior vena cava (IVC) filter hman a rawt fo thin.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

Mi thenkhat chuan anticoagulant an ei tan atanga darkar khat chhung lek chhungin an dam tan thei. Mahse, mi tam zawk chuan damdawi an ei tan atanga darkar engemaw zat hnuah chauh an dam lo. Darkar 6-12 chhunga a dinhmun a ṭhat loh chuan doctor chuan damdawi bakah hian tih dan tur a rawt thei bawk.

Thisen zam paih chhuah tura operation i tih chuan ke ruh hring leh rawng danglam ang chi thilte chu a bo nghal vat tih i hmu mai thei. Operation hnuah a danglamna chu i hre nghal mai thei .

`Phlegmasia Cerulea Dolens` hi ven theih a ni em?

Ni e, eng emaw chen chu a theih a ni. Hetiang dinhmun hi DVT (deep vein thrombosis) ven emaw , DVT chu Phlegmasia Cerulea Dolens-a a lo than hmaa enkawl emaw hmanga ven theih a ni.

`Phlegmasia Cerulea Dolens` ka neih chuan eng nge ka beisei theih ang?

`Phlegmasia Cerulea Dolens` hi i ke hloh emaw, nunna atana hlauhawm emaw pawh a ni thei. Chuvangin doctor te chuan hma an la nghal vat a, i dinhmun a nasat loh nan enkawl an tan thin. Damdawi pek che emaw operation atana buatsaih emaw turin an rawn tlanpui che niin i hria mai thei . A chhan chu, enkawlna rang tak hi result tha ber hmuh theihna kawng tha ber a ni .

Damdawi inah ni engemaw zat i awm a ngai dawn a ni. Thisen zam zawng zawng a bo vek tawh tih chian nan scan (imaging test) dang i nei thei bawk.

`Phlegmasia Cerulea Dolens` chungchang thlirletna

Thrombolysis hmanga enkawlna hlawhtlinna hi 85% atanga 95% inkar a ni.

Mahse, enkawl loh chuan Phlegmasia Cerulea Dolens hian gangrene a thlen thei a ni. Gangrene a lo awm chuan taksa peng tan theihna chu 20% leh 50% inkar a ni . Gangrene awm emaw awm lo emaw pawh nise, he natna hi thihna thlen thei a nih theihna chu 20% leh 40% inkar a ni.

Enkawl that loh chuan `Phlegmasia Cerulea Dolens` a lo awm leh thei.

Enkawl vat a nih pawhin `Phlegmasia Cerulea Dolens` vei tam tak chuan an thisen zam chhunga valve-ah harsatna an nei thei a, nakin lawkah `Post-thrombotic syndrome` an tih natna an nei thei bawk.

Engtin nge ka in enkawl ang?

Enkawl hmasak hnuah pawh thisen tithianghlimtu damdawi (anticoagulants) i ei chhunzawm zel a ngai dawn a, chu chu i natna a lo awm leh tawh loh nan a ni. I dinhmun azirin heng damdawi te hi thla engemaw zat emaw, a aia rei emaw i ei a ngai mai thei.

Engtikah nge Doctor ka hmuh ang?

I thisen zam chu a level dik takah a awm leh awm loh enfiah turin i doctor chuan i thisen a enfiah fo a ngai ang. Tin, nakin lawkah harsatna a awm leh awm loh en turin i tlawh fo a ngai bawk ang.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

`Phlegmasia Cerulea Dolens` symptoms i neih chuan, emaw, a hmaa symptoms i neih tawh a, tunah chuan i tawng leh tawh a nih chuan doctor lam pan nghal rawh Tin, thisen zam dang symptoms emaw `Pulmonary Embolism` symptoms i neih chuan damdawi in pan nghal tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah zawhna i zawt thei ang:

• "Eng chen nge heng anticoagulants te hi ka ei a ngai dawn?"
• " Engzat nge follow-up turin ka lo kal a ngai?"
• "Eng thilin nge ka `DVT` hi a thlen theih?"

`Phlegmasia Alba Dolens` leh `Cerulea Dolens` te hi eng nge an danglamna?

`Phlegmasia Alba Dolens` pawh hi thisen zam avanga harsatna awm a ni. Mahse, i tissue-a thisen kal chu a titawp lo. A hminga `alba` tih thumal hi `var` tihna a ni. Chumi awmzia chu ke chu a hring chhuak tihna a ni. `Alba Dolens` hi `Phlegmasia Cerulea Dolens` a lo awm hmain a lo awm thei.

`Phlegmasia Cerulea Dolens` hi a na zawk a ni. Thisen kal dan a nghawng a ni. Clot awmna tissue-a thisen supply chu a titawp a ni.

He thawnthu atang hian kan hriat reng tur pawimawh ber chu!

`Phlegmasia Cerulea Dolens` chungchangah hian hun hi a pawimawh ber a ni . Nangmah emaw, i hmangaih takin emaw heng symptoms te hi i neih chuan damdawi lam pan nghal hreh suh. Ke pakhat chhanchhuah nan enkawl vat a pawimawh a, nunna pawh chhanchhuah a pawimawh bawk.

A châng chuan doctor-te’n hmanhmawh taka thu tlûkna an siam a, thil an tih thuai hian i hlauthawng thei a ni. Mahse, i thatna tur atan an ti vek a ni. I hriatthiam loh thil a awm chuan zawhna zawh hreh suh. Hriattîr nih hi himna kawng ṭha ber a ni.

` Phlegmasia Cerulea Dolens, DVT, Thisen zam, Ke hring, Vein block, Gangrene, Pulmonary Embolism