I khup hnung lamah bulging vein i nei em? (Popliteal Aneurysm) Kan sawi dawn teh ang!

I khup hnung lamah balloon ang maia bulge a awm tih i hmu ngai em, chutah chuan khup chu a inbeng a? Tlemte chuan natna tlem te, rit tak tak te, a nih loh leh i kutah hnah hring mai mai emaw i nei tawh mai thei. A tam zawkah chuan hei hi thil pawi lo tak niin i ngai mai thei a, mahse a then phei chuan hei hi Popliteal Aneurysm an tih natna a ni thei. Ngaihtuah buai suh, vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.

Popliteal aneurysm tih hi eng nge ni?

A awlsam zawngin, popliteal aneurysm chu i khup hnung lama thisen kalna bulpui, popliteal artery -a bulge a ni. Hun khata tui pipe puak ang mai a ni. Mi thenkhatah chuan ke pahnihah a awm thei.

Hetianga vein a lo hring chuan harsatna a awm thei a ni. Engtin nge i hriat?

• Chu hmun hring chu a chhe thei .
• Chutah chuan thisen zam (thrombose) a lo awm thei a , a then chu a ke hnuai lam vein pakhat chu a inthen thei a, a embolize thei bawk .
• A nih loh leh vein pumpui chu a block thei bawk.

Hetiang thil hi a lo thleng a nih chuan a chang chuan keah chhiatna nasa tak a awm thei a, mi thenkhatin an ke an hloh thei a, an nunna pawh a nghawng thei bawk. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Popliteal aneurysm hi a takah chuan chutiang chuan a awm lo. Statistically chuan hmeichhe 100,000 zinga pakhat vel ah an awm thin. Mipa zingah chuan a sang deuh a, mi 100,000 zinga 7 vel a ni.

Mahse, a awm vak lo nain, taksaa thisen kalna dang nena khaikhin chuan abdominal aortic aneurysm hnua thisen zam awm tam ber pahnihna a ni. Mak tak maiin an pahnih inkarah hian inzawmna a awm a ni. Popliteal aneurysm nei zinga a chanve vel chuan abdominal artery-ah aneurysm an nei thei bawk. Chuvang chuan doctor in heng pahnih zinga pakhat a hriat chian chuan a dang chu enfiah a pawimawh hle.

Hei hi eng symptoms nge ni?

A tam zawkah chuan popliteal aneurysm nei te hian symptom an nei lo . Chu chuan a ti hlauhawm deuh a ni. Mahse, symptoms a lo lang a nih chuan nunna atana hlauhawm tak a ni thei.

Ngaihtuah teh, chu vein hring chu a puak (rupture) nghal a nih chuan eng nge thleng ang?

• Khup hnung lamah natna nasa tak a awm thei.
• Chu hmun chu a lo hring thei .
• Bruise ang chi hmun a lo lang thei bawk.

A nih loh leh, chu vein chhungah chuan thisen zam a lo awm a, a ṭhen chu a inṭhen a, ke hnuai lam thisen kal chu a tawp (embolized emaw thrombose emaw) a nih chuan eng symptom nge a awm ang?

• Ke na a awm .
• I ke chu a hring vek ang maiin i hria .
• Ke chu a vawt ta hle mai .
• Ke ruh te chu a chak lo chho zel a .
• Ke vunA rawn pale ta vek mai.

If you have any of these symptoms, it is very important to seek medical advice immediate , hei hian natna khirh tak a thlen thei a, chu chuan keah thisen kal a tichhe thei a ni.

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

Researcher-te chuan popliteal aneurysm thlentu hi eng nge ni tih chiang takin an la hre lo a, mahse a thlentu tur thil tlemte a awm niin an ngai a:

• Inflammation: Hei hian vein wall-a swelling emaw infection emaw awm apiang a kawk a ni.
• Atherosclerosis: Hei hi thisen kalna kawng chhungah cholesterol ang chi thil a lo awm khawm a, chu chuan thisen kalna kawng bang a ti thim a ni. Hei hian arteries te chu a ti flexible lo va, a chak lo thei bawk.
• Popliteal artery entrapment: Mi thenkhatah chuan he thisen kalna lian tak hi khup hnung lama ruh emaw tissue dang emaw hian a compress thei a ni. Hun kal zelah he compression hian artery a tichhia a, aneurysm a thlen thei bawk.
• Traumatic Injury: Hetiang dinhmun hi khup emaw a chhehvel emaw a hliam na tak a awm vang pawh a ni thei.

Hetiang hi tuin nge nei tam zawk? (Risk factor hrang hrang) 1.1.

Tunah chuan tute nge hetiang (Popliteal Aneurysm) vei theihna sang zawk hi kan en ang.

• I chhungkuaa mi tu emaw hian hetiang hian aneurysm a nei a nih chuan: I nu, i pa emaw, i unaute emaw hian hetiang hian aneurysm an nei a nih chuan nang pawh hi i hlauhawmna tlem hle.
• Mihring var tan: Zirchianna atanga a lan dan chuan he natna hi mipa hring zingah a tam zawk.
• Kum 50 chunglam tan: Kum upat deuh deuh chuan thisen kalna kawng (arteries) a chak loh chuan he hlauhawmna hi a sang chho zel a ni.
• Mipa tan: A hmaa kan sawi tawh ang khan hei hi mipa zingah a tam zawk.
• Connective tissue disorder nei te: Tisa inzawmkhawmna taksa peng hrang hranga chak lohna thlen thei natna nei te pawh hi an hlauhawm zawk.
• Zuk leh hmuam hmangtute tan: Meizial zuk hian thisen kalna kawng a tichhe nasa hle. Chu pawh chu a chhan lian tak a ni.
• Atherosclerosis vei tan: Hei hi thisen kalna kawng tichak lotu lian tak a ni bawk.

Hei hian eng harsatna nge a thlen theih?

Popliteal aneurysm i neih chuan harsatna engemaw zat a awm thei. Tlem kan sawi tawh ang khan:

• Kea thisen kal dan khap: Vein chhungah thisen zam a lo awm a, a piece pakhat a inthen a, ke hnuai lam vein a block chuan ke chhunga thisen kal chu a titawp vek thei a ni. Hei hi a hlauhawm hle mai.
• Aneurysm rupture: Hei pawh hi emergency a ni.
• Popliteal vein compression: Vein hring hian a bula kal vein chu a compress thei a, ke chungah thisen bawlhhlawh a phur thei bawk.
• Nerve compression a awm chuan:Tin, chu hmun kal tlanga nerve kalte compression chuan ke a ti na thei a, a ti na thei bawk.

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Popliteal aneurysm hriatchhuah hi a châng chuan a buaithlak deuh thei a, deep vein thrombosis (DVT) leh Baker’s cyst , khup hnung lama tui khata khat sac ang chi te pawhin chutiang bawka chhinchhiahna a thlen thei a ni. Chuvangin, doctor chuan chutiang dinhmun chu a paih chhuak hmasa ang.

I natna hriat theih nan i doctor chuan i khup hnunglam chu uluk takin a enfiah ang. Vein hring chu i hre thei emaw, i hmu thei emaw pawh a ni thei. I thinlung thawk nen pawh a throb tih i hre mai thei bawk.

I doctor chuan i aneurysm chu `fusiform` (balloon ang maia vessel pumpui vel a bulge tihna) emaw, `saccular` (vessel sir khatah chauh a bulge tihna) emaw tiin a sawi thei.

Eng ang test nge tih thin?

Doctor chuan natna dik tak hriat theih nan test hrang hrang a ti thei a, enkawl dan tur ruahmanna siam turin a tul anga tehna a la thei bawk.

• Duplex ultrasound: Hei hi test hman tlanglawn ber, awlsam, natna nei lo a ni. Vein lian leh te leh thisen a kal that dan te a enfiah thei a ni.
• Computed Tomography Angiography (CTA): Hei hi X-ray leh special dye (contrast dye) hmanga test a ni. Thisen kalna kawngte chipchiar taka thlalak a siam thei a ni.
• Magnetic Resonance Angiography (MRA): Hei hian magnetic field leh radio wave hmangin thisen kalna kawng thlalak a siam thin. CTA aiin thatna engemaw zat a nei.
• Digital Subtraction Angiography: Hei hi test buaithlak deuh a ni. Tube te tak te chu vein pakhatah dahin, dye an inject a, X-ray image an la bawk. Hei hi surgery ruahmanna siam hunah tih a ni fo.

I doctor chuan popliteal aneurysm i nei tih a hriat chuan i ke dang leh i pum chu chutah chuan aneurysm a awm em tih an enfiah mai thei. A chhan chu kan sawi tawh ang khan he natna vei tam tak hian an ke dang leh an pum chhunga main artery-ah hian aneurysm an nei bawk. Aneurysm dang a awm chuan an dam chhung zawng ultrasound scan hmanga enkawl an ngai dawn a ni.

Hei hi engtikah nge enkawl a nih?

Popliteal aneurysm enkawl dan hi i dinhmun a zirin a inang lo. A tlangpuiin aneurysm diameter hi centimetre 2 (cm) a ni.Chu aia lian (inch khat vel) a nih chuan a puak theihna a sang zawk. Hei hi vein pangngai diameter aiin a let hnih vel a ni. I thisen zam (aneurysm)-ah thisen zam i neih chuan, chu aia te zawk pawh ni se, i doctor chuan enkawl a tum mai thei a, a chhan chu a chi khat chu a chhe thei a, i ke-a thisen kal chu a tikhawlo thei a ni.

I popliteal aneurysm chu centimetre 2 aia te a nih a, symptom i neih loh chuan i doctor chuan a lian chho zel em tih en turin a enfiah fo mai thei.

Surgery ka mamawh em?

Popliteal aneurysm avanga symptoms i neih chuan, leh/ emaw centimetre 2 aia lian (symptoms awm lo mahse) i doctor chuan enkawlna atan operation (`popliteal aneurysm repair`) a rawt mai thei.

Enkawlnate chu engte nge ni?

Enkawl dan tlangpui pahnih a awm a.

1. Open surgery neih dan tur:

Hetiang tihnaah hian doctor chuan aneurysm chung leh hnuai vein te chu a khih a, thisen kal dan tur a siam danglam thin. Hei hian i taksa peng dang atanga vein graft hman a huam fo thin. Chumi awmzia chu aneurysm chunglam vein atanga aneurysm hnuai vein thlengin kawng thar siam a ni tihna a ni. Chumi hnuah chuan aneurysm chu an khih a, an block (`ligated').

2. Endovascular lam hawia hmalakna:

Hei hi kalphung thar tak a ni. A bik takin, open surgery avanga harsatna tawk thei, chronic condition dang nei tan hman a ni. Hetiang tih danah hian ke chunglam ah khur te tak te siamin, chuta tang chuan wire dahin, aneurysm chungah metal mesh device (stent graft) dah a ni. Stent graft hian aneurysm a paltlang rualin thisen chu a chunglam atanga a hnuai lam thlengin a luang nghal vek a ni. Aneurysm-ah thisen direct a kal loh avangin zawi zawiin a tlahniam a, a clot a, a thawk thei lo.

Emergency-a enkawl dan tur:

I keah thisen zam a awm a, chu chuan i ke a thisen kal a tikhawlo a nih chuan a enkawl dan chu a danglam deuh hlek a ni. Chutiang hunah chuan i doctor chuan thisen tithianghlimtu, heparin ang chi chu IV hmangin a pe hmasa thei che a ni. Tichuan, ke leh ke natna neiah thisen kal lehna tur angiogram tih theih a ni. A then phei chuan thisen zam (blood thinners) (thrombolytics) an pe thei che a, chu chuan thisen zam chu a tithianghlim thei a, a nih loh leh special devices (suction devices) hmangin thisen zam thenkhat chu lakchhuah an tum thei bawk.

Enkawlna hian harsatna a thlen thei em?

Surgery dang ang bawkin Popliteal Aneurysm enkawlnaah hian harsatna thenkhat a awm thei bawk.

• Kea thisen zam (embolism) a awm.
• Ke tan chhuah: 1.1.Hei hi a thleng tlem hle a, duhthlan tur dang a awm loh hunah chauh a thleng thin.
• Stents a chhe, hmun atanga inthlak, emaw hawn loh emaw.
• Graft blockage chu bypass a ni.
• Nerve hliam a awm.
• Vein thuk takah thrombosis a awm.

Doctor chuan operation hmain hengte hi uluk takin a hrilhfiah ang che.

Eng chen nge tihdam a ngaih?

Open surgery hnuah ni hnih atanga ni thum vel damdawi inah i awm a ngai dawn a ni. Endovascular approach hnuah chuan dam leh hun chhung hi a tawi zawk tlangpui. Mahse, a dam kim theih nan hun engemaw chen a la ngai dawn a ni. Chumi hun chhung chuan doctor thupek zawm a pawimawh hle.

Hetiang dinhmun nen hian eng nge i beisei tur?

Tunah hian popliteal aneurysm symptoms nei lo mah la, nakin lawkah symptoms i nei thei ang. Tin, harsatna a awm thei bawk.

Popliteal aneurysm hi a awm lo hle. A tam zawk chu thisen zam a chhuak a, i ke chhunga vein pakhat a block hi a ni. Endovascular surgery i neih chuan open surgery aiin hliam avanga harsatna i nei tlem zawk mai thei. Mahse, a damna chu open surgery angin a rei lo thei.

Eng ang thlirna nge ni ang? (Outlook/Prognosis) tih a ni.

Symptoms a lan hmaa popliteal aneurysm siamthat i neih chuan i prognosis a tha zawk hle . Research atanga a lan dan chuan bypass graft nei zinga 80% chuan kum nga hnuah pawh an thisen kalna thar chu a la thawk tha hle.

Mahse, aneurysm avanga symptoms i neih chuan i outlook chu a tlem deuh mai thei.

Zirna pakhatah chuan popliteal aneurysm ruptured avanga operation nei zinga a chanve aia tlem chauh chu kum khat hnuah an dam tih hmuhchhuah a ni. Tin, popliteal aneurysm-a thisen zam nei zinga 15% vel chu an ke tansak a ngai bawk.

Heng statistics te hian hlauthawng suh. Hengte hi thu tlangpui chauh a ni. Heng thilte hi i dinhmun a zirin, i enkawl dan leh i in enkawl dan azirin a danglam thei a ni. Chuvangin, i doctor nen inbia la, i dinhmun nena inmil information chu la rawh.

Engtin nge he hlauhawmna hi tihziaawm theih ang?

Doctor te chuan popliteal aneurysm awm chhan ber chu atherosclerosis a ni an ti . Chuvangin, chu dinhmun chu i control thei a nih chuan he risk hi i tihtlem thei a ni.

• Zuk leh hmuam thil hman kha bansan vek rawh. Hei hi a pawimawh ber a ni.
• I cholesterol number chu normal takin dah la.
• Thisen sang i neih chuan , control tha rawh.
• Thinlung hriselna atana tha ei tur saturated fat tlem te ei thin ang che.
• Kar khatah minute 150 tal exercise la.

Engtin nge ka in enkawl ang?

Zuk leh hmuam hmangtu i nih chuan zuk leh hmuam bânsan chuan i hriselna a hlawkpui hle ang. Tin, a hnuaia condition te hi i neih chuan control turin hma la rawh:

• Cholesterol sang (Hyperlipidemia) 10. A rilru a hah lutuk chuan a rilru a buai em em a.
• Thisen sang (Hypertension) 1.1.
• Zunthlum

Operation hnuah i doctor chuan i bypass-a thisen zam lo awm theihna tur tihtlem nan antiplatelet, aspirin ang chi ei turin a hrilh thei che a ni. Doctor appointment te chu vawng reng ang che. I bypass a thawk tha em tih hriat nan checkup reng reng i neih a ngai dawn a ni. Hei hi operation zawhah leh operation tihfel a nih hmaa aneurysm enkawl lai pawhin a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

Popliteal aneurysm siamthat hnuah i bypass a thawk tha em tih enfiah nan ultrasound check fo a ngai dawn a ni. Heng check te hi thla khatna, thla thumna, thla rukna, leh operation hnu kum khatah neih a pawimawh a, chumi hnuah kum tin kum engemaw zat neih a pawimawh bawk.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

I Popliteal Aneurysm a chhe emaw, thisen zam chu embolized emaw a nih i rin chuan Emergency Department (ETU) ah kal nghal rawh. A hnuaia tarlan te hi a lan chhuah dan te chu a ni.

• Khup hnung lamah emaw, keah emaw a hring chhuak .
• Bruise ang chi hmun a lo lang thin.
• Natna nasa tak a nei .
• Ke a hring chhuak .
• Ke lum vawt.
• Ke natna chu sawn harsat .

Doctor hnenah eng zawhna nge i zawh tur?

Popliteal Aneurysm i vei tih i hriat chuan i rilruah zawhna tam tak awm hi thil pangngai tak a ni. I doctor hnenah zawhna i zawt thei ang:

• "Doctor, ka (Popliteal Aneurysm) hi engtiang chiahin nge a lian?"
• "Surgery ka mamawh tak tak em?"
• "Eng surgical procedure nge ka dinhmun nena inmil ber?"
• "Ka khup dang hnung lamah popliteal aneurysm ka nei em?"
• "Abdominal aortic aneurysm ka nei em?"

Popliteal aneurysm i neih tih i hriat chuan tlem a rilru a buai tih hi thil pangngai a ni. I doctor nen engtikah nge i aneurysm enkawl hun tha ber tih leh i tana tha ber tur chungchang sawipui rawh.Zuk leh hmuam ei loh leh i thisen sang leh cholesterol level control-na hmangin i hriselna i tichangtlung thei a ni. Hemi chungchangah hian tanpuina i mamawh chuan doctor zawt rawh.

I tana pawimawh ka tih thil tlemte (Take-Home Message)

Okay, chuti a nih chuan tunah chuan vawiin a kan sawi (Popliteal Aneurysm) kha i hrethiam tawh hle. Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Popliteal aneurysm chu khup hnung lama thisen kalna kawng bulpui (bulging) a ni.
• A tam zawkah chuan symptoms a awm lo. Mahse, symptoms a lo lang (khup hnunglam na, a hring, ke ruh, khawsik) , doctor pan nghal tur a ni.
• Meizial zuk, cholesterol sang, thisen sang ang chi thilte hian hei hi a nghawng thei a ni.
• Enkawlna a awm a, i doctor nen sawiho rawh.
• He hlauhawmna hi nunphung hrisel tak hmanga tihziaawm theih a ni .

Hlauh tur a ni lova, ngaihtuahawm tur a ni zawk. I taksa kha ngaihven rawh. Thil danglam bik i hmuh chuan Doctor pan hun sawn suh. Hrisel takin awm rawh!

` popliteal aneurysm, khup hnung lama varicose veins, varicose veins, khup na, kea thisen zam, vein surgery, atherosclerosis