Tlangval infiamna ngaina tak, tlan leh zuang thiam tak i ni em? Mahse, tlan tan hnuah chuan hla vak lo hnuah ke hnuai lam (calf area)-ah natna mak tak tak, rit lutuk emaw, rilru hahna emaw i nei em? Hun rei vak lo chawlh hnuah a reh a, mahse i tlan tan leh chuan chutiang natna chu a rawn let leh thin em? Hei hi taksa ruh (muscle strain) mai a ni lo mai thei. Vawiin hian mi tam takin an hriat loh, mahse a bik takin infiamna khel thalai te a nghawng thei dinhmun tlemte kan sawi dawn a ni.
A awlsam zawngin sawi ila, Popliteal Artery Entrapment Syndrome (PAES) hi eng nge ni?
A buaithlak deuhin a lang thei a, mahse a takah chuan a kalphung chu a awlsam khawp mai. PAES hi thil awm lo tak a ni a, kan kea thisen kalna kawngte a nghawng a ni. Kan khup hnung lama kal main artery, popliteal artery chu kan bula muscle (gastrocnemius muscle) in a block hian a thleng thin.
Miin tui pipe a ke a pen ang bawkin tui luang chu a tlahniam a ni. Kan tlan emaw, kan zuang emaw hian he thau hian kan thisen kalna kawng a tikhauh a. Tichuan, ke hnuai lam panna thisen kal chu rei lo te chhungin a tlahniam ta a ni. Hetianga thisen kal a tlahniam avang hian taksa ruhte hian oxygen an mamawh ang an hmu lo va, lactic acid ang chi thil a lo awm khawm a, chu chuan natna, rit, hah, leh ke ruh natna ang chi symptoms a thlen thin.
A tha ber chu exercise tihtawp atanga minute thum atanga minute nga chhungin heng symptoms te hi a bo vek thin. Mahse, enkawl loh chuan hun kal zelah a na zual thei a ni. A natna chu tlan rei vak lo hnuah a lo chhuak thei a, a reh theih nan hun rei tak a la ngai thei bawk.
Hetiang dinhmun hian tute nge a nghawng nasa ber?
PAES hi infiammi naupang kum 15 leh 25 inkar zingah a tam ber a, tlanna telna infiamna khel thinte chu an hlauhawm zawk. Entir nan:
- Infiamna (Track and Field)-ah hian 1.1.
- Cross Country Running a ni
- Football
- Lacrosse khelh a ni
- Field hockey khelh a ni
Hetiang dinhmun hi a tlem hle. Mipui 1% aia tlem loin a nghawng nia chhut a ni. Chuvangin a tam zawkah chuan hetiang natna hi kan tawn hian taksa ruh (muscle strain) awlsam tak mai mai niin kan ngai thin.
PAES ang maia hriat theih condition dang a awm em?
Awle. Hetiang symptoms inang tak tak nei, mahse PAES aiin a tam zawk condition a awm. Chu chu Chronic Exertional Compartment Syndrome (CECS) tih a ni. Hei hi exercise neih laiin ke ruhte pressure a san dan pangngai lo avanga natna a ni bawk. A châng chuan mi pakhatin PAES leh CECS pahnih hi a rualin a nei thei bawk.
Doctor chuan test a tih hmangin an pahnih hi a thliar hrang thei a ni. PAES-ah chuan exercise nen chuan kea thisen sang a tlahniam em tih an en thin. CECS-ah chuan exercise hma leh exercise zawhah ke ruh chhunga pressure an teh thin.
PAES natna lan chhuah dan chu engte nge ni?
Exercise i tih laiin i groin leh/ emaw i keah heng symptoms te hi i nei thei a ni. Hengte hi exercise i chawlhsan hnu minute tlemte chhungin a bo tlangpui.
| Symptom a ni | Engtin nge a awm tih |
|---|---|
| Natna leh natna | A chhungril atanga natna na tak lo chhuak ang maiin a lang thei. |
| Chau lutuk | Ka ke chu a chau hle a, nunna nei loin ka hria. |
| A rit lutuk | Ka ke chu a rit lutuk niin ka hria. |
| Muscle a rawn inher chhuak | Vawikhatmah ka ke chu a nghet a, a knot bawk. |
| Numbness a awm | Ke leh keah tingling a awm thei. |
| Pun | Mi thenkhat chuan an ke chhung lam atanga kang ang maiin kang ang maiin an hria. |
PAES hi engte nge ni?
He thisen kalna kawng hi a inkharkhip chhan lian tak pahnih a awm.
1. Anatomic compression tih a ni
Hei hi chi serious ber a ni. A pianpui a ni .I khup hnung lama tendon emaw muscle emaw a awm dan a inthlak avangin thisen kalna kawng a block thin. Hei hi mipaah a tam zawk. Ke pakhatah chauh a awm thei. Hetianga thisen kalna kawng hi rei tak a inkhar chuan a chhe thei a ni.
- Thisen kalna kawng chhungah hian ulcer a lo awm thei a.
- Thisen zam a lo awm thei a, a tlakbuak thei bawk.
- Hun a kal zel a, thisen kalna chu a block vek thei (occluded).
2. Functional emaw Physiologic emaw compression tih a ni
Chutiang a nih chuan i taksa ruh atanga i thisen kalna thlengin i pian tirh atanga i dinhmun pangngaiah a awm vek a ni. Mahse i taksa ruhte hnathawh dan avang hian, a bik takin i ke i press down (`plantar flexion`) hian i taksa ruhte hian thisen kalna kawngte chu a press a ni. Hetiang chi hi hmeichhiaah a tam zawk a, ke pahnihah a rualin a awm thei. Hetiang chiah hian thisen kalna kawngte chu a tichhia reng reng lo tlangpui.
He natna hi engtin nge dik taka kan hriat theih ang?
Heng symptoms te hi i neih chuan a tha ber chu vascular specialist pan hi a ni . A enfiah ang che.
- A hmasa berin, i chawlh laiin i pulse a tlahniam em tih an enfiah thin.
- Tichuan, i ke chu resistance engemaw zat laka a chung leh a hnuai lam i hmet chuan pulse rate-ah inthlak danglamna a awm em tih an enfiah thin.
PAES vei chuan chawlh laiin a pulse chu a hre tha hle thei a, mahse exercise emaw, a ke pressure emaw a tih hian a pulse a tlahniam emaw, a bo emaw thei.
Natna finfiah nan eng test nge tih thin?
Taksa enfiah hnuah i doctor chuan a natna hriat chian nan test eng emaw zat neih a rawt thei ang. Chungte chuan i ke kal tlanga thisen kal dan chiang takin a tarlang thei a ni.
| Fiahna | Eng thil nge thleng mai mai |
|---|---|
| Ankle-brachial index chu exercise nen a inzawm a ni | I kut leh kea i thisen sang chu exercise hma leh exercise zawhah teh a ni ang. PAES i neih chuan i kea i thisen sang chu exercise hnua i kut sang aiin a tlahniam hle ang. |
| Duplex ultrasound hmanga tih a ni | Hei hi sound wave hmanga scan a ni. Thisen kalna kawng a inkhar em tih leh i ke chu a hniam a, a pangngaia i vawn chuan thisen kal danah eng nge thleng tih a hmu thei a ni. |
| Computed tomographic angiography (CTA) hmanga enfiah a ni. | CT scan hi taksaah thil bik (`dye`) inject a ni. Hei hian thisen kalna kawng khar awmna hmun dik tak chu 3D image angin a hmu thei bawk. |
| A rilru a buai em em a, a rilru a hah em em bawk a. | MRI scan hian magnetic field a hmang a. Hei hian thisen kalna kawng leh taksa peng hrang hrangte dinhmun pawh chiang takin a hmu thei bawk. |
Hei hi eng enkawlna nge ni?
PAES enkawlna tha ber leh hlawhtling ber chu operation hi a ni .
Ngaihtuah buai suh, hei hi surgery a ni tlangpui a, darkar khat vel a awh a, general anesthesia hmanga tih a ni. Surgeon chuan thisen kalna kawngkhar tikhawlotu taksa peng te tak te chu a la chhuak a. Hei hian thisen kalna kawng chu zalen takin a thawk thei a, kea thisen kal chu a pangngaiin a kir leh ta a ni.
Anatomical type of blockage avanga thisen kalna kawng a chhiat leh block a nih chuan surgeon chuan blockage chu a paih chhuah emaw, chuta kal tlangin thisen kalna kawng thar hmanga bypass surgery a tih emaw a ngai mai thei.
Surgery tel lo chuan enkawlna dang a awm lo em ni?
Functional sciatica vei tan chuan non-surgical treatment a awm a. Hei hi Botulinum toxin A (Botox®) injection a ni. Hetah hian scan hmangin he damdawi hi thisen kalna kawngkhar tikhawtlaitu taksaah an inject a ni. Hei hian hun engemaw chen chu ruh chu a ti paralyze a, a ti contract a ni. Mahse, a nghawng chu thla 3-6 vel a ni. A châng chuan ruh chu a nghet lo a nih chuan a lan chhuah dân chu a lo kir leh tawh lo. Mahse, he enkawlna hlawhtlinna hi operation aiin a tlem zawk.
Surgery hian 90% aia tam hlawhtling taka result a pek avangin doctor-te rawtna a ni fo.
Enkawl hnua dam leh theih nan eng chen nge a duh?
Operation hnua a dam kim theih nan leh infiamna khelh tan leh theih nan thla li atanga thla ruk vel a ngai thei.
- Surgery zawhah chuan damdawi inah zan khat i awm a ngai tlangpui ang.
- Kar hnih hmasa berah chuan physiotherapy enkawlnaah hian ke pen leh flexibility exercise te pawh a tel tur a ni.
- Kar hnih hnuah chuan ke chakna tipungtu exercise i tan thei ang.
Dam chakna atan chuan i doctor leh physical therapist-in thupek an pek ang chiah kha i zawm a pawimawh hle.
Doctor hnenah eng zawhna nge ka zawh ang?
Doctor i hmuh hunah heng zawhnate hi zawh loh theihnghilh suh.
- Anatomic emaw functional emaw PAES ka nei em?
- Ka dinhmun hi surgery neih i rawt em? Engati nge?
- Operation hnuah pawh hetiang bawk hian ka sport hi ka khel leh thei dawn em ni?
Athlete naupang i nih chuan ke na hi ngaihthah mai mai suh. A chhan tam tak a awm thei. Diagnosis dik tak hmuh thuai chuan enkawlna i dawng thuai thei a ni.
Take-Home Thuchah a ni
- Athlete naupang tak i nih a, exercise i tih laiin i ke na, i rit, emaw, i rilru a buai reng a nih chuan ngaihthah suh.
- Popliteal Artery Entrapment Syndrome (PAES) hi a awm lo hle a, mahse enkawl theih a ni.
- Diagnosis dik tak neih theih nan vascular specialist pan a pawimawh hle.
- Thil tam takah chuan operation hian he natna hi a tidam vek thei a, infiammi te chu hlawhtling takin an infiamna lamah an kir leh thei a ni.
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