Hei hi i ke na chhan a ni em? Popliteal Artery Entrapment Syndrome (PAES) chungchang hi i zir dawn teh ang!

I keah pawh, a bik takin bawnghnute awmna hmunah, exercise i tih lai te, i tlan lai te, i kal chak lai te hian i ke na, i tight emaw, i rit emaw i nei em? Hun engemaw chen hnuah a reh em, mahse exercise i tan leh hunah a lo let leh em? Tichuan he natna popliteal artery entrapment syndrome tih hi i hriat a pawimawh hle. Ngaihtuah buai suh, awlsam takin sawi ila.

Popliteal artery entrapment syndrome (PAES) tih hi eng nge ni?

A awlsam zawngin sawi ila, Popliteal Artery Entrapment Syndrome (PAES) hi thisen kalna kawng natna hmuh tur awm lo tak a ni. Thalai, thawkrim, a bik takin infiamna khel thinte a nghawng ber a ni. Popliteal artery hi thisen kalna bulpui ber a ni a, chu chu kan khup hnung lama kan kekawr bul atanga kan kekawr bul thlenga kal a ni. He artery hi khup hnung lama thau pakhatin a compress a, hei hi he dinhmunah hian a thleng thin.

Tui pipe ang maiin han ngaihtuah teh. Ke hnuai lam thisen a pe chhuak thin. Tunah chuan kan gastrocnemius muscle hian thigh bone a inzawm dan a inthlak avangin he artery hi a constrict thei ta a ni. A bik takin kan ke kan ben hian (hei hi damdawi lam tawng chuan ``plantar flexion'' an ti a) he gastrocnemius muscle hi a inzawm khawm thin. Tichuan chu artery chu a constricted lehzual ta a ni.

Exercise i tih hian artery chu a nawr reng a, chu chuan a spasm tir thin. Chuti a nih chuan eng nge thleng? Kea thisen kal zat a tlahniam a. Hei hian taksa ruh leh nerve-ah lactic acid leh carbon dioxide ang chi thil a siam khawm thin. Chuvang chuan i ke leh keah rit, na, hah, leh a chang chuan i ke leh ke ruh tliak te i nei thin.

Thu lawmawm tak chu heng symptoms te hi exercise tihtawp atanga minute thum atanga minute nga chhungin a reh tlangpui. Mahse, enkawl loh chuan hun kal zelah heng symptoms te hi a na zual thei a, rei zawk a daih thei bawk. Chumi awmzia chu rei vak lo tlan hnuah pawh natna i nei tan dawn tihna a ni a, a dam leh theih nan hun rei zawk a la ngai dawn tihna a ni.

He PAES natna hian tute nge a nghawng ber?

He natna hi PAES tia koh a ni a, a tlangpuiin infiammi naupang kum 15 leh 25 inkar te a nghawng a, a bik takin tlan chhuahna infiamnaa telte tan chuan he hlauhawmna hi a sang hle. Entir nan:

• Intlansiak (Track) 1.1.
• Cross country tlan a ni
• Football (Soccer) khelh a ni.
• Lacrosse khelh a ni
• Field hockey khelh a ni

School track and field event-a tel naupang emaw, soccer khel tlangval emaw kha han ngaihtuah teh. He natna hi an vei duh zawk a, a chhan chu an ke an hman reng vang a ni.

PAES hi engtiang chiahin nge a awm?

PAES hi a takah chuan natna hlauhawm tak a ni . Mipui 1% aia tlem loin an nei nia chhut a ni. Chuvangin mi engzat nge nei tih chiang taka sawi a har.

PAES ang chi symptoms lantir thei condition dang a awm em?

Ni e, a awm. Chronic Exertional Compartment Syndrome (CECS) hi PAES aiin taksa ruh leh nerve natna a tam zawk a, exercise vang pawh a ni. Tin, ke ruh (leh a chang chuan kut ruh) ah na leh a ti na thei bawk. CECS hian tu pawh a nghawng thei a, mahse tlan chak naupang leh inbiak fo thin infiamna khel thinte zingah a tam ber.

A châng chuan PAES nei mi pakhat pawhin CECS a nei thei bawk. PAES vei dam loh zinga 5% vel pawhin CECS an nei tih hmuhchhuah a ni. Chuvangin condition pahnih hi a rualin a awm thei tih hriat reng a pawimawh.

PAES leh CECS hi eng nge an danglamna?

I doctor chuan heng natna pahnih hi a thliar hrang turin test hrang hrang a ti ang.

• PAES tan: Chawlh laiin keah thisen sang teh a, exercise zawhah a tlahniam em tih enfiah a ni.
• CECS tan: Ke ruh chhunga muscle compartment palia pressure hi exercise hma leh exercise zawhah teh thin a ni. CECS-ah chuan heng compartment-a pressure hi a sang lo hle.

PAES neih hi engtin nge a awm?

Exercise i tih hian i groin area leh/ emaw i keah hetiang symptoms hi i nei thei a:

• Cramp ang maia natna
• Chau
• A rit hle mai
• Muscle cramping a awm thin
• Numbness a awm
• Pun

Heng symptoms te hi minute thum atanga minute nga chhung chawlh hnuah a reh tlangpui. Mahse, a hmaa kan sawi tawh ang khan enkawl loh chuan heng symptoms te hi hun kal zelah a lo lang leh thei a, a dam leh theih nan hun rei tak a daih thei a ni.

PAES hi engte nge ni?

Hetiang thrust hi a awm theih dan kawng hnih a awm ber a:

1. Anatomic compression: Hei hi 10% velin hmuh tur a awm. Mipaah ​​hian tlem a tam zawk niin a lang. 70% velin ke pakhatah chauh a awm thin.

2. Non-anatomic compression, functional emaw physiologic compression: Hei hi hmeichhiaah a awm tam zawk. 90% aia tam chu ke pahnihah a awm thei.

Anatomic compression hmanga tih a ni

Hei hi i gastrocnemius muscle thenkhat chu popliteal artery chungah emaw a hnuaiah emaw a awm vang a ni. Muscle chhunga tendinous band awm hian artery a tichhe thei mai thei. Hei hi a chhan chu:

• Ulcer emaw, hliam emaw a awm thei.
• Thisen zam a lo awm thei.
• Hun a kal zel a, thisen kalna kawng chu a inkhar vek (occluded) emaw, a hnuaia thisen kalna kawngte chu a inkharkhip vek thei bawk.

Chutiang chuan thisen kalna kawng (artery) nena khaikhin chuan taksa ruh (muscle) hi a awm dan hrang hrang pali a awm a.

Functional emaw physiologic compression emaw a ni thei

Chutiang a nih chuan i taksa ruh zawng zawng chu a awm dan pangngaiin a awm vek a ni. Mahse, chu ruh chu a tlangpuiin thigh bone chung lam deuhah emaw, khup chhunga groove-ah emaw a inzawm tlangpui. Chuvangin i ke i ben thlak chuan (plantar flexion) chu muscle chu chhung lam hawiin a tlan a, artery chu a press ta a ni.

A châng chuan he pressure hi artery hnuaia awm muscle dang (popliteus muscle) vang pawh a ni thei bawk. Zirchiangtute chuan he active pressure hian artery a tichhia tih hmuhchhuah a la ni lo tih an sawi.

Engtin nge PAES hi hmuhchhuah a nih?

Vascular specialist chuan he natna hi a hre thei a ni. A enfiah ang che a, i ke leh popliteal pulse-ah a tlak leh awm loh a enfiah ang. Thil pakhat chunga i ke i tihsan leh hnuai lam i sawn hian i pulse a inthlak leh awm loh an enfiah thei bawk.

PAES i neih chuan i doctor chuan:

• I chawlh laiin i pulse i hre thei.
• Mahse exercise i tih hian i ke i ben emaw, i dinglam emaw chuan i pulse a tlahniam thei.

PAES awm leh awm loh enfiah nan eng test nge tih thin?

Heng test te hian khup, ke leh ke atanga thisen kal dan a teh thin. Heng imaging test te hian a hnuaia mi hi a lantir thei a ni:

• Artery hi a normal em?
• Artery injury a awm dawn em tih.
• Thisen zam a awm em?
• Artery a hring (aneurysm - thisen kalna kawng pangngai aia 50% a lian) a ni em.
• Muscle hian artery a compress em?

Chumi atana test tih thenkhat chu:

• Ankle-brachial index with exercise: Hei hian exercise hma leh exercise zawhah i kut leh kea thisen sang a teh thin. A tlangpuiin i kut leh kea thisen sang hi a inang vek a, exercise neih laiin a sang ve ve bawk. Mahse, tlan laiin i arteries a spasm chuan exercise zawhah i kea i thisen sang chu i kut a thisen sang 90% aia tam a tlahniam thei a ni.
• Duplex ultrasound of the popliteal artery with plantar flexion: Hei hian sound wave hmangin artery thlalak siamin thisen kal dan a teh thin. Hei hian i doctor chuan i ke a ben leh chawlh laiin i ke chhunga thisen kalna kawngte chu engtin nge a awm tih a hmu thei a, taksa ruh (muscle spasm) a awm leh awm loh a en thei bawk.
• Computed tomographic angiography (CTA) hmanga plantar flexion: Hei pawh hi CT scan chi khat a ni bawk. Kea thisen kalna kawng (arteries) dinhmun en nan leh ke ben leh chawlh laiin taksa ruh (muscle spasm) a awm leh awm loh en nan special dye hman a ni.
• Magnetic resonance angiography (MRA) with plantar flexion: He test hian magnetic field leh radio wave hmangin ke chhunga thisen kalna kawngte dinhmun a en a, ke a ben leh chawlh laiin taksa ruh (muscle spasm) a awm leh awm loh en a ni.

PAES hi engtin nge enkawl a nih?

I doctor chuan operation a ti thei ang.Tichuan, gastrocnemius leh popliteus muscle te chu la chhuak rawh. Hei hian artery-a pressure a tihziaawm ang a, keah thisen a kal dan pangngaiin a kal thei ang.

He surgery hi darkar khat vel a ni tlangpui. General anesthesia hmanga tih a ni.

A châng chuan, natna khirh tak takah chuan, anatomical popliteal entrapment avanga thisen kalna kawng a chhiat leh a inkharkhip chuan, surgeon chuan thisen kalna chu a tihfai a ngai thei a, a patch a ngai thei a, a nih loh leh a khar lai vel kawng thar siam a ngai thei bawk (bypass).

PAES tan chuan operation hi a hlawhtling ber a, mi tam zawk tan chuan a hlawhtling hle a ni. Operation nei zinga 90% aia tam chuan an natna lan chhuahnaah hmasawnna nasa tak an nei a ni.

Functional PAES nei tan chuan non-surgical treatment option chu Botulinum toxin A a ni a, CT emaw ultrasound guidance hnuaiah doctor chuan twitching thlentu muscle-ah `Botox®` emaw `Dysport®` emaw a inject thin. Hei hian hun engemaw chen chu ruh chu a ti paralyze thin. Beiseina chu chutah chuan taksa ruh chu a inzawm tlat ang tih hi a ni.

Mahse hei hi thla thum atanga thla ruk chhung chauh a ni. Muscle a tlahniam loh chuan symptoms chu a lo let leh thei a ni. He enkawlna hi kum khat chhung enkawl a nih hnuah mi 60% aia tlem lovah a hlawhtling tawh a ni.

Heng enkawlnate hnuah hian eng chen nge a dam leh theih?

Operation hnua a dam kim theih nan thla li atanga thla ruk vel a ngai thei.

Surgery zawhah chuan damdawi inah zan khat i awm a ngai dawn a ni. Tichuan, kar hnih hmasa berah chuan physical therapy (stretching exercise ang chi) i tih a ngai dawn a ni. Kar hnih hnuah chuan i dam vek hma loh chuan chakna leh conditioning exercise i tih a ngai dawn a ni.

PAES vei chu engtin nge a awm?

Functional popliteal entrapment i neih a, exercise laiin i ke na a na lo a nih chuan exercise kha tihtlem i duh mai thei. I doctor chuan i dinhmun a enfiah thei ang.

Mahse, kan sawi tawh ang khan surgery hi 90% aia tam a hlawhtling a, a lo let leh theihna pawh a tlem hle. Infiammi tam zawk chu operation hnuah an hnathawh dan pangngaiah an kir leh thin.

Anatomic entrapment a awm chuan doctor-te chuan muscle tissue pangngai lo chu surgery hmanga lakchhuah an rawt a ni. Hei hi a chhan chu, tih loh chuan hun kal zelah thisen kalna kawng chu a chhe thei a ni. Enkawlna i tihkhawtlai a, popliteal artery tichhe thei structural PAES i neih chuan i kal laiin i ke na reng reng a awm thei. A tlem berah chuan ke pakhat tan a ngai mai thei. Mahse chu chu a tlem hle .

Engtikah nge doctor ka hmuh leh ang?

Operation hnuah doctor i hmuh a ngai ang:

• Thla khat chhungin.
• Thla ruk chhungin.
• Thla sawm leh pahnih chhungin.

Hêng inkhâwmnaah hian:

• I artery siamthat tawh chu ultrasound hmanga enfiah a ni ang.
• I ke thisen sang an check mek a ni.

I artery chu a pangngaiah a lo kir leh a nih chuan, symptoms a lo lang leh emaw, artery bypass i neih a ngai emaw a nih loh chuan appointment dang neih a ngai tawh lo vang.

Doctor hnenah eng zawhna nge ka zawh ang?

• Anatomic PAES nge functional PAES ka nei em?
• Ka dinhmun hi surgery neih i rawt em?

Naupan lai leh ke na i neih chuan Doctor pan ngei ngei tur a ni. He natna hi chhan hrang hrang a awm thei. Diagnosis dik tak i hmuh hma chuan enkawlna i tan hma thei ang. Popliteal artery entrapment syndrome i neih chuan i doctor nen inbia la, operation hi i tan a tha em tih sawipui rawh. Hei hi thil tam takah chuan enkawlna hlawhtling tak a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur thenkhat chu khaikhawm ila:

• PAES hi khup hnung lama thisen kalna lian ber, taksa peng pakhat chu a constrict a, kea thisen kal a tihtlem phah a ni.
• Hei hian infiammi naupangte a nghawng nasa ber , a bik takin tlantute a nghawng nasa ber.
• Exercise laiin i groin area-ah natna, rit, emaw, tingling emaw ang chi symptoms i neih a, mahse i chawlh laiin a reh chuan PAES i nei thei.
• CECS an tih pawh a awm a, chu chu a lan chhuah dan inang chiah a ni a, chuvangin diagnosis dik tak neih a pawimawh hle.
• Natna hi specialist-in a enfiah tir che (`Ankle-brachial index`, `Duplex ultrasound`, `CTA`, `MRA` ang chi) hmanga finfiah theih a ni.
• Surgery hi enkawlna tha ber a ni fo thin . Mi thenkhat chu `(Botulinum toxin A)` injection an pe thin.
• Enkawl loh chuan hun kal zelah thisen kalna kawng chu a chhe thei a, a dinhmun a chhe zual thei bawk.
• Chuvangin heng symptoms te hi i neih chuan tihkhawtlai lova damdawi lam thurawn lak a pawimawh hle.

Lungngai suh, he natna hi i hriat chian chuan enkawlna tha tak tak a awm. A bulpui ber chu Doctor pan vat hi a ni a, a symptoms ngaihthah lovin. Tichuan i hrisel leh active leh thei tawh ang!

` popliteal artery entrapment syndrome, PAES, ke na, hip na, exercise, infiammi naupang, thisen kalna kawng, popliteal artery