I ke emaw, i kut emaw, Deep Vein Thrombosis (DVT) tia hriat, thisen zam i neih tawh chuan harsatna rei tak i nei thei a ni. Hliam dam ang mai a ni a, mahse hliam tenau emaw, hrehawmna engemaw zat emaw a hnutchhiah thei. Vawiin hian DVT hnua mi thenkhat chunga hun rei tak chhunga nghawng nei thei dinhmun kan sawi dawn a ni. Hei hi doctor-te chuan Post-Thrombotic Syndrome emaw Postphlebitic Syndrome emaw an tih chu a ni.
Post-Thrombotic Syndrome hi eng nge ni? A awlsam zawngin...
I ke emaw, i kut emaw-ah deep vein thrombosis (DVT) i nei tih han ngaihtuah teh. Kan enkawl tha a nih pawhin a chang chuan a thisen zam hian thisen kalna kawng a tichhe thei a ni. Tui pipe-a thil awm ang mai a ni a, i paih chhuah chuan pipe-ah chhiatna engemaw zat a la thlen tho.
Hetiang chhiatna hian vein te chu an flexibility a hloh thei a, thisen kalna tura puitu valve te pawh a thawk tha lo thei bawk. Hei hian thisen chu thinlungah a kir leh ai chuan thisen kalna kawng chhiaah a khawl khawm thin. Chutianga thisen a inzawm khawm chuan thisen kalna kawng chhunga pressure a sang a, chu chuan natna leh hliam ang chi symptoms a thlen thin . Hei hi symptoms khawlkhawm (Post-Thrombotic Syndrome) kan tih chu a ni. Mi thenkhat chuan symptoms na lo tak tak an nei thei a, thenkhat erawh chu an nasat em avangin an nitin nunah pawh an thawk thei lo.
Kum hnih kalta chhung khan DVT i vei tawh a, tunah hian heng symptoms te hi i nei a nih chuan doctor pan nghal tur a ni. I dinhmun an zirchiang thei a, hahdamna thlentu tur enkawlna dik tak an tan thei bawk.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Post-Thrombotic Syndrome hi a takah chuan DVT vei tawhte zingah a awm fo thin . DVT hmuhchhuah a nih atanga kum hnih chhungin mi 100 zinga 20 leh 50 inkar a nghawng thin. Chu chu mi tam tak a nghawng tihna a ni.
Post-Thrombotic Syndrome i neih chuan chu vein chhia chhunga thisen chu thinlungah a kir leh a harsa hle. He thisen inzawmkhawm hi harsatna chi hrang hrang thlentu a ni.
Hei hi eng symptoms nge ni? Engtin nge kan awm?
Post-Thrombotic Syndrome (PTS) symptoms hian DVT awmna ke emaw kut emaw a nghawng ber a ni. Hetiang hi i tawng thei a ni:
- Natna: Ke na, a bik takin kea kal emaw, ding emaw a na. Hei hi claudication an ti \hin .
- Vein roll ang maia natna emaw natna emaw .
- Kut/ke-ah rit leh hahna hriatna.
- Hriselna (Pruritus) .
- Numbness, tingling, leh hriatna danglam tak tak (Paresthesia) .
Heng symptoms te hi thenkhat tan chuan a na lo thei a, thenkhat tan chuan na tak a ni thei bawk.A nghawng thei che a ni. Heng symptoms te hi rei tak i din emaw, i kal emaw hian a pung a, rei vak lo i chawlh chuan a tlahniam tih i hmu mai thei. Heng hrehawmna te hi ni tawp lamah pawh a pung thei bawk. Mi thenkhat tan chuan heng symptoms te hi a awm reng thei a, a lo thleng leh zel thei bawk.
Post-Thrombotic Syndrome pawn lam chhinchhiahna engte nge ni?
Symptoms hi kan hriat thin thil a ni. Chhinchhiahna hi kan hmuh theih thil a ni. I doctor pawhin heng chhinchhiahna te hi a enfiah ang.
- Swelling (Edema): Kut emaw ke emaw natna nei a hring.
- Vun sen emaw, rawng danglam emaw.
- Thickening of the skin , savun ang maia hriatna.
- Varicose vein thar lo chhuak .
- Spider vein te tak te lo lang .
- A natna a nasat chuan hliam dam lo (venous ulcers) a lo awm thei a ni.
Engvangin nge hetiang (Post-Thrombotic Syndrome) hi a lo awm? A chhan chu eng nge ni?
A chhan awlsam ber chu Deep Vein Thrombosis (DVT) vanga i thisen kalna (veins) a chhiat vang a ni.
Kan ke leh ke ruh thûk tak takte hian kawng khata kal theihna valve an nei a, chu chuan thisen chu kawng khatah chauh a luang thei a ni. Kawngkhar ang maiin kawng khatah chauh a inhawng thei. Heng valve te hian thisen chu thinlung lam pan leh turin a pui thin. Mahse, vein chhunga thisen zam a lo awm chuan chu thisen zam chuan chu valve te chu a tichhe thei a ni. Tichuan valve te chu a thawk tha lo.
Chumi avang chuan thisen chu a kal zawi hle a ni. Thin lam lam hawia tha taka luang ai chuan thisen chu thisen kalna kawng (veins)-ah a pungkhawm thin. Hei hian vein walls chhunga pressure a tisang a, a hmaa kan sawi tawh ang khan symptoms a siam thin.
Hetiang dinhmun hi tute nge hlauhawm ber?
DVT nei tawh apiangin Post-Thrombotic Syndrome an nei thei a ni. Mahse, DVT i neih nawn leh tawh chuan a hlauhawmna a sang zawk a, a bik takin kut emaw ke emaw inangah. Chu chu hmun khata thisen zam tam tak i neih tawh chuan tihna a ni.
Tin, thisen zam hmasa lama heng symptoms te hi i neih tawh chuan i risk a sang zawk bawk:
- Vein hmun zau takah a darh ta a nih chuan.
- Upper thigh emaw pelvis-a thisen zam ( proximal DVT tia koh) chu bawnghnutea thisen zam ( distal DVT tia koh) aiin a hlauhawm zawk. A bik takin iliac vein emaw common femoral vein emaw ah clot a lo awm chuan a hlauhawm hle .
- I taksa chunglam, i kekawrte emaw, i rilru chunglam emaw vein lian takah thisen zam i neih chuan (hei hi axillo-subclavian vein thrombosis an ti a) .
- Thisen zam (residual thrombosis) a awm a, enkawl hnuah pawh a bo vek lo a nih chuan.
Chu bakah, risk factor dang engemaw zat a awm bawk:
- Chronic venous insufficiency (CVI) ang chi natna i neih tawh chuan .
- Nangmah ta a niI body mass index (BMI) 30 aia tam a nih chuan (chu chu thau lutuk tihna a ni).
Doctor-te hian engtin nge Post-Thrombotic Syndrome hi an hriat theih?
Doctor te chuan he natna hi taksa enfiahna hmangin an hmuchhuak ber a ni . He exam chhung hian i doctor chuan:
- I medical history (tunah chuan DVT i neih dan te, eng enkawlna nge i dawn tih te) zawt rawh.
- I symptoms te leh i nitin nun a nghawng dan te an zawt thin.
- I ke leh i kut chu Post-Thrombotic Syndrome (swelling leh skin change ang chi) chhinchhiahna a awm leh awm loh enfiah a ni ang.
Heng thute a\ang hian doctor chuan Post-Thrombotic Syndrome i vei em tih leh, a neih chuan engtiang chiahin nge a nasat tih a hre ang.
Villalta scale hi eng nge ni?
I doctor-in ‘Villalta scale’ chungchang a sawi i hre tawh mai thei. Hei hi doctor-te’n he natna hi an hriat theih nan leh a nasat dan tehna atana an hman thin standard way a ni. Score nei checklist ang mai a ni. Symptom 5 leh point 6 a huam a ni. Doctor chuan symptom tin atan score a pe a, hetiang hian a sign bawk:
- 0 points: A awm lo.
- Score 1: Tlemte a awm.
- Score 2: A tlem berah a awm.
- Score 3: A chhe hle mai.
Chumi hnuah chuan doctor chuan heng score zawng zawng hi a add up vek a ni. Total score 4 aia tlem a nih chuan Post-Thrombotic Syndrome i nei lo tihna a ni. Point 5 aia tam i neih chuan condition i nei tihna a ni.
Heng score te hi a zirin he natna hi mild, moderate, emaw severe tiin an thliar hrang leh a ni:
- Score 5 atanga 9: A dinhmun a na lo.
- Score 10 atanga 14: A dinhmun a hniam.
- Ulcer a awm chuan, emaw score 15 leh a chunglam a nih chuan: natna khirh tak.
I doctor chuan heng result te hi a hrilhfiah ang che a, a awmzia a hrilh ang che.
Hetiang dinhmun hi hriat theihna tur test bik a awm em?
Post-Thrombotic Syndrome hriat theihna tur diagnostic test bik a awm lo. Amaherawhchu, a then phei chuan Doctor ten ‘Duplex ultrasound’ an order thei a, chu chu thisen thisen kalna kawnga a luang chhuah dan en turin a ti thei a ni.
Post-Thrombotic Syndrome hi eng enkawlna nge ni?
Enkawlnaah chuan compression therapy, nunphung thlak danglam, leh exercise te a tel tlangpui . Mi thenkhat chuan venous ulcers an neih chuan operation emaw enkawl emaw an ngai mai thei. Doctor-te chuan mi tin mamawh ang zelin enkawlna an siam ang. Enkawlna tum ber chu i natna lan chhuah dan tihtlem leh i nunphung tihchangtlun hi a ni.
Compression hmanga enkawlna a ni
I doctor chuan special compression stockings a pe thei che a ni.I ha ang tih pawh i sawi thei. Hengte hi compression therapy atana hmanraw hman tlanglawn ber a ni. Heng socks te hi inbel fo tur a ni (nitin bun fo tur a ni). Heng socks te hian i calf muscle te chu pressure a siam a, veins ah thisen kal a ti tha bawk. An inbel laiin tight takin an inhria thei a, mahse a na tur a ni lo.
Socks chi hrang hrang a awm a, chu chuan compression level hrang hrang a pe thei a ni. I doctor chuan i mamawh angin socks chi dik tak a pe ang che.
Heng (compression stockings) te hi i hak thiam theih nan hun engemaw chen a la ngai mai thei. Doctor nen an rilru put hmang leh i hak dan tur dik tak i ha thei em tih sawipui a pawimawh. I doctor pawhin i rilru put hmang leh stockings hian i symptoms te tan eng chen nge a tihziaawm tih a zirin compression level a siamrem thei bawk.
Thrush enkawlna dangte chu:
- Venous-return assist device: Entirnan , Venowave® . Hei hi pump ang chi hmanrua a ni a, thisen kal dan tur tichangtlung turin i kawngah i bun thin. In lamah emaw, i chhuah leh chhuah lai emaw pawhin i ha thei.
- Intermittent pneumatic compression (IPC) device: Hei hi damdawi in hmuna kea bun thin pneumatic sleeve a ni.
Nunphung a inthlak danglam thin
Nunphung tlemte tihdanglam hian i natna lan chhuah dan tihtlem kawngah kawng thui tak a zawh thei a ni. I doctor chuan hetiang hi a rawt thei ang:
- I ke chu i thinlung level aia sangah dah la , i thut emaw, i mu emaw pawh nise.
- Taksa rihna hrisel tak vawng reng rawh .
- Vun a vawt emaw, a chhe emaw loh nan moisturizer hmang ang che.
Insawizawi
Exercise hian thisen kal a titha thei a, symptoms a ti tlem thei bawk. Entirnan, Post-Thrombotic Syndrome hian i ke a nghawng a nih chuan i doctor chuan i ke ruh tichaktu exercise neih a rawt thei ang.
Chu chu i calf muscle te hi pump chak tak tak, "second heart" ang maia che an nih vang a ni. I kal hian i bawnghnute ruh (calf muscles) a inzawm khawm hian i ke leh ke atanga thisen chu i thinlungah a pump let leh thin. Chuvângin, chu ruhte chu i tihchak chuan i thisen kalnate chuan thisen dik taka phur tûra an mamawh ṭanpuina chu an hmu a ni.
Exercise hian i flexibility leh cardiovascular endurance a ti tha hle. Exercise program thar i tan hmain i doctor nen inbia fo ang che. Eng exercise nge him leh i mamawh ang chiah tih a hrilh ang che.
Inzai
Thil bik thenkhatah chuan doctor-te chuan thisen kalna kawng (veins)-a thisen kal dan tur tihchangtlun nan operation emaw endovenous treatment (entir nan, stenting) emaw an rawt thei a ni. I doctor chuan chutiang enkawlna chu i tan a tha em tih a hrilh ang che.
Venous ulcers enkawl dan
A natna a nasat chuan , venous ulcers a lo awm thei. Heng ulcer te hi uluk leh fimkhur taka enkawl a pawimawh hle. Chutiang a nih loh chuan harsatna lian tak tak, ke ruh tliak ang chi a awm thei a ni. I doctor chuan a hnuaia mi pakhat emaw, a aia tam emaw a rawt thei ang:
- Antibiotics damdawi a ni.
- Hliam khuh nan bandage emaw dressing emaw.
- Compression bandage emaw stocking emaw hmanga siam a ni.
- Nitin hliam tihfai thin.
- Ointment te pawh a awm.
- Natna tidamtu.
- Debridement chu tissue thi lakchhuahna a ni.
- Diabetes ang chi natna khirh tak tak enkawlna kawnga pui turin specialist-te hnena refer.
Post-Thrombotic Syndrome hi eng chen nge a awm?
Post-thrombotic syndrome hi natna khirh tak a ni . Chumi awmzia chu i doctor chuan a enkawl theih nan a pui thei che a, mahse a tidam thei lo tihna a ni . Enkawlna hian i natna lan chhuah dan a tihziaawm thei a, i duh angin i hnathawh theihna, inpawh tawnna leh hlim taka awm theihna a tipung thei bawk.
Post-Thrombotic Syndrome hi a veng thei ang em?
Post-Thrombotic Syndrome hi a veng thei reng reng lo. Hei hi a chhan chu Deep Vein Thrombosis (DVT) hi engtik lai pawhin ven theih a nih loh vang a ni. Mahse, nang leh i doctor hian i hlauhawmna tihziaawmna turin thawhhona tha tak i nei thei ang:
- DVT vei theihna tur thil awm thei te hriatchhuah leh tihtlem: DVT (Post-Thrombotic Syndrome) venna tha ber chu a hmasa berah a lo awm loh nan ven hi a ni. I tihdanglam theih risk factors te chu tihtlem tum ang che. Entirnan, zuk leh hmuam ei loh te, active taka awm te, leh taksa rihna hrisel tak neih te hmangin i hlauhawmna chu i tihtlem thei a ni. I doctor chuan eng risk factor nge i ngaihven tur tih leh chutiang tur ruahmanna siam dan tur a hrilh ang che.
- DVT hi a hmaa hriatchhuah leh enkawl dan dik: DVT i neih chuan a hmaa hriatchhuah leh enkawl hian i thisen kalna (veins) chhiatna a ti tlem thei a ni. Nakin lawka DVT lo awm tur venna atan pawh a pui thei bawk. Hei hi a chhan chu DVT dang i neih chuan post-thrombotic syndrome i vei theihna a sang zawk a ni. I doctor chuan i tan enkawlna tur tha ber a ruat ang. Hei hi a tlangpuiin anticoagulant damdawi thla engemaw zat emaw a aia rei emaw ei a ni.
Engtin nge ka in enkawl ang?
I doctor chuan in lama i awm chhunga i in enkawl dan tur a hrilh ang che. Chu thupêkte chu ngun takin zawm la, thil chiang lo a awm chuan zawhna zawt rawh. Hetiang thil hi i ti thei tlangpui:
- I damdawi chu a pek ang chiah khan ei rawh .
- Thut lai emaw, mut lai emaw pawhinI ke chu chawi sang rawh.
- Hun rei tak a theih ang anga thut loh tur . Chawlh rei vak lo la, i kal kual a, i taksa chu tizau rawh.
- I vun hrisel nan moisturizer hmang ang che .
I rilru hriselna pawh enkawl a pawimawh bawk . Post-Thrombotic Syndrome neia nun hi rilru leh rilru lamah a buaithlak thei hle. Hetiang natna vei te hian lungngaihna, lungkhamna leh mahni inngaihsakna hniam tak an nei thei a ni. Thisen zam dang an neih leh tur thu an ngaihtuah mai thei. Tin, an natna lan chhuah dan avanga an tih thin thilte an tih theih tawh loh avangin lungngai an nei thei bawk.
Heng rilru put hmangte hi i tawng a nih chuan counselor emaw therapist emaw nena inbiakna neih hi a \angkai hle thei a ni. Heng rilru natnate hi hmachhawn turin an pui thei che a, i rilru hahdamna tur solution zawng turin an pui thei che a ni.
Engtikah nge ka doctor ka hmuh ang?
I doctor chuan i dinhmun enfiah turin follow-up a pe ang che. I doctor chuan a tul angin i treatment plan a siamrem theih nan heng appointment zawng zawng hi i tel vek a pawimawh hle.
Symptom thar i neih chuan emaw, i symptoms a danglam a nih chuan , i doctor ko nghal rawh.
Doctor hnenah eng zawhna nge ka zawh ang?
Heng zawhnate hian i diagnosis chungchang i hriat belh theih nan a pui ang che:
- Post-Thrombotic Syndrome ka nei tak tak em? A nih chuan engtiang chiahin nge a pawi?
- Eng treatment nge ka tan i recommend?
- Ka nunphungah eng inthlak danglamna nge ka neih?
- Eng exercise nge ka tan a tha?
- Ka thlirna chu eng nge ni ang?
Post-Thrombotic Syndrome i hriat chuan zawhna leh hlauhna tam tak i nei thei. Mahse, lungngai suh, i doctor chu i zawhnate chhang tur leh enkawlna kawnga kaihruai turin a awm reng a ni. Hetiang dinhmun hi a awm fo nachungin, i mamawh leh ngaihtuahna chu a danglam bik hle. I taksa leh rilru hriselna pui thei tur resources zawng turin i doctor nen thawk ho rawh.
Take-Home Thuchah a ni
Post-Thrombotic Syndrome (PTS) hi DVT hnua lo awm thei a ni a, a lungchhiatthlak hle thei bawk. Mahse a enkawl theih a ni .
A pawimawh ber chu DVT i neih chuan enkawlna rang leh dik tak zawn a, a hnua a lan chhuah dan hriat reng a, a tul chuan damdawi lam thurawn lak a ni.
I doctor thurawn zawm te, nunphung tihdanglamna tul tak tak siam te, a bik takin compression stockings dik taka hman te hian hahdamna nasa tak i nei thei a ni. Nangmah chauh i ni lo tih hre reng la, he natna hi i hmachhawn thei tur doctor an awm bawk.
` Post-Thrombotic Syndrome, DVT, Thisen zam, Venous Disease, Ke Na, Ke Nang, Venous Injuries
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh