Pulmonary Embolism: He dinhmun hlauhawm tak hi kan hriat chian tur em ni?

Thâwk harsa i tih thut a, thawk i lak lai khan i rilruah natna nasa tak i nei tawh em? A nih loh leh, i thinlung chu a na zual sauh va, a thawk hah a, chhan awm lovin i lungkham tih i hre nghal em? Hei hi heart attack angin kan ngai fo nain, thil danglam tak leh hlauhawm tak a ni thei. Vawiin hian chutiang natna khirh tak, mahse nunna chhanhim thei pakhat, ‘Pulmonary Embolism’ tih chu kan sawi dawn a ni.

A awlsam zawngin, Pulmonary Embolism chu eng nge ni?

Pulmonary Embolism (PE) hi thisen zam (blood clot) a ni a, chu chu thisen kalna kawng (vein)-ah a lo awm a, chu chuan i lungah thisen a pe a ni. Tunah chuan, "Engtin nge lungah thisen zam a lo awm?" Thudik tak chu, he thisen zam hi lungah a insiam lo. A tam zawkah chuan kan taksa hmun dangah a lo piang a, a bik takin kan ke emaw, kan kut zungtang thuk takah a lo awm thin. Hei hi Deep Vein Thrombosis (DVT) kan ti a.

I taksa chhunga thisen kalna kawngte chu kawngpui network angin ngaihtuah rawh. He thisen zam i kea lo awm hi, car ang maiin, chu kawngpuiah chuan thisen nen chuan a kal a, thinlung chhungah a kal a, a tawpah chuan lung chhunga thisen kalna kawng te tak teah a tang ta a ni. Kawngpui te tak tea car lian tak a tang ang mai a ni.

Thisen zam chu lung chhunga a lo awm chuan thil pawimawh pathum a thleng thin:

1. Lung lama thisen kal khap a ni.

2. Lung chhunga oxygen level a tlahniam.

3. Lung nena inzawm thisen kalna kawng hrang hrangah thisen sang a sang.

Mahse thu lawmawm tak chu natna hi a hun taka hmuhchhuah a nih a, uluk taka enkawl a nih chuan he natna hi a thihpui tam lo hle.

Hetiang natna lan chhuah dan hi engte nge ni? Ngaihtuah nghal rawh!

Pulmonary embolism (PE) symptoms hi mi hrang hrangah a inang lo thei. Thisen zam lian leh te leh a nghawng danah a innghat a ni. Mi thenkhat chuan symptom engmah an nei lo mai thei. Mahse, mi tam zawk chuan symptom pakhat emaw a aia tam emaw an nei ang.

A lan chhuah dan ber leh a hmasa ber chu thawk hah thut leh rilru natna a ni a, chu chu thawk thuk emaw, thawhrimna emaw a nih chuan a pung zel a ni.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn la nghal rawh. Damdawi in Emergency Treatment Unit (ETU)-ah kal a tha ber. Inenkawl vat chuan thihna hlauhawmna nasa takin a tihziaawm thei a ni.

A hnuaia table-ah hian he natna lan chhuah dan tlangpui tarlan a ni.

Mi thenkhat tan chuan heng symptoms te hi ni emaw kar emaw chhungin a lo lang zauh zauh thei a ni. Hun kal zelah symptoms a na zual zel. Mahse, mi thenkhat tan chuan natna lo awm tan atanga minute engemaw zat chhungin natna lanchhuahna na tak tak a awm thin.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Ka sawi tawh ang khan Pulmonary Embolism (PE) hi taksa hmun dangah, a bik takin keah thisen zam (DVT) a lo awm a, a lo chhuak a, lung chhungah a tang a ni. Chuvangin, heng thisen zam siam thei thil eng pawh hian PE a thlen thei bawk.

A chhan lian tak tak thenkhat:

• Hun rei tak chhung taksa a ding reng: Operation hnua khumah i awm chuan emaw, thlawhna emaw bus-a rei tak i chuan laiin hmun khata i awm chuan kea thisen kal chu a tlahniam thei a, thisen zam a lo awm thei bawk.
• Vein tihchhiat: Accident, fracture (a bik takin hip, knee, or ke), leh operation lian tham tak tak te hian veins a tichhia a, thisen zam a tipung thei bawk.
• Damdawi lam thil dang: Lung chak lohna, cancer, leh stroke ang chi natna.
• Thisen zam inthlak danglamna: Mi thenkhat chuan genetic blood clotting disorder an nei thei. Tin, naupai venna pill emaw hormone replacement therapy emaw ei thinte tan pawh he hlauhawmna hi a sang deuh thei bawk.

A hnuaia tarlan te hi he natna vei theihna sang zawk nei mi thenkhat an ni. Heng risk factor pakhat emaw a aia tam emaw i neih chuan i doctor nen inbiakna neih a pawimawh hle.

• Kea thisen zam (Deep Vein Thrombosis - DVT) nei emaw nei emaw.
• Surgery neih emaw, khumah rei tak awm emaw.
• Meizial zuk.
• Kum 60 chunglam a nih avangin.
• Naupai emaw, nau neih hnu kar 6 hmasa berah emaw.
• Cancer vei a ni.
• Hormonal damdawi chi hrang hrang, naupai venna damdawi hman.
• Thau lutuk - Body Mass Index (BMI) 30 aia tam.
• Chhungkaw history-a thisen zam nei.
• Natna dang, zunthlum leh thinlung natna nei.
• Saline ang chi thil thlen theihna turin hun rei tak chhunga central venous catheter (kut emaw ke emawa vein chhunga tube dah) neih.

Engtin nge natna hi kan hriat theih ang? (Diagnosis) tih a ni.

Damdawi in i kal hunah doctor chuan i symptoms leh risk factors te uluk takin a enfiah ang. Tichuan, an diagnosis finfiah nan test eng emaw zat an order ang.

Engtin nge enkawl a nih?

PE enkawlna hi damdawi inah tih a ni tlangpui a, i dinhmun hi uluk taka enfiah a ngai a ni. Enkawl rei zawng hi thisen zam nasat danah a innghat a ni.

Enkawlna ber chu thisen zam venna damdawi pek hi a ni . Hengte hi anticoagulant emaw thisen tithianghlimtu emaw kan ti thin .

• Anticoagulant damdawi: Hengte hi injection emaw pill emaw angin pek thin a ni. Heng damdawi te hi thla 3-6 chhung emaw, a chang chuan a aia rei emaw i ei a ngai mai thei. Doctor-in a tih loh chuan eng vangin heng damdawi te hi ei khap suh.
• Thrombolytic Therapy: Hei hi natna khirh tak tak, nunna atana hlauhawm tak takte enkawlna a ni. Heng damdawi te hian thisen zam chu rang takin a tithianghlim a, hna an thawk a ni. Intensive care unit (ICU)-a doctor-te'n ngun taka an enfiahna hnuaiah pek an ni.
• Thiltih dan dang: 1.1.A chang chuan damdawi a tlem chuan operation emaw catheter emaw hmanga clot lakchhuah a ngai thei bawk. Thil dang chu Vena Cava Filter dah a ni. Hei hi ke atanga thisen zamte chu lung a thlen hmain filter leh man nan an hmang thin.
• Compression Stockings: I kea thisen kal tha tur a awm theih nan heng stocking chi hrang hrang hi i doctor chuan ha turin a fuih thei che a ni.

Hetiang dinhmun hi pumpelh theih a ni em?

Ni e, a tam zawkah chuan a theih a ni. Hetah hian a pawimawh ber chu thisen zam hlauhawmna tihziaawmna a ni.

• Active takin awm rawh: Nitin exercise la. Hun rei tak (airplane, bus-a chuang, office hnathawh) i thut chuan tho la, darkar khatah vawi khat tal kal kual la, i ke leh kut i ti che a.
• Thawmhnaw tight inbel loh tur: Thawmhnaw tight inbel hian thisen kal a tikhawtlai thei a ni.
• I ke hrual suh: Hun rei tak chhung ke hrual chunga thut loh tur.
• I taksa rihna hrisel tak vawng reng rawh.
• Meizial zuk loh vek tur a ni.
• Tui in tam: Dehydration hian thisen a ti thim thei.
• I risk factors te hre reng ang che: Operation i neih emaw, naupai emaw, risk factor dang i neih chuan thisen zam venna atana i tih theih dan tur i doctor nen sawiho ang che.

Enkawlna atanga kar khat chhungin i rilru a hahdam tan tur a ni. Mahse, chu clot chu a hmin vek theih nan thla tam tak emaw, kum tam tak emaw pawh a ngai thei. Hemi hun chhung hian doctor thupek uluk taka zawm a pawimawh.