Lung chhungah thisen zam a awm em? Pulmonary Embolism (PE) chungchang hi i zir chiang ang u!

I rilru a na a, thawk harsatna leh hlauhna tlem i nei nghal tawh em? Heart attack a ni tih i ngaihtuah a ni mai thei. Mahse, heng natna lan chhuahna chhan lian zawk hi a awm thei tih i hria em? Chu chu lung lam panna thisen kalna kawngkhar a thisen zam a ni a, chu chu Pulmonary Embolism (PE) an tih natna a ni. Hei hi i ngaihtuah angin a tlem lo. Chuvangin vawiin hian he thu hi chipchiar takin, awlsam takin i sawi dawn nia.

Pulmonary Embolism (PE) hi eng nge ni?

A awlsam zawngin sawi ila, pulmonary embolism chu i lung chhunga thisen kalna kawng khata thisen zam (blood clot) a ni. Hetiang thil hi engtin nge a lo awm tih i hria em? I taksa hmun dangah thisen zam, a tam zawk chu i ke emaw, i kut emaw vein -ah a lo awm a , chu chu a chhuak a, i thisen kal tlangin a kal a, a tawpah chuan i lungah a tang ta a ni. Tui kawng inkharkhip ang maiin han ngaihtuah teh.

Hetiang hian thisen zam chu lungah a tlakbuak chuan eng nge thleng?

• Lung lama thisen kal khap a ni.
• Lung chhunga oxygen level a tlahniam.
• Pulmonary arteries-ah thisen sang a sang chho zel a.

Hei hi medical emergency a ni a . Enkawl vat loh chuan pulmonary embolism hian thinlung emaw lung emaw a tichhe thei a, a chang chuan thihna pawh a thlen thei bawk. Dik tak chuan pulmonary embolism vei zinga 33% vel chu an natna hmuhchhuah leh enkawl hmain an thi niin an sawi. Chuvangin hei hi a pawi zia chu i hmu thei a ni lawm ni?

Mahse, natna hi hmuhchhuah leh enkawl dik leh rang taka enkawl a nih chuan he natna hi thihna thlentu a ni tlem hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Tunah chuan hei (Pulmonary Embolism) hi engtiang chiahin nge a awm tih i ngaihtuah mai thei. Dik tak chuan hei hi khawvel hmun hrang hranga thinlung leh thisen kalna natna langsar ber pakhat a ni. Dik tak chuan heart attack leh stroke hnua natna tam ber pathumna a ni. Ngaihtuah teh, America ang ramah chauh pawh hian kum tin mi 900,000 velin he (PE) natna hi an vei thin. Chuvangin hei hi kan ngaihthah tur a ni lo, a dik em?

Hei hi eng symptoms nge ni?

Pulmonary embolism chhinchhiahna hmasa ber chu thawk hah leh rilru natna a ni tlangpui . He natna hi exercise i tih emaw, thawk i lak emaw hian a zual thei hle.

Heng symptoms te hi i neih chuan doctor rawn nghal tur a ni. Pulmonary embolism hi natna khirh tak a ni a, mahse a tha taka enkawl theih a ni. Enkawl hmasak hian thihna hlauhawmna nasa takin a tihziaawm thei a ni.

Pulmonary embolism symptoms hi thisen zam nasat dan azirin a danglam thei. Mi tam takin symptom an nei a, thenkhat erawh chuan symptom engmah an nei lo mai thei.

A lan chhuah dan tlangpui chu:

• Thâwk harsa nghal - Hei hi active emaw, chawlh lai emaw pawh nise a thleng thei.
• Thâwk rang tak.
• Thâwk hrual (wheezing) hi thawk chhuah laiin whistling ri a ni.
• Sawifiah theih loha rilru, kut, hnungzang, kekawrte, kawr, a nih loh leh hmuiah natna nasa tak . He natna hi heart attack symptoms ang deuh a ni thei a, i thawk chhuah hian a zual thei bawk.
• Khuh - thisen chhuak phlegm nen a lo thleng thei.
• Vun dum, thawmhnaw hring, vun dum.
• Thinlung thawk chak tak (Pulse).
• Thaw hah lutuk.
• A \henah chuan hahdam lohna, luak chhuak, muthilh emaw, hriatna hloh emaw a awm thei bawk.

Eng chen nge mi pakhatin symptoms nei lovin hetiang hi a neih theih ang?

Mi thenkhat chuan a tir lamah chuan symptoms na lo tak tak an nei thin. Heng symptoms te hi ni emaw kar emaw chhungin zawi zawiin a lo lang thei a ni. Hun a kal zel a, a natna lan chhuah dan chu a pung zauh zauh a, i rilruah a lo lang ta a ni. Mahse, mi dangte tan chuan pulmonary embolism a awm hnu minute tlemte chhungin, second tlemte chhungin a lan chhuah dan a lang thei. Chuvangin he thil hi i fimkhur hle a ngai a ni.

Hei hi eng chhan nge ni?

Okay, tunah chuan he (Pulmonary Embolism) hi engtin nge a lo awm tih i en ang u, chu chu eng nge he thil hi a thlen chhan te hi a ni. A chhan ber chu taksa hmun dangah, a bik takin ke emaw, kut emaw-ah thisen zam (vein)-ah a lo awm a, chuta tang chuan a inthen a, thisenah a kal a, lung chhungah a tang a ni. Ke ang hmuna thisen zam a lo awm chuan (Deep Vein Thrombosis) emaw (DVT) emaw kan ti thin.

Thisen zam a lo awm chhan lian tak tak engemaw zat a awm a:

• Taksa hmun khata thisen khawlkhawm emaw "pooling" emaw (a tam zawkah chuan kut emaw ke emaw). Hei hi operation hnuah emaw, khumah rei tak an awm hnuah emaw, zin rei tak hnuah (car, rel, thlawhna hmangin) a thleng tlangpui. Ngaihtuah teh, darkar tam tak chhung hmun khata i thut hian i kea thisen kal chu a block deuh thin a ni lawm ni? Chutah chuan thisen zam awm theihna a sang chho ta a ni.
• Thisen kalna kawng chhiatna, entirnan, a tliak emaw, operation emaw (a bik takin hip, khup emaw ke emaw) avanga chhiatna .
• Damdawi lam thil dang. Entirnan, rilru lam natna – (Congestive heart failure), (Atrial fibrillation), heart attack emaw stroke ang chi dinhmun.
• I thisen zam (blood clotting factors) a inthlak danglam thin. Heng thisen zam siamtute hi cancer chi thenkhatah te, hormone replacement therapy ei thinteah emaw, naupai venna damdawi ei thin thenkhatah te pawh a pung thei a ni. Tin, thisen zam (blood clotting disorder) nei te pawh an hlauhawm hle bawk.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Tunah chuan tute nge hetiang (Pulmonary Embolism) vei tam zawk, chu chu tute nge hlauhawma awm tih hi han en ila. Hetiang hlauhawmna tipungtu thil tih dan thenkhat, natna thenkhat emaw, dinhmun thenkhat emaw a awm.

• Kea thisen zam nei te tan, chu chu Deep Vein Thrombosis (DVT) tihna a ni.
• Hun rei tak ding reng tan, motor, rel, thlawhna hmanga zin (e.g., cross-country car trip rei tak) te tan.
• Tun hnaia operation avanga thisen kalna kawng hliam emaw, tihchhiat emaw, varicose veins ang chi natna nei te.
• Hormone hmanga naupai venna hmanrua (nau tihtlakna pill, patch, ring) emaw hormone thlak danglamna therapy hmangtute.
• Thisen zam natna nei tan.
• Chhungkaw history-a thisen zam nei tawhte tan.
• Tuna meizuk mekte tan.
• Diabetes Mellitus vei te tan.
• Cancer vei te tan.
• Kum 60 chunglam tan.
• Heart failure, heart attack emaw stroke emaw nei tawh tan.
• Body Mass Index (BMI) 25 aia sang nei tan, chu chu thau lutuk tihna a ni a, BMI 30 aia sang nei tan chuan thau lutuk tihna a ni.
• Naupai tan emaw, nau pai atanga kar ruk chhunga awm tan.
• Kut emaw ke emaw chhunga vein hmanga central venous catheter dah luh nei tan.

Heng risk factor pakhat emaw a aia tam emaw i neih a, thisen zam i lo neih tawh chuan doctor nen inbiakna neih a pawimawh hle a, PE vei theihna tur tihtlem nan hma i la a pawimawh hle.

Hei hian eng harsatna nge a thlen theih?

Pulmonary Embolism hian harsatna a thlen thei a, chungte chu:

• Cyanosis - Hei hi vun rawng dum (blish discoloration) a ni a, oxygen tlakchham vang a ni.
• Lung natna.
• Thai.
• Pulmonary hypertension - Hei hian lung chhunga thisen kalna kawng hrang hranga pressure sang tihna a ni.
• Shock a ni.
• Pulmonary infarction - Hei hi lung tissue thihna a ni.

Hengte hi natna khirh tak tak, PE enkawl vat ngai an ni.

Engtin nge hei hi i diagnose?

Okay, hetiang symptoms hi i neih chuan engtin nge doctor emaw nurse emaw hian pulmonary embolism hi a hriat theih ang? I symptoms te, i risk factors te an en a, chutah chuan test tlemte an nei leh thin.

• Thisen test - Heng zingah hian , D-dimer test hi a pawimawh hle.
• Computed tomography (CT) angiogram - Hei hi CT scan bik a ni a, lungpui thisen kalna kawng hrang hranga thisen zam awmte enfiahna a ni.
• Ultrasound hmangin ke ruh a awm. - Hei hi kea Deep Vein Thrombosis (DVT) awm leh awm loh enfiah nan tih a ni. Hei hi clot pakhat chu lungah a kal theihna hmun a ni.
• VQ scan - CT scan atana mamawh contrast material i hmuh theih loh chuan he scan hian lung chhunga thisen zam a hmuchhuak thei a ni.
• Pulse oximeter (pulse bawngpa) 1.1.- I kut zungtang chunga clip thei leh i oxygen level enfiah thei device.
• Echocardiogram - Ultrasound hmanga thinlung enfiahna a ni.

Hei bakah hian test dang pawh tih theih a ni:

• Pulmonary angiogram tih a ni.
• Chest X-ray neih a ni.

Engtin nge enkawl ang? (Tihdamna)

Hei (Pulmonary Embolism) hi damdawi lam emergency a ni. Damdawi inah enkawl a ni tlangpui. Chumi hnuah chuan i dinhmun chu uluk takin i enfiah thei ang. Damdawi ina i awm rei zawng hi thisen zam nasat danah a innghat a ni. Mi thenkhat damdawi ina awm ngai lo pawh a awm thei.

Pulmonary embolism enkawlna ber chu thisen tihthianghlimna damdawi anticoagulants an tih hi a ni.

Thisen zam nasat dan leh taksa peng dang, i thinlung ang chi a nghawng dan azirin, thrombolytic therapy (thisen chhuak tichhe thei enkawlna), operation emaw, lung kawng hrang hranga thisen kal dan tur tihchangtlun nan interventional procedure dang emaw hmanga enkawl i ni thei bawk.

Anticoagulant damdawi a ni

Thil tam takah chuan, enkawlna chu anticoagulant damdawi angin pek a ni a, chu chu thisen tithianghlimtu damdawi angin pek a ni . Heng damdawi te hian i thisen a tihkhawtlai theihna a tihtlem avangin hna a thawk a ni. Hei hian thisen zam thar a siam loh nan a veng a, thisen zam awm tawhte chu a lian lehzual loh nan a titawp bawk.

Damdawi dang ang bawkin he (anticoagulant) damdawi hi engtin nge ei tur tih leh engtikah nge ei tur tih chiang taka hriat a pawimawh hle a, doctor thupek zawm a pawimawh hle bawk. Damdawi chi hrang hrang pek i nih dan te, eng chen nge i ei tur tih te, eng follow-up test nge i neih tur tih te chu i natna hmuhchhuah danah a innghat ang. Chuvangin nitin doctor leh lab-a kal a pawimawh. Chutiang chuan damdawi i dawn dan chu an hmu thei ang. (anticoagulant) i ei lai hian i thisen a zang chak zia hriat nan thisen test mumal ( prothrombin time test ang chi) i neih a ngai bawk ang.

Compression stockings a awm bawk

Hengte hi socks chi khat bik a ni. Heng socks te hian kea thisen kal dan a ti tha hle. Deep Vein Thrombosis (DVT) vei te pawhin hengte hi an hmang tih i hmu tawh mai thei. Hengte hi i doctor-in a sawi angin i hmang tur a ni. Hengte hi khup thlenga sei socks an ni tlangpui. I ke khauh taka awm tir turin an pui a, thisen a inzawm khawm loh nan an pui bawk. Heng socks hman dan tur te, eng chen nge i hak tur tih te, silfai dan tur leh fai dan tur te doctor hnenah zawt la.

Enkawlna dang (Procedures) .

Pulmonary embolism hi nunna atana hlauhawm a nih chuan, emaw, enkawlna dangin a hlawhtlin loh chuan, i doctor chuan pulmonary artery atanga thisen zam chu paih chhuah nan operation emaw catheter emaw hmang turin a rawt thei ang. Thrombolytic therapy pawh hi duhthlan tur dang a ni. Hei hian "clot busters" (thisen chhuahna damdawi) pek che a huam a ni. Entirna pakhat chuDamdawi pakhat, Tissue Plasminogen Activator (TPA) tih a ni. He damdawi hi damdawi in Emergency Department emaw Intensive Care Unit (ICU) ah pek thin a ni a, uluk taka enfiah thin a ni. He enkawlna hi i thisen sang a hniam emaw, pulmonary embolism avanga i dinhmun a nghet lo emaw a nih chuan pek theih a ni.

A châng chuan, i doctor chuan vena cava filter . Hei hi taksa chhunga vein lian ber chhunga dah luh filter chi khat a ni. Hei hi dah a nih chuan thisen zam chu he filter-ah hian a tang a, chutah chuan lungah a kal thei a ni.

Enkawlna avanga side effects awm thei

Pulmonary embolism enkawlna atana damdawi hmante side effect lian ber pakhat chu thisen chhuah hi a ni. Chuvangin doctor te chuan i dinhmun atan anticoagulant emaw thrombolytic emaw dose dik tak an pe ang che. Damdawi ina i awm laiin i dinhmun enfiah a awlsam zawk bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Enkawl i tan atanga kar khat vel chhungin i dam tan ang. Mahse, pulmonary embolism atanga a dam kim theih nan thla tam tak, kum tam tak pawh a ngai thei.

A chhan chu lung chhunga thisen kalna kawngte a inkhar chuan thisen pump turin thinlung hian nasa zawkin hna a thawh a ngai a ni. Tui pipe khar chuan motor chu a ti buai zawk ang bawkin. Hemi avang hian PE hnuah chuan thinlung chamber pakhat chu a pangngaia a lo kir leh theih nan thla tam tak a ngai a ni. Hei hian an tan hma ang bawka thawhrim a harsat phah thei a ni.

Hei hi ven theih a ni em? (Invenna) 1.1.

Ni e, hei hi nasa takin i ven theih nan i pui thei a ni. Pulmonary embolism lo awm tur ven nan hengte hi ti rawh:

• Exercise neih fo thin ang che. I kal thei lo a nih chuan darkar tin minute engemaw zat i kut, ke leh ke te chu chet tir thin ang che. Hun rei tak i thut emaw, i ding emaw dawn tih i hriat chuan compression stockings hmang la, circulation a ti tha zawk ang.
• Tui tam tak in la, zu leh caffeine erawh khap tlat ang che.
• Zuk leh hmuam hman loh tur.
• I ke kha cross suh.
• Thawmhnaw tight tak tak ha suh.
• I tan taksa rihna hrisel tak vawng reng rawh.
• Ni khatah vawi hnih minute 30 vel i ke chu chawi sangin dah thin ang che.
• I risk factors tihtlem dan tur chungchangah i doctor nen sawiho la, a bik takin nangmah emaw, i chhungte zingah emaw thisen zam a lo awm tawh a nih chuan.
• I doctor nen a (Vena cava filter) chungchang sawipui rawh.

PE i neih chuan eng nge i beisei theih ang?

Enkawl loh chuan pulmonary embolism hi natna khirh tak a ni a, chu chuan chak lohna nghet tak emaw, thihna emaw a thlen thei a ni. Mi thenkhat chu pulmonary embolism an neih hnuah an thi nghal a, darkar tlemte chhungin an thi bawk. Hei hi doctor-in a natna a hriatchhuah hmain a thleng thei a ni.

Lung emaw, lung emaw natna i neih chuan PE avanga thihna a sang zawk. Mahse, imaging method tha zawk a awm avangin pulmonary embolism hi mi 1% atanga 3% chauhvin a thihpui thei a ni.

Enkawlna nen chuan i prognosis chu thisen zam lian leh te, a blockage, i hriselna zawng zawng leh i thinlungin thisen a pump theih danah a innghat a ni.

PE hi a bo vek dawn em ni?

Pulmonary embolism hi a reh vek theih nan thla tam tak, kum tam tak pawh a ngai thei. A châng chuan, PE nawn leh hian natna khirh tak , chronic thromboembolic pulmonary hypertension (CTEPH) tih a thlen thei a ni.

Engtin nge ka in enkawl ang?

Thla thum atanga thla ruk chhung, a aia rei pawh thisen tithianghlimtu i ei a ngai dawn a ni. I doctor-in a tih hma loh chuan ei kha titawp suh. Thisen tihthianghlimna damdawi i ei lai hian hliam leh thisen chhuah theihna tur thil tihnaah a theih ang anga fimkhur rawh.

I doctor nen i follow-up care chungchang sawipui la, PE dang i neih theihna tur tihtlem nan an thurawn zawm rawh. Meizial zuk bânsan te, exercise tam zâwk neih te, leh i ei leh in tihdanglam te ang chi thilte an rawt thei a ni.

Doctor leh lab-a appointment apiangah kal la, damdawi pek tawhte chu engtin nge i chhan tih en rawh.

PE hnua lungkhamna emaw, hlauhna emaw i neih chuan i doctor hnenah counselor biak turin hrilh rawh. A pui ang che.

Engtikah nge Doctor i hmuh ang?

Follow-up appointment neihpui turin doctor hmu rawh. I bawlhhlawh a dum a nih chuan, lu na nasa tak i neih chuan, thisen tithianghlimtu damdawi i ei laiin i hliam a lian zawk a nih chuan i doctor hnenah hrilh rawh. Hengte hi chhungril thisen chhuahna chhinchhiahna a ni thei.

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

Pulmonary Embolism (a hmaa kan sawi tawh) symptoms i neih chuan enkawlna zawng nghal rawh. Tikhawtlai suh.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor zawh tur zawhna thenkhat chu hetiang hi a ni:

• Ka tan enge inenkawlna tha ber?
• I damdawi min pek kha eng chen nge ka ei a ngaih?
• Engtikah nge ka follow-up test neih leh tur?

Pulmonary embolism i neih hnuah i nun chu a awm tawh dawn lo tih i hmu mai thei. Chu chu pawm a pawimawh. Mi dangte chuan chutiang thil thleng leh chu i hlau tih an hrethiam lo mai thei. Chuvângin, i hlauhthawnna chungchâng chu ṭanpuitu pâwl emaw, counselor emaw nêna sawipui chu a ṭangkai thei a ni. I hlauhthawnna chu do la, i doctor thupek zawm chhunzawm zel la, an damdawi pekte pawh ei chhunzawm zel rawh.

Take-Home Thuchah a ni

Pulmonary Embolism hi a lo awm nghal thei a, .Thil pawi tak, nunna atana hlauhawm tak a ni. Mahse, a natna lan chhuah dan i hriat hmasak a, damdawi lam pan vat chuan i dam kim thei a ni. Chuvangin, thawk harsa emaw, rilru na emaw ang chi symptom i neih chuan ngaihthah suh. Doctor pan nghal rawh. Risk factor nei te tan pawh tihtlem tum a pawimawh hle bawk. I hriselna chu i kutah a awm!

` Pulmonary Embolism, PE, Lung Blood Clot, Thâwk Tawt, Chhung Na, DVT, Thisen zam, Thisen Thintu Damdawi, Anticoagulants