I ke i en hian a chang chuan thisen zam dum emaw, sen hring emaw i hmu a, hmun thenkhatah chuan thisen zam chu knot ang maiin a lang em? Hemi avang hian mi thenkhat chuan ke na, rit, leh ke na an nei thin. A bik takin dress emaw shorts emaw i hak hian he hmel hian tlem a ti nuam lo deuh thei che a ni. He natna hi damdawi lamah chuan `(Varicose veins)` leh `(Spider veins)` kan ti a. Chuvangin vawiin hian hei hi enkawlna hlawhtling tak, awlsam tak leh lar tak kan sawi dawn a ni. Chu chu `Sclerotherapy` a ni.
Sclerotherapy hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Sclerotherapy hi i kea varicose veins leh spider veins te injection hmanga enkawlna a ni. Surgery a ni lo. Heta thil thleng chu i doctor chuan needle na tak tak hmangin a lan chhuahna vein-ah hian chemical solution bik a inject a ni.
He liquid hi glue angin ngaihtuah rawh. Vein chhunga a luh chuan vein wall-ah irritation tlem a siam thin. Thil thleng chu vein wall te chu a inzawm khawm a, vein chhunga thisen kal chu a tawp a, vein chu hliam ang maiin a inkhar ta a ni. Hun a kal zel a, i taksa chuan he vein blocked hi a hip lut a, a paih chhuak ta a ni. Tichuan, chu vein hmuhnawm lo chu a bo zauh zauh ta a ni. Chumi rual chuan a natna leh lungawi lohna pawh a bo vek bawk.
Hei hi tui pipe hlui, tangkai lo tak chhunga tui bik dah a, a chhung atanga seal ang mai a ni. Hun engemaw chen hnuah pipe chu a ro vek ang bawkin he vein pawh hi taksa atangin a bo ta vek a ni.
He enkawlna hi tute tan nge a inhmeh? Tu tan nge a inhmeh lo?
Sclerotherapy hi mi tam takin an tih theih a, mahse mi zawng zawng tan a ni lo. He enkawlna hi i tan a tha em tih i doctor chuan a rel ang. Enkawlna a tih hmain a enfiah hmasa ang che.
He enkawlna hi a tlangpuiin a hnuaia mite chungah hian tih a ni lo:
- Nu naupai tan: Naupai tan chuan he enkawlna hi tih theih a ni lo. Nau i pai hnu thla thum tal hnuah chauh ngaihtuah nawn leh theih a ni.
- Nu hnute petu tan: Nau hnute pek lai hian hetiang hi tih a tha lo.
- Thisen zam natna nei tan: Hei hi i thisen zam (active deep vein thrombosis emaw superficial vein thrombosis) i neih chuan tih theih a ni lo.
- Khum mua awmte tan: He enkawlna hi khum mu, engti kawng mahin kal thei lo chungah tih a ni lo.
Mahse, naupai venna damdawi i ei a nih chuan harsatna a awm lo , `Sclerotherapy` i ti thei. Tin, thisen zam i nei tawh a nih pawhin a chhan leh a nasat dan azirin enkawl theih a ni mai thei bawk. Hemi chungchang hi i doctor nen in inbia tur a ni.
Thil pawimawh dang chu a chang chuan he enkawlna hi nakin lawka bypass surgery ngai thei vein-ah tih a ni lo a, chu chu coronary artery bypass graft surgery ang chi hi a ni. Amaherawhchu, a vein a chhiat lutuk tawh a, hman theih loh khawpin a chhiat tawh chuan enkawl a ni.
Enkawl hmaa i hriat tur leh inbuatsaih dan tur
Enkawlna i kal hmain i lam atanga i inbuatsaih tur thil a awm a, chubakah damdawi i ei tawh loh tur pawh a awm bawk. Heng thilte hi dik taka zawm hi a enkawlna hlawhtlinna atan a pawimawh hle.
| Thurawn | Thu pawimawh tak tak |
|---|---|
| Damdawi tihtawp tur | Painkiller leh thisen tithianghlimtu aspirin , ibuprofen (Advil®, Nuprin® ang chi), leh NSAID dangte chu enkawl hma leh enkawl zawh hnu darkar 48 chhung ei loh tur. Chungte chuan thisen chhuah a tipung thei a ni. Mahse, natna atan paracetamol (Tylenol®, Panadol®) ei hi a pawi lo. |
| Antibiotics lakah fimkhur rawh. | Antibiotics (Tetracycline) emaw (Minocycline) te hi enkawl hma emaw, enkawl hnu ni 7-10 chhunga ei chuan vun rawng a tidanglam thei a ni. Antibiotics dang i ei a nih chuan doctor hnenah hrilh rawh. |
| Prednisone chungchang hriattir rawh | Steroid damdawi Prednisone ang chi i ei a nih chuan a enkawlna a ti tlem thei. Chuvangin i enkawl hma darkar 48-ah i ei tawh loh theih leh theih loh doctor hnenah zawt la. |
| Vunah engmah hnawih suh. | Enkawl ni hian i keah lotion, cream leh oil engmah hnawih suh. |
| A incheina kha han ngaihtuah teh. | Treatment neih chhunga ha tur shorts nuam tak tak rawn keng rawh. |
| Compression stockings rawn keng rawh. | Treatment hmasa atanga compression hosiery i neih chuan keng la. Doctor chuan tun ṭumah hian a fit dawn em tih a enfiah thei ang. |
A pawimawh ber: Tuna damdawi i ei mek reng reng i chawlhsan hmain i tan a petu doctor nen inbia a, a thurawn lak hmasak phawt a pawimawh hle.
Enkawl lai hian eng nge thleng?
He enkawlna hi Doctor office-ah tih a ni. Inbuatsaihna leh anesthesia tam tak a ngai lo. Procedure zawng zawng hi minute 30 atanga 45 vel a ni.
1. Position: Vein enkawl mek awmna hmun a zirin i sir emaw, i sir emaw-ah khumah mu turin an ti ang che.
2. Skin cleansing: Injection na hmun vel vun hi uluk taka tihfai a ni.
3. Vein Identification: A chang chuan vein thuk tak enkawl hian doctor chuan ultrasound scan hmangin a vein dik tak chu a hmu thei a.
4. Injection: A dawtah chuan doctor emaw assistant emaw chuan i vun chu a ti nghet ang a, chutah chuan, needle na tak tak hmangin, uluk takin special liquid emaw foam emaw chu vein-ah an inject ang.
Needle atang hian stinging sensation tlemte chauh i nei ang . Damdawi a luh rualin a kang deuh tih i hre thei a, damdawi chu thisen zam lian zawka i inject chuan minute khat emaw minute hnih emaw chhung chu i keah a na deuh hlek thei a ni. Heng zawng zawng hi thil pangngai a nih avangin lungngai suh.
Session khata vein enkawl zat hi i vein lian leh te, leh i hriselna zawng zawngah a innghat a ni.
Enkawl zawhah eng nge ka tih ang?
Enkawlna a zawh hnuah minute 15 vel khumah awm turin an ti ang che. Hei hi damdawi allergy a awm leh awm loh en nan a ni. Chumi hnuah chuan i tho thei a, nangmah chauhin i tlan haw thei bawk . I tih dan pangngai pawh i ti thei bawk. Walking is especially good , a chhan chu thisen kal dan a tichak a ni.
Enkawl hnu darkar 48 chhunga i zawm tur thupek bik thenkhat a awm.
| Tih/Tih loh tur | Hrilhfiahna |
|---|---|
| Compression Stockings a ha a | Doctor chuan heng support hosiery emaw compression wraps emaw hi ni 3 atanga ni 7 chhung i ha chhunzawm tur a ni a ti. Hei hian treated veins te chu a tikhauh ang a, a dam thuai ang. |
| Thil lum tak takte chu pumpelh rawh | Inbual lum, sauna leh whirlpool te chu pumpelh rawh. Tui pangngai hmanga inbual hi a tha a, mahse tui lumna chu tlem tal tihhniam rawh. Injection na hmunah hian tui lum bottle dah suh. |
| Ni êng chu pumpelh rawh. | Treated hmunte chu ni êng direct-a dah loh tur. Tin, tanning pawh pumpelh bawk ang che. |
| Faina | Injection na hmunte chu tui lum leh sahbawn nem tak hmangin silfai ang che. |
| Natna tihdamna damdawi | Natna i neih chuan Paracetamol ei thin ang che. Damdawi Aspirin emaw Ibuprofen emaw ei loh tur. |
Sclerotherapy hmanga enkawlna hian eng hlawkna nge a neih?
- Anesthesia hman a ngai lo: Hei hi surgery a nih loh avangin anesthesia pek a ngai tawh lo vang.
- Hlawhtlinna sang: Mi tam tak chuan hei hi result tha tak an hmu thin. A bik takin `(Varicose veins)` leh `(Spider veins)` te tan a tangkai hle. Session khatahVein 50% leh 80% inkar chu lakchhuah theih a ni.
- A rah chhuah rang: Spider vein te te chu kar 3-6 chhungin a bo vek. Vein lian zawk hian thla 3-4 vel a daih thei.
- Permanent results: Hlawhtling taka enkawl vein chu a lo lang leh tawh lo vang . Mahse, vein thar a lo lang thei. Chutiang a nih chuan a hranpaa enkawl an ngai dawn a ni.
- Natna tlem: Enkawl zawha compression stockings bun hian natna nasa takin a tihziaawm thei. Bruising leh swelling control nan a pui bawk.
Hei hian risk emaw side effect emaw a nei em?
Damdawi dang ang bawkin, side effect tenau tak tak a awm thei bawk. Mahse, serious deuh erawh chu a tlem hle.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect awm fo, na lo tak tak | |
| Vein constriction/stiffness a awm | Vein lian tak tak enkawl a nih chuan thla engemaw zat chhung chu a lum leh a nghet lo niin a lang thei. Hei hi a reh zauh zauh ang. |
| A sen hring | Injection na hmuna sen (redness) chu ni engemaw zat hnuah a bo vek ang. |
| Brown spot a awm | Enkawlna hmunah hian brown streak emaw spot emaw a lang thei. Hengte hi thla 3-6 chhungin a bo tlangpui. Mahse, mi za zela tlemte, 5% velah chuan hengte hi a awm reng thei a ni. |
| A hliam (Bruises) a awm | Injection na hmunah hian bruising a awm thei. Hengte hi kar tlemte hnuah a bo vek ang. |
| Allergy natna a awm thei | Damdawi allergic reaction neih theih a ni a, mahse a tlem hle. A lan chhuah dan chu a hring leh a hring (swelling) a ni thei. |
| Symptoms a awm tlem thei a, doctor hnenah hriattir nghal tur a ni | |
| Groin a lo hring chhuak | I groin area-ah swelling i neih chuan. |
| Sudden ke a hring chhuak | A ke enkawl chu a lo hring chhuak nghal a nih chuan. |
| Hliam te te | Injection na hmunah hliam te te (ulcer) a lo awm chuan. |
| Stripe sen a ni | A bik takin red streaks groin lam pan a tlan chhuak a lo lang a nih chuan. |
Hetiang thil hi a lo thleng a nih chuan i doctor i ko nghal tur a ni .
Insurance hian hei hi a cover dawn em ni? Laser hmanga enkawl hi a tha zawk em?
Insurance company-te hian sclerotherapy enkawlna hi cosmetic thil vangin an cover tlangpui lo. Mahse, damdawi lam thila varicose veins i neih chhan, i ke natna emaw, rit emaw i neih chuan insurance company thenkhat chuan an cover thei a ni. Hei hian i doctor hnen atanga lehkha lak a ngai dawn a ni. Enkawlna i neih hmain i insurance company phone hmasa phawt la, hemi chungchang hi zawt hmasa phawt ila a tha ber.
Laser hmanga enkawlna emaw endovenous thermal ablation emaw hi varicose veins enkawlna tha tak dang a ni bawk. Side effect a thlen thei bawk. Mahse, vein tortuous tak tak leh twisted tak tak te hi laser hmanga enkawl a harsa hle. I doctor chuan i thisen kalna dinhmun a zirin i tan enkawlna tha ber a ruat ang.
Take-Home Thuchah a ni
- Sclerotherapy hi i kea varicose veins leh spider veins te tan chuan a hlawk hle a, a him hle bawk.
- I hriselna dinhmun leh damdawi i ei zawng zawngte chu enkawl hmain doctor hnenah hrilh hmasak a pawimawh hle.
- A tha ber tur chuan enkawl zawhah doctor thupek uluk takin zawm la, a bik takin compression stocking ha la.
- Results hmuh tur chuan hun engemaw chen a ngai a ni. Zan khat thil thuah i ke chu a mawi hle ang tih beisei suh. Dawhthei takin awm rawh.
- Side effect na tak (rang taka hring emaw, hliam emaw) i neih chuan hlauthawng suh la, i doctor hnenah hriattir nghal rawh.
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