I thisen kalna kawngah harsatna i nei em? Vascular disease chungchang hi han sawi ila.

I kal laiin i ke na emaw, i ke na emaw i nei fo em? A nih loh leh i ke chu blue leh knotted angin a lang em? Hengte hi circulatory system, chu chu kan taksa chhunga thisen kalna kawng hrang hrangah harsatna engemaw zat a awm tih chhinchhiahna a ni thei. Chuvangin vawiin hian heng thisen kalna kawng kaihhnawih natna, emaw, damdawi lama kan sawi angin, ‘vascular disease’ emaw hi han sawi ila.

A awlsam zawngin, heng vascular diseases te hi engte nge ni?

Vascular disease tih hian kan thisen kalna kawng tichhe thei dinhmun eng pawh a kawk a ni. Kan taksa hi pipe network ang mai a ni ang tih han ngaihtuah teh. He pipe network hi kan thisen kalna kawng a ni. Hengte hmang hian kan taksa pum puiah thisen a kal kual thin. He system hian a bulpui pathum a nei a.

• Arteries: Hei hi thisen kalna kawng lian tak tak, thinlung atanga taksa peng dang zawng zawnga thisen thianghlim (oxygenated blood) phurtu te an ni.
• Veins: Hei hi taksa peng hrang hrang atanga thisen thianghlim lo (oxygen tlachham thisen) thinlunga phur kir lehtu vein te an ni.
• Capillaries: Hengte hi thisen kalna kawng te ber, nalh ber berte an ni. Artery leh vein te an thlunzawm a, kan tissue-ah oxygen leh nutrients an thlen a, bawlhhlawh an khawlkhawm bawk.

Chuvangin, heng arteries, veins, capillaries, emaw lymph vessels te tibuaitu harsatna eng pawh, thisen kaihhnawih harsatna thisen zam ang chi avanga thisen kal tibuai thei dinhmun eng pawh hi vascular disease kan tih hi a ni.

Vascular diseases chi hrang hrang lian ber berte chu engte nge ni?

Heng natnate hi chi hrang hrangah then theih a ni. Ṭhenkhat chuan thisen kalna kawng chauh a nghawng a, ṭhenkhat chuan thisen kalna kawng (veins) chauh a nghawng bawk. Taksa hmun bik chauh khawih thei natna a awm bawk. A chi hrang hrang hi han thlir ila.

1. Peripheral Artery natna

Kan thinlunga coronary arteries ang bawkin thinlung pawn lama thisen kalna kawngte pawh hi thau leh cholesterol ang chi thilin a tikhawlo a, chu chu ‘plaque’ kan ti a, a chhung lam atang chuan thisen kalna kawngte chu a inkhar tan ta a ni. Hetiang dinhmun hi ‘atherosclerosis’ kan ti a ni. Hun a kal zel a, hetianga thisen kalna kawng (arteries) a inkharkhip chuan thisen kal dan a tlahniam thin. Chumi avang chuan taksa peng hrang hrangte hian thisen mamawh zat an dawng lo thei a ni. Hei hi ‘ischemia’ kan ti a ni.

Hemi hnuaia awm natna thenkhatte chu a hnuaia mi ang hian tarlan a ni.

2. Carotid Artery lama harsatna awm thei

Hengte hi kan kawr sir lehlamah awm, thluaka thisen pe chhuaktu carotid arteries lian ber berte harsatna a ni.

• Carotid Artery Disease: Thluak thisen petu he artery hi a tawi emaw, a block emaw chuan transient ischemic attack (TIA) emaw stroke emaw a thlen thei a ni.
• Carotid Artery Dissection: Artery wall layer pakhata te, thisen chhuak a awm.
• Carotid Artery Aneurysm: Artery wall chak lo lutuk avanga balloon ang maia bulh chhuak. Hetianga puak darh theihna a awm.

3. Venous Disease a awm

Kan thisen zam chhunga valve awmteValve an tih hi a awm a. Tui kawng khata luang chhuak thei pipe ang mai a ni. Kan taksa ruhte kan contract hian heng valve te hi a inhawng a, thisen chu chunglam (thinlung lam hawiin) a kal a. Muscle te a relax chuan valve te chu a khar a, thisen chu a hnuai lamah a luang leh tawh lo.

Mahse heng valve te hi a chhiat chuan an khar tha lo. Tichuan thisen chu a sir lehlamah a luang tan ta a ni. Hei hian a ke hnuai lam, a bik takin keah thisen a awm khawm a, thisen kalna chu a hring leh knot angin a lang tan thin. Heng condition te hi:

• Varicose Veins: Vun hnuaia lo lang, a hring, a sen, a inzawm khawm.
• Spider Veins: A sen emaw, a sen emaw, spider ang maia awm, khup leh ke ruh chhunga capillaries te tak te lo lang thin.
• Deep Vein Thrombosis (DVT): Taksa chhunga vein thuk takah thisen zam a lo awm a .
• Chronic Venous Insufficiency (CVI): Kea thisen kalna bang emaw, a valve emaw a thawk tha lo vanga thinlunga thisen kir leh harsa.

4. Thisen zam

Thisen zam (thrombus) chu thisen kalna kawngkhar chhunga jelly ang maia lo awm a ni. He clot hi a chhe thei a, thisen nen a kal dun thei a, lung ( Pulmonary Embolism ), thinlung ( Heart Attack ), emaw thluak ( Stroke )-a thisen kalna kawng pakhat a tikhawlo thei a ni. Hengte hi dinhmun hlauhawm tak a ni.

5. Aortic Aneurysm a awm thei

Aneurysm chu thisen kalna kawng bang a chak lo va, balloon ang maia a bulh chhuahna a ni. Thisen kalna kawng eng pawhah awm thei mah se, thinlung atanga kalna thisen kalna bulpui aorta-ah a lang tam ber.

• Thoracic Aortic Aneurysm: A rilru chhunga aorta bulge awm.
• Abdominal Aortic Aneurysm: Pum chhunga aorta-a bulge awm.

6. Lymphedema (Lymphedema) a awm thin

Kan lymphatic system hi kan immune system puitu vessel nalh tak tak network a ni. Heng vessels te hi a chhiat emaw, a block emaw chuan lymph fluid a lo pungkhawm a, kan taksa peng hrang hrangah a hring chhuak thin. Hei hi Lymphedema an ti a .

Heng natnate hi engte nge a chhan leh a hlauhawmna?

Vascular natna thenkhat hi rochun (genetically) a ni thei a, mahse a tam zawkah chuan heng natna te hi nunphung tha lo leh damdawi lam thil dang avanga lo awm a ni.

• Cholesterol sang tak a ni
• Thisen sang lutuk
• Meizial leh zuk leh hmuam hman
• Zunthlum
• Thau lutuk leh thau lutuk
• Exercise tih loh
• Chhungkaw history-a heng natnate hi a awm tawh
• Kum upa lam

Nang pawhin heng symptoms te hi i nei ve em?

A dinhmun a zirin symptoms a inang lo. Condition lian tak tak engemaw zat symptoms i en ang u.

Engtin nge heng natnate hi doctor-in a hriat theih ang?

I doctor i tlawh hunah uluk takin a enfiah ang che a, i natna lan chhuah dan te, i chhungkaw damdawi lam chanchin te a zawt ang che a, i natna hriat chian nan test engemaw zat a ti thei bawk.

• Vascular Ultrasound: Hei hi scan a ni a, sound wave hmanga thisen kalna kawng chhunga thisen kal dan en a, blockage a awm leh awm loh en a ni.
• CT Angiography: CT scan hmangin thisen kalna kawng chipchiar tak tak, taksaah thil bik inject a, thisen kalna kawng chipchiar tak tak hmuh theih a ni.
• MR Angiography: Magnetic field hmanga MRI machine hmanga thisen kalna kawng thlalak lak.
• Catheter Angiography: Thisen kalna kawng (thin vessel) te tak te (catheter) kalpui a, chutah chuan tui bik inject a, X-ray hmanga thisen kalna kawng (veins)-a blockage awmte hriatchhuah a ni.

Enkawlnate chu engte nge ni?

Enkawl dan hi a natna leh a nasat dan azirin a inang lo. Damlo zawng zawngte hnena thurawn tlangpui pek chu nunphung tihdanglam hi a ni . Chu chu ei leh in hrisel ei te, exercise lak te, leh zu in loh te tihna a ni. Tin, enkawlna hrang hrang a awm bawk a, chungte chu:

• Damdawi: I doctor chuan thisen tithianghlimtu, cholesterol tihhniamna damdawi (statins), thisen sang damdawi, leh vasodilators te ang chi damdawi a pe thei ang.
• Angioplasty leh Stenting: Thisen kalna kawngkhar block-ah balloon ang chi hmanrua dahin, thisen kalna kawng zau zawka tihzauh nan inflated (angioplasty), a khar leh loh nan mesh ang chi hmanrua (stent) dah a ni.
• Surgery: A then phei chuan vein blocked chu la chhuakin vein dang hmanga thlak (bypass surgery) emaw, surgery hmanga thisen zam chu paih chhuah (thrombectomy) emaw a ngai thin. Varicose vein ang chi condition-ah chuan laser treatment emaw surgery emaw hmangin vein hi lakchhuah a ni bawk.

ETU-a kal nghal vat a ngaih hun te chu engte nge ni?

Nangmah emaw i hriat miin emaw a hnuaia symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh. Chûngte chu nunna atana hlauhawm tak, stroke, heart attack, aortic aneurysm ruptured ang chi chhinchhiahna a ni thei.

• Vawikhatmah, rilru na tak
• Vawikhatmah pum na na tak
• Thusawi harsa, tawngkam slurring
• Hmai sir khata sagging
• Kut pakhat emaw ke pakhat emaw a rilru a buai emaw, a chak lo emaw
• Vawikhatmah buaina nasa tak emaw, luak chhuak emaw
• Mit hmuh hloh emaw, hmuh fiah lo emaw