I thisen kalna kawngah harsatna i nei em? Vascular Disease chungchang hi han sawi ila!

He vascular system hi kan taksa pum puiah eng angin nge a pawimawh tih hi i ngaihtuah ngai em? Kawngpui ang a ni a, heng thisen kalna kawngte hian kan taksa peng tinrengah thisen a phur a. Chuvangin he vascular system-ah hian harsatna a awm a nih chuan, chu chu thisen kalna kawngpuiah hian harsatna a awm a nih chuan "Vascular Disease" kan ti mai a ni. Hei hi natna pakhat chauh a ni lo va, natna chi hrang hrang tam tak chu hemiah hian an tel ve a ni.

Circulatory System chu eng nge ni? A awlsam zawngin i hrethiam ang u!

Ngaihtuah teh, kan taksa chhungah hian kawngpui lian tak ang maia awm system a awm a. Hei hi circulatory system kan tih chu a ni . Chumi atana thil pawimawh ber chu thisen kalna kawngte hi a ni. Heng thisen kalna kawng hi chi thum a awm a:

1. Arteries: Hei hi thisen thianghlim, oxygen awmna thinlung atanga taksa peng dang zawng zawng leh tissue dang zawng zawnga phur chhuaktu vein lian tak takte an ni. Tui dahna atanga in thlenga tui phur pipe lian tak tak ang bawk khan.

2. Veins: Hei hi thisen hman tawh, oxygen tlakchhamna nei lo, taksa hmun hrang hrang atanga thinlunga phur kir lehtu vein te an ni. Tui hman tawh khawlkhawmtu pipe ang an ni.

3. Capillaries: Hengte hi kan taksaa thisen kalna kawng te ber, sam khat ang vela lian an ni . Heng vein te tak te te hian oxygen leh nutrient te chu thisen kalna atang hian kan taksa cell ah te an phur a, chu cell atang hian bawlhhlawh an la khawm a, vein ah an thlen thin. Kawngpui lian tak tak leh in tenau inzawmkhawmna byway te tak te ang mai an ni.

Chuvangin, heng taksa peng pathum zinga pakhat emaw - arteries, veins, leh capillaries - emaw, thisen ngei pawh, thisen kal dan tichhe thei harsatna a awm chuan thisen kalna kawng natna a ni thei a, chu chu ``vascular disease'' tihna a ni.

Vascular natna chi hrang hrangte chu engte nge ni?

He thumal `(Vascular Disease)` hi chi hrang hrang a awm thei. Ṭhenkhat chuan thisen kalna kawng chauh a nghawng a, ṭhenkhat chuan thisen kalna kawng (veins) chauh a nghawng bawk. A chang chuan heng natnate hi taksa hmun bikah chauh a awm thei. A chi hrang hrang tlemte han thlir ila.

1. Peripheral Artery natna (PAD) .

Hemi kawngah hian thil thleng chu, coronary arteries ang bawkin, thinlung pawn lama thisen kalna kawng dangte (a bik takin ke thlenga thisen phurtu thisen kalna kawngte) chu thau leh cholesterol (hei hi ``Atherosclerosis`` an ti) in a khar vek a ni. Hun a kal zel a, he blockage hi a pung a, thisen kal pawh a tlahniam bawk. Tichuan thisen a kal tha loh avangin tissue chhiatna ``Ischemia`` a awm thei a ni.

``Peripheral Artery Disease`` hi chi hrang hrang a awm a:

• Peripheral Artery Disease of the Legs: Hei hi kea thisen kal a tihtlem hun a ni. A châng chuan thisen kal chu a tawp vek a nih chuan chu lai hmuna tissue chu a thi thei (Gangrene) a, ke pawh tan a ngai thei bawk. Huana tui pipe chu bawlhhlawhin a khuh a, tui a luang chhuak tawh lo a, thingte thih ang maiin han ngaihtuah teh.
• Intestinal Ischemic Syndrome: Intestinal supply tu thisen kalna kawngkhar a block avanga lo awm thin.
• Renal Artery Disease: Kal lama thisen phurtu thisen kalna kawng (arteries) a block. Hei hian thisen sang leh kal (kidney failure) a thlen thei a ni.
• Popliteal Entrapment Syndrome: Hei hi thil awm lo tak a ni a, a bik takin infiammi naupangte tan chuan khup hnung lama awm popliteal artery chu chu hmuna thau leh ruhkawr te chuan a tikhawlo thei a, thisen kal dan a tikhawlo thei a ni.
• Raynaud-a Phenomenon: Khawsik emaw, stress hnuaia awm emaw a nih chuan kut zungtang leh ke ruh chhunga thisen kalna kawng te te chu a inzawm khawm nghal a. Kut zungtang chu a dum thei a, a sen a, a rawn sen leh thei bawk.
• Buerger’s Disease: Hei hian kut leh kea thisen kalna kawng te, thisen kalna kawng leh nerve te te leh lian lo te a nghawng tam ber. A chhan dik tak hriat a la ni lo a, mahse zuk leh hmuam hman (zuk leh hmuam, zuk leh hmuam ei) nen a inzawm tih an sawi . Kut leh kea thisen kalna a tlahniam a, ``Ischemia``, kut zungtang leh ke ruh tissue thihna, leh ``Gangrene` a thlen thin

2. Carotid Artery lama harsatna awm thei

Kan kawr sir lehlamah thisen kalna kawng lian pahnih a awm a, chu chuan thluak lamah thisen a phur a. Chungte chu ``Carotid Arteries'' an ti a. Hengte hi harsatna a awm chuan a hlauhawm hle thei a ni.

• Carotid Artery Disease: Hei hi thluaka thisen petu thisen kalna kawng (artery) a block emaw, a tawi emaw a ni. Hei hian transient ischemic attack (TIA) emaw stroke emaw a thlen thei a ni.
• Carotid Artery Dissection: Artery wall-a mittui tla, thisen chhuak.
• Carotid Body Tumors: Carotid artery chhehvel nerve tissue-a tumor lo awm thin.
• Carotid Artery Aneurysm: Artery wall chak lo tak, balloon ang maia bulh chhuak. Hei pawh hi a puak thei bawk.

3. Venous Disease a awm

Vein hi thisen kalna kawng (flexible blood vessels) a ni a, a chhungah hian valve a awm a, chu chuan thisen chu kawng khatah chauh a kal thei a ni. Kan taksa ruhte kan contract hian heng valve te hi a inhawng a, thisen chu chunglam hawiin a luang chhuak thin. Kan taksa ruhte kan tih hahdam 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. Muscle te a relax chuan vein chhia a valve te hian thisen chu an chelh thei lo. Hei hian veins te chu thisenin a khat a, a ti hring a, knot ang maiin a lang bawk. Ke rit, natna, hring, tingling, leh itching ang chi symptoms a awm thei. Thisen zam a lo awm thei bawk.

• Varicose Veins: Vun hnuaia lo lang, a hring, a sen, a inzawm khawm. Hei hi vein chhunga valve te tihchhiat vang a ni. He harsatna hi mi tam takah i hmu tawh mai thei.
• Spider Veins: Khup, ke ruh leh kekawrteah te, a sen emaw, a sen emaw a lo lang thin. Chungte chu capillary hring (swellen capillaries) avanga lo awm a ni.
• Klippel-Trenaunay syndrome (KTS): Hei hi pianpui thisen kalna lama harsatna awm lo tak a ni.
• May-Thurner syndrome (MTS): Right iliac artery hian left iliac vein a compress a, hei hian ke veilam deep vein thrombosis (DVT) a thlen theihna a tipung a ni.
• Thoracic Outlet Syndrome (TOS): Kawr hnuai lam, kutphah leh rilru chunglam nerve leh/ emaw thisen kalna kawng (arteries leh veins) te compression, hliam, emaw irritation avanga symptoms group a ni.
• Chronic Venous Insufficiency (CVI): Kea thisen kalna kawng leh/ emaw, a valve te chu a thawk tha lo va, thisen chu thinlungah a kir leh harsat thin.

4. Thisen zam

Thisen zam (blood clots) chu kan thisena thil pakhatin kan thisen a thim deuh a, jelly ang deuha a siam hi a ni. Thisen kalna kawng chhungah thisen zam (thrombus) a lo awm chuan a inthen thei a, thisen nen a kal dun thei a, chu chuan deep vein thrombosis (DVT), pulmonary embolism (Pulmonary Embolism), heart attack, a nih loh leh stroke a thlen thei a ni.

Thisen zam chu thisen kalna kawng (arteries)-ah a lo awm chuan stroke, heart attack, ke na tak, kal harsa, leh ke leh ke pakhat hloh thlengin a tipung a ni.

• Hypercoagulable states / Thisen zam (Blood Clotting Disorders): Mi thenkhat thisen zam hi a pangngai aia rang zawk. Hei hi genetic (inherited) a ni thei a, nakin lawkah a lo awm thei bawk. Hei hian thisen kalna kawng (arteries) leh thisen kalna kawng (veins)-a thisen zam (blood clots) a tipung a ni. Hei hi thisenah thisen zam tura puitu thil tam lutuk, `(Fibrinogen)`, `(Factor 8)`, `(Prothrombin)`, emaw, thisen zam titawp thei natural proteins tlahniam vang emaw, `(Antithrombin)`, `(Protein C)`, `(Protein S)` te a ni thei.
• Deep Vein Thrombosis (DVT): Taksa chhunga vein thuk takah thisen zam a lo awm a .
• Pulmonary Embolism: Thisen zam, vein pakhata lo awm chu a chhuak a, lung chhunga vein pakhatah a lo awm ta a ni. Hei hi dinhmun hlauhawm tak a ni .
• Axillo-subclavian vein thrombosis (Paget-Schroetter Syndrome): Thisen kalna kawng natna a ni a, infiammi naupang, inelna nei tha tak takte zingah a awm fo thin. Clavicle, first rib emaw a chhehvel thau te hian axilla emaw subclavian vein emaw an compress chuan thisen zam a awm theihna a sang hle.
• Superficial Thrombophlebitis: Vun hnuai chiaha vein-ah thisen zam a lo awm a , a hring chhuak thin.

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 thisen kalna bulpui aorta-ah hmuh tur a awm tam ber.

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

Pawimawh: Aneurysm a rupture chuan nunna a tichhe thei a, chuvangin hei hi hriat a pawimawh hle.

6. Fibromuscular Dysplasia (FMD) natna a awm thei lo.

Hei pawh hi thil awm lo tak a ni. Hetiang dinhmunah hian medium leh large arteries wall-a cell te chu a pangngai lo takin an thang lian thin. Hei hian thisen kalna kawng (arteries) pianzia a tidanglam thei a, beaded angin a lang thei a, veins te pawh a ti tawi thei bawk. Hei hian aneurysm leh arterial dissection ang chi harsatna a thlen thei a ni.

7. Lymphedema (Lymphedema) a awm thin

Lymphatic system hi lymph vessel leh lymph node network a ni a, chu chuan kan taksa immune system a pui a ni. He system hian kan taksa hi thil dang lakah a venghim a ni. Lymphedema chu heng lymph vessels emaw node te hi a chhiat, a chhiat emaw, lakchhuah emaw a nih avangin hmun khatah lymph fluid a awm khawm a, a hring chhuak thin a ni.

• Primary Lymphedema: A awm lo. Mi thenkhat chu lymph node thenkhat nei lo emaw, a chhungah thil danglam tak nei emaw an piang thin.
• Secondary Lymphedema: Hei hi lymphatic system-a blockage emaw obstruction emaw a awm chuan a thleng thin. Hei hi infection, cancer, surgery, scar tissue, hliam, DVT, leh radiation therapy te ang chi thil vang a ni thei.

8. Vasculitis a awm thei

Hei hi thisen kalna kawng a inflammation a ni a, chu chu a hring chhuak tihna a ni. Hei hi damdawi vang emaw, hri kai vang emaw, a chang chuan a chhan hmuh theih loh vang emaw a ni thei. Hei hian thisen kalna kawngah thisen kal a ti harsa thin. A châng chuan rheumatological condition emaw connective tissue natna emaw nen pawh a inzawm thei bawk. Vasculitis hian aneurysm a thlen thei bawk.

Vascular disease hian tute nge a tuar ber?

Mi thenkhat chuan an nu leh pate hnen atangin thisen kalna kawng harsatna hi genes hmangin an rochun thin. Chutiang hunah, entirnan, thisen zam (blood clotting conditions)-ah chuan heng harsatnate hi an naupan lai atanga an nunpui a ngai a ni.

Mahse, thisen kalna natna tam tak hi hun kal zelah thisen kalna kawnga thau leh cholesterol (plaque) a punkhawm vang a ni. Entirnan, Peripheral Artery Disease emaw Carotid Artery Disease emaw a ni thei. Atherosclerosis, artery walls thickening hi puitling naupan lai atanga tan thei a ni a, kum chanve emaw a hnu lamah emaw harsatna a thlen thei bawk.

Sri Lanka ramah hian heng natnate hi engtiang chiahin nge a hluar?

Tunah chuan Sri Lanka-ah pawh heng thisen kalna natna hi a hluar hle tawh a ni. Bik takinHe hlauhawmna hi ei leh in \ha lo, zunthlum pung, exercise neih loh, leh meizuk ang chi thilte hian a tipung lehzual a ni . ``Peripheral Artery Disease (PAD)`` leh ``Carotid Artery Disease`` tih te hi a awm fo thin.

Thisen kalna kawng natna lan chhuah dan engte nge ni?

Hei hi natna chi hrang hrang a zirin a danglam thin. Natna chi hrang hrang lian tham tlemte chhinchhiahna hi han thlir ila.

Peripheral artery disease (PAD) natna lan chhuah dan:

• Kea thisen kalna kawng (Blocked arteries): Hnathawh emaw, kal lai emawa ke natna emaw, a nghet lo emaw, rei vak lo chawlh hnuah a reh thin. Vun rawng danglam, hliam dam lo, leh kea hahna awm.
• Intestinal ischemia: Pum natna nasa tak, luak chhuak, luak chhuak, luak chhuak, ei duh lohna, leh taksa rihna tlahniam.
• Renal artery disease: Thisen sang control loh (Hypertension), congestive heart failure, leh kal hnathawh dan dik lo.
• Popliteal entrapment syndrome: ke leh kea natna, rilru hahna, hriatna hloh, leh ke leh kea rawng danglam.
• Raynaud-a thil thleng: kut zungtang leh ke ruhte chu a sen, a sen emaw, a var emaw a lo inthlak a, a tingling a, a rilru a buai bawk.
• Buerger natna: Chawlh lai pawhin kut, ke leh kut zungtang a na. Kut zungtang chu a sen emaw, a hring emaw a ni thei.

Kawngkhar chhunga thisen kalna bulpui (Carotid Artery) nena inzawm harsatna lan chhuah dan:

• Carotid artery disease: A tam zawkah chuan, stroke emaw TIA emaw a awm hma loh chuan a lan chhuah dan a lang lo . Stroke symptoms te chu: hmuh leh tawng harsa, buai, leh hriatrengna lama harsatna te a ni.
• Carotid artery dissection: Lu na, kawng na, mit emaw hmai na.
• Carotid body tumors: Lung na rang, thisen sang, thawk hah, lu na.
• Carotid artery aneurysm: Stroke emaw, transient ischemic attack (TIA) emaw a awm thei.

Venous Disease lan chhuah dan: 1.1.

• Varicose veins leh spider veins: ke ruh hring, natna, leh kea thisen sen hring emaw sen emaw lo lang.
• Klippel-Trenaunay syndrome (KTS): Ke emaw kut emaw a na emaw, a rit emaw a awm.
• May-Turner syndrome (MTS): ke a hring, press a nih chuan a na, vun a sen emaw, a rawng a danglam emaw.
• Thoracic Outlet Syndrome (TOS): Kawng, kut leh kekawrte na, kut emaw kut zungtang emaw a na.
• Chronic venous insufficiency (CVI): Ke na, ke rit emaw, ke na emaw, a hring.

Thisen zam natna lan chhuah dan: 1.1.

• Thisen zam (blood clotting conditions): `(DVT)` emaw `(Pulmonary Embolism` emaw a awm thei.
• Deep vein thrombosis (DVT): ke na, a hring, a lum, vun a sen.
• Pulmonary Embolism: Thisen khuh , rilru na, thawk harsa. Hei hi emergency a ni!
• Axillo-subclavian vein thrombosis: kut emaw kut zungtang emaw a hring, a rit emaw, a na emaw, vun rawng dum a danglam.
• Thisen zam avanga superficial veins inflammation: vein vel vun a hring, a na, a lum, leh a sen.

Aortic Aneurysm natna lan chhuah dan:

• Thoracic artery aneurysm: rilru na, thinlung na rang, ei harsa, kawng na.
• Abdominal aortic aneurysm: Pum emaw hnungzang emaw na, luak chhuak, luak leh luak chhuak, (aneurysm a chhe a nih chuan) thinlung thawk chak. Hei pawh hi emergency a ni!

Fibromuscular dysplasia (FMD) natna lan chhuah dan:

Kawng na, mit a danglam, thisen sang, luak chhuak, beng chhunga "ringing" ri hriat emaw, thinlung thawk ri hriat emaw.

Lymphedema natna lan chhuah dan:

Kut emaw ke emaw a hring, a bik takin.

Vasculitis natna lan chhuah dan:

Hrisel lohna, khawsik, hring.

Vascular disease hi engte nge ni?

Thisen kalna kawng lama harsatna thenkhat awm chhan dik tak hriat a la ni lo a, mahse a chhan tlanglawn tak tak a awm a:

• Cholesterol sang tak a ni
• Thisen sang lutuk
• Meizial zu emaw, zuk leh hmuam hman emaw (hei hi hmelma lian ber a ni!)
• Zunthlum (Diabetes Mellitus) natna a ni.
• Nu leh pa atanga rochun genes
• Damdawi thenkhat
• Hliam a awm
• Infection awm thei te
• Thisen a chhuak thin

Engtin nge vascular disease hi hmuhchhuah a nih?

Heng symptoms te hi i neih chuan i tih hmasak ber tur chu doctor pan hi a ni . Doctor chuan i natna lan chhuah dan te, i chhungte zingah hetiang natna hi an nei tawh em tih te a zawt ang che a, taksa enfiahna a nei ang. I pheikhawk leh socks i phelh tir a, doctor hnenah i ke i hmuhtir theih nan a pui thei a ni.

Doctor-in a rinhlelh vascular disease chi hrang hrang a zirin thisen test leh special scan (imaging) a ti thei bawk.

Diagnostic test te hi engte nge ni?

Vascular natna tam takah chuan thisen kalna kawng chhungah clot emaw blockage emaw a awm thin. Chuvangin, hengte hi chiang taka hmuh theih nan ``(Imaging)`` method hmangin thisen kalna kawng chhung lam a en thei a ni.

• Vascular Ultrasound: Hei hian sound wave hmangin thisen kalna kawng lem a siam a. Thisen kal dan leh blockage a awm leh awm loh a enfiah thei.
• Catheter Angiography: Tube te tak te (catheter) chu thisen kalna kawngkhar kaltlangin tui bik an inject a, X-ray image an la thin. Hei hian thisen kalna kawng chhung lam chu chiang takin a hmu thei a ni.
• CT Angiography: CT scan-ah hian tui bik hmangin thisen kalna kawng thum (three-dimensional pictures) a la thin.
• MR Angiography: MRI scan hmangin thisen kalna kawng chipchiar taka thlalak lak a ni.

Thisen kalna natnate hi engtin nge enkawl an nih?

Hei pawh hi damdawi pakhat mah a awm lo. Natna chi hrang hrang a zirin enkawl dan a inang lo. A châng chuan, nunphung tihdanglamna , ei leh in hrisel lama inthlak leh exercise neih ang chi hian hahdamna nasa tak a pe thei a ni. Natna thenkhatah chuan damdawi a ngai a, thenkhatah chuan surgery tih a ngai thung.

Natna lian tham engemaw zat enkawl dan tur tawi te tein han thlir ila:

Peripheral artery disease (PAD) enkawl dan: 1. A rilru a hah lutuk chuan a rilru a buai em em a.

• Kea thisen kalna kawng (arteries) block: ei leh in, exercise, damdawi, surgery.
• Intestinal ischemia: Natna tidamtu, clot tichhe thei damdawi, surgery hmanga clot lakchhuah. Chronic condition tan chuan angioplasty, stenting emaw bypass surgery emaw tih theih a ni.
• Renal artery disease: Chi tlem, thinlung hriselna atana tha ei. Thisen sang damdawi, `(Statins)` (cholesterol tihhniamna damdawi).
• Popliteal entrapment syndrome: ``Popliteal Artery'' chhuah tir tura operation tih a ni.
• Raynaud-a phenomenon: I kut leh ke vawt tir rawh. Thisen kalna kawng hawn reng tura puitu ``(Dilated)`` damdawi ei thin ang che.
• Buerger natna: Zuk leh hmuam hman hi bansan vek a pawimawh. I kut leh ke vawt reng tur a ni. Vasodilators ei tur a ni.

Kawngkhar chhunga main artery (Carotid Artery) nena inzawm harsatna enkawlna:

• Carotid artery disease: Ei leh in hrisel tak a ni. Thisen tithianghlimtu leh cholesterol tihhniamna damdawi. Carotid endarterectomy hmanga plaque lakchhuah a ni. Angioplasty leh stent hmanga thisen kalna kawng hawn reng turin.
• Carotid artery dissection: `(Antiplatelets)` (thisen platelet aggregation vengtu damdawi), `(Anticoagulants)` (thisen zawrh tur damdawi), `(Stenting)`.
• Carotid body tumors: Surgery hmanga tumor lakchhuah.
• Carotid artery aneurysm: Antihypertensive, cholesterol tihhniamna damdawi, thisen zam tichhe thei damdawi. Bypass emaw stent-graft emaw hmanga tih a ni.

Venous Disease enkawl dan: 1.1.

• Vein leh spider vein: Heat, salt water, emaw laser hmanga lakchhuah.
• Klippel-Trenaunay Syndrome (KTS): Venous thromboembolism enkawlna ang chiah a ni.
• May-Turner Syndrome (MTS): `(DVT)` enkawl dan inang.
• Thoracic Outlet Syndrome (TOS): Taksa lam enkawlna, Damdawi.
• Chronic venous insufficiency (CVI): Ke a che fo thin, compression stockings vuah thin. Vein-te chu tui chi hmanga enkawl, laser emaw, incision emaw hmanga enkawl.

Thisen zam enkawlna: 1.1.

• Thisen zam natna enkawl dan: `(DVT)` leh `(Pulmonary Embolism)` te hi a inang vek a ni.
• Deep vein thrombosis (DVT): Ke ruh sang lutuk. Thisen tithianghlimtu leh natna tidamtu a ni.
• Pulmonary Embolism: Thisen tithianghlimtu leh thrombolytics (thisen tithianghlimtu) a ni. Surgery hmanga clot awm chu paih chhuah a ni.
• Axillo-subclavian vein thrombosis: `(Thrombolytics)`, thisen tithianghlim thei damdawi. Thisen zam chu lakchhuah.
• Superficial vein thrombosis: A natna vei kut/ke chu thinlung chungah chawi sang rawh. A lumna hnawih rawh. Compression stockings vuah tur a ni. Surgery hmanga thisen kalna (vein) lakchhuah.

Aortic Aneurysm enkawl dan: 1.1.

• Thoracic Aneurysm: Fabric graft emaw stent emaw dahna tur operation. Hei hi hmun leh surgical technique a zirin operation lian tak a ni thei.
• Abdominal aortic aneurysm: Graft dahna tur operation tih a ni. Endovascular Repair hi a invasive lo zawk a ni.

Fibromuscular dysplasia (FMD) enkawl dan:

Thisen tithianghlimtu, natna tidamtu. `(Angioplasty) tih a ni. Artery pakhat a puak loh nan operation tih a ni.

Lymphedema enkawl dan: 1.1.

Ni khatah vawi hnih minute 45 vel mut chungin i kut/ke natna chu i thinlung level aia sangin chawi sang rawh. Compression sleeve vuah tur a ni. Nitin hnathawhna atan kut/ke natna hi hmang thin ang che. I doctor-in a rawt chuan specialized lymphedema clinic-ah kal rawh.

Vasculitis enkawl dan: 1.1.

Doctor chuan steroid ang chi damdawi a pe thei bawk.

Enkawlna avanga harsatna/side effects awmte chu engte nge ni?

Damdawi eng pawh hian side effect a nei thei a, mahse a hlawkna chu ei tlak a ni tlangpui. A tam zawkah chuan ni engemaw zat chhungin a side effects chu a bo vek ang. An tih loh chuan damdawi dang hman dan tur chungchangah i doctor nen inbiakna neihpui theih a ni.

Procedure emaw surgery emaw i ngaihtuah hian i doctor nen a hlauhawmna leh a hlawkna chungchang sawipui rawh. I ṭhenawmte tâna hnathawk chu i tân a thawk lo mai thei.

Vascular disease laka inven nan eng nge ka tih ang?

I kum, chhungkaw history, genes ang chi hi i thlak thei lo. Mahse hengte hi i ti thei a ni:

• I zunthlum, cholesterol sang, leh thisen sang chu thunun rawh .
• Exercise neih fo thin ang che. Ni khatah minute 30 tal kea kal pawh a tha.
• Chaw hrisel ei rawh. Oil, sugar leh chi te chu tihtlem la. Thei, thlai leh fiber tamna ei tur tam zawk ei rawh.
• Darkar tam tak i thut emaw, ding emaw a ngai a nih chuan tlem tal inher la, darkar khatah vawi khat tal kal kual rawh .
• I taksa rihna hrisel tak vawng reng rawh.
• Stress tihziaawm rawh.
• Zuk leh hmuam thil siam hi pumpelh vek rawh. Hei hi tih ngei ngei tur a ni.

Thisen kalna lam natna (Vasculopathy) ka neih chuan eng nge ka beisei ang?

Arterial disease hi a chang chuan dam chhung zawnga harsatna a ni thei. I doctor chuan i arteries-ah thau a awm tih a hriat veleh nunphung tihdanglamna engemaw zat siam turin a hrilh ang che. Exercise tih te, meizuk loh te, ei tur hrisel thlan te ang chi thil i tih chhunzawm zel a ngai ang. Heart attack emaw stroke emaw i neih theihna tur tihtlem nan damdawi i ei chhunzawm zel a ngai thei bawk.

Hetiang dinhmun thlirletna

Vascular diseases tam takah chuan doctor-in a harsatna chu a hriat chian hma chuan , a hmalam hun a tha zawk. Vascular problem tam tak chu a nasat deuh deuh chuan enkawl a harsa thin. Vascular condition thenkhat, `(Carotid Artery Dissection)`, `(Abdominal Aortic Aneurysm)` leh `(Pulmonary Embolism)` te hi nunna atana hlauhawm tak a ni thei.

Engtin nge ka in enkawl ang?

A chunga kan sawi bakah hian doctor-in a tih ang chiah khan damdawi i ei chhunzawm tur a ni a, ni ruat saah medical checkup-ah i kal tur a ni.

Engtikah nge Doctor ka hmuh ang?

I thisen kalna kawngah danglamna a awm a nih chuan, emaw, doctor-in damdawi a pek avanga harsatna i neih chuan doctor pan nghal rawh.

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

Heng symptoms te hi i neih chuan 911 (1990 in Sri Lanka) ah call nghal rawh :

• Buaina emaw, luak chhuak emaw
• Thusawi harsa (thup chhuah) .
• Hmai sir khata sagging
• A rilru a na hle
• Pum natna nasa tak
• Mit hmuhna hloh
• Kut emaw ke emaw chak lohna

Doctor hnenah eng zawhna nge ka zawh ang?

• Ka dinhmun bik atan hian eng nge enkawlna tha ber?
• Ka thisen kalna kawng enkawl nana ka tih tur dang a awm em?
• He thisen kalna lama harsatna nen hian a kaihhnawih damdawi lam harsatna dang ka hriat tur a awm em?

I thisen sang atana i tih theih tha ber chu fimkhur hi a ni . Medical checkup emaw damdawi emaw skip suh. Thisen sang lama harsatna thenkhat chu chhungkuaah a awm avangin, i hriselna chungchang i chhungte hnena i hrilh hian thisen sang laka invenna leh fimkhur turin a pui thei a ni. Thisen sang leh cholesterol hi thisen sang tichhe thei thil a nih avangin i chhungte pawh enfiah tir turin hrilh rawh.

Thupui tawi (Take-Home Message) 1.1.

Okay, chuvangin tunah chuan vawiin a kan sawi tawh vascular diseases te hi i hrethiam zawkin ka hria. Chûngte chu ngaihthah tûr thil a ni lo tih hre reng ang che . Amaherawhchu, a hmaa i hriat chian a, uluk taka enkawl a, nunphung i thlak danglam chuan heng natnate hi i khawsak tha thei a ni. Ei leh in hrisel, exercise neih fo , leh meizuk lohHetiang thil awlsam tak hian danglamna nasa tak a thlen thei a ni. Ringhlelna emaw, symptom emaw i neih chuan damdawi lam thurawn la hreh suh. Hrisel takin awm rawh!

` Vascular Disease, Arteries, Veins, Thisen zam, Stroke, Cholesterol