I chhungkuaa puitling, i nu, i pa emaw, i pi emaw, i pi emaw, i pi leh pu emaw, i pi leh pute emaw pawh a ni mai thei, tlem a kal a, rei vak lo a thutpui a, "Aw, ka ke a na a, ka â ang maiin ka hria" ti mai mai em? A nih loh leh i keah hian blue emaw purple emaw vein i nei em? Heng thilte hi a takah chuan kan taksa chhunga thisen kalna kawng (blood vessel system) lama harsatna engemaw zat avanga lo awm thei a ni. Chuvangin thisen kalna kawng nena inzawm natna chiang taka enkawltu doctor an awm. Chu chu Vascular Doctor kan tih specialist te chu an ni . Vawiin hian Vascular Doctor chu tu nge a nih, eng natna nge a enkawl tih leh chutiang doctor chu nang pawhin i hmuh ve tur nge tih te han sawi ila.
A awlsam zawngin, he Vascular Doctor hi tu nge ni?
Vascular doctor chu kan taksa chhunga thisen kalna kalphung (system of blood vessels system) nena inzawm natna hrang hranga specialist doctor a ni. Heng doctor-te hi heng thisen kalna kawng natna laka invenna, hriatchhuah leh enkawl dan tur zirtir an ni.
Kan taksa hi khawpui lian tak niin han ngaihtuah teh. Tichuan he thisen kalna kawng hi chu khawpui chhunga kawngpui network ang mai a ni. Ṭhenkhat chu highway lian ang mai an ni a, ṭhenkhat chu khaw kawngpui te tak te ang an ni. Heng kawngpui hmang hian oxygen leh nutrition tia koh "thil" chu taksa cell leh tissue tinah a thleng a, chuta "bawlhhlawh" (carbon dioxide ang chi thil) lo chhuak chu a rawn hruai kir leh thin. Chuvangin, heng kawngpuiah hian khawi emaw laiah hian inkharkhip emaw, rupture emaw, inkharkhip emaw a awm a nih chuan khawpui pum pui a buai ang a, kan taksa chhunga thisen kalna kawng hrang hrangah harsatna a awm chuan taksa pum pui a nghawng dawn a ni.
"Kawngpui system" bik enkawltu "engineer" chu Vascular Doctor a ni.
Engtin nge kan vascular system hian hna a thawh?
He system-ah hian thil pawimawh pathum a awm a, chungte chu:
1. Arteries: Hei hi thisen kalna kawng lian tak tak, thinlung atanga taksa peng zawng zawng thlenga thisen thianghlim, oxygen neia phurh chhuaktu an ni. Khawpui pakhata tui supply system bulpui ang deuh a ni.
2. Veins: Heng thisen kalna kawng hrang hrang atanga thisen hman tawh, oxygen tlachham leh bawlhhlawh tam tak phur chhuaktu thisen kalna kawng hrang hrang atanga thinlunga phur kir lehtu te an ni. Tui hman tawh paih chhuahna tur drainage system ang mai a ni.
3. Capillaries: Hengte hi thisen kalna kawng te tak te, te tak te tak te an ni. Arteries leh veins te an thlunzawm a ni. Taksa cell inkara oxygen leh nutrient inthlengna hmun leh bawlhhlawh khawlkhawmna hmun an ni.
Vascular doctor chuan he system pumpui hi a ngaih pawimawh ber a ni.
Heng doctor-te hian eng ang natna nge an enkawl?
Vascular Doctor-in a enkawl natna hrang hrang hi a zau hle. Ṭhenkhat chu a awm fo a, ṭhenkhat erawh chu a pawi zawk thei. A hnuaia table hi han thlir ila.
| Dinhmun | A awlsam zawngin sawifiah a ni |
|---|---|
| Peripheral Artery Disease (PAD) natna a ni a, a chhuahna tur hmun leh a hmanna tur a awm lo. | Ke leh kut thlenga thisen phurtu thisen kalna kawngte chu cholesterol dahkhawmnain a tikhawlo ta a ni. A lan chhuah dan ber pakhat chu kea kal laiin ke na a ni. |
| Aneurysm a ni | Thisen kalna kawng chak lo tak, balloon ang maia bul chhuak. Hei hi pum chhunga main artery (aorta)-ah a thleng thei. Hei hi a rupture chuan nunna atana hlauhawm tak a ni thei. |
| Varicose Veins a awm thin | Kea vein chhunga valve te chu a chak lo va, thisen chu thinlungah a luang kir leh ai chuan hmun khatah a awm khawm a, chu chuan thisen chu a ti hring a, blue emaw purple emaw angin a lang. |
| Deep Vein Thrombosis (DVT) natna hi a awm thei lo. | Ke ruh thuk takah thisen zam (blood clot) a lo awm a. Hei hian ke a ti na thei a, a na thei bawk. He clot hi a lo chhuak a, lung (pulmonary embolism)-ah a kal chuan a hlauhawm hle thei. |
| Carotid Artery natna a ni | Kawr kil lehlamah thluaka thisen phurtu carotid arteries block hi stroke thlentu lian tak a ni. |
| Atherosclerosis natna a ni | Cholesterol leh thil dangte chu thisen kalna (plaque) bang-ah a pungkhawm a, thisen kal dan a ti tawi a ni. Hei hi taksa chhunga artery eng pawhah a thleng thei. |
| Vasculitis a ni | Thisen kalna kawng bang a inflammation. Hei hi taksa invenna lama harsatna a awm vang pawh a ni thei. |
| Kidney failure nei te tan dialysis atana thisen kalna kawng buatsaih | Kidney-in thisen a tihfai theih loh chuan kut chhungah surgical fistula siamin dialysis machine nena inzawm tir a ni. |
A pawimawh ber chu, heng natna tam tak hi thisen sang , zunthlum , zu in , leh cholesterol level sang nen a inzawm tlat a ni.
Engtikah nge vascular doctor i hmuh ang?
I ngaihtuah mai thei, "Hetiang doctor hi ka hmuh a ngai em?" A tlangpuiin, i chhungkaw doctor (GP) chuan hetiang hian specialist hnenah a refer ang che. Mahse, a hnuaia symptoms emaw risk factors emaw i neih chuan hei hi ngaihven a pawimawh hle.
- Kal laiin ke na emaw, hnungzang na emaw: I ke, a bik takin hnute na, rei vak lo i kal laiin na i neih a, rei vak lo ding hnua a reh chuan PAD chhinchhiahna a ni thei.
- Ke hring: Ke pakhat emaw, ke pahnih emaw chu a danglam bik taka a hring a nih chuan, a bik takin ke pakhat chauh a sen a, lumna nena a hring a nih chuan thisen zam (DVT) chhinchhiahna a ni thei
- Hliam dam thei lo: Kea hliam, a bik takin ke leh ke ruh hliam te hian hun rei tak a mamawh a nih chuan chu lai hmuna thisen kalna chu a tling tawk lo tih chhinchhiahna a ni thei.
- Ke vun rawng danglam emaw, a vawt emaw: Ke chu taksa dang zawng aiin a vawt zawka a hriat chuan, emaw, ke vun chu a sen emaw, a sen emaw a nih chuan.
- Varicose Veins: I keah hian blue/purple veins, knot inzawm ang maia lang, i keah natna leh rit tih hriatna i neih chuan.
- Pum emaw, rilru emaw natna nasa tak: Hei hi aneurysm ruptured chhinchhiahna a ni thei . Hei hi emergency pawi tak a nih avangin damdawi in pakhat Emergency Department (ETU) ah i kal nghal tur a ni.
Risk factor nei te chu:
Zunthlum, thisen sang, zuk leh hmuam i neih emaw, chhungkaw history-a heng thisen kalna natna chi hrang hrang i neih chuan midang aiin i hlauhawm zawk a ni. Chuvang chuan medical checkup neih fo a pawimawh hle.
Cardiologist leh Vascular Doctor te hi eng nge an danglamna?
Hei hi mi tam tak tibuaitu a ni.
- Cardiologist chu doctor a ni a , a rilru a buai em em a . Heart function te, heart rhythm lama harsatna te, heart attack te, heart valve natna te a enkawl thin.
- Vascular doctor chu taksa peng dang zawng zawnga thisen kalna kawng (blood vessel system) ngaihtuah thin doctor a ni a , thinlung lam tih loh chu. Chu chu ke, kut, pum, kawr atanga thluaka thisen pe chhuaktu thisen kalna kawng thlengin a awm vek tihna a ni.
Mahse heng pahnih hian hna an thawk dun fo thin. A chhan chu thinlung leh thisen kalna kawngte hi system inzawmkhawm pahnih an nih vang a ni. Entirnan, Cardiologist chuan thinlunga thisen petu thisen kalna kawng (Coronary Arteries)-a blockage awmte a en a, Vascular Doctor chuan kea thisen kalna kawngkhar blockage awmte a en thung.
Doctor hmu tura i kal hunah eng nge i beisei theih ang?
Vascular doctor hnena refer i nih chuan i symptoms chungchang chipchiar takin a zawt hmasa ang che.
- Eng thil nge i tihsual?
- Engtik lai khan nge a intan?
- Engtik laiin nge a pung? Engtin nge a tlahniam?
Tichuan, nang leh i chhungte damdawi lam chanchin an zawt ang. Natna dang i neih (zunthlum, thisen sang), damdawi i ei dan te, i zuk leh zuk loh te, i chhungte zingah hian heng natna hi tu emaw chuan an nei em tih te zawh a pawimawh hle.
A dawtah chuan doctor chuan taksa lamah a enfiah ang che. A bik takin, .
- I ke leh i kut a pulse awmte an check thin.
- Ke rawng, lum leh vawt leh a hring (swelling) te an enfiah thin.
- Thisen sang tehna a ni.
Eng test nge tih a nih ang?
Natna dik tak hriat theih nan i doctor chuan test engemaw zat tihsak turin a ti thei che a ni.
- Vascular Ultrasound (Doppler Scan): Hei hi test tam ber a ni. Hmeichhe naupai scan nen a inang a ni. A hrehawm lo. I thisen kalna kawng chhunga thisen kal dan te, blockage emaw thisen zam emaw a awm leh awm loh chiang takin a hmu thei bawk.
- Ankle-Brachial Index (ABI): Hei hi test awlsam tak a ni. I kut leh ke ruh a thisen sang an teh a, an pahnih hian an khaikhin a ni. Hei hian i keah thisen kal a tlahniam em tih hriat theihna a pe thei che a ni.
- Angiogram (CT/MR/Catheter): Hei hi test buaithlak deuh a ni. Thisen kalnaah hian contrast dye an inject a, X-ray, CT emaw MRI scan hmangin thisen kalna kawngte chu chiang takin an hmu chhuak a ni. Hei hian blockage awmna hmun dik tak chu a hriat theih nan a pui thei a ni.
Heng test result a\ang hian i doctor chuan eng enkawlna nge i mamawh tih a rel ang. Damdawi emaw, nunphung tihdanglam emaw, a châng chuan operation tenau emaw, lian emaw pawh a ni thei.
Take-Home Thuchah a ni
- Vascular doctor chu taksa chhunga thisen kalna kawng (arteries leh veins) zawng zawng nena inzawm natna, thinlung tih loh chu enkawltu specialist a ni.
- Kal laiin ke na, ke hring, hliam dam lo, leh varicose veins te hi thisen kalna kawng lama harsatna avanga lo awm vek a ni. Hengte hi ngaihthah ngai suh .
- Zunthlum, thisen sang , emaw, zu in mi i nih chuan thisen kalna kawng natna i vei theihna a sang zawk.
- I natna lan chhuah dan i rinhlelh chuan i chhungkaw doctor (GP) hnenah thurawn dil hmasa phawt ang che. A tul chuan Vascular Doctor hnenah a refer ang che.
- Heng natna tam tak lakah hian ei leh in hrisel ei te, exercise neih fo te, leh zu in loh te hian i inveng thei a ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh