Rei vak lo i kal hian i keah natna dull, rit tak i nei em? A nih loh leh, i ding mai mai hian i ke thisen zam natna mak tak mai i nei em? Mi tam tak chuan hei hi hahna pangngai, kum upat ruala thleng thin niin an ngai a, mahse hei hi i vascular system, chu chu thisen kal danah harsatna avanga natna a ni mai thei. Hemi chungchang hi vawiin hian han sawi ila.
Vascular pain tih hi eng nge ni?
A awlsam zawngin, hei hi kan taksa circulatory system, chu chu thisen kalna kawng (arteries leh veins)-a harsatna awm avanga natna lo awm a ni. Kan taksa pum puiah tui pipe network kan nei ang tih han ngaihtuah teh. Heng pipe te hian thisen, oxygen leh nutrients te chu taksa peng tinah a phur a. Tunah chuan, heng pipe-te hi khawi emaw laiah a inkharkhip a, a tawi a, a chhiat chuan eng nge thleng ang? Tui luang chu a tibuai a ni lawm ni? Chutiang bawkin kan thisen kalna kawng a chhiat chuan thisen kal dan a tibuai a ni. He harsatna avang hian he dinhmun hi natna angin kan hre tan thin.
He natna hian ke hnuai lam leh ke ruh a nghawng tam ber. Mahse, a chang chuan kutphah a nghawng thei bawk. Hetiang ke natna chi hrang hranga damdawi hman dan dang chu vascular claudication tih hi a ni . Hetiang natna vei mi sawm zinga pakhat vel pawhin kut natna an nei thei bawk.
He hrehawmna hi engtin nge a awm?
Hei hi ruh natna pangngai ang a ni lo. Mi tam tak chuan hetiang hi an tawng thin:
- Heaviness nuam lo tak: I keah thir ball pahnih a innghat ang maiin a lang.
- Throbbing: Vein chhunga thil pakhatin a pulse ang maia natna.
- Aching: Natna awm reng, na tak.
- Kea kal emaw, exercise lak emaw hian na a tizual: Rei vak lo kea kal chuan a na zual a, rei vak lo ding hian a reh bawk. Hei hi he natna chhinchhiahna pawimawh tak a ni.
He hrehawmna hi tuin nge hre thei ber ang?
Thisen kalna natna vei te hi he natna hi an vei theihna chance sang ber an ni. A tlangpuiin kum 50 chunglam leh a hnuaia group-a awmte hi an hlauhawm zawk. Tute nge an nih i han thlir teh ang.
| Risk Group a ni | Hrilhfiahna |
|---|---|
| Mi zu in thinte | Meizial hi thisen kalna kawngte hmelma lian ber a ni. Cigarette-a chemical awm hian thisen kalna kawng bang a tichhia a, a ti hring a, a tikhauh bawk. |
| Diabetes emaw hypertension nei te | Heng natna pahnihte hian thisen kalna kawng a tichhia a ni. Zunthlum thunun loh leh thisen sang vangin thisen kalna kawngte chu an elasticity a hloh thin. |
| Mi thau lutuk nei te | Taksa rihna a san chhoh zel chuan thisen kalna kawng (blood vessel system) hian rit zawk a phur a ngai a ni. Tin, thau lutuk nen chuan cholesterol ang chi thil te hian thisen kalna kawng a tipung thei a, a tikhawlo thei bawk. |
| An chhungkuaah heng natna eng pawh nei te | I nu leh pa emaw, i unaute emaw chuan vascular emaw heart disease emaw an nei tawh a nih chuan genetically-ah pawh i hlauhawm thei bawk. |
| Mi thut reng, taksa tihchakna tlemte nei | Nilengin chair-a thuin hna i thawk a, exercise i tih loh chuan thisen kal tha lo i neih a rinawm zawk. |
| Nu naupai te | Heng dinhmunte hi naupai laiin taksaa hormone inthlak danglamna leh naute lo thang lianin thisen kalna kawng a pressure vangin hun eng emaw chen a awm thei a ni. |
Engvangin nge hetiang natna hi a lo awm? A chhan berte chu
He natna hi thil thleng mai mai a ni lo. A hnuaia damdawi lam dinhmun a awm thei bawk. A bik takin, he natna hi thisen kalna kawng (blood vessel) a compress, inflamed (inflammation ang chi condition), a tawi emaw, a block vek emaw avanga lo awm a ni.
A chhan lian ber ber thenkhat chu hetiang hi a ni:
- Atherosclerosis natna a ni: 1.1.Hei hi a chhan tam ber a ni. Kan ei leh inah cholesterol leh thau dangte chu thisen kalna chhungah a pungkhawm a, tui pipe-a rust ang maiin thisen kalna kawng chu a chhung lam atangin a ti tawi a ni. Hei hian thisen kal a tikhawlo a ni.
- Chronic venous insufficiency: Kan kea vein (the blue veins) hian valve te tak te a nei a, chu chuan thisen chu thinlung lam hawia a kal leh loh nan a veng a ni. Heng valve te hi a chak loh chuan keah thisen a inzawm khawm thei a, chu chuan thisen a ti na a, a ti na bawk.
- Deep vein thrombosis (DVT): Taksa chhung thuk tak vein lian takah thisen zam a lo awm a. Hei hi thil hlauhawm tak a ni a, a chhan chu a zung (clot) chu a chhe thei a, lung chhungah a awm thei a ni.
- Peripheral artery disease (PAD): Hei hi kut leh ke thlenga thisen phurtu thisen kalna kawng (Atherosclerosis) atanga lo awm a ni. Hei hian kea kal laiin natna a thlen thei a ni. Hei hi a chhan chu exercise lai hian taksa peng hrang hrangte hian thisen an mamawh tam zawk a, mahse thisen kalna kawng (arteries) tawi te hian an supply thei lo a ni.
- Raynaud-a thil thleng: Hei hi kut zungtang leh ke ruh thlenga thisen phurtu thisen kalna kawng te tak te te chu khawsik emaw, stress emaw an tawh chuan an inzawm khawm nghal a ni. Hei hian kut zungtangte chu a rawn sen a, a sen a, a rawn sen leh a, chu chuan na leh a ti na thei a ni.
- Varicose veins: Ke ruh a hring, twisted leh bulging, vun kaltlangin chiang takin a lang. Hei hi `Chronic venous insufficiency` tih natna avanga lo awm a ni bawk.
Natna tih loh chu eng symptom dang nge awm?
Thisen kalna natna i neih chuan natna bakah hian heng ang symptom dang pawh i nei thei bawk. Hengte pawh hi ngaihven a pawimawh hle.
Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh tih hre reng ang che. A rang thei ang bera doctor rawn la, thurawn la rawh.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Kut emaw ke emaw vawt | Chutiang hmunah chuan thisen lum a luang tawk lo tihna a ni. |
| Kut zungtang (var, sen, sen) rawng inthlak danglam . | A bik takin `Raynaud-a phenomenon` ang dinhmunah chuan thisen supply a tlahniam nghal a, chutah a lo awm leh a nih chuan chutiang rawng inthlak danglamna chu hmuh tur a awm. |
| Numbness emaw tingling sensation emaw a awm thei | Heng sensation te hi thisen kal tlem avanga nerve te mamawh oxygen leh nutrients te an tlakchham hian a thleng thin. |
| A hring `(Edema)` | Vein te hian thinlungah thisen an phur leh thei lo a nih chuan veins atang hian tui chu a chhehvel tissue ah a luang lut a, chu chuan ke leh ke ruh a ti hring chhuak thin. |
| Chaklohna | Muscle-te hian thisen mamawh zat an dawn loh chuan an hnathawh a chak lo hle. |
| Hliam dam thei lo (a bik takin kea hliam) . | Hliam dam nan thisen supply tha hi a pawimawh hle. Thisen kal tlem a nih chuan, a hliam tenau pawh hi hliam lian tak, na tak a lo ni thei a ni. Hetiang hlauhawmna hi zunthlum vei tan chuan a sang hle. |
Engtin nge doctor hian hei hi a hmuh theih?
Heng symptoms te hi i doctor hnena i hrilh hian a tih hmasak ber tur chu zawhna chipchiar tak a zawt che a ni. Engtikah nge natna a intan, eng chen nge a awm tawh, eng thilin nge a reh tih ang chi te. Tichuan, taksa enfiahna an nei ang.
He test-ah hian, .
- Ke emaw kut emaw a vun rawng a danglam, hliam emaw, ulcer emaw a awm leh awm loh enfiah thin ang che.
- Ankles leh wrists ang hmunah hian pulse a chak lo em tih kan check thin.
- A hring em tih enfiah thin ang che.
Heng test hmasa berte hnuah hian test eng emaw zat tih belh lehin natna hi finfiah leh a chhan dik tak hriat theih a ni.
- Arteriogram: Thisen kalna kawngah hian dye bik an inject a, X-ray image hrang hrang an la a. Hei hian X-ray hian thisen kalna kawng hrang hranga thisen kal dan leh blockage a awm leh awm loh chiang takin a tarlang thei a ni.
- Doppler hmanga ultrasound hmanga tih a nih chuan:Hei hi painless scan a ni. Thisen kalna kawng chhunga thisen kal chakna leh kalna lam tehna atan sound wave a hmang a. Blockage awlsam takin a hmu thei.
- Magnetic Resonance Angiogram (MRA): Hei hi MRI scan-a tel a ni. Magnet leh radio wave hmangin thisen kalna kawng chipchiar takin a siam a ni. Chumi atan chuan dye pawh hman theih a ni.
Hei hi eng enkawlna nge ni?
Enkawlna chu i natna lan chhuah chhan a innghat a ni. I doctor chuan i tana tha ber tur enkawlna a thlang ang.
Enkawl dan tlangpui thenkhat chu hetiang hi a ni:
1. Damdawi: Damdawi, thisen sang tihhniamna damdawi, cholesterol tihhniamna damdawi, thisen tithianghlimtu damdawi te hian natna chhan bulpui thunun thei leh natna tiziaawm thei a ni.
2. Angioplasty: Hei hi surgery aiin a invasive lo zawk. Tube (catheter) te tak te tak chu ke emaw kut emaw hmangin thisen kalna kawng khar chhungah dahin, a tawp lamah balloon te tak te chu a inkharkhip zau zawk nan an inflated thin. Chumi hnuah chuan stent , mesh tube te tak te chu dah a ni a, chu chu thisen kalna kawng chu a inkhar leh tawh loh nan a ni.
3. Bypass surgery: Hei hi thisen kalna kawng (artery) nasa taka a inkhar chuan tih a ni. Kawngpui khar ang bawkin, surgeon chuan i taksa peng dang (a tlangpuiin i ke emaw, i rilru emaw atanga) atanga thisen kalna kawng hrisel tak tak a la a, a khar lai vel a thisen kalna tur kawng thar a siam a ni.
In lama natna hi engtin nge kan enkawl ang a, kan ven theih ang?
Damdawi lam enkawlna bakah hian i nunphung tihdanglam pawh hi he natna hi enkawl nan a pawimawh hle.
- Exercise neih fo: Kar khatah minute 150 tal aerobic exercise, kea kal emaw, cycle khalh emaw ang chi ti thin ang che. Hei hian thisen kal dan a titha ang.
- Thut suh: Hun rei tak ṭhut ngai hna i neih chuan darkar khatah vawi khat tal tho la, tlem tal kal kual la, i taksa chu tizau rawh.
- Compression stockings ha rawh: Hun rei tak i ding emaw, hla tak i zin emaw a nih chuan heng special stockings i bun hian i ke ruh (veins) te chu zawi zawiin a pressure ang a, thisen a inzawm khawm loh nan a veng ang. Hemi chungchangah hian doctor hnenah thurawn zawt rawh.
- Chaw hrisel ei rawh: Thlai, thlai, legumes, leh whole grains tamna ei tur ei rawh. Oil, chi leh sugar te tihtlem rawh.
- Meizial zu kha bansan vek rawh: Hei hi i tih theih tha ber a ni.
- Natna dang control: Zunthlum, thisen sang, cholesterol ang chi natna i neih chuan doctor thupek zawm la, uluk takin control rawh.
Vasculitis chungchang tlem han zir ila.
Vasculitis hi thisen kalna kawng a inflammation a ni a, chu chu inflammation thlentu a ni. Hei hi vascular pain thlen thei pakhat a ni bawk. Vasculitis chi thenkhat chuan kawng leh rilru natna a thlen thei bawk. Hemi rual hian,
- Ke ruh leh ke ruh (limbs) rawng danglam (discoloration).
- Luak chhuak thei
- Thisen sang a sang
- Labouriousness a ni
- Lu na
- Mitdelna ang chi symptoms pawh a awm thei bawk.
He natna hi doctor-in a hriat chian a, a enkawl dan tur dik tak a ni bawk.
Take-Home Thuchah a ni
- I ke natna, rit leh tingling, a bik takin kea kal laiin, hahna pangngai mai angin ngaihthah suh.
- Hei hi i circulatory system-a harsatna awm chhinchhiahna a ni thei.
- Meizial zuk, zunthlum, cholesterol sang, leh thisen sang hi he natna thlentu ber a ni.
- Ke hring, rawng danglam, hliam, hliam dam lo ang chi symptom i neih chuan fimkhur hle ang che.
- Heng symptoms te hi i neih chuan mahni invenna nei suh, mahse i doctor pan ngei ngei tur a ni a, diagnosis leh treatment plan dik tak i nei ang. Enkawlna dik leh nunphung thlak danglam chuan he natna hi i enkawl tha thei a, hrisel takin i awm thei bawk.
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