Hun rei tak i din emaw, i upat deuh deuh emaw chuan i ke chu a sen a, knot angin a lang tih i hre ngai em? Mi thenkhat chuan ke a hring, a ti na a, a rit bawk. Hengte hi venous disease kan tih mai mai te hi an ni. He hming i hriat hian hlau suh. Hei hi a awm dan tlangpui a ni. Vawiin hian hemi chungchang leh a enkawl dan hi i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.
Venous Disease hi eng nge ni?
Okay, a hmasain hei hi eng nge a nih i en ang. Kan taksaah hian thisen kalna kawng chi hnih kan nei a. Pakhat chu arteries a ni a, chu chuan thinlung atanga thisen thianghlim taksa pum puiah a phur a ni. A dang chu thisen bawlhhlawh chu thinlungah a phur kir leh thin veins a ni.
Hêng vein-te hi kawng khata kalna tûr angin ngaihtuah rawh . Heng kawngte hian kawngkhar te tak te an nei a, chu chuan thisen hnunglam hawia a luang chhuak thei lo. Valve kan ti a. Heng kawngkharte hi thisen a san chuan a inhawng a, chutah chuan thisen hnunglam hawia luang chhuak tur tihtawp nan an khar leh thin.
Tunah chuan venous disease chu chu process a kal sual chuan a ni. A bik takin venous insufficiency an tih dinhmunah chuan chu kawngkhar te te ka sawi tawh, valve te chu a thawk tha lo hle. An khar dik loh chuan thisen chu chunglam ni lovin hnunglam hawiin a luang tan a, a nih loh leh a ding reng a ni. Chutah chuan harsatna a lo chhuak thin.
Venous natna chi hrang hrang awm tlangpui
Venous disease chungchang sawi dawn chuan chi khat chauh ni lovin, a hnuaiah hian condition engemaw zat a awm a ni.
- Thisen zam (Blood clots): Vein chhunga thisen zam (blood clot) lo awm.
- Chronic Venous Insufficiency (CVI): Ke ruh chhunga valve te a chak lo va, thisen chu thinlungah a luang leh tha lo.
- Deep Vein Thrombosis (DVT): Taksa chhunga vein lian tak, thuk takah thisen zam a lo awm a. Hei hi dinhmun hlauhawm deuh a ni.
- Pulmonary Embolism: Thisen zam, DVT ang chi, thisen zam atanga lo chhuak a, lung chhunga vein pakhata lo awm. Hei hi emergency a ni.
- Superficial thrombophlebitis: Vun hnuaia thisen zam (vein) a inflammation, thisen zam.
- Varicose leh spider veins: Vein a hring, a zau, leh blue/purple anga lang, vun atanga hmuh theih.
Heng natna chi hrang hrangte hi eng ang doctor nge enkawl?
Hetiang harsatna i neih chuan hemi lama thiamna nei doctor-in a enkawl ang che. Specialist chi hnih an awm ber.
1. Vascular damdawi lam doctor:Heng doctor-te hian vein natna damdawi an hmuchhuak a, damdawi an pe bawk. Minimally invasive procedure pawh an ti thei bawk.
2. Vascular surgeon: Heng Doctor te hian natna chi hrang hrang an hmuchhuak a, an enkawl bawk. Mahse, a tul chuan surgery tih theihna tur training bik an nei bawk.
I chhungkaw doctor (GP) i hmuh hmasak ber hunah i dinhmun a zirchiang ang a, a tul chuan hetiang specialist hnenah hian a refer ang che.
Surgery ni lo enkawlnate chu engte nge ni?
Varicose vein zawng zawng hi operation a ngai lo. Thil tam takah chuan enkawlna awlsam tak, operation ni lo hmanga enkawl theih a ni. A châng chuan hengte hi enkawlna dang nena hman dun a ni.
- Anticoagulation: Hengte hi thisen tithianghlimtu an ti bawk. Heng damdawi te hian thisen zam a siam loh nan a veng a, thisen zam awmsa te chu a lian lehzual loh nan a titawp bawk. Hengte hi DVT ang chi condition atan chuan a pawimawh hle.
- Compression stockings: Hengte hi socks pangngai ang a ni lo. Heng socks te hian ke ah pressure a pe thin. Miin a rawn hrual ang mai a ni. He pressure hian ke chhunga thisen chu a ding reng a, a ding reng lo a, a chunglam, thinlung lam pan turin a pui a ni.
- Nunphung inthlak danglamna: I nitin nunphung tihdanglamna tenau te pawhin danglamna nasa tak a thlen thei a ni.
- Exercise engemaw zat tih, kea kal ang chi .
- Thut lai chuan i ke chu ṭhutphah ang maiin chawi sang rawh .
- Taksa rih zawng control dan .
- Sclerotherapy: Hei hi varicose veins tan bik enkawlna a ni. Problem vein-ah hian solution bik an inject a ni. He solution hian vein chu a ti hring a, a ti na a, a thawk thei lo bawk. Chu vein kal tlanga thisen kal chu a tawp a, thisen chu vein hrisel tak takah a luang tan ta a ni. Hun a kal zel a, taksain inactive vein chu a hip lut ta a ni.
Catheter hmanga enkawl
Catheter chu tube te tak te, flexible tak a ni . Hetianga enkawlnaah hian doctor chuan vunah hian incision te tak te tak a siam a, he tube te tak te hi vein chhungah a dah lut thin. Heng hmanrua te thatna chu incision lian tak a awm loh avangin dam hun a tawi zawk a, harsatna awm theihna a tlem zawk bawk.
| Enkawl dan (Procedure) 1.1. | A awlsam zawngin, eng nge thleng? |
|---|---|
| Angioplasty tih a ni | Catheter tawp lama balloon te tak te chu a blocked artery chhungah a inflated a. Hei hian thisen kalna kawng khar chu a hawng a, thisen kal dan a siam tha leh a ni. A châng chuan a chhungah hian mesh tube te tak te, stent an tih chu a block leh loh nan dah a ni. |
| Catheter hmanga enkawl thrombolytic therapy hmanga enkawl a ni | Thisen zam tithianghlim thei damdawi chu catheter kaltlangin thisen zam awmna hmunah an inject a. He damdawi hian clot chu direct-in a hit a, darkar engemaw zat emaw ni engemaw zat emaw chhungin a hmin thei a ni. |
| Endovenous hmanga thermal ablation tih a ni | Hei hi laser treatment an ti bawk. Hetah hian laser beam emaw heat energy emaw hmangin harsatna nei vein chu a chhung atanga hal a, inactive tir a ni. Tichuan, chu thisen chu a luang chhuak tawh lo va, thisen tha tak takte chuan hna chu an thawk ta a ni. |
| Vena cava filter a ni | Hei hi filter a ni a, umbrella te tak te ang mai a ni. Kan taksa vein lian ber Vena Cava chhungah dah a ni. He filter hian kea thisen zam lo awm chu a titawp a, thinlung emaw lung emaw a kal loh nan a titawp a ni. Bawlhhlawh man tur chuan net ang a ni. Hun eng emaw chen emaw, a awm reng emaw pawh dah theih a ni. |
Surgery hmanga enkawl
A then phei chuan zai a ngai thin.
Engtikah nge operation tih a ngai?
- Enkawlna awlsam dangte pawhin hlawhtlinna a chhuah loh chuan.
- I venous natna hian i nitin hnathawh a tibuai a, engmah i tih theih loh khawpa a tibuai a nih chuan.
- DVT emaw pulmonary embolism ang chi natna hlauhawm tak i neih theihna chance sang tak i neih chuan.
Surgery chi hrang hrang lian ber ber
- Ligation leh stripping: Varicose vein te hi surgery hmanga lakchhuah a ni a, chu chu vein chu khih a, lakchhuah vek a ni.
- SEPS hmanga zai (Subfascial Endoscopic Perforator Surgery) hmanga tih a ni.Hei hi surgery buaithlak deuh a ni. Kea venous ulcer nei, vein chhia avanga dam lote chungah tih a ni. Vein chhia te chu clip a ni a, thisen kal chu vein hrisel takah a kal leh thin.
- Bypass surgery: Vein chhunga blockage bypass turin bypass siam ang mai a ni. Thisen kal lohna tur vein pakhatah blockage a awm a nih chuan i doctor chuan blockage vel a thisen kal theihna tur kawng thar a siam ang. Hei hi i vein section emaw artificial tube emaw hmangin tih theih a ni.
Heng natnate hi a dam kim thei ang em?
Hei hi mi tam takin an zawh thin a ni. Thil engemaw takah chuan, a ni. Entirnan, varicose vein i neih chuan chu vein chu lakchhuah chuan harsatna chu a chinfel vek ang. Mahse, hmun dangah varicose vein thar a lo awm loh nan a veng dawn lo.
Mahse venous disease zawng zawng hi a dam kim vek thei lo. A chang chuan enkawlna tum ber chu natna lan chhuah dan thunun leh harsatna hlauhawm tak tak, lung chhunga thisen zam te ven hi a ni.
Entirnan, vena cava filter hian thisen zam chu lung lama kal chu a titawp a, mahse thisen zam awmsa chu a paih chhuak lo. Thisen tithianghlimtu hian clot thar siam a titawp a, mahse a awm tawhte chu a tithianghlim lo. Chuvangin enkawlna tum chu i dinhmun a zirin a danglam ang.
Enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin heng enkawlnate hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.
A hlawkna ber chu nunna atana hlauhawm harsatna laka invenna a ni. Nitin nun tibuai thei symptoms atanga chhanchhuahna a pe bawk a, chungte chu:
- Pum emaw hnungzang emaw a na
- Veins a lo hring chhuak
- Ke rit leh na
- Itching emaw, natna dam lo emaw
- Vung
Risk chungchang sawi ila, thisen tithianghlimtu hian a chang chuan duh loh zawngin thisen a chhuah thei a ni. Surgery leh procedure dang atanga hri kai theihna chance a tlem hle.
Mahse a pawimawh ber chu a tam zawkah chuan enkawlna hlawkna hian hlauhawmna tenau te chu a tluk phah ngei ang. I doctor chuan i hriselna dinhmun a zirin eng enkawlna nge i tana tha ber leh him ber tih a hrilhfiah ang che.
Recovery hun leh doctor pan hun tur
Catheter hmanga enkawl hnuah ni engemaw zat chhungin i hnathawh dan pangngaiah i kir leh thei tlangpui. Mahse, operation lian tak i neih tawh chuan a dam kim theih nan kar hnih emaw a aia rei emaw a ngai thei.
Enkawlna emaw, zai emaw hnua a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| - A rilru a na | - Lu na |
| - Surgery hliam atanga thisen chhuak emaw, tui dang emaw chhuak chhunzawm zel | - Nausea emaw luak chhuak emaw |
| - Khawsik | - Hliam vel a na emaw, a hring emaw (edema) . |
| - Kut emaw ke emaw a natna | -Hliam vel a sen emaw, a lum emaw |
Heng symptoms zinga pakhat tal i neih chuan ngaihthah suh. Infection emaw harsatna dang emaw chhinchhiahna an ni thei.
Take-Home Thuchah a ni
- Venous disease hi veins chhunga valve (gate) te a thawk tha lo a, thisen a ding reng emaw, hnunglam a luang emaw a ni.
- Varicose veins, ke hring, leh ke rit lutuk te hi he natna lan chhuah dan tlangpui a ni.
- Hei hi enkawl dan hrang hrang a awm a, damdawi, special socks, nunphung thlak danglam, catheter therapy, leh surgery te pawh a awm.
- I doctor chuan i dinhmun nena inmil ber tur damdawi chu a rel ang.
- Enkawlna hnua natna lan chhuah dan danglam tak tak, rilru na, khawsik, hliam atanga thisen chhuak i neih chuan doctor rawn nghal rawh.
- Hlau suh, tunlai enkawlna changkang tak takte hmang hian mi tam tak chuan heng dinhmunte hi an thunun thei a, nun famkim, active takin an nung thei a ni.
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