I kut chu a hring a, a sen em? Hei hi Venous Thoracic Outlet Syndrome (VTOS) a ni thei ang em? I zawng chhuak ang u!

I kut chu natna mak tak mai emaw, rit tak emaw a lo awm nghal tih i hre ngai em? A hring leh a blue a ni mai thei? Hei hi hliam tuar emaw, hahna avanga thil thleng emaw mai mai niin kan ngai fo thin. Mahse, a châng chuan, heng chhinchhiahna awlsam tak anga langte hnung lamah hian, a hnung lamah hian damdawi lam dinhmun hriat hlawh lo tak thup a awm thei avângin, tlem kan fimkhur a ngai a ni. Chutiang dinhmun pakhat chu `Venous Thoracic Outlet Syndrome` a ni. A hming hi sei deuhin lang mahse, awlsam takin i hrethiam ang u.

Venous Thoracic Outlet Syndrome (VTOS) hi eng nge ni?

A awlsam zawngin, Venous Thoracic Outlet Syndrome (or VTOS a tawi zawngin) hi kan taksa chhunga vein pakhat, vein an tih chu a compressed a ni. Heng vein te hian thisen hman tawh, a nih loh leh thisen oxygen tlakchhamna chu kan taksa tissue atang hian thinlung leh lungah an phur kir leh thin. VTOS-ah chuan vein a nghawng ber chu subclavian vein a ni a, chu chu kan collarbone (clavicle) hnung lamah a awm a ni. He vein hi shoulder-ah a awm a.

He thisen kalna hmun hi `(Thoracic outlet)` an ti a. Tui pipe ang maiin han ngaihtuah teh. A châng chuan he passage hi a block a nih chuan chuta ṭang chuan buaina chu a inṭan ṭhin. Chu chu `VTOS` nei mi chungah a thleng thin. He `(Thoracic outlet)` chhungah hian `(Subclavian vein)` chu a compress ta a ni. Chutah chuan kut natna, hliam, leh a chang chuan kut rawng inthlak danglam te ang chi thil i hmu thin. Hetiang natna hming dang chu `Paget-Schroetter syndrome (PSS).` tih a ni

He natna hi tuin nge vei tam zawk?

Hetiang dinhmun `VTOS` an tih hi tu chungah pawh lo awm thei mahse, mi thenkhat chuan an vei duh zawk.

• Hmeichhia kum 20 leh 50 inkar te hi a tlangpuiin `Thoracic Outlet Syndrome` (chu chu `VTOS` telna category lian zawk a ni) vei an tam zawk.
• Tin, kut leh ke hman chhunzawm zel, hman nawn fo thin infiamna (entir nan, volleyball, tennis, tui chawi, baseball) emaw, inchei nawn fo thin hna thawk te (ngaihtuah teh, thil pack turin nitin an kut a phar thin, emaw, thil siamna kawngah a kut chu chutiang bawka hmang thin) te chu he natna hi an vei theihna a sang zawk a ni.

VTOS hi a hlauhawm thei ang em? Eng harsatna nge a awm?

Ni e, `VTOS` hi kan ngaihthah chuan a hlauhawm thei hle. A chhan chu, chu vein chu compress a nih chuan a chhunga thisen kal chu a tikhawlo a ni. Tichuan chu ``Subclavian vein`` chhungah chuan thisen zam a lo awm thei ta a ni . Heng thisen zamte avang hian kut leh kut lama thisen kal chu a dang vek thei a ni.

Chu mai ni lovin, a chang chuan he thisen zam hi a chhe thei a, thisen kalna kawng kaltlangin lungah a kal thei bawk. Chu chu dinhmun hlauhawm tak a ni. ``Pulmonary embolism'' kan ti a. Chutiang a nih chuan, rilru natna nasa tak, khuh leh thawk harsa tih ang chi symptoms a awm thei.Hetiang symptoms i neih chuan damdawi lam pan vat a pawimawh.

Chuvangin Thoracic Outlet Syndrome symptoms nei nia i hriat chuan doctor pan a, a harsatna dik tak hriat a pawimawh hle.

Engvangin nge he VTOS hi a lo awm? A chhante chu engte nge ni?

Subclavian vein hi kan collarbone (clavicle) leh first rib inkarah a awm a, kan kut atanga thisen kan thinlung thlengin a phur a ni. Mi tam zawk chuan he vein hi engmah tibuaitu awm lovin a kal tlang theihna tur hmun an nei tling. Amaherawhchu, mi thenkhat chu hmun zim tak neia piang an ni.

Chutiang mite tan chuan an kut leh ke chu hman chhunzawm zel leh hman nawn fo a nih chuan chu hmun zau takah chuan thisen kalna chu a inzawm khawm emaw, a nawr emaw a rinawm zawk. He compression hian thisen kal dan a tichhe thei a, thisen zam a thlen thei bawk.

He thil chhan ber bakah hian `VTOS` lo awm chhan tur thil dang engemaw zat a awm a:

• Obesity : Kan thau chhoh chuan kan ruh (joint) ah extra pressure a siam thin. Chu chuan hei hi a nghawng thei bawk.
• Taksa lama hliam : Car accident emaw tlu emaw avanga kekawrte emaw, kawr emaw a hliam.
• Posture : Kan thut dan leh kan ding dan. Posture tha lo hian he hmunah hian a tul lovah pressure a siam thei bawk.
• Naupai : He natna hi a chang chuan naupai laiin taksa inthlak danglamna nen a awm thei.
• Repetitive movements : A chunga kan sawi tawh ang khan ball vawrh te, i lu chunga thil dah te, baseball bat ang chi thil rang taka vawrh te ang chi thil i tih nawn fo hian.

VTOS natna lan chhuah dan dik tak chu engte nge ni?

A tam zawkah chuan `VTOS` vei te hian kut pakhat leh kutphah ah symptoms an nei thin. Hengte hi a lan chhuah dan berte chu an ni:

• Kut natna emaw natna emaw hriat .
• Kut vun chu bluish-purple rawng a lo ni ta a ni .
• Kut ah chuan a rit tih hriat.
• Vung .
• A châng chuan , kekawr, kut, a nih loh leh rilru lam sir khatah thisen kalna chu chiang takin a lang ṭan ṭhin .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihtuah chian a tha.

Engtin nge VTOS i nei tih i hriat theih ang? Test te chu engte nge ni?

`VTOS` symptoms i neih chuan doctor in i kephah, i kawr, leh i kut a enfiah hmasa ang. I kut chu hma leh hnung leh position hrang hrangah an sawn ang a, i range of motion an check ang.

Hei bakah hian i natna lan chhuah dan te zawtin i thisen sang pawh an enfiah ang. Doctor chuan VTOS a rinhlelh chuan thoracic outlet enfiah nan special test tlemte dang neih belh leh a rawt ang.

VTOS i neih leh neih loh hriat theihna tur test:

Chumi atan chuan imaging test hi hman a ni tlangpui. Chu chu taksa chhunga thisen kalna kawng (veins), insiam dan dang, leh thisen kal dan enfiah thei test tihna a ni.

• (CT scan) hmanga tih a ni.: Hei hian X-ray angle hrang hrang atanga direct a, computer hmanga taksa peng inzawmkhawm, cross-section ang chi, chipchiar taka thlalak siam a huam a ni.
• (MRI) : Hei hian magnet chak tak tak leh radio wave hmangin taksa chhung lam thlalak chiang tak tak, chipchiar tak tak a siam chhuak thin.
• Ultrasound : Hei hian sound wave hmangin taksa chhung lam a en thin. Vein chhunga thisen kal dan pawh a en thei.
• (Venogram) : Hei hi test bik deuh a ni. Hetah hian tube te tak te, te tak te (`(catheter)`) leh tui bik (`(contrast dye)`) chu vein chhungah an lut a, chutah chuan ``X-ray`` thlalak an la a. Liquid hian veins te chu chiang takin a lang thei a ni.
• (X-ray) : X-ray pangngai hmangin ruh chhunga thil dik lo awm leh awm loh enfiah theih a ni bawk.

Doctor chuan heng test pakhat emaw a aia tam emaw a tih hian VTOS i neih leh neih loh a hre thei a ni.

VTOS enkawlna tur engte nge ni?

VTOS hi enkawlna chi hnih a awm a, chungte chu nonsurgical leh surgical te an ni. A tlangpuiin doctor chuan thisen zam a awm chuan tihthianghlim a tum hmasa ang. Hei hi thisen zam lohna damdawi (anticoagulants) pek hmanga tih a ni . Entirnan, Warfarin (Coumadin®) emaw direct oral anticoagulants (Xarelto®) emaw Eliquis® emaw an pe thei bawk.

Clot a lo hmin hnuah, clot a lo awm leh tawh loh nan leh vein-a pressure tihziaawmna turin operation neih a ngai mai thei . Surgery neih chhung hian doctor chuan:

• Subclavian vein chhehvela tissue emaw ligament tam lutuk, vein-a pressure awm thei chu paih vek tur a ni.
• A châng chuan thisen kalna chu a chhiat tawhte bypass a, thisen kal dân pangngaia siam ṭhat leh tûrin thisen kal chu a danglam thei bawk.

Doctor chuan eng enkawlna nge i tana tha tur tih a rel ang a, i dinhmun a zirin.

Engtin nge VTOS vei theihna tur i tihziaawm theih ang?

`VTOS` lo awm tur venna tur a awm lo nain, heng surges avanga chhiatna thleng tur tihtlem nan thil engemaw zat kan tih theih a awm a:

• I kum, i mipa leh hmeichhia, leh i taksa chi hrang hrang nena inmil tur taksa rihna hrisel tak vawng reng ang che.
• Bag rit tak tak chu ke pakhat chauha phur loh tur. A rih zawng sem darh thei bag hman a tha zawk.
• Overhead movement tih nawn fo thin kha tihtlem. Hei hi i tih ngei ngei tur a nih chuan a inkar ah chawlh la rawh.
• I kekawrte tichaktu exercise ti rawh. Resistance training emaw weight lifting emaw hian hei hi a pui thei a ni.
• Nitin i kawng, i ke leh i rilru lam area-ah stretching exercise ti thin ang che.

Heng step te hi zawm hian he risk hi eng emaw chen chu i tihziaawm thei ang.

VTOS (Take-Home Message) chungchanga hriat tur pawimawh ber berte

Chuvangin, `Venous Thoracic Outlet Syndrome` hi kan `(Subclavian vein)` tichhe thei natna a ni. He vein hi a compress thei a, kut ah a hring thei a, a rawng a danglam thei a, a na thei bawk. I taksaa chu vein panna kawng chu a pianphungah a tawi a nih chuan, emaw, i kephah leh i kut hmang fo hna i neih chuan `VTOS` i vei theihna a sang zawk.

A pawimawh ber chu he natna hi enkawl loh a nih chuan thisen zam ang chi harsatna hlauhawm tak tak a thlen thei a ni. Mahse, a natna lan chhuah dan i hriat hmasak a, enkawlna i tan thuai chuan result tha zawk i nei thei a ni. Research pawhin a lan dan chuan natna lan chhuah tirh atanga ni 14 chhunga enkawlna tan chuan hlawhtlinna chance nasa takin a tipung a ni .

Chuvangin, heng symptoms te hi i neih chuan ngaihthah suh la, doctor pan nghal rawh. A enfiah ang che a, i tan eng enkawlna nge tha ber tih a hrilh ang che. Ngaihtuah buai tur a awm lo, mahse hmalak vat a pawimawh!

Hemi chungchanga zawhna dang i neih chuan i doctor hnenah hetiang hian i zawt thei ang:

• Heng symptoms ka neih chhan ber chu eng nge ni thei ang?
• Eng test nge ka tih ngai?
• Eng enkawlna kawng nge ka neih?
• Surgery ni lo enkawlna hian ka natna lan chhuah dan a ti tha ang em?
• Heng natna lan chhuahnate tihziaawmna turin ka nunphungah eng inthlak danglamna nge ka siam theih ang?

Hetiang zawhna zawt a, i dinhmun hriatthiamna tha zawk neih hi i tan a tha ber.

` Venous Thoracic Outlet Syndrome, VTOS, Paget-Schroetter syndrome, subclavian vein, thisen zam, pulmonary embolism, kut hring, kut na, kut na, kut na, thisen zam, thoracic outlet syndrome, venous thromboembolism