I keah hliam dam zawi zawiin i nei em? He Venous Ulcer chungchang hi i zir dawn teh ang!

I keah, a bik takin i kekawr bul velah hliam i nei em, chu chu a dam rei hle a, a chang chuan thla tam tak a ngai thin? A nih loh leh hliam awmna vun chu a rawng danglamin a khauh em? A châng chuan hei hi hliam pangngai a ni lo va, ngaihtuahawm tak a ni. Vawiin hian chutiang dinhmun kan sawi dawn a, chu chu `(Venous Ulcer)` emaw, venous ulcer (vein pakhata ulcer lo awm) emaw a ni. Hei hi eng nge a nih, engvanga lo awm nge, engtin nge kan fimkhur theih ang tih chiang takin i zawng chhuak ang u.

Venous Ulcer tih hi eng nge ni?

A awlsam zawngin, ``Venous Ulcer'' hi i keah, a bik takin ke ruh chung lamah, hliam pangngai aiin a dam rei zawk thin Hei hi kan taksa chhunga thisen kalna kawng (veins)-a harsatna awm vang te, thisen kalna kawng chi hrang hrang, thinlunga thisen phur kir lehtu leh thisen kal dan lama harsatna thenkhat vang a ni.

Ngaihtuah teh, a tlangpuiin hliam i neih chuan ni rei lo te, kar khat emaw kar hnih emaw chhungin a dam leh thin. Mahse he `(Venous Ulcer)` hi chutiang chu a ni lo. A châng chuan hengte hi thla tam tak chhung a awm thei bawk. A nasat chuan an dam kim ngai lo mai thei. Chuvang chuan hei hi kan hriat chian a pawimawh em em a ni.

Engtin nge he Venous Ulcer hi a lo awm?

Hei hi thuruk tlem a ni. Kan ke chhunga vein te hian thisen hman tawh, deoxygenated chu thinlungah a phur kir leh thin. Tlâng chunga tui phur lui ang maiin han ngaihtuah teh. Chuvangin, he thisen hi a kal leh theih nan, thinlung lam hawiin, heng vein chhungah hian valve te te a awm a. Heng valve te hi kawngkhar ang mai an ni a, thisen chu vawi khat a chhoh veleh a hnuai lam pan leh turin a veng a ni.

Mahse, mi thenkhatah chuan heng valve te hian hna a thawk tha lo thei a, a nih loh leh vein lama harsatna dang vangin thisen a luang tha lo a, ke hnuai lam ah a inkhawm tan thin. Hetianga thisen a inkhawm chuan vein chhunga pressure a sang chho zel a ni. Hetianga pressure sang hian a chhehvel vun a tichhia a, zawi zawiin hliam, a nih loh leh ``ulcer'' a lo lang ta a ni. Tui khata khat blister ang a ni a, a chhunga pressure chuan bang a tichhia a ni.

Venous ulcers awm chhan berte chu engte nge ni?

Hetiang dinhmun tichhe theitu ber pakhat chu `Chronic Venous Insufficiency` tih hi a ni. A awlsam zawngin, he thila thil thleng chu a hmaa ka sawi tawh vein-a valve te chu a chak lo emaw, a thawk tha lo emaw a, chu chuan thinlunga thisen kal lehna a tikhawlo a ni. Hei hi hun engemaw chen atanga lo awm tawh buaina a ni.

Chu bâkah, a chhan dang engemaw zât a awm bawk:

• Thisen sang (Hypertension): Hun rei tak chhung pressure a san chuan kan thisen kalna kawng bang a tichhe thei a ni.
• Venous Obstruction: A chang chuan thisen zam ang chi thil avang hian vein a block thei bawk. Hei hian thisen kalna a tibuai bawk.
• Venous reflux atanga lo chhuak: 1.1.Heng valve te hi a chak lo emaw, a chhiat emaw chuan thisen chu chung lam pan lovin a hnuai lamah a luang leh tan thin. Hei hi ulcer thlentu lian tak a ni bawk.

Tute nge venous ulcer vei theihna chance sang zawk?

Tu pawhin he natna hi vei thei mahse, mi thenkhat chu an hlauhawm zawk. Hêng thudikte hi i tân a inmil em tih en rawh:

• Deep Vein Thrombosis (DVT): Ke ruh lianah thisen zam a lo awm chuan hetiang ulcer hi a hnuah a lo awm thei a ni.
• Chhungkaw zingah venous disease nei tawh: Genetic influence a awm thei bawk.
• Thau lutuk: Taksa rihna a san chuan kea thisen kalna kawng (veins)-ah pressure nasa zawk a awm thin.
• Tar: I tar chhoh zel chuan i thisen zam chhunga valve te chu a chak lo thei hle.
• Paralysis ang chi dinhmun: Ke ruh a che thei lo avangin thisen kal a tlahniam thin.
• Tun hmaa ke hliam: Vein a chhiat tawh chuan, accident lian takah ang chi.
• Exercise neih loh, thut reng: Nilenga ṭhut leh kea kal lote hian thisen an kal tha lo.
• Meizial zuk: Meizial hian thisen kalna kawng a tichhe thin.
• Surgery thenkhat: Entirnan, khup thlak hnuah.
• Varicose Veins leh Spider Veins: Hengte hi vein lama harsatna awm thei chhinchhiahna a ni bawk.

Heng risk factor pakhat emaw a aia tam emaw i neih chuan i ke a inthlak danglamnaah tlem fimkhur a tha.

Venous ulcer i neih chuan eng ang nge a nih? Engtin nge a awm?

Heng ulcer te hi a tlangpuiin hliam thuk lo, mumal lo, darh zau tak angin a lang thin . A hliam chhehvel vun chu a thim thei a , a rawng pawh a dum thei bawk .

Chu bakah, a hnuaia symptoms te hi hmuh tur a awm bawk:

• A dull, aching pain: Hliam awmna hmun chu dull, aching pain ang maiin a lang thei.
• A rimchhia: Hliam hian rimchhia a nei thei a, a bik takin natna hrik a awm chuan.
• Itching: Hliam chhehvel chu a hnim deuh thei.
• Hliam atanga hnim emaw tui dang emaw chhuak: Hliam sen emaw, sen emaw a lo lang thei.
• Edema: Ke ruh leh ke hnuai lam a hring thei.

Hetiang symptoms i neih chuan hliam awlsam tak mai nia ngaih ai chuan doctor pan a tha zawk.

Engtin nge doctor hian venous ulcer a hriat theih ang?

A tlangpuiin doctor-in i ke a enfiah hian a hliam lan dan atang hian venous ulcer a nih leh nih loh an hre thei. Chu bakah, i hriselna chanchinI medical history zawt rawh. Hei hian damdawi lam harsatna dang i neih (zunthlum emaw thisen sang emaw), i chhungte zingah hian heng harsatna hi tu emaw an nei em tih te, eng damdawi nge i ei tih te zawh tihna a ni. He information hian hliam chhan hriatthiamna a pe thei che a ni.

Eng ang test nge tih a nih ang?

I doctor chuan hliam nasat dan leh thisen kal chungchanga harsatna i neih nasat dan hriat nan test thenkhat tih a rawt thei ang. I enkawlna a that leh that loh enfiah nan heng test te hi a hun hunah tih nawn leh a ngai bawk ang.

Test an tih ber thenkhat chu:

• Ankle-Brachial Index (ABI) test: Hei hian i kut leh kea thisen sang a teh thin. Hei hian i kea thisen kal dan tur ngaihtuahna a pe thei che a ni.
• Doppler Study: Hei hi ultrasound scan ang a ni. Vein chhunga thisen kal dan te, blockage a awm leh awm loh te, valve te hnathawh tha em tih te a enfiah thei a ni.
• Imaging test dang: A châng chuan, CT scan ang chi thil hi tih theih a ni a, chu chu vein-te chhiatna leh valve-te hnathawh ṭhat dan en a ni.

Engvangin nge venous ulcer enkawl hi a pawimawh em em?

Hei hi a pawimawh ber a ni. Venous ulcer hi hliam chi khat a ni lo va, a mah chauha dam theih a ni lo. I enkawl loh chuan an dinhmun a na zual thei.

Enkawl loh chuan hliam chhehvel tissue chu a chhe vek thei a ni. He chhiatna hi a darh thei a, hri kai hlauhawm tak tak a thlen thei bawk. Infection thenkhat, gangrene (tissue death) , te hi a nasat em avangin nunna atana hlauhawm thei emaw, ke ruh pakhat hloh pawh a thlen thei bawk.

A nasat em em a, a natna hi a thunun theih loh chuan a ke ruh chu surgery hmanga lakchhuah (amputation) a ngai thei a ni. Chuvangin, hliam damna lama tawnhriat nei doctor hnen atanga enkawl vat chuan he hlauhawmna hi nasa takin a tihziaawm thei a ni.

Venous ulcers enkawlna tur engte nge ni?

I tana enkawlna tha ber chu hliam awmna hmun leh a nasat dan ang chi thilah a innghat ang. A tlangpuiin, enkawlna i tan hnuah, an thawk em tih hriat chian nan i doctor pan a ngai ang a, regular follow-up appointment neih a ngai ang.

Enkawlna hman tlanglawn ber berte chu:

• Antibiotics: Hliam chhunga natna awm chu a awm chuan control theih a ni.
• Compression bandage emaw stockings emaw: Hengte hian ke chhunga vein-ah pawn lam pressure a pe a, thisen chu thinlungah a kal leh thei a ni. Hei hi enkawlna pawimawh tak a ni.
• Antiseptic Ointments: Hliam hi natna hrik lakah a venghim.
• Painkillers: Natna a awm chuan control theih a ni.
• Hliam tihfai leh tissue thi lakchhuah (Debridement):Doctor chuan vun thi leh hliam awm zawng zawng chu a tifai ang a, a paih chhuak ang. Hei hian hliam chu a dam thuai theih nan a pui ang.
• Natna rei tak dang enkawl turin specialist-te hnena thlen: Zunthlum ang chi natna i neih chuan hliam a dam theih nan uluk taka control a pawimawh.
• Bandage leh dressing bik: Hengte hian hliam chu a khuh a, tui a control a, damna tur boruak a siam bawk.
• Nitin hliam sil tur: Hei hi in lama hliam thianghlim taka awm reng tur leh bacteria paih chhuah nan a pawimawh hle. Mahse hei hi doctor-in a sawi ang chiah hian tih tur a ni.

Enkawlna bik dang a awm em?

Venous ulcer na tak tak, enkawlna pangngai hmanga dam loh i neih chuan enkawlna bik i mamawh thei a, chungte chu:

• Growth Factor Therapy: Hetah hian hliam damna tura puitu cell-te hiptu tur thil bikte chu hliam chhungah an inject a ni.
• Hyperbaric Oxygen Therapy: Hetah hian damlo chu a bik taka pressure nei chamber-ah dahin oxygen thianghlim thawk turin an siam a. Hei hian hliam dam chakna a tipung a ni.
• Lymphedema Therapy: Mi thenkhat chuan lymph fluid a punkhawm avangin an hring chhuak thin. Massage technique bik, vun enkawl dan leh bandage hmanga enkawl an ni.
• Skin Graft: Hliam a lian a nih chuan vun hrisel tak chu taksa peng dang atanga lak chhuah a ni a, hliam awmna hmunah dah a ni.
• Stem Cell Therapy: Ruhro atanga stem cell lakchhuah te hi tissue hrisel siam nan hman a ni a, chu chuan hliam a tidam thei a ni.
• Venous disease enkawlna: Thisen pooling problems tan chuan thisen kal dan tur tichangtlung turin veins-ah direct-a hman thin treatment (e.g. surgery, laser treatment).

Venous Ulcers hi a ven theih em?

Ni e, eng emaw chen chu he dinhmun hi venna tur thil kan tih theih a awm. Tun hmaa venous ulcer i neih tawh a, a dam tawh chuan heng thilte hi a lo awm leh tawh loh nan a pawimawh bawk.

• Natna rei tak enkawl dan: Thisen sang leh zunthlum ang chi, thisen kalna hriselna tichhe thei natna i neih chuan uluk taka enkawl la, uluk taka enkawl rawh.
• I taksa rihna hrisel tak vawng reng rawh: I thau lutuk a nih chuan i taksa rihna tihtlem rawh.
• Meizial in loh tur: Meizial zu mi i nih chuan bansan rawh.
• Thisen tithianghlimtu damdawi (anticoagulants) ei: I doctor-in a pek chuan a tih angin ei tur a ni.
• Exercise neih fo: Exercise awlsam tak tak, kea kal ang chi hian kea thisen kal dan a tichak a.
• Hmun khatah rei tak awm suh: A theih phawt chuan inher la, kal kual rawh. Thut lai pawhin i ke chu tlem han chawi sang la.
• Compression Stockings hak tur chuan:Doctor-in a rawt chuan hengte hi bun hian thisen zamte chu a thlawp a, a bik takin nilengin ding chunga hnathawkte tan chuan a pui hle.

Venous ulcer nei tan chuan eng nge a hmalam hun?

Enkawlna tha tak a awm chuan venous ulcer nei tam zawk chuan an dam kim thei a ni. Mahse, venous ulcer i neih hnuah chuan nakin lawkah i vei theihna a sang zawk. A hmaa ulcer awmna hmunah hian an lo lang leh fo thin. Chuvang chuan invenna dan zawm zel a pawimawh.

Venous ulcer nei hian nitin nun hi engtin nge a awm?

Enkawlna i dawn lai hian hliam dam thuai theihna tur thil i ti thei bawk:

• Ei leh in hrisel: Ei leh in tha i dawn chuan i taksa natural healing ability a tipung a.
• Hliam leh a chhehvel vun thianghlim taka vawn dan: Doctor thupek zawm rawh.
• Thut laiin i ke chu a hun hunah chawi sang reng: Hei hian thisen inzawmkhawm a ti tlem a ni.
• Exercise light-a tel: Kea kal ang chi thil hian thisen kal a titha thei a, mahse hliam a tichhe lo.
• Compression Stockings dik taka hman: I doctor-in a pek chuan a tih ang chiah khan bun rawh.

Thu tawite hriat reng tur

Okay, chuvangin kan sawi tawh atang hian point pawimawh tak tak thenkhat i hrechhuak leh ang u:

• Venous ulcer hi hliam dam zawi zawia lo awm, ke ruh natna avanga lo awm thin a ni.
• Hengte hian anmahni chauhin an dam dawn lo , chuvangin doctor hnen atanga enkawlna zawng a pawimawh hle.
• Enkawl loh chuan natna khirh tak tak, natna hrik kai, gangrene, leh taksa peng hliam te a awm thei a ni.
• Enkawlnaah chuan hliam tihfai te, compression bandage hnawih te, leh damdawi te a tel a ni.
• A dam a nih pawhin a lo lang leh thei a, chuvangin inven dan zawm a pawimawh.
• He natna hi nunphung hrisel zawm leh doctor thurawn zawm hian uluk taka enkawl theih a ni.

Nangmah emaw, i hriat miin emaw hetiang harsatna i neih chuan damdawi lam thurawn la rawh. Harsatna tam tak a veng thei a ni.

` Venous Ulcer, Ke Ulcer, Hliam dam lo, Thisen kal vel, Ke Ulcer, Vein Problem