Pum chhunga thisen kalna kawng a puak thei em? (Visceral Artery Aneurysm) tih hi a awm lo.

A chang chuan pum na emaw, hnungzang na emaw i nei em? Gastritis ang chi thil awlsam tak angin kan ngai fo thin. Mahse a chang chuan, hetiang chhinchhiahna tenau tak hnuaiah hian hriselna lama harsatna lian tak, kan ngaihtuah ngai loh a awm thei. Vawiin hian chutiang ngawi renga, nunna atana hlauhawm, mahse natna chungchang sawi vak loh chungchang kan sawi dawn a ni. Chu chu Visceral Artery Aneurysm a ni.

A awlsam zawngin, he Visceral Artery Aneurysm hi eng nge ni?

Okay, hei hi awlsam takin i hrethiam ang u. Kan taksa chhungah hian thisen kalna kawng lian tak tak (arteries) thenkhat awmin han ngaihtuah teh, chu chuan taksa peng pawimawh ber ber, thin, kal, intestines, pancreas, spleen, leh stomach te hnenah thisen pe chhuak thin a ni. Hengte hi Visceral Arteries kan tih te hi an ni.

Aneurysm chu thisen kalna kawng bang chu eng emaw vanga a chak lo va, balloon ang maia a bulge chhuak a ni.

Tunah chuan han ngaihtuah teh, he vein, hetianga hring leh hring hi a puak darh (rupture) nghal thei a ni. Chutiang a nih chuan taksa chhungah thisen chhuah tam lutuk a intan ang. Hetiang dinhmun hi `(Hemorrhage)` kan ti a. Hei hi emergency hlauhawm tak, nunna atana hlauhawm tak a ni.

A tam zawkah chuan heng aneurysm te hi thisen kalna kawng, kal leh thin lama thisen pe thin arteries-ah te a lo awm thin.

Heng aneurysm chi hrang hrang hi a awm em?

Ni e, chi hnih a awm a. An pahnih inthlauhna hi hriatthiam a pawimawh.

Hetiang dinhmun hi khawtlang nunah a awm fo angin kan hmu thei ang em?

Visceral Artery Aneurysms hi a takah chuan a awm lo hle. Mahse mi tam zawkin symptom an lantir loh avangin mi engzat nge nei tak tak tih hi sawi chian a harsa hle.

Mahse mak tak maiin chi thenkhat chu mipa leh hmeichhiaah an inang lo. Entirnan, thisen kalna kawng ( artery)-a thisen kalna kawng (artery)-a thisen kalna (aneurysm) hi hmeichhiaah a tam zawk.

Hei hi eng symptoms nge ni?

Hei hi a hlauhawm ber a ni. Vawi tam tak chu symptoms a awm lo. A tam zawkah chuan hengte hi accident-a hmuhchhuah a ni. Chu chu, doctor-te chuan natna dang emaw avanga pum chhunga CT scan emaw MRI scan emaw ang chi thil an tih hian hei hi an hmu chauh tihna a ni.

Mahse, aneurysm a rupture chuan symptoms a awm thei. A lan chhuah dan ber chu:

• Anemia: Hei hian taksaa thisen volume a tlahniam tihna a ni. Hei hi taksaa thisen chhuak tam lutuk vang a ni thei.
• Pum emaw, hnungzang emaw na: He natna hi a na lo atanga a na tak thlengin a awm thei a, chuvangin a chhan dik tak hriat a harsa thei bawk.
• Thisen chhuak.
• Thisen chhuak chu stool ah a awm.

Engvangin nge heng aneurysm chi hrang hrangte hi a lo awm? A chhante chu engte nge ni?

A chhan pawh hi a hmaa kan sawi tawh angin aneurysm chi hnih a zirin a inang lo.

Engtin nge doctor hian hei hi a hmuh theih?

I natna lan chhuah dan a ngaihthlak hnu leh a enfiah hnuah i doctor chuan he natna hi a rinhlelh chuan a hnuaia test te hi a refer thei che a ni.

• CT scan leh MRI scan: Hengte hi diagnostic method lian ber a ni. Heng thlalak te hian aneurysm awmna hmun leh a lian zawng dik tak a tarlang thei a ni. Hei hi enkawl dan tur rel nan a pawimawh hle.

• Angiography: Hei hi test bik a ni. Doctor chuan i vein pakhatah (a tlangpuiin i groin-ah) tube te tak te (catheter) a dah lut a. Chumi hnuah tube chu thisen kalna kawng a nghawngah hmasawn a ni a, tui bik (contrast dye) inject a ni. Chumi hnuah chuan he tui hi X-ray emaw CT emaw thlalak hmangin thisen kalna kawngah thil danglam a awm em tih enfiah a ni a, chu chu aneurysm ang chi hi a ni. A châng chuan, test neih rualin enkawlna pawh pek theih a ni.

Engtin nge enkawl a nih?

Enkawl dan chu a chi, a lian leh te, a awmna hmun leh i hriselna zawng zawngah a innghat a ni.

1. Fimkhur taka nghah

A chang chuan, a bik takin aneurysm dik tak, centimeter 2 aia te a nih chuan , i doctor chuan a enkawl lo ang che, mahse, a lian chho zel em tih en turin a hun takah a scan ang che. I thisen sang control nan damdawi an pe thei bawk.

2. Enkawl ngai case te

A then phei chuan nodules te hi enkawl a tha ber a, a lian leh te pawh nise, a puak theihna a sang hle.

• Pseudoaneurysm lian leh te pawh enkawl a ngai a ni.
• Aneurysm dik tak centimetre 2 aia lian tan chuan .
• Naupai emaw, fa neih tum emaw i nih chuan.
• Anemia leh pum na ang chi symptoms a awm reng chuan.
• Liver transplant ang chi operation i neih dawn chuan.
• Aneurysm hi high-risk artery thenkhat (e.g., pum emaw pancreas emaw a thisen pe thei arteries) ah a lo awm a nih chuan a lian leh te pawh ngaihtuah lovin enkawl a ni.

3. Enkawl dan tlangpui

Enkawl dan tlangpui pahnih a awm a.

• Open Surgery: Hetiang procedure-ah hian surgeon chuan a pum chhungah incision lian deuh deuh a siam a, thisen kalna kawng chhia lam pan nghal a ni. Chumi hnuah chuan a chhe lai chu lakchhuah a ni a, siamthat emaw, artificial tube ang chi thil hmanga thlak emaw a ni.

• Minimally Invasive Endovascular Procedures: Hei hian incision lian tak siam a ngai lo. Sawi tawh ang khan groin chhunga vein pakhat hmangin tube te tak te (catheter) dahin aneurysm awmna hmun lam pan a ni. Chumi hnuah chuan tube chu kal tlangin, hmanraw hrang hrang hmangin ‘sealed’ a ni.
• Coil Embolization: Aneurysm chhungah hian metal coil te tak te emaw plug ang chi emaw dahin a khat a, thisen chhuah a titawp thin.
• Liquid Embolization: Glue bik, gel ang chi chu aneurysm chhungah inject a, ‘sealed’ a ni.
• Stenting: Thisen kalna kawng chhungah hian thir mesh ang chi tube, puan hmanga khuh chu dahin, chu chuan a bang chak lo chu a tichak a ni.

Endovascular treatment hian open surgery aiin i dam chak zawk thei a, damdawi ina i awm pawh a ti tlem thei bawk. Mahse, a châng chuan enkawl vawi hnihna a ngai mai thei. I doctor chuan i tana tha ber tur a thlang ang.

Hetiang dinhmun a\anga a rah chhuah hnuhnung ber chu eng nge ni?

Hei hi dinhmun pawi tak a ni tih kan hriatthiam a ngai a ni. Enkawl loh chuan aneurysm hi a chhe thei a, thihna hial a thlen thei bawk. Data atanga a lan dan chuan damdawi ina admit zinga 25% vel chuan ruptured aneurysm an nei nghal vek a ni. 10% vel an thi. A bik takin hmeichhe naupai zingah aneurysm a rupture chuan thihna a sang hle.

Hei hi a thleng lo thei lo em ni?

Genetic factor thenkhat emaw connective tissue natna avanga aneurysm lo awm hi ven a harsa hle. Mahse, atherosclerosis (thisen kalna kawnga thau awm) avanga aneurysm awm theihna chu kan ti tlem thei a ni. Chutiang ti tur chuan thil engemaw zat tih theih a awm a:

• I cholesterol leh thisen sang kha control tha la.
• Exercise neih fo thin ang che.
• Thinlung hrisel ei tur (oil, chi, leh sugar tihtlem) hmang rawh.
• Mut tam rawh .
• Zu in hi tihtlem rawh .
• Stress control rawh .
• Meizial zu leh zuk leh hmuam hman kha bansan vek rawh.

Hemi chungchangah hian thurawn tam zawk i mamawh chuan i chhungkaw doctor nen inbia ang che.