Buerger’s Disease, natna hlauhawm tak, zuk leh hmuam vanga kut zungtang leh ke ruh dum a thlen thin chungchang hi i zir chiang ang u.

Meizial zu mi i ni em? Nge zuk leh hmuam i hmang em? I kut zungtang, ke ruh leh ke ruhteah natna leh rilru hahna i nei fo em? I kut zungtangte chu a chang chuan a sen emaw, a hring emaw a ni em? Heng thilte hi ngaihthah suh. Hei hi ‘Buerger’s disease’ tia koh natna khirh tak bul tanna a ni thei a, chu chu meizu mite tan chuan a danglam bik a ni. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Buerger natna hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Buerger natna hi thil awm lo tak a ni a, i kut leh kea thisen kalna kawng (thisen kalna kawng) te a nghawng a ni. I kut zungtang thlenga thisen kalna kawng te tak te leh lian lo te hi a nghawng nasa ber a ni.

Hei hi damdawi lama hming dang a awm a, chu chu (Thromboangiitis Obliterans) tih a ni. A hming hi a buaithlak deuh niin a lang a ni lawm ni? A awlsam zawngin i hrethiam ang u.

• ‘Thrombo’ tih awmzia chu thisen zam tihna a ni.
• ‘Angiitis’ tih hian thisen kalna kawng a inflammation, a nih loh leh swelling, a kawk a ni.
• ‘Obliterans’ tih awmzia chu thil pakhat block, awm lo vek tihna a ni.

Chuvângin, a awlsam zawngin, hei hi thisen kalna kawngte a lo hring chhuak a, a chhûngah thisen zam a lo awm a, thisen kal chu a tikhawlo vek a ni .

Tui pipe pakhat, hnim leh bawlhhlawhin a khuh chu han mitthla teh. Chu chu he natnaah hian kan thisen kalna kawngah a thleng thin. Thisen kal tlanga thisen kal a tihbuai chuan kut zungtang thlenga hlaa tissue te hian oxygen leh nutrient mamawh an dawng lo. Hei hian a tir lamah natna nasa tak a thlen a, chutah chuan tissue te chu a thi tan ta a ni.

He natna hi Sri Lanka ang ram, zuk leh hmuam hman tamna ramah a tam zawk. Amaherawhchu, thu lawmawm tak chu meizuk an tlem chhoh zel avangin he natna vei pawh nasa takin an tlahniam ta a ni.

He natna lan chhuah dan engte nge ni? Engtin nge i hriat chian?

Buerger natna lanchhuahna hi a lang nghal lo. Hun kal zelah an lo thang zauh zauh thin. A hmaa a lan chhuah dan a awm a, chubakah natna a zual zel angin a lan chhuah dan pawh a awm bawk.

A pawimawh ber chu heng symptoms te hi kut zungtang atanga intan a ni tlangpui a, chutah chuan zawi zawiin chunglam, chu chu kut leh ke bulah a darh zauh zauh thin a ni.

Engvangin nge he natna hi a lo awm? Tute nge risk sang zawk?

Scientist-te chuan Buerger natna thlen chhan dik tak chu an la hre lo a , mahse tun thlenga inzawmna nghet leh chiang ber hmuhchhuah chu zuk leh hmuam hman hi a ni .

Scientist-te chuan zuk leh hmuam-a chemical pakhat hian thisen kalna kawng (lining) a tichhia a, inflammation a siam niin an ngai. Hei hian thisen kalna kawng a ti na a, thisen zam a tikhawlo thin. Scientist thenkhat chuan hei hi genetic effect emaw, autoimmune disease emaw a ni thei niin an ngai.

He natna vei theihna tipungtu thil engemaw zat a awm a:

• Zuk leh hmuam hman: Cigarette, beedis, cigar, leh zuk leh hmuam chewing ang chi eng pawh zuk hi a hlauhawm ber a ni. Cannabis hman pawh a tel thei bawk.
• Mahni cigarette siam: Roll-your-own cigarette hmangtute chu an hlauhawm zawk.
• Gender: Hmeichhia aiin mipain he natna hi an vei tam zawk.
• Kum:He natna hi kum 20 leh 45 inkar naupang leh kum chanve inkar ah a awm tam ber.

Buerger natna avanga harsatna awm thei te chu engte nge ni?

He natna hi uluk taka control a nih loh chuan, chu chu zuk leh hmuam hman chhunzawm zel a nih chuan harsatna lian tham a awm thei a ni. Mahse, hengte hi a tam zawkah chuan hmuh tur a awm lo.

• Amputation: Hei hi harsatna awm tam ber a ni. Gangrene a awm chuan tissue thi chu surgery hmanga lakchhuah a ngai a ni. Chutiang a nih loh chuan natna chu taksa pum puiah a darh thei a ni.
• Thai
• Lung natna
• Hun rei lote chhunga ischemic attack a awm thin
• Intestine chhunga thisen kalna kawng hrang hranga harsatna awm.
• Nervous system nena inzawm harsatna.

Engtin nge doctor hian hei hi a hriat chian?

Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. Zawhna a zawt ang che a, a enfiah ang che a, hei hi natna a ni em tih hriat a tum ang.

Diagnosis siamnaah hian a hnuaia mite hi a \angkai tlangpui:

1. I medical history: I zuk leh zuk loh te, eng chen nge i zuk tawh tih te, ni khata cigarette i in zat te te zawhna i dawng ang.

2. Taksa enfiahna: I pulse check a ni ang. Buerger natnaah chuan distal pulses (e.g., ke leh kut ah) a chak lo thei.

3. Thisen kalna kawng hrang hrang test bik:

• Ultrasound Scan: Hei hian thisen kalna kawng chhunga thisen zam awm leh awm loh a enfiah thei a ni.
• Ankle-Brachial Index (ABI): Hei hian i ke leh kut a thisen sang a teh a, a value pahnih hi a khaikhin a ni. I kea thisen sang chu i kut aiin a tlahniam hle a nih chuan i keah thisen a kal tlem tihna a ni.
• Angiogram: Hei hi i thisen kalna kawngkhar blockage awm leh awm loh enfiahna atana test tha ber a ni. Hetah hian i thisen kalna kawng khatah special dye inject a, X-ray emaw CT/MRI scan emaw tih a ni. Hei hian doctor chuan khawiah nge blockage a awm tih leh engzat nge a awm tih chiang takin a hmu thei a ni.

Hemi atan hian eng enkawlna tha ber nge ni ang?

Hei hi hre reng ang che. Buerger natna hi damdawi a la awm lo. Mahse natna a zual zel loh nan leh a natna lan chhuah dan thunun theihna kawng tha ber leh awmchhun chu zuk leh hmuam leh nicotine hman zawng zawng, zuk leh hmuam te pawh tihtawp nghal vek hi a ni.

Hei hi he natna enkawlna ber leh number 1 a ni. Ni khatah cigarette pakhat i in emaw, nicotine patch i vuah emaw pawh nise, natna hi a dam lo ang a, a zual zel dawn chauh a ni.

Damlo tam tak chuan meizuk an chawlhsan hian an natna lan chhuahnaah nasa takin hma an sawn thin. Ṭhenkhat phei chu remission-ah an kal.

Meizial zuk bânsan bâkah, i doctor chuan i natna lan chhuahna thunun tûra ṭanpui tûrin enkawlna dang a rawt thei bawk.

He natna nena kan nun lai hian eng nge ka ngaihven tur?

Buerger natna i vei chuan i nunphungah inthlak danglamna tenau engemaw zat i siam a ngai dawn a ni.

• Zuk leh hmuam hi pumpelh vek rawh: Hei hi a pawimawh ber a ni. Nicotine patch leh marijuana te pawh hi duhthlan tur tha tak a ni. Meizial zuk bânsan tura ṭanpuina i mamawh chuan i doctor nen sawiho rawh.
• Khaw lum lakah inveng rawh:Khua a vawt chuan thisen kalna kawng a tikhawlo zual thei a, chuvangin ni khaw vawt ah chuan socks lum leh kutkawr bun thin ang che.
• I kut leh kea hliam laka invenna: Hliam tenau tak pawhin a dam theih nan hun rei tak a daih thei a, chuvangin pheikhawk bun leh hnathawh hunah fimkhur hle ang che.
• Damdawi hi Doctor-in a sawi ang chiah chiah hmang rawh.
• Damdawi dang i ei dawnin fimkhur rawh: Damdawi thenkhat (e.g., khawsik damdawi thenkhat) hian thisen kalna kawng a tikhawlo thei a. Chuvangin damdawi eng pawh i ei hmain doctor zawt hmasa phawt ang che.

Meizial zu chhunzawm zel zinga 50% vel emaw, pahnih zinga pakhat emaw chuan a tawpah chuan kut zungtang emaw ke ruh emaw surgery hmanga lak chhuah (amputation) a ngai dawn tih hre reng ang che. Mahse mak tak maiin, meizuk bânsan tawhte chuan chutiang operation an neih a ngai lo.

Engtikah nge Doctor ka hmuh ang?

He thuziaka kan sawi tawh ang chi symptoms i neih chuan, a bik takin meizuk i nih chuan doctor pan nghal rawh. I symptoms a zual emaw, symptom thar a lo lang emaw a nih chuan doctor hnenah hriattir rawh.

Engtikah nge Emergency Department (ETU) ah ka kal ang?

Stroke emaw heart attack emaw symptoms i neih chuan (e.g. rilru natna thut, tawng harsa, taksa sir khata hriatna hloh) i neih chuan damdawi in emergency department (ETU) pan nghal rawh. Tin, i kut zungtang hliamin natna nasa tak a thlen a, a hring a, a rimchhia a nih chuan natna khirh tak a nihna chhinchhiahna a ni thei bawk. Chutiang hunah chuan damdawi lam thurawn zawng nghal tur a ni.