Meizial zuk hian ke leh ke ruh a tikehsawm thei em? Buerger natna chungchang zir rawh

Cigarette i hal apiang, i hman apiangin i kut leh ke a tihchhiat theih dan hi i ngaihtuah ngai em? Mi tam tak chuan meizuk hian lung leh thinlung chauh a tichhe niin an ngai. Mahse vawiinah hian natna tlukpui hlauhawm tak, mahse sawi vak loh chungchang kan sawi a ni. He natna hian i kut zungtang, kut leh ke thlengin a hloh thei a ni. Hei hi Buerger’s Disease an ti a.

A awlsam zawngin, Berger natna hi eng nge ni?

A awlsam zawngin, Buerger natna hi i kut leh kea thisen kalna kawng (veins) te chu a lo hring chhuak a, thisen zam chuan a tikhawlo thin Tui pipe bawlhhlawhin a tihkhawtlai ang mai a ni. Hemi atana doctor-te’n hming an hman dang chu `(Thromboangiitis Obliterans)` emaw TAO emaw a ni.

He natna hi damdawi chiang tak a la awm lo. Mahse mak tak mai chu he natna vei tam zawk, zaa 100 vel chu zuk leh hmuam hmang an ni. Hei hian cigarette, cigar, chewing tobacco, leh snuff atanga eng pawh a huam thei.

Engvangin nge hetiang natna hi a lo awm?

Doctor ten he natna hi eng nge a thlen tih chiang takin an la hre lo. Genetic factor a awm thei bawk. Chumi awmzia chu mi thenkhat chu an pianphungah he natna hi an vei duh hle thei tihna a ni.

Mahse rinhlelhna ber chu zuk leh hmuam a ni. Mithiamte ngaihtuah dan kawng hnih a awm a:

1. Zuk leh hmuam a chemical thenkhat hian i thisen kalna kawng bang a ti na thei a, a ti na thei bawk.

2. A nih loh leh, zuk leh hmuam hian i taksa immune system a tibuai a , a thisen kalna tha tak takte chu a bei a, rulhut ang maiin.A beih tan tawh mai thei, attack ang maiin.

Nang pawhin heng symptoms te hi i nei ve em?

Vawi tam tak chu he natna chhinchhiahna hmasa ber chu kut emaw ke emaw natna a ni. He natna hian zawi zawiin kut leh ke thlengin a darh thei a ni. He natna hi a chang chuan a na hle thei. He natna hi i kal lai te, exercise i tih lai te (damdawi lamah chuan ``claudication`` an tih), i ding mai mai lai pawhin a awm thei. He natna hi khaw lum lai emaw, i stress lai emaw chuan a na zual thei hle.

Chu bâkah, i kut leh keah hetiang ang inthlâk danglamna hi i hmu thei bawk.

I ngaihthah chuan thil tha lo a thleng thei.

Hun a kal zel a, Buerger natna hian i kut zungtang leh ke ruh a thisen kal chu a titawp vek thei a ni. Hei hian natna khirh tak ``Gangrene'' tih a thlen thei a ni.Chu hmuna vun leh tissue te chu a thi tan tihna a ni. Tichuan, chu hmunte chuan sensation a hloh a, blue emaw black emaw a lo ni ta a ni.

Gangrene i vei chuan doctor-te chuan a chhe lai chu surgery hmangin an paih chhuak a ngai tlangpui.

A tlem hle a, he natna hian stroke emaw heart attack emaw ang chi dinhmun pawh a thlen thei.

He natna hi Doctor hian engtin nge a hriat chian?

Hei hi Berger natna a ni tih finfiah thei tur test pakhat mah a awm lo. I doctor chuan i zuk leh hmuam i hman dan leh i symptoms te a zawt hmasa ang che.

Tichuan, i thisen kal dan enfiah nan leh natna dang, chutiang bawka chhinchhiahna nei thei te chu paih chhuah nan test engemaw zat an nei thin. Entirnan, peripheral artery natna hian ke na a thlen thei bawk. Amaherawhchu, a chhan chu thisen kalna kawng a na lo va, a chhunga thau awm vang a ni.

Hetiang test hi i tih a ngai mai thei:

• Allen test: Hei hi thisen kal dan test awlsam tak a ni. Doctor chuan i kut chu nghet taka hrual turin a ti che a. Hei hian i kut atanga thisen thenkhat chu a paih chhuak ang. Tichuan, doctor chuan i kutphah bula thisen kalna kawng lian pahnih chu a clamp ang a, i kut hawn turin a ti ang che. I kut chu a rawn sen vek ang. Tichuan, doctor chuan a sir khatah artery pakhat a chhuah ang. Mi pangngaiah chuan thisen chuan i kut chu a khat thuai ang a, a rawng pangngaiah a kir leh ang. Mahse, thisen a khat hun rei zawk a duh chuan Buerger natna chhinchhiahna a ni thei.
• Angiogram: Hei hi X-ray chi khat a ni. I kut leh kea thisen kalna kawngkhar (blood vessels) zawn nan hman a ni. Doctor chuan i thisen kalna kawng pakhatah tube (catheter) te tak te tak te a dah a, chutah chuan dye bik a inject a. Chumi hnuah X-ray rang tak lak a ni a, thisen kalna kawngte dinhmun enfiah a ni. CT emaw MRI scan emaw pawhin hetiang chiah hian thlalak a siam thei bawk.
• Thisen test: Hengte hian damdawi dang, zunthlum leh lupus te i neih loh nan a pui a ni.

Enkawlnate chu engte nge ni?

Tin, heng ang enkawlna hian thisen kal dan a tichak thei a, natna a tiziaawm thei bawk:

• Damdawi, vasodilators emaw thisen tithianghlimtu emaw.
• Kea kal exercise.
• Thil hmanraw bik hmanga kut leh ke te chu a hun takah compression a ni.
• A natna hmuna nerve te tihtlem nan operation (sympathectomy) a ni.

Hliam emaw, gangrenous emaw lo awm tawh chu operation hmanga lak chhuah nan amputation a ngai mai thei.

Meizial zu bânsan hian a ṭanpui tak zet ang em?

I hmalam hun hriselna chu meizuk i bânsan leh bânsan leh tih lohah a innghat vek a ni. Statistics-a a lan danin, zuk leh hmuam hmang chhunzawm zel zinga 43% vel chuan an natna an hmuhchhuah atanga kum 8 chhungin eng emaw chen an kut an tan a ngai dawn a ni.

Mahse, hei hi meizuk bânsan zinga 6% chauhah a thleng a ni. He percentage hi a hmaa hriat chhuah leh zu in tawh lote zingah chuan zero hnaih tak a ni. Hei hian meizuk bânsan a pawimawh zia a tilang a ni lawm ni?

Meizial zuk bânsan harsatna i neih chuan, i doctor-te chu i ṭanpui thei program chungchâng sawipui rawh . Zak suh. Nunna chhanhim thei thutlukna a ni.