Bile duct obstruction (Biliary Drainage) enkawlna chungchang zawng zawng chu a awlsam zawngin

I mit leh vun chu a sen angin a lang em? A nih loh leh i taksa pum puiah tuar theih loh khawpa natna i nei em? Hengte hi a chang chuan kan thin atanga ‘bile’ an tih tui phurtu duct te a block avanga lo awm thin symptoms a ni thei bawk. He tui ‘bile’ an tih hi kan taksaa chaw ei leh in tur atana pawimawh tak a ni. Chuvangin he bile duct hi a block chuan liver chhungah a back up thei a, harsatna tam tak a thlen thei bawk. Vawiin hian hetiang thila doctor-te’n enkawlna bik an tih tur kan sawi dawn a ni. Biliary Drainage an ti a.

A awlsam zawngin, he Biliary Drain hi eng nge ni?

Biliary drain chu tube te tak te, flexible tak a ni. He tube hi kan liver leh small intestine inzawmkhawmtu bile duct-a obstruction awm chu bypass in taksa atanga bile lakchhuah emaw, small intestine-a redirect leh nan emaw hman a ni.

Tui pipe lai takah bawlhhlawh bawm khat chu han mitthla teh. Tichuan hmun khatah tui a khat a, pressure a sang a, pipe pawh a chhe thei a ni lawm ni? Chutiang chuan bile duct te chu a block thin. Bile hi liver-ah a pung khawm thin. He natna hi damdawi lam chuan cholestasis kan ti a . Chutiang a nih chuan a hmaa kan sawi tawh ang khan mit leh vunah a sen vek thin jaundice condition a lo awm thin. Hemi rual hian taksa pum puiah hian natna nasa tak a awm thei bawk.

Chuvangin, he biliary drain hian a tih chu blockage chu bypass in bile chu a kal leh theihna tur kawng a siam a ni. A chang chuan he bile hi taksa pawnah bag-ah an khawlkhawm thin.

Heng tube insertion dan te hi engte nge ni? (Biliary Drainage chi hrang hrang) 1.1.

Hetianga enkawlna hi hmanraw lian pahnih a awm a. I dinhmun a zirin i doctor chuan eng method nge i tana tha ber tih a rel ang.

1. Percutaneous Transhepatic Biliary Drainage (PTBD) hmanga tihchhuah theih a ni .

Hei hian i pum dinglam vun kaltlangin, i thin kaltlangin, i bile duct-ah te tube (catheter) te tak te dah luh a huam a ni. Hei hi X-ray technique bik fluoroscopy hmanga tih a ni. Tube hi blockage awmna hmun dik tak an hmuh hnuah an dah lut thin. Tichuan, he tube tawp dang chu taksa pawn lama bag pakhat nen an inzawm khawm a. Chumi hnuah chuan chu bag-ah chuan bile chu an la khawm leh thin.

2. Endoscopic Biliary Drainage (EBD) hmanga tihchhuah a ni.

Heta thil thleng chu camera dahna tube te tak te, endoscope , an tih chu i hmui kaltlangin dahin i ei tur pipe hnuai lamah bile duct (small intestine bul tanna) inhawng thlengin a lut a ni. Tichuan, endoscope kaltlangin tube te tak te dang an paltlang a, bile duct blocked chhungah dahin bile chu a chhuak ta a ni.

Hetiang method hi kawng hrang hrangin tih theih a ni bawk.

• Endoscopic Nasobiliary Drainage (ENBD) hmanga tihchhuah a nih chuan:Hetah hian ek chu hnar atanga tube dah hmangin a kal a, taksa pawn lama bag-ah a khawl khawm thin.
• Internal Stenting: Hei hian a blocked area chhungah tube -like stent te tak te dahin bile a luang lut thei a ni. Hei hian bile chu taksa atanga chhuak lovin, small intestine-ah direct-in a luang lut thei a ni. Hei hi hmanraw hman tlanglawn ber a ni.

Engvangin nge mi pakhatin hetiang pipe hi dah a duh ang?

Bile duct hi a block emaw, a block emaw theih chhan tam tak a awm. Hetiang a nih hian a lo awm thin cholestasis an tih natna avang hian he enkawlna hi a ngai a ni. A chhan berte han thlir ila.

Engtin nge enkawl hmain i inbuatsaih ang?

Hetiang enkawlna i neih hma hian doctor thupek zawm hmasak a pawimawh hle. A tlangpuiin heng thilte hi i fimkhur tur a ni.

• Enkawlna i neih hma darkar 6 tal chu ei leh in, leh zu in i chawlhsan tur a ni . Tui tlem in phalsak i ni mai thei, mahse i doctor chuan i tih tur dik tak a hrilh ang che.
• I doctor hnenah allergy i neih apiang hrilh hmasa phawt la, a bik takin anesthetics, X-ray, plastic, emaw metal-a hman contrast dye te chu hrilh hmasa phawt ang che.
• Tuna i damdawi leh vitamin i ei zawng zawng chu i doctor hnenah hrilh rawh .
• Thisen zam tur venna damdawi (e.g., anticoagulants aspirin leh warfarin ang chi) i ei a nih chuan, i doctor nen enkawl hmain tihtawp a ngai em tih leh tih dan tur chungchang sawipui rawh.
• Naupai emaw, naupai thei emaw i nih chuan min hriattir ngei ang.
• Anesthesia vangin inenkawl zawhah lirthei i khalh thei dawn lo a nih avangin, mi pakhatin in lam pan tura ruahmanna siam lawk a pawimawh.

Enkawl lai hian eng nge thleng?

I tih tur a zirin thil thlengah hian danglamna tlem a awm thei a, mahse doctor chuan engkim a hrilhfiah hmasa ang che.

Percutaneous method (PTBD) tih dan tur

1. A hmasa berin doctor chuan i pum vun chu antiseptic solution hmangin a tifai ang a, a hmun chu a ti numb ang.

2. Tichuan, vun kaltlangin needle te tak te chu liver-a bile duct-ah an dah lut a.

3. X-ray-a bile duct system chiang taka hmuh theih nan tui bik contrast dye an tih chu inject a ni.

4. Blockage awmna hmun dik tak an hmuh hnuah chuta tang chuan biliary drain tube an dah a, bile chu a chhuah tir a.

5. Tube pawn lam tawp chu pum vun a\angin lakchhuah a ni a, bag-ah a inzawm a. Chu bag chhungah chuan bawlhhlawh chu a khawlkhawm thin. He bag hi ni khatah vawi tam tak i hlip a ngai a ni.

Endoscopic procedure (EBD) tih dan tur

1. Anesthetized vek emaw, muthilh thuk takah dah emaw i ni ang.

2. Endoscope chu ka atanga kan thun hmain kawr chhungah damdawi spray hnawih a, chu chuan kawr a ti na a.

3. Chumi hnuah doctor chuan endoscope chu ka chhungah a thun a, food pipe-ah a pass a, small intestine chunglam a lut a.

4. Chuta tang chuan tube te tak te (catheter) dang endoscope kaltlangin bile duct blocked chhungah an dah lut leh a.

5. Chumi hnuah blockage chu lakchhuah a ni a, bile chu a chhuah tir a. Stent chhungril lama dah a nih chuan hetiang hun lai hian tih a ni. Tube lakchhuah a nih chuan a hnar atangin a tube chu lakchhuah a ni a, bag-ah a inzawm a ni.

Risk a awm em?

Damdawi enkawlna dang ang bawkin, hlauhawm leh harsatna lo thleng thei a awm. Heng zawng zawng hi i doctor chuan a hriattir ang che.

In i thlen chuan engtin nge pipe hi i enkawl ang?

I taksa pawnah tube leh bag dah i neih chuan nurse chuan enkawl dan tur chipchiar takin a hrilh ang che. Chu thupekte chu ngun takin zawm rawh.

• Electrolyte drinks chu bag-a bile dah zat nen a inang in tur a ni. I doctor chuan eng nge in tur tih leh engzat nge in tur tih a hrilh ang che.
• Enkawl zawhah chawlh hahdam tam rawh . Zan hmasa bera puitu tur i neih chuan a tha khawp mai.
• Tube awmna sir lamah i rit zawng dahin mu suh . Chutiang chuan tube twisting chance a tlem zawk.
• Darkar 24 hnuah i hnathawh pangngai i thawk leh thei tlangpui a, mahse kg 5 aia rit chu chawi suh .
• Doctor in damdawi a pek zawng zawng chu a tih angin ei vek tur a ni .
• Darkar 48 hnuah inbual theih a ni . Mahse, tube chu a hmuna a awm hma chuan pool-ah emaw, tuipuiah emaw, luiah emaw tui chawi loh vek tur a ni.

Engtikah nge Doctor i hmuh nghal tur?

A hnuaia symptoms te hi i neih chuan infection chhinchhiahna a ni thei. Chuvangin i doctor ko nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh .

• Tube dahna hmuna natna, hring, emaw, sen emaw a pun chuan .
• Tube site atanga pus emaw fluid dang emaw a leak chuan.
• Khawsik i neih chuan .

Tin, heng features te hi ngaihven bawk ang che:

• Vun emaw mit emaw a sen thar emaw, a zual zel emaw a awm chuan .
• Bag chhunga bawlhhlawh khawlkhawm rawng emaw rim emaw a inthlak nghal chuan .
• Pipe chu a dahna hmun atanga lo chhuak ang maia lang a nih chuan.
• I pum na thar i neih emaw, i natna awmsa chu a zual emaw a nih chuan.
• Luak chhuak chhunzawm zel a nih chuan.
• Pum a hring lo emaw boruak a chhuak lo emaw a nih chuan .

Hetiang enkawlna chi hi i hriat hian hlauhna tlem a awm hi thil pangngai a ni. Mahse hei hi hre reng ang che, hei hi i taksain a tihbuai thin chu a tihbo a, a hrisel lohna tura a puih nan a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh. Engkim a hrilhfiah ang che.