Biliary Drainage: Engvangin Nge leh Engtin Nge A Tih?

I mit leh vun chu a sen vek a, i taksa pum pui chu tuar theih loh khawpin a hrual em? Hengte hi jaundice tia kan hriat vek chhinchhiahnate chu a ni. A tam zawkah chuan hei hi a chhan chu bile duct a block vang a ni a, hei hi kan thin atanga tui lo chhuak a ni a, chaw ei kawngah a pui thin. Hei hi a block chuan chu fluid chu liver-ah a back up a, chu chuan yellowing leh itching a siam thin. Chuvangin, chutiang thila doctor-te hman dan bik chu Biliary Drainage an ti a. A awlsam zawngin, hei hian bile duct blocked chhungah tube te tak te dahin bile chu a chhuah tir a ngai a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.

Biliary Drainage tih hi eng nge ni? A chi hrang hrang a awm em?

Biliary Drainage hi tube (catheter) flexible leh te tak te hmanga bile duct blockage kaltlangin bile a luang chhuak thei a, chu chu liver atanga small intestine thleng a ni. Tui kawng khar tawhna kawng thar siam ang mai a ni. Hei hi kawng lian pahnih hmanga tih a ni. I doctor chuan i dinhmun a zirin eng method nge i tana tha ber tih a rel ang.

Stent dah hi eng nge ni?

Thil engemaw takah chuan, a bik takin a blockage chu a awm reng a nih chuan (entir nan, cancer vangin), i doctor chuan i bile duct chhungah mesh ang chi tube te tak te, stent an tih chu a inhawng reng theih nan a dah reng thei a ni. Hei hi initial tube dah atanga ni engemaw zat hnuah tih thin a ni tlangpui.

Engvangin nge mi pakhatin hetiang enkawlna hi a mamawh ang?

Hetianga enkawlna a mamawh chhan ber chu bile duct (`stricture`) a block emaw, a tawi emaw vang a ni. Hei hian liver (`cholestasis`) ah bile fluid a ti khawm thin. Ngaihtuah teh, kan in chhunga drain pipe a inkhar a, hetah hian tui a pung khawm ang chi hi. Bile duct blockage hi chhan hrang hrang a awm thei a:

• Gallbladder emaw bile duct-a lung (choledocholithiasis) a awm.
• Pancreatitis emaw pancreatic cancer emaw a awm thei .
• Bile duct cancer (Cholangiocarcinoma) a awm a, a natna hi a inang lo hle.
• Liver cancer emaw gallbladder cancer emaw a ni thei.
• Cancer vangin liver emaw pancreas bula lymph node a lo hring chhuak thin.
• Parasitic infection thenkhat .
• Surgery dang neih laiin bile ducts a chhiat.
• Hun rei tak chhunga bile duct-a inflammatory condition, `primary sclerosing cholangitis` ang chi te.

Engtin nge enkawl hmain i inbuatsaih thin?

Hetiang enkawl hma hian thil engemaw zat tih tur a awm. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che. Chu thupekte chu dik taka zawm a pawimawh hle. 1. Ei leh In: Enkawl hma darkar 6 tal ei leh in, leh zuk leh hmuam i bansan tur a ni. I doctor chuan engtikah nge tui, tui ang chi i in theih tih a hrilh thei che a ni. 2. Allergy: Allergy i neih apiang chu doctor hnenah hrilh ngei ang che, a bik takin anesthetics, X-ray-a hman contrast dye, plastic emaw metal emaw allergy i neih te chu i doctor hnenah hrilh ngei ang che . 3. Damdawi chi hrang hrang:Tuna i damdawi ei zawng zawng (vitamin te pawh tel) i doctor hnenah hrilh rawh. A bik takin thisen tithianghlimtu (anticoagulants) aspirin leh warfarin te i ei a nih chuan i ei loh a ngai em tih leh engtikah nge i ei tawh tih zawt rawh. 4. Naupai: Naupai emaw, naupai theih emaw a nih chuan doctor hnenah hrilh ngei ang che. 5. Driving: Inenkawl zawhah i khalh thei dawn lo a, a chhan chu anesthesia hnuaiah i awm dawn a ni. Chuvangin in lama hruai tur mi rawn hruai turin ruahmanna siam rawh.

Enkawl lai hian eng nge thleng?

Hei hi i tih dan (PTBD emaw EBD emaw) a zirin step hrang hrang a inang lo deuh ang. Mahse, lungngai suh, i doctor chuan engkim a hrilhfiah lawk ang che.

Percutaneous method (PTBD) tih dan tur chu:

• A hmasa berin i pum vun chu a tifai a, a hmun chu a hring vek a ni.
• Chumi hnuah doctor chuan vun kaltlangin needle te tak te chu liver-a bile duct-ah a dah lut a.
• X-ray hmuh theih turin liquid bik (contrast dye) an inject a.
• Blockage awmna hmun dik tak an hriat chuan chu hmunah chuan drainage tube chu dahin bile fluid chu a chhuak thei ta a ni.
• He tube tawp dang hi i vun atang hian a chhuak a, pawn lam bag nen a inzawm a ni. He bag chhungah hian bile fluid a awm khawm thin. (He bag hi ni khatah vawi tam tak tihthianghlim a ngai.)

Endoscopic procedure (EBD) tih dan tur chu:

• Hemiah hian general anesthesia emaw light anesthesia emaw pek i ni ang a, chuvangin engmah i hre lo ang.
• I beng chu a tingling a.
• Doctor chuan ka chhungah camera (endoscope) nei tube a thun a, food pipe-ah a pass a, bile duct awmna hmunah a kaihruai a ni.
• Tichuan, chu tube atang chuan tube dang (catheter) an kalpui a, chu chu blocked duct kaltlangin bile a luang chhuak thei a ni.
• Phlegm chu pawn lam atanga lakchhuah a nih chuan hnar kaltlangin tube dahin bag-ah an dah a ni. A chhung lam atanga lakchhuah a nih chuan a chhungah stent dah a ni.

Risk leh enkawl hnua enkawlna

Damdawi enkawlna dang ang bawkin, hlauhawm leh harsatna lo thleng thei a awm.

• Harsatna awm thei: 1.1.
• Accidental loosening, twisting, inserted tube chu a lo inher chhuak thei.
• Natna emaw, nuam lo emaw.
• Infection (hei ven nan doctor chuan antibiotics a pe ang).
• Thisen chhuak.
• Taksa electrolyte awm dan inthlak danglam (`Electrolyte abnormalities`).
• A tlem hle a, lung lama harsatna (`Pneumothorax`) a awm thei.

Doctor chuan heng hlauhawmnate hi chiang takin a hrilhfiah ang che a, harsatna a awm chuan engtin nge i tih tur tih a hrilh ang che.

In lamah engtin nge i in enkawl ang?

I taksa pawnah tube leh bag dah luh i neih chuan nursing staff ten enkawl dan tur an zirtir ang che.

• Tube awmna sir lamah i rit zawng dahin mu suh. Hei hian tube chu a ti twist thei a ni.
• I doctor-in nitin tube chu saline solution tlem hmanga silfai turin a fuih che a nih chuan ti rawh.
• Bag atanga tui chhuak zat nena inmil turin electrolyte drinks in tur a ni. Doctor hnenah eng nge in tur tih leh engzat nge in tur tih zawt rawh.
• Treatment atanga darkar 48 hnuah shower i la thei bawk. Mahse, tube a awm lai hian pool emaw tuipui/luiah emaw tui chawi turin kal suh.
• I doctor-in a tih hma loh chuan rit phurh loh tur.

Engtikah nge damdawi lam pan nghal tur?

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

• Khawsik .
• Tube dahna hmunah natna, hliam, sen hring a awm chuan.
• Tube site atanga pus emaw fluid dang emaw a chhuak a nih chuan.
• Pum natna a pun emaw, a lo awm leh emaw chuan.
• Vun emaw mit emaw a sen leh chuan.
• I luak chhuak a nih chuan.
• Pipe chu a lo chhuak ang tih a hriat chuan.
• Stool a kal loh emaw, boruak a kal loh emaw chuan.

Biliary drainage hi bile duct obstruction damdawi tha tak a ni. I medical team chuan i dinhmun atana duhthlan tur tha ber thlang turin an pui ang che. Zawhna emaw, ngaihtuahna emaw i neih chuan zalen takin zawt rawh. Biliary Drainage, Bile Duct Obstruction, Jaundice, PTBD, EBD, Liver Natna, Gallstones, Sinhala damdawi lam thuziak te a ni