Biliary Drainage: Engvangin Nge leh Engtin Nge Hetiang Procedure Hi Tih A Ni?

I mit emaw, i vun emaw chu a sen a ni em, i natna nasa tak, tuar theih loh i tuar em? Hengte hi jaundice kan tih tlangpui chhinchhiahna a ni. Hei hi bile ducts—i liver aṭanga bile phur chhuaktu tube-te chu chaw ei tûra ṭanpuitu—a inkharkhip hian a thleng fo ṭhîn. Hetiang blockage a awm hian liver-ah bile a pungkhawm a, chu chuan i vun a ti sen a , chu chu a hring reng thin. Chutiang hunah chuan doctor-te chuan thil tih dan bik, biliary drainage an tih chu an hmang thin. A awlsam zawngin, hei hian bile duct blocked chhungah tube te tak te dahin, bile chu zalen taka a luang leh theih nan a huam a ni. He procedure chungchanga hriat tur zawng zawng hi han sawiho ila.

Biliary Drainage Chu Eng Nge Ni A, A Chi hrang hrang Eng Nge Ni?

Biliary drainage hi i bile duct-a obstruction awm chu bypass turin tube (catheter) te tak te, flexible tak hmanga kal a ni a, chu chuan bile chu liver atanga small intestine-ah a luang lut thei a ni. Tui pipe khar tawhna tur bypass siam ang maiin han ngaihtuah teh.

Hei hi a bul berah chuan kawng hnih hmanga tih a ni. I doctor chuan i dinhmun bik atan eng method nge a tha ber tih a rel ang.

Stenting hi eng nge ni?

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

Engvangin Nge Hetiang Procedure hi a tul?

Hetianga tih chhan ber chu bile duct-a blockage emaw narrowing (`stricture`) vang a ni a, chu chuan bile chu liver-ah a khawlkhawm (`cholestasis`) a ni. I kitchen sink-a drain khar ang bawkin, blockage hian normal flow a veng thei a ni.

Bile duct blockage awm chhan tlangpui chu:

• Gallstones (`choledocholithiasis`) a awm a ni.
• Pancreatitis emaw pancreatic cancer emaw a awm thei .
• Bile duct cancer (`Cholangiocarcinoma`) a awm a, a natna hi a lar hle.
• Liver cancer emaw gallbladder cancer emaw a ni thei .
• Liver bula lymph node awmte a hring emawpancreas hi cancer vang a ni.
• Parasitic infection thenkhat .
• Tun hmaa surgery hmanga bile ducts a hliam tawh.
• Bile duct-a natna rei tak awm thei, Primary Sclerosing Cholangitis ang chi te.

Engtin Nge I Inbuatsaih Ang?

I doctor chuan thupek chiang tak a pe ang che a, chu chu khauh takin i zawm tur a ni.

1. Ei leh In: I tih hma darkar 6 tal chu ei leh in, leh zu in i chawlhsan a ngai mai thei. I doctor chuan tui tlemte i in theih leh theih loh chungchangah thurawn a pe ang che.

2 .

3. Damdawi: Tuna i damdawi ei zawng zawng, vitamin te pawh tiamin doctor hnenah hrilh rawh. Thisen tithianghlimtu aspirin emaw warfarin emaw i ei a nih chuan i doctor hnenah engtikah nge i ei loh tur tih zawt hmasa phawt ang che.

4. Naupai: Naupai i nih emaw, i ni thei ang tih i ngaihtuah chuan i medical team hnenah i hriattir tur a ni.

5. Transportation: Sedation i dawn dawn avangin i khalh thei dawn lo. Khawngaihin mi pakhatin in lama hruai turin ruahmanna siam rawh.

Procedure neih chhung hian eng nge thleng?

PTBD emaw EBD emaw i neih dan azirin step hrang hrang a awm a, mahse ring tlat ang che, i medical team chuan engkim an hrilhfiah hmasa ang.

PTBD Hnathawh Dan:

• I pum chhunga vun chu a fai ang a, a numb ang.
• Doctor chuan vun kaltlangin liver chhunga bile duct-ah needle te tak te a dah ang.
• Contrast dye an inject avangin X-ray-ah chuan duct te chu a lang thei a ni.
• Blockage awmna hmun a awm hnu chuan drainage tube chu bile a luang chhuak thei turin dah a ni.
• Tube pawn lam tawp chu pawn lam bag-ah a inzawm ang a, chu chuan bile a khawlkhawm ang. (He bag hi a hun hunah i empty a ngai dawn a ni).

EBD Hnathawh Dan:

• Local emaw general anesthesia emaw pek i ni ang a, chuvang chuan i hlim reng ang.
• Endoscope chu i hmuiah a kal tlang a, duct area chhungah a tla thla a.
• Doctor chuan endoscope hmanga hmanrua passed hmangin blockage chu a bypass thin.
• Thil awmdan azirin stent an dah thei a, chu chuan duct chu a chhungah a inhawng reng thei a ni.

Risk leh Aftercare te pawh a awm thei

Damdawi lam thil dang ang bawkin, hlauhawmna a awm thei.

• Harsatna awm thei: 1.1.
• Tube chu a chhuak thei a, a inher thei a, a block thei bawk.
• Hrisel lohna emaw, natna emaw.
• Infection (hei ven nan i doctor chuan antibiotics a pe ang).
• Thisen chhuak.
• Electrolyte inthlauhna (imbalance) a awm.
• A tlem berah chuan lung lama harsatna pneumothorax ang chi a awm thin.

I doctor chuan heng hlauhawmnate hi a sawipui ang che a, harsatna a awm chuan engtin nge i tih tur tih a hrilh ang che.

In lama mahni in enkawl dan:

Pawn lam tube leh bag i neih chuan nursing staff ten enkawl dan tur an zirtir ang che.

• Insertion site-ah pressure awm lo la, hei hian tube chu a ti twist thei a ni.
• Thupek a nih chuan nitin tube chu a sawi angin saline hmangin silfai thin ang che.
• I doctor-in a thurawn a nih chuan electrolyte tamna in tur hmangin hydration vawng reng la, chu chuan fluid hloh chu a phuhruk thei ang.
• Procedure hnuah darkar 48 hnuah i inbual thei a, mahse tube a awm lai hian pool, tuifinriat, luiah te inbual suh.
• I doctor-in a tihfai hma loh chuan thil rit tak tak chawi loh tur.

Engtikah Nge Emergency Medical Attention I Dil Ang?

A hnuaia thil awmte hi i tawn chuan doctor rawn nghal la, damdawi in emergency department hnai ber pan rawh.

• Khawsik emaw, khawsik emaw.
• Tube awmna hmuna natna, hring emaw, sen emaw a tam.
• A hmun atanga pus emaw, discharge pangngai lo emaw a chhuak.
• Pum natna thar emaw, na zual emaw.
• Vun emaw mit sen emaw a lo lang leh thin.
• Luak chhuak chhunzawm zel.
• Tube chu a chhuak chhuak anga lang emaw, a lo chhuak emaw a nih chuan.
• Stool emaw gas emaw i pass thei lo a nih chuan.

Biliary drainage hi bile duct obstruction enkawlna tha tak a ni. I medical team chuan i hriselna atana hmanraw tha ber thlang turin an pui ang che. Zawhna i neih chuan zalen takin zawt rawh.

Biliary Drainage, bile ducts block, jaundice, PTBD, EBD, thin natna, gallstones, Nirogi Lanka medical article te a awm bawk