Thisen i luak thut ngai em? A nih loh leh i stool chu rang takin a dum leh a sticky ta em ni? Hengte hi hriat tur hlauhawm leh nerve tichhe thei tak tak a ni lawm ni? Mahse hengte hi tunlaia kan sawi mek dinhmun hlauhawm tak ‘Bleeding Varices’ tih chhinchhiahna berte chu an ni. Hei hi thil awlsam tak a ni lo va, nunna atana hlauhawm pawh a nih theih avangin. Chuvangin vawiin hian hemi chungchang hi i hrechiang lehzual ang u.
A awlsam zawngin ‘varices’ tih hi eng nge ni?
Varicose veins hi kan esophagus emaw kan pum chhunga thisen kalna kawng a hring a, a lian a. Mi thenkhat ke chu blue, twisted veins nei hi han mitthla teh, a dik em? Hei hi chutiang thil chu a ni. Mahse hei hi kan taksa chhungah, chaw ei kawngah a thleng thin.
Heng thisen hring, a nih loh leh varicose vein te hian a puak darh a, thisen a chhuah tan hma loh chuan engmah a lantir lo tlangpui. Mi tam tak chuan an nei tih pawh an hre lo. Mahse buaina chu heng vein te hi an inthen a, an puak a, thisen an chhuah tan atang hian a intan thin. Chutih lai chuan medical emergency pawi tak a lo ni ta a ni.
Varicose veins thisen chhuak hian eng symptom hlauhawm tak nge a neih?
Miin Bleeding Varices a neih chuan hriat nghal tur a ni. A chhan chu second tin hi a chhiar tel vek a ni. A hnuaia symptoms te hi ngun takin ngaihven rawh.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Thisen chhuak | Vein a hring chu a puak tih chhinchhiahna chiang ber a ni. |
| Stool dum, tarry, sticky tak tak a awm | Digestive tract chunglam atanga thisen kal tawh chu hetiang hian digested leh excreted a ni. |
| Luak chhuak nasa lutuk leh rilru hah lutuk | Taksa atanga thisen tam tak a bo vanga thisen sang tlahniam. |
| Heart rate a sang chho zel | Taksa chhunga thisen hloh chu phuhruk nan thinlung hian hna a thawk rang zawk thin. |
| Shock a ni | Hei hi dinhmun pawi tak a ni. Thisen chhuah tam lutuk hian taksa peng hrang hrangin thisen an dawng tlem phah thin. |
Heng symptoms te hi i neih chuan second khat pawh in lamah awm suh. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh. Thisen chhuah hi thunun thuai a nih loh chuan mi chu a thi hial thei a ni.
Thisen chhuah a reh pawhin harsatna lian tak tak, pneumonia, sepsis, leh liver leh kidney failure te a awm thei a ni.
Engvangin nge heng varicose veins te hi an lo awm a, thisen an chhuah? A bulpui ber chu eng nge ni?
Hei hi a chhan ber chu ‘Portal Hypertension’ an tih vang a ni. Tunah chuan han en teh, kan chaw ei dan atanga thisen kal chhuaktu thisen kalna kawngpui ber chu ‘Portal Vein’ an ti a. ‘Portal Hypertension’ tih hi he vein chhunga thisen sang eng emaw vanga a san lutuk hi a ni.
Okay, chuti a nih chuan engvangin nge he pressure hi a pung zel?
Hei hi a chhan langsar ber chu cirrhosis of the liver a ni a, chu chu liver chu lungpui ang maiin a hliam a, a khauh tihna a ni. Damdawi lamah chuan hei hi ‘Cirrhosis’ kan ti thin.
- Zu in nasa lutuk te tan.
- Hepatitis B leh C ang chi virus infection rei tak nei te.
- Fatty liver disease nei thenkhatah chuan cirrhosis hi a awm thei.
Kawngpui lian takah traffic jam a awm chuan eng nge thleng tih han ngaihtuah teh? Lirthei te hian kawngpui sir, lungpui kawngpui te tak teah te kal an tum thin a ni lawm ni? Hetah pawh hi chutiang chu a ni. Thisen (vehicle) te tan liver (kawngpui lian) atanga kal a harsat chuan chu thisen chuan esophagus leh stomach-a vein te tak te, nalh tak tak (side roads) te chu kal tlang a tum thin.
Heng vein te te hian hetiang thisen tam leh pressure tam tak hi an tuar thei lo. Chumi rah chhuah chu thisen kalna kawngte chu balloon ang maiin a lo hring chhuak a, an bangte chu a hring chhuak a, a tawpah chuan a puak darh a, a thisen chhuah tlem ber pawh a ni.
He natna hlauhawm tak hi eng enkawlna nge ni?
A hmasa berin damdawi ina admit an nih hunah doctor-te thil tum hmasa ber chu thisen chhuah tihtawp a, damlo nun tihngheh hi a ni. Hei hian lung chhunga thisen a luh loh nan thawkna khawl nena inzawm tir te, thisen rimchhia lo tura antibiotics pek te pawh a huam thei.Pêk a ngai bawk.
Thisen chhuahna control a nih hnuah chuan thisen chhuah leh tur venna leh varicose veins enkawl dan hrang hrang a awm a.
| Enkawl dan tur | A awlsam zawngin sawifiah a ni |
|---|---|
| Banding siam a ni | Gastroenterologist chuan endoscope hmangin chaw kawng (esophagus) a lut a, rubber band te te a dah a, chu chu thisen kalna kawng hring (swellen veins) vel ah a dah a ni. Hei hian thisen kalna a titawp a, thisen kalna kawng (veins) te chu a thi ta a ni. |
| Sclerotherapy hmanga enkawl a ni | Rubber band dah ai chuan endoscope hmangin thisen hring hringte tikhawlo thei tur solution bik an inject a ni. |
| TIPS (Transjugular Intrahepatic Portosystemic Shunt) tih hi a awmzia a awm lo. | Hei hi radiology kalphung a ni. Kawr chhunga vein pakhat hmangin catheter dahin, liver lairil lamah ‘stent’ (tube te tak te) dah a ni. Hei hian high-pressure portal vein chu vein pangngai nen a thlunzawm a, pressure a tihhniam phah a ni. |
| DSRS (Distal Splenorenal Shunt) hmanga tih a ni. | Hei hi surgical procedure a ni a, chu chu spleen vein leh left kidney vein te thlunzawm a, varicose veins-a pressure tihziaawmna leh thisen chhuahna control a ni. |
| Liver Transplant a ni | Liver a thawk tha lo vek a, natna chu a tawp ber (end-stage liver disease) a nih chuan hei hi a solution tha ber a ni. |
Hetiang dinhmun hi ven theih a ni em?
Dik tak chuan a theih tho. Hei hi a laka inven dan tha ber chu a chhan bulpui, chu chu thin natna a ni, uluk taka enkawl hi a ni.Liver natna hi hriat hmasak a nih a, enkawl tan a nih chuan heng varicose veins lo awm hi a tam zawkah chuan ven theih a ni.
- Zu hi pumpelh vek rawh. Hei hi cirrhosis thlentu ber a ni.
- Hepatitis B leh C enkawlna tha tak dawng rawh.
- Ei leh in hrisel leh exercise hmangin fatty liver control rawh.
Tin, damdawi thenkhat, thinlung natna atana beta-blockers te hian portal vein-a pressure tihziaawmna hmangin thisen chhuah theihna a tihziaawm thei bawk. Heng zawng zawng hi doctor nen sawiho a, an thupekte uluk taka zawm a pawimawh.
Take-Home Thuchah a ni
- Varices hi chaw kawng emaw, pum chhunga thisen zam (veins) hring (swellen veins) a ni. An puak chhuah leh thisen chhuah hma loh chuan symptom an lantir lo tlangpui.
- Thisen chhuah leh passing black, tarry stools te hi a nasat ber a ni. Hengte hi i hmuh chuan damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- A chhan ber chu Portal Hypertension an tih, thin natna (a bik takin cirrhosis) avanga lo awm a ni.
- Zu in tam lutuk pumpelh a, thin natna dik taka enkawl hian he natna hi a tihziaawm thei a ni.
- Liver natna i neih chuan doctor nen inrawn fo la, a enkawl dan leh test dan tur dik takin zawm thin ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh