Portal Hypertension: I hriat tur chu

Thisen sang, a nih loh leh "pressure" chungchang hi kan hre vek. Mahse, kan thin thisen kalna kawng bik pakhata pressure a sanna dinhmun i hre tawh em? Damdawi lamah chuan hei hi ‘Portal Hypertension’ kan ti thin. A hming hi a buaithlak deuh a, mahse hei hi kan thin hriselna tichhe thei khawpa natna a ni. Chuvangin lungngai suh, vawiinah hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Portal Hypertension hi eng nge ni tak tak?

Hei hi hrethiam tur chuan kan taksaa thil thleng mak tak mai hi han thlir hmasa ila. I pum, i intestine leh i spleen atanga thisen nutrient tamna zawng zawng chu a khawlkhawm a, vein lian tak pakhat hmangin liver-ah a kal vek a ni. He main vein hi "portal vein" an ti a. A dik tak chuan hei hi liver-a thisen pekna ber a ni.

Tunah chuan he main artery, chu chu liver chhungah hian khawi emaw laiah "traffic jam" lian tak a awm tih han ngaihtuah teh. Liver-ah thil a chhiat a, a chhunga thisen kalna kawng te te a inkhar a nih chuan thisen lut chu a luang tha thei lo. Chuti a nih chuan eng nge thleng? Chu main portal vein-a thisen sang leh a inzawm vein dangte chu a sang lutuk a ni. Chu chu Portal Hypertension kan tih chu a ni.

He pressure hi a san chuan thisen chu thisen kalna kawng dang, te zawk, chak lo zawk kaltlangin a luang chhuak a tum thin. Tichuan chu thisen kalna kawng (a bik takin chaw kawng leh chaw kawng chhunga awmte) chu a lo hring chhuak a, balloon ang maiin a puak thei a, thisen a chhuak thei bawk. Heng thisen hring hring te hi varicose veins kan ti a . Hei hi he natna complication hlauhawm ber a ni.

Hetiang dinhmun a lo awm chhan te hi engte nge ni?

Portal Hypertension thlentu ber leh tam ber chu cirrhosis of the liver a ni . A awlsam zawngin sawi ila, cirrhosis hi eng emaw chhan vanga liver a chhiat chhunzawm zel a, hliam a dam ruala hliam lo awm thin avanga liver a nghet lo tihna a ni. Hliam a dam chuan kan vunah hliam a lo awm ang bawkin. He scar tissue hian liver chhunga thisen kal dan a tikhawlo a ni.

Liver a chhiat theihna chhan lian tak tak a awm a:

• Zu in tam lutuk.
• Viral infection Hepatitis B leh C te hi a ni.
• Fatty Liver Natna a awm.

Hei bakah hian he natna hi portal vein-a thisen zam, parasitic infection thenkhat (e.g. Schistosomiasis), leh thil dang hmuh tur awm lo vang te pawh a awm thei bawk. A châng chuan, a chhan chiang tak hmuh tur a awm lo.

Portal Hypertension natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan he natna hi a tir lamah hian symptom bik a awm lo. Kan sawiho tawh complication a lo awm chuan symptoms a lang thin. Doctor in thin natna i neih thu a hrilh che a nih chuan heng symptoms te hi hriat chian a pawimawh hle.

Thisen i luak emaw, ek dum i paltlang emaw a nih chuan emergency a ni tih hre reng ang che. Damdawi in hnai ber Emergency Department (ETU) ah i kal nghal tur a ni.

Enkawlnate chu engte nge ni?

Vanduaithlak takin Portal Hypertension awm chhan bulpui ber chu a dam kim thei lo fo. Chuvangin, enkawlna tum ber chu harsatna, a bik takin varices avanga thisen chhuak ven leh enkawl hi a ni.

1. Endoscopic Therapy hmanga enkawlna

Hei hi varicose veins enkawlna atana hman hmasak ber a ni.

• Banding: Endoscope, camera awmna tube chu ka chhungah dahin, thisen kalna kawng vel chu rubber band te tak te dahin, thisen kalna kawng chu a khar a ni.
• Sclerotherapy hmanga enkawlna:Hei hian thisen tichhe thei solution chu thisen zam chhungah inject a huam a ni.

2. Damdawi chi hrang hrang

• Beta-blockers: Propranolol ang damdawi hian portal vein system-a pressure a ti tlem a, thisen chhuah theihna a ti tlem bawk.
• Diuretics: Pum chhunga tui (ascites) a khat chuan heng damdawi te hi taksa atanga tui tam lutuk paih chhuah nan pek thin a ni.
• Lactulose: He damdawi hian encephalopathy control nan a pui thin.

3. Nunphung tihdanglam

Hei hi a pawimawh hle a ni.

• Zu in hi bansan vek rawh.
• Doctor rawn hmasa lovin natna tidamtu damdawi, damdawi dang emaw, herbal tea emaw ei suh. Damdawi thenkhat hi thin (liver) tan a pawi thei hle.
• Salt (sodium) i ei zat tihtlem rawh. Doctor thupek angin ei rawh.
• Rilru lama buaina i neih chuan protein tamna ei tur tihtlem turin an ti mai thei che a ni.

Enkawlna bik dang

A chunga kan sawi takte hian thisen chhuah emaw, pum zau emaw a thunun thei lo a nih chuan doctor-te chuan enkawlna buaithlak zawk an hmang thei a ni. Hengte hian portal vein system-a pressure tihhniamna hmangin hna an thawk a ni.

• TIPS (Transjugular Intrahepatic Portosystemic Shunt): Hei hi operation a ni lo. Hetah hian X-ray kaihhruaina hnuaiah liver kaltlangin tube te tak te (stent) dah a ni a, chu chuan portal vein leh liver atanga chhuak vein dang inkarah kawng thar a siam a ni. Hei hian thisen kal dan a tidanglam a, thisen kalna kawng (veins)-a pressure a tihniam bawk. Hei hi 90% aia tam enkawlna hlawhtling tak a ni.
• DSRS (Distal Splenorenal Shunt): Hei hi surgery a ni. Hetah hian splenic vein chu left kidney vein nen a inzawm a ni. Hei hian pressure a tihhniam bakah thisen kal dan a control bawk. Mahse, hei hi hman tlanglawn a ni tawh lo.
• Liver Transplant: Hei hi end-stage liver disease nei damlote tan chuan solution awmchhun a ni thei.

Chutiang enkawlna hnuah chuan i hriselna atan doctor thupek leh follow-up appointment dik tak zawm a pawimawh hle . Chutih laia scan leh thisen test te chuan enkawlna hlawhtlinna a hriat theih nan a pui thei a ni.