Liver thisen kalna kawnga pressure tihziaawmna tur operation: DSRS (Distal Splenorenal Shunt) chungchang hi han hre mai ila

I thin (liver) hi kan taksa peng pawimawh tak a ni. Mahse natna thenkhat vangin , a bik takin thin a chhiat chuan , a inzawm thisen kalna kawng a pressure a sang lutuk thei. Hei hian thisen chhuak nghal ang chi dinhmun hlauhawm tak a thlen thei a ni. Vawiin hian hetiang thil thlenga nunna chhanhimna atana surgery bik tih tur kan sawi dawn a ni. Hei hi DSRS surgery an ti a.

Distal Splenorenal Shunt (DSRS) hi eng nge ni?

A awlsam zawngin, Distal Splenorenal Shunt (DSRS ) hi surgical procedure a ni a, i portal vein-a pressure tihziaawmna a ni. Tunah chuan portal vein hi eng nge ni tih i ngaihtuah mai thei. Portal vein hi thisen kalna kawng bulpui ber a ni a, chu chuan chaw ei kawng ( stomach , intestine, etc.) atanga thisen kalna kawng (liver) thlenga thisen phurtu a ni.

Damdawi lam thil thenkhatah chuan he vein-a pressure hi a sang lutuk thin. Portal Hypertension kan ti a . Surgeon-te chuan he DSRS procedure hi hmangin thisen chhuah leh he pressure sang tak avanga harsatna dangte control nan an hmang thin.

A hmasain Portal Hypertension chu eng nge ni tih i hrethiam ang u?

Portal Hypertension, kan sawi tawh ang khan portal vein-a thisen sang a ni. Hei hi a chhan ber chu thin (liver) tihchhiatna a ni. Entirnan, cirrhosis ang chi natna hian thin a tikhauh thei a, chu chuan thisen kalna a tikhawlo thei a ni.

Tui pipe pakhat a laiah a inkhar a nih chuan eng nge thleng ang tih han ngaihtuah teh. Pipe chhunga pressure a sang a, tui chu hmun dang atanga tlanchhuah a tum a ni lawm ni? Chutiang bawkin thisen chu liver kaltlanga a kal theih loh chuan portal vein-a pressure a sang chho zel a ni.

He pressure sang tak avang hian thisen hian kawng dang a zawng tan ta a ni. Heng thisen kalna kawng thar, bang chak lo tak takte hi ‘varices’ kan tih hi an ni. Hengte hi i chaw kawng leh i pum chhungah a lo awm ber a ni.

Pressure a san chuan heng varices te hi a lo hring chhuak a, an bang te chu a hring a, a chak lo bawk. An pum chhungah tui an leak thei (hei hi ascites an ti a), a hlauhawm ber chu an puak darh thei a, thisen a chhuak tan thei bawk. Hei hi medical emergency a ni.

DSRS surgery neih chhung hian eng nge thleng tak tak?

DSRS surgery hian portal vein-a thisen kal tam lutuk chu a divert a, a pressure tihhniamna hmangin hna a thawk a ni. Hei hi khawpui pakhata lirthei tlan tam lutuk tihziaawmna tur bypass road thar siam nen a inang a ni.

He operation chhung hian surgeon chuan a hnuaia mi ang hian a ti ang:

1. I spleen-a splenic vein chu portal vein atanga inthen a ni.

2. Tichuan splenic vein inthen chu i kal veilam renal vein nen a inzawm ta a ni.

Chutianga thisen kalna tur kawng thar siam a nih chuan portal vein-a pressure a tlahniam a, varices swelling a tlahniam a, surgery hi liver-in a mamawh thisen a dawn chhunzawm zel theih nan ruahman a ni.

Tute nge DSRS surgery mamawh?

I doctor-in i esophageal emaw gastric veins (varices) a lian emaw, thisen a chhuak emaw a hriat chuan he surgery hi tih a tha thei ang. Portal Hypertension avanga harsatna dang awm thei te pawh chinfelna a ni thei bawk.

A hnuaia table hian hei hi a sawifiah belh thei ang.

DSRS leh shunt treatment dang hi eng nge an danglamna?

Portal hypertension shunt treatment zawng zawngte thil tum tlangpui chu portal vein-a pressure tihhniam leh thisen chhuah control hi a ni. Mahse, hengte hi tih danah hian danglamna a awm.

• Transjugular Intrahepatic Portosystemic Shunt (TIPS): Hei hi operation tih tur a ni lo. Chu chu kawr chhunga vein kaltlangin catheter ang chi tube dahin, portal vein leh liver chhunga hepatic vein inzawmna siam a ni. Tunlai hian DSRS aiin he TIPS procedure hi a tam zawk.
• Proximal splenorenal shunt: Hei hi surgery tih a ni bawk. Mahse, a spleen ngei pawh lakchhuah a ngai mai thei.
• Spontaneous splenorenal shunt (SSRS): Hei hi surgery tih a ni lo. Liver natna a nasat em avangin taksain a pianphung anga a siam inzawmna a ni. Hei hian natna hi a zual hle tih a tilang a ni.

Operation hmain eng nge beisei tur?

I doctor chuan i medical history a zawt hmasa ang a, a enfiah ang che. Tichuan, i hriselna tlangpui, liver function leh i portal hypertension nasat dan hriat nan test eng emaw zat an ti ang.

Heng test-ah hian:

• Thisen test a ni
• Liver hnathawh dan test a ni
• Chest X-ray neih a ni
• ECG (Electrocardiogram) hmanga tih a ni.
• Angiogram - Hei hi test bik a ni a, thisen kalna kawngte dinhmun enfiahna a ni.
• Upper endoscopy - Camera hmanga tube hmanga chaw kawng chhung leh pum chhung enfiah

I medical team chuan operation hmain instruction chiang tak an pe ang che.

• Surgery hmain eng damdawi nge tihtawp tur?
• Damdawi ina ka lo kal hunah eng thil nge ka ken ang?
• Operation hmaa ei leh in tihtawp hun dik tak.

Surgery neih chhung hian eng nge thleng?

DSRS surgery hi darkar li vel a ni tlangpui . A hmasa berin general anesthesia pek i ni. Hei hian natna engmah i nei lo va, i muhil vek tihna a ni.

Tichuan surgical team, kan sawi tawh ang khan:

1. Splenic vein chu portal vein atanga inthen a ni.

2. Chu vein chu la la, left kidney renal vein nen connect rawh.

Operation hnuah eng nge ka beisei ang?

Operation hnuah chuan kar khat emaw ni sawm emaw vel damdawi inah i awm a ngai ang . Hemi chhung hian medical team ten uluk takin an enkawl ang che.

• Zun chhuah nan temporary catheter dah a ni.
• Nasogastric tube chu hnar hmangin darkar 24 vel dah a ni a, chu chuan pum atanga boruak leh tui te chu a paih chhuak thin.
• I kawr chhunga vein pakhatah IV dah a ni ang a, chu chuan damdawi leh tui a pe ang che.
• Natna control turin self-administered pain pump pek i ni ang.

Operation hnu kar khat vel hnuah angiogram dang i nei leh ang a, chu chuan shunt chu a thawk tha em tih enfiah a ni ang. Ei leh in i neih theih hunah chuan liquids pek hmasak a ni ang a, chutah chuan solids pek i ni ang. I haw hmain dietitian pakhatin a hmu ang che a, i tana tha tur diet chungchang a sawipui ang che. Chi tlem, thau tlem ei hi a tha fo thin.

He surgery hi a hlauhawmna a awm em?

Surgery dang ang bawkin hlauhawmna engemaw zat a awm a, mahse DSRS hi a tlangpuiin a him hle a, hlawhtling tak a ni.

Operation hnu thla hmasa berah thisen chhuah leh theihna a sang zawk. Mahse, lungngai suh. I medical team chuan he risk hi enkawl turin an pui ang che a, a chungchang pawh an hriattir tha ang che.

In lama i haw hnua i dam chhung hian eng nge i tih tur?

I dam thuai theih nan i doctor leh nutritionist-te’n uluk taka an zawm a pawimawh hle. Engtikah nge thil tih pangngai leh exercise i tih leh theih ang tih doctor zawt rawh.

I liver hnathawh dan enfiah nan thisen test neih fo a ngai dawn a ni. I follow-up appointment te chu tlai ngai suh. I doctor chuan i dinhmun a enfiah chhunzawm zel ang a, hrisel taka awm theihna tura i mamawh thurawn a pe zel ang che.

Damdawi lam pan vat ngai symptoms te chu engte nge ni?

• Khuh
• Thâwk harsa
• Spell (spell) siam tur chuan
• Khawsik
• A rilru a na
• A hma aia tam thawmhnaw hak

Portal Hypertension ang chi natna i nei tih i hriat hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse i doctor chuan i bulah a thu ang a, i symptoms te chu a enfiah ang a, i enkawl theih nan a pui ang che. A tul chuan DSRS ang chi surgery hian thisen chhuah theihna tur a control thei a, nun tha zawk i neih theih nan a pui thei bawk.