Liver natna avanga thisen chhuak chinfel dan: Distal Splenorenal Shunt (DSRS) surgery chungchang hi i zir chiang ang u

Kan taksa peng pawimawh ber pakhat chu thin (liver) hi a ni. Mahse a chang chuan thin (liver) a chhiat hian taksa chhungah harsatna lian tak tak, kan hriat phak loh a thlen thei a ni. Chutiang harsatna pakhat chu liver-a thisen thlentu vein-a pressure sang lutuk hi a ni. He pressure sang hian thisen chhuah hlauhawm tak pawh a thlen thei a ni. Vawiin hian hetiang dinhmuna nunna chhanhim thei tur special surgery kan sawi dawn a ni. Chu chu Distal Splenorenal Shunt, a tawi zawngin DSRS surgery tih hi a ni.

He ‘Portal Hypertension’ hi eng nge ni?

Hei hi a awlsam zawngin han sawi ila. I in chhunga tui pipe lian ber chu a inkhar niin han ngaihtuah teh. Chuti a nih chuan eng nge thleng? Tui chu hmun khatah a tang a, pressure a sang a, a chang chuan hmun dang atangin a luang chhuak tan thin. Kan taksaah pawh chutiang bawk chu a thleng thin.

Kan ei tur chu a hmin hnuah, chu ei tur tha tak takte chu a hip lut tawh thisen chu thisen kalna kawng lian tak , portal vein , hmangin liver-ah a kal a ni. Eng emaw kawng takin liver a chhiat chuan (entir nan, cirrhosis ang chi natna avang hian) he portal vein kaltlangin thisen hi awlsam takin a kal thei lo. Tui pipe a tlakbuak ang mai a ni.

Hetianga thisen kal dan a tihbuai chuan portal vein chhunga pressure a sang lutuk a ni. Hei hi ‘Portal Hypertension’ kan ti a ni.

Chuti a nih chuan he DSRS surgery hian eng nge a tih?

DSRS surgery hi, a awlsam zawngin sawi ila, thisen kal dan khap tawhna tur ‘bypass’ thar a ni. He surgery hi high-pressure portal vein system atanga thisen thenkhat divert a, lower-pressure area-ah redirect a ni.

Hei hi tih dan tur chu hetiang hi a ni:

Surgeon chuan uluk takin splenic vein leh portal vein chu a then a, chu chu pressure sang tak hnuaiah a awm a ni. Tichuan, chu vein chu i veilam kidney-a renal vein nen a inzawm ta a ni. Renal vein hi pressure hniam tak, circumscribed tha tak a ni.

A awlsam zawngin, lirthei thenkhat chu kawngpui busy tak atanga lakchhuah a, kawngpui lian lo zawka redirect ang mai a ni. Hei hian portal vein-a pressure a tihziaawm a, hei hian thisen chhuah hlauhawm tak awm theihna tur a control thei a ni.

Engtikah nge DSRS surgery hi a tul?

I doctor-in test hrang hrang a tih hnuah, i chaw kawng emaw, i pum emawa varicose veins a lo hring emaw, thisen a chhuak emaw a nih chuan he surgery hi a rawt thei ang. Chu bakah, he surgery hian portal hypertension avanga harsatna dang awmte pawh a control thei bawk.

DSRS leh shunt chi dang hi eng nge an danglamna?

Portal vein-a pressure tihtlem nan shunt chi hrang hrang hman a ni. Heng zawng zawng hian a tum ber chu thisen chhuahna control hi a ni.

• Distal Splenorenal Shunt (DSRS): Hei hi tuna kan sawi tur surgery chu a ni. Hemiah hian open surgery tih a ni a, taksa chhunga vein awm tawh hmangin bypass siam a ni.
• Transjugular Intrahepatic Portosystemic Shunt (TIPS) hmanga siam chhuah a ni a:Hei hi DSRS nen chuan a danglam deuh hlek a ni. Surgery lian tham a ngai lo. Chu ai chuan, catheter ang chi, tube te tak te chu kawr chhunga vein pakhat kaltlangin dahin, portal vein chu liver chhung atanga liver (hepatic vein) chhuahsantu main vein nen a thlunzawm a ni. Tunlaia hmanraw hman tam ber chu hei hi a ni.

I medical team chuan eng method nge i tan a tha ber tih an rel ang.

Operation hmain eng nge beisei tur?

I surgery hun tur a ruahman hmain i doctor chuan i medical history kimchang a la ang a, physical exam a ti ang. I hriselna zawng zawng, liver function leh i portal hypertension nasat dan tehna atan test engemawzat an order thei bawk.

Hei hian a huam thei ang:

• Thisen test a ni
• Liver hnathawh dan test a ni
• Chest X-ray neih a ni
• EKG test a ni
• Angiogram - thisen kalna kawng dinhmun en nan
• Upper endoscopy - chaw kawng chhung leh pum chhung thlir nan

Medical team chuan operation atana inbuatsaih dan tur chiang takin an pe ang che. Entîr nân, eng damdawi nge in bânsan tûr te, damdawi ina rawn ken tûr te, engtikah nge ei leh in bânsan tûr tih te an hrilh ang che. Hetih lai hian zawhna emaw, ngaihtuahna emaw i neih chuan zawt rawh.

Engtin nge surgery hi tih a nih?

DSRS surgery hi darkar li vel a ni tlangpui. A hmasa berin general anesthesia hnuaiah dah i ni. Chuvangin operation chhung zawng hian i muhil a, natna engmah i hre lo. Surgical team hian kan sawi tawh ang khan uluk takin splenic vein chu an la chhuak a, renal vein nen an thlunzawm a ni.

Surgery hnuah eng nge thleng?

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

• Zun chhuah nan temporary catheter dah a ni.
• Nasogastric tube (NG tube) chu darkar 24 vel dahin pum chhunga boruak leh tui lakchhuah a ni.
• Saline (IV) line chu kawr chhunga vein pakhatah connect a, damdawi leh tui pekna tur a ni.
• 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 thar chu a thawk tha em tih enfiah a ni ang. I ei theih hunah chuan liquid leh solids te chu zawi zawiin i inhriat tir 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.

Engtikah nge damdawi lam thurawn i lak nghal ang?

In i haw hnuah i dam lehna tur chu nasa takin i enkawl tur a ni. A hnuaia symptoms te hi i neih chuan doctor ko nghal la, i hnai ber damdawi in Emergency Department (ETU) ah kal rawh.

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

Hetiang surgery neih tur hian tlem a hlauthawng leh lungkham deuh hi thil pangngai a ni. Mahse hre reng ang che, DSRS hi portal hypertension avanga harsatna hlauhawm tak tak laka invenna kawng tha tak a ni.