I esophagus-ah thisen kalna kawng a hring chhuak em? (Esophageal Varices) Hei hi a hlauhawm em? Kan sawi dun teh ang!

Liver lama harsatna nei thenkhat chuan ka atang hian thisen a chhuak nghal mai thei a, an ek chhungah thisen an hmuchhuak thei bawk. Hetiang thil a thlen hian eng thil nge thleng tih chu i ngaihtuah thei lo tak zet a ni. Hetiang dinhmun lo awm chhan ber pakhat chu i esophagus , ei tur kalna tur tube-a thisen kalna kawngte chu a lo hring a, a puak a, thisen a chhuak thin I kea varicose vein ang mai a ni a, mahse hei hi i taksa chhungah a thleng thin. Vawiin hian he natna hi kan sawi dawn a, damdawi lam pawhin Esophageal Varices tia hriat a ni. Ngaihtuah buai suh, awlsam takin i vawng ang u.

Chungte chu engte nge ni (Esophageal Varices)? A awlsam zawngin...

Ngaihtuah teh, i esophagus hi i ka atanga i pum thlenga ei tur phurtu tube a ni. He tube chhungah hian thisen kalna kawng tha tak tak network a awm a. Eng emaw chhan vanga heng thisen kalna kawngte hi pressure nasa lutuk hnuaiah an awm chuan zawi zawiin an lo hring chhuak a, an lo lian tan ta a ni. Hei hi esophageal varices an ti a.

Hemi chungchanga hlauhawm ber chu heng thisen hring hringte bang hi a chak lo hle a ni. Balloon overinflated ang maiin. Chuvangin, awlsam takin an puak thei a, thisen an chhuak thei bawk . He taksa chhunga thisen chhuak hi a rang thei a, a na hle thei a, nunna atana hlauhawm tak a ni thei bawk.

(Esophageal Varices) hi engtiang chiahin nge a nasat?

Hetiang natna hlauhawm ber leh pawi ber chu thisen chhuah hi a ni . Mi zawng zawng thisen chhuak lo mah se, he natna vei zinga 50% velin thisen an chhuah thei a ni. Sawi tawh ang khan, thisen kalna kawng bulpui, chu chu (Portal Hypertension) a pressure a san chuan he hlauhawmna hi a sang chho zel a ni. A tam zawkah chuan he natna (Portal Hypertension) hi thin natna rei tak avanga lo awm a ni. Chuvangin, thin natna a zual zel chuan he dinhmun pawh hi a zual zel bawk.

Liver natna nasa tak nei, cirrhosis tihna nei te hian esophageal varices tih loh chu harsatna dang an nei thei bawk.. Amaherawhchu, cirrhosis vei te damdawi inah an awm a, an thih chhan ber chu heng thisen hring (swellen veins) te hi a puak a, thisen a chhuah vang a ni. Hetiang thisen chhuahna hi a lo awm chuan thihna hlauhawmna hi 20% vel a ni. Tin, vawi khat thisen chhuah hnuah thisen chhuah leh theihna a sang hle bawk.

(Esophageal Varices) natna lan chhuah dan chu engte nge ni?

Heng thisen zam hring te hi kea awm angin a lang lo. Anni hi rilru chhungah an awm a, a tam zawkah chuan chaw kawng (esophagus) leh chaw kawng inzawmna hmunah an awm thin. I ei hian i hre lo. An thisen chhuah hma loh chuan symptom engmah an nei lo tlangpui.

Mahse, i doctor chuan portal hypertension emaw chronic liver disease emaw tilang thei symptom dang a hmuh chuan esophageal varices a ringhlel thei bawk. Chutiang chhinchhiahnate chu:

• Jaundice : Vun leh mit a sen.
• Ascites : Pum chhunga tui awmkhawm.
• Edema : Ke leh ke ruh a hring.
• Upper abdominal pain : Natna hi liver emaw spleen emaw a hring vang a ni thei .
• Pruritus : Vun a na a, a tichhe lo.
• Confusion (Hepatic Encephalopathy) : Thil ngaihtuah thiam loh, hriatna hloh.

Thisen chhuak chhinchhiahna

Vein hring chu a puak nghal a, thisen a chhuah tan chuan natna i nei nghal lo mai thei. Amaherawhchu, chaw ei kawng atanga thisen chhuak emaw, taksa atanga thisen chhuak emaw a hnuaia mite hi i hriat tur a ni :

Pawimawh: Emergency (Hypovolemic Shock) atanga a lan chhuah dan .

Hypovolemic shock tih hming pu natna hlauhawm tak symptoms i neih thut chuan ETU-ah kal nghal rawh! Heng symptoms te hi:

• Lung na tak tak
• Thâwk lak chakna a tisang
• Khua a vawt leh thawk hah
• Hahdam lohna leh buaina
• Thil hriatna hloh

Esophageal varices awm chhan hi engte nge ni?

Hetiang dinhmun thlentu ber chu Portal Hypertension , tih hi a ni a, chu chu thisen kalna kawng lian ber, liver (portal vein) leh a atanga branch chhuak vein dang kal tlanga thisen sang a ni.

Kan taksa hian he pressure sang tak hi a insiamrem a, thisen tam zawk chu a tuar thei lo vein tenau zawkah a hruai lut thin. Chung zingah chuan hnute chhunga vein nalh tak takte hi a hring ber a ni.

Portal hypertension thlentu ber berte

Hei hi a chhan ber chu cirrhosis a ni a, chu chu thin (liver) a khauh lutuk a ni . Hei hi hun rei tak chhunga thin (liver) tihchhiat avanga lo awm a ni. Liver cells te chu an hliam chhunzawm zel ( hepatitis ), a tawpah chuan scar tissue an lo ni ta a ni. He scarring hian liver kal tlanga thisen kal chu a tikhawlo a ni. Hei hi vawi khatah a thleng vek lo va, kum tam tak chhung a thleng thin.

Cirrhosis hi thin natna khirh tak eng pawha a tawp ber a ni. Entir nan:

• Zu in avanga hepatitis a awm
• Zu in loh steatohepatitis (NASH) natna a ni.
• Chronic viral hepatitis (B, C ang chi) 1.1.
• Autoimmune hepatitis natna a ni

Portal Hypertension thlentu dang pawh a awm thei:

• Liver-a granulomas : Hei hi inflammatory cells khawlkhawm a ni a, infection hrang hrang leh inflammatory condition hrang hrang nena lo awm a ni. Hei hi a chhan ber chu parasitic infection Schistosomiasis an tih a ni a, khawvel pumah mi maktaduai 230 velin an vei a ni.
• Thrombosis: Liver nena inzawm venous system-ah thisen zam a lo awm chuan thisen kal a tikhawlo thei (e.g. Budd-Chiari syndrome).
• Spleen tihzauh a ni .
• Lung natna : dinglam thinlung natna ang chi.

(Esophageal Varices) Hriat dan leh enkawl dan

Hemi chungchang hi doctor-in a enfiah hma loh chuan i hre lovang. Cirrhosis i vei tih hmuhchhuah tawh i nih chuan i doctor chuan he thisen zam natna hi enfiah turin a rawt fo ang. Hei atan hian test hman ber chu upper endoscopy a ni .

(Upper Endoscopy) tih hi eng nge ni?

Upper Endoscopy , EGD test tia hriat bawk hi i chaw ei kawng chunglam enfiahna a ni a, chutah chuan i chaw kawng, i pum leh i chaw kawng (duodenum) bul tanna te a tel a ni. Hei hi gastroenterologist, doctor, chaw ei leh in lama natna hrang hrang leh endoscopy procedure lama tui tak chuan a ti a ni. Endoscope hi tube sei tak, te tak te a ni a, a tawp lamah camera te tak te a awm a. Tube hi i hmuiah dahin i chaw kawng (esophagus) hnuaiah a kal a, chu chuan a hring (swelling) a awm leh awm loh chu direct-in a en a ni. Harsatna a awm chuan endoscope hmangin hmanrua te te dahin enkawl theih a ni.

(Esophageal Varices) hi eng enkawlna nge ni?

Enkawlna tum ber chu tuna thisen chhuak mek control te, nakin lawka thisen chhuak tur ven te, a theih chuan portal hypertension tihtlem te a ni.

Hetiang dinhmun nen hian nunpui

I thlirna chu i thisen kalna atanga thisen chhuak i neih leh neih loh leh i thin natna a nasat danah a innghat a ni. Cirrhosis leh thisen chhuak vei te kum khat chhunga dam rei zat chu 50% vel a ni. Thisen chhuah hmasak avanga thihna hlauhawmna chu 20% a ni a, thisen chhuah vawi hnihna, enkawl pawh nise, 60% vel a ni.

Esophageal varices hi natna khirh tak a ni. Amaherawhchu, thin natna hi a hmaa hriatchhuah a nih chuan natna a zual zel loh nan nunphung tihdanglam theih a ni a, heng vein te hi a hring lo tur pawh a veng thei bawk.