Gastric Varices hi i hre tawh em? Hemi chungchang hi han sawi ila!

Gastric varices tih hi i hre tawh em? He thumal hi i pum na emaw, chaw ei lama harsatna emaw avanga doctor i pan lai khan i hre tawh mai thei. Thil pawi tak a ni thei a, chuvangin eng nge a nih chiang taka hriat a pawimawh. Chuvangin, vawiin hian he `(Gastric Varices)` tih hi a awlsam zawngin kan sawi dawn a, chutiang chuan in hriatthiam theih nan.

Gastric Varices hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, Gastric Varices hi i pum chhunga thisen kalna kawng (blood vessels) a hring a, a lian zawk a ni. Balloon te tak te ang maiin an lang thei. Hei hi natna khirh tak a ni a, a chhan chu heng thisen hring hring te hi a puak chuan i pum chunglam ah nunna atana hlauhawm thisen a chhuak thei a ni.

Esophageal varices tih hi i hre tawh mai thei a, chu chu esophagus chhunga vein hring (swellen veins) a ni. Gastric varices hi a tlem deuh hlek a ni. Mahse, gastric varices thisen a chhuah chuan esophageal varices aiin a na zawk tlangpui.

Hetiang hian han ngaihtuah teh. I pum hian thisen phur thei thisen kalna kawng te tak te network a nei a. A tlangpuiin heng thisen kaltlang hian harsatna awm lovin a luang chhuak thin. Mahse, a chang chuan thisen kalna kawng lian takah hian thisen kalna kawng lian takah blockage lian tak a awm thin. Hei hi cirrhosis an tih natna avanga lo awm thei a ni a, chu chuan thin (liver) a ti na a ni. Tichuan, chu main vessel-ah chuan ``traffic jam`` lian tak a awm a, chu chu thisen kalna kawng chhunga pressure a sang tihna a ni. Hetianga pressure sang tak avang hian thisen chuan kawng dang, te zawk, tawi zawk a zawng tan thin. Pum bang chhunga heng vein te tak te (varices an tih) te hi chutiang thisen tam tak phur thei tura siam a nih loh avangin an hring a, an bulge a, an rawn chhuak bawk. Hetiang dinhmun hi gastric varices an ti a. He pressure hi control a nih loh chuan heng thisen hring (swellen veins) te hi a puak darh thei a ni.

Gastric varices chi hrang hrangte chu engte nge ni?

Gastric varices hi i esophagus nena inzawm leh inzawm loh a zirin classified a ni ber.

Varicose veins hi chaw kawng (esophagus) nena inzawm a ni

• Type 1 Gastroesophageal Varices (GOV1): Heng varices chi hrang hrangte hi i chaw kawng bulah a intan thin. Chumi hnuah chuan i pum "upper side" (lesser curvature)-ah an inzar pharh ta a ni. Esophagus nena inzawmna atanga tan a, i pum veilam atanga tlan chhuak side road angin ngaihtuah rawh. Hei hi a tam ber chi a ni.
• Type 2 Gastroesophageal Varices (GOV2): Hengte pawh hi chaw kawng bulah a intan thin. Mahse, pum chhunga "greater curvature"-ah an inzar pharh thung. A hma ang bawkin esophagus bulah tan mah se, heng side path te hi pum dinglamah a kal a ni.

Varicose veins hi chaw kawng (esophagus) nena inzawm lo

• Type 1 Isolated Gastric Varix (IGV1) a ni a, a chhuahna tur hmun leh a hmanna tur hmun hi a inang lo hle.Hetiang varicose vein hi pum chhungah chauh a awm. Pum chunglam, zungbun (fundus)-ah a awm a.
• Type 2 Isolated Gastric Varix (IGV2): Hetiang chi hi fundus-ah chauh ni lovin, pum chhunga khawi hmunah pawh a hring thei.

Gastric varices natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan gastric varices hian symptom a nei lo. Mahse, buaina chu an puak chhuak a, thisen an chhuah tan atang hian a intan thin. Tichuan, symptom na tak tak a lo lang nghal thei a ni. Chutiang hunah chuan:

• Thisen sen dum hring chhuak.
• Black, tarry stools (hei hi thisen leh stomach acids in pawlh avanga lo awm a ni a, stool chu a dum a ni) .
• A chang chuan ek chhungah thisen sen dum a awm thin.
• Lung a na hle tih a hriat.
• Lung na tak tak.
• I hriatna i hloh mai thei.
• Thisen sang tlahniam nghal.
• Nausea leh luak chhuak.
• Shock-ah a kal ta.
• Chak lohna leh nunna nei lo anga inhriatna.

Heng symptoms te hi i neih chuan doctor lam pan nghal a pawimawh a, hei hi emergency a nih theih avangin.

Gastric varices awm chhan berte chu engte nge ni?

Gastric varices awm chhan ber chu thin natna `(Cirrhosis) an tih hi a ni. Cirrhosis-ah chuan liver cells a chhia a, a aiah scar tissue a awm thin. He scarring hian liver kal tlanga thisen kal a tikhawlo a ni. Hetianga inkharkhip avang hian thin (liver)-a thisen thlentu vein lian ber `(Portal Vein),`-a pressure chu a sang lutuk a ni. Hetiang dinhmun hi `(Portal Hypertension) .` an ti a.Hetianga pressure a san chuan thisen chu a hnungtawlh a, vein tenau zawk dang kal tlang a tum a ni. Pum chhunga vein te pawh hi vein te tak te an nih avangin he pressure sang tak hi an tuar thei lo va, an hring chhuak a, varicose an lo ni ta a ni.

Cirrhosis bakah hian portal hypertension thlen thei leh gastric varices thlen thei thil dang a awm a:

• Portal Vein emaw Splenic Vein-a Thisen Clot Blockage: Hei hian cirrhosis ang bawkin thisen kal a tikhawlo a ni.
• Parasitic Infection: Entirna pakhat chu parasitic infection Schistosomiasis an tih hi a ni. Hei hi Africa, South America, Caribbean, Middle East leh East Asia hmun thenkhatah te hmuh tur a awm. He infection hian liver leh spleen a tichhe thei a, Portal Hypertension a thlen thei bawk.
• Cirrhosis tih loh chhan dang: A tlem berah chuan portal hypertension leh gastric varices te hi cirrhosis awm lovin a awm thei. Entirna pakhat chu Budd-Chiari syndrome an tih hi a ni a, chu chu thin atanga thisen chhuahna thisen kalna kawng (veins) a inkharkhip a ni.

Gastric varices avanga harsatna awm thei te chu engte nge ni?

Gastric varices natna hlauhawm ber chu thisen chhuah hi a ni . Heng pum chhunga thisen kalna kawng hring dup te hi a nalh em em a ni. Pressure a san chuan awlsam takin an puak thei. Chutiang a nih chuan taksa atangin thisen tam tak a luang chhuak thut thei a, chu chuan nunna a tichhe thei hial a ni. Gastric varices atanga thisen chhuah hi medical emergency a ni.

A tlem hle a, gastric varices enkawl loh hian harsatna dang a thlen thei a, chungte chu:

• Iron-deficiency anemia: Zawi zawiin, hun kal zelah, thisen tlakchhamna a tlahniam chuan taksaa iron awm zat a tlahniam a, chu chuan hahna leh vun hring ang chi symptoms a thlen thin.
• Hepatic encephalopathy: Hei hi thin (liver) a thawk tha lo a, thisenah toxin a awm khawm a, thluak a nghawng a ni. Hei hian hriatrengna hloh leh buaina ang chi dinhmun a thlen thei a ni.

Gastric varices hi engtin nge kan hriat theih ang?

Endoscopy leh imaging test dangte hi gastric varices hriat theihna atan hman a ni ber. Heng test-ah hian:

• Upper Endoscopy: Hei hi gastric varices hriat theihna kawng tha ber leh pawimawh ber a ni. Hei hian i rilru hnuai lama camera dahna tube te tak te, flexible tak dah a, i chaw kawng leh i pum chhung lam bang enfiah a huam a ni. Chumi hnuah chuan doctor chuan varices a awm leh awm loh a en thei a, an lian leh te, an rawng leh an awmna hmun pawh a hmu thei bawk.
• Abdominal CT scan: Hei hian i pum chhunga i liver, spleen leh thisen kalna kawngte chipchiar takin a tarlang thei a ni. Varicose veins direct-a hmu thei lo mah se, ``Portal Hypertension'' tih natna nena inzawm symptoms a hre thei a ni.Hei hian varicose veins vei theihna a sang zawk thei tihna a ni.
• Doppler Ultrasound: He test hian sound wave hmangin i portal vein leh i pum chhunga thisen kalna kawng dang a thisen kal dan a enfiah thin. Thisen kal danah thil danglam a awm chuan portal hypertension tih hming pu dinhmun a ni thei.

Engtin nge stomach varicose veins hi enkawl a nih?

Gastric varices enkawl dan chu varices a rupture leh thisen chhuak, a la rupture loh ah a innghat a ni.

Gastric varices rupture loh enkawlna

A tum ber chu thisen chhuah loh nan a ni. I doctor chuan damdawi ṭhenkhat, nonselective beta-blockers -te chu a pe thei a ni. Heng damdawi te hian portal vein-a thisen sang a tihniam a, varicose vein puak theihna a ti tlem a ni.

I doctor chuan endoscopic procedure thenkhat a rawn rawt thei bawk a, chu chuan varicose veins chu direct-in a seal off thei a, a ti tlem thei bawk.

• Endoscopic Varicose Ligation (EVL): Hetiang tih danah hian doctor chuan endoscope hmangin varicose vein hring hring vel chu rubber band te te a dah a. Hei hian thisen chu varicose veins-a luang chhuak tur a titawp a, zawi zawiin a ti tlem a ni.
• Endoscopic Cyanoacrylate Injection: Hetiang tih danah hian doctor chuan varicose vein-ah glue ang chi thil bik a inject a. Hei hian a chhung lam atanga vein chu a seal a, thisen chhuah chu a titawp a ni.

Gastric varices thisen chhuak enkawlna

Hei hi medical emergency a ni. Thisen chhuah chu tihtawp nghal tur a ni a, harsatna awm thei apiang chu ven a ngai a ni. Enkawlna kawng hrang hrangte chu:

• Damdawi ina dah leh Thisen pek: Thisen hloh aiah thisen pek i nih laiin intensive care unit (ICU)-ah dahin uluk taka enkawl i ni mai thei.
• Endoscopic treatment: Varicose vein chhe lo tan hman a nih bakah hian thisen chhuah tihtawp nan endoscopic treatment `(EVL)` emaw `(Cyanoacrylate Injection)` emaw hman a ni bawk.
• Damdawi: Damdawi Vasopressin emaw Octreotide emaw te hian thisen varicose veins-a thisen kal dan a tihtlem avangin thisen chhuahna control-ah a pui thei a ni.
• Pressure control dan dang: 1.1.
• Balloon Tamponade: Hetah hian i chaw kawng chhungah balloon bik dahin inflated a ni a, thisen chhuak varices-ah direct pressure a siam a ni. Hei hi thisen chhuahna control nan hun eng emaw chen atana hman thin a ni.
• Transjugular Intrahepatic Portosystemic Shunt (TIPS): Hei hi a buaithlak deuh a ni. Chu chu i liver kal tlanga thisen kal theihna tur kawng thar, tawi zawk siam a ni. Hei hian portal vein atang hian i liver chhunga main vein ah thisen a kal nghal thei a ni. Hei hian thisen chu blockage chu a bypass thei a, portal vein-a pressure a tihhniam phah a ni. Hei hian varicose veins-a pressure a tihziaawm bawk a, hei hian thisen chhuahna a control thei a ni.

Gastric varices vei dam rei zawng chu engzat nge ni ang?

Gastric varices vei damchhuahna rate hi thil engemaw zatah a innghat a:

• Thisen chhuak an nih leh nih loh: Gastric varices atanga thisen chhuah hi harsatna lian tak a ni a, dam rei zawng a ti tlem hle.
• Liver natna hnuaia awm nasat dan: A tlangpuiin liver natna na zawk nei tan chuan prognosis hi a tha tawk lo.
• Enkawlna hlawhtlinna: 1.1.He natna hi a hmaa hriatchhuah a, hlawhtling taka enkawl a nih chuan dam rei zawng chu nasa takin a tipung thei a ni.

Gastric varices emaw a risk factors chungchangah ngaihtuahna emaw rinhlelhna emaw i neih chuan doctor nen inbiakna neih a tha ber. Chutiang chuan i dinhmun chu chiang zawkin i hmu thei ang.

Gastric varices hi ven theih a ni em?

Gastric varices hi ven kim a harsa mai thei. Mahse, i risk tihziaawmna tur thil i tih theih a awm a, a bik takin portal hypertension thlentu medical condition i neih chuan. I tih theih ṭhenkhat chu hetiang hi a ni:

I damdawi lam dinhmun hnuaia awm chu control rawh.

Damdawi lam harsatna `(Cirrhosis)` emaw `(Schistosomiasis)` emaw i neih chuan natna control nan i doctor-in a pek che treatment plan dik tak zawm a pawimawh hle.

Damdawi chi hrang hrang

Varicose veins i neih tawh chuan beta-blockers ang chi damdawi te hian thisen chhuah theihna a ti tlem thei a ni. Mahse, heng damdawi te hian varicose vein thar siam a veng lo mai thei.

Nunphung a inthlak danglam thin

Gastric varices i vei theihna tur tihtlem nan heng thilte hi i ti thei ang:

• Zu in loh: Zu hi thin (liver) tichhe theitu lian tak a ni. Portal hypertension a ti na zual thei bawk.
• Ei leh in hrisel ei: Thlai, thei, legumes, leh whole grains (e.g., Mediterranean diet) tamna balanced diet hi i liver hriselna atan a tha hle.
• Chi ei tlem: Chi ei tam lutuk hian taksaa tui awm zat a tipung a, Portal Hypertension a ti na zual thei bawk.
• I duh ang taksa rihna hrisel tak vawng reng rawh: I taksa rihna tam lutuk hian liver-ah pressure nasa zawk a siam bawk.
• Vaccine lak: Doctor-te chuan Hepatitis A leh Hepatitis B laka vaccine lak an rawt a, hengte hian liver a venghim thei a ni.

Gastric varices vei theihna tur risk factors i neih chuan doctor nen inbiakna neih a pawimawh a, test neih fo a pawimawh a, chu chu endoscopy ang chi, varices hmuhchhuah hmasak theihna tur a ni. Hriat hmasak chuan enkawl hmasak theihna a siam a, harsatna lian tham, thisen chhuah ang chi te pawh a veng thei bawk.

Engtikah nge ka doctor ka hmuh ang?

Gastric varices i nei nia i rinhlelh chuan, a bik takin thisen chhuah theihna tur symptom i neih chuan doctor pan chu tihkhawtlai suh. A hnuaia dinhmunteah hian damdawi lam thurawn zawng rawh:

• Portal hypertension vei theihna tipung thei damdawi lam natna, cirrhosis emaw schistosomiasis emaw i vei tih hmuhchhuah i nih chuan: Varicose veins hriat hmasak nan endoscopy i neih a ngai em tih doctor zawt rawh.
• I chaw ei kawng chunglam atanga thisen chhuak chhinchhiahna i neih chuan: thisen chhuak, i ek chhunga thisen kal, emaw, ek dum, tarry paltlang emaw.
• Sawifiah loh taka pum na emaw, pum na emaw i neih chuan: Hei hi `(Ascites)` (pum chhunga tui awmkhawm) chhinchhiahna a ni thei a, hei hi `(Portal Hypertension)` nen a inzawm a ni.
• `(Portal Hypertension Encephalopathy)` symptoms i neih chuan: Hei hian buaina, mutthilh, ngaihtuahna seng harsa, leh coma a awm thei tihna a ni.

Gastric varices hi a hmaa hriatchhuah leh enkawl hi harsatna lian tham, thisen chhuah ang chi te ven nan a pawimawh hle. Hemi chungchangah hian zawhna, ngaihtuahna, rinhlelhna i neih chuan doctor biak hreh suh. I dinhmun chu a enfiah ang a, tih dan tur dik ber a rawt ang.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

I gastric varices a rupture tih chhinchhiahna i neih chuan emergency room (ETU) hnai ber pan nghal rawh. Gastric varices atanga thisen chhuah hi a na hle a, damdawi lam pan vat a ngai a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng thilin nge gastric varices ka neih chhan?
• Ka gastric varices enkawl dan tur chu engte nge ni?
• Enkawlna hian eng hlauhawmna leh nghawng tha lo nge a neih?
• Ka varicose veins thisen chhuah loh nan eng nge ka tih theih ang?
• Ka thin hriselna tihchangtlun nan eng nunphung tihdanglam nge ka tih theih ang?
• Ka varicose veins te hi eng chen nge ka enkawl a ngai dawn?
• Gastric varices vei tan chuan hun rei tak chhunga a hmalam hun tur chu eng nge ni?

A tawp berah chuan take-home message

Gastric varices hi hriat tur hlauhawm tak a ni thei. Mahse, damdawi lam enkawlna dik tak leh a hmaa hriatchhuah a nih chuan he natna vei tam tak chu nun famkim, active takin an nung thei a ni. A pawimawh ber chu hriat hmasak hi a ni. Chu step pawimawh tak chu he thuziak chhiar hian i la tawh a ni. He natna hi enkawlna tha tak tak a awm a, i doctor chuan i varices enkawl dan tur ruahmanna tha ber leh thisen chhuah theihna tihtlem dan tur ruahmanna tha ber siam turin a thawk dun thei che a ni.

He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che. Damdawi lam enkawlna mumal tak i neih chuan he natna hi i thunun thei a, i hriselnaah i inringtawk thei bawk. Hlau suh, hriattir la, enkawl dan tur dik tak hmu rawh. Tichuan nang pawh hrisel takin i awm thei ang!

Gastric varices, gastric varices, cirrhosis, thin natna, hematemesis, endoscopy, portal hypertension te pawh a awm thei