Heng kawng thuruk, thin atanga thinlung thlenga thisen phurtu te hi i hria em? (Hepatic Veins) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Kan taksa peng lian ber chu thin (liver) a ni tih kan hre vek. Liver hian kan taksa chhungah factory lian tak ang maiin hna a thawk a. He factory-ah hian raw material a lo thleng ang bawkin thisen pawh liver-ah a lo thleng a, a hna thawh zawh hnuah a chhuak ta a ni. Chuvangin, thisen thianghlim, chawm leh siam zawh tawh chu kan thinlungah hruai kir lehtu thin thisen kalna kawng hrang hrang (liver) chhungah hian a bik takin a awm a ni. Chu veins system chu ‘Hepatic Veins’ kan tih chu a ni. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

A awlsam zawngin, heng hepatic veins te hi engte nge ni?

I liver chu tui filter lian tak angin han mitthla teh. Kan pum chhunga taksa peng dang atanga thisen lo chhuak chu he filter hmang hian a tifai thin. Tui thianghlim chu main tank-ah thawn kir leh turin pipe system lian tak a ngai a ni. Chutiang bawkin, thisen liver filter hmanga tihthianghlim tawh chu thinlungah thawn kir leh a ni a, chu chu hepatic veins hmangin taksa pum puiah pump chhuah a ni .

Heng vein te hian kan taksa chhunga vein lian ber pawl Inferior Vena Cava (IVC) te chu an zawm a. He IVC hian kan taksa hnuai lam atanga oxygen tlachham thisen zawng zawng a khawlkhawm a, thinlung dinglam atrium-ah a phur lut vek a ni.

A tlangpuiin hepatic vein lian pathum kan nei thin.

• Dinglam hepatic vein a awm
• Hepatic vein veilam atanga chhuak
• Middle hepatic vein a awm

Heng vein pathumte hi kan circulatory system-a thil pawimawh tak a ni. A chhan chu oxygen tlachham mahse thisen thianghlim tak chu thin atanga thinlung thlengin an phur a ni. Tichuan chu thisen chu lungah a kal a, oxygen a la a, thinlungah a kir leh a, taksa pum puiah a kal kual ta a ni.

Heng vein te hi khawiah nge an awm? An pianzia chu engte nge ni?

Heng hepatic veins te hi liver chhungah an awm a . Thing hnah ang bawkin heng vein te hi thin (liver) zawng zawngah a darh vek a ni. Doctor ten liver hi section hrang hranga an then hian heng veins te hi boundary atan an hmang thin. Liver chhunga capillary te tak te atanga thisen khawlkhawmtu ‘central veins’ an tih network a awm a. Chu central vein atanga thisen chu heng hepatic vein lian tak takah hian a khawlkhawm thin.

He vein, liver hnunglam atanga lo chhuak hi a hmaa kan sawi tawh ‘inferior vena cava’ (IVC) nen a inzawm nghal a ni. Chu chu kan ruhro hnaih tak, diaphragm hnuai chiaha awm tihna a ni.

A tam zawkah chuan hepatic vein dinglam hi IVC chauh nen a inzawm thin. Mahse, left leh middle hepatic veins te chu an inzawm khawm a, common trunk te tak te an siam a, chu chu IVC nen a inzawm a ni.

Mi ṭhenkhatin eng inthlâk danglamna nge an hmuh theih?

Hei hi i hriatna tur chauh a ni. Chutiang inthlak danglamna neih chuan harsatna a awm lo.

Hepatic veins tichhe thei natnate chu engte nge ni?

Heng veins te hi a nghawng ber leh na ber chu Budd-Chiari syndrome a ni.

A awlsam zawngin, hei hian hepatic veins chhungah thisen zam (blood clots) a lo awm a, chu chuan veins te chu a block tihna a ni.. Tui pipe-a bawlhhlawh chi khat a tlak chuan tui kalna kawng a inkhar a, pipe hnunglam chu tuiin a luah khat ta niin han ngaihtuah teh. Chutiang bawkin hepatic vein-ah thisen zam a lo awm chuan thisen chhuak tur zawng zawng chu hmun khatah a awm vek a, liver chhunga pressure chu a sang lutuk a ni. Hei hi dinhmun hlauhawm tak a ni.

Hetianga liver chhunga thisen a tang hian harsatna dang tam tak a thlen thei a ni.

• Portal hypertension: Liver (portal vein)-a thisen phurtu main vein-a pressure sang lutuk.
• Esophageal varices: Esophagus (gullet) chhunga veins te hi a hring thei a, a bulging thei a, thisen a chhuak thei bawk.
• Ascites: Pum chu tui ang maiin tuiin a khat a, pum chu a lian tan thin.
• Cirrhosis of the liver: Hun rei tak chhung liver a chhiat chuan liver cell te a thi a, fibrous tissue in a thlak a, zawi zawiin liver a ti tha lo.

Hetiang dinhmunah hian symptoms awm thei te

Hetiang thil hi lo thleng ta se i taksa chu engtin nge a awm ang tih i ngaihtuah mai thei. Heng symptoms fimkhur tur thenkhat chu hetiang hi a ni.

Engtin nge natna hi kan hriat theih ang?

Heng symptoms te hi i doctor hnenah i hrilh chuan a enfiah ang che a, test engemaw zat nei turin a refer ang che a, chu chuan i natna hriat chian nan a refer ang che.

• Thisen test: Hengte hian thin hnathawh dan tur pawimawh tak tak a pe thei a ni.
• Ultrasound scan: Hei hian hepatic veins chhunga thisen kal dan leh thisen zam a awm leh awm loh chiang takin a hmu thei.
• CT scan (Computed Tomography - CT scan): Hei hian liver leh veins te chipchiar takin three-dimensional image a siam thei a.
• MRI Scan (Magnetic Resonance Imaging - MRI): Hei hian thin leh thisen kalna kawng chiang tak tak a siam thei bawk.
• Liver biopsy: A then phei chuan liver a chhiat nasat zia dik tak enfiah nan needle te tak te hmangin liver te tak te an la thin.

Hengte hi eng enkawl dan nge ni?

Damlo hrang hrangah enkawl dan a inang lo. A tum ber chu thisen zam (vein) chhunga thisen zam chu tihthianghlim a, thisen kal dan siam that a ni.

Hei hi thisen zam tichhe thei damdawi (thrombolytic therapy) pek emaw, angioplasty ang chi hmanga thisen kalna kawng hawn emaw hmanga tih theih a ni. I doctor chuan i dinhmun a zirin eng enkawlna nge i tana tha ber tih a hrilhfiah ang che.

Engtin nge hepatic veins leh taksa pum pui hi a hrisel theih ang?

Heng thilte hian i hepatic veins chauh ni lovin, i thinlung leh vascular system zawng zawng pawh hrisel taka awm tir turin a pui thin.

Mi tam takin an buaipui thin thil: Hepatic vein leh portal vein hi thil inang an ni em?

No. Hengte hi vein chi hrang hrang pahnih, hna inthlau tak pahnih thawk an ni.

Hei hi kawngpui ‘entrance’ leh ‘exit’ ang a ni.

• Portal Vein: Hei hi liver luhna a ni. Portal vein hian thisen chu taksa peng hrang hrang, intestines leh stomach atanga liver-ah nutrients nen a phur a .
• Hepatic Veins: Hengte hi thin atanga chhuak kawngte an ni. Liver-a thisen tihthianghlim tawh chu hepatic veins hmangin thinlungah a phur kir leh thin.

A chiang zawk nan he table hi en rawh.

Chuvangin tunah chuan hepatic vein hi liver leh thinlung inzawmna pawimawh tak a ni tih i hre ta. Heng veins te hi hrisel taka vawn hi i taksa pum hriselna atan a pawimawh hle.