I liver-a heng hepatic veins te hi eng nge ni tih chiang takin i hria em? Kan sawi dun teh ang!

Kan taksa chhungah thil mak tak tak kan nei vek a ni lawm ni? Thil thenkhat chu nitin ngaihtuah pawh ni lo mah ila, chutiang tel lo chuan kan khawsa thei lo. Tin, kan taksaa hna pawimawh tak thawk thei thisen kalna system pakhat chu hepatic veins an ti bawk. A awlsam zawngin sawi ila, hengte hi kan thin atanga thisen phurtu vein chi khat an ni. Hemi chungchang hi chipchiar deuhin kan sawi dawn em ni?

Hepatic veins te hi engte nge ni? Khawiah nge an awm?

Okay, hetiang hian han ngaihtuah teh. I liver hi taksa peng mak tak a ni. Hna tam tak a thawk a ni. Chuvangin, thin chhunga hna thawh zawh hnuah thisen thianghlim, mahse oxygen tlakchhamna chu thinlungah thawn let leh a ngai a ni. Hepatic veins kan ti a, chu hnathawhna atana puitu vein pawl a ni.

He vein hi Inferior Vena Cava (IVC) nen direct-in a inzawm a, chu chu kan taksa hnuai lam atanga thisen la khawm a, thinlung lam pantu vein lian tak a ni. Chumi hnuah thisen chu he IVC kaltlangin thinlung dinglam, dinglam atrium-a upper chamber-ah a kal a.

Hepatic vein hi chi thum a awm a, chungte chu:

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

Heng veins te hi i liver chhungah a awm a. Liver lobe pariat kaltlangin an tlan a, liver section lian pali ramri chhinchhiahna atan an pui bawk. Doctor-te chuan heng section palite hi right anterior, right posterior, left central leh left lateral tiin an sawi a. Liver chhungah hian heng hepatic veins te hian central veins atang hian thisen an dawng thin. Heng central veins te hi vein te tak te an ni a, liver pumpuiah capillary te te atanga thisen an la khawm thin.

Hepatic veins te hi liver hnunglam atanga lo chhuakin inferior vena cava (IVC) ah direct in an inzawm a ni. Hei hi ruhro bulah a inzawm a, diaphragm hnuai chiah a ni. A tlangpuiin hepatic vein dinglam hian IVC chauh a zawm a, middle leh left hepatic vein te chu an inzawm khawm a, common trunk an siam a, IVC an zawm bawk. Mahse, hei hi mi zawng zawng tan a inang lo va, danglamna engemaw zat a awm thei bawk.

Heng veins te hian eng hna nge an thawh?

A awlsam zawngin sawi ila, hepatic veins hi kan circulatory system-a thil pawimawh tak a ni. An hna ber chu liver atanga thisen deoxygenated lakkhawm a, inferior vena cava (IVC)-a phurh chhuah hi a ni. He thisen hi thinlung kaltlangin lungah a kal a, chutah chuan oxygen pek a ni a, chutah chuan taksa pum puiah thinlungah a pump kir leh a ni. Chuvangin, he venous system hi a pawimawh zia chu i hmu thei ang, a dik em?

Hepatic veins hi pipe system ang mai a ni a, chu chuan liver atanga tui hman tawh chu a phur chhuak a, taksaah a thianghlim turin a hruai kir leh thin.

Mi zawng zawng hepatic veins hi a inang vek em? Nge danglamna a awm em?

Hei hi thil ngaihnawm tak a ni. Mi zawng zawng hian hepatic vein hi structure inang an nei vek lo.Anmahniah hian danglamna tlem a awm thei a, mahse harsatna an thlen lo. Mahse, surgeon-te tan chuan heng danglamna hi hriat a pawimawh hle a, a bik takin liver transplantation emaw liver resection ang chi surgery-ah te hian an hriat a pawimawh hle.

Chûng inthlâk danglamna awm theite chu engte nge ni? Tlemte han thlir ila:

• Accessory inferior right hepatic vein: Hepatic vein lian pathum bakah hian vein dang pawhin IVC hi level hniam zawkah a zawm thei bawk.
• Two right hepatic veins: Heng vein pahnih hian `(IVC)` an zawm hmain common trunk an siam thei a, a hranin an inzawm thei bawk.
• Hepatic vein dinglam bifurcation chak tak: Hepatic vein dinglam hian (IVC) a zawm dawn chuan branch vein te tak te a inzawm thei a ni.
• Hepatic vein lai tak leh veilam hi a hranin `(IVC)`-ah an inzawm khawm a: Heng vein pahnih hi a hranin `(IVC)`-ah hian common trunk siam lovin an inzawm thei bawk.

Chuvangin, i hmu em, a dik em? Hetiang ang inthlak danglamna tenau te hi thil pangngai a ni.

Hepatic vein diameter hi millimeter 15 vel a ni tlangpui.

Hepatic veins tichhe thei natnate chu engte nge ni?

Vanduaithlak takin heng hepatic veins te hian natna thenkhat an nei thei bawk. Chung zinga pawimawh ber pakhat chu Budd-Chiari Syndrome tih hi a ni.

A awlsam zawngin, hei hi hepatic veins-a thisen zam (blood clots) a lo awm hian a ni. Heng thisen zamte hian thisen kalna kawng a ti tawi a, a nih loh leh a tikhawlo vek thei bawk. Chuti a nih chuan eng nge thleng? Thisen chu liver chhungah a ding reng a. He congestion hian liver chhehvela thisen kalna kawng a nghawng bawk.

Budd-Chiari Syndrome avanga harsatna awm thei thenkhat chu:

• Portal Hypertension: Liver-a thisen phurtu portal vein-a pressure sang.
• Esophageal Varices: Esophagus chhunga thisen kalna kawng (veins) a hring leh a chhe thei.
• Pum chhunga tui awmkhawm (Ascites) .
• Cirrhosis of the liver: liver a khauh leh a hnathawh a tlahniam.

Heng symptoms te hi eng nge ni thei ang?

Budd-Chiari Syndrome leh a kaihhnawih harsatnate hi mi hrang hrangah a inang lo thei a, mahse a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Thisen passing leh stool.
• Chaw ei leh in lama harsatna nei, anorexia, bloating, leh constipation te.
• Chauhna leh chak lohna awm fo.
• Pum chunglam a na.
• Abdominal bloating leh rang taka taksa rihna sang.
• Thâwk harsa.
• Ke emaw ke ruh emaw a hring (Edema).
• Thisen chhuak.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak nghal a pawimawh hle.

Hetiang dinhmun hi engtin nge doctor-te hian an hriat chhuah?

Doctor chuan heng hepatic veins-ah hian harsatna a awm leh awm loh a hriat theih nan step engemaw zat a zawm ang.

1. Taksa endikna: A hmasa berin i enfiah ang.

2. Thisen test: Thisen test hi Liver function endik nan tih thin a ni.

3. Test dang: Chu bakah, heng test zinga pakhat emaw, a aia tam emaw pawh tih theih a ni:

• Ultrasound hmanga scan `(Ultrasound)` hmanga enfiah a ni.
• CT scan (Computed Tomography - CT scan) hmanga enfiah a ni.
• MRI scan (Magnetic Resonance Imaging - MRI) hmanga enfiah a ni.
• Liver atanga tlem te te enfiah nan lak (Liver Biopsy).

Doctor chuan heng test atanga information a hmuh atang hian diagnosis dik tak a siam thin.

Treatment atan eng nge i tih?

Enkawl dan tur chu i dinhmun leh a nasat danah a innghat. Thrombolytic therapy hi thisen zam tihthianghlim nan an pe tlangpui. Thisen kal lehna tur hian kalphung hrang hrang a awm bawk. I doctor chuan i tana tha ber tur enkawlna tur chu i hnenah a sawipui ang che.

Kan hepatic veins hrisel taka awm theih nan eng nge kan tih ang?

"Tihdam aiin invenna a tha zawk," an ti. Chuvangin, kan hepatic veins chauh ni lovin, kan vascular system zawng zawng pawh hrisel taka awm tir turin thil engemaw zat kan tih theih a awm.

• Zu in tlem zawk rawh: Zu in tam lutuk hian thinlung, thisen kalna leh thin (liver) tan a pawi hle. Zu i in chuan a tlem berah tihtlem tur a ni.
• Zuk leh hmuam ei loh tur: Meizial zuk hian thisen kalna kawng a tichhe a, thinlung natna thlentu lian tak a ni.
• Damdawi lam thil dang enkawl: Damdawi dang, thisen sang emaw, metabolic syndrome emaw i neih chuan, i enkawl dan tur chu i doctor nen sawiho rawh. Thil awm dan thenkhat chuan hun kal zelah thisen kalna kawng a tichhe thei a ni.
• Lung hrisel ei rawh: A bik takin Mediterranean ei leh in hian thinlung natna vei theihna a tihziaawm tih hmuhchhuah a ni.
• Exercise: I doctor hnenah exercise him, i tana tha tur zawt rawh. I taksa sawn hian thisen kal dan a ti tha hle.
• Kum tin medical checkup nei turin kal rawh: Doctor chuan i vital signs te chu a enfiah ang a, a tul chuan test dang a ti ang a, chu chuan harsatna eng pawh chu rang taka hriatchhuah leh enkawl turin a pui ang.

Hepatic vein leh portal vein hi a inang em?

Ni lo, heng pahnih hi a inang lo. Hepatic Veins leh Portal Veins te hi thisen kalna kawng chi hnih, hna hrang hrang thawk thin an ni.

• Portal Vein: A chang chuan hepatic portal vein an ti bawk. Hei hi a niLiver-a thisen rawn luhtir. He thisen hi pum chhunga taksa peng hrang hrang atanga lo chhuak a ni. Chu chu liver tihthianghlimna kalpui tur thisen a rawn keng tel tihna a ni.
• Hepatic Veins: Hengte hian thisen chu liver atangin an phur chhuak thin. Chu chu, liver-a tihthianghlimna (cleansing process) a paltlang hnuah, thisen deoxygenated chu heng vein kaltlangin inferior vena cava (IVC)-ah a kal a, chuta tang chuan thinlungah a kal tihna a ni.

A awlsam zawngin sawi ila, portal vein hian "raw materials" chu liver-ah a phur a, hepatic vein erawh chuan "finished product" (i.e., thisen thianghlim) chu a phur thung.

Portal vein hi portal venous system a mi a ni. Pum chhunga taksa peng hrang hrang atanga thin (liver) thlenga thisen phurtu vein network a ni. Mahse, hepatic veins hi he system-ah hian an tel lo.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Chuvangin, tunah chuan hepatic veins chungchangah hian ngaihdan tha tak i neih ka beisei. Hengte hi kan thin leh thinlung inzawmna pawimawh tak a ni. Heng vein te hian thisen chu thin (liver)-in a tihfai tawh, mahse oxygen tlakchhamna chu thinlungah a phur kir leh thin.

I liver emaw, a thlunzawmtu thisen kalna kawng emaw hriselna chungchangah ngaihtuahna emaw zawhna emaw i neih chuan doctor pan rawh. Hemi chungchang hi lawm takin an hrilh ang che a, i circulatory system hrisel taka awm theihna tura nunphung i tihdanglam theih dan tur pawh an fuih ang che.

Hrisel taka awm tur chuan heng kan taksa peng te te, mahse pawimawh tak tak te hi kan hriat chian a pawimawh hle a ni lawm ni?

` Liver, Thisen kalna kawng, Hepatic Veins, Thisen kal dan, Budd-Chiari Syndrome, Liver Veins