I naute hian Kasai Procedure hi a nei tur em ni? A awlsam zawngin sawi ila.

Doctor-in i fate taksa chu a sen a ni tih a hrilh che a, a chhan chu liver-a bile ducts a block vang a ni tih a hrilh che khan i hlau hle a ni ngei ang, chu chu Biliary Atresia an ti a ni. Tunah chuan doctor hian ‘Kasai’ tih surgery chungchang a sawi a ni mai thei. He surgery hi eng nge ni tak tak? Naute tan a tha ang em? I lu-ah zawhna tam tak i nei ngei ang. Lungngai suh. A awlsam zawngin, i hriatthiam theih dan tur angin sawi ila.

Kasai Procedure chu eng nge ni?

A awlsam zawngin, hei hi Biliary Atresia tih natna enkawlna atana surgery bik tih a ni. Kan thin (liver) hian tui ‘bile’ an tih chu a siam chhuak thin. He bile hi taksain kan ei leh in a thau leh vitamin thenkhatte a digest a, a hip lut thei a ni. Biliary Atresia vei nauteah chuan liver atanga intestines thlenga bile phurtu fine tubes (bile ducts) te chu a pian tirh atangin a block emaw, a lo insiam lo emaw a ni.

Chuvangin he Kasai procedure-ah hian surgeon chuan heng bile ducts blocked, dysfunctional te hi a paih chhuak thin. Tichuan, naute chhungril te tak te atanga a then chu an la a, chu chu liver nen direct in an thlunzawm a, bile kalna tur kawng thar an siam a ni. Tui luang chhuak thei lo pipe block chu lakchhuah a, a thar dah ang mai a ni.

Engvangin nge naute hian he surgery hi a mamawh?

Ngaihtuah teh, liver atanga bile lo chhuak hian chhuahna tur kawng a neih loh chuan eng nge thleng? Chu bile zawng zawng chu liver chhungah a khawlkhawm vek a ni. He bile accumulated hian zawi zawiin liver cells a tichhia tan thin. Hun a kal zel a, thin chu a hliam a, a khauh a, a thawk thei lo. Hei hi cirrhosis kan ti a ni .

He Kasai surgery hian liver chhiatna chu a titawp emaw, a ti hniam emaw a ni. Hei hian naute nunna chhanchhuahna chance ropui tak a pe a ni.

Operation hma leh operation neih chhung hian eng nge thleng?

Zai a nih hma hian doctor-te chuan naute chu tui a tlakchham theih nan IV fluid an pe ang a, natna kai theihna tur tihziaawmna turin antibiotics an pe bawk ang.

Surgery tan hmain surgeon chuan naute hian Biliary Atresia a vei tih 100% a hriat chian a ngai a ni. Hei hian ‘Cholangiogram’ tih test tih a huam a ni. Hemiah hian naute pum chhungah incision te tak te an siam a, gallbladder chhungah tube te tak te an thun a, X-ray atanga hmuh theih damdawi bik an inject a ni. Hei hian doctor chuan bile duct a block leh block loh chiang takin a hmu thei a ni.

Biliary atresia a awm tih finfiah a nih chuan doctor chuan operation a kalpui ang. Naute gallbladder leh bile ducts blocked te chu lakchhuah a ni ang a, small intestine (jejunum) section hmangin liver nena inzawmna thar siam a ni ang. He surgery hian darkar engemaw zat a daih thei.

Surgery hnuah eng nge thleng?

Surgery zawhah naute chu intensive care unit (ICU)-ah ni 5 atanga ni 10 vel dah a ni a, uluk taka enkawl a ni.

• Nutrition: Ni hmasa berah ei tur engmah pek a ni lo va, hliam a dam theih nan. Nutrition mamawh chu saline hmanga pek a ni. Chumi hnuah chuan bawnghnute chu nasogastric tube hmangin an tan tir leh thin. Zawi zawiin oral feeding hi an practice ta a ni.
• Enfiahna: Doctor leh nurse te chuan naute chu uluk takin an en a, thisen a chhuak em tih emaw, bile a chhuak em tih emaw an en a. Naute ek chu a sen emaw, green emaw a lo ni ang a, hei hian bile a luang tan tawh tih a tilang ang.
• In lama haw: Hliam a dam tan a, thin hnathawh a tha a, naute chu a hnute a pe tha thei a nih chuan in lama haw phalsak i ni ang.

Kasai operation hi engtiang chiahin nge a hlawhtlin?

Hei hi zawhna pawimawh tak a ni. Surgery hlawhtlinna chu thil engemaw zatah a innghat a ni:

• Hun: He surgery hi naute chu kar 6 leh thla 2 inkar a nih chuan a hlawhtling zawk a ni . Chuvangin, natna lan chhuah dan i hriat veleh Doctor pan vat a pawimawh hle.
• Liver condition: Operation lai hian liver chhiatna a tlem ber a nih chuan a result a tha hle.
• Medical team: Tin, surgery thiam tak leh medical team, heng surgery hrang hranga tawnhriat nei te’n an tih a pawimawh hle bawk.

Condition tha ber hnuaiah chuan he surgery hian naute 60% aia tam zingah jaundice telin symptoms a tihziaawm thei a ni. Doctor-te chuan zai a nih atanga thla 6 chhunga naute hian jaundice a nei leh lo a nih chuan surgery hi hlawhtlingah an ngai a ni.

Surgery chu hlawhtling lo ta se engtin nge ni ang?

A chang chuan Kasai operation hnuah pawh bile ducts te hi a chhuak tha lo thei. Chutiang a nih chuan naute chu liver transplant a ngai dawn a ni . Hei hian hlauthawng suh. Dik tak chuan Kasai operation nei naute zinga a chanve vel chuan kum 2 an tlin hunah chuan liver transplant an mamawh dawn a ni. Kasai operation hi liver transplant a ngai hma chu hun lei nan bridge a ni.

I naute i rawn hruai haw hnuah engtin nge i enkawl?

Naute a dam kim theih nan thla 3-4 vel a ngai thei. In lama naute i enkawl dawnin heng thilte hi i fimkhur hle a ngai a ni.

• Damdawi hi dik takin pe rawh:I damdawi ei tur chu i doctor-in a tih ang chiah chiah, a hun takah ei thin ang che. Infection laka inven nan oral antibiotics hi thla engemaw zat pek a ngai mai thei. Bile flow tihchangtlunna tur damdawi hi kum tam tak chhung pek a ngai mai thei.
• Hliam enkawl rawh: I doctor emaw nurse emaw hnenah hliam tihfai dan tur leh eng bandage nge hman tur tih chiang takin zawt rawh.
• Clinic tlawh loh tur: Operation hnu ni ruat saah clinic-ah kal ngei ngei tur a ni. Naute dam leh dan tur hi doctor hnenah hriattir reng a pawimawh hle.
• Nau hnute pek hi a pawimawh hle: A theih chuan naute hnute pe rawh. Nu hnute tui chhunga thau awmte hi awlsam takin thin (liver) hian a hip lut thei a ni. Nau hnute pek theih loh chuan doctor-in a rawt angin special formula hmang ang che.
• Thianghlim rawh: Naute i khawih hmain i kut chu uluk takin silfai fo ang che. Chhungkaw zingah tu emaw khawsik emaw khawsik emaw an neih chuan i naute nena inhnaih loh tur.

I naute hian hetiang thil hi a paltlang a ngai tih i hriat chuan i mangang, i lungngaihzia leh i hlauhthawn zia chu ka hrethiam. Engkim a lo thleng thuai hunah chuan tanpuina i mamawh ngei ang. I chhungte, i thiante leh i hmangaih tak takte hnen atangin tanpuina dil rawh. He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che. He zinkawngah hian nangmah pawh hi ngaihtuah ve teh. Beiseina nei la, hriatna nei reng la, i chhehvela mite hnen atangin tanpuina zawng rawh.