Doctor khan liver biopsy nei turin a ti che em? Hemi chungchang hi awlsam takin han sawi ila (Liver Biopsy) .

Doctor-in liver biopsy neih a ngai tih a hrilh che khan i hlauthawng deuh a, i hlauthawng deuh a ni lawm ni? "Engvangin nge chu chu?", "A na lutuk dawn em ni?", "Operation lian tak a ni em?" Zawhna tam tak ka rilruah a lo thleng ngei ang. Hlau suh, hei hi i ngaihtuah fo angin a lian lo va, a hlauhawm lo bawk. Hemi chungchang hi vawiin hian chipchiar tak leh awlsam takin i sawi dawn nia.

A awlsam zawngin, liver biopsy tih hi eng nge ni?

Liver biopsy hi damdawi lam thil tenau tak a ni a, i liver atanga tissue te tak te (tissue sample) chu special needle hmangin lakchhuah a ni. Natna hriat theihna tura test atana thisen sample kan lak ang bawkin, he thilah hian thin (liver) ngei pawh a tlem ber chu lak a ni a, enfiah a ni.

Tissue sample hi lab-ah thawn a ni a, chutah chuan pathologist , doctor, tissue enfiah leh natna hriatchhuahna lama tui tak chuan microscope hmangin a en a, eng ang liver natna nge a nih tih chiang takin a hre thei a ni.

Engvangin nge Liver Biopsy kan tih a ngaih?

Hei hi chhan lian tak pahnih a awm a.

1. Diagnosis: A chang chuan i scan emaw thisen test emaw hian i liver-ah harsatna a awm tih a hriat theih. Mahse eng nge a nih 100% a chiang lo mai thei. Chutiang hunah chuan doctor-te chuan he biopsy test hi thin natna thenkhat (gold standard) finfiah nan a tha ber niin an sawi.

2. Staging: Chronic liver disease i neih chuan he test hmang hian eng chen nge a darh tawh tih leh engzat nge liver a tihchhiat tawh tih hriat theih a ni bawk. A bik takin, fibrosis degree , chu chu scar tissue dam lo siam chhuahna score (F0 to F4) a pe thei a ni . Hei hi damdawi hman dan, enkawl dan leh hmalam hun tur hriat dan a ni.

He test hmang hian eng natna nge hriat theih?

Liver biopsy hian liver nena inzawm natna chi hrang hrang a hriat theih a ni.

Engtin nge Liver Biopsy hi tih a nih? Eng hmanrua nge ni?

Chutianga tih theih dan tlangpui pathum a awm. I doctor chuan i dinhmun a zirin a hman dan tur dik ber a thlang ang.

1. Percutaneous Liver Biopsy hmanga tih a ni

Hei hi hmanraw hman tlanglawn ber leh awlsam ber a ni. ‘Percutaneous’ tih awmzia chu ‘vun kaltlangin’ tihna a ni. Doctor chuan i pum dinglam, i ruh hnuai lama vun kaltlangin needle te tak te hmangin liver chhungah direct-in a la a.

2. Transvenous Liver Biopsy neih a ni ang

Hetiang method hi thisen chhuah hlauhawmna i neih chuan, emaw, ascites ang chi natna i neih chuan hman thin a ni. ‘Transvenous’ tih awmzia chu ‘vein kaltlangin’ tihna a ni. Hetah hian tube te tak te (catheter) chu kawr chhunga vein lian tak (the jugular vein) kaltlangin an dah a, chu tube atang chuan needle chu liver-ah an kalpui a ni.

3. Surgical Liver Biopsy neih a ni ang

A châng chuan, pum surgery (open emaw laparoscopic surgery) neih laiin chhan dang vangin liver piece pakhat chu lakchhuah theih a ni.

Biopsy neih hmain engtin nge kan inbuatsaih ang?

Hemi hma hian i tih tur tlemte a awm.

• I doctor nena inbiakna: I doctor hnenah i hriselna chanchin leh damdawi i ei dan chungchang sawipui rawh. Damdawi thenkhat, thisen tithianghlimtu ang chi, kar khat vel hmaa ei tawh loh turin an ti mai thei che a ni.
• Thisen test: Thisen test a ni ang a, i thisen zam theih dan enfiah a ni ang. A tlakchhamna a awm chuan biopsy hmain enkawl theih a ni.
• Chaw nghei: Test hma darkar 8 vel ei leh in loh turin an ti tlangpui. Amaherawhchu, i doctor thupek ang chiah kha zawm la.
• Ruahman lawk rawh: Sedation pek i nih dawn chuan mi pakhatin in lama hruai haw turin ruahmanna siam hmasa phawt ang che. Tin, biopsy zawh hnua chawlh kar chhung atan pawh inpeih reng tur a ni.

Biopsy neih ni hian eng nge thleng?

Test hi minute 15-30 vel a ni a, mahse a hnuah chuan damdawi inah darkar eng emaw zat enfiahna hnuaiah i awm a ngai dawn a ni.

Test lak lai hian:

1. Khumah mut tir i ni ang a, a zung dahna tur hmun (i pum emaw kawr dinglam emaw) chu uluk takin silfai a ni ang a, antiseptic i hnawih ang.

2. Next , chu hmunah chuan local anesthetic an inject a. Hei hi i hnawih chuan a kang deuh tih i hria ang a, mahse minute khat vel chhungin a hmun chu a hring vek ang.

3. A hmun chu a numb hnuah doctor chuan incision te tak te a siam a, chuta tang chuan biopsy needle chu a thun lut a.

4. Rei vak lovah i thawk khap tlat turin an ti mai thei che. Needle a luh chuan natna a awm lo va, mahse a chhungah chuan pressure tlem i nei thei .

5. Second engemaw zat hnuah sample lak a ni a, needle chu lakchhuah a ni. Tichuan a hmunah chuan plaster an hnawih a.

6. Biopsy zawhah i dinglam lamah rei vak lo i inher ang. Hei hian i taksa rihna hmangin liver chu pressure a siam thei ang a, thisen chhuah pawh a titawp thei bawk ang.

Test zawhah hian risk a awm em?

Hei hi a tlangpuiin test him tak a ni. Complication na tak tak a awm tlem hle (0.1% vel). Mahse, harsatna tenau tlemte a awm thei.

• Natna: Test zawhah i pum dinglam emaw, i ke dinglam emaw ah natna tlemte i nei thei. Hei hi painkiller hmanga control theih a ni tlangpui.
• Thisen sang hniam: Mi thenkhat chuan luak chhuak tlem an nei thei. Hei hi rei vak lo hnuah a reh tlangpui.

Mahse, in lama i haw hnua a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni .

• Khawsik sang tak a nei
• Chak lohna nasa tak emaw, muhil emaw
• Thâwk harsa
• Lung na tak tak
• Mit emaw vun emaw a sen (Jaundice) .
• Natna nasa tak a nei
• Pumpui a hring chhuak