I pum vein-ah thisen zam a awm em? He dinhmun hlauhawm tak (SMV Thrombosis) hi i hrechiang ang u!

I pum chhungah natna nasa tak i nei nghal tawh em, a nih loh leh i pum a khat ang maia thil mak tak i nei tawh em? A chang chuan chutiang thilte chu kan ngaihven vak lo a, mahse hriselna lama harsatna lian tham a awm tih chhinchhiahna a ni thei. Vawiin hian dinhmun hlauhawm tak, mahse hlauhawm tak chungchang kan sawi dawn a ni. Chu chu (SMV Thrombosis) , a nih loh leh superior mesenteric vein-a thisen zam a ni.

Hei hi eng nge ni (SMV Thrombosis)? A awlsam zawngin i hrethiam ang u?

A awlsam zawngin sawi ila, SMV Thrombosis chu i pum chhunga Superior Mesenteric Vein (SMV) an tih vein-a thisen zam (thrombus) lo awm hi a ni. He vein hian i small intestine atang hian i liver ah thisen a phur lut thin. Tui pipe khar ang bawkin he thisen zam hian i pum chhunga taksa peng hrang hrangte inkara thisen kal chu a tikhawlo a ni.

Hetiang dinhmun hi a hlauhawm zia chu a ni: Thisen kal dan a thawh that loh chuan kan taksa peng hrang hrangte hian oxygen an mamawh ang an hmu lo. Tichuan chu taksa peng hrang hranga cell (tissues) te chu an thi tan ta a ni. Hetiang organ chhiatna hian taksa pum a nghawng thei a ni. He natna, SMV Thrombosis an tih hi enkawl vat a nih loh chuan a chang chuan nunna atana hlauhawm tak a ni thei.

Hei hi a hming dang chu "mesenteric venous thrombosis" tih a ni. Hei hi hming tlanglawn tak a ni. Chumi awmzia chu superior mesenteric vein-ah emaw, inferior mesenteric vein-ah emaw, chuta chhuak vein-ah emaw thisen zam a lo awm thei tihna a ni. Mahse, 95% vel chu he thisen zam hi kan sawi tawh ang khan superior mesenteric vein -ah a lo awm thin. Chuvangin, hming pahnih hi dinhmun inangah hman a ni fo.

Mesenteric Venous Thrombosis chi hrang hrangte chu engte nge ni?

Doctor-te chuan he natna hi a lan chhuah dan a zirin an thliar hrang thin.

• Acute: Symptoms hi a lang nghal a, thisen zam a lo awm atanga darkar 24 atanga darkar 72 chhungin a lang. Hei hi hri kai tam ber (60% - 80%) a ni. Chutiang a nih chuan intestine te chu a chhe nghal thei a, a chhan chu thisen hian a thlen theihna tur kawng a nei lo a, thisen zam chuan chu kawng chu a dang a ni.
• Subacute: Hetiang a nih chuan ni engemaw zat chhungin symptoms a lo lang zauh zauh thin. Acute stage angin an na lo hle. Hetah hian thisen thenkhat chu intestine-ah a lut ve tho a, mahse a zat erawh a tawk lo. Mi thenkhat chuan symptom nei mahse kar hnih thleng doctor an hmu lo mai thei.
• Chronic condition: A chang chuan symptoms a awm lo. Hei hi a chhan chu collateral vessel te te a lo awm a, chu chuan intestines ah thisen a supply a ni. Doctor-te chuan heng natna khirh tak takte hi natna dang atana imaging test an neihnaah an hmuchhuak fo thin. He chronic condition hi 20% atanga 40% vel ah a awm thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi a takah chuan rare condition anga ngaih a ni . Damdawi ina awm mi 5,000 zinga pakhat atanga 15,000 zinga pakhatah a awm thin.

Mesenteric venous thrombosis a awm thinKum eng pawhah a lo awm thei a, mahse kum 40-50 inkar mi a ni tlangpui.

Hei hi eng symptoms nge ni?

Symptoms hi a inang lo thei hle. Mi thenkhat, a bik takin natna khirh tak nei te hian symptom an nei lo thei. Mahse, acute condition-ah chuan cramping na tak a awm nghal thei. Subacute condition-ah chuan pum na hi ni emaw kar emaw chhungin a lo thleng thei a, a lo awm thei bawk.

Mi thenkhat chuan he natna avang hian Portal Hypertension an tih natna an nei thin. Tichuan, hetiang symptoms te hi i hmu thei ang:

• I bawlhhlawh chhungah thisen a awm.
• Nausea leh luak chhuak, a chang chuan luaknaah thisen a awm bawk.
• Pum a puak chhuak.
• Ke leh ke a hring (Edema) .
• Rilru lama buaina.

I pum na thar emaw, na zual emaw i neih chuan doctor pan nghal tur a ni . Chutah chauh chuan a chhan dik tak chu hriat theih a ni ang.

(Superior Mesenteric Vein Thrombosis) hi engte nge a chhan?

Zirchiangtute chuan hetianga a awm chhan hi chi thum ah an ṭhen a, chungte chu:

1. Vein direct damage: I vein hi infection (inflammation) emaw, surgery emaw avanga direct-a tihchhiat theih a ni.

2. Thisen kal zawi emaw, a block emaw: Cirrosis (liver disease), heart failure, emaw pum chhunga tumor emaw mass emaw a awm chuan mesenteric vein leh a chhehvel vein-ah thisen kal slow emaw blocked emaw a awm thei.

3. Thisen zam (blood clotting disorders): Hengte hian i taksa khawi hmunah pawh thisen zam a siam theihna a tipung a ni.

A châng chuan doctor-te chuan hei hi a chhan chiang tak an hmu thei lo (idiopathic) .

He natna hi tute nge hlauhawm ber?

A hnuaia damdawi lam harsatna te hi i neih chuan SMV Thrombosis vei theihna i nei sang zawk a ni:

• Nau piang emaw, a hnu emawa thisen zam natna , damdawi thenkhat avanga lo awm te pawh a tel.
• (Inflammatory Bowel Disease - IBD) .
• (Cirrhosis) (thin natna) (thil natna).
• (Pancreatitis) (pancreas natna hrik awm).
• Pancreatic cancer natna a ni .
• Lung lam chak lohna .
• Spleen lian tak a awm .
• Pum chhunga tumor emaw mass lian tak neih.
• Viral infection thenkhat, (COVID-19) te pawh a tel.

I pum chhunga surgery thenkhat, splenectomy ang chi te hian i thisen kalna kawng chhungril (endothelium) a tichhia thei a ni.Damage a awm thei. He chhiatna avanga inflammation awm hian thisen zam a siam theihna a tipung a ni.

SMV Thrombosis avanga harsatna awm thei te chu engte nge ni?

I mesenteric veins-a thisen zam a lo awm chuan intestinal tissue-ah a hring thei a ni. Tin , mesenteric ischemia tih natna a thlen thei bawk a, chu chu i chaw ei kawng thenkhata thisen kal tihtlem a ni.

I chaw ei tur (digestive organs)-in thisen oxygen a neih tlem chuan a thawk tha thei lo. Tin, an tissue te pawh a thi tan bawk. A then phei chuan hei hian intestine-ah khur a siam thei a, chu chuan intestine chhunga thil awmte chu a chhehvel hmunah a luang lut thei a ni. A dang erawh chuan i chaw ei kawnga awm tlangpui bacteria te hi i taksa hmun dangah a darh thei a, chutah chuan a awm tur a ni lo. Hei hian sepsis (thisen rimchhia) leh nunna atana hlauhawm organ failure a thlen thei a ni.

Chuvangin he natna (SMV Thrombosis) an tih hi enkawl vat loh chuan thihna thlen thei a ni.

Engtin nge Mesenteric Venous Thrombosis hi hmuhchhuah a nih?

Doctor-te chuan i symptoms a zirin he natna hi an ringhlel thei. Mahse, a natna lan chhuah dan tam tak chu a bik lo a nih avangin hriat chhuah chu a harsa thei hle . Chu chu, dinhmun dang chi hrang hrang avanga lo awm thei an ni tihna a ni. Pum natna emaw, natna dang emaw i neih chuan mesenteric vein-a thisen zam hi i rilruah a lo lang hmasa ber lo.

I doctor-in thisen zam i neih a rinhlelh chuan imaging test eng emaw zat an ti ang .

(Mesenteric Venous Thrombosis) tih hi hriat chian a ni

He natna hi hriat theihna tur gold standard test chu CT Angiography a ni . He scan-ah hian special dye chu vein-ah inject a ni a, thisen chu i vein-ah a luang chhuak tih hmuh a ni. Hei hian i pum chhunga thisen kalna kawng leh thisen kal tlanga thisen a kal that dan leh thisen zam a awm leh awm loh a entir thei a ni. He test result hian i enkawl dan tur a hril ang.

A châng chuan, doctor-te chuan MRI Angiography tih test chu a danglamna atân emaw, CT Angiography aṭanga result chiang lo tak tak finfiah nân emaw an hmang ṭhîn. Heng test te hi enkawlna i dawn dan tur hriat nan pawh i hmang thei bawk.

(SMV Thrombosis) hi eng enkawlna nge ni?

Doctor-te chuan i enkawlna tur ruahmanna chu i mamawh angin an siam ang. A tum ber chu:

• I intestines-a thisen kal dan tur siam that leh a hnathawh dan pangngaia tanpui.
• I intestines chhiatna ven emaw tihtlem emaw.
• Thisen zam thar lo awm tur venna leh a chhan bulpui zawn chhuah.

Enkawlna rang tak hi nunna chhanhimna kawngkhar a ni.Enkawlna i dawn hma poh leh hlawhtlinna i neih theihna chance a sang zawk. I dinhmun (acute emaw chronic emaw) leh a nasat dan azirin i doctor chuan a hnuaia enkawlna pakhat emaw a aia tam emaw a hmang thei ang:

• Anticoagulation: Hei hi doctor ten an hman hmasak ber a ni fo thin. Hei hian clot chu a tithianghlim thei tur leh clot thar a lo awm loh nan damdawi pek che a huam a ni. Doctor tam tak chuan heparin tih damdawi chu thisenah pein an tan a, chutah chuan warfarin ang damdawi an hmang leh thin. Mi thenkhat chuan he damdawi hi thla ruk vel an ei a ngai a, thenkhat erawh chuan rei zawk an ei a ngai mai thei. Thisen zam natna i neih chuan, a nih loh leh chhan hriat loha thisen zam i neih chuan, he damdawi hi i dam chhung zawng i ei a ngai mai thei.
• Thrombolysis: Hetiang tihnaah hian i doctor chuan catheter hmangin i thisen zam chhungah damdawi a inject a, chu chuan clot chu a tithianghlim thei a ni . He damdawi hi darkar 24 atanga 72 chhung pek thin a ni tlangpui.
• Thrombectomy: Hei hi thisen zam chhuahna tur surgery hmanga tih a ni . He enkawlna hi a tlem berah chauh hman a ni a, entirnan , thrombolysis nei thei lote tan . Doctor-te chuan open surgery emaw minimally invasive method hmangin he procedure hi an ti thei a ni.
• Bowel Resection: Hei hian i bowel thenkhat operation hmanga lakchhuah a huam a ni . Thisen zam hian i ril a thisen kalna a tikhawlo a, a tichhia reng a nih chuan small bowel resection emaw large bowel colectomy emaw tih a ngai mai thei. Damdawi inah anticoagulation i tan chuan i doctor chuan i symptoms te chu a enfiah ang a, operation i mamawh em tih emaw, harsatna i neih leh neih loh emaw a enfiah ang.

Enkawlna avanga harsatna awm thei

Enkawlna avanga harsatna awm tam ber chu thisen chhuah (a lian emaw a te emaw) a ni. Mahse, he natna hi enkawl loh chuan a thihpui thei tih hriat reng a pawimawh . Chuvangin, enkawlna hlawkna chuan harsatna awm thei tur a phak lo hle.

SMV Thrombosis hi ven theih a ni em?

Thisen zam hi i veng thei reng reng lo. Mahse, i hriselna kawngah hian i risk tipungtu underlying condition tam tak chu ven leh enkawl la, proactive approach i la thei a ni. Tips thenkhat chu hetiang hi a ni:

• Kum khatah vawi khat medical checkup nei turin kal thin ang che.
• I damdawi ei tur chu i doctor-in a tih ang chiah khan ei rawh.
• Symptom thar i neih chuan emaw, i symptoms a danglam chuan doctor hnenah hrilh rawh.
• I hriselna atana hlawkna tur atana nunphung tihdanglam i mamawh tih doctor zawt rawh.

(SMV Thrombosis) ka neih chuan eng nge thleng ang?

I doctor chuan i enkawl leh i dam leh hunah i beisei tur a hrilh ang che. Thisen zam thar lo awm theihna tur leh chu hlauhawmna tihziaawmna tura an rawtnate chu an sawifiah ang. I doctor enkawl dan tur dik taka zawm a pawimawh hle. Hei hian i dam chhung zawng damdawi ei pawh a huam thei. Hei hian thisen zam a lo awm leh tawh loh nan a pui ang.

Enkawlna dawn dan enfiah

Anticoagulant damdawi i ei a nih chuan damdawi i ei dik em tih hriat nan thisen test neih fo a ngai dawn a ni. I doctor pawhin thisen chhuah a awm leh awm loh a enfiah bawk ang che.

Hetiang dinhmun hi eng nge a nih?

I outlook zawh duh ber chu i doctor hi a ni. I medical history leh condition an enfiah ang a, i beisei tur chu an ngaihtuah ang che. A tlangpuiin Mesenteric Venous Thrombosis chungchanga i ngaihdan chu thil engemaw takah a innghat a ni:

• i kum zat.
• I dinhmun nasat dan.
• Thisen zam awmna hmun dik tak.
• Damdawi lam harsatna dang i neih te.
• I intestines a tihchhiat nasat dan.
• I intestine thenkhat lakchhuah a ngai em tih pawh.
• Engtiang chiahin nge enkawlna i dawng thuai.

Mesenteric Venous Thrombosis hian thihna a thlen thei a ni. Acute stage-ah chuan natna lan chhuah tirh atanga darkar khat a liam apiangin thihna a sang chho zel a ni. Darkar 24 aia rei enkawl loh chuan a natna hi a thihpui tlangpui.

Engtikah nge ka doctor ka hmuh ang?

Enkawlna atanga i dam chhoh zel chuan i rilru put hmang i hriat reng a pawimawh a, thil danglam a awm chuan i doctor hnenah i hrilh bawk. I doctor chuan follow-up appointment nei tura i lo kal fo tur chu a hrilh ang che. Hun ruat angin vawng reng rawh. Hei hian i doctor-in i dinhmun a enfiah theih nan leh harsatna thar (thisen chhuak thar ang chi) a hriat theih nan a pui ang. Mahse, i enkawl lai pawhin symptom thar i neih emaw, ngaihtuahna i neih emaw chuan doctor ko nghal hreh suh.

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

I pum natna nasa tak emaw (SMV Thrombosis) natna lan chhuahna dang emaw i neih chuan 911 emaw i awmna hmuna emergency number emaw ah call nghal rawh. Tikhawtlai suh. Hei hi (SMV Thrombosis) vei theihna tur risk factors i neih chuan a pawimawh hle. Inenkawl hmasak hi nunna chhanhimna awmchhun a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I zawhnate chu i dinhmun bik leh enkawlna stage a zirin a inang lo thei. I mamawh thu hriatna i hmuh theih nan zawhna tlanglawn thenkhat chu hetiang hi a ni. I natna hmuhchhuah hnuah (a nih loh leh i hmangaih tak tan) heng zawhnate hi i zawt thei ang:

• Ka dinhmun hi engtiang chiahin nge a nasat?
• Eng enkawlna nge i enchhin hmasa ang?
• Eng enkawlna dang nge ka mamawh ang?
• Enkawlna tumte chu engte nge ni?
• Enkawlna hlawhtlinna chance engzat nge awm?
• Enkawlnaah hian hlauhawmna a awm em?
• Engtin nge ka thlirna chu?
• Eng follow-up appointment nge ka kal a ngai ang?
• Ka damdawi ei tur emaw, ka ei hun te hi thlak danglam a ngai em?
• Ka dam leh hnuah eng nunphung thlak danglamna nge ka tih i rawt?

I taksa hmun dangah thisen zam i nei tih i hriat chuan hlauhna i neih hi thil pangngai a ni. SMV Thrombosis ang dinhmunah chuan chu thisen zam chuan i ril hriselna a tichhe thei a, nunna atana hlauhawm harsatna pawh a thlen thei bawk.

Nangmah emaw, i hmangaih tak emaw chuan SMV Thrombosis vei theihna tur risk factors i neih chuan, i doctor nen i personal risk level leh a enkawl dan tur chungchang sawipui rawh. Thisen zam hi i veng thei reng reng lo. Mahse, medical checkup neih leh a symptoms hriat chian hian a hmaa diagnosis leh treatment i neih theih nan a pui thei che a ni. Chutiang thil tih hmasak chuan nunna a chhanhim thei a ni.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

• (SMV Thrombosis) hi pum chhunga thisen kalna kawng lian takah thisen zam a ni. Hei hi a pawi hle a, enkawl vat loh chuan nunna atana hlauhawm thei a ni.
• I pum na tak tak, pum na tak, pum na, luak chhuak, luak chhuak, i ek chhunga thisen chhuak ang chi symptoms i neih chuan tihkhawtlai suh. Damdawi lam thurawn zawng nghal rawh.
• Hei hi risk factors (e.g., thisen zam natna, thin natna, inflammatory bowel disease) i neih chuan i doctor nen sawiho la, a tul angin hma la rawh.
• Natna i vei tih hmuhchhuah a nih chuan i doctor-in a pek che dan dik takin zawm rawh. I dam chhung zawng damdawi ei a ngai a nih pawhin i nunna chhanhimna kawngah a pui thei a ni.
• He natna laka inven nan hian a hmaa hriatchhuah leh enkawl vat hi a tha ber a ni. Chuvangin a natna lan chhuah dan fimkhur la, rinhlelhna i neih chuan doctor pan nghal rawh.

` SMV Thrombosis, Mesenteric Venous Thrombosis, Thisen zam, Pum na, Superior mesenteric vein, Digestive system, Emergency treatment