I fate hian an rilruah hetiang harsatna hi a nei thei ang em? (Malrotation) Chipchiar takin sawi ila!

I naupang tê chu a chhuak reng em? A pum na a complain em? A nih loh leh a puak danglam ang maiin a lang em? A châng chuan hengte hi thil pawi tak chhinchhiahna a ni thei bawk. Vawiin hian nu leh pa tam takin an hriat loh, intestinal condition tlanglawn tak kan sawi dawn a ni. Hei hi malrotation an ti a.

Malrotation chu eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, malrotation hi pian tirh atanga lo awm thin a ni. Naute chu nu pum chhunga a awm lai hian naute intestines (chu chu small intestine leh large intestine kan tih) te chu a dinhmun a mumal lo tihna a ni. A tlangpuiin naute chhungril chu embryonic stage-ah (chu chu nu pum tan tirh lamah) a bik takin a inkhung a, a inher a, nausen pum chhunga pum bang bulah a in fit tha tur a ni. Hei hi chaw ei (digestion) ang chi thilte dik taka a thlen theih hun a ni.

Ngaihtuah teh, he intestine hi a hmasa berin ball of string angin a lo piang thin. Tichuan a pum chhungah a dik taka dah a ngai a ni. Mahse naute malrotation neiah chuan he intestine hi a curl up tha lo va, a rotate lo va, a pum chhungah hmun dik takah a fit lo bawk. Chuvang chuan malrotation kan ti a ni.

Hetiang natna vei naupang tam tak hian an intestine te chu an awmna hmuna dah leh tur te, natna hlauhawm thei tur venna te, leh chaw ei dan (digestive system) hnathawh that theihna turin operation an mamawh a ni .

Chuti a nih chuan he volvulus hi eng nge ni? A hlauhawm em?

Volvulus hi malrotation avanga harsatna lian ber leh hlauhawm ber a ni. A awlsam zawngin sawi ila, intestine twisting a ni. Tui pipe chu a inzawm nghal vat a, a inher chhuak nghal mai ang maiin han ngaihtuah teh. Tui a luang lo em ni? Chutiang chu a ni. Hetianga intestines a inher chuan chaw ei tawh chu a kal tlang lo va, intestines-a thisen kal pawh a titawp thei bawk. Hei hi a hlauhawm hle mai.

He volvulus hi a hmaa kan sawi tawh ang khan naute chhungril chu a pum chhungah anchor tha tawk lo vang a ni. An anchor tha tawk loh avangin eng lam hawi pawhin intestine te chu a inher tan thin.

Volvulus hi surgery emergency a ni. Enkawl loh chuan natna khirh tak, nunna atana hlauhawm tak pawh a thlen thei a ni.

Chutiang thil chu a thleng thei a ni:

• Intestine a block vek (Bowel obstruction) a ni.
• Bowel perforation a awm.
• Peritonitis, pum chhunga natna hrik awm.
• Sepsis hi thisenah hrik awm khawm vang a ni.
• Shock a ni.

Heng symptoms te hi naupang kum 5 a tlin hmain a lang tlangpui a, a tam zawk chu a dam thla hmasa berah a lang thin . A lan chhuah dan ber chu luak chhuak nghal (a tam zawkah chuan green) leh pum chhunga inhawng (abdominal distension) te hi a ni.

Engtin nge malrotation i nei tih i hriat theih? Eng nge a lan chhuah dan?

Malrotation symptoms hi mi hrang hrangah a inang lo thei a, mahse a tlangpuiin luak chhuak fo leh pum na te a tel. A châng chuan malrotation chauh hian natna lian tham a thlen lo thei a, a hmaa kan sawi tawh volvulus a lo awm hnuah chauh chhinchhiahna a lang thei bawk.

Pawimawh tak: I fain luak chhuak green emaw yellow-green emaw a luak a nih chuan, emaw, a luaknaah thisen a awm chuan 911 emaw, i awmna hmuna emergency number emaw call nghal rawh. Chûngte chu emergency chhinchhiahna a ni thei a, chu chu volvulus ang chi a ni.

Nausen natna lan chhuah dan

Nau piang thar leh nausen thla engemaw zat mi malrotation nei te hian natna lan chhuahna an nei thei a, chungte chu:

• Luak chhuak fo thin. He vomit hi a rawng chu greenish emaw yellow-green emaw a ni thei. Hei hi a chhan chu riltam nen bile a chhuak a ni.
• A pum (abdomen) a lo hring a, khawih chuan a na hle.
• Pum natna nasa tak (colic pain).
• Rectum atanga thisen chhuak emaw, stool chhunga thisen chhuak emaw.

Naute malrotation vanga pum na leh natna nei te chu hetiang hian an awm tlangpui:

• A ke chu a pum bulah a hrual a, a tap ta a.
• Minute 10 atanga 15 vel chu thlamuang takin awm rawh.
• Ka tap leh ta.

Naupang kum 1 chunglam atanga natna lan chhuah dan

Naupang kum khat aia upa te hian natna lan chhuah dan hetiang hi an nei thei a:

• Pum natna emaw, rilru natna emaw.
• Nausea leh vomiting (he vomit hi a rawng pangngai a ni thei).
• Diarrhea (ril\am) a awm.
• Pumpui puak (bloating).
• Ek khal.
• Rectal bleeding emaw, stool-a thisen chhuak emaw.
• Hlawhtling lo chu beisei anga taksa rihna tihpun loh hi a ni.

Research thenkhatah chuan naupang kum 2 chunglam chu naupang naupang zawkte aiin greenish-colored stool an luak tlem zawk tih an hmuchhuak. Naupang kum upa zawkte hian luak chhuak leh (normal-colored) leh pum na an nei tam zawk.

Engvangin nge he malrotation hi a lo awm?

Zirchiangtute chuan hei hi a chhan dik tak hi an la hre chiang lo hle. An hriat dan chuan congenital condition a ni. Naute chu an naupai atanga kar 10 vel hnuah chauh a intestines a lo piang tan thin. Chuvangin mithiamte chuan heng intestines te hi engvangin nge a lo awm dik loh tih hi an la zirchiang mek a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor-te chuan malrotation an hriat theih nan physical exam leh imaging test an hmang ber a ni. Doctor chuan i naute chu uluk takin a enfiah hmasa ang a, an hriselna tlangpui leh malrotation chhinchhiahna a awm leh awm loh a enfiah ang.

Tin, naute taksa chhung lam thlalak lak theihna test-ah hian:

• Abdominal ultrasound hmanga enfiah a ni.
• X-ray with contrast chu liquid bik (contrast) hmanga test tih a ni.
• Gastrointestinal (GI) enfiahna neih a ni.

Doctor chuan i fain eng test nge a mamawh tih leh engtin nge an tih ang tih a hrilh belh ang che.

Naupang malrotation nei tan eng nge i tih? Enkawlnate chu engte nge ni?

Naute leh naupang malrotation nei te hian an intestines realign turin operation an mamawh tlangpui. Surgeon chuan minimally invasive surgery (MIS surgery) hmangin i naute rilru natna (twisted intestines) chu a phelh ang a, a pum chhungah a awmna tur dik takah a dah leh ang.

Surgeon-te’n malrotation enkawlna atana an hman ṭhin surgery chi hnih a awm a, chungte chu:

• Ladd-a tih dan: Hei hian tissue pangngai lo, tissue band ang chi, intestine tikhawlotu chu paih chhuah a ni. Surgeon hian naute intestines twisting leh positioning te pawh a siam tha bawk. Ladd-a tih dan hi open procedure angin emaw, laparoscopically (camera hmangin) emaw pawhin tih theih a ni. Hei hian symptoms a tihziaawm thei a, mahse nakin lawkah naute intestines a twist leh theihna chance a awm (recurrent volvulus).
• Kareem-a tih dan: Hei hian ril chu a pum puia dah leh a, pum chhunga bang (abdominal wall)-ah a inzawm tir a ni. Hetiang tih hian bowel twisting leh theihna a ti tlem niin an ngai.

Doctor chuan i fa dinhmun atan eng method nge tha ber tih a hrilhfiah ang che, a thatna leh that lohna te pawh a hrilhfiah ang che. I fate rilru dinhmun a zirin hetiang thil hi i tih a ngai thei bawk:

• Temporary emaw permanent colostomy (intestine thenkhat chu vun chung lamah hruaiin bawlhhlawh a kal theih nan) siam rawh.
• Intestine thenkhat chu la chhuak rawh.
• Intestinal reconstruction surgery neih tir rawh.
• Appendix chu la chhuak rawh (a chang chuan intestine awm dan hian nakin lawkah appendicitis a lo awm leh awm loh hriat a harsat theih avangin).

Nausen leh naupang thenkhat chu emergency surgery an mamawh a ni. Hei hi malrotation hian volvulus an tih condition a thlen a, chu chuan intestines nasa takin a tichhe thei a ni. Emergency surgery hi thil hlauhawm tak leh nerve tichhe thei tak a ni thei. Mahse, hlau suh. Zawhna i neih chuan i fa medical team hnenah zawt rawh. Engkim an hrilhfiah ang che a, i fa a dam leh hma loh chuan i tih tur an hrilh ang che.

Hetiang dinhmun hi ven theih a ni em?

A chhan dik tak hriat a nih loh avangin malrotation emaw a harsatna ber, volvulus emaw ven theih a ni lo. Mahse, a rang thei ang bera damdawi lam pan chuan i naute tan harsatna lian tham a thlen theihna a ti tlem thei a ni.

I fa hian natna lan chhuah dan danglam tak a neih chuan – entirnan, a luak chhuak chhunzawm zel a, a chhan pawh a hmu thei lo ang tih a hriat chuan – doctor i pan ngei tur a ni. "Amah chauhin a ṭha leh ang" emaw, "Ka hlauthawng mai mai a ni" emaw tih ngaihtuah suh. Malrotation hi enkawl loh chuan a na zual thei hle.

Ka naute hian malrotation a neih chuan eng nge ka beisei theih ang?

I fate thlirna chu thil engemaw zatah a innghat a ni:

• Engtiang chiahin nge enkawlna i dawng thuai.
• Engzat nge intestine a tihchhiat tawh.
• Naupangin hriselna lama harsatna dang a neih leh neih loh.

Naupang tam zawk chu operation hnuah an dam tha hle a, nakin lawka harsatna an tawh theihna pawh a tlahniam bawk. Mahse, naupang thenkhat chuan operation hnuah pawh bowel obstruction an la nei thei tho. Mahse, tunah chuan surgical technique thar hmangin he risk hi a tlahniam tawh hle. Hemi chungchang hi i fa medical team ten an hrilh belh ang che.

Doctor hmuh hun tha ber berte chu engte nge ni?

I fain malrotation symptoms a neih chuan naupang doctor pan nghal rawh. Hetiang dinhmun hi rang takin medical emergency a lo ni thei a ni. A hmaa chhinchhiahna hriat hian i fa chu harsatna lian tham a thlen hmain enkawlna a dawng thei a ni.

I fain a luak chhunzawm zel hian lungngaihna leh hlauhna nasa tak i neih hi thil pangngai a ni. Damdawi lam thurawn lak a pawimawh hle. Mahse, malrotation tih loh chu heng symptoms awm chhan dang pawh a awm tih hre reng ang che. Condition dang tam tak, reflux ang chi pawhin heng symptoms te hi a thlen thei bawk. I doctor chuan a chhan a hmu ang a, i fa tan a tul angin a enkawl ang.

Engtikah nge Emergency Room-a kal a ngaih?

I fa hian heng symptoms te hi a neih chuan , emergency room-ah hruai nghal rawh:

• Green emaw yellow-green emaw a chhuak thin.
• Thâwk rang tak tak.
• Lung na tak tak.
• Rilru tibuai.
• Passing out a ni.
• Vun a vawt a, a thawmhnaw a hring a, a sen a nih chuan.
• Pum a hring nasa hle a, colic natna nasa tak a awm bawk a nih chuan.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Zawhna zawh hian i fa dinhmun leh enkawlna awmsa hriatthiamna tha zawk i neih theih nan a pui thei che a ni. Hetiang zawhna hi i zawt thei ang:

• Engtin nge malrotation hian ka naute hi a nghawng?
• Harsatna a awm tih hriatna a awm em?
• Ka fa hian operation a mamawh em? A nih chuan a chanchin hi min hrilh belh thei ang em?
• Surgery hian eng hlawkna leh hlauhawmna nge a neih?
• Ka fa a dam chhung hian eng nge ka beisei theih ang? Engtin nge ka tanpui theih ang?
• Naupang chu follow-up atan a rawn let leh a ngai dawn em ni?

I fain malrotation a nei tih i hriat chuan eng nge thleng dawn tih i ngaihtuah chhunzawm thei lo. "A dam tha ang em?", "A surgery a ngai dawn em ni?", "A dam leh theih nan eng chen nge a la ngai ang?" rilruah lo lang rawh.

Vawi khatah engkim ngaihtuah suh, step khat khatin la rawh. I fa medical team te chu ring rawh. I zawhna zawng zawng an chhang ang a, i hmalam panna kawng chu an hriattir zel ang che. Malrotation hi enkawl theih tak a ni a, a bik takin hriat hmasak a nih chuan. Tin, surgery lama hmasawnna a awm avangin doctor-te chuan harsatna a awm pawhin, case buaithlak tak tak pawh an enkawl thei ta a ni.

Take-Home Thuchah hnuhnung ber

Chuvangin, tunah chuan kan sawi thin kha i hrethiam tawh ngei ka beisei, Malrotation. A pawimawh ber chu i fain natna lan chhuah dan danglam bik, a bik takin kan sawi tawh hlauhawm tak takte a neih chuan hun khawhral lova Doctor pan mai tur a ni. A hmaa hriatchhuah leh enkawl a nih chuan naupang nunna chhiatna nasa tak a veng thei a ni.

Hlau suh, hlau suh. Tunlai damdawi hian heng natnate hi enkawlna tha tak tak a nei a. I doctor thurawn zawm la, zawhna zawt la, i fa tan chak takin awm rawh.

` Malrotation, Volvulus, Naupang enkawlna, Intestinal Twisting, Nausen Luak, Surgery, Pum Na