I fate rilru chu a rawn inrawlh ta em? Intussusception chungchang hi i zir dawn teh ang!

I naupang tê chu a tap reng em? Pum natna ang maiin a ri em? A chang chuan, nu leh pa kan nih angin hetiang thil kan hmuh hian kan lungkham hi thil pangngai tak a ni. Amaherawhchu, a bik taka kan ngaihven tur chhinchhiahna thenkhat a awm. Vawiin hian intussusception chungchang kan sawi dawn a, chu chu intestinal condition na tak a ni a, emergency medical treatment mamawh a ni , a bik takin naupang tê tête tan. Lungngai suh, hei hi i hriat chian chuan hma la nghal vat la, i fa chu i chhanchhuak thei ang.

He intussusception hi eng nge ni?

A awlsam zawngin, intussusception chu i intestine peng pakhat, telescope peng ang maia i intestine peng dang a fold a ni. Sock chhung lam hawia rolling ang maiin han ngaihtuah teh. Hei hian bowel obstruction a thlen thin . A tam zawkah chuan he natna hian small intestine a nghawng thin.

Chutiang a nih chuan ei leh in tur chu intestine kaltlangin a kal tawh lo . Chu hmuna thisen kal chu a ti tlem bawk. Enkawl loh chuan he blockage hian intestine a ti hring thei a, a hliam thei a, harsatna lian tak tak a thlen thei a, chu chuan nunna a tichhe thei bawk.

Chuvangin intussusception hi medical emergency a ni. Amaherawhchu hriatchhuah a, enkawl vat a nih chuan a dam thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Intussusception hi tu chungah pawh a thleng thei a, puitlingah pawh a thleng thei. Mahse, naupang tê tê thla 3 leh kum 3 inkarah a tam ber.

Puitlingah chuan intestinal blockage zawng zawng zinga 1% vel chu intussusception a ni. Mahse, naupang kum 3 hnuai lam intestinal blockage thlentu ber a ni. United States-ah chauh pawh nausen 2,000 zinga 1 velin an dam kum khatnaah he natna hi an nei a ni.

Eng nge a lan chhuah dan? Engtin nge kan hriat theih ang?

I fa hian intussusception a nei em tih hriat a pawimawh . Tin, he natna hi i neih tam loh chuan a natna lan chhuah dan hriat reng a tha bawk.

Naupang tê tête natna lan chhuah dan

Naute leh naupang intussusception vei te hian pum na na tak, throbbing tak tak an nei a, rei vak lo hnuah a bo a, a intan leh thin. He natna hi minute 15-20 emaw a aia rei emaw chhung a awm thei. Nausen an natna sawi chhuak thei lote chu an tap thei a, an khup chu an pum bulah an vawn tlat a ni.Tichuan, natna a reh chuan (minute 20-30 vel) engmah thleng lo ang maiin i insiam thei a, i khel tan thei bawk. Mahse, rei vak lo hnuah chuan natna rapthlak tak chu a intan leh ta a.

A natna a chhunzawm zêl chuan naupang chu a chau thei a, a muhil thei a, a chau thei bawk . Tin , khawsik an nei thei bawk a , shock ah an kal thei bawk .

Symptom dang lo awm thei chu:

• Pumpui a hring chhuak.
• Nausea leh vomiting (a luak chhuak chu yellow-green a ni thei).
• Stool sen, jelly ang maia awm. Hei hi rectal bleeding , chu chu mucus nen a inzawm thei.

Vawi tam tak chu naupangin virus fever ang chi a neih hnu kar tlemte hnuah heng symptoms te hi a lo lang thin. Chuvangin, hun kal zelah heng natna lan chhuah dan hian intussusception rinhlelhna a siam thei a ni.

Mahse, naupang pakhatah hian intussusception chhinchhiahna hriat a harsa thei a, a chhan chu naupang zawng zawngah hian a lan chhuah zawng zawng a awm vek lo. Tin, naupang damloh lai pawhin a thleng ngai lo.

Hei hi hriat reng tur a ni: I naute emaw, naupang tê emaw chu chhan hriat lohvin a pum a na niin a lang a nih chuan doctor pan nghal rawh.

Puitlingah a natna lan chhuah dan

Puitling pawhin intussusception an neih hian pum na an nei thin . Mahse, naupang ang bawkin a lo kal thei a, a kal zel thei bawk a, a awm reng thei bawk. Luak chhuak, puak, leh thisen chhuak ek pawh a tam hle. Mahse, heng symptoms te hi gastrointestinal (GI) condition tam takah a awm fo avangin , mi tam tak chuan an nghak chhuak thin. Mahse intussusception chungchangah chuan nghah a tha lo. Hei hi naupang leh puitling tan pawh emergency medical attention mamawhna a ni.

Engvangin nge intussusception hi a lo awm? A chhante chu engte nge ni?

A tam zawkah chuan doctor-te chuan intussusception awm chhan chiang tak an hmu thei lo .

Fa enkawl chhan

Naupangteah chuan he natna hi virus infection nen a inzawm niin a lang . Naupang tam zawk chuan fall leh winter-ah intussusception an nei a, chutih lai chuan viral gastroenteritis hi a awm fo thin. Chu bâkah, naupang ṭhenkhat chuan an intestine-ah hian thil awm dân pangngai lo emaw, lumps emaw an nei thei a, chu chu Michels diverticulum .Meckel’s diverticulum leh polyps ang chi thil te pawh hi a chhan a ni thei bawk.

Puitling hmai vun natna thlentu

Puitlingten hetiang an neih chhan hi eng emaw chen chu a chiang hle. Puitlingte hian colon cancer ( malignant tumors ) emaw colon chhunga benign growths emaw an neih chuan intussusception an nei tam zawk a ni . Chu bâkah, hun rei tak chhûnga hri kai theih natna, Crohn natna .

Risk factors te chu engte nge ni? Tuin nge a nei tam zawk?

Hetiang dinhmun lo awm chhan hi risk factor engemaw zat a awm a:

• Kum: Naupang tam zawk chuan thla 3 atanga kum 3 inkar ah hetiang hi an nei thin.
• Gender: Hmeichhia aiin mipa naupangin he natna hi a let thum velin an vei tam zawk. Zirchiangtute chuan hetiang thil hi a thlen chhan an la hre chiang lo.
• Hun hman dan: Naupang tam zawk chuan thlasik leh thlasik laiin hetiang hi an nei a, chu chu pum chhunga virus te hian flu an vei duh ber a ni.

Damdawi lam thil thenkhat chuan i fate hlauhawmna a tipung thei bawk:

• Intestine a tihchhiat (malrotation) a ni
• Meckel -a diverticulum a ni
• Colon chhungah polyps emaw cyst emaw a awm
• Immunoglobulin A (IgA) hmanga thisen kalna kawng (vasculitis) a awm

Puitling i nih hunah i risk tipung thei dinhmunte chu:

• Colon tumor (a tam zawk chu cancer a ni a, mahse cancer ni lo pawh a ni thei) .
• Inflammatory bowel natna (IBD) a awm thei lo.
• Endometriosis natna a ni
• Feeding tube i neih chuan .

Enkawl loh chuan eng harsatna nge thleng thei?

Enkawl vat a nih chuan intussusception chu a pangngaiin a awm leh thei a ni. Mahse, enkawl loh chuan intussusception hian harsatna lian tak, nunna atana hlauhawm tak, thihna thlengin a thlen thei a ni.

Harsatna awm thei: 1.1.

• Gastrointestinal perforation : Intussusception avanga intestine a block chuan ei leh in leh digestive juices te chu a hnung lamah a back up thei. Hei hian intestine a ti lian thei a, a ti hring thei a, a tawpah chuan a puak thei a, khur a siam thei bawk.
• Infection leh swelling na tak (peritonitis) : Hetianga intestine a lo hring leh a perforated chuan intestinal contents chu abdominal cavity ah a leak thei a ni. Hei hian natna khirh tak, nunna atana hlauhawm tak, sepsis , a thlen thei a ni.
• Bowel necrosis : Intestine a chhiat chuan chu lai hmuna tissue te chu a thi thei a ni.

Heng harsatnate hi i fa dinhmun a zual zel chuan a lo thleng thuai thei a ni. Chuvangin thil dik lo a awm nia i rinhlelh chuan emergency care zawn nghal a pawimawh hle.

Engtin nge he natna hi dik taka i hriat theih? (Diagnosis) tih a ni.

A tam zawkah chuan emergency medical care-a diagnosis hi tih a ni. Diagnosis hriat chian nan test hman thin chu ultrasound (naupang tan) leh CT scan ( puitling tan) te a ni. Ultrasound hmangin intussusception hi 100% dik takin a hmu thei a ni. Hei hi doctor-te’n naupangte intussusception an neih leh neih loh enfiahna atana an test hmasa ber a ni.

I fa doctor chuan air emaw contrast enema emaw a order thei bawk . He test-ah hian doctor chuan boruak awmna tui emaw, thil him tak barium an tih emaw chu i fa rectum-ah a dah lut thin. Thli emaw tui emaw atanga pressure lo chhuak hian colon chu a tizau a, a hmun khat chu a dang chhungah a bo ta a ni. Hetiang kalphung hi X-ray machine hmanga video-a lak a ni.

Hetiang method hian diagnosis a nemnghet mai bakah, a tam zawkah chuan naupangte intussusception a tidam thei bawk.

Engtin nge enkawl ang? (Tihdamna)

Enkawlna chu i fate colon-a blockage awm chu tihdik nan a natna hriat theihna atana hman thin air emaw contrast enema emaw hman a ni. Hei hi radiologic (scan ang chi) procedure a ni a, surgical procedure a ni lo. Chuvangin i fa hian anesthesia a mamawh dawn lo .

Mahse, he method hi intussusception vei puitling tan chuan a hlawk lo. An zai a ngai fo thin.

Inzai

Puitling intussusception nei te chuan operation an mamawh dawn a ni. Tin, a tlem berah chuan naupang thenkhat chuan operation an mamawh dawn a ni. Entirnan, enema method hian hna a thawk lo a nih chuan, emaw, naupangin harsatna engemaw (intestine-a khur, infection ang chi) a neih chuan operation an mamawh dawn a ni.

He surgery hi traditional "open" surgery a ni thei a, chu chu pum chhunga incision lian tak hmanga tih a ni tihna a ni. A nih loh leh, surgeon chuan minimally invasive procedure laparoscopy tih chu a hmang thei bawk.

Laparoscopy hmanga enfiah a niSurgery neih chhung hian surgeon chuan i fa pum chhungah hian cut te te pahnih emaw pathum emaw a siam thin. Heng cut hmang hian surgeon chuan bowel a lak luh chu a thleng thei a, a awmna tur hmunah a siam tha leh thei a ni. Chutiang chu a theih loh chuan an rilru chhunga a chhia chu an la chhuak ang a, a la awm (unattached) chu an sew leh ang.

He surgery neih chhung hian pediatric anesthesiologist (naupang natna tihdamna lama tui tak doctor) chuan i fa chu a muthilh tir ang. Chuvangin naupang chuan engmah hrehawm a nei lo vang a, thil thleng pawh a hre lo vang.

Naute enkawl hnuah engtin nge a awm ang? Eng chen nge a dam leh theih ang?

Enema i tih zawh chuan i fa chu darkar engemaw zat chhung chu a puak chhuak thei a ni. Natna leh khawsik tihziaawmna turin acetaminophen (e.g., paracetamol) i pek a ngai mai thei.

Operation hnuah i fate chu an hahdam theih nan natna damdawi pek a ngai dawn a ni. An intestines a dam hma chuan ni engemaw zat chu intravenous (IV fluids) hmanga pek a ngai dawn a ni. Ni khat atanga ni thum chhungin an ei tan leh thei tlangpui. An thiltih pangngaia an kir leh theih nan kar tlemte a la ngai thei.

Intussusception ven dan tur a awm em?

Intussusception venna tur kawng chiang tak a awm lo a , mahse a rah tha lo ber chu i fate emergency treatment lak nghal mai chuan i veng thei a ni

Ka fain he natna hi a neih chuan eng nge ka beisei ang? Dam theih a ni em?

Enkawl hmasak hian naupangte result a ti tha thei a ni. Intussusception hi air emaw contrast enema emaw hmanga enkawl a ni tlangpui. Mahse, naupang 10% atanga 20% velah a lo lang leh thei a ni. Operation hnu darkar 48 hmasa berah (hei hi a awm lo) emaw, kar emaw thla emaw hnuah (hei hi a tam zawk) emaw chuan natna lan chhuahna a lo lang leh thei a ni.

Intussusception a lo awm leh a nih chuan i fa doctor chuan a hmaa an tih ang bawk kha a ti leh ang a, a natna chu a enfiah ang a, a enkawl ang. Hei hian enema dang pek pawh a huam thei .

Damdawi in chhuahsan hmain doctor hnenah hetiang thil hi a lo thleng leh a nih chuan eng nge beisei tur tih zawt la, a lo lang lehna lanchhuahna chu eng nge ni tih zawt bawk ang che.

Intussusception nei naute nunna chhanhim theihna chance engzat nge awm?

Intussusception enkawltu doctor tawnhriat ngah tak tak awmna damdawi inah chuan barium emaw air enema emaw hi naupang 85% thlengin a hlawhtling a ni. I fa chu a natna lan chhuah dan i hriat veleh doctor hnenah i hruai a, diagnosis i neih veleh i enkawl a, i enkawl tan chuan harsatna engmah awm lovin i fa nunna chhanhim theihna chance i nei tha zawk hle.

Intussusception hi emergency a ni fo em?

Awle. Intussusception hi damdawi lam emergency a ni fo thin. Hun hi a pawimawh ber a ni. I fain intussusception chhinchhiahna a lantir chuan a rang thei ang bera damdawi inah hruai la, chu ni vek chuan.

Engtikah nge Doctor ka hmuh ang?

If your child has unexplained stomach pain , an pediatrician ko nghal la, enfiah tir rawh. Chumi ni chuan i hmu thei lo a nih chuan emergency room (ETU) ah hruai rawh .

Enkawl zawhah i fain surgery neihna hmun vel ah hian a hring deuh a awm hi thil pangngai a ni. Mahse, i fain a hnuaia mite hi a neih chuan doctor ko rawh:

• Incision atanga a hring lutuk, a sen lutuk, a lum lutuk emaw, tui a chhuak lutuk emaw.
• Khawsik (101 Fahrenheit / 38 Celsius aia sang) a ni.
• Nausea leh luak chhuak.
• A lo lang leh theihna chhinchhiahna (natna awm reng, jelly ang maia bawlhhlawh awm ang chi).

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Hetiang zawhna hi i zawt thei ang:

• Eng thilin nge ka fa intestinal blockage chhan?
• Eng chen nge a dam leh theih nan a mamawh ang?
• Ka fa chu a dam ṭhat theih nân nun dân inthlâk danglam a ngai em?
• Hetiang thil hi a thleng leh thei tih eng chhinchhiahna nge ka ngaihven tur?
• A lo lang leh theihna tur chhinchhiahna ka hmuh chuan ka call tur che em ni, a nih loh leh Emergency Department (ETU) ah ka kal nghal tur em ni ?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

I naute emaw, naupang tê emaw-ah intussusception chhinchhiahna i hmuh chuan ngaihtuah nawn leh suh. Pum natna lo thleng leh bo thin hi thil pangngai a ni ngai lo. Hei hi intussusception ang chi natna khirh tak chhinchhiahna a ni thei . I fain enkawlna a hmuh hma chuan harsatna awm lovin a dam theihna chance a sang zawk. Tikhawtlai suh. Doctor emaw emergency room-ah emaw hruai rawh. I thiltih rang tak chuan i fa nunna chhanhimna kawngah a pui thei a ni.

Intussusception, intestinal obstruction, naupang pum na, jelly stool, intestinal obstruction, emergency treatment, enema