Kan naute kal leh thisen inzawmna mak tak hi i hria em? (Urachus) chuan a ti a.

Chibai! Vawiin hian thil mak tak mai, kan taksaah hmun pawimawh tak a chang a, a bik takin nausen anga kan nu pum chhunga kan awm lai hian, mahse a chang chuan puitlingah pawh harsatna tenau te a thlen thei a ni. Hei hi `(Urachus)` kan ti a. He thu hi i la hre ngai lo pawh a ni mai thei. Mahse, lungngai suh, hemi chungchang hi awlsam takin kan sawi vek ang.

Chuti a nih chuan hei hi eng nge ni `(Urachus)`? A awlsam zawngin sawi ila...

Ngaihtuah teh, naute chu nausen pum chhunga a awm laiin, chu chu nausen angin, naute zun kawng , emaw, zun khat bag , leh naute navel/belly button inkarah hian channel te tak te, tube ang chi a awm a ni. Chu chu `(Urachus)` kan tih chu a ni. Hei hi fibrous structure a ni.

A hnathawh ber chu naupai thla thum khatna chhunga nausen zun (pee) siam chhuah hnawhchhuahna pui hi a ni. Chu chu thil mak a ni lo maw?

Thil thleng tlangpui chu naute chu nausen pum chhunga a lo thanglian zel angin, a tam zawkah chuan thla thum hmasa ber tawp lamah he ``Urachus`` channel hi a mah chauhin a khar thin. Chumi hnuah chuan fibrous band ang mai a lo ni ta mai a ni.

`(Urachus)` leh `Pekaniyya` hi thil inang an ni em?

Ni lo, chu chu pahnih a ni. `(urachus)` hi embryonic period chhunga zun pass out puitu channel a ni. Umbilical cord chu naute chu nu pum chhunga a innghahna hmun a ni. Doctor chuan naute pian hnuah he umbilical cord hi a tan tir thin. Naute hian umbilical cord atang hian oxygen leh nutrition a hmu a, `(urachus)` atanga zun chu nu nausen kaltlangin a chhuak thin.

`(Urachus)` hnathawh chu eng nge ni?

Kan sawi tawh ang khan embryo hmasa ber, chu chu first trimester-ah chuan `(urachus)` hian nausen zun chu umbilical cord kaltlangin nu nausen chhungah a chhuah theih nan a pui thin. Nausen a lo seilian chuan bladder chu pelvis chhungah a chhuk thla a. Tichuan he `(urachus)` hi a inzawm khawm a, fibrous band te tak te (median umbilical ligament) a lo ni ta a ni. Hei hi thil thleng tlangpui a ni.

Puitling pawhin `(Urachus)` an nei em?

Puitling tam zawkah chuan urachus hi median umbilical ligament an tih band a lo ni tawh a. Mahse, mak tak maiin zirchianna thenkhatah chuan puitling 33% thlengin urachus tissue engemaw zat an la nei thei tih an sawi . Mahse, mi tam tak chuan hei hi an hre lo, a tlangpuiin harsatna leh natna a thlen loh avangin.

Hmeichhia pawhin hei hi an nei ve em? Ni e, nausen zawng zawng hian, mipa leh hmeichhia pawh ni se, ``urachus'' an nei vek. A tam zawkah chuan first trimester tawp lamah chuan ligament an tih mai a lo ni ta a ni.

`(Urachus)` hi khawiah nge a awm?

`urachus` hi nausen zung (fetal bladder) chunglam atanga, hmalam (dome) atanga navel thlengin a inzar pharh a ni. Tube thuk tak, a nih loh leh cord ang mai a ni. A châng chuan a tawp pahnihah a hring thei a, a tawp khatah funnel ang maiin a zau thei bawk. A sei zawng hi centimetre 1 atanga 15 (inches 0.4 atanga 6) vel a ni thei. Chu chu aspirin tablet aiin a tawi deuh thei tihna a ni a, pen ang maia sei pawh a ni thei tihna a ni.

`(urachus)` ah hian harsatna a awm leh awm loh enfiah nan eng test nge hman thin?

Doctor chuan i naute hian urachus-ah harsatna a nei thei nia a ngaih chuan ultrasound scan an order hmasa ang. Hei hi test hrehawm lo, awlsam tak a ni. I naute chhunga tissue leh organ te a en thei a ni. A châng chuan MRI scan pawh an order thei bawk. Hei hi painless imaging test dang a ni bawk.

Tunah chuan doctor chuan naute ``urachus'' chu a inhawng vek tawh (patent urachus) a, a navel vel a tui chu bladder atanga lo chhuak a nih a rinhlelh chuan, chu tui chu urea emaw creatinine emaw a awm leh awm loh an test ang. Hengte hi bawlhhlawh a ni a , zun atanga chhuak tlangpui a ni .

Test dang a awm bawk a, chu chuan naute zung hnung lama tissue awm chu chiang takin a hmu thei a, chu chu `(Voiding Cystourethrogram - VCUG)` an ti a ni. Hei hian doctor chuan urinary system hmangin bladder-ah dye a inject a . He `(VCUG)` test hi nausen zung (bladder) insiam danah harsatna a awm chuan a tangkai hle.

He `(Urachus)` la awmte hi eng nge ni?

A awlsam zawngin sawi ila, `(Urachus)` remnant `(Urachal remnant)` chu `(Urachus)` canal khar dik lohna dinhmun a ni. Hei hi `(Urachal abnormality)` an ti bawk. Hei hi chi hrang hrang a awm a:

• Patent urachus: Hei hi urachus khar tha lo leh hawn kim vek a nih chuan a ni. Hei hian naute navel atang hian zun ang chi tui a tichhuak thei a ni . A nih loh leh, navel chhehvelah hmun hnim a awm thei a, a sen, a sen, a sen hring a lo ni thei a, natna ang chi granuloma te tak te a lo awm thei bawk. Ngaihtuah teh, naute piang thar navel-ah zun a chhuak , a nih loh leh a hmun chu a hnim reng a... chutiang thil chu.
• Urachal cyst: Hei hi urachus chu a khar tha lo a, naute zung leh zun kawng inkarah tuiin a khat cyst a siam a ni. A tam zawkah chuan a tir lamah chuan symptoms a awm lo. Mahse, bacterial infection a awm chuan , pum na leh urachus atanga thisen emaw, pus ang chi tui lo chhuak ang chi symptoms a awm thei.
• Urachal sinus ah chuan:Chutiang a nih chuan ``Urachus`` hi naute umbilical cord-ah a khar tha lo va, bladder-ah a khar zawk a ni. Hei hian a tlangpuiin symptom a nei lo. Mahse, bacteria infection a awm chuan pum na a awm thei a, umbilical cord atanga thisen emaw, zun emaw a chhuak thei bawk .
• Diverticulum: Hetah hian Urachus (pouch ang chi) hi naute zung (bladder)-ah a khar tha lo hle. Hei hian symptom a siam lo fo. Mahse, a châng chuan, zun chu he pouch ang chi structure-ah hian a tang thei a, Urinary Tract Infections (UTIs) a thlen thei a ni . Khawsik leh zun laiin natna (Dysuria) ang chi natna lanchhuahna a awm thei.

A pawimawh ber chu i naute pum chhungah tui danglam tak a leak a nih chuan, emaw, a hmun chu a sen emaw, a hring emaw, a na emaw a nih chuan doctor i pan nghal ngei tur a ni.

Urachal cancer chu eng nge ni?

Urachal cancer hi bladder cancer chi khat a ni a . Kum 50 chunglam, urachus tissue thenkhat la awmte zingah a tam ber. Urachal cancer chhinchhiahna hrang hrangte chu:

• Zun chhunga thisen (Hematuria) .
• Mucinuria ( zun chhunga mucus ang chi thil ) .
• Zun chhunga bacteria awm (Bacteriuria) .
• Pum natna
• Abdominal mass a awm

Heng symptoms te hi i neih chuan urachus cancer i nei tihna a ni hauh lo va, mahse doctor pan a, check out a tha ber.

Urachus harsatna enkawlna tur engte nge ni?

Lungngai suh, `(Urachus)` kaihhnawih harsatna tam tak enkawlna tha tak tak a awm.

• I naute navel area a hnim reng chuan i doctor chuan chemical cauterization procedure a rawt thei ang . Hei hian chemical tlemte, silver nitrate ang chi chu a hmunah hnawih a huam a ni. A hmun chu ni engemaw zat chhungin a dam tlangpui. Antibiotics pawh i ei a ngai mai thei .
• Antibiotics hi urachal cyst tan pawh a tha hle. A then phei chuan doctor chuan cyst atanga tui awm chu needle hmanga lakchhuah a ngai mai thei. Cyst a dam hnuah chuan urachus leh a inzawm tlat, bladder chunglam ang chi, operation tih theih a ni.A thleng thei. Urachus tissue chu a hmuna dah chuan nakin lawkah cancer, urachal cancer, infection, emaw bladder stones te ang chi cancer vei theihna a tipung a ni. Mahse, mi tam zawk chuan doctor-in urachus tissue a lakchhuah hnuah harsatna an nei leh tawh lo.

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

Tunah chuan `(Urachus)` chungchang hi hriatthiamna tha zawk in neih ka beisei.

• ``(Urachus)`` hi embryonic stage-a zun chhuahna tur channel a ni a, mahse a hnuah a khar leh thin.
• A châng chuan hei hi khar ṭha lovin ``urachal remnant'' angin a awm thei a, chu chuan bladder aṭanga tui chhuak leh infection ang chi thil a thlen thei a ni.
• I naute pum chhunga thil danglam tak i hmuh chuan doctor thurawn zawng nghal rawh .
• Urachus nena inzawm harsatna tam tak chu hlawhtling taka enkawl theih a ni.
• Urachal cancer hi a tlem hle a, mahse hriat chian a tha.

Kan taksa hi thilsiam mak tak tak a ni tak zet a ni lawm ni? Hetiang thil tenawm tak takte hian hetiang taka hmun pawimawh tak an chan theih dan hi a mak khawp mai. Chuvangin, he thu hi i tan a tangkai ngei ka beisei!

` Urethra, fetus, udder, bladder, urethra la awm, nausen hriselna, zun kawng infection te