Kan taksa, a bik takin a chhunga thil awmte hi kan hre tam lo vek a ni lawm ni? Mahse thil engemaw, tê tê pawh ni se, kan taksa tana pawimawh tak tak a awm a. Vawiin hian i pum chhunga thisen kalna kawng pawimawh tak, a nih loh leh i pum chhunga thisen kalna kawng pawimawh tak chungchang kan sawi dawn a ni. Hei hi `(Inferior Epigastric Artery)` kan ti a. He hming hi i la hre ngai lo mai thei, mahse a rawngbawlna hi i tan a hlu hle.
Chuti a nih chuan, hei hi eng nge ni `(Inferior Epigastric Artery)`?
A awlsam zawngin sawi ila, he `(Inferior Epigastric Artery)` hi i pum chhunga
thisen kalna kawng , chu chu i pum chhunga thisen kalna kawng a ni. Tui pipe ang mai a ni a, mahse
thisen thianghlim, oxygen awmna a keng tel a ni . Hei hi i pum chhunga epigastric artery lian pathum zinga pakhat a ni. "Epigastric" tih hian i pum lai takah a awm tihna a ni. Artery dang pahnih chu `(Superior Epigastric Artery)` (hei hi a chung lamah a awm) leh `(Superior Epigastric Artery)` (hei hi vun hnaih deuh deuh a ni) te an ni. Ngaihtuah teh, i pum chhungah ruh i nei a, chu chu "abs" kan ti bawk a, chuvangin he artery hi thisen supply nan a pawimawh hle. A bik takin he `(Inferior Epigastric Artery)` leh `(Superior Epigastric Artery)` hi i pum bulah an inzawm khawm niin a lang. He `(Inferior Epigastric Artery)` hi a hnah te te zawkah a inzar pharh a. Heng branch te hian i pum chhunga thau te, i vun te, leh i pelvic area (i pum hnuai lam, i groin bula awm) tissue te hnenah thisen an pe chhuak thin. Chumi awmzia chu heng vein te te hian i taksa pum puia thisen a kal zel theih nan hmun pawimawh tak an chang tihna a ni.
Chuti a nih chuan, he `(Inferior Epigastric Artery)` hi eng nge thleng tak tak?
Artery dang ang bawkin Inferior Epigastric Artery hnathawh ber chu
oxygen tamna thisen i taksa peng dangah a phurh chhuah hi a ni. I pum leh i pelvis-a thisen kalna kawng lian tak network-a tel a ni. He network hian i taksa peng lai takah thisen a pe chhuak thin. I taksa ruh leh tissue dangte hian hna thawk turin he thisen atanga oxygen leh nutrients te hi an mamawh a ni. Ngaihtuah teh, i nuih emaw, i kal emaw, i rit i chawi emaw hian i pum ruh hi heng zawng zawng atan hian a hmang vek a ni lawm ni? He artery atanga thisen lo chhuak hi chakna pe turin a pawimawh hle.
He `(Inferior Epigastric Artery)` hi khawiah nge a awm? Khawi atanga tan nge a nih?
Inferior Epigastric Artery hi i
groin area atang hian a intan thin . Chunglam leh i hnute lam hawiin a curve a. I External Iliac Artery atang hian a branch off thin. He branch hi i Inguinal Ligament chung leh hnung lamah a awm a. Inguinal Ligament hi i groin area-a band ang chi ligament a ni a, i oblique abdominal
muscles te chu i pelvis nen a thlunzawm a ni. Strict takin sawi ila, i taksa chhungah a awm a, chuvangin pawn lam atanga hmuh theih a ni lo.
Kan taksaah `(Inferior Epigastric Artery)` pahnih kan nei em?
Ni e, chu pawh chu hriat a tha. I taksaah
A sir lehlamah Inferior Epigastric Artery pakhat a awm a, chu chu veilam leh dinglamah a awm a ni. Veilam a mi chu veilam External Iliac Artery atanga tan a ni a, dinglam a mi chu dinglam External Iliac Artery atanga tan a ni. He vein hi engtiang chiahin nge a lian?
He `(Inferior Epigastric Artery)` sei zawng hi mi hrang hrangah a inang lo thei hle . Chu mai ni lovin, i taksa sir khata mi pawh hi a sir lehlamah a sei zawk thei bawk. A tlangpuiin a sei zawng chu centimetre 3.5 atanga centimetre 7 vel a ni thei . 3.5 centimetres hi i kutpui ruh hmasa ber sei zawng vel a ni. Chuvangin, hei hi thisen kalna kawng lian tak angin lang lo mah se, taksa tana rawngbawlna a pek hi a ropui hle. Eng hmun nge `(Inferior Epigastric Artery)` hian thisen a supply?
He artery hian thisen a supply ber a:- I pum chhunga thau (abdominal muscles) te hnenah .
- Pum chhunga vun thlengin .
- Mipa reproductive system hmun thenkhatah thisen a pe bawk .
`(Inferior Epigastric Artery)` branch hrang hrangte chu engte nge ni?
He main artery (Inferior Epigastric Artery) hian branch tenau zawk tam tak a chhuah chhuak thin. An vai hian hmun bikteah thisen an pe chhuak vek a ni. Chu branch lian ber berte chu eng nge ni tih i en ang u:- Anastomotic branches: "Anastomotic" tih hian inzawmkhawm tihna a ni. Heng branch te hian rilru chhunga thisen kalna kawng dang (intercostal arteries) te chu ruh inkar ah an inzawm khawm a, thisen kal dan tur a pui thin. Kawngpui pahnih inzawmkhawmin kawngpui lian zawk siam ang bawkin heng thisen kalna kawngte hian hna an thawk dun a ni.
- Cremasteric artery: Hei hi mipa tan chuan branch pawimawh tak a ni. Mipa testicles vel cremaster muscle leh a kaihhnawih tissue te hnenah thisen a pe thin.
- `Cutaneous branches`: "Cutaneous" tih hian vun nena inzawm tihna a ni. Heng branch te hian pum hmalam vun ah thisen an pe chhuak thin.
- `Muscular branches`: A hming ang ngeiin heng branch te hi taksa peng hrang hranga kal te an ni. Heng branch te hian pum chhunga taksa peng hrang hrang (`(Abdominal muscles)`) ah thisen an pe a, chu chu i "abs" tihna a ni. Chu mai ni lovin, kan pum chhunga taksa peng hrang hrangte vel hian venhimna hnah te tak te a awm a, chu chu `(Peritoneum)` an ti a. Heng branch te hian chu `(Peritoneum)` chhungril layer ah thisen an pe bawk.
- `Pubic branch` (pelvic bone nena inzawm branch): He branch hi kan pelvic bone hmalam (`(Pubic Bone)`) hnung lamah a kal a, chutah chuan thisen kalna dang branch pakhat (`(Obturator Artery)` branch pakhat) nen a inzawm a ni.
He `(Inferior Epigastric Artery)` te tak te hian hmun engzat nge a rawng a bawl tih hi han en teh! `(Inferior Epigastric Artery)` tibuaitu natna emaw harsatna emaw chu engte nge ni?
A tlangpuiin mi hrisel takah chuan he artery hian harsatna awm lovin hna a thawk thin. Mahse, damdawi lam enkawlna thenkhat, operation ang chiah hian he `(Inferior Epigastric Artery)` hi a chhiat theihna chance tlemte a awm . Hei hi tumruhna a ni lo va, mahse harsatna awm thei a ni. Chutiang case thenkhat chu hetiang hi a ni:- Abdominal incisions te khar .
- Laparoscopic hmanga operation tih te . Hengte hi camera dahna hmanga incision tenau hmanga tih a ni.
- `Paracentesis` tih lai hian. Hei hi pum chhunga tui awm dan pangngai lo taka a khat a, chu tui chu syringe hmanga lakchhuah a nih chuan enkawlna a ni.
- `Peritoneal dialysis catheter` dah a nih chuan. Hei hi dialysis chi khat a ni a, mi thenkhat kal (kidney) a thawk tha lo tan chuan tih thin a ni. Catheter hi tube a ni a, chu chu pum chhungah dah a ni.
- Operation hnua drain tube dah a nih chuan (`Surgical drain insertion`).
Hetiang hunah hian artery a chhiat chuan thisen a chhuak thei . A tlem hle a, ``pseudoaneurysm'' an tih hi a awm thei. Hei hi thisen kalna kawng bang a hmun chak lo te tak te atanga thisen tlemte a chhuak a, thisen kalna kawng pawnah bulge te tak te a siam a, mahse tissue in a la hual vel a ni. ``Aneurysm'' dik tak a ni lo (vein wall-a bulge tihna a ni), mahse pakhat ang maia a lan avangin ``pseudoaneurysm'' an ti a ni. ``Pseudo'' tih awmzia chu ``fake'' tihna a ni. Mahse, lungngai suh! I doctor chuan heng harsatna te hi ven nan a tul angin hma a la ang. Entirnan, operation hmain ultrasound scan la, i taksa chhunga artery awm dan i en thei ang. Hei hi an chhungril lama inthlak danglamna tenau nei te, a hmaa operation an neih avanga hliam tuar te, emaw, harsatna awm thei lo tura thau lutuk te tan a pawimawh hle .
Kan `(Inferior Epigastric Artery)` hi engtin nge kan hrisel theih ang? (Hei hi a takah chuan kan taksa pum puia thisen kalna kawngte tan a tha!)
He `(Inferior Epigastric Artery)` chauh ni lovin, i taksa chhunga thisen kalna zawng zawng hrisel taka awm reng tur chuan thinlung hrisel nunphung zawm a tha ber . Chumi hnuah chauh chuan oxygen tamna thisen chu i taksa pum puiah a kal kual ang a, i taksa peng leh ruhte chu a tha berin a thawk thei ang. Chuti a nih chuan, heng thinlung hrisel tak takte hi engte nge ni?- Meizial zu leh zuk leh hmuam chi hrang hrang hman hi bansan vek rawh. Hei hi a hmasa ber leh pawimawh ber a ni.
- Thinlung hrisel ei tur ei rawh. Chu chu saturated fat, trans fat, sodium, leh sugar tena ei tur ei tihna a ni. I eitur ah hian thlai, thei, legumes, nut leh sangha te telh bawk ang che.
- Exercise neih fo thin ang che. Kar khatah minute 150 tal (chu chu ni khatah minute 30, kar khatah ni 5) moderate-intensity exercise neih tum ang che. Kea kal te, cycle khalh te, tui chawi te hi duhthlan tur tha tak a ni.
- Nitin nunah stress control dan tur zawng rawh. Meditation, yoga, leh hobby-a inhmang ang chi thilte hian a ṭanpui thei a ni.
- Zan tin darkar 7 leh 9 inkar mut tha rawh.
- Lung natna vei theihna tur dinhmun i neih chuan, thisen sang , cholesterol sang , a nih loh leh zunthlum , te chu control tha rawh.
- Doctor-in damdawi a pek a awm chuan a hun takah leh a pek zat angin ei thin ang che.
- Kum tin doctor hnenah checkup neihpui thin ang che. Tin, follow-up tur i kal a ngai a nih chuan lo thlir ve suh.
Heng thilte hi i tih hian i `(Inferior Epigastric Artery)` chauh ni lovin, i taksa pum puia thisen kalna kawng dang zawng zawng chu a hlim vek ang! A tawp berah chuan thil hriat reng tur (Take-Home Message) .
I `(Inferior Epigastric Artery)` hi i taksa circulatory system-a thil pawimawh dang a ni. Kan hriat lohvin second tin hian kan thisen kalna kawngte hian taksa mamawh oxygen leh nutrients pe turin nasa takin hna an thawk a. Chuvangin, chu thisen kalna kawngte chu hna thawk tha tura tanpui tur chuan kan tih theih tha ber chu thinlung hrisel taka nun hi a ni. Hemi chungchang hi hriat belh i duh a nih chuan, emaw, i nunphung tihdanglamna tura tanpuina i mamawh a nih chuan, i doctor nen inbiakna neih hi zak suh. I mamawh thurawn a pe ang che.
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