I pum zai hnuah, kum tam tak hnuah pawh i pum na emaw, i khat emaw i nei tawh em? A châng chuan a chhan chu i ngaih dân a ni lo mai thei. Vawiin hian mi tam takin an hriat loh, mahse operation hnua lo awm fo thin ‘adhesions’ an tih condition kan sawi dawn a ni.
Heng abdominal adhesions te hi engte nge ni?
A awlsam zawngin, hengte hi i pum chhunga taksa peng hrang hrang inkara scar tissue band lo awmte an ni. Kan vun hliam a lo awm ang bawkin hei hi scar tissue a ni a, chu chu hliam chu pum chhungah a dam chho zel a, a bik takin operation hnuah a lo awm thin. Heng adhesions te hian pum chhunga taksa peng hrang hrangte chu a inzawm khawm thei a ni.
Heng adhesions te hi i small intestine loop inkar ah a lo awm fo thin. I pum chhunga taksa peng dang leh pum chhunga bang inkarah pawh an lo awm thei bawk.
Kan pum chhunga taksa peng hrang hrangte kan sawi hian hetiang hi i ngaihtuah thin:
- Digestive system (ril, chhungril) 1.1.
- Hmeichhe reproductive system-a taksa peng hrang hrangte
- Kidney a ni
- Thin
- Pancreas a ni
- Spleen tih hi a ni
Heng taksa peng hrang hrang inkarah hian adhesion a awm thei. Surgery neih laiin taksa peng hrang hrang (organs) tihdanglam vang pawh a ni thei. Dik tak chuan hei hi taksa damna kawnga thil awm dan pangngai a ni.
Heng adhesions te hi engtiang chiahin nge an awm?
Heng adhesions te hi pum surgery avanga side effect awm tam ber a ni. Dik tak chuan, pum chhunga zai tawh tam zawk chuan heng adhesions te hi an nei thin. Mahse chanchin lawmawm tak chu mi tam zawk hian symptom an nei lo va, enkawl ngai an awm lo.
Mahse hriat reng tur pawimawh ber chu heng adhesions te hi small bowel obstruction thlentu ber an ni. Small bowel obstruction hi natna khirh tak a ni a, emergency medical treatment a ngai a ni.
Adhesions a awm chuan eng symptoms nge a awm?
A tam zawkah chuan adhesions hian symptoms a nei lo. Mahse, a châng chuan, heng adhesions te hian kan intestine te chu tui pipe ang maiin a ti twist a, a block thei bawk. Hei hi operation hnu rei vak loah emaw, kum tam tak hnuah emaw a thleng thei a ni. Chutianga intestines a block chuan ei tur, tui, boruak leh bawlhhlawh te chu a kal tlang thei lo.
Tichuan hetiang symptoms hi i nei thei ang:
| Symptom a ni | Hrilhfiahna |
|---|---|
| Pum natna nasa tak | Hrehawm tak, tuar theih loh khawpa natna. |
| Pum a na hle | Ka pum chu an hrual chhuak ang maiin a na. |
| Bloating (bloating) a awm | Pum chu a hring nasa hle a, a tight hle bawk. |
| Nausea leh luak chhuak | Nausen leh luak chhuak fo thin. |
| Gas leh stool passing a awm lo | Thli pass thei lo emaw, bawlhhlawh paih thei lo emaw. Hei hi constipation an ti bawk. |
Heng symptoms te hi i neih chuan hun khawhral lo la, damdawi in hnai ber Emergency Department (ETU) pan nghal rawh. Hei hi nunna atana hlauhawm thei emergency a ni.
Engvangin nge heng adhesions te hi a lo awm? A chhante chu engte nge ni?
Pum chhunga tissue te a chhiat chuan kan taksa hian a tidam tan thin. He damna kawngah hian he scar tissue, a nih loh leh adhesions hi a lo awm ta a ni.
Adhesions awm chhan ber chu abdominal surgery a ni. Adhesion hmuhchhuah zawng zawng zinga 75% chu surgery a ni. Chu bâkah, pum chhûnga natna thlentu hliam emaw, natna emaw, enkawlna eng pawh avânga lo awm thei an ni bawk.
A chhan dang thenkhat chu:
- Pum emaw, pelvis emaw a natna hrik awm.
- Appendicitis natna a ni.
- Crohn natna a ni.
- Endometriosis natna a ni.
- Pelvic inflammatory natna (PID) a awm thei.
- Cancer natna vei tan chuan pum chhunga radiation therapy hmanga enkawl a ni.
- Peritoneal dialysis hi kal (kidney failure) tan a ni.
Tute nge hengte hi vei theihna hlauhawm zawk?
Risk lian ber chu pum chhunga zai tawhte tan a ni a, a bik takin:
- Open surgery (Laparotomy): Hei hi pum chhunga incision lian tak pakhat hmanga surgery tih a ni. Hetiang surgery nei zinga 90% aia tam chuan adhesion an nei thin.
- Laparoscopic hmanga enkawlna: 1.1.Hei hian incision tenau engemaw zat siam a huam avangin adhesion awm theihna chu a hniam deuh hlek a ni.
- Digestive system hnuai lam (colon, rectum)-ah surgery an ti thin.
- I pum surgery vawi tam tak i neih tawh chuan.
- Emergency surgery tih a ni.
Adhesions vang hian eng complication nge awm thei?
A tam zawkah chuan adhesions hian harsatna a thlen lo a, mahse a thlen chuan a pawi thei hle.
- Small bowel obstruction: Scar tissue hian intestine a ti twist a, a block thei bawk. Enkawl nghal a nih loh chuan natna khirh tak, peritonitis an tih chu a lo awm thei a, chu chuan nunna a tichhe thei a ni.
- Chronic pain: Adhesions hian taksa peng hrang hrangte chu zalen taka a kal theih loh nan a veng a, chu chuan pum emaw, pelvic cavity emaw-ah natna rei tak a thlen thei a ni.
- Infertility: Adhesions hian egg leh sperm inhmuhkhawmna a veng thei. Uterus chhungah adhesions a lo awm chuan fertilized egg (embryo) chu uterus chhungah a implant thei lo. Heng adhesions te hi nausen pum chhunga lo awm te hi Asherman’s syndrome an ti bawk.
Engtin nge doctor hian hei hi a hmuh theih?
I doctor chuan i symptoms leh medical history te a zawt ang che. I doctor chuan adhesions a ringhlel thei a, a bik takin i pum na leh a hmaa i pum surgery i neih tawh chuan.
A pawimawh ber chu heng adhesions te hi X-ray emaw CT scan emaw ah direct in hmuh theih a ni lo. Mahse, heng adhesions te hian intestinal obstruction a thlen a nih chuan heng scan atang hian a hriat theih a ni.
- X-ray leh CT scan: Hengte hian small intestine-ah blockage a awm tih a lang thei. CT scan hian blockage nasat dan a hriat theih nan a pui thei a ni.
- Hysterosalpingogram (HSG): He test hi uterus emaw fallopian tube-a blockage awm leh awm loh enfiah nan tih a ni.
A tawpah chuan adhesions i nei em tih 100% certainty hriat theihna awmchhun chu surgery neih hi a ni.
Hei hi enkawl ka ngai em?
Adhesion tam tak hi asymptomatic a ni a, enkawl ngai a ni lo.
Tin, thil dang a awm bawk. Adhesions te paih chhuah nan surgery dang i neih chuan adhesions thar a siam thei a ni. Hei hi thutlukna nalh tak a ni. Surgeon chuan tissue nghet tak chu a cut thei a, a then thei bawk. Mahse vawikhat surgery an tih zawh chuan tissue chu a inzawm leh tawh lohna tur a awm tawh lo.
Chuvangin, i doctor chuan damdawi lama harsatna lian tak, ril inkharkhip ang chi a awm chuan operation chauh a rawt ang. Tin, adhesions hian fa neih a ti harsa a nih chuan adhesions te chu lakchhuah nan operation tih a ni ang.
Heng attachment te hi a bo ngai dawn em ni? pumpelh theih loh a ni em?
Adhesion thenkhat chu hun kal zelah anmahni chauhin an dam thei. Harsatna an siam a nih loh chuan Doctor ten an paih chhuak lo tlangpui.
Mahse, adhesion dang awm theihna tur awm mahse, a chang chuan operation tih a ngai thin. I doctor chuan i symptoms a zirin surgery that leh that loh a hrilhfiah ang che.
Adhesions venna tur hian nangmah emaw i surgeon emaw hian engmah tih theih a awm lo tak zet a ni. Mahse, laparoscopic surgery hian a incision te a te zawk avangin adhesions risk a nei tlem zawk. Chuvangin tunah chuan surgeon tam tak chuan open surgery aiin laparoscopic surgery an thlang ta zawk a ni.
Take-Home Thuchah a ni
- Abdominal adhesions hi a tam hle a, pum surgery hnuah pawh a normal hle. Mi tam zawk tan chuan harsatna an thlen lo.
- Mahse, pum na nasa tak, luak chhuak, pum na, gas emaw, ek emaw pass harsa tih ang chi symptoms i neih chuan bowel obstruction a ni thei. Hei hi emergency a nih avangin damdawi in Emergency Department (ETU) ah i kal nghal tur a ni.
- Adhesions lakchhuahna tur surgery pawh hian adhesions thar a siam thei bawk. Chuvangin, surgery neih a tul leh tul loh chu doctor nen sawiho a, thutlukna siam tur a ni.
- Laparoscopic surgery hian open surgery (laparotomy) aiin adhesions awm theihna a ti tlem thei hle.
- Pum zai hnua sawifiah theih loha natna i neih chuan i doctor nen sawiho ang che.
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