I pum chhunga zai a ngai tawh em? A nih loh leh i hriat mi pakhatin a tih a ngai tawh em? Chutiang operation hnuah chuan pum na leh lungawi lohna engemaw zat neih chu thil pangngai a ni. Mahse, heng surgery te hian kan pum chhungah taksa peng hrang hrang a inzawm khawm thei tih i ngaihtuah ngai em? Vawiin hian heng ‘abdominal adhesions’ te hi kan sawi dawn a, mi tam takin an hriat loh, mahse operation hnua a awm fo thin.
A awlsam zawngin, heng abdominal adhesions te hi engte nge ni?
I khup i hliam a, i vun chu a lo hring chhuak a, chu hliam chu a dam chhoh zel chuan a chungah hliam a lo awm ta a nih chuan han ngaihtuah teh, a dik em? Chutiang bawk chu kan taksa chhungah, a bik takin kan pum chhunga taksa peng hrang hrang inkarah a thleng thin. Abdominal adhesions hi kan pum chhunga taksa peng hrang hrang inkar emaw, taksa peng leh pum chhunga bang inkar emawa lo awm, scar tissue band a ni. A dik tak chuan, taksa peng hrang hrang inzawmkhawmtu gum ang an ni.
A tlangpuiin mi hrisel pum chhunga taksa peng hrang hrang (intestines, liver, leh uterus ang chi) te hian a chung lam chu a hnim hring deuh a, chu chuan zalen takin a che thei a ni. Mahse heng adhesions te hi a lo awm chuan chu zalenna chu a bo ta a ni. Organ te hi an inzawm khawm thei a, an inzawm khawm thei bawk.
Kan pum chhunga taksa peng lian ber berte chu:
- Digestive system (ril, ril, ril, ril) 1.1.
- Hmeichhe nau neihna peng (uterus, ovaries) .
- Kidney a ni
- Thin
- Pancreas a ni
- Spleen (Spleen) a ni
Heng adhesions te hi small intestine hmun thenkhat inkarah a awm fo thin a, mahse heng organ pahnih zinga eng pawh inkarah hian a awm thei thung.
Engvangin nge heng adhesions te hi a lo awm? A chhan ber chu eng nge ni?
Hei hi a chhan ber chu pum chhunga surgery a ni . Dik tak chuan, pum surgery nei mi 100 zinga 90 chuang chuan heng adhesions te hi an nei thin. Ngaihtuah teh, operation kan tih lai hian doctor-te hian kan taksa peng hrang hrangte hi an khawih a, an sawn a ngai a ni. Hetianga taksa peng hrang hrangte tihdanglam hian chhiatna leh hliam tlemte a thlen a ni. Kan taksa natural healing process chhung hian heng hliam te hi a dam chhoh zel chuan scar tissue a lo awm thin. Chu scar tissue chu heng adhesions ang hian a la awm reng a ni.
A awlsam zawngin, abdominal adhesions hi taksa chhunga hliam awm, taksa chhunga hliam (internal scars) a ni. Taksa natural healing process-a tel an ni.
Surgery hi a chhan ber ni mahse, heng adhesions te hi pum chhunga infection emaw inflammation emaw a awm chuan a awm thei bawk. Entir nan:
- Pelvic natna (Pelvic infection) a awm thei
- Appendicitis leh a rupture te
- Intestinal natna chi hrang hrang Crohn natna ang chi te
- Endometriosis natna a awm
- Pelvic inflammatory natna (PID) a awm thei lo.
- Cancer natna vei tan chuan pum chhungah radiation therapy hmanga enkawl a ni
Heng adhesions te hian eng symptom nge a thlen theih?
Thu lawmawm tak chu a tam zawkah chuan heng adhesions te hian symptoms a siam lo . I pum chhungah adhesions i nei a nih pawhin engmah hre lovin nun pangngai takin i hmang thei a ni.
Mahse a chang chuan, heng adhesions te hian harsatna a thlen thei. Tui pipe chu a kinked a, tui luang tur a titawp thei ang bawkin, heng adhesions te hian intestine te chu a kinked, twisted, blocked a siam thei a ni. Hei hi ‘Small Bowel Obstruction’ kan ti a ni. Hei hi operation hnu rei vak lovah a thleng thei a, kum tam tak hnuah pawh a thleng thei bawk.
Bowel obstruction hi natna khirh tak a ni a , emergency medical treatment a ngai a ni . Chaw, tui, boruak leh bawlhhlawh te chu intestine kal tlanga kal lo turin a veng a ni. Chutiang a nih chuan heng symptoms te hi i nei thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Pum natna nasa tak | Natna na tak, throbbing tak, a hnu pakhata lo thleng. |
| Bloating leh swelling a awm | I pum chu a tight a, lungpui ang maia puar ang maia inhriatna. |
| Nausea leh luak chhuak | Ei leh in mai ni lovin, a chang chuan green emaw brown bile emaw a chhuak thin. |
| Flatulence leh stool awm lohna | Hei hi feature pawimawh tak a ni. Intestines a block chuan boruak leh stool pawh a chhuak thei lo. |
A pawimawh ber: Heng intestinal obstruction symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh. Hei hi in lama enkawl theih a ni lo. Enkawl loh chuan nunna atana hlauhawm tak a ni thei.
Adhesions avanga harsatna dang eng nge lo awm theih?
Intestinal obstruction hi harsatna lian ber leh hlauhawm ber a ni. Chumi piah lamah harsatna dang eng emaw zat a awm thei bawk.
- Chronic Pain: Mi thenkhat chuan hun rei tak chhung chu pum emaw, pelvic area-ah emaw natna an nei thei. Hei hi a chhan chu adhesions hian organs te chu zalen taka an kal theih loh vang a ni. Hei hian taksa peng hrang hrangah pressure leh compression a thlen thei a ni.
- Infertility: Adhesions, a bik takin hmeichhiaah hian fa neih a harsat phah thei a ni. Heng adhesions te hian egg leh sperm inhmuhkhawmna a veng thei a, a nih loh leh fertilized egg chu uterus-a implant loh nan a veng thei bawk. He natna hi nausen pum chhunga awm hi Asherman’s syndrome an ti bawk.
Engtin nge doctor hian heng adhesions te hi a hriat theih?
Hei hi thil buaithlak deuh a ni a, a chhan chu heng adhesions an tih scar tissue te hi scan pangngai, chu chu X-ray emaw CT scan emaw hmangin direct-in hmuh theih a ni lo.
Mahse, doctor chuan i natna lan chhuah dan ( pum na, luak chhuak ang chi) leh i damdawi lam chanchin (a hmaa pum surgery i neih tawh leh neih loh) te zawtin hei hi a ringhlel thei a ni.
Scan-ah hian adhesions a lang lo a nih pawhin, chu adhesions avanga intestine-a blockage awm reng reng chu chiang takin a lang thei a ni. CT scan hmangin blockage nasat dan pawh a hriat theih bawk.
Mi pakhatin abdominal adhesions a nei tak tak em tih 100% a hriat theihna awmchhun chu a pum chhung en turin operation tih hi a ni. Hei hi laparoscopy an tih hmanga finfiah a ni tlangpui.
Hei hi eng enkawlna nge ni? Surgery neih a ngai em?
Hetah hian a pawimawh ber. Surgery hi pum chhunga adhesion awm chhan ber a ni. Tin, heng adhesions te hi paih chhuah theihna tur enkawlna awmchhun chu surgery dang a ni.
Hemi chungchanga buaina hi i hrethiam em? Adhesions lakchhuahna tur surgery i neih hian chu surgery avang chuan adhesions thar a lo awm theihna chance a sang hle .
Hemi avang hian doctor-te chuan adhesions hi harsatna lian tak a thlen a nih loh chuan surgery neih an rawt lo tlangpui.
- Symptoms i neih loh chuan: Harsatna i neih loh chuan adhesions i neih pawhin enkawlna i mamawh lo mai thei.
- Intestinal obstruction: Hei hi emergency a ni a, intestine blocked chu chhuah zalen turin operation a ngai a ni.
- Nau pai theih lohna chhan pakhat chu:Adhesions avanga nau i pai thei lo a nih chuan adhesions te chu surgery tih theih a ni.
Chuvangin, thutlukna tha ber chu i doctor-in i dinhmun uluk taka a enfiah hnuah leh operation-a hlawkna awm thei leh a hlauhawmna (adhesion thar ang chi) a teh hnuah a siam a ni.
Heng adhesions te hi ven theih a ni lo em ni?
Vanduaithlak takin nangmah emaw i surgeon emaw pawhin heng adhesions te hi taksa tihdamna natural process a nih avangin a lo awm lo thei lo.
Mahse, a hlauhawmna tihtlem dan kawng engemaw zat a awm a:
- Laparoscopic Surgery: Open surgery/laparotomy nena khaikhin chuan keyhole surgery, incision tenau engemaw zat hmanga camera dahna hian taksa peng hrang hrangte a tichhe tlem zawk. Chuvangin, adhesions risk pawh a tlem deuh bawk.
- Special Barriers: Surgery thenkhatah chuan surgeon-te chuan taksa peng hrang hrang inkarah gel emaw membrane bik emaw an dah a, chu chu a hmin thin. Hei hian dam lai hian taksa peng hrang hrangte chu a inzawm khawm loh nan a veng a ni.
Mahse, heng hmanrua te pawh hian adhesions 100% in a veng thei lo.
Take-Home Thuchah a ni
- Abdominal adhesions hi pum chhunga surgery hnua awm thin a ni. Hengte hi taksa chhunga scar tissue lo awm thin te an ni.
- Mi tam tak chuan heng adhesions te hi nei mahse symptom leh harsatna an nei lo.
- Pum natna nasa tak, luak chhuak, puak, gas emaw, ek emaw pass theih lohna te hi intestinal obstruction symptoms a ni. Hengte hi a lo awm a nih chuan damdawi in emergency department (ETU) -ah kal nghal tur a ni.
- Surgery hi adhesions tihbo theihna awmchhun ni mahse, surgery ngei pawh hian adhesions thar a siam thei a ni. Chuvangin doctor-te chuan a tul tak tak a nih loh chuan zai hi an rawt lo.
- Pum natna emaw, rinhlelhna emaw i neih chuan i doctor nen zalen takin sawipui rawh.
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