Pum na, pum na leh symptom dangte kan hre vek. Chûngte chu a awm fo laiin, pum chhûnga pressure a san lutuk a, taksa peng pawimawh tak takte a tichhe thei a, nunna atân pawh a hlauhawm thei tih i hre tawh em? Chu chu doctor-te chuan natna khirh tak ``Abdominal Compartment Syndrome'' an tih chu a ni.A hming hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin han sawi ila. Chûng thilte hriat chian hi nang leh i hmangaihte tân a pawimawh hle thei a ni.
Abdominal Compartment Syndrome hi eng nge ni?
A awlsam zawngin sawi ila, ``Abdominal Compartment Syndrome`` hi damdawi lam emergency a ni . Kan pum chhunga pressure, a nih loh leh kan pum chhunga pressure in a chelh theih zat aia tam a nih chuan a thleng thin. Balloon-ah boruak tam lutuk kan vawrh luh chuan eng nge thleng ang tih han ngaihtuah teh? Chutiang bawkin, pum chhunga pressure a san chuan, a hring emaw, thisen chhuah emaw, thil dang emaw avanga kan taksa peng pawimawh tak tak, kan intestines, liver, leh kidney te chu a squeeze tan thin.
A tlangpuiin mi hrisel pum chhunga pressure chu mercury (mmHg) millimeter 0 leh 5 inkar a ni. Mahse, intensive care unit-a damlo na tak takte tan chuan he value hi 5 leh 7 mmHg inkar a ni thei. He pressure hi a san chuan harsatna a lo awm tan thin:
- Intra-abdominal hypertension (IAH): Hetah hian pressure chu 12 leh 20 mmHg inkar a ni.
- Abdominal Compartment Syndrome (ACS): Hetah hian natna hlauhawm tak a lo awm ta a ni. Pressure chu 20 mmHg aia tam a ni.
He pressure sang hian pum chhunga taksa peng leh thau te hian thisen tling tawk an dawng thei lo. Chutih rual chuan oxygen supply pawh a tlahniam bawk. Hei hian taksa peng pakhat hnu pakhat a hlawhchham (multi-organ failure) a thlen thin. Hei hi hriatchhuah a, a hun taka enkawl a nih loh chuan damlo chu a thi thei a ni. Chuvangin, hei hi hriat chian leh enkawl vat ngai dinhmun a ni .
Hetiang dinhmun hi a awm fo em?
Ni lo, `(Abdominal Compartment Syndrome)` hi a takah chuan natna hmuh tur awm lo tak a ni . Damdawi inah a nghawng tam ber a, a bik takin intensive care unit `(ICU),`-ah te, damdawi lam harsatna na tak nei tawhte a nghawng nasa hle. Nun pangngai, hrisel tak hmangtu tan chuan a neih a rinawm loh hle.
Eng thilin nge Abdominal Compartment Syndrome hi a thlen?
Intra-abdominal pressure hlauhawm taka a san theih chhan hi chhan hrang hrang a awm. A bulpui ber chu thisen chhuah emaw, pum chhunga hring lutuk emaw a ni. Heng condition te hi eng nge ni tih hi han thlir ila:
- I pum chhunga operation zau tak: A chang chuan operation lian tak hnuah pum chhungah a hring thei.
- I pum chhunga natna hrik awm:Infection na tak chuan thisen sang a thlen thei bawk.
- Intestinal obstruction: Khawi emaw laiah intestines a block a nih chuan pressure a tisang thei bawk.
- IV tui tam tak (fluid resuscitation): Surgery thenkhatah emaw, sepsis ang chi natna khirh tak tak a awm chuan taksaah tui pawimawh tam tak pek a ngai a ni. Hei hian a chang chuan pum chhungah pressure a tisang thei.
- Kangmei lian: Hetiang dinhmun hi taksa hmun zau tak kang a nih chuan taksain a chhân lêtna vang pawh a ni thei.
- Thisen tam tak pek: Hetiang hlauhawmna hi vawi khata thisen tam tak pek a nih pawhin a awm thei.
- Pancreatitis: Hei hi pum chhunga pressure sang chhan dang a ni.
- Rupture of an abdominal aortic aneurysm: Aorta hi kan thinlung atanga thisen chhuak chu rilru atanga pum chhunga thisen kalna kawng lian ber a ni. He pum chhunga thisen kalna hmun thenkhatah hian bulge (aneurysm) a lo awm a, a rupture chuan thisen chhuahna nasa tak a thlen thei a, pum chhungah pressure a tisang thei bawk.
- I pum a trauma: I pum a chhiatna nasa tak a awm a, car accident emaw, tlu emaw a nih chuan he natna hi a thleng thei a ni.
`(Abdominal Compartment Syndrome)` natna lan chhuah dan chu engte nge ni?
Hetah hian hlauhawmna a awm. ``Abdominal Compartment Syndrome'' symptoms hi a tlai deuh fo thin , chhiatna engemaw zat a awm hnuah. Chuvangin doctor leh nursing staff te chuan he natna vei hlauhawm tak takte hi uluk takin an enfiah thin a ni.
Heng mizia hriat theih thenkhat chu hetiang hi a ni:
- Abdominal distension: Pum chu a hring leh a khauh ang maiin a awm thei .
- Pum natna: Damlo chuan a pum chhungah natna nasa tak a nei thei.
- Thâwk harsa: Pum chhunga pressure a san chuan rilru pawh a nghawng thei a, thawk harsa a ti hle.
- Thisen sang hniam (hypotension): Thisen sang hniam pawh hi a chhinchhiahna a ni.
- Zun chhuah tlem (oliguria): Kal (kidney) a nghawng avangin zun chhuah zat a tlahniam nasa thei hle.
Engtin nge doctor-te hian hei hi an nemnghet?
``Abdominal Compartment Syndrome`` vei chuan hetiang chi natna hi a nei thei a:
- Thisen sang hniam.
- Zun chhuah tlem.
- Ventilator nena inzawm i nih chuan a pressure value a sang thei.
Mahse, heng symptoms chauh hi ACS hriat theihna atan hman theih a ni lo. He natna hi chiang taka hriat theihna awmchhun chu intra-abdominal pressure teh hi a ni.Doctor chuan ACS i nei tih chu he pressure hi 20 mmHg aia tam a nih a, organ failure chhinchhiahna a awm chauhvin a sawi chhuak ang.
Tuna intra-abdominal pressure tehna atana hman ber chu bladder pressure tehna a ni . A awlsam zawngin sawi ila, hetiang hian tih a ni:
1. A hmasa berin bladder chhungah tube te tak te, flexible tak (catheter) dah a ni. Hei hi urethra hmanga tih a ni.
2. Chumi hnuah he tube (catheter) hi bladder chhungah a lut leh thin.
3. Tunah chuan he tube-ah hian bag pakhat tui awmna chu an inzawm khawm ta a ni.
4. Syringe hmangin a tui tlem te chu bladder-ah kan inject a.
5. A tawp berah chuan chu pressure chu teh a ni.
He test hi medical team te chuan a hun hunah an ti nawn leh thin a, a dinhmun a tha lehzual em tih an enfiah thin.
Chu bâkah, i doctor chuan i taksa pengte a thawk ṭha em tih hriat nân test dang ṭhenkhat pawh a ti thei bawk. Entir nan:
- Thisen test: Hengte hian taksaa chemical leh gas chi hrang hrang awm zat a teh thei a ni. Entirnan, creatinine clearance test hian i kal (kidney) hnathawh that dan tur ngaihtuahna a pe thei a ni.
- Imaging test: Hengte hian i pum chhung lam thlalak a la thei. Entirnan, CT scan emaw, pum ultrasound emaw tih theih a ni.
- Oxygen saturation tehna: Hei hian i kut zungtang-ah clip awlsam tak ang chi thil dahin i taksain oxygen a dawng tlem em tih enfiah a ngai a ni.
Abdominal Compartment Syndrome hi engtin nge enkawl a nih?
Hetiang natna enkawlna tha ber chu surgical decompression a ni. Surgeon chuan thil danglam tak, decompressive laparotomy an tih chu a ti a. Hei hian vun leh pum bang kal tlanga incision siam te, pum chhung kawngkhar hawn te, a chhunga pressure tam lutuk tihziaawm te a huam a ni .
Operation hnu darkar tlemte chhungin pum chhunga pressure chu a tlahniam tan ang. Mahse, pressure chu a pangngaia a lo kir leh theih nan ni engemaw zat a la ngai thei. Chumi hma chuan surgery hliam chu a khar kim lo mai thei. Damlo thenkhat chuan he pressure tihziaawmna surgery hi an neih leh a ngai mai thei.
Hetiang dinhmun hi a veng thei lo em ni?
`(Abdominal Compartment Syndrome - ACS)` stage-a a kal tak tak hmain, chu chu intra-abdominal hypertension (IAH) a awm chuan, operation tel lovin i dinhmun chu enkawl i tum thei ang. Heng non-surgical treatment te hian `(IAH)` chu `(ACS)`-a a kal zel loh nan a pui thei a ni. Chutiang enkawlnaah chuan:
- Taksa dinhmun thlak danglam: Damlo chu pressure tihziaawmna tur leh an hlim theihna tur hmuna dah.
- Diuretics: Heng damdawi te hian taksa atanga tui tam lutuk paih chhuah nan a pui thin.
- Tube hmanga pum atanga tui lakchhuah.
- Intestines empty: Hei hian pum chhunga pressure a tihziaawm bakah hmun tam zawk a siam thei bawk.
- Painkiller pek a ni.
- Taksa hnena tui pek zat tihtlem.
``Abdominal Compartment Syndrome'' vei damlote dam lehna rate hi engtin nge a awm?
Hei hi thil pawimawh tak a ni. ``Abdominal Compartment Syndrome'' hi enkawl tha a nih loh chuan thihna thlen thei a ni. A chhan chu, pum chhunga pressure a san zel chuan, pakhat hnu pakhatin taksa peng hrang hrangte chu an thawk tha lo tan thin. Tin, diagnosis leh treatment tihkhawtlai a nih chuan dam theihna chance pawh a tlahniam bawk.
Mahse, natna hi hriat hmasak a nih a, enkawl tan thuai a nih chuan Abdominal Compartment Syndrome atanga dam chhuak vek theih a ni.
Mahse, ACS a reh theihna tura a bulpui damdawi lam dinhmun chu kar tam tak, thla tam tak pawh a la ngai thei. Chutih lai chuan damlo chuan:
- Dialysis hmanga kal hna thawk turin.
- Damdawi inah hun rei tak chhung inpatient enkawl.
- Fluid khap emaw, diuretics emaw.
- Lung hnathawh dan enfiah reng.
- Thâwk lakna atana puitu tur artificial respiration machine (mechanical ventilation) a ni.
Abdominal Compartment Syndrome hi medical emergency a ni a, natna khirh tak takah a awm thei a ni. Pum chhunga hliam leh pressure hlauhawm tak a thlen theihna dinhmun a ni. Harsatna lian tham leh thihna laka inven nan rang taka hriatchhuah leh enkawl a pawimawh hle.
Thil pawimawh tak tak hriat reng tur (Take-Home Message) .
Okay, chuti a nih chuan tunah chuan kan sawi thin kha, Abdominal Compartment Syndrome tih hi i hre chiang zawk tawh ang. Hei hi natna khirh tak ni mahse, hriat reng a pawimawh.
- Acute intra-abdominal pressure (ACS) hi emergency condition a ni a, intra-abdominal pressure sang lutuk vang a ni. Hei hian taksa peng hrang hrang a tichhe thei a ni.
- Although this is rare , intensive care unit-a damlote zingah a thleng thei.
- A natna lan chhuah dan hriat hmasak te, thisen sang tehna te, natna hriat chian te, enkawl nghal vat te hi nunna chhanhimtu a ni. Enkawlna ber chu surgical decompression a ni.
- (IAH) , chu chu pressure sang deuh mahse ``(ACS)`` angin a na lo tihna a ni a, operation tel lovin enkawl theih a ni.
- Dam lehna chu enkawl tan danah a innghat a ni.
He thu hi i tan a \angkai ngei kan beisei. I hriat mi pakhat chu intensive care unit-ah a awm a nih chuan, he hriatna hian doctor-te’n heng natna chungchang an sawi hian hriatthiamna a pe ang che. Doctor thupek zawm fo la, zawhna i neih chuan doctor zawt rawh.
`Abdominal compartment syndrome, pum chhunga pressure, intra-abdominal hypertension, surgery, intensive care unit, organ failure, medical emergency te a awm bawk
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