I pum natna nasa tak pawh i nei nghal em? (Acute Abdomen) a ni.

I pum na, tuar theih loh khawpa natna i nei tawh em? A châng chuan, i pum a na nghal thei bawk. Doctor-te chuan he natna hi "acute abdomen" an ti. A châng chuan, a nasat lutuk a, emergency surgery a ngai thei bawk. Chuvangin hei hi hriat chian a pawimawh.

Acute Abdominal Pain hi eng nge ni tak tak?

A awlsam zawngin sawi ila, acute abdominal pain hi rang tak, na tak tak, abdominal pain a ni. Hei hi a chang chuan nunna atana hlauhawm emergency a ni thei. Hei hian operation tih nghal a ngai mai thei tihna a ni. Mahse, acute abdominal pain zawng zawng hian operation a ngai lo. Damdawi lam thil thenkhatah pawh hetiang natna hi a awm thei bawk.

Doctor-te chuan "acute abdomen" tih thumal hi hetiang chiah hian, rang taka pum na tak, na tak takte sawina atan hian an hmang a ni. Eng thil nge thleng tih hriat nghal a ngai tihna a ni a, a tul chuan enkawl tan a ngai tihna a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Dik tak chuan tu pawhin he pum na nghal mai hi an tawng thei a ni . Mahse, a chhan chu i kum a zirin a inang lo thei a, mipa emaw hmeichhia emaw i nih dan leh damdawi lam harsatna dang i neih theih dan azirin a inang lo thei.

Hetiang hian han ngaihtuah teh:

• Appendicitis hi natna tlanglawn tak a ni a, kum 18 leh 20 inkar thalai te a vei thin.
• Diverticulitis hi kum 60 chunglam ah a awm fo thin.
• Hmeichhia tan chuan a chang chuan hetiang natna rang tak hi ectopic pregnancy rupture vang a ni thei.
• Mipa chuan testicular torsion vangin natna a nei nghal thei.

Tin, medical history i neih chuan hetiang hian pum lama harsatna i nei thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hetiang pum na rang tak hi mi engzat nge awm tih chiang taka sawi a harsa. Mahse, emergency department-a lo kal mi 100 zinga 7 atanga 10 vel chuan pum na an nei nia chhut a ni . Chuvangin, chu chuan hei hi engtiang chiahin nge a awm tih ngaihdan a pe che a ni.

Acute abdominal pain hian eng symptoms nge a neih?

Vawi tam tak chu a lan chhuahna ber chu rang taka, tuar theih loh pum na hi a ni . Mahse, symptom dang pawh a awm thei bawk. Chung zingah chuan:

• Distended abdomen: Hei hian pum chu a tlangpui aiin a hring nasa zawk tihna a ni a, balloon ang mai a ni.
• Shock symptoms: Hei hian thinlung thawk chak, thisen sang hniam, thawk hah, a chang chuan buaina te a huam a ni. Hei hi chhinchhiahna hlauhawm tak a ni.
• Peritonitis natna lan chhuah dan:Kan pum chhunga lining (peritonitis) a lo awm chuan natna chhunzawm zel a awm thei. A nih loh leh, pum chu khawi emaw laiah khawih emaw, vuak emaw a nih chuan a na zual thei bawk.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh.

Eng thilin nge he pum na tak (Acute Abdomen) hi a thlen?

Hriselna hrang hrang tam tak hian he pum natna hi a thlen thei a ni. Heng zinga thenkhat hi surgery avanga lo awm pawh a ni thei . Chu chu operation an mamawh ber dawn tihna a ni. Mi dangte chu nonsurgical causes an ni thei bawk .

Surgery neih a ngaih theih chhan

Hei hian thisen chhuah, natna hrik, thisen zam, intestinal blockage, leh perforations te a huam ber a ni.

1. Thisen chhuak (Hemorrhage) .

Hemorrhage chu thisen kalna kawng a chhiat avanga thisen chhuak a ni. Hei hi a chhan chu:

• Chaw ei kawng (Esophageal tear) (Mallory-Weiss tear) 1.1.
• A ruptured ectopic pregnancy a ni
• Accident chi khat (Trauma) .
• A rilru a buai em em a
• A pum chhunga aortic aneurysm ruptured a awm

2. Hri kai te

Pum natna rang tak hi natna chi hrang hrang avanga lo awm thei a ni:

• Appendicitis - kan hriat vek appendicitis
• Cholecystitis natna a ni
• Peptic ulcer natna (ril emaw, rilru natna emaw) .
• Acute pancreatitis natna a ni
• Intestine hmun thenkhat natna hrik (Diverticulitis) .

3. Thisen kal dan khap (Ischemia) .

Ischemia hi taksa peng pakhata thisen kal tlem emaw, tihtawp emaw a nih chuan a awm thin.

• Buerger natna a ni
• Intestine lian tham (Colitis) natna (Colitis) .
• Intestine supply tu thisen kalna kawng (mesenteric ischemia) .
• Strangulated hernia a awm bawk
• Testicular torsion a awm thin

4. Daltu awm thei

Obstruction chu thil pakhat chu chaw ei kawng (digestive tract)-a a tlakbuak a, kan ei tur leh tui te chu a kal tlang dik loh nan a ni.

• Inflammatory bowel natna (IBD) a awm thei lo.
• Intussusception (rilru chhunga lut) .
• Small bowel tihkhawtlai a ni
• Bowel lian tak a inkharkhip

5. Perforations (perforations) te

Hei hi kan taksa peng bang chhunga khur a lo awm hian a thleng thin.

• Chaw ei kawng (Esophageal rupture) (Boerhaave’s syndrome) .
• Gastrointestinal perforation a awm thin
• Pum natna (perforated stomach ulcer) a awm
• Malrotation hmanga intestine a awm

Surgery neih a ngai lo fo chhan

Heng pum na chhante hian zai a ngai lo tlangpui. Endocrine leh metabolic disorder, thisen natna, toxin emaw damdawi emaw avanga lo awm thei an ni.

1. Endocrine leh metabolic lama harsatna nei

Hengte hi kan taksa (Endocrine system) chhunga hormone, chemical leh glands te nena inzawm thil a ni.

• Thisen a urea level sang (Uremia) .
• Zunthlum kaihhnawih ketoacidosis (DKA) .
• Addison natna a ni
• Acute intermittent porphyria a awm thin

2. Hematologic disorder awm thei te

Chungte chu kan thisen, kan thisena cell, lymph node, ruhro leh thisen platelet nena inzawm natna te an ni.

• Sickle cell natna a ni
• Acute leukemia vang a ni
• Genetic disorder thenkhat
• Thisen tlakchhamna (Anaemia).

3. Thil tha lo (toxins) te

Damdawi thenkhat, chemical, leh rannung seh atanga rimtui lo chhuakte pawhin rang takin pum a ti na thei bawk.

• Lead rimchhia a awm
• Heavy metal zu ruih dangte
• Nicotine ei loh vang
• Black widow spider seh avanga rulhut a awm
• Scorpion thenkhat chuan an sting thin

Engtin nge he pum na tak (Acute Abdomen) hi i hriat theih ang?

Pum natna nasa tak neia emergency room (ETU) -a i kal chuan chuta doctor leh nurse-te chuan rang takin eng nge a thlen tih hriat an tum ang. Doctor chuan zawhna tlemte a zawt ang che:

• I medical history: GI issue hmasa leh natna dang i neih tawh.
• A natna awmna hmun dik tak: Pum chhung hmun khatah a na.
• Natna lo awm tan hun leh a natna sawifiahna: Engtikah nge a lo intan a, eng ang natna nge a nih (na na, cutting, squeezing).
• Natna tihziaawmna turin eng nge tih tur, tihpun nan eng nge tih tur tih te.
• Hetiang symptoms hi i nei tawh em?
• Feature thar a awm em?
• Eng damdawi (prescription leh nonprescription drugs) nge i ei thin?
• Tun hmain pum chhunga zai i nei tawh em?
• Tun hnaiah bowel emaw urinary habits-ah inthlak danglamna i nei em?

Tin, naupai i nih leh nih loh emaw, naupai theihna a awm leh awm loh emaw an zawt ngei ang.

Chumi hnuah chuan doctor chuan taksa enfiahna a nei ang a, a bik takin i pum chu a enfiah ang. I pum vun chu hmuh theiha thil danglam a awm leh awm loh a en ang. Stethoscope hmangin i intestine thawm a ngaithla ang. Chumi hnuah chuan i pum chu a hring emaw, a hring emaw a awm leh awm loh a palpate ang.

I natna awmna hmun hian i doctor-in i natna chhan a hriat theih nan a pui thei a ni. Entirnan, acute diverticulitis natna hi i pum veilam hnuai lam a ni tlangpui a, cholecystitis natna hi i pum dinglam sir chunglam a ni tlangpui.

Digestive emaw prostate lama harsatna nei nia rinhlelh a nih chuan digital rectal exam tih theih a ni. Hmeichhia lama harsatna nei nia rinhlelh a nih chuan pelvic exam pawh tih theih a ni. Testicular torsion rinhlelh a nih chuan testicular exam pawh tih theih a ni.

Hêng zawhnate i chhânna leh taksa enfiahna aṭanga i thil hmuh chhuah a\ang hian doctor chuan natna chu eng nge ni thei tih ngaihtuahna a nei thei a ni. Chuta ṭang chuan eng diagnostic test nge tih tur tih a rel ang.

Hemi atan hian eng ang test nge tih thin?

A châng chuan, i doctor-in i natna lan chhuah chhan chiang taka a hriat theih chuan, test belh ngai lovin operation-ah direct-in a refer thei che a ni. Mahse, a chhan i hriat chian loh chuan i natna hriat chian nan test eng emaw zat tih a ngai mai thei. Test i tih tur chu i taksa enfiahna huna i thil hmuh leh i dinhmun rinhlelh danah a innghat ang.

Thisen leh zun test (Laboratory test)-ah hian:

• Thisen chhiar kim (CBC) 1.1.
• Metabolic panel (CMP) kimchang tak a awm bawk.
• Arterial blood gas (ABG) test a ni
• Amylase test a ni
• Liver hnathawh dan test a ni
• Kidney function test a ni
• Urinalysis tih a ni

Imaging test-ah hian:

• Pum chhunga ultrasound hmanga tih a ni
• Pum chhunga computed tomography (CT scan) hmanga enfiah a ni.
• Endoscopic hmanga ultrasound hmanga tih a ni

He pum na tak (Acute Abdomen) hi engtin nge i enkawl?

A chhan a zirin enkawl dan a inang lo . A chhan chu eng pawh ni se, a natna hi hriatchhuah a, a rang thei ang bera enkawl tan a pawimawh. Emergency surgery neih a ngai a nih chuan doctor chuan rang takin surgeon hnenah thurawn a dil ang che a, operation theatre-ah pawh a hruai thei che a ni.

Pum natna rapthlak tak thlentu chu surgery a nih loh chuan a hnuaia enkawl dan tur hi a tha ang:

• I vital signs te stabilize leh monitoring.
• Taksa mamawh tui leh electrolyte pek.
• Broad-spectrum antibiotics pek chhuah.
• Natna tidamtu pek.
• Anti-emetics pek hian luak leh luak chhuak tihziaawmna tur a siam.

Ka pum na (Acute Abdomen) ka neih thut chuan eng nge thleng ang?

I prognosis chu natna thlentuah a innghat a ni. Enkawlna i hmuh hma poh leh i dam theihna chance a sang zawk.

Pum natna rang tak chu enkawl loh a nih chuan harsatna hlauhawm tak tak a awm thei a ni. Chung zingah chuan:

• Taksa peng hrang hrang inzawm lo tur inzawmna dik lo (Fistula).
• I rilru chhungril a necrosis.
• Thisen rimchhia (Sepsis) a awm.
• Thihna pawh a thleng thei.

Chuvangin, rang taka pum na i tawrh chuan ngaihthah ngai suh. A tha ber chu damdawi lam thurawn lak nghal hi a ni.

He pum na tak (Acute Abdomen) hi ka veng thei ang em?

Pum natna rang tak thlentu tam tak a awm avangin, chu zawng zawng chu ven a harsa hle. Mahse, nunphung hrisel tak zawm hian he hlauhawmna hi i tihziaawm thei a ni . Chumi awmzia chu:

• Ei leh in inthlau tak ei.
• Exercise neih fo thin.
• Medical checkup neih fo tura kal.
• Meizial zuk bânsan.

Engtikah nge Doctor ka hmuh ang?

Chronic stomach pain, kar tam tak chhunga natna awm tawh, a dam tawh lo ang maia natna i neih chuan doctor pan ngei ngei tur a ni. Pum natna thlentu tam tak a awm a. Doctor chuan i dinhmun chu a hmuchhuak thei a, enkawlna dik tak a rawt thei bawk.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Pum natna rang tak, na tak i neih chuan 911 (Sri Lanka-ah 1990) call nghal la, emergency room hnai ber pan rawh. Hei hi nunna atana hlauhawm tak a nih avangin enkawl vat a pawimawh hle.

Doctor hnenah eng zawhna nge ka zawh ang?

I pum na tak tak i neih chuan i doctor hnenah heng zawhnate hi i zawt thei ang:

• Engvangin nge he pum na hi ka neih thut?
• Enkawlna dang ka mamawh dawn em?
• Hetiang thil hi a thleng leh tawh loh nan eng nge ka tih theih ang?
• Acute abdominal pain leh chronic abdominal pain hi eng nge an danglamna?

Mi zawng zawng deuhthaw hian an dam chhungin engtik lai pawhin pum na hi an tawk vek a. A tam zawkah chuan a serious lo va, a mah chauhin a bo mai ang. Mahse, acute abdominal pain hi medical emergency chhinchhiahna a ni thei. Pum natna nasa tak i neih thut chuan emergency room-a kal nghal a pawimawh. Chutiang chuan doctor-te chuan i natna chhan chu an zawng chhuak thei a, enkawlna an tan nghal thei a ni. Enkawl loh chuan acute abdominal pain hian harsatna lian tak a thlen thei a ni.

Thil pawimawh ber (Take-Home Message) hre reng ang che .

Vawikhat, pum natna nasa tak hi ngaihthah tur thil a ni ngai lo . A chhan bulpui lian tak a awm thei. Chuvângin, nangmah emaw, i hriat mi emaw chuan i pum natna nasa tak i neih thut chuan, doctor pan nghâl rawh . Enkawl vat chuan nunna a chhanhim thei a ni. Nun hrisel taka nun hian heng dinhmunte lakah hian eng emaw chen chu a humhim thei bawk. A chung berah chuan i taksa enkawl la, thil danglam bik eng pawh ngaihven rawh.

` Pum na, pum na nghal, pum na, surgery, damdawi ina awm, pum natna, Acute Abdomen