Kar hmasa khan ka clinic a tawp dawn lai chuan tlangval kum 19 mi chu clinic chhungah a lut a, a pum chu nghet takin a vuan a, a tap chhuak ta a. A hming chu Tharindu a ni. Tharindu chu ding nghet pawh a harsat hle.
"Doctor Priya, nizan khan ka navel vel chu ka na deuh a. Mahse, vawiin zing atang khan ka pum hnuai lam dinglamah a na hi a inthlak ta a, chu chu tuar theih loh khawpin a awm. Kei pawh ka luak chhuak a, khawsik ka nei bawk," Tharindu chuan harsa takin a hrilhfiah a.
Tharindu chu exam table-a ka muttir a, a pum dinglam (McBurneyβs Point) chu zawi zawiin ka hmet meuh chuan na takin a au chhuak ta a.
Ka ti nghal a, "Taridu, i pum na pangngai i nei lo. Hei hi acute appendicitis a ni . Hei hi a chhan chu kan intestine lian bul tanna hmuna kut zungtang ang chi tube te tak te appendix chu a infect a, a lo hring chhuak tawh a ni. Surgery atan kan buatsaih nghal che a ngai a ni. A chhan chu hei hi lakchhuah vat loh chuan appendix chu a chhungah a puak thei a ni pum chhungah."
π¨ Damdawi ina dah vat ngai Red Flags
Appendicitis hi medical emergency a ni a, damdawi lam pan vat a ngai a ni. A hnuaia symptoms te hi i neih chuan i hnai ber major hospital emergency department-ah i kal hmasa tur a ni a, appendix chu a rupture tawh mai thei a ni:
- Pum hnuai dinglam natna chu pum chhung zawngah a darh nghal vek a (appendix a puak tih chhinchhiahna pawimawh tak a ni).
- Khawsik sang tak leh khur leh riltam chhunzawm zel.
- Pum chu a tight a, a hring a, a na a, khawih pawh a harsa hle.
- Thinlung thawk chak tak, thawk harsa, leh rilru hah lutuk.
Engvangin nge appendicitis hi a lo awm?
Appendix hi tube te tak te, a tawp khatah khar a ni a, kan chaw ei dan dinglam hnuai lam a awm a ni.
He tube hi fecal mass (fecalith), virus emaw bacteria emaw infection emaw, lymph node hring emaw avanga block a nih chuan appendix tube hawnna chu a block vek a ni.
Bacteria hi a blocked appendix-ah hian a thang chak hle a, chu chuan swelling na tak, pus-a khat a siam thin. Hei hian chu hmuna thisen kal chu a titawp a, a tawpah chuan appendix chu a tikehsawm a, a puak darh ta a ni. Chumi hnuah chuan chu zung leh bacteria chu pum chhung zawng zawngah a darh a, nunna atana hlauhawm bacteria infection peritonitis , a thlen ta a ni.
Symptoms lo lang dan tur pattern bik
Appendicitis natna hian pum na pangngai aiin a danglamna a lantir a:
1. A bul tanna: A natna hi a hmasa berah chuan pum lai tak, pum chhung velah natna na lo tak angin a lang thin.
2. A darh: Darkar tlemte chhungin he natna hi pum hnuai lam dinglam quadrant-ah a kal a.
3. A zual zel: 1.1.Khuh, kea kal, leia inhnek, emaw, pum dinglam hmet a, kut lakchhuah (rebound tenderness) hian a na nasa hle.
4. A lan chhuah dan dang: Chaw ei chakna hloh vek, luak chhuak, luak chhuak, leh khawsik na lo.
Appendicitis surgery (Appendicectomy) tih a ni.
Appendicitis damdawi awmchhun chu a natna vei appendix chu surgery hmanga lakchhuah a ni. He surgery hi appendicectomy an ti a .
Tunah hian hei atan hian surgical method lian pahnih hman a ni a, chungte chu:
- Laparoscopic Surgery / Keyhole Surgery: Tunlai surgery a ni a, camera leh instrument nalh tak tak hmangin pum chhunga incision te te 3 vel hmanga tih thin a ni. A natna hi a tlem hle a, hliam pawh a awm lo. Damlo chu a dam thuai thei a, a haw thei bawk.
- Open Surgery: Appendix a rupture a, pum chhung zawnga natna a darh nasat chuan hei hi traditional surgery a ni a, pum sir 5-10 cm incision hmanga tih thin a ni. Hei hi a dam leh theih nan ni engemaw zat damdawi ina awm a ngai a ni.
Tih tur & Tih loh tur
| βοΈ Thil tih tur (Tih tur) . | β Tih loh tur |
|---|---|
| Appendicitis rinhlelh a nih chuan ei leh in kha bansan nghal tur a ni (Nil by mouth). Hei hi emergency surgery atana anesthesia atan a pawimawh hle. | Pum natna tihziaawmna turin doctor-in a pek loh chuan painkiller ei loh tur a ni. Hei hian symptoms a khuh thei a, diagnosis pawh a tikhawtlai thei bawk. |
| Damlo chu a pum natna rinhlelh awm tak a awm chuan a hnai ber major hospital emergency department-ah hruai nghal rawh. | I pum lum nan enema, laxatives, tui lum bottle pe ngai suh, a chhan chu chaw ei kham lohna a ni tih i ngaihtuah vang a ni. Chungte chuan i appendix puak theihna chu nasa takin a tipung thei a ni. |
| Operation zawhah doctor-in antibiotics a pek zawng zawng chu ei vek tur a ni. | Operation hnu kar hnih hmasa berah chuan rit phurh te, tlan te, exercise hahthlak tak tak tih te chu pumpelh tur a ni. |
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