I fapa tê chu a infiam a, rang takin, "Mommy... ka ruh a na!" Hmun sensitive tak a nih avangin natna tlemte pawh naupang tan chuan tuar harsa tak a ni. Chutiang natna rang tak thlen chhan ber pakhat chu vawiin a kan sawi tur hmun tlemte ‘Appendix Testis’ tih chu a twisting vang a ni. A hming hi thil lian tak anga ri pawh ni se, hlau suh. Hemi chungchang hi awlsam takin han sawi ila.
Appendix Testis hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hei hi mipa naupang testicle chunglam atanga innghat tissue te tak te, tangkai lo tak a ni. Kawrfual i siam zawh hnua thread te tak te la awm ang maiin han ngaihtuah teh.
Hei hi a lo than chhoh dan i hriatthiam hunah i tan a chiang zawk ang. Nausen pum chhunga a lo than chhoh tirh lamah hian hmeichhe naupang reproductive system (uterus, fallopian tube, etc.) tihhmasawn nan tube a awm a. Chu chu `(Müllerian duct)` an ti a. Mahse, mipa naupang a lo thanglian chuan he tube hi a ngai tawh lo. Chuvangin zawi zawiin inactive a lo ni a, a bo ta a ni. Chu tube bo atanga thil te tak te la awm chu `Appendix Testis` an ti a.
Chu chu natna leh thil danglam bik a ni lo tihna a ni. A pangngai vek a, mipa naupang 10 zinga 8 velin a nghawng a ni. Tlangval thenkhat phei chuan testicles pahnih ah pawh an nei thei.
Hei hian hlawkna a neih loh chuan engtin nge buaina chu i tan ang?
He `Appendix Testis` hi tangkai lo mah se, a hnah te tak te hmangin testicle-ah hian a inzawm tlat a ni. Thingkung chunga thei te tak te innghah ang maiin. A châng chuan chhan hriat lohvin he tissue te tak te hi a inher thei a , a inher thei bawk. Chu chu damdawi lamah `Appendix Testis Torsion` kan tih chu a ni.
Torsion tih awmzia chu twsting tihna a ni. Hetianga a inher chuan chu tissue te tak tea thisen supply chu a tawp a, zawi zawiin a thi tan ta a ni. Hei hian natna rang tak, na tak tak thlentu chu a ni.
Hetiang dinhmunah hian eng symptoms nge hmuh theih?
He `Appendix Testis Torsion` hi mipa naupang kum 7 leh 12 inkar ah hmuh tam ber a ni a, chutiang thil chu i fapa chungah a thleng a nih chuan heng symptoms te hi lo thlir reng ang che.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Sudden, na tak tak a na | Naupang chu na takin a au nghal mai thei. He natna hi testicle pakhatah (a tam zawk chu a chung lam ah) a awm tlangpui. |
| Scrotum a hring leh a sen | Natna sir lama scrotum chu a sen a, a hring deuh thei bawk. |
| "Blue Dot Sign" tih a ni. | Hei hi chhinchhiahna pawimawh tak a ni. Tissue twisted piece hian thisen a hloh a, a dum/blue a nih avangin, a chang chuan scrotum vun kaltlangin blue dot te tak te angin hmuh theih a ni. Hei hi Doctor ten uluk takin an enfiah ang. |
| Pum na leh luak chhuak | A natna chu a nasat em avangin naupang thenkhat chuan an pum chhungah a kap chhuak ang maiin an hria mai thei. Tin, luak chhuak ang maiin an inhria thei bawk. |
A pawimawh hle: Appendix Testis Torsion leh Testicular Torsion hi inzawm tir suh!
Hei hi he thuziak pawimawh ber a ni. Mi thenkhat chuan heng hming pahnih hi an ri inang avangin an buaipui mai thei. Mahse, heng dinhmun pahnih hi a danglamna lian tak a ni.
1. Appendix Testis Torsion (kan sawi tum): Hei hi tissue te tak te, tangkai lo tak, twist mai mai a ni. Hei hi hrehawm viau mah se, a testicle-ah engmah a tichhe lo. Chuvangin, hei hi emergency surgery ngai a ni lo.
2. Testicular Torsion: Hei hi natna khirh tak leh emergency tak a ni . Testicle hi a twisted lo. Chu chu spermatic cord a ni a, chu chu thisen kalna bulpui ber, testicle ngeia thisen pe chhuaktu a ni. Chutiang a nih chuan darkar tlemte chhungin testicle-a thisen kalna chu a tawp vek thei a, chu chuan operation theih loh (thih) a nih phah thei a ni.
Chuvangin hei hi hre reng ang che: I fapa hian testicular pain a neih chuan in lamah awm suh la, "Hei hi testicle twisted mai mai a ni mai thei, ngaihtuah tur a awm lo," tiin ngaihtuah suh. A chhan chu an pahnih symptoms hi a inang hle a ni. Doctor chauhvin heng pahnih zingah hian eng nge dik tih chiang takin a hre thei. Chuvangin i fa chu doctor hnai ber emaw, damdawi in emergency room (ETU)-ah emaw hruai nghal rawh.
Doctor chuan naupang chu a enfiah ang a, a tul chuan ultrasound scan hmangin heng natna pahnih zinga eng nge awm tih chiang takin a finfiah ang.
Engtin nge enkawl a nih?
Doctor-in a enfiah a, hei hi `Appendix Testis Torsion` a nih thu leh `Testicular Torsion` na tak a nih loh thu a finfiah hnuah a enkawl dan chu a awlsam hle.
- Chawlh hahdam: Ni engemaw zat tlan leh inkhelh loh tur a ni a, i fa chu chawlh hahdamna tam tak nei turin i phal tur a ni.
- Ice: Ice pack puan fai taka khuh chu a natna hmunah minute 10-15 vel hnawih chuan a hring leh natna a tiziaawm thei a ni.
- Painkillers: Doctor-in a pek angin paracetamol emaw non-steroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen) emaw pek tur a ni.
- Scrotal elevation: Naupang a mut laiin, scrotum hnuaiah puan te tak te, nem tak ang chi thil dahin, a chung lam tlem a thlawp chuan natna a tiziaawm thei a ni.
A tlangpuiin, he enkawlna hmang hian , a natna leh a hring chu kar khat chhungin a bo vek tawh mai ang. Taksa chuan tissue te tak te, a hrual tawh chu a hmin ang a, a hip lut ang. Surgery neih a ngai lo. Natna chu tuar theih loh emaw, diagnosis chungchanga rinhlelhna a awm emaw chauhvin.
Take-Home Thuchah a ni
- `Appendix Testis` hi mipa naupang testicles-a awm, tissue te tak te, pangngai, hlauhawm lo leh tangkai lo tak a ni.
- He torsion hian natna rang tak, na tak a thlen thei a, a bik takin naupang kum 7-12 inkar tan chuan natna nasa tak a thlen thei a ni.
- Hetiang dinhmun hi `Testicular Torsion` nen a danglam vek a, chu chu natna khirh tak a ni a, zai nghal ngai a ni.
- Amaherawhchu, naupang testicles-a natna rang tak eng pawh hi ngaihthah tur a ni ngai lo. Natna khirh tak a nih leh nih loh hriat nan doctor rawn nghal tur a ni.
- `Appendix Testis Torsion` enkawlna hi a tlangpuiin chawlh hahdam, vur, leh natna tidamtu hmanga tihdam theih a ni.
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