I fate chu doctor-in ‘enema’ an tih a ngai tih a hrilh hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai a ni a, chu pawh chu X-ray hmangin. 'enema' tih thumal hi tlem kan huat vek a ni lawm ni? Mahse, hei hi hlauh tur thil tak tak a ni em? Engvangin nge doctor-te chuan naupang tê tête chu hetiang test hi ti turin an hrilh? Naute chu a ti na dawn em ni? Vawiin hian heng zawhna zawng zawng hi he thuziak ah hian kan chhang vek ang. Engkim hi awlsam tak leh chiang takin i sawifiah ang u.
Contrast Enema (Barium Enema) tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi i fate intestine lian (colon an ti bawk) enfiahna atana X-ray test bik a ni. Hei hi naupang natna chungchanga specialist pediatric radiologist-in a ti tlangpui.
Tunah chuan, "X-ray pangngai hi a tawk lo em ni? Engvangin nge 'Contrast' an tih?" Zawhna tha tak! Kan intestines hi taksa peng hrang hrang, soft tissue atanga siam a ni. Chuvangin, X-ray pangngai hmangin intestine chhunga a pianzia, a lian leh te, a harsatna awm zawng zawng chiang taka hmuh a harsa hle.
Hei hi `(Contrast)` substance hman a nih lai a ni. Hei hi liquid bik a ni. He test atana hman tlanglawn ber chu tui dum, chalky tak, barium an tih hi a ni. He tui hi naute hnute (backside)-a dah a nih chuan a kal a, a chhungril bangte chu a ti bawlhhlawh a ni. Tichuan, X-ray lak a nih chuan barium-a a hnawih tawhna hmunte chu X-ray-ah chuan a dum-in a lang chiang hle. Blackboard-a chalk line ziah ang mai a ni. Hei hian doctor chuan awlsam takin intestine pianzia te, blockage a awm leh awm loh te, a zau lo em tih te, harsatna dang a awm leh awm loh te a hmu thei a ni.
A châng chuan he test hi ``fluoroscopy'' tih technique hmanga tih a ni ṭhin.Hei hian X-ray thlalak pakhat lak ai chuan X-ray thlalak che vel, video ang maia lak a ni tihna a ni. Hei hian barium liquid chu intestine chhunga a kal dan leh intestines hnathawh dan live-in a hmu thei a ni.
Engvangin nge ka fa hian hetiang test hi a mamawh?
Doctor-in naupang chu a tih dan pangngaia a enfiah chuan a pum palpating hmangin engkim a hre thei lo. Intestine chhunga harsatna awmte chu pawn lam atanga hmuh theih a ni lo. Chuvangin, naupang hian a hnuaia symptoms emaw conditions te hi a neih chuan a chhan dik tak hriat nan he test hi a tha hle.
| Symptom/condition a awm dan | A sawifiahna awlsam tak |
|---|---|
| Ek khal | I fa hian toilet kal a harsat a, ni tam tak a kal lo a, a rilru a na hle a nih chuan, he test hian intestine-ah blockage emaw structural problem dang emaw a awm leh awm loh hriat theih nan a pui thei a ni. |
| Chronic diarrhea a awm thin | Naupangin chhan hriat loha ril\am a neih chhunzawm zel chuan hei hian a chhungrilah natna hrik emaw, inflammation emaw ang chi natna a awm leh awm loh hriat theih nan a pui thei a ni. |
| Hirschsprung Natna | Hei hi a buaithlak deuh a, pianpui atanga lo chhuak a ni. Thil thleng chu, intestine lian section pakhat chuan stool luh tir tura nerve cells mamawh chu a hloh ta a ni. Hei hian chu intestine section chu a block a, a chunga part chu a lian ta a ni. Hetiang dinhmun hriat chian nan hian contrast enema hi a pawimawh hle. |
| Sawifiah loh takin Weight Loss | Naupangin chaw ei \ha mahse chhan awm lova a rihna a tlahniam a nih chuan ei leh in lama harsatna a awm avangin taksain nutrients a hip lut \ha lo a ni thei. He test hi chutiang dinhmun hriat theihna atan pawh hman a ni. |
Fiahna hmaa inbuatsaih a ngai em?
A tam zawkah chuan he test hian naupang tê tê tân inbuatsaihna bik a mamawh lo. Naupang chu a tlangpuiin chaw pek leh in theih a ni tlangpui.
Mahse hei hi a pawimawh hle: I doctor-in thupek bik eng emaw a pek che chuan (entir nan, test hma darkar tlemte chhunga ei leh in tihtawp tur) chu chu thupek chu dik takin i zawm tur a ni.
Chu bâkah, nu leh pa kan nih angin thil engemaw zât kan tih theih a awm a:
- I fa chu biak rawh: I fa chu hrethiam thei khawpa upa tawh a nih chuan hei hi awlsam takin hrilhfiah rawh. "Doctor chuan i pum thlalak a la a, chutah chuan tube te tak te a dah a, damdawi engemaw zat a dah a. A na lo ang," tih ang chi thumal awlsam tak hmangin sawi rawh. Hei hian naupang hlauhna tihziaawmna turin a pui ang.
- Infiamna duh ber:I duh ber toy, teddy bear emaw, blanket te tak te emaw keng la. Test neih chhunga i vawn chuan i fa chu a him zawkin a hlim zawk ang.
Test neih chhung hian eng nge thleng?
He test hi minute 30 leh 45 inkar a ni tlangpui. A tha ber chu test chhung zawngin i fa bulah i awm thei a ni. Naupang leh nang tan pawh thlamuanna ropui tak a ni.
Step by step khata thil thleng chu hetiang hi a ni:
1. X-ray room-ah: A hmasain nang leh i naute chu X-ray room-ah hruai in ni ang. Hospital-in a pek gown bik ha turin an ti ang che.
2. X-ray khumah: Chumi hnuah naupang chu X-ray machine-ah khumah mu turin an siam a.
3. Hriselna atan: I naute bulah i awm dawn avangin X-ray laka inven nan lead vest bun turin an ti ang che. Naupai i nih chuan i naute bula awm turin chhungkaw member rintlak (i pasal emaw i nu emaw) hruai tel a tha ber a, X-ray-a inhriat hi a tha lo.
4. X-ray hmasa ber: Barium swallow pek hmain pum chhunga X-ray thlalak pangngai lak thin a ni.
5. Naute dinhmun siam dan: Chumi hnuah naute chu an sir lam hawiin an khup chu an rilruah hruai turin an ti a. Nausen te tak te a nih chuan staff ten hemi kawngah hian an pui ang.
6. Tube dah luh: Tunah chuan radiologist emaw technologist emaw chuan uluk takin naupang rectum chhungah tube te tak te, flexible tak, lubricant hmanga hnawih chu a dah lut ang. He tube tawp dang hi barium liquid awmna bag nen a inzawm a ni.
7. Barium enema: Tunah chuan barium tui chu zawi zawiin tube kaltlangin naupang intestine lian takah a lut ta a ni.
- Pawimawh: Hetih lai hian i naute chu a khat a, a pum a na deuh a, toilet kal duhna nasa tak a nei a, chu chu thil pangngai tak a ni. Hei hi a chhan chu intestines chu tuiin a khat vang a ni. Hemi chungchangah hian lungngai suh. I naute chu thlamuang la, a kut chu vuan rawh.
8. X-ray thlalak lak: Barium chu intestines atanga a darh zel chuan radiologist chuan angle hrang hrang atangin X-ray thlalak engemaw zat a la thin. Naupang chu dinglam leh veilamah tlem roll turin an ti thei bawk.
9. Tube lakchhuah: Thlalak tul zawng zawng lak zawh hnuah uluk takin tube chu lakchhuah a ni.
10. Toilet-a kal: Tunah chuan naupang chu toilet-ah kal a, barium liquid leh stool pass phalsak a ni tawh.
11. Final X-ray: Naupang chu toilet-a a kal hnuah X-ray thlalak dang lak leh a ni a, chu chu a ril a hnim hnua a lan dan en nan a ni.
Chu chu a ni ta! Test a tawp tawh.
Test zawhah eng nge ka ngaihtuah tur?
Test a zawh veleh i fa chuan a pangngaiin a ei leh in thei a, nitin hna a thawk thei bawk. Mahse, hengte hi hre reng ang che:
- I fa chu tui in tur tam tak pe rawh: Test zawhah i fa chu tui tam tak, tui leh thei tui te pek a pawimawh. Hei hian taksaa barium la awm chu stool-ah awlsam takin a pass out thei dawn a ni.
- Thinrimna var: I fate chu test zawh ni khat emaw ni hnih emaw chhung chu chalk ang maia var a nih hi thil pangngai tak a ni. Hei hi a chhan chu barium chu pass out a nih vang a ni. Ngaihtuah buai suh.
- Toilet-a kal tam: Ni engemaw zat chhung chu naupang chu a hma aia tlem a toilet-a kal a ngai mai thei.
Hei hian risk a nei em?
Contrast enema hi a tlangpuiin a him hle a ni . X-ray hmanga exposure hi a tlem hle. Mahse, damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau tak tak a awm.
| Side effect awm thei te | Hemi chungchang hi zir rawh |
|---|---|
| Bloating, constipation, luak chhuak, luak chhuak, lu na | Hengte hi a tlangpuiin harsatna tenau lo thleng thei a ni. Hengte hi tui i in tam chuan a bo vek ang. |
| Barium atanga Allergic Reaction awm thei | Hei hi thil thleng tlem tak a ni. I fain thawk a harsat emaw, vun natna a neih chuan medical staff te hriattir nghal rawh. |
| Gastrointestinal Perforation a awm thei | Hei hi thil awm lo leh pawi tak a ni. Hei hi naupangin enfiah lai emaw, enfiah zawh hnu emawa a pum natna nasa tak a neih chuan rinhlelh theih a ni. |
Engtikah nge doctor nen inbiakna neih a ngaih?
Test zawhah i fa chu a tha tur a ni a, a tha tur a ni. Mahse, i fain a hnuaia symptoms te hi a neih chuan doctor ko nghal vat rawh:A nih loh leh naupang chu damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai rawh.
| Damdawi lam thurawn lak nghal tur | |
|---|---|
| - Nausen pum chu a hring a | - Khawsik |
| - Rectal atanga thisen chhuak | - Tuar theih loh, pum na tak |
| - Luak chhuak emaw, muhil emaw | - Test hnu ni hnih aia rei chu chaw ei loh tur |
Take-Home Thuchah a ni
- Contrast enema hi a tlangpuiin X-ray test him tak a ni a, naupang colon-a harsatna awmte zawn nan hman thin a ni.
- Hetiang tihnaah hian naute chu anesthetized (made unconscious) a ngai lo. Procedure zawng zawng hi darkar khat aia rei lo a ni.
- Test chhung zawng hian i fa bulah i awm thei ang. I fate tan chuan infiamna duh ber a keng tel chu thlamuanna ropui tak a ni ang.
- I naute ek chu a var a, test zawh ni engemaw zat chu toilet-ah tlem tal an kal leh thin hi thil pangngai a ni. Chu chu lungngai suh.
- I pum chhunga natna nasa tak, khawsik, emaw, thisen chhuahna ang chi thil i hmuh chuan, i doctor chu tihkhawtlai lohvin ko nghal rawh .
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