Nausen piang thar hian bawnghnute a in hnuah a luak chhuak em? Duodenal Atresia chungchang hi han sawi ila!

I naute piang thar chu bawnghnute in zawh veleh a luak chhuak nghal em? Vomit chu greenish-yellow a ni em? Nu angin hetiang thil i hmuh hian hlauthawng lutuk hi thil pangngai a ni. Mahse a chang chuan hei hi ‘Duodenal Atresia’ an tih dinhmun avang pawh a ni thei a, tunlaia kan sawi tak hi a ni. He hming i hriat hian hlau suh. Hei hi enkawl theih leh tihdam vek theih a ni. Engkim hi awlsam tak leh chiang takin sawi ila.

Duodenal Atresia chu eng nge ni?

A awlsam zawngin, hei hian kan naute chu a pian tirh lamah blockage a awm tihna a ni a, chu chu duodenum hmun thenkhatah a ni. Tui pipe a laiah a tlakbuak ang maiin han ngaihtuah teh. Naute in hnute chu a pum chhungah a luh hnuah, a ei theih nan intestine hnuaiah a kal a ngai a ni. Mahse he blockage avang hian chutah chuan bawnghnute leh chaw ei tui te chu a kal tlang thei lo. Chuvang chuan naute chu a luak chhuak thin.

Hei hi pianpui natna a ni . Chumi awmzia chu nausen pum chhunga a la awm laiin buaina a awm tihna a ni. A châng chuan he natna vei naute hian hriselna lama harsatna dang, thinlung natna emaw Down syndrome emaw an nei thei bawk.

Hei hi chi hrang hrang a awm em?

Ni e, he blockage hi chi hrang hrang lian tak tak a awm a, a lo awm dan azirin. Hengte hi i ngaihtuah lutuk a ngai lo, mahse i doctor-in a sawi em tih hriat a tha.

Hetiang natna lan chhuah dan hi engte nge ni?

Heng mizia te hi kan hriat chian a pawimawh hle.

A tam zawkah chuan naute pian hnu darkar tlemte chhungin heng symptoms te hi a lang chhuak thin.

• Vomiting: Hei hi a symptom ber a ni. Naute chu a vawi khatna atana chaw pek hnuah a lo awm thei a ni. He riltam hi a rawng chu green, yellow, emaw light brown emaw a ni thei . Enkawl loh chuan luak chhuak a pung ang.
• Upper abdominal swelling: Intestine blockage vangin ei leh in leh tui a awm khawm a, upper abdominal swelling angin a lang.
• Nau piang rit lo.
• Ek khal.
• Jaundice: Mit leh vun a sen.

A châng chuan, intestinal blockage a famkim loh (partial blockage), chu chu a tlem tê chauh block tihna a nih chuan, heng symptoms te hi nauteah thla engemaw zat hnuah emaw, naupan lai pawhin a lang thei a ni.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Hei hi a takah chuan thil kalphung buaithlak tak atanga lo chhuak a ni. Naute chu a pum chhunga a lo seilian a, kar 5-6 vel a nih chuan duodenum chu tube thuk tak angin a lo piang hmasa thin. Tichuan, chu tube chhunga cell-te chu zawi zawiin an thi a, hollow tube an siam ta a ni. Hei hi `(apoptosis)` an ti a.

Engtin emaw tak heng cell te hi an thih a, tube hrui hring siam dan dik lo a awm chuan blockage a awm thin. Chu chu Duodenal Atresia an ti a. Hetiang thil hi tih zawh a nih loh a, a chanve vel a tawp chuan Duodenal Stenosis (intestine narrowing) ang chi condition a awm thin.

Engtin nge doctor-te hian he natna hi an hriat theih?

Hetiang dinhmun hi naute pian hma emaw, a pian hnuah emaw hriat theih a ni.

Nau neih hmaa natna hriat chian (prenatal Diagnosis).

Naupai lai scan hian he thil chungchangah hian clues a pe thei a ni.

• Nausen nausen Ultrasound hmanga tihchhuah:I routine scan lai hian doctor chuan i naute pum chhungah "double bubble" a hmuh chuan, chu chu a pum leh nausen pum hmasa ber chu tuiin a khat tihna a ni a, hei hi rinhlelh awm tak a ni thei. Tin, naute chhehvelah amniotic fluid (polyhydramnios) a tam lutuk a nih chuan hei pawh hi he natna chhinchhiahna a ni thei bawk. Hei hi a chhan chu naute hian a tlangpuiin he tui hi a ei thin a, mahse a intestine a block avangin a ei thei lo.
• Fetal MRI: Scan a chiang lo a nih chuan a chang chuan MRI pawh tih theih a ni.

Hei hi rinhlelh a nih chuan doctor-te chuan Down syndrome ang chi chromosomal abnormalities awm leh awm loh enfiah nan amniocentesis ang chi test pawh an rawt thei bawk.

Naute a pian hnuah (Postnatal Diagnosis) .

He natna hi naute a pian hnuah chauh chiang taka hriat theih a ni.

• Abdominal X-ray: X-ray examination-ah chuan a hmaa kan sawi tawh "double bubble sign" kha chiang takin a lang. Chumi awmzia chu pum leh duodenum chu boruakin a khat a, a hnuai lam intestines-a boruak chu a lang lo tihna a ni.
• Barium Swallow Test: A chang chuan, a bik takin a blockage a famkim loh chuan naute chu tube hmangin barium an tih tui an pe a, X-ray hmangin khawiah nge a block tih leh eng nge a awm tih chiang takin an en thin.

Engtin nge enkawl a nih? Hei hi tihdam theih a ni em?

Ni e, he natna enkawlna awmchhun leh hlawhtling ber chu operation hi a ni .

Surgery hma hian naute chu kain hnute pek a ni lovang. Chu ai chuan taksa chu saline solution (IV) hmangin ei tur mamawh pek a ni ang. Tin, naute pum chhunga boruak leh tui lo awm tawhte paih chhuah nan hnar emaw, hmui emaw hmangin tube te tak te chu pum chhungah dah a ni bawk ang.

A tam zawkah chuan naute pian atanga ni hnih atanga ni thum chhungin surgery hi tih thin a ni.

Inzai

He surgery hi duodeno-duodenostomy an ti a. Intestine blocked part bypass a, a chung leh a hnuai lam part hrisel te inzawmkhawm a ni. Pipe block tawh chu la chhuakin a thar dah ang mai a ni.

Tuna technology hman mek hmang hian he surgery hi minimally invasive surgery method hmanga tih a ni fo a, chutah chuan camera chu incision lian tak tak siam lovin, incision tenau tak tak tlemte hmangin an dah a ni. Chumi awmzia chu naute chu a dam chak zawk tihna a ni.

Operation hnuah eng nge thleng?

Zai a nih hnuah naute chu neonatal intensive care unit (NICU)-ah enkawl a ni. Kar khat emaw a aia rei emaw a la ngai thei a, chu chu intestine-te chu a pangngai anga hna a thawh leh theih nan a ni. Chumi hma chuan naute chu saline hmangin an chawm thin.

Intestine-in hna a thawh tan chuan zawi zawiin bawnghnute i pe tan ang. Naute chu a in tha a, a thau chhoh tan chuan damdawi in a\angin i haw thei a ni. A tlangpuiin damdawi inah kar hnih atanga kar thum vel i awm a ngai thin.

Hetiang dinhmun hi a hlauhawm em? Nakin hun chungchâng eng nge kan ngaihtuah ang?

Hetiang dinhmun hi ven dan tur a la awm lo. Chuvangin i sualna a ni tih ngaihtuah ngai suh. A pawimawh ber chu naupai laia i hriat chian chuan nausen pian huna a tul anga enkawlna pe turin doctor-te an inpeih thei a ni. Chuvangin damdawi lam thurawn mumal tak zawm a pawimawh hle.

I naute hian hetiang dinhmun hi a nei a nih chuan i doctor nen inbia la, engkim hrilhfiah rawh. Ngaihtuah buai suh, medical team hian nang leh i naute mamawh tanpuina zawng zawng an pe vek ang.