I pum chunglam ah hian lump te tak te a awm em? Epigastric hernia chungchang hi han sawi ila!

I pum chunglam, a bik takin hnute ruh hnuai lam, navel chung lamah, a hring emaw, a hring emaw te te i hmu tawh em, i tawng tawh em? A châng chuan a na deuh pawh a ni thei. Mi tam tak chuan hetiang thil an hmuh hian an hlauthawng deuh thin. Chuvangin vawiin hian hei hi a chhan awm thei pakhat kan sawi dawn a, chu chu epigastric hernia a ni. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

Chuti a nih chuan he epigastric hernia hi eng nge ni?

A awlsam zawngin sawi ila, epigastric hernia hi i pum chunglam, a laiah a awm thin hernia chi khat a ni. A bik takin i hnute ruh hnuai leh i pum chung lamah a awm thin. Hei hi hernia chi khat a ni bawk a, ventral hernia category-ah a tel a, chu chu pum hmalam bang-ah a awm a ni. A châng chuan, mi pakhatin epigastric hernia vawi khat aia tam a nei thei bawk.

Heng hernia te hi a te hle fo thin . Ṭhenkhat chu inch chanve (centimeter 1 vel) emaw, stapler ang vela sei an ni. Hernia lian deuh chu inch khat leh a chanve vel (centimetre 4 vel) emaw, walnut ang vel emaw a ni thei. Hernia a te a nih chuan symptoms i hmu lo mai thei. Mahse, hernia a lian deuh deuh chuan hmuh theih, palpable lump angin a lang thei a ni.

Epigastric hernia hi hriselna lama harsatna lian tak a ni lo tlangpui. Mahse, hernia lian tak tak hian a chang chuan nunna atana hlauhawm harsatna a thlen thei a , chuvangin hei hi hriat a pawimawh hle.

Hei hi eng symptoms nge ni ang, doctor?

A chang chuan epigastric hernia i neih chuan symptom i nei lo thei bawk. A nih loh leh heng ang symptoms hi i nei thei bawk:

• Vun hnuaia lump: I pum lai tak, i hnute ruh chunglam leh i hnute ruh hnuai lam, vun hnuaiah hian lump emaw, a hring emaw a lo lang thei. Hei hi i ding lai hian a langsar zawk fo a, mahse i thut emaw, i mut emaw chuan a indented deuh angin a lang thei bawk a, a bo thei bawk.
• I pum chunglam a cramp ang chi natna: I pum chunglam laiah nauseous , emaw dull ache i nei thei. He natna hi ni a liam zel chuan a zual zel niin a lang thei.
• Natna nasa tak: I khuh emaw, thil rit tak i chawi emaw, bathroom-a i kal emaw hian hliam na tak, hliam na tak ang maiin i nei nghal thei.

Ngaihtuah teh, zing i thawh chuan i chungah thil dik lo a awm lo a, mahse nilengin i pum chunglam chu a hring deuh tih i hmu a, tlai lamah chuan chu hmun chu a na deuh niin a lang. Chu chu a thleng thei a ni.

Engvangin nge hetiang hian hernia kan neih?

Hetiang dinhmun hi i pum chhunga thau chi khat, a nih loh leh a chang chuan i intestine lian thenkhatin i ``Linea Alba'' a rawn nawr luh hian a lo awm thin. ``Linea Alba'' tih hi eng nge ni? I pum hmalam, lai tak leh hnuai lam atanga kal chhuak, connective tissue band te tak te a ni. He ``Linea Alba''-ah hian chak lohna emaw, chhiatna emaw a awm chuan, chu thau tissue emaw, i intestine thenkhat emaw chuan a rawn nawr lut thei a ni. I pum ruh a chak lo a nih chuan Epigastric Hernia i vei theihna a sang zawk.

Mi thenkhat chu epigastric hernia neiin an piang thei bawk. Chumi awmzia chu he hernia hi nausen lo piang chhoh laiin a lo awm tihna a ni. Mahse, a tam zawkah chuan he hernia hi hun kal zelah a lo awm thin (acquired epigastric hernia). I upat deuh deuh chuan a thleng thei. A nih loh leh, i ``Linea Alba'' emaw, i pum ruh emaw chunga pressure siamtu harsatna dang vang pawh a ni thei bawk. He hernia hi kum 30 leh 50 inkar ah a tam ber.

Epigastric hernia lo awm theihna chhan tam tak a awm a. A bulpui ber thenkhat chu hetiang hi a ni:

• Kum upat ruala ``Linea Alba'' tihthianghlim: Hun kal zelah he connective tissue band hi a chak lo va, a thim bawk.
• Chronic cough: Khuh reng reng i neih chuan i khuh apiangin i pum chhungah pressure nasa tak a awm thin.
• Constipation: Toilet kal tum pawhin pum a vawt a, pum chhunga pressure a sang chho zel bawk.
• Thau lutuk: Taksa thau a san chuan pum chhunga pressure a sang nghal zel a.
• Weight lifting: Thil rit tak tak chawi dik lo, thawk dan tur dik lo taka chawi.
• Naupai: Naupai lai hian naute a lo seilian chhoh zel chuan nu pum chhungah pressure nasa tak a awm thin.

Hei hi a hlauhawm thei ang em? Eng harsatna nge awm thei?

Epigastric hernia te tak te hi thil lian tak ni lo mahse, harsatna pahnih a awm a, a chang chuan hlauhawm tak a ni thei bawk. Chungte chu incarcerated hernia leh strangulated hernia te an ni. Heng pahnih hi medical emergency pawi tak anga ngaih a ni . Nunna atana hlauhawm tak an ni thei.

• Incarcerated Hernia: Hei hi i pum ruh inkar ah hernia a inkhung tlat a ni. Chutiang a lo thlen hunah chuan a mah chauhin a lut leh tawh lovang a, i nawr pawhin a lut leh tawh lovang. Hei hian natna nasa tak a thlen thei a ni.
• Strangulated Hernia: Hei hi a hlauhawm zawk. Strangulated hernia hmun thenkhata thisen kal chu tihtawp a nih chuan chu hmun chu a thi tan thin. Hei hian natna nasa tak a thlen thei a, khawsik a thlen thei a, luak chhuak thei a, luak chhuak thei bawk. Hei hi operation hmanga siamthat nghal ngai a ni.

A pawimawh ber chu, hernia i vei tih i hriat chuan, a inkharkhip emaw, a hliam emaw a nih theihna tur chhinchhiahna a awm leh awm loh ngaihven tur a ni.

Engtin nge doctor hian hei hi a hriat chhuah?

A chunga kan sawi tak symptoms i neih chuan Doctor pan a tha ber. Doctor chuan taksa enfiahna a nei hmasa ang. Hei hian i pum chhunga lump chu an hre ang a, khuh turin an ngen ang che a, i muhil tir ang tihna a ni.

Chu bâkah, a hnuaia mi ang chi imaging test te hi a châng chuan hernia lian tham tak, a awmna hmun leh a chhunga thil awmte hriat chian theih a ni bawk:

• CT scan (Computed Tomography - CT scan): Hei hian hernia thlalak chipchiar tak a la thei.
• MRI scan (Magnetic Resonance Imaging - MRI scan): Hei hi CT scan nen a inang a, mahse technology danglam tak a hmang thung.
• Ultrasound: Sound wave hmanga taksa chhung lam thlalak siamna test a ni. Hei hi test hmasa ber a ni fo thin.

Heng test neih zawh hian doctor chuan epigastric hernia i neih leh neih loh leh a dinhmun dik tak a hrilh thei che a ni.

Hei hi eng enkawlna nge ni? Engtin nge enkawl a nih?

Epigastric hernia enkawlna awmchhun chu operation hmanga siamthat (hernia repair surgery) a ni . Chumi awmzia chu a chhuak lam chu dah leh a, ``Linea Alba``-a chak lohna hmun emaw, khur emaw chu sewn up a ni a, a chang chuan mesh ang chi thil hmangin a hmun chu tihchak a ni.

Mahse, epigastric hernia zawng zawng hi operation nghal a ngai lo. I doctor chuan a hnuaia thil thlengah hian operation ai chuan watchful waiting tih a rel thei ang:

• Hernia hi a te lutuk (inch khat aia tlem lo, centimetre 1 vel) a nih chuan .
• Hernia atanga natna leh natna i neih loh chuan.
• Chu lump chungchangah chuan harsatna lian tak i neih loh chuan, .
• Doctor chuan hernia atanga harsatna lo thleng thei tur a tlem nia a ngaih chuan .

Chutiang a nih chuan, i doctor chuan hun bituk neia checkup tûra lo kal leh tûrin a hrilh ang che . Chu chu hernia a lian em tih emaw, symptom thar a lo lang em tih emaw enfiah tihna a ni.

Operation hnuah a dam leh theih nan eng chen nge a ngaih?

Hei hi chiang taka sawi a har a, a chhan chu mi hrang hrangah a inang lo. Hei hi thil tam takin a nghawng a, chu chu i kum, hernia lian tham, surgery i tih dan leh i hriselna tlangpui te hi a ni.

A tlangpuiin, operation hnu kar hnih vel hnuah nitin hna i thawk leh thei a ni. Mahse, hna hahthlak tak tak, rit phurh ang chi i thawh chuan hna thawk leh turin kar li emaw a aia rei emaw a la ngai thei. A pawimawh ber chu i doctor thupek dik taka zawm hi a ni.Eng chen nge i chawlh a ngai tih te, engtikah nge thil pangngai i tih tan theih ang tih te, engtikah nge rit i chawi tan theih ang tih te a hrilh ang che.

Hei hi operation hnuah a lo kir leh thei ang em? (Hmuh dan tur) .

Thu lawmawm tak chu epigastric hernia hi operation hmangin a dam kim thei tih hi a ni. Chu chu lump chu a bo vek dawn tihna a ni.

Mahse, a chang chuan hernia a lo awm leh thei a, a thar pawh a lo awm thei bawk. Hei hi a chhan ber chu i pum ruh emaw ``Linea Alba`` emaw chu pressure hnuaiah a awm leh a, a nih loh leh a chak lo leh ta a ni. Operation hnua hernia i neih leh theihna tur i doctor nen i sawi thei ang. A lo kir leh loh nan eng nge i tih theih tih pawh a hrilh thei bawk.

Hetiang thil thleng lo turin kan tih theih a awm em?

A ven kim thei lo nain, epigastric hernia i vei theihna tur tihtlem nan thil engemaw zat i tih theih a awm a:

• I taksa rihna hrisel tak, i duh ang vawng reng rawh: I taksa rihna control a pawimawh hle a, thau lutuk hi hernia siam chhan lian tak a nih avangin.
• I pum ruh tichhe thei dinhmun enkawl: I khuh emaw, i chaw ei kham reng emaw i neih chuan uluk takin enkawl la, thunun rawh.
• I chawi dawnin fimkhur rawh: Thil rit tak tak chu vawi khatah chawi tum suh. Chutianga i tih chuan, i dinhmun dik tak vawng reng la, i thawk dan kha thunun la, a theih chuan ṭanpuina dîl rawh.

Engtikah nge doctor kan hmuh tak tak ang?

A chunga ka sawi ang kha i pum chunglam ah lump i nei a, a lian chho zel ang tih i hriat chuan doctor i pan ngei ngei tur a ni. A chhan chu epigastric hernia lian zawk chu thisen supply tihtawp a nih avangin ``Incarcerated Hernia`` emaw ``Strangulated Hernia`` emaw a nih theihna chance a sang zawk a ni.

A hnuaia symptoms te hi i neih chuan medical emergency anga ngaih tur a ni. Damdawi in hnai ber pan nghal la, a nih loh leh Sri Lanka-a awm i nih chuan 1990 Suwaseriya Ambulance Service-ah biak rawh:

• Pum chunglam natna thar, na tak, chak taka pung zel.
• Nausea leh luak chhuak.
• Hernia awmna vun chu a rawng a danglam ta (entir nan, a sen, a sen, a sen, a dum emaw a ni thei).

Heng symptoms te hi i neih chuan minute khat pawh tikhawtlai suh . Damdawi lam pan nghal chuan nunna a chhanhim thei a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• Doctor, engvangin nge he hernia hi ka neih?
• Hei hi a lian lehzual dawn em ni?
• Hei hi a lian zawk a nih chuan eng ang thil nge thleng thei ang?
• Surgery ka mamawh tak tak em? Thil dang duhthlan tur a awm lo em ni?
• Surgery ka neih chuan a hnuah eng nge ka fimkhur ang?

Hetiang zawhna zawh a, i dinhmun hriatthiamna chiang tak neih hi a pawimawh hle.

Epigastric hernia hian acid reflux a thlen thei em?

No. Heartburn leh acid reflux ang chi symptoms hi hernia chi dang hiatal hernia an tih atanga lo chhuak a ni tlangpui. Epigastric hernia hian pum chunglam natna dull, sharp tak a thlen thin. Acid reflux symptoms a siam lo.

Chuvangin, i pum chunglam, i hnute ruh hnuai lam leh i ruh chung lamah lump i neih chuan epigastric hernia a ni thei. Mahse, chutiang lump awm chhan dang pawh a awm thei. Chuvangin, a chhan dik tak hriat chian a, i tana tha tur enkawlna i hmuh theih nan Doctor pan a tha ber.

Chuti a nih chuan eng thil nge kan hriat reng tur pawimawh ber? (In lama hruai tur thuchah)

Okay, chuvangin, Epigastric Hernia chungchang kan sawi tawh atang khan, i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Epigastric hernia chu pum chunglam, a laiah bulge te tak te a ni.
• A tam zawkah chuan hei hi a hlauhawm lo hle a, mahse a lian a nih chuan harsatna a thlen thei a, chu chu blockage leh thisen supply hloh te a ni.
• A lan chhuah dan chu lump, swelling, leh sharp pain te a ni thei. Mi thenkhat chuan symptoms an nei lo thei.
• Hei hi thau lutuk, khuh rei tak, chaw ei kham, thil rit phurh, leh naupai ang chi thil vang a ni thei.
• Hemi atan hian surgery chauh hi a awm reng a, mahse mi zawng zawng hian operation an mamawh nghal vek lo.
• I taksa rihna hrisel tak neih leh pum chhunga pressure siamtu thil tihtlem hian hetiang thil hi a thlen loh nan a pui thei a ni.
• Lump a lian a nih chuan, emaw, natna nasa tak, luak chhuak, luak chhuak, vun rawng danglam ang chi symptom i neih chuan doctor pan nghal rawh.

He thu hi in tan a tangkai ngei ka beisei. Thil ngaihtuah tur i neih chuan doctor biak hreh suh. Hrisel takin awm rawh!

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