I chaw kawng chu a chhe tawh em? (Esophageal Rupture) Hei hi a pawi hle mai, a chipchiar zawkin i zawng chhuak ang u!

I rilru natna nasa tak, ei harsa leh thawk harsa i tawk tawh ngai em? Chutiang hunah chuan kan ngaihtuah pawh kan ngaihtuah ngai lo, mahse a hlauhawm hle thei a ni. Chutiang dinhmun khirh tak pakhat, vawiin a kan sawi tur chu chaw kawng (esophageal rupture), a nih loh leh `(Esophageal Rupture)` tih hi a ni. Hei hi hriat a pawimawh hle a, a chhan chu enkawl vat chuan nunna pawh a chhanhim thei a ni.

Esophageal rupture tih hi eng nge ni? A awlsam zawngin...

Esophagus hi kan ka atanga kan chaw ei leh in te kan pum thlenga phurtu tube a ni. Tui pipe ang maiin han ngaihtuah teh. Chuvangin, he esophagus wall-ah hian khawi hmunah pawh khur, mittui tlakna emaw, hrual emaw a awm a nih chuan chu chu esophageal rupture kan tih chu a ni.

Tunah chuan, "Chuti a nih chuan he thil hi eng nge lian em em?" Ni lo, hei hi natna khirh tak a ni . Ngaihtuah teh, kan trachea hi rilru chhungah, lung inkar ah a awm a. Kan ei leh in chauh ni lovin, kan chaw ei dan nena inzawm natna hrik leh chemical te pawh he trachea kaltlang hian an kal tlang thin. Chuvangin, trachea-ah khur a awm chuan heng zawng zawng hi rilru chhungah emaw, lung chhungah emaw, thisenah emaw a awm khawm thei a ni. Chutiang a nih chuan , natna khirh tak tak a awm thei a, chu chuan nunna a tichhe thei a ni.

Chuvangin , he natna hi i rinhlelh chuan a rang thei ang bera, darkar 24 chhunga damdawi lam pan a pawimawh hle. A châng chuan, ``Endoscopy'' emaw, surgery emaw ang chi hmanga enkawl theih a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan larynx ruptured hi thil awm lo tak a ni. Chu chu mi zawng zawngin kan hmuh tur a ni lo tihna a ni. Mahse mi pakhatin a neih chuan a pawi hle a, chuvangin hriat reng a pawimawh.

Ruptured larynx leh heng natna dangte hi eng nge an danglamna?

A châng chuan miten hei hi natna dang, a lan chhuah dân inang tak takte nên an tibuaiin an tibuaitu a ni. Chu chu eng nge ni tih i han thlir teh ang.

Esophageal Rupture leh Mallory-Weiss tear te a awm bawk

``Mallory-Weiss tear`` chu chaw kawng chhunga lining-a tear emaw abrasion emaw mai a ni. Esophagus wall kaltlangin a kal vek lo , chu chu khur a siam lo tihna a ni. Mahse, esophagus ruptured-ah chuan a bang chu a chhe vek a ni.

Esophageal Rupture leh Esophageal Variceal Rupture te a awm bawk

Hei hi urethra chhunga thisen kalna kawngte a lo hring a, a zau a, a puak chhuak thin a ni. Hei hian thisen a chhuah tam thei , mahse urethra ngei pawh a chhe tihna erawh a ni lo. Urethra bang a chhe lo.

Engtin nge he tear duct hi a lo awm?

A tam zawkah chuan chaw kawng chu eng emaw ti taka a chhiat chuan chaw kawng chhunga mittui tlak a awm thin . He chhiatna hi pawn lam emaw chhung lam emaw a ni thei. Hliam thenkhat chu rang takin, accident atanga lo awm thei a ni a, thenkhat erawh chu hun kal zelah zawi zawiin a lo awm thei thung.

A tlem hle a, pressure tam lutuk vangin chaw kawng chu a chhe nghal thei . Hei hi ``Boerhaave's syndrome'' an ti bawk.Hei hi luak chhuak tam lutuk, rei tak awm hian a thleng fo thin.

Thlarau hrual chhan ber chu eng nge ni?

A tam zawkah chuan chaw kawng (esophageal ruptures) hi damdawi lam enkawlna (`iatrogenic ruptures`) avanga chhiatna thleng vang a ni. Hei hi a bik takin chaw kawng chhunga ``endoscope`` dahna enkawlnaah a thleng thei a ni. ``Endoscope`` chu tube te tak te, camera dahna a ni. Kawngkhara dah luh a ni a, chaw kawng enfiah leh enkawlna atan hman a ni.

Chhan dang a awm em?

Ni e, a chhan dang engemaw zat a awm bawk:

• Esophagus-a operation tih te, a bik takin Nissen fundoplication leh myotomy te.
• Excessive straining: straining lutuk awmna dinhmun, luak chhuak chhunzawm zel, thil rit phurh, seizures, emaw nau neih te.
• Thil dang emaw, chemical khauh tak emaw ei: A châng chuan naupang tê tête chuan pawisa fai, infiamna chi hrang hrang, a nih loh leh mi pakhatin acid ang chi thil râpthlâk tak a in chuan an ei palh thei a ni.
• Esophagus pawn lama hliam: Thil chi hrang hrang, hliam tuar, silai kah, car accident avanga hliam ang chi.
• Chronic acid reflux (GERD): Pum acid reflux in esophagus ah ulcer a awm thei a, chu chuan zawi zawiin a thuk zawk a, esophagus perforation a siam thei bawk.
• Tumor emaw, urethra-a thil dang tang emaw avanga pressure: Hei hian urethra-a tissue thihna (necrosis) a thlen thei.

Hei hi tute nge risk sang zawka awm?

Kan urethra hi taksa peng dang nen chuan a danglam deuh hlek a. Chu chu, taksa peng dang ang lo takin , urethra hian pawn lamah venhimna khuhna (serosal layer) a nei lo tihna a ni . Hei hian urethra chu a tichhia awlsam zawk a ni. He hlauhawmna hi a bik takin urethra chhungah natna hrik, hliam, hliam emaw a awm chuan a sang hle.

A hnuaia thil awmte hi i lo neih tawh chuan uvula ruptured i neih theihna chance chu a sang deuh thei a ni:

• Gastritis natna rei tak (`Chronic acid reflux / GERD`) a ni.
• Eosinophilic esophagitis (esophagus-a inflammation thlentu natna) a ni.
• Esophageal diverticulum (esophagus bang chhunga pouch ang chi te tak te rawn chhuak).
• Esophageal cancer nei emaw, esophagus-a radiation therapy nei tawh emaw.
• Zu in tam lutuk.
• Tun hmaa a rilru surgery a neih tawh avangin.

Hei hi eng symptoms nge ni? I han chhui chiang teh ang!

Larynx ruptured symptoms langsar ber chu:

• Chest pain na tak - Hei hi a symptom ber a ni.
• Chaw ei harsat .
• Thâwk hahna .
• Heart rate chak tak .
• Luhai .
• Thisen chhuak .
• Thisen sang hniam .
• Khawsik .

A tam zawkah chuan mittui hi rilru chhungril emaw hnuai lam emaw-ah a thleng thin. Chutiang a nih chuan a na chu a rilruah a awm. Mahse, mittui chu kawr chunglam emaw, a hnuai lam emaw-ah a awm chuan a na chu a kawr, a pum chunglam emaw, a ke dinglam emaw a ni thei.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. Damdawi lam pan nghal a pawimawh a, a bik takin heng symptoms te hi rilru na tak, na tak nen a inzawm a nih chuan.

Hei hian eng harsatna hlauhawm nge a thlen theih?

Pum chhunga thil awm leh natna hrik te chu chaw kawng chhunga khur atanga a chhuah chuan thil hlauhawm chi hrang hrang a thleng thei a ni. Ngaihtuah teh, tui bawm bawlhhlawh tak, a chhunga khur awm, a chhung zawng zawnga tui luang chhuak ang mai a ni.

• Chest lining-ah hian chemical inflammation (pleurisy) a awm thei.
• Fluid hi chest cavity chhungah (pleural effusion) a awm khawm a, chu chu a puak thei hial a ni.
• Thli chu lung inkar hmun (`mediastinum`) (`mediastinal emphysema`) ah a tang thei a ni.
• He inflammation hian chest cavity emaw lung inkar emaw tissue death (necrosis) a thlen thei a ni.
• Thisenah hian bacteria infection (`septicemia`) a awm thei.
• He ``septicemia'' natna hi a nasat chuan nunna atana hlauhawm tak ``sepsis'' an tih natna a thlen thei a, a tawpah chuan ``septic shock'' leh organ failure a thlen thei a ni.

Heng zawng zawng hian larynx ruptured chu a nasat zia a tilang chiang hle.

Engtin nge i esophagus a rupture tih chiang taka i hriat theih ang? Engtikah nge doctor i hmuh ang?

Hetiang natna i vei nia rinhlelhna i neih chuan damdawi in emergency room (ER)-ah kal nghal rawh. Natna nasa tak te, ei harsat te, thawk harsat te hi emergency chhinchhiahna vek a ni. I natna lan chhuah dan leh chutih laia thil thleng dik tak chu i doctor hnenah hrilh ngei ang che.

Heng symptoms te hi accident hnua lo intan a nih chuan, thil dik lo ei atanga lo chhuak emaw, luak chhuak tam tak emaw a nih chuan chaw kawng (esophagus) chhe tawh a ni thei. Doctor chuan hei hi finfiahna a zawng ang.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor chuan esophagus-a mittui tlak leh awm loh enfiah turin test eng emaw zat a ti ang.

• A hmasa berin chest X-ray hmangin chest cavity-ah fluid leak emaw air bubble emaw a awm leh awm loh enfiah thin a ni.
• Chu chu finfiah nân, sensitive X-ray test dang, esophagogram tih chu nei tûrin an ti mai thei che a ni. He test-ah hian liquid rawng (contrast dye) i in a, X-ray lak a ni. Hei hian i chaw kawng chhungril chu chiang takin a hmu thei a ni. He tui rawng hi khur atang hian a luang chhuak a nih chuan X-ray-ah chiang takin a lang ang. Hei hian khur chu khawiah nge a awm tih leh engtiang chiahin nge a leak chak tih pawh a hriat theih bawk.
• AchanginCT scan pawh tih a tha thei bawk. Hei hi chaw kawng chunglam emaw, a hnuai lam emawa mittui tlak nia rinhlelh a nih chuan a pawimawh hle. CT scan hian kawr emaw, pum emawa tui awmkhawmna hmunte chu a hriat theih a, chu chu lak chhuah a ngai em tih hriat theih a ni.

Hei hi eng enkawl dan nge ni ang?

Hei hi standard treatment engemaw zat a awm a:

• Intravenous fluids (IV fluids): Thisen chhuah, luak chhuak, in theih lohna avanga tui hloh thlak nan.
• IV antibiotics leh/ emaw antifungals: Infection engmah ven nan emaw, infection awm tawh enkawl nan emaw.
• IV nutrition emaw tube feeding emaw: Inenkawl lai leh i dam hma loh chuan ka hmangin chaw i ei thei dawn lo.
• Percutaneous fluid drainage: Hei hi i taksa chhunga tui awm khawm, natna hrik awmte paih chhuah leh tihthianghlim nan a ngai mai thei. I doctor chuan a rang thei ang bera i rilru chhungah needle emaw tube emaw dahin he tui hi lakchhuah a tum ang.
• Endoscopic treatment: Mittui te te, te te thenkhat chu endoscope hmangin operation tel lovin enkawl theih a ni. Endoscope chu tube sei tak, camera dahna a ni. Thlarau kawng kaltlangin chaw kawng chhungah dah a ni a, a mittui chu clip, suture, vacuum sponge emaw stent emaw hmangin siamthat theih a ni.
• Surgery: Mi thenkhat chuan direct-a mittui siam that nan surgery an mamawh thin. Surgery an tih lai hian surgeon chuan tui tam lutuk leh tissue thi chu a paih chhuak thin. I dinhmun azirin i surgeon chuan Video-Assisted Thoracoscopic Surgery (VATS) ang chi, thil tihsual tlem ber (minimally invasive procedure) a hmang thei a ni. Mahse, emergency ṭhenkhatah chuan open surgery neih a ngai mai thei. Hei hian hmun chhia chu rang zawk leh tha zawka kal theihna a siam a ni.

Hetiang dinhmun hi pumpelh theih a ni em? Dam leh theihna tur chu eng nge ni?

Ni e, larynx ruptured chu tihdam theih a ni. Mahse, i prognosis chu enkawlna i zawn thuai danah a innghat a ni. He natna hi rilru chhungril kaltlangin thisenah a darh rei poh leh i hlauhawmna a sang zawk thin.

Rupture atanga darkar 24 hmasa bera enkawl te chu an dam kim theihna chance a sang zawk. He pawla damchhuah zat hi 85% vel a ni. Mahse, enkawl loh darkar 48 a liam chuan chu rate chu 50%-ah a tlahniam a ni.

Hei hian enkawl hmasak a pawimawh zia a tilang lo em ni?

Take-Home Thuchah hnuhnung ber

Larynx ruptured hi thil hlauhawm tak ni mahse a awm lo hle. Mahse, a lo thleng a nih chuan hriat nghal a harsa thei hle. Chuvang chuan rilru natna hi ngaihthah ngai lo a pawimawh.

Kan chaw kawng (esophagus) hi a thim a, a chhe awlsam hle. Beisei loh takin a chhe thei a ni. Chutiang a lo thlen chuan, chu natna chu khawi aṭanga lo chhuak nge, eng nge a awmzia tih i hrethiam lo mai thei. Mahse, "Hei hi a bo mai ang" tih mai mai suh.

I rilru na tak, na tak, i rilru emaw, i pum chunglam emaw a na a nih chuan emergency room-ah kal nghal rawh. Puncture tenau tak pawh hian infection leh a hmaa kan sawi tawh complication hlauhawm zawng zawng a thlen thei a ni. I nunna hi a hlu a, chuvangin natna lan chhuah dan ngaihven la, a rang thei ang bera damdawi lam pan rawh.

Esophageal Rupture, Chhung na, Chaw ei harsa, Thâwk harsa, Boerhaave Syndrome, Emergency Treatment