Pum chhunga thisen chhuak? (Hemoperitoneum) Hemi chungchang hi han sawi ila!

Sawifiah theih loh khawpin i pum na, i khat tih hriatna, leh luak chhuak nghal mai mai i nei tawh em? Hei hi emergency a ni mai thei. Vawiin hian hemoperitoneum chungchang kan sawi dawn a, chu chu pum chhunga thisen chhuak a ni. Hei hi thil awlsam a nih loh avangin ngun taka ngaihthlak a pawimawh.

A awlsam zawngin, Hemoperitoneum chu i pum chhunga hmun ruak, peritoneal cavity-a thisen awmkhawmna a ni. ‘Hemo’ tih hian thisen a kawk a, ‘peritoneum’ tih hian he pum chhunga line siamtu membrane a kawk bawk. Chuvangin, hetiang taka taksa chhunga thisen chhuah (internal bleeding emaw hemorrhage emaw kan ti bawk) hi a hlauhawm hle a, damdawi ina dah vat a ngai a ni.

Engvangin nge hei hi a pawi em em?

Ngaihtuah teh, kan taksaa thisen chu thisen kalna kawng a\angin a luang chhuak a, hmun dangah a awm khawm a nih chuan eng nge thleng ang? Kan taksa peng pawimawh tak tak leh kan taksa peng hrang hranga thisen a thlen zat a tlahniam a. Taksa chhunga thisen a luang lai hian thisen engzat nge a luang tih leh a che chak zia kan hmu lo. A bik takin he pum chhungah hian thisen tam tak a khawlkhawm thei a ni. Hetianga thisen chhuah hi tihtawp a nih loh chuan nunna atana hlauhawm thei khawpa thisen tlakchhamna a awm thei. Chuvang chuan hei hi a pawi em em a ni.

Eng nge a lan chhuah dan?

Hemoperitoneum natna lan chhuah dan hi mi hrang hrangah a inang lo thei a, a chhan a zirin.

• I pum natna nasa tak emaw, pelvic na emaw i nei nghal mai thei.
• Mahse, eng emaw chhan vangin i lo kal ang zelin a natna chu a tlahniam thei a ni.
• I pum chu a zau thei a , khawih pawhin a na thei bawk .
• Thisen chhuah chhunzawm zel chuan thisen tlakchhamna na tak chhinchhiahna a lo lang tan zauh zauh ang.
• I lu a buai thei a, i lu a hah lo thei a, i rilru a na thei bawk .
• I heart rate pawh a sang tih i hre thei bawk .

Heng symptoms te hi i neih chuan doctor advice i la nghal tur a ni.

A chhan chu eng nge ni thei ang?

Hemoperitoneum awm chhan awm thei tam tak a awm a, mahse a then chu a tam ber a ni. Doctor-te chuan heng chhan hrang hrangte hi chi thum-ah an ṭhen a:

1. Traumatic tak a ni

2. Mahni insiamthatna (Spontaneous) .

3. Damdawi hmanga enkawlna (Iatrogenic) avanga side effect angin .

Chung zingah chuan accident avanga hliam leh ectopic pregnancies te hi hemoperitoneum thlentu ber a ni.

1. Hemoperitoneum natna hlauhawm tak

Hei hi i pum chhunga taksa peng emaw thisen kalna kawng emaw a hliam a nih chuan a thleng thin. A natna hmun tam ber chu liver leh spleen a ni.Heng taksa peng pahnih hian thisen an chhuah nasa thei hle. Accident laiin hard blow (blunt trauma) emaw, a chhunga thil piercing (penetrating trauma) atanga lo awm thei a ni.

Hetiang thil hi han ngaihtuah teh:

• Chunglam atanga tla thla.
• Lirthei chetsualna thleng thin.
• Inkhelh laiin intlansiakna a awm.
• A pum chhunga direct-a vuakna.
• Chemte hmanga a hliam.
• A silai a ri ta.

Hetiang ang accident na tak hnua pum na leh symptom dang i neih chuan a tha ber chu damdawi in pan nghal mai hi a ni.

2. Amah ngeiin Hemoperitoneum a lo chhuak thin

Hei hi Spontaneous emaw Nontraumatic Hemoperitoneum emaw an ti a. Hei hi thisen chhuah, mahni chauha lo awm, hlauhawm awm lo a ni. Natna vang emaw, taksa chhunga thil awm dan dang vang emaw pawh a ni thei. A châng chuan taksa peng emaw, thisen kalna kawng emaw chu a chhungril lamah a chhe thei a, a chhung aṭanga a hring vang emaw, a hmaa hliam a neih vang emaw pawh a ni thei. Tissue than dan pangngai lo (tumor ang chi) pawh pum chhungah a awm thei a, thisen a chhuak thei bawk.

A chhan tlemte han thlir ila:

• Thisen kalna kawng a chhe (Ruptured Aneurysm).
• Arteriovenous malformation (AVM) a awm a, a chhuak ta a ni.
• Gastrointestinal varices a chhuak (ruptured) a ni.
• Hematoma a chhuak.
• Tumors a rawn chhuak thin.
• Ovarian cyst a chhe tawh.
• A ruptured ectopic pregnancy - hei hi hmeichhia tan bik a ni.
• Spontaneous Splenic Rupture a awm thin.
• Pum emaw, intestinal emaw perforation (Gastrointestinal Perforation) a awm thei.
• Gallbladder-ah perforated a awm.
• Hemorrhagic pancreatitis natna a ni.

3. Damdawi hmanga enkawlna (Iatrogenic Hemoperitoneum) avanga side effect angin .

Hei hi damdawi lam enkawlna thenkhat avanga side effect angin a thleng thin. Hei hi a tlem hle a, mahse a thleng thei. Hei hi enkawl laiin taksa peng emaw thisen kalna kawng emaw a chhiat palh chuan a thleng thin.

Entirna thenkhat:

• Abdominal surgery, laparoscopy, taksa peng pakhat lakchhuahna surgery emaw, naute cesarean section hmanga nau neih emaw te.
• Tissue sample lakna tur test (Biopsy), entirnan, liver (Liver Biopsy) emaw kidney (Kidney Biopsy) atanga lak.
• Pum chhunga tube (catheter) dah dan, chu chu PEG emaw Paracentesis emaw tih hunah a ni.
• Endoscopy test, entirnan, upper endoscopy emaw colonoscopy emaw hmanga test a ni.

Hetiang thil hnua symptom danglam tak tak i neih chuan a enkawltu doctor hnenah i hrilh a pawimawh.

Engtin nge hmeichhiate chu a bik takin a nghawng?

Hmeichhe reproductive system organ te pawh hi he abdominal cavity chhungah hian a awm bawk. Chuvangin, hetiang hian pum chhungah thisen an chhuak thei bawk. Entirnan, ovarian cyst (ruptured ovaries) leh ectopic pregnancy ang chi thil a awm thei . Hengte hi thil awmdan hmanhmawhthlak tak tak a ni.

Naupai laiin hemoperitoneum vei theihna hi kawng hrang hrangin a pung thei a ni. Liver tumor chi thenkhat chu naupai laiin a thang chak hle a, a puak thei bawk. Tin, nau neih laiin thisen a chhuak thei a, chu chu a takin emaw, damdawi lam thil vang emaw pawh a ni thei.

Naupai lai hian risk bik a ni em? (Naupai laiin a takin Hemoperitoneum a awm - SHiP)

Spontaneous Hemoperitoneum in Pregnancy (SHiP) hi naupai laiin a awm ve lo. A tlangpuiin second trimester emaw third trimester-ah a thleng thin. A chhan dik tak hriat a la ni lo. A tam zawkah chuan thisen kalna kawng chhe tawh a ni. Mahse doctor-te chuan engvangin nge a thlen tih erawh an la chiang lo. Evidence thenkhat chuan endometriosis awm tawh emaw, in vitro fertilization (IVF) emaw nen a inzawm thei tih a tarlang .

Risk factor dang a awm em?

Ni e, thil dang thenkhat chuan he hlauhawmna hi a tipung thei a ni.

• Thisen chhuah harsatna emaw, thisen zam tlakchhamna emaw i neih chuan a tlangpuiin thisen chhuah a tam zawk. Hei hian mahni chauha thisen chhuak emaw, hliam tenau avanga thisen chhuak nasa tak emaw a huam thei. Midang aiin thisen i chhuak tam thei bawk.
• Natna khirh tak tak nei thenkhat tan chuan natna a zual a, taksa peng pakhat a puak chuan mahni in pum chhungah thisen a chhuak thei a ni. Mahse, hei hi a tam vak lo.

Eng harsatna nge awm thei?

Pum chhunga thisen chhuah hi a pawi hle a, a chhan chu taksa chhunga thil thleng a nih avangin i hriat chian meuh chuan a na hle thei a ni. Thisen tam tak i hloh thuai chuan harsatna a awm thin. I thisen chhuah zat leh a lo thlen rang dan chu a chhan (hliam emaw, natna emaw), thisen chhuah tam dan leh enkawlna i hmuh thuai danah a innghat a ni.

Thisen chhuak a nasat chuan Hypovolemic Shock an tih natna a thlen thei a ni. Chumi piah lamah chuan taksa peng hrang hrang (organ failure) leh thihna thlengin a thleng thei a ni. Chuvangin hei hi thil hmanhmawhthlak tak a ni a, second khat pawh khawhral tur a ni lo.

Engtin nge hei hi i hmuh? (Diagnosis) tih a ni.

Internal bleeding i neih chuan rang taka hmuhchhuah a pawimawh. Doctor-te’n i taksa chhunga thil thleng chu rang taka an hmuh a ngaih chuan quick imaging test hmangin an tan tlangpui thin.

• Chu chu ultrasound tihna a ni.CT scan ang chi thil pakhat.
• FAST Ultrasound hi khum bula test a ni a, i pum chhunga thisen chhuak a awm leh awm loh enfiahna atana siam bik a ni. FAST hi Focused Assessment leh Sonography for Trauma tihna acronym a ni.

A tam zawkah chuan doctor-te chuan heng imaging test te hi hmangin hemoperitoneum i neih leh neih loh leh thisen chu khawi atanga lo chhuak nge tih an enfiah thei a ni. Mahse, a chang chuan, thlalak te chu a chiang lo. I pum atanga tui sample lak chu needle emaw tube emaw hmangin an lak a ngai mai thei (paracentesis). I damlo lutuk a nih chuan exploratory surgery-ah an hruai a ngai mai thei a, chu chu harsatna zawng chhuak a, siamthat nghal mai tur surgery a ni.

Enkawlnate chu engte nge ni?

Doctor chuan hemoperitoneum a hriat chian hnuah chuan thisen chhuahna chu khawi atanga lo chhuak nge a nih tih leh a la lo kal zel em tih an en ang. Thisen chhuak a awm chuan tihtawp nghal a ngai a ni. Chutianga tih dan chu i dinhmun a zirin a innghat ang.

• Emergency-ah chuan hliam siamthat emaw, thisen kalna kawng khar emaw turin emergency surgery i neih a ngai mai thei.
• I dinhmun a nghet a nih chuan engmah lian tham i ti thei lo va, conservative takin i enkawl mai thei.

Enkawlna hrang hrangte chu:

• Natna enkawl dan tur.
• Thisen pek a ni.
• Evacuation/Drainage tihchhuah a ni.
• A hnuaia dinhmun enkawl dan.
• Embolization hi thisen kalna kawng tikhawlotu damdawi a ni.
• Hliam khar nan endoscopy tih dan tur.
• Laparoscopy hi surgery hmanga harsatna awm chu hriatchhuah leh/ emaw, hliam siamthatna tur, chutiang bawka hmanraw hman a ni.
• Exploratory laparotomy hmanga buaina zawng chhuak tur leh/ emaw, pum chhunga surgery hmanga hliam siamthat theih a ni.

Engtin nge dam lehna beiseina chu?

I dam lehna tur chu enkawlna i dawn thuai dan leh i thisen a luang that danah a innghat ang. Thisen zam natna emaw, i hriselna tlangpui tichhe thei natna dang emaw i neih chuan i dinhmun hi a na zawk thei. A rang thei ang bera enkawlna lak hian thisen tlakchhamna nasa tak atanga harsatna lo thleng tur a veng thei a ni. Chutiang harsatnate chu i ven theih chuan damna famkim i neih theihna chance a sang zawk.

Hemoperitoneum hi emergency a ni a, chu chu rang tak leh beisei loh taka lo awm a ni. Accident i tawk tawh a nih chuan damdawi lam enkawlna i dawng tawh mai thei. Mahse chutiang a nih loh chuan symptoms a lan hunah eng thil nge thleng tih i hre lo mai thei.A pawimawh ber chu i symptoms te ngaihthah lo la, a na zual hmain doctor thurawn la hmasa phawt hi a ni. Natna i kai hma a, enkawlna i hmuh chuan i dam theihna chance a tha hle.

A tawp berah chuan i hriat reng tur thilte

Hemoperitoneum hi nunna atana hlauhawm emergency condition a ni a, pum chhungah thisen a chhuak thin.

• I pum na na tak, pum na tak, luak chhuak, luak chhuak, emaw chak lohna i neih ang chi symptoms i neih chuan ngaihthah suh.
• Hei hi accident, natna thenkhat, naupai kaihhnawih harsatna leh damdawi hmanga enkawlna avanga side effect angin a thleng thei a ni.
• A pawimawh ber chu natna hriatchhuah leh enkawl vat hi a ni. Chutianga i tih chuan harsatna lian tham tak tak i veng thei a, i dam kim thei bawk.
• Heng symptoms te hi i neih chuan doctor pan nghal la , damdawi in hnai ber pan rawh. Hetah hian hun hi a pawimawh ber a ni. Lungngai suh, rang takin awm rawh.

` Hemoperitoneum, pum chhunga thisen chhuak, chhungril thisen chhuak, pum thisen, pum na, surgery, emergency care