Mi tam takin harsatna an neih chu he pum chhunga kang , rilru chhunga kang . A châng chuan ei zawhah chuan a rilruah a rawn tla thla ang maiin a lang a, a thlum thlum ang maiin a lang. Vawiin hian hetiang thil thleng thei dinhmun kan sawi dawn a ni. Chu chu Hiatal Hernia a ni. He hming hi i hre tawh mai thei. Eng nge a nih awlsam takin i en ang u.
A awlsam zawngin, hiatal hernia hi eng nge ni?
Kan rilru leh kan pum inkarah hian ruh (muscle) atanga siam bang a awm tih han ngaihtuah teh. Hei hi diaphragm kan ti a . Room pahnih inthenna bang ang mai a ni. Kan chaw ei hi ei tur pipe ( esophagus ) zawhin kan rilru atanga kan pum thlengin a kal thin. A rilru atanga pum thlenga kal tur chuan he ei tur pipe hian chu diaphragm ropui tak chu a paltlang a ngai a ni. A chhungah chuan khur te tak te a awm a. He khur hi hiatus an ti a.
Hiatal hernia chu i pum chhunga khur atanga i pum thenkhat a rawn nawr chho a, i rilru lam hawiin a rawn nawr chho a ni. Kawr chunga buttonhole a lian lutuk chuan button chu awlsam takin a rawn pop chhuak ang mai a ni.
Hiatal hernia natna lan chhuah dan chu engte nge ni?
Mak tak mai chu hiatal hernia vei tam tak hian symptom an nei lo. Mahse, mi thenkhat chuan heng symptoms te hi an nei thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Pum na/ril na | Hei hi a lan chhuah dan tlangpui a ni. He burning sensation hi stomach acid lo chhuak (Acid Reflux) vang a ni. Hetiang dinhmun hi Gastroesophageal Reflux Disease (GERD) kan ti bawk. |
| Thil dang pawh a awm |
|
| Damdawi lam thurawn lak nghal ngai emergency thil thleng! | |
| Strangulated Hernia natna lan chhuah dan | Hei hi dinhmun hlauhawm tak a ni. Pum chhung hmun thenkhat chu khur chhungah a tang thei a, chu chuan a thisen kal chu a titawp thei a ni. Chutiang a nih chuan heng symptoms te hi i nei thei ang:
Heng symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah i kal nghal tur a ni. |
Engvangin nge he hiatal hernia hi a lo awm?
Hei hi a chhan chiang tak hriat chian a harsa fo thin a, mahse heng thilte hian a pui thei niin ka hria:
- Pian tirh atanga hawnna lian tak neih: Mi thenkhat chu hiatus an tih khur, a tlangpui aia lian deuh deuh neia piang an ni thei.
- Tar: I tar chhoh zel chuan i diaphragm chhunga ruh (muscles) te chu a chak lo thei hle.
- Intra-abdominal pressure tihpun: Hun rei tak khuh, thil rit phurh, leh toilet kal dawna straining lutuk te hian intra-abdominal pressure a tisang a, pum chu chunglam hawiin a nawr thei a ni.
- Thau lutuk: Taksa rihna a san chuan pum chungah pressure a sang chho zel a.
- Hliam: Chu hmuna hliam eng pawh.
He natna hi tu nge vei thei ber?
- Thau lutuk nei tan
- Kum 50 chunglam tan
- Nu naupai tan
- Meizial zu emaw, zuk leh hmuam ei emaw tan
Engtin nge hei hi i hmuh theih, Doctor?
I doctor chuan hernia i nei tih a hriat theih che chu i pum natna ang chi symptoms i neih hunah chauh a ni. Hei hi nemnghet turin a hnuaia test pakhat emaw a aia tam emaw hi tih theih a ni:
1. Barium Swallow: He test-ah hian barium an tih chemical awmna tui i in a, chumi hnuah X-ray i nei leh ang. Barium hian X-ray-ah i chaw kawng leh i pum chu chiang takin a lang thei a ni.
2. Endoscopy hmanga thil tih dan: 1.1.Hetah hian camera dahna tube te tak te chu i kawr hnuaiah dahin i chaw kawng chhung leh i pum chhung chu enfiah a ni.
3. Esophageal Manometry: Hei hian i ei laiin chaw kawng chhunga pressure a teh thin.
4. pH Test: Feeding tube chhungah capsule te tak te dahin darkar 48 vel i acid level teh thin a ni. He capsule hi lakchhuah a ngai lo, a mah chauhin a chhuak ang a, i bawlhhlawh nen a pass out ang.
Hiatal hernia hi engtin nge enkawl a nih?
Enkawlna i dawn leh dawn loh chu symptom i neih leh neih loh leh a nasat danah a innghat a ni.
Symptom i neih loh chuan i doctor chuan tunah chuan engmah tih loh tur leh thil awmdan enfiah ("Watchful waiting") a rawt thei ang.
Symptom a awm chuan enkawlna a awm a, chungte chu:
Damdawi (damdawi) .
Damdawi hian hernia a tidam thei lo a, mahse stomach acid control-in a symptoms a tihziaawm thei.
- Antacids: Pum acid a tichak lo.
- Proton Pump Inhibitors emaw H2 Receptor Blockers: Pum chhunga acid siam chhuah a ti tlem.
- Prokinetics: Esophagus muscle te a tichak a, acid lo chhuak tur tihtawp nan a pui bawk.
Inzai
A chang chuan zai a ngai thin. Hei hi hetiang hi a ni:
- Damdawi hmanga symptoms control theih loh leh nunphung thlak danglam a nih chuan.
- Damdawi side effects chu tuar harsa a nih chuan.
- Hernia a lian hle a nih chuan.
Hei hi emergency surgery a ni lo tlangpui. Keyhole (laparoscopy) hmanga tih a ni tlangpui. Hei hian pum chhunga hliam tenau tlemte siam a, camera hmanga operation tih a huam a ni. Hei hian a tidam rang zawk a, hliam a ti tlem bawk. Operation hnuah ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai dawn a ni. A dam kim theih nan kar hnih atanga kar ruk vel a ngai thei.
Eng nunphung tihdanglamna nge i neih?
Hernia thlentu ber chu taksa rihna tam lutuk a ni. Chuvangin, i rihna control a pawimawh hle.
- I ei zat tihtlem: Tlemte ei la, vawi khatah ei tam lo la.
- Thau tamna ei tur tihtlem: Creamy sauce, oily foods, leh packaged foods (chips ang chi) te tihtlem.
- Zanriah ei hma: Zanriah mut hma darkar 3-4 velah ei tur a ni. Chaw ei zawhah rei vak lo muhil suh.
- I mut dawnin i lu chu sang deuhin dah la: Pillow pakhat emaw pahnih emaw hmangin mu rawh. Hei hian acid lo chhuak tur a tihtlem phah ang.
- Meizial zu kha bansan rawh: Meizial in hian he dinhmun hi a ti na zual hle.
- I tana tha lo ei tur zawng chhuak rawh:Chaw thenkhat (poisonous foods, chocolate, citrus fruits, coffee) hian natna lan chhuahna a tizual a nih chuan pumpelh rawh.
Anticids ang chi damdawi lei theih loh ei hi a tha lo. Chutianga tih chuan i kal (kidney) a tichhe thei a ni. I symptoms control harsa a nih chuan doctor nen inbia ngei ang che.
Take-Home Thuchah a ni
- Hiatal hernia hi pum chhung hmun thenkhat chu rilru chhunga a rawn nawr chhoh thinna a ni. Hei hi a awm dan tlangpui a ni.
- Mi tam tak chuan symptoms an nei lo. An tih chuan a symptom ber chu heartburn leh acid reflux a ni.
- Nunphung tihdanglam (weight loss, diet control, smoking cessation) hian a tam zawkah chuan symptoms a control thei a ni.
- A lan chhuah dan a buaithlak chuan doctor pan la, enkawl rawh.
- Symptoms i neih chuan rang tak, na tak tak, rilru emaw pum na emaw, luak chhuak emaw, ek chhuah theih loh emaw ang chi i neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.











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