Intestine dang chu intestine dang chhungah a awm em? Naupang tê têa awm ṭhin Intussusception chungchang zawng zawng

I naute tê chu a khel ṭha hle a, chutah rang takin ball-ah a inkhuh a, a khup chu a pum thlengin a hrual a, nasa takin a tap ṭan ta tih han mitthla teh. Eng ang pawhin thlamuan tum mah la, a tap chu a reh lovang. Mahse minute 15-20 vel hnuah chuan tap chu a reh a, a khel leh ta a, engmah thleng lo ang maiin a khel leh ta a ni. Pum natna mai mai niin i ngai mai thei. Mahse hei hi natna khirh zawk Intussusception , damdawi lam pan vat ngai a ni thei. Hei hi nu leh pa zawng zawng tan hriat a pawimawh a, medical emergency a nih avangin.

A awlsam zawngin, Intussusception chu eng nge ni?

A hming hi a mak deuhin a lang thei a, mahse thil thleng chu a awlsam hle. Intussusception chu kan intestine peng pakhatin telescope ang maia a peng dang a ei chhuah hi a ni. Sock chu a chhungah a roll up ang mai a ni. Hei hi small intestine-ah a thleng tlangpui.

Chutiang a nih chuan intestine kal tlanga ei tur kal chu a tawp vek tawh mai a, chu chuan bowel obstruction a thlen thin . Chu bâkah, chu intestine hmuna thisen petu thisen kalna kawngte chu a compress a, thisen kal chu a titawp a ni. Enkawl vat loh chuan he inkharkhip hian intestine a ti hring thei a, a ti na thei a, harsatna lian tak tak a thlen thei a, nunna atana hlauhawm pawh a ni thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Intussusception hi kum eng pawhah awm thei mahse, naupang thla 3 leh kum 3 inkar ah a tam ber . Dik tak chuan naupang kum 3 hnuai lam intestinal obstruction thlentu ber chu intussusception a ni a, naupang 2,000 zinga 1 velin an dam kum khatnaah he natna hi an nei ang tih an chhut.

Puitlingah chuan a tlem hle. Puitlingah chuan intussusception hian intestinal obstruction zawng zawng zinga 1% vel chauh a huam a ni.

Engtin nge intussusception symptoms hi kan hriat theih ang?

I fain he natna hi a nei nia i rinhlelh chuan heng natna lan chhuah dan hi ngun taka ngaihven a pawimawh hle.

Naupang tê tête natna lan chhuah dan

Naupangte symptoms hi a danglam deuh hlek a. A lan chhuah dan ber chu pum na na tak, cramping tak, rei vak lo hnuah a reh thin a ni.He natna hi a lo thlen chuan naupang te te chuan an khup chu an pumah an nawr a, an tap nasa hle. He natna hi minute 15-20 vel a awm thei. Tichuan rang takin a natna chu a reh ta a, naute chu a awm dan pangngaiin a awm leh ta a, a inkhelh pawh a ni. He natna awm lohna hun hi minute 20-30 vel a ni thei. Tichuan natna rapthlak tak chu a intan leh ta a.

Hetiang natna zungzam hi a kal zel chuan naute chu a chau thei a, a muhil thei a, a chau thei bawk . Tin, khawsik an nei thei bawk a, a nasat chuan shock-ah an kal thei bawk.

Tin, a hnuaia symptoms te hi ngaihven bawk ang che.

A châng chuan, naupangin virus fever ang chi a neih hnu kar engemaw zât hnuah heng chhinchhiahnate hi a lo lang thei a ni. Chuvangin tun hnaia i fa a damlo a nih chuan hei pawh hi i ringhlel tur a ni.

Puitlingah a natna lan chhuah dan

Intussusception symptoms hi puitlingah chuan a danglam deuh hlek a. Pum natna hi naupang ang bawkin a lo thleng thei a, a awm reng thei bawk. Puitlingah hian luak chhuak, puak, thisen chhuak te pawh a awm fo. Mahse, heng symptoms te hi intestinal disease dang tam takah a awm fo avangin mi tam takin ngaihthah an tum thin. Mahse, intussusception hi a hlauhawm hle.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Vawi tam tak chu intussusception awm chhan chiang tak hmuh a harsa thin a, a bik takin naupang tê têah chuan.

Mahse thil thenkhatin hei hi a nghawng thei tih hmuhchhuah a ni.

• Naupangah: Viral infection leh he natna hi inzawmna a awm niin a lang. Naupang tam zawk chuan khaw lum laiin an vei a, chutih lai chuan khawsik leh viral gastroenteritis a awm fo thin. Tin, intestine-a pianpui thil dik lo, Meckel’s diverticulum an tih emaw, intestines-a small growth (polyps) emaw vang pawh a ni thei bawk.
• Puitlingah: Puitlingah chuan a chhan a lang chiang zawk. Intussusception hi a tam ber chu malignant tumor emaw, colon-a benign growth emaw ang chi thil vang a ni. A tlem berah chuan hun rei tak chhunga colon inflammatory conditions, Crohn’s disease ang chi vang pawh a ni thei.

Enkawl loh chuan harsatna hlauhawm tak tak a awm thei

Hei hi sawi nawn leh ngai tak a ni. Intussusception hi enkawl vat loh chuan nunna atana hlauhawm tak a ni thei.

• Gastrointestinal perforation: Intestine a block chuan a hnungah ei leh in leh digestive juices a lo awm khawm a, pressure a ti sang hle. Hetiang pressure hian intestine a ti hring thei a, a tawpah chuan a puak thei a, khur a siam thei bawk.
• Infection na tak (peritonitis): Intestine a perforated chuan a chhunga thil awmte chu abdominal cavity-ah a luang lut thin. Hei hian natna khirh tak a thlen thei a, chu chu pum chhung zawng zawngah a darh thei a, nunna atana hlauhawm tak sepsis an tih chu a thlen thei a ni.
• Bowel necrosis: Intestine hmun khata thisen kal chu tihtawp a nih chuan chu hmuna tissue chu oxygen dawng lovin a thi tan thin. Chutiang a nih chuan chu intestine hmun chu operation hmanga lakchhuah a ngai mai thei.

Heng harsatnate hi a lo thleng thuai thei hle. Chuvangin hei hi emergency anga ngaih a, damdawi in Emergency Department (ETU) pan nghal a pawimawh hle .

Doctor-te hian engtin nge hei hi an hriatchhuah a, an enkawl?

A tlangpuiin he natna hi hriatchhuah leh enkawl dan pahnih hi a rualin a thleng thin. Hetiang symptoms neia naupang damdawi ina hruai an nih chuan doctor ten an tih hmasak ber chu ultrasound scan a ni. Hei hian intussusception a awm leh awm loh chu 100% dik takin a hril thei a ni.

A dawt leh pawimawh ber chu Air Enema emaw Contrast Enema emaw tih hi a ni.

He Enema enkawlna hi eng nge ni?

Hei hi surgery tih a ni lo. Hetiang tih danah hian naupang rectum kaltlangin tube te tak te an dah a, chuta tang chuan boruak (Air Enema) emaw, tui bik `(barium)` (Contrast Enema) ang chi emaw chu intestine-ah an lut a ni. He boruak emaw tui emaw hian pressure a siam hian intestine chhunga a pil tawhna hmun chu a rawn nawr chhuak leh a, chu chuan intestine chu a tidik ta a ni. Doctor chuan he thil thleng zawng zawng hi X-ray video hmangin a en vek a ni.

Inzai

Puitlingah chuan intussusception hi operation a ngai tlangpui. Tin, naupang thenkhat chuan operation an mamawh thei bawk. Hei hi a chhan chu:

• Enema hmanga enkawl a hlawhtlin loh chuan.
• Intestine perforation ang chi complication a lo awm tawh a nih chuan.

Surgery hi hnam dan anga tih theih a ni a, pum chhunga incision lian tak pakhat (open surgery) hmangin emaw, laparoscopy an tih hmangin emaw, pum chhunga incision tenau engemaw zat hmangin camera hmangin tih theih a ni bawk. Surgery neih chhung hian doctor chuan intestine a slip tawh chu tihdik a tum ang. Hei hi a theih loh chuan, a nih loh leh a part a chhiat chuan a part chu a cut chhuak a, a hrisel la awm pahnih chu a inzawm khawm a ni.

He surgery neih chhung hian naupang chu a natna engmah a hriat loh nan pediatric anesthesiologist chuan a enkawl ang. Chuvangin ngaihtuah buai a ngai lo.

Naute enkawl hnuah engtin nge a awm ang?

Enema hmanga enkawl hnuah naupang chu darkar engemaw zat chhung chu a pum a puar thei a ni. Natna leh khawsik thunun nan damdawi paracetamol ang chi hi pek theih a ni.

Operation hnuah i fain natna damdawi a mamawh dawn a ni. An intestines a dam hma chu ni engemaw zat IV fluid pek an ni ang. Ni khat atanga ni thum chhungin an ei tan leh thei tlangpui. I fa chu a thiltih pangngaia a kir leh theih nan kar tlemte a la ngai thei.

He natna hi enkawl vat a nih chuan naupang dam lehna rate a sang hle. Mahse, hetiang thil hi a thleng leh theihna chance 10% - 20% a awm. Chuvangin damdawi in chhuahsan hmain doctor hnenah he natna hi a lo awm leh a nih chuan fimkhur tur symptoms te chu uluk takin zawt hmasa phawt ang che.