I fa te hian pum na a tuar fo thin em, greenish-yellow vomit a nei fo em? Doctor chuan naute hian a chhungril lamah pianpui harsatna a nei tih a sawi mai thei a, chu chu a chhungril dinhmun dik lo tihna a ni mai thei? Hei hi damdawi lam chuan `(Malrotation)` kan tih chu a ni. Doctor pawhin hei hi enkawlna atan `Ladd' procedure tih a ngai tih a sawi pawh a ni mai thei. Chuvangin, hlauhna leh lungkhamna nasa tak i neih hi thil pangngai tak a ni. Chuvangin vawiinah hian engkim chiang tak, awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.
Ladd Procedure chu eng nge ni?
A awlsam zawngin, nausen pum chhunga a awm laiin intestines te chu a awmna tur dik takah a awm loh chuan hei hi `(Malrotation)` kan ti thin. Hei hi pianpui (congenital condition) a ni.
Hemi chungchanga hlauhawm ber chu a chang chuan hetianga intestine dik lo tak takte hi a inzawm khawm thei a ni. Tui pipe chu a sir lehlamah vawn a, twist ang maiin han ngaihtuah teh. Hei hi volvulus kan ti a ni . Chutiang a nih chuan intestine-a thisen kalna chu a titawp vek thei a, chu hmunte chu a thi hial thei (necrosis). Hei hi emergency tak a ni.
Chu bakah, tissue band pangngai lo ``Ladd's bands'' an tih te hian intestine peng hmasa ber (duodenum) chu a siam thei a, a block thei bawk. Hei hian naute chu chaw a ei thei lo va, a luak fo thei bawk.
Chuvangin he LAD surgery hian a tih chu surgeon-te chuan heng intestines twisted te hi an tidik fai a, chutiang tissue tibuaitu strip te chu an cut chhuak a, intestines chu abdomen chhunga hmun dik leh him takah an dah a ni.
I naute tan surgery tih thu i hriat hian i lungkhamna chu ka hrethiam. Mahse hei hi `(Malrotation)` enkawlna awmchhun leh tha ber a ni. I medical team chuan he zinkawngah hian nang leh i naute chauh an kalsan lovang, engkim an hrilhfiah vek ang.
Naute chu operation atan engtin nge kan buatsaih ang?
He surgery hi naute kum khat hnuai lam te chungah an ti fo thin. Chuvang chuan thil awmdan chu an hrethiam lo. Chuvang chuan nu leh pa anga i hmangaihna leh i ngaihsakna chu tun dinhmunah i naute tan a pawimawh em em a ni. Thil tlemte tih theih a awm.
- Damdawi ina awm chhung atan inbuatsaih rawh: Operation hnuah ni engemaw zat, kar hnih vel pawh damdawi inah i awm a ngai ang. I naute hnaih thei ang bera awm tum ang che. I aw, i thlamuanna khawih hi i naute tan a tha hle. Chawlh hahdam i mamawh hunah i naute hre chiangtu chhungte hnenah i bula awm turin hrilh rawh.
- I naute chu nuam ti takin siam rawh: I naute duhzawng thil, infiamna emaw, puan te tak te emaw keng la. Operation hma leh operation hnua i bula neih chuan i naute chu a hahdam theih nan a pui ang.
- Ei leh in chungchang zawt rawh: Operation hma darkar engemaw zat chhungin naute hnute pek leh chaw pek chu i chawlhsan a ngai mai thei. Hei hi naute tin tan a inang lo thei a, chuvangin he thu hi i surgeon nen sawiho rawh.
Engtin nge surgery hi tih a nih?
A tam zawkah chuan he surgery hi laparoscopic hmanga tih a ni. Chu chu ‘keyhole’ surgery kan tih hi a ni a, chu chu camera hmanga tih a ni. Hemiah hian pum chhungah hian incision tenau tlemte chauh siam a ni. A tlem berah chuan thil awmdan azirin open surgery ‘laparotomy’ an tih chu tih theih a ni. Surgeon chuan i naute tan eng method nge tha ber tih a rel ang.
| Surgery hma leh operation neih chhunga thil thleng | |
|---|---|
| Surgery hmaa inbuatsaihna | |
| Hnar kawng (NG tube) 1.1. | Tube te tak te chu hnar hmangin pum chhungah dahin naute pum chhunga thil awmte chu a hring chhuak thin. |
| Saline chu kut ah dah (IV line) . | Saline solution chu kut chhunga vein pakhatah dah a ni. Hei hi natna hrik laka invenna atana tui, natna tidamtu leh damdawi mamawh te pekna hmun a ni. |
| General Anesthesia hmanga tihdam a ni | Naute chu muthilh kim vek a nih avangin zai lai hian natna a awm lo. |
| Surgery neih lai hian | |
| Incision te te siam | Laparoscopic method atan chuan pum chhungah incision te te 3-5 mm vel 3 emaw 4 emaw siam a ni. |
| Bowel siamthat a ni | Twisted intestine chu uluk takin an inzawm khawm a, a tibuaitu ``Ladd's bands'' tissue chu an tan a, an la chhuak a ni. |
| Appendix lakchhuah a ni | Intestines te chu hmun dangah an dah leh chuan appendix chu hmun dik loah a awm tihna a ni. Nakin lawkah harsatna a thlen theih avangin he surgery neih chhung hian lakchhuah a ni bawk. Naute a tichhe lo. |
| Bowel repositioning a ni | Intestine-in thisen a neih that chuan pum vei lamah him takin dah a ni. |
A chang chuan intestines twist leh intestines tihchhiat avanga thisen supply tihtawp a nih rinhlelhna a awm chuan intestine hriselna finfiah nan surgery hmasa ber atanga darkar 24-48 chhungin surgery dang neih a ngai thei bawk.
Surgery hnuah eng nge thleng?
Surgery zawhah naute chu recovery room-ah hruai a ni a, chutah chuan doctor leh nurse-te chuan naute heart rate leh thawk dan an enfiah thin. Fluids leh nutrition te hi saline (IV) hmangin naute intestines a thawk leh tan (i.e., passing gas and stool ) thlengin pek thin a ni.
Intestine-in hna a thawh tan hnuah naute chuan ni hnih atanga ni thum vel hnuah bawnghnute a in tan thei a, chaw a ei leh thei bawk.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
A thatna ber chu ``Malrotation`` condition chu a tidam vek a ni. Mahse, surgery zawng zawng ang bawkin, hlauhawmna tenau tak tak a awm.
| Hlawkpuina | Risk/Complication awm thei te |
|---|---|
| Pum na leh luak chhuak ang chi symptoms te chu a bo vek. | Surgery hmuna natna hrik awm. |
| Intestinal twisting (volvulus) hlauhawm tak chu a bo ta a ni. | Paralytic ileus hi intestinal function rei lo te chhunga tihtawp a ni. |
| Naute chuan bawnghnute a in thei ang a, a pangngaiin a ei thei ang. | Short bowel syndrome (intestine thenkhat lakchhuah a nih chuan). |
| Naute hian a than dan pangngai leh a than dan pangngai a tawng mek a ni. | A tlem berah chuan, intestine (Volvulus) a twisting nawn leh thin. |
Engtikah nge doctor ka biak ang?
Surgery atanga i naute i rawn hruai haw hnuah a hnuaia symptoms te hi i hmuh chuan i surgeon emaw hospital emaw ko nghal rawh. Hengte hi hri kai chhinchhiahna a ni thei:
- Fever: Rectal temperature 100.4°F (38°C) aia sang a nih chuan.
- Hliam atanga pus oozing: Hliam atanga tui thuk, var emaw cream rawng emaw a lo chhuak a nih chuan.
- Hliam hawn: Hliam chu a inhawng a, a hrual a lo chhuak tawh a nih chuan a thuk zawk hmuh theih a awm.
- Hliam vel a sen: Incision vel vun chu a sen a, a sen chu a darh zel a.
Tin, naute hian a pum a na leh a, a luak chhuak green a nih chuan a natna lanchhuahna chu a lo lang leh mai thei tihna a ni. Chutiang a nih chuan rei lovah Doctor i ko nghal tur a ni.
Take-Home Thuchah a ni
- Ladd Procedure hi malrotation, intestine-a pianpui chhiatna enkawlna awmchhun leh hlawhtling ber a ni.
- Hei hian ``Volvulus`` dinhmun hlauhawm tak chu a veng thei a, chutah chuan intestines te chu a inher a, thisen supply a hloh thin.
- Surgery chungchangah hlauhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inhawng takin sawi rawh. Engkim an hrilhfiah ang che.
- Operation hnua infection chhinchhiahna (khawsik, hliam atanga pus) emaw, symptoms lo lang leh (luak, pum na) i neih chuan doctor thurawn la nghal rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh