Kan taksa hi thilsiam mak tak a ni tak zet a ni lawm ni? Kan hre lo, mahse kan taksa chhungah hian ngawi renga hna thawk thei peng tam tak a awm a. Vawiin hian mi huaisen te tak te kan sawi dawn a, a hming hi mak deuh mahse kan chaw ei kawngah hmun pawimawh tak a chang a ni. Amah hi "Ligament of Treitz" a ni. He hming hi i la hre ngai lo mai thei. Mahse eng nge a nih a, eng nge a tih tih hi i lo en ang u.
Treitz-a Ligament hi eng nge ni, a awlsam zawngin?
A awlsam zawngin kan pum chhunga tissue strip te tak te a ni. A dik zawka sawi chuan kan small intestine hmun hnih inzawmkhawmtu strip a ni a, chu chu support angin a thawk a ni. Kan small intestine hmun hmasa ber, duodenum tawpna leh a dawt leh jejunum intanna inkar ah a awm a ni.
Hetiang hian han ngaihtuah teh, puan in i din hian puan in puan chu hrui hmanga leiah i khih ang bawkin, he ligament hian kan intestine hmun hi a hmunah a vawng tlat a, a thlawpna a pe bawk. Medical science-a hei hi a hming dang chu `suspensory muscle of duodenum` tih a ni.
He hmun tlemte hian kan taksa tan eng hlawkna nge a neih?
A lian lo hle nachungin a hnathawh hi a tlem lo. Kan taksa tana hna pawimawh pathum a thawk ber a ni.
- Chaw ei a kal theih nan a pui: He tissue band hi a inzawm khawm thei a, chu chu a tlahniam thei tihna a ni. Contracting hmang hian chaw chu intestine kaltlangin a pui thin. Traffic police-in car-te kal tura signal a pek ang bawkin, ei tur chu a kal awlsam zawk a ni.
- Intestine thenkhat chu a hmun dik takah a awm: Ka sawi tawh ang khan hei hian kan duodenum chu hmun khatah a awm tir thei a ni. Chutiang a nih loh chuan pum chhungah a inher kual thei a ni.
- Surgeon-te tana chhinchhiahna: Hei hi a pawimawh ber pawh a ni mai thei. Surgeon-te’n kan pum an surgery hian he Trietz ligament hi map-a landmark ang mai a ni. He ligament hian kan chaw ei dan chunglam (Upper GI Tract) leh a hnuai lam (Lower GI Tract) inkar ramri a siam a ni. Entirnan, mi pakhatin a pum atanga thisen a chhuah chuan he ligament awmna hian surgeon-te chu thisen chu a chung lam atanga lo chhuak nge a hnuai lam atanga lo chhuak tih chiang takin a hriat theih nan a pui thin.
Trietz-a ligament nena inzawm dinhmun
Tunah chuan hei hian eng ang natna nge a thlen theih tih i ngaihtuah mai thei. Thu lawmawm tak chu Trietz ligament nena inzawm condition hi a tlem hle a ni . Tin, heng natna tam zawk hi chu pianpui a ni. Chu chu nausen pum chhunga a lo thanglian lai a lo awm thin structural defect avanga lo awm an ni tihna a ni.
Hemi chungchanga thil awm thei tlangpui leh sawi hlawh ber chu intestinal malrotation a ni .
Intestinal Malrotation hi eng nge ni?
A chang chuan naute a pian hian Trietz ligament leh duodenojejunal flexure te chu hmun dik takah a awm lo. Chutiang a nih chuan intestine peng hrang hrangte chu pum chhungah a inmil tha lo va, a inzawm khawm thei a ni . A awlsam zawngin, intestine chu a inzawm khawm ta a ni.
Hetiang dinhmun hi naute dam kum khatna chhungin hriat chhuah a ni tlangpui. Chuvang chuan nausen naupang nei nu leh pate tan he thil hi kan hriat chian a pawimawh hle a ni.
Hetiang dinhmunah hian symptom lian tak tak hmuh tur a awm nual. A hnuaia table-ah hian han en ila.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Pum natna awm reng | Naute chu a tap chhunzawm zel a, a pum a chelh a, a na a nih chuan ngaihtuah rawh. |
| Thinrimna hmanga luak chhuak emaw thisen chhuak emaw | A zun chu a sen emaw, coffee ground ang maia lang emaw a nih chuan, emaw, ek chhungah thisen sen emaw, dum emaw a awm chuan. |
| Hlawhtlin lohna | I naute chu a kum nena inmil taka a rihna a pung lo a nih chuan ngaihven rawh. |
| Infection lo awm leh thin | Digestive system-a natna hrik awm fo. |
| Chhan awm lovin luak chhuak | Naute chu chhan hriat loha a luak chhunzawm zel chuan. |
Hetiang dinhmun enkawlna chu surgery hmanga intestine twisted chu a awmna tur dik takah dah leh a ni.
Heng dinhmunte hi ven dan tur a awm em?
Hei hi mi tam takin harsatna an neih a ni. Mahse, kan sawi tawh ang khan Trietz ligament-a harsatna hi pianpui a ni. Scientist-te chuan heng piansualna hi a chhan chiang tak an la hmu lo. Chuvangin tun dinhmunah hian heng dinhmunte hi a lo awm loh nan tihkhawtlai theih a la ni lo.
Engtikah nge Doctor i hmuh nghal tur?
Hei hi he thuziak pawimawh ber pawh a ni mai thei. Nangmah emaw, i fa emaw, a bik takin naute te tak te hian a hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan tihkhawtlai suh la , i chhungkaw doctor hmu la, hospital emergency department (ETU) hnai ber pan la.
| Symptoms fimkhur tur | Eng nge a bik taka ngaihven tur |
|---|---|
| Thisen chhuak chu stool ah a awm | Stool chu a sen emaw tarry black emaw a nih chuan. |
| Thisen nena luak chhuak | Coffee grounds ang maia luak chhuak chu a sen emaw, a dum emaw a nih chuan. |
| Rihna tlahniam nghal emaw, taksa rihna sang lo emaw | A bik takin naupang tê tête an thau ṭhat loh chuan. |
| Nausea leh luak chhuak reng reng | Engmah hahdamna awm lovin luak chhuak chhunzawm zel a nih chuan. |
| Ni engemaw zat chhung chu bowel movement nei lo | Constipation a nasat chuan. |
| Pum natna emaw, pum na emaw a awm reng | Pum natna a reh loh a, pum chu a puak tih a hriat chuan. |
Heng symptoms te hi intestinal torsion vang a ni ngai lo va, mahse natna khirh tak chhinchhiahna a ni thei a, chuvangin doctor thurawn lak a pawimawh hle.
Take-Home Thuchah a ni
- Ligament of Treitz hi tissue band a ni a, kan chaw ei kawngah hna tenau tak mahse pawimawh tak a thawk a ni.
- Hemi nena inzawm dinhmun hi a tlem hle a, pianpui atanga lo piang a ni fo bawk.
- Hemi kawngah hian intestinal malrotation hi harsatna awm thei ber a ni a, nausen naupangte zingah hmuh tur a tam ber.
- I fa hian natna lan chhuahna a neih chuan, a luak chhuak reng a, a pum a na a, a pum a na emaw, a ek emaw, a luak emaw a thisen a chhuah chuan ngaihthah ngai suh.
- Chutiang dinhmun eng pawhah chuan thil tha ber leh him ber chu doctor pan nghal hi a ni .
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