I fate chu a pum na vangin a tap reng em? A khat tawkin a inhria em? A chang chuan green vomit a chhuah thin em? Nu emaw pa emaw angin hetiang hunah hian lungkhamna nasa tak neih hi thil pangngai a ni. Hengte hi pum natna pangngai mai nia kan ngaih fo laiin, a chang chuan hei hi a chhan a awm thei a, chu chu tlem kan ngaihtuah zawk tur a ni. Chuvangin, kan hriat chian tur condition pakhat chu intestinal torsion, a nih loh leh medical term-ah chuan `(Malrotation)` hi a ni.
A awlsam zawngin, intestinal malrotation chu eng nge ni?
Hei hi thumal buaithlak tak angin a lang thei a, mahse a takah chuan hriatthiam a awlsam khawp mai. `Malrotation` hi pianpui atanga lo piang a ni . Chu chu nausen pum chhunga a la awm laiin a lo awm tihna a ni.
Ngaihtuah teh, naute taksa peng hrang hrang a lo insiam lai hian intestines a lo piang hmasa a, chutah chuan a coil up tha a, a pum chhunga a hmun dik takah a in fit a ngai a ni. Hei hi thil thleng tlangpui a ni.
Amaherawhchu `Malrotation` ah chuan intestines te hi a twist tha lo va, a position dik lo a ni. A dik zawka sawi chuan, pum chhungah hian intestine te hi a awm tha lo hle. Chumi avang chuan intestines te chu abdominal wall ah a inzawm tha lo hle. Hei hi `Malrotation` kan tih chu a ni. Hei hi naupang emaw, nu leh pate emaw tihsual vang a ni lo.
A pawimawh ber chu hetiang natna nei naupang tam tak hian an intestine siamthat nan operation an mamawh a ni. Chutianga tih zawh a nih chuan naupang chu nun pangngaiin a nung thei tawh ang.
‘Volvulus’ an tih hi eng dinhmun hlauhawm nge ni?
`Malrotation` chungchang kan sawi dawn hian complication hlauhawm dang kan hriat tur chu `Volvulus` a ni. Hei hi `Malrotation` hlauhawmna ber a ni. A awlsam zawngin, hei hian intestine chu a inher a, a inzawm khawm tihna a ni .
Tui pipe hi han ngaihtuah teh. Pipe chu hmun khatah a ben a, loop-ah a inher a nih chuan eng nge thleng ang? Tui luang chu a block a ni lawm ni? Hetah pawh hi chutiang chu a ni.
Malrotation hi pum chhunga intestine awm dan dik lo a nih avangin awlsam takin a inzawm khawm thei a ni. Chutiang a lo thlen chuan harsatna lian tak pahnih a lo awm a, chungte chu:
1. Bowel obstruction: Intestines kal tlanga chaw ei tawh kal dan chu a block vek a. Hei hi ``Bowel obstruction`` an ti a.
2. Thisen kal dan tihtawp: A hlauhawm zawk chu intestine-a thisen petu thisen kalna kawngte pawh he twisting-ah hian an inhnamhnawih thin. Tichuan, chu intestine peng chuan thisen a hmu tlem a, chu part chu a thi tan ta a ni.
He natna `Volvulus` an tih hi emergency surgery ngai a ni.`(a surgery emergency)`. A chhan chu enkawl loh chuan nunna atana hlauhawm tak tak, bowel death, perforation, peritonitis, sepsis, leh shock te a awm thei a ni.
Hetiang natna lan chhuah dan hi engte nge ni? Engtin nge kan hriat chian?
Naupang thenkhat chuan `malrotation` chauh an neih laiin symptom an nei lo mai thei. Mahse, `volvulus` a lo awm chuan symptoms a lang nghal vek. Heng symptoms te hi naupang kum 5 hnuai lam ah a langsar ber a, a bik takin an pian tirh thla khat chhungin a langsar ber a ni.
Nausen leh naupang kum upa zawkte tan heng miziate hi engtin nge a danglam tih i lo en ang u.
| Nausen natna lan chhuah dan | |
|---|---|
| Symptom a ni | Hrilhfiahna |
| Luak chhuak | Luak chhuak fo thin. A bik takin, green emaw yellow-green emaw vomit . Hei hi intestine blockage avanga bile refluxing vang a ni. Hei hi emergency chhinchhiahna a ni! |
| Pum na leh pum na | Pum a khat a, kut a vawn chuan a na a ni. Naupang hian colic pain nasa tak a nei a. |
| Tap pattern | Naupang chu a tap nasa hle a, a ke chu a pum thlengin a vawn a, rei tak a ni. Tichuan minute 10-15 vel a thlamuang hnu chuan rang takin na takin a tap leh ta a. |
| Stool-a inthlak danglamna | Thluak chhunga thisen awm emaw, rectal bleeding emaw. |
Naupang kum khat chunglam mizia
Naupang kum upa zawkah chuan natna lan chhuah dan a inang lo deuh thei. Zirna thenkhatah chuan naupang kum 2 chunglam chuan green an luak tlem zawk tih hmuhchhuah a ni. A tlangpuiin pum na leh luak chhuak, rawng pangngai tak an nei leh thin.
| Naupang kum khat chunglam mizia | |
|---|---|
| Pum natna | Pum natna lo lang leh thin. |
| Luak chhuak leh luak chhuak | Nausea leh luak chhuak fo (a tam zawkah chuan a rawng pangngai). |
| Digestive system lama harsatna awm thei | Diarrhea emaw constipation emaw a awm thei. |
| Hmasawn harsatna | Hlawhtlin lohna. |
| Thil dang pawh a awm | Bloating leh thisen passing hmanga stool. |
Engvangin nge hetiang hi a lo awm? Eng nge a chhan?
Dik tak chuan zirchiangtute chuan hei hi a chhan dik tak an la hre lo . Kan hriat chhuah chu congenital condition a ni tih hi a ni. Nausen naupai kar 10-na vel atang hian nausen chhungril (intestine) a lo piang tan thin. Chuvangin he process chhung hian eng emaw chhan vangin heng intestines te hi an insiam tha lo hle. A chhan dik tak hriat tumin zirchianna an la kalpui mek a ni.
Engtin nge doctor-te hian he natna hi an hriat theih?
I fain a chunga kan sawi ang chite hi a nei a nih chuan Doctor pan tura i kal hunah uluk takin naupang chu a enfiah hmasa phawt ang. Naupang pum chu a hre thei ang a, a hring emaw, a na emaw a enfiah ang.
Tichuan, a natna hriat chian nan test eng emaw zat tih a ni a, chu chuan pum chhung thlalak a la thei a ni. A bulpui berte chu:
- Pum chhunga ultrasound hmanga enfiah a ni
- Fluorescent substance hmanga X-ray lak (contrast) .
Heng test te hian intestine awmna leh ei tur pipe-a thil tihkhawtlai a awm leh awm loh chiang takin a hmu thei a ni.
Engtin nge enkawl a nih? Surgery neih a ngai em?
Ni e, naupang `Malrotation` vei te hi zai a ngai tlangpui. He surgery hian a tum ber chu intestines twisted te chu untwist a, abdomen chhunga hmun dik takah dah leh a ni.
Chumi atan chuan surgical technique pahnih hman a ni a, chungte chu:
1. Ladd’s procedure: Hei hi hman tlanglawn ber a ni. Hetiang tihnaah hian surgeon chuan intestines inzawmkhawmtu tissue band pangngai lo chu a cut chhuak thin. Chumi hnuah chuan intestine twisted te chu an phelh a, an dah leh thin. Hetiang tih dan hi open surgery emaw laparoscopically emaw pawhin tih theih a ni. Mahse, he procedure hnu hian intestine a twisting leh (recurrent volvulus) hlauhawmna a awm lo hle.
2. Kareem-a kalphung: Hei hi kalphung thar tak a ni. Hetiang tihnaah hian intestine te chu a awmna tur dik takah an inher kim vek a, abdominal wall-ah an nghet tlat a ni. Hei hian intestine re-twisting hlauhawmna a ti tlem niin an ngai.
Medical team chuan i fa dinhmun atana surgery tih dan tur dik ber tur an sawiho ang che.
A châng chuan, intestine a chhiat nasat dan azirin, operation bakah hian hmalak belh a ngai thei bawk.
- Intestine hmun chhia lak chhuah.
- Pum chhunga bawlhhlawh kal theihna tura hawn hun eng emaw chen emaw, a awm reng emaw (Colostomy).
- Appendix lakchhuah (a chhan chu intestines awmna a inthlak a, nakin lawkah appendicitis hriat a harsat avangin).
Emergency surgery hi nu emaw pa emaw tan chuan thil hlauhawm tak a ni thei tih chu a dik a ni. Mahse, i fa chu medical team thiam tak kutah a awm tih hre reng ang che. Zawhna emaw, ngaihtuahna emaw i neih apiang chu anmahni hnenah sawipui rawh. Engkim an hrilhfiah ang che.
Engtikah nge Doctor kan hmuh ang? Engtikah nge ETU-ah hian kan kal ang?
Hei hi a pawimawh ber a ni. I naute nen thil engemaw takah rinhlelhna tlemte pawh i neih chuan, "Hei hi a dam leh mai ang," tih hi nghak suh. A bik takin `Malrotation` ang dinhmunah chuan a hmaa inrawlh hian naute nunna a chhanhim thei a ni.
Doctor i hmuh hun tur chu:
I fain a hnuaia symptoms te hi a neih chuan naupang doctor pan rawh.
- Luak chhuak leh thin (a rawng pangngai pawh nise).
- Pum natna chungchang i sawi fo chuan.
- Naupang chu a thau tha lo a nih chuan.
Heng symptoms te hi `Malrotation` avanga lo awm reng reng a ni lo tih hre reng ang che. Condition dang, `Reflux` ang chi vang pawh a ni thei bawk. A chhan chu eng pawh ni se, doctor hnena inenkawl a tha ber.
Engtikah nge Emergency Treatment Unit (ETU) pan nghal tur:
A hnuaia chhinchhiahnate hi a awm chuan naupang chu damdawi in hnai ber Emergency Department (ETU) -ah hruai nghal vat tur a ni . Hengte hi `Volvulus` an tih natna chhinchhiahna hlauhawm tak a ni thei.
| Emergency sign - ETU-ah kal nghal rawh! |
|---|
| 🟢 Green or yellow-green vomit - hei hi vaukhânna chhinchhiahna ber a ni! |
| 💨 Thâwk rang lo tak. |
| ❤️ Heart rate a tisang. |
| 😵 Buhbuai emaw, hriatna hloh emaw. |
| 😨 Vun chu a vawt a, a clammy a, a pale bawk. |
| 😖 Pum a na a, pum na na tak a awm bawk. |
Hetiang dinhmun hi a veng thei lo em ni?
`Malrotation` hi pianpui natna a nih avangin a chhan dik tak hriat a nih loh avangin ven dan tur a awm lo. Tin, chuta lo chhuak `Volvulus` condition pawh hi tihtawp theih a ni lo.
Mahse, kan tih theih ṭha ber chu symptoms a lan veleh hmalak hi a ni . Hei hian harsatna lian tham a thlen theihna chu nasa takin a tihziaawm thei a ni.
Take-Home Thuchah a ni
- `Malrotation` hi piansualna a ni a, nausen pum chhunga a awm laiin a ril a inher tha lo a nih chuan a piansualna a ni. HeiNu leh pa sual a ni lo.
- I fain green emaw yellow-green emaw a luak chuan emergency a ni. Damdawi in emergency room (ETU) ah kal nghal rawh.
- `Volvulus` hi intestines a twisting a, thisen kal dan a tikhawlo a ni. Hei hian nunna a tichhe thei a, zai nghal a ngai bawk.
- Hetiang natna enkawl dan chu operation a ni. A hmaa hriatchhuah leh enkawl a nih chuan naupangte chu nun pangngai, hrisel takin an nung thei a ni.
- I fate pum na, a luak chhuak, a nih loh leh chhinchhiahna danglam tak tak chungchangah rinhlelhna tlemte pawh i neih chuan, "A pawi lo," tih mai mai suh. I doctor nen inbia ang che. I hlauhthawnna pawh thlahthlam a pawimawh bawk.











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