Naute pum natna thlentu ni thei, Meckel’s Diverticulum chungchang hi i zir dawn teh ang!

I fate hian a chang chuan sawifiah theih lohvin a pum a na em? A nih loh leh an bawlhhlawh chhunga thisen i hmuh hian thih thlengin i hlau em? Hemi chungchangah hian nu leh pa tam takin an buai hle. Mahse thil pawi tak a nih a ngai reng reng lo. Vawiin hian heng symptoms thlen thei dinhmun kan sawi dawn a, mahse mi tam takin an la hre lo. Chu chu Meckel-a diverticulum a ni. A hming hi mak tak angin lang mahse, kan hriat tur thil a ni.

Meckel-a Diverticulum chu eng nge ni?

A awlsam zawngin sawi ila, Meckel’s diverticulum chu kan rilru natna (small intestine) bang chhunga lo awm, pouch emaw pocket emaw te tak te a ni. Dress chhunga pouch te tak te ang maiin han ngaihtuah teh. Hei hi piansualna, pian tirh laia awm thin a ni. Mahse, "disorder" tih thumal hian hlauthawng suh. Hei hi a hluar hle. Nausen 100 zinga 2 emaw 3 velin he natna hi an nei a, a tam zawkah chuan harsatna a thlen lo.

A tlangpuiin kan chaw ei (digestive system) (gastrointestinal tract) ah diverticula kan nei thei. Kan tar chhoh zel chuan a bik takin colon-ah an lo thang lian thin. Mahse Meckel-a diverticulum hi a danglam deuh. A chhan chu naute pum chhunga a la awm laiin a lo thang lian a ni.

Hemi chungchanga thil danglam tak chu a chang chuan he protrusion te tak te chhungah hian tissue chi dang a awm thei a, chu chu a awm lo. Damdawi lamah chuan hei hi ‘ectopic tissue’ kan ti thin. Chu chu hmun khata awm tur tissue chi khat chu a awm lohna hmunah a lo thang lian tihna a ni. Ngaihtuah teh, kan pum chhunga tissue thenkhat, acid siamtu chu he protrusion te tak te chhungah hian a lo thang lian a nih chuan eng nge thleng ang? Pum hian acid tuar thei tur coating bik a nei a. Mahse small intestine hian chutiang coating chu a nei lo. Chuvangin chu protrusion chhunga stomach tissue lo thang lian chuan acid a chhuah tan chuan chu acid chuan small intestine wall chu a tichhia a, ulcer a siam tan ta a ni. Chutah chuan harsatna a lo chhuak thin.

Hei hi hriatreng awlsam tak a ni: "Rule of 2s" tih hi.

Meckel-a diverticulum chungchangah hian thudik bulpui thenkhat hriatrengna awlsam tak a awm. "Rule of 2s" tih a ni.

• Hriat dan: Mipui 2% velin he natna hi an nei a ni.
• Harsatna: Hetiang natna vei zinga 2% chauh hian symptom emaw complication emaw an nei thin. Chu chu mi 100 zinga 98 chuan an nei tih pawh hre lovin an dam chhung zawng an hmang dawn tihna a ni.
• Kum: Nausen kum 2 hnuai lam ah hian symptoms a lang tlangpui.
• Gender: Hmeichhia aiin mipa naupangin he natna hi a let hnih zetin an vei tam zawk.
• Hmun: He protrusion hi a tlangpuiin small intestine hnuai lam atanga feet 2 vel a sangah a awm thin.
• Tissue chi hrang hrang: Hemi chhungah hian ectopic tissue chi hnih a awm a(Stomch tissue emaw pancreatic tissue emaw) a awm thei.

Meckel’s Diverticulum natna lan chhuah dan chu engte nge ni?

A hmasa berah chuan nangmah emaw i fa emaw hian he natna hi i nei thei vek a, mahse i dam chhung zawng chu engmah chhinchhiahna nei lovin i hmang thei vek a ni. Kan sawi tawh ang khan harsatna a lo awm chauhvin symptoms a lang thin. Heng harsatnate hi naupan laiah a lang fo a, mahse puitlingah erawh a thleng tlem hle.

Ngaihtuah teh, i fapa kum khat leh a chanve mi chu chhan awm lovin a tap nghal a, a pum a chelh tlat mai. Bawnghnute pawh a in dawn lo. A diaper i thlak chuan thisen sen hring hring in a hnawih tih i hmu a. Nu tu pawh hlauthawng thei scene a ni. Hetiang hun lai hian doctor chuan Meckel’s diverticulum tih hming pu natna a ringhlel mai thei.

Harsatna lo awm thei ber berte leh an natna lan chhuah dan te han thlir ila.

Heng harsatnate hi a pawi thei em?

Ni e, harsatna ṭhenkhat chu enkawl loh chuan nunna atana hlauhawm tak a ni thei. Mahse symptoms hi a nasat hmain a lang tlangpui. Entirnan, hliam pakhatin thisen a chhuah chhunzawm zel chuan taksain thisen a hloh tam lutuk a, shock-ah a kal thei a ni. Intestinal wall-ah perforation a awm thei bawk a, chu chuan natna khirh tak (sepsis) a thlen thei bawk. Chuvangin heng symptoms te hi i hriat chian chuan Doctor pan nghal tur a ni.

Engvangin nge Meckel-a Diverticulum hi a lo awm?

Hei hi thawnthu buaithlak deuh a ni a, mahse awlsam takin ka sawifiah ang. Naute hian a lo pian tirh lamah chuan yolk sac an tih thil pakhat atang hian chaw tha a dawng thin. Hei hi naute chhungril nen hian tube te tak te (vitelline duct) hmangin a inzawm a ni. Kar engemaw zat hnuah naute chuan nu hnen atangin chaw tha a dawng tan a, chu chu nausen (placenta) kaltlangin a ni. Chutih lai chuan yolk sac leh a nena inzawm tube chu a ngai tawh lo. A tlangpuiin he tube leh sac hi taksain a hip lut vek tur a ni.

Engtin nge doctor-te hian he natna hi an hriat theih?

Mi thenkhat chuan accident-in an nei tih an hrechhuak thin. Chhan dang avanga abdominal scan ang chi thil an neih hian hmuhchhuah a ni. Mi dangte chuan natna lan chhuahna a lan ṭan chuan an hre chhuak ṭhin. Doctor ten an ringhlel ang a, a bik takin naupang kum 2 hnuai lam chuan chhan hriat loha pum na a neih emaw, an ek na lova thisen a awm chuan emaw an ringhlel ang. Hei hi naupangin an ek chhungah thisen an neih chhan ber a ni.

Hei hi finfiah tur hian test engemaw zat a awm a:

• Meckel’s scan: Hei hi test hman tlanglawn ber a ni. Radioactive substance te tak te, hlauhawm lo tak chu vein pakhatah an inject a. He vein chhungah hian stomach tissue a awm chuan tissue chuan chu thil chu a absorb a ni. Tichuan, camera bik (gamma camera) hmanga en chuan a hmun chu mawi takin a lang chhuak a ni.
• Mesenteric arteriography (angiogram): Hei hi pum chhunga thisen kalna kawng hrang hrangah dye inject a, X-ray thlalak lak a ni. He test hian intestinal injury atanga thisen chhuahna hmun active a awm leh awm loh a hriat theih a ni.
• Endoscopy hmanga enfiah: 1.1.Hei hian tube te tak te (endoscope) dahin, ka chhunga camera dahin, intestines enfiah a ngai a ni. Thil dang pakhat chu pill ang chi camera te tak te (capsule endoscopy) ei hi a ni. He camera hian intestine a kal kual a, thlalak a la bawk. Nausen te tan pawh he capsule hi anesthesia hnuah pum chhungah dah theih a ni bawk.

Hei hi eng enkawlna nge ni?

Meckel’s diverticulum avanga harsatna a awm chuan enkawlna tha ber chu surgery hmanga lakchhuah hi a ni. He surgery hi ‘small bowel resection’ an ti a. Hei hian diverticulum awmna intestine hmun te tak te chu tan chhuah a, chutah chuan intestine section la awm pahnih chu inzawmkhawm leh a ngai a ni.

A châng chuan, a lan chhuah loh pawhin, scan-in naupang têin he protrusion chhungah hian pum tissue a nei tih a finfiah chuan, doctor chuan nakin lawka harsatna a thlen loh nan operation neih a rawt thei a ni.

A tam zawkah chuan he surgery hi laparoscopic hmanga tih a ni. Chu chu, surgery chu pum chhungah incision lian tak siam lovin, incision tenau tlemte hmanga tih a ni zawk a, chutah chuan camera leh instrument te dah a ni. Hei hian a tidam rang zawk a, hliam a ti tlem bawk.

Surgery hnuah eng nge thleng?

Operation hnua dam leh hun chhung hi a rei lo tlangpui. Laparoscopic surgery i neih chuan kar hnih atanga kar thum vel chhungin i dam kim vek ang. Open surgery i neih chuan kar ruk atanga kar riat vel a ni thei. Surgery hnuah hian harsatna tenau, infection ang chi, 5% vel a awm theihna a tlem hle. Mahse, vawi khat surgery a hlawhtlin chuan he Meckel-a diverticulum problem hian nangmah emaw i naute emaw a tibuai leh tawh ngai lovang.

Symptoms a awm loh chuan he thil hi ka buaipui tur em ni?

No. Mi tam zawk chuan he thil hi harsatna an nei ngai lo. 2% chauhvin harsatna an nei ang. A pawimawh ber chu hei hi hriat chian a ni. Nangmah emaw, i fa emaw hian sawifiah theih lohvin i pum na, ei duh lohna emaw, ek chhunga thisen emaw i neih chuan doctor pan nghal rawh. Puitling anga harsatna i la tawk lo a nih chuan nakin lawkah harsatna i neih loh theihna chance tha tak a awm.