I intestines-ah pawh thisen kal a tlahniam em? Hei hi Mesenteric Ischemia an ti a!

I pum na, tuar theih loh khawpa natna i nei tawh em? A nih loh leh chaw ei zawhah i pum na a, a na zual ang maiin i inhria em? Hetiang symptoms i neih chuan thil awm lo mahse hlauhawm tak a nih vang a ni thei. Vawiin hian chutiang dinhmun pakhat chu kan sawi dawn a ni. A hming chu Mesenteric Ischemia an ti a . Ngaihtuah buai suh, he thu hi awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.

He mesenteric ischemia hi eng nge ni?

A awlsam zawngin, mesenteric ischemia chu i chaw ei kawng ṭhenkhatin thisen a hmuh tlem chuan a ni . I tap chhunga tui a tlakchham lai ang mai a ni. Hei hi chutiang hmuna thisen petu thisen kalna kawng (blood vessels) a inkharkhip vang a ni tlangpui.

Hetiang dinhmun hi kum upa lam, a bik takin thinlung natna emaw thisen zam lama harsatna nei te zingah a tam zawk.

Ngaihtuah teh, kan taksaa cell tin, tissue tin leh organ tin hian oxygen an mamawh vek a ni. He oxygen hi thisen atanga lo chhuak a ni. Chuvangin thisen kal dan a chhiat chuan chu taksa peng leh taksa peng hrang hrangte chuan oxygen an nei tlem a, hna an thawk tha thei lo. Blockage a nasat chuan chu organ leh tissue te chu an thi tan thei hial a ni . Hei hi thihna thlen thei dinhmun a ni fo. Chuvang chuan natna hi a rang thei ang bera hriatchhuah leh enkawl a pawimawh hle.

"Mesentery" leh "ischemia" tih hian eng nge a awmzia?

• Mesentery: Hei hi kan pum chhunga membrane ang chi organ a ni. Kan intestine te, intestine lian leh taksa peng dang engemaw zat awmna hmuna vawng tlattu a ni. Tin, he mesentery kal tlang hian thisen kalna kawng network a kal a, chu chuan chu taksa peng hrang hrangte chu thisen a pe a ni.
• Ischemia: Hei hi kan taksa peng pakhatin thisen a dawn tawk loh vang a ni.

Mesenteric ischemia tih hian thisen kal tlem hian i mesentery leh a kaihhnawih taksa peng hrang hrangte a nghawng tihna a ni.

Hei hi chi hrang hrang a awm em?

Ni e, mesenteric ischemia hi chi hnih a awm ber a:

1. Acute Mesenteric Ischemia a awm thin

Heart attack emaw stroke emaw ang maiin hei hi thil thleng nghal mai a ni. He thisen ang chiah hian major artery blockage vang a ni. Thisen zam vang a ni tlangpui . Symptoms hi a lo lang nghal a, a na hle bawk. Hei hi medical emergency a ni a , enkawl vat a ngai a ni .

2. Chronic Mesenteric Ischemia (Chronic Mesenteric Ischemia) tih hi a tha lo hle.

Hetiang chi hi hun kal zelah zawi zawiin a lo thang lian thin. I mesenteric arteries te a tawi zauh zauh vang a ni tlangpui. Hun kal zelah symptoms hi a na zual zel thin.

Hetiang hi tuin nge nei tam zawk? (Risk factor hrang hrang) 1.1.

Kum upat rualin mesenteric ischemia hi a tam zawk. Lung natna leh circulatory system natna te nen pawh a inzawm a, a bik takin thisen zam thlen thei dinhmun te nen a inzawm bawk.

Risk factor thenkhat chu hetiang hi a ni:

• Heart rhythm disorders, entirnan , atrial fibrillation .
• Coronary artery natna a ni .
• Zunthlum (Diabetes Mellitus) natna (Diabetes Mellitus) .
• Lung lam chak lohna .
• Thisen sang (Hypertension) .
• Thisenah cholesterol level sang (Hyperlipidemia) .
• Hypercoagulation natna a awm thei .
• Tun hnaia surgery neih a ni.
• Ke leh ke ruh chhunga thisen kalna natna, entirnan , peripheral artery disease .
• Zuk leh hmuam hman - a hmaa i hman tawh emaw, tuna i hman mek emaw pawh nise.

He natna hi a hluar vak lo. Damdawi ina awm mi 1,000 zinga 1 emaw 2 emaw vel ah a awm thin.

He natna hian engtin nge taksa a nghawng? Engvangin nge a hlauhawm?

Kan taksa chhunga cell, tissue leh organ tin hian thisen leh oxygen supply reng reng kan mamawh a. Chu supply chu a bo chuan an thi tan thin. Mesenteric ischemia hlauhawmna chhan ber chu kan intestines a nghawng vang a ni . Kan intestine chhungah hian bacteria trillion tam tak a awm a.

A tlangpuiin heng bacteria te hi kan tan a tha a, kan ei tur kan ei theih nan min pui thin. Mahse, intestine a thih tan chuan heng bacteria te hi an awm lohna hmunah an darh thei a, natna hlauhawm tak tak an thlen thei a ni . Hei hian nunna atana hlauhawm tak, sepsis tih chu a thlen thei a ni. Sepsis chu kan taksa hriselna (immune system) hian natna hrik a tawh chuan a overreact a, kan taksa ngei pawh a tichhe thei a ni.

Eng thilin nge hei hi a thlen?

Mesenteric ischemia chi hrang hrang awm chhan hrang hrang a awm.

Acute Mesenteric Ischemia awm chhan: 1.1.

Kan thisen kalna kawng chhungah hian waxy substance plaque an tih chu a lo awm khawm thei a, chu chuan a tikhauh thei a ni. Hei hi atherosclerosis an ti a . Hei hi thinlung natnaah hmuh tur a awm tlangpui. Heng plaque zinga pakhat a rupture chuan thisen zam a lo awm thei a ni.

Thisen zam hian blockage a thlen theih dan:

• I mesenteric artery-a thisen zam (15% - 25%): Damdawi lam thil thenkhat chuan i thisen kalna kawngah thisen zam a siam awlsam phah. Chutiang clot chu i mesenteric artery-ah a lo awm a nih chuan acute mesenteric ischemia a thlen thei a ni.
• Mesenteric artery embolism (50%): Hei hi taksa hmun danga thisen zam lo awm tawh chu a lo chhuak a, mesenteric artery-ah a lo awm ta a ni. Thisen chu clot kal tlangin a luang thei lo.
• Mesenteric veins-a thisen zam (5%):Hei hi thisen zam awlsamna (hereditary conditions ang chi) nei te tan pawh a thleng thei. Mesenteric veins-a clot a lo awm chuan thisen kal chu a block a, clot hnung lamah thisen a khat ta a ni. Hei hi naupang zawkah a tam zawk.

Tin, non-occlusive mesenteric ischemia (NOMI) tih chi khat a awm bawk. Acute mesenteric ischemia vei zinga 20% vel chu he category-ah hian an tel a ni. Hei hi thisen kalna kawng (blood vessels) constriction emaw spasm emaw avanga lo awm a ni. Hei hian chhan hrang hrang a nei thei a:

• Ruihhlo: Lung damdawi \henkhat chuan thisen kalna kawng a tizau thei a, chutiang bawkin ruihhlo cocaine ang chi pawh a tizau thei bawk.
• Damdawi lam kalphung: Dialysis leh surgery ang chi thilte hian mesenteric thisen kalna kawng a tikhawlo thei a ni.
• Hriselna dinhmun: Hetiang dinhmun hi sepsis, heart failure, dehydration, allergic reaction, etc. avanga lo awm thei a ni a, thisen sang hniam hian hei hi a thlen thei bawk.

He NOMI dinhmun hi a chhe zual zel a, mahse a la hlauhawm hle.

Chronic Mesenteric Ischemia awm chhan hrang hrang:

Hei hi thisen kalna kawng tizautu thisen kalna natna avanga lo awm a ni fo. He narrowing, stenosis tia koh bawk hian hun kal zelah mesentery-a thisen kal zat a tihtlem phah a ni.

Mesenteric blood vessel-a thisen zam (blood clot) lo awm vang pawh a ni thei bawk. Chutiang a nih chuan clot chu a lian thei a, ni engemaw zat emaw kar engemaw zat chhungin symptoms a pung thei bawk.

He natna khirh tak hi nunna atana hlauhawm nghal lo mah se, acute mesenteric ischemia vei zinga 40% vel chuan chronic symptoms an nei tawh a ni. Chu chu, thisen kalna kawngkhar tihtlem avanga symptoms lo awm chu chu thisen kalna kawng tharin a lo dang a nih chuan a na zual nghal tihna a ni.

Hei hi eng symptoms nge ni?

Mesenteric ischemia symptoms hi a chi hrang hrangah a inang lo.

Acute Mesenteric Ischemia natna lan chhuah dan:

Hetiang dinhmun chhinchhiahna hi a lo lang nghal vek a ni. Anni chu:

• Pum natna nasa tak: Hei hi a lan chhuah tam ber a ni (damlo 75% - 80% velin an nei). Chaw ei zawhah a awm tlangpui. Pum chhunga khawiah nge a awm tih chiang taka hriat a harsa a, mahse a natna chu a na hle thei . Damlo chuan doctor-in a pum a hriat chuan beisei aia nasain a na a ti mai thei. Hei hi NOMI-a symptom awmchhun a ni mai thei.
• Bloating, nausea, leh vomiting: Hengte hian pum na a zui tlangpui. Luak chhuak hi mi tam takin an tawng bawk (70% vel).
• Bowel movement inthlak danglamna: Hei hi constipation ang chi thil vang a ni thei.
• Diarrhea: Damlo 40% velin an vei. Mahse a kal zel lo mai thei, mahse a hun hunah a lo thleng thei. Diarrhea hi a na hle thei a, a hnuah na tak a awm thei bawk. Natna natna khirh takah chuanThisen chhuak riltam hi a awm fo thin.
• Weight loss: Hei hi acute case-ah pawh hmuh theih a ni. Natna avanga ei tur duh lohna emaw, natna lo awm hmaa chhinchhiahna dang emaw a awm vang pawh a ni thei.
• Fever: Hei hi natna hlauhawm tak chhinchhiahna a ni thei.

Vawi tam tak chu, chronic mesenteric ischemia (a hnuaia mi hi en la) symptoms hi he acute condition lo awm hma hian a awm thei. Acute damlo zinga a chanve vel chuan chronic symptoms an nei hmasa ber a ni.

Chronic Mesenteric Ischemia natna lan chhuah dan:

Hetiang natna lan chhuah dan hi a lang zawi zawi a, hun kal zelah a pung zel bawk.

• Pum na: Hei hi chaw ei atanga darkar khat emaw darkar hnih emaw hnuah a tam ber. Thil pakhatin i pum a press (cramps) ang maiin a awm thei. A natna hi a tlangpuiin pum chunglam emaw, pum chhung vel emaw a ni.
• Ei leh in hlauhna leh taksa rihna tlahniam: Natna a zual zel chuan a na zual zel a. Hei hian "ei leh in hlauhna" tih dinhmun a thlen thei a ni. Hei hian ei zawhah a na dawn nia i ngaih avangin ei loh tur tihna a ni. Hei hian a pianphungah chuan taksa rihna tihtlem a thlen thin .
• Toilet hman dan thlak danglam: A hma aia toilet kal tam emaw tlem emaw a ngai.
• Diarrhea: Heng damlo hmun thuma ṭhena hmun khat vel hian diarrhea an nei. A tlangpuiin chronic a ni.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

Doctor chuan taksa enfiahna, lab test leh imaging test hmanga mesenteric ischemia a hriat theih. Vanduaithlak takin he natna hi a tir lamah chuan hriat a harsa hle. Harsatna dang chu he natna vei tam tak hian an tawng thei lo va, zawhna an chhang thei lo bawk a, a bik takin natna nasa tak an neih lai hian.

Eng ang test nge tih thin?

He natna hi hriat theihna tura pui thei tur test engemaw zat a awm a:

Taksa enfiahna

Hei hi i doctor-in a en a, a hriatna leh a ngaihthlakna hmun a ni a, harsatna a awm leh awm loh a en a ni. Mesenteric ischemia-ah chuan doctor-te chuan hetiang hi an hmu thei a:

• Hmuh theih chhinchhiahna: Bloating hi a chhinchhiahna ber pakhat a ni. Mi thenkhat chuan taksa rihna tlahniam an hmu mai thei. Mi tam tak chu natna nasa tak avangin nausen dinhmunah an mu thei.
• I hriat theih chhinchhiahna: Doctor chuan i pum a palpate ang. Mi thenkhat chuan an pum chhung hmun thenkhatah natna hrik an nei thin. Mi tam tak chu doctor-in an pum (guarding) a khawih tum hian an tense up ang. Vawi tam tak chu damlote chuan an pum khawih mai ai chuan a na zawk an ti.
• Hriat theih chhinchhiahna: I doctor chuan i chaw ei dan thawm chu stethoscope hmangin a ngaithla ang. Heng aw, borborygmi , tia koh te hi mesenteric ischemia-ah chuan hriat theih a ni lo. A nasat chuan thawm a awm lo thei. Achangin,"Bruit" ri pawh i hre mai thei. Hei hi thisen zam thenkhat nena hriat theih thawm a ni.

Heng taksa test te hian natna hi a lo zual zel hma chuan thil pawimawh tak a hmu lo mai thei. Chuvangin he natna hi hriatchhuah nan hun rei tak a ngai a, hei hi a hlauhawm em em chhan pakhat a ni.

Laboratory-a test neih a ni

Heng test te hian thisen a inthlak danglamna te, a bik takin a oxygen awm zat leh a clot theihna te a zawng thin. Tin, natna hrik a awm chuan immune system-in a chhan dan an en bawk. Test dangte chuan cell leh tissue chhia emaw, thi emaw avanga thisena chemical awm khawmte chu an zawng thin.

Imaging leh Endoscopy hmanga thil tih a ni

Mesenteric ischemia hriat dan tha ber chu thisen kal tlem emaw, a awm lohna hmun emaw zawn hi a ni. Hei hi imaging test engemaw zatin a pui thei a ni:

• Ultrasound: Hei hian i pum vunah dahna hmanrua hmanga high-frequency sound wave thawn a huam a ni. Heng sound wave te hian bat-te "hmu" ang chiah hian hna an thawk a, doctor-te chu thisen kal slow emaw, awm lohna hmun emaw zawng turin a pui a ni. Ultrasound chi hrang hrang hian thisen kalna kawng hrang hranga thisen kal zat a teh thei bawk.
• Angiography: Hei hi mesenteric ischemia hriat theihna kawng tha ber leh rintlak ber a ni. Angiography-ah chuan i pum chhunga thisen kalna kawng lian ber berteah contrast an tih dye an inject a. Chumi hnuah chuan X-ray emaw CT scan emaw hmangin vessels te chu chiang takin a lang chhuak thin . Tin, a then emaw, a pum emawa blocked vessels a lantir thei bawk. A châng chuan, thisen kalna kawng lian takah catheter , tube ang maia sei tak chu dahin, thisen kalna kawng a nghawng chu a chhûng aṭangin a en theih a ni.
• Endoscopy: Hetiang tih danah hian doctor chuan i chaw ei kawngah tube te tak te, flexible tak, endoscope an tih chu a dah lut a, ischemia chhinchhiahna a zawng thin. Buaina chu pum bulah a awm chuan endoscope chu i hmuiah dahin small intestine-ah a kal thla a ni. Buaina chu intestine lian emaw, small intestine hnuai lam emaw a nih chuan endoscope chu i rectum kaltlangin (colonoscopy ang chi) dah a ni. Heng tihnaah hian anesthesia hi hman a ni tlangpui. Endoscopy hi contrast injection nei thei lo (entir nan, allergy nei emaw, kal lama harsatna nei emaw) tan tih a awlsam zawk.

Hei hi enkawl dan tur a awm em? Dam theih a ni em?

Ni e, mesenteric ischemia hi a hmaa man a nih chuan enkawl theih a ni a, tihdanglam theih a ni bawk .

Tih hmasak ber tur chu a rang thei ang bera thisen kal dan siam that hi a ni. Mesenteric ischemia hi hun kal zelah hlauhawm tak a nih avangin doctor-te chuan zai nghal turin an rawt mai thei.

Thisen kal dan a lo tha leh tawh chuan a dawt leh tur chu tissue chhia emaw thi emaw a awm leh awm loh enfiah a ni. Thisen tlakchhamna avanga intestine emaw colon emaw hmun thenkhat a thi a nih chuan, chu hmunte chu lakchhuah chu a chhiatna siamthatna tur leh nunna atana hlauhawm harsatna awm thei tur venna awmchhun a ni.

Eng enkawlna leh damdawi nge pek thin?

Mesenteric ischemia chi leh a chhan awmna hmun a zirin enkawl dan leh intervention hrang hrang a awm.

Acute Mesenteric Ischemia enkawl dan: 1.1.

Chumi enkawlna \ha ber chu surgery , surgeon chuan thisen zam chu direct-in a la chhuak thei a, thisen kalna kawng tawi chu a tizau thei a, a nih loh leh stent , frame ang chi, thisen kalna kawng hawn rengtu a dah thei a ni.

Thisen kal dan tur direct-a siam that theih lohna hmunah chuan surgeon chuan i taksa peng dang atanga thisen kalna kawng khat a la thei a, bypass a siam thei bawk Bypass hian blocked area chu bypass in thisen kal dan a siam tha leh thin.

Thisen kal dan a lo awm leh hnuah surgeon chuan a chhehvel tissue-ah chhiatna chhinchhiahna a awm leh awm loh a enfiah ang. Hmun thi emaw, chhia emaw a awm chuan an la chhuak ang a, nakin lawkah a hnathawh that theih nan an siam tha ang. Hei hi a vawi hnihna atan operation neih a ngai fo thin a, a chhan chu tissue thi emaw, chhia emaw thenkhat hmuh theih nan ni hnih vel a ngai thei a ni.

Damdawi leh puitu enkawlna dangte chu a tlangpuiin:

• Intravenous (IV) fluids: Hengte hian thisen sang hniam emaw, tui tlakchhamna emaw a awm chuan a pui thei a ni.
• Thisen pek: Thisen tam tak a bo tawh a nih chuan hei hi a pawimawh hle.
• Oxygen: Hei hian i taksain thisen a kal kual theihna tura a thawhrimna a ti tlem a ni.
• Antibiotics: Hengte hi intestinal surgery-ah chuan a pawimawh hle a, chutiang taksa peng hrang hranga awm tlangpui bacteria te avang chuan natna kai theihna a sang zawk a ni.
• Blood thinners: Heng damdawi te hian thisen zam (blood clots) a siam loh nan a veng a ni. Hei hian mesenteric ischemia lo awm leh tur a veng mai bakah heart attack, stroke leh pulmonary embolisms te pawh a veng bawk. Amaherawhchu, thisen zamna damdawi hi thisen chhuah nasat theihna hlauhawma awmte hnenah pek a ni lo.

Non-occlusive mesenteric ischemia (NOMI) enkawl dan: 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Hei hi acute mesenteric ischemia subtype ni mahse, he harsatna siamthat nan hian operation neih a ngai ngai lo (a tir lamah pawh a \angkai vak lo mai thei), a chhan chu NOMI hian thisen kalna kawng (blood vessels) te chu a takin blockage awm lovin a ti tawi tlangpui a ni.

NOMI-a thil pawimawh ber chu thisen kalna kawng (vessels) a zim chhan zawng chhuak a, enkawl a, a lo thleng leh tawh loh nan ven hi a ni. Hei hian thisen kalna kawng a zim tirtu damdawi emaw damdawi emaw tihtawp tihna a ni. NOMI thlentu chu natna dang, sepsis ang chi a nih chuan chu natna enkawl chuan mesentery-a thisen kal pawh a ti \ha ang.

NOMI hi thisen kalna kawng a tawi a nih chuan balloon angioplasty tih a niCatheterization tih hming pu procedure hian a pui thei ang. Hetianga tihnaah hian thisen kalna kawng lian takah catheter dahin a natna hmunah kaihhruai a ni. Chutah chuan catheter tawp lama balloon pakhat chu an inflated a, chu chuan thisen kalna kawng natna chu a tizau ta a ni.

Enkawlna dang: 1.1.

• Vasodilators: Heng damdawi te hian i thisen kalna kawng a tizau a, thisen chu awlsam zawkin a luang chhuak thei a ni.
• Antibiotics: Hengte hi zai loh pawhin a pawimawh a, a chhan chu engtik lai pawhin intestines a chhiat chuan natna kai theihna a awm a ni.
• Oxygen: Taksain thisen kal zel tura thawhrimna a tihziaawm.

Chronic Mesenteric Ischemia enkawl dan: 1.1.

Hei hi a chhan a zirin enkawlna hi a inang lo deuh thei a, mahse enkawlna tam zawk hi acute mesenteric ischemia enkawlna nen a inang tlangpui thung.

Hemi atan hian surgery hi a awm fo thin a, a bik takin thisen zawi zawia lo thang emaw, thisen kalna kawng khar na tak emaw a awm chuan. Internal bleeding, infection, sepsis, emaw harsatna lian tham dang a awm chuan surgery a ngai tam zawk bawk. Thil dang hmanga thisen kal dan tur a siam that theih loh chuan bypass surgery pawh tih theih a ni bawk.

He natna hi balloon angioplasty leh catheter hmanga tih dan dangte pawh ngaihtuah mek a ni. A tam zawkah chuan doctor-te chuan a theih phawt chuan operation aiin catheter hmanga tih a rawt ṭhin. Surgery hi a invasive tlem avangin catheter hmanga tihdam a awlsam zawk.

Chumi atana damdawi pekte chu a tam zawkah chuan acute case-a damdawi pek nen a inang tlangpui. Thisen zamte hian sawn lovin blockage a siam laiin thisen tihthianghlimna damdawi pek hi a awm fo bawk.

He natna leh a enkawlna hian eng harsatna nge a thlen?

Hetiang tih dan hian harsatna leh nghawng tha lo a neih dan chu enkawlna i dawn dan azirin a inang lo. I doctor chuan i side effect leh complication bikte chu a sawifiah thei ber ang.

A tlangpuiin, heng harsatnate hi mesenteric ischemia-ah hian a thleng thei a:

• Sepsis: Hei hi natna hrik darh zau tak a ni a, i taksa hriselna (immune system) a tichhe nasa hle a, i taksaah nunna atana hlauhawm tak a tichhia a ni.
• I intestines emaw colon rupture emaw burst emaw: Hei hi taksa peng thenkhat thi emaw thi emaw a chhe tan chuan a thleng thei.
• Weight loss: Hei hi chronic mesenteric ischemia-ah a awm tam zawk a, mahse acute case-ah pawh a thleng thei (a bik takin a zual zel hmaa chronic symptoms nei tawhte tan).

Mesenteric ischemia avanga operation avanga harsatna awm thei te:

• Operation hnua chaw ei lama harsatna awm.
• Constipation emaw riltam emaw.
• Thisen chhuak.
• Infection awm thei te.
• Kidney tha lo a awm .
• Heart attack emaw stroke emaw (operation hnu thla engemaw zat chhungin).

Small intestine hmun thenkhat lakchhuah hnua ei leh in lama harsatna awmA lo thleng thei a ni. Small intestine hmun thenkhat a bo chuan ei tur atanga nutrients lakluh a harsa thin. Hetiang harsatna nei tam tak, short bowel syndrome an tih hian chaw pek dan bik, feeding tube ang chi hi an mamawh a ni.

Engtin nge ka in enkawl ang a, ka symptoms te hi ka enkawl ang?

Mesenteric ischemia i neih chuan damdawi lam pan vat a ngai (a bik takin sudden, acute type a nih chuan). Chronic mesenteric ischemia i neih chuan doctor-in a tih angin i enkawl tur a ni. Nangmah ngeiin enkawl tum suh , hei hi nunna atana hlauhawm emergency a nih theih avangin.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Natna hi a hmaa hriatchhuah leh enkawl a nih chuan a natna hmuna thisen kal a that chuan mi tam zawk chu an dam tan ang. Mi dangte chu ni engemaw zat emaw, kar tlemte emaw hnuah an dam tan thei bawk.

Surgery nei tawhte tan chuan a dam leh theih nan hun rei tak a ngai a ni. Surgery hi thil pawi tak a nih avangin a dam theih nan hun a duh a ni.

Engtin nge hetiang thil thleng thei hi ka tihtlem theih ang?

Mesenteric ischemia vei theihna tur thil engemaw zat tih theih a ni. Chung zinga tam tak chu mesenteric ischemia vei theihna tipung thei dinhmun ven emaw pumpelh emaw a ni.

I tih theih thilte chu:

• Kum tin checkup la rawh: Hei hian i doctor chu thinlung natna, thisen sang, leh cholesterol sang ang chi thil chhinchhiahna hmasa berte a man theih nan a pui thei a ni. Hengte hi natna lan chhuah hmaa man hian mesenteric ischemia ang chi harsatna lian tham tak tak venna kawngah danglamna nasa tak a thlen thei a ni.
• Meizial zuk bân rawh: Hei hian vaping leh zuk leh hmuam chewing a huam a ni. Zuk leh hmuam i hman loh chuan tan suh. Zuk leh hmuam hian i thisen kalna kawng a tichhe thei a, mesenteric ischemia ang chi harsatna i neih theihna pawh nasa takin a tipung thei bawk.
• I damdawi ei dik: Thisen sang, cholesterol sang, zunthlum i neih chuan i damdawi ei dik chuan mesenteric ischemia thlen thei chhiatna a veng thei a ni.
• Ei leh in hrisel leh inthlau tak ei: Mesenteric ischemia thlen thei harsatna tam tak hi i rihna leh i ei leh in nen a inzawm a ni. Chaw thau emaw sodium tamna ei hian i cholesterol leh thisen sang a tisang thei a, heng pahnih hi mesenteric ischemia vei theihna tur risk factor an ni.
• Tay active: Taksa tihchak hi i thinlung leh circulatory system hriselna atan a pawimawh a, chubakah taksa rihna hrisel tak i neih theih nan a pawimawh bawk.

Hei hi a thlen loh nan a veng thei ang em?

Mesenteric ischemia venna atana pui thei tur ruahmanna tam tak chu a hlauhawmna tihziaawmna tur nen a inang a ni. Mahse, vanduaithlak takin thil thenkhatah – a bik takin hliam emaw, thisen zam awlsamna tur dinhmun emaw i neih chuan – inven theih a ni lo.

He natna hi i vei chuan eng nge thleng ang? Hmalam pan zel turin eng nge i beisei theih ang?

Vanduaithlak takin mesenteric ischemia hi a chi hrang hrang pawh ni se, hriat harsa tak a ni. Diagnosis nghah hian enkawlna a tikhawtlai thei. Enkawlna an dawn thuai loh chuan acute mesenteric ischemia hian thihna a thlen fo thin. He natna acute form avanga thihna rate hi 50% leh 80% inkar a ni a , a bik takin enkawlna a tlai chuan. Blockage a lo chhuah atanga darkar 12 chhunga enkawl a nih chuan thihna rate hi 14% vel a ni thei. Chronic mesenteric ischemia hian hun rei tak chhung nghawng tha lo a nei thei bawk a, hei hi thisen kal dan lama harsatna emaw, ei leh in lama harsatna emaw a awm theih vang a ni.

Mesenteric ischemia vei te hian ischemia nena inzawm natna dang, heart attack, stroke, leh pulmonary embolism te pawh an vei theihna a sang hle bawk. Hun rei tak chhunga harsatna awm lo tur leh nunna atana hlauhawm dang vei theihna tur tihziaawmna atan doctor nena follow-up visit neih fo hi a pawimawh hle.

Hetiang dinhmun hi eng chen nge a daih ang?

Acute mesenteric ischemia hi hun rei lote chhunga awm a ni a, a tlangpuiin thihna a thlen (enkawl loh chuan) a ni. Chronic mesenteric ischemia hi a lo awm theih nan ni tam tak emaw, kar tam tak emaw a ngai thei. Mahse, he natna enkawlna – a bik takin enkawl hmasak hian darkar tlemte chhungin a tidanglam thei tlangpui.

Engtikah nge hna/sikul ka kal leh theih ang?

I doctor chuan i dam leh hun tur a hrilh thei ber che a ni. I dinhmun nasat dan leh i enkawlna a zirin mi tam zawk chu ni engemaw zat emaw, kar tlemte emaw chhungin an hnathawh dan pangngaiah an kir leh thei a ni. A nasat chuan, a bik takin operation hnuah chuan a rei zawk thei.

Engtin nge ka in enkawl ang (dam leh hnuah)?

Mesenteric ischemia i neih hnuah doctor thupek zawm a pawimawh hle. Mahni in enkawl dan tur leh harsatna dang laka inven dan tur kaihruaitu tur che tha ber a ni.

A tlangpuiin heng thilte hi i ti tur a ni:

• I doctor-te chu a rawt angin hmu rawh: Follow-up visit hian he natna nena inzawm harsatna emaw, harsatna dang emaw man kawngah danglamna nasa tak a thlen thei a ni.
• I damdawi ei tur chu a sawi ang chiah chiah ei rawh: Hei hi i thinlung, i thisen kal dan, zunthlum, cholesterol, emaw i thisen zam theihna nena inzawm damdawi atan chuan a dik hle.
• Meizial zu kha bansan la, a nih loh leh tan suh: Mesenteric ischemia vei theihna tur risk factor lian tak a ni a, a chhan chu i thisen kalna kawng a tichhe a ni. Tin, thisen zam (blood clots) siam a awlsam phah bawk a, chu chuan thisen kalna kawng pawimawh tak takte a tikhawlo thei a ni.
• Diet leh activity chungchanga i doctor thurawn zawm rawh: Heng rawtnate hian i hriselna zawng zawng a tichangtlung ang a, mesenteric ischemia lo awm leh theihna a ti tlem bawk ang.

Engtikah nge Doctor ka hmuh ang?

Mesenteric ischemia symptoms a lo lang leh a, a danglam a, a nasat chuan doctor i pan tur a ni. Tin, a office-a i koh tur vaukhânna chhinchhiahna emaw, chhinchhiahna bik emaw a awm chuan zawt la, emaw, damdawi lam pan rawh.

Engtikah nge damdawi inah hmanhmawh taka ka kal ang? (Emergency a awm chuan) .

I natna khirh tak chu a lo danglam nghal emaw, a na zual emaw a nih chuan, acute mesenteric ischemia natna i neih chuan damdawi lam pan nghal tur a ni .

Acute symptoms te chu:

• Pum na (a bik takin a intan thut chuan).
• Pum hring, luak chhuak, leh luak chhuak.
• Toilet hman dan inthlak danglam (engzat nge i kal).
• Diarrhea na tak emaw, a awm fo emaw.
• A taksa rihna tlahniam nghal.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Mesenteric ischemia hi hlauhawm tak a ni thei a, a bik takin a lo awm nghal chuan a hlauhawm hle. Vanneihthlak takin tunlai damdawi hian natna hriat hmasak leh enkawl kawngah hmasawnna nasa tak a nei a ni. Tin, i dam leh hnua a lo awm leh tawh loh nan i tih theih tur step pawh a awm bawk. I tih theih tha ber chu i risk te hriat a, enkawl hi a ni. I doctor chuan heng thil tum pahnih hi a pui thei che a ni. Ani chuan chu natna aṭanga dam leh tûr emaw, a pumpelh vek emaw theih nân a ṭanpui thei che a ni.

Pum natna nasa tak chu ngaihthah ngai suh. Ringhlel i neih chuan doctor thurawn la nghal rawh.