I naupang tê chu a pum na a neih avangin a tap nghal mai em ni? A bik takin a pum dinglam i khawih tir loh lai hian khawsik tlem a nei em? Hetiang hun lai hian nu emaw pa emaw rilruah hlauhna lian ber chu, "Aw, appendicitis chungchang hi ka hre lo," tih hi a ni. Chu hlauhna chu a dik a ni. Mahse appendicitis a ni lo. Vawiin hian natna dang, symptoms nei ve tho, mahse chutiang khawpa hlauhawm lo chungchang kan sawi dawn a ni. Hei hi Mesenteric Lymphadenitis kan ti a.
A awlsam zawngin, Mesenteric Lymphadenitis chu eng nge ni?
Okay, he hming hi a buaithlak deuhin a lang thei a, mahse a thawnthu hi a awlsam hle. Thumal khatin i then darh ang u.
- Lymphadenitis: Hei hian "lymph nodes a hring" tihna a ni. Lymph node te hi kan taksa immune system-a vengtu te tak te ang mai an ni. Police ang maiin. An hna chu taksaa lut hrik, bacteria leh virus te man a, taksa pum puia a darh loh tur ven hi a ni. Chuvangin hrik kan do hian heng node te hi an lo hring a, an na thin. Kan kawr chhunga lymph node te a hring ang bawkin.
- Mesenteric: Hei hian heng glands awmna hmun a kawk a ni. Kan pum chhunga intestines te hi hmun khatah kan dah a, a inphah kual lo va, mahse "Mesentery" an tih membrane hmangin felfai takin kan dah a ni. Intestines te hi curtain ang maiin abdominal wall nen an inzawm tlat a ni. Chuvangin, he membrane chhehvela glands te hi a hring chhuak a, chu chu Mesenteric Lymphadenitis an ti a ni.
A awlsam zawngin sawi ila, hei hi pum leh intestines-a bacteria infection avanga inflammation a ni.
He natna hi tuin nge vei tam ber?
Hei hi naupang tê leh puitling naupang , a bik takin kum 20 hnuai lamteah hmuh a ni ber a, puitlingah chuan a tlem hle.
Engvangin nge naupangte hian an neih tam zawk? A chhan chu naupang taksa chakna (immune system) a la thang chho zel a, virus leh bacteria chi hrang hrang an kai reng avangin an taksa invenna chu a thawk reng a ni. Chuvangin infection tenau tak nei pawhin heng immune system te hi a inflamed duh zawk a ni.
Eng nge a lan chhuah dan? Engvangin nge hei hi appendicitis nen an inthlau?
Hetah hian a pawimawh ber leh hlauhawm ber chu a awm a ni. A chhan chu he natna lan chhuah dan hi appendicitis nen hian a inang hle a ni. A chhan chu heng cyst tam tak hi appendicitis awmna appendix hnaih takah an awm a, chu chu pum dinglam hnuai lam a ni.
Heng inang lo leh a hnuaia table-a danglamna tenau thenkhat hi han thlir ila.
| Symptom a ni | Mesenteric Lymphadenitis natna a nih chuan |
|---|---|
| Pum a na | A natna hi a tlangpuiin pum dinglam hnuai lam a ni. A châng chuan, pum chhung hmun dangah pawh natna a awm thei bawk. |
| Khawsik | Taksa chu a lum a, a khawsik a awm thei bawk. |
| Luak chhuak leh luak chhuak | I rilru a hah emaw, i luak emaw pawh a ni thei. |
| Diarrhea (ril a na) . | Abdominal distention pawh a awm fo bawk. |
| Thil dang pawh a awm | Vawi tam tak chu naupang chu he pum na hma ni engemaw zat chhungin a khawsik emaw, a rilru a na emaw a ni thei. |
Thil pawimawh ber: Heng natna pahnih chhinchhiahna hi a inang em em avangin in lamah appendicitis a nih leh nih loh hriat theih a ni lo. Chuvangin i pum dinglamah natna ruala khawsik i neih chuan doctor pan nghal a pawimawh hle.
Engvangin nge heng bumps te hi an lo hring chhuak? A chhante chu engte nge ni?
Hei hi a chhan ber chu hri kai vang a ni. Chu chu hrik pakhat taksaah a lut a, kan taksa hriselna (immune system) chuan a do thin tihna a ni.
Infection vangin
A tam zawkah chuan hei hi virus infection vang a ni .
- Gastroenteritis: Hei hi "stomach flu" kan tih tlangpui a ni a, chu chuan luak chhuak leh luak chhuak a thlen thin. He virus hian intestine a nghawng avangin a chhehvel lining chu a inflamed thei a ni.
- Thluak lam natna (respiratory system) natna: 1.1.Hetiang dinhmun hi khawsik emaw, rilru natna emaw ang chi thil vang pawh a ni thei.
A chang chuan hei hi bacteria infection vang pawh a ni thei bawk .
- Yersinia enterocolitica: Hei hi bacteria lian ber a ni. Sa tui lo, a bik takin vawk sa leh tui bawlhhlawh hmanga kai theih a ni.
- Bacteria dang: Heng glands te hi TB emaw HIV infection ang chi dinhmunah pawh a lo hring thei bawk.
Damdawi lam thil dang vangin
A tlem hle a, heng bumps te hi damdawi lam thil dang chhinchhiahna a ni thei bawk. Entirnan, cancer (Lymphoma) leh Inflammatory Bowel Disease ang chi dinhmunah te. Mahse hengte hi a tlem hle a, chuvangin lungkham a ngai lo.
Engtin nge hei hi i hmuh theih, Doctor?
I fa doctor hnena i hruai dawnin a tih hmasak ber tur chu zawhna engemaw zat a zawt che a ni.
- "Engtik atang khan nge buaina chu a intan?"
- "Khawiah nge a natna chu?"
- "I luak chhuak em? I pum a na em?"
- "He harsatna a lo thlen hma hian khawsik i nei em?"
Tichuan doctor chuan naupang chu a enfiah a, a bik takin a pum chu a enfiah a, a nana hmun leh a hnute a hring zawng zawng a zawng a.
A dawtah chuan appendicitis a nih loh leh nih loh enfiah a pawimawh a, a chhan chu appendicitis hi emergency surgery ngai a nih avangin. Hei hi nemnghet turin i doctor chuan heng test te hi a order thei ang:
- Thisen test (Complete Blood Count - CBC): Taksa chhunga natna hrik awm leh awm loh a enfiah thin.
- Ultrasound Scan: Hei hi hman tlanglawn ber a ni. Pum chhunga appendix chu a hring em tih emaw, appendicitis a awm em tih emaw chiang takin a hmu thei.
- CT Scan: A chang chuan ultrasound scan a chiang lo a nih chuan CT scan order a ni thei bawk.
Enkawlnate chu engte nge ni? In lamah eng nge ka tih theih ang?
Hetah hian chanchin lawmawm chu a awm e. Naupang tam zawk tan chuan Mesenteric Lymphadenitis hi kar 1 atanga kar 4 chhungin a mah chauhin a reh thei a, enkawlna bik engmah a awm lo. Hun rei tak chhung nghawng a nei lo.
Amaherawhchu, doctor chuan naupang rilru hahna tihziaawm nan damdawi a pe ang.
- Bacteria infection a nih chuan: Thisen report atanga finfiah a nih chuan antibiotics pek a ni ang.
- Viral infection a nih chuan: A damdawi bik a awm lo. Enkawlna chu symptomatic a ni. Natna leh khawsik tan paracetamol ang chi painkiller pek a ni ang.
In lama i fa enkawl lai hian thil engemaw zat i tih theih a awm a.
- Chawlh hahdam: I fa chu chawlh hahdamna tam tak nei turin phalsak rawh. Ni engemaw zat inkhelh, tlan leh zuang kha tihtlem rawh.
- Tui chi hrang hrang: 1.1.Luak leh riltam hian tui a tichhe thei a, chuvangin i fa chu tui, broth, porridge, leh soup te ang chi tui tam tak pe rawh.
- Pum lum: Tui lum bottle emaw, puan lum emaw dah hian a natna thenkhat chu a ti reh thei a ni.
- Painkillers: Doctor-in a pek painkillers chu a hun takah leh a dose dik takah pek tur a ni.
I fa chu a luak vangin ei a duh lo mai thei. Mahse, ei tur bland, thau tlem leh ei awlsam tak tak tlemte pek tum ang che.
Hei hi a thlen loh nan a veng thei ang em?
Ni e, eng emaw chen chu hei hi kan veng thei a ni. Hei hi hri kai avanga lo awm a ni a, kan tih tur chu hri kai laka inven hi a ni. Chumi awmzia chu faina hi a pawimawh ber tihna a ni.
| Eng nge tih tur | Hrilhfiahna |
|---|---|
| Kut sil fo thin ang che. | I fate chu chaw ei hma te, inthiarna a hman zawh te, pawna an inkhelh zawh hnua sahbawn hmanga kut sil fai turin zirtir rawh. |
| Ei leh in himna tur | Sa leh sangha raw i khawih hma leh i khawih zawhah i kut uluk takin sil thin ang che. Sa leh sangha chu uluk takin chhum la, a bik takin vawk sa chu a lum vek thlengin chhum rawh. |
| Cutting board hrang hrang siam rawh | Sa raw atan cutting board hrang hrang pahnih leh thlai leh thei chi hrang hrang cutting board pakhat dah la. |
| Tui thianghlim | Tap tui emaw tui lum emaw chauh in tur a ni. Tuipui, lui leh tui kawng atanga direct-a tui in loh tur. |
| Damlo laka inthiarfihlim | Damlote nena inbiak hnai tak loh tur. |
Doctor hmuh hun pawimawh ber berte chu engte nge ni?
I fa hian a hnuaia symptoms te hi a neih chuan doctor rawn nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- Vawikhat, pum na tak.
- Khawsik sang tak neiin pum na, luak chhuak reng emaw, luak chhuak emaw.
- A natna hi a na em em a, ei pawh i ei thei lo va, bathroom-ah i kal thei lo va, i muhil thei lo bawk.
- Naupangin a nungchang a danglam a, a mutthilh lutuk a, a rilru a hah hmel hle a nih chuan.
A bik takin, kum 20 chunglam puitlingin heng natna hi a neih chuan Mesenteric Lymphadenitis a nih a rinawm loh hle tih hre reng ang che. Chuvangin appendicitis a nih a rinawm zawk. Chutiang a nih chuan Emergency Treatment Unit (ETU) pan nghal a pawimawh hle.
Take-Home Thuchah a ni
- Mesenteric Lymphadenitis hi naupangte pum chhunga lymph node-te a lo hring chhuak thin a ni. Hei hi a tlangpuiin dinhmun hlauhawm tak a ni lo.
- A natna lan chhuah dan hi appendicitis nen a inang em em a, chuvangin i fain a pum dinglam a na a, a khawsik a neih chuan doctor lam pan a pawimawh hle.
- Hetiang dinhmun hi virus infection avanga lo awm a ni fo a, enkawlna bik nei lovin kar tlemte chhungin a mah chauhin a reh thei.
- Hetiang dinhmun hi faina tha leh ei leh in himna kalpui a nih chuan ven theih a ni.
- Puitlingin heng symptoms te hi a neih chuan emergency a nih theih avangin doctor pan nghal tur a ni.
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