I pum chu lungah a chang ang maiin i hria em? He natna hmuh tur awm lo (Ogilvie Syndrome) hi i zir dawn nia

I pum chhungah thil eng emaw a tang a, i pum a lian a, a puak ang tih i hre ngai em? I intestine chu a block vek ang mai a ni. A tlangpuiin, chutiang chu i rilru chhunga thil pakhat a block tak tak hunah a thleng thin. Mahse, thil mak leh hmuh tur awm lo tak a awm a, chu chu i intestine-in a chhungah engmah a inkhung lo va, a hnathawh a chawlhsan nghal mai thin. Vawiin hian mi tam zawkin an hriat ngai loh dinhmun kan sawi dawn a ni. Damdawi lam hawi chuan hei hi Ogilvie Syndrome emaw Acute Colonic Pseudo-obstruction (ACPO) emaw kan ti a ni.

A awlsam zawngin, Ogilvie Syndrome hi eng nge ni?

Ngaihtuah teh, lirthei a tam hle a, mahse kawngpuiah hian accident leh daltu a awm lo. Lirthei te chu an ding reng mai. Ogilvie Syndrome hi chutiang chu a ni. I colon chhunga ei leh in leh bawlhhlawh inthlak danglamna chu a tawp nghal vek. I colon-ah thil a tang ang maiin a lang a, mahse a takah chuan taksa lama harsatna a awm lo. Buaina chu i colon chhunga ruh (muscles) control tu nervous system-ah a awm a ni. A hnathawh that loh avangin colon (hei hi ``peristalsis`` kan ti) che vel chu a tawp a, a chhunga thil awmte chu hmun khatah a innghat ta a ni. Hei hian colon chu zawi zawiin a dilate, a nih loh leh a bulge tir thin.

A hminga ``pseudo-obstruction'' tih thumal hi ``false obstruction'' tihna a ni.Hei hian a takah chuan obstruction awm lo mahse, obstruction awm ang maiin symptoms a rawn present tihna a ni.

Hei hi engtin nge intestinal problem dang nen a danglam?

Intestinal function tichhe thei dinhmun hrang hrang a awm. Chuvangin Ogilvie Syndrome hi anmahni nen a danglamna chu i lo en ang u.

• `Intestinal Pseudo-obstruction` natna dang nena khaikhin chuan: Ogilvie Syndrome hi `acute` natna a ni. Chu chu, a lo lang nghal a, hun eng emaw chen atan a ni . Tin , intestine lian tak chauh a nghawng bawk . Mahse, mi thenkhat chuan `chronic` `pseudo-obstruction` condition an nei thei. Natna rei tak dang emaw, pianpui natna emaw avanga lo awm an ni tlangpui.
• `Paralytic Ileus` nena danglamna: `Paralytic Ileus` tih thumal hi i hre tawh mai thei. A bik takin pum chhunga zai hnua hun engemaw chen chu intestines hnathawh a chawlhsan thinna sawina atan hman a ni. A hluar hle mai. Chutah chuan intestine te leh lian te chu hun engemaw chen a thawk tawh lo va, ni engemaw zat chhungin a mah chauhin a dam leh ta a ni. Mahse, Ogilvie Syndrome hi a buaithlak zawk leh a awm lo zawk a ni . A bik takin large intestine , a bik takin cecum a nghawng nasa hle.

He natna hi tu nge vei thei ber?

Tu chungah pawh a lo awm thei a, mahse kum 60 chunglam, hriselna lama harsatna dang engemaw zat nei, kum upa lamte zingah a tam ber.Hetiang dinhmun hi damdawi ina awm mi 1,000 zinga pakhat velin an nei tih hmuhchhuah a ni.

A awlsam zawngin, taksain harsatna nasa tak a tawh hun apiangah hetiang hi a thleng thei a ni. Surgery lian tak, accident na tak, heart attack, a nih loh leh infection na tak te hi han ngaihtuah teh. Heng thilte hian kan nervous system hnathawh dan a nghawng a ni. He nervous system hian intestines chhunga muscle te chu "move" turin a hrilh a ni. Chuvangin chutah chuan imbalance a awm chuan intestines te chuan hna an thawk tawh lo va, Ogilvie Syndrome a lo awm thei a ni.

Ogilvie Syndrome natna lan chhuah dan chu engte nge ni?

Thli, tui, leh chaw ei lohte chu i rilruah a tlakbuak chuan heng ang symptoms hi i nei thei a ni. Chûngte chu a inṭan thut thei a, zawi zawiin a pung thei bawk.

Engvangin nge hetiang hi a lo awm? A chhan thui zawkin han thlir ila.

Hei hi a chhan dik tak chu 100% in chiang lo mah se, scientist-te chuan kan autonomic nervous system a hnathawh that loh vang niin an ngai . Ngaihtuah teh, kan taksaa thil thleng tak tak, thinlung thawk, thawk leh ei leh in te hi he nervous system hian a thunun a, chu chu ``auto-pilot'' ang maiin a thawk a ni. Chuvangin, taksaa stress nasa tak avang hian he ``auto-pilot'' system hi a balance lo thei a, chubakah chuan bowel movement control tu signal te chu a tibuai thei a ni.

Hetiang dinhmun thlentu chhan berte hi chi hrang hrangah then theih a ni.

Hei hi thil pawi tak a ni thei ang em? Eng harsatna nge a awm?

Ni e, hei hi hriat chhuah leh enkawl dik loh chuan harsatna lian tak tak leh nunna atana hlauhawm tak tak pawh a thlen thei a ni . Ngaihtuah teh, balloon-a boruak i vawrh luh reng chuan eng nge thleng ang? A puak darh ta. Intestines pawh chutiang bawk chu a ni.

Colon diameter pangngai chu centimetre 8 vel a ni. Mahse, Ogilvie Syndrome-ah chuan centimetre 12 aia lian a nih chuan harsatna a thlen theihna a sang hle.

Harsatna lo awm thei ber chu:

• Ischemia: Intestinal walls a inzawm lutuk chuan thisen petu thisen kalna kawng nalh tak takte chu a tikhawlo a, thisen supply a tihtlem phah a ni Hei hian intestine inflammation (ischemic colitis) a thlen a, chu chu enkawl loh chuan tissue thihna (necrosis) a thlen thei a ni.
• Perforation: Tissue a thih chuan intestinal wall a chak lo va, khur te tak te a lo awm thei . Hei hi a hlauhawm hle a, a chhan chu intestine atanga natna hrik leh bawlhhlawh te chu pum chhungah a luang lut thei a, infection na tak (peritonitis) a thlen thei a ni.
• Sepsis: Infection pum chhunga darh tawh chu chutah chuan a tawp lo. Thisenah lutin taksa pum puiah a darh thei a ni.Hei hi nunna atana hlauhawm tak a ni a, emergency medical treatment a ngai a ni. Organ failure pawh a thlen thei a, pakhat hnu pakhatin.

He natna hi engtin nge dik taka kan hriat theih ang?

Doctor-te hian he natna hi an hmuhchhuah hian thil pahnih an ngaihtuah ber a ni.

1. A hmasain, intestine-ah hian taksa lama harsatna a awm tak tak em tih kan enfiah thin.

2. Chutiang daltu a awm loh chuan heng natna lan chhuah chhan hi Ogilvie Syndrome nge thil dang a ni tih hriat a ni.

Hemi atan hian test hrang hrang neih mek a ni.

• X-ray leh CT scan: Abdominal X-ray emaw CT scan emaw chuan intestine lian tak chu chiang takin a lang thei a, chu chu a hring a, boruakin a khat a ni. A châng chuan, thil chiang zawk hmuh theih nân tui bik (`contrast agent`) chu in tûr emaw, injection angin emaw an pe ṭhin.
• Gastrografin Enema: Hei hi test bik a ni. A chhan chu test a nih bakah a chang chuan enkawlna a ni bawk. Hetah hian tuiah a inthiar theih tur tui `gastrografin` tih chu rectum kaltlangin intestine-ah dah a ni a, intestine-a a kal dan chu video X-ray `(fluoroscopy)` hmangin en a ni. Hei hian intestine-ah hian intestine a awm leh awm loh dik takin a hre thei a ni. Tin, he `gastrografin` liquid hian laxative property a nei bawk. Chuvangin, a chang chuan a nghawng hian intestine tihtawp tawh hnathawh chu a ti tan leh thei thin.

Hei hi eng enkawlna nge ni?

Enkawlna chu i colon a bloated dan leh complication i neih theih danah a innghat a ni. A theih phawt chuan doctor-te chuan surgery ang chi thil hmanga enkawl ai chuan simple supportive treatment (`conservative treatment`) hmanga enkawl an tum thin.

Conservative hmanga enkawl dan

A tirah chuan damlo dinhmun uluk taka enfiah chungin he enkawlna hi tih thin a ni.

• Thil awmdan enkawl dan: A hnuaia awm, natna hrik emaw, thinlung natna emaw a awm chuan chu chu enkawl hmasak a ni.
• Damdawi ei khap: Ogilvie Syndrome thlentu nia rinhlelh damdawi chu hun eng emaw chen tihtawp a ni.
• Bowel chawlhtir: Oral food leh fluids te chu tihtawp vek.
• IV Saline: Taksa mamawh tui leh chi (salt) chu vein (IV fluids) kaltlangin pek a ni.
• Kal leh dinhmun thlak danglam: A theih chuan damlo chu tlem tal kal kual turin fuih la, khumah dinhmun thlak danglam rawh. Hei hian bowel movement a tichak thei a ni.
• Intubation: Tube (`Nasogastric tube`) chu hnar kaltlangin pum chhungah dahin boruak leh tui tam lutuk chu paih chhuah a ni. Anus kaltlangin tube (`Rectal tube`) pawh dahin boruak a chhuak thei bawk.

He enkawl chhung hian doctor-te chuan X-ray leh thisen test an nei fo thin a, chu chuan intestine dinhmun leh harsatna eng pawh an enfiah thin.

Supportive treatment a hlawhtlin loh chuan engtin nge ni ang?

Darkar 72 vel hnuah a dinhmun a ṭhat loh chuan, emaw, intestine chu centimetre 12 aia zau a dilated a nih chuan doctor-te chuan a dawt leh tur chu an pan leh ang.

• Colonoscopic Decompression: Hetah hian camera attached tube (`colonoscope`) chu anus kaltlangin dahin, colon chhunga boruak awm tawh chu tube hmangin an suck chhuak thin. Hei hian colon chhunga pressure a tihziaawm nghal a ni. Mahse, hei hi a nuam lo deuh a, a chang chuan colon perforation hlauhawmna tlem a awm avangin fimkhur takin tih a ni.
• Neostigmine Injection: Hei hi taksa ruh tichaktu chak tak a ni. Anesthesia hnua taksa ruhte a dam leh theih nan hman a ni tlangpui. He damdawi hi Ogilvie Syndrome vei te hnena intravenous (IV) injection anga pek a nih chuan intestinal muscle te hian hna an thawk leh thin a, result tha tak tak a awm thin. Mahse, he damdawi hian heart rate a ti hniam hle thei a, intensive care unit (ICU)-a doctor enkawlna hnuaiah chauh pek a ni.
• Surgery (Colectomy / Colostomy): Heng enkawlna zawng zawng hi tih a nih hnuah pawh, a rilru a lo hring chhunzawm zel a nih chuan, emaw, perforation ang chi harsatna lian tak a awm chuan, surgery hi a hnuhnung ber a ni thei. Chutiang a nih chuan ril chhe lai chu tan chhuakin lakchhuah a ni (Colectomy). A châng chuan, bawlhhlawh kal tlang theihna turin pum chhungah hun eng emaw chen emaw, a awm reng emaw a hawn a ngai ṭhin. Hei hi Colostomy kan ti a.

He dinhmun hi nunna atana hlauhawm a ni thei ang em?

Harsatna awm lo chuan Ogilvie Syndrome vei tan chauh thihna hlauhawmna chu 15% vel a ni. Mahse, he percentage hian damloin damdawi lam dinhmun dang a neihte nghawng pawh a huam tel bawk.

Mahse, intestinal perforation ang chi complication na tak a awm chuan thihpui zat chu 40% vel a ni. Hei hian he dinhmun hi a nasat theih zia a tilang chiang hle.

A pawimawh ber chu a lan chhuah veleh ngaihven a, natna hriatchhuah thuai a, enkawl tan a ni. Chutianga i tih chuan harsatna lian tak tak i pumpelh thei a, enkawlna awlsam tak hmangin i dam thuai thei bawk.