I bowel hian hna a thawk tawh lo nghal em? He dinhmun hlauhawm tak (Ogilvie Syndrome) hi i hrechiang ang u!

I pum chhungah i khat nghal vat a, i pum chhungah i tight nghal tawh ngai em? I pum chhungah thil a inkhung ang mai a ni a, mahse chutiang chu a ni lo. Chu chu vawiinah hian kan sawi tur dinhmun mak tak, hlauhawm thei tak chi chu a ni. Ogilvie Syndrome tih a ni. Eng nge a nih, engvangin nge a lo awm, engtin nge kan hriat theih ang, engtin nge kan enkawl ang tih hi han thlir ila.

Ogilvie Syndrome hi eng nge ni?

A awlsam zawngin, Ogilvie Syndrome chu i colon chu chhan hriat loha hnathawh a chawlhsan nghal mai hi a ni. Doctor-te chuan acute colonic pseudo-obstruction (ACPO) tiin an sawi bawk. "Pseudo-obstruction" tih awmzia chu i colon chu thil pakhatin a block ang maiin a che tihna a ni a, mahse a takah chuan engmah taksa lamah a block lo . Buaina chu colon movement control tu system-ah a awm a ni. Chu chu, ei leh in tur chu colon kaltlangin hmalam pan tir a titawp tihna a ni. Tichuan, chaw leh boruak ang chi thilte chu colon chhungah a pung khawm a, chu chuan colon bangte chu a tizau a, a nih loh leh a bulge ta a ni. Traffic jam ang maiin han ngaihtuah teh, chutah chuan car-te chu an tlan tawh lo va, kawngpui pawh a inkhar ta a ni.

Engtin nge Ogilvie Syndrome hi intestinal pseudo-obstruction dangte nen a danglam?

Ogilvy syndrome hi natna khirh tak a ni a . Hei hian a rawn on nghal a, hun eng emaw chen atan a ni tihna a ni. Colon chauh a nghawng a ni . "Intestinal pseudo-obstruction" tih hi a tlangpui zawk a ni. Intestines-a taksa lama harsatna awm lo, dysfunction eng pawh a kawk a ni. Mi thenkhat chuan chronic intestinal pseudo-obstructions an nei a, a then chu hun rei tak natna dang emaw, pianpui natna emaw vang a ni.

Ogilvie Syndrome leh Paralytic Ileus hi eng nge an danglamna?

Paralytic ileus hi acute intestinal pseudo-obstruction a ni bawk. Mahse, a tlangpuiin intestine te leh lian te a nghawng a ni. Hetiang dinhmun hi a bik takin pum chhunga operation hnuah a awm fo thin . Hei hi operation hnua intestines te chu a thawk slow deuh tan chuan a thleng thin. Ni engemaw zat chhungin a mah chauhin a reh tlangpui.

Mahse, Ogilvy syndrome hian a bik takin i colon , leh a tam zawkah chuan i colon hmun cecum , a intanna hmun a nghawng fo bawk. Paralytic ileus angin a awm lo va, a buaithlak deuh thei bawk.

Tute nge Ogilvie Syndrome vei tam ber?

Hei hi tu chungah pawh thleng thei mah se, kum upa lam leh hriselna lama harsatna dang pakhat aia tam nei te zingah a tam ber.. Mi pakhat, operation lian tak nei, accident, thinlung natna, a nih loh leh natna khirh tak nei tawhte kha han ngaihtuah teh. Heng thilte hian Ogilvy syndrome a thlen thei a ni. Tin, electrolyte imbalances , neurological diseases , leh damdawi tam tak a ruala ei hi risk factors a ni. Heng zawng zawng hian kan nervous system a nghawng vek a ni . Chu nervous system chuan kan intestine lian tak chhunga muscle te chu ei tur hmalam pan turin a hrilh a ni.

Hei hi engtiang chiahin nge a hluar?

Ogilvy syndrome hi damdawi ina admission mi 1,000 zinga pakhat velin a awm nia sawi a ni. He natna vei te kum zat chu kum 60 vel a ni.

Ogilvie Syndrome natna lan chhuah dan chu engte nge ni?

I intestine lianah chaw ei loh leh boruak a lo awm khawm tan chuan hetiang hi i tawng thei a ni:

• Abdominal distension: Pum a hring leh a lian tih hriatna.
• Pum na: Pum natna nasa tak a awm thei.
• Ei duhna hloh: Ei duhna eng pawh hloh.
• Nausea leh vomiting: Natna hriat leh luak chhuak.
• Bloating leh gas: Pum chhunga a khat tih hriatna.
• Constipation leh/ emaw diarrhea: Mi thenkhat chuan constipation an nei thei a, thenkhat erawh chuan diarrhea an nei thei thung.

Uncle Nimal hi han ngaihtuah teh, kum 65 mi a ni a, zunthlum a nei a, thinlung lam natna a nei bawk. A hip thlak nan surgery a nei a. Ni hnih emaw ni thum emaw a liam hnu chuan a pum chu a khat ta thut mai a, thawk harsa a ti hle. A pum a khawih chuan lungpui ang maiin a khauh a. Chaw ei duhna a neih loh thu a sawi a, a rilru a na hle tih a sawi bawk. Doctor-te’n an enfiah hnuah chauh Ogilvy syndrome a ni tih an hre ta a ni.

Eng thilin nge Ogilvie Syndrome hi a thlen?

A chhan dik tak hi hriat chian a la ni lo. Mahse scientist te chuan kan autonomic nervous system a malfunction vang niin an ngai . He autonomic nervous system hi kan taksa peng pakhat a ni a, chu chuan kan hriat loh taksa peng hrang hrangte a thunun a ni. Kan intestines-a ei tur hmalam pantu wave movement (peristalsis) pawh a control bawk. Hei hi acute condition a nih avangin autonomic nervous system-a stress danglam tak tak engemaw zat avanga lo awm a ni. Mahse, hriselna lam thil dang pawhin a thlen thei a ni.

Ogilvy syndrome thlen thei acute medical condition engemaw zat a awm a:

• Lung natna
• Congestive heart failure (lung natna avanga thinlung ruh chak lo) .
• Hliam na tak a ni
• Hri kai na tak tak (e.g. pneumonia emaw sepsis emaw) .
• Open abdominal surgery neih a ni
• Open heart surgery neih a ni
• Ruh lam enkawlna (e.g. hip thlak) .
• Caesarean hmanga nau neih / C-section hmanga nau neih

Ogilvy syndrome thlen thei hriselna lama thil awm tawhte :

• Kidney tha lo a awm
• Thluak lama harsatna nei
• Neurological natna a ni
• Lung leh thisen zam natna
• Ngawt
• Metabolic lama harsatna (metabolic disorder) a awm
• Electrolyte inthlauhna (imbalance) a awm
• Kum upa lam
• Taksa chak lohna nei
• Damdawi tam tak a ruala ei

Ogilvy syndrome nena inzawm damdawi thenkhat :

• Antipsychotic damdawi hman tur
• Amphetamines a awm bawk
• Corticosteroid hmanga tihdam theih a ni
• Opioid (natna tidamtu) .
• Immunosuppressant hmanga taksa hriselna tichhe thei
• Spinal anesthesia hmanga tihdam theih a ni

Ogilvie Syndrome natna avanga harsatna awm thei te chu engte nge ni?

A tam zawkah chuan Ogilvy syndrome hi a mah chauhin emaw, supportive care emaw hmangin a reh thin. Mahse, a chang chuan inrawlhna a ngai thin. Hun rei tak hriat loha a awm chuan a natna a zual chuan harsatna lian tak a thlen thei a ni. Zirna hrang hrangah chuan colon hi a dilated (centimetre 12 aia tam) a nih chuan complication a awm tam zawk tih hmuhchhuah a ni. Colon diameter pangngai chu centimetre 8 vel a ni.

Bowel a dilate tam poh leh risk a sang zawk. Risk awm thei : 1.1.

• Ischemia: Colon bang a pressure nasa lutuk hian thisen supply a titawp thei . Hei hian inflammation na tak a thlen thei a, chu chu ischemic colitis an ti a ni. Enkawl loh chuan tissue thihna (necrosis) a awm thei. Tui pipe chu tui luang chhuak tawh lo khawpa na taka hrual ang maiin han ngaihtuah teh.
• Perforation: Necrotic tissue hmun thenkhat chu awlsam takin a chhe thei a, a chhe thei bawk . Gastrointestinal perforation a awm chuan toxins leh bacteria te chu abdominal cavity ah a darh thei a, chu chuan infection na tak peritonitis tih a thlen thei a ni.
• Sepsis: Peritonitis hi thisenah awlsam takin a darh thei (septicemia) . Hei hi emergency a ni! Sepsis chu natna hrik hi taksa pumpuiah a darh a,Septic shock an tih condition a awm thei a, chu chuan multiple organ failure a thlen thei a ni.

Heng harsatnate hi a hlauhawm hle a, chuvang chuan Ogilvy syndrome symptoms i hriat veleh doctor thurawn lak a pawimawh hle.

Engtin nge Ogilvie Syndrome hi hmuhchhuah a nih?

Diagnosis chu heng thilteah hian a innghat a ni:

• Radiology test-ah chuan colon chu a dilated tih leh physical bowel obstruction a awm lo tih a chiang.
• I natna thlentu natna dang awm thei lo tur test bik.

Eng ang radiological test hmangin nge hei hi a hriat theih ang?

I colon chhung chipchiar taka en theih nan doctor-te chuan radiology bakah internal contrast agent an tih procedure an hmang thin. He contrast material hi i colon chhungah coated a ni a, X-ray image-ah chiang takin a lang. He inthlauhna hi in tur atan emaw, enema angin emaw, vein-a tui pek angin emaw pek i ni thei bawk (IV). Chumi atan chuan contrast CT scan leh contrast fluoroscopy te hi hmanraw pahnih a ni.

Test pakhat a awm a, chu chu gastrografin enema , a then chuan enkawlna atan hman theih a ni. Hei hian i rectum kaltlangin i colon chhungah tuiah a inthiar theih contrast solution gastrografin tih chu dah a, fluoroscopic X-ray lak a ngai a ni. (Fluoroscopy hi video X-ray ang mai a ni a, chu chuan solution a kal dan a hmu thei a ni.) Side effect angin gastrografin hian colon-ah laxative angin hna a thawk thei bawk a, i ril chu a che leh thei a ni.

Ogilvie Syndrome hi engtin nge enkawl a nih?

Enkawlna chu i colon a dilated dan leh complication i neih theih danah a innghat a ni. A theih phawt chuan doctor-te chuan ṭanpuitu leh ngun taka enkawl an tum ṭhin . Chu chu taksa chu inrawlhna tam tak awm lovin a mah chauha a dam theih nan tanpui tihna a ni. Mahse a tul chuan damdawi emaw procedure emaw hmangin colon decompress a, complication awm theihna a tihziaawm thin. Harsatna a awm chuan emergency treatment a ngai a ni.

Conservative treatment-ah hian:

• Hetiang dinhmun thlentu natna hnuaia awmte enkawl.
• Damdawi ei loh hian he natna hi a thlen thei a ni.
• Bowel rest: Ka ei loh avanga pressure tihziaawm.
• Thisen chhunga tui (IV fluids): 1.1.Hydration vawn reng leh electrolyte imbalances siamthat a, saline ang chi thil te chu vein-ah dah a ni.
• Kea kal emaw, dinhmun thlak danglam emaw hmangin bowel movement fuih rawh.
• Nasogastric tube: Pum atanga boruak leh tui tam lutuk paih chhuahna tur.
• Rectal tube: Gravity hmanga boruak leh tui paih chhuah nan rectum kaltlangin catheter dah a ni.
• Regular imaging leh thisen test hmanga dinhmun enfiah.

Hei hi ni hnih atanga ni thum (darkar 72 vel) chhung hmuh a ni tlangpui. Mahse, colon chu centimetre 12 aia zau a dilated tawh a nih chuan, emaw, heng conservative treatment hnua hmasawnna a awm loh chuan, doctor chuan colon-a pressure tihziaawmna turin inrawlh a tum mai thei.

Intervention hrang hrangte chu:

• Colonoscopy decompression: Colonoscopy hi natna hriat chian leh enkawl dan tur a ni. Tube sei tak, colonoscope an tih tawp lama camera te tak te chu intestine lian takah anus kaltlangin dah a ni. Decompression colonoscopy tum ber chu intestine lian chhunga boruak tam lutuk chu tube hmanga suction chhuah a, chu chu tube kaltlangin enema pek a ni. Hetiang tih hian damdawi a hlawhchham emaw, i tan a him lo emaw a nih chuan false obstruction chu a ti reh thei a ni. Mahse, doctor-te chuan fimkhur takin an hmang a, a chhan chu tih a harsa a, harsatna awm thei tlemte a keng tel bawk. A then phei chuan colonoscope hmang hian colon chhungah khur (bowel perforation) a awm thei.
• Neostigmine injection: He damdawi hi IV hmanga pek a ni. Muscle tichaktu a ni. Anesthesia hnua taksa ruhte a hahdam theih nan hman a ni fo. Ogilvy syndrome vei te tan chuan colon chhunga thau te "harh" leh peristalsis tih tan lehna kawngah a tangkai hle tih hmuhchhuah a ni. Mahse, damdawi chak tak a nih avangin intensive care unit (ICU)-ah ngun taka enfiahna hnuaiah chauh pek a ni. Doctor-te chuan i thinlung chu an enfiah ang a, neostigmine i dawn lai hian i heart rate a tlahniam lutuk lo tih an enfiah ang.
• Colectomy / Colostomy: Heng intervention te pawh hi i colon a dilate chhunzawm zel a nih chuan, emaw, perforation emaw necrosis ang chi complication a awm chuan, i colon natna hmun chu lakchhuah nan operation i mamawh mai thei Hei hi a tawp ber a ni . Colectomy hmang hian temporary emaw permanent emaw colostomy i nei thei bawk.Pakhat tih a ngai mai thei bawk. Chu chu stool kal tlang theihna tur kawngkhar hran siam tihna a ni. A châng chuan, operation zawh hnuah colostomy hi tihdanglam theih a ni.

Ogilvie Syndrome hian thihna a thlen thei em?

Ni e, harsatnate chu thihna thlen thei a ni . Perforation emaw ischemia ang chi complication a awm chuan thihna rate hi 40% vel a ni thei. Mahse, heng harsatnate hi mi 15% aia tlem lovah a thleng thin. Complication awm lo chuan Ogilvy syndrome vanga thihna rate hi 15% vel a hnaih zawk a ni. He figure hi Ogilvy syndrome chauh aiawhtu a ni lo mai thei. A chhan chu Ogilvy syndrome vei tam tak hian hriselna lama harsatna dang an nei a, chu chuan an thihna a nghawng a ni.

Acute colonic pseudo-obstruction hi beisei loh thil a ni a, hriselna lama harsatna dang tawk tawhte tan harsatna thar a thlen thei a ni. Ogilvy syndrome hi tumahin an beisei lo a, mahse mi zawng zawngin a symptoms hi an hriat a ngai a ni . Ogilvy syndrome natna khirh tak tak venna atana pawimawh ber chu hriat hmasak hi a ni. Complication a awm loh chuan conservative treatment hmangin a dam leh mai thei.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Chuvangin, Ogilvie Syndrome hi i ngaihtuah aiin a na zawk thei a ni. Mahse ngaihtuah tur a awm lo a, fimkhur hian harsatna tam tak a veng thei bawk.

• Diagnosis: I natna lan chhuah dan, i pum na tak, chaw ei chak lohna, luak chhuak emaw, luak chhuak emaw ang chi i neih chuan doctor pan ngei ngei tur a ni a, a bik takin tar i nih chuan, damdawi lam harsatna dang i neih chuan, tun hnaia operation i neih tawh chuan.
• A chhan: Hei hi natna dang emaw, zai emaw, damdawi emaw avanga lo awm a ni fo. Chuvangin i doctor hnenah i medical history kimchang hrilh a pawimawh.
• Harsatna: Enkawl vat loh chuan colon-a thisen kal tlem chuan tissue thihna, colon perforation, leh infection na tak a thlen thei a ni. Chûngte chu nunna atana hlauhawm tak a ni thei.
• Enkawlna: A tam zawk chu supportive care hmangin a reh a, mahse a châng chuan pressure tihziaawmna turin colonoscopy, damdawi emaw, operation emaw pawh a ngai thei.
• Hriat hmasak chuan nunna a chhanhim: Eng thil vang pawh nise heng natna lanchhuahnate hi ngaihthah suh. A pawimawh ber chu hriat hmasak a, enkawl tan hi a ni.

Nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan doctor thurawn la hreh suh. Hrisel takin awm rawh!

` Ogilvie Syndrome, acute colonic pseudo-obstruction, colon, intestinal dysfunction, pum na, pum na, pseudo-obstruction