Hetiang hian i inhriat ngai em? I pum a khat ang maiin a lang a, gas i pass thei lo, i pum i empty thei lo, i luak dawn ang maiin i hria a, a harsa tak zet a ni. Hei hi a bik takin operation chi khat tih hnuah a thleng thei a ni. Mi tam tak chuan hei hi thil pangngaiah an ngai a, chawlh hahdam deuh hnuah pawh a bo mai ang. Mahse hei hi damdawi lama `Paralytic Ileus` kan tih ang chi natna chhinchhiahna a ni thei bawk. A hming hian hlau suh, hei hi hun eng emaw chen atana awm tur a ni fo. Hemi chungchang hi a awlsam zawngin, mi zawng zawngin an hriatthiam theih tur angin sawi ila.
A awlsam zawngin, Paralytic Ileus chu eng nge ni?
Hei hi hrethiam tur chuan kan intestine hnathawh dan tlem kan hriat hmasak a ngai a ni. Kan intestine hi tube sei tak angin han ngaihtuah teh. Kan ei tur hi he tube-ah hian a kal a, a hmin a, ei tur mamawh chu a hip lut a, bawlhhlawh chu bawlhhlawh angin a chhuak thin.
Chuvangin, he chaw hi hmalam pan turin, intestine bang te hi tuifinriat angin a inzawm khawm a, a zau zel bawk. Caterpillar che vel ang mai a ni. Hei hi damdawi lamah chuan ``(Peristalsis)`` kan ti thin. He incheina hi ei leh in, tui leh boruak te chu intestine hnuai lamah a kal tir a ni.
Tunah chuan `Paralytic Ileus` tih awmzia chu chu wave, chu `(Perstalsis)` movement chu rei lo te chhung atan a tawp a, intestines chu rei lo te chhung chu `partially' a lo ni ta tihna a ni. `Paralytic` tih awmzia chu paralysis tihna a ni. Chumi awmzia chu, intestine-ah hian tumor ang maia mechanical blockage a awm lo va, mahse intestines chetna chu a tawp tawh tihna a ni. Hei hi functional problem a ni.
Chutianga ril a reh chuan ei leh in, tui leh boruak chu hmun khatah a awm khawm tan thin. Chutah chuan pum na, pum na, leh luak chhuak ang chi symptoms kan nei tan thin.
A pawimawh ber chu hei hi hun rei lote chhunga awm leh enkawl theih a ni fo thin. A chhan bulpui hriatchhuah leh enkawl a nih hnuah chuan bowel function chu a pangngaiin a awm leh ang.
Hetiang natna lan chhuah dan hi engte nge ni?
Paralytic Ileus vei chuan heng symptoms pakhat emaw a aia tam emaw chu a rualin a nei thei a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Pumpui a hring chhuak | Pum chhunga boruak leh tui a awm khawm avangin pum hi a puak nasa hle a, a tight hle bawk. |
| Pum a zau a | A pum a lian vanga hmuh theihin a lian. |
| Gas a ni | Intestinal movement a reh tawh avangin boruak a kal tlangpui lo. |
| Ek khal | Bowel dysfunction avanga stool pass theih lohna. |
| Nausea leh luak chhuak | Intestines chhunga thil awmte a rawn chhuah chuan zun a chhuak thei. A chang chuan he riltam hi a rawng chu green emaw brown emaw a ni thei. |
| Tui tlakchhamna (dehydration). | Luak chhuak leh ei leh in loh hian dehydration a thlen thei. |
Warning: Heng symptoms zinga pakhat tal i neih chuan na tak , entirnan, pum na tuar theih loh emaw, luak chhuak reng emaw i neih chuan emergency-ah ngai la, damdawi in Emergency Department (ETU)-ah kal nghal rawh.
Paralytic Ileus hi engte nge ni?
Hetiang dinhmun hi a chhan pakhat chauh a awm lo va, thil engemaw zat a awm a, chu chuan a thlen thei a ni. Pakhat hnu pakhatin han thlir ila.
1. Surgery tih a ni
Hei hi a chhan ber leh a tam ber chu surgery a ni. Hetiang dinhmun hi pum chhunga operation hnuah a awm beisei a ni fo thin a, a bik takin. Surgery hi taksa tan chuan shock lian tak a ni. Chumi chhanna atan chuan intestines te chu rei lo te chhung atan an thawk tawh lo. Doctor-te pawhin hei hi an hre chiang a, a enkawl dan tur dik tak an ruahman a ni.
2. Pum chhunga inflammation awm
Pum chhunga inflammation emaw infection emaw a awm chuan intestine hnathawh a tibuai thei a ni. Ngaihtuah teh, pum chhunga harsatna engemaw avanga "burning" tih hming pu dinhmun a awm chuan intestines a nghawng dawn a ni.
Entirna thenkhat:
- Appendicitis: Appendix a natna a awm.
- Pancreatitis: Pancreas natna (inflammation) a awm.
- Peritonitis: Pum chhunga lining a inflammation.
- Diverticulitis: Intestine lian chhunga pouch ang chi hmun te tak te a inflammation.
- Cholecystitis: Gallbladder natna a awm.
- Sepsis: Infection na tak, taksa pum puia darh tawh a ni.
3. Damdawi thenkhat
Damdawi thenkhat kan ei hian side effect angin bowel movement tihtlem a thlen thei.
- Opioids: Natna tidamtu chak tak, morphine leh tramadol te.
- Anticholinergics: Allergy leh rilru lam natna thenkhat tan damdawi pek thin.
- Tricyclic antidepressants: Depressive natna thenkhat enkawlna atana hman thin damdawi.
4. Electrolyte tihbuai
Kan taksa chhunga thau te, kan intestines chhunga muscle te pawh telin hna tha tak an thawh theih nan potassium leh calcium ang chi electrolyte level dik tak an neih a ngai a ni. Hengte hi a balance loh chuan intestines te hian hna an thawk tawh lo thei a ni.
- Hypokalemia: Thisenah potassium level a tlahniam.
- Hypercalcemia: Thisenah calcium level a tisang.
- Hypomagnesemia: Thisen a magnesium level a tlahniam.
5. Damdawi lam thil dang
Hei bakah hian natna dang engemaw zatin `Paralytic Ileus` a thlen thei bawk.
- Renal failure a awm
- Infection na tak tak, pneumonia ang chi te
- Spinal cord hliam a awm
- Lung natna
- Zunthlum kaihhnawih ketoacidosis
- Thyroid natna te
Engtin nge doctor hian hei hi a hriat chian?
Damdawi in i kal chuan doctor chuan he natna hi a hriat theih nan step engemaw zat a zawm ang.
1. Medical history leh symptoms: Pakhatnaah chuan chipchiar takin zawhna tam tak i dawng ang a, chu chu eng ang harsatna nge i tawh tih te, eng chen nge i lo neih tawh te, tun hnaia operation i neih leh neih loh te, eng damdawi nge i ei tih te.
2. Taksa endikna: A dawtah doctor in i pum a enfiah ang. Stethoscope hmanga i pum ngaihthlak laiin bowel sound pangngai i hre thei lo a nih chuan hei hi `Paralytic Ileus` tih natna chhinchhiahna lian tak a ni.
3. X-ray emaw Ultrasound Scan: Pum chhung chu X-ray emaw ultrasound scan emaw hmangin kan intestines chu gas a khat a, a hring em tih hriat theih a ni. Tin, intestine-ah hian mechanical blockage dang a awm lo tih a nemnghet thei bawk.
4. Thisen test: Thisen test hi i thisena electrolytes leh minerals awm zat enfiah nan tih thin a ni.
Hei hi eng enkawlna nge ni?
Enkawlnaah hian tum lian tak pahnih a awm a. Pakhat chu natna chhan bulpui enkawlna a ni a, pakhat chu taksa chu a ril a thawk leh hma loh chuan a tul anga puihna pek a ni.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Bowel chawlh hahdamna | Oral feeding chu bowel function a normal leh hma loh chuan tihtawp vek a ni. Hei hian intestine te chu chawlhna a pe a ni. |
| Parenteral ei leh in tur | Ka ei loh avangin i taksain a mamawh nutrients, fluids leh electrolytes te chu IV (saline) infusion hmangin i pe a ngai dawn a ni. Hei hi dehydration ven nan a pawimawh hle. |
| Nasogastric tube ah dah a ni | A nasat deuhah chuan hnar hmangin tube te tak te chu pum chhungah dahin, chu chuan pum chhunga boruak leh tui lo awm tawh chu paih chhuakin, luak chhuak leh pum natna a tiziaawm a ni. |
| Damdawi hman dan (Prokinetics) . | Damdawi hi a chang chuan chaw ei tan lehna tura puitu atan pek thin a ni. |
Enkawl hnuah eng nge thleng?
A tam zawkah chuan he dinhmun hi ni hnih atanga ni thum chhungin a tha leh thin . I intestines hnathawh tan leh hunah chuan gas i pass tan ang. Chu chu chhinchhiahna tha ber a ni. Tichuan, i doctor thurawn angin, zawi zawiin tui i ei tan thei a, chutah chuan soup ang chi thil i ei tan thei a, chutah chuan chaw pangngai i ei tan thei bawk.
Ni nga aia rei a daih chuan doctor chuan a chhan dang a awm leh awm loh a chhui chiang ang.
Take-Home Thuchah a ni
- Paralytic Ileus hi intestines blockage a ni lo va, intestinal movement rei lo te chhunga tihtawp a ni.
- Hetiang natna thlentu ber chu operation a ni a, mahse natna hrik, damdawi thenkhat leh damdawi lam thil dang vang pawh a ni thei.
- A lan chhuah dan ber chu puak, gas, chaw ei kham, leh luak chhuak te hi a ni . Hengte hi a nasat chuan damdawi in pan nghal tur a ni.
- Hei hi hun eng emaw chen atana awm a ni a, ni engemaw zat chhungin a reh tlangpui. Damdawi in enkawlna hian taksa chu a tul anga puihna a pe a ni.
- Hetiang symptoms i neih chuan ngaihthah mai mai suh, "Hei hi thil mai mai a ni mai thei," ti mai suh, i doctor hnenah thurawn dil ngei ang che.
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