I pum chhunga taksa peng zawng zawng, i thin, i pum leh i intestines ang chi te hi engtin nge an inzawm khawm vek a, an inzawm khawm lo va, felfai taka an inrem vek tih i ngaihtuah ngai em? Tin, heng taksa peng hrang hrangte hi an che laiin an inhnawh tawn lo va, eng thilin nge an tlan kual theihna tura puitu chu i ngaihtuah ngai em? Kan pum chhungah hian (abdomen chhunga hmun ruak) mak tak mai, smooth membrane a awm a, chu chuan heng zawng zawng hi a pui a ni. Vawiin hian he ‘peritoneum’ hi kan sawi dawn a, damdawi lamah hmun pawimawh tak a chang a ni.
A awlsam zawngin, he peritoneum hi eng nge ni?
I pum chu box ang maiin han ngaihtuah teh. He box chhung lam bang bulah hian lining a awm a. Tichuan, box chhunga thil awm (kan taksa peng hrang hrangte) khuh tu tissue layer hran, te tak te a awm bawk. Peritoneum hi hetiang hi a ni.
Hei hi hmun hnih ah then theih a ni:
1. Parietal Peritoneum: Hei hi kan pum chhung leh kan pelvis chhung bang khuh tu a ni. Chu bawm chhunga bang ka sawi tawh ang bawk khan.
2. Visceral Peritoneum: Hei hi kan pum chhunga taksa peng hrang hrang (ril, thin, intestines ang chi) vel a ni. Thil awmte chu bawm khata a hrana khuh ang mai a ni.
Heng khuhna pahnih inkar hmun tlemte tak hi peritoneal cavity an ti a . He hmun chhungah hian lubricating fluid tlemte a awm a. He tui hi kan thawk a, kan kal a, ei tur kan ei hian pum chhunga taksa peng hrang hrangte chu awlsam taka an inhnim pil tir theitu a ni.
Peritoneum hian kan taksa tan eng service nge a pek?
A khuhna mai a ni lo. Chu aia tam kan taksaah a ti tam zawk. Hemi chungchangah hian zirchiangtute chuan thil thar an la hmuchhuak zel a ni.
| Hna thawh mekte chu | A awlsam zawngin... |
|---|---|
| In lum leh himna pek | Peritoneum hi thau layer hrang hrangin a khuh a, chu chuan kan taksa peng hrang hrangte chu lumna a pe a, eng thil pawh a nghawng loh nan a venghim bawk. |
| Lubrication hmanga hnawih | Chu peritoneal fluid ka sawi tawh khan taksa peng hrang hrangte chu an inhnim hrual lo va, an tlan kual vel bawk. Machine-a grease dah ang mai a ni. |
| Structure leh support pek | Kan taksa peng hrang hrangte hi peritoneum atanga siam ligament bik hmanga inzawmkhawm a ni. Tin, intestine ang chi organ te chu pum hnunglam bang ah a inzawm tir bawk. |
| Thisen, lymph, leh nerve supply te | Kan taksa peng hrang hrangte mamawh thisen kalna kawng, lymph kalna leh nerve te hian he peritoneal membrane hi an paltlang a ni. |
| Immunity tanpui | Security guard ang maiin a che thin. Pum chhunga natna hrik leh thil dang lo lutte chu a hmuchhuak a, thisen var (white blood cells) a tir a, chu chu bei turin a tir a ni. Bawlhhlawh filter out turin a pui bawk. Mak tak mai chu he membrane hi a chhiat chuan a dam thuai theihna a nei a ni. |
Engtin nge hei hi a insiamrem?
Peritoneum hian taksa peng hrang hrangte a khuh rual hian hmun hnih emaw hmun thum emaw-ah a inzawm khawm a, bawm ang maia inzawm leh inzawmkhawm a siam a ni.
- Omentum: Hei hi peritoneum fold lian tak, thau tak a ni a, kan pum hmaa taksa peng hrang hrangte khuhtu apron ang maiin a thawk a ni.
- Mesentery: Hei hi peritoneum fold a ni a, kan intestines te chu kan pum hnunglam bang ah a inzawm tir a ni.
Natna hriat dan inthlak danglamna
Hetah hian thil pawimawh tak a awm. Organ hrang hrang hual veltu visceral peritoneum hian natna hi a hriat chian loh deuhin a hre thin. Ka pum chhunga gas a khat lai ang khan, "Ka pum chhung hmun khatah a na" tih ang maiin i awm thin. Mahse pum chhung bang sir lama awm parietal peritoneum chu a hliam a nih chuan a na chu a na hle. I kut zungtang hmangin i kawhhmuh thei a, "Hei hi a na tak zet a ni," i ti thei bawk. He natna awmzia hi doctor-te tan natna hriatchhuahna kawngah a \angkai hle.
Peritoneum tichhe thei dinhmunte chu engte nge ni?
Chutiang taka hmun pawimawh a chan avangin peritoneum-ah harsatna a awm chuan natna khirh tak a thlen thei a ni.
A pawimawh ber chu pum na emaw, a hring emaw ngaihthah ngai lo tur a ni. Peritoneum nena inzawm natna khirh tak a nihna chhinchhiahna a ni thei bawk.
A hnuaia table-ah hian damdawi lam natna tlanglawn tak tak thenkhat han thlir ila.
| Damdawi lam dinhmun | Hei hi eng nge thleng? |
|---|---|
| Peritonitis natna a ni | Hei hi peritoneum inflammation a ni. Hei hi pum chhunga natna hrik awm vang a ni fo. Entirnan, appendicitis a rupture chuan bacteria chu peritoneal cavity-ah a darh thei a, he natna hi a thlen thei a ni. Hei hi natna khirh tak a ni a , emergency medical treatment a ngai a ni . A chhan chu natna hrik hi thisenah lutin taksa pum puiah a darh thei (septicemia). |
| Ascites natna (Ascites) a awm | Hei hi peritoneal cavity-a tui awm dan pangngai lo tak a ni. Hei hian pum chu hmalam pan a, a hring chhuak thin. Hei hi liver natna (cirrhosis ang chi) hnuhnung ber atanga hmuh chhuah a ni fo thin. A chang chuan he natna hi thinlung natna emaw cancer vang emaw pawh a ni thei. |
| Hernia a ni | Hernia chu pum chhunga hmun chak lo tak atanga tissue (a tam zawkah chuan peritoneum leh intestine thenkhat) atanga chhuak a ni. Hei hian peritoneum-ah chhiatna nasa tak thlen lo mah se, thisen supply tihtawp a nih chuan a hlauhawm thei hle. Chuvangin surgery hmanga siamthat a ngai a ni. |
| Pum chhunga Adhesions awm | Abdominal surgery an neih lai hian peritoneum chu an tan thin. A dam chhoh zel chuan a chang chuan scar tissue khauh tak tak a lo awm a, chu chuan taksa peng hrang hrangte chu a inzawm tlat emaw, pum chhunga bang emaw a tichhe thin. Hei hian harsatna a thlen ngai lo. Mahse a chang chuan bowel obstruction ang chi natna khirh tak tak a thlen thei bawk. |
| Ngawt | Pum chhunga cancer hi awlsam takin peritoneum-ah a darh thei a ni. Hei hi peritoneal carcinomatosis an ti a . A tlem hle a, cancer hi peritoneum chhung ngeiah pawh a intan thei bawk. |
Engtin nge harsatna a awm leh awm loh i hriat theih ang?
Peritoneum lama harsatna awm thei chhinchhiahna lian ber pahnih chu pum na leh pum na a ni. Natna chu a fiah lo a nih chuan a chhung lam layer nen a inzawm thei bawk. Natna chu a na hle a, a awmna hmuna awm a nih chuan pawn lam layer nen a inzawm thei bawk.
Doctor-in test a tih te
I natna lan chhuah dan azirin i doctor chuan a chhan hriat tumin test eng emaw zat a nei thei a ni.
- Peritoneal fluid analysis: Pum chhungah needle te tak te dahin peritoneal cavity atang hian tui tla tlemte lakchhuah a ni a, laboratory-ah thawn a ni. Chu tui chu cell, protein leh hrik awm leh awm loh enfiahin, natna hrik, cancer emaw, chhan dang emaw a awm leh awm loh an enfiah ṭhin.
- Peritoneal biopsy: A chang chuan peritoneum ngei pawh hi a tlem berah enfiah nan lak a ngai thin. Hei hi special needle hmangin emaw, laparoscopy (a pum chhunga incision te tak te siam a, chuta tang chuan camera dah) hmangin tih theih a ni.
Peritoneal hmanga enkawl a ni
Peritoneum thiltihtheihna mak tak avang hian enkawlna thenkhatah pawh hman a ni.
- Peritoneal Dialysis: Hetiang hmanrua hi kal (kidney failure) nei damlo thisen tihfai nan hman a ni. Hetah hian peritoneal cavity-ah hian tui bik an inject a. Peritoneal membrane ngei pawh hian filter angin hna a thawk a, thisen atanga bawlhhlawh chu chu tuiah chuan a hruai lut thin. Darkar engemaw zat hnuah bawlhhlawh paihna tui chu paih chhuah a ni.
- HIPEC (Hyperthermic Intraperitoneal Chemotherapy): Hei hi cancer enkawlna atana hmanraw bik a ni. Hetah hian chemical lum tak chu peritoneal cavity-ah direct-in an inject a ni. Hei hian enkawlna chu taksa pum pui ni lovin, cancer awmna hmunah a target thei a ni.
- Surgery: Cancer emaw harsatna dang emaw a awm chuan peritoneum a then emaw, a pum emaw lakchhuah (peritonectomy) a ngai thei.
Thutawp atan chuan peritoneum hi kan taksa peng mak tak a ni a, ngawi rengin rawngbawlna pawimawh tak a thawk a ni. Kan taksa peng hrang hrangte humhimtu, thlawptu leh tidamtu angin a thawk a ni.
Take-Home Thuchah a ni
- Peritoneum hi kan pum chhung leh a chhunga taksa peng hrang hrangte khuh leh humhimtu, membrane te tak te a ni.
- Hna pawimawh tak tak a thawk a, chu chu lumna pe, lubrication pek, taksa peng hrang hrangte thlawpna, leh taksa hriselna tichaktu te hi a ni.
- Peritoneum nena inzawm natna lan chhuahna ber chu pum na leh pum na a ni thei.
- Eng ang pawhin a fiah lo emaw, a te emaw pawh ni se, hrehawmna hi ngaihthah ngai suh. Doctor hnenah thurawn dil nghal rawh.
- Peritonitis ang chi natna hi a na hle thei a, chuvangin damdawi lam pan vat vat chu nunna chhanhimna pawh a ni thei.
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