Pum natna nasa tak? He natna hlauhawm tak Peritonitis an tih hi zir rawh!

I pum na tak i nei thut mai ang tih han ngaihtuah teh. A tirah chuan dull ache angin a intan a, mahse rei vak lo hnuah chuan a natna chu tuar theih lohvin a awm ta a ni. A natna chu a nasat em avangin ke pawh i ding thei lo va, i ding nghet thei lo va, i taksa pawh i che thei lo. Mi tam tak chuan hei hi pum na pangngai, gastritis niin an ngai. Mahse hei hi natna khirh zawk, nunna atana hlauhawm zawk, Peritonitis , chhinchhiahna a ni thei. Chuvangin vawiinah hian he dinhmun hlauhawm tak hi han sawi ila.

A awlsam zawngin, Peritonitis chu eng nge ni?

Kan pum chhungah hian taksa peng pawimawh tak tak, thin, intestines, stomach leh uterus te hi a awm a. Heng taksa pengte hi polythene sheet ang maia membrane te tak te, pum chhung bang khuhtu hmanga venhim leh vawn tlat an ni. Damdawi lamah chuan hei hi peritoneum kan ti a.

Peritonitis chu natna hrik, bacteria ang chi, peritoneum chhunga a luh a, a kai a, a hring nasa hle a, a lo hring chhuak a ni. Hei hi medical emergency a ni a . A chhan chu he natna hi taksa pumpuiah rang takin a darh thei a, nunna atana hlauhawm tak a ni thei a ni. Chuvangin hei hi eng nge a nih chiang takin nang leh i hmangaihte hriat a pawimawh hle.

Peritonitis natna lan chhuah dan chu engte nge ni?

Hetiang dinhmunah hian mi hrang hrangah symptoms a inang lo thei. Mahse, a lan chhuah dan tlangpui thenkhat chu a bik taka ngaihven tur a awm. Heng symptoms zinga pakhat emaw a aia tam emaw a lo lang nghal a nih chuan ngaihthah suh.

Engvangin nge Peritonitis hi a lo awm? A chhante chu engte nge ni?

Okay, tunah chuan he venhimna membrane peritoneum an tih hi engtin nge natna hrik a luh theih tih hi han en ila. Hei hi a thlen theih dan tlangpui engemaw zat a awm.

1. Organ dang atanga natna kai darh (Secondary Peritonitis) .

Hei hi a chhan tam ber a ni. Chu chu, pum chhunga taksa peng danga natna hrik awm chu chu taksa peng chu a rupture emaw, a perforation emaw avanga peritoneum-ah a darh tihna a ni. Hetiang thil hi han ngaihtuah teh...

• Appendicitis: Mi tam zawkin an hriat angin appendicitis hi appendix inflammation a ni. A enkawl vat loh chuan a puak thei. Tichuan a chhunga bacteria leh a chhunga thil awmte chu pum chhung zawngah a darh a, peritonitis a thlen ta a ni. Hei hi peritonitis thlentu ber a ni.
• Peptic Ulcer/Bowel Perforation: Pum chhungah ulcer a lo awm a, a thuk tawk a, pum bang a khur a siam chuan stomach acid leh bacteria te chu pum chhungah a leak lut thei a ni.
• Cholecystitis emaw pancreatitis: Heng taksa peng hrang hrangte inflammation a nasat chuan an perforated thei a, chu chuan gallbladder atanga bile emaw, pancreas atanga enzymes te chu pum chhungah a luang lut thei a ni.
• Hmeichhia lam harsatna: Fallopian tube-a ectopic pregnancy, tube rupture, emaw pelvic inflammatory disease na tak te avang hian peritoneum-ah pawh natna hi a darh thei bawk.
• Traumatic Injury to the Stomach: Pum hi a hliam a, car accident, tlu emaw, hliam tuar emaw a nih chuan intestines a chhe thei a, bacteria a leak chhuak thei bawk.
• Surgery hnuah: Pum zai hnuah hliam atanga natna hrik a luh theihna chance tlemte a awm.

2. A chhan dang (Primary leh Chemical Peritonitis) .

Peritonitis hi chhan dang vang pawh a ni thei a, chu chu a chunga kan sawi tawh ang khan taksa peng hrang hrang (organ rupture) vang a ni. Hengte hi eng emaw chen chu a tlem hle.

• Ascites: Liver cirrhosis, cancer thenkhat, thinlung natna te hian pum chhungah tui a khat thei a. He tui tam lutuk hian awlsam takin bacteria a kai thei a, chu chuan Spontaneous Bacterial Peritonitis (SBP) tih natna a thlen thei a ni.
• Damdawi hmanga enkawlna hmangin: Kal natna nei damlote tan peritoneal dialysis enkawlnaah hian bacteria hi a chang chuan stomach tube kaltlangin a lut thei a ni. Hetiang hlauhawmna hi hnar hmanga tube fed pek damlote tan pawh a awm a ni.
• Chemical Peritonitis: Hei hi chemical chi hrang hrang, bacteria ni lo, taksaa awm mahse peritoneum tana chhiatna thlen thei chemical leak vang a ni. Entirnan, stomach acid, bile, pancreatic enzymes, etc. Hengte hi peritoneum chhunga an luh chuan inflammation an siam thin.

Engvangin nge Peritonitis hi a hlauhawm? Eng harsatna nge a awm?

Peritonitis natna hi awlsam taka tihdam theih a ni lo. Enkawl vat loh chuan harsatna lian tak, nunna atana hlauhawm tak a thlen thei a ni.

A awlsam zawngin sawi ila, sepsis chu taksain natna hrik a tawh avanga taksain a chhanlet dan chu a thunun theih loh a, taksa taksa peng leh taksa peng hrang hrangte a tihchhiat tan hian a ni. Hei hian thisen sang hlauhawm tak a thlen thei a, thisen kalna a tichhe thei a, taksa peng a tichhe thei a, thihna thlengin a thlen thei bawk. Chuvang chuan Peritonitis hi medical emergency a ni.

Harsatna dangte chu:

• Dehydration leh Electrolyte Imbalance: Luak leh khawsik ang chi thilte hian taksaah tui leh chi pawimawh tak tak a hloh thin.
• Paralytic Ileus: Intestinal function chu rei lo te chhung atan a tawp thei.
• Abdominal Adhesions: Infection a dam hnuah chuan pum chhunga taksa peng hrang hrangte chu a inzawm khawm thei a, chu chuan nakin lawkah bowel obstruction a thlen thei a ni.
• Tin, taksa peng dang chunga nghawng a neih dan: Natna a lo nasat chuan taksa peng hrang hrang, thin leh kal (kidney) te pawh he natna hian a nghawng thei a ni.

Engtin nge natna hi hriatchhuah leh enkawl a nih?

Doctor hian engtin nge natna a hriat chian?

Damdawi inah, a bikin Emergency Department (ETU)-ah heng symptoms neia i kal hian doctor chuan i symptoms te chu a zawt hmasa ang che. Tichuan, taksa enfiahna an nei ang a, a bik takin i pum chu uluk takin an enfiah ang. I pum chu i khawih chuan a khauh em, a hring em, a na em tih an enfiah ang. Diagnosis finfiah nan a hnuaia test te hi order theih a ni:

• Thisen test: White Blood Cell Count ang chi thil te hi taksaah natna hrik a awm leh awm loh enfiah thin a ni.
• Imaging test: Pum chhunga thil thleng hriat nan CT scan , ultrasound scan , emaw MRI scan emaw tih tur a ni. Chûngte chuan taksa peng pakhat chu a inflamed em tih emaw, tui a awm khâwm em tih hriat theih nân a ṭanpui thei a ni.
• Paracentesis: Pum chhunga tui a khat chuan needle te tak te dahin, chu tui sample lak a, infection test nan leh eng bacteria nge awm tih hriat a ni.
• Laparoscopy: A chang chuan a natna hriat chian loh chuan a chhung lam direct-a hmuh theih nan camera te tak te chu pum chhungah dah a ngai mai thei.

Enkawlnate chu engte nge ni?

Peritonitis hi damdawi ina dah ngai a ni. Enkawlna hian thil tum lian pathum a nei a, chungte chu hri kai control te, natna thlentu harsatna bulpui enkawl te, leh harsatna awm thei tur ven te hi a ni.

1. Antibiotics: Pakhatnaah chuan broad-spectrum antibiotics hi saline nen intravenous-in pek thin a ni. Hei hian taksa pum puia natna darh tawh chu a thunun thei a ni. Tichuan, test-naah natna thlentu bacteria bik an hriatchhuah hnuah antibiotic bik pek a ni.

2. Surgery: Zai a ngai fo thin. A bik takin appendicitis a puak emaw, intestine-ah khur a lo awm emaw a nih chuan a chhe lai chu lakchhuah a ngai a, pum chhung chu uluk taka silfai leh tihfai a ngai a ni.

3. Supportive Care: Hei hian a tul chuan saline, painkiller, leh oxygen pek te a huam a ni. A châng chuan, hnar aṭangin nasogastric tube dahin, pum chhunga thil awmte chu paih chhuah theih a ni.

Eng chen nge tihdam a ngaih? Engtikah nge damdawi lam pan nghal tur?

Dam leh hun chhung hi mi hrang hrangah a inang lo. Enkawlna i dawn rang dan te, i natna nasat dan te, leh i hriselna zawng zawngah a innghat a ni. Enkawlna hi tan hma a nih chuan kar tlemte hnuah i dam leh mai thei. Mahse, operation i neih tawh emaw, a chhan bulpui (cirrhosis ang chi) a nasat chuan a dam kim theih nan hun rei zawk a ngai thei.

Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh kum 1990 ambulance service call rawh. Peritonitis-ah chuan minute tin hi a pawimawh . Thil tih vat chuan i nunna a chhanhim thei a ni.