Hetiang natna mak tak hi i pum chhungah i tawng em? (Rectus Sheath Hematoma) chungchang hi han sawi ila!

I pum na tak, na tak, i pum chhunga lump ang maia awm i tawng ngai em? A nih loh leh khuh na tak i nei a, chutah i pum chhunga blue spot i hmu tawh em? Heng thilte hi a tam vak lo nain, a chang chuan kan pum chhunga awm `(Rectus Sheath Hematoma)` tih natna lanchhuahna a ni thei bawk. Chuvangin vawiinah hian he thu hi tlem tal sawi ila, a chhan chu he thil hi hriat chian a pawimawh hle a ni.

A hmasain he `(Rectus Sheath)` hi eng nge a nih i en ang u?

A awlsam zawngin i `(Rectus Sheath)` hi i pum hmalam ruhte hualtu, fibrous covering chak tak a ni. A dik tak chuan membrane thuk tak (`(aponeurosis)` an ti bawk) a ni. He khuhna chhungah hian i pum chhunga ruh lian pahnih, `(rectus abdominis)` ("six-pack" ruh kan tih fo thin) leh `(pyramidalis)` te a awm a.

Ngaihtuah teh, he `(Rectus Sheath)` hian hmalam (hma lam) bang leh hnunglam (posterior) wall a nei a. Heng bangte hi i pum chhunga ruh dangte hualtu fascia (`(fascia)`) ang chiah atanga siam a ni. Chu chu:

• I ``(external abdominal obliques)`` (pawn lam pum oblique muscles) .
• I ``(internal abdominal obliques)`` (ril chhung lam oblique muscles) .
• I `(transversus abdominis)` (a pum chhunga taksa peng hrang hrang) .

Heng meatus khuhna atang hian ``Rectus Sheath'' hi siam a ni.

Tin, i pum chhunga thisen petu thisen kalna kawng lian ber, superior leh inferior epigastric arteries te hian he `(Rectus Sheath) hi an paltlang thin. Chuvangin he `(Rectus Sheath)` hnathawh ber chu pum chhunga heng ruh, thisen kalna, leh a chhehvel taksa peng hrang hrangte venhim hi a ni.

Mahse, thil tlemte a awm. He `(Rectus Sheath)` hian a chhunga thil awm chu a khuh kim lo. I `(rectus abdominis)` ruh chunglam chu he `(Rectus Sheath)` hian a sir lehlamah, hmalam leh hnung lamah a khuh a ni. Mahse, he ruh chung leh hnuai inkarah hian ramri a awm a, chu chu `(arcuate line)` an ti a. He line hi i navel atanga i pelvic ruh pahnih hmalam (`(pubic symphysis)`) thlenga chhukna hmun thuma ṭhena hmun khat vel a ni.

A pawimawh ber chu, he `(arcuate line)` hnuaiah hian i `(rectus abdominis)` muscle hnuai lam chu hmalam atanga `(Rectus Sheath)` in a khuh chauh a ni. Hnung lam atang chuan `(posterior rectus sheath)` a awm lo! Chu chu `(rectus abdominis)` muscle hnuai lam venhimna tur chutiang sheath chu a awm lo tihna a ni. Hei hi hre reng ang che, a chhan chu hei hi kan sawi tur `(Rectus Sheath Hematoma)` condition atan a pawimawh a ni.

Chuti a nih chuan `(Rectus Sheath Hematoma)` tih hi eng nge ni?

`(Hematoma)` chu, a awlsam zawngin, i tissue chhunga thisen awmkhawm a ni. Tunah chuan a hmaa kan sawi tawh `(Rectus Sheath)` chhunga `(epigastric arteries)` te chu eng emaw ti takin thisen a chhuak tan a nih chuan, chu thisen chu i pum chhunga chu hmunah chuan a khawlkhawm thei a ni. He thisen khawlkhawm hi `(Rectus Sheath Hematoma) an ti a.`

Chutiang a nih chuan thisen chhuah, a bik takin inferior epigastric artery atanga chhuak hi a na zawk thei. A chhan chu kan sawi tawh ang khan arcuate line hnuaiah hian khuhna a awm lo va, chuta tang chuan thisen a luang tan chuan thisen darh tur titawp thei tur tissue a awm lo. Chuvang chuan thisen tam tak a khawlkhawm thei a ni.

He dinhmun hian tute nge a nghawng ber?

Rectus Sheath Hematoma hi mipa aiin hmeichhiaah a tam zawk a , kum 60 chunglam ah pawh a tam zawk bawk .

Hetiang dinhmun hi engtiang chiahin nge a awm?

Rectus Sheath Hematoma hi a takah chuan a awm lo hle a ni . Pum natna neia rawn inlan zinga 1% atanga 2% chauh a nghawng a ni. Chuvangin, i hre fo lo mai thei.

Eng nge a lan chhuah dan?

Hetiang natna lan chhuah dan tlangpui chu pum na hi a ni . He natna hi:

• I tan nghal thei bawk.
• Natna na tak, tuar theih loh a ni thei.
• Natna reng reng a ni thei bawk.
• I pum ruh i tihnghing emaw, i ben emaw, i tihchak emaw hian a natna chu a zual thei a ni.

Chu bâkah, a châng chuan i pum i khawih hian, hrual ang maiin i awm thei bawk .

Symptom dang hmuh theihte chu:

• Nausea leh luak chhuak
• Khawsik
• Vun sen emaw, hliam emaw (a bik takin pum chhunga awm) .
• Anemia (thisen volume tlahniam tihna a ni) .
• Lung chakna sang (tachycardia) .
• Thisen sang hniam (hypotension) .

Eng thilin nge hei hi a thlen?

`Rectus Sheath Hematoma` awm chhan ber chu `(Rectus Sheath) chhunga thisen chhuak a ni.` Hei hi pum chhunga hliam chi khat a awm hian a thleng fo thin

A awlsam zawngin sawi ila, he dinhmun hi `(epigastric artery)`, a atanga thisen kalna kawng te tak te, emaw, `(rectus abdominis)` muscle ngei pawh a chhiat chuan a thleng thei a ni. Kan sawi tawh ang khan pum ruh hi superior leh inferior `(epigastric arteries)` hmangin thisen a pe chhuak thin. Hetah pawh hian `(inferior epigastric artery)` a chhiat chuan thil awmdan chu a pawi deuh thei a, a chhan chu `(arcuate line)` hnuaiah a hnung lamah venhimna a nei lo.

Ngaihtuah teh, i pum chhungah direct blow i neih chuan, emaw, i pum ruhteah chakna nasa lutuk i hman thut chuan (entir nan, rei tak i khuh a nih chuan, emaw, thil rit tak i chawi laiin i pum i strain a nih chuan), he `(epigastric artery)` hi a puak darh thei a, thisen a chhuak tan thei a, `(hematoma)` a siam thei a ni.

Hei hi eng risk factors nge awm?

`Rectus Sheath Hematoma` vei theihna tur risk factor lian ber chu thisen zam venna damdawi (`(anticoagulants)` emaw ``blood thinners``) hman hi a ni . ``Rectus Sheath Hematoma`` vei zinga 70% vel chuan damdawi chi khat ``(anticoagulant)`` an ei thin. Heng damdawi te hian thisen chhuahna a tikhawtlai a, ``(hematoma)`` a awm theihna a tipung a ni.

Risk factor lian dang chu chronic kidney disease a ni . Rectus sheath hematoma vei zinga 60% vel chuan stage 3 emaw a aia sang emaw an nei a ni.

Risk factor dangte chu:

• Tun hnaia pum surgery neih a ni
• Steroid emaw immunosuppressant damdawi emaw hman
• Khuh na tak leh awm reng
• `Antiplatelet therapy` (thisen platelet inzawmkhawm lohna tur damdawi) ei .
• Naupai lai
• Chronic conditions, hypertension leh atherosclerosis (arteries wall-a thau awm vangin thisen kalna kawng a thim) ang chi te

Pawimawh: Hetiang ang anticoagulant damdawi i ei a nih chuan a bik takin i pum na i neih thut chuan fimkhur hle tur a ni.

Engtin nge diagnosis hi siam a nih?

Rectus sheath hematoma hi a chang chuan hriat a harsa thei a , a natna lan chhuah dan hi pum natna dang nen a inang thei a ni.

I doctor chuan i hemoglobin leh hematocrit level tehna atan thisen test a ti hmasa ngei ang. Rectus sheath hematoma vei zinga a chanve aia tam chuan hemoglobin level a tlahniam hle ang (thisen volume a hniam tihna a ni).

A dawtah chuan i doctor chuan i pum chhung bang ultrasound a ti thei ang. Hei hian pum chhunga thisen ang chi tui a awm leh awm loh leh hematoma hi engzat nge a lian tih hriat theih nan a pui thei a ni.

A châng chuan CT scan hmangin a dinhmun dik leh chiang zawka hriat theih a ni. CT scan, a bik takin contrast dye hmanga siam chuan thisen kalna kawng chhia atanga dye a leakna hmun dik tak a tarlang thei a ni. Hei hian doctor-in thisen chhuahna hmun a hriat theih nan a pui thei bawk.

Engtin nge enkawl a nih?

Thu lawmawm tak chu rectus sheath hematoma tam zawk hi chu anmahniin an dam a, damdawi lam enkawlna bik an mamawh lo. He natna enkawlnaah hian a tlangpuiin:

• Ice pack (ice emaw cold compress emaw) hman dan .
• Hahchawl
• Natna tihdamna damdawi hman tlanglawn (`(analgesics)`) .

Rectus sheath hematomas 80% vel chu hetiang damdawi awlsam tak hmang hian tihdam a ni .

Mahse, heng enkawlna awlsam tak takte hian a puih loh chuan, emaw, a natna a nasat zawk chuan doctor chuan ``angioembolization.`` tih damdawi a hmang thei a ni.Hei hi operation a ni lo. Chu chu ``angiography`` (thisen kalna thlalak lak dan) leh ``embolization`` (thisen kalna kawng khar dan) te inzawmkhawmin, thisen chhuahna kawng chu zawng chhuakin khar a ni.

He ``angioembolization`` method hi a hlawhtling lo a nih chuan a hnuhnung ber atan operation neih a ngai mai thei. Surgery an tih lai hian thisen zam (``hematoma``) awm chu lakchhuah a ni a, thisen chhuahna vein chu khar a ni.

Enkawl lai leh enkawl zawhah i doctor chuan thisen test leh ultrasound hmangin i dinhmun a enfiah ang. Hei hian thisen chhuak emaw, natna hrik kai leh emaw a awm leh chuan hriatchhuahna kawngah a pui thei a ni.

Eng nge thleng leh ang? A dam leh dawn em ni?

Rectus sheath hematomas tam zawk hi thla hnih atanga thla thum chhungin a takin a reh thin . Hetiang natna vei tam zawk hi chu an dam tha a, harsatna dang an nei leh lo.

Mahse, thil engemaw takah chuan – a bik takin anticoagulant ei thinte zingah – he natna hi thihna thlen thei a ni . Mahse, a tlem hle. Data thar ber atanga a lan dan chuan Rectus Sheath Hematoma vangin mi 2% aia tlem lo an thi a ni.

Damdawi lam thil dang ang bawkin, a hmaa hriat chhuah leh enkawl hmasak chuan dam theihna a tipung a ni . Chuvangin, `Rectus Sheath Hematoma` symptoms nei nia i hriat chuan doctor thurawn la ngei ang che.

A tawp berah chuan thil hriat reng tur

I `(Rectus Sheath)` hi i pum chhunga taksa peng hrang hrang, tissue leh thisen kalna kawng hrang hrang humhimtu sheath pawimawh tak a ni. I pum bang chu engti kawng pawhin a hliam a nih chuan `(epigastric artery)` chu a chhe thei a, `(Rectus Sheath Hematoma)` a thlen thei a ni.

A tam zawkah chuan he natna hi damdawi lam enkawlna lian tham a ngai lo. Thil awlsam tak tak, ice hnawih te, chawlh hahdam te, leh natna tidamtu damdawi ei te hian a pui thei a ni.

Mahse, case thenkhat chu a na zawk thei. I pum na tak, rang taka na i neih chuan doctor pan a, enkawl i mamawh leh mamawh loh hriat a finthlak fo. Hlauthawng suh, mahse nang leh i chhungte tan heng thilte hi i hriat chian a pawimawh hle.

` Rectus Sheath Hematoma, pum na, pum chhunga thisen chhuak, epigastric artery, anticoagulants, pum nasat, pum na