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.

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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.