‘Rib cage’ tih thumal hi kan hre vek a ni lawm ni? Mahse, kan taksa tan eng nge a tih tak tak? A pawimawh zia i ngaihtuah ngai em? Vawiin hian kan taksa peng pawimawh ber pahnih, thinlung leh lungte venghimtu he bungrua chak tak hi kan sawi dawn a ni. Kan taksa chhunga ‘bodyguard’ ang mai a ni.
Rib cage chu eng nge ni tak tak?
A awlsam zawngin, rib cage hi kan rilru chhunga taksa peng nalh tak takte hualtu ruh venna framework a ni. Damdawi lamah chuan hei hi thoracic cage kan ti bawk. A hna ber chu kan nunna atana pawimawh tak thinlung leh lungte pawn lam thil hlauhawm laka venhim hi a ni. Ngaihtuah teh, thil kan tlu emaw, kan tawk emaw a nih chuan, he rib cage tel lo hian engtiang chiahin nge awlsam takin kan thinlung leh lung a chhiat theih ang.
Rib cage hi rib atanga siam mai a ni lo.
- Ribs: Mihring puitling zatve chuan rib 24 a nei a, a sir lehlamah 12 a awm. He number hi mipa leh hmeichhiaah a danglam lo.
- Sternum: Hei hi ruh zau tak, chak tak, rilru lai tak leh a hnuai lama awm a ni. Ribs hmalam a lo kal a, an inzawm na hmun a ni.
- Thoracic Vertebrae : Hei hi kan ruhro hmun, rilru nena inzawm a ni. Ribs te hi hnunglam atanga tan a ni a, heng vertebrae te nen hian an inzawm khawm thin.
Heng pathumte hian kan taksaah hian he venhimna kawngkhar mak tak hi an siam vek a ni.
Rib cage-a hliam leh natna awm thei
Chutiang taka chak mah se, a ruh chu a chhe thei a, a na thei a, chhan hrang hrang avangin natna a vei awlsam hle. A changin pakhat theuh i en ang u.
Congenital Rib Deformities awm thei te
Naute thenkhat chu an pian tirh lamah an rib cage-ah danglamna emaw, deformity emaw engemaw zat neiin an piang thin. Chûngte chu inthlâk danglamna tenau aṭanga nunna atana hlauhawm thei dinhmun khirh tak thlengin a ni thei.
Hei hi a chhan ber chu genetic mutations a ni . A châng chuan hengte hi nu leh pate rochun a ni. A chang chuan genetic mutation thar angin an lo awm thei a, chhungkaw history engmah an nei lo.
Chung piansualna thenkhat chu:
- A tlangpui aia tam ribs neih.
- Rib pangngai aia tlem zawk neih (rib thenkhat nei lo piang).
- Ribs tawi tak tak nei .
- A pianzia danglam takRibs tih a ni.
- Rib pahnih emaw a aia tam emaw a inzawm khawm .
A hnuaia table-ah hian chutiang natna nena inzawm damdawi lam dinhmun pawimawh thenkhat tarlan a ni.
| Damlohna | Hrilhfiahna awlsam tak |
|---|---|
| Jeune Syndrome natna a ni | Hetiang dinhmunah hian naute rilru leh ruhro chu a pangngai lo takin a te a, thawk harsatna nasa tak a thlen a, lungte tha taka a lo thanlen theihna tur hmun a awm lo. |
| Spondylocostal Dysplasia natna a awm thei | Hei hi thil awm lo tak a ni. Ruh leh ruhro hmasawnna kawngah harsatna a thlen thin. A lan chhuah dan chu fused ribs, missing ribs, leh hunched back te a ni. |
| Spondylothoracic Dysplasia natna a awm thei | Chutiang a nih chuan ruhro (ribs) te chu ruhro (spine) nena an inzawmna hmunah te an inzawm khawm a ni. Hei hian a rilru a ti te hle a, naupang tan thawk harsatna nasa tak a thlen a ni. |
Engtin nge heng inthlâk danglamnate hi hriat chhuah leh enkawl a nih?
A tam zâwk chuan, inthlâk danglamna tenau, extra rib neih ang chite hian engmah a lantîr lo . Chhan dang vangin X-ray examination an neih laiin accident-in an hmuchhuak a ni.
Mahse, dinhmun khirh takah chuan .
- Narrowing emaw chest te tak te emaw
- Thâwk harsa
- Thâwk lak laiin pum hnuai lam a hring lo ang chi symptoms hmuh tur a awm thei.
Naupai laiin ultrasound scan hmangin a chang chuan heng inthlak danglamna te hi a hriat theih. Naute pian hnua symptoms a lo awm chuan X-ray hmangin a natna hi a finfiah thei a ni.
Enkawlna chu a natna nasat danah a innghat a ni. Hrilhfiahna tenau te chuan enkawlna engmah a ngai lo mai thei. Amaherawhchu, harsatna lian tham, thawk harsatna ang chi a awm chuan naupang chuan thawkna puitu hmanrua a mamawh thei a ni.
Enkawlna bik pakhat chu VEPTR procedure hi a ni . VEPTR hi Vertical Expandable Prosthetic Titanium Rib tihna a ni. Hetiang tih dan hi naupang rilru chhungah titanium rib cage dah a ni. Hei hian naupang rilru, lung leh ruhro te chu a thain a thang tha thei a ni. Naupang a lo puitlin chuan a rib cage chu a sei zawng chu surgery hmangin an siamrem thin.
Accident leh damdawi lam dinhmun tlanglawn dangte
Kan pianpui harsatna bakah hian kan dam chhung hian hliam leh natna chi hrang hrang kan ruh (rib cage)-ah a thleng thei a.
| Nihna | A sawifiahna leh a lan chhuah dan |
|---|---|
| Ribs hliam/Fractured a awm | Car accident vang emaw, tlu emaw, eng ang chi pawha beih vang emaw hian ribs hi a hliam emaw, a chhe thei emaw a ni. A chang chuan khuh na tak pawhin ruh a tichhia thei. A lan chhuah dan ber chu thawk lak, khuh, thawk hah emaw, taksa chet lai emawa natna nasa tak a ni. |
| Costochondritis natna a ni | Hei hi a awm dan tlangpui a ni. Ribs leh chest middle bone (sternum) inzawmkhawmtu cartilage chu a inflamed, a nih loh leh a hring chhuak a nih chuan a thleng thin. A rilru a tihnat vang te, thil rit phurh vang te, khuh chhunzawm zel vang te pawh a ni thei. press a nih chuan rilru na leh tenderness hi a symptom ber a ni. |
| Pleurisy natna a ni | Kan lung leh kan rilru khuh tuamtu membrane te tak te pahnih a awm a. Chungte chu ‘pleura’ kan ti thin. Heng membrane te hi pneumonia ang chi infection avanga inflamed an nih chuan an inhnim tawn a, kan thawk chhuah hian natna nasa tak a thlen thin. Hei hi pleurisy an ti a. Natna bakah hian thawk harsa i nei thei bawk. |
A pawimawh ber chu, rilru natna hi thinlung natna a ni tih ngaihtuah reng reng suh. Costochondritis ang chi rib problem a ni thei bawk. Amaherawhchu, rilru natna i neih chuan ngaihthah suh. A chhan dik tak hriat tumin doctor pan hi a finthlak fo. Accident hnua natna nasa tak emaw, thawk harsa emaw i neih chuan damdawi in hnai ber Emergency Department (ETU) pan vat a pawimawh.
Take-Home Thuchah a ni
- I rib cage hi i thinlung leh lung venhimna atana hmanraw pawimawh tak a ni.
- A vaiin mi pakhat hian ruh 24 (pair 12) a nei a.
- Thinlung avanga rilru natna hi a awm reng reng lo. Rib condition, costochondritis vang pawh a ni thei bawk.
- Naupang thenkhat chu an pianpui rib abnormalities neiin an piang thei a, a tam zawk chu kum tling lo an ni. Natna khirh zawk tan pawh enkawlna tha tak tak a awm.
- I rilru natna nasa tak i neih chuan, thawk harsa i tih chuan emaw, accident hnua i rilru natna i rinhlelh chuan hun khawhral suh la, i doctor hmu nghal emaw, Emergency Treatment Unit (ETU)-ah emaw kal nghal rawh.
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