Ruptured Spleen: I pum veilam natna hi ngaihthah suh!

Kan taksa peng lian ber ber, thinlung, lung leh kal (kidney) te hi kan hre vek a. Mahse "spleen" tih thumal i hriat hian ngaihtuahna tam tak i nei lo mai thei. Mahse hei hi taksa peng te tak te, ngawi renga kan taksaa hna pawimawh tak thawk thin a ni. Mahse, a laka hlauhawm eng pawh hi nunna atana hlauhawm tak a ni thei. Vawiin hian spleen ruptured chungchang kan sawi dawn a ni.

A awlsam zawngin, he spleen hi eng nge ni?

Spleen hi i pum veilam chunglam, i rib cage hnuai chiahah a awm a. I kutphah ang vela lian organ te tak te tak a ni. A hna ber chu thisen dahkhawm leh filter a ni. Kan taksaa thisen sen leh platelet 25% vel chu engtik lai pawhin a khawlkhawm thin. Tin, natna dotu thisen var (white blood cells) siam a pui bawk.

Thisen tifai thei filter angin ngaihtuah rawh. Hetiang hna thawktu spleen chhunga hmun nêm tak hi ruh hring (muscle) te tak te hian a khuh a ni. Mahse a nalh em avangin accident tenau pawhin awlsam takin a hliam thei.

Chuti a nih chuan splenic rupture chu eng nge ni?

Accident emaw thil dang emaw avanga spleen vel khuhna te tak te chu a lo chhe a nih chuan spleen rupture kan ti thin. Chutiang a nih chuan spleen chhunga thisen tam tak chu pum chhungah a luang lut tan thin. Hei hi medical emergency a ni a, chu chuan internal bleeding hlauhawm tak a thlen thei a , nunna atana hlauhawm tak pawh a ni. Chuvang chuan hemi chungchang hi hriat a, a rang thei ang bera inenkawlna neih a pawimawh hle.

Eng thilin nge spleen ruptured chhan?

A tam zawkah chuan spleen ruptured chhan ber chu pawn lam atanga trauma na tak a ni.

• Car accident: Chung zinga 50% - 75% chu car accident vang a ni.
• Sports accident: He risk hi contact sports rugby leh football-ah a sang hle.
• Assaults: Kut khauh tak hmanga pum chhunga kick, stabbing emaw silai kah emaw.
• Tlu: Hmun sang atanga tlu ang mai.

A chang chuan accident hnuah spleen hi a chhe nghal thei bawk. Mahse hun dangah chuan accident hnuah spleen chu a lo hring thei a, darkar engemaw zat hnuah pawh a rupture thei bawk.

Hlauhawm awm lovin spleen a rupture thei em?

Ni e, a tlem hle a, mahse a thleng thei. Spontaneous splenic rupture an ti a ni. Hei hi taksaa damdawi lam thil dang avanga spleen a lian a, a hring a, a pawn lam khuhna a chak lo va, a mah chauhin a puak darh a nih chuan a thleng thin. Condition awm thei thenkhat chu hetiang hi a ni:

• Cancer: Cancer natna chi hrang hrang, lymphoma ang chi.
• Infection: Infection, mononucleosis emaw malaria emaw ang chi.
• Natna dang: Natna rei tak, thin natna (Hepatitis) emaw, pancreatitis emaw.

Spleen ruptured hian eng symptoms nge a neih?

I spleen a rupture hian i hriat ber chu i pum veilam chunglam natna nasa tak a ni . Mahse, accident i tawk a, i ruh i tliak a nih chuan, chu natna leh i rilru aṭanga natna lo chhuak chu thliar hran a harsa mai thei tih han ngaihtuah teh.

A nihna dang chu a natna chu rei vak lo hnuah i ke veilam thleng ang maiin a awm thei. Hei hi damdawi lam hawi chuan Kehr-a chhinchhiahna an ti a. A awlsam zawngin, spleen thisen a chhuah hian a kawr atanga rilru thlenga kal nerve (phrenic nerve) a compress thin. Chuvang chuan a natna chu i kekawr ipteah a kal ang maiin i hria. I thawk chhuah hian a na zual zel angin i hre thei bawk.

He natna ber bakah hian taksa chhunga thisen chhuak leh thisen sang tlahniam nghal vangin symptom dang a awm thei bawk.

Spleen ruptured i rinhlelh chuan eng nge tih nghal tur!

Accident hnua i pum veilam chunglam na tak i nei a nih chuan, emaw, i ke veilam thlenga natna chu a darh ang tih a hriat chuan damdawi in Emergency Department (ETU)-ah tihkhawtlai lohvin kal nghal mai tur a ni. A tul chuan ambulance ko rawh.

Damdawi in i kal dawnin doctor-te hnenah i natna lan chhuah dan te, tun hnaia i hliam te, leh damdawi lam harsatna dang i neih te chu chiang takin hrilh thin ang che. A tul chuan medical team-te chuan thisen chhuah vanga thisen sang control turin saline emaw thisen pek emaw an pe ang.

Doctor-te hian engtin nge hei hi an hmuh?

I thisen sang leh heart rate a normal a nih chuan Doctor in a enfiah hmasa ang che. Tichuan, special ultrasound scan (FAST ultrasound) an ti ang a, hei hi emergency dinhmunah an hmang fo thin. Hei hian pum chhunga thisen chhuak eng pawh chu rang takin a hmu thei a ni.

Scan-a thisen chhuak a awm a, i dinhmun a chhe hle a nih chuan doctor-te chuan hei hi spleen ruptured a ni tih an hria a, enkawl vat a ngai a ni. I dinhmun a nghet a, mahse i spleen a chhiat nia rinhlelhna a awm chuan CT scan hmangin hliam chu eng ang chiah nge a nih tih hriat theih a ni. Hliam nasat dan chu I atanga V thlenga number hmangin a grade thin.

Engtin nge enkawl a nih?

Enkawlna chu hliam nasat danah a innghat a ni. Laceration tenau thenkhat chu a mah chauhin a dam thei. Mahse, laceration lian zawkah chuan emergency treatment a ngai thung. Lacerations na ber (grade V) chuan spleen lakchhuah a ngai thei.

I spleen lakchhuah hnuah i nung thei ang em?

Ni e, a theih ngei ang. Spleen tel lovin i nung thei. Mahse i immune system a nghawng a ni . Spleen hian natna hrik lakah min venghim avangin tlem a lak chhuah hian natna vei theihna a tipung a ni.

Chuvangin, zai zawhah doctor chuan vaccine bik engemaw zat la turin a fuih ang che. Tin, infection a lo awm chuan antibiotics ei nghal vat turin a fuih ang che.

Hliam nasat dan azirin a dam hun chhung hi kar 3 atanga kar 12 inkar a ni thei. Surgery i neih chuan ni engemaw zat damdawi inah i awm a ngai mai thei.