I spleen chu hlauhawmah a awm em? Vawiin hian (Ruptured Spleen) chungchang kan sawi dawn!

I pum veilam, i ruh hnuai lam chiaha taksa peng te tak te kha i ngaihtuah ngai em? Hei hi spleen kan tih chu a ni. I kutphah ang vel a ni. Mahse hna ropui tak a thawk a ni. Mahse a chang chuan he spleen hi a hliam thei a, a chhe thei bawk. Chutiang a nih chuan a pawi deuh thei.

Spleen chu eng nge ni? A rupture chuan eng nge a awmzia?

A awlsam zawngin, i spleen hi i pum chunglam veilam sir, kutphah ang maia lian, taksa peng te tak te, mahse pawimawh tak a ni. Filter ang maiin a thawk a ni. Kan taksaa thisen hmun li a\anga hmun khat vel chu engtik lai pawhin a vawng tlat a, a tifai a, thisen sen leh platelet te a dahkhawm bawk. Tin, natna dotu thisen var (white blood cells) siam a pui bawk. Spleen hi a chhunga sac ang chi organ a ni a, tissue layer te tak te in a khuh a ni. Thisen kalna kawngte pawh a kal tlang bawk.

Mahse, a awmna hmun nen chuan, a bik takin vuakna na tak a dawn chuan a hliam a rinawm zawk. Ka sawi tawh pawn lam khuhna chu a chhe emaw, a chhe emaw a nih chuan chu chu ‘splenic rupture’ kan tih chu a ni. Kan pum chhunga taksa peng dangte nena khaikhin chuan, kan pum chhunga thisen chhuah theihna chance a sang zawk a, chu chuan nunna a tichhe thei a ni. Chuvangin, splenic rupture hi emergency a ni a, damdawi lam pan vat a ngai a ni. A châng chuan, operation neih a ngai thei bawk.

Spleen ruptured chhante chu engte nge ni?

Okay, tunah chuan engvangin nge hetiang hian spleen a rupture tih hi han en ila.

A tam zawkah chuan hei hi a chhan ber chu accident avanga hliam vang a ni. Entîr nân, motor accident-ah han mitthla teh. Chutiang accident 50% atanga 75% vel chuan spleen a ti chhe thei a ni. Infiamna khelh laiin hliam tuar pawh chutiang bawk chu a ni. Hei hi a bik takin taksa leh taksa inhnaih tak tak, rugby ang chi infiamnaah a thleng thei a ni. A châng chuan, vuakna nasa tak, chemte kah, a nih loh leh silai kah hliam ang chi thil pawi tak aṭangin spleen chu a chhe thei a ni.

A pawimawh ber chu a chang chuan accident hnuah spleen hi a rupture nghal thei a ni. Mahse a chang chuan, accident hnu rei vak lovah chuan hliam chu a hring a, a ril a chhe thei bawk. Hei hi ‘Delayed Rupture’ an ti a.

Spleen hi engmah tichhe lovin a rupture thei em?

Tunah chuan accident a awm loh chuan spleen-ah engmah a thleng dawn lo tih i ngaihtuah mai thei. Mahse, a tlem hle nachungin, a rilruah chuan accident awm lovin a insiam chhuak thei a ni. Hei hi hriat a mak deuh a ni lawm ni?

Hei hi taksaa damdawi lam thil dang awm vangin spleen a lo hring tan chuan a thleng thin. A hring chhuak zel chuan chu pawn lam khuhna ka sawi tawh kha a chak lo zauh zauh a, a tawpah chuan a chhe thei ta a ni.

Hetiang chi spleen swelling thlen thei dinhmun thenkhat chu:

• Cancer chi hrang hrang, entirnan `(Lymphoma)`.
• Hri kai, .`(Mononucleosis)` emaw `(Malaria)` emaw ang chi.
• Chronic inflammatory diseases , hepatitis, thin natna, emaw pancreatitis ang chi te.

I spleen a rupture hian engtin nge i awm?

Okay, tunah chuan i spleen a rupture chuan eng ang nge a nih tih kan en ang.

Ka sawi tawh ang khan spleen hi i pum veilam chunglam, i veilam rib cage leh diaphragm hnuai chiahah a awm a. Spleen a rupture chuan chu hmunah chuan natna nasa tak i nei thei.

Mahse hetah hian thil dang a awm. Accident ang chiah hian spleen a tikehsawm a, hliam dang pawh a thlen thei bawk a ni lawm ni? Entirnan, i ruh i tikehsawm thei. Tichuan, spleen ruptured atanga natna leh hliam dang atanga natna chu i thliar hrang thei lo mai thei.

Spleen a rupture hnuah i rilru veilam emaw, i ke veilam emaw-ah natna radiating i nei thei. Hei hi Kehr-a chhinchhiahna an ti a . Hei hi a chhan chu spleen thisen a chhuah hian thisen chuan i kawr atanga i rilru veilam (left phrenic nerve) kaltlangin i kawr atanga hnuai lam pan nerve a press vang a ni. I thawk chhuah hian a natna chu a zual zel tih i hre mai thei.

Spleen ruptured symptom dang a awm em?

Natna bakah hian chhungril thisen chhuak leh thisen sang tlahniam nghal vangin symptom dang i nei thei bawk. Chûngte chu hriat hlawh tak angin a ri em tih en rawh:

• Luak chhuak emaw, lu hah emaw
• Rilru buai emaw, ngaihtuahna buai emaw
• Mit hmuh a fiah lo
• Paleness leh faintness te pawh a awm
• Restlessness emaw, lungkhamna emaw
• Luhai

Spleen a rupture chuan eng nge thleng ang? Eng nge tih tur?

I pum veilam sir chunglam ah natna nasa tak i nei a, a nih loh leh chu Kehr chhinchhiahna ka sawi kha i nei tih han ngaihtuah teh. Heng symptoms te hi accident hnu rei vak lo hnuah pawh a lo lang a nih chuan Emergency Room (ER) ah kal nghal tur a ni. A tul chuan ambulance ko rawh.

Chutah chuan doctor-te hnenah i natna lan chhuah dan te, tun hnaia accident i tawh emaw, hri kai i neih emaw, natna khirh tak i neih emaw i hrilh a ngai ang. Medical team chuan i dinhmun an zirchiang ang a, i dinhmun nghet taka siam turin an thawk ang a, a tul chuan thisen pek pawh an pe bawk ang.

Engtin nge i spleen a rupture tih i hriat theih ang?

Okay, tunah chuan doctor ten he thil hi engtin nge an chhui chhuah ang tih i en ang u.

Pakhatnaah chuan i dinhmun a stable a nih chuan (thisen sang leh heart rate ang chi thil chu a pangngai hnaih tihna a ni) medical team chuan step by step in an enfiah ang che.A hmasain taksa enfiahna neih a ni. Tichuan , imaging test, scan ang chi te chu an ti leh thin.

Mahse accident-a hliam i tuar a, emergency room-a i lo kal chuan medical team chuan khum bulah special ultrasound an ti hmasa ang. Hei hi ``FAST ultrasound'' an ti a, hei hian i pum chhungah thisen a chhuak em tih a enfiah thin.

FAST ultrasound-in thisen a chhuah tih a nemnghet a, i vital signs a nghet lo a nih chuan medical team chuan i spleen a chhe tawh tih an hria a, enkawl vat a ngai a ni.

I dinhmun a nghet a nih pawhin, i rilruah hliam i neih nia rinhlelhna a awm chuan ``CT scan`` an ti fo thin. Hei hian spleen leh hliam zau zawng a enfiah tha thei a ni. Chumi hnuah chuan hliam chu I atanga V-ah grade a ni a, chu chu hliam nasat dan azirin a ni.

Engtin nge spleen ruptured chu enkawl a nih?

Ruptured spleen enkawl dan chu a hliam nasat danah a innghat. Laceration tenau thenkhat chu a mah chauhin thisen chhuah a titawp thei bawk. Mahse, mi dangte chuan hmanhmawh taka enkawl an ngai mai thei. Lacerations na tak (Grade V) a awm chuan spleen lakchhuah nan splenectomy a ngai a ni. Mahse, splenic hliam na tak chu a lang nghal lo mai thei. A châng chuan damlo stable chu thisen chhuah tam avangin darkar engemaw zat hnuah a stable lo thei bawk.

Spleen ruptured enkawlna atana hmanraw pawimawh thenkhat chu hetiang hi a ni:

• Embolization: Hetiang tih hian Grade III leh IV splenic injury-a thisen chhuah control-na kawngah a pui thei a, operation hma emaw, operation aiah emaw pawh nise. Embolization hi operation ni lo a ni. Interventional radiologist-in a ti thin. Radiology imaging technique hmangin thisen kalna kawngah tube te tak te (catheter) dahin, a chhungah hian sponge ang chi bead te tak te dahin thisen chhuah chu tihtawp a ni.
• Splenorrhaphy: Grade III emaw IV emaw hliam tan chuan embolization bakah hian tih theih a ni. Splenorrhaphy hi surgery hmanga spleen siamthatna tur a ni. Hei hian hliam chu suture te, electrocautery hman te, thisen chhuah tihtawp nan topical agents hman te a ni thei. Hlawhtling a nih chuan hei hian spleen thenkhat emaw, a zawng zawng emaw lak chhuah a ngai lo thei a ni.
• Splenectomy: Thisen chhuak nasa tak chu kawng dangin a thunun theih loh a, spleen chhanchhuah dan tur a awm loh chuan, a then emaw, a pum emaw chu lakchhuah a ngai mai thei.Splenic rupture 20% vel chu hetiang hian a tawp thin. Hei hi emergency surgery a nih avangin open abdominal surgery anga tih a nih a rinawm ber. Hei hian surgeon tan i emergency situation a enkawl awlsam phah a ni.

Spleen ruptured atanga damchhuah theihna chance engzat nge awm?

Hei hi i hliam nasat dan leh i hmuh leh enkawl thuai danah a innghat tak zet a ni. Cut te tak te chuan thisen a chhuak zawi zawi ang, zawi zawiin. Chuvangin hun engemaw chen i nei a, mahse awlsam takin i hloh thei. Thisen chhuak nasa tak a nih chuan a symptoms a lang chiang viau ang, mahse a hlauhawm hle. Taksa chhungah thisen a chhuak nasa hle a nih chuan enkawl nghal loh chuan darkar tlemte chhungin thihna a thleng thei. Chuvangin hei hi thil awlsam tak a ni lo.

Spleen ruptured atanga dam nan eng chen nge a mamawh?

I hliam lian tham leh enkawlna i dawn dan azirin a dam theih nan kar thum atanga kar sawm leh pahnih vel a ngai thei. Operation i neih tawh chuan a hnuah ni engemaw zat damdawi inah i awm a ngai mai thei. Open surgery hnuah chuan damna tur incision lian tak a awm a. In lama i haw hunah natna damdawi pek i ni mai thei. Kawng lehlamah chuan, hliam tenau te chu a dam rang hle.

Engtin nge ka in enkawl ang, spleen nei lova ka awm lai hian?

Ni e, i spleen tel lovin i nung thei. Mahse i immune system a nghawng thung. Spleen hi natna hrik laka vengtu taksa peng pawimawh tak a nih avangin i spleen lakchhuah (splenectomy) hnuah natna i vei awlsam deuh mai thei.

I surgeon chuan damdawi inah leh in haw hnuah pawh natna hrik laka invenna tur vaccine bik engemaw zat a rawn rawt ang che. Infection i neih chuan antibiotics ei nghal turin a fuih bawk ang che.

A tawi zawngin, kan hriat reng tur (Take-Home Message) .

Okay, chuvangin hei hi he thusawi zawng zawng atanga kan in lama kan hruai luh tur thuchah pawimawh ber a ni.

Ruptured spleen hi minor emaw major emaw pawh nise, emergency a ni. Internal bleeding hi uluk taka enkawl loh chuan nunna atana hlauhawm tak a ni thei.

Mahse, thu lawmawm tak chu , splenic rupture tam zawk hi hriatchhuah leh enkawl hmasak a nih chuan, spleen chhanhim thei tur thil awlsam tak hmanga enkawl theih a ni. Mahse hei hi i hliam i hriat chian dan leh i enkawl thuai danah a innghat a ni.

I rilruah hliam i nei tih rinhlelhna tlemte pawh i neih chuan a tha ber chu doctor thurawn la nghal a, thisen a chhuak leh awm loh enfiah tir hi a ni.

` Spleen, Spleen rupture, Ruptured Spleen, In chhung thisen chhuak, Pum na, Emergency treatment, Kehr chhinchhiahna