I ding chhuak hian i pum hnuaiah, i pum sir velah chauh, lump i nei em? Mahse, i mut chuan a bo mai thin. I khawih pawhin a na lo mai thei. Hetiang thil hi i chungah a thleng ngai em? Hei hi ngaihthah mai mai tur a ni lo. A chhan chu thil tenawm tak angin lang mah se, a châng chuan dinhmun khirh takah a chang thei a ni. Vawiin hian ‘Spigelian Hernia’ tih natna pakhat kan sawi dawn a, chu chu mi tam takin an la hriat ngai loh, mahse hriat a pawimawh em em a ni.
Spigelian Hernia chu eng nge ni?
A awlsam zawngin sawi ila, hei hi hernia chi khat a ni. Kan pum chhunga taksa peng hrang hrangte, kan chhungril ang maia taksa peng hrang hrangte chu taksa peng (muscle) atanga siam bang nghet takin a venghim angin han ngaihtuah teh. Hei hi abdominal wall kan ti a. A châng chuan he bang-ah hian chak lohna a awm a nih chuan, pum chhunga pressure chuan intestine ṭhenkhat, emaw, thau chi khat emaw chu chu chak lohna hmun chu a rawn nawr chhuak ṭhin. Chu chu hernia kan tih chu a ni.
‘Spigelian hernia’ chu pum hmalam ruh chhunga hmun chak lo tak tak hmanga intestine atanga chhuak a ni. A tlangpuiin belly button hnuaiah, dinglam emaw veilam emaw-ah a awm thin. Hernia dang ang lo takin he hernia hi a chang chuan pawn lam atanga hmuh theih a nih loh avangin hmuh a harsa deuh thei.
Hei hi eng symptoms nge ni?
A tam zawkah chuan a lan chhuah dan ber chu kan sawi tawh ang khan pum chhunga lump emaw swelling emaw lo lang hi a ni. Mahse, hei hi a lang reng reng lo. Mi thenkhat chuan he hernia hi chhinchhiahna nei lovin an nei thei bawk.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| A pum hnuai lam ah knot a awm | A sir lamah, navel hnuai lamah lump lo lang. I ding chhuak emaw, i khuh emaw, thil rit tak i chawi emaw hian a lang thin. I mut lai chuan a lut leh thin. |
| Pum hnuai lam natna | Natna chu a lo thleng thei a, a kal bo thei bawk. He natna hi a pung thei a, a bik takin thil rit tak tak chawi emaw, toilet hman laiin straining emaw hian. A châng chuan, khawih chuan a na ang maiin a lang thei. |
| Symptoms awm lohna | Spigelian hernia te tak te thenkhat chu natna nei lo emaw, lump hmuh theih loh emaw a ni thei. Chhan dang avanga scan an tih laiin accident-a hmuhchhuah an ni thei bawk. |
Engvangin nge hernia hi hetiang hi a lo awm?
Hei hi a chhan ber chu pum chhunga thau (muscles) chak lohna vang a ni. Heng taksa peng hrang hrangte hi a chak lo thei chhan hrang hrang a awm a.
- Kum upa lam: Kan tar chhoh zel chuan kan taksa ruh (muscles) te hi a pianphungah a chak lo chho zel a.
- Naupai lai: Naupai lai hian pum chhunga ruh (muscle) te chu a insiam (stretching) avangin a chak lo thei hle.
- Pum chhunga hliam: Pum natna nasa tak i tuar emaw, accident i neih emaw chuan taksa ruh a chhe thei a, hernia a lo awm thei bawk.
Tin, natna thenkhat, pum chhunga pressure tipung zel hian he hernia hi a vei theihna a tipung bawk. Balloon-a boruak i vawrh luh reng chuan eng nge thleng ang tih han ngaihtuah teh. Chutiang chu a ni.
Intra-abdominal pressure tisangtu thilte:
- Persistent cough: Khuh chhunzawm zel, a bik takin COPD ang chi natna nei te tan chuan pum ruh (abdominal muscles) ah pressure a siam fo thin.
- Chronic constipation: Bathroom kal laiin zun tam, straining hian pum pressure a tisang bawk.
- Liver natna: Liver natna thenkhat avangin pum chhung chu tuiin a khat thin. Hei hi ascites kan ti a . Hei pawh hi pressure nasa tak a ni.
- Obesity: Taksa rihna a san chuan pum chhunga pressure a sang chho zel a.
- Heavy lifting: Heavy lifting fo ngai hna thawk thinte pawh an hlauhawm hle.
Eng harsatna nge awm thei?
A tlangpuiin lump te tak te, natna nei lo anga intan ni mahse, he hernia hi hlauhawm tak a nih theihna tur dinhmun pathum a awm. Hengte hi fimkhur a pawimawh hle.
1. Bowel Obstruction: Hernia atanga intestine lo chhuak chu a block a, chu chuan ei leh in leh bawlhhlawh a kal tlang thei lo.
2. Inkharkhip: Intestine peng pakhat lo chhuak chu a tang a, a lut leh thei lo a, hei hian natna nasa tak a thlen thei a ni.
3. Strangulation: Hei hi a hlauhawm ber leh hmanhmawhthlak ber a ni . Intestine blocked part-a thisen petu thisen kalna kawngte chu a inkharkhip a, thisen supply a tawp chuan chu intestine hmun chu a thi tan ta a ni. Hei hi damdawi lamah chuan (mesenteric ischemia) kan ti a. Hei hi nunna atana hlauhawm tak a ni a, emergency surgery a ngai a ni.
I hernia awmna hmunah natna nasa tak i neih thut a nih chuan, knot i luh leh theih loh chuan, a sen emaw, a sen emaw a nih chuan, emaw, i luak tan chuan emergency a ni thei.
| Heng symptoms te hi i neih chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal rawh! | |
|---|---|
| 🔴 tih a ni | Hernia awmna hmunah natna nasa tak, tuar theih loh. |
| 🔴 tih a ni | Pum hnuai lam a na a, a tight bawk. |
| 🔴 tih a ni | Constipation na tak (thli kalna tihtawp pawh). |
| 🔴 tih a ni | Nausea leh luak chhuak. |
| 🔴 tih a ni | Lump awmna hmuna vun chu a sen, a sen emaw, a dum emaw a ni. |
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i pan hunah i symptoms chungchang chipchiar takin a zawt hmasa ang che. Tichuan i pum a enfiah ang.
- Taksa enfiahna: Doctor chuan ding turin a ti ang che, khuh emaw, strain emaw, lump a lo lang em tih en turin a ti ang che.
- Valsalva maneuver: Hei hian thawk i vawn tlat a, i hmui leh hnar i khar a, i pum i hrual a ni. Toilet i kal huna i tih ang khan. Hei hian i pum chhunga pressure a tisang a, chu chuan hernia i neih chuan a rawn lang thei a ni.
- Imaging Test: A chang chuan hernia hi chiang taka hmuh theih a nih loh chuan CT scan (Computed Tomography scan) emaw ultrasound scan emaw hmanga finfiah a tha thei.
- Laparoscopy hmanga enfiah a ni:A tlem berah chuan a natna hriat chian nan a pum chhungah incision te tak te siamin camera dahin a hmun chu enfiah theih a ni.
Treatment atan eng nge i tih?
Spigelian hernia enkawlna tha ber leh hman tlanglawn ber chu surgery a ni , he hernia chi hi a mah chauhin a dam lo va, a hmaa kan sawi tawh ang khan harsatna hlauhawm tak tak a thlen theihna a keng tel a ni.
Surgery an neih lai hian intestine atanga chhuak chu pum chhungah dah leh a ni a, taksa ruh chak lohna hmun emaw, khur emaw chu khar a ni. A chang chuan mesh ang chi thil hi a hmun tihchak nan an hmang thin.
He surgery hi kawng hrang hrangin tih theih a ni. I surgeon chuan eng method nge i tan a tha ber tih a hrilhfiah ang che.
Take-Home Thuchah a ni
- I ding laiin i pum hnuai lam a lo lang a, i mut laiin a bo a nih chuan Spigelian hernia chhinchhiahna a ni thei.
- A tir lamah chuan natna awm lo mahse, he natna hi ngaihthah suh, intestinal obstruction ang chi natna khirh tak tak a thlen thei a ni.
- Hernia awmna hmunah hian natna nasa tak, hring, luak chhuak, emaw, chaw ei kham emaw i neih thut chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- Hei hi enkawlna tha ber chu surgery a ni. Chuvangin heng symptoms te hi i neih chuan doctor rawn la, thurawn la ngei ang che.
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