I naute te chu a kawrfual i en hian a hnim tih i hmu em, a nih loh leh hnim hring tlemte a nei tih i hmu em? A châng chuan rimtui tlem a nei thei bawk. Nausen piang thar nu tu pawhin hetiang thil a hmuh hian a hlauthawng deuh hi thil pangngai a ni. Hei hi a chhan pakhat chu ‘urachus’ an tih thil pakhata buaina a ni thei. A hmingin hlau suh, hei hi i ngaihtuah angin a pawi lo. Hemi chungchang hi vawiinah hian awlsam tak leh chiang takin sawi ila.
A awlsam zawngin, he Urachus hi eng nge ni?
Ngaihtuah teh, i naute chu i pum chhungah a awm laiin, a zun kawng atanga a pum thlengin tube ang chi hmun te tak te a awm a. Chu chu Urachus kan tih chu a ni. A hna ber chu nausen naupai kar hmasa berah a taksa atanga zun chhuah tir hi a ni. Hun eng emaw chen atana tui pipe ang maiin a thawk a ni.
Naute chu nu pum chhunga a lo seilian chhoh zel chuan a zun (urinary system) chu a lo thang tha hle. Tichuan he urachus mamawhna hi a bo ta a ni. Chuvangin , a tam zawkah chuan naute a pian hmain, naupai thla thum chhungin he tube hi a inkhar nghal vek a, fibrous cord a lo ni ta a ni. Damdawi lamah chuan hei hi median umbilical ligament kan ti a.
Chuvangin, urachus hi naute naupai laiin thil pangngai tak a ni a, a hnuah a mah chauhin a khar ang tih hre reng ang che.
Chuti a nih chuan, Urachus chu pakhat a ni em, umbilical cord chu pahnih a ni em?
Ni e, hengte hi thil danglam tak pahnih a ni. Mi tam tak chuan hei hi an ti buai hle.
- Urachus: Hei hi naute taksa chhungah a awm a ni . Nausen zunthlum leh nausen pum inzawmkhawmtu tube a ni.
- Umbilical Cord: Hei hi naute taksa pawnah a awm a . Chumi hmang chuan naute chuan nu hnen atangin oxygen leh nutrients a dawng thin.
A awlsam zawngin, a tir lamah chuan urachus kal tlanga zun lo lut chu umbilical cord kaltlangin nu taksaah a chhuak thin. Chuvangin heng pahnih hian thawk ho mah se, a hranpa pahnih an ni.
He tube hi a khar tha lo a nih chuan eng nge thleng ang?
Hei hi kan ngaihtuah a ngai a ni. A châng chuan, a tlem hle a, he Urachus tube hi naute pian hmain a khar kim lo. Hetiang dinhmun hi Urachal Remnant emaw Urachal Abnormality emaw kan ti thin. Hei hi chi pali a awm a.
| Condition Hming | Hei hi eng nge thleng? (A awlsam zawngin) |
|---|---|
| Patent Urachus a ni | Hei hi duct a inhawng vek lai a ni. Chumi awmzia chu bladder atanga bladder panna kawng a awm tihna a ni. Hei hian naute zun atanga zun a chhuah tir thei a ni . Hei hi naute a tap emaw, a khuh emaw hian a langsar zawk thei. |
| Urachal Cyst (tumor) (tumor) tih a ni. | Heta thil thleng chu tube-a bladder leh navel lam pahnih chu a inkharkhip a, a laiah tui a awm khawm a , cyst a siam a ni. A tlangpuiin symptom a awm lo. Mahse, hei hi a kai a nih chuan pum na, khawsik leh navel bulah i sen thei a ni. |
| Urachal Sinus a ni | Chutiang a nih chuan tube bladder lam chu khar a ni a, pelvic lam chauh hawn a ni. Tube te tak te, a sir khat khar ang mai a ni. Hei hian pelvis atang hian tui hnim, hnim ang maia chhuak chhunzawm zel a siam thei bawk. Infection a thlen thei bawk. |
| Diverticulum (Diverticulum) a ni | Heta thil thleng chu tube pelvic side chu khar a ni a, bladder lam chu a inhawng a ni. Bladder pawnah hian sac ang chi hmun te tak te a lo awm a. A tam zawkah chuan symptoms a awm lo. Mahse, he bawm chhungah hian zun a awm khawm thei a, zun kawng natna (UTIs) a thlen fo thei bawk . |
Nausen hian hetiang harsatna a neih leh neih loh engtin nge doctor-te hian an hriat theih ang?
Wet diaper rash i report hunah doctor chuan naute chu uluk takin a enfiah hmasa ang. Tichuan, an dinhmun finfiah nan test eng emaw zat an nei thei bawk.
- Ultrasound Scan: Hei hi test tam ber a ni. Naute taksa chhunga taksa peng hrang hrangte chu natna awm lovin i en thei a ni. Urachus tube a block em tih emaw, tumor a awm leh awm loh emaw awlsam takin a enfiah thei.
- MRI Scan: A chang chuan, thlalak chiang zawk a ngai a nih chuan he test hi tih theih a ni.
- Liquid test hmanga test: 1.1.Bladder atanga tui sample lak a ni a , zun ah chemical urea leh creatinine a awm leh awm loh test a ni . An awm chuan zun chu bladder atanga lo chhuak a ni tih finfiah theih a ni.
- VCUG (Voiding Cystourethrogram): Hei hi test bik a ni. Hetah hian tui bik (dye) chu urethra kaltlangin bladder-ah an lut a, chu tui luang dan chu X-ray hmangin an enfiah a ni. Hei hian urachus kaltlangin tui a luang em tih dik takin a hriat theih a ni.
Tin, natna hlauhawm tak, urachal cancer an tih chungchang pawh sawi a ni. Eng nge ni?
Hei hi hriat chian a tha a, mahse a tul lovah hlauthawng suh. Urachal cancer hi bladder cancer chi khat a ni a, a tlem hle . Urachus tissue chi hrang hrang, pian hnua khar loha awm reng atang hian a lo piang thei a ni.
Hetiang dinhmun hi puitling kum 50 chunglam zingah a tam ber a, naupang tê têah chuan a hlauhawmna a tlem hle. A lan chhuah dan chu:
- Zun chhunga thisen (hematuria) .
- Zun chhunga mucus ang chi thil (mucinuria) .
- Pum natna
- Pum chhunga lump a awm
Heng symptoms te hi i nei a nih pawhin cancer i vei tihna a ni lo. Mahse hetiang thil hi i hmuh chuan a rang thei ang bera damdawi lam thurawn lak a pawimawh.
Hei hi eng enkawlna nge ni?
Hei hi enkawl dan tur chu a natna lan chhuah dan leh a awm danah a innghat a ni.
- Chemical Cauterization: I naute pum chhunga hliam tenau emaw, hliam emaw enkawl nan i doctor chuan a hmunah silver nitrate an tih chemical a hnawih thei a ni. Hei hian a hmun chu a ti vawt ang a, a dam theih nan a pui bawk ang.
- Antibiotics: Urachal cyst emaw sinus emaw bacteria in a kai chuan a enkawl nan antibiotics pek thin a ni.
- Surgery: Infection a dam hnua Patent Urachus leh Urachal cyst ang chi condition tan chuan a awm reng tur chu Urachus tube la awm chu surgery neih vek a ni. Hei hian nakin lawka hri kai theihna leh cancer hlauhawmna awm lo tak takte chu a ti bo vek a ni.
He surgery hi a hlawhtling hle tlangpui. Mi tam zawk chuan zai zawhah harsatna nei lovin nun pangngaiin an hmang thei a ni.
Take-Home Thuchah a ni
- I naute navel hi a hnim reng a, rimchhia a nei a, a sen a nih chuan ngaihthah suh. Doctor, a bik takin naupang enkawltu doctor pan vat rawh.
- Urachus hi naupai laiin naute taksa peng pangngai a ni. A châng chuan a khar ṭhat loh chuan harsatna a lo chhuak ṭhin.
- Heng natna tam tak hi enkawlna hmangin a dam vek thei a, chuvangin a tul lovah hlau suh.
- A tha ber chu i doctor nen inbia a, a natna hriat chian leh enkawl dan dik tak neih hi a ni.
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