Pum chhunga hernia a awm em? Ventral hernia chungchang kan sawi dawn em ni?

I pum chhung hmun thenkhat atanga bulge te tak te lo chhuak i hmu ngai em? Thil rit tak i chawi lai te, i khuh lai te, rei vak lo hnuah a lut leh mai mai emaw pawhin i hmu mai thei. Hei hi hernia kan tih mai mai chu a ni. Vawiin hian kan sawi dawn a, hernia chi khat, pum hmalam a lo awm a, chu chu damdawi lam pawhin ventral hernia tia hriat a ni. Hlauh tur a awm lo, he thu hi chipchiar takin kan sawi dawn a, i hriatthiam theih dan tur angin.

Ventral hernia tih hi eng nge ni?

A awlsam zawngin, ventral hernia chu i pum hmalam atanga internal organ emaw tissue emaw atanga chhuak, chu chu abdominal wall muscle atanga lo chhuak a ni. "Ventral" tih thumal hi "hma lam" emaw "belly side" emaw tihna a ni. "Hernia" chu taksa chhunga awm pangngaia taksa peng emaw tissue emaw chuan chu kawngkhar bang hmun chak lo, khur, a rawn nawr luh hi a ni. Bag hlui chhunga khur te tak te ang mai a ni a, a chhunga thil awm thenkhat chu a chhuah tum a ni. Hernia tam zawk (a zawng zawng ni lo) hi pum chhunga bang kaltlangin a lo thleng thin.

Ventral hernia chi hrang hrangte chu engte nge ni?

Ventral hernia hi i pum hmalam bang hmun hrang hrangah a awm thei a. An awmna hmun a zirin chi hrang hrang lian tak tak a awm a:

• Epigastric hernias: Hengte hi i pum chunglam, i hnute ruh (sternum) leh i navel inkar ah a awm thin. Mi thenkhat chuan he hmunah hian bulge te tak te ang maiin an hria mai thei.
• Umbilical hernias: Hei hi navel vel a hernia awm thin a ni. Navel hi a pianphungah chuan chak lohna hmun a ni. Hetiang hernia hi a chang chuan nau piang (congenital) hian a awm thin. Mahse, puitlingah pawh a awm thei.
• Incisional hernias: Hengte hi a danglam deuh hlek. I pum chhunga surgery i neih tawhna hmunah an thleng a, chu chu surgical incision awmna hmunah a awm tihna a ni. Hei hi side effect tlanglawn tak a ni a, pum surgery hnua lo awm thei a ni. Hei hi a chhan chu chu lai hmuna ruh (muscles) te chu operation hnuah a chak lo hle a ni.

Ventral hernia natna lan chhuah dan chu engte nge ni?

Vawi tam tak chu ventral hernia chhinchhiahna hmasa ber chu pum hma lam hmun khatah bulge hmuh theih a ni . Hei hi hmuh theih reng reng a ni lo mai thei. Thil engemaw i tih lai emaw, position pakhat avanga i pum ruh a tihkhauh hunah emaw a lo lang thei. Entir nan:

• Nuih lai chuan
• Tap lai chuan
• Khuh laiin
• I thawk hah lai chuan
• Toilet kal laiin bawlhhlawh paih chhuah nan straining
• Hma lam pan a nih chuan
• Weight a chawi lai hian
• Exercise i tih hian

Mi thenkhat chuan he hernia hi an hre thei. A chhuah dawn emaw, an che lai emaw pawhin a hrual, a nawr emaw, a pinch emaw ang maiin a lang thei. A hrual ang maiin a lang thei a, a nih loh leh natna dull ang maiin a lang thei a, a nih loh leh needle-in a kah che ang maia natna nasa tak ang maiin a awm thei bawk.A thleng thei. Hetiang natna i tawn chuan hernia hi a lian deuh tihna a ni a, a chhuah hunah luh leh ai chuan ``incarcerated`` a nih theihna chance a sang hle.

Hernia complex zawk hian symptom dang a nei thei bawk:

• Nausea leh luak chhuak
• Hernia awmna hmunah hian a sen emaw, eczema ang chi rash emaw a awm

Ventral Hernia thlentu berte chu engte nge ni?

Hernia hi a khuh tu muscle emaw tissue wall emaw chak lohna hmangin a rawn chhuak thin. He chak lohna hi chhan hrang hrang avangin a awm thei a:

• He chak lohna hi pianpui chak lohna hmun / piansualna a ni thei. Chu chu nau piang laiin pum bangah chak lohna a awm thei tihna a ni.
• Connective tissue natna thenkhat hian taksa ruh chak lohna a thlen thei bawk.
• A chhan pakhat chu kum upat deuh deuh hian taksa ruhte hi an pianphungah an chak lo .
• Chronic obesity hian pum chhung bang a pressure chhunzawm zel a.
• Muscle chak lohna hi hliam emaw pum chhunga operation emaw vang a ni thei .
• Naupai leh nau neih lai hian pum ruh (abdominal muscles) te hian harsatna nasa tak an tawk thin.
• Cough chhunzawm zel (e.g. mi thenkhatah chuan asthma leh bronchitis ang chi dinhmun avang).
• Thâwk lama harsatna rei tak (e.g., COPD emaw emphysema emaw).
• Chronic constipation emaw, bawlhhlawh paih chhuah tumna (straining) fo thin.
• He risk hi hna thawk thinte tan pawh a sang zawk a , chu chu lifting emaw pushing emaw a ngai fo thin . Entîr nân, in sakna lama thawk tu emaw chuan thil rit tak tak a chawi reng a ngai a ni. Hei hian pum chhung ruhte chu pressure a siam reng a ni. Hun a kal zel a, hmun chak lohna atang hian hernia a lo awm thei a ni.

Vawi tam tak chu heng thil pakhat aia tam inzawmkhawm vang hian hernia a lo awm thin.

Ventral hernia avanga harsatna awm thei te chu engte nge ni?

Hernia tam tak chu a tir lamah a chhuak a, chutah chuan a lut leh a, mahse hetianga an luh leh chhuah hian a zung vel tissue chu a chak lo zual sauh sauh a ni. Hun kal zelah , a khur chu a lian thei a, hernia pawh a lian thei bawk . Chu chu organ tam zawk a chhuak tihna a ni. Chutah chuan complication a lo awm tan ta a ni.

Hernia hi a lian zawk a, chu khur chhungah chuan ``incarcerated'' a nih a rinawm zawk.

A tlakbuak chuan hernia chuan a nawr a, a na a, a sawi tur organ chu a block thei bawk. Intestine blocked tih han ngaihtuah teh, chu chu stool kalna tur a tawp thei tihna a ni. Chu aia hlauhawm zawk chu chu hmun nghet tak thisen supply chu tihtawp a nih chuan (strangulation) , chu taksa peng chu a thi thei (tissue death). Hei hi dinhmun pawi tak a ni a, nunna atana hlauhawm tak a ni thei bawk.

Engtin nge ventral hernia hi kan hriat theih ang?

Doctor chuan taksa enfiahnaah ventral hernia a hmu tlangpui ang. A chiang nghal lo a nih chuan i doctor chuan hmun hrang hranga in chelh emaw thil engemaw (khuh emaw, i pum hrual emaw ang chi) ti turin a ti ang che, hernia a chhuak em tih en turin.

A châng chuan hernia chiang taka hmuh theih nân imaging test pawh tih theih a ni bawk. Hei hian pum ultrasound, CT scan, MRI emaw a huam thei.

Doctor chuan hernia a hmuh chuan a hre thei ang a, hernia chu a rawn nawr lut leh thei ang em tih a en ang a, hei hian a nasat zia leh enkawl vat a ngai tih a hriat theih nan a pui ang. Doctor chuan i natna lan chhuah dan te, i damdawi lam chanchin te, leh hernia thlentu thil dang zawng zawng te pawh a zawt ang che:

• Engtikah nge hei hi i hmuh hmasak ber?
• Hei hi hun kal zelah a danglam tawh em? (A lian chho ta em, a na a tipung em?)
• Hemi avang hian eng ang harsatna nge i neih?
• Natna khirh dang eng nge i neih?
• Engnge i hna?
• I ei leh in, exercise leh nunphung chu engtin nge a awm ?

Ventral hernia hi siamthat a ngai em?

Ventral hernia tam zawk hi engtik lai pawhin siamthat a ngai dawn a , mahse a zawng zawng hi siamthat nghal a ngai lo. Symptom lian tham i neih loh a, hernia chu i nawr lut leh thei a nih chuan a hlauhawm nghal lo mai thei.

Mahse, hun kal zelah hernia hi a na zual sauh sauh a, a lian zawk tih hre reng ang che . Chutiang a lo thlen chuan an hlauhawm zual thei a, siam that a harsa zual thei bawk.

A pawimawh ber: Hernia nawr leh theih loh (incarcerated hernia) hi emergency a ni a, hospital emergency department (ETU) ah report nghal tur a ni.

Engtikah nge ventral hernia hi operation a ngai?

Surgeon-te chuan a hnuaia mite hi ventral hernia siamthat an rawt a ni.

• Hernia chu dah leh theih a nih loh chuan (irreducible).
• Chumi avang chuan natna reng reng ang chi symptoms i neih chuan.
• A lian tawk a nih chuan a tlakbuak emaw harsatna dang a thlen thei a nih chuan .
• I hriselna dinhmun tlangpuiin operation a phalsak che chuan .

Naupang tê têin umbilical hernia a neih a, kum engemaw zât chhûnga a mah chauha a dam loh chuan, a lian lo va, harsatna a thlen loh nân doctor chuan surgical repair a rawt ang.

Ventral hernia hi engtin nge kan siam that ang?

Ventral hernia surgery tum ber chu i pum chhunga khur kha khar a, hernia a lo chhuah leh loh nan a ni.Surgery hian pum chhunga bang pianzia leh chakna chu a siam tha leh a, a khur chu a khar a, taksa ruhte chu a hmunah a dah leh a ni. Vawi tam tak chu surgeon-te chuan surgical mesh hmangin bang an tichak a.

Ventral Hernia Surgery hi Surgery lian tak a ni em?

Ventral hernia surgery hi thil awmze nei tak, a tlangpuiin awlsam tak a ni . United States-ah ringawt pawh hian kum tin hetiang surgery 350,000 vel an ti thin. A tam zâwk chuan, surgeon-te chuan minimally invasive method an hmang thei a ni . Hei hian incision te te hmanga tih theih a ni tihna a ni a, chu chu recovery time a tlem tihna a ni. Mahse, mi ṭhenkhat, a bîk takin hernia chu a lian hle emaw, a buaithlâk hle emaw a nih chuan, open abdominal surgery tih hming pu operation lian tak neih a ngai mai thei.

I surgeon chuan i hernia atana surgical procedure tha ber tur chu a ruat ang. Thil tih dan tlangpui engemaw zat a awm a:

• Open ventral hernia siamthat: Hei hi hmanlai dan a ni. Surgeon chuan hernia chunga vun chu a tan a, a hmun chu a hawng a, hernia chu direct-in a siam tha leh thin. Hernia hi a buaithlak zawk chuan he method hi a tul mai thei.
• Laparoscopic ventral hernia siamthat: Hei hi a invasive tlem hle. Surgeon chuan i pum chhungah "keyhole" incision te te engemaw zat a siam a, inch chanve vel a sei a ni. Incision pakhat hmangin camera te tak te laparoscope an tih chu an dah lut a. Thlalak te chu screen pakhatah a lang a. Incision dang hmangin instrument sei leh te tak te dahin screen en chungin surgery an ti thin.
• Robotic ventral hernia siamthat: Hei hi minimally invasive procedure dang a ni bawk. Tin, incision te te, instrument sei tak tak leh laparoscope te a hmang bawk. A danglamna chu surgeon hian computer system hmangin robotic arm hmangin instruments te hi a control thin a ni.

Ventral hernia tin hian mesh a mamawh em?

Ni lo, ventral hernia zawng zawng hian mesh a mamawh vek lo . A bik takin epigastric emaw umbilical hernia te tak te an nih chuan. Mahse, incisional hernia tam takah chuan mesh . Hei hi a chhan chu a hmaa surgery an neih atanga tissue an tan tawh hmanga siam an nih vang a ni. Operation hnuah chuan muscle tissue hi a hma angin a chak ngai lo. Hernia siamthat surgery pawh hian a tichak lo leh ta a ni. Chuvangin mesh hian chakna a pe belh leh a ni.

Surgeon te hian surgical mesh chi hrang hrang an nei a, chung zingah chuan:

• Synthetic mesh: Hengte hi mihring siam, thil awm reng atanga siam a ni. Hengte hi implant siamna atana hman mesh chi hrang hrang, a chhe thei lo ber an ni. Mesh chhehvela tissue thar a lo thang chhoh zel chuan mesh chu tissue chhungah a innghat a, chu chuan layer nghet tak, awm reng a siam a, chu chu tissue angin hun kal zelah a chhe lo.
• Biological mesh: Hengte hi mihring emaw rannung emaw tissue (e.g., rannung vun) atanga siam a ni. Synthetic mesh angin an daih rei lo a, mahse natna kai theihna an nei tlem zawk. Hri kai theihna zawng zawng hi a tlem hle nachungin, mi thenkhat chu mi dangte aiin hri kai an hlauhawm zawk. Chuvangin chutiang mite tan chuan biological mesh hi a him zawk mai thei.
• Bioabsorbable synthetic mesh: Hei hi hun eng emaw chen atana hman tur mesh a ni. Surgery a dam laiin hun rei lote chhung atan puihna a pe a ni. Taksain a lakluh hnuah scar tissue a lo piang a, wall chu a tichak a ni.

Ventral hernia tan hian non-surgical option a awm em?

Dik tak chuan surgery hi ventral hernia siamthat vek theihna awmchhun a ni . Mahse, mi thenkhat chuan hriselna lama harsatna dang avangin zai an nei thei lo mai thei. Hernia lian tak, operation hmanga siamthat theih loh i neih chuan, i doctor chuan hernia chu a hmuna vawn tlat nan support bik (corset, binder, emaw truss ang chi) hman a rawt thei ang. Hei hian hernia chu a tidam dawn lo a, mahse hrehawmna a tihziaawm thei a, a tlakbuak loh nan a pui thei bawk.

Ventral hernia hi engtiang chiahin nge a nasat?

Ventral hernia tam zawk hi a tir lamah chuan a na lo hle a, mahse hun kal zelah a na zual thei hle. Chuvangin doctor-te chuan chutiang hmun an thlen hmain siamthat tir an rawt a ni.

Elective surgery, harsatna a thlen hmaa tih result hi emergency surgery, harsatna a awm hnua tih ai chuan a tha zawk fo thin.

Ventral hernia surgery hnuah eng nge thleng?

Hernia surgery tam zawk hi chu a awlsam a, a dam leh hun pawh a rang hle. Hernia complex zawkte chu operation lian zawk a ngai thei a, a dam rei zawk thei bawk. A pawimawh ber chu hernia dam chhung hian pressure emaw strain emaw siam lo turin fimkhur a ni. Hernia a lo awm leh tawh loh nan doctor thupek zawm a pawimawh. Ventral hernia 10% leh 20% inkar chu operation hnuah a lo lang leh thei a ni.

Ventral hernia i neih theihna chhan tam tak a awm. A tam zawkah chuan a lo thang zauh zauh a, kum tam tak chhung a lo thang lian thin. Nitin i thil tih (e.g., thil rit phurh, squatting fo) hian i pum ruhte a ti na tih i hriat chuan, chu tih dan chu i thlak thei a, a nih loh leh he natna lo awm zel tur thunun thei tur natna khirh tak enkawlna i la thei mai thei bawk.

Mahse hernia zawng zawng hi ven theih a ni lo. Pakhat i hmuh chuan nangmah chauh i ni lo tih hre reng ang che. An tam hle a, siamthatna tur surgery pawh chutiang bawk chu a ni. I doctor chuan i hernia siamthat hun tur a hrilh ang che. I mamawh nghal lo mai thei, mahse a lian lutuk hmain siamthat tir hmasa phawt a tha ber.

Thil pawimawh hriat tur (Take-Home Message) .

Awle, kan sawiho atang hian Ventral Hernia chungchang hi hriatthiamna tha tak in neih ka beisei. Hengte hi kan hriat reng tur thenkhat chu:

• Ventral hernia chu pum chhung bang hmalam bang chak lo tak atanga internal organs lo chhuak a ni. Hei hi navel-ah te, rilru hnuaiah te, pum chung lamah te, a hmaa operation neihna hmunah te a thleng thei a ni.
• A lan chhuah dan chu pum na a ni thei a, a bik takin khuh emaw, thil rit tak tak chawi emaw a nih chuan. Natna pawh a awm thei bawk.
• Harsatna chu a tirah chuan thil lian tak angin lang lo mah se, a lianin a lian thei a, a buaithlak zual thei a, hun kal zelah a hlauhawm zual thei bawk. Chuvangin ngaihthah mai mai a tha lo.
• Heng symptoms te hi i neih a, i hernia a lian chho zel ang tih i hriat chuan doctor pan a, thurawn lak a tha ber.
• A tam zawkah chuan hei hi operation hmanga tihdam vek theih a ni. Chuvangin hlau suh, a hun takah inenkawlna la rawh.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor emaw, surgeon emaw nen inbiakna neihpui ngei ang che. Hrisel takin awm rawh!

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