I spleen chu a vakvai em? (Wandering Spleen) Hemi chungchang hi han sawi ila!

I pum chhungah thil mak tak tak, i hriat chian theih loh natna, emaw, i taksa pum leh rit tak tak i nei fo thin em? I pum chhungah thil i vawn a, a che vel ang maiin i inhria mai thei. Hei hi a chhan a awm thei a, mahse vawiinah hian mi tam takin an hriat ngai loh dinhmun hmuh tur awm lo tak kan sawi dawn a ni. Chu chu ‘Wandering Spleen’ an tih condition chu a ni a, chu chu Sinhala tawngin hmun khat atanga hmun dangah spleen a kal tihna a ni.

A awlsam zawngin, he wandering spleen hian eng nge a awmzia?

Okay, a hmasa berin he ‘Wandering Spleen’ hi eng nge a nih i en ang u. I hria em, kan taksa peng zawng zawng ang bawkin hmun khatah chauh an innghat lo. An awmna hmuna vawng tlat thei band te te an nei a, chu chu ligaments an ti a ni. Kan spleen pawh hi organ a ni. Kan kutphah ang vela lian organ te tak te a ni. Kan pum veilam, rib cage chhungah chiah, pum chung lam deuhah a awm tlangpui.

Chuvangin, spleen chu a hmuna awm reng tura puitu ligament te chu a chak lo a nih chuan, emaw, chu ligament te chu pian tirh atanga a awmna tur dik takah a awm loh chuan, spleen chu a kal kual thei a, "a kal" thei a, a awmna pangngai atang chuan. Chu chu ‘Wandering Spleen’ kan tih chu a ni.

Tûnah chuan hetianga hmun khat aṭanga hmun danga i insawn hunah eng nge thleng thei tih han ngaihtuah teh:

• Spleen hi a twist thei: Puan hnim kan hnim ang bawkin, spleen hi a inher nghal thei. Hei hi damdawi lam hawi chuan ‘Splenic Torsion’ an ti a. Hei hi a twist chuan pum na nasa tak a thlen thei a ni.
• Organ dang a press thei: Spleen a kal kual rualin a bula organ dangte pawh a press on thei a, a press thei bawk.
• Thisen kalna chu a titawp thei: A châng chuan, ril chu a inher thei a, a supply tu thisen kalna kawngte pawh a inher thei a, chu chuan thisen kalna chu a titawp vek emaw, a then emaw a titawp thei a ni. Chutiang a nih chuan spleen chhunga tissue te chu a thi tan thin. Hei hi ‘Splenic Infarction’ an ti a.

Mahse, a chang chuan he ‘Wandering Spleen’ condition hi symptom awm lovin a awm thei. Mi thenkhat chu, natna dang avanga pum scan, entirnan CT scan , an tih hian an rilru natna chu a awmna tur hmunah a awm lo tih an hmuchhuak palh a ni.

Chuti a nih chuan, kan taksaah hian eng rawngbawlna nge spleen hian a pek?

I ngaihtuah mai thei, "Engvangin nge kan taksaah hian he spleen hi kan neih?" Spleen hi kan lymphatic system a tel a ni . A awlsam zawngin bodyguard ang mai a ni. Hnathawh lian tlemte a nei a:

• Thisen a khawlkhawm a, a filter bawk: Kan thisen hi kan thisen thenkhat a khawlkhawm a, chubakah thisen atanga thisen sen hlui ang chi thil te paih chhuakin a tithianghlim thei bawk.
• Natna laka a venghim: Kan taksaa hrik lutte dona kawnga puih a ni. Chu chu kan taksa hriselna (immune system) tanpuina nasa tak a pe tihna a ni.

A tlangpuiin kan pum leh kal (kidney) te hi ligament hmangin kan inzawm khawm thin. Chu inzawmna chu a bo chuan a hmaa kan sawi tawh ‘Wandering Spleen’ condition chu a lo awm ta a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan he ‘Wandering Spleen’ an tih hi a tlem hle . Damdawi lam report-a a lan dan chuan khawvel pumah hetiang damlo hi mi 500 vel chauh an awm tawh a ni. Chu chu mi maktaduai khat zinga pakhat pawhin a tipung ang em tih chu rinhlelh awm a ni tihna a ni. Research atanga a lan dan chuan heng damlo report zinga hmun thuma ṭhena hmun khat vel chu naupang kum 10 hnuai lam an ni a, he natna neia piang an ni. Tin, a chang chuan naupai hnuah pawh hetiang dinhmun hi a awm thei niin an sawi bawk.

Hei hi eng symptoms nge ni?

‘Wandering Spleen’-ah hian a lan chhuah dan tlangpui engemaw zat a awm. Mahse, heng symptoms te hi mi zawng zawngah a awm lo tih hre reng ang che, mi thenkhat chuan symptoms engmah an nei lo thei bawk.

• Bloating: I pum a puak ang maia inhriatna, balloon ang maia inhriatna.
• Pum natna lo awm leh thin: He natna hi a inkar a awm thei a, a nasat deuh emaw, tuar theih loh emaw a ni thei. A lo kal a, a kal leh thei a, a reh thei a, a lo kir leh thei bawk.
• Nausea leh vomiting: Nausea leh vomiting hi pum na nen a awm thei bawk.
• Pum chhunga lump che vel: Mi thenkhat chuan an pum an khawih hian ball te tak te emaw, sahbawn bar emaw ang chi thil an hre thei. I hrual chuan a inher kual deuh ang maiin a lang thei.
• Pum veilam chunglam natna: Hei hi spleen lian zawk chhinchhiahna a ni thei.

Ngaihtuah teh, i thianpa, Nimalini ti ila. Thla tam tak chhung chu a pum veilam lamah a na deuh tawh a. Ni engemaw zat chu tuar theih loh a ni a, a luak pawh a chhuak thei bawk. Doctor a hmuh a, a pum ultrasound a tih chuan a spleen chu a awmna tur hmunah a awm lo va, a hniam deuh a, a twist deuh zawk tih a hmuchhuak ta a ni. Chutiang chu experience chu a ni thei.

Eng thilin nge hei hi a thlen?

‘Wandering Spleen’ natna hi a chhan lian ber pahnih a awm a, chungte chu:

1. Congenital: Nausen pum chhunga nausen a lo thang lian lai hian a hmuna hruihrual vawngtu ligament te hi a tha lo thei. Chutiang a nih chuan he natna hi pianpui a ni.

2. A hnu lama thil thleng:

• Naupai: Hmeichhe thenkhat tan chuan naupai lai hian hormone inthlak danglamna leh pum chhunga inzawmkhawm vangin, a hmuna awm rengtu ligament te chu a lo chhuak thei a ni. Nau neih hnuah pawh he looseness hi a awm reng chuan ‘Wandering Spleen’ a lo awm thei a ni.
• Accident emaw hliam emaw:Hetiang dinhmun hi accident na tak emaw, pum chhunga hliam emaw avanga spleen a chhiat chuan a awm thei a, ligaments pawh a chhiat chuan a awm thei bawk.

Hei hian eng harsatna nge a thlen theih?

‘Wandering Spleen’ hi natna awm lo tak ni mah se, a chang chuan harsatna lian tham tak a thlen thei a ni. Sawi tawh ang khan a bulpui ber chu splenic torsion leh splenic infarction te hi a ni.

Chu bâkah, a tlem hle , he natna hian pancreatic tail necrosis tih natna a thlen thei bawk. Hei hi a chhan chu spleen hi pancreas nen a inhnaih em em vang a ni. Chuvangin spleen-a harsatna a awm chuan a chang chuan pancreas pawh a nghawng thei bawk.

Doctor-te hian engtin nge hei hi an hmuh?

A chunga kan sawi tak symptoms i neih chuan i hmuh hunah doctor-in a tih hmasak ber tur chu uluk taka enfiah che hi a ni. A bik takin i pum chu an hre chiang ang a, i press chuan a natna danglam tak tak emaw, natna emaw a awm leh awm loh an enfiah ang.

Tichuan, thil awmdan dik tak hriat theih nan pum chhung lam en thei tur test an order ang. Chung zinga pawimawh ber chu:

• CT scan (Computed Tomography - CT scan): He test hian pum chhunga taksa peng hrang hrangte chu chiang takin a la thei a.
• Abdominal ultrasound: Hei hi pum chhunga taksa peng hrang hrangte dinhmun hriat nan pawh hman theih a ni.

Heng test-ah hian thil tam tak a lang thei a, chu chu spleen awmna hmun, a lian leh te, a hring em tih te, thisen kal dan a thawk tha em tih te a ni.

Hei hi eng enkawlna nge ni?

Wandering Spleen enkawlna ber leh hman tlanglawn ber chu surgery hmanga spleen lakchhuah (Splenectomy) hi a ni. Ni e, "Aw, spleen lakchhuah? Chu chu thil lian tak a ni lawm ni?" Chu chu rei lo teah kan sawi leh ang.

A tam zawkah chuan he surgery hi laparoscopically . Chu chu, pum chhunga incision lian tak siam ai chuan, incision tenau tlemte hmanga camera leh instrument nalh tak tak dahna surgery tihna a ni. Hetiang hmanraw thatna chu hliam a dam thuai a, damdawi ina awm hun pawh a rei lo zawk a ni.

A chang chuan spleen hi a inher lo emaw, a chhe lo emaw a nih chuan a awmna hmunah sawn lehin chutah chuan fix theih a ni (splenopexy). Mahse hei hi thil thleng tlem takah chuan tih a ni. A tih dan tlangpui chu spleen lakchhuah hi a ni.

Spleen tel lovin i nung thei ang em? / Spleen lakchhuah hnuah eng nge thleng?

Hei hi mi tam takin zawhna lian ber an neih chu a ni. "Ka spleen hi lakchhuah a nih chuan engtin nge ka chungah thleng ang? Nun pangngai ka hmang thei dawn lo em ni?"

Mahse thil pakhat, i thlamuan theihna tur chu, kan taksaah hian kan taksa peng pawimawh tak a ni lo tih hi a ni. Chumi awmzia chu chutiang tel lo chuan nun pangngai, hrisel takin i nung thei tihna a ni. Mi tam tak chu spleen nei lovin hlawhtling takin an khawsa thin.

Mahse, thil pakhat a awm. Spleen hnathawh ber pakhat chu natna hrik laka invenna a ni. Chuvangin spleen hi lakchhuah a nih chuan i taksa hian natna thenkhat a vei awlsam deuh thei a ni. Chu chu i damlohna chance a sang deuh tihna a ni. Chuvang chuan himna dan kan sawi leh tur te hi a pawimawh hle.

I spleen lakchhuah hnuah engtin nge i in enkawl?

Splenectomy hnuah chuan natna hrik laka inven nan fimkhur zual a ngai a ni. I tih theih ṭhenkhat chu hetiang hi a ni:

• I vaccine te dik takin la rawh: Spleen tel lo chuan i taksain bacteria leh viral infection thenkhat laka a invenna a hniam hle. Chuvangin, i doctor chuan vaccine bik thenkhat (entir nan, pneumonia, meningitis, influenza laka invenna) a pe ang che. Heng vaccine te hi dik tak leh a hun taka lak a pawimawh hle .
• Antibiotics pek i nih chuan dik takin hmang rawh: Natna dang avanga taksa chak lohna i neih chuan i doctor chuan nitin ei tur antibiotics a pe thei ang. Dik takin hmang rawh. Tin, khawsik emaw, khawsik emaw i neih chuan i doctor chuan antibiotics ei tan nghal turin a ti thei bawk.
• Khualzinnaah fimkhur rawh: Ram thenkhatah chuan malaria ang chi natna an vei awlsam hle . Hriselna nei lo chuan he natna hi a vei a nih chuan a na hle thei a ni. Chuvangin ram pawna i zin hmain Doctor nen inbia la, a tul anga thurawn leh vaccine dang lak belh ngei ngei tur a ni.
• Ran vulh leh rannung seh chungchangah fimkhur rawh: Ran atanga hrik thenkhat lakah pawh i sensitive thei bawk.
• Medical Alert Bracelet bun rawh: I spleen lakchhuah a nih thu hriattirna bracelet te tak te emaw card emaw keng tel a tha. Hei hian emergency a awm chuan doctor-te a pui dawn a ni.

Engtikah nge doctor pan vat a ngaih?

I spleen lakchhuah hnua natna lanchhuahna i neih chuan doctor pan nghal tur a ni. Tikhawtlai suh. Damdawi inah a rang thei ang bera kal la, a bik takin heng symptoms te hi i neih chuan:

• Chills a awm.
• Khawsik sang (103°F Fahrenheit emaw 39.4°C Celsius aia sang).
• Vomiting chu a tawp lo va, a na zual zel bawk.
• Lu na nasa tak, kawr khauh tak, leh mitdelna (hengte hi meningitis chhinchhiahna a ni thei).
• Thâwk harsa, khuh na tak.

Hetiang thil hi hri kai chhinchhiahna a ni thei a, chuvangin enkawl vat a pawimawh hle.

A tawp berah chuan ka sawi tur chu...

'Wandering Spleen' tih natna i neih thu i hriat chuan kut khatah chuan, "Aw, hei hi hun rei tak chhunga ka natna leh hrehawmna mak tak ka neih chhan chu a ni," tiin i rilru a hahdam mai thei. A lehlamah chuan operation neih a ngai tih, i spleen lakchhuah tur a nih thu an hrilh che chuan hlauhna leh lungkham deuh deuh i neih chu thil pangngai a ni.

Mahse, rilru natna hi taksa peng pawimawh tak ni mahse, i tel lova i nun theih tur thil a ni lo tih hre reng ang che. Nun hrisel, pangngai takin i nung thei a ni. A pawimawh ber chu operation hnua natna hrik laka invenna tur a tul anga hmalak hi a ni. I doctor chuan hei hi chipchiar zawkin a hrilhfiah ang che. Zawhna leh rinhlelhna i neih chuan zawh hreh suh. An lawm hle ang che.

Lungngai suh! Tunlai hian medical science hian hma a sawn nasa hle. Tûn laia mi tam tak chuan heng natnate hi hlawhtling takin an enkawl thei a, chumi hnuah pawh nun hrisel tak an hmang thei a ni.

` Spleen, Wandering Spleen, Pum na, Splenic Torsion, Splenic Infarction, Splenectomy, Spleen lakchhuah, Surgery tih te