I naupang tê chu a inkhelh laiin a tap nasa hle thut mai em? A khup chu a rilruah a hrual a, a pum a chelh a, non-stop a tap em? A tap chu rei vak lo hnuah a reh a, mahse minute 15-20 vel hnuah chuan putar ang maiin a tap tan ta em ni? Nu leh pa tu pawhin hetiang thil a hmuh hian hlauhthawn hi a dik a ni. Hetiang symptoms hi a chang chuan kan hriat fo loh, mahse damdawi lam pan vat ngai damdawi lam dinhmun chhinchhiahna a ni thei. Chu chu Intussusception chu a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.
A awlsam zawngin, Intussusception chu eng nge ni?
Intussusception hi natna khirh tak leh pawi tak a ni a , chu chu intestines ah a awm thin . A bik takin, intestine peng pakhat chu a hmaa hmun dangah a slip hian a thleng thin.
Telescope hlui pakhat kha han ngaihtuah teh. Kan hawn chuan hmun khat chu a dang a\angin a lo chhuak \hin. Kan khar leh chuan a parts te chu a lut leh thin a ni lawm ni? Chu chu hetiang dinhmunah hian kan intestine-ah a thleng thin. Mahse telescope ang lo takin kan intestine hi a inhawng reng a ni.
Chutianga intestine peng pakhat chu hmun danga a kal chuan bowel blockage a siam thin. Hei hian ei leh in leh chaw ei tawh chu intestine hnuai lam a kal loh nan a veng a ni. Chu aia hlauhawm zawk chu intestine intruded part-a thisen supply a tihtawp vang a ni. Thisen supply a bo chuan chu lai hmuna tissue chu a thi tan ta a ni. Hei hian intestine-ah khur a siam thei a, pum chhungah natna hrik a awm thei a, chhungril lamah thisen a chhuak thei bawk. Chuvangin , intussusception hi medical emergency a ni a, nunna atana hlauhawm pawh a ni thei.
He natna hi engte nge a chhan leh a hlauhawmna?
Intussusception hi naupang kum 2 hnuai lam zingah emergency awm tam ber a ni. Mahse, naupang kum upa zawk leh puitling tleirawlah pawh a awm thei. Puitlingah chuan a tlem hle. A lo awm tak tak chuan damdawi lam thil dang, colon-a tumor awm vang a ni tlangpui.
Naupang tê tête zingah he natna vei theihna tipungtu thil engemaw zat a awm.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Mipa leh hmeichhe thliarna | Hetiang dinhmun hi hmeichhia aiin mipa zingah a tam zawk. |
| Pian tirh atanga harsatna awm | Naupang thenkhat chu intestinal malrotation ang chi condition neiin an piang thin. Heng naupangte hi an hlauhawmna a sang zawk. |
| Tun hmaa chanchin | Naupang intussusception nei tawh chuan a nei leh thei zawk. |
| Chhungkaw chanchin | Chhûngkuaa unaupa emaw, unaunu emaw chuan he natna hi a neih chuan naupang dangte pawh an hlauhawm thei a ni. |
Puitlingah chuan a chhan
Puitlingin he natna hi a neih chuan a chhan chu a hnuaia mite zinga mi a nih a rinawm ber:
- Intestine chhunga polyp emaw tumor emaw a awm.
- Surgery hmasa atanga intestine-a adhesions emaw scar tissue emaw awm .
- Intestine inflammation thlentu dinhmun, Crohn natna ang chi .
- Weight loss surgery te chu gastric bypass te hi a ni.
Hei hi eng ang chiah nge ni?
Hetiang hian naupang tê tê, ṭawng la ṭan lo chungah a thleng a nih chuan, rang taka au leh tap ringawt hian a hrehawmna chu a lantîr ang. Chutih rual chuan a khup chu a rilru thlengin a hrual ang.
He natna hi a tir lamah chuan hun rei lote chhung chauh a lo thleng thin. Minute 15-20 danah a lo kal leh chhuak thin. Mahse hun a kal zel a, a natna hi a tam zawk leh a rei zawngah a pung zel a ni.
Mahse naupang zawng zawng hi an inang vek lo. Naupang thenkhat chuan natna engmah an nei lo mai thei. Chuvangin, a hnuaia symptoms te hi fimkhur rawh.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| "Currant jelly" ang maia bawlhhlawh awm | Thisen leh mucus (“Currant jelly” stools) nena inzawm jelly dum dum ang chi bawlhhlawh paltlang. Hei hi symptom pawimawh tak a ni. |
| Pum chhunga lump emaw swelling emaw a awm | Kut hmanga hriat theih naupang pum chhunga lump emaw swelling emaw hmuh. |
| Luak chhuak | Yellow-green liquid, bile tihna a ni. |
| Thil dang pawh a awm | Khawsik, ril\am, leh naupang chakna tlakchhamna. |
Puitling tan chuan he natna hi a tir lamah chuan pum natna awlsam tak angin a intan thei a ni. If the stomach pain , accompanied by nausea and vomiting , a lo kal a, a lo kal zel a, a natna chu a lo thlen apiangin a zual zel a nih chuan, i ngaihtuah tur a ni.
Engtikah nge Doctor ka hmuh ang?
Hei hi medical emergency a ni. Tikhawtlai suh. I fain heng symptoms te hi a nei nia rinhlelhna i neih chuan doctor ko nghal rawh. Chutih laia doctor an awm loh chuan damdawi in hnai ber Emergency Department (ETU)-ah direct-in hruai tur a ni.
Intestine hmun khata thisen kal chu tihtawp a nih chuan chu hmuna tissue chu a thi tan thin. Chutiang a nih chuan infection chu abdominal cavity lining-ah a darh thei a ni. Hei hi natna hlauhawm tak, nunna atana hlauhawm tak, Peritonitis .
Enkawl loh chuan naupang chu a mangang thei hle. A lan chhuah dan chu:
- Naupang chuan rilru hahdam lo tak a lantir a.
- Pulse rate pangngai lo (a slow lutuk emaw, rang lutuk emaw pawh nise).
- Thâwk lak dan pangngai lo (a thuk lo hle emaw, a rang hle emaw pawh ni se).
- Vun chu a vawt, a hmin, a dum emaw, a dum emaw a lo ni ta a ni.
- Taksa nunna nei lo dinhmun.
- Thil hriatna hloh.
Doctor rawn pan hmain eng nge i tih tur?
Hei hi emergency a nih avangin damdawi in i thlen hunah engkim a thleng thuai dawn a ni. Chuvangin hlauthawng suh. A pawimawh ber chu, damdawi in i thlen hma chuan i fa chu ei tur, in tur leh over-the-counter painkiller engmah ei tur pe suh.
Hun i neih chuan doctor-in a zawh theih zawhnate chhânna chu zir chhuak rawh. Tichuan rang takin details i pe thei ang.
- Engtik lai khan nge pum na ang chi symptoms te hi a lo intan?
- Natna chu a awm reng em ni a, a lo kal a, a kal zel em ni?
- Nausen, luak chhuak, ril\am i nei tawh em?
- I ek chhungah thisen i hmu tawh em?
- I pum chhungah a hring emaw, a hring emaw i hmu em?
Engtin nge diagnosis hi siam a nih?
I doctor chuan i fa symptoms leh medical history te a zawt ang. Tichuan i fa chu an enfiah ang. I fa tui level control nan IV line an pe thei bawk che a, i fate intestines-a pressure tihziaawmna turin nasogastric tube an dah thei bawk.
Hei bakah hian pum chhung lam en turin test eng emaw zat an ti dawn bawk.
- Abdominal X-ray: Hei hian intestine-ah blockage a awm em tih hriat nan a pui a ni.
- Ultrasound: He test hian sound wave hmangin pum chhunga taksa peng hrang hrangte thlalak a siam a. Hei hi intussusception hriat theihna atana test pawimawh tak a ni.
- Air or contrast enema: Hetah hian soft tube chu anus kaltlangin dahin, tui bik, air emaw barium emaw ang chi chu colon chhungah an lut a. Hei hian X-ray hmangin blockage chu chiang takin a hmu thei a ni. A châng chuan, enema aṭanga pressure chuan colon chu a hmunah a kal leh thei a ni. Chutiang a nih chuan enkawlna a ni thei bawk.
Enkawlna kawng hrang hrangte chu engte nge ni?
Case thenkhat chu hun eng emaw chen atan a ni a, enkawl ngai lovin a reh thei a, mahse a tam zawkah chuan enkawl ngai a ni.
Sawi tawh ang khan enema hmanga a tihdam loh chuan a dawt leh tur chu operation a ni. Surgery hlau suh, Doctor ten naupangin natna a neih loh nan theihtawp an chhuah ang.
Hei hi operation neih chhunga thil thleng chu a ni:
- Naupang anesthesiologist (naupang anesthesia pekna lama mithiam) chuan naupang chu a muthilh tir vek ang.
- Surgery hi laparoscopically-a tih a nih chuan, chu chu "keyhole surgery" tihna a ni a, doctor chuan a pum chhungah incision tenau engemaw zat a siam a, chuta tang chuan camera leh instrument te te dahin surgery a ti thin.
- Chutiang a nih loh chuan pum dinglamah incision te tak te siam a ni a, intestine a dah luh tawh chu kut hmangin lakchhuah a ni a, a hmunah dah leh a ni.
- Intestine section pakhat chu eng emaw ti takin a chhia a, siamthat theih a nih loh chuan doctor chuan intestine section chhia chu a la chhuak ang a, a hriselna hmun pahnih chu a thlunzawm leh ang.
Enkawl hnuah eng nge thleng?
Naupang enkawl 10 zinga pakhat vel chuan darkar 72 chhungin natna an nei leh dawn a ni. Chuvangin, enkawlna chu enema emaw, surgery emaw pawh nise, naupang chu enkawl turin ni khat vel damdawi inah dah a ni ang.
- Enema hmanga tihdam i nih chuan:
- Darkar engemaw zat chhungin naute taksa atangin boruak hi a chhuak dawn a ni.
- Khawsik tan Paracetamol (Acetaminophen) pek theih a ni.
- Darkar 12 hmasa berah ei leh in engmah pek a ni lo. Chumi hnuah chuan tui thianghlim pek hmasak a ni a, chutah chuan solid foods te dah a ni.
- Surgery i neih chuan:
- Surgery zawhah naupang chu recovery room-ah darkar engemaw zat dah a ni a, chumi hnuah ward-ah sawn a ni.
- Painkillers hi IV hmangin a natna atan pek a ni ang.
- Incision hi gauze bandage hmanga khuh a nih chuan ni rei lo te chhungin lakchhuah theih a ni. Dermabond ang chi thilin a khuh chuan a mah chauhin a bo vek ang.
- Liquid pek hmasak a nih a, an luak loh chuan solid foods an pe tan ang.
- Naupangin ei leh in tha tak a tan a, a rilru a hahdam chuan an haw thei tawh ang.
- I fa chu operation hnu ni hnih hnuah i inbual thei a, mahse doctor i hmuh leh hma loh chuan (a tlangpuiin kar 2-3 hnuah) tlan, zuang leh taksa tihchakna dangte lakah hla takah dah la.
Take-Home Thuchah a ni
- Intussusception hi natna khirh tak, emergency medical condition a ni a, naupang tê têah pawh a awm thei a ni.
- A lan chhuah dan ber chu pum na tak, na tak tak lo thleng leh chhuak, khup chu rilru thlenga hrual, leh jelly ang maia thisen chhuak bawlhhlawh te hi a ni.
- Heng symptoms te hi i hmuh chuan naupang chu damdawi in Emergency Treatment Unit (ETU) ah hruai nghal vat la, tihkhawtlai lohvin hruai nghal ang che.
- Doctor i hmuh hmain i fa ei tur, in tur leh damdawi eng pawh pek loh tur.
- A hmaa hriatchhuah leh enkawl a nih chuan he natna hi a dam vek thei a ni.











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