I rib cage bul lawkah i ruh inzawmna hmunah ruh te tak te, hrual hrual i nei tawh em? Mi thenkhat chuan lump tlemte angin an hria. Mi tam zawk chuan an hre lo pawh a ni lo, hming pawh a nei nia an ngai. Vawiin hian kan taksa peng te tak te, mahse pawimawh tak, damdawi lam atanga thlir chuan Xiphoid Process an tih hi kan sawi dawn a ni.
Xiphoid Process hi eng nge ni?
A awlsam zawngin, xiphoid process chu i rilru lai takah ruh zau tak, sternum hnuai lama ruh te tak te, a zungpui (pointed part) a ni . Sternum hnuai lam tawp a ni a, chu chu T letter ang maia siam a ni a, doctor-te chuan ‘xiphoid sternum’ an ti \hin.
Damdawi lamah chuan ‘process’ chu taksa peng lian zawk atanga lo chhuak tissue chi khat a ni. Chuvangin he pakhat hian kan sternum hnuai atanga a rawn chhuah avangin a hming a pu ta a ni.
CPR-ah hian hei hi eng nge a pawimawh?
Hei hi a pawimawh hle. CPR (Cardiopulmonary Resuscitation) , emergency treatment pek thin, hriatna hloh nghal tawhte tih hian he xiphoid process hi landmark atan an hmang a, chu chu a rilruah press tur hmun dik tak zawn nan an hmang thin.
Mi pakhat CPR i pek a ngai tih han ngaihtuah teh. I kut pakhat chu a chungah pakhatin i rilru lai takah i dah a ngai a ni. Hmun dik tak zawn dan tur chu hetiang hi a ni:
1. I kut zungtang hmangin mi rilru lairil thleng hnuai lam pan rawh.
2. Hnung ruh khauhna tawpna hmun, chu chu xiphoid process awmna hmun i hre ang.
3. Chu hmun chungah chuan i kut chu kut zungtang hnih vela zau chiah dah la, i rilruah i nawr tan tur a ni.
He chhinchhiahna hi dik taka hriat hian rilru compression laiin xiphoid process tihchhiat a veng thei a, hmun dik lo taka nawr nasat lutuk chuan he ruh te tak te hi a ti chhe thei a, a chhunga taksa peng hrang hrangte a tichhe thei a ni.
Hei hian kan taksa tan eng hlawkna nge a neih?
Tlemte ni mahse kan taksaah hian hmun pawimawh tak tak a chang a ni. A langsar ber chu kan rilru chhunga taksa peng sensitive ber ber thenkhat a venghim a ni. Tin, anchor angin a thawk bawk a, chutah chuan taksa ruhte chu a inzawm tlat a ni.
| Thiltih | Hrilhfiahna |
|---|---|
| Chhungril taksa peng hrang hrang humhalh | Kan sternum-a tel a nih avangin rib cage nen thawk hovin kan thinlung, lung leh diaphragm ang chi taksa peng pawimawh tak takte chu pawn lam hlauhawm laka humhim turin a pui a ni. |
| Muscle leh ligament inzawmkhawm | Kan pum (ril) chhunga taksa peng lian thenkhat chu he xiphoid process-ah hian an inzawm tlat avangin heng ruhte hi a nghet reng theih nan anchor angin a thawk a ni. |
Hei hi khawiah nge a awm? Eng ang nge a nih?
A dik tak chuan i rilru lai takah a awm a, i ruh inzawmna hnuaiah chiah a awm a ni. Diaphragm chungah direct-in a awm a ni. Puitlingah chuan inches 1-2 (centimetre 2-5) vel a sei a ni tlangpui.
Hei hi a pianzia chungchangah chuan mi tam zawk chuan pencil tip ang maia pointed an nei thin. Mahse, mi zawng zawngin an nei vek lo. Mi thenkhat chuan tip round tak an nei thin. Mi dangte chuan a hnuai lam dinglam ni lovin a sir khatah tlem a tilt mai thei bawk.
Mak tak mai chu i chhungte chest X-ray i en chuan i xiphoid process pawh hi a pianzia inang chiah a nih theihna chance a awm. Chu chu a pianzia chu rochun theih a ni tihna a ni.
Xiphoid process hi ruh nge ruh (cartilage) a ni em?
He zawhna chhanna hi i kum a zirin a innghat a, a chhan chu he part hi kum upat dan azirin a danglam thin.
- Pian tirh: Naute a pian hian an xiphoid process chu cartilage -a siam vek a ni a, chu chu kan beng leh kan hnar tip-a awm ang chi tissue flexible tak a ni.
- Naupan lai leh tleirawl lai: Kan lo puitlin deuh deuh chuan he cartilage hi zawi zawiin ruh ah a chang tan thin. Hetiang kalphung hi ossification an ti a . Kum 5 leh 18 inkarah chuan ruh zawng zawng deuhthaw a lo ni tlangpui.
- Puitlingah: Hei hi mi tam zawkah chuan ruh famkim ni mah se, kum 60 vel an tlin hmaa siam kim lo mi thenkhat an awm.
Hetianga ruh siam slow hian hriselna atan harsatna a thlen lo. A pangngai, natural tak a ni. I hre ngai lovang, accident i neih a, X-ray i neih loh chuan.
He part nena inzawm natna tlanglawn tak takte chu engte nge ni?
A tam zawkah chuan i xiphoid process awmna hmunah natna emaw, hliam emaw i neih chuan, a chhan chu xiphoid process ngeia harsatna aiin a chhehvel tissue, ruh emaw, taksa ruh emaw a harsatna a nih a rinawm zawk.
‘Xiphoid process syndrome’ an tih natna a awm a, chutah chuan he hmun hi a lo hring a, a na bawk. Mahse a tlem hle. A tam zawkah chuan he hmuna natna hi a hnuaia dinhmun avang hian a ni.
| Dinhmun | A awlsam zawngin... |
|---|---|
| Costochondritis natna a ni | Ribs leh sternum bone inzawmkhawmtu cartilage chu a hring chhuak. Hei hian rilru natna nasa tak a thlen thei a ni. |
| A rilru a buai em em a. Pectus carinatum | A rilru a buai em em a, a rilru a hah em em bawk a. sternum bone a rawn chhuak (pigeon chest). |
| Sternum tihchhiat a ni | Accident, tlu emaw, vuakna nasa tak avanga rilru ruh lian ber a tliak. |
| Rib ruh tliak a awm | He lai hmuna natna hi ruh pakhat emaw a aia tam emaw tihchhiat vang pawh a ni thei. |
| Muscle a tichhe thei | Heavy lifting emaw exercise rang lutuk avanga rilru emaw, pum chhunga ruh (muscle) pulled (pulled muscle) natna. |
A pawimawh ber chu, rilru natna i neih chuan ngaihthah ngai suh.A chang chuan heart attack chhinchhiahna a ni thei bawk. Chuvangin i rilru na, tightness, tightness i hriat chuan doctor pan nghal rawh. Heart attack i rinhlelh chuan damdawi in pakhata Emergency Department (ETU) pan nghal mai tur a ni.
Heng natna kaihhnawih te hi eng enkawlna nge ni?
Doctor-in i natna chhan a hriat hnuah enkawl dan tur a ruat a ni. A chhan a zirin enkawl dan a inang lo.
- Chawlh la , hna rit tak tak emaw exercise emaw chu rei lo te chhung chawlhsan turin an ti mai thei che a ni .
- Painkillers NSAIDs (Nonsteroidal anti-inflammatory drugs) te hi pek theih a ni a, natna leh hliam tihziaawmna tur a ni.
- A chhan chu thil pawi tak, ruh tliak ang chi a nih chuan enkawlna bik a ngai dawn a ni.
Mahse, heng enkawlna zinga eng pawh hi doctor thurawn ang chauha tan tur a ni tih hre reng ang che. Mahni damdawi ei hian buaina a tizual thei a ni.
Xiphoid process tel lovin kan nung thei ang em?
Ni e, a theih. Xiphoid process hian kan taksa ruh (muscles) te hi thlawp mah se, a tel lova kan nun theih loh tur taksa peng pawimawh tak a ni lo. Doctor te chuan chutiang taksa peng chu vestigial structure an ti a .
A awlsam zawngin, taksa peng pakhat, hmân lai kan evolution-a ṭangkai tak, tûnah chuan thiltum tak tak nei lo tihna a ni. Chuvangin a tel lo chuan pangngai takin kan nung thei a ni.
He hmun hi accident-a a chhe a, a chhe lai hian a chhunga taksa peng (thinlung leh lung ang chi) a tihchhiat theihna a awm a nih chuan doctor-te chuan he hmun hi surgery hmanga lakchhuah an tum mai thei.
Chuvangin, he thuziak i chhiar hma hian i taksa peng hi i nei tih pawh i hre lo mai thei. Mahse tunah chuan he ruh hnah te tak te hian ngawi rengin kan taksa a humhim a, kan taksa ruhte a tichak tih i hre ta.
Take-Home Thuchah a ni
- Xiphoid Process hi i rilru lai takah sternum ruh hnuai ber, pointed tip a ni.
- Hei hi i pian tirh khan cartilage a ni a, mahse i upat deuh deuh chuan ruh ah a chang zauh zauh thin. Hei hi thil pangngai a ni.
- He hmunah hian natna a awm chuan xiphoid process ngeia harsatna a nih ai chuan a chhehvel taksa ruh, ruh, emaw, ruh emaw a harsatna vang a nih a rinawm ber.
- A pawimawh ber: I rilru natna leh hahdam lohna engmah ngaihthah ngai suh.Damdawi lam natna khirh tak, a bik takin heart attack chhinchhiahna a ni thei. Doctor hmu nghal rawh.
- Hei hi CPR ang chi emergency treatment neih laiin hmun dik tak zawn nan landmark pawimawh tak atan hman a ni.











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