I pum a inflamed em? Gastritis chungchang zawng zawng hi a awlsam zawngin i zir vek ang u!

Lung natna emaw, pum na emaw i nei fo em? A nih loh leh chaw ei zawhah i khatin i inhria em? Hengte hi i ngaihtuah aiin harsatna tlanglawn zawk chhinchhiahna a ni thei. Vawiin hian mi tam takin an tuar, mahse an hriat chian loh natna chungchang kan sawi dawn a ni. Chu chu gastritis a ni. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Gastritis tih hi eng nge ni? A awlsam zawngin...

Ngaihtuah teh, kan pum hi ei tur digest thei bag ang mai a ni. He pum chhung lam bang hi membrane (mucosa) te tak te in a khuh a. Kan ka chhunga vun te tak te ang bawkin. He membrane hnathawh ber chu kan chaw ei ruala lut thin, kan chhunga acids na tak tak, enzyme leh hrik te atanga kan pum bang venhim hi a ni.

Gastritis hi he venhimna lining hi a lo inflamed hian a ni. Inflammation hi a natna a ni a, a hring leh a sen a thlen thin. Kan taksa immune system hian he inflammation hi a thlen thin. Chu chu, pum chhunga hlauhawm emaw, tihchhiat emaw a awm tih a hriat chuan immune system chu a thawk ta tihna a ni. He insual avang hian inflammation a awm thin. Hei hi a takah chuan taksain a tih venghimna a ni.

Gastritis chi hrang hrangte chu engte nge ni?

Gastritis hi chi hnih ah then theih a ni. Tin, pum bang a chhiat dan azirin classified a ni bawk.

1. Acute Gastritis leh Chronic Gastritis te

• Acute Gastritis: Hei hi a lo lang nghal a, rei vak lo hnuah a dam leh thin chi a ni. Pum na tak ang mai a ni. Hei hi a chhante hi hun eng emaw chen atan a ni fo.
• Chronic Gastritis: Hei hi hun rei tak daih thei a ni. Mahse, symptom lian tham nei lo mah la, i nei thei tho. Hun kal zelah a lo thang zauh zauh thin. Chronic condition dang nen pawh a awm fo thin.

2. Erosive Gastritis leh Nonerosive Gastritis te a awm thei

• Erosive Gastritis: Hetiang a nih chuan gastritis thlentu (entir nan, damdawi khauh tak tak, zu, acid chak tak tak) hian pum chhunga awmte chu a ei zo vek a ni. Vun a kang ang bawkin hliam a siam thin. Hei hian pum chhunga hliam, a nih loh leh ulcer a thlen thei a ni.
• Nonerosive Gastritis: Hetah hian pum chhunga natna lian tham a awm lo. Mahse, a bang chu a sen thei a, a hring thei a, harsatna tenau te a thlen thei bawk. Hei hi a bik takin atrophic gastritis an ti a . Chutiang a nih chuan pum chhunga venhimna layer chu a hring a, a vawt chhuak thin. Hei hian chaw ei kawngah harsatna a thlen thei a ni.

Ngaihtuah teh, zu ruih tak i in lai ang bawkin i hmui a na a, chutiang bawk chu i pum chungah pawh a thleng thei. Chu chu `Erosive Gastritis` tih entirnan awlsam tak a ni.

Gastritis hi a chhan a zirin hming hrang hranga hriat a ni bawk. Entirna tlemte chu hetiang hi a ni:

• Gastritis hrik kai theihna
• Damdawi avanga gastritis a awm
• Zu in avanga gastritis a awm
• Stress vangin gastritis a awm thin
• Autoimmune gastritis a awm thei
• Eosinophilic gastritis natna a ni

Gastritis hi natna tlanglawn tak a ni em?

Ni e, i ngaihtuah aiin a tam zawk . A bik takin acute gastritis vang a ni. Hun eng emaw chen atana natna hrik kai, zu in, leh natna tidamtu (NSAID) thenkhat vang a ni fo. Chronic gastritis hi a tam lo hle a, mahse khawvel pumah mi maktaduai tam takin chronic gastritis an nei a, chu chu bacteria infection H. pylori tih a ni .

Gastritis natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

A tha ber chu a chang chuan gastritis hi hriat lohvin a awm thei thin. Mahse, symptoms a lo lang a nih chuan a natna chu a na deuh emaw, rei tak a awm tawh emaw a ni thei.

Symptoms hi stomach lining a chak lo a, stomach acid leh enzymes in a tihchhiat tan hian a awm thin. He acid hian pum a ti na thei a, pum a ti na thei a, ulcer a siam thei a, chu chuan thisen a chhuah thei bawk.

A lan chhuah dan tlangpui chu:

• Loss of appetite , emaw, ei tlem hnuah pawh chaw ei kham.
• Pum na leh pum na (gas khat ang maia inhriatna).
• Nausea leh/ emaw, luak chhuak.

I pum chhunga ulcer thisen chhuak i neih chuan a symptoms te pawh i hmu thei bawk:

• Tar ang maia lang thin stool dum (`melena` an tih) te.
• Vomiting dum, coffee-ground ang maia luak chhuak (hei hi `coffee ground emesis` an ti).

Khawiah nge gastritis natna hi hriat theih?

Gastritis natna hi i pum chunglam, a laiah a awm thin (doctor-te chuan hei hi `epigastric region` an ti). Inflammation pangngaiah chuan a natna hmun dik tak hriat a harsa thei. Mahse, pum na i neih chuan a na chu chiang zawkin i hre thei mai thei. Kang emaw, hliam emaw ang maiin a lang thei. A châng chuan, chaw ei hian a natna chu a reh thei bawk.

Gastritis hi engte nge ni?

Kan sawi tawh angin gastritis hi kan taksa hriselna (immune system) atanga kan taksa chhunga hlauhawmna avanga lo awm a ni. Chuvangin, he hlauhawmna hi chhan hrang hrang vangin a lo thleng thei a ni.

1. Hri kai te

Hei hi gastritis, a bik takin acute gastritis thlentu ber a ni.

• Bacterial infection: Chung zinga a tam ber chu bacterium H. pylori (Helicobacter pylori) a ni. Hei hian chronic gastritis a thlen thei a ni.
• Viral infection: Virus thenkhat, stomach flu thlentu te hian temporary gastritis an thlen thei bawk.
• A tlem berah chuan gastritis hi parasite leh fungal infection vang pawh a ni thei.

2. Chemical chi hrang hrang

• Zu: Zu in tam lutuk leh in fo hian pum chhung a tichhe thei a, gastritis a thlen thei bawk.
• Damdawi thenkhat: Natna tidamtu damdawi, a bik takin `NSAIDs` (Nonsteroidal anti-inflammatory drugs) (e.g. aspirin, ibuprofen) hman chhunzawm zel hian acute gastritis vei theihna a tipung a ni.
• Ruihhlo thenkhat, cocaine ang chi te pawh hi a chhan a ni thei bawk.

3. Autoimmune natna te

Hetiang dinhmunah hian thil thleng chu kan taksa ngeiin kan taksa hriselna (immune system) hian a tihsualin kan pum chhunga cell te chu a rawn bei a, chu chuan chronic inflammation leh gastritis a thlen a ni.

4. Pum chhunga thisen pek tlem

Taksa lama harsatna nasa tak, operation lian tham, accident na tak emaw, natna khirh tak dang emaw a awm lai hian taksa hian thisen chu taksa peng lian ber berte lamah a hruai a, thisen chu chaw ei kawngah a kal tlem phah a ni. Hei hian pum chhunga invenna (defense) a tichak lo a, chu chuan gastritis a thlen thei a ni.

5. Chhan dang

• Radiation therapy (mucositis an ti bawk).
• Cancer dona enkawlna `(Chemotherapy)`.
• Gallbladder-a bile lo chhuak chu pum chhungah a luang lut leh thin (bile reflux).

Gastritis avanga harsatna awm thei te chu engte nge ni?

A tam zawkah chuan gastritis hi hun rei lote chhunga awm, na lo tak a ni. Amaherawhchu, enkawl loh leh enkawl loh chuan pum chhung a tichhe thei a, harsatna chi hrang hrang a thlen thei a ni.

Erosive Gastritis leh Ulcers avanga harsatna awm thei:

• Peptic ulcer natna: Gastritis hian pumpui natna a thlen thei.
• Gastrointestinal bleeding: Heng ulcer te hi thisen chhuak a, hun kal zelah , thisen tlakchhamna a awm thei bawk.
• Scar tissue siam dan: 1.1.Ulcer a lo awm nawn fo chuan chutiang hmunah chuan scar tissue a lo awm thei a ni. He hliam hian chaw ei tur small intestine a luhna hmun hnuai lam hawnna (the pylorus) chu a tikhawlo thei a ni. Hei hi gastric outlet obstruction (GOO) an ti a.
• Gastrointestinal perforation: Ulcer dam lo chuan pum bangah khur a siam thei . Hei hian pum atanga bacteria te chu pum chhungah a lut thei a, chu chuan natna hlauhawm tak peritonitis , a thlen thei a ni. Hei hian septicemia (thisen rimchhia) leh sepsis (nunna atana hlauhawm infection) a thlen thei a ni.

Nonerosive Gastritis, Atrophy leh Metaplasia avanga harsatna awm thei:

Hetiang gastritis chi atanga harsatna lo thleng hi zawi zawiin a lo thleng thin. Mahse kum tam tak a awm tawh chuan, .

• Pum chhunga venhimna lining chu a hring thei a, a bo thei (atrophy). Hei hian pum hnathawh a ti tlem a ni.
• Taksa hian nutrient thenkhat (e.g. iron, folic acid, vitamin B12) a hip thei lo mai thei. Vitamin B12 lakluh tlem chuan `pernicious anemia` tih natna a thlen thei a ni.
• A tlem hle a, hun rei tak chhunga gastritis hian pum chhunga cell te chu a tidanglam thei a, tissue chi danglam tak angin a lang thei bawk. Hei hi `gastric intestinal metaplasia` an ti a. Doctor-te chuan hei hi `precancerous condition` niin an ngai a, chu chuan cancer a thlen thei a ni . Chumi awmzia chu pum cancer vei theihna a sang thei tihna a ni.

Engtin nge gastritis hi dik taka i hriat theih ang?

Doctor chuan i natna lan chhuah dan leh i hriselna chanchin a zawt hmasa ang che. Doctor chuan gastritis a ringhlel mai thei a, mahse chiang taka finfiah nan test an tih a ngai dawn a ni.

• X-ray test, ``upper GI series,'' tih ang chi hi tih theih a ni. Hei hian pum chhunga ulcer leh scratches ang chi thil a lantir thei a, mahse gastritis dik tak a lantir ngai lo.
• Gastritis finfiah tur chuan microscope hmanga en a ngai a ni. Chumi atan chuan `upper endoscopy` tih a ni. Hemiah hian tube te tak te, camera nei chu ka chhungah dahin, pum chu an en a. Chutih rual chuan pum chhung atanga tissue te tak te (`biopsy`) lakchhuah a ni a, laboratory-ah thawn a ni bawk. Doctor-in endoscopy neih laiin gastritis i nei nia a ngaih pawhin biopsy hmanga finfiah theihna awmchhun a ni.

Hei bakah hian test dang pawh gastritis awm chhan hriat nan emaw, harsatna a awm leh awm loh enfiah nan emaw tih theih a ni bawk:

• Thisen test a ni
• Stool test a ni
• H. pylori thawk test a ni

Gastritis hi a mah chauhin a dam thei em?

• Acute gastritis natna (acute gastritis) a niMahse, a chhan chu paih chhuah a nih chuan a mah chauhin a reh fo thin. Entirnan, infection a nih chuan immune system-in a dodal angin inflammation chu a reh ang. Zu emaw damdawi chak tak emaw i ei loh chuan i pum chhung chu a lo thang leh ang.
• Chronic gastritis hi a mah chauhin a dam lo. A hnuaia chronic condition hi enkawl a ngai a ni. Chumi hnuah chauh chuan gastritis chu a dam leh ang. Chronic gastritis avanga stomach lining chhiatna chu a dam theih nan hun engemaw chen a la ngai thei.

Gastritis atanga chhanchhuahna rang tak hmuh theih dan?

Damdawi dawr atanga lei theih tur over-the-counter (OTC) damdawi thenkhat a awm a, hei hian pum na leh nuam lo tihziaawmna a pui thei a ni. Entirnan , proton pump inhibitor (PPIs) emaw Pepto Bismol® emaw hian rei lo te chhung atan hahdamna a pe thei. Mahse, heng damdawi te hmang pawh hian doctor pan a, i gastritis awm chhan dik tak hriat chian a, enkawl a pawimawh.

Engtin nge gastritis hi a tihdam vek theih ang?

Chronic gastritis tihdam vek tur chuan damdawi lam thurawn lak a pawimawh hle. Enkawlna chu gastritis awm chhan a innghat a ni.

Hetiang hi a ni thei:

• H. pylori hri kai tan antibiotics leh damdawi dangte.
• NSAID ang damdawi i hman chuan damdawi him zawkah switch zawk rawh.
• Zu emaw ruihhlo emaw addict i nih chuan rehabilitation service zawng rawh.
• Autoimmune natna atana damdawi bik.
• A tlem hle a, chu chu pum thisen chhuak, thisen pek tlem (ischemia), emaw bile reflux ang chi thilte tan operation tih theih a ni.
• Pum chhunga lining a dam chak theih nan doctor-in acid tihtlem damdawi a pek hi ei thin ang che.

Gastritis hi natna hrik kai theih a ni em?

Ni lo, gastritis hi kai theih a ni lo. Mahse, gastritis thlentu natna thenkhat (bacteria H. pylori ang chi) hi a kai thei a ni. H. pylori hi tui leh ei tur bawlhhlawh (fecal-to-oral route) hmanga kai a ni tlangpui. Chuvangin, faina tha (toilet hman zawh hnu leh ei tur buatsaih hmaa kut sil ngun ang chi) neih a pawimawh. Heng tih dan te hian gastritis venna kawngah kawng thui tak a zawh thei a ni.

He dinhmun chungchangah hian thu hnuhnung ber chu eng nge ni?

A tam zawkah chuan gastritis hi enkawl a nih chuan a tha chho zel a ni. Damdawi hian a natna lan chhuah dan a thunun thei a ni. Mi ṭhenkhat tân chuan, an dam leh vek theih nân nun dân inthlâk danglamna ṭhenkhat siam a ngai mai thei. Hei hian dinhmun dang i enkawl dan thlak danglam te, zu emaw, zuk leh hmuam emaw i hman tlem emaw, tihtawp emaw, gastritis lo awm leh tur venna te a huam thei a ni.

Acute gastritis vei tlemte hi ngaihtuahawm a ni lo va, in lamah pawh enkawl theih a ni. Mahse, a dam lo a nih chuan, emaw, persistent gastritis symptoms i neih chuan doctor pan ngei ngei tur a ni. Persistent symptoms hian underlying chronic condition, ngaihven ngai a awm tih a tilang a ni. Pum lama harsatna hian chhan tam tak a neih theih avangin, a dik taka hriat chian a pawimawh hle.

Hriat reng tur pawimawh ber ber (Take-Home Message) .

• Gastritis hi pum chhungril lam a inflammation a ni. Ngaihtuah buai suh, hei hi a hluar hle.
• A chi hnih a awm a, `Acute` a rawn lang nghal a, `Chronic` chu rei tak a daih bawk.
• A chhan ber chu bacteria `H. pylori`, natna tidamtu (`NSAIDs`) thenkhat, zu, leh stress.
• A lan chhuah dan chu pum na, pum na, luak chhuak, leh luak chhuak te a ni thei. A châng chuan symptoms a awm lo thei bawk.
• Coffee ground ang maia bawlhhlawh dum emaw, luak chhuak emaw i neih chuan chhinchhiahna pawi tak a ni. Doctor hmu nghal rawh.
• A tam zawkah chuan enkawlna hian a dinhmun a ti tha thei a ni. Mahse chronic gastritis tan chuan a chhan chu enkawl a ngai a ni.
• Pum natna i tawk fo a nih chuan mahni invenna ai chuan damdawi lam thurawn lak hi a finthlak hle ang.

He thu hi i tangkaipui ngei ka beisei. Hrisel takin awm rawh!

` Gastritis, gastritis, pum na, H. pylori, pum na, pum na, pum gas