Pum natna i nei fo em? Hei hi pum chhunga natna (Peptic Ulcer Disease) a ni thei! Hemi chungchang hi han sawi ila.

I pum chhungah kangmei chhuak, i pum chhungah harsatna i nei fo em? Mi tam tak chuan hei hi thil pangngai a ni tih kan theihnghilh a, "gastritis" anga ngaih pawh a ni mai thei. Mahse, a chang chuan he hrehawmna hi thil pawi deuh deuh a ni thei. Chu chu pum chhunga natna awm, a nih loh leh doctor-te’n `Peptic Ulcer Disease (PUD) an tih ang chi chu a ni. Chuvangin, vawiinah hian he thu hi chipchiar deuhin kan sawi dawn a, kan thianpa hnenah kan sawi ang maiin. A chhan chu hei hi hriat chian hi i tan a pawimawh hle thei a ni.

Peptic Ulcer Disease hi eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, peptic ulcer natna hi kan chaw ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in tur kan ei leh in kan ei thinna hmun (lining of digestive system)-a lo awm thin, open sore a ni. "Peptic" tih thumal hi "digestion nena inzawm" tihna a ni. "Pepsin" tih thumal atanga lo chhuak a ni a, chu chu kan pum chhunga chaw ei tur enzyme lian tak a ni.

Ngaihtuah teh, kan pum chhungah hian pum acid leh he enzyme pepsin an tih hi kan nei a. Heng pahnih hian kan ei tur chemical hmanga kan tihchhiat a, kan ei chhuah theihna tura min puitu an ni. He juice hi acidic tak a ni a, a dik tak chuan a corrosive hle. He tui hi a chang chuan kan small intestine (duodenum) hmun hmasa berah a lut thin.

Tunah chuan en teh, kan chaw ei kawng zawng zawng hi a chhunga thil harsa tak takte laka bangte humhimtu shield ang maia venhimna mucous membrane-in a khuh a ni. He protective membrane hi pum chhung leh small intestine hmun hmasa berah hian a chak hle a ni. Mahse, peptic ulcer natna vei tan chuan he venhimna hi a chak lo . Tichuan, chu chaw ei tur tui khauh tak takte chuan bangte chu a ei bo thei ta a ni.

Ulcer chu erosion thuk tak, pum chhunga lining layer pathum zawng zawnga luh theihna tur a ni. A tam zawkah chuan heng ulcer te hi pum chhungah emaw, small intestine (duodenum) hmun hmasa berah emaw a awm thin a, a chhan chu chutah chuan digestive juices te hi an thawk nasa ber a ni. Mahse a tlem hle a, hmun dangah an awm thei.

Khawiah nge heng hliamte hi a lo awm theih? A chi hrang hrang a awm em?

Ni e, heng ulcer te hi kan pum leh small intestine (duodenum) hmun hmasa berah a awm tlangpui.

• Duodenal ulcers: Hengte hi a tam ber a, 80% vel a ni.
• Stomach ulcers: Hengte hi 20% velin hmuh tur a awm.

Mahse, a tlem berah chuan stomach acid hi hmun dangah a leak thei a, ulcer a thlen thei a ni. Entir nan:

• Esophageal ulcer: Mi thenkhat chuan chronic acid reflux an nei a, chu chu pum acid chu kawr chhungah a rawn chho a ni. Chutianga a kal zel chuan chaw kawng (esophagus) lining chu a chhe zauh zauh thei a, chu chuan ulcer a siam thei a ni. Hei hi a chhan chu chaw kawng lining hian chaw kawng lining angin acid a do thei lo a ni.
• Jejunal ulcer a awm a:Jejunum hi kan small intestine lai tak a ni. Surgery thenkhat (e.g., gastrojejunostomy - pum chu jejunum nena inzawm tlat surgery) hian he hmun hi hliam a thlen thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Khawvel pumah hian mi 5% leh 10% inkar chuan an dam chhungin engtik lai pawhin peptic ulcer disease (PUD) an vei dawn a ni . Kum eng pawhah lo awm thei mah se, kum chanve vel leh mipaah ​​a tam zawk.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

Mak tak maiin he natna vei zinga 70% vel hian symptoms an nei lo . Mahse, symptom nei ve thote sawi tam ber chu:

• Epigastric pain: A dik zawka sawi chuan, chu chu pum lai tak atanga lo chhuak natna a ni , rilru hnuai lam atanga lo chhuak natna a ni.
• Dyspepsia: Ei leh in hnua chaw ei lama harsatna awm zawng zawng awmkhawm. Hei hian pum chunglam natna, kang , ei zawh hnua chaw ei kham leh puar chhunzawm zel te a huam a ni.

He kangmei chhuak hi pum chhunga acid leh enzyme te hian pum chhunga lining an ei bo vek tih hriatna ang a ni. Mi thenkhat chuan "thil pakhatin pum chhungah a lai lut ang maiin" an sawi. A natna awmna hmun dik tak pawh i hmu thei mai thei.

Ulcer hi pum chhungah nge small intestine-ah a awm tih chiang taka hriat harsa ni mahse, clues thenkhat a awm a:

• If you have a stomach ulcer , chaw ei hnu rei vak lovah (minute 30 chhungin) natna chu a zual thei a, a chhan chu chutih lai chuan gastric juice tam ber a chhuak thin.
• Duodenal ulcer -ah chuan chaw ei hnuah a natna chu a reh thei. Mahse, darkar hnih atanga darkar thum hnuah chuan ei leh in leh chaw ei tui te chu small intestine-ah a kal chuan a na leh thei a ni. Mi ṭhenkhat chuan hei hi rilṭâmna niin an ngai sual a, ei hian hahdamna a pe a ni. Zanah natna avanga harh hi heng small intestine ulcer nei te tan pawh a awm fo thin.

Hei bakah hian feature dang pawh i hmu thei bawk a, chungte chu:

• Pum a puak chhuak
• Burping emaw belching emaw a awm fo thin
• Chaw ei chakna hloh
• Nausea leh luak chhuak

Enkawl loh chuan eng nge thleng ang? Eng harsatna nge a awm?

Mi thenkhat chuan an natna hian harsatna dang a neih hnuah symptoms an nei thin. Hei hi rei tak enkawl loha dah a nih chuan a thleng thin. Chutiang a nih loh chuan hliamte chu thisen a chhuak tan thei a , a nih loh leh bang chu a thuk lehzual a, khur a siam thei bawk .

Upper gastrointestinal bleeding i neih chuan symptoms i nei thei a, chungte chu:

• Thisen a awm ( black, tarry stool ) .
• Coffee ground chu a chhuak thin
• Luak chhuak emaw, rilru hah emaw
• Vun rawng dum (Pallor) .
• Lung chak tak

Digestive tract-a khur (gastrointestinal perforation) a awm chuan, a lan chhuah dan te chu:

• Vawikhat, na tak, na tak, pum na
• Pum natna leh tuar theih loh khawpa natna
• Khawsik leh khawsik

Hun rei tak enkawl loh chuan ulcer te chu a dam leh thei a, a lo lang leh thei bawk. Mi thenkhatah chuan chaw ei kawngah hliam leh hliam a pung thei a, chu chuan chaw kawng a tikhawtlai thei a ni . Hei hian natna lan chhuahna a thlen thei a, chungte chu:

• Bloating, swelling, leh natna te
• Nausea leh luak chhuak
• Chaw ei chakna hloh leh taksa rihna tlahniam
• Incontinence leh constipation te a awm bawk

Engvangin nge heng pum ulcer te hi kan neih? A chhan berte chu engte nge ni?

Kan chaw ei kawng venhimna lining hi acid leh enzyme na tak tak tuar thei tur leh a chhiat chuan a insiamthat theih nan siam a ni. Hei hi pum chhung leh small intestine hmun hmasa berah hian a dik hle. Mahse, ulcer hi thil pakhatin heng natural defense te a tihbuai hian a awm thin.

He venhimna hi tihtlem a nih theih nan leh ulcer chu mucosa chhunga lut thei tur khawpa thuk a nih theih nan chuan hun rei tak emaw, kal zel emaw a awm a ngai a ni. Scientist-te chuan heng PUD tam zawk hi a chhan lian ber pahnih an hmuchhuak a, chungte chu:

1. H. pylori (Helicobacter pylori) Bacterial Infection: He bacteria hi khawvel mihring zatve vel zet pum leh/ emaw small intestine-ah a awm a. Mi tam zawk tan chuan harsatna a thlen lo. Mahse, bacteria chu a lian lutuk chuan chutah chuan microorganism dangte balance a tichhe thei a, inflammatory response a tichhuak thei a ni . He hun rei tak chhunga inflammation hian wall chu a tichak lo va, a insiamthat theihna a ti tlem bawk. A châng chuan, bacteria hian bang pawh direct-in a bei thei bawk.

2. Nonsteroidal anti-inflammatory drugs (NSAIDs) hman tam lutuk: Hengte hi damdawi dawr atanga damdawi in atanga kan lei thin natna tidamtu damdawi, aspirin leh ibuprofen te hi an ni. Damdawi lam thurawn tel lova ei an nih avangin mi tam takin an mamawh aia tam an ei fo thin. Hei hian kan pum leh small intestine-a chemical balance a nghawng a ni. NSAID hian chemical prostaglandins an tihchhuah a tihtlem avangin hna a thawk a, chu chuan chaw ei kawng lining a tihchhiat chu a siam tha a ni.

Heng chhan lian pahnih bakah hian chhan dang, a tlangpui lo zawk pawh a awm a:

• Hri kai dangte
• Thisen pek tlem (`Ischemia`) .
• Taksa lama harsatna nasa tak (a tam zawkah chuan nunna atana hlauhawm natna emaw, accident emaw avanga lo awm) .
• Chemotherapy emaw radiation hmanga enkawlna emaw a ni thei
• Zollinger-Ellison syndrome - pumin acid a siam tam lutukna natna a ni
• Crohn natna - chaw ei kawng a inflammatory condition a ni
• Pum cancer a ni

He natna hi tute nge vei theihna chance sang zawk?

H. pylori infection i neih emaw, NSAIDs hmang fo i nih chuan heng stomach ulcers te hi i nei tam zawk a ni. A bik takin heng risk factor pahnih hi i neih chuan a risk a sang hle.

Chu bâkah, zu in te, zu in te, leh damdawi dang i ei te pawhin hei hi a thlen thei a ni. Heng thilte chauh hi ulcer thlen thei khawpa chak a nih loh laiin, H. pylori infection emaw NSAID hmanna emaw nena inzawm chuan pum ulcer neih theihna a tipung a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

I doctor chuan i symptoms leh risk factors a zirin stomach ulcer a rinhlelh chuan i esophagus ah ulcers a awm leh awm loh an enfiah hmasa ang. H. pylori infection an neih leh neih loh an test dawn bawk.

Mi tam tak tan chuan upper esophageal endoscopy (EGD test) hi a hnuhnung ber a ni. Hei hian a tawp berah camera te tak te awmna tube te tak te chu hmui kaltlangin dahin, chaw kawng, pum leh small intestine hmun hmasa ber enfiah a huam a ni. Hetih lai hian H. pylori a awm leh awm loh enfiah nan pum atanga tissue te tak te (biopsy) lak theih a ni bawk.

Endoscopy hi a tangkai hle a, a chhan chu thlalak hmuh theih mai bakah a tul chuan instrument te chu tube kaltlangin a pass thei a, treatment pawh a ti thei bawk. Entirnan, hliam thisen a chhuak a nih chuan a reh theih nan i enkawl nghal thei a ni.

Test dangte chu:

• Lesion lian zawk hriat theih nan `CT scan (Computed Tomography scan)` emaw `GI series X-ray exam` emaw tih theih a ni.
• ``Urea thawk test`` emaw ``stool test`` emaw hmangin ``H. pylori`` natna hrik kai.

Enkawlnate chu engte nge ni?

Pum ulcer enkawlna ber chu damdawi inkawp a ni a, chu chuan pum acid tihtlem a, lining a humhim a, a dam theih nan a pui bawk . Infection i neih chuan antibiotics pawh i mamawh thei bawk . A pawimawh ber chu ulcer awm chhan zawng chhuakin enkawl hi a ni.

A tam zawkah chuan hliam hi damdawi hmang chauhin a dam thei a ni. Mahse, harsatna a awm a, thisen chhuak hliam emaw, perforated hliam emaw a awm chuan enkawlna dang a ngai thei a ni. Heng harsatna tam tak hi damdawi lam thil awlsam tak, endoscopy ang chi hmanga enkawl theih a ni.

Damdawi chi hrang hrang

• Antibiotics: H. pylori emaw bacteria dang emaw infection i neih chuan i doctor chuan bacteria that turin antibiotics combination a pe ang che. (Entirnan: Amoxicillin, Clarithromycin, Metronidazole te hi a tha hle a ni)
• Cytoprotective agents: Heng damdawi te hian pum chhunga lining chu a dam hma loh chuan coating leh venhimna hmangin hna an thawk a ni. (Ex: `Sucralfate`, `Misoprostol`, `Bismuth subsalicylate` tih te hi a awm a, a chhuahna tur hmun leh a hmanna tur hmun chu a in ang lo hle).
• Histamine receptor blockers (H2 blockers): Heng damdawi te hian pum chhunga acid siam tura signal petu chemical chu a block avangin acid a ti tlem a ni. (Ex: `Famotidine`, `Cimetidine` tih te hi a awm lo)
• Proton pump inhibitors (PPIs): Heng damdawi te hian pum acid a tihziaawm a, pum chhunga lining te chu a venghim a, a dam theih nan a pui bawk. (Ex: Omeprazole, Pantoprazole, Esomeprazole) te hi a tha hle a ni.
• NSAID aiah natna tidamtu dang: NSAID i ei tlangpui a nih chuan i doctor nen a danglamna tur i sawipui duh mai thei. Acetaminophen (paracetamol) hi non-NSAID a ni a, pum chhunga nghawng a nei lo.

Damdawi lam kalphung

Hliam buaithlak tak, thisen chhuak i neih chuan i doctor-in a enkawl nghal a ngai dawn a ni. Hei hi endoscopy neih laiin tih theih a ni fo. Thisen chhuahna chu hliam chu hal emaw, damdawi inject emaw hmangin tihtawp a ni. Hole a awm chuan stitched shut a ni.

A tlem berah chuan ulcer-in chaw kawng a block a nih chuan a hawn leh theih nan intervention a ngai mai thei. Hei hian pum chhunga thil awmte chu suction emaw, a tlem berah chuan operation emaw a huam thei.

Hetiang dinhmun laka inven nan eng nge kan tih ang? (Invenna) 1.1.

Peptic ulcer natna laka invenna atana i tih theih pawimawh ber berte chu:

1. H. pylori infection test leh enkawl: Mi tam takin H. pylori infection nei mahse an hre lo. I neih leh neih loh chu urea breath test awlsam tak hmangin i hre thei ang. I tih chuan harsatna a thlen hmain enkawl hmasa phawt ang che. A hmaa enkawl tawh pawh nise, test nawn leh a tha, a chhan chu a chang chuan a lo let leh thei a ni.

2. Thupek ang chauha NSAID hman: Nitin natna tenau leh natna te tan NSAID ei thin i nih chuan a rawt aia tam ei loh nan fimkhur rawh. I pumpui ulcer i neih tawh chuan hman loh a tha ber. A tul chuan pum chhunga venghimtu damdawi dang nen ei tur a ni.

Heng hliamte hi damdawi tel lo chuan a dam ang em?

Ulcer awm chhan hi paih chhuah a nih chuan ulcer chu a dam thei a ni. Mahse, a chhan hriat chian nan medical examination neih a ngai tlangpui. A chhan chu H. pylori infection emaw, damdawi lam thil dang emaw a nih chuan tihbo nan enkawl a ngai dawn a ni.

A chhan chu NSAIDs chauh a nih chuan, i ei tawh loh chuan ulcer chu a mah chauhin a dam thei a ni. Amaherawhchu, chu chu finfiah turin Doctor i pan tur a ni. H. pylori natna i nei thei bawk a, NSAID hian a hmaa natna hlauhawm lo tak chu a ti na zual thei bawk.

Enkawl hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?

Pum ulcer tam zawk hi kar tlemte chhungin a dam chhuak thin . Mi tam zawk chuan thla hnih vel chhung damdawi hi an ei a ngai a ni. He damdawi hi a hlawk hle. Mahse, Zollinger-Ellison syndrome ang chi natna rei tak nei te chuan an dam chhung atan damdawi hi an ei a ngai mai thei.

Enkawl zawhah doctor chuan follow-up test a nei ang a, ulcer chu a dam kim tawh em tih leh infection chu a bo tawh em tih a enfiah ang. H. pylori hi bacteria tricky tak a ni a, a chang chuan a rawn let leh thei bawk. Tin, ulcer thlentu condition te chu a chhunzawm zel chuan ulcer chu a lo let leh thei bawk.

A tlem hle a, mi thenkhat chuan chawhmeh natna (persistent stomach ulcers) an nei thei a, enkawlna nen a dam lo thei bawk. Hengte hian hun rei tak chhung natna leh hliam na tak tak te ang chi harsatna a thlen thei a ni. Chutiang hunah chuan operation neih a ngai mai thei (e.g., scar tissue lakchhuah (pyloroplasty), emaw, pum chhunga acid siam chhuah controltu nerve tihtlem (vagotomy) emaw).

I ei leh in leh nunphung tihdanglam a ngai em?

Ei leh in hian pum ulcer a thlen lo va, mahse ulcer i neih chuan ei leh in thenkhat (a bik takin spicy, sour foods) hian a ti na zual thei Symptoms i neih emaw, a hmaa pum chhunga ulcer i neih tawh emaw chuan zu leh zu in loh vek tur a ni .

Damdawi i ei zawng zawng (a bik takin NSAID) chungchang hi i doctor nen sawiho rawh. Damdawi thenkhat hi ei dun a nih chuan harsatna a thlen thei.

Hei hi in lama anticids hmanga tihdam theih a ni lo em ni?

Antacids hian acid neutralize-in hna a thawk a, heartburn, heartburn, leh indigestion ang chi symptoms te a tihziaawm bawk. Hun engemaw chen chu ulcer chu a ti dam thei a, mahse ulcer chu an tidam lo . I pum chhunga ulcer i neih tawh chuan antacids hian a lo kir leh tawh loh nan a pui thei ang.

Doctor hmuh hun tha ber berte chu engte nge ni?

I pum chhunga natna i neih i rinhlelh chuan doctor pan ngei ngei tur a ni . Over-the-counter damdawi hian i natna lan chhuah dan chu rei lo te chhung a control thei a, mahse ulcer chu a tidam dawn lo. A chhan bulpui ber chu hriatchhuah a ngai a, enkawl a ngai bawk.

Ulcer enkawl loh chuan symptom na tak nei lo mah la, harsatna lian tak a thlen thei a ni. Pum natna thlentu ber H. pylori natna kai hian harsatna dang (riltam cancer vei theihna ang chi) a thlen thei bawk.

Heng ang harsatna lian tham tak tak i hmuh chuan emergency room-ah kal nghal rawh:

• A natna reng reng, na tak.
• Thluak chhunga thisen (black stools) emaw, thisen chhuak emaw chhinchhiahna.
• Thisen tlakchhamna nasa tak (pallor, fainting) chhinchhiahna.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Peptic Ulcer Disease hi natna khirh tak a ni a, i chaw ei dan a tichhe nasa hle. I natural defense system a chak loh chuan a thleng thin. Hetiang dinhmun hi a lo awm theih nan hun a duh a, a tlangpuiin a dam theih nan damdawi lam enkawl a ngai thin.

Stomach ulcer hi a awm fo a, enkawl theih a ni. Amaherawhchu, natna lanchhuahna na tak nei lo mah ila, enkawl dan zawn a pawimawh.Enkawl loh chuan hliamte chu a thuk lehzual thei a, a na zual thei bawk. Chuvangin, i symptoms chungchang hi doctor nena inbiaknaah hian tihkhawtlai suh. I hriselna hi a hlu a ni!

` Pum ulcer, peptic ulcer, pum na, H. pylori, NSAID, gastritis, chaw ei loh