Intestine-a blister te tak te lo awm leh enkawl harsa tak tak te hi a ni em? (Diverticulitis) chungchang hi han sawi ila!

A chang chuan pum na i nei em, a bik takin i pum veilam hnuai lam ah? A nih loh leh, a chang chuan khawsik leh puak ang maiin i inhria em? Hengte hi damdawi lam dinhmun thenkhat chhinchhiahna a ni thei a, a chang chuan kan ngaihven vak lo nachungin. Chuvang chuan he natna, ngaihven tlem a ngai hi `(Diverticulitis) an ti a ni. Vawiin hian he thu hi chipchiar takin sawi ila, a tha em?

Hei hi eng nge ni `(Diverticulitis)`?

A awlsam zawngin, diverticulitis chu i colon chhungah pocket te te - diverticula kan ti a - infected, scarred, inflamed a lo awm hian a ni. I colon wall-a bubble te te lo awm ang maiin ngaihtuah la, chutah chuan ei tur chi hrang hrang leh bawlhhlawh a lo awm a, chu chuan bacteria a tipung a, a kai che a ni.

Mi tam tak chuan an kum upat deuh deuh chuan an intestine-ah heng `(Diverticula)` an tih pouches te hi an nei thin. Hetiang dinhmun hi `(Diverticulosis)` kan ti a. Chu chu, chu pouche te te chu intestine-ah a awm a, mahse harsatna a siam lo tihna a ni. Mahse he thil hi mi zawng zawng hian harsatna kan nei vek lo. Mahse, chutiang pouch te tak te zinga pakhatin natna a kai chuan a natna nasa tak leh a lan chhuah dan dangte chu a lo lang tan thin. Chutiang a nih chuan a chhungah `infection` a awm tihna a ni a, damdawi lam pan vat a ngai a ni.

Diverticulitis hi engtiang chiahin nge a awm?

Ka sawi tawh ang khan diverticulosis, chu chu intestine-a pouche te tak te lo awm hi a ni a, kum 50-60 hnuah pawh mi tam takah a awm thei a ni. Mahse, chu pouche-a infection, diverticulitis an tih chu a tlem deuh hlek a ni. Diverticulosis vei zinga 4% vel chuan diverticulitis an vei thin. Chumi awmzia chu mi zakhatin diverticulosis an vei chuan mi pali chauhvin diverticulitis an vei dawn tihna a ni. Mahse vawi khat a lo awm chuan a lo awm leh theihna chance 20% a awm. Chuvangin vawi khat nei tawhte tan chuan tlem tal fimkhur a tha zawk.

Diverticulitis chi hrang hrang a awm em?

Ni e, doctor-te chuan hei hi kawng lian pahnih-ah an ṭhen a:

1. Acute leh Chronic Diverticulitis natna a awm thei.

2. Thil buaithlak lo leh buaithlak (Diverticulitis).

Tunah chuan hengte hi han thlir ila.

Acute / Chronic Diverticulitis tih hi eng nge ni?

Diverticulitis hi acute problem angin a intan fo thin. Chumi awmzia chu natna chu a lo thleng nghal a, natna nasa tak leh khawsik ang chi a awm a, chutah chuan enkawl a nih chuan ni engemaw zat chhungin a dam leh ta tihna a ni.

Mahse mi thenkhat tan chuan a lo thleng leh thei a ni. Mi thenkhatin asthma ang chi natna lo lang leh thin an neih ang bawkin. Midang tan chuan hri kai hi a rei thei hle. Chu chu a dam kim lo va, a na zual zel tihna a ni. Hetiang thil a thlen chhan hi theory hrang hrang a awm a. Natna rapthlak tak chu a dam kim loh vang pawh a ni thei a, i gut-a hun rei tak chhunga natna dang nen pawh a inzawm thei bawk.

Uncomplicated / Complicated Diverticulitis hi eng nge ni?

A tam zawkah chuan 80% velin diverticulitis hi a buaithlak lo. Chumi awmzia chu buaina chu intestine pouche-a infection a ni tihna a ni a, a chang chuan infection tenau chauh a ni. Uluk taka enkawl a nih chuan awlsam takin a dam thei a ni.

Diverticulitis hi a natnain harsatna dang a thlen chuan a buaithlak thin. Hei hi a pawi khawp mai. Entirnan, infection na tak chuan diverticulum (a pouch) a tikehsawm thei a ni. Hei hian intestine chhunga thil awmte chu pum chhungah a luang lut thei a ni. Hun rei tak hri kai chuan intestine-ah hliam a awm thei a, chu chuan intestine a block thei a ni.

`(Diverticulitis)` natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi mi hrang hrangah a inang lo thei a, mahse i hmuh theih ber berte chu:

• Pum na: Hei hi a lan chhuah dan ber a ni. A na fo thin.
• Bloating emaw, intestines man ang maia hriatna: Pum chu a hring chhuak thei a, a chang chuan intestines thenkhat chu khawih a nih chuan a man ang maiin a lang thei bawk.
• Khawsik: I taksa a lum lutuk chuan khawsik i nei thei.
• Nausea leh vomiting: Chaw ei chak lohna hi nausea leh vomiting nen a inzawm thei.
• Rectal bleeding: Thisen chu stool kaltlangin a kal thei .
• Constipation emaw, diarrhea emaw a awm thei: Constipation hi a tam ber a, mahse diarrhea ang chi hi a awm tlem hle bawk.

Diverticulitis i neih hian eng ang nge i natna?

Diverticulitis natna lo awm nghal emaw, natna awm tawha flare-up emaw i neih pawhin, a natna chu a inang tlang hle. Acute episode-ah chuan natna chu a lo thleng nghal mai thei. Chronic episode-ah chuan ni engemaw zat chhungin a natna chu a pung zauh zauh thei. Diverticulum natna kai awmna hmunah chiah a natna chu hriat a ni. Stabbing pain na tak emaw, kang natna emaw ang maiin a awm thei. A natna hi a tlangpuiin a nasat lam atanga a nasat thlengin a awm thin.

Khawiah nge pum chhungah hian a natna chu a hriat?

Hei hi thil ngaihnawm tak a ni. European hnam chhuakte tan chuan heng `(Diverticula)` tia koh pouch te hi an intestine lian ber hmun hnuhnung berah an lo thang lian fo thin a, chu chu `(Sigmoid Colon)` an ti a ni. Hei hi i pum hnuai veilam sir ah a awm a, chutah chuan dinglamah tlem a inher a, rectum nen a inzawm a ni. Chuvang chuan mi tam zawk chuan an pum hnuai veilam veilam ah `(Diverticulitis)` na an nei thin. A chang chuan he pum hnuai lam natna hi pelvis leh hnungzang thlengin a darh thei bawk.

Mahse, Asian hnam chhuak (keini ang) tan chuan he `(Diverticulosis)` natna hi colon upper right quadrant-ah a awm tam zawk. Chutiang a nih chuan `(Diverticulitis)` natna chu pum dinglam quadrant chunglam atanga lo chhuak thei a ni.

Diverticulitis hi engte nge ni?

Chutiang pouche ``diverticula'' an tihte kai chhan ber chu an bang chhungah tear emaw hole te tak te (``tear``) a lo awm a, chu chuan bacteria a luh tir a, ``infection'' a siam thei a ni.`` Mahse, hetiang a nih chuan, chu hole chu a lo awm hmasa em tih chiang takin a chiang lo a, bacteria chu a kai hmasa em tih erawh a chiang lo.

Ngaihtuah teh, chu bawm te tak te chhungah chuan bawlhhlawh chi khat ang chi thil a lo awm a nih chuan bacteria te tan hmun tha tak a ni. Tichuan, bacteria infection avang hian a hring thei a, a hliam thei a, chu ``(Diverticulum)`` wall chu a chhe thei bawk.

A lehlamah chuan, pouch bang chu chhan dang avanga a chhiat chuan (entir nan, bawlhhlawh a kal laiin ek khauh tak) a nih chuan, a tlangpuiin intestines-a awm bacteria pawh awlsam takin a tear atang hian a lut thei a, infection a thlen thei a ni. Zirna thenkhatah chuan virus infection ``Cytomegalovirus - CMV`` te pawh hian ``(Diverticulitis)`` a lo awm thei tih hmuhchhuah a ni.

Diverticulitis hi thlahtute atanga lo chhuak a ni em?

Diverticulitis hi a lo awm fo thin. Chu chu direct-a rochun natna a ni lo tihna a ni. Mahse, diverticulosis an tih, chu chu intestine-a pouche siamna a ni a, hei hian genetic influence engemaw zat a nei thei a ni. Entirnan, kan sawi tawh ang khan European-ho hian an intestine hmun khatah pouch an nei tam zawk niin an sawi a, Asian-ho erawh chuan hmun dangah pouche an nei tam zawk niin an sawi thung. Hei hi genes-in a nghawng thei a ni. Tin, genes hian mi pakhatin natna khirh tak a vei awlsam dan a nghawng thei bawk. Hei hi zirchian belh zel a ni.

Diverticulitis avanga harsatna awm thei te chu engte nge ni?

A tam zawkah chuan 80% velin diverticulitis hi harsatna awm lovin a reh thin. Mahse, a nasat emaw, a awm reng emaw chuan a hnuaia harsatnate hi a thleng thei a ni:

• Gastrointestinal bleeding: Diverticula atanga thisen chhuak hi a na thei hle a, thisen tlakchhamna a thlen thei bawk. Ngaihtuah teh, thisen i chhuah chhunzawm zel chuan i taksain thisen a hloh dawn a ni lawm ni?
• Intestinal obstruction: A hring a nasat chuan i intestinal chu rei lo te chhung a block thei. Hun rei tak a hring chuan scarring (stricture) a thlen thei a, intestines a block reng thei bawk.
• Fistula: Intestine hmun hrik, chhe tawh chu taksa kawng dang (entir nan, i intestine te, bladder, emaw vagina) nen a inzawm thei a, chu chuan an pahnih inkarah kawngkhar danglam tak a siam thei a ni.
• Bladder inflammation: I bladder bulah diverticulitis i neih chuan i bladder-ah blockage leh infection a thlen thei a ni. I bladder-ah fistula a lo awm chuan chutah pawh chuan natna hi a darh thei bawk.
• Abscess: Abscess chu hnim hring awmkhawm a ni a, chu chu tui chhuah a ngai mai thei. A puak chuan natna chu i pum chhung (peritoneal cavity)-ah a darh thei a, natna hlauhawm tak peritonitis an tih chu a thlen thei a ni. Hei hi emergency a ni!
• Gastrointestinal perforation awm thei te chu:Diverticulum a lo hring lutuk a, a chhe lutuk chuan intestine atanga bacteria chu abdominal cavity ah a luang lut thei a ni. Hetiang dinhmun, peritonitis an tih hian natna hlauhawm tak sepsis an tih chu a thlen thei a, chu chu bacteria infection a ni a, taksa pum puiah a darh a ni. Hei pawh hi emergency hlauhawm tak a ni!

Pawimawh: Heng harsatnate hi mi zawng zawngah a thleng vek lova, mahse heng thilte hi a thleng thei tih hriat a tha.

Diverticulitis buaithlak tak natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi i neih chuan diverticulitis avanga harsatna i nei thei a ni:

• Thluak chhungah thisen thar a awm chuan.
• Hmai a sen a, taksa chu nunna nei lo anga a hriat chuan (hei hi `Anemia` chhinchhiahna a ni thei).
• If you feel like you need to urinate frequent , emaw, zun laiin kang emaw, natna emaw i neih chuan.
• I pum a khauh a, khawih pawhin a na a nih chuan (hei hi peritonitis chhinchhiahna a ni thei).

Hetiang thil i hriat chuan , doctor pan nghal rawh.

Engtin nge `(Diverticulitis)` hi kan hriat theih ang?

Nang leh i doctor-in `(Diverticulosis)` i vei tih i hriat tawh chuan i natna lan chhuah dan a zirin `(Diverticulitis)` a ni tih i ringhlel mai thei. Amaherawhchu, mi tam takin `(Diverticulosis) an nei tih an hre lo.` Chu bâkah, `(Diverticulitis)` natna lan chhuahna chu pum natna dang tam takte nên a inang thei bawk.

Chuvangin doctor chuan i natna lan chhuah dan a zawt ang che a, test bulpui thenkhat, thisen test (`comprehensive metabolic panel`), stool test, leh zun test te pawh a ti mai thei bawk.

Tichuan, diverticulitis nia rinhlelh a nih chuan imaging test neih tir a ni ang a, a natna hmuhchhuah chu a dik tih finfiah a ni ang. CT scan hi duhthlan tur tha tak a ni. Infection zau zawng leh harsatna dang eng pawh a hriat chian thuai thei. A then phei chuan i doctor chuan i colon chhung chu lighted scope (tube a camera dahna) hmangin a en a ngai mai thei. Complication thenkhat chu colonoscopy nen a rualin enkawl theih a ni.

Diverticulitis hi a mah chauhin a dam thei em?

Natna chu a na lo va, a buaithlak lo a nih chuan , a mah chauhin a dam thei. Mahse, doctor i hmuh hma chu nghak mai suh. Eng nge dik lo tih chiang taka hriat theih nan doctor i pan ngei ngei tur a ni. Infection i neih chuan antibiotics i ei a ngai mai thei. Mi thenkhat chuan prescription pain medication an mamawh thei bawk. I doctor chuan i dam hma chu in lama awm dan tur a hrilh bawk ang che. A dam leh theih nan kar khat vel a la ngai dawn a ni. Chumi chhung chuan doctor nen inbiak reng a pawimawh.

In lama diverticulitis hi engtin nge kan enkawl ang?

I doctor-in a phal chuan in lamah hetiang hian i enkawl thei ang:

• Liquid diet: Solid foods ei loh hian i intestines chu chawlh a pe a, natna atanga i dam leh theih nan a pui bawk. I doctor chuan eng nge i ei tur tih leh he diet hi eng chen nge i awm tur tih chiang takin a hrilh ang che.
• Doctor-in a pek `Antibiotics`: Mi zawng zawngin an mamawh lo a, mahse i mamawh chuan i doctor-in damdawi engemaw zat chu in lama hruai turin a pe ang che. `Antibiotic` chi hi i `infection` chi hrang hrangah a innghat a ni.
• Acetaminophen: Damdawi dawr-a over-the-counter (OTC) natna tidamtu zingah hian Acetaminophen ang chi (e.g. Tylenol®) hman a tha ber.

Diverticulitis i vei huna hman loh tur damdawi

Doctor-te chuan diverticulitis i neih hunah nonsteroidal anti-inflammatory drugs (NSAIDs) hman loh tur thu an hrilh a, hei hian GI thisen chhuah theihna a tipung thei a ni. Heng NSAIDs te hi:

• Aspirin (e.g. Bayer® emaw St. Joseph® emaw) hman a ni.
• `Ibuprofen` (e.g. `Motrin®` emaw `Advil®` emaw) a ni.
• `Naproxen sodium` (e.g. `Aleve®`) hmanga siam a ni.

Diverticulitis hi enkawl loh a nih chuan eng nge thleng ang?

Natna na lo tak, buaithlak lo tak i neih chuan enkawlna i mamawh lo mai thei. Mahse i diverticulitis chungchang hi i doctor hnenah i hrilh ngei ang. I tih loh chuan natna khirh zawk leh harsatna nasa zawk i tawk thei a ni. Infection thenkhat chu antibiotics emaw antivirals emaw tel lo chuan a dam lo. Infection a that loh chuan harsatna dang a thlen thei bawk. A na pawh a na thei hle.

Diverticulitis tihdam nan eng nge i tih theih ang?

In lama enkawlna awlsam tak takte hian a puih loh chuan, emaw, diverticulitis na tak, rei tak, emaw, buaithlak tak emaw i neih chuan damdawi inah enkawl i ngai mai thei. Damdawi ina enkawlna pek theihte chu:

• IV damdawi: I doctor chuan IV (saline solution ang chi) hmangin antibiotics emaw antiviral emaw a pe thei che a ni . Hetiang hian damdawi chu i thisenah a lut nghal a, chuvang chuan a thawk rang zawk a ni. Painkiller pawh hetiang hian pek theih a ni. Mi thenkhat chuan natna nasa tak an neih chuan opioid ang chi natna tidamtu chak tak tak an ei a ngai mai thei.
• Thisen pek: Thisen chhuak diverticulum avanga thisen tam tak i hloh a nih chuan, thisen hloh thlak nan emergency blood transfusion i mamawh mai thei.
• Endoscopic procedures: I doctor chuan colonoscope emaw sigmoidoscope (hengte hi colon chhunga entu endoscope chi hrang hrang) hmangin harsatna tenau te a enkawl thei ang. Entirnan, thisen chhuah an titawp thei a, abscess an drain thei a, colon blocked section an tizau thei bawk.
• Inzai:Mi thenkhat chuan abscess, thisen chhuak reng, perforation, emaw fistula emaw avanga operation an mamawh mai thei. A tlem berah chuan persistent diverticulitis vei te hian an colon (colectomy) a natna hmun chu lakchhuah nan operation an mamawh thei. Hei hian temporary colostomy a huam thei a, chu chu pum sir atanga bawlhhlawh paih chhuahna tur tube dah a ni.

Diverticulitis hi a lo awm emaw, a lo awm leh emaw loh nan ven theih a ni em?

Dik tak chuan doctor-te hian diverticulitis hi engvangin nge a lo awm emaw, a lo awm leh emaw tih hi an la hre chiang lo hle. Chuvangin a ven dan tur chiang taka sawi a harsa hle. Mahse a tlangpuiin intestinal health tha neih hian a pui thei niin an ngai .

• Thlai atanga siam chaw ei tam la, rannung thau tihtlem.
• Nilengin tui tlem in.
• Exercise neih fo thin.

Heng thilte hian i ril a ti tha thei hle. Mi thenkhat tan chuan doctor-te chuan fiber supplement emaw probiotics emaw pawh an rawt thei bawk.

Diverticulosis vei te hian nut hi ei loh tur a ni tih rinna hlui a awm a, diverticulum-ah hian a tang tlat a, diverticulitis a thlen thei a ni. Tunah chuan hei hi a tam zawk chu thudik lo anga ngaih a ni ta. Nuts hi fiber leh plant-based protein awmna tha tak a ni. Chuvangin, i colon-a nut pakhat a tlak palh hlauh ai chuan, ei leh in inthlau tak, hrisel tak ei hi a tha ber.

Hetiang dinhmunah hian eng nge kan beisei theih ang?

Mi za zela tlemte chauhvin diverticulitis buaithlak tak an vei thin. Chumi zinga tlemte chauhvin operation an mamawh a ni. A tam zawkah chuan diverticulitis buaithlak tak hi rang tak leh a kimin enkawl theih a ni. Diverticulitis hian i dam rei zawng a nghawng dawn lo. Mahse, ka sawi tawh ang khan, a hlauhawmna chu thil awm lo tak, nunna atana hlauhawm tak, bowel perforation emaw abscess puak emaw a awm chuan a ni. Chuvangin hlauthawng suh, doctor pan nghal rawh.

Diverticulitis a lo awm chhunzawm zel a nih chuan eng nge tih tur?

Ei leh in leh nunphung thlak danglam chung pawha diverticulitis lo awm leh tur i veng thei lo a nih chuan i hlauhawmna tipungtu thil dang i nei thei bawk. Entirnan, taksa chak lohna nei te hian natna an kai tam zawk thei a, an dam leh theih nan hun rei tak an hmang thei bawk. Autoimmune natna nei te hian persistent infection an nei tam zawk. I gut chhunga bacteria hrang hrang awmte balance hian i gut immune system a nghawng thei bawk.

Doctor-te chuan mi thenkhatin diverticulitis an vei chhunzawm zel chhan hi chiang takin an sawi thei lo. Mahse, vawi khat aia tam i neih tawh a, harsatna vawi khat tal i neih tawh chuan, elective bowel resection an rawt thei a, chu chu i bowel-a harsatna thlentu hmun te tak te chu paih chhuah nâna surgery hmanga tih a ni Emergency a nih loh chuan colostomy tel lovin operation vawi khatah tih theih a ni fo.

Take-Home Thuchah a ni

Chuvangin, `(Diverticulitis)` hi `(Diverticulosis)` vei te zingah a awm thei a, mahse a tam vak lo. `(Diverticulitis)` hian harsatna a thlen belh duh lo hle. Mahse, i chungah a lo thleng a nih chuan, hmanhmawh taka enkawl i mamawh mai thei.

Chuvangin, `(Diverticulitis),` symptoms i neih chuan doctor pan ngei ngei tur a ni.

Chumi hnuah chuan eng ang enkawlna nge i mamawh tih an rel ang a, in lamah i enkawl thei ang em, damdawi ina awm a ngai em tih pawh an rel ang. Ngaihtuah buai suh, a tam zawkah chuan he natna hi enkawl that theih a ni a, i dam thuai ang. I gut health kha enkawl rawh, okay?

` Diverticulitis, colon infection, pum na, diverticulosis, ril natna, colonoscopy, chaw ei dan