I fa hian a pum a na fo em? Abdominal migraine a ni thei!

I fate hian, “Mommy, ka pum a na” a ti fo em? A nih loh leh pum na, a intan nghal a, rei vak lo hnuah a reh ta em? A châng chuan hengte hi pum na pangngai ang maiin kan ngai a, mahse hei hi thil danglam deuh a ni thei. Chu chu vawiinah kan sawi dawn a ni.

Abdominal Migraine tih hi eng nge ni? I hrethiam ang u!

A awlsam zawngin sawi ila, he pum chhunga migraine hi migraine chi khat a ni. Mahse lu na ai chuan pum na ang maia hriat a ni ber. He pum na hi a tlangpuiin a hniam lam atanga na tak thlengin a awm thei . Dik tak chuan naupang chu ni tin hna pawh a thawh theih loh khawpin a nghawng thei a ni.

He natna hi darkar khat atanga darkar 72 (ni 3) thleng a awm thei. Mahse darkar 17 vel a daih tlangpui . Naupang thenkhat chuan he pum na nen hian traditional migraine headache an nei ve thei bawk. Hei hi hriat reng a pawimawh bawk.

Researcher-te chuan migraine leh migraine lu na hi inzawmna a awm niin an sawi. An rin dan chuan he natna pahnih hi a thlentu, a lan chhuah dan leh a enkawl dan pawh a inang vek a ni. Tin, an dinhmun pahnih chhan bulpui ber pawh a inang vek thei niin an ngai bawk. Entirnan, migraine lu na nei zinga 24% chuan an dam chhungin engtik lai pawhin migraine an nei ve bawk. Hei hi mipui zawng zawng 10% vel nen khaikhin chuan a inang lo hle.

He dinhmun hian tute nge a nghawng ber? I fa chu an zingah a tel ve em?

Stomach migraine hi naupang kum 10 hnuai lam zingah a tam ber a, mahse, puitling pawhin an vei thei a, chu chu hriat reng tur a ni.

He natna hi kum 7 vel atanga tan a ni tlangpui a, chubakah, mipa aiin hmeichhiaah hian a tam zawk deuh bawk.

Risk factors te chu engte nge ni? Tu nge a hlauhawm ber?

I chhungkuaa mi tu emaw, i fa nu, a pa emaw, a unaute emaw ang chi, migraine a neih chuan i fa chu migraine vei theihna a sang zawk a ni. Naupang migraine vei zinga 65% aia tam chuan first-degree relative, migraine nei an nei a ni.

Chu mai ni lovin, naupang rilru lam hriselna lama harsatna nei, lungkhamna leh lungngaihna nei te pawh hi pum leh lu lam natna (migraine) vei theihna a sang zawk a ni. Chuvang chuan naupang rilru hriselna pawh kan ngaihtuah a ngai a ni.

Engtiang chiahin nge pum chhunga migraine hi a awm? Hei hi a awm fo tak tak em?

Sikul kal thei naupang 1% leh 4% inkar chuan he pum natna hi an nei nia chhut a ni. Mahse, zirchiangtute chuan a tam zawk mai thei niin an ngai. Hei hi a chhan chu he natna hi underdiagnose a nih avangin underreported a nih vang a ni.

Puitling zingah chuan pum chhunga migraine hi a tlem hle.

Eng nge a lan chhuah dan? Engtin nge i hriat chian?

He stomach migraine chhinchhiahna ber chu pum na a ni . He natna hi pum lai takah, navel vel ah a awm tlangpui. A châng chuan natna dull ang maiin a awm thei a, a nih loh leh natna nasa tak angin a lo thleng thei bawk. Natna level hi a hniam emaw, a na emaw pawh a ni thei.

He natna hrehawm tak danglamna chu a intan nghal a, chutiang bawk chuan a bo nghal vat thin. Sawi tawh angin darkar khat atanga darkar 72 thleng a daih thei.

Heng symptom lian ber berte bakah hian nangmah emaw i fa emaw hian symptoms te pawh i nei thei a, chungte chu:

• Pallor a ni .
• Anorexia , chu chu ei duhna hloh tihna a ni .
• Luhai .
• Luak chhuak .
• Lu na a awm .

Hei bakah hian mi thenkhat chuan migraine natna vei laia hmuh tur chhinchhiahna dang an nei thei bawk a, chu chu êng êng tak laka hriatna (photophobia) leh thawm ri nasa tak hriat theihna (phonophobia) te hi a ni.

He pum na episode inkar hi kar tlemte atanga thla engemaw zat thleng a ni thei. A tlangpuiin non-stomach ache period-ah hian symptom a awm lo.

Engvangin nge heng pum na hi a lo awm? A chhante chu engte nge ni?

Researcher te hian stomach migraines thlentu hi eng nge ni tih chiang takin an la hre lo a, mahse hypothesis tlemte an nei thung.

Hypothesis ber chu migraine vei te nervous system hi a tul lovah a sensitive tih hi a ni. A bik takin he system-a primary sensory leh central spinal neurons te hi hetah hian an pawimawh hle. Zirchiangtute chuan genetic factor thenkhat, psychological leh social factors, leh environmental factors te hian he hypersensitivity hi a nghawng thei niin an ngai.

Mi pakhatin trigger, motion sickness emaw stress emaw a tawrh chuan an taksa chuan chemical messenger neurotransmitters an tih chu a pangngai lo takin a tichhuak thin. Chung zingah chuan serotonin hi pum naah a inrawlh bik nia ngaih a ni.

He dinhmun tipungtu emaw, tichhe zual emaw tirtu thilte chu engte nge ni?

Thil awmdan leh thil thenkhatah chuan heng pum chhunga migraine te hi a tipung thei a, chu chu a thar tan emaw, a awm tawh chu a tichhe thei tihna a ni. Chûngte chu mi hrang hrangah a inang lo thei.

Mi tam tak nghawng thei trigger tlangpui thenkhat chu hetiang hi a ni:

• Stress : Sikul hnathawh leh chhungkaw harsatna ang chi thil avanga stress .
• Mut that loh leh mut dan mumal lo.
• Hun rei tak chaw nghei.
• Tui tlakchhamna (dehydration).
• Khualzin leh Motion Sickness te.
• Insawizawi.
• Amine tamna ei tur: Citrus thei chi hrang hrang, orange leh limes, chocolate, cheese, salami, leh ham te.
• Chaw ei tur chi hrang hrang , a rawng, leh monosodium glutamate ( MSG ) te a awm.
• Light eng tak, eng mawi tak tak.
• Caffeine milligram 200 aia tam ei (chu chu coffee, tea leh soft drink thenkhata awm caffeine tihna a ni) .

Naupang pakhat chu chawlh hmanga a lo haw hunah emaw, exam a hnaih hunah emaw a pum a na tih han ngaihtuah teh. Hengte hi `Triggers` ang chi thil a ni.

Engtin nge doctor hian hei hi a hriat chian?

A nihna takah chuan he pum chhunga migraine hi hriat chian a harsa deuh a, a chhan chu pum natna thlen thei dinhmun leh chhan dang tam tak a awm a ni.

Tin, naupang tê tê tân pawh an natna dik taka sawi leh pum na pangngai leh hei hi a danglamna hriat a harsa thei bawk.

Hetiang chi stomach migraine hi hriat theihna tur lab test emaw imaging test emaw bik a awm lo. Chuvangin, doctor-te chuan naupang natna lan chhuah dan leh damdawi lam chanchin hriatthiamna tha takah an innghat ber a ni.

Doctor pawhin hriselna lama harsatna dang, chutiang chhinchhiahna thlen thei a awm loh nan a enfiah tur a ni. Entir nan:

• Cyclic Vomiting Syndrome a awm a, a chhuahna tur hmun leh a hmanna tur a ni
• Kawchhung Ulcers a awm
• Crohn-a Natna a ni
• Irritable Bowel Syndrome (IBS) a awm a, a rilru a buai em em a, a rilru a hah em em bawk.
• Bladder emaw kidney emaw nena inzawm natna.

I fa enfiahtu doctor chuan a hnuaia mite hi a ti ang:

• Naupang leh chhungkaw damdawi lam chanchin hi uluk taka zirchian a ni.
• Taksa enfiahna (physical examination) neih a ni.
• Damdawi lam thil dang a awm loh nan abdominal ultrasound emaw X-ray emaw ang chi test neih tir a ni thei bawk.

Hei hi eng enkawlna nge ni? Engtin nge i enkawl?

He pum na hi damdawi chiang tak a la awm lo. Chuvangin, enkawlna ngaih pawimawh ber chu he natna hi a lo awm loh nan a ni. Tin, he pum na hi a lo intan veleh enkawl dan tur a awm bawk.

Engtin nge hetiang thil hi i ven theih ang? (Invenna) 1.1.

Heng pum natna te hi ven nan hian i fain eng trigger nge a neih tih hriatthiam a pawimawh hle. Chutianga tih theih dan tha ber pakhat chu i fate natna lan chhuah dan te, an ei leh in te leh an thil tawn te Symptom Journal-a ziah hi a ni. Hei hi triggers hriat theihna kawng tha tak a ni thei.

A tlangpuiin, invenna atan a hnuaia mi hi i ti thei a ni:

• Stress enkawl dan: Stress enkawl dan tur hrisel taka hmachhawn dan tur (healthy coping strategies) hmang rawh. Cognitive Behavioral Therapy (CBT) hian stress enkawlna kawngah pawh a pui hle bawk.
• Khualzinnaah fimkhur rawh: Motion sickness laka inven a pawimawh. Hmun hla tak i zin chuan i ding fo thei a, hmun sang takah i zinna chu i tihtlem thei bawk.
• Mut tha rawh: Migraine vei tan chuan mut tam hi a pawimawh hle. Mut hun pangngai vawn reng leh mut thianghlimna tha neih hian mut tihbuai loh nan a pui thei a ni. Hei hian natna nasatzia a tiziaawm thei bawk.
• Mit tana thil harsa tak takte pumpelh: Light eng leh eng tak hian he natna hi a tizual thei a, chuvangin a theih ang angin hlat rawh.
• Food Triggers pumpelh: I fa natna lan chhuahna tizual thei ang maia lang ei tur te chu hmuchhuak la, i fate ei leh in atanga paih chhuah tum ang che. Tin, MSG (Ajinomoto) leh artificial flavour leh colour nei ei tur te pawh tihtlem bawk ang che .

Invenna Damdawi

U.S. Food and Drug Administration (FDA) chuan migraine lu natna enkawlna atana damdawi bik phalna an la nei lo. Mahse, doctor ṭhenkhat chuan damdawi ṭhenkhat chu “off-label” tiin an pe thei a, chu chu natna dang atâna pawm a ni tihna a ni. Migraine lu na venna atana puitu damdawi tam tak hian migraine lu natna venna kawngah pawh a pui bawk.

Research atanga a lan dan chuan heng damdawi te hian migraine venna kawngah a pui thei a ni:

• Cyproheptadine a ni
• Pizotifen `(Pizotifen)` tih a ni
• Propranolol `(Propranolol)` tih a ni
• Flunarizine `(Flunarizine)` tih a ni

Hengte hi damdawi lam thurawn chauh lak tur a ni.

Thil a harsat chuan eng nge i tih thin? (Episode enkawl dan) .

I fain migraine a neih chuan hmun thim leh reh takah chawlh tir rawh. An hmaiah puan hnim emaw ice pack emaw dah hian natna lan chhuahna a tiziaawm thei bawk.

Chu bâkah, i fa doctor chuan harsatna a tawh hunah a hnuaia damdawi te hi a rawn rawt thei bawk a, a pe thei bawk ang:

• Nonsteroidal Anti-inflammatory Drugs (NSAIDs): Entirnan , ibuprofen emaw aspirin emaw . (Naupang aspirin pek dawnin damdawi lam thurawn hi a pawimawh hle.)
• Antinausea Damdawi hman tur .
• Triptans (Serotonin Receptor Agonists) te hi an lo chhuak tawh a ni .

He dinhmun hi nakin lawkah eng nge ni ang? (Prognosis) tih a ni.

Thu lawmawm tak chu naupang migraine vei te hian an puitlin veleh an migraine hi an outgrow duh hle. Naupang 60% vel chuan tleirawl kum tawp lamah chuan he harsatna hi an ti bo vek tawh ang.

Mahse, naupang migraine vei zinga 70% vel chuan nakin lawkah, tleirawl emaw, puitling emaw pawhin migraine lu na an nei ang.

Ka fa hian hetiang harsatna hi a tawk a nih chuan engtin nge ka tanpui theih ang?

He pum na hi naupang leh nangmah tan pawh rilru na tak a ni thei. Naupang khawtlang nun leh sikul hnathawh a nghawng thei a ni. Chuvangin, a pawimawh ber chu i fate i ring a, an hriselna atana i advocate hi a ni.

I fa doctor nen a symptoms chungchang chu zalen takin sawipui rawh. I chhungkuaa migraine nei an awm chuan hrilh rawh. I fa pum na hi migraine vang a ni thei em tih doctor nen sawiho rawh.

Hun engemaw chen a la ngai dawn a, mahse i fate tana he harsatna tizualtu `Triggers` te hi eng nge ni tih hriat tum ang che. A theih chuan i fa chu an lakah hla takah dah la. Tichuan nakin lawkah hetiang harsatna hi a lo thlen loh nan i veng thei ang.

Engtikah nge doctor i hmuh ang?

He pum na avang hian i fa chu a luak nawn fo a nih chuan Doctor pan ngei ngei tur a ni. Chutiang a nih chuan, i fa chu a luak chhuak control theih nan leh taksa tui hloh tam lutuk avanga tui tlakchhamna ven emaw, enkawl emaw turin damdawi inah dah a ngai mai thei.

Naupang na tak hmuh hi a lungchhiatthlak hle. An tana i tih theih ṭha ber chu an tan advocate a, an doctor biak a, an pum chhunga migraine enkawl dan tur zawng hi a ni. Trigger bik a awm theih avangin, i fate thiltih, dinhmun, leh symptoms journal-a ziah hian hun kal zelah triggers hriatchhuahna kawngah a pui thei che a ni.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Okay, chuvangin vawiin a kan sawi tawh tlemte, i tana pawimawh nia kan hriatte kha han hriat nawn tir leh ang u:

• Abdominal migraine hi a awm tak tak a ni. Pum natna mai a ni lo.
• Hei hi naupang tê tê zingah hmuh tur a tam ber.
• Chhungkaw zinga mi pakhatin migraine a neih chuan a hlauhawmna a sang zawk.
• A natna lan chhuah dan hriat chian a, damdawi lam thurawn lak a pawimawh hle.
• Triggers hriatchhuah leh chuta hlat taka awm hian he dinhmun hi thunun kawngah kawng thui tak a zawh dawn a ni.
• Ngaihtuah buai suh, naupang tam zawk tan chuan an upat deuh deuh chuan he dinhmun hi a reh mai ang.
• I fa hian hetiang thil hi a neih chuan, i thlawpna, i hriatthiamna leh i enkawlna te hi an tan a hlu hle a ni.

He thu hi i tan a \angkai ngei kan beisei. Nang emaw i fa emaw hian heng symptoms te hi i neih chuan doctor rawn la, thurawn la rawh.