Atrophic gastritis tih hi i hre tawh em, chu chu pum chhunga lining a hring chhuak thin? Kan sawi dun teh ang!

A châng chuan i pum a buai emaw, ei duh lohna emaw, i pum chhungah i khat tih hriatna emaw i nei thei a ni lawm ni? Chutianga a awm chhan chu i ngaihtuah angin a awlsam lo mai thei. Vawiin hian dinhmun thuk deuh, mahse mi tam tak tan chuan pawimawh tak ni thei tur kan sawi dawn a ni. Chu chu Atrophic Gastritis an tih natna a ni . Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Atrophic gastritis tih hi eng nge ni?

A awlsam zawngin sawi ila, atrophic gastritis hi i pum chhunga lining, stomach lining chu zawi zawiin a thim zauh zauh a, chronically inflamed a lo ni ta a ni. I pum chhunga venhimna (protective membrane) angin ngaihtuah rawh. Hei hian i pum chhunga acid khauh tak tak lakah hian pum chhunga awmte chu a venghim a ni. Atrophic gastritis-ah chuan he venhimna hi a chhe a, a hring ta a ni.

Thil danglam bik dang chu hetiang dinhmunah hian i pum chhunga cell thenkhat chu i small intestine-a cell te nen an inang tan thin. Hei hi damdawi lam tawng chuan ``intestinal metaplasia'' an ti a. Chumi awmzia chu i pum chhunga cell awmte hian i intestine chhunga cell awmte hmel an la ta tihna a ni.

Hei hi chi hnih lian tak a awm a ni lawm ni?

Ni e, i sawi dik e. Atrophic gastritis hi chi hnih a awm a. Eng nge an nih i en ang u.

1. Environment-in a tihbuai atrophic gastritis (EMAG) .

Hei hi chi khat a ni. Doctor-te chuan `(Environmental Metaplastic Atrophic Gastritis)` emaw, a tawi zawngin EMAG emaw an ti a. Hei hi a chhan ber chu bacteria `H. pylori` (Helicobacter pylori) tih a ni.

Ngaihtuah teh, i pum chhungah hian ruah sur laka umbrella ang maia venghimtu mucous membrane a awm a. Hei hian chaw ei tur chawhpawlh tura puitu acidic gastric juices lakah chaw kawng bang a venghim a ni. Mahse he bacteria hian `H. pylori` a lo kal a, chu umbrella chu a hliam ang maiin a che a. Tichuan chu acidic acids te chuan pum chhung bang chu an ei bo tan ta a ni. Kum tam tak chhunga hetiang thil a thlen hian pum chhunga cell te chu a chhe vek a, lining chu a thim a, EMAG dinhmun chu a lo piang ta a ni.

2. Autoimmune atrophic gastritis (AAG) natna hi a awm thei lo.

Hei hi chi hnihna a ni. Chu chu `(Autoimmune Atrophic Gastritis)` emaw, a tawi zawngin AAG emaw an ti a. A chang chuan `(Autoimmune Gastritis - AIG)` an ti bawk.

Tunah chuan en teh, bodyguard pawl kan nei a. Chu chu kan immune system a ni. An hna chu natna thlentu hrik dona a ni. Mahse a chang chuan anmahni ta pakhat chu tihpalh ang maiin heng bodyguard-te hian kan cell hrisel tak takte chu an rawn bei tan thin. Chu chu AAG-ah pawh a thleng thin. Hetah hian immune system hian kan pum chhunga cell hrisel tak takte chu direct-in a bei a.

Heng chi hrang hrang zingah hian risk a awm em?

Ni e, EMAG leh AAG te hian i pum chhunga tumor te tak te lo awm theihna a tipung thei a ni. Chungte chu ``Neuroendocrine Tumors - NETs'' an ti a. Mahse, a tam zawkah chuan heng NET te hi cancer (benign) an ni lo va , an hlauhawm lo tihna a ni. Mahse, EMAG leh AAG te hian gastric cancer vei theihna a tipung thei a ni. Hei hi kan hriat chian a pawimawh hle a ni.

He EMAG hi tute nge siam chhuah duh zawk?

Mite chu environmentally induced atrophic gastritis (EMAG) vei theihna hlauhawm zawkte chu:

• Asian emaw Hispanic hnam emaw tan chuan.
• Kum 70 chunglam tan.
• Chaw tui ei tam lutuk te tan.
• `H. nei te tan chuan. pylori` natna hrik kai.
• Mipui tamna hmun, mipui tamna hmuna chengte tan (hei hian `H. pylori` a darh theih avangin).
• Meizial zu thinte tan.

Chuti a nih chuan tu nge AAG nei thei zawk?

Autoimmune atrophic gastritis (AAG) vei theihna chance sang zawk nei an awm bawk. Anni chu:

• Hmeichhia tan (mipa aiin).
• African American emaw Northern European emaw hnam chhuak tan chuan.
• Chhungkaw zinga mi pakhatin AAG a lo vei tawh a nih chuan (hereditary link a awm thei).
• Genetic mutations thenkhat nei tan chuan.
• Autoimmune natna dang nei tan. Entir nan:
• Addison natna a ni
• Autoimmune thyroid natna (e.g. Hashimoto natna, Graves natna) .
• Type 1 zunthlum vei a ni
• Vitiligo a awm

Heng dinhmunte hi engtiang chiahin nge a awm?

United States atanga statistics atanga a lan dan chuan mipui 15% velin atrophic gastritis (AG) an vei nia chhut a ni. AAG vei tamna hi 0.5% leh 2% inkar a ni thei tih an sawi bawk. Hetiang dinhmun hi Sri Lanka ramah hian harsatna nei lo a ni lo.

EMAG din chhan bikte chu engte nge ni?

Kan sawi tawh ang khan EMAG awm chhan ber chu bacteria `H. pylori` tih a ni. He bacteria hi naupan lai hian a kai tam ber a ni. A inkaichhawn theih dan kawng hrang hrang a awm. Chungte chu:

• Feces (feces) nena direct contact hmangin.
• Chaw ei hmangin.
• Saliva hmangin.
• Luak chhuak hmangin.
• Tui hmangin.

Chumi awmzia chu he bacteria laka kan him theih nan faina enkawl a pawimawh hle tihna a ni.

AAG awm chhante chu engte nge ni?

AAG-a thil thleng chu kan taksa antibody – natna laka min vengtu protein chi khat hian kan pum chhunga cell hrisel tak takte chu a bei a ni.

Thil dang pakhat chu, heng antibodies te hian kan pum cell atanga siam protein bik `Intrinsic factor` an tih chu a chang chuan an bei thei a ni. He `Intrinsic factor` hi vitamin B12 a ni.Taksain a hip luh a pawimawh hle. Chuvangin, `Intrinsic factor` a awm loh chuan kan taksa hian vitamin B12 hi a hip tha thei lo ang. Hei hian taksain thisen zam hrisel a siam theih loh phah ang a, chu chuan thisen tlakchhamna chi khat bik `Pernicious anemia` tih a thlen thei a ni. Vitamin B12 a tlem chuan nerve tihchhiatna (neuropathy) a thlen thei bawk.

EMAG natna lan chhuah dan chu engte nge ni?

Thu lawmawm tak chu mi thenkhat chuan atrophic gastritis nei mahse symptom an nei lo mai thei. Mahse, EMAG hi H. pylori natna avanga lo awm a nih chuan, a lan chhuah dan te chu:

• Pum chunglam a na.
• Iron tlakchhamna avanga thisen tlakchhamna.
• Chaw chu a thlum lo.
• Nausea leh luak chhuak.
• Peptic ulcers hi pum chhungah emaw, small intestine-ah emaw a awm.
• Chhan awm lova thinrim.

AAG natna lan chhuah dan chu engte nge ni?

EMAG ang bawkin AAG vei thenkhat chuan symptom an nei lo mai thei. Mahse, AAG hian vitamin B12 tlakchhamna a thlen chuan thisen tlakchhamna leh nerve chhiatna nena inzawm symptoms a awm thei. A lan chhuah dan chu:

• A rilru a na.
• Luak chhuak, lu hah, chak lohna.
• Lung na tak tak.
• Rilru buai, delirium ang chi.
• Nausea leh luak chhuak.
• Vun dum (pale skin) a ni.
• Pulse chak tak a ni.
• Beng chhung atanga ri ri chhuak (Tinnitus) hriatna.
• Ke ruh leh ke ruh chhunga rilru hahna leh hriatna hloh.

Engtin nge doctor hian hei hi a hriat theih? (Diagnosis) tih a ni.

Hetiang symptoms i report hian doctor chuan zawhna a zawt hmasa ang che a, taksa enfiahna a nei ang che, chutah chuan i pum chu a palpating ang a, tenderness a awm leh awm loh a enfiah ang.

Atrophic gastritis nia rinhlelh a nih chuan doctor chuan thisen test vawi engemaw zat neih a rawt thei a , chu chu:

• Thisen sen (red blood cell count) hrisel (a hniam chuan thisen tlakchhamna (anemia) a thlen thei).
• Thir level a ni.
• Antibodies chi hrang hrang (a bik takin AAG rinhlelh a nih chuan).
• Gastrin level, pum chhunga acid siamna atana puitu hormone a ni.
• Pum cell atanga protein siam `Pepsinogen` level.
• Vitamin B12 a awm zat.

Chu bâkah, doctor chuan endoscopy a ti thei bawk .

• Hei hian i pum chhungah uluk taka en theih turin i hmui hmanga camera dahna tur tube te tak te (endoscope) dah a ni. Ngaihtuah buai suh, procedure hmain mut tir emaw, sedate emaw i ni ang a, chuvang chuan engmah hrehawmna i nei lo ang.
• Hetih lai hian pum chhung atanga tissue te tak te chu biopsy atan lak theih a ni. Hei hian atrophic gastritis a awm leh awm loh leh bacteria H. pylori a awm leh awm loh a nemnghet thei a ni.
• Hei hian a hmaa kan sawi tawh ``Neuroendocrine tumors - NETs'' ang chi tumor te pawh a check thei bawk.

Hei hi eng enkawlna nge ni?

Enkawl dan tur chu EMAG emaw AAG emaw i neih danah a innghat.

EMAG enkawl dan tur

• H. pylori infection a awm chuan a that theih nan antibiotics pek thin a ni.
• Pum acid tihtlem thei damdawi pek theih a ni.
• Tin, endoscopy enfiahna neih fo a, a dinhmun enfiah a pawimawh bawk.

AAG enkawl dan tur

• Vitamin B12 level a hniam chuan a tihpun nan vitamin B12 injection a ngai mai thei.
• Iron level a hniam chuan iron infusion hi thisenah pek theih a ni .

Endoscopy neih laiin NET an tih lump te te i hmuh chuan i doctor chuan a rualin a la chhuak thei bawk. Hei hi endoscopic mucosal resection an ti a. Kan sawi tawh ang khan heng lumps te hi cancer (benign) an ni lo tlangpui. Mahse, kum hnih danah check out tir hi a tha hle.

Engtin nge atrophic gastritis (AG) vei theihna tihziaawm theih ang?

EMAG thlen thei H. pylori infection laka inven nan faina lamah fimkhur hle a ngai a ni. Bik takin:

• Diaper a thlak hnuah.
• Toilet a kal hnu chuan.
• Chaw ei hmain.

Sahbawn hmangin i kut chu uluk takin silfai thin ang che. I fateah pawh kut sil fo thin dan hi tuh rawh.

Mahse, autoimmune condition AAG an tih hi a lo awm loh nan kan tih theih a awm lo. Mahse, a natna lan chhuah dan hriat a pawimawh a, a tul chuan damdawi lam thurawn lak vat a pawimawh a, a dinhmun enfiah a pawimawh bawk.

Hetiang dinhmun nena i nun hian eng nge thleng? (Hmuh dan tur) .

Atrophic gastritis hi damdawi awm lo mah se, mi tam zawk chuan nun pangngai, symptom nei lo takin an hmang thei a ni. Mi thenkhat chuan an dam chhung zawngin vitamin B12 emaw iron supplement emaw an ei a ngai mai thei.

Hetiang natna vei tlemte, hlauhawmna sang zawk nei te hian kum thum atanga kum nga danah endoscopy an neih a ngai tlangpui (endoscopic surveillance). Amaherawhchu, heng mite zingah hian pum cancer vei theihna chance awm mahse, a tlem hle. Chutiang lumps NET tia koh nei te pawhin enkawl an ngai mai thei a, mahse cancer ni lo an ni fo.

EMAG i neih chuan engtin nge i enkawl ang?

EMAG i neih chuan harsatna tihziaawmna turin hengte hi i ti thei ang:

• Meizial i zu a nih chuan i chawlhsan ngei ang.
• Salt (sodium) controlled diet hmang thiam rawh.
• Gastroenterologist hmu la , i dinhmun chu a hun takah enfiah tir rawh .

AAG i neih chuan engtin nge i in enkawl ang?

Vitamin B12 i tlakchham chuan i ei leh inah B12 tamna ei tur i dah tel thei bawk. Entir nan:

• Bawngsa
• Clams a ni
• Eggs a ni
• Nga hriak (salmon, mackerel, leh sardines ang chi) .
• Cereal tihchak (fortified cereal) te
• Bawnghnute
• Yogurt a ni

Tin, AAG vei te hian gastroenterologist an pan chhunzawm zel tur a ni a, chu chuan an dinhmun chu an enfiah a, a tul anga enkawlna tihdanglam a ngai bawk.

Take-Home Thuchah a ni

Atrophic gastritis hi pum chhunga lining a hring a, a inflamed a ni. A chi hnih a awm a, EMAG hi H. pylori infection avanga lo awm a ni a, AAG hi immune system lama harsatna awm vang a ni.

• Symptoms hi mi zawng zawng tan a inang vek lo. Chung zingah chuan pum na, chaw ei chak lohna, vitamin B12 tlakchhamna te pawh a tel thei.
• Hei hi thisen test leh endoscopy hmang chauhin dik taka hriat theih a ni.
• Enkawlnaah hian H. pylori damdawi, vitamin B12 injection, leh iron te a tel a ni.
• Mi tam tak chuan nun pangngaiin an hmang thei a. Amaherawhchu, Doctor nena inbiak reng a, a tul anga test leh enkawlna neih a pawimawh hle.

Hemi chungchanga zawhna dang i neih chuan, emaw, heng symptoms te hi i nei nia i hriat chuan doctor pan la, thurawn la rawh. Ngaihtuah buai suh, engkim chinfelna a awm!

` Atrophic Gastritis, Atrophic Gastritis, Pum natna, Pum, H. pylori, Vitamin B12, thisen tlakchhamna, Endoscopy, Gastritis