Chaw thau tak i ei hnu rei vak lovah i pum na tak tak, i ruh chunglam hnuai lam chiah, i nei tawh em? Nausea nen a inzawm mai thei, a na lutuk a, i che thei lo. Hei hi mi tam takin ‘gallstone pain’ an tih mai chu a ni. Damdawi lamah chuan he natna hi Biliary Colic kan ti thin. A takah chuan natna a ni lo va, a hnuaia awm (underlying condition) chhinchhiahna a ni. Chuvangin vawiinah hian kan sawi dawn nia.
Biliary Colic hi eng nge ni?
A awlsam zawngin sawi ila, Biliary Colic hi i biliary tract - chu chu i gallbladder leh bile ducts tikhawlotu thilin a tihkhawtlai avanga rei lo te chhunga i pum natna nasa tak a ni. Tui pipe-a lung te tak te inkhung chu han mitthla teh. Faucet kan on hian tui pressure a sang a, blockage hnung lamah pressure nasa tak a siam thin a ni lawm ni? Chu chu hetah hian thil thleng a ni.
Kan thin atanga tui siam chhuah Bile hi gallbladder-ah hian hun eng emaw chen a awm a. Chaw kan ei hian, a bik takin thau thau tak tak kan ei hian bile duct kaltlangin a kal a, small intestine-ah a lut a ni. Hei hian thau ei chhuahna kawngah a pui a ni. Gallstones hi a chhan ber a ni. Lung chu bile duct-ah emaw, gallbladder atanga a chhuahna hmunah emaw a tlak chuan gallbladder a inzawm khawm chuan pressure a sang chho a, natna nasa tak a thlen thin.
He natna hi eng ang nge a nih leh a awmna hmun?
Biliary colic pain hi pum na dang nen chuan a danglam deuh hlek a. Mizia engemaw zat a nei a.
| Nature of pain | A sawifiahna mai mai a ni |
|---|---|
| Episodic a awm bawk | Natna chu a intan nghal a, a sang ber a, darkar tlemte chhungin a bo vek a ni. Ni tam tak chhung a daih lo. |
| Tumruh | Chumi awmzia chu natna chu thlipui angin a lo kal leh chhuak lo tihna a ni. Vawikhat natna a lo intan chuan darkar engemaw zat chu a awm reng a, a pung lo va, a tlahniam lo bawk. |
| Nasa | Mi tam tak chuan na tak, hliam na tak, chemte, twisting, emaw, na tak tak ang maiin an sawi. Mi thenkhat chuan a nasat em avangin an ding nghet thei lo. |
Khawiah nge a natna chu i hriat?
A tam zawkah chuan a na hi pum dinglam chunglam, ruh hnuai lam chiahah a awm thin. Chutah chuan gallbladder chu a awm a ni. A châng chuan, a natna chu ke dinglam emaw, hnungzang emaw thlengin a darh thei bawk.
Khuh nena inzawm symptom dangte
Biliary Colic natna hian a hnuaia symptoms te hi a keng tel thei a ni.
- Nausea leh luak chhuak
- Pum chhunga natna
- Thaw tam lutuk (Sweating) .
Biliary Colic leh natna khirh tak dangte danglamna
Darkar tlemte chhunga biliary colic natna a reh loh chuan natna khirh zawk, cholecystitis (gallbladder inflammation) emaw cholangitis (bile ducts inflammation) emaw a ni thei. Hengte hi a danglamna hriat a pawimawh.
| Nihna | Thil langsar ber berte | Point pawimawh tak tak |
|---|---|---|
| Biliary Colic a awm | Natna nasa tak (darkar tlemte chhungin a tlahniam), luak chhuak. | Khawsik a awm lo. A natna chu rei lo te chhung atan a ni. |
| Cholecystitis (gallbladder natna) 1.1. | Natna nasa tak chhunzawm zel, khawsik , leh thinlung na chak tak. | Hei hi gallbladder infection vang pawh a ni thei. Damdawi lam pan vat a ngai a ni. |
| Cholangitis (bile ducts natna) 1.1. | Dinglam pum na, khawsik, leh jaundice - chu chu mit leh vun sen tihna a ni. | Hei hi bile ducts infection a ni. Condition hmanhmawhthlak tak leh pawi tak a ni. |
A pawimawh ber chu, i natna hi darkar 5-6 aia rei a daih a nih chuan, emaw, khawsik, khawsik, mit sen te ang chi symptom i neih chuan damdawi in Emergency Department (ETU) ah kal nghal mai tur a ni.
Eng thilin nge hei hi a thlen?
Kan sawi tawh ang khan a mawhphurtu ber chu gallstones , mahse a chhan dang pawh a awm thei bawk.
- Gallstones: Hei hi 90% velin a chhan a ni. Lung chu rei lo te chhung chu bile duct-ah a tang a, pressure a sang a, a na bawk. Lung a kal kual emaw, gallbladder a inzawm loh emaw chuan a natna chu a reh thin.
- Biliary Stricture: Surgery hmasa atanga emaw, hun rei tak chhunga inflammatory condition atanga emaw pawh nise, bile ducts te hi a hliam leh a tawi thei a, bile kalna tur a tikhawlo thei a ni.
- Biliary Dyskinesia: A chang chuan gallbladder a contract tha lo a, Oddi sphincter a inhawng tha lo bawk. Heng harsatnate hian bile a tipung thei a, pressure a tisang thei bawk.
Hei hi eng enkawlna nge ni?
Doctor i hmuh chuan a enfiah ang che a, a chhan dik tak hriat theih nan ultrasound scan ang chi test a ti ang. Enkawlna chu a chhan leh a natna nasat danah a innghat ang.
1. Painkillers: Natna tihreh nan NSAIDs (Nonsteroidal anti-inflammatory drugs) ang chi natna tidamtu damdawi pek thin a ni.
2. Meal Plan: Oil leh thau tamna ei tur (fried foods, fatty meats, dairy foods, cheese, butter) ei loh a pawimawh hle. A chhan chu heng ei tur te hian gallbladder chu a inzawm khawm tir thin a ni. Chungte tihtlem chuan natna lo awm lehna chu nasa takin a thunun thei a ni.
3. Lung chhe thei damdawi: Cholesterol lung te te thenkhat tihthianghlim nan Ursodeoxycholic acid ang damdawi pek thin a ni. Mahse, hei hi mi zawng zawng tan a inhmeh lo.
4. Endoscopy/ERCP: Lung pakhat chu bile duct-ah a tang a nih chuan ERCP (Endoscopic Retrograde Cholangiopancreatography) an tih procedure hmangin a hmuiah camera hmangin tube dahin, a chhungah hian instrument bikte kal tlangin lung chu lakchhuah theih a ni.
5. Surgery: Biliary colic thlentu ber chu gallstones a ni a, chutiang dinhmun chu a lo lang leh a nih chuan a solution tha ber leh nghet ber chu a niCholecystectomy tih a ni. Tunah chuan hei hi keyhole surgery hmanga tih a ni fo tawh a, chu chu laparoscopic surgery an ti a ni. Hei hian hliam a ti tlem a, a dam chak zawk bawk. Gallbladder tel lova normal taka nun chu harsatna a ni lo.
Take-Home Thuchah a ni
- Biliary Colic hi pum dinglam chunglam natna na tak, a inkar a awm thin a ni. Chaw thau ei hnuah a awm fo thin.
- Hei hi a hnuaia thil awm, gallstones ang chi hriattirna a ni a, chuvangin ngaihthah ngai suh.
- Darkar tlemte aia rei a natna a awm chuan emaw, khawsik emaw, jaundice emaw ang chi natna a lo awm chuan damdawi in Emergency Department (ETU)-ah kal nghal tur a ni.
- Natna chu a reh tawh a nih pawhin a chhan zawng chhuakin, enkawl dan tur dik tak dawng turin doctor pan ngei ngei tur a ni .
- Enkawlna dik tak a awm chuan he natna hi a dam vek thei a, harsatna lian tham tak tak pawh a veng thei bawk.
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