I taksaah thisen a chhuak em? Gastrointestinal Bleeding chungchang hi i zir dawn nia

Toilet i kal dawna i bawlhhlawh chhunga thisen i hmuh hian thih thlengin i hlau ngai em? A nih loh leh i bawlhhlawh chu mak tak maiin tar ang maiin a dum tih i hmu tawh em? Hetiang thil i hmuh hian hlauhna i neih hi thil pangngai a ni. Mahse a tam zawkah chuan hei hi natna khirh tak chhinchhiahna a ni lo. Chuvangin vawiinah hian kan chaw ei kawng chhunga thisen chhuak, chu chu Gastrointestinal Bleeding (GI Bleeding) chungchang hi awlsam leh chiang takin i sawi dawn nia.

Hei hi chaw ei kawng chhunga thisen chhuah hi eng nge ni?

A awlsam zawngin Gastrointestinal Bleeding hi natna a ni lo va, a symptom a ni. Taksa chhunga harsatna dang avanga lo awm a ni. Ngaihtuah teh, kan chaw ei kawng hi tube ang maia sei tak a ni a, ka atanga hnute thlengin a kal a ni. Hei hian chaw ei kawng peng zawng zawng, chaw kawng, chaw kawng, chaw kawng te, chaw kawng lian, leh chaw kawng (rectum) te a huam vek a ni. Chuvangin he system khawi hmunah pawh thisen chhuah a lo intan chuan gastrointestinal bleeding kan ti thin.

He thisen chhuahna hi hmun tlemte atanga lo chhuak a ni thei a, chu chu pum chhunga ulcer awm ang chi a ni thei a, hmun zau zawk atanga lo chhuak a ni thei bawk a, chu chu intestine lian lama inflammation vang pawh a ni thei bawk.

Mahse thil mak tak chu, a chang chuan he thisen chhuah pawh hi kan hmu lo. Doctor-te chuan hei hi ‘occult bleeding’ an ti a. Mahse lungngai suh, hetiang thisen thup pawh hi ek test awlsam tak hmangin awlsam takin a hriat theih a ni.

Engvangin nge thisen chhuah a tam em em? A chhan thenkhat han thlir ila.

Hetianga a awm chhan hi thisen kalna tur hmun azirin mi hrang hrangah a inang lo. Hei hi chiang taka hrethiam turin a hnuaia table hi han en ila.

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Eng chhinchhiahna nge kan hmuh?

Heng symptoms te hi thisen chhuahna hmun leh a rang dan azirin a danglam thei.

A thawnthu hi thisen hmanga sawi a ni.

I hmuh symptoms atang hian khawi atanga thisen lo chhuak nge tih hi rough idea i nei thei.

• Stool-a thisen sen hring hring: Hei hi rectum emaw colon hnuai lam atanga lo chhuak a nih a rinawm ber. Hei hi hemorrhoid ang chi dinhmunah chuan a awm fo thin.
• Dark red/black blood mixed with stool: Thisen hi intestine lian chunglam emaw, small intestine hnuhnung ber emaw atanga lo chhuak a ni thei.
• Thir dum, sticky, foul-smelling stools: Hei hi chhinchhiahna pawimawh tak a ni. Chumi awmzia chu thisen chu chaw ei kawng chunglam, pum leh chaw kawng atanga lo chhuak a ni tihna a ni. Chuta tang thisen chu chaw ei kawng (digestive system) a kal pelh rualin a hmin a, chu chu a dum ta a ni.
• Thisen sen hring hring leh luak chhuak: Hei hian chaw kawng emaw, pum emaw atanga thisen chhuak thar a awm tih a tilang.
• Vomit that looks like "coffee grounds": Hetiang lo lang hi thisen chu pum chhungah rei vak lo a awm a, stomach acids nen a inhmeh chuan a lo awm thin.

Mahse thil pakhat hre reng ang che. Damdawi thenkhat, entirnan iron pill, leh ei tur thenkhat, a bik takin beetroot te hian i ek chu a sen emaw, a dum emaw a siam thei bawk. Chuvangin rawng danglam i hmuh chuan hlauthawng suh, mahse i doctor hnenah hrilh la a tha ber.

Thil awm dan tlangpui dangte

Thisen chhuahna hi a awm fo a, hun rei tak a awm chuan a lan chhuah dan te pawh i nei thei bawk:

• Sawifiah theih loh chau leh hahna
• Chaklohna
• Pale hmel lan dan
• Anemia tih awmzia chu taksaa thisen volume tlahniam tihna a ni.

Thisen chhuak nasa tak i neih thut chuan, luak chhuak, chak lohna, thawk harsa, leh pum na ang chi chhinchhiahna i nei thei a ni . Hei hi emergency a nih avangin emergency room (ETU) pan vat a pawimawh.

Engtin nge hei hi i hmuh theih, Doctor?

Hetiang thisen chhuahna danglam tak i neih chuan doctor pan ngei ngei tur a ni. A enfiah ang che a, zawhna tlemte a zawt ang che. I bawlhhlawh kal dan te, a rawng te, leh natna i neih leh neih loh te hian thisen chu khawi atanga lo chhuak nge tih chu a rough idea a pe thei che a ni.

Tichuan, hetiang test thenkhat hi i ti duh mai thei:

1. Stool Test: Thin chhunga thisen thup awm leh awm loh enfiah thin ang che.

2. Thisen test: thisen tlakchhamna (anemia) i nei em tih leh i thisen zat a hniam zia enfiah thin ang che.

3. Endoscopy: Hei hi test pawimawh leh dik ber a ni. Hetah hian camera dahna tube te tak te, flexible tak chu hmui (upper GI endoscopy) emaw rectum (colonoscopy) emaw hmangin thisen chhuahna hmun dik tak hriat nan dah a ni. A tul chuan tissue piece (biopsy) pawh hetih lai hian enfiah turin lak theih a ni bawk. Ngaihtuah buai suh, hei hi anesthesia hmanga tih a ni tlangpui a, chuvangin natna engmah i nei lovang.

A then phei chuan test dang, X-ray leh angiography, barium solution hmanga tih pawh a awm thei bawk.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu gastrointestinal bleeding tam zawk hi hlawhtling taka control leh enkawl theih a ni. Enkawlna i dawn dan chu thisen chhuah chhan a zirin a innghat ang.

In many cases , a hmaa ka sawi tawh endoscopy hi enkawlna nen a rualin tih theih a ni. Chu chu thil mak a ni lo maw? Endoscope hmang hian doctor chuan:

• Thisen chhuahna hmunah damdawi inject rawh.
• Thisen chhuah tihtawp nan a hmun chu mei tlem nen cauterize rawh.
• A nih loh leh thisen kalna kawng chu clip te tak te hmangin khar rawh.

Heng hmanrua te hian thisen chhuahna a thunun loh chuan operation tih a ngai mai thei. Thisen chhuah a reh hnuah chuan i natna a lo awm leh tawh loh nan damdawi pek i ni ang.