Luak chhuah hi tu tan pawh thil nuam lo leh harsa tak a ni. Mahse han ngaihtuah teh, i luak chhuak chu a pangngai lo va, a dum emaw, a dum emaw a lang a, coffee ground ang maiin a lang. Tu pawhin hetiang thil hi an hmuh chuan an hlau hle ang. Hei hi hlauh tur thil tak tak a ni em? Awle. Hei hi natna khirh tak a ni a , ngaihthah tur a ni lo . Vawiin hian he natna ‘ coffee ground emesis ’ emaw, damdawi lama kan tih ang chi hi kan sawi dawn a ni.
Coffee ground ang maia lang hi eng nge ni?
A awlsam zawngin, hei hi i luak chhuak atanga thisen chhuak a ni. Mahse he thisen hi thil thar a ni lo, thisen sen. Hei hi thisen hlui a ni. Hei hi i chaw ei kawng chunglam, chu chu chaw kawng atanga thisen lo chhuak, chu chu chaw kawng, a nih loh leh small intestine (duodenum) hmun hmasa ber atanga thisen lo chhuak a nih a, chu thisen chu pum chhungah rei vak lo a thut chuan a thleng thin.
Ngaihtuah teh, he thisen hi pum chhunga acid chak tak takte nen a inzawm chuan thisen chhunga hemoglobin chu a inthlak a, a dum emaw a dum emaw a lo ni ta a ni. Chuvang chuan coffee ground ang mai a ni. Chu chu thisen chhuah hnu rei vak lovah i luak tihna a ni. Damdawi lamah chuan thisen chhuahna dinhmun eng pawh hi hematemesis kan ti a. He coffee grounds vomiting hi hematemesis chi khat a ni.
Engvangin nge hetiang taka luak chhuak hi a lo awm? A chhan berte chu engte nge ni?
Coffee grounds ang maia luak hi upper gastrointestinal bleeding a ni tih a tilang chiang hle. Hei hi chhan hrang hrang a awm thei.
| Chhan | A awlsam zawngin sawifiah a ni |
|---|---|
| Peptic Ulcers (Pum emaw, rilru natna emaw) . | Hei hi a chhan tam ber a ni. Thisen chhuah hi pum chhunga hliam emaw, small intestine hmun hmasa ber emaw atanga lo chhuak thei a ni. |
| Pum emaw chaw kawng emaw a natna (Gastritis/Esophagitis) . | Pum emaw, chaw kawng emaw bang a hring leh a sen chuan thisen a chhuak tlem thei hle. |
| Chaw ei kawng (Esophageal Varices) a awm | A bik takin thin natna vei te tan chuan chaw kawng chhunga thisen kalna kawng (veins) te hi a hring thei a, a puak thei a, thisen a chhuak thei bawk. Hei hi dinhmun hlauhawm tak a ni. |
| Luak na tak avanga chaw kawng (esophagus) a tear | Luak tam emaw, luak tam lutuk emaw hian chaw kawng bang a tikehsawm thei a, thisen a chhuak thei bawk. |
| Cancer natna vei te | Pum, chaw kawng emaw, pancreas emaw cancer vangin thisen a chhuak thei a ni. |
Mi thenkhat chuan hei hi bowel obstruction vang niin an ngai. Mahse chu chu a dik lo. Intestine hnuai lamah thisen a chhuak a nih chuan thisen chu stool (black in color) nen a chhuak ang a, riltam nen a chhuak lo ang.
Hetiang dinhmun hi tute nge hlauhawm ber?
Tu pawhin he natna hi vei thei mahse, mi thenkhat chu an hlauhawm zawk.
| Risk Factor a ni | Hrilhfiahna |
|---|---|
| Zu in tam lutuk | Zu in hian gastritis leh liver natna a thlen theihna a tipung a ni. |
| NSAID-type painkiller ei thin | Ibuprofen leh Diclofenac ang chi natna tidamtu damdawi hman chhunzawm zel hian pum na a thlen thei a ni. |
| Late-stage liver natna a awm thin | Liver a thawk tha lo a nih chuan thisen chhuah theihna a sang zawk. |
| Thisen zam (blood clotting disorder) a awm | Thisen a inzawm tha loh avangin hliam tenau tak pawh hian thisen chhuahna nasa tak a thlen thei a ni. |
| Kum 60 chunglam a ni | Kum upat rualin a hlauhawmna a sang chho zel a, hei hi pum chhunga venhimna layer a chak loh vang leh natna dang a awm vang a ni. |
Hemi chungchangah hian doctor hian eng nge a tih?
Coffee grounds i luak chhuah avanga damdawi ina i kal hian doctor-te chuan i dinhmun chu tihngheh tumin an bei hmasa a, thisen chhuah chhan dik tak chu an zawng chhuak thin.
1. A chipchiar zawka zawh che
Doctor chuan i medical history, damdawi i ei (a bik takin natna tidamtu), zu i in leh in loh te a zawt ang che. Tin, natna lan chhuah dan dang, pum na, rilru na, leh bawlhhlawh dum (melena) te pawh an zawt ang.
2. Test \ul tak tak neih
A chhan finfiah nan test eng emaw zat tih theih a ni.
- Thisen test: I thisen zat a hniam (hemoglobin level), leh i thin leh kal (kidney) hnathawh dan te enfiah thin ang che.
- Upper Endoscopy (EGD test): Hei hi test pawimawh ber a ni. I mut tir ang a, i hmuiah camera tube te tak te dahin i chaw kawng, i pum leh i ril tenau hmun hmasa ber chu enfiah a ni ang. Hei hian thisen chhuahna chu khawi atanga lo chhuak nge tih chiang takin a hriat theih nan a pui ang che.
3. Enkawl dan
A tha ber chu a tam zawkah chuan endoscopy nen hian enkawlna hi a rualin tih theih a ni.
- Thisen chhuahna hmun i hmuh chuan, tube kal tlanga hmanraw te tak te hmangin thisen chhuahna vein chu clip emaw cauterize emaw hmangin thisen chhuahna chu i titawp thei a ni .
- Thisen tam tak i hloh a, tui i tlakchham chuan i dinhmun nghet zawka siam turin IV fluid emaw thisen pek emaw i mamawh mai thei.
- Thisen chhuah a reh hnuah a chhan bulpui chu enkawl a ni. Entirnan, pum na a nih chuan damdawi pek thin a ni.
Engtikah nge Doctor ka hmuh ang?
Coffee grounds i luak ngai a, chu chu i luak chu a dum emaw, a dum emaw a ni tihna a nih chuan doctor pan nghal rawh. Hei hi in lama enkawl theih thil a ni lo. Tikhawtlai suh.
A bik takin, a hnuaia symptoms te nen hian coffee grounds i ei chuan emergency a ni. Damdawi inah mi pakhat nen kal nghal rawh.Emergency Treatment Unit (ETU) ah kal rawh.
| Damdawi inah kal nghal rawh! | |
|---|---|
| 🚨 tih a ni | Luak chhuak nasa emaw, lu hah emaw i neih chuan |
| 🚨 tih a ni | I luak chhuak emaw, hriatna hloh emaw i neih chuan |
| 🚨 tih a ni | Buaina emaw, hriatna hloh emaw |
| 🚨 tih a ni | Mit var chu a sen (Jaundice) a nih chuan . |
| 🚨 tih a ni | Tuar theih loh, pum na tak |
| 🚨 tih a ni | A rilru a na hle |
Take-Home Thuchah a ni
- Coffee grounds ang maia luak chhuak hi pum emaw upper digestive tract-a thisen chhuak hlui chhinchhiahna a ni.
- Hei hi natna khirh tak a nih avangin doctor pan nghal tur a ni. Eng vangin pawh tlai suh.
- Hei hi pum natna, zu in tam lutuk, natna tidamtu (NSAID) thenkhat, leh thin natna te ang chi natna avanga lo awm thei a ni.
- Symptom dang i neih chuan luak chhuak, natna nasa tak, emaw hriatna hloh emaw i neih chuan damdawi in Emergency Department (ETU)-ah kal nghal rawh.
- Lungngai suh, he natna hi a chhan dik zawng chhuakin, rang taka enkawl a nih chuan a dam vek thei a ni. I doctor thupek ang chiah kha zawm rawh.
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