Luak chhuak chu a intan nghal a, ni tam tak chhung a awm em? Cyclic Vomiting Syndrome (CVS) chungchang hi i zir dawn teh ang!

I fa emaw, nangmah emaw pawh hian chhan hriat lohvin nasa takin i luak chhuak nghal a, ni khat emaw ni hnih emaw chhung a awm em? Tichuan engmah thleng lo ang maiin a normal leh ta em ni? Thla engemaw zat chhung hetiang thil hi a lo thleng nawn fo a nih chuan tunlaia kan sawi tak Cyclic Vomiting Syndrome (CVS) tih hi i hre reng tur a ni. Hei hi pum natna mai a ni lo va, thil danglam tak a ni.

Cyclic vomiting syndrome (CVS) hi eng nge ni tak tak?

A awlsam zawngin, CVS hi chhan hriat loha natna khirh tak leh luak chhuak nasa tak i neih fo thinna a ni. Heng episode of vomiting te hi darkar tlemte atanga ni engemaw zat thleng a awm thei. A nasat em avangin khum atangin i tho thei lo mai thei. I taksa atanga tui tam tak a bo avangin tui tlakchham loh nan damdawi in emaw emergency room (ETU)-ah IV tui dawng turin i kal a ngai mai thei.

Mahse thil mak tak chu, he riltam na tak hun chhung hi a tawp meuh chuan i hrisel vek tawh a, i normal leh ta a, harsatna i nei lo tak tak ang maiin i awm leh ta a ni.

Hetiang dinhmun hi thla tam tak, kum tam tak, a nih loh leh kum sawm tam tak chhung pawh a awm thei a ni. Mahse, symptoms a awm reng reng lo. A tlangpuiin hetiang hian kum khatah vawi tam tak a chhuak thei. Mi thenkhat tan chuan thla khatah vawi khat emaw vawi hnih emaw pawh a awm thei.

Luak chhuah dan te, ni khata a awm hun te, a nasat dan te, a awm rei dan te hi mi tin a inang lo thei a ni. Mahse mi pakhat tan chuan a symptoms chu a tam emaw a tlem emaw a inang tlangpui a, a vawi khatnaah pawh a inang vek a ni.

Hetiang dinhmun hi a awm fo em?

CVS hi puitling aiin naupangah a tam zawk. Naupang 100,000 zinga 3 velin he natna hi an nei thei nia chhut a ni. Naupang kum 3 leh 7 inkar atanga tan a ni tlangpui a, mahse kum eng pawhah a intan thei.

Hetiang natna lan chhuah dan hi engte nge ni?

CVS chhinchhiahna ber chu rang taka awm, lo lang leh, natna khirh tak leh luak chhuak hi a ni. Hei hi stage hrang hrang engemaw zat a awm.

Heng bakah hian natna lan chhuahna dang a awm thei bawk:

• Pum a na
• Diarrhea (ril a na) .
• Luak chhuak thei
• Drooling emaw, drooling emaw
• Tuihalna nasa tak
• Chaw chakna
• Vun dum (pale skin) a ni
• Lu na nasa tak leh hah lutuk
• Eng emaw ri emaw laka sensitivity (migraine vei ang chi) .
• Khawsik (101°F / 38.3°C thleng) .
• Retching (dry-heaving): Hei hian i luak chhuak dawn ang maiin i inhria a, mahse i pum chhungah engmah a awm loh avangin engmah a chhuak lo tihna a ni.

Eng thilin nge CVS hi a thlen theih?

Hei chauh hi CVS thlentu a ni em tih hriat a la ni lo a, mahse thil engemaw zat a awm nia ngaih a ni.

• I thluak-gut axis chungchanga buaina awmte:A awlsam zawngin kan thluak leh gut chhunga nervous system inkara ‘communication link’-ah harsatna a awm chuan thunun theih loh khawpa luak chhuak a awm thei a ni. Scientist thenkhat chuan hei hi brain-gut disorder an ti bawk.
• I autonomic nervous system inthlak danglamna: Hei hi i taksa peng pakhat, i thunun theih loh thil, i heart rate, thisen sang, leh i luak chhuak ang chi te control tu a ni. He system-ah hian harsatna a awm chuan i luak chhuak i thunun thei tawh lo mai thei.
• Migraine lu na: CVS nei naupang 80% vel leh puitling 25% vel pawhin migraine an nei bawk. Migraine hi lu na tak mai a ni lo. CVS ang bawkin migraine hi a tir lamah a nuam lo thei hle. CVS vei tam tak chuan chhungkaw history-ah migraine an nei a.
• Mitochondrial DNA pangngai lo: Mitochondria hi ‘power plant’ ang mai a ni a, kan taksa chhunga cell tinte tan chakna petu a ni. An hnathawh dan tur hrilhfiahna chu DNA-ah a awm a. Natna emaw, genetic condition emaw, thil dang emaw avanga he DNA-ah hian chhiatna a awm chuan, intestine chhunga nerve cell-te hian an mamawh chakna an hmu lo. Hei hian thunun theih loh khawpa luak chhuak a thlen thei bawk.

Engte nge 'Triggers' te hian luak chhuak thei?

Thilthleng ṭhenkhat, rilru put hmang, a nih loh leh dinhmun ṭhenkhat chuan luak chhuak a thlen thei a ni. Hengte hi ‘triggers’ kan ti thin. CVS i neih chuan i triggers te hriat chian a pawimawh.

• Khua a inthlak danglam (a bik takin thlasik leh thlasik lai).
• Chaw thenkhat: chocolate, cheese, coffee, leh MSG (flavoring agents) ang chi thil te.
• Naupangte hlimna nasa lutuk: Ngaihtuah teh, hei hi naupang hlim em em lai, sikul kal hma zan emaw, piancham zing emaw ang hian a intan thei a ni.
• Puitlingte rilru lama harsatna: Lungkham lutuk leh lungkhamna ang chi thil.
• Allergy, sinus infection, emaw, khawsik natna emaw a awm thei.
• Taksa lama hah lutuk.
• Hun rei tak chaw nghei.
• Hun rei tak chhunga cannabis hman.
• Hmeichhiaah thlasik hun lai.
• Motion natna a awm.

Luak chhuah chhunzawm zel chuan harsatna awm thei

CVS hi control a nih loh chuan luak nasa lutuk hian hriselna lama harsatna dang a thlen thei a ni.

He natna hi engtin nge doctor hian a hriat theih ang?

CVS hmuhchhuah hi a buaithlak deuh a, a chhan chu test bik a awm loh vang a ni. I doctor chuan hetiang symptoms nei thei tur condition dang i neih loh nan a enkawl ang.

I doctor chuan i medical history, chhungkaw medical history, leh i luak chhuah dan chungchangah zawhna tam tak a zawt ang che. Chumi hnuah chuan taksa enfiahna a nei ang a, a tul chuan test dang neih belh turin thu a pe ang.

Eng test nge tih thin?

• Thisen leh zun test: Metabolic disorder, mitochondrial natna, taksa peng dang lama harsatna awm leh awm loh enfiah thin ang che.
• Imaging test: Pum ultrasound scan emaw, thluak MRI emaw CT scan emaw, pum X-ray emaw tihsak i ni thei. Hengte hian digestive system emaw nervous system-a blockage awm apiang an zawng thei a ni.
• Upper endoscopy: Hei hian camera nei tube te tak te hmangin i chaw kawng, i pum leh i ril te tak te bul tanna chu enfiahin i luak chhuak thei tur harsatna dang a awm leh awm loh enfiah a ni.

CVS nena inzawm thei natna dang

Doctor-in CVS a hriat chian hmain, chutiang chi natna dang i neih loh nan an enfiah hmasa phawt a ngai a ni.

• Pum natna emaw gastritis emaw a awm thei
• Pum chhunga ulcer awm
• Pancreas natna (pancreatitis) .
• Appendicitis natna a ni
• Intestinal twisting (volvulus emaw malrotation emaw) a awm thei.

CVS enkawlna tur engte nge ni?

CVS enkawlna chu i luak chhuah lai emaw, i ven tumna hrisel phase-ah emaw a innghat a ni.

• Prodrome phase: Symptoms a lan tan veleh i doctor chuan natna tihziaawmna tur, pum acid tihtlem nan leh migraine/ril nana tihziaawmna tur damdawi a pe thei ang.
• Vomiting phase: Hemi chhung hian migraine, heartburn, leh lungkhamna damdawi pek i la ni reng ang. IV fluids leh nutrition dawng tur chuan damdawi inah dah a ngai mai thei a, chu chu dehydration venna atan a ni. Room thim leh reh takah chawlh hahdam hian he hun chhung hian natna lan chhuah dan a tiziaawm thei a ni.
• Recovery phase: A tul chuan saline pek chhunzawm zel tur a ni. Zawi zawiin liquids leh chuta tang chuan solid foods te chu a rawn luh tir thei bawk.
• Well phase: Hetih lai hian i doctor chuan nakin lawka i luak tur ven nan nitin damdawi a pe thei ang.

Damdawi hman chi hrang hrang

• Migraine dona damdawi
• Nausea dona damdawi
• Anti-seizure damdawi thenkhat

Tin, mi thenkhat chuan coenzyme Q10, riboflavin, leh L-carnitine te ang chi supplement te hian hahdamna an hmu bawk. Amaherawhchu, hetiang thil hi i doctor remtihna lo chuan tan ngai suh.

Hetiang dinhmun nen hian eng nge i beisei tur?

Naupang tam zawk chuan an upat deuh deuh chuan he CVS condition hi an outgrow thin. Mahse, puitling an nih chuan migraine na tak an nei thei a ni. Hetianga luak chhuak reng reng, na tak hian naupangte sikul kal leh puitling hnathawhna hmuna kal theihna tur a veng thei a ni. Hei hian nitin nunah nghawng lian tak a nei thei a ni.

A pawimawh ber chu i doctor nen thawk hovin eng treatment nge i tan a tha tih leh i triggers te chu eng nge ni tih hriat hi a ni. Mi tinte thil tawn hi a inang lo vek a, chuvangin i tana tha tur zawng turin hun engemaw chen a la ngai mai thei.

Luak chhuak lo turin eng nge tih theih ang?

I triggers te pumpelh a, i doctor-in damdawi a pekte ei hian i luak chhuah chu i ti tlem thei a ni. Heng thilte hi ngaihtuah bawk ang che:

• Allergy leh sinus lama harsatna i neih chuan enkawl vat rawh.
• Active takin awm la, mahse tih lutuk suh.
• I tana tha lo ei tur leh sweeteners ei loh tur.
• Dieting khauh tak emaw, chaw nghei emaw kha pumpelh rawh.
• Mut tawk rawh.
• Stress leh lungkhamna te chu enkawl rawh.

I doctor zawh tur zawhna

Doctor hmu tura i kal hunah heng zawhnate hi zawh theihnghilh suh:

• CVS ka neih chuan eng test nge chiang taka hriat tur?
• Eng damdawi nge ka ei ang a, a chhuah tirh atanga a chhuah loh nan, leh a lo awm leh tawh loh nan?
• Ka triggers te pumpelh nan ka nunphung ah eng inthlak danglamna nge ka neih?
• Symptoms tihtlem nan eng thil dang nge ka tih theih ang?
• Eng symptoms nge ka hmuh ang che, a nih loh leh ETU (Emergency Treatment Unit) ah ka kal ang ?

CVS hi thil lungchhiatthlak tak leh nunna atana hlauhawm tak a ni thei. Damdawi leh solution pakhat mah a awm lo. Nang leh i doctor hian i tana enkawlna dik leh trigger dik tak in hmuh chuan in dawhtheih a ngai a ni. Hun a kal zel a, mi tam zawk chuan an thil thlentu (triggers) te chu an hrethiam a, an pumpelh thiam zawk thin. Chutih lai chuan, luak chhuak a awm tak tak a nih chuan, natna lan chhuahna control thei damdawi a awm.