Tin, i luak chhuak nasa hle bawk a, chu chu a intan nghal a, ni tam tak chhung a awm bawk em? (Cyclic Vomiting Syndrome) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

I fa chu a khel tha hle a, rang takin nasa takin a luak tan em? Darkar tam tak emaw, ni hnih emaw ni thum emaw pawh nise, an luak chhuak chhunzawm zel mai thei. Tichuan engmah thleng lo ang maiin an khel leh ta a. Thla engemaw zat hnuah chuan chutiang bawk chu an ti leh ta a ni. Hei hi nangmah chauh ni lovin, puitling chungah pawh a thleng thei a ni. Vawiin hian hetiang chi luak chhuak na tak, a chhan hriat loha lo thleng leh bo thin chungchang kan sawi dawn a ni.

Cyclic Vomiting Syndrome (CVS) hi eng nge ni?

A awlsam zawngin, Cyclic Vomiting Syndrome (CVS) hi chhan hriat loha natna nasa tak leh luak chhuak nasa tak i neih thinna a ni. A danglam bikna chu heng episode chhung hian i hrisel vek a, symptoms i nei lo.

Kan taksaa switch ang maiin han ngaihtuah teh. Vawikhatmah he switch hi ‘on’ a ni a, luak chhuak a tan ta a ni. Darkar tam tak a daih thei a, ni tam tak pawh a daih thei bawk. Hetih hun chhung hian khum a\ang pawha tho thei lo khawpa harsa a ni thei. Damdawi inah pawh kal a ngai mai thei a, tui tlakchham loh nan saline (IV fluids) pek i ni thei bawk. Tichuan, switch chu ‘off’ ang maiin, rang takin symptom zawng zawng chu a bo vek a, i normal leh ta a ni.

Hetiang dinhmun hi thla tam tak emaw, kum tam tak emaw pawh a awm thei. Mahse symptoms hi a awm reng reng lo. A tlangpuiin kum khatah vawi engemaw zat a thleng thei. Mi thenkhat tan chuan thla khatah vawi khat emaw vawi hnih emaw pawh a thleng thei. A lan chhuah dan chi, ni khata a hun, a nasat dan leh a lan hun chhung hi mi pakhat tan a vawi khatnaah a inang fo thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

CVS hi naupangte zingah a tam ber. Statistics atanga a lan dan chuan naupang 100,000 zinga 3 vel chuan he natna hi an nei thei a ni. A tam zawkah chuan naupang kum 3 leh 7 inkar atanga tan a ni a, mahse kum eng pawh atanga tan theih a ni tih hriat reng a pawimawh.

CVS natna lan chhuah dante chu engte nge ni?

CVS hi stage lian paliah a thleng tih kan hre thei a, chu chu play-a scene ang mai a ni.

Heng main stages bakah hian symptom dang engemaw zat hmuh tur a awm thei bawk:

• Pum natna nasa tak
• Diarrhea (ril a na) .
• Luak chhuak emaw, vertigo emaw
• 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 (mit blue, sound hriat harsa) .
• Khawsik (101°F emaw 38.33°C thleng) .
• Retching (dry-heaving) - Chumi awmzia chu luak duhna i nei a, mahse i pum chhungah engmah a awm loh avangin engmah a chhuak lo tihna a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hei chauh hi CVS thlentu a ni em tih erawh hriat chian a la ni lo a, mahse a thlentu nia ngaih thil tlemte a awm.

• I thluak-gut axis chungchanga buaina: A awlsam zawngin kan thluak leh kan gut chhunga nerve te inkarah inbiakpawhna a awm a. He ‘inbiakpawhna’-ah hian thil a kal sual chuan thunun theih loh khawpa luak chhuak a awm thei a ni. Scientist thenkhat chuan hei hi thluak-gut natna (brain-gut disorder) an ti.
• I autonomic nervous system-a inthlak danglamna:He system hian kan taksaa kan thunun theih loh thilte, heart rate, thisen sang, leh luak chhuak te hi a thunun a ni. He system-ah hian thil dik lo a awm chuan luak chhuak thei a ni.
• 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 lo intan tirh chuan thil mak tak a ni thei. CVS vei tam tak chuan chhungkaw history-ah migraine an nei a.
• Mitochondrial DNA pangngai lo: Mitochondria hi kan taksa chhunga cell tin chakna siamtu an ni. Hnathawh dan tur hrilhtu instruction (DNA) chu natna emaw, genetic condition emaw, damdawi/toxin emaw hmangin a danglam thei a ni. Kan intestines chhunga nerve cell te hian an hnathawh that nan chakna tam tak an mamawh a ni. He energy source (mitochondria)-ah hian harsatna a awm chuan thunun theih loh khawpa luak chhuak a awm thei a ni.

CVS thlentu (triggers) te chu engte nge ni?

Thilthleng ṭhenkhat, ei leh in, leh rilru lam dinhmun ṭhenkhat chuan luak chhuak a thlen thei a ni. Hengte hi ‘triggers’ kan ti thin.

• Khua a inthlak danglam (a bik takin thlasik leh thlasik laiin a awm fo) .
• Chocolate, cheese, coffee, leh MSG ang chi ei tur te
• Naupang hlim lutuk (entir nan, birthday party, picnic) .
• Puitlingah chuan stress leh lungkhamna nasa tak a awm
• Allergy, sinus infection, emaw khawsik emaw a awm thei
• Taksa lama thawhrim lutuk
• Chaw ei lova rei tak kal
• Hun rei tak chhung cannabis hman
• Hmeichhia thla tin thlasik hun
• Motion natna a awm

Hemi atanga harsatna lo awm thei te chu engte nge ni?

Luak chhuak chhunzawm zel, na tak hian kan taksa a tichhe thei a ni.

Engtin nge doctor chuan hei hi CVS a ni tih a hriat theih ang?

CVS hriatchhuah hi a harsa deuh a, a chhan chu test pakhat chauh a awm lo a, chu chuan a bik takin a enfiah thei lo. I doctor chuan hetiang symptoms nei thei tur condition dang i neih loh nan a duh ang.

I doctor chuan i medical history, chhungkaw medical history, leh i luak chhuah dan chungchang tam tak a zawt ang che. Chumi hnuah chuan taksa enfiahna a nei ang a, test eng emaw zat a order mai thei.

Test tih theih a ni

• Thisen leh zun test (Lab tests): Heng test te hian metabolic diseases, mitochondrial diseases, taksa peng dang nena harsatna awm leh awm loh hriat nan a pui thin.
• Imaging test: Hengte hian i chaw ei leh nervous system-a taksa peng hrang hrangte harsatna a zawng thei a ni. Entirnan, abdominal ultrasound emaw, i thluak MRI emaw CT scan emaw, upper GI series emaw ti turin an ti thei che a ni. I intestines chhunga ei tur a kal chak dan enfiah nan gastric emptying test pawh a ngai thei bawk.
• Upper endoscopy: Ka chhunga camera te tak te dahin chaw kawng, pum leh small intestine-a harsatna awmte enfiahna test a ni.

CVS enkawlna tur engte nge ni?

Enkawlna chu eng stage-ah nge i awm tih a innghat a, chu chu i luak chhuak emaw, i luak chhuah loh tum emaw tihna a ni.

• Prodrome phase: Natna lan chhuah tan veleh natna tihziaawmna tur, pum acid tihtlem nan leh migraine enkawlna tur damdawi pek theih a ni.
• Vomiting phase: Hemi chhung hian migraine enkawlna tur damdawi pek i ni bawk ang a, pum acid tihtlem nan leh lungkhamna tihziaawmna tur damdawi pek i ni bawk ang. Dehydration ven nan damdawi inah dah a ngai mai thei a, IV fluid pek i ngai mai thei. Hetih hun chhung hian hmun thim leh reh takah chawlh hahdam hian natna lan chhuah dan a tiziaawm thei a ni.
• Recovery phase chhung hian: A tul chuan saline pe chhunzawm la, zawi zawiin liquids-ah kal leh la, chutah chuan solid foods-ah kal leh rawh.
• In the Well Phase: Doctor chuan nakin lawka a luak chhuah loh nan invenna damdawi a pe thei ang.

Migraine dona damdawi te, nausea damdawi te, a chang chuan anti-seizure damdawi te pawh hi enkawl nan an hmang thin.

Hetiang dinhmun hi ven theih a ni em?

Inven kim theih ni lo mah se, luak chhuak leh thei hi a tlahniam thei a ni.

• I triggers (fods, events) te chu hriatchhuah la, a theih ang anga hlat rawh.
• Damdawi hi Doctor-in a sawi ang chiah chiah hmang rawh.
• Allergy leh sinus lama harsatna i neih chuan enkawl vat rawh.
• Active takin awm la, mahse i thawkrim lutuk suh.
• Mut tha rawh.
• Stress leh lungkhamna te chu enkawl rawh.

Doctor hnena zawhna zawh tur

Doctor i hmuh hunah heng zawhnate hi zawh a pawimawh mai thei.

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

CVS hi thil lungchhiatthlak leh lungchhiatthlak tak a ni fo thin. He harsatna hi a chinfel dan tur pakhat chauh a awm lo va, nunphung inthlak danglamna pawh hi mi zawng zawng tan a tling tawk lo. Nang leh i doctor hian i tan enkawlna dik leh trigger dik tak zawng turin in thawhpui a ngai dawn a ni. Hun a kal zel a, mi tam tak chuan an rilru tibuaitu thil leh dinhmunte chu an pumpelh thiam zawk a ni.