Zunthlum vei i ni em? Chuti a nih chuan, chaw tlemte i ei hnuah pawh a châng chuan i chawl tih i inhria em? A nih loh leh, i rilru a na fo a, i lung a na a, a châng chuan i luak chhuak fo em? Heng zawng zawng nen hian i thisen sugar level control i harsat phah mai thei. Mi tam tak chuan hengte hi pum chhunga harsatna pangngai mai niin an ngai. Mahse hei hi zunthlum natna ngei pawha complication a ni thei. Chu chu vawiinah kan sawi dawn a ni.
Diabetic Gastroparesis hi eng nge ni?
A awlsam zawngin, hei hi i pum (ril) chhunga thau (muscle) te hnathawh that loh vang a ni. A tlangpuiin kan ei hian kan pum chhunga thau te chu a inzawm khawm a, ei tur chu small intestine chhungah a nawr lut thin. Mahse gastroparesis-ah chuan he thil hi a thleng zawi hle a, a chang chuan a tawp vek bawk. Chuvangin chaw chu darkar tam tak chhung chu pum chhungah a awm reng a ni.
Hetiang dinhmun hi type 1 leh type 2 diabetes-ah te pawh hmuh theih a ni. Mahse, kum 10 chuang zunthlum vei tawh leh zunthlum avanga harsatna dang (entir nan, nerve chhiatna) nei teah a awm tam ber.
Engvangin nge hetiang hi kan chungah a lo thlen?
Hei hi a chhan ber chu thisen sugar level hi control lohvin hun rei tak chhung a sang reng vang a ni . Zunthlum thunun loh hian kan taksa nerve te a tichhe thei a ni.
Kan pum hnathawh dan tur control tu master "controller" a awm tih han ngaihtuah teh. Chu chu Vagus nerve a ni . He Vagus nerve hi sugar level sang vangin a chhiat chuan chaw ei tur empty tha tur signal a dawng lo. Tin, chaw kawng chhunga taksa peng hrang hrang leh chaw ei tur nawr luh puitu special cells (pacemaker cells) te pawh a tichhe thei bawk. Heng zawng zawng hi a inzawm khawm chuan ei tur chu pum chhungah a tlakbuak a, gastroparesis a awm thin.
Hemi chhinchhiahna berte chu engte nge ni?
Heng symptoms te hi i nei em tih hi han en teh. Mahse, hre reng ang che, heng symptoms pakhat emaw pahnih emaw i neih vang mai mai hian he natna hi i nei tih ngaihtuah suh. Chumi atan chuan doctor i pan ngei tur a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Lung na/Reflux a awm | Pum chhunga acidic ei tur chu rilru chhungah a rawn chho leh thin. |
| Luhai | Rilru chhuak reng reng ang maia hriatna hrehawmna. |
| Luak chhuak | A nasat chuan darkar tam tak hmaa ei loh chaw ei chu a chhuak thei. Thenkhat tan chuan hetiang hi nitin a thleng thei. |
| Sugar level control harsat | Chaw ei hi engtikah nge intestines-ah a luh tih chiang taka hriat theih a nih loh avangin sugar level a sang chho thei a, a tlahniam nghal thei bawk. |
| Tlemte ei hnuah pawh a khat tih hriat | Pum hian a hmain chaw a lo khawlkhawm tawh avangin, a tlem ei hnuah pawh i chawl tih i hria. |
| Pumpui a hring chhuak | Pum hring, pum chhunga boruak khat ang maia awm. |
| Chaw ei chak lohna leh taksa rihna tlahniam/pung | I pum a khat reng avangin ei i duh lo. Hei hian taksa rihna a ti tlahniam thei a ni. |
Hei hi a hlauhawm theihna tur dinhmunte chu engte nge ni?
Gastroparesis hi enkawl tha a nih loh chuan harsatna engemaw zat a awm thei.
- Chaw ei chhe: Chaw chu pum chhunga a awm rei lutuk chuan a chhe thei a, bacteria a tipung thei bawk.
- Bezoar siam: Chaw ei loh chu a pungkhawm thei a, pum chhungah solid mass a siam thei. Hei hi bezoar an ti a . Hei hian pum a tikhawlo thei a, chaw ei tur chu intestine-a kal tur a titawp vek thei bawk.
- Diabetes control harsa: Hei hi harsatna lian ber a ni. Insulin i ei hmain i ei hmasa thin. Mahse chaw chu intestine-ah a lut a, darkar engemaw zat hnuah sugar chu thisenah a lut ta a ni. Tichuan sugar level chu a sang leh chho nghal a. Hei hi thunun harsa tak a ni.
- Luak vanga tui tlakchhamna: I luak fo chuan i taksain tui a hloh thei a, tui a tlakchham phah thei bawk. Hei hi dinhmun hlauhawm tak a ni.
I luak chhuak nasat a, pum na na tak i neih chuan Emergency Department (ETU) ah kal nghal tur a ni.
Engtin nge hei hi i hmuh theih, Doctor?
I doctor chuan i natna lan chhuah dan a ngaihthlak hnuah leh taksa enfiahna a neih hnuah hei hi a ringhlel mai thei. Chumi hnuah chuan an natna hriat chian nan test engemaw zat an ti thei a, chungte chu:
- Upper Endoscopy: Tube te tak te, camera dahna chu kawchhung hnuai lamah dahin pum chhung lam enfiah a ni. Hei hian pum chhunga blockage dang awm leh awm loh enfiah nan a pui thin.
- Barium X-ray: Barium an tih tui in hnuah X-ray lak a ni a, chu chuan pum a chhuah chak dan enfiah a ni.
- Scintigraphy: Hei hi test ber a ni. Chaw tlemte (a tlangpuiin egg) radioactive substance nena chawhpawlh i ei a, chutah chuan darkar 4 vel chhung chu darkar tin i pum i scan a, i pum atanga ei tur engzat nge a chhuah tawh tih i hmu thin.
- Test dang: Hei bakah hian test bik, gastric manometry leh wireless motility capsule te pawh a awm bawk. I doctor chuan eng test nge i tan a tha tih a rel ang.
Enkawl dan leh enkawl dan
Gastroparesis hi tihdam kim theih ni lo mah se, a symptoms te chu enkawl theih a ni a, nun pangngaia nun theih a ni.
1. A hmasa ber leh pawimawh ber chu: i thisen sugar level control rawh!
Hei hi enkawlna hmasa ber leh pawimawh ber a ni. I thisen sugar level control hian nerve chhiatna a tihziaawm thei a ni. Insulin dose emaw, timing emaw i siamrem a ngai em tih doctor nen sawiho rawh. Tin, i thisen sugar level enfiah fo a pawimawh bawk.
2. Damdawi chi hrang hrang
I doctor chuan i natna lan chhuahna tihziaawmna tur damdawi thenkhat a pe thei ang.
- Damdawi, pum ruak (e.g. Metoclopramide, Domperidone) te.
- Hriselna leh luak chhuak damdawi (e.g. Ondansetron, Prochlorperazine).
- A chang chuan antibiotic erythromycin hi hun rei lote chhung atan pek a ni bawk a, chu chuan pum hnathawh a tichak a ni.
Vaukhânna: Doctor rawn hmasa lovin heng damdawi te hi hmang ngai suh. Damdawi thenkhat hian side effect a nei thei. Chuvangin doctor thupek zawm reng tur a ni.
3. Natna khirh tak tak enkawl dan
Damdawi dang hmanga thunun theih loh natna khirh tak takah chuan enkawlna bik hman a ngai mai thei.
- Gastic electric hmanga tihchakna:Thil te tak te, surgery hmanga pum chhunga dah chuan electric signal a thawn a, chu chuan natna leh riltam a titawp thei a ni.
- Feeding tube: Tube (jejunostomy tube) chu surgery hmangin pum vun kaltlangin dahin chaw chu small intestine-ah a hruai lut a, pum chu bypass a ni. Hei hi a na zual deuhah chauh tih a ni.
I ei leh in thlak dan tur
Damdawi aiin a pawimawh zawk chu i ei leh in tihdanglam hi a ni. Heng tips te hi zawm hian hahdamna nasa tak i nei thei a ni.
| Thil tih tur (Do's) . | Tih loh tur |
|---|---|
| Ni khatah vawi thum ei ai chuan chaw te te 5-6 ei thin ang che . | Chaw thau leh thau tamna (fried foods, oily curries) ei loh tur. |
| Liquid leh pureed foods (e.g., apple aiah applesauce, soups) te chu dah pawimawh ber rawh. | Fiber tamna ei tur (brown rice, oats, thlai thenkhat, thei chi hrang hrang) tihtlem. Chungte chu an ei theih nan hun a duh rei zawk. |
| Thlai leh thei chi hrang hrangte chu a hmin tha takin ei rawh . | Chaw ei laiin tui emaw, tui dang emaw in loh tur. Chaw ei hma emaw, chaw ei zawhah emaw minute 30 vel in tur a ni. |
| Chaw ei zawhah rei vak lo thu rawh. Chaw ei lai hian muhil suh . | Carbonated drinks (soda) leh zu in loh vek tur a ni. |
| Chaw ei zawhah exercise engemaw zat ti la, light walk ang chi hi. | Meizial zuk loh tur . Pum hnathawh a ti tlem lehzual. |
Take-Home Thuchah a ni
- Diabetic Gastroparesis hi zunthlum control tha lo avanga harsatna awm fo a ni.
- A lan chhuah dan ber chu luak chhuak, luak chhuak, ei tlêmte ei hnua chaw ei kham, thisen sugar level control harsat te hi a ni.
- Hetiang dinhmun enkawlna atana pawimawh ber chu i thisen sugar level tha taka control hi a ni.
- Ei leh in thlak danglam hi a pawimawh hle. Chaw tê tê, thau leh fiber tlem ei hian hahdamna nasa tak a pe thei a ni.
- Heng symptoms te hi i neih chuan nangmah chauhin thutlukna siam suh la, i doctor hnenah thurawn dil ngei ang che.
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