Constipation hi pum veilam natna nen a lo thleng em? Diverticular Disease chungchang hi zir rawh!

I pum hnuai lam, a bik takin veilam sir ah hian a chang chuan a na deuh emaw, a na emaw i nei thin em? Mi thenkhat tan chuan hei hi constipation nen a lo thleng a, thenkhat tan chuan diarrhea ang maiin a lang thung. Mi tam tak chuan hei hi pum na pangngai mai nia an ngaih laiin, tlem chuan ngaihtuah zawk tur thil a ni thei. Vawiinah hian ‘Diverticular Disease’ tih kan sawi a, hei hi kan ramah hian mi tam tak zingah a hluar hle a, a bik takin an upat deuh deuh chuan.

A awlsam zawngin, diverticular disease chu eng nge ni?

Kan pum chhunga intestine lian (colon) hi bicycle tube ang mai a ni ang tih han ngaihtuah teh. He tube wall hi hmun thenkhatah a chak lo deuh a nih chuan a chhung atanga pressure lo chhuak chuan chu hmun chak lo atang chuan bubble te te a rawn chhuak thin. Chutiang chuan he dinhmun hi kan intestine lian bang chhunga hmun chak lo tak tak atanga chhuak pocket te te siam kan ti a ni. Heng pocket te te hi damdawi lam chuan ‘diverticula’ an ti a.

He dinhmun hi hmunpui pathum-ah then theih a ni:

1. Diverticulosis: Hei hi colon chhunga pouch te te lo awm mai mai a ni. Mi tam tak chuan symptoms an nei lo. Chuvangin he natna hi an nei tih pawh an hre lo mai thei. Kum 40 chunglam zinga 10% vel leh kum 60 chunglam zinga 50% velin he natna hi an nei a ni.

2. Diverticulitis: Hei hi a buaithlak deuh. Chutiang pouch te tak te chhungah chuan bawlhhlawh a tang a, bacteria a kai a, a inflamed chuan hetiang hi an ti thin. Hei hi natna leh khawsik ang chi symptoms a awm lai a ni.

3. Diverticular Bleeding: Hei hi chu bawm te tak te bulah chuan thisen kalna kawng nalh tak tak te chu a chhiat a, thisen a chhuak tan thin a ni.

Eng nge a lan chhuah dan? Engtin nge heng dinhmunte hi kan thliar hrang ang a, kan hriat theih ang?

Heng natna pathumte chhinchhiahna hi a inang lo hle. Chuvangin chiang taka hriatthiam a pawimawh hle. A hnuaia table atang hian awlsam takin i hrethiam thei ang.

Engtin nge doctor hian hei hi a hmuh theih?

Diverticulitis symptoms i neih chuan a rang thei ang bera doctor pan a pawimawh hle.

• Damdawi lam endikna: Doctor chuan i natna lan chhuah dan te, ei leh in dan te, i ril leh i damdawi ei dan te a zawt ang che. Chumi hnuah i pum chu a palpate ang a, a na zawng zawng a enfiah ang.
• Test hrang hrang:
• Thisen test: Thisen test hi taksaah natna hrik a awm leh awm loh enfiah thin a ni.
• CT Scan: Hei hi pum chhunga thil thleng chiang taka hmuh theih nan a pawimawh hle. Chu bawm te te chu a hring em tih emaw, harsatna dang a awm em tih emaw a hre chiang thei.
• Colonoscopy: Rectal bleeding i neih chuan test a ni a, chu chu i colon chhungah camera hmanga tube te tak te dahin thisen chhuahna hmun dik tak hriat theih a ni. Mahse, diverticulitis active lai chuan hetiang hi tih a ni lo.

Diverticulosis hi chhan dang vangin colonoscopy an tih laiin accident-in hmuhchhuah a ni fo thin.

Harsatna hlauhawm tak tak a awm thei em?

Ni e, diverticulitis hi enkawl dik loh chuan harsatna lian tak a thlen thei a ni. Chung zinga a tam zawk chu natna hrik kai pouch rupture (perforation) vang a ni a, chu chuan intestine atanga bawlhhlawh lo chhuak chu abdominal cavity-ah a luang lut thei a ni.

• Peritonitis natna: 1.1.He natna hi pum chhung zawng zawngah a darh vek a ni. Hei hi natna hrehawm tak leh nunna atana hlauhawm tak a ni. Hei hian emergency surgery a ngai a ni.
• Abscess: Hmun khata zun (pus) awmkhawm, tui chhuahna emaw, operation emaw a ngai thei.
• Intestinal obstruction: Infection avanga Scar tissue hian intestinal tract a ti tawi thei a, a then emaw, a block vek emaw a thlen thei bawk.
• Fistula: Intestine leh organ dang (bladder ang chi) inzawmna dik lo. Hei hi surgery hmanga enkawl theih a ni bawk.

Engtin nge he natna hi ven leh enkawl theih ang?

Hei hi a pawimawh ber a ni. Hetiang dinhmun hi a lo awm loh nan leh a lo awm tak tak a nih chuan harsatna a awm loh nan thil tam tak kan tih theih a ni.

A tha ber chu fiber tamna ei leh in hi a ni.

Hetiang dinhmun thlentu ber chu chaw ei laia chaw ei kham (constipation) leh rilru hahna (straining) vang a ni. A laka invenna tha ber chu fiber tamna diet hman hi a ni. Ni khatah fiber gram 20-35 vel i eitur ah dah tum ang che.

• Fiber tamna ei tur: Brown rice, buckwheat, oats, thei (banana, mango, papaya), thlai (bean, cabbage, spinach, carrot), greens, chickpeas, peas, green beans, etc.
• Tui in tam: Fiber ei ringawt hi a tawk lova, tui in tam a ngai. Ni khatah tui litre 2-3 tal in tur a ni.
• Exercise: Ni khata minute 30 kal ang chi thil awlsam tak pawh hian bowel function-ah nasa takin a pui thei a ni.
• Straining pumpelh: Toilet i kal dawnin bawlhhlawh paihna tur straining pumpelh rawh. I constipated a nih chuan doctor nen inbia la, thurawn \ha tak la rawh.