I pum chhungah, a bik takin veilam hnuai lam, natna nasa tak i nei nghal ang tih han ngaihtuah teh. Hemi rual hian khawsik leh rilru hahna pawh i nei bawk. Hetiang thil hi i tawng tawh em? Mi tam tak chuan hei hi pum na pangngai emaw gas lama harsatna emaw niin an ngai a, mahse a chang chuan hei hi ngaihven deuh deuh a ngai thei a ni. Vawiin hian chutiang dinhmun, ‘Diverticulitis’ chungchang kan sawi dawn a ni. Hei hi hriat chian a pawimawh hle.
A awlsam zawngin, Diverticulitis chu eng nge ni?
Hei hi hrethiam tur chuan ‘Diverticulosis’ tih hi eng nge a nih kan hriat hmasak a ngai a ni. Kan intestine lian (colon) wall-ah hian a chang chuan hun kal zelah pouch te te emaw bubble emaw a rawn chhuak thei bawk. Car tire-a blister te tak te ang maiin. Heng pouch te te hi ‘Diverticula’ kan ti thin. I colon-ah heng pouches te hi i neih chuan chu natna chu Diverticulosis an ti a ni.
Hetiang dinhmun hi kan tar chhoh zel chuan a awm fo thin. Tin, mi tam tak chuan heng pouche te te hi harsatna leh symptom nei lovin an nei bawk.
Mahse, buaina hi heng pouche te tak te zinga pakhat emaw a aia tam emaw a infect emaw, a inflamed emaw atang hian a intan thin. Chu chu Diverticulitis kan tih chu a ni. Hei hi natna leh khawsik ang chi symptoms thlentu a ni. Hei hi damdawi lam pan ngai dinhmun a ni.
A awlsam zawngin: Diverticulosis chu intestine-a pouche (pocket) te tak te awm hi a ni. Diverticulitis chu chu pouche te chu an kai a, an inflamed a nih chuan a ni.
Diverticulitis natna lan chhuahna chu engte nge ni?
Diverticulitis natna lan chhuah dan hi mi hrang hrangah a inang lo deuh thei a, mahse a lan chhuah dan tlangpui thenkhat a awm. Eng nge an nih i han thlir teh ang.
| Symptom a ni | A chungchang sawifiahna |
|---|---|
| Pum a na | Hei hi a symptom ber a ni. Vawi tam tak chu natna na tak, na tak a awm thin. Hei hi ni engemaw zat chhungin zawi zawiin a pung thei a, a lo thleng nghal thei bawk. |
| Khawsik leh khawsik | Taksa chhunga natna hrik awm avanga khawsik nei hi thil pangngai a ni. I khawsik leh khur pawh i nei thei bawk. |
| Nausea leh luak chhuak | Pum natna bakah hian nausea leh vomiting pawh a awm fo bawk. |
| Pumpui na leh puak chhuak | Pum chhunga a hring hian pum chhunga lung awm leh puak ang chi thil a thlen thei a ni. |
| Toileting lama inthlak danglamna | Mi thenkhat chuan constipation an nei thin. A tlem hle a, mi thenkhat chuan riltam an nei thei bawk. |
| Rectal atanga thisen chhuak | A chang chuan bathroom-a i kal dawnin thisen tlem i nei thei bawk. Mahse hei hi mi zawng zawngah a thleng lo. |
Khawi atanga lo chhuak nge pum na?
Hei hi zawhna pawimawh tak a ni. A tam zawkah chuan, a bik takin European hnam chhuakte zingah chuan heng bawm te tak te (diverticula) te hi intestine lian ber ber ah an lo awm thin. Chu chu, sigmoid colon -ah a ni. Hei hi kan pum veilam hnuai lam ah a awm a. Chuvangin, Diverticulitis a lo awm hian mi 90% vel chuan an pum veilam hnuai lam ah natna an nei thin .
Mahse, hetah hian kan tan thil danglam tak a awm. Asian hnam chhuak, chu chu keini ang mite hian a chang chuan heng pouche te hi an intestine dinglamah an nei thin. Chutiang a nih chuan, a natna chu pum dinglam chunglam aṭangin a lo chhuak thei a ni . Chuvangin, pum na hi khawi atanga lo chhuak nge tih ngaihtuah mai mai a, hetiang hi a ni lo tih thutlukna siam hi a tha lo.
Engvangin nge Diverticulitis hi a lo awm? A chhante chu engte nge ni?
Diverticulitis thlen chhan bik pakhat hriat chian a harsa a, mahse doctor-te chuan a thlentu nia an ngaih thil pawimawh tlemte a awm.
- Infection: Kan sawi tawh bawm te tak teah chuan bawlhhlawh chi khat ang chi thil a awm thei. Tichuan, chutah chuan bacteria a lo thang lian thei a, natna hrik a thlen thei a ni. He infection hian a hring leh a ti na a ni.
- Pouch wall-a perforation: A châng chuan, rilru hahna a harsat lai emaw, thil dang vang emaw chuan, he pouch te tak te wall-ah hian microscopic tear a lo awm thei a ni. Hei hian intestine-a bacteria pangngai chu a kaltlangin a lut thei a, infection a siam thei a ni.
- Infection dang: Zirna thenkhatah chuan virus infection cytomegalovirus (CMV) te pawhin he natna hi a lo awm thei tih hmuhchhuah a ni.
Mi thenkhat chuan he thil hi genetic influence a awm em tih an zawt bawk. Diverticulitis hi direct-a thlahtu natna a ni lo. Mahse, chutiang pouche te te intestine-a lo awm duhnaah chuan genetic influence a awm thei tih hmuhchhuah a ni (diverticulosis).
Hei hi thil pawi tak a ni thei ang em? Harsatna awm thei te
A tam zawkah chuan (80% vel) Diverticulitis hi natna khirh lo tak a ni. Chumi awmzia chu enkawl dan dik a nih chuan a reh thuai tihna a ni. Mahse, a chang chuan, a bik takin enkawl loh emaw, hri kai a nasat chuan harsatna lian tak a awm thei a ni. Hengte hi fimkhur a pawimawh hle.
| Complication awm thei | A awlsam zawngin... |
|---|---|
| Abscess a awm | Infection awmna hmunah hian pus-filled abscess a lo awm thin. Hei hi a rupture chuan natna hi pum chhung zawng zawngah a darh thei a ni. |
| Intestinal perforation (Perforation) a awm thei lo. | Chu pouch te tak te chu a hring a, a hring a, a puak bawk. Tichuan, intestines chhunga thil awmte chu abdominal cavity-ah a leak lut ta a ni. Hei hian natna khirh tak tak peritonitis an tih a thlen thin . Hei hi emergency surgery neih ngai natna a ni. |
| Fistula natna a awm | Infection hian intestinal wall chu a ti hmin a, a bul hnaia taksa peng dang (e.g., bladder, vagina) nen a inzawm a, unnatural opening a siam a ni. |
| Intestinal tihkhawtlai (Obstruction) 1.1. | Infection tam lutuk hian hliam leh intestinal blockage a thlen thei. |
| Thisen chhuak nasa tak a chhuak | A tlem berah chuan natna kai na hmun atanga thisen chhuak nasa tak a awm thei. Hei hian thisen tlakchhamna (anemia) a thlen thei a ni. |
Complication a awm tih hriattirna symptoms
- Toilet i kal dawna thisen thar i hmuh chuan.
- I hmai a sen a i taksa chu nunna nei lo anga i hriat chuan .
- Zun tam ngai i tih chuan emaw, zun laiin kang emaw, na emaw i hriat chuan.
- I khawih laiin i pum a khauh a, a na lutuk a, khawih pawh i khawih thei lo a nih chuan .
Heng symptoms te hi i neih chuan emergency a ni thei. Chuvangin damdawi in Emergency Treatment Unit (ETU) ah i kal nghal tur a ni .
Engtin nge doctor hian hei hi a hmuh theih?
A chunga i sawi tak symptoms nei doctor i hmuh chuan a tih hmasak ber tur chu zawhna a zawt che a, i pum a enfiah ang. Chumi hnuah chuan test eng emaw zat an nei thei a, an natna hmuhchhuah chu an finfiah thei a ni.
- Thisen test: Taksaah natna hrik a awm leh awm loh enfiah thin ang che.
- CT Scan: Hei hi diverticulitis hriat theihna kawng tha ber a ni. Colon chhungah hian swelling, abscesses, emaw complication dang emaw a awm leh awm loh chiang takin a lang thei.
- Colonoscopy: A châng chuan, natna lan chhuahna a reh hnuah, i doctor chuan i colon dinhmun ngun taka enfiah nân i colon-ah camera dah tel a rawt thei a ni.
Diverticulitis enkawlna tur engte nge ni?
Enkawlna chu i natna lan chhuah dan nasat dan leh harsatna i neih leh neih lohah a innghat a ni.
In lama tih theih enkawlna (Mild cases) .
A natna lan chhuah dan a na lutuk lo a nih chuan Doctor chuan in lama inenkawl turin a fuih ang che.
- Liquid Diet: Hei hian solid foods ni engemaw zat chawlhsan a, liquids soup, porridge, leh thei tui chauh ei a huam a ni. Hei hian intestine te chu chawlhna a pe a ni.
- Antibiotics: Infection control tur chuan i doctor-in antibiotics a pek chu a hun bituk chhung chiah i ei a ngai a ni.
- Painkillers: Natna atan Paracetamol ang damdawi i ei thei. Mahse, i sawi leh tur chu fimkhur hle ang che.
Heng damdawi te hi hmang suh!
Diverticulitis i neih chuan NSAIDsDoctor-te chuan nonsteroidal anti-inflammatory drugs (NSAIDs) an tih damdawi chi khata tel, natna tidamtu damdawi hi ei loh turin an fuih a, hei hian intestinal bleeding a tipung thei a ni. He class-a damdawi chi dangte chu:
* Aspirin a ni
* Ibuprofen a ni
* Naproxen a ni
Doctor-in a tih loh chu natna tidamtu dang hmang suh.
Damdawi in enkawl (Severe cases) 1.1.
A natna a nasat chuan, khawsik a tlahniam lo a nih chuan, i luak chhuak a nih chuan, harsatna a awm chuan damdawi inah enkawl a ngai dawn a ni.
- IV damdawi: Antibiotics leh painkiller te hi saline line (IV line) hmanga pek thin a ni.
- Thisen pek: Thisen tam tak i hloh tawh chuan thisen pek a ngai mai thei.
- Abscess draining: Abscess a lo awm tawh chuan tube hmanga draining a ngai mai thei.
- Surgery: Bowel perforated, fistula a neih emaw, harsatna lian tham dang a neih chuan bowel hmun chhia (a colectomy) lakchhuah nan surgery neih a ngai mai thei. A châng chuan, bawlhhlawh kal tlang theihna turin pum chhungah hun eng emaw chen hawn (colostomy) a ngai thei bawk.
Diverticulitis hi a lo let leh tawh loh nan ven theih a ni em?
Ni e, eng emaw chen chu a theih a ni. I nunphung leh ei leh in thlak danglam hian hetiang hi a lo awm leh theihna chu nasa takin a tihziaawm thei a ni.
1. Fiber tamna ei tur: Fiber tamna ei tur, thlai, thei, legumes, leh whole grains (rice with sprouts, atta flour) te ei tam zawk rawh. Hengte hian bawlhhlawh a ti nem a, kal pawh a awlsam phah bawk.
2. Tui in tam: Ni khatah tui litre 2-3 tal in tur a ni. Hei hian stool a ti nem bawk ang.
3. Exercise neih fo: Nitin exercise, kea kal emaw, tlan emaw te hi bowel function atan a tha hle.
Thudik hlui, thudik thar: Tun hma chuan diverticulosis vei te chu chu bawm te tak teah chuan thlai pakhat a tlakbuak hlauvin, nut, chi te, acorn ang chi chi te te ei lo turin an hrilh thin a. Mahse, tun hnaia zirchianna chuan hei hi thudik lo a ni tih a finfiah a ni. Nuts hi a takah chuan fiber tamna, eitur hrisel tak a ni. Chuvangin tunah chuan doctor-te chuan hlauh a ngai tawh lo tih an sawi a, balanced diet-a ei tur a ni bawk.
Hemi chungchanga zawhna dang i neih chuan i doctor nen inbia la, chiang takin sawi rawh.
Take-Home Thuchah a ni
- Diverticulitis hi intestine lian chhunga pouch te (pouche) te infection leh swelling a ni. A lan chhuahna ber chu pum hnuai lam a na hle a, a bik takin veilam a na hle.
- Pum natna nasa tak i neih bakah khawsik leh rilru hahna ang chi i neih chuan pum na awlsam tak angin ngaihthah suh la , doctor pan nghal rawh.
- Enkawlnaah hian bowel rest, antibiotics, leh painkiller te a tel a ni.
- Pawimawh tak: Natna atan NSAID natna tidamtu Aspirin emaw Ibuprofen emaw hmang suh. Chungte chuan thisen chhuah theihna a tipung a ni. Damdawi doctor-in a pek chauh hmang ang che.
- Fiber tamna diet ei te, tui in tam te, exercise lak te hian he natna hi a lo awm leh tur venna atan a pui thei a ni. Nuts ei hi hlau suh.
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