I Digestion-a Silent Hero: Duodenum hriatthiamna

I chaw ei chu i pum atanga a chhuah hnuah eng nge thleng thin tih i ngaihtuah ngai em? Khawiah nge a kal leh dawn? Vawiin hian chu zinkawngah chuan station pawimawh tak kan sawi dawn a ni. I digestive system-a hero te tak te mahse chak tak a ni a, fuel i neih theih nan ngawi rengin hna a thawk a ni. I hrechiang ang u.

A awlsam zawngin, duodenum chu eng nge ni ?

Duodenum hi i small intestine atanga a hmasa ber a ni . A hming ni mahse, a takah chuan small intestine hi i chaw ei kawng a sei ber a ni. Hetah hian i ei tur chu liquid form-ah a chang a, chu chuan i taksain protein, thau, leh vitamin ang chi nutrient pawimawh tak takte chu a hip lut thei a ni

Duodenum hi tube tawi tak, ‘C’ letter ang maia siam a ni. Pum atanga ei tur chu duodenum ah a lut hmasa ber thin. A hnu lama small intestine section te chu jejunum leh ileum te an ni.

Duodenum hnathawh ber berte chu engte nge ni?

Duodenum hna bulpui ber chu i ka leh i pum atanga chaw ei dan lo awm tawh chu chhunzawm zel a, i thisenah nutrients lakluh tan tir hi a ni. Duodenum a thlen hmain chaw chu chi leh pum acid te nen an inhmeh a, tui thuk tak ‘chyme’ an tih chu a siam a ni. Duodenum chhungah hian he chyme hi hman theih tur nourishment-ah siam belh a ni.

Duodenum chhunga thil thleng hmasa berte chu hetiang hi a ni:

Duodenum awmna hmun leh a awmna hmun

Duodenum hi small intestine segment tawi ber a ni a, a sei zawng hi inches 10 vel a ni. "Duodenum" tih thumal hi Latin tawng atanga lo chhuak a ni a, a awmzia chu "finger 12" tihna a ni a, a zau zawng chhut chu finger-breadth 12 a ni.

Hei hi a dik taka sawi theih nân, i ril tê zawng zawng chu feet 22 vêl a sei a ni—a tlangpuiin tennis court ang maia sei a ni. Mahse, he inch 10-a sei segment tenau takah hian nutrient absorption pawimawh tak tak a thleng nasa hle.

Duodenum hi pum hnuai lam deuhah a awm a. ‘C’ angin dinglam, hnunglam, leh veilamah a curve leh bawk. I pancreas zau ber chu he ‘C’ curve chhungah hian a thu tha hle.

Duodenum-a Segment Pali awmte

Duodenum hi an awmna leh an pianzia a zirin hmun li-ah then a ni a:

1. Superior segment: A chunglam chu pum nena inzawm, inches 2 vel a sei. Stomach acid a inhriat tam ber avangin hei hi ulcer awmna hmun tam ber a ni .

2. Descending segment: ‘C’ hnuai lam hawia inher chhuak, inches 4 vel a sei. Hei hi pancreas , gallbladder leh liver atanga duct te inzawmkhawmna hmun a ni a , essential bile leh enzymes te chu a pe chhuak thin .

3. Horizontal segment: Inches 4 vel a sei, he segment hi taksa dinglam atanga veilam thlengin a kal a, thisen kalna kawng lian tak tak a paltlang a ni.

4. Ascending segment: Segment tawi ber (inch khat aia tlem lo), chunglam hawia inher a, jejunum nena inzawm.

Duodenal Wall awm dan (structure) a ni

Wall hi layer lian pali a awm a:

• Mucosa: A chhungril ber layer, microvilli an tih projection te tak te a awm a, chu chuan surface area a tipung a, nutrient tam ber a lakluh theih nan.
• Submucosa: Thisen kalna kawng leh connective tissue te a awm a. Brunner’s glands te pawh a awm a, chu chuan stomach acid neutralize turin secretion a siam chhuak thin.
• Muscularis: Chaw ei tur inzawmkhawm leh hmalam pan tura mawhphurtu smooth muscle atanga siam a ni.
• Serosa: Pawn lam venhimna khuhna.

Duodenal Disorder awm fo thin

Pum hnaih lutuk a nih avangin duodenum hi acid tam lutuk lakah a hlauhawm hle a, chu chuan peptic ulcers a thlen thei a ni. A chhan ber pahnih chu H. pylori infection leh NSAIDs (aspirin emaw ibuprofen ang chi) hman rei lutuk vang a ni.

Ulcer enkawl loh chuan duodenal wall a tichhe thei a, a hnuaia thisen kalna kawngte a tichhia thei a, thisen chhuahna nasa tak a thlen thei bawk. Hei hi medical emergency a ni a, enkawl vat a ngai a ni.

• Crohn’s disease: Intestine tenau (small intestine) ah inflammation a thlen thin.
• Celiac disease: Gluten ei avanga taksa hriselna (immune reaction) a ni.
• Duodenal cancer: Malignancy hi duodenum cell atanga lo chhuak a ni.
• Duodenitis: Duodenum chhunga natna hrik awm.
• Small bowel obstruction: Small bowel obstruction: Intestine tenau a block a, emergency medical attention mamawh a ni.

Vaukhânna chhinchhiahna

A lan chhuah dan a inang lo a, mahse a lan chhuah dan tlangpui chu:

• Pum natna
• Bloating leh gas
• Ek khal
• Kawthalo
• Nausea leh luak chhuak
• Indigestion (indigestion) a awm lo
• Thisen chhuahna (thisen chhuak ulcer chhinchhiahna awm thei—emergency care zawng nghal rawh) .

Symptoms awm reng i neih chuan i doctor rawn la, professional evaluation neihpui rawh.

Diagnostic Test te neih a ni

I doctor chuan i natna lan chhuah dan azirin test bik a rawt thei ang:

• Thâwk test: H. pylori hrik kai hriat theih nan.
• Imaging: Ultrasound, X-ray, CT scan, emaw MRI emaw hmanga enfiah a ni.
• Endoscopy: Camera te tak te, flexible tak hmangin i duodenum chhung lam chu en theih a ni.
• Biopsy: Tissue sample te tak te lak a, thil dik lo awm leh awm loh enfiah.

Enkawlna kawng hrang hrang

• Antibiotics: H. pylori ang chi bacteria infection enkawl nan.
• Corticosteroids: Inflammation na tak tihziaawmna atan.
• Acid titawp thei damdawi: PPI, H2 blocker, leh antacids te ang chi.
• Surgery: Natna khirh tak tak, obstruction emaw cancer emaw tan a ngai.

Duodenum, intestine te, ei leh in, pum na, peptic ulcer, H. pylori, Nirogi Lanka