Doctor, ‘Exocrine Pancreatic Insufficiency’ emaw, a tawi zawnga kan sawi angin EPI emaw i nei ve em? Tichuan, i ei leh in chungchangah fimkhur a ngaihzia chu thiltawn aṭangin i hre tawh ngei ang. Chaw ei apiangin damdawi pek tur i ei a ngai a ni. Chuvangin, hetiang hun lai hian, i thianpa birthday party-a sawmna i dawn hian, emaw, i chhungte nen zanriah ei tura chhuak turin emaw, tlem chuan hlauhna leh hlauthawng deuha inhriat hi thil pangngai tak a ni. Zawhna hrang hrang "Ka tana ei tur tha a awm dawn em?", "Ka damdawi hi a hun takah ka ei thei dawn em?", "Chaw chu a tui lutuk a, ka pum a ti na dawn em?" rilruah lo kal rawh, a ni lawm ni? Mahse, hlau suh. EPI i neih vang mai maia ṭhiante nena inkawp leh hlim taka awm chu i bansan a ngai lo. Tlemte inbuatsaihna leh ruahmanna fel tak nen chuan awlsam takin hei hi kan hneh thei a ni. Engtin nge a kal dawn tih i en ang u?
Step 1: Restaurant chungchang hi tlem han zirchian ila.
Hei hi mission i kal hmaa reconnaissance tlemte i neih ang mai a ni. I kal hmain i ei tur hmun thlan chu zirchian hmasak tihna a ni. Hei hian i chaw ei hlawhtlinna kawngah kawng thui tak a zawh ang.
Colombo-a restaurant hmingthang takah i ṭhiante nen kal turin in inbuatsaih lai han mitthla teh. Heng thilte hi i kal hmain ni khat emaw ni hnih emaw chhung chu han ti ve teh.
| Eng nge tih tur | Chumi hlawkna chu eng nge ni? |
|---|---|
| Menu chu online-ah en rawh. | Tunah chuan restaurant tam tak chuan an menu chu an website emaw Facebook page-ah emaw an nei tawh a ni. Eng dish nge i tana tha tur tih hriat tumin i en thei ang. EPI i neih avangin i tan chuan duhthlan tur tha ber chu thau tlem ei tur a ni . Chu chu sangha grilled emaw broiled emaw, vawk, thlai thar, leh thei chi hrang hrang zawng tihna a ni. |
| Restaurant chu call pe rawh. | Menu-a i duh ang thil i hmuh loh chuan, emaw, i chiang lo a nih chuan direct-in call la, zawt rawh. I hriselna dinhmun sawifiah mai rawh ("Oil, butter, cheese ang chi thil hi ka tuar thei lo a, chuvangin ka duh zawng chaw i siam thei ang em?"), an pui thei che em tih zawt rawh. A tam zawkah chuan i hriattir lawk chuan an pui ang che. |
| Kan chhuah hnuah khawiah nge washroom chu a awm? | Restaurant i kal veleh bathroom awmna hmun chu enfiah nghal rawh. Hei hian ei tur a tui lutuk a nih chuan, i pum a na a nih chuan, emaw, emergency i neih chuan bathroom zawn a ngaihna tur harsatna i pumpelh ang. |
Kan chhuah hmain hetiang hian in lamah i inbuatsaih ang u.
Restaurant kal hmaa in lama inbuatsaihna tlemte hian i thil tawn chu a ti hlawhtling thei hle. Hengte hi a awlsam hle a, mahse thil pawimawh tak tak a ni.
| Inbuatsaih dan tur | Sawifiah leh pawimawhna |
|---|---|
| I kal hmain ei tur tlem tal nei rawh. | Restaurant-ah riltam takin kal suh. I kal hmain snack tlem emaw, light meal emaw ei hmasa phawt ang che. Chutiang a nih loh chuan i riltamna chuan a hneh ang che a, menu-a fried cheese stick ang chi ei tur hrisel lo tak tak i duhna a tawp mai thei. Protein tamna thil (egg hmin, chickpeas thenkhat) i ei chuan i pum a khat dawn avangin ei duhna i nei lovang. |
| Pills lakah hian fimkhur rawh. | I pancreatic enzyme replacement therapy (PERT) chu bag emaw container emaw him takah dah la. Heng damdawi atan hian lumna hi a tha lo. Nilengin i chhuak dawn a nih chuan i damdawi chu hmun lum, dashboard-ah emaw, i car glove compartment-ah emaw dah suh. Temperature 25 degree Celsius (77 F) aia sang chuan heng damdawi te hi a tichhe thei a, a thawk tha lo hle bawk. Room temperature a tha ber. |
| Thil dang mamawh dangte chu buatsaih rawh. | Mi thenkhat chuan damdawi ei harsatna an nei thin. I damdawi bawm chhunga powder chu applesauce emaw yogurt emaw ang chi thil nen i pawlh chuan bawm te tak teah dah la. Tui bottle khat pawh keng tel a tha hle a, i tui glass refill tur server-in a nghah a ngai mai thei bawk. |
Chaw order dawnin heng thilte hi ngaihtuah thin ang che.
Awle, tunah chuan restaurant-ah i kal tawh. Menu chu i kutah i nei a. Tunah chuan a pawimawh ber a lo thleng ta. Chaw order dawnin fing a pawimawh hle.
Waiter hnenah zawhna zawh hreh suh.
Dish i hriat duh chuan a siam dan leh a chhunga thil lut chungchang zawt zak suh.
- "He curry ah hian cream/oil i dah tam em?"
- "He sangha hi fried nge grilled?"
- "Eng nge salad dressing ah hian awm?"
Zawhna zawt la, i duh ber thlang rawh.
Chaw ei tur thlak danglam dil rawh
Vawi tam tak chu chef chuan i mamawh angin dish-ah hian inthlak danglamna tenau te a siam duh ang.
- "Dressing/sauce chu cup te tak te hran ah i rawn keng thei ang em?" (Chutah chuan i duh ang zat i dah belh thei ang).
- "Hei hi fry ai chuan grill emaw steam emaw i ti thei ang em?"
- "Butter tel lovin thlai i siam thei ang em?"
I hriselna hi a pawimawh ber tih hre reng la, chuvangin i duhzawng chiang taka dil hlau suh la, zahawm takin dil rawh.
I damdawi ei theihnghilh suh!
Hei hi EPI nena pawn lama chaw ei hunah dan pawimawh ber a ni. I chaw ei hmasak ber ṭumin doctor-in a pek enzyme (PERT) damdawi chu i ei tur a ni .
A awlsam zawngin sawi ila, heng damdawi-te hian i ei tur i ei theihna tura puitu enzyme a pai a ni. Heng damdawi te hi i ei tan hma lawk hian i ei chuan enzyme te hi ei tur nen a inhmeh tha hle ang a, chaw ei kawngah pawh a pui ang. I ei zawh hnua damdawi i ei chuan a \angkai vak lo ang. Chuvangin, i damdawi chu ei tur chu dawhkan chunga a awm veleh ei nghal la, i ei hmasak ber i ei hmain.
Dawhkan bula midang hmaa i damdawi ei kha zak suh. I hriselna atan a pawimawh hle. A awlsam zawngin i ti thei a, tumah harsatna siam lovin.
Take-Home Thuchah a ni
- EPI neih hian i social life leh ṭhiante nena hlim taka awm chu i bansan a ngai tihna a ni lo.
- Chaw ei tura i chhuah hmain ruahmanna tlem siam hmasa phawt ang che. Restaurant menu en la, a tul chuan call rawh.
- In chhuahsan hmain chawhmeh tlemte ei la, i damdawi te chu uluk takin pack la, tui bottle khat dang ei bawk ang che.
- Chaw i order dawnin zawhna zawh leh i duh ang anga tihdanglam dil chu hlau suh.
- A pawimawh ber: I chaw ei hmasak ber khan i enzyme (PERT) damdawi ei kha theihnghilh suh.
- Hemi chungchangah hian rinhlelhna emaw zawhna emaw i la neih chuan i doctor nen inbia la, thurawn la rawh.
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