Digestive system-a harsatna thup: EPI (Exocrine Pancreatic Insufficiency) chungchang hi i zir mai ang u.

I ei tha a, mahse i taksain a mamawh tur nutrients a hmu lo ang maiin i inhria em? I pum a na reng em, i chaw ei reng em, a nih loh leh chhan awm lovin i rihna i tlahniam em? Vawiin hian heng zawng zawng hnuaia awm, mahse mi tam takin an hriat loh damdawi lam dinhmun kan sawi dawn a ni. Hei hi EPI an ti a, chu chu Exocrine Pancreatic Insufficiency tihna a ni. A hming hi buaithlak tak angin lang mahse, a awlsam zawngin i sawi ang u.

A awlsam zawngin EPI chu eng nge ni?

I pum chhungah, i pum hnung lamah, taksa peng te tak te, pancreas . Kan taksaa factory te tak te ang mai a ni. He factory hian chemical bik, digestive enzymes an tih, kan ei tur ei tur kan ei theih nan min pui thin a siam thin.

Enzyme te hi hnathawk tenau tak tak, ei tur tichhia ang mai an ni. An hna chu kan eitur chhunga nutrient awmte chu kan taksain a lakluh theih tur khawpa te tea thenfai hi a ni.

Tunah chuan, EPI vei mi pakhat chunga thil thleng chu hetiang hi a ni:

I pancreas, chu enzyme factory chu a thawk tha lo hle. Chu chu ei tur digest thei tur enzyme (chutiang hnathawkte) siam tling lo tihna a ni. A nih loh leh, a siam enzyme te hian hna an thawk tha lo. Chuti a nih chuan eng nge thleng? Kan chaw ei hi a digested tha lo va, a chhunga nutrient hlu tak tak te hi taksain a hip lut lo va, taksa a chhuahsan mai thin.

Kan pancreas hian enzyme siam chhuah chi thum a awm a, chungte chu:

• Amylase: Hei hi kan ei carbohydrates (chhang leh buhfai ang chi) ti digest tu a ni.
• Lipase: Hei hian kan ei thau (oil, butter, etc.) te chu a digest a ni.
• Protease leh Elastase: Hengte hi kan ei protein (sa, sangha, artui ang chi) te ei leh in atan kan hmang thin.

EPI-ah chuan thau digest tu enzyme lipase hi a tlahniam ber a ni.

Engvangin nge EPI hi a lo awm? A chhan hi han en ila.

EPI awm chhan hi puitling leh naupang tan a inang lo thei.

Puitlingah EPI awm chhan

Puitling zingah EPI thlentu lian ber chu chronic pancreatitis a ni . A awlsam zawngin sawi ila, hei hi pancreas chu rei tak a inflamed leh inflamed lai a ni. Hliam hring chhuak reng angin ngaihtuah rawh. Hun a kal zel a, pancreas chhunga enzyme siamtu cell te chu zawi zawiin a chhe vek a. Hetiang natna vei puitling sawm zinga pariat velin EPI an nei ang.

Hei bakah hian chhan dang engemaw zat a awm bawk.

Naupangte zingah EPI awm chhan

Naupang te leh nausen te EPI thlentu ber chu cystic fibrosis an tih hi a ni . Hei hi genetic disease a ni a, nu leh pa atanga fate hnena kai theih a ni. He natna hian taksaah mucus thick, sticky mucus a siam tam lutuk thin. He mucus hi lungah a lo pungkhawm thei a, thawk a ti harsa thei a, pancreas duct te pawh a tikhawlo thei a, pancreas atanga enzyme siam chhuah te chu intestines-a kal theihna tur a tikhawlo thei bawk.

Genetic condition dang Shwachman-Diamond Syndrome (SDS) tih pawh hi naupangte zingah EPI thlentu a ni.

EPI natna lan chhuah dan chu engte nge ni?

EPI vei chu an ei leh in a thau hian a nghawng ber a ni.Digesting tha lo. Hei hian ei leh in lama harsatna tam tak, nuam lo leh buaithlak tak tak a thlen thin.

Engtin nge doctor hian EPI hi a hriat theih ang?

Heng symptoms te hi pum lam harsatna dang nen a inang avangin EPI i neih leh neih loh chu i doctor chauhvin a hre chiang thei ang. Pancreas tichhe thei natna dang (zunthlum ang chi) i neih chuan i doctor chuan EPI a ringhlel mai thei.

Diagnosis siam nan a hnuaia test pakhat emaw a aia tam emaw tih theih a ni:

• Fecal Elastase Test (FE-1): Hei hian i ek sample a test a, proteins digest thei enzyme elastase i neih leh neih loh a enfiah thin. A hniam chuan EPI i nei mai thei.
• Fecal Fat Test neih dan tur: 1.1.Hei hian bawlhhlawh chhunga thau awm zat a teh a ni. Thau tam lutuk hian taksain a hip lut lo tihna a ni.
• Secretin Pancreatic Function Test: Hei hi test buaithlak deuh deuh a ni. He test-ah hian hormone ‘secretin’ an tih chu kut chhunga vein kaltlangin taksaah a lut a. He hormone hian pancreas chu enzyme siam turin ‘signal’ a pe a. Tichuan, doctor chuan endoscopy ang chi hmangin pancreas atanga tui chu a la khawm a, enzyme awm leh awm loh a enfiah thin.

Hei bakah hian CT scan emaw ultrasound scan emaw ang chi test te pawh tih theih a ni a, pancreas-a harsatna awm leh awm loh enfiah theih a ni bawk.

EPI hian eng harsatna nge a thlen?

EPI hlauhawmna ber chu nutritional malabsorption a ni . Chumi awmzia chu taksain ei tur thil hlu, thau, protein leh carbohydrates te chu a hip lut thei lo tihna a ni. Heng nutrients te hi kan taksain chakna a pek theih nan leh taksa peng hrang hrangte hnathawh that nan a pawimawh hle.

Hetianga nutrition tel lova i kal zel chuan i taksa a chak lo thin. Chu chu malnutrition kan ti a ni .

EPI enkawl dan tur chu engte nge ni?

EPI hi dam chhung zawnga awm tur a ni. Chumi awmzia chu a dam kim thei lo tihna a ni. Amaherawhchu, enkawl dan dik a nih chuan a thunun tha hle thei a, nun pangngaiin i nung thei bawk. Enkawlna tum ber chu i taksain a mamawh chaw tha pek hi a ni.

• Pancreatic Enzyme Replacement Therapy (PERT): Hei hi a enkawlna ber a ni. A awlsam zawngin sawi ila, i taksain a siam loh enzymes pe theitu pill (capsule) a ni. He pill hi chaw ei leh snack apiangah i ei thin . Pill chhunga enzyme awm hian i ei tur chu i digest thei a ni.

• Calorie tamna, thau tamna ei leh in: Chaw atanga calorie leh thau tam tak hmuh a pawimawh. Hei hi a tul a ni, a chhan chu thau hian taksain nutrients a lakluh theih nan a pui a ni. Hemi atan hian dietitian thiam tak hnen atanga thurawn lak hi a \angkai thei hle.

• Vitamins: EPI vei te hian thau-a inthiar theih vitamin, vitamin A, D, E, leh K te hi an ei tlem thei lo mai thei a, chuvangin, heng vitamin te hi i mamawh a nih chuan i doctor chuan damdawi atan a pe ang che.

Hetiang dinhmun hi ven dan tur a awm em?

Genetic natna EPI thlentu (Cystic Fibrosis ang chi) hi ven theih a ni lo. Mahse, puitling zinga a thlen tam ber, chronic pancreatitis vei theihna hi a tlahniam thei a ni.

Meizial zu leh zu in hi pancreas tan a buaithlak hle. Heng thilte hian pancreas inflammation (pancreatitis) leh EPI vei theihna a tipung a ni. Chuvangin, meizuk leh zu in loh vek hi pancreatic hriselna atan a pawimawh hle.

Doctor hmuh hun tur

A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan a rang thei ang bera doctor pan rawh.

Doctor i tlawh hunah heng zawhnate hi i zawh chuan a \angkai hle ang:

• Eng thilin nge EPI ka neih chhan?
• Eng enkawlna nge ka tan a tha ber?
• Ka ei leh inah eng inthlak danglamna nge ka siam ang?
• Vitamin ka ei tur em ni?
• Eng complication nge ka ngaihtuah tur?

EPI nena nun hi thil harsa tak a ni thei a, mahse enkawlna dik leh nunphung thlak danglam chuan nun hrisel tak i nei thei tih hre reng ang che.