Chaw ei a digest thei lo em ni? Pum a na em? Hei hi EPI (Exocrine Pancreatic Insufficiency) a ni thei bawk.

Chaw ei zawhah i khat fo em, pum na i nei fo em, leh bawlhhlawh rimchhia, hriak nei i nei fo em? Chhan awm lovin i thau pawh a tlahniam thei bawk. Hengte hi ngaihthah tur symptom a ni lo. Vawiin hian Exocrine Pancreatic Insufficiency, a tawi zawngin EPI an tih, heng symptoms te hi a thlen thei tih kan sawi dawn a ni.

A awlsam zawngin EPI chu eng nge ni?

Awle, hetiang hian han sawi ila. Kan pum chhungah hian pancreas an tih organ kan nei a. A hna ber chu enzymes , chemical chi khat bik siam a ni a, chu chuan kan ei tur kan ei theih nan min pui thin. Heng enzyme te hi kan small intestine ah lutin kan ei tur, a bik takin oil leh fats te chu a ti chhe vek a, chutiang chuan kan taksain a hip lut thei a ni.

Tunah chuan EPI vei chunga thil thleng chu pancreas hian enzyme a siam tling lo tih hi a ni. Chuti a nih chuan eng nge thleng? Chaw ei hi a digested tha lo. Taksa hian a mamawh nutrients, a bik takin thau leh thau-a inthiar theih vitamin (vitamin A, D, E, leh K ang chi) te hi a hip lut lo. Hei hian pum na leh taksa rihna tihtlem ang chi harsatna a thlen thin.

Mahse, lungngai suh. Tunah chuan hei hi enkawlna tha tak tak a awm ta. Enkawlna dik i hmuh chuan nun pangngaiin i nung leh thei tawh ang.

EPI awm chhante chu engte nge ni?

EPI thlentu ber chu pancreas tihchhiatna chi khat a ni. Hei hian chhan hrang hrang a nei thei.

• Pancreatitis natna awm fo: Doctor-te chuan hei hi chronic pancreatitis tiin an sawi a. Heta thil thleng hi chu pancreas-a enzyme siamte hian small intestine an thlen hmain pancreas chhungah hna an thawk tan a ni. Hei hian pancreas ngei pawh a tichhia a ni. Hetiang hlauhawmna hi zu in tam zawkah a sang zawk a ni. Tin, thisen thau sang (Triglycerides) leh immune system chak lo te pawhin hei hi a nghawng thei bawk.
• Surgery: Hetiang dinhmun hi a chang chuan pancreas, pum emaw, intestines emaw surgery vang a ni thei.
• Natna pianpui: Natna pianpui thenkhat chuan EPI a thlen thei bawk.
• Cystic Fibrosis: He natna vei te hian an taksaah mucus thick, sticky mucus an siam thin. He mucus hian pancreatic ducts a block a, enzymes te chu a chhuak thei lo.
• Shwachman-Diamond Syndrome: Hei pawh hi thlahtu natna a ni. Hetiang dinhmunah hian pancreas-a enzyme siamtu cell te chu an bo vek a ni.
• Natna dang: Mi thenkhat chuan chaw ei kawng natna dang, Crohn’s disease leh Celiac disease te avangin EPI vei an hlauhawm hle bawk.

Engtin nge EPI i neih leh neih loh i hriat theih ang? Eng nge a lan chhuah dan?

A tir lamah chuan symptoms a awm lo mai thei a, mahse pancreas a chhiat a, thau a lakluh theihna a tlahniam chuan symptoms te chu a lo lang tan zauh zauh thin.

A hnuaia table-ah hian a lan chhuah dan tlangpui tarlan a ni.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

Doctor i pan hunah i natna lan chhuah dan a zawt ang che a, chutah chuan i natna hriat chian nan test eng emaw zat a order ang.

Doctor hnena zawhna zawh tur

• I pum chunglam ah natna i nei em?
• Stool hian rimchhia emaw, oil texture emaw a nei em? Silfai a har em?
• Diarrhea emaw bloating emaw i nei em?
• Tun hnaiah i taksa rihna i tihtlem tawh em?

Test tih tur a ni thei

Hemi atan hian test chi hrang hrang a awm a.

Enkawlnate chu engte nge ni?

EPI enkawlna ber leh tangkai ber chu Pancreatic Enzyme Replacement Therapy (PERT) a ni. A awlsam zawngin, i pancreas-in enzyme a siam chhuah loh thlak nan pill ei hi a ni.

• PERT tablet ei dan: Heng tablet hi chaw ei laiin ei tur a ni . Chaw ei hmaa ei a nih chuan ei tur a thlen hmain enzyme te hian pum a chhuahsan tawh ang. Chaw ei zawha ei chuan ei tur a hmin tan hnuah enzyme te chu a lo thleng tlai tawh ang. Chuvangin, heng tablets te hi main meals leh snacks te nen ei tur a ni .
• Pum acid tihtlemtu damdawi: A chang chuan, pum acid tam hian heng enzyme pills te hi an hnathawh hmain a tichhia thei a ni. Hei hi tihtawp nan i doctor chuan `Proton pump inhibitors` (e.g. omeprazole) emaw `H2 blockers` (e.g. famotidine) ang chi damdawi a pe thei ang.
• Natna tihdamna damdawi: 1.1.Natna a awm chuan doctor thurawn angin Paracetamol ang chi general painkiller i ei thei bawk. A natna a nasat chuan damdawi chak zawk pek theih a ni. Mahse, chutiang damdawi chu ruihhlo ngawlvei a ni thei a, chuvangin fimkhur hle leh doctor thurawn hnuaiah hman tur a ni.

Chu bakah, EPI dinhmun thlentu natna hnuaia awm (e.g. Chronic Pancreatitis, Cystic Fibrosis) enkawl a pawimawh hle bawk.

Engtin nge i in enkawl theih ang?

Damdawi bakah hian i nunphung leh ei leh in te pawh he natna hi thunun nan hian a pawimawh hle.

• Chaw tê tê engemaw zât ei rawh: Ni khatah chaw lian pathum ei ai chuan ni khatah vawi ruk vêl chaw tê ei tur a ni. Hei hian digest a ti awlsam ang.
• Zu leh zu in pumpelh: Zu in hian taksain thau a lakluh a ti harsa a, pancreas pawh a tichhe bawk. Meizial zuk hian pancreas tan pawh a pawi hle.
• Vitamin ei: Taksain a hip that loh avangin pawn lam atanga vitamin A, D, E, leh K te hi i ei a ngai dawn a ni. Chumi atan chuan i doctor chuan vitamin leh a dose dik tak a pe ang.
• Nutritionist hnen atangin thurawn la rawh: I duh ang eitur tha tak siam turin dietitian hnen atangin thurawn lak a pawimawh hle.

EPI hi ngaihtuah tur condition a ni lo. Enkawlna dik leh nunphung dik tak nen chuan i thunun thei ngei ang a, nun pangngaiin i hmang thei ang. A pawimawh ber chu i doctor nena inbiak reng a, a thupek dik taka zawm hi a ni.