Chaw tlemte ei hnuah pawh i chaw ei kham ang maiin i inhria em? A nih loh leh, i rilru a buai fo emaw, i taksa puar chungchangah harsatna i nei fo em? Hei hi a chhan chu i pum, chu chu i pum atanga chaw a chhuah chak dan a inthlak vang pawh a ni mai thei. Chuvangin vawiin hian hei hi chiang taka hriat theihna tura special medical test tih thin chungchang hi han sawi ila. Hei hi `(Gastric Emptying Study)` kan tih chu a ni.
A awlsam zawngin, he Gastric Emptying Study hi eng nge ni?
Hei hi test awlsam tak a ni. I ei tur (or drink) pakhat chu i pum chhunga a kal a, a hring vek theih nan hun rei zawng a teh a ni. Hetiang hian i pum chhunga ei leh in leh tui i kal tir dan hi ``Gastric Motility'' an ti a. Doctor ten he test hi an ti thin a, i pum chu a che tha em tih an enfiah thin. Chaw ei chhuahna rate chu a tlangpui aia rang zawk emaw, a slow zawk emaw a nih chuan damdawi lam dinhmun chhinchhiahna a ni thei.
Chumi atana hmanraw ber leh hman tlanglawn ber chu `(Gastric Emptying Scintigraphy - GES)` tih test hi a ni. Doctor-in he test chungchang a hrilh che hian hei hi a sawi tum ber chu a ni. Hei hi `(Imaging Test)` `(Nuclear Medicine)` chi a ni a, chu chu scan tihna a ni. Hemi a thil thleng chu i taksaa radioactivity awm chu scan a ni a, image siam a ni. Lungngai suh, hei hi i tan a pawi lo. I pum chu scan-a telh a nih theih nan i chaw eiah hian radioactive substance te tak te, hlauhawm lo tak `(Radioactive Tracer)` dah tel a ni.
He test hi tih dan dang a awm em?
Ni e, a bulpui bakah hian hmanraw dang engemaw zat a awm a:
- Gastric Motility Breath Test (GEBT): Hei hian gas i chhuah zat leh i ei tur i intestines kal tlanga a kal dan a teh a ni. Carbon molecule bik ``Carbon-13'' tih awmna ei tur pek i ni. I intestines a paltlang chuan carbon dioxide gas a siam chhuak a, chu chu i thawknaah teh theih a ni.
- SmartPillTM Wireless Motility Capsule: Hei hian electronic device te tak te, pill ang maia lang chu ei a huam a ni. I digestive system a kal lai hian i hak ``Receiver`` ah data a thawn thin. Pill chu ni khat emaw ni hnih emaw chhungin i stool-ah a pass out thin. Tichuan, i doctor hnenah ``Receiver`` i pek chuan data chu a en thei ang a, i dinhmun chu a hre thei ang.
He fiahna atang hian eng nge kan zir theih?
He test hian i pum a empty rang lutuk nge a empty rang lutuk tih a hriattir ber a ni . I pum chhunga khawiah nge he speed hi a tlahniam tih pawh a hre thei bawk. Hei hian i pum chhunga harsatna thenkhat awm chhan hriatthiamna kawngah nasa takin a pui thei a ni.
| Doctor-in he test hi a order theihna tur symptoms | |
|---|---|
| Fullness tih hriatna | Chaw tlemte ei hnuah pawh a khat hle tih hriat, a nih loh leh ei zawh hnu rei tak chhung chutiang rilru put hmang neih. |
| Nausea leh luak chhuak | Nausen leh/ emaw, luak chhuak fo thin. |
| Pum natna | Pum chunglam a na. |
| Pum chhung a khat | Gas leh bloating tih hriatna. |
| Thil dang pawh a awm | Chaw ei chak lohna, taksa rihna tlahniam, thisen sugar level sang leh tlahniam nghal, luak chhuak, thinlung thawk chak, leh chronic acid reflux. |
Hetiang symptoms i neih chhunzawm zel chuan doctor nen inbiakna neih hi a tha ber ngei ang.
He test hmang hian eng natna nge hriat theih?
Pum a hring zawi zawi a nih chuan pum a inkharkhip emaw, pum chhunga thau leh nerve te hnathawh tha lo tihna emaw a ni thei. Hei hi damdawi lam chuan `Gastroparesis` an ti a.
Tin, pum hi a hring rang lutuk a nih chuan `Dumping Syndrome` kan ti bawk. Hei hi taksa ruh leh nerve-ah pawh harsatna a ni. Hetiang dinhmun hi pum surgery nei tawhte zingah a awm fo thin. Mahse, operation i neih loh chuan, a hnuaia damdawi lam dinhmun dang chhinchhiahna a ni thei bawk.
Test hmain engtin nge i inbuatsaih ang?
Hei hi a pawimawh hle. Doctor chuan test hmain a tul angin a hrilh ang che. Damdawi i ei lai leh natna dang i neih te pawh i hrilh tur a ni.
| Test hmaa tih tur leh tih loh tur | |
|---|---|
| Ei leh in tur | Test hma darkar 4 tal ei leh in loh tur. Test hi zing lamah tih a nih tlangpui avangin a hma zan a\angin chaw nghei turin an ti ang che. |
| Diabetes i neih chuan | Zunthlum tan insulin i ei a nih chuan i insulin leh glucose meter keng la. Test hmain i thisen sugar level teh a ni ang a, a tul chuan control turin insulin pek a ni ang. |
| Meizial zuk | Test hmain meizuk loh tur. I pum khar a tikhawtlai thei. |
| Damdawi thenkhat | I doctor thurawn a zirin damdawi thenkhat (e.g., natna tidamtu, antidepressant, leh gastritis damdawi thenkhat) ei kha ni engemaw zat chhung chu i chawlhsan a ngai mai thei. |
| Hun bik atan | Naupai emaw, nau hnute i pek emaw chuan he thu hi doctor hnenah hrilh ngei ang che. Heng hunah hian radioactive material avang hian test hi tih a ni lo. |
Test neih chhung hian eng nge thleng?
Hei hi thil awlsam tak a ni.
1. Chaw ei: Pakhatnaah chuan a bik taka siam chawhmeh pek i ni ang. Hei hi a tlangpuiin egg whites radioactive substance ``(Sulphur Colloid)`` nena chawhpawlh, chhangphut slice jam nen, leh tui glass khat a ni. HeiMinute 10 chhungin ei zawh a ngai a ni .
2. Scanning: Chumi hnuah technician chuan scanner-ah a hruai ang che. A theih chuan ding turin an ti ang che, a nih loh chuan mu turin an ti ang che. Scanning camera hian i pum lam a hawi ang a, scan hian minute khat vel a awh ang.
3. Hun: Scan hmasa ber chu i ei zawh hnu lawkah lak a ni. Tichuan, darkar khat, darkar hnih leh darkar li hnuah i scan leh ang. Heng scan neih chhung hian room atang hian i chhuak thei a, mahse a hun takah i kir leh tur a ni.
He test pumpui hi darkar 2 leh darkar 4 inkar a ni tlangpui . Pum pakhat a hring chhuah hun rei ber chu darkar 4 a ni tlangpui a, chuvang chuan chutiang rei chu i nghah a ngai a ni. Chumi hmaa a empty chuan test chu a tawp thuai ang.
He test chhung hian natna leh hrehawmna i nei lovang. Chaw chhunga radioactive material awm chu i tem lo vang a, i rim pawh i hre lo vang.
Test result hi engtin nge kan hriatthiam ang?
I doctor chuan test zawhah report i dawn chu a hrilhfiah ang che. Darkar 1, 2 leh darkar 4 chhunga i pum chhunga ei tur awm zat a tarlang a ni.
| Nihna | Nghawngchhuah |
|---|---|
| Results pangngai tak a ni | |
| Darkar 1 hnuah | Chaw 30% aia tam chu pum chhungah a awm reng tur a ni. |
| Darkar 2 hnuah | Chaw ei tur 40% tal chu a hring vek tur a ni. |
| Darkar 4 hnuah | Chaw ei tur 90% tal chu a hring (10% aia tlem lo dah tur) a ni tur a ni. |
| Results pangngai lo tak tak a awm | |
| Chaw ei tur zawi zawiin a hring chhuak (Gastroparesis) . | - Darkar 2 hnuah chaw 60% aia tam chu pum chhungah a awm reng chuan. - Darkar 4 hnuah chaw 10% aia tam chu pum chhungah a awm reng chuan. |
| Dumping Syndrome a awm a ni | - Darkar 1 hnuah chaw 70% aia tam a hring a nih chuan. |
He test zawhah hian i taksaa radioactive material lut chu ni hnih chhungin zun leh bawlhhlawh hmangin a bo vek ang. Tui tam tak in hian he thil hi a ti chak hle ang.
Take-Home Thuchah a ni
- `Gastric Emptying Study` hi test awlsam leh hrehawm lo tak a ni a, i pum atanga ei tur a chhuah hun chhung tehna a ni.
- I natna lan chhuah dan, i puak fo thin, rilru hahna, leh pum na tak tak i neih chuan he test hian a chhan zawng turin a pui thei a ni.
- Hei hian `Gastroparesis` (chaw ei chhuah hun sawn) leh `Dumping Syndrome` (chaw ei chhuah rang) ang chi dinhmun hriatchhuahna kawngah a pui a ni.
- Test hma ngeia doctor thupek (chaw nghei, damdawi thenkhat chawlhsan) zawm dik a pawimawh hle.
- I doctor hnenah test result chu i hriatthiam theih dan tur hrilhfiah turin hrilh rawh.
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