Tlemte ei hnuah pawh i chaw ei kham em? Hei hi gastroparesis a ni thei!

Chaw tlemte i ei hnuah i chawl tih i hria em? A nih loh leh darkar tam tak i ei hnuah i rilru a hah hle em? I rilru a buai reng a, i rilru a hah a, ei leh in lama harsatna i neih chuan tunlaia kan sawi tak gastroparesis tih hi i hre chiang tur a ni. Hei hi thumal pawi tak angin a lang thei a, mahse awlsam takin sawi ila.

A awlsam zawngin, gastroparesis chu eng nge ni?

Gastroparesis tih thumal hi a awmzia takah chuan "rilru hnathawh that lohna" emaw "rilru natna" emaw tihna a ni. A dik tak chuan i pum chhunga nerve leh muscle te tichhe thei dinhmun a ni. A tlangpuiin kan ei hian kan pum chhunga ruh te hi a inzawm khawm a, chu chu tuipui ang maiin an che a, chaw chu an pawlh a, an tikehsawm a, zawi zawiin small intestine chhungah an nawr lut thin. Hetiang kalphung hi ``peristalsis'' an ti a.

Mahse Gastroparesis vei tan chuan pum chhunga thau leh nerve te hian hna an thawk tha lo. Chuvangin chaw chu pum atanga intestine tenau lam pan tur chuan hun rei tak a ngai a, a chang chuan a kal ngai lo. Traffic-a car a tang ang maiin ei tur chu a pum chhungah a tang a ni. Hei hi a hmaa kan sawi tawh ang chi natna lan chhuah dan nuam lo zawng zawng siamtu chu a ni.

Hetiang dinhmun hi a awm reng chuan harsatna dang a awm thei bawk. Chaw ei chak lohna hian ei leh in lama harsatna a thlen thei a , thisen sugar level control a harsa thei bawk . A châng chuan, chaw ei loh (undigested food particles) chu pum chhungah a pung khawm a, solid mass a siam ṭhin. Hei hi damdawi lam tawng chuan ``Bezoar'' an ti a.

Hetiang dinhmun hi chi hrang hrang a awm em?

Ni e, doctor-te chuan he natna hi a chhan a zirin an thliar hrang tlangpui.

• Diabetes-related Gastroparesis: Hei hi he natna hi zunthlum avanga side effect anga a lo awm hian a hming an vuah thin a ni.
• Post-surgical gastroparesis: Hetiang gastroparesis hi pum chhunga operation avanga harsatna awm angin a awm thin.
• Idiopathic Gastroparesis: Mak tak maiin, a tam zawkah chuan he natna hi a chhan chiang tak hmuh tur a awm lo . Damlo hmun li a\anga hmun khat leh a chanve vel chu he category-ah hian an tel a ni.

Chung zinga a chhan langsar ber leh hriat lar ber chu zunthlum , gastroparesis vei hmun thuma ṭhena hmun khat vel a ni.

Gastroparesis vei mi pakhatin eng symptoms nge a neih?

Heng symptoms te hi mi zawng zawng tan a inang vek lova, a then chu a na lo hle thei a, a then chu a nasat em avangin nitin hna thawh theih loh khawpin a awm thei bawk. A lan chhuah dan bulpui te han thlir ila.

Gastroparesis thlentu ber berte chu engte nge ni?

Sawi tawh ang khan a tam zawkah chuan a chhan hi hmuh tur a awm lo. Mahse a chhan awm thei tlemte a awm. Chung zawng zawng chu pum ruh control tu nerve tihchhiat vang a ni.

Zunthlum

Hei hi a chhan ber a ni. Thisen sugar level hi thunun loh leh rei tak a san chuan taksa chhunga nerve nalh tak takte a tichhe thin. Hei hi ``Diabetic Neuropathy`` kan ti a. He chhiatna hian pum chhunga nerve te pawh a nghawng a ni. Tichuan, pum ruhte hnena "contract" tura signal chu a kal tha lo hle.

Inzai

Pum, rilru, a nih loh leh a chhehvêla operation neih laiin, pum hnathawh thununtu nerve lian tak vagus nerve chu a chhe thei a ni . Hetiang chhiatna hian gastroparesis a thlen thei a ni. Entirnan, he natna hi `(Gastrectomy)` (rilru thenkhat lakchhuah) emaw `(Cholecystectomy)` (gallbladder lakchhuah) tih ang chi operation hnuah pawh hmuh theih a ni.

Infection awm thei te

Hetiang dinhmun hi virus thenkhat (`Norovirus`, `Rotavirus` ang chi) emaw bacteria infection hnuah pawh a awm thei bawk. Hetiang thil hi engtin nge a awm tih chiang taka hriat ni lo mah se, natna hrik kan do lai hian kan taksa hriselna (immune system) hian a tihsual palh avanga nerve a tihchhiat vang emaw a ni thei niin an ngai.

Ruihhlo thenkhat

Damdawi thenkhat i ei hian rei lo te chhungin pum hnathawh a tichhe thei bawk. A bik takin gastroparesis i neih tawh chuan heng damdawi te hi i fimkhur tur a ni.

• Natna tidamtu chak tak - `(Opioids)`
• Zuk leh hmuam - `(Nicotine)`
• Antidepressant thenkhat - `(Tricyclic antidepressants)`
• Thisen sang damdawi thenkhat - `(Calcium channel blockers)`
• Zunthlum damdawi thenkhat - `(GLP-1 antagonists)`

Hetiang damdawi chi dang pawh a awm a, chuvangin i damdawi ei zawng zawng hi doctor hnenah hrilh vek a pawimawh hle.

Hei hian eng side effect nge a neih theih?

Gastroparesis hi pum na mai a ni lo. A enkawl dik loh chuan harsatna lian tak a thlen thei.

• Rihna tlahniam leh ei leh in lama tlakchhamna: Luak chhuak fo, luak chhuak, leh ei duh lohna a thlen thei a, chu chuan taksa rihna tihtlem, tui tlakchhamna, leh ei leh in lama harsatna a thlen thei a ni
• Thisen sugar control hloh: 1.1.Hei hi harsatna lian tak a ni a, a bik takin zunthlum vei tan chuan harsatna lian tak a ni. Chaw ei tur chu pum atanga a chhuah hun tur a tihbuai avangin thisenah sugar a luh dan pawh a buai hle. Sugar level hi a tlahniam nghal thei (`Hypoglycemia`) emaw, a sang lutuk (`Hyperglycemia`) emaw a ni thei. Hei hi thunun harsa tak a ni.
• Bezoar siam: A hmaa kan sawi tawh ang khan chaw ei loh (undigested food particles) te chu pum chhungah a khawlkhawm thei a, lung ang maia solid lumps a siam thei a ni. Chungte chu a lian a nih chuan chaw ei tur chu pum atanga chhuak tur a tikhawlo thei a ni. Hei hi emergency a ni.

Engtin nge doctor hian he natna hi dik taka a hriat theih ang?

Doctor i hmuh chuan i natna lan chhuah dan te, damdawi lam harsatna dang i neih (zunthlum ang chi), leh operation i neih tawh zawng zawng te a zawt hmasa ang che. Tichuan, i symptoms te hi i pum chhunga blockage dang vang a ni em tih test thenkhat a kalpui ang.

1. Daltu a awm loh nan fimkhur rawh:

• Upper Endoscopy: Ka chhunga camera te tak te dahin pum chhung lam enin tumor, ulcer emaw thil dang daltu emaw a awm leh awm loh enfiah a ni.
• Scan dang: Test CT scan emaw MRI emaw hmangin pum chhung lam a en thei.

2. Pum hnathawh tehna:

• Thil tibuaitu a awm lo tih finfiah a nih hnuah, chaw ei kha engtiang chiahin nge a hring chhuak rang tih hriat nan special test an nei thin.
• Gastric emptying scintigraphy (GES): Hei hi hei hi a test ber a ni. He test-ah hian ei tur tlemte (a tlangpuiin egg) radioactive substance nena chawhpawlh i ei thin. Tichuan darkar engemaw zat chhungin scan an la a, ei tur chu a pum atanga a chhuah theih nan eng chen nge a rei tih hriat a ni.
• Breath Test: I pum hnathawh dan tur ngaihtuahna i nei thei a, chu chu carbon molecule bik nei chaw i pe a, i thaw chhuah gas chu i teh thei a ni.

Heng test neih zawh hian doctor chuan gastroparesis i neih leh neih loh chu chiang takin a hrilh thei che a ni.

Gastroparesis enkawl dan tur chu engte nge ni?

Hetiang dinhmun thlentu nerve chhiatna hi tihdanglam theih a ni lo. Hei hian tihdam kim a har tihna a ni. Mahse, natna lan chhuahna thunun thei leh nun pangngai nei thei tur enkawlna \ha tak tak tam tak a awm a ni .

Enkawlna tum berte chu:

• Pum chhunga ruh (muscles) tichaktu, chaw ei tur a hrufai rang zawk.
• I taksain a mamawh ei leh in leh tui a dawng ngei ngei tur a ni.
• Nausea leh natna ang chi symptoms control.
• Hei hi a chhan (zunthlum ang chi) a awm a nih chuan, uluk taka thunun a pawimawh.

Damdawi chi hrang hrang

• Prokinetics lam hawi:Heng damdawi chi hrang hrang zingah hian pum ruhte inzawmkhawmna atana puitu ber an ni. Hemi atana damdawi pawmpui pakhat chu `Metoclopramide` a ni. Amaherawhchu side effect thenkhat a awm avangin Doctor-in a hrilh ang chauha hman tur a ni.
• Antiemetics: Hengte hian nausea leh vomiting control turin a pui thin .
• Damdawi dang: Chest inflammation, natna leh zunthlum venna damdawi te pawh enkawlna ruahmannaah hian telh theih a ni.

Ei leh in lama inthlak danglamna

Hei hi enkawlna atana pawimawh tak a ni.

• Ni khatah vawi thum ei ai chuan chaw te te 5-6 ei thin ang che.
• Thau leh fiber tamna ei tur (e.g. chaw hmin, thlai tam tak, thei hnah) tihtlem a, a chhan chu hengte hi ei hun rei zawk a nih vang a ni.
• Liquid emaw well-blended foods (soup, porridge, juices) ngaihven zawk.

Inzai

Enkawlna dang zawng zawng a hlawhchham chuan chauh operation hi a tawp ber anga ngaih tur a ni.

• Pyloroplasty: Pum atanga chaw kalna muscular ring (pylorus) chu tlem a zau zawka tihzauh nan surgery a ni. Tunah chuan hei hi endoscope (`G-POEM` method) hmangin incision tel lovin tih theih a ni tawh.
• Gastric Bypass: Surgery a ni a, chu chuan chaw ei tur chu small intestine-ah direct-a a kal theihna tur kawng thar a siam a ni.

Hetiang dinhmun nen hian eng nge i fimkhur tur?

Gastroparesis hi dam chhung zawnga natna a ni. Amaherawhchu, tha taka nunpui theih a ni. I nunphungah inthlak danglamna tenau te siam a pawimawh.

• Eng ei tur nge i tan a tha tih leh eng ei tur nge i tana tha lo tih hriat chian rawh. Food diary vawn hian hei hi a pui thei a ni.
• Chaw ei zawhah rei vak lo kal rawh. Zawi zawia kal hian pum hnathawhnaah a pui thei a ni.
• Zu, meizuk leh ruihhlo dangte chu pumpelh vek rawh. Chungte chuan pum hnathawh a tichhe zual hle.
• I doctor nen inbiak reng tur a ni. I natna lan chhuah danah danglamna a awm emaw, i damdawi ei harsatna i neih chuan hrilh rawh.

Gastroparesis hi dinhmun harsa tak a ni thei a, mahse enkawl dan dik leh nunphung thlak danglam chuan i enkawl tha thei a, nun pangngaiin i hmang thei bawk.