I pum hian chaw ei harsatna a nei em? Gastroparesis chungchang hi han sawi ila!

I pum na, chaw ei zawhah i khat tih hriatna, a nih loh leh ei tlemte i ei hnuah pawh i khat tih hriatna i nei fo em? A châng chuan i luak chhuak emaw, i luak chhuak emaw ṭhin em? Tichuan he natna gastroparesis an tih hi i hriat a pawimawh hle . A awlsam zawngin, i hriatthiam theih dan tur angin sawi ila.

Gastroparesis tih hi eng nge ni? A awlsam zawngin...

Gastroparesis tih thumal tih awmzia chu “rilram tha lo” tihna a ni. A dik tak chuan i pum chhunga nerve leh muscle te tichhe thei dinhmun a ni. I pum chhunga thau te chu a bik takin a inzawm khawm a, a relax a, chu chuan i chaw ei chu i pum atanga i small intestine ah a sawn tir thin. Hei hi peristalsis an ti a. Chuvangin, gastroparesis vei miah chuan i pum chhunga thau leh nerve te hian hna an thawk tha lo a, chuvangin ei tur chu i pum chhungah a tang a, a hring tha lo. Hei hian chaw ei zawng zawng a tibuai a ni.

Tui motor ang maiin han ngaihtuah teh. Motor-a switch a thawk lo a nih chuan, a nih loh leh motor chhung ngeiah thil dik lo a awm chuan tui chu tank chhungah a lut lovang. Chutiang chuan pumin hna a thawk a ni.

Hetiang natna vei te hian ei tur an ei harsa hle. Hei bakah hian hun rei tak chhunga nghawng tha lo a awm thei bawk. Chung zingah chuan ei duh lohna, ei leh in lama harsatna, leh thisen sugar level control harsat te pawh a tel thei. A châng chuan chaw chu pum chhungah kal mah se, a hring vek lo thei a, chaw chi hrang hrang a hnutchhiah thei bawk. Heng ei tur la awmte hi lung ang maiin an pungkhawm thei a, an khauh thei a, bezoar an tih mass khauh tak an siam thei a ni.

Gastroparesis chi hrang hrang a awm em?

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

• Diabetes -related Gastroparesis: Hei hi zunthlum vei tan chuan side effect angin a lo awm thei a.
• Post-surgical Gastroparesis: Pum surgery hnuah pawh complication angin a awm thei bawk.
• Idiopathic Gastroparesis: A chang chuan a chhan chiang tak hmuh tur a awm lo . Hei hi idiopathic gastroparesis an ti a.

Eng chi nge hman tlanglawn ber?

Gastroparesis vei tam zawk (quarter atanga a chanve vel) chu idiopathic tiin an classified a ni. Chumi awmzia chu Doctor ten a chhan dik tak an hmuchhuak thei lo tihna a ni. Mahse, he category-a tel ṭhenkhatah chuan a chhan awm mah se, hriat chhuah a ni lo a ni thei. Zunthlum hi he natna thlentu pawimawh ber pakhat a ni. Damlo hmun thuma ṭhena hmun khat vel chuan zunthlum nena inzawm hian he natna hi an nei ṭhin.

Gastroparesis natna lan chhuahna chu engte nge ni?

Chutiang a nih chuan a hnuaia symptoms pakhat emaw a aia tam emaw i nei thei ang:

• Indigestion: Chaw ei tur hmin loh dinhmun.
• Pum puak (bloated stomach): Pum puak ang maia inhriatna.
• Hun rei tak chhung chawhma inhriatna: Chaw tlemte ei pawhin chawhmeh a tipung thei a, chu puarna chu darkar tam tak chhung a daih thei bawk. Zing lama buhfai tlemte ei a, chawhnu lam thlenga chaw ei kha han mitthla teh.
• Upper abdominal pain: Pum chunglam natna .
• Nausea leh vomiting : A chang chuan ei tur ei loh chi hrang hrang a chhuak thei.
• Chaw ei loh chi hrang hrang (whole pieces of undigested food) regurgitating: Parrot-in ei tur a regurgitating ang maiin.
• Ei duhna a hloh .
• Acid reflux leh thinlung natna.
• Thisen sugar level inthlak danglamna pangngai lo (Blood sugar fluctuations).
• Ek khal .

Gastroparesis neih hi engtin nge a awm?

I pum ruhte a thawh that loh chuan chaw i ei hnuah i pum chhungah rei tak a awm reng a ni. Chaw i ei tan veleh i chawl mai thei a, chu rilru chu rei tak a daih thei bawk. I pum a na thei a, i luak chhuak thei a, i luak chhuak thei bawk. I pum chu a puak a, a tight thei bawk. Acid reflux vangin heartburn i nei thei bawk.

Hei hi dinhmun hrehawm tak a ni em?

Gastroparesis symptoms hi mi hrang hrangah a inang lo. Mi tlemte chuan nitin hna an thawh theih loh khawpa na tak, pum na reng reng an nei tih an sawi. Mahse, miten an natna an tawh zat, an gastroparesis nasat dan leh an pum a chhuah chak dan te hi inzawmna nghet tak a awm lo niin a lang. Mi thenkhat chuan natna an nei tam zawk thei a, chu chu an nerve a sensitive zawk vang pawh a ni thei. Hei hi gastroparesis awm chhan nen pawh a inzawm thei bawk.

Engtin nge gastroparesis hian rilru hahna a nghawng?

Gastroparesis hian i chaw ei zawng zawng a tihkhawtlai avangin i chaw ei kham pawh a tikhawtlai thei bawk. Tin, ei tur lian tak tak, ei theih lohte chu i rilruah a tang thei a, chu chuan kal tlang a ti harsa thei bawk. Gastroparesis hian i intestines-a muscle-te che vel chu direct-in nghawng lo mah se, he natna thlentu condition thenkhat hian i intestines a nghawng thei bawk. Chuvangin mi thenkhat chuan gastroparesis leh constipation hi a rualin an nei thei a ni.

Gastroparesis awm chhan ber chu eng nge ni?

A awlsam zawngin, gastroparesis hi i pum ruh control tu nerve tihchhiat vang a ni. A tlem berah chuan taksa ruh (muscles) ngei pawh a chhe thei bawk. Mahse, a tawpah chuan chaw ei tur grind a, a hnua nawr chhuaktu muscle contraction te chu a chak lo ta a ni. Hei hian chaw ei lama harsatna a thlen thei a, gastric emptying a tikhawtlai thei bawk – chu chu ei tur chu pum chhungah rei tak a awm tihna a ni.

Gastroparesis awm chhan bikte chu engte nge ni?

A chhan hriat chhuah thenkhat chu hetiang hi a ni:

1. Zunthlum (Diabetes Mellitus) .

Zunthlum vei hmun thuma ṭhena hmun khat vel chuan gastroparesis an nei ṭhin. Hei hi diabetes-related neuropathy an ti a. Hun rei tak chhung thisen sugar level a san chuan nerve a chhiat phah thin. Tin, thisen sugar level sang hian tissue-a oxygen phurtu thisen kalna kawngte a tichhe bawk. Chuvangin pum chhunga nerve leh muscle pahnih a nghawng a ni.

2. Surgery tih a ni

I pum emaw, a bul hnaia emaw operation neih hian i pum chhunga kal a, a chetna inrualremtu vagus nerve a tichhe thei a ni. Hetiang dinhmun hi operation hnuah engtik lai pawhin a awm thei. A thleng nghal thei a, thla tam tak emaw, kum tam tak hnuah emaw a thleng thei bawk. Chutianga thlen thei surgery thenkhat chu:

• Nissen fundoplication a ni
• Gastrectomy (a pum emaw, a pum emaw lak chhuah) .
• Pancreatectomy (pancreas thenkhat emaw, a pum emaw lakchhuah) .
• Vagotomy (vagus nerve titawp) .
• Cholecystectomy (gallbladder lakchhuah) 1.1.

3. Hri kai te

Gastrointestinal infection, a bik takin virus infection (e.g., norovirus, rotavirus) leh bacteria infection thenkhat te hian gastroparesis a thlen thei bawk. Scientist-te chuan heng natna hrikte hian direct-in nerve a tichhe em tih emaw, natna dotu immune cell-te hian tihsualin nerve a tichhe em tih emaw an la hre chiang lo.

4. Autoimmune natna te

Autoimmune natnaah chuan kan taksa immune system hian kan cell te chu antibodies (autoantibodies) siamin a bei thin. Research thar atanga a lan dan chuan heng autoantibodies te hian pum chhunga nerve te a tichhe thei a ni. Autoimmune symptom dang i neih loh pawhin gastroparesis i nei thei a, chutiang symptoms chu pum nen a inzawm lo a nih pawhin i vei thei bawk.

5. Ruihhlo

Damdawi leh damdawi thenkhat chuan pum ruh control tu nerve signal te chu a block thei a ni. Hei hian hun eng emaw chen atan gastroparesis a thlen thei a ni. Heng damdawi thenkhat hi gastroparesis (zunthlum ang chi) nena inzawm natna dang tan pawh pek theih a ni. Gastroparesis i nei tawh a nih chuan, emaw, a hmaa i lo vei tawh a nih chuan heng damdawi te hi i pumpelh tur a ni. Entirnan:

• Opioid (ruihhlo chi hrang hrang) .
• Nicotine (zuk leh hmuam chhunga awm) .
• Marijuana (Hemp) hman a ni.
• Tricyclic hmanga tihdam theih a ni
• Progesterone (hormone pakhat) a awm a.
• Allergy damdawi antihistamines (Anticholinergics) te hi a tha hle.
• Thisen sang tan calcium channel blocker a ni
• Amylin analogs / GLP-1 antagonists te hi type 2 diabetes tan a ni
• Cyclosporine (organ transplant laiin rejection venna atana pek thin damdawi) .
• Clonidine (thisen sang damdawi) .
• Lithium (bipolar disorder damdawi) 1.1.
• Rilru natna damdawi thenkhat (Antipsychotic medications) .

6. Chhan dang

A chhan dang, a nghawng tlem berte chu:

• Neurological diseases: Nervous system tichhe thei natna, Parkinson’s disease, multiple sclerosis, leh autonomic dysfunction te hian pum chhunga nerve te chu a tichak lo thei a ni.
• Collagen-vascular diseases: Chronic inflammatory connective tissue natna , amyloidosis, scleroderma, lupus, leh Ehlers-Danlos syndrome te hian pum ruh chak lohna a thlen thei a ni.
• Endocrine disorders: Thyroid natna, adrenal disorder, electrolyte imbalances, leh kidney failure ang chi natna te hian nerve te chu chemical a tichhia thei a ni.
• Cystic fibrosis: He natna hian chaw ei kawngah mucus (mucus ang chi) a siam a, chu chuan system pumpui a ti slow a ni. He natna vei hmun thuma ṭhena hmun khat velin gastroparesis an nei nia chhut a ni.

Gastroparesis avanga harsatna awm thei te chu engte nge ni?

He natna hian harsatna hrang hrang a thlen thei a, chung zingah chuan:

• Taksa rihna tlahniam, ei leh in tha lo leh tui tlakchhamna: Luak chhuak reng reng, luak chhuak leh ei duh lohna te hian taksa rihna a tlahniam thei a, ei leh in lama harsatna a thlen thei bawk. Luak tam lutuk hian tui tlakchhamna leh electrolyte (body salt) tlakchhamna a thlen thei a ni. Damdawi inah dah a ngai mai thei a, nutritional therapy leh saline pek i ngai mai thei.
• Acid reflux nena inzawm harsatna: Gastroparesis avanga pum a lo hring avangin chaw kawng acid chu chaw kawng chhungah a lo lut awlsam hle Hetianga reflux chhunzawm zel hian chaw kawng a tichhe thei a ni . Entirnan, thinlung natna leh chaw kawng natna .
• Thisen sugar harsatna: Gastroparesis hian ei tur chu chaw ei kawng kal tlanga kal dan pangngai, controlled process a tibuai a. Hei hian thisenah glucose (sugar) chhuah fo chu a tibuai a ni. Chaw ei tur chu pum chhunga a awm rei lutuk chuan thisen sugar level a tlahniam thei a ni. Chaw ei chhuah nghal a nih chuan thisen sugar level a sang thei hle. Hetiang thisen sugar inthlak danglamna hi zunthlum vei tan chuan a buaithlak hle a, gastroparesis a ti na zual thei bawk.
• Bezoar leh Gastric Outlet Obstruction: Bezoar chu chawhmeh khauh tak, nghet tak, pum chhunga tang chhuak a ni. Pum a hring chhuah huna chaw chi hrang hrang la awm atanga siam a ni. A châng chuan, bezoar chu a lian lutuk a, pum hnuai lama outlet kal tlangin a kal thei lo. Chaw dang kalna tur pawh a tikhawlo thei bawk. Doctor ten bezoar tihthianghlim nan damdawi an pe thei che a, a nih loh leh surgery hmangin an la chhuak thei bawk.

Engtin nge Gastroparesis hi an hriat theih?

Doctor chuan i symptoms leh i medical history (gastroparesis thlen thei conditions, surgery) te a zawt hmasa ang che. Tichuan, i pum chhung lam en turin special imaging test engemaw zat an ti ang. Heng test te hian taksa inkharkhip eng pawh a zawng a, hengte hian symptom inang chiah a thlen thei a ni. Blockage hmuh a nih loh chuan gastric motility test an ti ang . Heng test te hian i pum ruh hnathawh dan a en thin.

Gastroparesis hriat theihna tur hian eng test nge tih thin?

I tih hmasak ber tur chu i symptoms thlentu blockage a awm leh awm loh enfiah turin test i run ang. Chung zingah chuan:

• Upper endoscopy: Ka chhunga camera te tak te dahin pum lam en a ni.
• Upper GI series: Barium ang chi thil in hnua X-ray lak a ni.
• CT scan a ni
• MRI `(MRI)` tih a ni
• Pum chhunga ultrasound hmanga tih a ni

Heng test-naah hian taksa inkharkhip (physical blockage) a awm loh chuan a dawt leh tur chu gastric emptying study a ni a, chu chuan pum chhunga kal dan a teh a ni. Chûng zîngah chuan:

• Gastric emptying scintigraphy (GES): Hei hi nuclear damdawi hmanga test a ni. Radioactive substance nena chawhpawlh ei tur emaw, in tur emaw tlemte pek i ni a, chu chu i chaw ei dan kaltlanga a kal theih hun chhung chu record a ni.
• Gastric motility breath test (GEBT): Hei hian i digestive system chhunga ei tur a kal chak dan a teh a, chu chu boruak i thawk chhuah zat a teh a ni. Hei hian chaw ei tur a huam a, chutah chuan carbon molecule bik ``carbon-13'' an tih chu a awm a ni. I rilru chhunga a luh chuan carbon dioxide chi khat ``CO2-13'' a siam chhuak a, chu chu i thawknaah teh theih a ni.
• Colon transit study: Hei hian ei tur chu large intestine kal tlanga a kal chak dan a test thin . Hei hian taksa chhunga an kal laiin X-ray-a hmuh theih pellet te te ei a huam a ni.

I GES test result a dik lo a nih chuan i doctor chuan electrogastrogram (EGG) , chu chuan pum ruhte electrical activity a teh thei a ni.

Gastroparesis awm chhan hriat nan test dang pawh tih theih a ni. Entirnan, thisen test hian a hmaa natna kai tawh atanga antibodies la awm te, a nih loh leh autoantibodies te a zawng thei a, hei hian autoimmune natna a lantir thei bawk.

Gastroparesis enkawl dan tur chu engte nge ni?

Doctor-te chuan gastroparesis vanga chhiatna thlengte chu direct-in an siam ṭha thei lo. Mahse, pum chhunga thau te chu a inzawm khawm theihna tura tichaktu leh a hring vek tura puitu enkawlna an pe thei a ni. Damdawi hi enkawlna line hmasa ber a ni. Damdawi a hlawhtlin loh emaw, a awm loh emaw chuan operation tih ngaihtuah a ni. Enkawlna zawng zawng hian side effect a nei thei a, enkawlna pakhat chauh hian mi zawng zawng tan a thawk vek lo.

Enkawlna tumte chu:

• Pum ruh tichaktu leh/ emaw, pum chu a hring chhuah tir.
• I taksain a mamawh ei leh in leh tui a dawng ngei ngei tur a ni.
• Symptoms leh side effects te enkawl dan.
• A theih chuan natna thlentu chu enkawl la, natna a zual zel loh nan ven rawh.

I enkawl dan tur ruahmannaah hian:

• Damdawi chi hrang hrang.
• Nutritional/hydrotherapy hmanga enkawlna.
• Inzai.
• I gastroparesis thlentu dinhmun enkawlna bik.

Damdawi chi hrang hrang

Prokinetics, damdawi chi khat, chaw ei kawng kalna tichaktu chu gastroparesis enkawlna hmasa ber a ni. Chung zingah chuan:

• Metoclopramide: Hei hi FDA (Food and Drug Administration)-in gastroparesis enkawlna atana a pawmpui awmchhun a ni. Pum chhunga thau inzawmkhawm (muscle contractions) a tichak a, nausea tihziaawmna atan a pui bawk. Mahse, side effect (e.g., tremors, muscle twitching) a thlen thei a, chuvangin fimkhur bik a ngai a ni.
• Motilin agonists: Hengte hi prokinetic damdawi chi dang a ni. Entirnan Erythromycin leh Azithromycin te hi a ni . Hengte hi antibiotics atana hman tlanglawn tak ni mahse, doctor-te chuan gastroparesis enkawl nan an rawt bawk.
• Serotonin agonists: Tegaserod leh Prucalopride te hi damdawi pahnih an ni a, chu chuan intestines a tichak a, constipation a ti tha hle. Gastroparesis enkawlna atan hian ennawn kim ni lo mah se, doctor thenkhat chuan hemi atan hian an rawt a ni.

Damdawi dang: 1.1.

• Antiemetics hian nausea leh luak chhuak a control thin.
• Acid reflux harsatna nei tan proton pump inhibitor te .
• Painkillers hmanga pum natna nasa tak awm thei.
• Thisen sugar level control nana zunthlum damdawi.

Pawimawh: Damdawi lam thurawn tel lo chuan heng damdawi zinga pakhat mah hmang hian mahni invenna nei suh. Doctor rawn hmasa phawt la, an rawtna ang chauhvin damdawi ei thin ang che.

Ei leh in

I ei leh in i thlak a ngai mai thei. Entirnan, chaw ei a awlsam zawk nan fiber tlem, thau tlem ei tur a ni. Nutrient hloh tawhte thlak danglamna tura pui turin special nutritional therapy i mamawh thei bawk. I doctor chuan nutritional supplement a rawt thei che a, a nih loh leh hun eng emaw chen chu tube feeding emaw IV feeding emaw a pe thei bawk. Mi thenkhat chuan dehydration leh electrolyte imbalances siamthat nan saline solution chu thisenah pek a ngai thei bawk.

Inzai

Gastroparesis enkawlna atana hmanraw hnuhnung ber chu operation hi a ni. Enkawlna dang zawng zawng a hlawhchham chuan ei tur a kal tlang theih nan i pum pianzia thlak danglam turin operation i neih a ngai mai thei. Heng surgery hrang hrangte hi:

• Pyloroplasty: Hei hian i pylorus (i pum hnuai lama ei tur kal tlang theihna tur muscular valve) thlak a huam a ni. A tam zawkah chuan pylorus muscle chu a cut a, a hawnna chu a lian a, a hawnna chu a relax a ni. Procedure thar zawk chu G-POEM (gastric peroral endoscopic myotomy) tih a ni. Chumi awmzia chu zai chu ka hmanga tih a ni a, pum chhungah cut lovin a awm tihna a ni.
• Gastric bypass: Mi thenkhat chuan pum hnuai lam hi an bypass vek a ngai a. Hei hian pum chhung hmun thenkhat lakchhuah emaw khar emaw a huam a, chu chuan pum atanga small intestine (gastrojejunostomy) panna kawng thar siam a ni. Gastric bypass surgery hi thau lutuk vanga type 2 diabetes vei tan chuan taksa rihna tihtlem nan surgery a ni. Diabetes leh gastroparesis-ah te pawh nghawng lian tak a nei thei a ni. I doctor chuan zunthlum kaihhnawih gastroparesis na tak tan a rawt mai thei.

Gastroparesis hi eng nge a hmalam hun?

A châng chuan hun rei lote damdawi emaw, hun rei lote chhunga natna kai emaw avanga gastroparesis awm chu hun kal zelah a ṭha chho zel ṭhin. Mahse mi tam zawk tan chuan gastroparesis hi tihdam theih loh, mahse enkawlna hmanga enkawl theih a ni. I tana damdawi dik tak zawn nan hun engemaw chen a ngai thei a, enkawlna emaw, natna lan chhuah chhunzawm zel emaw avanga nghawng tha lo i nei thei bawk. I doctor chuan hengte hi an lo thanglian zel angin a enkawl theih nan a pui thei che a ni.

Gastroparesis hian dam chhung a nghawng em?

Gastroparesis hi a tlangpuiin nunna atana hlauhawm a ni lo. Mahse, gastroparesis avanga harsatna awm thei thenkhat (ei leh in lama harsatna, tui tlakchhamna, electrolyte inthlauhna, leh zunthlum natnaah thisen sugar inthlak danglamna) chu a nasat chuan nunna atana hlauhawm tak a ni thei. I doctor chuan heng harsatna te hi a tih tlem theih nan a thawkpui ang che. Enkawlna dik tak a awm chuan a hlauhawmna a tlem hle.

Gastroparesis natna vei lai hian engtin nge ka in enkawl ang?

I natna lan chhuah dante ngaihven la, eng ei leh in leh tih danin nge a ti tha emaw, a ti chhe zawk emaw tih te chu ngaihven rawh. Inthlâk danglamna tenau te hian i rilru put hmangah danglamna nasa tak a thlen thei a ni. Mi thenkhat chuan heng thilte hi a \angkai hle niin an hria:

• Ni khatah chaw bulpui pathum ei ai chuan chaw tenau pali atanga paruk ei thin ang che.
• Thau tlem, fiber tlem eitur (gastroparesis diet) zawm tur a ni. Hemi chungchang hi doctor emaw nutritionist emaw zawt rawh.
• Zu, zuk leh hmuam leh ruihhlo te pumpelh rawh. Chungte chuan pum hring (stomach empty) a tikhawtlai.
• Chaw ei zawhah exercise light deuh deuh, kea kal rei lo te tih ang chi te ti thin ang che. Hei hian bowel movement-ah a pui dawn a ni.

Gastroparesis hi a na lo atanga na tak thlengin a awm thei a, i nunphung a nghawng dan pawh a inang lo thei bawk. Damdawi rang tak a awm loh laiin, enkawl dan tur tam tak a awm. I doctor chuan i tana enkawlna tur tha ber zawng turin a thawkpui ang che. Ei leh in leh nunphung inthlâk danglamna siam hian a ṭanpui thei tih i hmu thei bawk. Hetih lai hian scientist-te chuan enkawlna thar an zirchiang chhunzawm zel a ni.

Take-Home Thuchah a ni

Gastroparesis hi kan pum a hrufai tha lo a, chu ai chuan a khat zawk a ni. Hei hi thil engemaw zat avanga lo awm thei a ni a, zunthlum leh surgery te pawh a tel. I taksaah natna lan chhuahna, rilru hahna, luak chhuak, emaw, pum na ang chi i neih chuan doctor thurawn lak a pawimawh hle .

Ngaihtuah buai suh, he dinhmun hi enkawl theih a ni. Diagnosis leh treatment dik tak i neih chuan nun pangngaia nun theihna hun remchang i nei a ni. I doctor thupek chu uluk takin zawm la, i ei leh in leh nunphung pawh ngaihtuah tel bawk ang che.