Lung natna i nei fo em? He (Heartburn) chungchang hi han sawi ila!

I rilru lai takah kangmei chhuak i nei ngai em? I rilruah kang ang maiin i hria em? Mi tam tak chuan "heartburn" an ti a, mahse a takah chuan heart problem a ni lo. I pum chhunga acid awm chu i ei tur pipe (esophagus)-a a rawn chhoh vang a ni. He food pipe hi i rilruah a kal nghal a, i thinlung hnaih takah a kal a ni. Chuvang chuan a chang chuan thinlung lam harsatna anga ngaih sual theih a ni. Mi thenkhat tan chuan a chang changa thleng thin a ni a, thenkhat tan erawh chuan harsatna awm reng a ni. A lo awm fo chuan GERD (Gastroesophageal Reflux Disease) tih natna lan chhuahna a ni thei. Hemi chungchang hi sawi belh leh ila, kan sawi dawn em ni?

Lung natna chu eng nge ni tak tak?

A awlsam zawngin, heartburn chu stomach acid a luang chhuak leh a, esophagus-ah a luang leh a ni. Kan pum hian heng acids laka venhimna tur mucous lining thuk tak a nei a. Mahse, kan chaw kawng (esophagus) hian chutiang venhimna chu a nei lo. Chuvangin, stomach acid hian esophagus a thlen chuan chutah chuan tissue nalh tak chu a hal a, inflammation a siam thin.

Mi tam tak chuan an dam chhungin engtik lai pawhin thinlung natna an tawk tawh a ni. A châng chuan chaw tui tak emaw, hriak rimtui tak emaw ei hnuah emaw, pum chungah pressure nasa tak a awm hunah emaw, naupai lai ang chiah hian a thleng thei bawk. Mahse he thinlung natna hi a lo awm fo a, nitin a lo awm fo chuan, `GERD (Gastroesophageal Reflux Disease) tih hming pu natna khirh tak chhinchhiahna a ni thei. America ang ramah chuan mi 20% velin `GERD` an nei niin an sawi.

He rilru natna hi tuin nge vei tam ber?

Dik tak chuan tu pawhin hetiang hi an nei thei a, mahse mi thenkhat tan chuan a hlauhawmna hi a sang deuh hlek a ni.

• Thau lutuk tan: Chu chu body mass index (BMI) 30 aia tam nei tan a ni.
• Thau lutuk tan: `BMI` value 25 aia tam a nih chuan.
• Meizial zu mi leh secondhand smoke vei te pawhin an vei tam zawk a ni.

Chuti a nih chuan rilru natna chu engtin nge a awm?

Chest pain hi, a dik tak chuan, i rilru chhungril atanga lo chhuak, acid reflux ang maia kang tihna a ni. I esophagus hi i rilru lai takah a awm a. Chuvangin he natna hi chuta tang chuan a intan thin. Mahse a chang chuan he natna hi i rilru zawng zawngah a darh thei a, i rilru thlengin a darh thei bawk. Kangmei chhuak tlem atanga natna nasa tak thlengin a awm thei.

Engtikah nge he natna hi i hriat tam ber?

Hei hi nang pawhin i tawng ve tawh mai thei. A chang chuan rilru na zawk i nei thin.

• I mut hunah, a bik takin chaw ei zawha i mut thuai chuan.
• Hma lam pan a nih chuan.
• Zanriah i ei tlai lutuk hian.
• Chaw hriak, hrisel, emaw, thil rimtui emaw i ei hian.

Eng chen nge ril na hi a awm theih ang?

Hei hi minute tlemte atanga darkar tlemte thleng a daih thei.A tlangpuiin, he inflammation hi i ei hnuhnung ber chu i pum atanga a chhuah hnuah a reh thin. Hei hi a chhan chu pum chhunga lo chhuak leh tur a awm loh vang a ni. I ei dan azirin darkar hnih atanga darkar nga vel a ngai thei. Chaw thau, thau tak tak ei tur hian hun a duh rei thei hle.

Chest inflammation nen hian eng symptom dang nge awm?

A chang chuan angina emaw, rilru natna chi dang emaw i nei em tih hriat a harsa thei. I natna i hriat chian loh chuan Doctor nena inbiakna neih a tha ber. Tin, natna nena inzawm symptom dang zawng a pawimawh bawk. Heng symptom dangte hian heart attack leh chest condition dang i thliar hrang thei a ni.

Acid reflux avanga thinlung natna hi a hnuaia symptoms te nen hian a awm thei a ni:

• Zun chhuah fo thin.
• Ka chhunga a thlum thlum tak.
• Luhai.
• Chaw ei tur chu rilru chhungah a lut.

Mi thenkhat chuan atypical symptoms an nei thei bawk a, chungte chu:

• Pum a khat, pum a puak.
• Hiccups a ni.
• Cough awm reng.
• Asthma natna a pung.
• Hrawk thip.
• A rilru a buai em em a, a rilru a hah em em bawk a.`Laryngitis`).
• Chaw ei harsa emaw, rilru chhunga thil awm tih hriatna emaw.
• Lung natna avanga awm lo, rilru natna, `(Angina)` ang chi.

Engvangin nge he rilru natna hi kan neih?

A tlangpuiin GERD ang chi natna nen a inzawm a, rilru natna hi chaw kawng tui, acid leh enzyme te chu chaw kawng chhunga a luang chhuak leh chuan a awm thin. Ka sawi tawh ang khan pum hian protective lining a nei a, esophagus erawh chuan a nei lo. Kan chaw kawng (esophagus) leh pum inzawmna hmunah hian Lower Esophageal Sphincter (LES) an tih valve a awm a. A hna chu pum chhunga thil awmte a lo chhuak leh tawh loh nan tihtawp a ni. Mahse a chang chuan he valve hi a chak lo emaw, a khar tha lo emaw a nih chuan pum chhunga thil awmte chu a lo chhuak tan thei a ni.

Lower Esophageal Sphincter hi a chak lo emaw, a relax lutuk emaw a nih theih chhan hrang hrang a awm a:

• Cigarette meikhu inhnim (meizial zuk).
• Taksa rihna tam lutuk, thawmhnaw tight ha, leh naupai te avanga pum chhunga pressure sang zawk.
• A natna pakhat chu `Hiatal Hernia` an ti a. Hei hi chaw kawng thenkhat chu diaphragm hmanga a rawn nawr chhoh lai a ni.
• Vawi khata chaw tam tak ei hian pum a tizau thei a, chaw chu pum chhungah rei tak a awm tir thei bawk.
• Indigestion leh gas. Gas bubble GI tract atanga a kal chhoh chuan.
• Chaw ei zawh hnua mut rei lutuk.
• Chaw thenkhat: coffee, chocolate, limes, mint, tomato sauce ang chi thil.
• Damdawi thenkhat: naupai venna damdawi leh thisen sang damdawi thenkhat.

Vawi tam tak chu heng zinga pakhat aia tam hi an inzawm khawm a, acid reflux leh heartburn a thlen thin.

Engvangin nge chest infection hi a hmaa symptoms awm lovin a lo lang nghal?

I rilru natna na tak i la nei lo a, a lo intan nghal a, tun hnaiah i ei leh in leh nunphungah inthlak danglamna lian tham i nei lo a nih chuan chhan dang vang pawh a ni thei. Hengte hi hun kal zelah a lo thang zauh zauh thin.

• Kum upa lam: Kan tar chhoh zel chuan kan taksa ruh (muscles) te chu a chak lo chho zel a. Chu ruh zinga pakhat chu chaw kawng hnuai lam (lower esophageal sphincter) hi a ni.
• Weight gain: Mi tam zawk chuan an thau zauh zauh a. Mahse, taksa rihna tihpunna chhinchhiahna (bloating ang chi) chu a lang nghal thei a, chu chu threshold engemaw zat a pelh hnuah a ni.
• Damdawi: Tun hnaia damdawi thar i hman tan emaw, damdawi i thlak emaw a nih chuan, chu damdawi chuan acid reflux a tipung em tih doctor zawt rawh.

A chunga kan sawi tak acid reflux atang hian heartburn hi a lo chhuak fo em?

A tam zawkah chuan heartburn hi esophagus-a harsatna a ni. A chhan ber chu acid reflux a ni. Mahse, natna dang engemaw zat a awm a, chu chuan lung a ti na thei bawk. Entir nan:

• Esophageal ulcers: Ulcers hi hliam na tak, chaw ei kawng lining a tihchhiat avanga lo awm a ni. Esophageal ulcer hi pum emaw, intestine emaw a ulcer aiin a tam lo zawk. An lo awm tak tak chuan acid reflux vang a ni fo thin. Amaherawhchu, acid reflux hi a chhan awmchhun a ni lo. Nonsteroidal anti-inflammatory drugs (NSAIDs) aspirin leh ibuprofen te hman tam lutuk hian ulcer a thlen thei bawk.
• Esophagitis: Esophagus chu a na hle a nih chuan kang natna i nei thei. GERD, virus, fungal infection, leh damdawi thenkhat te hian hetiang hi a thlen thei a ni. Eosinophilic esophagitis, chaw kawng allergy natna hian rilru natna a thlen thei bawk.
• Functional heartburn/reflux hypersensitivity: Hengte hi gut-brain inzawmna lama harsatna awmte an ni. Chu chu, i nervous system-in i digestive system atanga i thluak a signal a thawn danah harsatna a awm tihna a ni. Functional heartburn hi heartburn pangngai ang maiin a awm. Mahse, test-naah chuan acid reflux, kang, leh irritation a awm lo. Reflux hypersensitivity hi acidic ni lo thil i rilru chhunga a luh vang a ni. Visceral hypersensitivity hian he inflammation hi a thlen thei bawk.

He rilru natna hi a pawi em?

A chang chuan thinlung na hi a nuam lo thei a, mahse a tichhe vak lo. Dik tak chuan i rilruah acid engemaw zat a rawn lut hi thil pangngai a ni a, mi tam zawk chuan an hre lo pawh a ni thei. I tih chuan i esophagus-in a tuar theih aia acid a hmuh tam vang pawh a ni thei. A chang chang a lo thleng a nih chuan hliam te tak te, a dam thuai ang mai a ni. Mahse a thleng fo chuan i esophagus lining hian damna hun a nei tlem hle.

Esophagus lining a hliam chhunzawm zel chuan hun rei tak chhung harsatna a thlen thei a, chungte chu:

• Esophageal strictures: Esophagus tissue te a inflamed chhunzawm zel chuan hun kal zelah scar tissue a lo awm tan thin. Esophagus hi tube sei tak ang mai a ni. He inflammation leh scarring hian esophagus a ti na thei (a stricture). Hei hian ei harsatna a thlen thei a, chaw ei tur chu chaw kawng chhungah a tang thei bawk.
• Intestinal metaplasia: A châng chuan, a hliam ai chuan, tissue chu intestines lining ang maiin a danglam ṭhin . Hei hi intestinal metaplasia an ti a, a chhan chu tissue chu intestines lining ang maia a inthlak avangin a ni. Hei hi esophagus-a a awm chuan Barrett’s Esophagus an ti bawk. Hei hi precancerous condition anga ngaih a ni.
• Esophageal cancer: Esophageal cancer hi mi za zela tlemte chauh a awm a. Mahse, persistent inflammation (`Esophagitis`) atanga cell inthlak danglamna (`Barrett’s Esophagus`) cancer thlenga kawng chiang tak a awm a ni. I inflammation nasat dan leh enkawl loh rei zawng a zirin a hlauhawmna a sang hle.

Acid reflux, heartburn thlentu hian i digestive system-a harsatna awm dangte pawh a tilang thei bawk. Entirnan, i pum chhungah acid a tam lutuk mai thei. Hei hian gastritis leh stomach ulcers ang chi complication a thlen thei a ni. Acid reflux hian i asthma emaw, thawkna lama harsatna dang emaw a tizual thei bawk. He acid hi i rilruah a lut a nih chuan a hring thei a, a ti na thei a, a ti lian thei bawk.

Engtin nge sinus infection i nei tih chiang taka i hriat theih ang?

Heartburn hi feeling i neih a ni. Doctor tam zawk chuan doctor hnena i sawifiah hian an hre thei a ni. A chang chuan a nasat lutuk loh chuan test lian tham i mamawh lo mai thei. Mahse, chronic condition i neih an rinhlelh chuan i esophagus-ah chhiatna a awm em tih test an nei thei. Chutih hunah chuan gastroenterologist hnenah refer i ni mai thei.

I esophagus check nana test thenkhat chu hetiang hi a ni:

• Endoscopy (`Upper Endoscopy` / `EGD kalphung`): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Endoscopy hi i taksa chhung lam enin test a ni. Hei hian camera te tak te (endoscope) hmanga tube sei tak i taksaah i pass a ngai a ni. Upper endoscopy hian i chaw ei kawng chunglam a enfiah a, i chaw kawng atanga i pum kaltlangin i ril te tak te chunglam thlengin a enfiah thin. He tube hi i kawr atang hian i lut a (a rilru hahdam nan damdawi pek i ni). Esophagitis, hernias, leh Barrett’s esophagus ang chi dinhmun a enfiah thei a ni.
• Esophageal pH test: Hei hian i esophagus chhungah capsule te tak te, wireless tak dah a ni. Hun kal zelah i chaw kawng pH, a nih loh leh acidity a teh thin. Hei hi upper endoscopy neih laiin emaw, nasogastric tube hmangin emaw tih theih a ni. Data chu i kawrfual i bun thin receiver ah a thawn chhuak thin. I symptoms te record a, data nen khaikhin turin an ti ang che. Hun engemaw chen hnuah doctor chuan capsule chu a la chhuak ang a, data chu a zirchiang ang.

Pneumonia enkawl dan tur engte nge ni?

In lama damdawi te, over-the-counter (OTC) damdawi te, leh nunphung thlak danglam te hmangin a chang chuan thinlung natna atanga hahdamna i hmu thei a ni. Mahse, thinlung natna tam zawk neih nan chuan damdawi in tur i ei a ngai mai thei. Heng damdawi te hian chaw ei kawng atanga acid lo chhuak chu a tihtlem avangin hna a thawk a ni. Mahse, Lower Esophageal Sphincter-a harsatna awm chhan chu heng damdawi te hian an chinfel loh thil a ni. Damdawiin hna a thawh loh chuan enkawlna dang i mamawh mai thei.

Chest inflammation damdawi chi hrang hrang:

• Antacids: Antacids (Tums® leh Rolaids® ang chi) hian i pum chhunga acid awm chu a neutralize thin. Hei hian acid chu i rilruah lut tak tak mahse i chaw kawng a tichhe dawn lo tihna a ni. A chang chuan symptoms tihziaawmna tur thil dang an nei thei bawk. Entirnan, Simethicone hian pum natna a tiziaawm thei a, Magnesium hian chaw ei khamna a tiziaawm thei bawk. Antacids hi a chang chuan heartburn tan a tha hle. Mahse, ei fo chuan side effect an nei thei a ni.
• Alginates: Alginates hi tuifinriat chi hrang hranga awm natural sugar a ni. Acid-ah an float a, acid leh esophagus inkarah physical barrier an siam a, chu chuan a rilruah a chho leh tawh loh nan a pui a ni. Condition dang avanga antacids i ei theih loh chuan alginates chauh i ei thei bawk. A dang pawhin, a nghawng tihchak nan alginates bakah antacids te pawh a awm bawk.
• Histamine receptor dotu (H2 blocker) te hi a awm a:Heng damdawi te hian taksain acid siam tura signal pe thin chemical histamines te chu block in hna a thawk a ni. H2 blocker thenkhat chu over-the-counter-a lei theih a ni a, thenkhat erawh chu prescription-only a ni thung. Anticids aiin ei tam theih ni mahse, hun rei tak chhung an thawk thei lo. I taksain a hman thiam chuan an thawk tha lo thei hle.
• Proton Pump Inhibitors (PPIs): Hei hi acid-blocking damdawi chi khat chak zawk a ni. Tin, tissue damna atan pawh an pui bawk. I thinlung natna a nasat chuan, emaw, i chaw kawng chhunga tissue chhiatna chhinchhiahna a awm chuan, i doctor chuan hengte hi first-line treatment atan a pe thei ang. Acid reflux tihziaawmna kawngah 90% zetin an thawk tha hle. Esophageal ulcer i neih chuan a dam theihna tur damdawi awmchhun a ni.

Sinusitis enkawlna dang:

• Infection a awm chuan antibiotics emaw antiviral emaw a awm chuan.
• Inflammation ngei pawh hi `(Topical Steroids)` emaw `(Dupilumab)` emaw hmangin enkawl rawh.
• Active pneumonia tan neuromodulators dose hniam leh complementary therapies te a awm bawk.
• I rilru natna hi hiatal hernia avanga lo awm a nih chuan siamthat nan operation (hernia repair surgery) neih a ngai a ni.

Damdawi ei lo GERD tan – emaw, hun rei tak damdawi ei ai chuan – i doctor chuan hetiang hian tih dan tur a rawn rawt thei ang:

• Nissen Fundoplication: Hei hi surgery tenau tak a ni a, chu chuan pum leh chaw kawng inkar hmun a tikhauh a ni. GERD leh a natna lan chhuah dan enkawlnaah a tangkai hle.
• `Transoral Incisionless Fundoplication`: Hei hi a chunga kan sawi tawh ang chiah kha operation nei lo, mahse `endoscope` hmanga tih a ni.
• `LINX device`: Hei hi minimally invasive surgery dang a ni. Hetah hian `LINX device`, magnetic ring te tak te chu pum leh chaw kawng inzawmna hmunah dah a ni. Hei hian acid chu rilru chhunga a rawn lut lo turin a pui a ni.

Kawng natna enkawl hian a tidam ang em?

Lung natna hi enkawl theih a ni. A tha ber chu i ei leh in leh nunphungah inthlak danglamna tenau engemaw zat siamin i enkawl thei a, antacids te chu a chang chuan hman theih turin i kutah dahin i enkawl thei bawk. I mamawh chuan hun rei tak chhunga damdawi ei pawhin acid reflux control-na atan a tangkai hle thei bawk. Functional disorder hi enkawl a harsa deuh thei. Mahse, theihtawp chhuah reng leh enkawlna inzawmkhawm chuan hun kal zelah an ṭha chho thei a ni.

Inflammation control turin eng nunphung tihdanglam nge kan tih theih?

Acid reflux venna atana pui turin hengte hi han ti ve teh:

• Nitin chaw te te engemaw zat ei thin ang che. Vawi khata ei tur tlem i neih chuan i pumin acid a siam chhuah zat pawh a tlahniam bawk.
• I belt kha thlah rawh. Abdominal pressure hian acid reflux a thlen thei a ni. Thau tihtlem hian a pui thei bawk.
• Pum khat nen mut suh. Mut hmain darkar thum atanga darkar nga tal nghak rawh.
• I veilam sir ah mu rawh. Hei hian i Lower Esophageal Sphincter chu i pum chhunga thil awm zawng zawng chungah a dah a, air pocket ang maiin a dah a ni. I sir emaw dinglam emawa i mut chuan chu valve chu a chhunga thil awmah a pil bo thin.
• Trigger foods ei loh tur. Eng ei tur nge i rilru natna tizualtu tih kha ngaihven rawh.
• Meizial zuk kha bansan rawh. Chest na hi meizuk bânsan chhan pakhat chauh a ni. Hemi kawngah hian i doctor chuan a pui thei che a ni.

Engtikah nge doctor i hmuh ang?

A hnuaia thil awmte hi doctor pan rawh:

• Kar khatah vawi khat tal rilru na i neih chuan.
• Atypical symptoms i neih chuan.
• I ei harsatna emaw, calorie i neih tlem emaw chuan.
• Kum 60 aia upa i nih chuan.
• ``Angina'' (tight, constricting) ang chi rilru natna i neih chuan.
• I enkawlna hian hahdamna a pe lo a nih chuan.

A tawp berah chuan ka sawi tur chu...

A chang chuan rilru na hi a awm fo thin. Mi tam zawk chuan tihdanglam awlsam tlemte hmangin an enkawl thei a ni. Mahse, i neih reng chuan damdawi lam pan a ngai mai thei. Chronic sore throats hi ngaihthah suh. I rilru natna hriat hian a chhe tihna a ni tlangpui. Hei hian hun kal zelah chhiatna tak tak a thlen thei a ni. Tin, chronic sore throats hi harsatna dang enkawl ngai a awm tih hriattirna a ni thei bawk. Chuvangin, doctor nen hian chronic sore throats chungchang sawiho rawh.

` Lung natna, GERD, Acid Reflux, Chaw ei, Pum, Chhung natna