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.

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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.