I pum a kang reng em? Hei hi IBD (Inflammatory Bowel Disease) vang pawh a ni thei!

I pum na, a bik takin pum hnuai lam natna i nei fo em? Ni khatah vawi tam tak toilet-ah i tlan a ngai em? I ek chhungah hian a chang chuan thisen tlem a awm tih i hre ngai em? Heng thilte hi ni engemaw zat hnuah a tha leh a, rei vak lo hnuah a intan leh thin em? Hei hi pum na pangngai mai a ni tih ngaihtuahin bum suh. Hei hi Inflammatory Bowel Disease , a tawi zawngin IBD a nih theihna chance a sang hle. He hming i hriat hian hlau suh. He thu hi awlsam takin, i hriatthiam theih dan tur angin, i thian hnai tak i biak ang maiin sawi ila.

A awlsam zawngin IBD chu eng nge ni?

IBD hi i chaw ei kawng, a nih loh leh i chaw kawng (gastrointestinal tract) a natna rei tak a ni. I vun natna chu a sen a, a hring a, a na a nih chuan han ngaihtuah teh, a dik em? Chu chu i intestine chhungah a thleng thin. He inflammation hian i intestines a tichhe thei a ni.

Hemi chungchanga thil danglam bik chu a symptoms hi a inang vek lo.

• Flare-up: Hei hi symptoms a nasat hun lai a ni. Hemi hun chhung hian pum na leh riltam a na hle thei.
• Remission: Hei hi natna lanchhuahna a tlahniam emaw, a bo emaw hun chhung a ni. Hemi hun chhung hian harsatna awm lovin nun pangngaiin i nung thei a ni.

IBD chi hnih lian ber berte chu engte nge ni?

IBD chu chutiang tia koh ni mah se, a chhungah hian chi hnih lian tak a awm. An pahnih inkarah hian danglamna tlem a awm. Eng nge an nih i en ang u.

IBD natna lan chhuah dan tlangpui chu engte nge ni?

IBD vei chuan heng symptoms zinga pakhat emaw a aia tam emaw a nei thei a ni. Mahse, heng symptoms te hi mi zawng zawng tan a inang vek lo tih hre reng ang che. Mi thenkhat chuan symptoms na tak tak an nei thei a, thenkhat erawh chuan symptoms na lo tak tak an nei thei bawk.

• Abdominal pain: Pum chhunga thil inher ang maia hriatna.
• Chronic Diarrhea: Ni khatah vawi tam tak zunthlum lo, tui tak tak a paltlang thin.
• Thisen chu bawlhhlawh chhungah: Thisen chu ek chhungah streak angin a lang thei a, a nih loh leh ek chhungah thisen nen a inhmeh thei bawk.
• Chhan awm lova taksa rihna tihtlem: Chaw ei tha mah la, i taksa rihna a tlahniam.
• Chauhna: Engmah tih theih loh khawpa chau lutuk anga inhriatna .
• Chaw chu a thlum lo.
• Khawsik.

Engvangin nge IBD kan neih tak tak? Eng nge a chhan?

A chhan chiang tak pakhat mah hmuh a la ni lo a, mahse doctor-te chuan thil hrang hrang inzawmkhawm avanga lo awm niin an ngai.

A awlsam zawngin, kan taksa natna laka humhimtu immune system hian tihsual tlemte a nei a ni . Kan chhungril chhunga cell hrisel tak takte chu "hmêlma" niin a ngai a, a bei tan ta a ni. He attack hian intestines ah inflammation a siam thin.

Hetiang tihsual hi a hnuaia thilte hian a thlen thei a ni:

1. Genetics: Chhungkaw member hnai tak (nu, pa, unau) in IBD vei chuan nang pawhin i vei theihna chance tlem i nei a ni. Mahse, i tipung ngei ang tihna erawh a ni lo.

2. Environmental factors: Thil engemaw hian he immune system malfunction hi a tichak thei a ni. Hengte hi "Triggers" kan ti thin.

Trigger hman tlanglawn tak tak

Heng thilte hian IBD a thlen lo a, mahse IBD i neih chuan symptoms a tizual thei (flare-up) .

• Natna tidamtu thenkhat: A bik takin NSAIDs (Nonsteroidal anti-inflammatory drugs). Entirnan, damdawi Aspirin, Ibuprofen, leh Diclofenac te.
• Antibiotics chi hrang hrang .
• Meizial zuk: Crohn natna hi a bik takin meizuk thinte tan a na thei hle.
• Stress: Stress hian natna hi a thlen lo nain, natna lan chhuahna a zual zelnaah nghawng lian tak a nei thei a ni.

Ei leh in hian IBD symptoms a ti na zual em?

Hei hi mi tam takin an zawh thin a ni. Chaw ei hian IBD a thlen lo. Chu chu hre reng ang che.

Mahse, ei leh in thenkhat chuan i natna lan chhuahna a tizual thei a ni. Hei hi mi zawng zawng tan a inang lo va, mi tin a inang lo. Eng ei tur nge i tihbuai tih hriat tumin research engemaw zat i neih a ngai a ni. A tlangpuiin i natna lan chhuahna tizual thei ei tur thenkhat chu hetiang hi a ni:

• Bawnghnute leh bawnghnute atanga siam ei tur
• Chaw thau leh thau tamna (fried foods) .
• Carbonated drinks (soft drinks) te pawh a awm bawk.
• Caffeine awmna in tur (coffee, tea) .
• Zu
• Thlai leh thei thenkhat fiber (Fiber) tamna .

IBD vang hian eng harsatna dang nge awm thei?

IBD hi uluk taka control a nih loh chuan hun kal zelah hriselna lama harsatna dang a lo awm thei a ni. Hlau suh, a pawimawh ber chu hengte hi fimkhur hi a ni.

• Colon Cancer: Hun rei tak IBD vei te hian mipui zawng zawng aiin colon cancer vei an tam zawk deuh. Chuvangin doctor-in a rawt angin test neih fo a pawimawh hle.
• Perforated Bowel: Inflammation hian intestinal wall a tichak lo thei a, khur a siam thei bawk.
• Toxic Megacolon: Hei hi emergency condition a ni. Colon chu a hring nasa hle a, a lian hle bawk.
• Anemia: Intestines atanga thisen chhuak leh nutrients te dik lo taka lakluh hian taksaa thisen volume a tihhniam phah thei a ni.
• Osteoporosis: Damdawi thenkhat leh ei leh in lama tlakchhamna hian ruh a tichak lo thei hle.
• Taksa peng dang pawh a nghawng thei a, chu chu ruh natna, vun lama harsatna, leh mit natna te hi a ni .

Engtin nge doctor hian IBD hi a hriat theih ang?

Doctor i pan hunah i natna lan chhuah dan chipchiar takin a zawt hmasa ang che. Tichuan i taksa chu an enfiah ang. IBD i vei leh neih loh finfiah nan a hnuaia test pakhat emaw a aia tam emaw an order thei ang:

• Thisen Test: Anemia emaw inflammation emaw enfiah thin ang che.
• Stool Tests: Thluak chhungah natna hrik emaw thisen emaw a awm leh awm loh enfiah thin ang che.
• Endoscopy / Colonoscopy: Hei hi test pawimawh ber a ni. Camera dahna tube te tak te chu hmui emaw, rectum emaw hmangin dahin, colon chhung lam chu screen-ah a lang. Tissue te tak te (biopsy) pawh enfiah nan lak theih a ni bawk.
• CT Scan / MRI Scan: Heng scan te hian intestine leh a chhehvela taksa peng hrang hrangte chipchiar taka thlalak a hmuh theih nan a pui a ni.

IBD enkawlna tur engte nge ni?

IBD enkawlna kawngah hian thil tum lian tak pahnih a awm a.

1. Gut chhunga inflammation tihtlem leh symptoms control (remission-a hruai).

2. Flare-ups tihtawp.

Hei hi damdawi hmanga tih a ni ber a, a then phei chuan surgery hmanga tih a ni.

Damdawi ei tur

Damdawi chi hrang hrang pek i nih dan chu Crohn’s emaw UC emaw i neih leh neih loh, natna nasat dan leh intestine a a nghawng danah a innghat a ni.

• Anti-inflammatory drugs: Heng hi a tir lama pek thin damdawi te hi a ni.
• Corticosteroids: Hengte hi steroid chak tak, inflammation control tu an ni. Mahse, hun rei tak chhung atan hman a ni lo.
• Immunosuppressants: Hengte hian immune system hnathawh tam lutuk control nan a pui thin.
• Biologics: Heng damdawi chi thar zawk, immune system-a protein awmte target leh deactivate-tu, inflammation thlentu an ni.
• Antibiotics : Hengte hi hri kai a nih chuan pek thin a ni.

Inzai

Natna thunun nan damdawi a tawk lo a nih chuan, emaw, harsatna nasa tak a awm chuan, i doctor chuan operation neih a rawt thei a, chu chuan intestine chhia chu lakchhuah a ngai a ni.

IBD natna hi engtin nge kan nun theih ang? Eng nge i tih theih

IBD nena nun hi a chang chuan a harsa thei hle. Pum natna leh bathroom-a tlan chhuah ang chi thilte hi a nuam lo thei a, a mualpho thei a, a lungchhiatthlak thei bawk. Mahse, he natna enkawlna atana pui turin thil tam tak i tih theih a awm.

• I ei leh in ngaihven rawh: I ei leh in leh i ei hnua i natna lan chhuah dan a na zual em tih te record la. Hei hi ‘Food Diary’ an ti a.
• Stress enkawl: Stress hian symptoms a ti na zual thei. Meditation, yoga, a nih loh leh i hobby nuam tak tih ang chi thil tih hian stress i tihziaawm thei a ni.
• Emergency-ah inbuatsaih rawh: I chhuah dawnin i bag chhungah underwear, tissue leh baby wipes extra dah la. Rilru thlamuanna nasa tak a pe ang che.
• I rintlak hnenah hetiang hian hrilh rawh:I dinhmun hi i chhungte emaw, i thian tha ber emaw hrilh a pawimawh. Hun harsa lai pawhin tanpuitu lian tak a ni thei.
• Meizial zu kha bansan vek rawh: Hei hi a pawimawh hle. Meizial zuk hian natna a tizual a ni.
• Psychological support dawng rawh: IBD hian a chang chuan depression ang chi dinhmun a thlen thei. Zahpui tur a awm lo va, rilru lam doctor emaw, counselor emaw nena inbiak pawh hi chakna nasa tak a ni thei.
• Doctor hmu fo ang che: Symptoms i neih loh pawhin i doctor-in a hrilh che ni-ah checkup turin kal rawh.

Damdawi lam thurawn lak nghal tur

IBD hi damdawi leh nunphung thlak danglam hmanga enkawl theih a ni tlangpui a, mahse a then phei chuan damdawi lam pan vat a pawimawh hle.