I colon ah thisen a kal tlem em? Hei hi ischemic colitis a ni em?

I pum na tak, na tak i nei a, i ek chhungah thisen tlem i nei tawh em? A nih loh leh i pum chu a khat a, khawih pawhin a na em? Heng symptoms zinga pakhat emaw pahnih emaw i neih chuan ischemic colitis an tih condition vang pawh a ni thei a, hei hi vawiinah hian kan sawi dawn a ni. Hlau suh, a hming hi a buaithlak deuhin a ri a nih pawhin. Hemi chungchang hi mi zawng zawngin an hriatthiam theih nan a awlsam zawngin sawi ila.

Ischemic colitis tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, ischemic colitis chu i intestine lian tak, a nih loh leh colon kan tih hmun, thisen kal tlem avanga inflammation (hei hi ischemia an ti a) a ni. I hria em, kan taksa chhunga cell leh tissue tin hian nung leh hnathawh theih nan oxygen an mamawh vek a ni. He oxygen hi thisenin an hnenah a phur a ni. Chuvangin, eng emaw vanga intestine lian lama thisen kal a tlahniam chuan oxygen a hmu tlem hle. Chutah chuan chu intestine chhunga tissue te chu a chhe a, a inflamed a, chu chu a hring a, a sen a, a na tihna a ni. Tui tlem a neih loh laia thingkung a lo hring chhuak ang mai a ni.

He inflammation hi a takah chuan kan taksain a chhiatna siamthat a tum dan a ni. Chuvang chuan lungawi lohna, pum na, puar, a chang chuan thisen chhuak kan nei thin. Ischemic Colitis hian i intestine lian tak lining nalh tak, mucosa an tih chu a nghawng ber a ni. Kan ka chhunga vun nalh tak ang bawkin, kan intestine chhung pawh hi lining hian a khuh vek a ni. Mahse, he thisen kal lohna (ischemia) hi a nasat emaw, rei tak a awm chuan intestine hmun thuk zawkte pawh a tichhe thei a ni.

Normal colitis leh ischemic colitis hi eng nge an danglamna?

Colitis'' tih thumal hi i hre tawh ngei ang.Colitis'' tih hian colon inflammation tihna mai a ni. Ischemic colitis'' hi inflammation chi dang a ni a, mahse a tlem deuh hlek. Mi tam zawkin colitis'' an hriat hian hun rei tak chhunga inflammatory bowel diseases (IBDs) Ulcerative Colitis'' emaw Crohn's Disease'' ang chi te an ngaihtuah thin.Heng natna hi colon lining atanga tan a ni.

Mahse, (Ischemic Colitis) hi thil danglam tak a ni. A takah chuan i circulatory system lama harsatna angin a intan thin. Chu chu i thinlung, thisen kalna kawng lama harsatna vang pawh a ni thei tihna a ni. Thisen sang hniam vang pawh a ni thei a, thisen kalna kawng natna eng emaw vang pawh a ni thei bawk. Colon-a thisen petu arteries-a thisen kal a tihtlem chuan a rah chhuah chu colon tissue inflammation a ni. Chutiang a nih loh chuan colon natna bik a ni lo.

Tute nge ischemic colitis (Ischemic Bowel Disease) vei tam zawk?

Hetiang dinhmun hi kum 60 chunglam zingah a tam ber a, chubakah, .Arterial disease nei te pawhin hetiang hi an vei theihna a sang zawk.

Hei bakah hian risk factor dang engemaw zat a awm bawk. Eng nge an nih i en ang u:

• Type 2 Diabetes: A chhan chu zunthlum hian thisen kalna kawng a tichhe thei a ni.
• Kidney failure leh dialysis enkawl mekte: Kal natna hian thisen kal dan a tichhe bawk.
• Thisen sang hniam: Thisen sang a tlak hniam chuan taksa peng hrang hranga thisen kal zat pawh a tlahniam bawk.
• Hypoalbuminemia hi thisen a protein albumin tlahniam a ni.
• Peripheral artery disease: Ke ruhte thisen petu thisen kalna kawng (arteries) a tawi emaw, a block emaw a ni.
• Ischemic cardiomyopathy: Lung ruh a thisen kal tlem vanga natna lo awm.
• Thisen zam (blood clotting disorders): Thisen kalna kawng chhunga thisen zam (blood clots) a lo awm theihna a sang hle.
• Chronic constipation with fecal impaction: Hei hian intestine-ah pressure a siam thei a, thisen kal pawh a tikhawlo thei bawk.
• Cocaine ang chi ruihhlo hman.
• Abdominal aortic aneurysm nei a ni.

Heng risk factors te hi i neih chuan tlem tal fimkhur a tha.

Ischemic colitis hian engtin nge i taksa a nghawng?

Mi tam zawk tan chuan hei hi hun rei lote chhunga harsatna awm mai a ni. Chu chu colon hmun tlemte chauh a nghawng a, ni rei lote chhungin a dam leh tihna a ni. Inflammation hian rei lo te chhung atan harsatna leh natna a thlen thei a, mahse thisen kal tlem chhan chu uluk taka ngaihtuah a nih chuan he dinhmun pawh hi a lo tha chho nghal mai ang.

Mahse, a chang chuan hei hi harsatna lian zawk a ni thei.

• Mi thenkhat chuan hmun khatah Ischemic Colitis'' episode repeated an nei thei bawk. Chutiang a nih chuan chu hmunah chuan scarring a awm thei a, intestine a narrow (stricture) thei bawk. Hei hian ei leh in tur awlsam taka paltlang a harsat phah a ni.
• Chu bâkah, thisen kal tlemna ischemia chu a na tawk a nih chuan intestinal tissue chu a thi thei (gangrene). Hei hi dinhmun hlauhawm tak a ni. Chutiang a nih chuan, .
• Intestine-ah hian hole (perforation) a awm thei.
• Nunna atana hlauhawm, natna hrik kai na tak leh sepsis (thisen rimchhia) te hi a awm thei a ni.
• Chutiang hunah chuan emergency surgery tih a ngai a ni.

Ischemic colitis natna lan chhuahna chu engte nge ni?

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

• Pum na leh hrual: Hei hi a lan chhuah dan ber a ni. A intan nghal thei.
• Pum hring leh hrual: I pum i khawih hian na i nei thei.
• Diarrhea leh urgency to poop: Toilet kal fo a ngai .
• Bloody poop: Thisen chu stool-ah a awm a, a chang chuan dark red emaw black emaw a awm.
• Khua a hniam: Khawsik tlem i nei thei.
• Nausea emaw, ei duh lohna emaw: Ei leh in duh lohna rilru put hmang .

Ngaihtuah teh, i pum na tak i neih tan nghal a, thisen i kal tlang a nih chuan, pum chhunga natna hrik mai maiah ngai suh. Doctor pan nghal rawh.

Ischemic colitis hi engte nge ni?

Dik tak chuan colon-a thisen kalna a tlahniam chhan tam tak a awm thei. A tam zawkah chuan hei hi hun eng emaw chen atan a ni. A châng chuan, natna hriat chhuah a nih meuh chuan a chhan chu a bo tawh mai thei. Ischemic colitis'' vawi khat chauh i vei a, i dam leh a nih chuan i doctor chuan a chhan dik tak a hrilh thei lo mai thei. Mahse, i damdawi lam chanchin leh i damdawi lam dinhmun dangte a\angin rinhlelhna an siam thei a ni.

A bik takin, i thisen kalna kawng tichhe thei natna, thinlung natna leh thisen kalna kawng natna te hian intestine-a thisen petu arteries-a thisen kal chu a ti tlem thei a ni. A châng chuan thisen zam hian thisen kalna kawng a tikhawlo thei a, a nih loh leh pâwn lam thilin thisen kalna kawng a tikhawlo thei bawk.

Kan intestines ah thisen pe chhuaktu artery lian pahnih a awm a - chungte chu superior leh inferior mesenteric arteries te an ni . Heng arteries te hian thisen kalna kawng (vasoconstriction) thlentu eng thil pawh hi an sensitive hle a ni. Entirnan, khawsik nasa lutuk, thisen sang ti hniam thei natna, leh damdawi thenkhat (vasoconstrictors) te hian hei hi a nghawng thei a ni. Heng arteries te hian thisen sang hniam chu an chhang let a, an constrict nasa hle. Scientist te chuan hei hi kan taksa invenna mechanism niin an ngai a. Chu chu taksain thisen a hloh hian thisen chu thluak leh thinlung ang chi taksa peng pawimawh tak takah a hruai lut turin intestines ang hmuna thisen kal zat a tihtlem phah tihna a ni. He "emergency response" hi a lo chhuah chuan intestines hian thisen a hloh thei a ni.

Doctor-te chuan hei hi a chhan chi hnih-ah an then \hin a:

1. Occlusive causes: Hei hian artery chhung atanga blockage (e.g. thisen zam) tihna a ni.

2. Nonocclusive causes: Hei hian thisen kalna kawng dang (e.g. thisen sang hniam, thisen kalna kawng a zim) vangin thisen kalna a tlahniam tihna a ni a, thisen kalna kawng (artery) a inkharkhip aiin.

A chhan pathumna chu zai laia hliam vang a ni.Hei hi thil thleng tlem hle mahse, ruptured abdominal aortic aneurysm (AAA) siamthatna tura operation neih laiin AAA siamthat a hlauhawm hle. Chutiang a nih chuan hun eng emaw chen atana thil dang aiin a pawi zawk thei a, nunna atana hlauhawm tak a ni thei bawk. Hetiang dinhmun hi AAA surgery 2% atanga 3% vel ah a awm a, chutiang damlo zinga 50% vel chu an thi thin.

Engtin nge ischemic colitis hi hmuhchhuah a nih?

He natna lan chhuah dan (Pum na leh riltam ang chi) hi a tam hle a, chu chu pum natna dang vang pawh a ni thei tihna a ni. Chuvangin, doctor-te chuan hei hi Ischemic Colitis'' a ni tih chiang taka an sawi theih hmain damdawi dang a awm loh nan an enfiah a ngai a ni.

• I colon imaging test (e.g., CT scan) i nei thei bawk.
• Thisen test-ah infection leh thil dang a awm leh awm loh enfiah theih a ni. A tlangpuiin colitis hian thisen var cell count a tisang thin.

I doctor chuan Ischemic Colitis i vei nia a rinhlelh chuan i natna hriat chian dan tha ber chu colonoscopy hmangin a ni. Hei hian i hnungzang kaltlangin tube te tak te, eng tak tak dah luh a, i colon chhung lam en turin a huam a ni. Ischemic Colitis i neih chuan test hian i natna chhinchhiahna a zawng thei a ni. A tul chuan i colon atang hian tissue te tak te (biopsy) chu a rualin lakchhuah theih a ni a, lab-ah test belh turin thawn theih a ni .

Ischemic colitis hi engtin nge enkawl a nih?

Enkawlna chu natna nasat dan leh harsatna dang (e.g., pum chhunga natna hrik) i neih leh neih lohah a innghat a ni.

• A nasat emaw, a buaithlak emaw chuan emergency surgery neih a ngai thei bawk.
• Mahse, case tam tak chu damdawi hmanga enkawl theih a ni.
• IV fluid (saline ang chi) chu vein hmangin pek i ni ang .
• Broad-spectrum antibiotics pek a ni ang a, hri kai venna atan emaw, enkawlna atan emaw pek a ni ang.
• Lung hnathawh leh thisen kal dan tihpun nan oxygen therapy pek theih a ni bawk.
• Doctor chuan he natna thlentu nia an hriat damdawi eng pawh (Ischemic Colitis) chu a titawp ang.
• A pawimawh ber chu "bowel rest" tih hi a ni. Hei hian i ril a dam hma loh chuan i digestive system hmang lo tihna a ni. Liquid diet emaw IV nutrition emaw pek i ni ang .

Enkawlna dang mamawh thei turte:

• Stomach decompression by nasogastric tube: Hetiang method hi ischemic colitis avanga intestine thenkhat a block a nih chuan pum atanga boruak, tui emaw ei tur lakchhuah nan hman a ni.
• Thisen kalna kawng enkawl dan: 1.1.Artery-a block a awm chuan doctor chuan operation hmanga lakchhuah a ngai mai thei a, thisen zam a tihthianghlim a ngai mai thei a, thisen kalna kawng zim takah stent a dah a ngai thei bawk.
• Colectomy: Colon tissue a thi (gangrene) emaw, colon wall a rupture (rupture) emaw a nih chuan a chhia chu tan chhuah a ngai dawn a ni. He surgery-ah hian colostomy bag (a pum vunah hian bawlhhlawh kalna tur kawngkhar hran) dah hun eng emaw chen emaw, a awm reng emaw pawh a tel thei bawk.

Ischemic colitis vei chuan eng nge ei leh in chungchangah fimkhur tur?

Ischemic Colitis atanga i dam chhoh chuan i doctor chuan a tirah chuan chaw nghei turin a fuih ang che . Chumi hnuah chuan, zawi zawiin liquid diet -ah i inthlak thei a, chutah chuan soft diet -ah i inthlak thei bawk.

Hemi hun chhung hian fiber tamna ei tur ei loh tur. I intestine a dam hma chuan overwork hi a tha lo. Chu hmun chuan ei tur digest turin thisen kal tam leh oxygen a mamawh a ni. I intestines chawlh hahdam hian i taksa chu chu thisen supply chu siam that leh theihna hun a pe a ni.

Hun rei tak chhunga natna chronic'' Ischemic Colitis'' tih i neih chuan, emaw, natna hlauhawm dang i neih chuan, i doctor chuan hun rei tak chhunga zawm tur ei leh in chungchanga kaihhruaina bik a pe ang che.

Ischemic colitis hi ven theih a ni em?

Hetiang dinhmun thlen thei thil tam tak a awm avangin, chu zawng zawng chu pumpelh vek theih a ni lo mai thei. Mahse, damdawi lam harsatna i neih tawh zawng zawng (a bik takin thinlung, thisen kalna, leh kal natna) te hi enkawl a pawimawh hle .

• Meizial zu leh ruihhlo hman loh.
• Lung hrisel ei hian heng natnate hi a zual emaw, harsatna a thlen loh nan emaw a veng thei a ni.
• Ischemic Colitis ("runner's colitis" tia hriat bawk) hi a chang chuan exercise nasa lutuk vang a ni thei . Hei hi thinlung hian thisen a pump tling thei lo vang a ni. Endurance athlete i nih chuan tui in tam hian hei hi a veng thei a ni.

Ischemic colitis hi eng nge a nih? (Hmuh dan tur) .

Thu lawmawm tak chu acute ischemic colitis vei tam zawk (75%) chuan an natna hi a na lo hle a, hun eng emaw chen atan an nei a ni. Intestine hmun khata mucosa chauh a nghawng a, standard treatment hmangin a reh vek.

Mi za zela tlemte chauh hian operation ngai complication an nei thin. Chutiang harsatna chu damdawi lam natna dang, thinlung natna emaw, kal natna emaw nei tawhte zingah a thleng fo thin. Heng mite tan hian surgery hi risky a ni a, dam leh a harsa bawk. Statistics atanga a lan dan chuan he pawl hian a rah chhuah tha lo leh thihna a thlen tam zawk (40% vel). Mahse chu risk chu (Ischemic Colitis) natna vang chauh a ni lo.

He natna (Ischemic Colitis) an tih hi a chang chuan doctor-te hriat theih nan hun rei tak a la ngai thei a, chutiang bawkin a veitute pawhin an hre thei bawk. A chhan chu, pum na i tih hian tumahin hei hi rilru lam harsatna a ni tih an ngaihtuah nghal lo. Mahse, diagnosis dik tak siam a nih hnuah chuan damdawi inah rei vak lo awm a ngai a nih pawhin, dam kim leh rang tak i beisei thei a ni. Amaherawhchu, (Ischemic Colitis) hi a chang chuan a na thei a, chuvangin i symptoms te chu ngaihthah suh. An ṭhat loh chuan doctor hnenah hriattir nghal rawh.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

Okay, kan sawi tawh atanga kan hriat reng tur tlemte chu hetiang hi a ni:

• Pum natna rang tak, na tak chu ngaihthah suh, a bik takin thisen chhuak bawlhhlawh nen a inzawm chuan ngaihthah suh. Ischemic Colitis'' tih hming pu natna chhinchhiahna a ni thei bawk.
• Damdawi lam thurawn lak hmasak a pawimawh hle. Natna hi a hriat hma chuan enkawl a awlsam zawk a, harsatna awm thei tur ven a awlsam zawk bawk.
• Zunthlum, thinlung natna, thisen sang ang chi risk factors i neih chuan control tha rawh.
• Nunphung hrisel tak hmang rawh. Meizial zu leh ruihhlo ṭul lo hman loh tur. Diet tha tak ei rawh.
• Hlau suh, fimkhur zawk rawh. Ischemic Colitis hi tihdam theih a ni fo. Mahse, a tul anga ngaihsak a ngai a ni.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor nen inbia ngei ang che. Thurawn tha ber ber a pe thei che a ni.