Chaw ei zawhah thinlung natna i nei bawk em? GERD (Gastroesophageal Reflux Disease) a ni em tih pawh ka hre lo!

Chibai! I dam em? Vawiin hian mi tam takin an neih tawh, thenkhatin an ngaihven vak lo, mahse ngaihven tlem ngai thil a ni. Chaw ei zawhah i rilruah a kang a, i rilruah a thlum a, i ei lai pawhin i rilru a hah ngai em? Mi thenkhat chuan hei hi thil pangngaiah an ngai a, mahse a thleng fo a, i nitin hnathawh a tibuai a nih chuan `GERD (Gastroesophageal Reflux Disease)` tih natna lanchhuahna a ni thei.

GERD (Gastroesophageal Reflux Disease) hi eng nge ni mai?

A awlsam zawngin sawi ila, GERD chu kan pum chhunga acid awm, ei tur ei tura puitu tui chu a luang leh a, chu chu chaw kawng (food pipe) chhungah, rilru lam hawiin a luang leh a ni. Tunah chuan, "Aw, kei pawh hi chutiang chu a thleng thin, kan ei lai hian kan rilruah a rawn chho leh ang maiin a lang," tih i ngaihtuah mai thei. Ni e, chu chu GER (Gastroesophageal Reflux) emaw "reflux" emaw kan tih chu a ni. He thil tawn hi naupan lai atang tawhin kan lo nei tawh mai thei. Mahse, he GER natna hi a lo awm fo a nih chuan, kar khatah vawi hnih aia tam heartburn leh regurgitation ang chi symptoms i neih chuan, emaw, harsatna dang a thlen che a nih chuan, entirnan, ei harsat, khuh chhunzawm zel, taksa rihna tlahniam, emaw chaw kawng tichhe thei te, chu chu he natna hi GERD (Gastroesophageal Reflux Disease) kan ti a ni. Chumi awmzia chu `GERD` hi rilru natna mai ni lovin , enkawl leh enkawl ngai tam zawk a ni tihna a ni. Ngaihtuah teh, kan pum leh chaw kawng inkarah hian kawngkhar ang maia thau (muscle) a awm a. Hei hi `LES (Lower Esophageal Sphincter)` emaw, lower esophageal sphincter emaw kan ti a ni. He kawngkhar hi chaw kan ei hian a inhawng a, chaw chu pum chhunga a luh chuan a khar leh thin. Hei hian chaw kawng chhunga ei leh in leh acid te chu chaw kawng chhungah a rawn chho leh thei lo. Mahse he `LES` hi a khar tha lo a nih chuan, a inhawng tam lutuk chuan pum chhunga thil awmte chu a lo chhuak thin.

Engvangin nge GERD hi a lo awm? A chhan berte chu engte nge ni?

GERD hi a chhan pakhat chauh a awm lo va, a thlentu tur thil tam tak a awm. A thlentu ber berte hi han thlir ila.

• Lower esophageal sphincter ( LES ) chak lohna : Ka sawi tawh ang khan he muscle hian hna a thawk tha lo a nih chuan buaina hi a intan thin. Chaw ṭhenkhat, in tur ( coffee , tea, chocolate , zu ang chi), meizuk , leh damdawi ṭhenkhat chuan he ruh hi a ti hahdam thei a ni.
• Hiatal Hernia : Hei hi pum chunglam chu rilru chhunga a rawn nawr chhoh lai a ni. Hei hian acid reflux awm theihna a tipung a ni.
• Thau lutuk(Overweight/Obesity): Taksa rihna a san chuan pum chhunga pressure a sang chho zel a. He pressure hian pum chhunga thil awmte chu chunglam hawiin a nawr thei a ni.
• Naupai : Naupai laiin hormone inthlak danglamna hian GERD symptoms a thlen thei a, chu chuan naute a lo seilian chuan pum chhungah pressure a siam thei a ni. Hei hi naute pian hnuah a reh tlangpui.
• Ei leh in dan: Vawi khata chaw tam tak ei te, chaw ei zawha mut te, mut hma hnaih taka ei te hian GERD hi a tizual thei bawk.
• Chaw leh in tur thenkhat: Thau tamna, spicy foods , tomato, citrus fruits (orange leh limes ang chi), mint, chocolate, coffee, leh carbonated drinks te hian mi thenkhatah GERD symptoms a tipung thei a ni. Mahse, hei hi mi hrang hrangah a inang lo .
• Meizial zuk: Meizial zuk hian LES muscle a tichak lo a, hmui siam chhuah a ti tlem a, hei hian chaw kawng chhunga acid awmte chu a neutralize thei a ni.
• Damdawi thenkhat: Asthma damdawi thenkhat, thisen sang damdawi, natna tidamtu, mutna damdawi, leh antidepressant thenkhat pawh hian GERD symptoms a tipung thei bawk. Damdawi eng emaw i ei a, heng symptoms te hi a thlen nia i hriat chuan doctor nen inbiakna neih a tha ber.

GERD natna lan chhuahna chu engte nge ni?

GERD natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle. A lan chhuah dan tlangpui thenkhat han thlir ila.

Puitlingah a lan chhuah tam ber

• Heartburn: Hei hi mi tam zawkin an tawn ber a ni. Chaw ei zawhah emaw, mut emaw, inbeng emaw hian rilru chhungril atanga rilru thlenga chhuak, kang natna a ni. It is important to remember that this is not a heart problem , mahse i rilru natna nghal i neih chuan doctor thurawn lak a pawimawh.
• Regurgitation: Chaw emaw, tui thlum tak emaw, chaw ei emaw, tui thlum tak emaw, chaw ei emaw, tui thlum tak emaw, chaw ei emaw, tui thlum tak emaw, chaw ei emaw, tui thlum emaw, rilru emaw, ka chhunga emaw a rawn kir lehna.
• Chaw ei harsa (Dysphagia): Chaw ei laiin chok emaw, natna emaw ang maiin a awm thei.
• Globus sensation: Kawngkhar chhunga lump awm , mahse ei leh in leh tui tel lo chauhvin a awm thin.

Mi thenkhat chuan heng symptoms te hi an nei thei bawk (Atypical symptoms) .

Hengte hi a tam lo hle nachungin GERD vangin a awm thei a ni:

• Persistent dry cough: Khuh hi a bik takin zan lamah a na zual a, chhan dang nei lo.
• Laryngitis: Kawr a na a, aw a inthlak thin.
• Asthma: GERD hian asthma thar a thlen thei a, asthma awmsa a tizual thei bawk.
• Nausen a awm fo thin.
• Thâwk rimchhia.
• Dental erosion: Ka chhunga acid lut hian ha a tichhe thei a ni.
• Mut buai: Zanah rilru na leh khuh a awm chuan mut that a ti harsa thei.

Pawimawh: I rilru natna, thawk harsa, emaw i hmui emaw, i kut emaw thlenga natna radiate i neih chuan GERD vang a ni thei a, mahse a na zawk, heart attack ang chi i enfiah a pawimawh. Chuvangin doctor hmu nghal rawh.

Naupang te leh naute te hian GERD an nei a nih chuan engtin nge ni ang?

Naute hian an rilruah hnute tlem (GER) an neih hi thil pangngai a ni. Mahse GERD-ah a chan chuan heng ang symptoms hi i hmu mai thei:

• Duhthusamin bawnghnute tam tak ei fo emaw, a chhuak leh thin.
• Chaw pek an nih chuan an tap a, ei duh loin an thinrim bawk.
• Taksa rihna a pung tha lo a, a chang chuan a rihna a tlahniam bawk.
• Thâwk lama harsatna nei, khuh leh thawk hah.
• Chaw an pek dawn emaw, chaw an pek zawhah emaw chuan thal ang maiin an taksa an ben thin.
• Sawifiah theih loh khawpin ka tap fo thin.

I naute hian heng symptoms te hi a neih chuan naupang doctor pan a tha ber.

Doctor-te hian engtin nge GERD hi an hriat theih? (Diagnosis) tih a ni.

A tam zawkah chuan doctor chuan i natna lan chhuah dan ngaihthlak a, i enfiahna hmangin GERD i vei leh vei loh a chhut thei a ni.

• Symptoms chungchang zawhna: Doctor chuan eng symptoms nge i neih te, eng chen nge a awm tawh tih te, engtikah nge a nasat ber tih te a zawt ang che.
• Nunphung thlak danglam leh damdawi: A châng chuan i doctor chuan ei leh in lama tihdanglamna engemaw zat a rawt thei a, i natna lan chhuah dan a ṭhat leh ṭhat loh en turin hun rei lote chhung atan GERD damdawi awlsam tak a pe thei bawk.
• Test dang: A natna lan chhuah dan a nasat chuan, damdawi a thawk tha lo a nih chuan, emaw, harsatna dang a awm nia rinhlelh a nih chuan, doctor chuan test tur a ti thei ang, chungte chu:
• Upper Endoscopy: Hei hian i hmuiah tube te tak te, te tak te, camera hmanga siam, i chaw kawng, i pum leh i ril te tak te atanga a hmasa ber enfiah nan i dah a ni. Hei hian i chaw kawng chhia emaw, harsatna dang emaw a awm leh awm loh enfiah nan a pui thei a ni. A tul chuan tissue sample tlemte (biopsy) lak theih a ni.
• Ambulatory acid (pH) probe test: He test-ah hian tube te tak te tak mai chu hnar kaltlangin chaw kawng chhungah dahin darkar 24 vel a hmunah dah a ni a, chu chuan chaw kawng chhungah acid a luang lut tam leh rei zawng tehna a ni.
• Esophageal manometry: Hei hian LES leh esophageal muscle te pressure leh hnathawh dan a teh a ni. Hei hi ei harsatna nei tan chuan a pawimawh hle.
• Barium ei leh in test `(Barium ei / Esophagram)`: 1.1.Hetah hian barium an tih tui i in a, X-ray thlalak i la bawk. Hei hian chaw kawng (esophagus) pianzia leh a tihbuai zawng zawng a lantir thei a ni. Mahse, GERD hriat theihna atan hman tam a ni tawh lo.

GERD enkawl dan tur chu engte nge ni? Engtin nge kan tih ang?

GERD enkawlna atana hmanraw pawimawh pathum a awm a, chungte chu nunphung thlak danglam te, damdawi ei te, leh na tak tak thenkhatah chuan operation tih te an ni.

1. Nunphung tihdanglam (hengte hi a hmasa ber leh pawimawh berte chu an ni!) .

Heng thilte hi damdawi ei hma emaw, ei emaw hmanga tih hian GERD symptoms control nan nasa takin a pui thei a ni.

• Weight control: I thau lutuk a nih chuan i taksa rihna tlemte pawh tihtlem tum hian danglamna nasa tak a thlen thei a ni.
• Trigger foods ei loh: I GERD symptoms tizual thei tura i ngaih ei tur (spicy, fatty foods, chocolate, coffee, citrus fruits ang chi) te chu a theih ang anga tihtlem la. Mi zawng zawng hi ei tur inang hian a nghawng vek lo va, chuvangin nangmah nghawngtu te hi i hriat chian a ngai a ni.
• Ei leh in dan thlak danglam:
• Chaw vawi khata ei tam ai chuan chaw tenau engemaw zat ei thin ang che.
• Chaw ei zawhah darkar 2-3 tal mu lo la, thutthlengin awm rawh.
• Zanriah ei kha mut hma darkar 3 tal ei zo rawh.
• Khum lu chawi sang chunga mut: Khum lu chu inches 6-8 vel chawi sang rawh. Hei hi pillow tam tak hman ai chuan khum lu chawi sang turin khum ke hnuaiah thingphel ang chi thil dahin a hlawk zawk.
• Meizial zuk loh: Meizial i zuk chuan GERD tan chauh ni lovin, i taksa pum tan pawh a tha.
• Thawmhnaw tight inbel loh tur: I pum tizau thei thawmhnaw tight hak loh tur.

2. Damdawi lam thurawn anga ei

Nunphung tihdanglam ringawt a tawk lo a nih chuan i doctor chuan heng damdawi te hi a pe thei ang. Damdawi lam thurawn tel lo chuan heng damdawi te hi hmang chhunzawm ngai suh.

• Antacids: Hengte hian hahdamna a pe nghal vat thin. Anni hian pum chhunga acid awm chu an neutralize thin. Mahse, hengte hi hman fo hi a tha lo hle a, side effect a thlen thei a ni. (Entirnan: `Digene`, `Gelusil` tih te hi a ni).
• H2 Receptor Blockers: Hengte hian pum chhunga acid siam chhuah a ti tlem a. Damdawi Famotidine leh Cimetidine te hi he category-ah hian an tel a ni.
• Proton Pump Inhibitors (PPIs): Hengte hi acid tihtlem thei damdawi chak ber berte an ni. Entirnan, Omeprazole, Esomeprazole, Lansoprazole, leh Pantoprazole te hi a ni. Heng damdawi te hian acid siamchhuahna nasa takin a tikhawlo a ni. Mahse, hun rei tak hman a nih chuan side effect engemaw zat an nei thei a, chuvangin doctor enkawlna hnuaiah chauh hman tur a ni.

3. A then phei chuan surgery neih thin

GERD hi nunphung thlak danglam leh damdawi hmanga control theih a ni fo. Mahse, heng zinga pakhat mah hian hna a thawk lo a nih chuan, damdawi hian side effect na tak a thlen a nih chuan, emaw, GERD-in harsatna lian tak (Barrett-a esophagus ang chi) a thlen chuan doctor-te chuan operation neih an rawt thei a ni.

• Fundoplication: Hei hi surgery neih tam ber a ni. Hetah hian pum chunglam chu lak a, chaw kawng hnuai lam chu LES tichak turin an khuh a ni. Tunah chuan hei hi laparoscopic hmangin (incision te te hmangin) tih theih a ni tawh.
• Tunlai hmanraw dang engemaw zat a awm bawk.

GERD hi uluk taka enkawl a nih loh chuan eng harsatna nge thleng thei? (Buaina awm thei) .

GERD hi thinlung natna mai a ni tih ngaihtuah mai mai hi thil tha a ni lo. Enkawl that loh chuan hun kal zelah harsatna hrang hrang:

• Esophagitis: Esophagus lining chu acid reflux nawn leh a nih avangin a inflamed leh irritated thei. Hei hian natna a thlen thei a, thisen a chhuak thei a, ei harsa a ti thei bawk.
• Esophageal stricture: Hun rei tak chhung inflammation hian esophagus-ah hliam a siam thei a, ei tur kal tlang a harsa hle.
• Barrett’s esophagus: Hetiang dinhmunah hian chaw kawng hnuai lam cell te chu chaw kawng chhunga cell te ang deuhin an inthlak a. Hei hi precancerous condition anga ngaih a ni a , cancer vei theihna a tipung a ni . Hetiang natna vei te hi chaw kawng cancer vei theihna a sang hle.
• Esophageal cancer: Barrett’s esophagus vei te hian hun kal zelah he cancer hi an nei thei a ni. GERD vei zawng zawng hian an vei vek lo va, a tlem hle bawk , mahse a hlauhawmna a awm.
• Thluak lam harsatna: Acid lo chhuakte chu thawkna kawngah a lut a nih chuan khuh fo, thawk hah, leh pneumonia ang chi dinhmun a awm thei.

Hei vang hian GERD symptoms ngaihthah lova doctor thurawn lak a pawimawh hle.

A tawp berah chuan i hriat reng tur thil (Take-Home Message) .

GERD hi natna engemaw chen tibuaitu a ni a, enkawl loh chuan a na thei hle. Mahse thu lawmawm tak chu a tam zawkah chuan thunun theih a ni .

Hrereng:

* I rilru natna emaw, kawr na emaw ang chi symptom i neih fo chuan ngaihthah suh. Doctor hnenah thurawn pe rawh.

* Nunphung awlsam taka thlak danglam (diet control, taksa rihna tihtlem, mut dan thlak danglam) hian hahdamna nasa tak a pe thei a ni.

* I doctor-in damdawi a pek ang chiah leh hun bituk chhung atan hmang ang che. Damdawi hi nangmah chauhin titawp emaw, tan emaw suh.

* Meizial i zu a nih chuan bansan tum ang che.

* Naupang tê tête GERD symptoms an neih chuan naupang doctor pan vat tur a ni.

GERD natna vei hi thil harsa tak a ni thei a, mahse enkawl dan dik tak chuan nun pangngai, nuam tak i hmang thei a ni. I doctor hnenah i ngaihtuahna leh harsatnate chu inhawng takin sawi rawh. Hriselna tha neih duhsakna kan hlan e! GERD, Gastroesophageal Reflux Disease, Lung lam natna, Acid Reflux, Sinhala Medical Article te a ni