I rilru pawh tihfai ngai reng reng i nei em? I rilruah hian lump a awm ang maiin i hria em? I aw chu a danglam deuhin a ri chhuak deuh em? Mi tam zawk chuan heng thilte hi khawsik emaw, allergy emaw mai mai niin kan ngai lo. Mahse, i ngaihtuah aiin thil danglam tak a ni thei. Hei hi LPR kan tih chu a ni a, damdawi lam hawia "Silent Reflux" kan tih chu a ni. Vawiin hian awlsam takin sawi ila.
He LPR hi eng nge ni tak tak?
A awlsam zawngin LPR hi gastritis chi khat bik a ni. Acid reflux chu stomach acid leh digestive juices te chu rilru chhunga a luang chhuak leh a ni. Hei hi rilruah a awm tlangpui a, chaw kawng hnuai lam a ni. Lungphun kan ti a.
Mahse LPR-ah chuan heng stomach acids te hi a sang zawkin an rawn chho a, kan larynx, voice box leh pharynx thlengin an thleng thin. Esophagus kaltlanga a lo chhuah avangin a natna lan chhuah dan chu gastritis pangngai nen a danglam hle. Chuvangin mi tam tak chuan gastritis chi khat a nih pawh an hre lo. Lung natna leh pum na ai chuan LPR hian i aw, i rilru leh i hnar hmun hrang hrang a nghawng ber a ni. Gastritis symptom pangngai a lan loh avangin "Silent Reflux" an ti bawk.
LPR leh GERD hi eng nge an danglamna?
GERD tih thumal hi i hre tawh mai thei. GERD hi Gastroesophageal Reflux Disease tihna a ni. Persistent gastritis dinhmun a kawk a ni. Condition pahnihah hian stomach acid lo chhuak mahse, an pahnih inkarah hian danglamna tlem a awm.
LPR vei zawng zawng hian thinlung natna an nei vek lo tih hre reng ang che. Chuvangin 'Silent Reflux' tih a ni. Mi thenkhat chuan GERD leh LPR an nei ve ve thei bawk. Mahse mi thenkhat chuan LPR nena inzawm symptoms chauh an nei.
He inthlauhna hi tlem tal i hrethiam zawk ang u.
| Mihring ziarang | GERD (gastritis pangngai) 1.1. | LPR (Lysine Gastritis) tih hi a awm a. |
|---|---|---|
| Area a nghawng a ni | A bik takin chaw kawng hnuai lam a ni. | Pharynx kaltlangin chunglam, chu chu ril leh larynx (voice box) chhungah a ni. |
| A symptom ber a ni | Lung na, pum na, acid reflux. | Aw ri bengchheng, rilru a tifai fo, rilruah thil a inkhung tih hriatna, khuh rei tak a awm. |
| Vawi tam tak chu a hre thin | Vawi tam tak chu mut lai emaw, chaw ei rit tak ei zawhah emaw. | Nilengin hriat theih a ni a, a bik takin thusawi lai emaw, zing thawh lai emaw hian hriat theih a ni. |
LPR natna lan chhuah dan chu engte nge ni?
LPR natna lan chhuah dan hi a danglam deuh avangin, a chang chuan asthma, allergy emaw, khawsik na tak emaw a ni thei. A lan chhuah dan ber chu:
- Aw ri bengchheng emaw, aw hniam emaw.
- Ball ang chi thil pakhat chu ka rilruah a inkhung ang tih hriatna.
- I rilru tihfai a ngai reng a ni .
- Chronic cough rei tak awm thei.
- Hnar leh hnar chhunga mucus tam lutuk.
- Chaw ei harsa .
- A rilru natna awm reng .
- Aw hloh emaw laryngitis emaw.
- Thâwk hrual (wheezing) hi thawk chhuah laiin whistling ri a ni .
- Hnar hnu lama tui tla.
- Upper respiratory tract infection, khawsik leh flu te a awm fo thin.
- Asthma lo awm thar emaw, asthma awm tawh lo zual zel emaw .
Engvangin nge he LPR hi a lo awm? A chhan thenkhat han thlir ila.
Kan pum atanga kan kawr thlengin kawngkhar pawimawh pahnih a awm ang tih han ngaihtuah teh. Hengte hi kan chaw kawng chung leh hnuai lama muscular rings te an ni. Valve ang mai an ni. Chungte chu `(esophageal sphincters)` kan ti a.
1. Lower Esophageal Sphincter (LES): Hei hi chaw kawng leh pum inkar a awm a ni. A hnathawh ber chu stomach acid chu esophagus-a a luang leh lo tur venna a ni.
2. Esophageal Sphincter chunglam (UES): 10. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hi esophagus leh throat inkarah a awm a. Esophagus chhunga lut tawh zawng zawng chu kawr chhunga lut lo turin a veng a ni.
LPR a awm theih nan heng valve pahnih hi a khar tha lo tur a ni. Normal gastritis hi lower esophageal sphincter (LES) a chak loh chuan a awm thin. Mahse, LPR a awm theih nan chuan upper esophageal sphincter (UES) pawh hi a khar tha lo va, a lo chhuak tur a ni. Hei hi stomach acid chu esophagus-ah a leak up theih hun a ni.
Chuti a nih chuan engvangin nge heng kawngkharte hi a chak loh?
Hei hi chhan tam tak a awm thei. Ṭhenkhat chu hun rei lote chhung atan an awm a, ṭhenkhat erawh chu hun kal zelah an lo thang lian zel thung.
1. Esophageal sphincter hnuai lam (LES) tichak lo thei thil .
- Damdawi thenkhat: Damdawi thenkhat, thisen sang tan calcium channel blocker, rilru hahdamna tur benzodiazepines, leh nonsteroidal anti-inflammatory drugs (NSAIDs) te.
- Ei leh in thenkhat: coffee, chocolate, zu, mint, garlic, leh onion te.
- Nunphung kalphung: 1.1.
- Chaw ei zawh darkar 3 tal mut.
- Vawi khata ei tam.
- Thawmhnaw tight emaw, pum tichhe thei belt emaw bun.
- Thil awmdan dang:
- Hiatal hernia: Pum chhung hmun thenkhat chu rilru chhunga rawn chhuak.
- Naupai: Hormone inthlak danglam leh pum chhunga pressure sang vang a ni.
- Obesity: Pum chhunga pressure a sang.
- Meizial zuk: Zuk leh hmuam a chemical awmte hian he muscle ring hi a ti relax a.
2. Upper gate tichak lo thei thil (UES) .
Acids te chu a hnuai lam luhna atanga an luh a, an rawn chhoh hnuah he kawngkhar chunglam kaltlangin an rilru a thlen loh nan tihtawp a ngai a ni. Mahse heng thilte hian a tichak lo thei bawk.
- Mut: Zana kan mut hian heng kawngkhar pahnihte hian tlem a hahdam deuh thin.
- Burping: I burp hian heng valve pahnih hi a inhawng a, chu chuan air bubble te nen acid tlem te te chu i kawr chhungah a lut thei a ni.
- Bending forward, exercise, singing: Heng thilte hian pum chhunga pressure a tipung thei a, pum chunglam pressure a siam thei bawk.
- Meizial leh zu in: Heng pahnih hian kawngkhar pahnih a hawng a.
LPR avanga harsatna awm thei te chu engte nge ni?
LPR hi enkawl tha a nih loh chuan hun kal zelah harsatna thenkhat a awm thei a ni.
- Mucus tam lutuk leh natna hrik kai fo: Stomach acid refluxing into the throat hian rilru leh hnar atanga mucus tihfai dan pangngai a tibuai thin. Mucus a lo pun chuan natna hrik a pungkhawm thei a, chu chuan natna hrik a kai fo thin.
- Aw leh ril lama harsatna rei tak: Hetianga hun rei tak chhunga kawr leh vocal cords a hring hian tawng leh ei a ti harsa thei hle. Hun a kal zel a, aw ruh (vocal cord lesions) te pawh a lo awm thei bawk.
- Thluak lam harsatna: 1.1.Acids te chu kan rilruah a lut a, a chang chuan kan hriat lohvin kan thawk nen hian lung chhungah a lut thei a, a bik takin zan mut lai hian. Hei hian lung infection leh thawk lama harsatna dang a thlen thei a ni.
Engtin nge hei hi LPR a ni tih chiang taka ka hriat theih ang?
A hmaa kan sawi tawh ang khan symptoms i neih chuan, a bik takin a chhan i hmu thei lo a nih chuan , beng, hnar, leh kawr specialist (ENT Surgeon) pan a tha ber. Doctor chuan i natna lan chhuah dan a ngaithla ang a, i kawr a enfiah ang.
Hemi atan hian test lian tham engemaw zat tih a ni a:
- Flexible Laryngoscopy: Camera te tak te, tube flexible leh te tak te nena inzawm chu hnar kaltlangin, kawchhung chhungah luhtir a, larynx leh kawr chhung lam enfiah a ni. Hei hi test awlsam tak a ni a, a tlangpuiin doctor office-ah tih theih a ni.
- Upper Endoscopy: Hei hi i hmuiah camera hmanga tube dahin i chaw kawng leh i pum enfiah a ni. Hei hian i LPR awm chhan hriat theihna turin a pui thei a ni.
- Esophageal pH test: Darkar 24 chhunga i rilru leh chaw kawng chhunga acid awm zat tehna test a ni.
- Esophageal Manometry: Esophagus chhunga taksa peng hrang hrangte hnathawh leh chakna tehna test a ni.
LPR enkawl dan tur chu engte nge ni?
LPR enkawlnaah hian kan ngaih pawimawh ber chu kan nunphung leh ei leh in tihdanglam hi a ni.
Nunphung leh ei leh in dan thlak danglam
LPR control nan nangmah ngeiin i tih theih tam tak a awm. Hengte hi a pawimawh ber a ni.
| Eng nge tih tur | Hrilhfiahna |
|---|---|
| Chaw ei tur | Chaw lian 3 ei ai chuan chaw te 5 emaw 6 emaw ei tur a ni. Vawi khata ei tam lutuk loh tur. |
| Mut hmain | Zanriah mut hma darkar 3 tal ei thin ang che. Chaw ei zawha mut loh tur. |
| Mut theihna dinhmun | I veilam sir ah mu rawh. Tin, i lu chu tlem a han chawi sang turin extra pillow hmang bawk ang che. |
| Chaw ei loh tur | Chaw thau, spicy, acidic tam tak (orange, tomato), chocolate, coffee, mint, carbonated drinks (soda) te ei loh tur. |
| Thiltih \ha lo | Meizial zu leh zu in hi bansan vek rawh. Hengte hian LPR dinhmun a tichhe zual hle. |
| Taksa rih zawng | I thau lutuk a nih chuan i taksa rihna tihtlem a pawimawh hle. Hemi chungchang hi i doctor nen sawiho rawh. |
Ruihhlo hmanga enkawl
Nunphung i thlak danglam lai hian, i doctor chuan i rilru leh i hmui chhiatna tihdam nân damdawi ṭhenkhat a pe thei a ni.
- Proton Pump Inhibitors (PPIs): Hengte hian pum chhunga acid siam chhuah tihtlem nan hna an thawk a ni. Chungte chu thla engemaw zat hman a ngai mai thei.
- H2 Blockers: Hei hi damdawi chi dang a ni a, acid siamchhuahna ti tlemtu a ni.
- Alginates: Heng damdawi te hian pum chhunga venhimna layer a siam a, acids a lo chhuak thei lo.
A pawimawh ber chu, heng damdawi te hi i doctor thurawn tel lo chuan hmang suh.
Inzai
LPR tan chuan surgery a ngai lo. Surgery hi a chhan bik, hiatal hernia ang chi, emaw, enkawlna dang a hlawhchham chuan emaw chauh ngaihtuah a ni.
Take-Home Thuchah a ni
- LPR hi "silent reflux" an tih a ni a, stomach acid hi ril leh voice box-ah a kal chho a ni.
- A natna lan chhuah dan hi gastritis pangngai nen a danglam a, a bik takin aw leh kawr (e.g., khuh rei tak, ri bengchheng, rilru chhunga mucus) a nghawng nasa hle.
- LPR vei zawng zawng hian rilru natna an nei vek lo.
- Enkawlna atana pawimawh ber chu ei leh in leh nunphung thlak danglam hi a ni.Meizial zu leh zu in hi pumpelh vek a pawimawh hle.
- Hun rei tak chhung heng symptoms te hi i neih chuan doctor thurawn lak ngei ngei tur a ni. Diagnosis leh enkawlna dik tak a awm chuan LPR hi hlawhtling taka enkawl theih a ni.
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