Tui chhuak (watery diarrhea) pawh i nei fo em? (Lymphocytic Colitis) a ni thei ang em? Hemi chungchang hi han sawi ila!

Tui hring chhuak i neih pawh i chau em? Ni khatah hetiang hian vawi tam tak bowel movement neih hi a ti thinrim tak zet a ni lawm ni? A châng chuan a chhan chu kan ngaihtuah angin a awlsam lo mai thei. Chu chu chutiang dinhmun pakhat `(Lymphocytic Colitis)` tih chu a ni. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila.

Hei hi eng nge ni `(Lymphocytic Colitis)`? I hrethiam ang u!

A awlsam zawngin, `(Lymphocytic Colitis)` hi intestine lian (colon) a lo awm thin inflammation a ni . Mahse hei hi inflammation pangngai a ni lo. Hei hi natna chi khat `(Microscopic Colitis) a mi a ni.` Chu chu he inflammation hi a te lutuk a, kan mit ruak hian a hmu thei lo tihna a ni. Microscope hmanga i en chauhvin dik taka hriat theih a ni .

Tunah chuan doctor-te chuan kan intestines lining-a cell chi hrang hrangte thlirletna hmangin `(Microscopic Colitis)` chi hrang hrangte chu an hmuchhuak ta a ni. `(Lymphocytic Colitis)` ah chuan thil thleng chu kan intestines lining-a thisen var chi khat `(Lymphocytes)` an tih chu a tlangpui aia tam a pung a ni. Heng `(Lymphocytes)` cells te hi kan immune system in infection a do lai hian an pung tlangpui. Chuvangin, `(Lymphocytic Colitis)`-ah chuan thil thleng chu kan taksa hian natna hrik awm ang maiin a awm a, a takah chuan natna hrik awm lo mah se . Hei hi a buaithlak deuhin a ri em?

Chuti a nih chuan `(Lymphocytic Colitis)` hi `(Autoimmune Disease)` a ni em?

Scientist tam tak chuan chutiang chuan an ngai . Dik tak chuan `(Inflammatory Bowel Diseases)` (IBD) category-a tla natna tam tak hi `(Autoimmune)` condition anga ngaih a ni. `(Autoimmune Disease)` ah chuan thil thleng chu kan taksa hriselna (immune system) hian kan cell te hi a rawn bei thin . Kan cell ngei pawh hi thil dang, chhiatna thlen thei thil anga ngaih sual ang mai a ni. Heng dinhmunte hi genetic leh environmental factors atanga lo awm thei a ni .

Lymphocytic Colitis hi engtiang chiahin nge a nasat?

Lymphocytic Colitis hian hun rei tak chhung i colon a ti na a. Colon hi i chaw ei leh in (Gastrointestinal tract) a tawp ber a ni. Hei hi kan ei tur chu a solidified zauh zauh a, poop-ah a lo chang ta a ni. Chuvangin, colon a inflamed chuan he process hi a tibuai thei a ni. Lymphocytic Colitis rah chhuah tam ber chu chronic, watery diarrhea a ni a, ni khatah vawi nga atanga vawi sawm vel a awm thei .

Hetianga rang taka i rilru natna hian i nunphung a nghawng theih dan hi han ngaihtuah teh . Mahse thu lawmawm tak chu mi tam zawk chuan heng symptoms te hi a chang chuan an nei ve chauh a ni. Lymphocytic colitis hi dam chhung zawnga natna awm ni mahse, hun rei tak chhung chu remission a nei thei bawk.A ni thei. Symptoms a awm a nih pawhin mi tam zawk chuan damdawi leh ei leh in hmangin an control thei a ni. Inflammatory bowel disease chi dang aiin colon-ah chhiatna nasa tak, awm reng tur a thlen tlem zawk.

Hetiang natna (Lymphocytic Colitis) hian tute nge a tuar ber?

Tu chungah pawh a lo awm thei a, mahse kum upat deuh deuhah chuan a hluar zual zel a ni . Naupangah a tlem hle. Kum 65 hnuah hmuhchhuah a ni ber a, hmeichhiain mipa aiin a let hnih zetin an vei tam zawk . Zuk leh hmuam zu thinte zingah pawh a tam zawk bawk . Tin, midang aiin a vaiin kum 10 velin `(Lymphocytic Colitis)` an nei hma thei niin an sawi bawk.

Mak tak maiin Lymphocytic Colitis vei zinga 40% vel chuan autoimmune disease dang an nei leh a. Entir nan:

• Rheumatoid Arthritis natna a ni
• Celiac natna a ni
• Type 1 Diabetes a ni
• Thyroid natna a ni

`(Lymphocytic Colitis)` natna lan chhuah dan chu engte nge ni?

Lymphocytic Colitis hian i colon lining (mucosa) cellular composition a tidanglam thin. Hei hian ni khatah vawi nga atanga vawi sawm vel tui takin a ti chhuak thin . Damlo zinga a chanve vel chuan an pum a na a, an na bawk. A nasat chuan side effects i nei thei a, chu chu fecal incontinence , dehydration , tum loh taka taksa rihna tihtlem , emaw hahna te hi a ni.

Mi thenkhat chuan taksa peng dangah inflammation nena inzawm symptoms an nei thei bawk. Hei hi hun rei tak chhunga inflammatory diseases-ah chuan a awm fo thin. Dik tak chuan `(Lymphocytic Colitis)` vei te hian a rualin `(Autoimmune Disease)` pakhat aia tam an vei hi thil awmze nei tak a ni. A lan chhuah dan dang langsar tak chu ruh natna leh natna (`(Arthritis)`) , mit natna (`(Uveitis)`) , leh vun natna (`(Psoriasis)`) te a ni.

Lymphocytic Colitis hi engte nge ni?

I colon-a chronic inflammation hian cellular change a thlen a, chu chuan i colon a leak lo. Mahse, scientist-te chuan engvangin nge he chronic inflammation hi infection tak tak awm lovin a awm tih hi an la chiang tawk lo. Mi tam tak chuan thil hrang hrang inzawmkhawm avanga lo awm niin an ngai . Mi thenkhat chu genetically predisposed an ni thei a, he autoimmune disease chi hi an vei thei bawk. Mahse, chu bâkah, environmental stress factor ṭhenkhat chuan a tichhuak thei bawk.

Hetiang ‘trigger’ ni thei thilte chu:

• I gut-a bacteria emaw virus emaw infection hmasa ber.
• Food emaw pollen allergy emaw i gut tichhe thei.
• Damdawi thenkhat `(Aspirin)` leh `(Ibuprofen)` hman fo .
• Meizial zuk .

Engtin nge Lymphocytic Colitis hi hmuhchhuah a nih?

A hming ang bawkin lymphocytic colitis hi tissue sample microscope hmanga enfiah chauhvin hriat theih a ni . He tissue sample hi gastroenterologist ten colonoscopy an tih laiin an la thin. Hetianga tih lai hian doctor chuan flexible instrument (colonoscope) hmangin i colon chhungril chu a enfiah thin. Instrument hmang hian tissue sample (biopsies) engemawzat lak a ni a, laboratory-ah enfiah turin thawn a ni.

Pawimawh: `(Lymphocytic Colitis)` i neih chuan `(Colonoscopy)` neih laiin i colon chu a hmasa berah a pangngai angin a lang thei. Mahse, `(Biopsy)` sample-ah chuan `(Lymphocytes)` cells tam lutuk nen inflammation a lang ang.

Thil dang a awm chuan colonoscopy neih laiin hmuh theih a ni. I doctor chuan microscopic colitis test hmain a chhan dang awm thei te chu paih chhuah a tum ang. Thisen test emaw poop test emaw pawh an ti hmasa thei bawk.

Lymphocytic Colitis hi engtin nge enkawl a nih?

Mi thenkhat chu enkawlna awlsam tak hmangin an dam tha a, thenkhat erawh chuan damdawi an mamawh thung. I tan eng nge tha ber tih hriat nan trial and error engemaw zat a ngai mai thei. I doctor chuan i natna lan chhuah dan nasat dan leh enkawlna pangngai i dawn dan a zirin rawtna a siam ang. Damdawi thar i pek hmain, tuna i damdawi hman mek leh i ei leh in tur tihdanglam dan tur an rawn rawt hmasa mai thei.

Damdawi zingah hian:

• Over-the-counter (OTC) antidiarrheal damdawi - entirnan, Loperamide emaw Diphenoxylate emaw.
• Bismuth Subsalicylate (Pepto Bismol®) hi ni khatah vawi tam tak kar engemaw zat chhung hman thin a ni.
• `(Budesonide)` - Hei hi `(Corticosteroid)` chi khat a ni a, inflammation a tiziaawm a, intestine lianah a insiam lut thin.
• Bile acid sequestrants - Entirna: Colesevelam, Colestipol. Hengte hian pum na chi hrang hrang a tidam thei a ni.

Lymphocytic Colitis hi a dam kim thei em?

Strict takin sawi ila, a dam kim thei lo , a lo lang leh thei a ni. Mahse, remission-ah chuan kal theih a ni . Chumi awmzia chu bowel movement leh inflammation a bo tihna a ni. Mi tam tak chuan kum tlemte chhungin an natna lan chhuah dan chu a bo vek tih an hmu thin. Mi thenkhat tan chuan he ‘remission’ hi a takin a thleng thin. Midang tan chuan an tana enkawlna dik tak, ei leh in leh nunphung inthlak danglamna dik tak an hmuh hnuah a thleng thin.

Lymphocytic Colitis vei tan chuan eng diet tha ber nge ni ang?

I doctor chuan rilru hahna tipung thei ei tur ei loh turin a rawt mai thei. I duh chuan heng ei tur te hi pakhat hnu pakhatin i enchhin thei a, i chungah nghawng a nei em tih i en thei bawk. He list-a tel lo ei tur i allergy nei, i tana thil danglam bik a awm thei. I ei hian i natna lan chhuah dan a inthlak dan ngaihven la , ei tur thenkhat chu ei loh tur . (Elimination diet, Low-FODMAP diet ang chi hian i natna lan chhuahna thlentu ei tur i hriat theih nan a pui thei che a ni.)

Chaw ei loh tur tlanglawn tak takte chu:

• Zu
• Caffeine (tea, coffee ang chi) 1.1.
• Thil thlum siamna hmanrua (artificial sweeteners) te
• Dairy atanga siam thil chi hrang hrang
• Gluten (buhfai leh barley ang chi thila awm protein) .
• Fiber tamna ei tur
• Chaw thau tamna ei tur

I diarrhea a nasat ber lai chuan i doctor chuan `(BRAT diet)` hmang turin a ti mai thei che . `(BRAT)` tih hi `(Bananas, Rice, Apple sauce, Toast)` tihna a ni - chu chu banana, buhfai, applesauce (apple hmin atanga siam sauce) leh chhang . A awlsam zawngin, bland, awlsam taka ei theih ei tur. Hei hi hun rei tak chhunga ei tur a ni lo va, ni engemaw zat atan chuan a tha. Hun rei zawka i symptoms control nan diet chi hrang hrang, mahse bland diet i mamawh a nih chuan `(soft diet)` hmang la. Thau leh fiber a tlem a, mahse chi hrang hrang leh ei leh in a tam hle.

`(Lymphocytic Colitis)` leh `(Collagenous Colitis)` hi eng nge an danglamna?

Microscopic Colitis chi dang lian ber chu Collagenous Colitis a ni. Collagenous Colitis hi colon chhunga connective tissue thickening pangngai lo vang a ni. Heng microscopic changes bakah hian Collagenous Colitis leh Lymphocytic Colitis te hian symptom inang an nei a, enkawl dan inang an ni . Ṭhenkhat chuan heng pahnih hi a takah chuan natna pakhata stage hrang hrang an ni thei niin an ngai.

Lymphocytic Colitis hi natna hlauhawm tak, hun rei tak daih thei a ni a, a tlangpuiin dam rei takah a lo lang thin. Tin, thuruk deuh a ni bawk a, inflammatory bowel disease dang angin hriatthiam a ni lo. Chuvangin, i la hre ngai lo a nih chuan, a vei tih hmuhchhuah a nih chuan a buaithlak deuh thei. Mahse thu lawmawm tak chu a tlangpuiin natna enkawl theih a ni . Enkawlna leh mahni inenkawlna nen chuan remission-ah pawh a kal thei.

Take-Home Thuchah a ni

Okay, chuvangin tunah chuan vawiin a kan sawi tawh kha in hriatthiam ka beisei. Hrereng:

• Hei hi microscope hmanga hmuh theih chauh, intestine lian inflammation a ni.
• A lan chhuah dan ber chu ni khatah vawi eng emaw zat tuiin a chhuak thin.
• Hei hi ``Autoimmune'' condition a ni thei.
• Kum upat rualin a tam zawk a, a bik takin hmeichhia leh zu in thinte zingah a tam zawk.
• Natna hriat theih nan ``Colonoscopy`` tih a ngai a, ``Biopsy`` tih a ngai bawk.
• Hei hi damdawi, ei leh in leh nunphung tihdanglamna hmanga thunun theih a ni.
• Dam kim thei lo mah se, a natna lan chhuah dan a bo theihna tur ‘remission’ state-ah luh theih a ni.

Heng symptoms te hi i neih chuan doctor pan hreh suh la, thurawn la rawh. A hriat hma chuan control a awlsam zawk.

` Lymphocytic colitis, ril tikhawlo, colitis, microscopic colitis, autoimmune natna, chaw ei dan, colonoscopy