I ei chu i hip dik lo em ni? Hemi (Malabsorption) chungchang hi han sawi ila!

Pum lam harsatna i nei fo em? A chang chuan i khat a, i gas ang em? A nih loh leh, flatulence i tuar fo em? A chang chuan hengte hi thil pangngai, ei tur tlem a rimtui deuh huna thil thleng angah kan ngai thin. Mahse, heng symptoms te hi a awm reng chuan i taksain i ei tur atanga a mamawh nutrients a lakluh loh vang a ni thei. Damdawi lamah chuan he dinhmun hi (Malabsorption) kan ti a.

Hei hi eng nge ni (Malabsorption)?

A awlsam zawngin sawi ila, malabsorption hi i taksain i ei tur atanga nutrients tha taka a lakluh theih lohna sawina tlangpui a ni. Hei hi natna pakhat chauh a ni lo va, thil tam tak avanga lo awm thei dinhmun a ni. Ngaihtuah teh, chaw kan ei hian, kan taksa tana chakna leh chaw tha a pek theih nan, a ei leh in tur dik tak a mamawh a ni lawm ni?

Chaw ei hmin dan hi hmun thumah kan then thei a:

1. Part One: Chaw ei tur tha taka chop a, digestible pieces-a thenfai.

2. Part hnihna: Chaw ei chhuah atanga taksa mamawh zawng zawng hip luh.

3. Part Pathumna: Thil tha zawng zawng hip a nih hnua bawlhhlawh la awmte paih chhuah.

Tunah chuan chaw ei lama harsatna i neih chuan heng stage eng pawhah hian harsatna hi a awm thei a ni. Malabsorption hi stage hnihnaah a tel a ni . Chumi awmzia chu chaw ei kham lo mah se, a nutrients chu taksaah a lut lo tihna a ni. Hei hi taksain ei tur thenkhat a ei theih lohna tur enzyme tlakchhamna (entir nan, mi thenkhatin bawnghnute an ei thei lo) leh i chaw ei dan tichhe thei intestinal disease hrang hrang te vang a ni thei.

Malabsorption a awm chuan eng nge thleng?

Malabsorption i neih chuan nutrient zawng zawng hi i lakluh harsatna i nei thei a, a nih loh leh nutrients bik tlemte chauh i lakluh harsatna i nei thei bawk. I lakluh theih loh thilte chu i stool-ah chuan digested lovin a passed out thin. Malabsorption vei tam tak pawhin diarrhea ang chi condition an nei bawk a, hei hian he absorption problem hi a tizual thei a ni. Hei hi a chhan chu riltam i neih hian chaw chu i intestines-ah a kal chak lutuk a, chuvangin nutrients te hian hip lut turin hun an nei lo.

Hun rei lote chhungin malabsorption hian chaw thenkhat a ei theih loh avangin pum a ti na thei a, a ti nuam lo thei bawk. Mahse hun kal zelah i taksain i ei theih loh nutrients a tlakchhamna a lantir tan ang. Macronutrients – protein, thau, leh carbohydrates te i tlakchham chuan – ei leh in tha lo chhinchhiahna i hmu tan ang a, chu chu taksa ruh tihchhiat leh taksa hriselna chak lohna te hi a ni Chutiang bawkin micronutrients – vitamin leh minerals te i tlakchham chuan i mit, ruh, vun leh sam te a nghawng thei a ni.

Malabsorption chi hrang hrangte chu engte nge ni?

Intestinal natna thenkhat, Celiac Disease leh Inflammatory Bowel Disease (IBD) te hian eitur chi hrang hrang hip luh kawngah harsatna a thlen thei a ni. Thil dang dangah chuan nutrient bik chauh hip luh kawngah harsatna i nei thei bawk. A chi thenkhat chu hetiang hi a ni:

Carbohydrates hi taksain a hip tha tawk lo.

Mi thenkhat chuan carbohydrates (sugars) pakhat emaw a aia tam emaw an sensitive thin. Hei hi a bul berah chuan i pum chhunga gas, pum na, leh natna angin i hmu mai thei . I rilru natna (small intestine)-a carbohydrates awm dik lote chu i intestine-a bacteria-in a fermented a ni. Heng bacteria te hian gas leh short-chain fatty acid ah an chantir thin. Chu gas chuan i pum chhungah gas a siam a, short-chain fatty acids hian i ek chu a ti thau thei hle.

Thau hi taksain a hip lut tha lo

Hei hi malabsorption chi khat a ni bawk. A chhan tam tak a nei thei. Small intestine-a thau hip lut lo chu large intestine-ah a kal a, chu chuan thau, riltam ang maia bawlhhlawh a siam thin. Hei hi steatorrhea kan ti bawk. Hetiang bawlhhlawh chi hi a hriak a, tui a awm a, a rimchhia bawk . A rawng chu a hring thei a, tuiah a inphah thei bawk. Thau hi a insiam that loh avangin thau-a inthiar theih vitamin (vitamins A, D, E, leh K) te pawh a hipna a tichhe bawk.

Bile acid hi a tha lo hle

A chang chuan gallbladder, bile duct emaw liver-in bile a siam tlem avangin thau a hip thei lo. Mahse a chang chuan a chhan chu thil dang a ni. Tichuan, unabsorbed bile acids te chu small intestine ah an awm reng a, large intestine ah an kal lut ta a ni. He side effect hi Bile Acid Malabsorption an ti a. Chutianga bile salt la awmte chuan intestine lian atanga tui chhuak chu a tipung a, rei tak chhung chu riltam a thlen thin .

Protein hi taksain a hip tha tawk lo

A tlangpuiin protein chi khat, chu chu ei theih lohna i neih loh chuan protein chauh hip luh kawngah harsatna i nei tlem hle. Chumi entirnan bawnghnutea protein awm chu a ei theih lohna leh gluten awmna ei tur ei theih lohna te hi a ni.

Malabsorption a awm chuan eng symptoms nge a neih?

A tirah chuan malabsorption hi simple indigestion ang maiin a lang thei. A lan chhuah dan chu:

• Pum natna.
• Bloating, pum a khat.
• Thli (gas) kal tlang fo thin.
• Nausea leh luak chhuak.
• Kawthalo.
• (Steatorrhea) - Thau, hriak nei, a chang chuan a rawng danglam, tui chunga awm.

Hun a kal zel a, ei leh in tha lo chhinchhiahna a lo lang tan thin.

Key nutrients-a malnutrition hi hetiang hian a lang thei:

• Tum loh vanga taksa rihna tihtlem .
• Muscle tihchhiat, taksa rihna tihtlem.
• Natna nei fo (immuity hniam vang).
• Vun chu hliam tenau tak nei pawhin a sen a ni.
• Vun vawt, vun natna.
• Sam vawt, sam tlakchham.
• Dehydration (taksa chhunga tui tlakchhamna).
• (Edema) - Taksa a hring (fluid retention vang).
• Anemia - paleness, chak lohna, luak chhuak.
• Thinrim reng, ngaihven lohna, hahna.
• Hmeichhia (Amenorrhea) ah chuan thlasik chawlhsan emaw, thlasik mumal lo emaw.
• Naupangte hmasawnna tlai.

Micronutrient malnutrition hi hetiang hian a lang thei:

• Zanah mit hmuhna a tlahniam (Vitamin A tlakchham).
• Ruh chak lo, ruh na (Vitamin D tlakchham).
• Gums thisen chhuak, hnar thisen chhuak (Vitamin K tlakchhamna).
• Lei sen, lei natna (Vitamin B12 tlakchhamna).
• Paleness, chak lohna, luak chhuak (vitamin tlakchhamna thisen tlakchhamna).

Malabsorption awm chhan berte chu engte nge ni?

Malabsorption hi hun eng emaw chen atan a ni thei a, chu chu pum chhunga natna hrik emaw, pum chhunga hrisel emaw i neih lai ang chi a ni. Mahse hun rei tak chhunga malabsorption hi hun rei tak chhunga i lo neih tawh medical condition hnuaia awm vang a ni. Malabsorption thlentu tam tak a awm a, mahse a tlangpuiin category tlemteah an inthen a ni.

Small intestine lining tihchhiat

I nutrient tam zawk hi small intestine-ah a insiam (a then chu large intestine-ah pawh a insiam lut bawk). I intestinal walls-a mucous lining hian digestive enzymes secreting leh liquid food i thisenah a absorb-naah te a inrawlh a ni. Mahse, he mucous lining hi inflammation (enteritis) leh hliam vangin a chhe thei a ni. He chhiatna hi hun eng emaw chen (acute) emaw, hun rei tak (chronic) emaw pawh a ni thei. Hei hi chhan hrang hrang a awm a:

• Natna hrik kai theih Whipple’s Disease leh Tropical Sprue te.
• Inflammatory Bowel Diseases (IBD) te hi Ulcerative Colitis leh Crohn’s Disease te an ni.
• Autoimmune natna, Celiac Disease ang chi te.
• Damdawi thenkhat hman tam lutuk.
• Zu hmansualna (Alcohol Use Disorder) a ni.
• Radiation therapy leh chemotherapy hmanga enkawlna a ni.
• (Short Bowel Syndrome) - Intestine te tak te a tawi.
• (Small Intestinal Bacterial Overgrowth - SIBO) - Intestine te tak te chhunga bacteria awm tam lutuk.
• Zollinger-Ellison Syndrome ang chi dinhmunah chuan pum acid siam tam lutuk.

Pancreas, gallbladder, thin natna te

I pancreas, liver leh gallbladder te hian i small intestine te nen thawk hovin ei tur i ei theih nan an pui thin. Pancreas hian chaw ei tur enzyme pawimawh tak tak a siam chhuak thin. Liver leh gallbladder te hian bile an siam a, an dahkhawm thin. He bile hi thau ei chhuahna atan a pawimawh hle. Chaw ei a nih chuan heng taksa peng hrang hrangte hian an thil chhuak chu small intestine-ah an chhuah tir thin. Amaherawhchu, natna eng emaw avanga heng taksa peng hrang hrangte hian hna an thawk tha lo a nih chuan, ril te tak te hian ei tur a ei tha thei lo va, a hip thei lo bawk. Entirnan:

• Pancreatic insufficiency a awm lo.
• (Cystic Fibrosis) natna (Cystic Fibrosis) a awm thin.
• Bile Duct a inkharkhip te.
• Gallbladder natna te.
• Liver Natna a awm.

Lymphatic System natna te

Thau chu i small intestine atang hian lymph vessel hmangin i thisenah a lut a. Heng vessels te hi lymphatic system natna avanga block a nih chuan thau lakluhna a tichhe thei a ni. Intestinal Lymphangiectasia leh Lymphoma te hi entirnan pahnih an ni.

Chaw thenkhat ei theih lohna (Food Intolerances) .

Carbohydrate emaw protein emaw thenkhat ei theih loh hi intestinal diseases side effect a ni thei. (Entirnan fructose ei theih lohna hi a ni). Mahse a chang chuan mi chu nutrient thenkhat ei tur atana enzyme mamawh nei lovin an piang thin. (Hemi entirnan tha ber chu lactose ei theih lohna - Lactose Intolerance hi a ni).

Engtin nge malabsorption i nei tih i hriat theih ang?

Intestinal natna tam tak ang bawkin malabsorption hriatchhuah hi a zawi zawiin a thleng thin. I doctor chuan a enfiah hmasa ang che a, i medical history leh symptoms te a ngaihtuah ang. Malabsorption hi rinhlelh theih a ni a, chronic intestinal disease i neih tawh emaw, operation i neih tawh emaw chuan.

Malabsorption leh malnutrition hi rinhlelhna nasa tak a awm thei a, chu chu symptom thenkhat, a chunga kan sawi tak steatorrhea (fatty stools) leh persistent diarrhea, emaw obvious anemia leh muscle wasting te hi a awm a nih chuan. Mahse, ṭhenkhatah chuan hei hi chutiang chuan a lang lo. I doctor chuan i natna chhan dik tak hriat theih nan test dik tak a ti ang.

Malabsorption hriat nan eng test nge hman thin?

• Thâwk test: Hydrogen thawk test hian lactose intolerance, carbohydrate digestion lama harsatna bik, leh SIBO (small intestinal bacterial overgrowth) ang chi natna te a hriat theih nan a pui thei a ni.
• Stool Tests: Stool test hian i stool-a thau awm zat a teh thei a, fat malabsorption a hriat theih nan a pui thei bawk. Parasitic infection leh pancreatic dysfunction ang chi thil te pawh a hmuchhuak thei bawk.
• Thisen Test: Hengte hian nutrient tlakchhamna bik chhinchhiahna a lantir thei a, chu chu malabsorption leh damdawi lam harsatna bik, Celiac Disease ang chi avanga lo awm thei a ni.
• Sweat Test: Hei hi a natna (Cystic Fibrosis) hriat theihna atana test bik a ni.
• Imaging Tests: I doctor chuan i digestive system organs te chu a en duh mai thei a, symptoms a awm em tih a en duh mai thei. Hei hian GI X-ray Exam, Endoscopic Ultrasound, Video Capsule Endoscopy te pawh a huam thei.
• Small Intestinal Biopsy hmanga tihchhuah a nih chuan:Doctor chuan i small intestine atanga tissue sample lak chu lab-a test turin a duh mai thei. He biopsy hian i intestine lining (mucosa) a chhiat thu finfiahna a zawng thei a ni. He sample hi endoscopy neih laiin lak theih a ni.

Engtin nge malabsorption hi enkawl a nih?

Malabsorption awm chhan bulpui awm thei tam tak a awm a, a nghawng theih dan pawh a zau hle. I enkawl dan tur chu heng thilte atang hian a ni ang.

Malabsorption nghawng enkawl nan chuan nutritional supplement i mamawh mai thei . Kawng hmangin tui angin pek theih a ni a, tube hmangin (tube feeding), emaw vein chhungah (IV - intravenous) pek theih a ni. Tin, chaw ei tur enzyme bik i ei a ngai mai thei bawk. Hei hi ei tur chi khat i ei theih loh vang emaw, i pancreas hnathawh that loh vang emaw pawh a ni thei. Bile acid malabsorption i neih chuan diarrhea venna atana pui turin bile acid sequestrant an tih thil pek i ni thei bawk.

Malabsorption awm chhan bulpui enkawl hi a buaithlak deuh thei. Food intolerance mai mai a nih chuan i ei leh in thlak danglam mai a ngai mai thei. Infection awlsam tak chu antibiotics hmanga enkawl theih a ni. Mahse hun rei tak chhunga awm tur chuan specialized treatment tam zawk a ngai a ni. A châng chuan tihdam nghal theih a ni lo a, mahse nunphung tihdanglam hian natna lan chhuah dan a thunun thei a ni.

Malabsorption hi a dam dawn em ni?

Hei hi a chhan dik tak hriatchhuah leh enkawl dan dik takah a innghat a ni. A chhan thenkhat chu a dang aiin enkawl a awlsam zawk. I natna hmuhchhuah a nih hnuah i doctor chuan i dinhmun chipchiar takin a hrilhfiah ang che. Thil tam takah chuan nunphung thlak danglam hian natna (malabsorption) leh a natna lan chhuah dante enkawlna kawngah a pui thei che a ni.

Mi tam tak chuan chaw ei kham lohna, puar, gas, leh ril\am te an nei \hin. I ei thil pakhatin i tana hna a thawh loh chuan hun eng emaw chen atan symptoms i nei thei a, mahse a tlangpuiin a mah chauhin a bo thin. Hetiang indigestion hi ngaihtuah tur a ni lo. Mahse heng symptoms te hi i neih fo chuan thil pawi zawk chhinchhiahna a ni thei. Diarrhea awm reng hi i ngaihtuah reng tur a ni.

Malabsorption hi ei leh in lama harsatna thlentu thup a ni thei. Malnutrition hi zawi zawiin a lo awm thin avangin, a nasat lutuk hma loh chuan i hre lo mai thei, a bik takin ei leh in tha tak i nih chuan. Hei hi naupang tan chuan a hlauhawm zual hle. An thanlenna leh thanlenna atan ei leh in tam zawk an mamawh a, an natna lan chhuah dan pawh an hrilh thei lo mai thei bawk. I fain a pum a na nawn fo thin a, a bik takin a zun a hring chhuak a nih chuan malabsorption condition an neih loh nan doctor pan a pawimawh hle.

He thuziak a\ang hian eng thuchah nge in lama kan hruai duh?

Okay, chuvangin tunah chuan malabsorption hi kan ei leh in atanga taksain nutrients a lakluh theih lohna sawina tlangpui a ni tih kan hre ta. Hei hi chhan tam tak a awm thei a, a lan chhuah dan pawh mi tin a inang lo thei bawk.

• I pum natna, ril\am, pum na, leh tum loh taka i taksa rihna tihtlem ang chi symptoms i neih chuan, chaw ei kham lohna anga ngaih mai suh.
• Malabsorption hian malnutrition a thlen thei a, chu chuan taksaah nghawng tha lo tam tak a nei thei a ni.
• Nang emaw i fa emaw hian heng natna lan chhuah dan hi i neih chhunzawm zel chuan doctor thurawn la ngei ang che .
• A dik taka hmuhchhuah a nih a, a \ha taka enkawl a nih chuan he natna hi control theih a ni fo.

I taksain a hrilh che hi ngaihthlak a pawimawh tih hre reng ang che. Thil tenawm tak angin lang mah se, a chang chuan thil lian tak bul tanna a ni thei. Chuvangin i hriselna enkawl hi a pawimawh ber a ni.