Tui chhuak (watery diarrhea) pawh i nei fo em? Microscopic Colitis a ni thei!

Bowel movement i nei fo em? Ni khatah vawi nga emaw vawi ruk emaw bathroom-ah i kal a ngai em, a chang chuan a aia tam pawh i kal a ngai em? Hetiang dinhmun, pum na leh lungawi lohna nena lo awm hian nitin hnathawh dan tur dik taka tih a harsat phah a ni mai thei. Hemi atan hian doctor i pan tawh mai thei a, scan leh test pawh i nei tawh mai thei bawk. Mahse an vai hian "normal" angin an rawn kir leh vek a ni. Chuvangin, "Chuti a nih chuan eng nge ka chunga thil thleng?" Hetiang chiah hian i tawng tawh a nih chuan vawiin a kan sawi mek natna, Microscopic Colitis (MC) tih hi hriat a pawimawh hle ang.

A awlsam zawngin, Microscopic Colitis chu eng nge ni?

He hming hi a buaithlak deuhin a lang thei a, mahse thumal awlsam takin han then ila.

• Colitis: Hei hian i intestine lian (colon) lining a inflammation emaw swelling emaw a kawk a ni. Hliam kan neih laiin kan vun a sen a, a hring chhuak ang bawkin, chutiang bawk chu intestine chhungah a thleng thin avangin ‘colitis’ kan ti thin.
• Microscopic: He thumal hi ‘microscopic’ tihna a ni. Chumi awmzia chu a inflammation chu a te lutuk a, mit chauhvin a hmu thei lo tihna a ni a, endoscopy an tih laia an hman camera emaw, scan-ah emaw pawh hmuh theih a ni lo tihna a ni. I intestine lian tak atanga tissue te tak te tak tak lak a, microscope hmanga en a nih chauhvin chiang takin a lang thei.

A awlsam zawngin sawi ila, Microscopic Colitis hi intestine lian tak inflammatory condition a ni a, routine test hmanga hriat theih a ni lo va, microscope hmang chauha hriat theih a ni. Hei hi i colon chhunga cell te chu "thinrim" reng an nih vang a ni. Chuvang chuan tui takin i ril a tam fo thin.

Hetiang dinhmun hi a buaithlak deuh thei. A rawn on nghal thei a, rei vak lo hnuah a mah chauhin a bo thei a, a rawn let leh thei bawk. Mahse thu lawmawm tak chu dam chhung zawnga awm thei ni mah se, uluk taka enkawl theih a ni fo . Damdawi dik leh ei leh in thlak danglamna engemaw zat a mamawh chauh a ni.

Microscopic Colitis hi chi hnih a awm a, chungte chu:

Doctor-in i colon atanga tissue sample microscope hmanga a en chuan, an thil hmuh danglamna a zirin natna hi chi hnih lian takah an ṭhen a. Mahse hei hi i ngaihtuah lutuk a ngai lo, a chhan chu chi hnih tan hian symptoms leh treatment te hi a inang hle a ni. A danglamna chu microscopic level-ah chauh a ni.

He natna lanchhuahna langsar zualte chu engte nge ni?

Microscopic Colitis natna lan chhuahna ber leh tibuaitu ber chu tuiin a chhuak fo thin (diarrhea) . Hei hi ni khatah vawi nga atanga vawi sawm vel a thleng thei a, a chang chuan a aia tam pawh a thleng thei bawk. In chhuahsan te, hnathawhna hmuna kal te, a nih loh leh zin chhuah i hlauh zia chu han ngaihtuah teh.

Chu bakah, feature dang engemaw zat hmuh tur a awm bawk:

• Abdominal pain and limping: I pum chhungah squeezing pain i nei thei.
• Bloating and flatulence: Pum chhunga gas a khat ang maia hriatna.
• Bathroom-a kal hmanhmawh taka kal a ngai tih hriat leh thunun harsa: Bathroom-a kal a ngai tih i hriat vele tlan.
• Pum chhung atanga rumbling sounds: Chaw ei laiin thawm pangngai lo hriat thin.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Scientist-te chuan hei hi a chhan chiang tak pakhat mah an la hmu lo a, mahse a chhan nia rinhlelh thil engemaw zat a awm.

• Germs, virus, bacteria: Hetiang dinhmun hi a lo awm thei a, a chhan chu tun hmain gut infection i nei tawh a, chu chuan i immune system hnathawh a tidanglam thei a ni.
• Autoimmune disease: Hei hi kan taksa immune system in nungchang dik lo leh mahni cell hrisel tak takte a beih hian a ni. Microscopic colitis vei thenkhat chuan autoimmune natna dang (e.g., rheumatoid arthritis, thyroid disease) an nei thei bawk.
• Genetics: 1.1.I chhungkuaa mi tu emaw hian he natna emaw, intestinal natna dang emaw a neih chuan nang pawhin i vei theihna a hlauhawm thei.
• Damdawi thenkhat: Zirchianna thenkhatah chuan hun rei tak kan ei thin damdawi thenkhat hian he natna hi a thlen thei emaw, a ti na zual thei emaw tih hmuhchhuah a ni.

Damdawi ngaihven bik ngai

A hnuaia damdawi te hi rei tak i ei a nih chuan i doctor nen inbiakna neih a pawimawh hle. Doctor rawn hmasa lovin heng damdawi te hi ei kha bansan ngai suh.

Stress hian hei hi a nghawng em?

Ni e, a dik tak zet. Kan thluak leh kan gut inkarah hian i ngaihtuah aiin inzawmna lian zawk a awm a ni. A châng chuan, "Gut hi thluak pahnihna a ni," kan ti ṭhin. A dik a ni. Stress leh lungkhamna nasa tak hnuaia kan awm hian kan taksa hormone level a inthlak thin. Hei hian kan chaw ei dan (digestive system) chu direct-in a nghawng thei a ni. Chuvangin, heng symptoms i neih ni te khan i rilru dinhmun kha eng ang nge a nih tih hi hun rei lo te chhung ngaihtuah a tha hle.

Tute nge he natna vei theihna sang zawk?

Hetiang dinhmun hi tu chungah pawh lo awm thei mahse, mi thenkhat chu an hlauhawm zawk.

• Hmeichhia kum 60 chunglam: A chhan dik tak hriat chian ni lo mah se, he natna hi he kum lama hmeichhia zingah hian a tam ber.
• Natna dang (autoimmune) nei te: He hlauhawmna hi Celiac disease (wheat flour-a protein gluten awm allergy) vei tan chuan a sang hle.
• Meizial zutute: Meizial zuk hi he natna thlentu a ni a, symptoms a ti na zual thei.

Engtin nge natna hi dik taka kan hriat theih ang?

Ka sawi tawh ang khan, hei hi routine test hmanga hriat a harsa a, chuvangin heng symptoms te hi i neih chuan gastroenterologist hnenah refer i ni mai thei

Diagnosis finfiahna atana test ber chu colonoscopy leh biopsy te a ni .

• Colonoscopy: Hei hi i rectum kaltlangin camera te tak te hmanga flexible tube dahin i intestine lian zawng zawng enfiah a ni. I tih hmain general anesthetic pek i ni ang a, chuvangin natna engmah i hre lo tlangpui ang.
• Biopsy: Colonoscopy neih chhung hian i doctor chuan i intestine lian lining atanga tissue sample tlemte a la ang. Hei hi biopsy an ti a. Chumi hnuah chuan tissue chu microscope hmangin microscopic colitis i nei em tih leh, a awm a nih chuan eng chi nge i neih tih hriat a ni.

Chu bakah, damdawi lam thil dang hriat loh nan thisen leh ek test pawh tih theih a ni bawk.

Engtin nge enkawl leh enkawl dan?

I natna lan chhuah dan leh a nasat dan azirin enkawl dan tur a inang lo. A châng chuan, ei leh in lama inthlâk danglamna tenau te hian danglamna nasa tak a thlen thei a ni. Mi thenkhat chuan damdawi an mamawh thei bawk.

1. Ei leh in leh nunphung inthlak danglam

Hei hi a hmasa ber leh a pawimawh ber a ni. Hetah hian i tih tur chu eng eitur nge i symptoms "trigger" tih hriat hi a ni. Hei hi mi tin tan a inang lo.

• Allergens tlanglawn tak takte pumpelh:Mi tam tak tan chuan natna lan chhuahna tizual thei ei tur engemaw zat a awm. Zu, caffeine (coffee, tea), bawnghnute leh bawnghnute atanga siam, gluten (wheat, barley), leh ei tur chini tamna te hi a tam ber zinga mi a ni.
• Thau leh thau tlem ei leh in: A natna lan chhuah dan a nasat chuan ei tur awlsam taka ei theih, thau leh thau tlem ei hian intestines-a phurrit a tihziaawm thei a ni. (e.g. buhfai var, alu chhum, soup, banana).
• Elimination Diet: Hei hian hun engemaw chen i rilru hahna thlentu nia i rinhlelh ei tur te chu paih vek a, chu chu pakhat hnu pakhatin i rawn luhtir leh a, eng ei tur nge i natna lanchhuahna tichhuaktu tih hriat a ni. Hei hi doctor emaw nutritionist emaw kaihhruaina hnuaiah tih a tha ber.
• Anti-inflammatory diet: Chaw thenkhat hian taksaa inflammation tihziaawm theihna an nei a. Chaw ei tur, thlai thar, thei, sangha (a bik takin sangha hriak nei, salmon leh mackerel ang chi), leh olive oil te hian hei hi a pui a ni.

2. Ruihhlo hmanga enkawl

Diet hmang chauha control harsa a nih chuan i doctor chuan damdawi a pe ang che.

• Diarrhea control damdawi: Loperamide ang damdawi hian riltam tamna a ti tlem thei.
• Bismuth subsalicylate: Hei hi ril\am damdawi hman tlanglawn tak a ni bawk.
• Budesonide: Hei hi corticosteroid chi khat bik a ni . Intestines-ah direct-in inflammation tihziaawmna atan hna a thawk a, chuvangin steroid dang aiin side effect a nei tlem zawk. Hei hi Microscopic Colitis enkawlna tha tak a ni.

Heng zawng zawng bakah hian i damdawi ei tur dang (e.g. painkillers) chungchang doctor nen inbiakna neih a pawimawh hle a, a tul chuan thlak danglam turin hma i la a, zuk leh hmuam i zuk chuan meizuk bansan a pawimawh hle bawk.

He natna hi a dam kim vek dawn em ni?

A bo vek dawn lo. Mahse, a thunun tha thei a, symptoms awm lovin nun pangngaiin i hmang thei bawk. He hun chhung hi symptoms awm lohna hi remission an ti a . He hun hi thla tam tak, kum tam tak pawh a daih thei. Mahse, ei leh in tha lo i ei a, stress nasa tak i neih chuan emaw, thil dang vang emaw chuan i symptoms chu a flare leh thei (flare-up).

He natna nena kan khawsak lai hian a pawimawh ber chu i taksa thu ngaihthlak hi a ni. Enkawlna tha ber chu i natna lan chhuahna chhan hriatchhuah hi a ni.

Microscopic Colitis hi intestinal natna dang angin hriat hlawh lo mahse, chu chu enkawl theih loh a ni tihna erawh a ni lo. Doctor-in he natna hi i vei tih a hrilh che chuan, kawng khatah chuan i lungngai mai thei, "Aw, ka chungah eng thil nge thleng?" Mahse, a lehlamah chuan, "Kum tam tak chhunga ka harsatna tawh chhan chu a tawpah chuan ka hre ta a ni," tih pawhin i rilru a hahdam thei bawk.

Tlemte thawhrimna, ei leh in hrisel, leh damdawi ei pawh a ni thei, he natna hi i enkawl thei a, hrisel takin i awm thei bawk. I natna lan chhuah dan leh i nun a nghawng dan chungchangah i doctor hnenah inhawng tak leh rinawm takin sawi rawh. I tana solution tha ber zawng turin a pui thei ang che.