Tin, i rilru a buai fo bawk em? He microscopic colitis chungchang hi i zir dawn teh ang!

A chang chuan tui takin ni tam tak chhung a awm thin em? Chumi rual chuan i pum chhungah lungawi lohna leh natna nasa tak i nei a ni lawm ni? Hei hi kan sawi vak loh dinhmun a ni a, mahse mi tam tak a nghawng thei a ni. Chu chu microscopic colitis chu a ni. Vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.

Microscopic Colitis hi eng nge ni?

A awlsam zawngin sawi ila, microscopic colitis hi i intestine lian (i colon tia hriat bawk) lining-a natna awm reng (hun rei tak) a ni. "Colitis" tih thumal hian intestine lian tak a inflammation tihna a ni. "Microscopic" an ti a, a chhan chu a inflammation hi mitin hmuh theih a nih loh vang a ni. Microscope hmang chauhvin chiang takin a lang thei.

Hei hi inflammatory bowel disease (IBD) chi khat a ni bawk. Mahse IBD chi dang nen chuan a danglam deuh hlek. I intestine chhunga cell te chu an thinrim reng thin . A lan chhuah dan ber chu riltam fo, tui ang maia awm hi a ni. Natna khirh tak dang ang bawkin a lo kal thei a, a kal leh thei a, a bo leh a, a lo let leh thei bawk. Chu chu thil thenkhat (``triggers'' kan ti) hian natna a tizual thei a, a chang chuan a mah chauhin a bo a, rei vak lo hnuah a lo let leh thin tihna a ni. Nun chhung zawnga natna awm thei ni mah se, damdawi hmanga enkawlna hmangin a thunun ṭha thei fo .

Tuin nge hetiang hi dawng thei ber?

Hetiang dinhmun hi tu chungah pawh a awm thei tak tak a, mahse mi thenkhat chuan an vei tam zawk.

• Hei hi kum upa lam zingah hmuh tur a awm tlangpui .
• Mipa aiin hmeichhiain an nei tam zawk tih hmuhchhuah a ni bawk.
• He risk hi meizukte tan pawh a sang zawk a ni .
• Autoimmune natna thenkhat, a bik takin celiac disease (gluten allergy) nei te tan pawh a awm thei bawk.

Microscopic colitis hi inflammatory bowel disease dang aiin a tam lo zawk niin an ngai tlangpui. Mahse, dik taka hriat theih nân colon biopsy lak a ngai avângin, tûnah chuan kan ngaihtuah aiin mi tam zâwkin he natna hi an nei thei niin an ngai ta a ni .

Hei hi natna hlauhawm tak a ni em?

Ni lo, IBD natna khirh tak dang nena khaikhin chuan microscopic colitis hi natna khirh tak, nunna atana hlauhawm takah ngaih a ni lo. Mahse, ril\am nasat reng reng hian tui tlakchhamna a thlen thei a, taksa rihna a tlahniam thei a, ei leh in lama harsatna a thlen thei bawk. Mahse, chutiang chuan a na lo tlangpui.

Hei hi a lo thleng leh chhuak a, damdawi hmanga control theih a nih avangin hlauhthawn a ngai lo. Mahse, chaw ei apianga pum natna neia nun hian i nunphung a nghawng thei a ni . Hei hi kan hriat chian a pawimawh hle a ni.

Microscopic colitis chi hrang hrangte chu engte nge ni?

Doctor te chuan he natna hi microscope hmanga i intestines lining (intestinal mucosa) atanga tissue sample an en chauhvin an nemnghet thei a ni. Chumi hnuah chuan chu cell-te mizia bik chu an hre thei ta a ni. Heng mizia te hi natna chi hrang hrang (subtypes) hriat nan hman a ni. Tunah hian subtype lian pahnih hmuhchhuah a ni tawh. Midang eng emaw zat sawiho a ni bawk.

• Collagenous colitis: I colon lining connective tissue hi collagen leh elastin atanga siam a ni. Hetiang chi ah hian i colon lining chhunga collagen bands te chu a tlangpuiin a thim thin. Hei hi connective tissue natna dang, rheumatoid arthritis-a collagen leh elastin swell dan nen a inang hle. Heng autoimmune condition te hi microscopic colitis vei te zingah pawh hmuh tur a awm bawk.

• Lymphocytic colitis: Hetiang chiah hian colon (epithelium) lining-a cell chi khat lymphocyte awm zat chu a pangngai lo takin a pung a ni. Lymphocyte hi thisen var chi khat a ni a. Kan taksa hriselna (immune system)-a tel an ni a, natna hrik lakah min venghim a ni. Immune system nena inzawm inflammation a awm chuan thisen var a pung hi thil pangngai a ni.

A tha ber chu chi hnih symptoms hi a inang vek a ni. Tin, a enkawl dan pawh a inang reng bawk. A danglamna chu microscope hmanga i en hian a ni. Scientist thenkhat chuan hengte hi a takah chuan natna inang pahnih nei niin an ngai. A châng chuan, mi pakhatah pawh symptom chi hnih hi i hmu thei bawk. Hei hi "incomplete microscopic colitis" an ti a.

Tin, mi thenkhat chuan mastocytic enterocolitis an tih pawh hi microscopic colitis chi khat anga ngaih tur niin an ngai bawk. Symptom inang tam tak a nei bawk. Mahse, "enterocolitis" tih hian intestine lian chauh ni lovin, intestine te pawh a nghawng tihna a ni. "Mastocytic" tih hian intestine lining-a immune cell chi dang mast cell an tih chu a pangngai lo taka pung tihna a ni.

Hei hi eng symptoms nge ni?

Microscopic colitis chhinchhiahna ber leh langsar ber chu chronic, watery bowel movements hi a ni.. A tlangpuiin ni khatah ril panga atanga sawm vel i nei thei. Mi thenkhat chuan hei aia tam emaw, tlem emaw an nei thei. A tlem hle a, microscopic colitis hi rilru hahna tel lo emaw, chaw ei kham lo emaw a awm tih an sawi. Chutiang hunah chuan thil dang zawn laiin accident-in hmuhchhuah a ni.

A lan chhuah dan tlangpui bakah hian side effects hmuh tur awm fo engemaw zat a awm a:

• Pum na leh cramping.
• Abdominal distension leh bloating.
• Bathroom-a kal hmanhmawhthlak leh stool vawn harsat.
• Bowel thawm hriat (riltam gurgling ang chi).
• Mi thenkhat chuan gluten awmna ei tur (chhang leh noodles ang chi) ei harsa an ti thin.
• Chau tih hriat reng (Fatigue).

A natna a nasat zawk chuan a lan chhuah dan te chu:

• Tui tlakchhamna (dehydration).
• Nausea leh luak chhuak.
• Rihna tihtlem.

Hei bakah hian mi thenkhat chuan feature dang an sawi bawk:

• Muscle cramps emaw muscle na emaw a awm thei.
• Joint na leh a nghet lo.
• Lu na emaw migraine emaw a awm thei.
• Kawngkhar natna.
• Vun a rawn chhuak.
• Lung lam natna, acid reflux.
• Lymph node a lo hring chhuak.
• Thyroid lama harsatna nei.
• Nervous system lama harsatna (e.g., kal harsa - `(ataxia)`).

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan microscopic colitis i nei tihna a ni hauh lo. Mahse, doctor thurawn lak a tha ber a, a bik takin persistent diarrhea i neih chuan.

Hei hi eng chhan nge ni?

Scientist-te chuan hei hi a chhan chiang tak an la hmu lo a , mahse thil engemaw zatin a pui thei niin an ngai a ni:

• Bacteria thenkhat, bacteria toxin leh virus thenkhat nena inzawmna.
• Autoimmune response chu kan taksa ngeia immune system a tihsual avanga lo awm chhanna a ni. Chu chu, immune system hian kan cell te lakah hna a thawk tihna a ni.
• Genetics lam thil a ni. Chu chu thlah kal zel atanga lo chhuak thil a ni thei tihna a ni.

Zirchianna thenkhat chuan kan damdawi hman thenkhatte pawh hian he harsatna hi a thlen thei niin an sawi. Entir nan:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) - entirnan, natna tidamtu ibuprofen leh diclofenac te.
• Proton pump inhibitors (PPIs) - damdawi Omeprazole ang chi, gastritis enkawlna atana hman thin.
• Selective serotonin reuptake inhibitors (SSRIs) - rilru lam natna, depression ang chi enkawlna atana hman thin damdawi.
• Hormone thlak danglamna (HRT) hmanga enkawl a ni.
• Beta blockers - thisen sang enkawlna atana hman damdawi thenkhat.
• Statins - Cholesterol tihhniamna damdawi.

Heng damdawi ei zawng zawng hian he natna hi an nei vek dawn lo. Mahse, hengte hi a chhan pakhat a ni mai thei niin an ngai. Heng damdawi te hi i ei a nih chuan i doctor nen inbia lovin ei kha bansan suh.

He natna hi engtin nge dik taka kan hriat theih ang? (Diagnosis) tih a ni.

Microscopic colitis hi gastroenterologist-in a hriat tlangpui a ni. I medical history leh tuna i damdawi ei mek eng pawh a zawt hmasa ang che. Tichuan, i natna thlentu thil dang a awm leh awm loh enfiah nân test hrang hrang an ti thei a ni.

• Thisen test a ni
• Stool test neih a ni
• Imaging test pawh a ni mai thei

Heng test-te hian a chhan chiang tak a hmuh loh chuan doctor chuan colonoscopy leh biopsy neih a rawt ang . Hei hi microscopic colitis tih finfiah dan ber a ni.

Colonoscopy neih lai hian i doctor chuan i rectum kaltlangin i intestine lian takah instrument sei tak, flexible tak (colonoscope an tih) a dah lut ang. Hetiang tih lai hian i mut tir dawn a, chuvang chuan natna engmah i nei lovang. Instrument kaltlangin instrument te tak te dah a ni ang a, i colon lining atang hian tissue te tak te (biopsy) lakchhuah a ni ang a, microscope hmangin enfiah a ni ang. Hei chauh hi microscopic colitis i neih leh neih loh hriat theihna a ni.

Engtin nge enkawl a nih?

I natna lan chhuah dan leh a nasat dan azirin enkawl dan a inang lo thei. Mi ṭhenkhat chuan an ei leh in leh nunphungah inthlâk danglamna tê tê an siam a ngai mai thei. Mi dangte chuan over-the-counter (OTC) emaw, prescription damdawi emaw an mamawh thei bawk.

Mi thenkhat tan chuan symptoms chu a lo lang nghal a, chutah chuan a mah chauhin a bo vek tih han ngaihtuah teh. Ṭhenkhat tân chuan an ei leh in thunun chuan hahdamna nasa tak a pe thei a ni. Midang tan chuan flare-up lai chauh damdawi ei a ngai mai thei a, a nih loh leh damdawi ei chhunzawm zel a ngai mai thei bawk.

Damdawi hman tlanglawn thenkhat:

• Thil bawlhhlawh tithianghlimtu leh ril\am tihziaawmna damdawi (`Bulking agents`): Entirnan, Isabgol ang chi thil `(psyllium).`
• Anti-diarrheals: Intestinal contractions rate ti hniam thei leh diarrhea control thei damdawi : Entirnan, loperamide emaw diphenoxylate emaw.
• Bismuth subsalicylate (Pepto Bismol® ang chi): Luak chhuak, luak chhuak, luak chhuak, leh chaw ei loh tan.
• Budesonide hmanga siam a ni.Hei hi corticosteroid chi khat a ni. Intestine lian takah taksaah a lut a, chutah chuan inflammation a tiziaawm a ni.
• Mesalamine: Hei hi a takah chuan ulcerative colitis, inflammatory bowel disease dang damdawi a ni. Mahse, a hring leh natna tihziaawmna atan pawh hman a ni.
• Bile acid sequestrants (e.g., colesevelam, colestipol): Hengte hi i taksain bile a lakluh that lohna hmuna harsatna i neih chuan (bile acid malabsorption) pek thin a ni.

A chunga damdawi te hian a pui vak lo a, i doctor chuan autoimmune cause vang a nih a rin chuan immune system target tur damdawi dang pawh rawt theih a ni:

• Immunosuppressant hmanga taksa hriselna tichhe thei.
• TNF titawptu (e.g. adalimumab, infliximab) te hi a ni.
• Cromolyn sodium (mast cells a target a, a bik takin mastocytic enterocolitis-ah a target thin).
• Naltrexone dose hniam tak a ni.

I doctor hnen atanga thurawn dang i dawn theih te:

• Tunah hian damdawi dang i ei a nih chuan a dose thlak emaw, damdawi thlak emaw ngaihtuah rawh.
• Meizial zuk bânsan vek.
• Eng ei tur nge i allergy leh eng ei nge i symptoms tizualtu tih hriat tum.

He natna hi a dam kim vek dawn em ni?

Chatuan atan ni lo. Mahse, hun rei tak chhung chu symptom-free i ni thei . Hei hi natna ``remission`` kan ti a ni. He remission hi thla tam tak chhung, kum tam tak chhung pawh a daih thei. Mahse, natna khirh tak ang bawkin ``triggers`` vangin a lo kir leh thei a ni. I triggers te i hriat chian chuan flare-ups te chu i ti tlem thei ang.

Flare-up hi eng chen nge a awm?

Hei hi mi tin a inang lo. Mahse, flare-up period pangngai chu ni engemaw zat atanga kar tlemte thleng a ni thei. Mi tam tak chuan heng flare-up te hi an tithinur thei ei tur leh chemical te ei loh vang te, a tul huna damdawi ei te te hian an tihziaawm thei a ni. I natna lan chhuah dan a zual chuan doctor nen inbiakna neihpui ngei ang che.

Microscopic colitis vei tan chuan ei leh in tur tha ber berte chu engte nge ni?

Microscopic colitis tan hian "microscopic colitis diet" bik a awm lo. Mahse, i natna lan chhuah dan tur enkawl nan a pui thei a, a natna tizualtu ei tur tihtlem a, inflammation tihziaawmna tur ei tur tam zawk dah belh a ni. I ei tur bikte chu i tan a danglam dawn a ni. I tan eng nge tha tih hriat theih nan practice engemaw zat a ngai dawn a ni. I doctor chuan hetiang hi a rawn rawt thei ang:

Allergenic ei tur awm fo te tihbo

Microscopic colitis natna lan chhuahna tipung thei tura hriat chhuah ei tur thenkhat chu hetiang hi a ni:

• Zu.
• Caffeine (coffee, tea, leh soft drink thenkhatah te hmuh tur a awm).
• Gluten (protein buhfai, barley, leh rye ang chi - chhang, pasta, leh cake ang chi thila awm).
• Duhthusamin bawnghnute leh bawnghnute atanga siam.
• Chini.
• Thil thlum siamna hmanrua (artificial sweeteners) te.

Thau tlem leh fiber tlem ei tur

Flare-ups lai hian doctor thenkhat chuan "gastrointestinal soft diet" an rawt thin. Hei hian ei tur thau tlem leh fiber tlem ei a huam a ni. Hei hian i digestive system-a hnathawh tur a tihtlem phah a ni. Mahse, he diet-a ei tur thenkhat hi i tan chuan a nuam lo mai thei.

Elimination diet a ni

Eng ei tur nge i allergy tih chiang taka hriat theihna kawng khat chu elimination diet enchhin hi a ni. Entirnan, FODMAP hniam ei leh in. Hei hi hun rei lote chhunga tih dan tur a ni. Hetah hian ei tur pawl thenkhat chu i paih vek a, chutah chuan zawi zawiin pakhat hnu pakhatin i rawn luhtir leh a, engte nge i sensitive tih i hriat theih nan. Chutianga tih dawn chuan registered dietitian kaihhruaina lak a pawimawh hle.

Anti-inflammatory ei leh in

Chaw thenkhat, polyunsaturated fats tamna ei tur te hian taksaa inflammation a tihziaawm tih hmuhchhuah a ni. Mediterranean diet hi chutiang anti-inflammatory diet entir nan a tha hle. Turmeric hi i ei leh inah pawh a tha hle a, anti-inflammatory property a neih avangin.

Hei atan hian probiotics hi a tha em?

Tun hmain microscopic colitis enkawlna atan probiotics hi an lo rawt tawh a ni. Mahse, tuna inkaihhruaina hian a rawt lo a, a chhan chu zirchianna tam zawk neih a ngai a ni. Chuvangin doctor thurawn lo chuan probiotics ei loh tur a ni.

Microscopic colitis hi natna a ni a, tun thlengin hriat chian a la ni lo. Inflammatory bowel disease dang zingah chuan hriat hlawh lo ber a ni. Mahse, tunah chuan scientist-te chuan midang ang bawka a awm ve mai thei niin an ring. A chungchangah hian zirchianna chiang tak a awm tlem hle a, tunah hian a damdawi tur targeted medication a awm lo. Vanneihthlak takin tuna enkawlna hmang hian control theih a ni fo. Tlemte thawhrimna hmangin, damdawi leh ei leh in dik tak zawngin, i natna lan chhuah dan tur chu a lo chhuah hunah i enkawl tha thei ang.

A tawp berah chuan hriat reng tur tlemte

• Microscopic Colitis hi enkawl theih a nih avangin lungngai suh.
• Hei hi dik taka hriat theih nan colonoscopy leh biopsy neih a ngai a ni.
• I doctor nen thawk ho la, i tana tha ber tur enkawlna zawng rawh.
• I natna thlentu (triggers) ei leh in, leh thil dangte hriat chian a pawimawh hle.
• Symptoms i neih chuan thup suh la, hrehawm tuar suh, damdawi lam thurawn zawng zawk rawh. Nangmah chauh i ni lo!

Microscopic Colitis, Diarrhea, Pum na, Intestinal inflammation, Colitis, Ei leh in allergy, Gastroenterology