A chang chuan rang takin pum na tak i nei thin a ni lawm ni? Chemtein i pum a chil che ang mai a ni. Chumi rual chuan i luak chhuak a, i luak chhuak a, a châng chuan khawsik pawh i nei bawk. Hetiang hunah hian mi tam tak chuan gastritis emaw food poisoning emaw kan nei niin kan ngai thin. Mahse pum na zawng zawng hi gastritis a ni vek lo. Hei hi pancreas , kan taksa peng pawimawh tak ni mahse kan sawi tam lo hle tih harsatna a ni mai thei. Chuvangin vawiin hian he pancreas dinhmun enfiahna atana thisen test awlsam tak, mahse pawimawh tak tak kan sawi dawn nia.
I en hmasa ang, he pancreas hi tu nge ni?
A awlsam zawngin, pancreas hi kan pum chhungah, kan pum hnung lamah awm, flat gland a ni. Tlemte ni mah se, a rawngbawlna hi a pawimawh lo hle a ni lo. Hna pawimawh pahnih a nei a.
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2. Hormone siam chhuah: Hei hi kan taksain hormone pawimawh tak tak insulin ang chi siam chhuaktu a ni a, chu chuan kan thisen sugar level a control a ni.
Tunah chuan hei hi a pawimawh zia i hrethiam ta a ni lawm ni? Chuvangin he pancreas-ah hian harsatna a awm a nih chuan, a bik takin inflammation ang chi thil a awm chuan kan taksa pum pui a nghawng thei a ni.
Chuti a nih chuan he pancreas thisen test hi eng nge ni?
Hei hi test awlsam tak a ni. I kut a vein atanga lak chhuah thisen test awlsam tak a ni. He test hian a bul berah chuan i thisena enzyme pahnih kan sawi tawh ang kha a en a, chungte chu pancreas atanga siam niin, ei leh in lama puitu an ni.
Pancreas hi heng enzyme siamna factory angin han ngaihtuah teh. A tlangpuiin heng enzyme te hi kan intestines ah direct in an kal thin. Mahse, pancreas-a thil a chhiat chuan, a nih loh leh inflammation a awm chuan factory bang a chhe a, bungrua a leak chhuak ang mai a ni a, heng enzyme tam tak hi thisenah a chhuak a ni. Chu "leak" chu he thisen test hmang hian kan hmuchhuak a ni.
Eng symptoms nge he test hi ka neih ang?
I doctor chuan acute pancreatitis , pancreas inflammation nghal mai i vei nia an rin chuan he thisen test hi a ti ang. Hengte hi he natna lan chhuah dan tlangpui a ni.
| Symptom a ni | Tlemte chu a chungchang a ni |
|---|---|
| Pum natna nasa tak | Hei hi a symptom ber a ni. Natna nasa tak, tuar theih loh, pum chunglam atanga intan a, hnungzang thlenga belt ang maia kal thin a ni. Hmalam pan chuan a natna chu a reh deuh niin a lang thei. |
| Nausea leh luak chhuak | Nausen leh luak chhuak fo i nei thei bawk. Luak hnuah pawh pum na hi a reh lo. |
| Khawsik leh khawsik | Taksa lumna a sang chho zel tih hriatna a awm thei a, chubakah chuan khur nasa lutuk pawh a awm thei bawk. |
| Chaw chakna | Engmah ei leh in duh lo ang maiin i inhria. |
| Lung na tak tak | Pulse rate a sang thei hle. |
Hetiang symptoms i neih chuan i doctor chuan he thisen test hi pancreatic problem a nih leh nih loh finfiah turin a ti ang.
Enzyme pahnih Amylase leh Lipase chungchang tlem han zir ila.
He thisen test a enzyme test ber pahnih chu Amylase leh Lipase te an ni .
| Enzyme a ni | Hnathawh ber | Pawimawhna |
|---|---|---|
| Amylase a ni | Kan ei carbohydrates (starch) te, buh leh chhang te chu a digest thei a ni. | Pancreatic problem nei chuan thisenah amylase level a sang chho thin. Mahse, he enzyme hi kan salivary glands atanga siam a nih avangin damdawi dang thenkhatah pawh amylase level a sang thei bawk. |
| Lipase a ni | Kan ei thin oil leh butter ang chi thau te kan ei theih nan min pui thin. | Hei hi test chiang ber a ni a, a chhan chu lipase enzyme hi pancreas atanga siam a nih ber vang a ni. Chuvangin thisena lipase level a san chuan pancreas-ah harsatna a awm a rinawm hle. |
Chuvangin, doctor-te chuan heng enzyme pahnih level hi an enfiah tlangpui a, chu chuan diagnosis dik tak a siam thei a ni.
Thisen test tura inbuatsaihna leh test tih dan tur
Hei hian inbuatsaihna a ngai lo. Procedure awlsam tak a ni.
- Inbuatsaihna: I theih chuan kawr ban tawi ha la. Hei hian thisen latu tan i kut ah vein a hmuh a awlsam phah ang. Inbuatsaihna bik dang a ngai lo.
- Thisen lak dan: 1.1.
1. A hmasa berin i kut chu elbow chung lam deuhah rubber band (tourniquet ang chi) hmangin i vein kha tikhauh turin i khin a.
2. Chumi hnuah a vein awmna hmun chu alcohol swab hmangin silfai ang che.
3. Thir te tak te hmangin thisen mamawh zat chu vein atang hian tube te tak teah an la khawm thin.
4. Hei hian minute khat emaw minute hnih emaw vel a la ngai ang. Chumi hnuah chuan needle chu la chhuakin, cotton phek khat chu a hmunah an dah a, plaster an hnawih a.
I thisen i laksak chuan, rulhut te tak te in a chil ang maiin, i rilru a na hle mai thei. Mahse second tlemte chauh a daih. Chuvangin hlauh tur a awm lo.
Thisen lak zawhah i kut ah hliam te tak te i nei thei. Hei hi ni khat emaw ni hnih emaw chhungin a bo tlangpui.
Test report-a value awmte hi engtin nge kan hriatthiam ang?
I thisen sample chu lab-a enfiah tura thawn a nih hnuah report i dawng ang. Heng enzyme te value te hi a tarlang ang. Hengte hi mi hrisel thisenah a awm tur level te chu a ni.
| Enzyme a ni | Normal Range a ni |
|---|---|
| Amylase a ni | Litre khatah unit 23 atanga 85 (23 - 85 U/L) a ni. Lab thenkhatah chuan hei hi 140 U/L thleng a ni thei. |
| Lipase a ni | Litre khatah unit 0 atanga 160 (0 - 160 U/L) a ni. |
Pawimawh tak: Heng value te hi lab hrang hrangah a inang lo deuh thei. Chuvangin, i report-a i sawi ‘Normal Range’ nen hian i value te hi khaikhin a pawimawh hle. Mahse, he report thupui hi nangmah ngeiin hrilhfiah tum suh. I doctor chauhvin dik takin a zirchiang thei a, i natna lan chhuah dan nen a inzawm tir thei a, thutlukna dik tak a siam thei bawk.
Results pangngai lo... enzyme level a san chuan engtin nge ni ang?
I thisen Amylase leh Lipase level chu normal upper limit aiin a let thum aia tam a nih chuan acute pancreatitis i vei tih finfiahna nghet tak a ni.
Mahse doctor hian he thisen test result a\angin thutlukna a siam mai lo. Nangmah, i natna lan chhuah dante chu a enfiah a, thutlukna siam turin heng zawng zawng hi a dah khawm a ni.
A châng chuan, a natna hriat chian nân leh pancreas-a chhiatna thleng dik tak hriat nân test dang neih belh a ngai thei bawk.
- Ultrasound Scan: Hei hian pum chhunga taksa peng hrang hrangte thlalak a la thei. Hei hian gallstone ang chi thilte hriatchhuahna kawngah a pui thei a ni.
- CT Scan: Hei hian pancreas leh a chhehvel taksa peng hrang hrangte thlalak chiang zawk, chipchiar zawk a la thei.
- MRI Scan: Hei hian CT scan aiin thlalak chiang zawk a hmuh theih nan a pui a ni.
- Endoscopy: Camera nei tube te tak te chu ka chhunga dah luh a, pum leh intestine te enfiahna a ni.
Heng test zingah hian eng test nge i mamawh tih i doctor chuan a rel ang.
Engtikah nge doctor i hmuh ngei ang?
Hei hi a pawimawh ber a ni. A chunga kan sawi tawh ang hian pum natna nasa tak, tuar theih loh i neih chuan , gastritis anga ngaihin in lamah awm mai mai suh. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
Doctor chuan i natna lan chhuah dan a ngaithla ang a, a enfiah ang che a, he thisen test result hi a enfiah ang a, eng enkawlna nge i mamawh tih a hre thei ang. Enkawl tan hma hian harsatna lian tham a awm loh nan a pui thei a ni.
Take-Home Thuchah a ni
- Pum natna nasa tak leh luak chhuak hi gastritis a ni ngai lo. Pancreas-ah pawh harsatna a thlen thei bawk.
- Amylase leh Lipase thisen test hi pancreas dinhmun enfiahna atana tih a ni a, test awlsam tak leh pawimawh tak a ni.
- Lipase enzyme level hi pancreatic problem awm dan chiang zawk a ni.
- Thisen test report-a value awmte chu nangmah chauhin hrilhfiah tum suh, i doctor nen sawiho fo ang che.
- Pum natna nasa tak, tuar theih loh i neih chuan damdawi in Emergency Treatment Unit (ETU) atangin doctor thurawn la nghal rawh.
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