Nang pawhin pum na i nei em? Pancreatitis a ni mai thei!

A chang chuan natna mak tak mai, i pum hnuai lam atanga tan a, hnungzang thlenga kal i nei thin em? A nih loh leh chaw ei zawhah i khat emaw, i rilru a hahdam lo emaw? Heng thil hnung lamah hian taksa peng pawimawh tak, kan sawi vak loh, mahse a ni thei tih buaina a awm mai thei. Vawiin hian pancreas leh a inflammation, `(Pancreatitis)` chungchang hi han sawi ila.

He pancreas hi eng nge ni? Eng thil nge thleng?

A awlsam zawngin i pancreas hi i pum chhunga organ te tak te, mahse pawimawh tak a ni. I kut dinglam i pum chhungah i dah chuan chutiang chuan i pancreas chu a lian a, i pum hnung lamah leh i ruhro hma lamah tlem a awm. He taksa peng te tak te hian thil lian pahnih a ti a: 1. Digestion lama tanpui: Enzyme bik (amylase ang chi) a siam a, chu chuan i taksain i eitur chhunga nutrient awmte a hip lut thei a ni. Heng enzyme te hi pancreatic duct atanga tla thlain small intestine ah an kal a, chutah chuan i ei tur chu a dah khawm thin. 2. Thisen sugar level control: Insulin tih hi i hre tawh ngei ang. Pancreas hian thisen sugar level tihtlem nan hormone a siam a.

Chuti a nih chuan, pancreatitis chu eng nge ni?

Pancreatitis hi i pancreas inflammation emaw swelling emaw a ni. Kan taksa hmun dangah hliam kan neih chuan a hring a, a na ang mai a ni. He inflammation hian a hmaa kan sawi tawh angin pum na a ti na a ni. Ngaihtuah teh, kan taksa defence system (immune system) hian hliam awmna hmun tihdam a tum hian inflammation a awm thin. He inflammation hi pancreas a hliam emaw a chhiat emaw a awm thin. A tam zawkah chuan gallstone-in pancreatic duct a block vang emaw, zu in tam lutuk vang emaw a ni.

Hei hi chi hrang hrang a awm em?

Ni e, pancreatitis hi chi hnih a awm ber a:

1. Pancreatitis natna hrik (acute Pancreatitis) a awm thei

Hei hi temporary type a ni. Hliam tlemte, hun rei lote chhunga hliam tuar hnua pancreas chu dam a tum laiin a thleng thin. Mi tam zawk chu ni rei lote chhungin an dam vek. Mahse, enkawl dan dik a ngai a , chu chu chawlh hahdam, tui tam tak in, leh natna tidamtu damdawi ei te hi a ni . Mahse, a chang chuan he ``Acute pancreatitis'' natna hi a na hle thei a, nunna atana hlauhawm harsatna a thlen thei bawk .

2. Pancreatitis natna rei tak awm thei

Hei hi hun rei tak chhunga awm, hmasawnna lam hawi chi a ni. A dam mai ni lovin, hun kal zelah a na zual zel. Hetiang dinhmun hi pancreas tihchhiat chhunzawm zel a nih chuan a thleng thin. Hei hian pancreatic tissue-ah scarring (`(Fibrosis)`) a siam a, chu chuan a siam tur enzyme leh hormone a siam tlem tan ta a ni. Hei hi a thlen theih nan kum tam tak a la ngai thei.

He natna hi engtiang chiahin nge a hluar?

America ang ramah chuan acute pancreatitis vangin kum tin mi 200,000 chuang damdawi inah dah an ni. Chung zinga 20% vel chu an dinhmun a na hle nia sawi a ni. Chronic pancreatitis hi a tlem deuh a, mahse kum tin damdawi inah mi 86,000 vel a la awm reng a ni. Hetiang dinhmun hi Sri Lanka-ah pawh hmuh tur a awm nasa hle.

Eng nge a lan chhuah dan? Engtin nge i ngaih?

Pancreatitis chhinchhiahna ber chu pum na a ni . Mahse, symptom dang pawh a awm thei bawk.

Acute symptoms te chu: 1.1.

• Nausea leh luak chhuak a awm thei.
• Heart rate a sang chho zel a.
• Thâwk chu a rang a, a thuk lo hle bawk.
• Khawsik i nei thei .

Chronic condition a lan chhuah dan:

• Indigestion leh ei zawh hnua natna.
• Chaw ei duh lohna leh taksa rihna tlahniam .
• Oily stool (toilet-a oil film ang mai a ni).
• Luak chhuak ( thisen hniam vangin ).

Hengte hian i pancreas chu a hlawhchham zauh zauh tihna a ni.

He hrehawmna hi engtin nge a awm?

Pancreatitis natna hi a hniam lam atanga na tak thlengin a awm thei . A pum atanga pawn lam thlenga radiate ang maiin a awm fo thin . Acute pancreatitis hi a na zawk tlangpui a, hliam na tak ang maiin a lang thei bawk . I pum i khawih hian a na thei bawk. Chronic pancreatitis natna hi mi hrang hrangah a inang lo thei. A chang chuan a lo kal a, a kal bo thin a, mahse a bo vek ngai lo. Chaw ei zawhah a tam ber. Mi thenkhat tan chuan a na hi a awm reng thin. A natna a zual chuan:

• I inhnukdawk hunah.
• Khuh laiin.
• Exercise i tih hian.
• I ei tam lutuk hian.

Natna chu a reh thei a, chu chu:

• I thut dinglam chuan.
• Hma lam i ben hunah.
• Ball ang maia i curl up lai chuan.
• I ei tlem hunah.

Engtin nge pancreas hian hna a thawk tha lo tih i hriat theih ang?

Chronic pancreatitis avanga pancreas hnathawh that loh chuan i chaw ei danah inthlak danglamna i hmu hmasa mai thei. Pancreas hian digestive enzymes a siam tling thei lo va, intestines-ah a thawn thei lo a nih chuan taksain ei tur, a bik takin thau awmte chu a hip lut tha thei lo. Hei hian ei zawhah hrehawmna a thlen thei a, thau ei loh (undigested fats) pawh i ek chhungah a kal thei bawk. Hun a kal zel a, i thau pawh a tlahniam tan thei bawk.

A chhan berte chu engte nge ni?

Pancreatitis thlentu lian ber pahnih chu: 1. Gallstones (Gallstones) 2. Zu in tam lutuk. Heng chhan pahnih hi an inzawm khawm chuan pancreatitis vei zinga 80% vel an ni.

1. Gallstone pancreatitis a awm thei

I gallbladder chhunga bile chu common bile duct kaltlangin i intestines ah a lut thin. He duct leh pancreatic duct hi i intestines chhungah hmun khatah an inhawng vek a. Chu junction-ah chuan gallstone a tlakbuak chuan eng nge thleng ang tih han ngaihtuah teh? Pancreatic juices chu a chhuak thei lo va, pancreas chhungah a tang tlat mai. Tichuan pressure a sang a, chu enzyme te chuan pancreas chhungah hna an thawk tan a, pancreas ngei pawh chu an ei tan ta a ni. Chu chu he inflammation thlentu a ni.

2. Zu in tam lutuk

Zu in tam lutuk hi pancreatitis thlentu chiang tak a ni bawk. Scientist-te chuan engtin nge a awm tih chiang takin la hre lo mah se, zu-a toxic components hian pancreas a ti na a, a nih loh leh digestive enzymes te hi chemical hmanga activate niin an ngai. Acute leh chronic pancreatitis vei zawng zawng zinga a chanve vel chu zu in tam lutuk vang nia sawi a ni.

Chhan dang

Heng chhan lian pahnih bakah hian chhan dang pawh a awm a, mahse a tlem deuh deuh a ni.

• Infection chi hrang hrang, entirnan virus.
• Taksa ngeiin a taksa a vengtu (immune system) hian pancreas (`(Autoimmune pancreatitis)`) a rawn bei a.
• Genetic mutations, thlah kal zelah (`(Hereditary pancreatitis)`) a lo thleng thin.
• Cystic fibrosis ang chi natna avanga harsatna awm thei.
• Thisenah thau (triglycerides) a tam (`(Hypertriglyceridemia)`).
• Thisena calcium level sang (Hypercalcemia).
• Pancreas-a thisen pek tlem (`(Ischemia)`).
• Cancer dinhmun a ni.
• Pancreas-a hliam tuar.
• Damdawi thenkhat hi pancreas tan a tha lo.

Heng chhan zawng zawng hi a belhkhawm chuan 20% vel a ni. A châng chuan, chhan hmuh tur a awm lo.

Acute leh chronic inflammation hi a inang em?

A tam zawkah chuan pancreatitis hi a lo awm nghal a, rei lo te chhungin a bo (`(Acute)`). Mahse, a chhan awm reng, thlahtu natna ang chi a awm chuan hun engemaw chen (`(Chronic pancreatitis)`) pancreatitis a awm thei. Chutiang bawkin acute pancreatitis a lo awm nawn fo chuan hun rei tak chhunga natna a lo ni thei bawk.Ngaihtuah teh, pancreas hi pressure leh chhiatna tawk chhunzawm zel a nih chuan taksain a thiam tawh a, chhiatna a tawp hnuah pawh inflammation a nei chhunzawm thei a ni.

Hei hian thihna a thlen thei em?

Ni e, acute pancreatitis a nasat lutuk chuan harsatna a thlen chuan thihna pawh a thlen thei a ni. Mi tlemteah chuan acute pancreatitis na tak hian taksa pum a nghawng thei reaction a thlen thei a ni. Hei hian shock leh multiple organ failure a thlen thei a ni. Enkawl vat loh chuan nunna atana hlauhawm a ni thei. Damdawi in pan a tha ber a, natna lanchhuahna i neih hian engtiang chiahin nge a nasat tih hriatthiam a har hle.

Eng harsatna nge awm thei?

Acute pancreatitis vei tam zawk hian harsatna a thlen lo. Mahse mi 5 zinga 1 vel chu a na thei hle. Engvangin nge mi thenkhatin hetiang na hi an vei tih erawh hriat chian a la ni lo. Nasat lutuk chuan thihna hial a thlen thei a ni. Chronic pancreatitis hian harsatna a thlen thei bawk a, mahse a lo thang zauh zauh a, nunna atana hlauhawm nghal a ni lo. Complication tam zawk hi enkawlna hmanga enkawl theih a ni.

Acute Pancreatitis natna avanga harsatna awm thei:

• Tissue thihna (`(Necrosis)`) leh infection: Acute pancreatitis na tak vei mi 3 zinga 1 vel chu pancreas hi a lo hring chhuak a, a thisen kalna tur pawh a titawp thin. Tichuan, pancreas hmun thenkhata tissue chu a thi ta a ni. He tissue thi hi bacteria tan hmun tha tak a ni. Bacteria hi a kai chuan rang takin a darh thei a, thisenah a lut thei bawk. Thisenah natna hrik (`(Septicemia)`) a awm chuan emergency a ni. Chu chu taksa chuan `(Systemic Inflammatory Response Syndrome)` tih natna hmangin a chhang let thin. Hei hian thisen kalna kawng a ti lian a, thisen sang a tlahniam (`(Septic shock)`) a, taksa peng pawimawh tak takah thisen a tlahniam a, chu chuan `(Multiple organ failure)` a thlen thei a ni.
• Pancreatic pseudocysts: Pancreas inflammation hian pancreatic juice chu intestine-a phurtu duct chu a block thei a ni. Chumi hnuah chuan a tui chu pancreas vel ah a leak a, a chhehvel tissue-ah inflammation a siam a ni. Hun kal zelah chuan inflamed area vel ah hian hard sac tui awmna a lo awm a, chu chu pseudocyst an ti a. A tam zawkah chuan heng cyst te hian symptom a siam lo va, enkawl ngai pawh a awm lo. Amaherawhchu, a chang chuan hri kai emaw, an lianin harsatna an thlen thei bawk. A tlem berah chuan thisen kalna kawng pakhat chu cyst chhungah lutin thisen a chhuak thei a ni. Chutiang a nih chuan doctor-te chuan tui chu an chhuah emaw, thisen chhuah chu an tihtawp emaw a ngai mai thei.
• Chronic pancreatitis: Acute pancreatitis a lo awm nawn fo chuan chronic a ni thei. Pancreas a inflamed chhunzawm zel chuan tissue ah scarring (fibrosis) a lo awm thin. Hei hian pancreas chu gland angin a thawk thei lo. Hun a kal zel a, taksain enzyme leh hormone a siam chhuah theihna chu a tlahniam zauh zauh a, chu chuan harsatna a thlen belh zel a ni.

Chronic pancreatitis natna avanga harsatna awm thei:

Chûngte chu a lo thleng zauh zauh a:

• Exocrine pancreatic insufficiency (EPI), malabsorption, leh malnutrition: Pancreas hi a hliam a nih chuan ei tur ei tur siam chhuahna atana enzyme mamawh a siam tlem zawk thin. Hei hian taksa tan nutrients , a bik takin thau leh thau-a inthiar theih vitamins te hi a lakluh harsa hle . Thau tam lutuk chu bawlhhlawhah a chhuak a, chu chuan bawlhhlawh hriak a siam a, a hnuah chuan ril\am a thlen bawk. I ei leh in atanga nutrition i hmuh tlem chuan i thau a, nutrition tlakchhamnain a nghawng chu i hre tan thin.
• Thisen thlum hniam (`(Hypoglycemia)`), thisen thlum sang (`(Hyperglycemia)`), leh type 1 diabetes (`(Type 1 diabetes)`): Hun rei tak chhunga pancreas inflammation hian thisen sugar control tu hormone siam a ti tlem bawk. Eng hormone nge a nghawng hmasak dan azirin glucagon hloh hian thisen sugar a tihhniam (`(Hypoglycemia)`) emaw, insulin a hloh chuan thisen sugar sang (`(Hyperglycemia)`) a thlen thei bawk. A tawpah chuan hormone pahnih hi a bo vek a, zunthlum a lo awm ta a ni.
• Natna awm reng: Mi thenkhat chuan an natna atanga hahdamna an hmuh laiin, thenkhat chuan natna chu a na zual a, a awm reng tih an hmuchhuak bawk. Hei hi thunun harsa tak a ni thei a, damdawi hmang pawhin i rilru hriselna pawh a nghawng thei bawk.
• Pancreatic cancer vei theihna a sang: Khawi hmunah pawh inflammation awm reng reng reng hian cancer vei theihna a tipung. Hun rei tak pancreatitis vei tawhte chu pancreatic cancer (pancreatic adenocarcinoma) vei theihna chance 1% atanga 2% vel an ni. Chronic inflammation symptoms nen a inang avangin a chang chuan hriat lohvin a awm thei bawk. Doctor-te chuan he natna vei te hi cancer an neih leh neih loh enfiah fo turin an rawt a ni.

Engtin nge natna hi kan hriat theih ang?

Pancreatitis symptoms i neih chuan i doctor chuan i pancreas chu thisen test leh imaging test hmangin a enfiah ang. Thisen test hian i thisenah pancreatic enzymes level sang tak a awm tih a enfiah thin. A tlangpui aia a let thum aia tam an nih chuan pancreatitis rinhlelh a ni. Chumi hnuah CT scan emaw MRI emaw hmangin a natna hmuhchhuah chu a dik tih finfiah theih a ni. Heng scan-ah hian pancreas-ah hian a hring leh tui a awm tih hriat theih a ni. Chronic pancreatitis i vei nia an rinhlelh chuan test dang pawh tih theih a ni:

• Glucose test (pancreas hian insulin a siam tha em tih enfiah nan).
• Stool elastase test (pancreas hian digestive enzymes a siam tling em tih enfiah nan).
• Fecal fat analysis (Eksaah hian thau a tam em tih en la, chu chu thau lakluh \ha lo tihna a ni).
• Thisen test (i ei leh in (nutritional status) leh i thisenah fat-soluble vitamin i nei tlem em tih enfiah nan).

Engtin nge enkawl a nih?

Enkawlna chu a chhan, acute nge chronic leh a nasat danah a innghat a ni. A tlangpuiin pancreatitis symptoms i neih chuan doctor pan tur a ni. Acute condition thenkhat chu anmahni chauhin enkawl theih a ni a, mahse hei hi a chhan leh a nasat danah a innghat thung. Chutih lai chuan mi tam tak chuan natna enkawlna atana pui turin natna tidamtu damdawi an mamawh a ni. Mi thenkhat chuan emergency treatment an mamawh a ni. Mi dangte chuan harsatna an tawh avangin intensive care an mamawh thei bawk.

Acute Pancreatitis enkawl dan: 1.1.

Supportive Care a ni

A chhan chu chinfel a nih a, a natna a nasat loh chuan a tha ber chu taksa chu a mah chauha a dam theih nan tanpui hi a ni. Hei hian a tlangpuiin:

• Saline (IV fluids) pek): Pancreatitis hian dehydration a thlen a, dam lehna atan hydration hi a pawimawh hle.
• Tube feeding: Ka ei theih loh chuan i hnar kaltlangin emaw, i pum chhungah emaw dah luh tube hmangin chaw pek i ni.
• Parenteral nutrition: A nasat lutuk chuan vein kaltlangin direct-in nutrition pek theih a ni.
• Painkillers: Painkillers hi thisen zam emaw, ei emaw hmanga pek thin a ni.

Gallstone tihbo a ni

Gallstone avanga pancreatitis i neih chuan i bile duct atanga lung lakchhuah a ngai mai thei. Hetiang harsatna hi a lo awm leh tawh loh nan i gallbladder lakchhuah (Gallbladder removal surgery) tih pawh i rawt thei bawk. I tih theih turte chu hetiang hi a ni:

• Endoscopic retrograde cholangiopancreatography (ERCP): Hei hi endoscope (tube te tak te, flexible tak, camera dahna) hmanga bile ducts-a luh tir a ni. Hetiang hian lung tam tak lakchhuah theih a ni. Tube hi rilru hnuaiah dahin, pum chhungah kal tlangin bile ducts-ah a lut a ni.
• Gallbladder removal surgery: Gallstone avanga damdawi ina i awm tawh chuan harsatna i neih leh theihna a sang zawk. Chuvangin gallbladder hi lakchhuah a ni fo thin. Hei hi laparoscopically (`(Laparoscopic cholecystectomy)`) hmanga tih a ni tlangpui a, chu chu incision tenau tlemte hmanga tih theih a ni tihna a ni.

Additional Support a awm bawk

Harsatna a awm chuan hengte pawh hi a ngai thei bawk:

• Antibiotics damdawi a ni.
• Fluid emaw tissue thi emaw lakchhuahna tur surgery.
• Intensive care a ni.

Chronic pancreatitis enkawl dan: 1.1.

Hetiang natna i neih chuan i general practitioner chuan specialist (gastroenterologist) hnenah a refer ang che. Enkawlna chu natna enkawl dan leh nunphung thlak danglam atanga tan a ni a, chu chuan natna a zual zel loh nan a pui thin. Hun a kal zel a, i pancreas-in a siam chhuah loh enzyme leh insulin thlak nan pawn lam damdawi i ei a ngai mai thei.

Nunphung inthlak danglamna

Hei hi a pawimawh hle. Zu in leh zu in hi i bansan a ngai ngei ang.Heng pahnih hian pancreatitis-ah nghawng lian tak a nei a, natna hi a zual thuai thei a ni. I doctor chuan hengte tihtawp nan khawiah nge tanpuina i hmuh theih ang tih a hrilh ang che. Tin, thau tlem, thlai leh thei tamna ei leh in thiam a pawimawh hle bawk a, nitin tui in tam a pawimawh bawk .

Natna enkawl dan tur

Chronic pain enkawl hi a buaithlak thei hle. I tana tha tur zawng turin damdawi leh hmanraw hrang hrang i enchhin a ngai mai thei. I natna chungchang leh thilin a puih loh chuan i tih theih dan tur chu i doctor hnenah sawipui ngei ang che. Pain management specialist (chronic pain specialist) hnenah a refer thei che a ni. A then phei chuan endoscopic hmanga scar tissue emaw pancreatic stone emaw lakchhuah hian symptoms a tihziaawm thei a ni. Pancreas-a nerve-a anesthesia inject (a celiac plexus block) hi damlo thlan bikte tan chuan tih theih dang a ni.

Nutritional supplement te pawh a awm bawk

Hun a kal zel a, mi tam tak chuan exocrine pancreatic insufficiency (EPI) an nei thin. Pawn lam atanga pancreatic enzyme an lak a ngai a ni. Calorie leh nutrients (vitamins leh minerals) tling tak an neih theih nan nutritional supplement an ei a ngai bawk. Mi thenkhat chuan glucose an tuar thei lo a, a tawpah chuan zunthlum an nei a, insulin-ah an innghat ta a ni.

Inzai

Inflammation na tak chu pancreas hmun bik takah chauh a awm a, chu hmun chuan tuar theih loh khawpa natna emaw, harsatna emaw a thlen a nih chuan, i doctor chuan chu hmun chu paih chhuah a rawt thei ang (`(Resection)`). A zual deuhah chuan pancreas a chhiat nasat a, natna nasa tak a la awm chuan pancreas pumpui chu lakchhuah theih a ni (`(Total pancreatectomy)`).

Hun rei tak chhung chu eng ang dinhmun nge beisei theih ang?

Mi tam zawk chu acute pancreatitis atang hian an dam vek thin. A na lo a nih chuan ni 5-10 chhungin a reh tlangpui. A nasat emaw, harsatna a neih chuan kar engemaw zat damdawi inah i awm a ngai mai thei. A chhan i enkawl theih chuan a lo let leh tur ven theih a ni. Organ failure nei tlemte zingah chuan thihna rate hi 20% vel a ni. Chronic pancreatitis natna hi zawi zawiin a zual zel a. Damdawi lam pan fo a, a kal zel dan enfiah hian harsatna a thlen hmain i veng thei ang. Pain management hi mi thenkhat tan chuan harsatna a ni thei a, rilru hriselna leh nunphung a nghawng thei bawk. Surgery tih pawh ngaihtuah theih a ni. Pancreas tel lo chuan nun theih a ni a, mahse insulin-ah innghah a ngai mai thei.

Hei hi ven theih a ni em?

A chhan zawng zawng hi ven theih a ni lo. Mahse zu in tlem hian i risk i tihtlem thei a ni . Gallstones awm chhan lian dang chu i cholesterol tihhniam vang a ni . Acute pancreatitis i vei tawh a nih chuan zu leh meizuk bânsan hian a pui thei a ni.A lo lang leh tur venna atan a pui bawk. Gallstones avanga lo awm a nih chuan gallbladder lakchhuah hian a lo lang leh thei lo.

Ni khat chu i pancreas a na hma loh chuan i ngaihtuah vak lo mai thei. Hei hi i ngaihvenna tur kawng hlauhawm tak, stressful tak a ni thei.

A tawp berah chuan thil hriat reng tur

Pancreatitis symptom i neih chuan ngaihthah suh. Doctor hmu nghal rawh. Acute pancreatitis vei tam zawk chu ni engemaw zat hnuah a dam leh ang. Eng thil nge a thlen tih i hriat theih chuan enkawl hreh suh. Chronic pancreatitis hi zawi zawiin a intan thei a, i hriat hunah chuan hriat theih loh a ni. Zu ang chi chhan ṭhenkhat chu sawi lawk theih a nih laiin, ṭhenkhat erawh chu thil danglam leh beisei loh zawk a ni thei. He hun rei tak chhunga natna hi i vei theihna tur hlauhawmah i inngai ngai lo mai thei. Mahse, a nunpui zir chu thil harsa tak a ni thei. I dam chhung zawnga enkawl tura puitu tur i rintlak doctor i mamawh ang. I hriselna hi i mawhphurhna a ni a, chuvangin enkawl rawh. Pancreatitis, Pancreatitis, Pum natna, Gallstones, Zu, Chaw ei dan