I fa hian pum na a nei fo em? A chhan a hmu thei lo niin a lang? Functional Abdominal Pain chungchang hi han sawi ila!

I naupang tê hian, "Mommy, ka pum a na" a ti fo em? A châng chuan doctor an hmuh hnuah pawh a chhan dik tak an hmu thei lo va, "Hei hi a dik lo" an ti ṭhin. Nu leh pa i nih angin lungkhamna nasa tak i neih hi thil awmdan pangngai a ni. Vawiin hian pum na, a chhan chiang tak hmuh harsa tak, mahse naupangte zingah a awm fo thin chungchang kan sawi dawn a ni. Hei hi functional abdominal pain kan ti a . A châng chuan doctor-te pawhin he natna hi ‘Centrally Mediated Abdominal Pain Syndrome’ an ti bawk.

Functional Abdominal Pain tih hi eng nge ni?

A awlsam zawngin sawi ila, functional abdominal pain chu naupang pum chhunga natna a ni. Mahse thil danglam bik tlemte a awm a:

• Doctor chuan a enfiah thei che a, a chhan chiang tak a hmu thei lo: chu chu doctor chuan damdawi lam dinhmun bik, pum ulcer emaw, natna hrik emaw, natna thlentu a awm lo tih a nemnghet tihna a ni.
• He natna hi thla khatah vawi li emaw a aia tam emaw a lo thleng thin: vawi khat emaw vawi hnih emaw ni lovin , a tam zawk.
• Hetiang dinhmun hi thla hnih tal a awm tawh a: Hei hi kan ringhlel a, chu chu thla hnih emaw a aia tam emaw a zawna pum na a awm reng chuan a ni.
• A tam zawkah chuan a natna hi darkar khat aia rei a daih lo: vawi khat a lo thlen chuan rei vak lo hnuah a reh leh thin.
• Chaw ei, thiltih leh riltam inzawmna bik a awm lo: pum natna thenkhat chu chaw rit ei hnuah a na zual a, a nih loh leh riltam hnuah a na zual bawk. Mahse he thilah hian hetiang pattern chiang tak hi hmuh a harsa khawp mai.
• Naupang chu a thang tha a, a thau a tlahniam lo: Hei hi nu leh pa tam tak mak tih tur a ni. Naupangin pum na nei mah se, naupang chu a ei tha a, a in a, a inkhel a, a sang a, a lian chho zel bawk.
• Stress emaw, lungkhamna emaw nen a inzawm thei: Entîr nân, sikul exam a hnaih hunah emaw, class thara insawn a ngaih hunah emaw, in lama harsatna engemaw i neih hunah emaw, i fa chuan a rilru a hah thei a ni. Hei hi pum na a lo lan theihna hun a ni.

Mahse, chanchin lawmawm a awm! Hetiang functional abdominal pain nei naupang tam zawk hi chu kar tlemte emaw thla engemaw zat emaw chhungin an dam vek ang. Hun rei tak chhunga harsatna lian tham tak tak awm hi a tlem hle.

Functional Abdominal Pain natna lan chhuah dan chu engte nge ni?

A lan chhuah dan ber chu pum na a ni . Mahse, naupangte hian natna lan chhuahna dang an nei thei bawk a, chungte chu:

• Nausea: Hei hi nausea emaw riltam emaw hriatna a ni.
• Lu na : Lu na, pum na nen a inzawm thin.
• Luak chhuak: Naupang thenkhat chuan lu a na emaw, luak emaw an ti thei.
• Chauhna: Chauhna awm reng, nunna nei lo anga inhria.

Heng symptoms te hi naupang tin ah hian a awm dan a inang lo. Naupang thenkhat chuan pum na chauh an nei thei a, thenkhat erawh chuan heng symptoms engemaw zat hi an nei dun thei thung.

Engvangin nge he functional abdominal pain hi a lo awm?

Dik tak chuan doctor-te chuan hei hi a chhan dik tak chu an la chiang thei lo. Mahse, hemi chungchangah hian ngaihdan hrang hrang a awm.

Theory lian tak pakhat chu hei hi thluak-gut axis, thluak leh digestive system inkara signaling system-a sensitivity vang a ni thei tih hi a ni Ngaihtuah teh, kan thluak hian kan pum a\angin kan thluak thlengin thuchah (nerve signal) a thawn reng a, kan pum a\angin kan thluak thlengin thuchah (nerve signal) a thawn chhuak fo bawk. Naupang functional abdominal pain nei tan chuan he nervous system hi a sensitive deuh mai thei. Hei hian a awmzia chu mi pangngaiin a hriat loh tur pum chhunga inthlak danglamna tenau (entir nan, pum a zau deuh, intestines-a boruak a tang) pawh heng naupangte hian natna angin an hre thei tihna a ni. Mi thawm tê tê pawha mak tih ang maiin.

Heng nerve message te hi a tichak thei a ni:

• Pum emaw, intestinal distension vang (ei ei laiin, boruak a khat laiin).
• Efecate i mamawh hunah rectum a zau avangin.

Hetiang dinhmun hi naupang kum 4 leh 16 inkar ah a tam ber a, a chang chuan naupang hian a hmaa chaw kawng natna a neih tawh atanga a dam hnuah pawh pum na a nei thei a ni. Tin, chhungkuaa thil buaithlak tak – entirnan, in thara insawn te, inthenna emaw, sikul lama harsatna emaw – hian he hrehawmna hi a thlen thei a, a tizual thei bawk.

Engtin nge he functional abdominal pain hi an hriat chhuah?

I fa chu doctor hnena i hruai hunah chuan he natna hi a hriat theih nan step engemaw zat a zawm ang:

1. Symptoms zawt rawh: Doctor chuan i fate pum na hi engtin nge a lo intan tih te, engtikah nge a lo tan tih te, eng chen nge a awm tawh tih te, symptom dang a awm leh awm loh te a zawt ang che. Natna khirh zawk chhinchhiahnate pawh an zawng ang a, chu chu an taksa rihna tlahniam, an ṭhanlen loh, khawsik, vun rawng, luak chhuak reng, ril\am, a nih loh leh ruh natna te hi a ni . Chungte chu "red flag sign" emaw "warning sign" emaw an ti a.

2. Taksa enfiahna a ti thin:Doctor chuan naupang chu uluk takin a enfiah ang. A pum chu a palpate ang a, thil danglam dang a awm leh awm loh a enfiah ang.

3. Test bulpui thenkhat: A tul chuan thisen test tlemte leh stool test of occult blood tih theih a ni. Hengte hi natna dang a awm loh nan tih a ni.

4. Stress chungchang a zawt: Doctor chuan naupang tana stressor thlen thei thil te, tun hnaia in lama boruak inthlak danglam te, sikula thiante nena harsatna te, exam te pawh a sawi bawk ang. A chhan chu kan sawi tawh ang khan stress hian hei hi a nghawng thei a ni.

A pawimawh ber chu naupang hian a hmaa kan sawi tawh "red flag signs" te hi a neih loh chuan, leh thisen leh ek test bulpui te chu a pangngai a nih chuan, a tam zawkah chuan test lian leh buaithlak dang (e.g., endoscopy, CT scan) tih a ngai tawh lo.

Functional Abdominal Pain hi engtin nge enkawl a nih?

Hetiang dinhmun kan enkawl hian doctor-te hian mi zawng zawng hi a inang vek lo. Naupang hrang hrangah enkawl dan a inang lo thei a, a natna lan chhuah dan azirin a inang lo thei bawk. A tlangpuiin hetiang thil hi tih thin a ni:

• Ei leh in lama inthlak danglamna:
• Naupang thenkhat chuan gas thlentu ei tur (e.g., cabbage, cauliflower, broccoli, lentils) tihtlem hian hahdamna an hmu thin.
• Tin, ei tur hriak, chaw hmin, chaw rimtui, leh ei leh in tur artificial sweeteners hmanga ei tlem hi a tha hle bawk.
• Carbonated drinks (soda ang chi) leh thei tui (a bik takin sorbitol tamna, apple leh pear ang chi) tihtlem hian naupang thenkhat a pui bawk.
• Naupang thenkhat chuan bawnghnute leh bawnghnute atanga siam lactose awmna chu an ei harsa thei hle. Ringhlelna a awm chuan i doctor thurawn angin rei lo te chhung chu pumpelh i duh mai thei.

• Damdawi: 1.1.
• Pum natna tihziaawmna tur damdawi pek theih a awm.
• Pum acid tihtlem thei damdawi hian a chang chuan a pui thei bawk.
• A tlem hle a, doctor chuan natna thunun thei leh nervous system tichhe thei damdawi dang dose tlemte pek a tum mai thei. Amaherawhchu, heng damdawi zawng zawng hi doctor-in a tih ang chauha hman a nih a pawimawh hle. I fa chu a duh duhin natna damdawi pek loh tur a ni.

• Counselling leh Relaxation hman dan tur: 1.1.
• He natna hi stress nen a inzawm avangin naupang chu a rilru natna enkawltu leh stress tihziaawmna tura puitu counselling services te hian a pui thei hle a ni.
• I fate chawlh hahdam dan tur, thawk thuk taka exercise, meditation, leh yoga te zirtirna hian hahdamna a pe thei bawk.

A pawimawh ber chu naupang chu "rilru natna" tia hnawhchhuah loh hi a ni. Naupang hian natna a tawk tak tak a ni. A chhan chu taksa natna langsar tak ni lo mah se, a natna chu a tak tak a ni.

Engtikah nge doctor i hmuh vat ang? (Signs fimkhur tur)

Naupang functional abdominal pain nei pawhin a chang chuan natna khirh tak dang a nei thei bawk. Chuvangin, i fain a hnuaia symptoms te hi a neih chuan hun khawhral suh la, doctor pan nghal rawh:

• Ekvah thisen a awm chuan (black or dark red).
• Ni hnih aia rei diarrhea i neih chuan.
• Ni hnih aia tam i luak tawh chuan.
• Vomit-ah hian thisen (red emaw coffee grounds ang maia lang emaw) a awm chuan .
• Pum natna chu darkar khat aia rei a nih chuan, a nih loh leh a na zual zel a nih chuan.
• Khawsik sang tak i neih chuan.
• Ei duhna i hloh chhunzawm zel a, i taksa rihna i tlahniam zel a nih chuan.
• Zun laiin natna a awm chuan.
• Constipation a nasat emaw, a tan chauh emaw, a kal zel emaw a nih chuan.
• A ruh (joint) a hring emaw a sen emaw.
• Skin rash leh pum na i neih chuan.
• Naupang thanlenna a tlahniam ang tih a hriat chuan.

Hetiang symptoms hi functional abdominal pain a ni lo thei tihna a ni. Damdawi dang a ni thei a, endik nghal a ngai a ni.

Nu leh pa angin engtin nge i fate i ṭanpui theih?

Hetiang dinhmun nei naupang tan chuan i thlawpna, i hmangaihna leh i hriatthiamna hi a hlu hle. He natna avang hian naupang chuan lungngai leh lungkhamna a nei thei. Nitin thil tih leh infiamna an neih loh hian an lungawi lohna hi thil pangngai tak a ni. I tanpui thei ang:

• I fa chu nitin thil tih pangngaiah tel tir rawh: Sikul kal te, inkhelh te, ṭhiante nena hun hman te, chhungte nena hun hman nuam tih ang chi thilte chu hrehawmna chuan titawp suh ang che. I fa chu heng thila a inhmang hian a natna chu a ngaihtuah tlem zawk mai thei.
• I fa chu heti hian thlamuan rawh: "Hei hi natna khirh tak a ni lo va, i dam thuai ang." Doctor in thil pawi tak a ni lo a tih thu hrilh rawh.
• I fate hrehawmna lam ngaihtuah lutuk suh: Ni e, i fa tan chuan a harsa khawp mai. Mahse, "I pum a na em?" "Engtin nge i awm?", i fa ngaihvenna chu a hrehawmna lam hawiin a hip thei a ni. Chu ai chuan i fain thil tha dang a tih te, an talent te sawi rawh. An ngaihtuahna chu hmun dangah dah leh rawh.
• I fate chu i lungkhamnate chu entir suh: I fain a ngaihtuah lutuk che a hmuh chuan an hlau lehzual thei a, an lungkham lehzual thei bawk. I rilru muang leh tha taka i rilru put hmang hi i fa tan chakna nasa tak a ni.
• Hemi chungchangah pawh hian i lungkham a nih chuan sawi rawh: A châng chuan nu leh pate pawhin he dinhmun hi tuar harsa an ti thei bawk. Chutianga i inhriat chuan i rintlak tak emaw, counselor emaw nen sawiho rawh. I rilru hriselna pawh a pawimawh.
• I fate tâna counselling pek hi ngaihtuah rawh: I fate chu an rilru put hmang sawi tûr te, hrehawmna tuar tûr te, leh hahdam theih dân zir tûr te ṭanpui tûra counselor ṭanpuina pêk chu a ṭangkai hle thei a ni.

I fa chu "dawt sawi" emaw, "faking it" emaw a ni tih ngaihtuah ngai suh. Functional abdominal pain hi natna tak tak a ni. Taksa chhan chiang tak awm lo mah se, i fa chuan a la tawng reng a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan vawiin a kan sawi tawh, Functional Abdominal Pain tih hi i hrethiam zawk tawh ang. Thil pawimawh ber berte hi han sawi nawn leh ila:

1. Functional abdominal pain chu pum na, taksa lam thil chiang tak awm lo, mahse a takah chuan hriat theih a ni.

2. Hei hi a tam zawkah chuan dinhmun hlauhawm tak a ni lo va, hun kal zelah a dam chho zel ang.

3. Naute chu a thang tha a, a thau a tlahniam lo a nih chuan chu chu chhinchhiahna tha tak a ni.

4. Stress hian hei hi a nghawng thei. Chuvangin i fate rilru hahdamna kawngah fimkhur rawh.

5. Doctor-in a tih angin enkawl dan zawm a pawimawh a, nitin nun chu a pangngai anga chhunzawm zel a pawimawh.

6. "Red flag sign" te hi fimkhur rawh. I hmuh chuan doctor pan nghal rawh.

7. I hmangaihna, i thlawpna leh i hriatthiamna hi i fa tan he dinhmun hi a hneh theih nan chakna ropui tak a ni.

I fain he harsatna hi a neih chuan hlauthawng suh la, Doctor nen inbia la, a tul anga thurawn la rawh. Naupang tin hian nun hrisel, hlim taka nun an phu a ni!

` Functional Abdominal Pain, Naupang pum na, Centrally Mediated Abdominal Pain Syndrome, Pum Na, Naupang Natna, Stress leh Pum Na