I fa hian pum na a nei fo em? A chhan i hmu thei lo em ni? (Functional Pum natna) 1.1.

I naupang tê hian, "Mommy, ka pum a na em?" Chutianga i sawi chuan hlauhna nasa tak i nei ngei ang, a dik em? Doctor i pan a, "Hei hi a dik lo," emaw, thil dang emaw an tih hian a lungchhiatthlak zawk. Chutiang chuan naupangin a hriat tak tak pum na chungchang chu kan sawi dawn a, a chhan chiang tak hmuh theih loh mahse. Doctor-te chuan hei hi ``Functional Abdominal Pain'' an ti a, a chang chuan ``Centrally Mediated Abdominal Pain Syndrome'' an ti bawk.Hei hi awlsam takin, kan tawngin han sawi ila. Functional Abdominal Pain tih hi eng nge ni? A awlsam zawngin sawi ila, ``Functional Abdominal Pain'' tih hi naupangin a pum na a neih a, doctor-in a enfiah a, mahse taksa lama chhan chiang tak (entir nan, intestinal ulcer, worms, infection) a hmu thei lo tihna a ni. Amaherawhchu, naupang chu dawt a sawi tihna erawh a ni lo. Natna chu a awm takzet. Ngaihtuah teh, doctor-te chuan he natna hi hriat theih nân heng ang symptom engemaw zat hi an zawng a:

• He pum na hi thla khatah vawi li tal a lo thleng tur a ni .
• Thla hnih tal hetiang hian a awm chhunzawm zel tur a ni .
• A tam zawkah chuan he natna hi darkar khat aia rei a daih lo.
• He pum na hi ei leh in, tlan kual leh toilet kal nen hian a inzawm bik lo niin a lang.
• Hetiang natna vei naupang chu a lo seilian a, a sang hle a, a hrisel hle bawk. Weight loss hi hmuh tur a awm lo.
• Mahse, a châng chuan he natna hi lungkhamna emaw, lungkhamna emaw a awm chuan a pung thei .

Thu lawmawm tak chu naupang ``Functional Abdominal Pain'' nei tam zawk hi kar tlemte emaw thla engemaw zat emaw chhungin an dam tha thin. Harsatna lian tak, hun rei tak chhunga lo awm tur hi a awm lo.

Pum natna tih loh chu eng symptom dang nge awm?

A bulpui ber chu i pumpui na i sawi kha a ni. Mahse, naupang chuan harsatna dang a tawk thei bawk a, chungte chu:

• Nausea: Hei hian i luak dawn emaw, i pum a rawn inher ang tih emaw a awm tihna a ni.
• Lu na: Naupang thenkhatah chuan pum na nen lu na an awm fo thin.
• Luak chhuak: Lu natna leh lu inher chhuak .
• Chau lutuk anga inhria: Engmah i tih theih loh khawpin i chau thei.

Heng symptoms te hi naupang tin ah hian a inang vek lo. Naupang thenkhat chuan pum na chauh an nei thei a, thenkhat erawh chuan heng natna dang pakhat emaw a aia tam emaw an nei thei thung.

Engvangin nge he Functional Abdominal Pain hi a lo awm? Eng nge a chhan?

Dik tak chuan doctor-te chuan Functional Abdominal Pain thlentu hi za zela 100-in an la hre chiang lo . Mahse, theory engemaw zat a awm. Kan thluak leh kan chhungril inkar nerve signal system, thluak-gut axis-a sensitivity awm nen a inzawm nia ngaih a ni . A awlsam zawngin sawi ila, naupang thenkhat chu mi pangngai aiin thil awlsam tak tak (entir nan, pum emaw, rilru emaw a inzawm khawm chuan) pawh a sensitive zawk a ni. He visceral hypersensitivity avang hian heng naupangte hian engmah an hriat loh pawhin natna an nei thei a ni. Heng nerve signal te hnathawh dan hi a danglam deuh thei. Hetiang dinhmun hi naupang kum 4 leh 16 inkar ah hmuh tur a awm tlangpui a, a chang chuan, he natna chi hi a hmaa intestinal infection hnuah pawh a intan thei bawk. Chu chu, pum chhunga rulhut a kal a, a dam hnuah pawh, a chhungril sensitivity chu rei lo te chhung chu a sang reng thei tihna a ni. Tin, stress hian hei hi nghawng lian tak a nei bawk. Ngaihtuah teh, in boruakah inthlak danglamna lian tak (in thara insawn, sikul thlak, chhungkaw harsatna, nu leh pa inthen, etc.) a awm a nih chuan, he pum natna hi chutiang thil lungchhiatthlak tak takte nen a inzawm thei a ni Naupang thenkhat an awm a, an sensitive deuh a, an lungkham awlsam hle. Chutiang naupangte pawhin he natna hi an nei tam zawk.

Engtin nge doctor chuan hei hi Functional Abdominal Pain tiin dik takin a hriat theih ang?

Hetiang taka i fate i pum na i hrilh hian doctor-in a tih hmasak ber tur chu damdawi lam natna dang na tak a awm loh nan a enfiah hmasa phawt ang. Hei hian a huam thei:

• I fa leh nangmah ngei pawhin a natna lan chhuah dan zawt rawh: I fa leh nangmah ngei pawhin a natna awm dan te, eng chen nge a awm tawh tih te, leh a natna nena inzawm harsatna dang eng nge awm tih te zawt rawh. A bik takin, taksa rihna tlahniam, hlawhtling lo, khawsik, taksa na, luak chhuak reng, thisen chhuahna hmun , leh "red flag" chhinchhiahna, arthritis ang chi te zawng rawh.
• Taksa enfiahna: Naupang chu uluk taka enfiah a ni. A pum chu palpate a ni a, thil dik lo dang pawh enfiah a ni.
• Test bulpui: A tlangpuiin thisen test eng emaw zat leh occult blood test na stool test neih thin a ni. Hengte hian intestine-ah inflammation a awm leh awm loh hriatna engemaw zat a pe thei a ni.
• Stress chungchang zawhfiah:Tun hnaia naupang nun inthlak danglamna te, sikula harsatna te, leh in lama harsatna awm thei te kan zawt bawk. A chhan chu kan sawi tawh ang khan stress hian hei hi a nghawng thei a ni.

Thil pawimawh tak chu naupang hian a hmaa kan sawi tawh "warning signs" zinga pakhat mah a neih loh chuan, taksa enfiahna chu a pangngai a nih chuan, thisen leh ek test pawh harsatna lian tham nei lovin a pangngai a nih chuan, a tam zawkah chuan test lian, complex dang (e.g., `(Endoscopy)`, `(Ultrasound Scan)`) tih a ngai lo. Doctor chuan `(Functional Abdominal Pain)` hi a chhan lian tham dang a awm loh hnuah chauh a thutlukna a siam ang.

Hei hi eng enkawlna nge ni? Engtin nge ka dam theih ang?

Functional Abdominal Pain enkawl chungchang sawi dawn chuan one-size-fits-all approach a awm lo. Naupang hrang hrangah enkawl dan a inang lo thei a, a lan chhuah dan azirin a inang lo thei. Doctor-te chuan heng hmanrua pakhat emaw, a inzawm emaw hmangin an enkawl thei a ni:

• Ei leh in lama inthlak danglamna:
• Chaw ṭhenkhat, cabbage, broccoli leh cauliflower, leh bean te chu an ei tlem theih nan rawtna siam theih a ni .
• Oil, fried foods, leh fast food ang chi thilte tihtlem hi a tha .
• Carbonated drinks soda, sweetened beverages, leh spicy foods te pawh naupang thenkhat tan chuan harsatna a ni thei bawk.
• Naupang thenkhat chu ``Lactose intolerance'' ang chi condition test an ni thei bawk a, a tul chuan bawnghnute leh bawnghnute atanga siam ei tur tihtlem turin an ti thei bawk.
• Damdawi (drugs): .
• Pum na leh cramping tihziaawmna tur damdawi pek theih a awm.
• Pum chhunga acid hi tlem a sang lutuk nia i hriat chuan a tihziaawmna damdawi (e.g., antacids, proton pump inhibitors ) te chu hun rei lote chhung atan pek theih a ni.
• A châng chuan doctor chuan natna laka invenna tihziaawmna tûrin nervous system tichhe thei damdawi tlemte (Amitriptyline ang chi) a pe thei bawk. Mahse, hengte hi fimkhur taka pek a ni.
• Natna a nasat ber lai chuan hun rei lote chhung atan natna tidamtu awlsam tak (e.g. paracetamol) hmang turin an fuih mai thei.
• Counselling emaw Relaxation emaw hman dan tur:
• Hei hi a pawimawh em em a ni. Counselling emaw psychotherapy emaw hian naupang rilru hahna leh lungkhamna tihziaawmna atan leh chutiang rilru put hmang hmachhawn dan zir nan a pui thei hle.
• Thâwk lakna exercise, mindfulness meditation, leh yoga ang chi relaxation technique te tih hi natna tihreh theihna kawng ṭha tak a ni thei.

Engtikah nge doctor i hmuh leh a ngaih?

I fa chu doctor-in ``Functional Abdominal Pain'' a vei tih a hriat chuan ngaihtuahawm a ni lo tlangpui. Mahse, heng "warning sign" thar zinga pakhat tal a lo lang a nih chuan doctor i pan leh thuai tur a ni:

• Ekvah thisen a awm chuan (black or red).
• Ni hnih aia tam riltam a awm chuan , a bik takin tui a nih chuan.
• Ni hnih aia tam a luak chhunzawm chuan , emaw, luak chhuak a nasat chuan.
• Vomit-ah thisen a awm chuan (coffee grounds emaw red ang emaw pawh nise).
• Darkar khat aia rei pum na a awm chuan , emaw, a na zual zel a nih chuan.
• Khawsik sang tak i neih chuan (a bik takin chhan dang vangin).
• Naupangin ei duhna a hloh a, an ei tur a tihtlem nasa hle emaw, a ei thei lo tak tak emaw a nih chuan .
• Zun chhuah laiin natna emaw kang emaw i neih chuan .
• Constipation i neih a, ni tam tak chhung toilet i kal loh chuan, naupang tan pawh a nuam lo a nih chuan.
• A ruh a hring a, a na a nih chuan.
• Vun tichhe thei a nih chuan.
• Naupang chu a thau a tlahniam emaw, a san zawng harsatna a neih chuan .

Hetiang chhinchhiahna i hmuh chuan doctor thurawn lak nghal a finthlak a, ``Functional Abdominal Pain'' tih loh thil dang a nih theih avangin.

Nu leh pa angin engtin nge kan fate kan tanpui theih ang?

Naupang Functional Abdominal Pain nei te hian a natna nen an nunpui avangin a chang chuan lungngai emaw, lungkham emaw an nei thei. Sikul hna an thawh loh leh inkhelh huna an lungngaih hi thil pangngai tak a ni. Chuvangin, nu leh pa i nih angin, i fate chu heng kawngte hian i thlawp thei ang:

• I fa chu ni tin thil tihnaah inhmang reng rawh: A theih ang angin i fa chu a pangngai anga thil ti turin fuih la, chu chu sikul kal tir te, infiamna leh nuam tih zawngte khelh te, leh ṭhiante leh chhungte nena hun hman te hi a ni. Engkim tihkhawtlai a, a natna avanga in lama dah chuan naupang chu a ngaihtuah nasa zawk mai dawn a ni.
• Naupang chu thlamuan rawh: "He natna hi taksa lama chhan lian tak a awm lo. Hei hi naupang tam tak chunga thleng thin a ni. A dam thuai dawn a ni." Naupang chu thlamuan la, an inrintawkna siam rawh.
• I fate hrehawmna chungchang sawi reng reng suh: Ni e, i fain an natna chungchang an sawi hian ngaithla la, thlamuan rawh. Mahse, "I pum a na em? Tunah engtin nge i awm?" nilengin. Chu ai chuan an thusawi te, an thiamna te, leh an thiltih te chu ngaihtuah zawk rawh. Naupangte chuan an nu leh pate’n an ngaihtuah lutuk tih an hmuh hian an lungngai lehzual thei a, an lungngai lehzual thei bawk.
• I rilru hrisêlna chungchâng pawh ngaihtuah teh: I fa dinhmun chungchânga lungkhamna emaw, lungkhamna emaw i neih chuan, ṭanpuina engemaw tal dawng tûrin counselor i biak ang. Zahpui tur a ni lo. I fa chu i dam phawt chuan i pui thei chauh a ni.
• I fate tâna counseling siam chu ngaihtuah rawh: I fate chu an rilru put hmang enkawl tûra ṭanpui tûr te, natna hmachhawn dân zir tûr te, leh chawlh hahdam dân tûr zir tûra ṭanpui tûrin naupang counselor-te ṭanpuina pêk chu ngaihtuah rawh.

Chuti a nih chuan, he thawnthu atang hian eng nge kan in lama kan hruai haw tur pawimawh ber? (In lama hruai tur thuchah)

Okay, chuti a nih chuan tunah chuan kan sawi tawh (Functional Abdominal Pain) kha i hrethiam zawk tawh ang. A tawp berah chuan heng thute hi hre reng ang che:

• A awlsam zawngin sawi ila, ``Functional Abdominal Pain'' hi naupangte pum na, test hmanga taksa lama chhan chiang tak neia hriat theih loh, mahse naupangin a hriat tak tak a ni.
• Hei hi natna khirh tak, hlauhawm tak chhinchhiahna a ni lo tlangpui. I fa chu a thang tha a, a thau a tlahniam lo va, doctor-in a enfiah a, harsatna lian tham dang a awm loh thu a finfiah tawh a nih chuan a tul lovah lungngai suh.
• Psychological factors, stress, anxiety, leh school-a harsatna te hian he natna hi direct-in a nghawng thei a ni. Chuvang chuan, i fate rilru hriselna ngaihtuah reng a, an biak reng a pawimawh hle.
• I ei leh in lama inthlak danglamna tenau siam te, a tul chuan doctor-in damdawi a pek te hman te, a bik takin chawlh hahdam dan leh counselling te hi he natna enkawlna tha tak a ni.
• I fa hian a hmaa a neih ngai loh symptom thar, pawi tak (a hmaa kan sawi tawh "warning signs") a neih chauhvin doctor i pan hmasa phawt tur a ni.
• Nu leh pa i nih angin in tih theih ṭha ber chu dawhthei taka awm, hriatthiamna leh hmangaihna nena in fate he zinkawng zawh tura thlawp hi a ni. I thlawpna chu i fa tan chakna ropui tak a ni ang!