I pum a kang reng em? Helicobacter pylori chungchang hi i zir chiang ang u!

Mi tam tak chuan pum lam harsatna an nei a, thinlung natna ang chi hi a ni lawm ni? A châng chuan chaw ei tlêm tê a ni thei a, a nih loh leh virus vang pawh a ni thei bawk. Mahse, bacteria pakhat ``Helicobacter pylori`` tih chu i hre tawh mai thei. Vawiin hian he bacteria hi eng nge a nih, taksaa a luh chuan eng nge thleng thin tih te, a enkawl dan tur te kan sawi dawn a ni. Hei hi hriat a pawimawh a, a chhan chu naupang te leh puitling te pawh a nghawng thei a ni.

Helicobacter pylori tih hi eng nge ni?

A awlsam zawngin sawi ila, he `Helicobacter pylori` hi bacteria chi khat a ni . Mit hmanga kan hmuh theih loh hrik te tak te ang mai a ni. Chungte chu kan pum, chu chu kan pum chhunga an luh chuan chaw ei kawng natna chi hrang hrang a thlen thei a ni.

He bacteria avanga lo awm thei ber chu:

• Gastritis: Hei hi pum chhung bang, a nih loh leh lining, a lo hring a, a hring a, a na a ni. Mi tam tak chuan hei hi ‘gas’ emaw ‘ril na’ emaw an ti bawk a ni lawm ni? Hei hi a awm dan tlangpui a ni.
• Peptic Ulcers: Hengte hi ‘stomach ulcers’ an ti bawk. Ulcer hi pum chhungah te, small intestine chunglam (small intestine hmasa ber) ah te, a chang chuan esophagus (food pipe) ah te pawh a lo awm thei bawk. Ka chhungah ulcer a lo awm thei ang bawkin pum chhungah pawh ulcer a lo awm thei bawk.
• Heng natnate hi hun rei tak enkawl loha dah a nih chuan, a tlem hle nachungin, pum cancer a lo ni thei tih a hlauhawm hle. Chuvang chuan he `(H. pylori)` hri kai hi kan ngaihthah tur a ni lo. A hmaa hriatchhuah leh enkawl hi a pawimawh hle.

Mahse thil pakhat i hriat reng a ngai. Naupangin pum na an neih apiangin a chhan chu he `(H. pylori)` bacteria hi a ni lo. Naupang tê tête pum na chhan dang tam tak a awm! Indigestion a ni thei a, viral infection chi khat pawh a ni thei a, naupang thenkhat chuan sikul kal an hah lutuk hian an pum a na tih an phunnawi thin, a dik em? Stress a ni thei a, appendicitis ang chi emergency pawh a ni thei bawk. Chuvangin pum na apiangah `(H. pylori)` hlau suh.

He (H. pylori) natna lan chhuah dan hi engte nge ni?

Mak tak mai chu mi tam tak taksaa he `(H. pylori)` bacteria nei te hian symptom an nei lo . Chu chu he natna hrik hi an nei tih pawh an hre lo tihna a ni. Taksa chhunga bacteria awm chhung chuan harsatna awm lo ang mai a ni.

Mahse, a chang chuan he bacteria hian hna a thawh tan a, harsatna a thlen chuan symptoms a lang tan thin. Hengte hi `Gastritis` emaw `Peptic Ulcer` emaw an tih natna lanchhuahna a ni fo thin.

Naupang tê tête gastritis natna lan chhuah dan:

Naupang tê têin H. pylori vanga gastritis an tih natna a neih chuan a hnuaia chhinchhiahnate hi an nei thei a ni.

• Nausea (riltam ang maia awm) .
• Luak chhuak
• Pum na (a bik takin pum chunglam) .
• Chaw ei emaw, puar emaw tih hriat (chaw tlemte ei hnuah pawh a khat) .

Naupang kum upa zawk leh puitlingah peptic ulcer natna lan chhuah dan:

Naupang kum upa zawk leh puitlingte’n peptic ulcer an neih hian a lan chhuahna ber chu pum chhunga kang na reng reng hi a ni fo thin. A dik tak chuan hei hi rilru hnuaiah, ruh hnuai lam chiah, leh navel chung lamah hriat a ni. Mi thenkhat chuan ‘thinlung natna’ an ti bawk. He natna hi a bik takin pum a ruak lai hian a na zual hle. Chumi awmzia chu chaw ei tlai emaw, zan mut lai emawa natna chu a lo thleng thut thei tihna a ni. Mahse, chaw tlem ei hnuah emaw, bawnghnute glass khat in emaw, doctor-in antacid damdawi a pek hnuah emaw a natna chu a tlahniam deuh niin a lang.

Pum hliamte thisen a chhuah chuan engtin nge ni ang? Hei hi a hlauhawm khawp mai!

A châng chuan he `Peptic Ulcer` natna hi a nasat chuan a hliamte chu thisen a chhuak thei a ni. Chutiang a nih chuan heng chhinchhiahna hlauhawm tak takte hi i nei thei ang:

• Hematemesis: Hei hian thisen chhuak tihna a ni . A sen hring hring a ni thei a, a dum emaw, a sen emaw pawh a ni thei, coffee ground ang maiin.
• Thianghlim dum emaw thisen chhuak emaw (Melena): I ek chu tarry, dum, leh eng a nih chuan pum chhunga thisen chhuak chhinchhiahna a ni. A chang chuan, ek chhungah thisen sen a awm thei bawk.

If you notice any of these symptoms , doctor pan nghal tur a ni a, tihkhawtlai lohvin. Hengte hi in lama ngaihthah mai mai theih thil a ni lo. Enkawlna rang tak neih a pawimawh.

Engtin nge hei (H. pylori) hi kan taksaah a luh?

Tunah chuan he `(H. pylori)` hrik hi engtin nge mi pakhat atanga mi dangah, a nih loh leh boruak atanga keimahniah a kai darh tih i en ang u. Hei hi hriat a pawimawh a, a chhan chu chutih hunah chuan kan fimkhur thei a ni.

He bacteria hi kan taksaa a luh dan ber chu ei leh in bawlhhlawh, tui emaw, ei tur hmanrua emaw hmangin a ni. Entirnan, `(H. pylori)` infection nei mi pakhatin a hman tawh, a silfai loh plate atanga kan ei chuan kan hmu thei a ni. Tin, chawhmeh tui lo tak tak ei kawngah pawh kan fimkhur tur a ni a, a bik takin faina \ha lo hmun a\anga kan ei hi kan fimkhur tur a ni.

Tin, he natna hi mihring tamna hmunah a tam zawk a, chutah chuan tui thianghlim emaw, bawlhhlawh paih dan mumal emaw a awm lo . Hetiang dinhmun hi khawvel ram changkang zawkah a tam zawk.

Thil dang chu he bacteria hi hmui leh taksa tui dang hmangin a kai thei bawk . Chu chu inhnaih taka kai theih a ni a, entirnan, plate khat atanga ei emaw, tui bottle khat atanga in emaw, hri kai mi hmui chu mi dang hnena kai a nih chuan a kai thei tihna a ni. Chuvangin chhungkuaa tu emaw hian he natna hi a vei a nih chuan midang tan fimkhur a tha zawk.

Engtin nge doctor hian he (H. pylori) natna hi a hriat theih ang?

‘Okay, kei pawhin heng symptoms te hi ka nei ve tho a, chuvang chuan H. pylori ka nei ve ngei ang,’ tiin i ngaihtuah mai thei. Mahse, a hmaa kan sawi tawh ang khan H. pylori avanga harsatna awmte hi natna dang tam takah pawh hmuh theih a ni. Chuvangin, doctor ten hei hi H. pylori infection a nih leh nih loh hriat tumin test hrang hrang an nei thin. A symptoms en mai mai hian hriat a harsa khawp mai.

Chutiang test thenkhat chu hetiang hi a ni:

• Endoscopy: Hei hi a dik ber a ni fo. Chutah chuan i muthilh tir a (i kawr chauh pawh a rilru a buai mai thei), doctor chuan i rilruah endoscope an tih tube te tak te, flexible tak chu a dah lut a, chu chuan i pum leh i small intestine (duodenum) a hmasa ber chu a en a ni. He tube tawp lamah hian camera te tak te a awm a. Chumi hnuah chuan doctor chuan a chhung lam a en thei a, ulcer emaw inflammation emaw a awm em tih a en thei ang. Chutih rual chuan pum chhung bang atanga tissue te tak te lakchhuah a ni a, infection leh bacteria (H. pylori) awm leh awm loh enfiah a ni bawk . Hei hi ngaihtuahawm tur a ni lo.
• Thisen Test: Hei hian kan taksaah bacteria (H. pylori) laka antibody a awm leh awm loh enfiah a ni. Antibodies hi kan immune system-in hrik dona atana a siam protein bik a ni. Amaherawhchu, positive test kan neih chuan infection kan nei tihna a ni hauh lo. Hri kai kan lo nei tawh a, kan dam tawh a ni thei. Chuvangin hei ringawt atanga thutlukna siam chu a har khawp mai.
• Thâwk test: Hemiah hian tui bik (urea awmna) in tur an pe che a, chutah chuan rei vak lo hnuah i thawk test a ni. Bacteria (H. pylori) hian tui chhunga urea awm chu a tichhia a, carbon dioxide a siam chhuak thin. Hei hi carbon dioxide awm zat tehna hmanga hriat theih a ni. He test hian hun a duh rei a, natna kai nasat zia a lantir lo va, naupang tê tê tan pawh tih harsa deuh a ni.
• Stool Tests: Hei hian i stool sample pakhat chu H. pylori bacteria (proteins) a awm leh awm loh a test thin. Hei pawh hi test awlsam tak a ni bawk. Thâwk test ang bawkin hri kai nasat zia a hril thei lo va, natna a awm leh awm loh erawh a hre thei.

Doctor chuan i dinhmun chu a ennawn ang a, heng test zinga pakhat emaw a aia tam emaw tih a rel ang.

Okay, tunah chuan he (H. pylori) natna hi engtin nge i enkawl ang?

Thu lawmawm tak chu, heng `(H. pylori)` infection te hi enkawlna tha tak tak a awm! Hemi atan hian Doctor ten antibiotics an hmang thin.

He bacteria hi antibiotic pakhat chauh hmanga tihbo vek a harsat avangin doctor-te chuan antibiotics chi hrang hrang (pahnih emaw pathum emaw) an pe khawm fo thin. Hei hi `combination therapy` kan ti a. Heng damdawi te hi ni 7 atanga ni 14 vel ei chhunzawm zel a ngai a ni. Chutih rual chuan stomach acid avanga harsatna awmte an tihziaawm bakah hliam a dam theih nan an pui bawk.Antacids emaw acid tihtlem thei damdawi chak tak dang (e.g., Proton Pump Inhibitors) emaw pawh pek theih a ni.

He antibiotic enkawlna hi uluk taka tih a nih chuan H. pylori vanga gastritis leh peptic ulcer tam tak, a bik takin small intestine-a awmte chu hlawhtling takin tihdam theih a ni.

Mahse, a hmaa kan sawi tawh ang khan mi pakhatin natna lan chhuahna na tak, a pum emaw, a chhungril atanga thisen chhuah emaw a neih chuan damdawi inah dah a ni ang a, thisen kalna (vein kaltlangin) damdawi hmanga enkawl a ni mai thei.

Engtin nge nu leh pa angin i fate chu i ṭanpui theih ang?

I doctor-in i fain H. pylori natna a vei tih a hrilh che chuan thil pawimawh tak tak i tih theih a awm.

A hmasa ber leh pawimawh ber chu i fate chu doctor-in a tih ang chiah chiah, a dose tur leh hun bituk chhung atan antibiotics pek hi a ni. A châng chuan naupang chu ni hnih emaw ni thum emaw chhungin a ṭhat deuh thei. Damdawi hi chawlhsan nghal suh. Course kimchang chu i pe tur a ni. Chutiang a nih loh chuan bacteria chu a bo vek lo thei a, natna chu a zual thei a, a nih loh leh bacteria chu damdawi do thei turin a inthlak thei bawk.

Pum natna tihziaawmna tura pui turin i fate chaw ei kha ngaihven rawh. I pum chu a hring reng reng suh la, ei leh in dan pangngaiah hmang thiam rawh. Ni khatah chaw te te 5 emaw 6 emaw pek a tha zawk mai thei. Tin, ei tur spicy, oil leh sour te pawh tihtlem a tha hle. Chaw ei apiangin i fa chu rei vak lo chawlh tir la.

Thil pawimawh dang chu i fa chu doctor thurawn tel lova aspirin, aspirin telna damdawi, natna tidamtu ibuprofen ang chi emaw, non-steroidal anti-inflammatory drugs (NSAIDs) dang emaw pek loh tur a ni. Chungte chuan pum a ti na zual thei a, thisen a chhuah tir thei bawk.

Hetiang (H. pylori) hrik kai loh dan tur a awm em?

Vanduaithlak takin he `(H. pylori)` bacteria tan hian vaccine a la awm lo. Mahse, hlau suh! Kan chhungkua hi natna tam tak lakah kan humhim thei a, `(H. pylori)` hrik kai theihna pawh kan tihziaawm thei a, heng thil awlsam tak takte hi zawm ila:

• Sahbawn leh tui hmangin i kut uluk takin sil thin ang che. Hei hi a pawimawh ber a ni. Second 20 tal chu uluk takin kut i sil tur a ni a, a bik takin bathroom i hman zawh hnuah, chaw i buatsaih hmain leh ei hmain i kut i sil tur a ni.
• Chaw him taka buatsaih a nih i chian loh ei loh tur. Kawngpuiah ei tur zawrh, seal mumal lo emaw, rulhut in a khuh emaw ei chungchang hi vawi hnih ngaihtuah teh. Chaw thianghlim, in lama siam a tam thei ang ber ei rawh.
• Tui hi hmun thianghlim leh him tak atanga in fo thin ang che. Tui lum in a tha ber. I chhuah dawnin tui thianghlim bottle khat keng fo ang che.

Heng tih dante zawm hian `(H. pylori)` lakah chauh ni lovin, natna hrik kai theih dang tam tak lakah pawh i inveng thei a ni.

Engtikah nge doctor kan hmuh tak tak ang?

There are some symptoms that, if you notice , doctor pan vat tur a ni, chu chu natna hlauhawm tak chhinchhiahna a nih theih avangin.

Nangmah emaw i fa emaw hian heng symptoms te hi i neih chuan doctor thurawn la nghal rawh:

• A pum na tak, tuar theih loh, na tak.
• Luak chhuak chhungah thisen a awm a nih chuan, emaw, luak chhuak chu coffee ground ang maia dum a nih chuan.
• Thluak thisen chhuak a nih chuan, a tarry a nih chuan, a nih loh leh bawlhhlawh nen thisen a inhmeh a nih chuan.
• I rilruah, i ruh hnuai lamah, a bik takin ei emaw, hnute in emaw, anticid ei emaw avanga natna chu a reh a nih chuan. (Hei hi peptic ulcer chhinchhiahna a ni thei a, chuvangin doctor hnenah i hrilh tur a ni.)

Hetiang hunah hian in lamah awm lo la, doctor thiam tak hmu nghal rawh.

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

Okay, he Helicobacter pylori chungchang hi kan sawi nasa hle a ni lawm ni? A tawi zawngin, i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• H. pylori hi natna hrik a ni a, pum na (gastritis) leh pum na (peptic ulcers) a thlen thei a ni. Mahse, pumpui harsatna zawng zawng thlentu a ni lo.
• Mi tam takin hetiang hi nei mahse symptom an nei lo. Symptoms a awm tak tak chuan pum na, luak chhuak, luak chhuak, leh pum na te a ni thei.
• Faina hi a pawimawh hle mai! Chaw bawlhhlawh, tui leh inhnaih taka inhnaih tak tak hmangin a darh thei a ni. Chuvangin kut sil leh ei leh in thianghlim ei hi a pawimawh hle.
• Doctor-te chuan hei hi hriat theih nan endoscopy, thawk test, leh stool test ang chi thil an nei a. Tin, antibiotics hmangin a tidam tha hle bawk.
• Doctor-in damdawi a pek chuan dik tak leh a hun taka ei a pawimawh hle.
• Thisen chhuak emaw, thisen chhuak emaw ang chi chhinchhiahna hlauhawm tak tak i hmuh chuan tihkhawtlai suh, doctor pan nghal rawh.

A tawp berah chuan nangmah emaw i fa emaw hian pum lama harsatna awm reng i neih chuan ‘gas’ tia hnawl mai ai chuan a chhan dik tak hriat tumin doctor pan a, thurawn lak hi a finthlak zawk. Mahni thutlukna siam suh la, thu hriat atanga damdawi ei turin kal rawh. I hriselna hi a hlu a ni!

` Helicobacter pylori, Helicobacter pylori, pum na, gastritis, pum ulcer, peptic ulcer, pum natna