Pum natna a awm em? Gastritis ni lo! Pum natna (Peptic Ulcer Disease) chungchang chiang takin i zir ang u

Tin, pum na, pum chunglam natna, gastritis ang chi i nei fo bawk em? Hei hi kan rama mi tam takin harsatna an neih chu a ni. Hei hi "gastritis" kan ti fo nain, a chang chuan ngaihven deuh deuh thil a ni thei bawk. Chu chu vawiina kan sawi tum chu a ni a, Peptic Ulcer Disease (PUD) hi a ni. A awlsam zawngin, hei hi kan ei leh in chhungril bang-a ulcer a lo awm hian a ni.

A awlsam zawngin, peptic ulcer chu eng nge ni?

Ngaihtuah teh, kan pum chhungah, chu chu kan pum chhungah hian kan ei tur ei tur tichhe turin acid leh enzyme chak tak tak siam a ni. A bulpui ber pakhat chu pepsin a ni. "Peptic" tih thumal pawh hi he pepsin atanga lo chhuak a ni. Heng acid leh pepsin te hian kan eitur te chu a ti chhe vek a, kan ei tur chu kan ei theih nan min pui thin. Chungte chu a chak em em a, vun pangngaia tla pawh ni se, hliam a thlen thei a ni.

Tichuan, "Chutiang thil khauh tak tak a awm a nih chuan engtin nge kan pum bang hi a chhiat loh?" A chhan chu kan pum chhung leh duodenum chhung lam chu mucous lining thuk takin a khuh a, chu chu protective shield ang mai a ni. Hei hi chu acid na tak tak laka chaw kawng bangte vengtu shield chu a ni.

Mahse, peptic ulcer disease (PUD)-ah chuan he protective shield, mucous membrane hi eng emaw chhan vangin a chak lo ta a ni. Tichuan, acid leh pepsin khauh tak hian direct-in pum chhung bang a tichhe thei a ni. Hun a kal zel a, chu hmunte chu a na tan ta a ni. Chu chu ulcer emaw stomach ulcer emaw kan tih chu a ni.

Khawiah nge heng ulcer te hi a awm theih?

Heng ulcer te hi kan chaw ei kawng hmun hnih ah a awm tlangpui.

1. Duodenal Ulcers: Duodenum hi kan small intestine peng hmasa ber a ni. Chaw chu hetah hian pum hnung lamah a kal thin. Peptic ulcer 80% vel chu he hmunah hian a awm thin.

2. Stomach Ulcers / Gastric Ulcers: Chungte chu pumpui bang a lo awm thin a ni. Hetiang chi hi 20% vel ah a awm thin .

Heng hmunpui pahnih bakah hian a tlem hle a, hmun dangah pawh hetiang hliam hi a thleng thei a ni.

• Esophageal Ulcers: Esophagus hi kan kawr atanga kan pum thlenga ei tur phurtu tube a ni. Hun rei tak chhung acid reflux (GERD) kan neih chuan stomach acid a lo chhuak a, he tube bang hi a tichhe thei a ni.
• Jejunal ulcers: Heng ulcers te hi pum surgery thenkhat (e.g. gastrojejunostomy) hnuah a lo awm thei a ni.

Engtin nge he natna hi i nei tih i hriat theih ang? (Natna)

Mak tak maiin peptic ulcer vei mi 10 zinga 7 vel chuan symptom an nei lo. Mahse, symptoms a awm tak tak a nih chuan hengte hi symptoms langsar ber a ni.

Engvangin nge hetiang hian pum ulcer hi a lo awm? A chhan lian tak pahnih!

Kan sawi tawh ang khan pum chhunga ulcer hi pum venna lining a chak loh chuan a awm thin. He protective lining hi a chak loh chhan lian tak pahnih a awm. Heng chhan pahnih hian pumpui ulcer 90% aia tam a thlen thei a ni.

1. Helicobacter pylori natna hrik kai

• H. pylori chu eng nge ni?

Hei hi bacteria chi khat bik a ni a, kan pum leh kan chhungrilah a awm thei a ni. Khawvel mihring zinga a chanve aia tam chuan an pum chhungah he bacteria hi an nei a ni. Mahse mi tam zawk chuan symptoms an nei lo. Mahse mi thenkhatah chuan he bacteria hi a lo thang lian lutuk a, pum chhunga venhimna (protective lining) a tichhe tan thin. Hun a kal zel a, hei hian pum na a thlen thei a ni.

2. Non-steroidal anti-inflammatory drugs (NSAIDs) hman dan .

• Heng NSAID te hi engte nge ni?

Hei hi painkiller chi khat kan hman fo thin a ni. Entirnan, damdawi Aspirin, Ibuprofen (e.g. Brufen), leh Diclofenac Sodium (e.g. Voltaren) te . Hengte hi ruh natna, hnungzang na, leh lu na ang chi thil atan kan hmang thin.

• Engtin nge hengte hian pum chhunga natna a thlen?

Heng damdawi te hi rei tak emaw, a tam lutuk emaw a ei chuan, pum chhunga venhimna lining siamna atana puitu chemical balance chu a tibuai a ni. Chuvang chuan protective lining chu a thim zawk a, acids te chuan wall a tichhia awlsam phah a ni.

A chhan dang awm lo zawk

A chunga kan sawi tak chhan lian pahnih bakah hian peptic ulcers hi thil dang, a tlem hle bawk avangin a lo awm thei bawk.

• Infection dang thenkhat
• Cancer natna damdawi chemotherapy a ni
• Radiation hmanga enkawlna a ni
• Crohn natna ang chi dinhmun
• Thil awm lo, Zollinger-Ellison syndrome ang chi te
• Taksa lama harsatna nasa tak (e.g., operation lian tak hnuah, kangmei nasa tak) .

Hei hi a awm mai mai chuan a hlauhawm thei ang em? (Buaina awm thei) .

Awle. Peptic ulcer hi thil awlsam tak a ni lo. Enkawl that loh chuan harsatna hlauhawm tak tak an thlen thei a ni.

1. Gastrointestinal Bleeding: Hliam a thuk a, chuta thisen kalna kawng a lo chhe a nih chuan pum chhungah thisen a luang tan ang.

2. Chaw chhunga perforation: 1.1.Hei hi a hlauhawm zawk. Hliam hi pum emaw, intestine emaw wall kaltlangin, khur a siam a ni. Tichuan, pum chhunga acid leh ei tur chu pum chhungah a luang lut thei a, natna khirh tak (peritonitis) a thlen thei a ni. Hei hi emergency pawi tak a ni a, emergency surgery a ngai a ni.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

I natna lan chhuah dan a ngaihthlak hnuah doctor chuan hei hi peptic ulcer a nih theih a rinhlelh chuan test eng emaw zat a ti ang.

1. H. pylori test: He bacteria hi a awm leh awm loh enfiah dan awlsam tak a awm.

• Urea Breath Test: Tui bik in tur pek i ni a, hun rei lote hnuah i thawk test a ni.
• Stool Antigen Test: He bacteria hi a awm leh awm loh enfiah nan stool sample lak a ni.

2. Endoscopy (Upper Endoscopy) tih hian a ti a.

Hei hi pum ulcer i neih leh neih loh finfiahna tha ber a ni. Hei hian i hmui hmanga camera dahna tube te tak te, flexible tak chu i pum leh chaw kawng chhungah i luhtir a, chutah chuan a chhunga thil awm chu screen-ah i hmu thei ang. Hetianga i tih lai hian natna titawp turin painkiller pek i ni ang.

• A thatna: Ulcer a awm leh awm loh, a awmna hmun leh a lian zia chiang takin i hmu thei. H. pylori a awm leh awm loh enfiah nan tissue te tak te (biopsy) i la nghal thei bawk.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu peptic ulcers hi damdawi hmanga tihdam vek theih natna a ni . Enkawlna chu i ulcer thlentuah a innghat a ni.

• H. pylori natna enkawl dan: 1.1.

H. pylori infection i neih chuan i doctor chuan antibiotics pahnih pathum leh proton pump inhibitor (PPI) inzawmkhawmin kar 1-2 chhung a pe ang che. Heng damdawi te hi a hun chhung zawng dik taka ei a pawimawh hle.

• NSAID hman vang a nih chuan:

I ulcer hi natna tidamtu damdawi avanga lo awm a nih chuan i tih hmasak ber tur chu i ei tawh loh tur a ni. Tichuan, PPI damdawi thla khat emaw thla hnih emaw chhung ei a ngai mai thei a, chu chuan pum acid a tihtlem bakah ulcer a dam theih nan a pui thei bawk.

• Damdawi dang: 1.1.
• H2 Blockers: Hei hi damdawi chi khat a ni bawk a, chu chuan pum chhunga acid siam chhuah a ti tlem a ni.
• Cytoprotective agents: Hengte hian pum chhunga venna coating a siam a, hliam a dam theih nan a pui bawk.

A tlangpuiin ulcer te hi a dam vek theih nan thla hnih vel a ngai thin. Enkawl zawhah i doctor chuan a ulcer te chu a dam tawh em tih leh H. pylori bacteria te chu a bo tawh em tih enfiah leh thei ang.

Engtin nge he dinhmun hi i pumpelh theih ang?

Peptic ulcer vei ai chuan i vei theihna tur tihtlem hi a pawimawh zawk hle. Chutiang ti tur chuan thil pawimawh pahnih i tih theih a awm.

1. H. pylori hrik kai chungchanga hriatna:

Pum lama harsatna i neih fo chuan doctor pan la, H. pylori test rawh. I tih chuan a tihdam theihna tur damdawi dik tak la rawh.

2. Painkiller (NSAIDs) lakah fimkhur rawh:

• A tul hunah chauh hmang ang che. Natna tenau tan chuan hetiang damdawi chak tak hi ei suh.
• He damdawi hi doctor rawn hmasa lovin rei tak ei ngai suh.
• A hmaa pum ulcer i neih tawh chuan heng damdawi te hi i ei loh vek a ngai mai thei. A nih loh leh, i doctor chuan i pum venghimtu damdawi dang nen ei turin a fuih thei che a ni.