Engtin nge chaw chi khat i ei hian engmah tih lohvin i pum thlengin a tla thla nghal mai thin tih i ngaihtuah ngai em? A chang chuan hmanhmawh takin tui glass khat kan in a, mahse a tla thla nghal mai thin. Kan lu chungah ding mah ila ei tur a tla thla thin an ti. A chhan chu kan taksaa thil pawimawh tak leh mak tak mai, kan thunun theih loh thil a ni. Vawiin hian kan digestive system-a he engine ropui tak, Peristalsis-a hnathawh dan kan sawi dawn a ni.
Peristalsis chu eng nge ni mai?
A awlsam zawngin sawi ila, peristalsis chu kan chaw ei kawngah taksa peng hrang hrangte wave ang maia inzawmkhawmna a ni. Hei hi kan duh loh zawnga taksa peng (involuntary muscle movement) a ni a, kan thunun theih lohvin a thleng thin. Caterpillar pakhatin a taksa chu tuifinriat angin a tikhawlo a, hma a sawn ang bawkin, kan chaw ei kawng chhunga thau te chu ei tur hnah a lo thlen chuan hnunglam atangin a inzawm khawm a, hmalam atangin a hahdam a, chaw chu hmalam pan turin a nawr a ni.
Tothpaste tube atang hian toothpaste engemaw zat i la chhuak ang tih han ngaihtuah teh. Tube tawp chu i hrual a, hmalam i nawr a ni lawm ni? Chu chu kan chaw ei kawng (digestive tract)-a thil thleng ang chiah kha a ni. Hetiang thil hi ei tur kan ei hian kan rilruah a intan thin. Chuta tang chuan he peristalsis process hi digestive tract hnuai lam zawng zawngah a thleng a, chu chu chaw kawng, pum, small intestine, large intestine kaltlangin a tawpah chuan bawlhhlawh paih chhuahna hmun thlengin a thleng a ni.
Hetiang kalphung hian kan ei leh in te chu hmun khatah a tlakbuak loh nan a veng a, chaw ei kawng (digestive tract) kaltlangin mumal takin a kal a ni. Hei hi kan chaw ei leh in lama thil pawimawh tak a ni.
Peristalsis leh Segmentation hi thil hrang hrang pahnih a ni em?
Awle. Heng pahnih hi chaw ei kawng (muscular activity) ni mahse, an hnathawh dan erawh a inang lo.
- Peristalsis: A hnathawh ber chu ei tur hmalam pan a ni , rel phur phur track-a kal ang maiin.
- Segmentation: Hei hi kan intestine-ah a thleng tlangpui. Hei hian chaw chu hmalam pan ai chuan hmun khata sawn kual a huam a ni. Washing machine-a thawmhnaw inher ang maiin ei tur chu intestines-ah a kal kual a, gastric juices nen an pawlh a ni. Hei hian chaw chu a tikehsawm a, ei a awlsam phah bawk.
A awlsam zawngin sawi ila, Peristalsis hi ei leh in hmalam pantu ‘transport service’ ang a ni. Segmentation hi ‘mixer’ ang mai a ni a, chu chuan chaw ei tur dik taka a ei theih nan a pui a ni. Heng pahnih hian kan chaw ei dan (digestion process) a thawk tha turin an thawk dun a ni.
Reverse Peristalsis (riltam) tih hi eng nge ni?
Peristalsis hi wave ang maia ei tur hnuai lam panna a ni kan ti. He thlipui hi kawng dang, chu chu chunglam pan ta se eng nge thleng ang tih han ngaihtuah teh? Chu chu Reverse Peristalsis (retroperistalsis emaw antiperistalsis) kan tih chu a ni.
Hei hi i hriat chian em em thil a ni. Hei hi kan luak chhuah hian a thleng thin. Eng emaw chhan vangin (food poisoning, infection ang chi) taksa chuan pum chhunga thil awmte chu paih chhuah a ngai tih a rel a. Tichuan he peristalsis wave hian kawng dangah hna a thawk a, ei tur chu small intestine atang chuan a nawr chhuak a, pum chhungah a nawr chhuak a, ka chhung atangin a chhuah tir ta a ni.
A châng chuan chaw ei kawng (digestive tract)-a thil tihkhawtlai a awm pawhin chaw ṭhenkhat chu rei vak lo hnunglam hawiin, hmalam pan leh a tum leh ṭhin.
Peristalsis process-ah harsatna a awm chuan eng nge thleng?
Peristalsis process a harsatna awmte chu motility disorders an ti a . Chu chu ei tur kal chakna lama harsatna awm tihna a ni. Hei hi chi hnih a ni thei ber a:
1. Hypermotility: Hetiang dinhmunah hian chaw chu chaw ei kawng (digestive tract) kaltlangin a kal chak lutuk. Chumi awmzia chu chaw chu uluk taka ei hun a nei lo emaw, a chhunga nutrient awmte taksain a hip lut emaw tihna a ni. Hei hi a rah chhuah ber chu diarrhea a ni .
2. Slow peristalsis (Hypomotility): Hetah hian chaw ei chu chaw ei kawngah zawi zawiin a kal a. Tichuan, bawlhhlawh chu taksa a\angin a paih chhuak \ha lo. Tin, bawlhhlawh hmun khata rei lutuk a awm chuan bacteria a lo thang lian thei bawk. Hei hi a rah chhuah ber chu constipation a ni .
Hetiang harsatna hian symptom hrang hrang a thlen thei a ni.
| Peristalsis problem avanga lo awm thei symptoms tlangpui | |
|---|---|
| Ek khal | Ei leh in a kal zawi zawih avanga lo awm a ni. |
| Kawthalo | Chaw ei chak lutuk avanga lo awm a ni. |
| Pumpui na/gas | Chaw ei \ha lo leh bacteria hnathawh avanga lo awm a ni. |
| Pum na leh distension | Thli emaw bawlhhlawh emaw intestine chhunga tang vang a ni thei. |
| Nausea leh Burping te a awm | Hengte hi ei leh in mumal lo avanga natna lan chhuah dan tlangpui a ni. |
| Regurgitation / Acid atanga lo chhuak leh chhuak | Chaw emaw acid emaw chu chaw kawng atanga chaw kawng (esophagus)-a a rawn luh leh (regurgitation) a ni. |
| Chaw ei harsa (Dysphagia) . | Peristalsis natna avanga lo awm a ni a, a bik takin chaw kawng (esophagus)-a harsatna awm vang a ni. |
| Ei leh in lama tlakchhamna | Ei leh in atanga nutrients tha taka kan lakluh theih loh vang a ni. |
Eng thilin nge peristalsis lama harsatna thlen?
Hetiang kalphung hi taksa ruh, nerve leh hormone te inzawmkhawmna (complex coordination) a ni. Chuvangin, heng system zinga pakhatah pawh harsatna a awm chuan peristalsis process hi a nghawng thei a ni.
Damdawi chi hrang hrang a nghawng thei
Peristalsis hi damdawi thenkhat side effect angin a slow thei hle.
- Painkiller chak tak thenkhat (Opioid pain-relievers) .
- Anticholinergics group-a damdawi awmte
- Calcium channel blocker (thisen sang nana hman damdawi thenkhat) .
- Depression damdawi thenkhat (Tricyclic antidepressants) .
Natna a nghawng thei
- Infection emaw inflammation: Digestive tract-a natna hrik awm.
- Surgery: A bik takin pum surgery hnuah.
- Zunthlum: Hun rei tak chhung zunthlum vei hian nerve a tichhe thei.
- Thyroid natna: Hormone inthlauhna.
- Neurological disorders: Parkinson natna ang chi natna.
- Connective tissue natna te chu scleroderma te hi a ni .
- A châng chuan a chhan hmuh tur a awm lo (idiopathic).
Hun rei tak chhung chu chaw ei kham, pum na, pum na ang chi symptom i neih tawh chuan ngaihthah lova doctor nena inbiakna neih a pawimawh hle.
Engtin nge peristalsis hrisel tak kan neih theih ang?
Thil awmdan pangngaiah chuan nunphung tha tak zawm chungin he kalphung hi hrisel takin kan vawng thei a ni. Hengte hi a awlsam hle a, mahse thil pawimawh tak tak a ni.
- Exercise: Ni khatah minute 30 tal exercise la, kea kal emaw, tlan emaw hian i ril a ti tha thei hle. Exercise i tih hian i taksaa system zawng zawng deuhthaw chu a thawk chhuak vek a ni.
- Tui in tam: Ni khatah tui glass 8 tal in a pawimawh. Tui hian bawlhhlawh a vawt loh nan a veng a, awlsam zawkin a kal theih nan a pui bawk.
- Fiber tamna ei tur: Fiber tamna ei tur, legumes, thlai, thei, leh whole grains (beans, oats, leh whole-wheat rice) te hian stool-ah bulk a dah tel thin. Hei hian peristalsis process a tichak a, chu chuan bawlhhlawh chu awlsam zawkin a hruai lut thei a ni.
- Processed foods tihtlem: Oil, sugar leh refined flour (bread flour) tamna eitur hian kan chaw ei a tikhawtlai thei a ni. Chuvang chuan dawr leh fast food atanga ei tur i lei tam thei ang bera tih tlem a tha ber.
Peristalsis hi thil pawimawh tak a ni a, nilengin kan taksa chhungah a thleng a, kan hriat loh pawhin a thleng thin. Chumia inthlâk danglamna tê tê pawh hian kan ni pum pui a nghawng thei a ni. Chuvangin, he kalphung puitu nungchang tha tak tak siam hi kan hriselna zawng zawngah investment lian tak a ni.
Take-Home Thuchah a ni
- Peristalsis hi wave ang chi muscular process a ni a, ei tur chu digestive tract hnuaiah a nawr thla a, kan thunun theih loh.
- Hetiang thil hi a rang lutuk a nih chuan luak chhuak a thlen thei a, a zawi lutuk chuan chaw ei kham a thlen thei bawk.
- Nitin exercise lak te, tui tam tak in te, fiber tamna diet ei te hi peristalsis process hrisel tak neih nan a pawimawh hle.
- Hun rei tak chhung pum na, pum na, chaw ei kham, emaw riltam ang chi symptoms i neih chuan ngaihthah suh la, doctor thiam tak hnenah thurawn dil ngei ang che.
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