Chaw i ei hnuah i rilruah a rawn chho leh em? Hei hi Rumination Syndrome a ni thei ang em?

Chaw i ei a, i ei zo chauh tawh em, minute tlemte chhungin i luak chhuak ang maiin i inhria a, mahse i luak chhuak ang mai a ni lo, i luak chhuak ang mai a ni, i luak chhuak ang mai a ni, i luak chhuak ang mai a ni. I chew leh a, i ei leh mai thei. A nih loh leh i chil chhuak mai thei bawk. Hetiang hi a thleng reng a nih chuan chaw ei apiangin i ei zawhah he tunlaia kan sawi tak Rumination Syndrome tih hi hriat a pawimawh hle. Tlem a danglam deuh deuh a, mahse mi thenkhat chuan ngawi rengin an tuar thin.

A awlsam zawngin, Rumination Syndrome hi eng nge ni?

Hei hi dinhmun danglam tak a ni. Kan hriat tlangpui luak chhuak nen hian kan inthlau tur a ni lo. Vomiting chu pum na emaw, rilru hah emaw hnua pum chhunga thil awmte tharum hmanga hnawhchhuah hi a ni. Mahse chutiang chu Rumination Syndrome-ah chuan a thleng lo. Hei hi a takin a thleng a, engmah chakna, natna, leh rilru hahna awm lovin . Kawngkhar chhunga rawn lut ang mai a ni a, chutih rual chuan chaw ei tawh chu kawchhung chhungah a rawn chho leh ta a ni.

Ngaihtuah teh, kan chaw kawng leh kan pum inkarah gate ang maia thau hmanga siam valve a awm a, chu chuan kan pum chhunga ei tur awmte chu kan kawchhung chhungah a chhoh loh nan a pui a ni. Hei hi `lower esophageal sphincter (LES) kan ti a ni.` A tlangpuiin he valve hi chaw kan ei hian a inhawng a, chutah chuan chaw chu pum chhunga a luh hnuah nghet takin a khar leh thin. Mahse eng emaw chhan vangin Rumination Syndrome vei tan chuan he kalphung hi a tibuai a ni. Pum chhunga pressure a san chuan he valve hi a chhanna atan a inhawng mai thin. Tichuan, chaw ei loh, chaw chhunga lut tawh chu a rawn chho leh ta a ni.

Hei hi tumruh taka i tih a ni lo. Taksain a mah chauha a lo siam chhuah tih dan ang mai a ni. Chuvangin automatic leh a tam zawkah chuan unconscious process kan ti thin .

Hetiang natna lan chhuahna berte chu engte nge ni?

He natna hi hriat theihna tur symptom thenkhat a awm. Hengte pawh hi i nei em tih en rawh. Fiah taka hriatthiam awlsam zawk nan dawhkanah ka dah ang.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Dik tak chuan doctor-te hian he thil hi eng nge a thlen tih chiang takin an la hre lo. Thuruk a la ni reng. Doctor thenkhat chuan `functional GI disorder` an ti a, chu chu chaw ei leh in (digestive system) hnathawh danah harsatna a awm tihna a ni. Midang chuan `behavioral disorder` a ni an ti bawk.

A awlsam zawngin, hei hi taksain a zir chhuah tih dan tha lo tak a ni thei. Hetiang dinhmun hi emotional trauma lian tak emaw, stressful event emaw hnuah a intan thei a ni. Chumi awmzia chu kan rilru leh taksa inlaichinnaah harsatna eng emaw vang a ni thei tihna a ni.

Hetiang dinhmun thlentu risk factor engemaw zat a awm a:

• Stress emaw trauma na tak: Hei hi nunah harsatna lian tak emaw, trauma emaw a tawh hnuah a intan thei a ni.
• Hei hi rilru natna dang: lungngaihna, lungkhamna, etc. te nen pawh kan hmu thei.
• Ei leh in lama harsatna dang: Hei hi ei leh in lama harsatna dang nei te zingah a tam zawk.
• Hmasawnna tlai: Hetiang dinhmun hi naupang tê tê leh hmasawnna lama harsatna nei te zingah a tam hle.
• Naupan laia rilru lama ngaihsak lohna: Hei hi naupang, nu leh pa emaw, enkawltu emaw hnen atanga an mamawh hmangaihna leh enkawlna dawng lote chungah a thleng thei a ni.

Hei hian eng harsatna nge a thlen theih?

Hei hi nunna atana hlauhawm tak ni lo mah se, rei tak a awm reng chuan harsatna engemaw zat a thlen thei a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Engtin nge doctor hian hei hi a hriat chian?

Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni . I doctor-in a tih hmasak ber tur chu i symptoms chungchang chipchiar takin a zawt che a, chu chu engtin nge a lo intan tih leh engtikah nge a lo awm tih te hi a ni.

Chumi hnuah chuan damdawi lam natna khirh tak dang a awm loh nan test engemaw zat tih a ngai mai thei. Entir nan:

• Upper endoscopy: Tube te tak te, camera awmna chu ka chhungah dahin chaw kawng leh pum enfiah a ni.
• Esophagram: Barium an tih hi in tur pek a ni a, X-ray la in a ei dan enfiah a ni.
• Esophageal manometry test: Esophagus chhunga taksa peng hrang hrangte hnathawh dan tehna test a ni.
• Gastric emptying study: Chaw ei tur chu pum atanga a chhuah hun chhung tehna test a ni.

Heng zawng zawngah hian harsatna dang a awm lo tih a finfiah hnuah doctor chuan Rumination Syndrome hi i symptoms nen a khaikhin chuan a hmuchhuak thei ang.

Hei hi eng enkawlna nge ni?

Hei hi enkawlna tha ber leh pawimawh ber chu behavioral therapy a ni . Chu chu damdawi ai chuan he dinhmun hi kan nungchang leh kan taksa kan thunun dan thlak danglamin kan thunun tihna a ni.

Hei hian diaphragm (`diaphragmatic breathing`) hmanga thawk chhuahna exercise a zirtir ber a ni. Hei hi a dik taka tih dan tur i lo en ang u. Hei hian kan taksa chu chaw ei tur a luh dawn laiin a kalphung chu tihtawp turin a zirtir a ni.

Diaphragmatic breathing exercise tih dan tur chu:

1. A hmasa berin leiah mu rawh. I khup kha ben la, i lu hnuaiah pillow te tak te dah rawh.

2. I kut pakhat chu i rilru chunglam lamah dah la. Kut dang chu i pum chungah dah la, rib cage hnuai chiahah dah rawh.

3. Tunah chuan i hnar hmangin zawi zawiin thawk la. I thawk chhuah rualin i rilruah kut chu a muang thei ang bera dah tum la, i pum chungah kut chu chawi mai rawh. Chu chu i pum chu inflate la, thawk chhuak rawh.

4. Tichuan, i hmui chu tlem purse la, zawi zawiin thawk chhuak la, i pum ruhte chu tikhauh rawh. I thawk chhuah rualin i rilruah kut kha dah reng la, i pum chu a lut tih hria ang che.

He exercise hi ni khatah vawi eng emaw zat practice tur a ni. A bik takin chaw ei zawha hetiang tih hi a pawimawh hle. I rilru chhunga ei tur lo lut i hriat veleh he thawk dan hi i hman chuan chu chu i titawp thei a ni.

Chu bakah, enkawl dan dang a awm bawk:

• Biofeedback atanga lo chhuak:Machine hmanga i taksa thiltih (muscle contraction ang chi) control dan zir dan, screen hmanga.
• Cognitive behavioral therapy (CBT): Counselling hian he natna thlentu rilru lama harsatna leh ngaihtuahna kalphung a thlak danglam thei a ni.
• Damdawi: A chang chuan, i doctor chuan baclofen ang chi damdawi a pe thei a, hei hian esophageal sphincter hnuai lam a tikhauh thei a ni. Mahse, hei hi mi zawng zawng hnena pek a ni lo.

Engtikah nge Doctor ka hmuh ang?

Hei hi a pawimawh hle. Chaw ei zawha i rilru a buai ang maia i hriat a, vawi khat emaw vawi hnih emaw chauh ni lovin, a thleng reng a nih chuan, khawngaihin ngaihthah suh . "Hei hi thil dang mai a ni" tih ngaihtuahin hun khawhral suh. A chhan chu heng dinhmunte hi hun kal zelah a chhe zual thei a ni. Tichuan enkawl nan a rei zawk.

Chuvangin, heng symptoms zinga pakhat tal i hriat veleh chhungkaw doctor hmu la, hei hi sawipui rawh. Enkawl i tan hma poh leh i dam thuai thei ang.