Chaw i ei zawhah i kawr chhungah a rawn let leh em? He Rumination Syndrome chungchang hi han sawi ila!

I ei zawh chuan chaw chu a hmin kim hmain i rilruah a rawn chho leh ang tih pawh i hria em? Luak chhuak natna tel lo chuan tlem a lo chhuak mai mai a, a chang chuan i ei leh a, i ei leh thin em? A nih loh leh i hriat lohvin a rawn chhuak em? Hei hi mi thenkhat tan chuan harsatna tibuaitu tak a ni. Vawiin hian he natna Rumination Syndrome an tih hi kan sawi dawn a ni. Hlau suh, a pawimawh ber chu hei hi fimkhur hi a ni.

Rumination Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, Rumination Syndrome chu kan ei tur chu a hmin hmaa kan pum atanga ka chhunga a lo chhuak leh thin hi a ni. Damdawi lamah chuan hei hi regurgitation an ti bawk. Mi thenkhat chuan ei tur lo chhuak leh thin chu an ei a, an ei a, thenkhat erawh chuan an chil chhak chhuak thung. A tam zawkah chuan hetiang hi ei zawh veleh emaw, minute tlemte chhungin emaw a thleng thin.

A pawimawh ber chu hetiang thil a thlen hian pum na nena lo chhuak riltam ang chi natna emaw, rilru hahna emaw i nei lo. Chaw ei tur chu thawhrimna tam tak awm lovin a rawn chhuak ang maiin a lang mai. Naupang tê têin an kawchhunga bawnghnute engemaw zat an hmuh ang maiin han ngaihtuah teh.

Thil dang pakhat chu hetianga chaw ei tur lo thleng hian a thlum leh thlum a nei lo fo thin. A chhan chu chaw ei tur chu pum acid nen a la hmin tha tan loh vang a ni. Chu chu chaw chu chaw ei kawngah a la lut kim lo tihna a ni.

Hetianga ei tur ril chhunga a rawn luh leh, a then chuan ``regurgitation'' tia koh hi reflex action a ni thei a, chu chu a takin a thleng thei a, control theih a ni lo. Mahse, mi thenkhat tan chuan hun kal zelah hei hi tumruh taka thil tih emaw, tih dan emaw a lo ni thei a ni. Mahse hriat reng tur pawimawh tak chu hei hi pum na vang emaw, gastritis ang natna vang emaw, pum natna lian tham dang vang emaw a ni lo.

He natna hi tuin nge vei tam zawk?

Doctor-te chuan he natna, Rumination Syndrome tia koh hi naupang tê tê leh hmasawnna lama harsatna nei teah a awm tih an hre tawh a. Mahse a nihna takah chuan kum eng pawh ni se, tu pawh a nghawng thei a ni . Chu chu naupang tê tê, puitling tleirawl leh puitlingte pawhin he dinhmun hi an tawk vek tihna a ni.

Research atanga a lan dan chuan naupang leh puitling, a bik takin stress emaw, lungkham emaw te chu rumination syndrome vei an tam zawk tih hmuhchhuah a ni. Chuvângin, lungngaihna nasa tak, lungngaihna, a nih loh leh lungkhamna nasa tak i neih hunah hetiang hi i tawng tam zâwk a ni .

Hei hi eng symptoms nge ni?

Okay, chuti a nih chuan engtin nge he Rumination Syndrome hi kan hriat theih ang? Hei hi eng symptoms nge ni? I han en teh ang.

• A lan chhuah dan ber chu ei tur regurgitation fo a ni a, chu chu rechewing emaw swallowing emaw, chitting out emaw a ni. Hei hi chaw ei apiangin a thleng tlangpui.
• Pum natna.Chaw ei, pum na, a chang chuan chaw ei loh leh pum na a awm thei bawk.
• Ha lam harsatna a awm. Chaw ei tur chu rilruah a tlakbuak reng avangin rimchhia leh ha a chhe thei a ni. Hei hi a chhan chu pum atanga chaw lo chhuak hian acid engemaw zat a pai thei a ni.
• Rihna tihtlem. A chhan chu i chaw ei kha i taksain a hip lut tha tawk lo a, hun kal zelah i thau a tlahniam thei a ni. Hei hian a bik takin naupangte thanlenna a nghawng thei a ni.
• A hmui a vawt a, a chhe vek bawk.

I naute hian hetiang dinhmun hi a nei a nih chuan a hnungzang squirm leh arch ang chi thil a ti thei. .

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Rumination Syndrome awm chhan dik tak hi hriat chian a la ni lo. Mahse, doctor-te chuan mi ṭhenkhatin rilru lam harsatna an neih emaw, an nunah thil lungchhiatthlâk tak tak an tawn emaw hian a thleng thei niin an ngai. Hei hian rilru hriselna nen a inzawm thei tihna a ni .

Mechanical taka sawifiah chuan kan taksa chhunga thil thleng angin hetiang hi a ni thei:

1. Kan ei hian kan pum a zau a, chu chu a lian zawk tihna a ni.

2. Tichuan, pumpui pressure a sang chho zel a.

3. Chutih rual chuan kan chaw kawng hnuai lam (lower esophageal sphincter) chu kan esophagus (ka atanga chaw phurtu tube) chu pum nena inzawmkhawmna valve angin a thawk a, chu chu a relax a.

Heng thil thlengte hi a hnungzuia a thlen chuan, chaw ei loh chu chaw ei kham (esophagus) atanga ``regurgitate'' lehin, ka chhungah a lut leh thin.

Doctor-te hian engtin nge hei hi an hriat?

Okay, tunah chuan doctor-in hei hi engtin nge a diagnose tih, chu chu engtin nge "This is Rumination Syndrome" tih an rel tih hi han en ila.

A tam zawkah chuan hei hi medical history leh doctor-in taksa a enfiahna hmangin a hriat theih a ni. A bik takin thla 3 tal ei tur i regurgitating tawh a, mahse i luak chhuak lo a nih chuan Rumination Syndrome i vei thei tih finfiahna tling a awm.

Damdawi lama pawm Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) ang chuan, mi pakhatin he natna hi a vei tih hriat theih nan a hnuaia tehfungte hi a tlin a ngai a ni:

• Thla khat tal chu chaw chu rilruah a rawn chho chhunzawm zel a. Chaw lo chhuak chu an ei a, an ei a, an hnawtchhuak bawk.
• He food regurgitation hi gastrointestinal condition emaw medical condition dang (entir nan, gastroesophageal reflux emaw pyloric stenosis an tih condition) avanga lo awm tur a ni lo.
• He ei leh in lama harsatna hi ei leh in lama harsatna dang, anorexia nervosa, bulimia nervosa, binge eating disorder, emaw avoidant/ restrictive food intake disorder te nen chauh a awm thei lo.
• Ei leh in lama harsatna hi rilru lam natna dang (rilru lama harsatna ang chi) nen a awm dun a nih chuan , a natna lan chhuah dan chu damdawi lam pan ngai khawpa na a ni tur a ni.

Chu bâkah, doctor-te chuan damdawi lam thil dangin heng natna lantîrna a thlen em tih hriat nân test ṭhenkhat pawh an ti thei bawk. Entir nan:

• Gastric emptying test: Hei hian chaw ei chu pum atanga small intestine a kal hun chhung a tehna a ni.
• Upper endoscopy: Hetiang tih danah hian doctor chuan i rilruah camera te tak te, endoscope an tih hmangin tube te tak te a dah a, i chaw kawng leh i pum a enfiah thin. Hei hian a chhunga ulcer emaw harsatna dang emaw a awm leh awm loh enfiah nan a pui thei a ni.
• X-ray: Esophagus chhung lam leh pum chhunga thlalak lak a ni.

Eng nge a enkawl dan?

Okay, chuti a nih chuan Rumination Syndrome enkawlna tur engte nge ni? Hei hi tihdam theih loh thil a ni em? Aih.

Hei hi enkawlna ber leh hlawk ber chu ``behavioral therapy'' a ni. Hemi atana doctor-te'n behavioral therapy an pek fo thin chu ``diaphragmatic breathing'' a ni.Mi thenkhat chuan hei hi ``belly breathing'' an ti bawk.

Diaphragmatic breathing tih hi eng nge ni?

Diaphragm hi kan rilru leh kan pum inkar a awm, dome ang maia lian tak a ni. Kan thawk chhuah huna thawktu taksa ruh ber (main muscle) a ni. Diaphragmatic breathing hian i diaphragm tih hahdam a tum a, thawk dawnin a hmang dik a, a tichak bawk. Hei hian i rilru chhunga ei tur kal chu a thunun thei a ni.

A tih dan tur chu hetiang hi a ni:

1. Hmun zau takah (lei ang chi) emaw, khumah emaw hmai chungin mu rawh. I khup kha ben la, i lu hnuaiah pillow dah rawh. I duh chuan i ke thlawp turin i khup hnuaiah pillow i dah thei bawk.

2. Kut pakhat chu i rilruah dah la, kut dang chu i ruh hnuai lam deuh, chu chu i pum chungah dah la. Hei hian i diaphragm a che tih i hriat theih nan leh i thawk chhuah rualin i pum a sang leh a tla tih i hriat theih nan a pui ang che.

3. Tunah chuan, i hnar hmangin thawk la. Chutianga i tih lai chuan i pum chunga kut chu a tho tur a ni. Chu chu i pum a zau tur tihna a ni. I rilru chunga kut chu a theih ang anga hmun khatah dah tum la, che lovin. Hei hi naupang tê tête hnenah, "Opera hla phuahtu angin thawk la rawh," tiin kan zirtir a ni.

4. A dawtah chuan i hmui chu tlem tal purse la (whistle ham ang maiin) i hmui hmangin thawk chhuak rawh. Chutianga i tih lai chuan i pum ruhte kha khauh la, luh tir rawh, hei hian i pum chunga kut chu a tla thla tur tihna a ni. Hetih lai hian kut chu i rilruah a muang thei ang bera dah la.

He thawkna exercise hi engzat nge ka tih ang?

He exercise hi ni khatah vawi thum atanga vawi li, vawi khatah minute 5 atanga vawi 10 vel ti thin ang che. A tir lamah chuan a harsa deuh mai thei a, mahse practice chuan a awlsam zawk ang. He exercise hi tlem a harsa zawka siam i duh chuan i pum chhungah lehkhabu ang chi thil i vawn laiin i ti thei ang.

A pawimawh ber chu he ‘belly breathing’ hi chaw ei apiangin, a nih loh leh chaw ei lai pawhin, a tul chuan practice hi a ni. Hei hian chaw chu i kawr chhunga a tlak loh nan nasa takin a pui ang.

Hei hian eng harsatna nge a thlen theih?

Enkawl that loh chuan Rumination Syndrome hian kan chaw kawng (ka atanga chaw ei tur phurtu tube) a tichhe thei a ni. A chhan chu pum chhunga thil awmte a lo chhuak fo hian chaw kawng tan a tha lo.

Chumi piah lamah chuan harsatna dang pawh a awm thei bawk. Anni chu:

• Zakzum, khawtlang zinga awm nuam lo. Hei hian rilru a nghawng thei bawk.
• Ei leh in hrisel tlakchhamna. A chhan chu taksain chaw a hip thiam loh vang a ni.
• A thang tha lo. Hei hian naupangte thanlennaah nghawng lian tak a nei thei a, a bik takin.
• Taksa chhunga electrolyte inthlauhna. Chu chu taksa mamawh chi chi hrang hrang inthlauhna a ni.
• Tui tlakchhamna (dehydration). Taksaah tui tlakchhamna.
• Thlipui emaw lung chhunga ei tur aspiration. Hei hi a hlauhawm deuh a, a chhan chu lung natna a thlen thei a ni.
• Thâwk a tawi.
• Lung infection te, pneumonia ang chi te.
• A tlem hle, na tak takah chuan thihna pawh a thleng thei. (Hei hi a tlem hle a, mahse hriat chian a tha).

Hetiang thil thleng tur ven dan tur a awm em?

A ven theih vek theih leh theih loh sawi a harsat laiin, a hlauhawmna chu a tlahniam thei mai thei. A bîk takin, dinhmun lungchhiatthlâk tak takte hmachhawn dân ṭha zâwk zirin, .Hei hian ``positive coping strategies`` hman hian ``Rumination Syndrome`` vei theihna chu eng emaw chen a tihziaawm theih tihna a ni. Rilru hriselna tha neih hi a pawimawh hle.

Hetiang dinhmun hi kan nunpui thei ang em? Nakin hun chu eng nge ni?

Ni e, mi tam tak chu Rumination Syndrome neiin hrisel tak, nun pangngai takin an khawsa a ni. Enkawl leh enkawl tha a nih chuan nitin hnathawhnaah nghawng lian tham a nei lo tlangpui. Chuvangin, i nei tih i hriat chuan beidawng suh.

Engtikah nge Doctor ka hmuh ang?

Nangmah emaw i fa emaw hian Rumination Syndrome symptoms i neih chuan, chu chu a hmaa kan sawi tawh kha a ni a, a bik takin i rilruah ei tur a lo lut reng a nih chuan i chhungkaw doctor emaw naupang enkawltu emaw hnenah i hmu ngei ang. Chu chu a tha ber a ni. Anni hian uluk takin an enfiah thei che a, hei hi eng thil nge thleng tih leh eng nge i tih tur tih chungchangah thurawn an pe thei che a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Hetiang dinhmun hi i neih chuan doctor i hmuh hunah hetiang zawhna hi i zawt thei ang. Hei hian hei hi hriatthiamna chiang zawk i neih theih nan a pui ang che:

• "Doctor, he Rumination Syndrome hi engtiang chiahin nge a nasat?"
• "Eng nge a chhan dik tak chu?"
• "Eng treatment nge ka tan a tha ang? Engtin nge ka tih ang?"
• "Hemi atan hian damdawi a awm em? A nih loh leh thawk lakna exercise chauh a ni em?"
• "Hei hian ka nitin nun a nghawng dawn em ni?"

A tawp berah chuan thil hriat reng tur thenkhat (Take-Home Message) .

Okay, Rumination Syndrome chungchang hi kan sawi tam tawh hle. A tawp berah chuan, i hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

Rumination Syndrome hi chaw ei hnu rei vak lovah, a hmin hmaa rilruah a rawn chho leh thin a ni. Hei hi luak chhuak a ni lo. Kum eng pawhah a awm thei a, a chang chuan stress nen pawh a inzawm thei bawk.

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If you have these symptoms , zak leh hlau suh. A rang thei ang bera Doctor hmu la, thurawn la rawh. Diaphragmatic breathing exercise ang chi nungchang lama enkawlna hian hei hi nasa takin a thunun thei a ni.

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Damdawi lam thurawn leh enkawlna dik zawng hi he natna hi enkawl dan tha ber a ni. Nangmah chauh i ni lo va, tanpuina pawh a awm bawk.

` Rumination Syndrome, chaw ei tur lo chhuak, regurgitation, digestive system, stress, diaphragmatic breathing, behavioral therapy