Pum natna a awm em? Pum ulcer a ni thei! (Stomach Ulcer) Hemi chungchang hi han sawi ila!

A chang chuan i pum chhungah kang emaw, na emaw mak tak mai i nei thin em? I pum chu i rilru chhung hmun dang atanga lo chhuak ang maiin i hria em? A nih loh leh chaw i ei laiin i pum a khat a, i rilru a hahdam lo em ni? Hei hi pum ulcer vang a ni mai thei, chu chu pum ulcer vang a ni mai thei . Lungngai suh, hei hi mi tam tak tuar thei leh enkawl theih a ni. Hemi chungchang hi chipchiar tak leh awlsam takin sawi ila.

Pum natna chu eng nge ni?

A awlsam zawngin sawi ila, stomach ulcer chu i pum chhunga lining-a mittui tla te tak te a ni. Kan vunah hliam ang mai a ni. Hei hian i pum natna nasa tak a thlen a, a tam zawkah chuan kang emaw, hliam emaw a awm bawk . Mahse, pum ulcer zawng zawng hian symptom lian tak tak a thlen vek lo va, ṭhenkhat chu an ngawi reng thei bawk.

He pum ulcer hi ulcer chi khat a ni a, `peptic ulcer disease` tih category lian zawka tel a ni.

Heng hliamte hi engtiang chiahin nge an awm?

Dik tak chuan heng pum ulcer te hi i ngaihtuah aiin a tam zawk. Eng nge i hria em? Hei hi a chhan lian ber pahnih a awm a, chung pahnih chu kan khawtlang nunah a hluar hle. Pakhat chu damdawi dawr atanga kan lei fo thin , over-the-counter natna damdawi thenkhat hi a ni. A dang chu bacteria infection `H. pylori` (Helicobacter pylori) tih hi a awm a . Heng pahnih hian pum chhunga natna zaa sawmkua leh pakua vel an siam a ni.

Pum natna lanchhuahna chu engte nge ni?

Pum ulcer chhinchhiahna ber chu pum na a ni. Hei hi i hnute ruh leh i ruh inkar, veilam deuhah a awm tlangpui.

He natna hi kawng hrang hrangin hriat theih a ni:

• Kang ang mai a ni , pum chhunga acid kang ang mai a ni .
• Thil pakhatin i pum a ei zo vek ang maiin a lang .

He rilru put hmang hi hriatna mai a ni lo. Thil thleng tak tak chu pum chhunga acid leh enzyme te hian hliam hi a ti na zual sauh sauh a ni.

Mi tam tak chuan a rualin chaw ei kham lohna an nei thin. Hei hian pum chhunga kang natna nen a khat tih hriatna a kawk a ni. Chaw i ei tan veleh i chawl tih i hre nghal mai thei a, a nih loh leh chaw i ei zawhah rei tak i chawl thei bawk.

Midangte’n an report thin symptoms te chu:

• Acid reflux leh thinlung natna.
• Nausea leh luak chhuak.
• Bloating, belching, leh gas natna te.

Heng symptoms te hi i pum ulcer thlentu dinhmun nen a inzawm fo thin.

Silent injuries leh symptom hlauhawm tak tak te

Mahse, mak tak maiin mi thenkhat chuan heng pum natna hi an nei tih pawh an hre lo. Hengte hi ‘silent ulcers’ kan ti thin. I natna lan chhuahna engmah i nei lo thei a, rang takin harsatna lian tak, thisen chhuah emaw, perforation emaw ang chi i nei thei bawk.Chutiang thil a thlen hunah chauh i hre thei.

Hetiang natna khirh takah hian heng symptoms te hi lo thlir reng ang che:

• Vun rawng dum (pallor) a ni.
• Luak chhuak, chak lohna emaw, muthilh emaw.
• I ek chhungah thisen dum i awm chuan (hei hi tar ang mai a ni thei).
• Coffee grounds ang maia lang a nih chuan.
• A pum na tak, na tak, awm reng.

Pawimawh: Heng symptoms te hi i neih chuan doctor pan nghal tur a ni, okay? Chûngte chu natna khirh tak chhinchhiahna a ni thei.

Pum natna avanga harsatna awmte hi engtiang chiahin nge a nasat?

Enkawl loh chuan pumpui ulcer hian harsatna lian tak a thlen thei a ni.

• Thisen chhuak ulcer: Ulcer atanga thisen chhuak hi a na lo emaw, a na emaw a ni thei. Hun rei tak thisen a chhuah chhunzawm chuan thisen tlakchhamna (anemia) a lo awm thei a ni. Vawi khata thisen a chhuah tam chuan shock a thlen thei a, nunna atana hlauhawm a ni.
• Perforated ulcers: Hei hi a awm lo hle a, mahse medical emergency a ni! Pum bang a chhia a, khur a lo awm chuan pum chhunga acid leh bacteria te a leak chhuak thei a, pum chhungah natna a thlen thei a ni. He natna hi thisenah a darh chuan natna hlauhawm tak, nunna atana hlauhawm tak `sepsis` tih a thlen thei a ni.

Pum natna thlentu berte chu engte nge ni?

Kan sawi tawh ang khan a chhan lian tak pahnih a awm a:

1. `H. pylori` bacteria atanga kai theihna:

H. pylori (Helicobacter pylori) hi natna hrik a tam hle a. Khawvel mihring zinga a chanve velin he bacteria hi an pum chhungah an nei a. Mi tam zawk tan chuan harsatna a thlen lo. Mahse a chang chuan, he bacteria hi pum chhungah a thang tam lutuk a, pum chhunga lining chu a ei bo tan thin. Hei hi chronic inflammation a awm hun a ni a, a tawpah chuan gastric ulcers a thlen thin.

2. Natna tidamtu (NSAIDs) hman tam lutuk: .

`NSAIDs` (Nonsteroidal anti-inflammatory drugs) hi natna tidamtu damdawi dawrah counter atanga kan lei theih a ni. Entirnan , `ibuprofen` (Ibuprofen), `naproxen` (Naproxen) leh `aspirin` (Aspirin) te hi a ni. Heng damdawi te hian pum chhunga lining chu direct-in a nghawng a, chu chu a ti na tihna a ni. Tin, pum chhunga chemical pawimawh thenkhat siamchhuahna pawh an tikhawlo bawk.

A tlangpuiin kan pum chhunga lining hi heng hliam tenau te laka invenna leh dam thuai tura siam a ni. Mahse NSAID i ei tam lutuk chuan a tawpah chuan pum chu a insiamtha thei tawh lo. Protective layer a chhe deuh deuh chuan a insiamtha thei lo va, ulcer a lo awm ta a ni.

A chhan dang, a tlangpui lo zawk:

• Infection dang: A tlem berah chuan bacteria, viral, fungal infection dang pawh hian pum na (erosive gastritis) leh ulcer a thlen thei bawk.
• Zollinger-Ellison syndrome: Hei hi natna awm lo tak a ni. Hetiang dinhmunah hian pum hian gastric acid a siam tam lutuk a. He acid tam lutuk hian pum chhunga lining a ti chhe a, ulcer a siam thin.
• Physiological stress na tak: I taksa chu nunna atana hlauhawm natna emaw, hliam emaw atanga harhchhuah tumin a bei a, chu chu stress nasa tak hnuaiah a awm tihna a ni a, ‘stress ulcer’ a lo awm thei a ni. Hetiang hun lai hian taksa pH a inthlak a, pum acidity a sang bawk.

Kan nunphung hian pum ulcer a nghawng em?

Nitin kan nitin nunah stress level kan tawh thin te, leh kan ei leh in te hian direct-in pum ulcer a thlen lo. Chu chu ei tam lutuk emaw, rilru hah deuh emaw hian pumpui a ti na lo tihna a ni.

Mahse, ulcer i neih tawh chuan heng thilte hian a symptoms a tizual thei a ni. A chhan chu stomach acid tipungtu eng thil pawh hi ulcer tan a tha lo va, a ti na zual zel dawn a ni.

Hetiang thil hi fimkhur a tha ber:

• Meizial zuk
• Zu
• Chaw rimtui leh acidic tak tak te

Engtin nge pumpui ulcer i neih leh neih loh i hriat theih ang?

Doctor i hmuh hunah i symptoms leh i medical history te a zawt hmasa ang che. NSAID i hman fo leh hman loh leh H. pylori natna i lo vei tawh em tih te chu zawn chhuah an tum ang. Ulcer i nei thei tih rinhlelhna a awm chuan a dawt leh tur chu i pum chhung lam en hi a ni.

Pum natna hriat theihna tur test neih thin

Doctor chuan H. pylori infection a awm leh awm loh a enfiah hmasa ang a, chutah chuan pum chhunga ulcer awm leh awm loh a en a ngai ang. Chutianga tih theih dan kawng hrang hrang a awm.

• Upper Endoscopy / EGD hmanga enfiah a nih chuan:

Hei hi hmanraw hman tlanglawn ber leh dik ber a ni. Hei hian i hmui kaltlangin tube te tak te, flexible tak tawp lamah camera te tak te (`endoscope`) dahin i esophagus hnuai lam chu i pum leh i small intestine (duodenum) hmun hmasa berah dah a ni. Hetiang tih lai hian i mutthilh theih nan emaw, i lu hahdam theih nan damdawi pek i ni ang a, chuvangin i hrehawm lo ang.

He camera hian doctor chuan pum chhung lam a hmu thei a ni. Ulcer a awm chuan hmuh theih a ni. Tin, he tube hmang hian instrument te te te pawh kal tlang theih a ni a, pum chhunga lining atang hian tissue te tak te (biopsy) lakchhuah a ni a, H. pylori test theih a ni bawk. A châng chuan, ulcer aṭanga thisen chhuak a awm chuan, chutah tak chuan enkawl theih a ni.

• Test dangte chu:

Endoscopy hi hmanraw tha ber ni mahse, a chang chuan upper GI X-ray series ang chi imaging test hmangin pum chhunga ulcer a awm tih hmuhchhuah theih a ni bawk. Mahse, hei hi endoscopy angin a dik lo.

H. pylori natna vei leh vei loh enfiahna tur test bik a awm a:

• Urea Breath Test: Hei hi test awlsam tak, natna nei lo a ni.
• Thisen test: Hei hian H. pylori laka taksaa antibody siam chhuah a enfiah thin.
• Stool antigen test: Stool sample pakhatah H. pylori bacteria a awm leh awm loh enfiah a ni.

Pum ulcer nia i ngaih pawhin eng nge ni thei ang?

I natna lan chhuah dan hi pum ulcer avanga lo awm a nih loh chuan, natna dang pawh a awm thei a, chungte chu:

• Gastroesophageal reflux disease (GERD): Acid chu kawchhungah a luang chho zel a nih chuan thinlung natna, chaw ei kham lohna leh rilru hahna a thlen thei a ni.
• Functional dyspepsia: Hei hi taksa lam thil chiang tak (ulcer emaw gastritis emaw ang chi) awm lovin chaw ei loh chhunzawm zel a ni. A lan chhuah dan hi pum ulcer nen a inang a, mahse acid avanga lo awm a ni lo va, pum chhunga ulcer hmuh tur a awm lo.
• Pum cancer (`Stomach cancer` / `Gastric cancer`): Hei hi a tlem hle nachungin, a chang chuan pum na (stomach na, rihna tlahniam, chaw ei chak lohna) ang chi symptoms a awm thei. Chuvangin diagnosis dik tak neih a pawimawh hle.

Engtin nge pumpui ulcer hi tihdam thuai theih ang?

A tha ber chu, ulcer awm chhan chu a bo tawh chuan i pum chhunga lining chu a dam tan ang.

I hliam chhan chu NSAIDs (painkillers) hman chhunzawm zel vang a nih chuan, damdawi i ei tawh loh hnuah chuan enkawlna bik dang awm lovin a dam theihna chance tha tak a awm ang tih han ngaihtuah teh.

Mahse, H. pylori natna i neih chuan a chhuah theih nan doctor hnen atangin antibiotics i lak a ngai ngei ang .

Hei bakah hian Doctor chuan damdawi dang a pe thei a, chu chuan stomach acid tihtlem nan leh stomach lining a venghim thei a, chu chuan hliam chu a dam thuai ang a, a tha zawk bawk ang.

Pum natna enkawl dan tur chu engte nge ni?

Doctor-te chuan ulcer hi damdawi inkawp hmangin an enkawl fo thin. Chung zingah chuan pum acid tihtlem thei damdawi te, ulcer chu a dam hma loh zawng khuh leh venhimna te, natna hrik eng pawh, H. pylori ang chi te tihlum thei damdawi te pawh a tel. A tlem berah chuan thisen chhuah tihtawp emaw, pum chhunga khur khar emaw nan thil tenawm tak tih theih a ni.

Damdawi chi hrang hrang

Pum natna damdawi chi hrang hrang pek thinte chu:

• Antibiotics: H. pylori emaw bacteria dang emaw i neih chuan i doctor chuan bacteria that nan antibiotics pakhat emaw a aia tam emaw a pe ang a, a tlangpuiin ni 7 atanga ni 14 chhung a ni. Antibiotics hman tlanglawn ber berte chu:
• `Amoxicillin` tih a ni
• `Clarithromycin` tih a ni
• `Metronidazole` tih a ni
• `Tetracycline` tih a ni
• Proton Pump Inhibitor (PPI) te hi a awm a: 1.1.Heng damdawi te hian pum chhunga acid siamchhuahna nasa takin a tihtlem avangin hna a thawk a ni. Tin, pum chhunga lining te pawh an venghim a, hliam damna a ti chak bawk. PPI pek chhuah tam berte chu:
• `Omeprazole` tih a ni
• `Lansoprazole` tih a ni
• `Pantoprazole` tih a ni
• `Esomeprazole` tih a ni
• `Rabeprazole` tih a ni
• `Dexlansoprazole` tih a ni
• Histamine (H2) blockers: Heng damdawi te hian pum chhunga acid siamchhuah a ti tlem bawk a, mahse PPI angin a chak lo. Entirnan:
• `Famotidine` tih a ni
• `Cimetidine` tih a ni
• `Nizatidine` tih a ni
• Cytoprotective agents: Heng damdawi te hian pum chhunga lining chu a khuh a, acid leh thil tha lo dang lakah a venghim a ni. Hliam dam nan an pui thin. NSAID hman avanga ulcer awmte enkawl leh venna atana pek an ni. Entirnan:
• `Sucralfate` tih a ni
• `Misoprostol` tih a ni
• Bismuth subsalicylate (Pepto-Bismol ang damdawiah hmuh tur a awm) .

Damdawi lam kalphung

Ulcer buaithlak tak i neih chuan thisen chhuak tihna emaw, khur a awm emaw a nih chuan i doctor chuan direct-a enkawl a ngai dawn a ni. Hei hi endoscopy neih laiin tih theih a ni fo. Thisen chhuak ulcer hi cauterizing (thermal therapy), damdawi inject emaw, ulcer clipping emaw hmanga enkawl theih a ni. Pum chhungah khur a awm chuan surgeon chuan a hrual emaw, kawng dangin a siam that emaw a ngai mai thei.

A tlem berah chuan mi thenkhat chuan ulcer an nei a, enkawlna nen a dam lo va, a lo let leh zel thin. Hei hian natna leh hliam chhunzawm zel a thlen thei. He scarring hian pum hnuai lam chhuahna (gastric outlet) pawh a block thei bawk. Chutiang a nih chuan operation neih a ngai mai thei:

• Scar tissue chu la chhuak la, a chhuahna tur chu hawng rawh (pyloroplasty).
• Pum acid (vagus nerve) siam chhuahna tichaktu nerve chu cut (vagotomy) rawh.

Engtin nge pum chhunga ulcer lo awm leh lo awm leh lo turin i ven theih ang ?

Pum natna laka inven nan hengte hi i ti thei ang:

1. H. pylori infection paih bo: Mi tam tak chuan H. pylori infection an nei tih an hre lo. I neih leh neih loh chu thawk test awlsam tak emaw, stool test emaw hmangin i hre thei ang. I neih chuan, symptoms nei lo mah la, doctor-in a tih angin enkawl tir hian nakin lawka ulcer lo awm tur venna kawngah a pui thei a ni.

2. NSAIDs (painkillers) hi a tih angin leh fimkhur takin hmang rawh: Nitin natna leh natna tenau te tan NSAIDs (e.g. ibuprofen, diclofenac, aspirin) ei thin i nih chuan a dose aia tam ei loh tur a ni.Tin, hun rei lote atan chauh la rawh. Damdawi lam thila NSAIDs i ei chhunzawm zel a ngai a nih chuan, i pum chhunga lining venhimna atan a dose hniam ber hman dan tur te, damdawi him zawka thlak dan tur te, emaw damdawi dang, PPI ang chi ei chungchang te chu doctor nen sawiho rawh.

3. Thil \ha lo dang tih tlem emaw, bansan emaw: Meizial zu leh zu in tam lutuk hian pumpui natna a tipung a, a bik takin H. pylori infection i neih emaw, NSAID i ei emaw a nih chuan. Chuvangin heng thil tih dan atanga inthiarfihlim hi a tha ber.

Pum natna hi a dam theih nan eng chen nge a mamawh?

I damdawi i ei tur angin i ei a, ulcer ti na thei thil (junk food ei te, zu in te, zu in te) i pumpelh chuan i ulcer hi kar tlemte chhungin (a tlangpuiin kar 4-8 chhung) a dam vek tur a ni. I doctor chuan ulcer chu a dam vek tawh em tih leh H. pylori infection (a awm chuan) chu a bo vek tawh em tih hriat nan endoscopy dang emaw test dang emaw a rawt thei ang.

Mi tam zawk chu hun rei lote chhunga enkawl an nih chuan an dam tha thin. Mahse, pum chhunga acid siam chhunzawm zel theihna tur natna nei, Zollinger-Ellison syndrome ang chi te chuan hun rei tak chhung damdawi an ei a ngai mai thei.

Pum natna nei nia i hriat chuan engtin nge i tih ang?

A pawimawh ber: I pum chhunga ulcer nei nia rinhlelhna tlemte pawh i neih chuan damdawi lam thurawn la ngei ang che.

Over-the-counter antacids (e.g. Digene, Gelusil) hmangin symptoms te chu rei lo te atan i control thei mai thei. Mahse, ulcer chu an tidam dawn lo. A chhan bulpui ber chu i enkawl a ngai dawn a ni.

Ulcer enkawl loh chuan symptom lian tham i nei lo a nih pawhin hun kal zelah harsatna lian tak (thisen chhuah emaw perforation emaw ang chi) a thlen thei a ni. Tin, H. pylori infection, pum chhunga ulcer thlentu ber hian enkawl loh chuan hun kal zelah pum cancer vei theihna a tipung tih hre reng ang che.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Heng symptoms te hi i neih chuan damdawi in emergency room-ah kal nghal rawh:

• Pum natna awm reng, tuar theih loh.
• Ek chu thisen nen a dum (tar ang) a nih chuan, a nih loh leh thisen a sen a nih chuan.
• Thisen i chhuah chuan (coffee ground emaw thisen thar ang emaw pawh nise).
• Thisen tlakchhamna nasa tak chhinchhiahna (e.g., vun sen lutuk, thawk hah lutuk, thawk harsa, muhil, hriatna hloh).

Chuti a nih chuan, he thawnthu atang hian eng nge kan zir chhuah? (In lama hruai tur thuchah)

Pum ulcer hi a awm fo thin a, mahse ngaihthah tur a ni lo. Enkawl that loh chuan hlauhawm tak an ni thei. A chang chuan ulcer hi symptom awm lovin a awm thei a, chuvangin rinhlelhna i neih chuan doctor pan a, checkup neih a finthlak hle.

Hriat reng tur: Nunphung hrisel tihdanglamna (ei leh in, meizuk bânsan ang chi) hmangin hahdamna i hmu thei a, mahse a pawimawh ber chu a chhan bulpui (H. pylori, NSAID hman ang chi) zawng chhuakin a \ha taka enkawl hi a ni.

Stomach ulcer chu i pum chhunga natural acids ten i pum venhimna lining a tihchhiat hi a ni. Hetiang dinhmun hi enkawl a nih loh chuan a zual zel dawn chauh a ni. I doctor chuan i dinhmun enkawlna dik tak a pe thei che a, i dam thuai theih nan a pui thei bawk che a ni. Chuvangin, hlau suh la, tihkhawtlai lovin damdawi lam thurawn zawng rawh.

` Pum natna, pum na, gastritis, H. pylori, NSAIDs, pum na, endoscopy