Pum na emaw, inflammation emaw kan neih hian gastritis kan ngaihtuah fo thin. Mahse a châng chuan chu natna thlentu chu pum ulcer emaw, pum ulcer (Stomach Ulcer / Gastric Ulcer) emaw a ni thei. Kan vunah hliam ang bawkin hei hi pum chhung bang chhunga ulcer lo awm a ni. Hei hi natna tlanglawn tak a ni a, enkawl leh tihdam theih a ni. Mahse, uluk taka enkawl loh chuan natna khirh tak a thlen thei a ni. Chuti a nih chuan, pum chhunga natna (stomach ulcer) chu eng nge ni? Engvangin nge a lo awm? Eng nge a lan chhuah dan? Enkawl dan leh inven dan tur engte nge ni? Heng zawng zawng hi he thuziak ah hian kan sawi dawn a ni.

He pum ulcer hi eng nge ni? (A tlangpuiin)

Engtin nge pum chhunga ulcer hi a lo awm?

Kan pum chhungah hian hydrochloric acid leh enzyme te a awm a, chu chuan ei tur a digest thei a ni. Chungte chu a chak em em a ni. Chuvangin, heng acids laka pum chhung bangte venhim nan hian pum chhunga venna tur lining, thick mucus atanga siam a awm a. Mahse eng emaw chhan vanga he venhimna lining hi a chhiat chuan chu acid chak tak chuan pum chhung bang chu a ei bo thei a ni. ‘Open sore’ ei bo avanga lo awm chu stomach ulcer an ti a.

Engtiang chiahin nge a hluar?

Hei hi a takah chuan thil awm dan tlangpui tak a ni. Sri Lanka-ah pawh a hluar hle. Hei hi a chhan ber chu pumpui natna thlentu lian ber pahnih hi kan khawtlang nunah a hluar hle a ni. Anni chu:

1. Over-the-counter painkillers ( NSAIDs ) hmanna hmun zau tak .
2. H. pylori natna vei tam dan .

Pum natna vs Peptic Ulcers te a ni

Heng hming pahnih hi a buaithlak thei hle. "Peptic Ulcer Disease " hi pum chhunga lining emaw, small intestine ( duodenum) hmun hmasa ber emaw chu stomach acid in a tihchhiat a ni.) tih hi ulcer hming hman tlanglawn tak a ni. Chuvangin, pum chhunga ulcer lo awm (Gastric Ulcer / Stomach Ulcer) hi peptic ulcer chi khat a ni. Intestine hmun hmasa bera awm ulcer te hi "Duodenal Ulcers" an ti a. An pahnih chhan leh enkawl dan pawh a inang hle.

A lan chhuah dan leh a chhan

Pum natna lanchhuahna chu engte nge ni?

• Main symptom: Burning pain: Mi tam zawkin an hriat ber chu pum chunglam (a rilru chhungril hnuai lam chiah, navel chunglam, leh veilam a rit zawk) a kang emaw, a na emaw a ni. Hei hi acid atanga kang ang maiin a lang thei a, a chhung atanga thil ei ang maiin a lang thei bawk (a gnawing quality). He hriatna hi hriatna mai a ni lo va, thil thleng tak tak chu acid leh enzyme te hian hliam chu an ei bo vek a ni. He natna hi pum ruak ah a na zual thei a, a bik takin zan lamah a na zual thei. Mi thenkhat chuan chaw ei hian a na hi a reh thei tih an hmu a, mahse mi thenkhat tan chuan (a bik takin pum ulcer nei) tan chuan an ei hian a na zual thei.
• Indigestion leh Fullness: Pum ulcer nei tam tak chuan chaw ei kham lohna symptoms an nei thin. Hei hi pum chhunga kangmei chhuak a ni a, chubakah pum chhunga kang a ni bawk. 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.
• A lan chhuah dan tlangpui: Heng bakah hian hliam thlentu dinhmun nena inzawm chhinchhiahnate chu:
  • Acid reflux leh thinlung natna
  • Nausea leh luak chhuak
  • Bloating, belching, leh gas natna te
• Silent Ulcers leh Complications Symptoms: Mak tak maiin mi thenkhat chuan pum ulcer nei mahse natna leh symptoms an nei lo. Chungte chu "silent ulcers" an ti a. Harsatna lian tak, thisen chhuah emaw, perforation emaw a awm hma chuan ulcer an nei tih an hre lo mai thei. Heng symptoms te hi i neih chuan doctor pan nghal rawh:
  • Vun rawng dum (Pallor) .
  • Luak chhuak, chak lo emaw, muhil emaw - thisen tlakchham vang pawh a ni thei.
  • Black, tarry stools - thisen digested vang a ni.
  • Coffee grounds ang maia lang chhuak - pum chhunga thisen zam vang.
  • Sudden, na tak pum na tak, reh lo - perforation chhinchhiahna a ni thei.

Engtiang chiahin nge a buaithlakna chu a nasat?

Enkawl loh chuan pumpui natna hian harsatna lian tak a thlen thei a ni:

• Bleeding Ulcers: Hliam hi a thisen chhuak chhunzawm zel thei a, zawi zawiin emaw, rang takin emaw a chhuak thei. Zawi zawiin thisen a chhuah chuan hun kal zelah taksa thisen a tlahniam thei a, thisen tlakchhamna (anemia) a thlen thei a ni. Thisen nasa tak a chhuah chuan taksa chu shock-ah a lut thei a, a thi hial thei bawk.
• Perforated Ulcers: Emergency awm lo mahse pawi tak, ulcer hian pum chhung bang a tichhia vek a, khur a siam thin. He khur hian pum chhunga acid leh bacteria te chu pum chhungah a luang lut thei a, natna khirh tak (peritonitis) a thlen thei a ni. He natna hi thisenah pawh a darh thei a, nunna atana hlauhawm tak, sepsis an tih chu a thlen thei a ni.

Pum natna thlentu berte chu engte nge ni?

Sri Lanka leh khawvel hmun hrang hranga pum chhunga natna thlentu lian ber pahnih chu:

• H. pylori (Helicobacter pylori) bacteria infection: Hei hi natna hrik kai tam tak a ni. Khawvel mihring zinga a chanve velin he bacteria hi an pum chhungah hian an awm nia chhut a ni. Mi tam zawk tan chuan he bacteria hian harsatna a thlen lo. Mahse, mi thenkhatah chuan he bacteria hi pum chhungah a thang lutuk a, pum chhunga venhimna lining chu a ei bo tan thin. Hei hian chronic inflammation a thlen a, hun kal zelah chuan pum ulcer a thlen thei a ni.
• NSAID natna tidamtu hman dan: NSAID (Nonsteroidal Anti-inflammatory Drugs) hi natna tidamtu chi khat, damdawi dawr atanga kan lei fo thin a ni. Entirnan , Ibuprofen, Naproxen, Diclofenac, Aspirin te hi a ni.Hetiang damdawi hi he pawla mi an ni. (He group-ah hian Paracetamol hi damdawi a ni lo). Heng NSAIDs te hi pum chhunga an luh hian pum chhunga natna tenau te an siam a, chubakah pum chhung bang vengtu leh siamthatna tur chemical thenkhat siam chhuah a veng bawk. A tlangpuiin kan pum bang hi hetiang chhiatna tenau atang hian a lo harh chhuak thei a ni. Mahse heng NSAID te hi kan ei tam lutuk chuan pum bang hian a insiamthat hun a nei lo. Zawi zawiin a venna layer chu a chhe vek a, ulcer a lo awm ta a ni.

A chhan dang hmuh tur awm lo

Heng a chhan lian ber pahnih bakah hian pum chhunga natna hi a hnuaia mite avang hian a awm thei bawk a, a tlem hle:

• Infection dang: A tlem hle a, bacteria, viral, fungal infection dang hian pum a nghawng thei a, ulcer a siam thei bawk.
• Zollinger-Ellison syndrome: Hei hi thil awm lo tak a ni a, pumin gastric acid a siam tam lutuk a, chu chuan pum chhunga lining a tichhia a ni.
• Physiological stress na tak: Taksain nunna atana hlauhawm natna (e.g., kang nasa tak, operation lian tham) emaw accident atanga dam leh a tum laia hormone leh chemical inthlak danglamna hian pum acid a tipung thei a, chu chuan "stress ulcer" tia hriat chu a thlen thei a ni. Hei hi nitin nunah rilru hahna kan tawn thin hi a ni lo.

Nunphung hian nghawng a nei em?

Mi tam tak chuan chaw tui tak ei leh stress hian pumpui a ti na niin an ngai. Thudik tak chu nitin nunphung (i ei leh in, general stress ang chi) hian direct-in pum ulcer a thlen lo. Mahse, i pum ulcer i neih tawh chuan heng thilte hian i symptoms a ti na zual thei a ni . Hei hi i pum acidity an tipung a, ulcer a ti na zual vang a ni.

• Meizial zuk
• Zu in hman dan
• Chaw rimtui tak tak
• Acid nei ei tur tomato leh citrus fruit te
• Caffeine awmna in tur coffee leh tea te

Diagnosis leh Test neih dan tur

Engtin nge pum chhunga ulcer i hriat theih?

Doctor i pan chuan i natna lan chhuah dan te, NSAID i ei fo leh ei loh te, H. pylori natna i lo vei tawh em tih te an zawt hmasa ang. I natna lan chhuah danin pum ulcer a awm tih a hriat chuan i pum chhung lam an enfiah a ngai mai thei a, chu chu finfiah a ngai mai thei.

Eng ang test nge i tih thin?

Doctor-in a hriat tur pawimawh pahnih a awm a, chungte chu:

1. H. pylori natna i nei em?
2. Pum natna i nei em? Eng ang nge a nih?

Heng pahnih hi a ruala tih theih dan tha ber chu endoscopy hi a ni .

• Upper Endoscopy / EGD test: Hei hian tube sei tak, te tak te, flexible tak (endoscope) camera leh a tawpah light awmna i hmui kaltlangin leh i rilru hnuai lam dahin i pum chhung leh i intestine te tak te enfiah a ngai a ni. I rilru hahdam theih nan sedation pek i ni ang. Doctor chuan camera hmangin i pum bangah ulcer emaw thisen chhuak emaw a awm leh awm loh a en thei ang. Tube kaltlangin hmanraw te tak te hmangin rinhlelh awmna hmun emaw ulcer emaw atanga tissue te tak te (biopsy) la chhuakin H. pylori bacteria a test thei bawk. Ulcer atanga thisen chhuak a awm chuan he endoscopy neih chhung hian thisen chhuak chu tihtawp nghal (entir nan, thisen kalna kawng hal) turin enkawlna pek theih a ni.
• Test Dang: Endoscopy hi hmanraw tha ber ni mahse, hmanraw dang pawh a chang chuan hman theih a ni:
  • Upper GI X-ray series (Barium Swallow): Hetah hian barium an tih tui chu ei a, X-ray image lak a ni. Barium hian pum chhunga lining a khuh avangin X-ray-ah hian hliam eng pawh hmuh theih a ni. Mahse, hei hi endoscopy angin a dik lo va, hliam tenau te pawh a awm lo thei bawk.
  • H. pylori test: Bacteria awm leh awm loh enfiah nan test hrang hrang a awm a:
    • Urea Breath Test: I in tur tui bik pek i ni a, chutah chuan i thawk chhuah boruak chu test a ni.
    • Thisen Test: Hei hian H. pylori laka antibody a neih leh neih loh a test thin. Mahse, tunah hian hri kai i nih leh nih loh leh a hmaa i lo kai tawh tih chiang takin a sawi thei lo.
    • Stool Antigen Test: Stool sample pakhat chu bacterial antigens awm leh awm loh enfiah a ni.

Thil dang, pum ulcer anga ngaih theih loh

Test-in i pum ulcer i nei lo tih a finfiah chuan i natna lan chhuah chhan chu thil dang a ni thei a, chu chu:

• GERD (Gastroesophageal Reflux Disease): Pum atanga acid chu rilruah a rawn chho leh zel a nih chuan (acid reflux) chuan natna lan chhuahna, lungphu chawl, chaw ei kham loh, leh rilru hahna te pawh a thlen thei bawk.
• Functional Dyspepsia: Hei hi taksa lam thil chiang tak awm lovin chaw ei theih lohna (ril na, thinlung natna, puar) natna lanchhuahna awm reng a ni. A lan chhuah dan chu pum ulcer nen inang mahse, pum bangah hian ulcer hmuh tur a awm lo.
• Stomach Cancer: Hei hi a awm lo hle a, mahse pumpui ulcer ang chi symptoms (ril na, rihna tlahniam, chaw ei chak lohna) a thlen thei. Chuvangin endoscopy neih laiin biopsy lak a pawimawh hle.

Enkawl dan leh Enkawl dan

Engtin nge pumpui ulcer hi tihdam thuai theih ang?

Ulcer awm chhan chu a bo tawh chuan pum chhung chu zawi zawiin a dam tan ang. Entirnan, i ulcer hi NSAID avanga lo awm a nih chuan, damdawi i ei tawh loh chuan, ulcer chu enkawlna dang awm lovin a dam thei a ni. Amaherawhchu H. pylori infection i neih chuan bacteria that nan antibiotics i ei a ngai dawn a ni. Chu bâkah, doctor chuan ulcer a dam hma loh chuan pum chhunga acid tihtlemtu leh pum chhunga awmte humhimtu damdawi dang a pe thei bawk. Heng damdawi te hi dik taka ei hian ulcer chu a dam thuai thei a ni.

Eng enkawlna nge awm?

A tam zawkah chuan pum natna hi damdawi chi hrang hrang hmanga enkawl a ni. Heng damdawi te hi:

1. Pum chhunga acid awm zat a ti tlem.
2. Hliam chu a khuh a, a venghim a, a tidam bawk.
3. Infection (H. pylori) a awm chuan a bo vek ang.

A tlem berah chuan thisen chhuah tihtawp emaw, khur khar emaw nân damdawi lam thil tih a ngai mai thei.

• Damdawi hman tur: 1.1.
  • Antibiotics : H. pylori emaw bacteria dang emaw i neih chuan i doctor chuan ni 7-14 chhung chu vawi khatah antibiotics pahnih emaw pathum emaw a pe mai thei a, chu chuan bacteria chu a that vek ang. Antibiotics hman tam ber chu: Tetracycline, Metronidazole, Clarithromycin, leh Amoxicillin te an ni. I doctor-in damdawi a pek zawng zawng chu course chhung zawnga ei a pawimawh a, chuti lo chuan natna chu a lo let leh thei a ni.
  • Cytoprotective agents: Heng damdawi te hian pum chhung bang chungah venhimna layer (coat) siamin hna an thawk a, ulcer a dam hma loh chuan a venghim thin. NSAIDs avanga ulcer awmte enkawl leh venna atan an hmang fo thin. Entirnan: Sucralfate, Misoprostol, Bismuth subsalicylate te hi a awm thei.
  • H2 blockers (Histamine receptor blockers / H2 blockers): chemical pakhat histamine an tih chu an block a, chu chuan taksain pum chhunga acid siam turin signal a pe a, acid siamchhuah a ti tlem bawk. Entirnan: Famotidine, Cimetidine, Nizatidine te hi a tha hle.
  • Proton Pump Inhibitors (PPIs): Hei hi damdawi chak tak a ni bawk a, pum chhunga acid siam chhuah a ti tlem a ni. Tin, pum chhung (stomach lining) a venghim a, ulcer damna a ti chak bawk. Hengte hi tun dinhmunah chuan pumpui natna damdawi atana hman lar berte an ni. Entirnan: Omeprazole, Esomeprazole, Lansoprazole, Pantoprazole, Rabeprazole te hi a tha hle.
• Damdawi lam kalphung: Hliam buaithlak tak (thisen chhuak, perforation) chu doctor-in direct-a enkawl a ngai dawn a ni . Hei hi endoscopy nen hian a rualin tih theih a ni fo. Thisen chhuak hliam chu damdawi inject emaw, hal emaw hmangin tihtawp theih a ni. Perforation a awm chuan surgery hmanga khar a ngai dawn a ni.
• Ulcer awm reng tur surgery:A tlem hle a, mi thenkhat pum ulcer hi enkawl lohvin a awm reng thei a, a dam leh thei bawk. Hei hian hun rei tak chhung natna leh pum chhunga hliam a thlen thei a ni. A chang chuan he scar tissue hian pum atanga intestines thlenga chhuahna chu a block thei bawk. Chutiang hunah chuan operation neih a ngai thei a, chu chu:
  • Scar tissue lakchhuah emaw, a blocked passage hawn emaw (Pyloroplasty).
  • Vagotomy chu vagus nerve cutting a ni a, chu chuan stomach acid siam chhuahna a tichak a ni.

Engtin nge inven theih ang? (Invenna) 1.1.

Engtin nge pum chhunga ulcer lo awm emaw, lo kir leh emaw chu a ven theih ang?

Pum natna lo awm tur venna tur emaw, a dam hnua a lo let leh tawh loh nan emaw i tih theih thenkhat chu hetiang hi a ni:

• H. pylori infection tihbo dan: Mi tam takin H. pylori infection nei mahse an hre lo. I neih leh neih loh chu thawk test awlsam tak emaw, stool test emaw hmangin i hre thei ang. I tih chuan harsatna a thlen hmain antibiotics hmangin i paih chhuak thei ang.
• NSAID hman dan dik: Taksa na leh lu na tan damdawi dawr atanga NSAID i ei fo chuan a rawt aia tam ei loh tur a ni. Natna dang (e.g. arthritis) avanga doctor thurawn anga NSAID i ei chhunzawm chuan, a theih chuan a dose tihtlem la, damdawi dang hmang la, a nih loh leh i doctor nen a ruala pum venghimtu damdawi dang (PPI ang chi) ei chungchang sawipui rawh.
• Thil \ha lo dang tihziaawm: H. pylori natna i vei emaw, NSAID i ei emaw a nih chuan, zu in leh zu in hian pumpui ulcer vei theihna a tipung a ni. Chuvangin heng tih dante hi bansan a pawimawh.

Eng chen nge a dam leh theih ang? (Hmuh dan / Hrilh lawk dan)

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

I damdawi i ei ang chiaha i ei a, ulcer ti na zual thei thil (NSAIDs, meizuk, zu) i pumpelh chuan, a tlangpuiin kar tlemte chhungin ulcer chu a dam vek tur a ni I doctor chuan endoscopy emaw test dang emaw a ti leh thei a, chu chuan ulcer chu a dam vek tawh tih leh H. pylori infection chu a bo vek tawh tih a chiang thei ang.

Chronic conditions a awm thei

Mi tam zawk chuan hun rei lote chhung enkawlna chauh an mamawh. Mahse, mi thenkhat chuan chronic conditions an nei thei a, chu chuan stomach ulcers a siam thei a ni. Entirnan, Zollinger-Ellison syndrome vei, a hmaa kan sawi tawh ang khan, a pumin acid a siam tam lutukna dinhmun a nei a. Heng mite hian damdawi (PPI ang chi) rei tak an ei a ngai mai thei.

Pum natna i rinhlelh chuan engtin nge i tih ang? (Living With) .

Damdawi lam thurawn lak a pawimawhzia

Pum ulcer i neih i rinhlelh chuan doctor lam pan ngei ngei tur a ni. Over-the-counter damdawi antacids emaw bismuth subsalicylate emaw hian hun eng emaw chen chu a natna lan chhuahna a tiziaawm thei a, mahse ulcer chu a tidam thei lo. Ulcer a dam theih nan , a chhan bulpui (H. pylori emaw NSAIDs emaw) chu enkawl a ngai a ni.

Enkawl loh chuan risk a awm thei

Natna lanchhuahna na tak i nei lo a nih pawhin, enkawl loh pumpui ulcer hian harsatna lian tak tak, thisen chhuah emaw, perforation emaw a thlen thei a ni. Tin, pumpui natna thlentu ber H. pylori infection hi rei tak enkawl loha dah a nih chuan pum cancer vei theihna a awm bawk.

Engtikah nge emergency treatment i zawn ang?

Heng symptoms te hi i neih chuan damdawi in pan vat tur a ni (ETU) :

• Tuar theih loh, tuar theih loh pum na.
• I ek chhungah thisen dum i awm emaw, thisen chhuak (coffee grounds ang chi) i neih chuan.
• Thisen chhuak tam lutuk chhinchhiahna (vun dum, luak chhuak nasa lutuk, muthilh).

A tawpah chuan

Stomach ulcer hi a awm fo a, enkawl theih a ni. A chhan ber chu H. pylori infection leh NSAID painkiller hman vang a ni. I pum natna, natna, leh chaw ei loh ang chi symptom i neih chuan gastritis nia ngaih mai ai chuan doctor thurawn lak a pawimawh hle. Tichuan, a chhan hriatchhuah theih a ni a, a enkawl dan tur dik tak chu tan theih a ni a, harsatna lian tham tak tak pawh ven theih a ni bawk. Tin, meizuk leh zu in tihtlem te, a tul hunah chauh NSAID damdawi hman te, a tlem berah, hun rei lo te chhunga hman te hian pum chhunga natna laka invenna a pui thei bawk. Hrisel takin awm rawh!