I pum chhungah watermelon ang chi line i nei em? Chu 'Watermelon Stomach' (GAVE) chungchang chu han sawi ila!

A chang chuan chhan awm lovin i chau hle thin em? A nih loh leh i pum a na emaw, ei duh loh emaw i nei fo em? I ek chhuah hian thisen tlem pawh i hmu mai thei. A châng chuan heng thilte hi kan ngaihven vak lo nain, kan ngaihtuah loh damdawi lam dinhmun (underlying medical conditions) a awm thei a ni. Vawiin hian kan sawi dawn a, natna chi hrang hrang, tlem a tlem a, mahse, mi zawng zawngin kan fimkhur a pawimawh hle. Hei hi ‘Watermelon Stomach’ an ti a.

He ‘Watermelon pum’ hi eng nge ni?

A awlsam zawngin ‘watermelon stomach’ tih hi i pum chhunga thisen kalna kawng, chu chu i pum chhungril lam a chak lo a, thisen a chhuah tan hian a ni. Hetiang thisen chhuahna hi a lo awm hian i pum chhung bang chu watermelon vun ang maiin longitudinal stripes a lo awm a. Watermelon chunga green leh light green stripe awm ang maiin han ngaihtuah teh. Heng stripe te avang hian 'watermelon stomach' an ti a ni.

Doctor te chuan endoscopy an tih laiin heng line te hi an hmu thin . Hei hian i hmui atanga camera te tak te hmanga tube te tak te dah luh a, i pum chhung lam en a huam a ni. Hetiang natna hi damdawi lam hming chu Gastric Antral Vascular Ectasis (GAVE) a ni. Chu chu hming sei tak a ni lawm ni? Chuvangin mi tam tak chuan GAVE, a nih loh leh ‘watermelon pum’ an ti thin.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge a neih theih ber?

Dik tak chuan he natna ‘watermelon pum’ an tih hi a tlem hle. A tlangpuiin pum chhunga thisen chhuah a awm chuan natna dang, pum ulcer emaw thisen kalna lian (varices) emaw avanga lo awm a ni.

Hei hi tu chungah pawh thleng thei mahse, hmeichhia kum 70 chunglam zingah a tam ber a, mahse, kum chauh hi a ni lo va, a chhan dang pawh a awm thei bawk.

‘Watermelon stomach’ (GAVE) natna lanchhuahna chu engte nge ni?

Hetiang natna vei hian symptom hrang hrang a nei thei a. Ṭhenkhat chu an nêm hle a, ṭhenkhat erawh chu an serious hle thung. Heng symptoms te hi i hriat lar angin a lang em tih en rawh:

• Pum na: Chaw ei zawh veleh emaw, ei zawh veleh emaw pum na i nei thei.
• Ekchhûnga thisen: A châng chuan ek chu a dum thei a, a nih loh leh thisen sen i hmu thei bawk.
• Engtik lai pawha chau anga inhriatna: Engmah ti lo pawhin chau leh nunna nei lo anga inhriatna i nei thei.
• Internal bleeding: Hei hi pawn lam atanga hmuh theih lo mah se, internal bleeding a ni thei.
• Iron-deficiency anemia: Thisen chhuah chhunzawm zel hian taksaa iron a tlahniam a, thisen tlakchhamna a thlen thin.
• Nausea: I luak dawn ang maia inhriatna.
• Thisen chhuah: Hei hi a lan chhuah dan na tak a ni.

Amaherawhchu, mi thenkhat chuan heng symptoms pakhat mah nei lovin ‘watermelon stomach’ an nei thei a ni. Chu chu he thila buaina chu a ni.

Engvangin nge he ‘watermelon pum’ hi a lo pian chhuah? A chhan dik tak chu eng nge ni?

Scientist te hian engvangin nge mi thenkhatin he natna hi an neih a, thenkhatin an neih loh tih chiang takin an la hre lo . Mahse tuna finfiahna awm mek atanga thlir chuan thil engemaw zat a thawhpui nia ngaih a awm a:

• Hypergastrinemia: Hei hi i taksain hormone gastrin (chaw ei tur tidanglamtu hormone) a neih tam lutuk hian a ni.
• Achlorhydria: I pumin hydrochloric acid a siam chhuah loh (chu chuan ei tur a digest thei bawk).
• ‘Pepsinogen’ level tihhniam: Hei hi ei tur chawhpawlhna atana enzyme pawimawh tak a ni bawk.
• Liver failure: Liver hnathawh a chhiat chuan thisen kalna kawng a zau thei.

Hengte hi tuna ngaihdan an neih berte chu an ni. Chûng zînga pakhat emaw, a aia tam emaw, a nih loh leh a inzawmkhawm emaw chuan he dinhmun hi a thlen a ni mai thei.

He ‘watermelon pum’ hi tuin nge vei theihna chance sang zawk?

Hriselna lama harsatna thenkhat nei te hian he ‘watermelon pum’ hi an nei tam zawk. Heng condition hrang hrangte hi:

• Autoimmune diseases: Heng natnate hi i taksa immune system-in i cell ngei a beih nasat em emna natna a ni.
• Atrophic gastritis: Pum chhunga natna hrik awm rei tak a ni.
• Zunthlum
• Lung natna
• Kidney tha lo a awm
• Cirrhosis natna (liver) a awm
• Metabolic natna (Metabolic syndrome) a ni

Hetiang damdawi dang i neih chuan ‘watermelon pum’ chungchangah pawh tlem fimkhur a tha.

Engtin nge he natna hi dik taka i hriat theih?

A chunga kan sawi tak symptoms i neih chuan i tih hmasak ber tur chu Doctor pan a ni. I natna lan chhuah dante a zawt ang che a, a tul chuan gastroenterologist hnenah a refer ang che . Test dang a nei leh dawn a ni.

Chumi atana test tih ber berte chu:

• Upper endoscopy: Hei hi test pawimawh ber a ni. An pum chhungah hian watermelon ang chi pattern a awm em tih an en thin.
• Biopsy: Endoscopy an tih lai hian pum bang atanga tissue te tak te la chhuakin microscope hmangin an enfiah thin. Hei hian thu belhchian dawl zawk a pe thei a ni.
• Thisen test: Hengte hian thisen tlakchhamna , thisen tlakchhamna i neih leh neih loh a enfiah thei.

Hriat reng tur chu heng test te hi a buaithlak deuhin a lang thei a, mahse natna dik tak hriatchhuahna kawngah chuan a pawimawh hle.

‘Watermelon stomach’ (GAVE) hi eng enkawlna nge ni?

Hei hi enkawl dan kawng hrang hrang a awm. I doctor chuan i natna lan chhuah dan a nasat dan leh damdawi dang i neih leh neih loh a zirin i tan enkawlna dik tak a thlang ang. A châng chuan thisen tam tak i hloh a nih chuan emergency blood transfusion i neih a ngai mai thei .

Iron Supplements te pawh a awm bawk

Natna hi a hmaa hriatchhuah a nih chuan iron tablets (supplement) chauh hmanga control theih a ni mai thei. Mahse hei hian mi zawng zawng tan hna a thawk lo. Iron tablet hmang pawhin thisen chhuahna control nan thisen vawi khat emaw, a aia tam emaw pek a ngai mai thei.

Damdawi chi hrang hrang

I doctor chuan i pum thisen chhuahna tihtlem nan damdawi thenkhat a pe thei bawk. Hun rei tak chhunga heng damdawi te hi a him leh him loh hriat chian a la ni lo nain, hun rei lote chhungin an thawk tha hle.

• Corticosteroid hmanga tihdam theih a ni
• Octreotide a ni
• 'Hormone hmanga enkawlna' tih a ni.

Endoscopic hmanga enkawl dan tur

‘Watermelon pum’ enkawl dan tlangpui chu endoscopic surgery a ni. Hei hian thisen chhuahna thlentu thisen kalna kawngte chu seal off emaw, tihchhiat emaw a huam a ni.

• Argon plasma coagulation (APC): Hei hi hmanraw hman tlanglawn ber a ni. Hetah hian gas ``Argon'' tih hmangin thisen kalna kawngte chu seal off a ni.
• Endoscopic band ligation (EBL): Hei hian thisen kalna kawng tin vel chu band te tak te dahin, an khih a ni. Hei hi a chang chuan APC nen tangkawpin tih a ni.
• Radiofrequency ablation (RFA): Hei hian radio wave atanga lumna hmangin thisen kalna kawng a tichhe thin.
• Cryotherapy: Hetiang hmanrua hian nitrous oxide an tih gas hmangin thisen kalna kawng a vawt tir thin.

A tlangpuiin he endoscopic treatment hi session khatah tih zawh a ni lo. Duhthusam result hmuh theih nan treatment engemaw zat a ngai a ni .

Thisen pek dan

Thisen chhuak nasa tak i nih chuan thisen vawi khat emaw, a aia tam emaw i mamawh mai thei . Mahse, hun kal zelah iron pill, damdawi, leh endoscopy ang chi thilte hian thisen pek i mamawh zat tihtlem nan a pui thei a ni. I doctor-in thisen chhuahna chu a thunun tawk hma loh chuan thisen hloh chu a chang chuan thisen i pek a ngai mai thei.

Inzai

Iron pill emaw, damdawi emaw, endoscopy emaw hmanga chhang lote tan chuan partial gastrectomy an tih surgery an ti thin. Hei hian i pum natna hmun chu tan chhuah a huam a ni. A tlangpuiin, he surgery hnuah hian thisen pek leh a ngai tawh lovang.

He surgery hi endoscopic treatment ‘APC’ ang chi aiin a inrawlh zawk deuh nachungin, ‘watermelon stomach’ natna hi a tihdam vek theihna awmchhun a ni.

Enkawl hnuah eng dinhmun nge a awm?

I symptoms nasat danah a innghat. Enkawlna tum ber chu thisen chhuah tihtawp ni mah se, mi thenkhat chuan enkawl hnuah harsatna an nei leh thei. Chutiang a lo thlen chuan thisen i pek chhunzawm a ngai mai thei. Mahse, mi tam zawk chu a tir lama enkawl hnuah an dam leh thin. I doctor chuan i dinhmun a zirin i beisei tur a hrilh ang che.

Hetiang thil thleng tur ven dan tur a awm em?

A chhan dik tak hriat a la nih loh avangin ‘watermelon pum’ lo awm tur venna tur engmah a awm lo. A tha ber chu natna lanchhuahna thar emaw, danglam bik emaw i hmuh veleh Doctor pan vat hi a ni. Enkawlna i tan hma chuan thisen chhuah chu a na zual hmain i titawp thei a ni.

‘Watermelon pum’ nei chuan a ei leh inah fimkhur tur em ni?

Hetiang natna vei te hian ei tur leh ei loh tur ei tur list set list a awm lo. Mahse, upper endoscopy i neih hnuah ei tur thenkhat ei loh a tha ber:

• Chaw tui tak tak
• Acid nei ei tur (lemon, orange, pineapple ang chi) .
• Caffeine awmna in tur coffee leh tea ang chi te
• Zu

Enkawlna a zawh hma chuan ei tur nêm leh chaw ei awlsam tak tak, artui, tofu, soup, smoothie, leh sa thau lo te ei hi a tha ber . Doctor hnenah eng ei tur nge i tana tha tih zawt la a tha ber.

Engtik hunah nge doctor ka hmuh ang?

I natna lan chhuah dan thar, luak chhuak emaw, hah emaw i neih chuan doctor hnenah i hrilh fo tur a ni. Thil dik lo nia i hriat chuan nghak suh. Natna i hriat chian a, enkawlna i tan hma chuan operation lian tham neih a ngai lo thei a ni.

Thisen chhuak ang chi natna lanchhuahna na tak i neih chuan damdawi in hnai ber emergency room-ah kal nghal rawh. A pawimawh ber chu a chhan zawng chhuakin thisen chhuah chu a rang thei ang bera tihtawp a ni.

Doctor hnenah eng zawhna nge i zawh tur?

‘Watermelon pum’ i nei tih i hriat chuan doctor hnenah heng zawhnate hi zawt la a tha ang:

• Ka dinhmun hi engtiang chiahin nge a chhiat?
• Eng ang enkawlna nge ka mamawh?
• Enkawlna engzat nge mamawh ang?
• Thisen pek ka ngai dawn em ni? A nih chuan engzat nge?

Thisen chhuah emaw, i bawlhhlawh chhunga thisen hmuh emaw chu a hlauhawm thei hle. Hengte hi pum chhunga harsatna i neihzia tilangtu a ni thei a, mahse a lan chhuah dan erawh hetiang hian a langsar lo. Thla tam tak chhung chu i chau tawh a ni mai thei. A nih loh leh vawiin zing khan pum na thar i nei tan chauh pawh a ni thei. ‘Watermelon pum’ hi natna awm lo tak a ni a, a natna lan chhuah dan hi pum natna dang nen a inang reng a ni. Chuvangin, diagnosis dik tak neih theih nan hun rei tak a la ngai thei a ni. Chutih lai chuan, rinhlelhna i neih avângin i lungngai mai thei. Chuvangin, eng symptoms pawh nei ila, i doctor hnenah a chungchang sawipui thin ang che. Chumi hnuah chuan a chhan chu a zawng chhuak thei a, i tan enkawlna dik tak a rawt thei bawk.

Chuvangin, hriat reng tur hnuhnung ber tlemte:

‘Watermelon pum’ tih hi a hming hlauhawm deuh ni mah se, fimkhur a pawimawh hle. Hrereng:

• Mi tin hian symptom a inang lo thei a, mi thenkhat chuan symptom engmah an nei lo thei bawk.
• Chauh lutuk, pum na, ek chhunga thisen awm ang chi thilte chu ngaihthah suh.
• Damdawi lam thurawn i lak vat chuan natna a zual hmain i thunun thei a ni.
• Enkawlna kawng hrang hrang a awm a, i doctor chuan i tana tha ber tur chu a rel ang.

He thu hi i hlawkpui ngei kan beisei. Hrisel takin awm rawh!

` watermelon pum, GAVE, gastric antral vascular ectasis, watermelon pum, chaw kawng thisen chhuak, endoscopy, pum na