I pum na i nei fo em? Pum natna i nei em? Thil awm lo tak (Zollinger-Ellison Syndrome) a ni thei bawk .

Pum ulcer emaw gastritis emaw i nei fo em? Enkawlna nei mah se, a ṭhat loh, pum natna (persistent stomach ulcers) i vei em? Diarrhea pawh i nei em? A chang chuan hengte hi thil pangngaiah kan ngai a, mahse vawiinah hian heng hnung lama inthup, mahse a pawi deuh thei dinhmun tlemte kan sawi dawn a ni. Hei hi Zollinger-Ellison Syndrome an ti a.

A awlsam zawngin Zollinger-Ellison Syndrome (ZES) hi eng nge ni?

Kan pum chhungah hian acid siam chhuahna control tu switch a awm ang tih han ngaihtuah teh. Hormone gastrin an tih hian chutiang switch ang chuan hna a thawk a. A tlangpuiin kan ei hian he hormone hi a chhuak a, chu chuan chaw ei tur digest turin acid a siam chhuak thin. Hna thawh zawh chuan acid siam chhuah chu a control a ni.

Amaherawhchu, Zollinger-Ellison Syndrome (ZES) vei te erawh chu taksaah hian tumor chi khat, Gastrinoma an tih chu a lo awm thin. Heng tumor te hi pancreas emaw small intestine (duodenum) chunglam emaw ah an lo awm tam ber. Heng tumor te hian an tih chu control nei lovin hormone gastrin hi a tam lutuk a ni. Switch chu ‘on’ reng ang mai a ni.

Heng gastrinomas zinga 60% vel hi cancer a ni thei a, chuvangin a hmaa hriatchhuah leh enkawl a pawimawh hle.

He natna lan chhuah dan engte nge ni? Engtin nge kan hriat?

A châng chuan ZES hian a tir lamah chuan symptom a nei lo thei bawk. Mahse symptoms a lo lang tak tak chuan gastritis pangngai aiin a na deuh thei. I taksaa tumor lian leh te a zirin a natna lan chhuah dan nasat dan a inang lo.

Hei hi a hnuaia table-ah hian sawifiah belh leh ila.

A then phei chuan heng tumor te hi liver (metastasis) ah an darh a nih chuan liver cancer symptoms an lantir thei bawk. Entirnan, a hring, mit leh vun sen (jaundice) a awm thei.

Engvangin nge hetiang thil hi a lo thlen?

A tam zawkah chuan ZES hi a thleng fo thin , a thleng mai mai tihna a ni.

Mahse damlo 25% vel chuan he natna hi MEN Type 1 (Multiple Endocrine Neoplasia Type 1) an tih hi an nei a ni.ZES tih hming pu genetic condition nen. A awlsam zawngin sawi ila, hei hi genetic condition hmuh tur awm lo tak a ni. Hetah hian kan taksaa hormone siamtu gland engemaw zatah a rualin tumor a lo awm thei a ni. ZES hi a then pakhat chauh a ni.

Hei hi hriat theih nan eng test nge tih thin?

A chunga kan sawi tak symptoms i neih chuan i doctor chuan ZES i neih a rinhlelh chuan test eng emaw zat a order mai thei.

Test hmasa ber a ni

• Thisen Test: Hengte hian i thisena hormone gastrin level a enfiah thin. ZES i neih chuan he level hi abnormally high a ni ang . Hei hi hypergastrinemia an ti a.
• Stomach acid level test: Hnar kaltlangin tube chu pum chhungah dahin acid sample lak a ni a, test a ni. ZES-ah chuan he acid level hi a sang hle.
• Imaging Tests: CT scan emaw MRI scan emaw hmangin pancreas emaw intestines-ah tumor awm leh awm loh enfiah a ni.

Tumor a awm tih finfiah a nih chuan test dang neih belh leh tur a ni

Heng tumor te hi khawiah nge an awm tih dik tak, an lian leh te, cancer an nih leh nih loh hriat chian nan test dang neih belh mek a ni.

• Endoscopy: Camera nei tube te tak te chu ka chhungah dahin pum leh small intestine chunglam enfiah a ni. Hei hian pum chhunga ulcer a awm leh awm loh hriat nan a pui thei a ni.
• Endoscopic Ultrasound: Hei hi endoscopy leh ultrasound scan hmanga inkawp a ni. Pancreas-a tumor tenau tak tak pawh a hmuchhuak thei.
• ERCP: Hei pawh hi specialized scan a ni.
• Biopsy (Fine-needle aspiration): Tumor atanga tissue te tak te tak te chu lakchhuah a ni a, microscope hmangin cancer cell a awm em tih enfiah a ni.

Hei hi eng enkawlna nge ni?

Enkawl dan tur chu i natna lan chhuah dan nasat dan leh lump chu cancer a nih leh nih loh a zirin a ni. Enkawl dan chi thum a awm a.

Hetiang dinhmun karah hian ka hmalam hun chu eng ang nge ni ang?

Hei hi mi tam takin zawhna an neih a ni. I hmalam hun chu cancer chi hrang hrang i neih danah a innghat a ni.

• Cancer nei lo tumor: Hengte hi nunna atana hlauhawm a ni lo a, mahse stomach acid control nan damdawi i ei chhunzawm zel a ngai dawn a ni.
• Cancerous tumors: Hetah hian thil awmdan chu a danglam deuh hlek a. Surgery hmanga taksaa cancer cell awm zawng zawng hi lakchhuah theih vek a nih chuan natna chu a dam kim vek thei a ni. Chuti chung pawh chuan natna chu a lo let leh em tih hriat nan medical test i neih chhunzawm a ngai dawn a ni.

Mahse hei hi hre reng ang che: Heng statistics te hi damlo sang tam tak data atanga averages mai a ni. I mimal dinhmun chu a danglam hle mai thei. Chuvangin, i dinhmun dik tak hre thei tur chu i enkawltu doctor hi a ni.

Engtin nge ka in enkawl ang?

ZES i vei tih hmuhchhuah i nih chuan i nunah inthlak danglamna engemaw zat i siam a ngai dawn a ni.

• I damdawi ei dik: Doctor-in a tih angin acid-reducing medications (PPIs) hi a hun takah ei a pawimawh hle.
• Damdawi lam enfiah fo: A bik takin cancer natna i neih tawh chuan i doctor-in a tih angin a hun takah follow-up checkup-ah kal la, natna hi a lo lang leh tawh em tih i en tur a ni.
• A lan chhuah dan fimkhur rawh: Enkawlna hnua pum na leh riltam ang chi natna a lo lang leh a nih chuan doctor hnenah hriattir nghal rawh .

Hetiang natna hlauhawm tak i nei tih i hriat hian lungkhamna leh hlauhna i neih hi thil pangngai a ni. Zawhna tam tak i nei a. An vai hian i doctor nen inhawng takin sawi rawh. I test result leh i enkawlna tur ruahmanna te ngun takin ngaithla rawh. An inpeih reng a, tanpui duh che an ni.