Kan ka ( mouth), chaw kawng, pumpui leh ril te hi gastrointestinal tract an ti a. Gastrointestinal tract hi tisa mur ( gastrointestinal mucosa) -in a tuam chhuak leh vek a ni. Kan hriat angin kan thil ei te pai tawih awlsamtir turin pumpui hian acid a tichhuak ve a ( ie.pepsin, hydrochloric acid).
Acid hi a siam chhuah tam lutuk chuan gastrointestinal mucosa te hi acid hian a lo ei ral emaw a lo ei hlum ta thin a, hei hi ‘ Peptic Ulcer’ kan tih chu a ni. Peptic ulcer hi gastrointestinal tract khawiah pawh hian awm thei mahse rilfang( Duodenum) –ah leh pumpui-ah a awm hnem ber a ni.
# Peptic ulcer hi chi hnihah a then theih a, chungte chu:-
A. Acute Peptic (stress) Ulcer
B. Chronic Peptic Ulcers ( Gastric and Duodenal).
Tunah chuan a mal te tein i lo bih thuak thuak chauh teh ang u.
A.ACUTE PEPTIC ( stress) ULCERS
He ulcer-ah hi chuan zim te te-ah mucosa te ei rala awmin hmun tam takah a inzarpharh a. Pumpui-ah a hluar ber a; Duodenum-ah pawh a awm ve zauh zauh thin.
# A thlentu:
(1)Psychological stress- Rilru hah nei nasa te tan Acute peptic ulcer neih a awlsam em em.
(2)Physiological stress-
* Shock
* Taksa hliam nasat vangin.
* Septicaemia
* Kang (burns) vangin
* Damdawi- aspirin, steroids, butazolidine,
*Indomethacin etc. pawngpaw ei nasat lutuk vangin.
*Zu leh zuk leh hmuam vangin.
B. CHRONIC PEPTIC ULCERS ( Gastric and Duodenal ulcers)
Chronic peptic ulcer han tih ringawt hi chuan gastric ulcer leh duodenal ulcer te a huam ve ve a ni. Gastric ulcer leh Duodenal ulcer danglamna i lo thlir teh ang.-
(1) Duodenal ulcer hi gastric ulcer aiin a let 4 in a hluar zawk.
(2) Duodenal ulcer hi kum 25-50 inkar zingah a hluar a; Gastric ulcer erawh kum 50 chunglam zingah a hluar thung.
(3) Duodenal ulcer leh gastric ulcer te hi mipa-ah a hluar zawk ve ve.
(4 )Duodenal ulcer hi H-pylori Infection vang te, acid-pepsin tam lutuk vang te, mei zial zuk leh zu in nasat vangte in a lo awm thin. Tin, blood group 0 nei zingah a awm duh bik.
Gastric ulcer erawh H-pylori vangin a lo awm thei a, mucus-barrier tihchhiat vang te, gastritis, bile reflux, drugs, zu leh meizial zuk vang te in a lo awm thin.
(5) Duodenal ulcer-ah chuan thisen hloh nasat te, gastrointestinal tract pawp ( perforation) te, chaw kawng hnawh phui te leh cancer te hial a lo thleng thei thin a ni. Gastric ulcer-ah erawh cancer thlenna chance a sang lem lo.
(6) Duodenal ulcer-ah chuan chaw ei apiangin a na/ a thip a dam thin; Gastric ulcer-ah erawh chaw ei apiangin a thip em em thung.
(7) Duodenal ulcer-ah chuan zan mutnaah a na/ thip em em thin; Gastric ulcer-ah erawh a na lem lo.
(8)Duodenal ulcer-ah chuan luak ( vomitting) a awm ve lem lo; Gastric ulcer-ah erawh a awm.
(9) Duodenal ulcer-ah chuan thi-a luak ( haematemesis) a hluar lutuk lova; Gastric ulcer-ah erawh a hluar hle thung.
(10) Duodenal ulcer-ah chuan rihna a tlahniam ngai lem lo; Gastric ulcer-ah erawh a tlahniam thin thung.
(11) Duodenal ulcer nei tan ei tur chung changah fimkhur a tul ve lem lo; Gastric ulcer nei tan erawh fimkhur tur a ni.
(12) Duodenal ulcer-ah chuan pum dinglam hi khawih/hmeh hian a na veng veng thin a; Gastritis ulcer-ah erawh pumpui chung lam zawn ( epigastric area) hmeh hian a na thung.
(13) Duodenal ulcer hi sik leh sa danglam zelah a nihphung a danglam ve zel thin a; Gastric ulcer erawh a danglam ve ngai lo.
(14) Duodenal ulcer hi rilru hah nei te zingah a hluar zawk a; Gastric ulcer erawh kut hnathawk nasa te zingah a hluar zawk thung.
TREATMENT: Pumpui ulcer nei te tan chuan damdawi uluk taka ei hi a enkawl dan tha a ni mai. Damdawi hnathawh dan tlem a zawng i lo tarlang ang-
1.Pumpui-in acid a siam hnem lutuk tur thunun turin. Eg. Cimetidine, Misoprostol, omeprazole etc.
2.Acid thur chiah dal turin. Eg. Sodium bicarbonate, Magnesium hydroxide, Calcium carbonate, etc.
3.Ulcer protective. Eg. Sucralfate, CBS.
4.Anti-H.pylori drugs. Eg. Amoxicillin, Tetracycline, Metronidazole, etc.
Aw le, tun a tan chuan i lo duh tawk phawt ang. Ka health-related article fahrah te te ho hi ka Blog-a ka dahthat tur an nih avangin khawngaiha ka phalna la hmasa lo chuan lo copy emaw, lo tidanglam lo hram turin ka ngen a che u. Mahni subject lo thildang ziah ka thiam ve si lova.
Bonus: Ulcer damdawi chi hnih Sucralfate leh Antacid te hi an hnathawh an inthai chhiat tawn avangin a kawpa ei hian an chakna an hloh thin a; chuvang chuan a mala ei zawk hi a tha a ni.
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April 22nd, 2011 at 8:02 pm
Bengvarthlak thin mang e.
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April 22nd, 2011 at 8:04 pm
Peptic ulcer hian Balhla a haw khups mai. Chaw eikham a tui in te hi a thalo, kaw ruaka thil thur ei a thalo, balhla lek phei chu etc etc tih Dr.Herman in min hrilh.
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April 22nd, 2011 at 8:05 pm
doctor cfl-a thin hi chu thah tha thei khaawp mai.
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April 22nd, 2011 at 8:08 pm
Ka hriat duh tak…..
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April 22nd, 2011 at 8:21 pm
kei chu ka pum a thur thrin hreawm thei ltk..
Chuan CFL nick ka hmuh hian CFL light hian cancer a thlen thei tih hi news paper ah hian an ron ziak leh thrin a.. I nick poh hi ka hlau deuh .. Ka OT em?
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April 22nd, 2011 at 8:31 pm
Tha khawp mai.
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April 22nd, 2011 at 8:32 pm
Misual.com-ah hian post a variety tha viau a. Medical lamin an rawn belh leh ta hian a tiphuisui leh zual.
Pectic Ulcer hi buaithlak ve tak chu a ni. Mihring nun tihlim lotu a ni khoops!
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April 22nd, 2011 at 8:33 pm
@chiap_chiap, cfl pawh misual atangin ban daih tur anih chu.
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April 22nd, 2011 at 8:38 pm
Dr. Muantea kha sawitur om em? Comments te?
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April 22nd, 2011 at 8:41 pm
Hei chu post tangkai tak ani e, mizo hi ulcer vanga buai kan tam si a.
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April 22nd, 2011 at 8:43 pm
lol @sangpuiipa .. A dawktawr ber kan ban te chuan tunge min enkawl toh nga.. Chi nang aww
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April 22nd, 2011 at 8:44 pm
Ulcer symtoms te lo ziak law2 la …ulcer ka vei tlatin ka hria
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April 22nd, 2011 at 8:47 pm
@chiap_chiap, a ni khawp mai tiraw. Mahse doctor hlauhawm tak kan lo nei anih chu.
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April 22nd, 2011 at 9:24 pm
Heng natna te hi kei chuan ka nei lo rih phawt a, ka lawm e…..
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April 22nd, 2011 at 9:26 pm
CFL a eng e…hui
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April 22nd, 2011 at 9:27 pm
In va ti lawmawm siam siam ve. Ka lawm e. Ziak zel rawh u khai, please
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April 22nd, 2011 at 9:28 pm
Ulcer nen hi chuan thih hi thlengin kan inbuan dawn a nih hmel. i post tha thin hle mai.
I sawi zawng hre tur hian clinic pan ila Rs200-ah kan inkhung leng lo hrim hrim.
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April 22nd, 2011 at 9:30 pm
Leh lawk Zualbonez zawhna khi chhansak hram teh, a ni hi a lo dam loh emaw a lo kulcho mai chuan Communist kulhpui a chim a ni mai. Han pui vat t’u.
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April 22nd, 2011 at 9:44 pm
Ka chhiar chhuah meuh chuan Duodenal ulcer leh gastric ulcer nei kawp ka ni tlatin ka inhria, a thawhdan khi keimah ah a awm ve ve tlat.
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April 22nd, 2011 at 9:47 pm
tha thin khop mai. Cardio lampang tehi kan om em oo..
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April 22nd, 2011 at 10:07 pm
Exellent post. A va han tha kher ve le. Hetiang lampang post hi a hlu khawp mai. A dang pawh i rawn ziak zel kan beisei e aw.
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April 22nd, 2011 at 10:19 pm
A tangkai thin takzet e. @CFL, midang tana luangchhuak zel turin ka fuih duh che a, tichuan, i thiamna a lo pung zel bawk ang.
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April 22nd, 2011 at 10:19 pm
#21.. ka sawi tur chiah.. a informative khawp mai.. ka save hmaks..
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April 23rd, 2011 at 12:13 am
CFL chu ti tha leh khawp mai,medical terms pawh mizo tawngin i rawn dah tha ta khawp mai,chhawrtu kan tam phah ngei ka ring.cardiovascular,respiratory,urinary diseases te i remchan veleh han share leh thei la a lawmawm zual ngawt ang,mipui tan i thawk tha hle mai.
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April 23rd, 2011 at 1:15 am
dr.CFL treatment a cimetidine saw ila chawh thin a mi,i patients te, chuan omeprazole pawh tun hnai an hmuh chhuah tharah chuan fimkhur tak leh doctor chawh chauh a eitur, mahni a inchawh chawp a ei mai mai loh tur, tih vel anih kha……mizo(all over india) te hi mahni rin thu a, damdawi ei ching kan nia fimkhur hle chu ngai ani…comments a symptoms nei ang a, insawi te pawh, doctor in entir lo in damdawi saw in lo ei tawp ang e, cimetidine saw mipa ho phei kha chuan doctor chawh loh chuan lo ei reng reng suh u
Medical lam post hi tha viau a,mahse fimkhur tak a post a tha, mahni a lo in treat tumhi kan awm leh thin a
Btw good post CFL
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April 23rd, 2011 at 1:40 am
A tha khawp mai.
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April 23rd, 2011 at 4:02 am
tha hle mai,natna tlanglawn deuh han post zel teh u,kan hlawkpui ka ring tlat,comment na atang hian doctor kan rawn mai thei em?remchang viau lo maw,damdawi te min chawh mai zel se la,he2…
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April 23rd, 2011 at 10:05 am
tha lutuk. tui intam hi a pawimawh khawp mai mahse tuiin khan vawi khatah tam deuh ni loin tlemtein inregn a tha, pakhat lehah chuan zopa style i.e chaw puar lung a ei hi pumin ahua e. thang khiuz
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April 23rd, 2011 at 10:13 am
rose10-i hi chuan nileng in tuivawt akhat tawk in a inreng thin..hangover hi chu aw…
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April 23rd, 2011 at 10:33 am
badbawi engnge hangover
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April 23rd, 2011 at 10:34 am
‘Ka thin a thip’ kan ti leh ringawt thin a. Ulcer avanga thip a ni mai lo’ng maw?
#12, zualbonez, *Zu leh zuk leh hmuam vangin
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April 23rd, 2011 at 10:41 am
i puma acid te’n irritation an siam vang a nh kha. ulcer tenau
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April 23rd, 2011 at 10:45 am
rose: mi hi iko duhdah theibik eee hangover maw i tuktin awmdan ang kha
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April 23rd, 2011 at 10:52 am
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April 23rd, 2011 at 1:23 pm
CFL chu post tha thei khawp mai….lo post zel teh khai ! Diet plan lam hi rawn huam thei em aw???
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April 23rd, 2011 at 6:01 pm
CFL., post tha thin e, invenna lam han belh tam lehzual la, kan tangkaipui lehzual ngawtin ka ring.. ‘Tihdam aiin inven a tha zawk’..
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April 23rd, 2011 at 6:03 pm
CFL., post tha thin e, invenna lam han belh tam lehzual la, kan tangkaipui lehzual ngawtin ka ring.. Tihdam aiin inven a tha zawk kha..
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April 23rd, 2011 at 10:59 pm
Post bengvarthlak tak a ni,,,
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