Aw ka kan ka min dɔn sugunɛbilenni bana kan! 🧠

Suneth (san 45) nana n ka dɔgɔtɔrɔso la karidon tɛmɛnen na, a hakili ɲagamina. Suneth ye banki ɲɛmɔgɔ ye min tɛ dɔlɔ min fewu, wa a b’a ka baara kɛ ka ɲɛ. Nka, a ka san o san dɔgɔtɔrɔso lajɛ senfɛ, a ka sugunɛbaralabana (AST/ALT) tun ka ca kosɛbɛ, wa kɔnɔbara sɛgɛsɛgɛli y’a jira ko sugunɛ tuluma jugumanba b’a la.

"Dɔgɔtɔrɔ Priya, ne ma deli ka dɔlɔ kelen min ne ka ɲɛnamaya kɔnɔ. Cogo di ne sugunɛ bɛ se ka fa tulu la, ka sugunɛbana sɔrɔ? Ne yɛrɛ tɛ se ka miiri nin na," Suneth ye ɲininkali kɛ ni sirankan ye.

N y’a ɲɛfɔ Suneth ye ni hakilisigi ye. "Suneth, e dɔrɔn tɛ, nka Sri Lanka mɔgɔ caman b'a miiri ko sugunɛbana bɛ sɔrɔ dɔrɔn ni i ye dɔlɔ min. Nka hali mɔgɔ minnu tɛ dɔlɔ min, olu bɛ se ka tulu sɔrɔ u sugunɛ na. Furakɛcogo la, an bɛ nin wele ko sugunɛbilenni min tɛ dɔlɔ ye (NAFLD) . A taabolo min ka jugu kosɛbɛ ani min bɛ funu, o bɛ wele ko dɔlɔ tɛ min na, o bɛ wele ko Steatohepatitis (NASH) min tɛ dɔlɔ ye . Bi, an ka kuma." nin ko in kan ni kuma nɔgɔmanw ye."

🚨 Darapo bilenman minnu ka kan ka taa dɔgɔtɔrɔso la joona

Hali ni NASH tɛ se ka taamasiɲɛ si lase mɔgɔ ma a daminɛ na, nin taamasiɲɛ ninnu bɛ se ka bɔ ni a taara ɲɛ fo ka se sugunɛbilenni jugumanba ma. O cogo la, a ka kan ka don dɔgɔtɔrɔso la joona:

• Fari jɛman ni ɲɛ jɛman (jaundice).
• Ascite ye bana ye min kɔnɔbara bɛ funu ani ka bonya ka a sababu kɛ ji caman dalajɛli ye kɔnɔbara duguma ni kɔkolo la cogo la min tɛ bɛn.
• Joli bilenman fɔɔnɔ walima banakɔtaa nɛrɛmuguma, gundolata (kɔnɔna joli bɔli taamasiɲɛ).
• A bɛ to ka sunɔgɔ kojugu, a tɛ se ka kuma faamuya, walima a bɛ hakili ɲagami kosɛbɛ (Hepatic Encephalopathy).
• Kurukuru walima joli bɔli nɔgɔya fari la.

Danfara jumɛn bɛ NAFLD ni NASH cɛ?

Sugunɛbilenni tuluma mɔgɔ minnu tɛ dɔlɔminna ye, olu bɛ se ka tila yɔrɔba fila ye:

1. Simple Fatty Liver (NAFLD): Nin bana in na, hali ni tulu bɛ bila sugunɛ na, tiɲɛni walima funu tɛ sugunɛbilenni na. A ka ca a la o tɛ gɛlɛya jugumanba lase mɔgɔ ma.
2. Sugunɛbilenni min tɛ dɔlɔ ye (NASH): Nin ye bana juguba ye. Nin bana in na, tulu tɛmɛnen sugunɛ na, o bɛ kɛ sababu ye ka sugunɛbilenniw funu ani ka u tiɲɛ. O bɛ kɛ sababu ye ka fɛɛrɛ dɔ sɔrɔ min bɛ wele ko fibrose, o bɛ kɛ sababu ye ka ŋɛɲɛ bila sugunɛ na. Ni a ma furakɛ, o bɛ se ka kɛ sababu ye ka sirozi bila mɔgɔ la, o ye bana ye min na sugunɛ bɛ gɛlɛya pewu ani ka baara dabila.

NASH sababuba ni farati minnu bɛ a la

Farikoloɲɛnajɛko gɛlɛyaw bɛ kɛ sababu ye ka tulu caman dalajɛ sugunɛ na kun tɛ. Fɛn minnu bɛ nɔ bila o la, olu kunbabaw ye:

• Fasa cɛmancɛ la: Tumu caya kojugu kɔnɔbara lamini na.
• Sukarodunbana suguya 2: Se tɛ ka sukaro hakɛ kunbɛn ka ɲɛ.
• Insuline (insuline resistance): O ye farikolokisɛw ka se ka baara kɛ ni insuline hormone ye ka ɲɛ.
• Joli tuluma caman : A bɛ dɔ fara kolosinsinnan ni triglycérides hakɛ kan.
• Dumuni kɛcogo jugu: Minfɛn duman dilannenw, dumuni teliyalenw ani dumuni minnu nafa ka bon, olu dunni tuma caman.

Bana in sɛgɛsɛgɛcogo

Dɔgɔtɔrɔw bɛ nin sɛgɛsɛgɛli ninnu kɛ walasa ka NASH sɔrɔli lajɛ:

• Joli sɛgɛsɛgɛli (Sugunɛ baarakɛcogo sɛgɛsɛgɛli - LFT): Aw bɛ sugunɛbilenni anzimu hakɛ jateminɛ (ALT, AST).
• Ultrasound Scan: A bɛ tulu sɔrɔ sugunɛ na ni ɲɛ ye.
• FibroScan : Sɛgɛsɛgɛli nɔgɔman min bɛ kɛ ka sugunɛbilenni (fibrose) ni a gɛlɛyali suman.
• Sugunɛbilenni : Sɛgɛsɛgɛli min bɛ sugunɛ yɔrɔ fitinin dɔ ta walasa ka bana in sɛgɛsɛgɛ ka ɲɛ.

Fura minnu bɛ kɛ ka NASH kunbɛn ani ka sugunɛ tanga

Hali ni fura kɛrɛnkɛrɛnnen minnu sɛbɛnna kɛrɛnkɛrɛnnenya la NASH kama, olu dan ye, ɲɛnamaya kɛcogo caman yeli bɛ se ka sugunɛ tulu kɔsegin pewu:

1. Aw bɛ aw farikolo girinya dɔgɔya (furakɛli kunba): .

Ni aw ye aw ka sisan girinya 7% ni 10% bɔ dɔɔni dɔɔni, aw bɛ se ka tulu ni funu bɔ sugunɛ na pewu.

2. Dumuni nafama dunni:

• Aw bɛ aw yɛrɛ tanga dumuniw ma minnu kɔnɔ fruktose bɛ sɔrɔ : Fruktose sukaro min bɛ sɔrɔ minfɛn duman dilannenw na, soda, bisiki dumuni dumanw ani jiridenji bidonw na, o bɛ wuli ka kɛ tulu ye sugunɛ na.
• Aw bɛ tulumafɛn ɲumanw sɔrɔ: Aw bɛ tulumafɛnw don aw ka dumuni na, i n’a fɔ oliviyetulu, nɔnɔ ani jɛgɛ.

3. Don o don farikoloɲɛnajɛ:

Ni aw bɛ farikoloɲɛnajɛ kɛ miniti 150 la dɔgɔkun kɔnɔ (miniti 30 tile kɔnɔ, tile 5 dɔgɔkun kɔnɔ) i n’a fɔ taama walima wotoro boli, o bɛ dɔ fara inisɔndiya kan sugunɛ na ani ka tulu jeni dɛmɛ.

Do's & Don'ts ka kɛ

Dɔnniya sɔrɔyɔrɔw (References) .

• 📚 Sugunɛbilenni min tɛ dɔlɔ ye (NAFLD) - NHS
• 📚 Stɛatohepatitis min tɛ dɔlɔ ye: Faratiw, taamasiɲɛw, ani furakɛli lajɛ kura bɛɛ lajɛlen - PMC