Nusi wòle be nànya tso aklãdɔ si me ami le ŋu! 🧠 ƒe nya

Suneth (ƒe 45) va nye atikewɔƒe le Braɖa si va yi me kple tɔtɔ. Suneth nye gadzraɖoƒedzikpɔla si menoa aha kura o eye wòwɔa eƒe dɔ nyuie. Gake le eƒe ƒe sia ƒe ƒe atikewɔlawo ƒe dodokpɔ me la, eƒe aklã me enzymes (AST/ALT) sɔ gbɔ ŋutɔ, eye ƒodo ƒe ultrasound scan ɖee fia be aklã si me ami le vevie le eŋu.

"Ðɔkta Priya, nyemeno aha ɖeka pɛ hã le nye agbe me kpɔ o. Aleke nye aklã ate ŋu ayɔ fũ kple ami eye aklãdɔ nadze ŋunye? Nyemate ŋu asusu esia gɔ̃ hã o," Suneth bia kple gbe si vɔvɔ̃ ɖo.

Meɖe eme na Suneth tufafatɔe. "Suneth, menye wò ɖeɖeko o, ke boŋ ame geɖe le Sri Lanka susu be ne èno aha ko hafi aklãdɔ dzɔna. Gake amesiwo menoa aha o gɔ̃ hã ateŋu axɔ ami le woƒe aklã me. Le atikewɔwɔ me la, míeyɔa esia be Non-alcoholic Fatty Liver Disease (NAFLD) . Woyɔa eƒe akpa si nu sẽ wu eye wòxɔa dzo wu be Non-alcoholic Steatohepatitis (NASH) . Egbea, mina míaƒo nu." tso esia ŋu le nya bɔbɔewo me."

🚨 Aflaga Dzĩ siwo hiã be woakpɔ egbɔ enumake

Togbɔ be NASH mate ŋu ahe dzesi aɖeke vɛ le eƒe gɔmedzedze o hã la, dzesi siwo gbɔna ate ŋu adze ne eyi ŋgɔ va ɖo aklã ƒe dɔmawɔmawɔ nyuie vevie. Le nɔnɔme mawo me la, ehiã be woaxɔ ame ɖe kɔdzi enumake:

• Ŋutilã ƒe ɣie kple ŋku ƒe ɣie (jaundice).
• Ascites nye nɔnɔme si me ƒodoa vuvu eye wòkekena le tsi si ƒoa ƒu ɖe ƒodo ƒe akpa si le ete kple akɔta le mɔ si mesɔ o nu ta.
• Ʋu dzĩ dodo alo aɖuɖɔ yibɔ, si me aŋɔ le (si nye ʋu si le dodom le ememe ƒe dzesi).
• Alɔ̃dɔdɔ si gbɔ eme ƒe seselelãme enuenu, nuƒoƒo gɔmesese ƒe ŋutete manɔamesi, alo tɔtɔ sesẽ (Hepatic Encephalopathy).
• Abi alo ʋu si dona le ŋutigbalẽa ŋu bɔbɔe.

Vovototo kae le NAFLD kple NASH dome?

Woate ŋu ama aklãdɔ si me ami le le amesiwo menye ahatsunola o me ɖe akpa vevi eve me:

1. Simple Fatty Liver (NAFLD): Le nɔnɔme sia me la, togbɔ be ami nɔa aklã me hã la, megblẽa nu le aklã me lãmenugbagbeviwo ŋu alo mexɔa dɔ o. Zi geɖe la, esia mehea kuxi sesẽwo vɛ o.
2. Non-alcoholic steatohepatitis (NASH): Esia nye dɔléle sesẽ aɖe ŋutɔ. Le nɔnɔme sia me la, ami si sɔ gbɔ ɖe aklã me nana aklã me lãmenugbagbeviwo xɔa dzo eye wogblẽna. Esia hea nuwɔna aɖe si woyɔna be fibrosis vɛ, si nana abi nɔa aklãa me. Ne womewɔ atike na esia o la, ate ŋu ana ame naxɔ aklãdɔ, si nye dɔléle si me aklãa sesẽna keŋkeŋ eye wòdzudzɔa dɔwɔwɔ.

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Nu vevi siwo gbɔ NASH tsona kple afɔku siwo le eme

Lãmetsiŋusẽ ƒe nya siwo le ŋutilãa me nana ami ƒoa ƒu ɖe aklãa me madzemadzee. Nu vevi siwo kpɔa ŋusẽ ɖe esia dzie nye:

• Central Obesity: Ami si ƒoa ƒu ɖe ƒodoa ŋu fũ akpa.
• Suklidɔ Ƒomevi 2: Mete ŋu ɖua sukli ƒe agbɔsɔsɔ le ʋu me dzi nyuie o.
• Insulin ƒe Tsitretsitsi: Lãmenugbagbeviwo ƒe ŋutete be woazã lãmetsi si nye insulin nyuie o.
• Ami si sɔ gbɔ ɖe ʋu me: Lãmetsiŋusẽ kple triglycerides ƒe agbɔsɔsɔ si dzina ɖe edzi.
• Nuɖuɖu ƒe nɔnɔme gbegblẽwo: Nunono siwo wotsɔ asi wɔe, nuɖuɖu siwo woɖana kabakaba, kple nuɖuɖu siwo me starch sɔ gbɔ ɖo nono enuenu.

Alesi woawɔ anya dɔléleae

Ðɔktawo wɔa dodokpɔ siwo gbɔna tsɔ léa ŋku ɖe NASH ƒe anyinɔnɔ ŋu hã:

• Ʋudodokpɔ (Aklã ƒe Dɔwɔwɔ Dodokpɔwo - LFT): Dzidze aklã me enzyme ƒe agbɔsɔsɔ (ALT, AST).
• Ultrasound Scan: Ekpɔa ami le aklãa me kple ŋku.
• FibroScan: Dodokpɔ bɔbɔe aɖe si wotsɔ dzidzea aklã ƒe abi (fibrosis) kple eƒe sesẽ.
• Liver Biopsy: Dodokpɔ si xɔa aklã ƒe akpa sue aɖe tsɔ ɖoa ​​kpe dɔlélea dzi pɛpɛpɛ wu.

Egbɔkpɔnu siwo woatsɔ aɖu NASH dzi eye woakpɔ aklã ta

Togbɔ be atike tɔxɛ siwo woŋlɔ na NASH koŋ mesɔ gbɔ o hã la, agbenɔnɔ ƒe tɔtrɔ ate ŋu akpe ɖe ame ŋu wòatrɔ aklã me ami keŋkeŋ:

1. Ðe wò lolo dzi kpɔtɔ (egbɔkpɔnu vevitɔ):

Ne èɖe wò kpekpeme si nèle fifia ƒe 7% va ɖo 10% dzi kpɔtɔ vivivi la, àte ŋu aɖe ami kple abi si le aklã me ɖa keŋkeŋ kloe.