Lɛ wi lan mɔ bɔt sirosis: di ɛnimi we nɔ de tɔk na di liva!

Wi kin tɔk bɔt bɔku ɔgan dɛn na wi bɔdi, nɔto so? At , kidni... Bɔt wi kin tink bɔt di liva so? Di liva tan lɛk big faktri na wi bɔdi. I de du in wok kwayɛt wan. Bɔt we dis liva bigin fɔ pwɛl, di sik we dɛn kɔl sirosis kin siriɔs smɔl. Dis nɔto sɔntin we kin apin wantɛm wantɛm, bɔt na sɔntin we kin apin smɔl smɔl fɔ lɔng tɛm. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin rili na sirosis?

Fɔ tɔk am simpul wan, sirosis na we di liva sɛl dɛn we gɛt wɛlbɔdi de tek ska tisu in ples. Tink bɔt am dis we, jɔs lɛk aw skata kin fɔm we wi kɔt wi skin, we di liva kin kɔntinyu fɔ pwɛl, i kin tray fɔ wɛl insɛf. dis ska tisu de fכm di tεm we dis prכsεs de. As dis skata de bɔku, di liva nɔ kin ebul fɔ du in nɔmal wok dɛn igen, lɛk fɔ filta di pɔyzin dɛn we de na di blɔd, fɔ mek ɛnzaym dɛn we de ɛp fɔ dayjɛst it, ɛn fɔ kip ɛnaji.

Di liva na tin we de wok na wi bɔdi. Wi nɔ go ebul fɔ liv if wi nɔ gɛt am. So, e fayn fɔ no bɔt dis sik.

Wetin na di sayn dɛm fɔ sirosis?

Di big prɔblɛm ya na dat, nɔr simptom nɔr de na di fɔs stej . Sɔmtɛm yu nɔ go notis ɛnitin te lɛk 75% pan di liva dɔn pwɛl. Bɔt we di sik kin tranga smɔl, yu kin bigin fɔ notis sɔm chenj dɛn.

Wetin na di men tin wae kin mek pɔrsin gɛt sirosis?

Sirosis kin kam ɔltɛm bikɔs ɔf ɔda sik ɔr prɔblɛm wae kin afɛkt di liva. Bɔku men tin dɛn de we kin mek pɔsin gɛt dis sik.

• Disɔda fɔ drink rɔm: Dis na de tin wae kin mek pɔrsin nɔr de drink pasmak. If yu drink bɔku rɔm fɔ lɔng tɛm, dat kin pwɛl yu liva bad bad wan.
• Metabolic fatty liver disease (MASLD): Dɛn bin de kɔl dis fɔs nɔ-alcoholic fatty liver disease. Kɔndishɔn lɛk dayabitis, fat, ay kɔlɔstrel, ɛn ay blɔd prɛshɔn kin mek fat bɔku na di liva, we kin mek i gɛt sirosis. Dis sik dɔn rili kɔmɔn naw na Sri Lanka.
• Epataytis B ɛn C infɛkshɔn (Epataytis B & C):Dɛn tu vayral infɛkshɔn ya kin mek di liva inflamɛns fɔ lɔng tɛm ɛn i kin mek pɔsin gɛt sirosis.
• Ɔda rizin dɛn:
• sכm jεnεtik sik dεm (e.g. Wilson in sik, hεmokromatosis).
• Sik dεm we de atak di liva bikoz fכ prכblεm wit di imyun sistεm (Autoimmune hepatitis).
• Siriɔs riakshɔn to sɔm mɛrɛsin dɛn.
• di bayl dakt dεm we de blok.

Aw dɔktɔ kin no dis?

We yu go to yu dɔktɔ, i go aks yu bɔt di sik dɛn we yu gɛt, aw yu de drink rɔm, ɛn yu famili mɛdikal histri. Dɔn dɛn go chɛk yu bɔdi, mɔ yu bɛlɛ.

Apat frɔm dat, dɛn kin du dɛn tɛst ya:

• Blɔd tɛst: Chɛk di liva fɔ wok, chɛk di liva ɛnzaym lɛvɛl, bilirubin lɛvɛl, ɛn ɔda tin dɛn.
• Imej tɛst: Ɔltra saund skan ɔ MRI skan kin chɛk aw di liva de, in saiz, ɛn if ska tisu de.
• Liva Bayopsi: Sɔntɛnde, fɔ kɔnfɔm di diagnosis ɛn fɔ no di rayt say we di damej, dɛn kin tek wan rili smɔl tisu frɔm di liva bay we dɛn yuz smɔl nidul ɛn chɛk am.

Aw dɛn kin trit am?

Bɔt i sɔri fɔ no se di damej we di liva kin gɛt we sik we dɛn kɔl sirosis kin kam bak, nɔ kin ebul fɔ chenj am kpatakpata. Bɔt tritmɛnt dɛn de fɔ stɔp mɔ damej ɛn kɔntrol di prɔblɛm dɛn we kin apin. Di tritmɛnt kin dipen pan wetin mek di sik de kam ɛn aw di sik kin tranga.

Men gol dɛm fɔ tritmɛnt

1. Fɔ trit di tin we mek i apin:

• If na bikɔs ɔf rɔm: Yu fɔ stɔp fɔ drink rɔm kpatakpata . Fɔ dis, yu dɔktɔ go rifer yu to wan fayn advays savis ɔ tritmɛnt program.
• If na bikɔs ɔf epataytis: Dɛn kin gi antivayrɔs drɔgs fɔ kɔntrol di vayrɔs.
• If fat de na di say we yu de , i impɔtant fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi, yu fɔ du ɛksɛsayz, yu fɔ kɔntrol di it dɛn we yu de it, ɛn fɔ kɔntrol yu bɔdi we gɛt dayabitis ɛn kɔlɔstrel.

2. Tritmɛnt fɔ di prɔblɛm dɛn we kin apin:

• Fɔ ascites: Dɛn kin advays yu fɔ it tin dɛn we de mek yu gɛt wata ɛn it we nɔ gɛt bɔku sɔl.
• Varicose veins: Di tritmɛnt inklud mɛrɛsin ɔ bandej tru ɛndoskopi fɔ mek blɔd nɔ kɔmɔt.
• Ɛnsɛfalɔpati: Dɛn kin gi mɛrɛsin fɔ ridyus di pɔyzin we de na di blɔd.

3. Fɔ Transplant Liva:

If di liva fεl kכmplit (liva fεil), di las opshכn na fכ hεlty liva transplant. Pan ɔl we dis na big ɔpreshɔn, i kin bi di bɛst sɔlv fɔ sev yu layf.

Aw yu go tek kia ɔf yusɛf?

Apat frɔm tritmɛnt, chenj na yu layf rili impɔtant.

• Stɔp fɔ drink rɔm kpatakpata: Nɔ drink ivin wan drop.
• It fayn it: Rid sɔl, ɔyl, ɛn shuga. It tin dɛn we gɛt bɔku prɔtin lɛk vɛjitebul, frut, ligɛm, mit we nɔ gɛt bɛtɛ bɔdi, ɛn fish. Nɔ it tin dɛn lɛk raw shelfish.
• Ɛksesaiz: Tɔk to yu dɔktɔ ɛn mek ɛksesaiz plan we go fayn fɔ yu.
• Tek tɛm wit mɛrɛsin: Nɔ tek ɛni pen kil (e.g. Panadol, Aspirin, Ibuprofen) ɔ ɛni ɔda mɛrɛsin, ivin ɛbul prodak, we yu nɔ go to yu dɔktɔ. Dɛn tin ya kin tranga fɔ di liva fɔ prosɛs ɛn kin mek di sik wɔs.
• Gɛt vaysin: Bikɔs yu imyun sistɛm kin wik, gɛt vaysin agens epataytis A, B, nyumonia, ɛn di kɔmɔn kol (flu).