Yu liva de pan denja? Ɔltin bɔt sirosis na di liva insay simpul wɔd dɛn

Di liva na wan ɔgan we rili impɔtant na wi bɔdi, nɔto so? I tan lɛk smɔl faktri na wi bɔdi. Bɔt dis liva kin gɛt sik dɛn bak. Sɔntɛnde yu dɔn yɛri stori lɛk "di liva at", "di liva dɔn pwɛl". Wan pan dɛn kayn siriɔs sik ya na di sik we dɛn kɔl sirosis na di liva. Lɛ wi tɔk bɔt dis smɔl smɔl tide, bikɔs i rili impɔtant fɔ no bɔt dis.

Lɛ wi fɔs luk wetin na sirosis na di liva.

Fɔ tɔk am simpul wan, sirosis na di liva na wan sik we di liva dɔn pwɛl fɔ lɔng tɛm ɛn di liva sɛl dɛn we gɛt wɛlbɔdi dɔn gɛt ska tisu in ples . Jɔs lɛk aw ska kin fɔm na wi skin we wi gɛt wund, if kɔntinyu inflamɛns de na di liva, ɔ wetin wi kɔl epataytis , dis ska tisu kin fɔm as di liva de tray fɔ wɛl insɛf. Bɔt we dis ska tisu bɔku, di liva nɔ kin ebul fɔ wok fayn. dis na di las stej we di liva de fεl sכmtεm (chronic liver failure ).

Difrɛn stej dɛn de we pɔsin kin gɛt sirosis?

Yɛs, sirosis nɔto sɔntin we kin apin wantɛm wantɛm. I de divɛlɔp smɔl smɔl, as tɛm de go.

• Di fɔs stej (Compensated Cirrhosis): Na dis stej, yu liva de wok smɔl, bɔt yu bɔdi kin adap to am, so yu nɔ kin gɛt ɛni big big sayn. Sɔntɛm yu nɔ go ivin no.
• Leta stej (Dikɔmpɛns Sirosis):As di liva de damej, di liva de wok de dכn mכr. Na da tɛm de yu kin bigin fɔ si klia sayn dɛn. Dis na tin we siriɔs smɔl.

Wetin kin apin to di liva ɛn bɔdi bikɔs ɔf sirosis?

Dis ska tisu na di liva de blok di blɔd ɛn ɔksijɛn fɔ flɔ tru di liva. Wetin kin apin da tɛm de?

• Di ebul we di liva ebul fɔ klin di blɔd, prosɛs di tin dɛn we de insay di bɔdi, ɛn filta di pɔyzin dɛn de go dɔŋ.
• di prodakshכn fכ bayl εn imכtant bכdi protin dεm we di liva de prodyuz de dכn.
• dis ska tisu kin kכmprεs di bכdi we de insay di liva. εspεshali we di imכtant vein dεm lεk di pכtal vein sistεm dεn kכmprεs, wan kכndyushכn we dεn k כl pכtal haypatεnsh כn kin apin. Dis na siriɔs tin bak we kin apin to pɔsin we gɛt sirosis.

Aw kɔmɔn tin na sirosis?

Sirosis na wan sik we nɔ kin bɔku. Dɛn kin tek am se na di men tin we kin mek pipul dɛn de na ɔspitul ɛn day, mɔ afta dɛn dɔn ol midul ej. Dis na bikɔs i de bɔku kwik kwik wan. Fɔ ɛgzampul, na Amɛrika, dɛn se lɛk 0.25% pan di big pipul dɛn ɛn lɛk 0.50% pan di big pipul dɛn we ol bitwin 45 ɛn 54 ia gɛt sirosis. Wi nɔ go ebul fɔ ɔndastand dis tin we de apin na Sri Lanka. Sirosis na big wɛl bɔdi prɔblɛm ɔlsay na di wɔl.

Wetin na di sayn dɛm fɔ sirosis na di liva?

Di sayn dɛm fɔ sirosis kin dipen pan aw di sik kin tranga. Na di fɔs tɛm, i nɔ kin gɛt ɛni sayn atɔl. Ɔr kin gɛt sɔm kayn sayn dɛm wae nɔr kin no klia wan wae fiba ɔda sik dɛm. di simptom dεm de sho mכr as di liva fכnshכn de dכn. Fɔ ɛgzampul, sɔm sayn dɛn de we kin apin we di bayl nɔ de flɔ fayn ɛn i kin gɛda na ɔda pat dɛn na di bɔdi.

Wetin na di fɔs sayn dɛm fɔ sirosis?

Na di fɔs tɛm, yu kin si sɔm sayn dɛm lɛk:

• Nɔs ɔ nɔ want fɔ it .
• Taya , taya.
• Malaise na wan jenɛral filin fɔ nɔr wɛl.
• Pen na di ɔp pat na di bɛlɛ, mɔ na di rayt say.
• Spayda angiomas na blɔd vesel dɛm we tan lɛk spayda wɛb na di skin.
• di palm dεm we de rεd (palmar erythema).

Wetin na de sayn dɛm wae de sik de go bifo?

Dɛn kin sheb di simptom dɛm wae de sho as sirosis de go bifo, dɛn kin sheb am to tu kayn: di simptom dɛm wae kin kam wae di liva nɔr de wok fayn ɛn di simptom dɛm wae kin kam wit pɔtal haypatɛnshɔn.

Di sayn dɛm we kin kam bikɔs di liva nɔ de wok fayn:

• We di skin ɛn di yay dɛn yɔlɔ, dɛn kɔl am janda.
• Skin we de it (Pruritus) (we nɔ gɛt klia rash).
• Dak urine ɛn layt stɔl.
• Prɔblɛm fɔ digest, mɔ wit it dɛn we gɛt fat.
• di we aw sכm sכm yכlכ fεt dεm de apin na di skin כ di aylid dεm.
• We yu de lɔs yu wet we yu nɔ ɛksplen ɛn we yu de west yu mɔsul dɛn.
• di ifekt dεm pan di bren fכ wok (Hepatic Encephalopathy) – lεk fכ mεmכri lכs, kכnfyushכn, εn mכd chenj.
• Mɔtal disfɔkshɔn – twitch, trem.
• Irεgulεri dεm na di mεnstral saykl na uman dεm.
• di brεst de big εn di tεstikul shrinkage na man dεm.

Di sayn dɛm wae de kam wit Pɔtal Haypatɛyshɔn:

• Abdominal bloating, wata we de rεtεn (ascites).
• swel na di an, fut, leg ɛn/ɔ fes (ɛdima).
• I izi fɔ blɔd ɛn brus (coagulopathy).
• Fɔ vɔmit blɔd ɔ fɔ pas blɔd na di stɔl.
• di urine autput dכn dכn (i kin bi biכs fכ di krεse kidni fεil).
• I nɔ kin izi fɔ yu fɔ blo (i kin bi bikɔs di we aw yu de blo nɔ de wok fayn).

Wetin na de tin wae kin mek pɔrsin gɛt liva sirosis?

Sirosis na wan sik wae de mek di liva de skata smɔl smɔl bikɔs ɔf inflamɛns we nɔ de dɔn. Ɛni sik we de mek di liva inflamɛns fɔ lɔng tɛm (chronic hepatitis) kin mek pɔsin gɛt sirosis. Sɔm pan di men tin dɛn we kin mek i apin na:

• Alcohol-induced hepatitis: Liva de pwɛl we pɔsin drink pasmak fɔ lɔng tɛm. Pan ɔl we na rɔm na di tin we kin mek pɔsin gɛt sirosis, bɔku tin dɛn de we nɔ kin mek pɔsin gɛt rɔm.
• Nɔn-alcoholic steatohepatitis (NASH): Di damej we nɔ de te we di fat we pasmak na di liva kin mek . I kin kam bikɔs ɔf tin dɛn we de mek pɔsin in bɔdi de wok fayn lɛk we i gɛt bɔku fat na in blɔd, we i gɛt bɔku shuga na in blɔd (lɛk dayabitis), ɛn we i gɛt ay blɔd prɛshɔn.
• Krכnik epataytis C infεkshכn: Epataytis C na vayral infεkshכn. Fɔ bɔku pipul dɛn, i kin bi wan sik we nɔ de mɛn. Naw dɛn kin trit am wit antivayral mɛrɛsin. Bɔt bɔku pipul dɛn nɔ no se dɛn gɛt am.
• Krכnik epataytis B infεkshכn: Epataytis B na vayral infεkshכn bak. Na smɔl pipul dɛm, e kin bi krɛse sik. If na so i bi, na fɔ ɔl in layf. Tritmɛnt de, bɔt dɛn nɔ go ebul fɔ mɛn am ɔl.

Rizin dɛn de bak we mek i nɔ kin bɔku:

• Awtoimyun biliary sik: Sɔm ɔtoimyun sik kin mek di liva inflamɛns fɔ lɔng tɛm. εgzampl dεm na כtoimyun epataytis, praymar biliary cholangitis, εn praymar sklerose cholangitis.
• Jɛnɛtik dizayd: Sɔm sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa kin mek di liva pwɛl bay we i kin mek pɔyzin bɔku na di liva. Sɔm ɛgzampul dɛn na di sik we dɛn kɔl glycogen storage disease, cystic fibrosis, ɛn Wilson disease.
• Pɔyzin epataytis: If pɔsin de pan sɔm pɔyzin dɛn we de na di say we i de fɔ lɔng tɛm ɔ we pɔsin kɔntinyu fɔ yuz sɔm mɛrɛsin dɛn (ivin mɛrɛsin dɛn we de mek pɔsin fil pen we dɛn nɔ de bay) i kin pwɛl di liva.
• Di sik we de ambɔg di liva: di liva we de pwɛl kin kam bak bikɔs ɔf sik dɛn we kin mek blɔd gɛda na di liva (lɛk we at kin pwɛl) ɔ sik dɛn we kin mek blɔd nɔ rich na di liva (lɛk chronic ischemia).

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Yu kin gɛt ay risk fɔ gɛt sirosis na di liva if yu:

• If yu dɔn pas 50 ia.
• If yu gɛt histri fɔ drink pasmak.
• If yu gɛt kronik vayral ɛpatitis infɛkshɔn.
• if yu gεt mεtabolik sεndrכm ( i.e., di kכmbaynshכn כf kכndyushכn dεm lεk כva wet, hεy bכdi prεshכn, hεy bכdi shuga, εn hεy kכlestכl).

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt sirosis?

Bɔrku sayd ɛfɛkt de wae kin kam wit sirosis ɛn pɔtal haypatɛnshɔn.

Di prɔblɛm dɛn we kin apin:

• Fɔ fil sik, taya, ɛn fɔg na yu maynd bikɔs ɔf di pɔyzin we de gɛda na di bɔdi.
• Di imyuniti de dכn, di wund dεm we de hεl delay.
• Swel bikɔs ɔf wata we de lik frɔm di blɔd vesel dɛn.
• Di ɔmon dɛn we nɔ balans ɛn we nɔ de wok fayn.
• Prɔblɛm dɛn we pɔsin kin gɛt we i de digest, we i nɔ de tek di tin dɛn we i nid fɔ it fayn, ɛn we i nɔ de it fayn.
• Smɔl smɔl prɔblɛm dɛn we de apin na di bren we de wok ɛn prɔblɛm wit di kɔntrol we di mɔsul dɛn gɛt.

Siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja:

• di vays na di gεstrointestinal εn di gεstrointestinal bכdi de bכn.
• Spontan baktriyal peritonitis.
• Kidni we nɔ de wok fayn (Hepatorenal syndrome).
• Respiratory failure (Epatopulmonary syndrome) we de mek pɔsin nɔ ebul fɔ blo fayn.
• Liva we nɔ de wok fayn fɔ lɔng tɛm.
• Kansa na di liva.

Aw dɛn kin no se pɔsin gɛt sirosis na di liva?

Dɔktɔ go fɔs chɛk yu bɔdi fɔ chɛk fɔ si if yu gɛt sayn dɛn fɔ sirosis. Dɛn go aks yu kwɛstyɔn bɔt ustɛm yu sik bigin ɛn if dɛn dɔn chenj as tɛm de go. Dɛn go aks bak bɔt yu mɛrɛsin istri, di mɛrɛsin dɛn, ɔyl, ɛn sɔpɔtmɛnt dɛn we yu de tek, di it we yu de it, ɛn di we aw yu de liv yu layf. Dɛn go luk fɔ sayn dɛm fɔ di liva sik ɔr liva dɔn pwɛl.

Na da tɛm de nɔmɔ dɛn go du mɛdikal tɛst fɔ no if sirosis de. Dɛn tin ya kin bi:

• Blɔd tɛst dɛn:Tεst fכ di liva fכnshכn kin sho sayn dεm fכ di liva sik εn di liva fεil. dis dεm de mכsu tin dεm lεk di liva εnzym dεm, protin, εn bilirubin lεvεl. Blɔd tɛst kin sho bak tin dɛn lɛk we blɔd nɔ de klɔt.
• Imej test: Test lεk abdominal ultrasound, CT scan, כ MRI kin sho di saiz, shep, εn kondishכn fכ di liva. wan spɛshal imej tɛst we dɛn kɔl ɛlastografi kin no if di liva stif ɔ if i gɛt fibrosis.
• Liva bayɔpsi: Dis na smɔl tin we dɛn kin du. Dɛn kin tek smɔl sampul pan di tisu frɔm di liva ɛn chɛk am na lɛbɔtri. Dɛn kin tek dis sampul bay we dɛn de yuz nidul we gɛt ol. Pan ɔl we nɔto ɔltɛm i nid fɔ du am, bayɔpsi kin ɛp fɔ no if pɔsin gɛt sirosis ɛn sɔntɛm fɔ no di tin we mek i gɛt sik.

Yu tink se dɛn kin chenj ɔ mɛn di sik we dɛn kɔl sirosis na di liva?

Bɔt i pɔsibul fɔ stɔp ɔ kɔntrol di we aw sirosis de go bifo . I kin dipen pan wetin mek yu gɛt di sik, aw dɛn kin trit am fayn, ɛn aw yu kin du wɛl to tritmɛnt.

Aw dɔktɔ dɛn kin trit sirosis?

Di tritmɛnt fɔ sirosis na:

• If i pɔsibul, kɔntrol wetin de mek di sik kam (ridyus ɔ stɔp di damej).
• Simpul chenj dεm na di it εn layf stεyl fכ ridyus di strεs pan di liva.
• Manejmɛnt ɔ skreynin fɔ kɔmplikeshɔn dɛn we gɛt fɔ du wit sirosis.
• As las tin, fɔ transplant liva .

Fɔ trit di tin we mek i apin

Sɔm liva sik dɛn kin trit wit mɛrɛsin. Fɔ ɛgzampul, antivayral kin mɛn kronik epataytis C, bɔt krɛse epataytis B kin jɔs kɔntrol (nɔto fɔ mɛn). Kɔtikosterɔyd ɛn immunosuppressant kin ɛp fɔ kɔntrol sɔm ɔtoimyun sik dɛn.

If rɔm ɔ ɔda pɔyzin dɔn pwɛl di liva, di wangren tritmɛnt na fɔ pul dɛn pɔyzin dɛn de na yu layf. Sɔm pipul dɛn kin nid bak fɔ gɛt tritmɛnt fɔ di sik we dɛn kɔl sɔbstans disɔda. If di liva dɔn pwɛl bikɔs ɔf tin dɛn we nɔ gɛt rɔm (lɛk NASH), fɔ kɔntrol di tin dɛn we de mek di bɔdi wok lɛk kɔlɔstrel, blɔd shuga, ɛn di wet we pasmak kin ɛp.

Fɔ it ɛn di we aw pɔsin de liv in layf

Ivin if na ɔda tin mek yu gɛt yu liva sik, if yu nɔ drink rɔm ɛn drɔgs we go ambɔg di liva, dat go ɛp fɔ protɛkt yu liva fɔ lɔng tɛm. So kin bi di mɛtabolik strɛs. Dɔktɔ dɛn se ɛnibɔdi we gɛt ɛni kayn liva sik fɔ it fayn it ɛn tray fɔ gɛt wɛlbɔdi wet. Sɔm pipul dɛn kin nid bak fɔ tek tin dɛn we dɛn kin it fɔ sɔlv di prɔblɛm dɛn we dɛn kin gɛt.

Tritmɛnt fɔ di prɔblɛm dɛn we kin apin

Wae yu dɔktɔ dɔn no se yu gɛt sirosis, dɛn go chɛk bak fɔ di kɔmɔn sayd ɛfɛkt dɛm. Pɔtal haypatɛnshɔn na di sayd ɛfɛkt we dɛn kin gɛt mɔ. I gɛt in yon prɔblɛm dɛn bak, ɛn ɛni wan pan dɛn tin ya nid fɔ gɛt patikyula tritmɛnt.

Yu kin nid tin dɛn lɛk:

• Wan smɔl tin we dɛn kin du fɔ sial wan vein we de blɔd.
• Blɔd transfyushɔn fɔ mek di blɔd sɛl dɛn gɛt bak.
• Kidni dayalaysis.
• Ɔksijɛn tɛrapi.
• Paracentesis ɛn antibayɔtik fɔ pul wata na di bɛlɛ (ascites).
• Laksativ dεm de εp fכ abzכp εn kכl di tכxin dεm na di it.

Kansa na di liva

Hepatocellular carcinoma na ɔda denja kɔmplikeshɔn fɔ sirosis. Nɔto ɔlman we gɛt sirosis go gɛt liva kansa, bɔt bɔku pipul dɛn we gɛt liva kansa kin gɛt sirosis. If kansa kam wit sirosis, dɛn kin gi kansa tritmɛnt lɛk redyushɔn ɔ kemotɛrapi. Ɔ, yu dɔktɔ kin disayd se fɔ transplant yu liva na di bɛst tin fɔ du.

Liva Transplant we dɛn de transplant

Dɔktɔ dɛn kin se yu fɔ transplant yu liva we dɛn tink se yu wɛlbɔdi go wɔs if yu nɔ transplant yu. Dis kin bi if yu gɛt aktif liva fayl, yu gɛt liva kansa, ɛn/ɔ yu nɔ de ansa tritmɛnt fɔ yu liva sik. If yu fit fɔ gɛt liva transplant, dɛn go put yu pan wan nashɔnal wet list.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt sirosis?

Bɔku tɛm dɛn kin mek di liva sik nɔ go bifo to sirosis bay we dɛn du sɔntin kwik kwik wan . I dipen pan if yu no bɔt am ɛn us step yu kin du fɔ mek yu nɔ gɛt am. Bikɔs bɔku pipul dɛn nɔ kin gɛt di sik we dɛn kin gɛt fɔs, dɛn kin no am we dɛn de chɛk dɛn wɛlbɔdi ɔltɛm. Dis kin gi yu chans fɔ mek impɔtant chenj ɔr bigin tritmɛnt.

Di liva kin wɛl afta sirosis?

Wae yu gɛt sirosis, yu liva nɔr kin bɛtɛ. Bɔt i nɔ kin rili wɔs bak . If yu stil gɛt di sayn dɛm (compensated cirrhosis), yu kin de da we de fɔ sɔm tɛm. If yu kin stɔp ɔ ridyus di inflamɛns we kin mek pɔsin gɛt sirosis, di sik nɔ kin go bifo te i rich di stej we i nɔ de kɔmpɛns. Bɔt yu go gɛt fɔ kia fɔ yu liva fɔ di res ɔf yu layf.

Wetin na de layf wae yu de liv wit sirosis?

Di layf we pɔsin kin liv we i de liv wit sirosis kin difrɛn difrɛn wan bay bɔku tin dɛn:

• Di kayn we aw di sik siriɔs (we dɛn kɔmpɛns ɔ dɛn dɔn kɔmpɛns am).
• Di kɔmplikeshɔn dɛn we yu de gɛt.
• Sɔvayv ɛn sakrifays fɔ di tritmɛnt dɛn.
• Yu ɔl wɛl bɔdi ɔ if yu gɛt ɛni ɔda sik.

Dɔktɔ dɛn kin yuz skɔring sistɛm lɛk di Child-Turcotte-Pugh (CTP) sistem ɛn di Model for End-Stage Liver Disease (MELD) fɔ asɛs yu kɔndishɔn ɛn fɔ no usay yu de na di liva transplant wet list.

insay di fכs stej dεm fכ ``kכmpεnsεt sirosis``, di layf εkspεktεns kin pas 15 ia. we di pכtal haypatεnshכn de divεlכp, i de ridyus di layf εkspεktεns bikoz fכ di risk fכ intanεt bכdi. di avrej layf εkspεktεns fכ ``dekompεnsεt sirosis`` na bכt sεvin ia. Dis tɛm kin ivin shɔt bikɔs ɔf siriɔs, sik dɛn we nɔ kin mɛn ɛn ɔda prɔblɛm dɛn. Fɔ sɔm pipul dɛn, i kin pas tu ia. Bɔt i impɔtant fɔ mɛmba se dɛn statystik ya nɔto di sem fɔ ɔlman.

Aw a kin tek kia ɔf misɛf we a de liv wit sirosis na di liva?

Dɛn tin ya kin ɛp fɔ mek yu liva liv lɔng:

• It tin dɛn we gɛt wɛlbɔdi, we ful-ɔp ɛn it tin dɛn we nɔ gɛt bɛtɛ prɔtin .
• Nɔ drink rɔm, tabak, ɛn mɛrɛsin dɛn we yu nɔ tek dɔktɔ advays as yu ebul.
• Tek mɛrɛsin dɛn jɔs lɛk aw yu dɔktɔ tɛl yu. Tɔk to yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek.
• Nɔ mis di mɛdikal tɛst ɛn skrinin we dɛn dɔn sɛtul fɔ si if yu gɛt prɔblɛm dɛn.