Yu don eva yehri boht 'Fatty Liver'? Sɔntɛm i bin de na yu skan ripɔt ɛn yu bin de fred. Bɔku pipul dɛn kin tink se dis na sik we rili denja. Bɔt wetin rili na dis fat we de gɛda na di liva? Na sɔntin we wi fɔ fred? Lɛ wi tɔk bɔt ɔltin frɔm di biginin, rili simpul wan.
Wetin na Steatotic Liva Disease?
Fɔ tɔk am simpul wan, dis na di we aw fat ɔ ɔyl kin gɛda insay yu liva. Dɔktɔ dɛn kin kɔl dis ‘steatosis’. Ivin liva we gɛt wɛlbɔdi ɛn we de wok fayn, gɛt smɔl fat. Dat na nɔmal tin. bכt if dis fεt we de kכmכt pas 5% pan di liva in wet, na de di prכblεm de bigin.
Tink bɔt am lɛk di paip we de na wi kichin sink. I nɔ bad if smɔl wata go insay. Bɔt if ɔyl gɛda ɛn stɔp na di paip, dat na prɔblɛm, nɔto so? Na so di fat we pasmak kin gɛda na di liva.
Wetin mek dɛn chenj di nem ‘Fatty Liver Disease’ to ‘Steatotic Liver Disease’?
Trade, wi ɔl bin de kɔl dis kɔndishɔn ‘Fɛti Liva’. Bɔt insay 2023, pipul dɛn we sabi bɔt mɛrɛsin bin kam togɛda ɛn disayd fɔ chenj dis nem. Tu men rizin dɛn bin de fɔ dat.
1. Ɛksplen di rizin: We pipul dɛn yɛri di wɔd ‘Fɛti Liva’, bɔku pipul dɛn kin tink se dis kin apin to pipul dɛn nɔmɔ we fat. Bɔt nɔto dat na di tru. Fat kin gɛda bak na di liva fɔ bɔku ɔda rizin dɛn we nɔ gɛt natin fɔ du wit di bɔdi wet. Di nyu nem de gi mɔ kɔrɛkt aidia bɔt di difrɛn tin dɛn we kin mek dis apin.
2. Put di stigma and shem: Di wod ‘Fatty’ kin bi likl stigma and shem fo fat pipul. I bɛtɛ fɔ lɛ yu nɔ yuz wɔd dɛn we de mek yu fil da we de we yu de tɔk bɔt mɛrɛsin, nɔto so? Na dat mek dɛn chenj di nem.
Wetin na di men kayn liva we gɛt fat?
Dɔktɔ dɛn kin sheb di liva we gɛt fat to difrɛn men kayn dɛn dipen pan di tin we mek i gɛt am. Lɛ wi si wetin dɛn bi. Fɔ mek i izi fɔ ɔndastand dis, a go mek wan smɔl tebul fɔ yu.
| Tayp fɔ sik (Type of SLD) . | Simpul ɛksplen |
|---|---|
| Liva sik we pɔsin kin gɛt we i de drink rɔm (ALD) . | Di men rizin fɔ dis naFɔ drink rɔm pasmak. As di liva de prosɛs di rɔm, i de pwɛl di liva sɛl dɛn. We yu kɔntinyu fɔ drink rɔm pasmak, di liva nɔ kin ebul fɔ mek dis damej ɛn i kin bigin fɔ gɛda fat. |
| Mεtabolik sεndrכm (MASLD) . | Dɛn bin de kɔl dis sik we dɛn kɔl non-alcoholic fatty liver disease. Na ya, di fat we de na di liva nɔto bikɔs ɔf rɔm, bɔt na bikɔs ɔf di tin dɛn we kin mek pɔsin gɛt prɔblɛm wit in at lɛk dayabitis, fat, ay blɔd prɛshɔn, ɛn ay kɔlɔstrel . |
| Mεtabolik sεndrכm (MASH) . | Dis na wan mɔr siriɔs we fɔ di MASLD kɔndishɔn we wi bin dɔn tɔk bɔt. Wetin kin apin ya na dat di fat kin gɛda na di liva, we kin mek di liva swel ɛn inflam. Dɔn di liva tisu kin bigin fɔ pwɛl ɛn gɛt skata. |
| MASLD ɛn fɔ yuz rɔm pasmak (MetALD) . | Dis kin apin we pɔsin gɛt di mɛtabolik risk factor dɛm we wi bin dɔn tɔk bɔt (e.g. dayabitis) ɛn i kin drink tumɔs rɔm bak. Na ya, dɛn tu tin ya kin jɔyn fɔ pwɛl di liva. |
| Ɔda kayn we dɛn fɔ gɛt SLD | Sɔm mɛrɛsin ɛn ɔda sik dɛn kin mek bak di fat bɔku na di liva. Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni klia rizin . dis dεn kכl am 'Cryptogenic SLD'. |
Yu tink se dis rili na siriɔs prɔblɛm?
Bɔrku tɛm, di fɔs fat liva sik nɔ kin kam wit ɛni big prɔblɛm, ɛn i nɔ kin ambɔg di nɔmal wok we di liva de du.
Bɔt dis na sɔntin we dɛn fɔ tek tɛm tink bɔt, lɛk ‘wɔnin signal’ . I tan lɛk di yɔlɔ layt we de na trafik layt we de ɔn. If wi du sɔntin da tɛm de, wi go ebul fɔ kɔntrol dis bifo di rɛd layt ɔn, dat na bifo siriɔs tin apin.
If dɛn nɔ trit dis sik, smɔl smɔl i kin siriɔs pan sɔm pipul dɛn. I kin apin insay sɔm stej dɛn:
1. Epataytis: Di liva we ful-ɔp wit fat kin swel, rɛd, ɛn inflam. Dɛn kɔl dis `Steatohepatitis`. Dis na aw MASLD kin bi MASH.
2. Fibrosis: Inflameshɔn de pwɛl di liva tisu. Ska tisu kin bigin fɔ fɔm na di say dɛn we dɔn pwɛl. Jɔs lɛk aw ska kin fɔm we wi skin wund. Dis skata kin mek di liva at smɔl ɛn rɔf.
3. Sirosis: dis ska tisu de kכntinyu fכ gro, i de riples di hεlty liva tisu wit ska tisu. Dis na siriɔs sik we dɛn kɔl sirosis. If dɛn nɔ trit sirosis, i kin mek di liva nɔ wok fayn ɛn ivin kil pɔsin lɛk liva kansa.
Na dat mek i rili impɔtant fɔ no dis sik kwik kwik wan, no wetin de mek yu gɛt am, ɛn fɛn di tritmɛnt we yu nid.
Wetin na di sayn dɛm fɔ dis sik?
De big prɔblɛm wit dis na dat bɔrku tɛm i nɔr kin sho ɛni sayn na di fɔs stej . Sɔntɛm yu nɔ go fil ɛni difrɛns. Bɔt sɔm pipul dɛn kin gɛt sayn dɛn lɛk dis:
- Fɔ fil se yu nɔ fil fayn ɔ yu de ebi na di ɔp rayt pat na yu bɛlɛ.
- Taya na taya pasmak ɛn taya we kin apin fɔ natin.
Na we di sik dɔn go bifo te i gɛt sirosis na in kin bigin fɔ sho klia wan. Na dis kayn tɛm, yu kin si tin dɛn lɛk:
- Nɔs ɛn vɔmit.
- Di it nɔ de te.
- We yu de lɔs yu wet we yu nɔ gɛt rizin.
- di wayt dεm na di yay εn di skin de yכlכ (jaundice).
- di bכdi de swεla, di wata we de rεtεn di wata (Ascites).
- di leg, ankכl εn an dεm de swεla (Edima).
Wetin na di men tin dɛm wae kin mek yu gɛt fat liva ɛn tin dɛm wae kin mek yu gɛt fat?
Bɔku tin dɛn de we kin mek dis apin. Bɔt di men wan dɛn na di mɛtabolik risk factor dɛm we wi bin dɔn tɔk bɔt ɛn fɔ drink rɔm. Yu kin gɛt dis sik if yu gɛt wan ɔr mɔr pan dɛn tin ya:
- Adikshɔn to rɔm ɔ fɔ drink bɔku tɛm ɛn drink pasmak.
- Metabolic Syndrome: Dis na di kɔmbaynshɔn fɔ sɔm tin dɛm wae kin mek pɔrsin gɛt dis sik. Dat min se, insulin rɛsistɛns, ay blɔd prɛshɔn, ay kɔlɔstrel ɛn triglisrayd lɛvɛl.
- Tayp 2 Dayabitis .
- Ɔvawej (BMI bitwin 25 ɛn 29.9) ɔ fat (BMI pas 30).
- Fɔ uman dɛnPolisistik ovari sindrom (PCOS).
- Obstruktiv Slip Apnea .
- Di ɔmon dɛn we de na di tayroyd we de go dɔŋ (Hypothyroidism) .
- Hypopituitarism (we di ɔmon dɛn we de na di pituitary nɔ bɔku) .
- di lכw sεks כmon lεvεl (Hypogonadism) .
- I kin apin bak as sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn (e.g. Amiodarone, Diltiazem, Tamoxifen, Steroids).
Aw fɔ no bɔt dis?
Bɔku tɛm, na bay chans dɛn kin no dis. We yu du blɔd tɛst fɔ ɔda sik, yu dɔktɔ go notis se yu liva ɛnzaym dɛn dɔn go ɔp. Dat na di fɔs tin we go ɛp wi fɔ no mɔ.
Afta dat, yu kin rifer to dɛn tɛst ya fɔ no if yu gɛt di sik:
- Yu mɛdikal histri ɛn ɛgzamin: Yu dɔktɔ go aks yu bɔt yu mɛrɛsin, aw yu de drink rɔm, ɛn di mɛrɛsin dɛn we yu de tek. I go du in bɔdi ɛgzam bak fɔ chɛk fɔ si if i gɛt sayn dɛn we de sho se in liva dɔn inflamɛns ɛn sirosis.
- Skan: Dɛn kin yuz ɔltrasɔund, CT Skan ɔ MRI fɔ chɛk fɔ si if fat de, swel ɛn skata na di liva. wan spɛshal ɔltra saund skan we dɛn kɔl FibroScan kin mɛzhɔ bak di fat ɛn stif (ska) we de na di liva.
- Liva Bayopsi: Sɔntɛnde, dɛn kin tek wan rili smɔl pat pan di liva tisu ɛn chɛk am ɔnda maykroskɔp fɔ no aw di sik siriɔs. Dis na di bɛst we fɔ no difrɛns kɔrɛkt wan bitwin MASLD ɛn MASH.
Aw dɛn kin trit am? Yu tink se dɛn go ebul fɔ mɛn dis?
No patikyula mɛrɛsin nɔ de fɔ dis yet. Bɔt nɔ wɔri. As tritmɛnt, dɔktɔ dɛn kin pe atɛnshɔn fɔ kɔntrol di tin dɛn we kin mek i gɛt am. Dat min se wi fɔ chenj di we aw wi de liv wi layf di rayt we.
Yu dɔktɔ kin advays yu fɔ du tin dɛn lɛk:
- Stɔp fɔ drink rɔm ɔltogɛda: Ivin if di fat we de na yu liva nɔto rɔm, fɔ stɔp fɔ drink rɔm ɔltogɛda i rili fayn fɔ yu liva.
- Lɔs yu wet: Ɛksesaiz, chenj di it we yu de it lɛk aw pɔsin we sabi bɔt it advays, ɛn sɔm mɛrɛsin dɛn (lɛk GLP-1RA) kin ɛp yu fɔ lɛf fɔ it bɔku bɔku it. Yu kin tink bak bɔt fɔ du bariatric ɔpreshɔn.
- Manej ɔda mɛrɛsin dɛn: Tek yu mɛrɛsin fɔ sik dɛn lɛk dayabitis, ay kɔlɔstrel, ɛn blɔd prɛshɔn lɛk aw dɛn tɛl yu fɔ tek. Sɔntɛnde, dɛn kin tɛl yu bak fɔ tek sɔpɔt lɛk vaytamɛn E.
- Gɛt vaysin agens Epataytis A ɛn B:Dis vayral infekshɔn kin rili denja fɔ pɔsin we dɔn ɔlrɛdi gɛt sɔm liva damej. So fɔ gɛt dis vaysin na fɔ tek tɛm wit yu.
Wi liva na wan wɔndaful ɔgan. I gɛt wɔndaful pawa fɔ mek insɛf fayn te to sɔm mak. If yu fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, yu kin ridyus di fat ɛn inflamɛns na yu liva, stɔp fɔ pwɛl mɔ, ɛn sɔntɛnde yu kin ivin rivɛns di damej we bin apin fɔs.
Aw fɔ protɛkt yusɛf frɔm dis kayn tin?
Di bɛst we fɔ mek dis sik nɔ apin na fɔ mek yu gɛt wɛlbɔdi layf ɔlsay.
- Ɛksesaiz ɔltɛm: I rili fayn fɔ du ɛksɛsayz fɔ at le 30 minit fɔ mek yu swet ɛvride.
- Limit ɔ stɔp fɔ drink rɔm ɔltogɛda .
- Mek yu gɛt wɛlbɔdi wet fɔ yu ayt.
- It fayn it: It mɔ vɛjitebul, frut, ligɛm, nɛt, ɛn ɔl gren. Limit ɔyl, shuga, flawa, fast fud, ɛn rɛd mit (bif, bɔd). Drink klin wata insted of drink we gɛt shuga.
- If yu gɛt sik dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, yuz di mɛrɛsin we dɛn gi yu di rayt we .
I bɛtɛ fɔ tɔk to yu dɔktɔ ɛn gɛt advays bɔt aw wɛlbɔdi layf we fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Steatotic/Fatty Liver na wan kכndyushכn we di liva de pas 5% fεt. Dis na wan sik we kin rili kɔmɔn.
- Tin dɛm lɛk fɔ drink rɔm, dayabitis, fɔ fat pasmak, ɛn fɔ gɛt bɔku kɔlɔstrel na dɛn men tin wae kin mek dis sik.
- Bɔrku tɛm, nɔr simptom nɔr kin de na di fɔs stej, so e kin bi ‘saylent sik’.
- If dɛn nɔ tek dis sik, as tɛm de go i kin mek pɔsin gɛt siriɔs sik lɛk sirosis ɛn liva kansa.
- Bɔt nɔ wɔri! Dɛn kin kɔntrol dis sik, ɛn sɔntɛm i kin ivin wɛl ɔl, if yu chenj yu layf fayn fayn wan (we yu de lɔs yu wet, yu de du ɛksɛsayz, yu nɔ de drink rɔm, ɛn yu de it tin dɛn we go mek yu gɛt bɛtɛ it).
- If yu gɛt ɛni dawt bɔt dis, mek shɔ se yu go to yu dɔktɔ fɔ advays.
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