Di liva na impɔtant ɛn rili impɔtant ɔgan na wi bɔdi. I tan lɛk filta na wi bɔdi. Di liva de du bɔku impɔtant wok dɛn lɛk fɔ filta ɛn pul di pɔyzin dɛn na di blɔd ɛn fɔ kɔntrol di kɔlɔstrel lɛvɛl. כltu, if fכ sכm rizin yu liva swel pas nכmal, dat min se if i big, wi kin kכl am liva swel, כ mεdikal wan `(Hepatomegaly)`. Bɔrku tɛm dis na sayn fɔ ɔda ɔndalayn mɛdikal kɔndishɔn.
Yu tink se di liva we de swel siriɔs?
Fɔ tru, dis nɔto sɔntin we wi fɔ tek am layt. Bɔt di siriɔs we aw i siriɔs de dipen pan wetin de mek dis swel. Sɔntɛnde, i kin bi imejensi. Ɔda tɛm, i kin bi sayn fɔ wɔn pɔsin fɔ sɔm sik. So, wi nɔ go ebul fɔ tɔk fɔ tru te yu dɔktɔ du di tɛst dɛn we nid fɔ du.
Sɔntɛnde, di liva kin swel bikɔs i gɛt sɔm kayn sik fɔ shɔt tɛm, lɛk infekshɔn, ɛn afta dat i kin kam bak to nɔmal wans di sik dɔn wɛl. Bɔt sɔntɛnde, di liva kin pwɛl smɔl smɔl bikɔs i sik fɔ lɔng tɛm.
Wetin na di sayn dɛm fɔ dis sik?
Bɔrku tɛm, yu nɔr go fil se yu liva dɔn swel fɔ yusɛf. Bɔt if i rili bad, yu kin fil ful-ɔp , nɔs , ɔ pen na di rayt say na yu bɛlɛ, usay di liva de.
Bɔt bɔku tɛm, dɛn kin no dis we yu dɔktɔ de chɛk yu. If i fil se yu liva de chenj we i de palpat yu bɛlɛ, yu go sɔprayz.
If di liva swel na sayn fɔ di liva sik, ɔda sayn dɛm we gɛt fɔ du wit am kin apin bak.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Taya | Fɔ fil taya pasmak fɔ natin. |
| Nɔs ɛn nɔ want fɔ it | Fɔ fil lɛk fɔ vɔmit ɛn nɔ want fɔ it igen. |
| Jandis we gɛt di sik | Di skin kin yɔlɔ ɛn di yay kin wayt. |
| Di chenj dɛn we de apin na di urine ɛn di stɔl | Dak urine (lɛk ti) ɛn pale stɔl (klɛ kɔlɔ). |
| Skin we de it (Pruritus) . | I de it ɔlsay na di bɔdi fɔ no patikyula rizin. |
| Splenomegaly we gɛt di sik | di splin big, we de na di כp lεft say na di bכdi. |
Wetin na di men tin wae kin mek yu liva swel?
Fɔ tɔk am simpul wan, 4 men we dɛn de we yu liva kin gɛt inflamɛns:
1. Inflameshɔn: Swel we kin apin we di liva de pan infεkshɔn ɔ tumɔs pɔyzin (e.g. alkol) fɔ handel.
2. Fat: Fεt we de kכmכt pasmak na di liva.
3. Blɔd: Blɔk ɔ ɔvaflɔd blɔd na di blɔd vesel dɛn we de pas na di liva.
4. Growths: Na di we aw lumps de sho, ilɛksɛf na kansa ɔ nɔ gɛt kansa.
Bɔku rizin dɛn de we kin apin ɛn we nɔ kin apin so ɔltɛm we kin afɛkt dis.
Di tin dɛn we kin mek pɔsin gɛt prɔblɛm
- Epataytis we gɛt fɔ du wit rɔm: Liva kin pwɛl we pɔsin drink pasmak.
- Pɔyzin epataytis: Dis kin kam bikɔs ɔf tin dɛn lɛk fɔ tek sɔm mɛrɛsin dɛn pasmak. If pɔsin dɔn tek ɔvados, dɛn fɔ kɛr am go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia am wantɛm wantɛm. If nid de, dɔktɔ dɛn go aks fɔ advays frɔm di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
- Vayral epataytis: Infεkshכn wit vayrus lεk epataytis A, B, כ C.
- Fat liva sik: I kin kam bikɔs yu de drink rɔm ɔ yu gɛt prɔblɛm wit yu bɔdi lɛk dayabitis ɛn yu fat.
- Mononucleosis: Na wan kɔmɔn vayral infɛkshɔn.
Di tin dɛn we kin mek pɔsin nɔ bɔku
Dɛn tin ya nɔ kin bɔku, bɔt dɛn kin mek di liva swel.
| Rizin kategori | Ɛgzampul dɛn |
|---|---|
| Sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks | Kɔndishɔn dɛn lɛk ɛmokromatosis, Wilson in sik, ɛn Gaucher sik. |
| Liva tumbu dɛn | Liva sist, benign tumor, liva kansa. |
| Ɔda kayn kansa dɛn | Blɔd kansa lɛk lukimiya ɛn limfoma. |
| Sik dεm na di gal blad εn di bayl dakt dεm | di bayl dakt dεm we de blok כ inflameshn. |
| At sik ɛn prɔblɛm wit di blɔd vesel | Kכndishכn dεm lεk kכnjεstiv at fεil εn Budd-Chiari sεndrכm. |
Aw dɛn kin trit dis?
Yu dɔktɔ go tray fɔs fɔ no di rayt tin we de mek di liva de swel. Dis kin inklud blɔd tɛst ɛn skan (lɛk ɔltra saund skan). Sɔntɛnde, if dɛn tink se di sik rili siriɔs, dɛn kin se dɛn fɔ tek di liva bayɔpsi, we min se dɛn fɔ tek smɔl pat pan di liva ɛn chɛk am.
Di impɔtant tin na dat, no patikyula tritmɛnt nɔ de fɔ di liva we de swel. Di tritmɛnt de fɔ di ɔndalayn kɔndishɔn we mek di swel.
We dɛn dɔn no di rizin, yu dɔktɔ go ɛksplen to yu di rayt we fɔ trit yu.
Yu tink se dɛn kin chenj di liva we de swel?
Yɛs, insay sɔm kes dɛn, i kin ebul. Di liva gɛt wɔndaful pawa fɔ mek insɛf bak. Bɔt fɔ mek dat apin, inof wɛlbɔdi liva tisu fɔ lɛf.
If di liva swel bikɔs ɔf wan kɔndishɔn we apin wantɛm wantɛm, fɔ trit di kɔz go gi di liva chans fɔ wɛl.
Dɔn bak, if dis sik na bikɔs ɔf di liva sik we de te, chenj di we aw pɔsin de liv in layf kin ɛp fɔ kɔntrol di sik, ɛn sɔntɛnde i kin ivin mɛn am kpatakpata.
- If yu gɛt adikshɔn to rɔm, go to dɔktɔ ɛn ɛp yu wantɛm wantɛm fɔ pul am.
- If yu gɛt fat liva sik we nɔ de mek yu drink rɔm, tɔk to yu dɔktɔ bɔt aw fɔ mek yu gɛt wɛl bɔdi we go fayn fɔ yu.
- Kɔntrol di ay blɔd prɛshɔn, ay kɔlɔstrel, ɛn ay blɔd shuga lɛvɛl.
- We yu de it tin dɛn we gɛt fayn fayn tin dɛn fɔ du , du ɛksɛsayz ɛvride.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni swel, nɔys , ɔ pen na di ɔp rayt pat na yu bɛlɛ, mek shɔ se yu go to dɔktɔ. Apat frɔm dat, go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn bad bad tin ya ɔ yu nɔ kin si:
- Fiva we de kɔntinyu fɔ de.
- Kɔnfyushɔn ɔ nɔ no natin.
- Fɔ fil wik pasmak ɛn diziz.
- Di yay ɔ di skin we de yɔlɔ.
- Wan klia chenj na di kɔlɔ fɔ di urine ɔ di stɔl.
Liva we de swel na wan sayn fɔ bɔku tin dɛn. Pan ɔl we nɔto ɔl dɛn tin ya na imejensi, dɛn ɔl nid fɔ go to dɔktɔ. So if yu sɔspɛkt se yu gɛt sayn lɛk dis, i nɔ tu let fɔ mek dɛn chɛk am.
Mɛsej we dɛn kin kɛr go na os
- Epatomegaly nɔto sik, na sayn fɔ ɔda sik.
- Di tin we impɔtant pas ɔl na fɔ no kɔrɛkt wan di ɔndalayn kɔz fɔ dis swel ɛn trit am.
- Nɔ ɛva ignore di sayn dɛm lɛk pen na di rayt say na yu bɛlɛ, swel, ɛn yu yay we de yɔlɔ.
- Fɔ chenj di we aw pɔsin de liv in layf, lɛk fɔ lɛf fɔ drink rɔm, fɔ it fayn it, ɛn fɔ du ɛksɛsayzI kin protɛkt di liva wɛlbɔdi.
- If yu gɛt ɛni dawt ɔ ɛni sayn, nɔ ɛva shem fɔ go to yu dɔktɔ fɔ advays.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us sik dɛn kin gi Lovastatin (Lovastatin / Mevacor) tablɛt fɔ?
Dis na di fɔs ‘High Cholesterol/Hyperlipidemia’ (Statin) drɔg we dɛn dɔn fɛn na di wɔl! dis de ridyus ‘bad kכlestכl (LDL)' εn de mek yu nכ gεt at sik εn at atak/strok (Cardiovascular Events). Dɛn kin mek dis wit wan spɛshal fɛns we dɛn kɔl (Aspergillus), ɛn pan ɔl we dis mɛrɛsin ol, dɔktɔ dɛn stil de yuz am fayn fayn wan tide.
💬 Aw dis fɔs kɔlɔstrel pil (Lovastatin) de sɔlv bad kɔlɔstrel we i kam insay wi bɔdi?
di men mashin we de mek kכlestכl na wi bכdi in liva dεn kכl am ‘HMG-CoA Reductase’. we dis pil go insay di bכdi, i de kכnvכlt to כda kεmikכl (Active Metabolite) εn go na wi liva. I de blok/klos ɛn lɔk da kɔlɔstrel mashin de 100%. We dɛn ɔf di mashin, di liva nɔ gɛt ɔda tin fɔ du pas fɔ tek ɛn pwɛl di bad kɔlɔstrel/LDL we de na wi blɔd.
💬 Wetin na di ‘fatal dangers’ (black urine) we yu nid fɔ no bɔt we yu de tek dis kɔlɔstrel pil (Lovastatin)?
Di denja we denja pas ɔl frɔm dis na ‘Myopathy/Rhabdomyolysis’! If yu gɛt mɔsul kramp/wiknɛs ɛn dak urine, go na ɔspitul wantɛm wantɛm, ɔ yu kin day bikɔs yu kidni nɔ de wok fayn! Dɔn bak, if yu de tek ɔda mɛrɛsin (lɛk Clarithromycin) ɔ de drink ‘Grapefruit/Grapefruit juice’, dis mɛrɛsin kin bi 100% pɔyzin to di bɔdi ɛn i kin ivin mek pɔsin day.
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