Lɛ wi lan mɔ bɔt liva sik! Lɛ wi tɔk bɔt dis!

Di liva na wan ɔgan we rili impɔtant na yu bɔdi. I de wok lɛk filta na wi bɔdi. I de filta ɛn pul di pɔyzin dɛn we de na di blɔd. Bɔt, limit de fɔ wetin dis filta kin ebul fɔ handle, nɔto so? Sɔntɛnde, dis sem wok kin pwɛl di liva . So tide, lɛ wi tɔk bɔt liva sik.

Wetin na Liva Sik?

We wi se ‘liva sik’, dɔktɔ dɛn kin tɔk bɔt tin dɛn we kin pwɛl di liva smɔl smɔl, as tɛm de go, ɔ we kin te . Dɛn tin ya kin bi bikɔs ɔf vayral infɛkshɔn , difrɛn pɔyzin, ɔ sɔm mɛtabolik kɔndishɔn. Di wɔndaful tin na dat di liva gɛt wɔndaful pawa fɔ mek insɛf fayn. Bɔt we dɛn de yuz am ɔltɛm, da abiliti de kin stɔp smɔl smɔl.

Wetin na di stej dɛm wae pɔrsin gɛt krɛse sik?

Bɔrku tɛm, 4 men stej dɛm de fɔ gɛt liva sik wae dɔn de fɔ lɔng tɛm. Lɛ wi tek wan luk pan wetin dɛn bi.

Stej 1: Ɛpataytis

Di fɔs stej na epataytis. Fɔ tɔk am simpul wan, dis na di swel we di liva tisu de swel. Jɔs lɛk we wi wund sɔmsay, i kin swel, we di liva dɔn pwɛl ɔ pɔyzin, dis swel kin apin fɔ ansa dat. Dis kin apin fɔ pul di infɛkshɔn ɛn bigin fɔ wɛl. Dis kin sɔlv wit wan swɛlin we kin kam wantɛm wantɛm (akyu epataytis). Bɔt if damej ɔ pɔyzin de kɔntinyu, di swɛlin kin kɔntinyu. fכ dis lכng tεm kכndyushכn fכ epataytis (krכnik epataytis) , as di liva de tray fכ hεl insεf ova tεm, ska (fibrosis) kin εnjɔy fכ fכm.

Stej 2: Fibrosis we pɔsin kin gɛt

Di sɛkɔn stej na fibrosis. Dis na we di ska tisu dɛn kin gɛda smɔl smɔl na di liva, we kin mek i stif ɛn stif. I tan lɛk wan ol rag. dis ska tisu de mek di bכdi fכ fכlכ na di liva, we min se כksijεn εn nyutriεnt dεm nכ de go na di liva. Dis na aw di liva kin bigin fɔ lɛf fɔ wok smɔl smɔl. I sɔprayz fɔ no se sɔm pan dis fibrosis kin chenj. dat min se if di damej dכn rεdכks inof, di liva sεl dεm kin rigεnεret εn ska tisu kin rεdכks.

Stej 3: Sirosis sik

Di tɔd stej na sirosis, we na siriɔs, nɔr kin chenj, we kin gɛt skata na di liva fɔ ɔltɛm.Dis na di say we di fibrosis kin bi we i nɔ go ebul fɔ chenj. we di liva lכs inof hεlty sεl dεm fכ wok, di tisu nכ kin ebul fכ bכn bak igen. Bɔt ivin dis stej, we dɛn de fɔ stɔp ɔ slo di damej. As sirosis bigin fɔ afɛkt di wok we di liva de du, yu nɔ go notis bɔku difrɛns fɔs, as yu bɔdi de tray fɔ kɔmpɛns di tin we yu dɔn lɔs.

Stej 4: Liva nɔ de wok fayn

Di las, ɔ di nɔmba 4 stej na we di liva nɔ de wok fayn. Dis na we di liva nɔ kin ebul fɔ wok igen fɔ mit di tin dɛn we di bɔdi nid. Dɛn kin kɔl dis bak dikɔmpɛns sirosis – we min se di bɔdi nɔ kin ebul fɔ mek di liva we dɔn lɔs igen. As di liva in wok de brok smɔl smɔl, yu kin bigin fɔ fil di tin dɛn we de apin ɔlsay na yu bɔdi. Di liva we nɔ de wok fayn na tin we kin apin smɔl smɔl, bɔt if dɛn nɔ transplant di liva, i kin mek pɔsin day leta. Mɛmba se wi nid liva fɔ mek wi kɔntinyu fɔ liv.

Aw kɔmɔn sik dɛn na di liva?

If wi tɔk bɔt aw dis liva sik kin bɔku, i kin mek lɛk 2 milyɔn pipul dɛn day ɛvri ia ɔlsay na di wɔl. Dat na lɛk 4% pan ɔl di wan dɛn we de day. Bɔku pan di wan dɛn we kin day kin bi bikɔs ɔf di prɔblɛm dɛn we kin apin we pɔsin gɛt sirosis. Man dɛn kin gɛt dis sik lɛk tu tɛm pas uman dɛn.

Wetin na di fɔs sayn dɛm fɔ gɛt liva sik?

Bɔrku tɛm, dɛn krɛse sik ya na di liva nɔr kin sho ɛni big big sayn na di fɔs stej. Bɔt sɔntɛnde, i kin bigin lɛk wan akyu epataytis we kin kam wantɛm wantɛm. Fɔ ɛgzampul, if yu gɛt vayral ɛpatitis infɛkshɔn, akyu faz de bifo i bi kronik. Insay da tɛm de, yu kin gɛt fiva, yu bɛlɛ kin at, ɛn yu kin gɛt nɔys fɔ sɔm dez. If di imyun sistεm nכ ebul fכ fכt di infεkshכn, i kin bi krεse infεkshכn.

Sɔm ɔda tin dɛm wae kin mek yu gɛt liva sik kin mek yu gɛt sɔm kayn sik lɛk dis kwik kwik wan bak fɔs. Di fɔs sayn dɛm fɔ di liva sik nɔ kin rili klia. Dɛn kin inklud:

• Di pen we de na di ɔp pat na di bɛlɛ.
• Nɔs ɔFɔd nɔ kin te .
• Taya ɛn malaise (fɔ fil jɔs taya ɛn nɔ wɛl).

Wetin na di leta sayn dɛm fɔ gɛt liva sik?

As yu liva bigin fɔ wok smɔl, yu kin bigin fɔ notis mɔ sayn dɛn. Dis na we di liva sik kin dɔn pas ɔl. wan pan di fכs sayd ifekt dεm we di liva fεl na we di bayl fכ fכlכ de blok. di liva nכ kin mek bayl fayn igen כ pכmp am insay di sכmכl intestin. Bifo dat, di bayl kin bigin fɔ lik insay di blɔd. Dis kin mek yu gɛt bɔku patikyula sayn dɛm:

• Jaundice (we di wayt dɛn na di yay ɛn di skin kin yɔlɔ).
• Dak urine .
• Pas layt kɔlɔ stɔl .
• I nɔ kin izi fɔ digest it, mɔ di it dɛn we gɛt fat.
• We yu de lɔs yu wet ɛn yu de west yu mɔsul dɛn.
• Musty-smelling briz we de smɛl.
• Mild impεryans pan di bren fכnshכn (hεpatik εnεfalopati).
• Pruritus (simply iting witout eni rash pan di skin).

As di liva sik de wɔs, i kin afɛkt di we aw yu blɔd de go, di ɔmon dɛn, ɛn di tin dɛn we yu de it. Dis kin sho pan difrɛn we dɛn. Yu kin notis sayn dɛm lɛk dis na yu skin ɛn yu nel:

• Spɔn nel dɛn.
• Tɛri in nel dɛn (di nel dɛn kin shayn, ɛn na di tip dɛn nɔmɔ kin pink).
• Nail clubbing na di swel ɛn kɔl na di nel bays.
• Spayda angioma dɛn.
• sכm sכm rεd dכt dεm na di skin ``(petechiae)``.
• Yɔlɔ ɔyl kin de na di skin ɔ di yaylid, we kin tan lɛk smɔl smɔl bɔmp dɛn.
• I izi fɔ brus ɛn blɔd .
• Di palm dɛn we de rɛd.

Yu kin si sayn dɛn bak we de sho se wata we de kɔmɔt na di blɔd vesel dɛn de lik ɛn gɛda na difrɛn pat dɛn na di bɔdi:

• Di bɛlɛ kin swel (ascites).
• di ankכl dεm, di leg dεm, di an dεm, εn di fes de swεla (εdima).

Di kwaliti dɛn we gɛt fɔ du wit wɛda man ɔ uman

Uman dɛn kin gɛt sɔm kayn sik dɛn lɛk dis bikɔs ɔf di liva sik:

• Menstrual saykl dɛn we nɔ de ɔltɛm.
• I nɔ izi fɔ bɔn pikin (Fem infertility).

Man kin gɛt sɔm kayn sik lɛk:

• Di tɛstikul dɛn we dɔn shrunk.
• Di man in brɔst tisu we dɔn big.

Kɔmplikɛshɔn dɛm fɔ di ɛnd-stej liva sik

di εnd-stej liva sik na wan kכndyushכn we di liva nכ kin ebul fכ ripa insεf εn sכmtεm i kin bi dysfunctional, we dεn kכl dikompεnsεt sirosis εn liva fεil. tu pan di siriכs sayd ifekt dεm na dis stej na pכtal haypatεnshכn εn εpatosεlula kכrεkshכn . Di kɔmplikɛshɔn dɛm fɔ dɛn tu kɔndishɔn ya na di men tin we kin mek pipul dɛn we gɛt sirosis ɛn we nɔ de wok fayn na ɔspitul ɛn day.

Pɔtal haypatɛnshɔn

di pכtal haypatεnshכn de kכz fכ skata na di liva, we de mek prεshכn pan di pכtal vein. we di prεshכn na di pכtal vein de inkrεs, di bכdi de kכnεkt di bכdi to כda vein dεm we kכnεkt to am. Dɔn di vein dɛn kin big, strɛch, ɛn tan. Dɛn vein ya kin lik, bɔs, ɔ blɔd. Dis blɔd we de kɔmɔt insay pɔsin in bɔdi kin bi wantɛm wantɛm, i kin rili bad, ɛn i kin mek i day.

Pan ɔl we i nɔ kin apin so ɔltɛm, ɔda prɔblɛm dɛn kin apin:

• di splin de big εn di haypa aktiviti (hypersplenism).
• di disfכnkshכn na di rεspiretכri sistεm `(hεpatopulmonary sεndrכm)`.
• Kidni fεil (hεpatorenal sεndrכm).

Liva Kansa

Pan ɔl we nɔto ɔlman we gɛt liva sik fɔ lɔng tɛm go gɛt ɛpatocellular carcinoma, bɔku pipul dɛn we gɛt liva kansa kin gɛt liva sik we kin te. Di saykl we di inflamɛns, wɛl, ɛn skata de mek i izi fɔ mek di liva sɛl dɛn chenj ɛn bi kansa. Dɔktɔ dɛn tink se mɔ di vayrɔs dɛn we gɛt krɛse sik kin afɛkt di DNA na di liva sɛl dɛn bak.

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

I pas 100 kayn liva sik, bɔt dɛn kin fɔdɔm insay sɔm men smɔl grup dɛn. Di tin dɛn we kin mek i apin na:

• Vayral infεkshכn: Vayral infεkshכn dεm we de tek lכng tεm lεk epataytis B εn epataytis C kin mek yu gεt krεse epataytis.
• Epataytis we pɔsin kin gɛt we i de drink rɔm: If pɔsin drink pasmak, i kin mek i gɛt akyu ɔ kronik epataytis. If dis kɔntinyu, i kin mek yu gɛt sirosis ɛn yu liva nɔ de wok fayn. Dis na tin we nɔ kin apin na wi kɔntri.
• Pɔyzin epataytis: Akyu ɔ kronik epataytis kin kam we pɔsin de pan pɔyzin tin dɛn fɔ lɔng tɛm, lɛk industri kemikal ɔ drɔgs.
• Nɔn-alcohol related fatty liver disease (NAFLD): di mεtabolik kכndishכn dεm we de fכ fat, di hεy blɔd shuga lεvεl, εn hεy bכdi lipid (fεt) lεvεl kin mek di fεt we pasmak bכku na di liva. dis kin mek yu inflameshn (non-alcohol related steatohepatitis – NASH). Dis sik kin de bak pan bɔrku pipul dɛm dis tɛm ya, mɔr lɛk bikɔs dɛn nɔr de it fayn.
• biliary stasis: sכm kכndyushכn dεm we dεn kin bכn pikin, lεk biliary atresia εn cystic fibrosis, kin mek bayl kכmכt εn pwεl di liva bay we i de blכk כ bכku di bayl fכ fכlכ tru di bayl dakt dεm. di kכz dεm we kin apin afta dεn bכn am na biliary stricture εn galstones.
• Otoimyun sik dεm: כtoimyun kכndishכn dεm lεk כtoimyun epataytis, praymari biliary cholangitis, εn praymari sklerכsing cholangitis kin mek di liva כ bayl dakt dεm swel fכ lכng tεm εn skata.
• Di prɔblɛm dɛn we pɔsin kin gɛt we i de du tin wit in bɔdi: Di ​​sik dɛn we kin mek pɔyzin gɛda na di blɔd, lɛk di sik we dɛn kɔl glycogen storage disease (GSD), Wilson sik, ɛmokromatosis, ɛn Gaucher sik kin mek di liva pwɛl fɔ lɔng tɛm.
• Di sik dɛm we de ambɔg di liva ɛn di blɔd we de pas tru am, lɛk Budd-Chiari syndrome, ischemia, korona at sik, ɛn rayt-sayd at we nɔ de wok fayn, kin mek di liva pwɛl fɔ lɔng tɛm.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt liva sik?

Yu kin gɛt liva sik if yu:

• If yu drink tumɔs rɔm.
• If yu tek drɔgs tru wan vein, dɛn kɔl am ``intravenous drugs''.
• If yu kin yuz mɛrɛsin fɔ mɛn pen lɛk aspirin ɔ paracetamol (espɛshali we yu tek am bɔku tɛm we yu nɔ gɛt dɔktɔ advays).
• If yu gɛt mɛtabolik sindrom (na wan kɔmbaynshɔn fɔ fat, ay blɔd prɛshɔn, ay blɔd shuga, ɛn kɔlɔstrel lɛvɛl we nɔ fayn).
• If yu kin gɛt pɔyzin kemikal dɛn bɔku tɛm.
• If yu kin gɛt ɔda pipul dɛn blɔd ɔ bɔdi wata bɔku tɛm (e.g. wɛlbɔdi wokman dɛn, pipul dɛn we de mek tatu).

Aw fɔ no if yu gɛt liva sik?

Dɔktɔ we de chɛk fɔ si if yu gɛt liva sik go chɛk yu fɔs. Dɛn go luk fɔ sayn ɛn sayn dɛm ɛn aks bɔt yu sayn dɛm. Dɛn kin aks bak bɔt aw yu de it, aw yu de liv yu layf, ɛn aw yu gɛt wɛlbɔdi. Dɔn, dɛn go yuz lab tɛst ɛn imej skan fɔ no if yu gɛt liva sik. Dɛn tin ya kin bi:

• Blɔd tɛst: Bɔku tɛst dɛn we dɛn kin du fɔ no aw di liva de wok, dɛn kin sho di sayn dɛm fɔ di liva sik, aw di sik kin tranga, ɛn sayn dɛm fɔ sho se di liva nɔ de wok fayn. dis dεm de mכsu tin dεm lεk di liva εnzym dεm, protin, εn bilirubin lεvεl. Blɔd tɛst kin sho bak sɔm sayd ɛfɛkt dɛm lɛk fɔ swel, sɔm patikyula sik dɛm, ɔr blɔd we nɔ de klɔt.
• Imej tɛst: We dɛn yuz ɔltra saund na di bɛlɛ, CT skan (kɔmpyuta tomografi skan), ɔ MRI (magnetic resonance imaging) skan, dat kin sho di sayz, shep, ɛn kɔndishɔn fɔ di liva. Dis kin ɛp fɔ no if yu swel, yu gɛt nodul, ɛn yu gɛt fibrosis.
• Elastography: Dis na spɛshal imej tɛst we dɛn kin yuz ɔltra saund ɔ MRI tɛknɔlɔji fɔ no aw di liva stif ɔ di lɛvɛl we di fibrosis de.
• Ɛndoskopi: .If yu dɔktɔ want fɔ luk insay yu bayl dakt sistɛm, dɛn go nid fɔ yuz wan we fɔ tek pikchɔ we dɛn kɔl ɛndoskopi. Dis min se yu fɔ put smɔl kamɛra (ɛndoskɔp) insay yu mɔt ɛn pas am dɔŋ yu dijestiv trakt. afta dat dεn kin si di bayl dakt dεm bay we dεn de yuz EUS (εndoskopik כltra saund) כ ERCP (εndoskopik rεtrogrεd kכlangiopankrεatografi).
• Nyuklia mɛrɛsin imej: Dis na fɔ injɛkt wan redioaktiv tin we nɔ bad na di bɔdi ɛn yuz gama kamɛra fɔ no am. Dipen pan aw yu liva de absɔb di tin, i kin sho usay i nɔ de wok fayn.
• Liva bayɔpsi: Dis na smɔl tin we dɛn kin du. Dɛn kin tek smɔl sampul pan di tisu frɔm di liva ɛn tɛst am na lɛbɔtri. Dɛn kin tek dis sampul bay we dɛn de yuz nidul we gɛt ol. Dɛn kin du liva bayɔpsi fɔ chɛk fɔ si if pɔsin gɛt kansa, fɔ no if pɔsin gɛt sirosis, ɛn fɔ no di tin we mek i gɛt kansa.

Aw dɛn kin trit di sik dɛn we de na di liva?

Sɔm kayn liva sik kin gɛt sɔm patikyula mɛrɛsin. Fɔ ɛgzampul, dɛn kin gi antivayral fɔ vayral ɛpatitis, ɛn dɛn kin gi kɔtikosterɔyd ɛn imyunosuprɛsant fɔ ɔtoimyun sik dɛn. Bɔt bɔku tɛm, fɔ chenj di we aw pɔsin de liv in layf na di men tritmɛnt fɔ sik na di liva. Fɔ ridyus di pɔyzin we de kam insay di liva impɔtant fɔ ɛni sik na di liva. Dis impɔtant mɔ fɔ di liva sik we kin kam wit bɔku bɔku fat, rɔm, ɔ ɔda pɔyzin.

Bɔt i impɔtant fɔ no kwik kwik wan fɔ trit di liva sik fayn fayn wan bifo i pwɛl fɔ ɔltɛm. Bɔt i sɔri fɔ no se nɔto ɔlman kin no di sik di tɛm we di sik kin kam bak. If yu dɔn ɔlrɛdi gɛt sirosis ɔ liva we nɔ de wok fayn, yu kin nid ɔda tritmɛnt fɔ prɔblɛm dɛn lɛk pɔtal haypatɛnshɔn ɔ liva kansa. Sɔntɛm yu liva nɔ go ebul fɔ wɛl, ɛn leta yu go nid fɔ transplant yu liva.

Aw fɔ ridyus di risk fɔ gɛt liva sik?

Yu kin du dɛn tin ya fɔ protɛkt yusɛf frɔm liva sik:

• Fɔ gɛt vaysin: Vaksin dɛn de fɔ protɛkt yusɛf frɔm vayral ɛpatitis A ɛn B.
• Gud hajɛns: Tin dɛn lɛk fɔ was yu an afta yu dɔn yuz tɔylɛt, fɔ pripia it fayn fayn wan, ɛn fɔ yuz nidul fayn fayn wan kin ɛp fɔ mek di sik nɔ go ɔlsay.
• Limit fɔ yuz rɔm ɛn tek mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am: If yu gɛt sɔbstans yus disɔda (e.g., `Substance Use Disorder – SUD`), fɔ gɛt tritmɛnt kin ɛp fɔ mek yu nɔ gɛt epataytis we pɔyzin kin kam wit.
• Fɔ kɔntrol di tin dɛm we de mek yu bɔdi wok fayn lɛk di blɔd lipid (fat) ɛn di blɔd shuga: Yu kin gɛt ɛp frɔm dɔktɔ fɔ dis.

Yu tink se di liva sik kin chenj?

Di liva sik we de bigin kin kam bak if dɛn no di kɔz ɛn yu ɛn yu mɛdikal tim wok togɛda fɔ pul am ɔ kɔntrol am. Dis kin dipen pan wetin na de kɔz ɛn aw dɛn kin trit am fayn fayn wan. If yu gɛt sirosis, yu nɔ go ebul fɔ rivɛns di damej we dɔn ɔlrɛdi apin. Bɔt yu kin mek i nɔ pwɛl mɔ ɔ yu kin slo am. Dɛn nɔ kin ebul fɔ rivɛns di liva we nɔ de wok fayn, bɔt i kin tek sɔm ia fɔ mek i wɔs.

Yu tink se dɛn kin mɛn liva sik?

Bɔrku kayn liva sik kin mɛn. Liva sik we pɔyzin ɛn rɔm kin kam wit kin bɛtɛ wans yu dɔn stɔp fɔ gɛt dɛn pɔyzin dɛn de. Fat liva sik we nɔ gɛt fɔ du wit rɔm kin mɛn if yu chenj di it ɛn layf. Sɔm ɔda kayn liva sik nɔ kin mɛn, bɔt dɛn kin ebul fɔ mɛn dɛn wit mɛrɛsin. Sɔm sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa, sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, ɛn di sik dɛn we pɔsin kin gɛt we i gɛt vayrɔs kin nid fɔ gɛt tritmɛnt fɔ ɔl in layf.

Wetin a fɔ du we a de liv wit liva sik?

If yu gɛt liva sik, du dɛn tin ya fɔ kia fɔ yu liva:

• Mek yu it fayn fayn it: Yu fɔ put ɔl yu it dɛn, frut ɛn vɛjitebul dɛn, ɛn tin dɛn we nɔ gɛt bɛtɛ prɔtin fɔs.
• Fɔ mek yu gɛt wɛlbɔdi BMI (Body Mass Index): Kɔnsul yu dɔktɔ bɔt dis.
• Nɔ drink rɔm, tabak, ɛn mɛrɛsin dɛn we yu nɔ kin bay: Aks yu dɔktɔ fɔ ɛp yu fɔ lɛf fɔ smok.
• Tek mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am: Tɔk to yu dɔktɔ bɔt ɛni nyu mɛrɛsin we yu de tek.
• Fɔ protɛkt yusɛf frɔm infɛkshɔn: Nɔ mek yu nɔ gɛt mɔ lod pan di liva wit gud hajɛns ɛn sef we fɔ du mami ɛn dadi biznɛs.
• Kip up wit yu dɔktɔ in apɔntinmɛnt: Tek tɛm chɛk-ap ɔltɛm ɛn no di prɔblɛm dɛn kwik kwik wan.