Di liva na wan pan di ɔgan dɛn we impɔtant pas ɔl na yu bɔdi. Infakt, wi nɔ go ebul fɔ liv if wi nɔ gɛt am. Lɛk big faktri insay wi bɔdi, di liva de du bɔku bɔku wok dɛn. So imajin, wetin go apin if dis faktri nɔ ebul fɔ du in wok fayn? Di wan ol bɔdi nɔ de wok fayn, nɔto so? Na dat mek wi kin jɔs kɔl am Liva Failure. I min se yu liva nɔ go ebul fɔ wok fayn igen fɔ du wetin yu bɔdi nid.
Yu tink se dis go apin wan tɛm? Ɔ i go apin smɔl smɔl?
Liva we nɔ de wok fayn nɔ kin apin wan tɛm. Na wan prɔses. I kin apin kwik ɔ sloslo. Akɔdin to dis, wi de tɔk bɔt tu men kayn dɛn.
- Acute Liver Failure: Dis na tin we kin apin kwik kwik wan, fɔ sɔm dez ɔr wik. I kin apin we sɔntin lɛk siriɔs pɔyzin dɔn ful-ɔp di liva. Sɔntɛnde, i kin kam bak bikɔs ɔf wan bad bad vayral infɛkshɔn. Dis na siriɔs sik we nid fɔ gɛt mɛrɛsin kwik kwik wan .
- Chronic Liver Failure: Dis na di kayn we we dɛn kin gɛt mɔ. I kin apin sloslo, smɔl smɔl, fɔ sɔm mɔnt, sɔm tɛm dɛn kin apin fɔ lɔng lɔng tɛm. I kin kam bikɔs di liva dɔn pwɛl fɔ lɔng tɛm. Afta sɔm tɛm, di damej kin bi sɔntin we pɔsin nɔ go ebul fɔ chenj.
di joyn to di liva fεil: 4 men stej dεm
Krכnik liva sik de go bifo tru sεvεra stej dεm we de mek di liva fεil. I tan lɛk se yu de klaym lada. Bɔt mɛmba se dɛn stej ya nɔ kin rili difrɛn frɔm dɛnsɛf. Pɔsin we de na wan stej kin gɛt sayn dɛn bak fɔ ɔda stej.
| Stej | Fɔ tɔk am simpul wan... |
|---|---|
| 1. Epataytis we pɔsin kin gɛt | Dis na we di liva kin swel ɔ inflam. Dis na di say we di sik we nɔ de mɛn na di liva kin bigin. Jɔs lɛk aw pɔsin we wund di bɔdi kin mek i swel, na so inflamɛns kin apin bak we di liva dɔn pwɛl. Bɔt if dis kɔntinyu, i kin go to di nɛks stej. |
| 2. Fibrosis we de mek pɔsin gɛt sik | Dis na bikɔs di liva gɛt skata. Jɔs lɛk we wund na wi skin wɛl, skata kin stil de. as di inflameshn de kכntinyu, skata de bigin fכ fכm na di liva tisu. Dis kin mek di liva at smɔl smɔl. Bɔt ivin na dis stej, if dɛn stɔp di tin we mek di liva dɔn pwɛl, di liva kin wɛl te to sɔm mak. |
| 3. Sirosis we pɔsin kin gɛt | Dis na di stej we di skata we de na di liva dɔn go ɔp te i nɔ go ebul fɔ chenj. Pan ɔl we di liva gɛt wɔndaful pawa fɔ mek insɛf fayn, sɔm tin dɛn we gɛt wɛlbɔdi fɔ lɛf fɔ wok. Sirosis kin de fɔ ɔltɛm, bɔt ivin na dis stej, di rεt fɔ damej kin slo ɔr stɔp. |
| 4. Liva we nɔ de wok fayn | dis kכndyushכn de bigin we di liva nכ ebul fכ du in imכtant wok dεm bikoz fכ sirosis. As di liva in wok de go bifo, prɔblɛm dɛn kin bigin fɔ apin ɔlsay na di bɔdi. Pan ɔl we dis nɔ kin kil pɔsin wantɛm wantɛm, i kin mek pɔsin in layf de pan denja if dɛn nɔ transplant di liva. |
Wetin na di sayn dɛm we de sho se di liva de pan denja?
De sayn dɛm wae de sho se yu liva nɔr de woke fayn kin difrɛn difrɛn wan bay aw de sik tranga ɛn de kɔmplikɛshɔn wae dɔn apun. Sɔm sayn dɛn kin apin fɔs, ɛn ɔda wan dɛn kin apin afta sɔm tɛm.
Kɔmɔn tin dɛn we kin kam fɔs
Dɛn kin si dɛn tin ya bak pan ɔda sik dɛn, so yu nɔ kin pe atɛnshɔn to dɛn bɛtɛ.
- Bɛlɛ pen (espɛshali na di ɔp, rayt say) .
- I kin taya pasmak ɛn i kin wik
- Nɔs, vɔmit, ɛn nɔ want fɔ it
Sayn dɛn we de wɔn pipul dɛn we gɛt fɔ du wit di liva
Afta di sayn dɛm wae wi dɔn tɔk bɔt, mɔr spɛshal sayn dɛm fɔ di liva sik kin apia. Dɛn tin ya de sho se pɔyzin we di liva nɔ ebul fɔ filta de gɛda na di blɔd.
- Janda: Di wayt pat na di yay ɛn di skin kin yɔlɔ.
- Di chenj dɛm we de apin na di bren we de wok (Hepatic Encephalopathy): Kɔnfyushɔn, fɔgɛt, slip.
- Pruritus: I de it ɔltɛm na di skin we nɔ de mek ɛni damej.
- Dak urine ɛn pale stɔl.
If yu yay ɔ yu skin de tɔn yɔlɔ, chans de fɔ se na liva prɔblɛm. Insay dɛn kayn kes dɛn de, .Yu nid fɔ go to dɔktɔ wantɛm wantɛm ɛn nɔ de te.
Ɔda sayn dɛm wae yu kin si wae yu liva nɔr de woke fayn
Dɛn tin ya kin kɔmɔt na do smɔl smɔl.
- Blɔd we de kɔmɔt frɔm ivin smɔl injuri ɛn brus izi wan.
- Di we aw blɔd vesel dɛn we tan lɛk spayda ɔ smɔl smɔl rɛd dɔt dɛn de na di skin.
- di we aw sכm sכm yכlכ fεt bכku dεm de sho na di skin כ di aylid dεm.
- Prɔblɛm fɔ digest, mɔ wit it dɛn we gɛt fat.
- We yu de lɔs yu wet ɛn yu de west yu mɔsul dɛn.
- Wan strenj smel we de kɔmɔt na di briz.
Simptom dɛm na siriɔs kes
Dɛn tin ya de sho se di tin de wɔs.
- di bכdi de swεla (Ascites): Na di wata we de bכku na di bכdi.
- Ɛdima: Di anklɛ, fut, an, ɔ fes kin swel, lɛk se i ful-ɔp wit wata.
- Fɔ vɔmit blɔd ɔ vɔmit we tan lɛk kɔfi grɔn.
- Prɔblɛm fɔ kɔntrol di mɔsul dɛn (tremor, twitching).
- Di urine we de kɔmɔt na di bɔdi dɔn go dɔŋ.
- I nɔ kin izi fɔ yu fɔ blo.
Wetin mek dis de apin? Wetin na di rizin dɛn?
Di tin dɛm we kin mek di liva nɔ wok fayn kin difrɛn difrɛn wan if i kin apin wantɛm wantɛm (akyu) ɔ as tɛm de go (krɔnik).
Di tin dɛn we kin mek pɔsin in liva nɔ wok wantɛm wantɛm (Acute Liver Failure) .
Dis kin apin to pɔrsin wae nɔr dɔn gɛt ɛni liva sik bifo. Na sɔntin we kin mek di liva pwɛl bad bad wan wantɛm wantɛm.
- Vayral infεkshכn: Vayrus dεm lεk Epataytis A, B, D, εn E.
- Drug Overdoses: Paracetamol ovados na di men tin we kin mek dis apin. Dɔn bak, fɔ tek tumɔs sɔm mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) ɛn antibayɔtiks kin ambɔg bak.
- Di prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ: Sɔm siriɔs prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ nɔ kin apin so ɔltɛm.
- Pɔyzin: Fɔ it wan kayn mɔs we yu nɔ no . If yu tink se yu dɔn it pɔyzin, go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. If nid de, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
- Ɔda tin dɛn we kin mek pɔsin gɛt dis sik: Tin dɛn lɛk kansa, sɛptik shɔk, ɔ ɔt.
Di tin dɛn we kin mek pɔsin in liva nɔ wok fayn fɔ lɔng tɛm
Dis na bikɔs ɔf sik we dɛn kɔl sirosis. Dɛn tin ya na di men tin dɛn we kin mek pɔsin gɛt sirosis.
- Krכnik vayral infεkshכn: Epataytis B εn C vayral infεkshכn kin de fכ lכng tεm.
- If yu drink pasmak: If yu drink pasmak fɔ lɔng tɛm, dat kin pwɛl yu liva bad bad wan.
- Fat Liva Sik: Kɔndishɔn lɛk fɔ fat, dayabitis, ɛn bɔku kɔlɔstrel kin mek fat gɛda na di liva, we kin go bifo to sirosis.
- Di sik we pɔsin kin gɛt we i de fɛt insɛf:Sik dɛm wae di bɔdi in yon imyun sistɛm kin atak di liva.
- Sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa: Sɔm sik dɛn we pɔsin kin gɛt we i kam pan in jɛnɛtiks kin mek di liva pwɛl bak.
Aw dɔktɔ go no if na so i bi?
If yu gɛt sayn dɛm fɔ liva sik, dɔktɔ go ɔda fɔ du sɔm tɛst fɔ no if yu gɛt dis sik.
- Blɔd tɛst: We di liva de du tin kin chɛk aw di liva de wok fayn fayn wan.
- Imej tɛst: Ɔltra saund ɔ MRI skan kin chɛk fɔ si if di liva swel, skata, ɔ wata de na di liva.
- Liva Bayopsi: Dis na fɔ tek wan smɔl pat pan di liva we yu de yuz wan rili smɔl nidul. Dis kin kɔnfɔm sirosis ɛn fɛn di kɔz fɔ di sik.
Ɛni tritmɛnt de? Wetin dɛn de du?
Di tritmɛnt de dipen pan aw di liva dɔn pwɛl ɛn wetin mek di sik kam. Tri men gol dɛn de:
1. Fɔ manej di kɔmplikeshɔn dɛn we dɔn kam.
2. Fɔ trit di ɔndalayn kɔz fɔ di sik.
3. Fɔ transplant di liva, if nid de.
If ɛni imejensi, dɛn kin gi sɔpɔt kia na ɔspitul. Dis inklud IV saline, it, antibayɔtik fɔ infɛkshɔn, ɛn blɔd transfyushɔn if nid de.
I rili impɔtant bak fɔ trit di tin we de mek pɔsin gɛt dis sik. Fɔ ɛgzampul, fɔ paracetamol pɔyzin, wan patikyula antidote de. If na bikɔs ɔf rɔm, dɛn fɔ stɔp fɔ drink kpatakpata. If na vayral infɛkshɔn, dɛn kin gi dɛn di rayt mɛrɛsin.
Insay di las stej, di bɛst tin fɔ sev yu layf kin bi fɔ transplant yu liva, we yu dɔktɔ go ɛksplen to yu mɔ.
Tin dɛn we wi kin du fɔ protɛkt di liva
Bɔrku tin de wae wi kin du fɔ mek di liva nɔr de woke fayn, mɔr lɛk di sik wae de mɛk wi nɔr de woke fayn.
- Kɔntrol di we aw yu de drink rɔm: If i pɔsibul, stɔp fɔ drink am kpatakpata. If nɔto so, na smɔl tin nɔmɔ yu fɔ drink.
- It fayn it: Rid di it dɛn we gɛt bɔku ɔyl, shuga, ɛn sɔl. It mɔ vɛjitebul, frut, ɛn grɛn.
- Mek yu gɛt wɛl bɔdi wet: If yu kɔntrol yu bɔdi wet, dat kin ɛp fɔ mek di fat nɔ gɛda na yu liva. Du ɛksɛsayz ɔltɛm .
- Yuz mɛrɛsin wit kɔt: Nɔ tek mɛrɛsin dɛn we yu nɔ nid, lɛk mɛrɛsin fɔ mek yu fil pen, we yu nɔ gɛt dɔktɔ advays. Tek ɛni mɛrɛsin jɔs di doz we dɛn tɛl yu fɔ tek.
- Gɛt vaysin agens epataytis: Vaksin dɛn de fɔ protɛkt yusɛf frɔm epataytis A ɛn B.
- Tek tɛm: Nɔ sheb reza, nidul, ɛn ɔda tin dɛn.Dɛn kin mek sik dɛn we pɔsin kin gɛt frɔm blɔd (Epatitis B, C).
Mɛsej we dɛn kin kɛr go na os
- Di liva na wan ɔgan we rili impɔtant na wi bɔdi. Na wi wok fɔ protɛkt am.
- Liva fεil kin apin wan wan (Acute) כ ova tεm (Chronic).
- Nɔr ignore de kɔmɔn sayn dɛm lɛk wae yu taya wantɛm wantɛm ɛn wae yu nɔr want fɔ it.
- We yu yay ɔ yu skin de yɔlɔ (jaundice) na siriɔs wɔnin sayn. If dis apin, go to dɔktɔ wantɛm wantɛm.
- Rɔk, di we aw pɔsin de it fayn, ɛn we pɔsin fat na di men ɛnimi dɛn we de na di liva.
- If yu gɛt ɛnitin fɔ wɔri bɔt yu liva wɛlbɔdi, tɔk to yu famili dɔktɔ bɔt am.
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