Suneth (we ol 45 ia) bin kam na mi klinik las Wednesde wit wan stet we a bin kɔnfyus. Suneth na bank manija we nɔ de drink rɔm atɔl ɛn i de du in wok fayn fayn wan. Bɔt we dɛn bin de chɛk am ɛvri ia, in liva ɛnzaym dɛn (AST/ALT) bin rili bɔku, ɛn we dɛn bin du ɔltra saund skan na in bɛlɛ, dɛn bin si se i gɛt bɔku bɔku fat liva.
"Dɔkta Priya, a nɔ ɛva drink wan drop rɔm na mi layf. Aw mi liva go ful-ɔp wit fat ɛn gɛt liva sik? A nɔ ebul ivin imajin dis," Suneth aks wit fred vɔys.
A bin ɛksplen to Sunɛt wit kol at. "Suneth, nɔto yu nɔmɔ, bɔt bɔku pipul dɛn na Sri Lanka tink se liva sik kin apin nɔmɔ if yu drink rɔm. Bɔt ivin pipul dɛn we nɔ de drink rɔm kin gɛt fat na dɛn liva. Insay mɛrɛsin, wi kin kɔl dis Nɔn-alcoholic Fatty Liver Disease (NAFLD) . Di stej we kin rili bad ɛn we kin mek pɔsin inflammatory pas ɔl na in dɛn kin kɔl Non-alcoholic Steatohepatitis (NASH) . Tide, lɛ wi tɔk." bɔt dis insay simpul wɔd dɛn."
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🚨 Rɛd Flag dɛn we nid fɔ go na dɔktɔ wantɛm wantɛm
Pan ɔl we NASH nɔ kin mek pɔsin gɛt ɛni sayn we i bigin, dɛn sik ya kin apin we i go bifo te i gɛt siriɔs liva fɔ wok. If na so i bi, yu nid fɔ go na ɔspitul wantɛm wantɛm:
- Di skin kin yɔlɔ ɛn di yay kin wayt (jaundice).
- Ascites na wan kכndyushכn we di bכdi de swεla εn distend bikoz fכ abnכmal fכluid we de kכmכt na di lכw bכdi εn di pεlvis.
- Vɔmit rɛd blɔd ɔ pas blak, tar stɔl (sayn fɔ blɔd insay).
- Bɔrku tɛm, yu kin fil bad bad wan, yu nɔr kin ebul fɔ ɔndastand aw yu de tɔk, ɔr yu kin kɔnfyus bad bad wan (Hepatic Encephalopathy).
- I izi fɔ brus ɔ blɔd na di skin.
Wetin na di difrɛns bitwin NAFLD ɛn NASH?
Fat liva sik na pipul dɛm we nɔ de drink rɔm kin sheb to tu men stej dɛm:
1. Simpul Fεt Liva (NAFLD): Insay dis kכndyushכn, pan כl we fεt de dכn na di liva, nכ damej כ inflameshn de pan di liva sεl dεm. Bɔku tɛm, dis nɔ kin mek pɔsin gɛt siriɔs prɔblɛm.
2. Nɔn-alcoholic steatohepatitis (NASH): Dis na wan sik we rili siriɔs. pan dis kכndyushכn, di fεt we pasmak na di liva de mek di liva sεl dεm inflamed εn dεstroy. Dis kin mek wan tin we dɛn kɔl fibrosis, we kin mek skata na di liva. If dɛn nɔ trit dis, dis kin mek pɔsin gɛt sirosis, we na wan sik we di liva kin at ɔl ɛn i kin stɔp fɔ wok.
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Check Availability →Men kɔz ɛn risk factor dɛm fɔ NASH
di mεtabolik εshyu dεm na di bכdi de mek fεt we nכ nid fכ kכmכt na di liva. Di men tin dɛm wae kin afɛkt dis na:
- Sɛntral Ɔbisiti: Fɛt we de gɛda pasmak rawnd di bɛlɛ.
- Tayp 2 Dayabitis: Nɔ ebul fɔ kɔntrol di blɔd shuga lɛvɛl fayn fayn wan.
- Insulin Resistance: Na we di sɛl dɛn nɔ ebul fɔ yuz di ɔmon insulin fayn fayn wan.
- Di fat we de na di blɔd we bɔku: Di kɔlɔstrel ɛn triglisɛrɛyd de go ɔp.
- Bad it: Fɔ it tin dɛn we dɛn mek wit atifishal swit, fast fud, ɛn it dɛn we gɛt bɔku stach bɔku tɛm.
Aw fɔ no di sik
Dɔktɔ dɛn kin du dɛn tɛst ya fɔ chɛk if NASH de:
- bכdi tεst dεm (Liva Fכnshכn Tεst - LFT): mכsu di liva εnzym lεvεl dεm (ALT, AST).
- Ultrasound Scan: Yu kin si if fat de na di liva.
- FibroScan: Na simpul tɛst fɔ no if di liva de skata (fibrosis) ɛn i stiff.
- Liva Bayopsi: Na tɛst we dɛn kin tek smɔl pat pan di liva fɔ kɔnfɔm di sik kɔrɛkt wan.
Sɔlv fɔ kɔntrol NASH ɛn protɛkt di liva
Pan ɔl we sɔm patikyula mɛrɛsin dɛn we dɛn kin gi spɛshal fɔ NASH nɔ bɔku, we pɔsin chenj di we aw i de liv in layf kin ɛp fɔ mek di liva fat kɔmɔt kpatakpata:
1. Lɔs yu wet (men sɔlv): .
bay we yu lכs bitwin 7% εn 10% pan yu wet naw, yu kin kכlכsכl kכmplit fכ pul di fεt εn inflameshn na di liva.
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