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."
🚨 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.
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.
2. Fɔ it tin dɛn we gɛt wɛlbɔdi:
- Nɔ it tin dɛn we gɛt fruktɔs: Di fruktɔs shuga we de insay drink dɛn we dɛn mek wit atifishal swit, soda, swit biskit, ɛn frut jus we dɛn put insay tin, kin tɔn dairekt to fat na di liva.
- Gɛt gud fat: Put fayn fayn fat dɛn we yu de it, lɛk ɔliv ɔyl, nɛt, ɛn fish.
3. Ɛksesaiz ɛvride:
If yu du ɛksɛsayz fɔ at le 150 minit insay di wik (30 minit insay di de, 5 dez insay di wik) lɛk fɔ waka ɔ fɔ rayd baysikul, dat kin mek yu gɛt mɔ insulin sɛnsitiviti na di liva ɛn i kin ɛp fɔ bɔn fat.
Di tin dɛn we yu fɔ du & wetin yu nɔ fɔ du
| ✔️ Tin dɛn fɔ du (Du) | ❌ Nɔ fɔ du am |
|---|---|
| If yu gɛt dayabitis, ay blɔd prɛshɔn, ɛn kɔlɔstrel, kɔntrol dɛn wit di rayt mɛrɛsin. | Nɔ tek lay lay mɛrɛsin dɛn we yu nɔ rayt na yu os ɔ pils we se i de sɔlv di liva fat (dɛn tin ya kin pwɛl di liva mɔ). |
| lכs yu wet sכmtεm wit hεlty paz we na 0.5 - 1 kg pan wik. | Nɔ tray fɔ lɔs yu wet kwik bay we yu fast wantɛm wantɛm (krash dayat). Dis go jɔs mek di liva fat ɛn inflamɛns bɔku. |
| Chek yu liva wok wit simpul blɔd tɛst at le wan tɛm insay di ia. | Nɔ tek mɛrɛsin fɔ mek yu fil pen (especially high dos of paracetamol) bɔku tɛm if yu nɔ gɛt dɔktɔ advays. |
❓ Sɔm ɔda kwɛstyɔn dɛn we yu kin gɛt (FAQ)
Wetin mek pipul dɛn we nɔ de drink rɔm kin gɛt fat liva bak? ▼ we dɛn kɔl
di kabohaydret dεm εn shuga dεm we pasmak (especially fructose) de kכnvכlt to fεt εn di bכdi de stכr am. we insulin rεsistεns de, dεn fεt dεposit dεm ya kin kכmכt na di liva, we kin mek i gεt NAFLD/NASH, ivin pan pipul dεm we nכ de drink rɔm.
Yu tink se Fati Liva kin wɛl ɔltogɛda? ▼ we dɛn kɔl
Yes, insay di fכs stej dεm (simpul fεt liva כ di fכs stej fכ NASH) bifo di liva gεt sirosis, fכ lכs di wet fayn fayn wan εn di it kכntrכl kin sכlv di fεt na di liva kכmplit wan.
NASH kin mek pɔsin gɛt kansa na di liva? ▼ we dɛn kɔl
Yes, if yu nɔ tek NASH fɔ lɔng tɛm, dat kin mek yu gɛt sirosis na di liva. Di wan dɛn we gɛt sirosis kin gɛt bɔku bɔku risk fɔ gɛt liva kansa (Hepatocellular Carcinoma).
Yu tink se i bad fɔ it frut dɛn we gɛt fruktose? ▼ we dɛn kɔl
Nɔ, pan ɔl we natura frut dɛn gɛt fruktose, di bɔdi kin tek dɛn smɔl smɔl bikɔs dɛn gɛt bɔku fayv ɛn vaytamɛn dɛn. I nɔ de du bad. Wetin de ambɔg na drink dɛn we dɛn dɔn swit ɛn tin dɛn we dɛn dɔn prosɛs we gɛt atifishal ad High-Fructose Corn Syrup (HFCS).
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