Zu i in nasa em? Liver-a thil thlengte i zir dawn teh ang! (Zu vanga thin natna) .

Intihhlimna atan te, nawmchen nan te, a châng chuan kan tih dân avânga zu kan in hian kan taksa pêng pawimawh tak pakhat chu zawi zawiin a tichhe thei tih i hria em? Ni e, liver chungchang ka sawi a ni. Mi \henkhat chuan zu in tlem chuan engmah a ti na lo ang tih an ring a, mahse chutiang chu a ni tak tak em? He zu avang hian thin (liver)-ah eng nge thleng tih i lo en ang u.

Zu avanga Liver Disease hi eng nge ni?

A awlsam zawngin, zu i in tam lutuk chuan i liver-ah thau a lo pungkhawm tan a, a tichhia a, chu chu `Alcohol-Associated Liver Disease` kan tih chu a ni. Hei hi a takah chuan liver natna chi khat `steatotic liver disease` an tih a ni. Tun hma chuan doctor-te pawhin he natna hi `zu ruih vanga thin natna` an ti thin.

Thil thleng chu i liver-in a process theih aia tam zu i in chuan i liver cell-ah thau tam lutuk a awm khawm thin. Factory stock khata khat ang maiin han ngaihtuah teh. Hetiang dinhmun hi `steatosis` an ti a, chu chu liver-a thau awmkhawmna a ni.

He natna hi stage thum a awm a...

Zu avanga thin (liver) chhiatna hi vawi khatah a na lo hle. Stage lian pathum hriat theih a ni:

1. Zu in kaihhnawih steatotic liver disease: Hei hi a hmasa ber a ni. Heta thil thleng chu zu i in tam lutuk chuan liver hian a tuar theih aia tam thau a khawlkhawm thin. A tam zawkah chuan tun dinhmunah hian symptom lian tham a awm lo.

2. Zu in kaihhnawih hepatic steatosis: Hetiang thau khawlkhawm hian thin (liver) ah inflammation, a nih loh leh a hring (swelling) a siam thin. Hei hi a serious deuh. He inflammation hian liver a tichhe nasa thei a , a hnuah cirrhosis tih hming pu dinhmun hlauhawm tak a thlen thei bawk .

3. Zu in kaihhnawih cirrhosis: Hei hi stage hlauhawm ber a ni. Hei hi liver cell te thihna hmun a ni a, scar tissue in a thlak a ni. He scarring hian liver chu a hnathawh theihna a hloh vek a ni. Hei hi permanent damage , tihdanglam theih a ni lo tihna a ni.

Eng nge a lan chhuah dan? Engtin nge i hriat chian?

Lungchhiatthlak takin he natna vei tam tak hian a tir lamah chuan symptom an nei lo. A chang chuan i hriat hmasak ber chu chau reng reng hi a ni . Mahse natna a zual zel chuan a lan chhuah dan hetiang hi i hmu mai thei:

• Khawsik
• Pum chhunga tui awm (doctor-te chuan hei hi `ascites` an ti) emaw, ke ruh a hring ( `edema` an ti) emaw a ni.
• Chaw chakna
• Luak chhuak, thisen chhuak pawh a ni thei
• Mit leh vun sen (hei hi jaundice an ti a ) .
• Rihna tihtlem

Heng symptoms te hi i neih chuan, a bik takin zu ruih hmang i nih chuan doctor pan ngei ngei tur a ni, a chhan chu ngaihthah a nih chuan a hlauhawm thei a ni.

Engvangin nge he natna hi a lo awm? A chhan ber chu eng nge ni?

Hei hi a chhan ber leh awmchhun chu hun rei tak chhunga zu in nasa lutuk hi a ni . He natna hi kum nga atanga kum sawm chhung zet zu in nasa tawhte zingah a lo awm fo thin.

Tunah chuan ‘in tam lutuk’ hi engzat nge a nih tih i ngaihtuah mai thei. Gender a zirin a danglam deuh hlek a ni:

• Mipa tan: Heavy drinking tih hi ni khata zu thum emaw a aia tam emaw (a tlangpuiin light beer) in emaw, kar khatah vawi 21 emaw a aia tam emaw in tur tihna a ni. Wine, whisky, zu ang chi in tur chak zawk tan chuan in tur hi a tlem zawk daih.
• Hmeichhia tan: Ni khatah vawi hnih emaw a aia tam emaw, kar khatah vawi 14 emaw a aia tam emaw in hi zu rit anga ngaih a ni.

Zirchianna atanga a lan dan chuan zu in nasa ber zinga 90% chuan fatty liver disease (steatosis) an nei thin. He thau hi liver tan toxic a ni. Inflammation, cirrhosis, leh liver cancer thlengin a thlen thei. Amaherawhchu, mi zawng zawng hian he natna khirh tak hi an nei vek lo.

Tute nge he natna vei theihna sang zawk?

Risk factor ber chu Alcohol Use Disorder (AUD) tih hming pu condition neih hi a ni. Chu chu kum nga tal a zawna zu in tam lutuk tihna a ni. `AUD` hi zu in thunun theih loh, zu in chhunzawm zel duhna, chawlhsan harsatna dinhmun a ni.

Tin, he thin natna hi vawi khata zu tam tak in (`Binge drinking` - chu chu hun rei lote chhunga zu tam tak in tihna a ni). Liver natna dang (hepatitis B emaw C emaw ang chi) i neih tawh chuan zu avanga i liver chhiatna chu a nasa zawk.

He natna avanga harsatna hlauhawm awm thei te chu engte nge ni?

Zu avanga cirrhosis hi a nasat chuan harsatna a thlen thei a, nunna atana hlauhawm thei a ni. Entirna tlemte chu hetiang hi a ni:

• Venous varices leh chaw ei kawngah thisen chhuak ( Gastrointestinal varices or gastrointestinal bleeding ), entirnan, thisen chhuak.
• Thluak a tihchhiat ( Hepatic encephalopathy ). Hei hian nitin mutthilh lutuk, buaina, coma thlengin a thlen thei a ni.
• Liver cancer ( Hepatocellular carcinoma ) natna hi a awm a, a rilru a hah hle.
• Kidney tha lo ( hepatorenal syndrome ) a awm thin.
• Thlawhna lama harsatna ( .`hepatopulmonary syndrome` (hepatopulmonary syndrome) tih a ni.
• A pum chhunga bacteria infection ( Spontaneous bacterial peritonitis) .

Hengte hi dinhmun hlauhawm tak a nih avangin zu lakah fimkhur a pawimawh hle.

He natna hi Doctor ten engtin nge an hriat chian?

Doctor hmu tura i kal chuan taksa lamah a en hmasa phawt ang che. I hriselna chanchin a zawt ang. A pawimawh ber chu zu in engzat nge i in tih zawh hi a ni. He zawhna hi chhang nuam lo i ti mai thei. I zu in dan chungchang sawi i hreh mai thei. Mahse, thu chiang tak i pêk chuan doctor chu dik taka hriat theih nân a ṭanpui ang. Khawngaihin thudik sawi rawh. Doctor hian a rorelsak lo che a, pui turin a rawn kal a ni.

Chu bakah, doctor chuan test a ti thei bawk a, chungte chu:

• Thisen tling (CBC ): Thisen tlakchham (thisen tlem) emaw, platelet hniam emaw a awm leh awm loh a enfiah thin.
• `CT scan` , `MRI test` emaw `Ultrasound` test: Hengte hian liver dinhmun, thau a awm leh awm loh, `cirrhosis` chhinchhiahna a awm leh awm loh a enfiah thei a ni.
• Liver function test: Hengte hian liver a chhiat leh chhiat loh hriat theih a ni.
• Zu biomarker test: Hengte hian i thisen emaw i zun emaw ah zu a awm leh awm loh a hriat theih. Zu biomarker test thenkhatah chuan zu i in hnu thla engemaw zat hnuah pawh zu in nasa lutuk tih hriat theih a ni.

Hei hi eng enkawlna nge ni?

Zu nena inzawm steatotic liver disease emaw, zu in avanga hepatic steatosis emaw enkawlna ber leh tangkai ber chu zu in hi tihtawp vek hi a ni. Hei hian liver chhiatna chu a tidanglam thei a ni.

Hei hi sawi a awlsam a, mahse tih harsa a ni tih kan hria. He thin natna hi zu in lama harsatna (`Alcohol Use Disorder - AUD`) nei te zingah a awm fo thin. `AUD` i neih chuan i doctor chuan heng enkawlnate hi a rawn rawt thei ang:

• Behavioral treatment: Hetah hian addiction counselor emaw psychologist emaw te nen in thawk dun thei ang. I zu in dan thlak danglam turin an pui ang che. Hei hi therapies hrang hrang hmanga thlawp a ni.
• Damdawi: Zu in duhna tiziaawmtu leh withdrawal symptoms tihziaawmna damdawi a awm.

Zu in avanga cirrhosis natna (cirrhosis) a awmHe natna enkawl dan hi i hriselna dinhmun a zirin a inang lo. Entirnan, cirrhosis damdawi awmchhun chu liver transplant a ni. Mahse, thin hrisel mamawh zawng zawng hian an nei thei lo. Criteria thenkhat chu zawm ngei ngei tur a awm. Cirrhosis i neih chuan i doctor hnenah liver transplant hi i tan a tha em tih zawt la.

Engtikah nge Doctor ka hmuh ang?

Zu in tam lutuk nia i inhriat emaw, i in thunun harsa i tih emaw chuan Doctor nena inbiakna neih a pawimawh. Doctor-te chuan mimal chanchin, i zu hman dan ang chi insem chu thil awlsam a ni lo tih an hria. I harsatnate an sawi ang a, i hriselna an ennawn ang che, rorelsak lovin.

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Hetiang dinhmun hi ka tidanglam thei ang em?
• Ka dinhmun hi a chhe zual dawn em ni?
• Zu in ka thin a tihchhiat avangin ka ei loh tur damdawi a awm em? (Thil thenkhat painkiller ang chi hi thin (liver) tan a pawi thei hle.)

He natna hi ka vei a nih chuan eng nge ka beisei ang?

Mi zawng zawng dinhmun a inang lo. Zu in avanga steatotic liver disease hi zu in i chawlhsan hnuah kar ruk vel chhungin a dam vek thei a ni. Chumi awmzia chu i thin (liver) chu a hrisel leh thei tihna a ni.

Mahse cirrhosis i neih chuan thil awmdan a danglam. Zu in i bansan chuan natna a zual zel loh nan i veng thei a, i dam rei thei bawk. Mahse liver-a chhiatna awm reng chu tihdanglam theih a ni lo. Damdawi awm chhun chu liver transplant a ni.

He natna vei dam rei zawng hi engzat nge ni ang?

Natna chi hrang hrang nei mi chuan natna nei lo ang bawkin zu in a chawlhsan vek chuan dam chhung pangngaiin a nung thei a ni. Mahse chu chu chu mi chuan zu in a chawlhsan danah a innghat vek a ni.

Cirrhosis vei dam rei zawng pawh a tawi zawk. Hriatchhuah hnua dam rei zawng chu kum hnih leh kum sawm leh panga inkar a ni a, mahse hei hi thil tam takah a innghat a, chung zingah chuan natna nasat dan te, harsatna a thlen dan te, zu in loh dan te pawh a tel. Hetiang chi liver natna i neih chuan i doctor hi i hriatna tha ber a ni. Eng ang liver natna nge i neih a, engtin nge a nghawng che tih a hre mai ang.

A tawp berah chuan hei hi ka sawi tur a ni...

Zu i in tam lutuk tih pawm a harsa thei hle. Doctor hnena i in zat leh i in tam dan hrilh chu a harsa zawk thei. Mahse chu thu hriatte chu insem darh chu a pawimawh hle. I doctor-in zuin i liver a tihchhiat dan dik taka a hriat theihna tura puitu a ni.

Natna hi i hriat hmasak a, zu i in loh chuan natna a zual zel loh nan i veng thei a ni.Zu in thin (liver) a tihchhiatna chu tihdanglam theih a ni.

Doctor-te chuan zu in bânsan chu thil awlsam a ni lo tih an hria a. Nangmah tanpui turin an awm a, rorelsak turin an awm lo. Damna hmasa ber chu zu in chungchangah inhawng taka sawi hi a ni. Chuvangin, hemi chungchang hi doctor hnena sawipui chu hlau lo la, zak suh. I thinin lawmthu a sawi ang che! Ṭanpuina dîl hi chak lohna chhinchhiahna ni lovin, chakna chhinchhiahna a ni tih hre reng ang che.

` Zu, thin, thin natna, Zu kaihhnawih thin natna, cirrhosis, steatosis, zu in loh, thin thau, thin hriak, zu ruih