Zu hian i thin a tichhia em? (Zu vanga Hepatitis) 1.1.

Mi tam tak chuan ni khata zu in tlem te, a nih loh leh kar khatah vawi khat thiante nena zu in hi a pawi lo niin an ngai. Mahse, chu zu tlemte chuan i taksa ngawi renga thawktu, thin (liver) chu eng chen nge a tihchhiat theih tih i hria em? Vawiin hian zu avanga thin (liver inflammation) chungchang kan sawi dawn a, hei hi damdawi lama ‘Alcohol-Induced Hepatitis’ tia hriat a ni.

Zu avanga hepatitis hi eng nge ni?

A awlsam zawngin sawi ila, ‘Hepatitis’ hi thin (liver) a ti na a ni. Hei hi kan taksaah hliam kan neih hian a sen leh a hring (swelling) nen a inang a ni. Hetianga a hring hian liver cells a tichhia emaw, infection emaw a awm tihna a ni. Hei hi chhan hrang hrang a awm thei. Virus chi hrang hrang, taksa tana chhiatna thlen thei toxins, etc. Zu in tam lutuk pawh hi a chhan lian tak a ni.

A châng chuan ni khat in tam lutuk hnua lo awm, hun eng emaw chen atana lo awm thei a ni. Mahse, hei hi zu in chhunzawm zeltuah chuan natna khirh tak a lo nih chuan, siamthat theih loh thin (liver)-ah chhiatna nasa tak a thlen a rinawm hle.

Engvangin nge zu hian thin (liver) ah hetiang hian a tih?

Ngaihtuah teh, i ei leh in zawng zawng hi i taksaah a luh hmain i liver hian a tifai a, a process vek a ni. Liver hi kan taksaah filter ang mai a ni. Heng zawng zawng hi a ti vek a, nutrients te a thliar hrang a, toxins te a paih chhuak bawk.

Zu i in hian he liver-ah hian a kal bawk. Mahse zu hi liver tan chuan nutrient a ni lo va, direct toxin a ni . Liver hian zu a tihchhiat rual hian chemical tha lo dang a lo chhuak ta a ni.

Hun rei tak chhunga zu i in tam lutuk chuan, chu chu zu hmansualna nei mi pakhatah chuan heng toxins te hian thin (liver) chu a rawn luah khat ta a ni. Liver-in thau leh toxin tam lutuk a tuar theih loh chuan liver cells te chu an tichhe tan thin. He chhiatna hi chhanletna atan hian taksa chuan a chunga kan sawi tak swelling, a nih loh leh inflammation chu a siam chhuak thin. Taksain hliam tihdam leh chhiatna dang tihtawp a tumna a ni tak zet a ni.

Mahse buaina chu zu in chhunzawm zel a nih chuan he hliam hi a la awm chhunzawm zel a ni. Liver a lo hring chhunzawm zel chuan a cell te chu an thi tan ta a ni.

Hetiang dinhmun hi tute nge hlauhawm ber?

Kum tam tak chhung zu in nasa tawhte chu an hlauhawm ber tlangpui. Mahse he natna vei zawng zawng hi chutiang zingah chuan an tla vek lo. Mi thenkhat taksa chu zu lakah a sensitive hle a. A tlangpuiin an in pawhin an thin (liver) an la tichhe thei tho. Mi dangte chuan zu in tam mah se, he natna hi an nei lo mai thei.

Hei atan hian genetic variations a awmA nghawng thei a ni. I chhungkuaa mi tu emaw zu in emaw, thin natna emaw a neih tawh chuan nang pawhin i hlauhawm zawk bawk. Hetah hian gender hian hmun a chang bawk. Hmeichhia aiin mipa hian zu an tuar deuh tlangpui.

He natna lan chhuah dan engte nge ni?

He natna hi a bul tan tirh atanga i neih chuan symptoms i nei lo mai thei. Mahse, dinhmun a chhe zual zel chuan heng thilte hi i hre tan ang.

He natna hi i vei theih nan engzat nge i in ngai?

Hei hi one-size-fits-all formula a awm lo. Mahse statistics atanga a lan dan chuan nitin hun rei tak chhunga zu in nasa te hi an hlauhawm zawk a ni. "Heavy drinking" tih awmzia hi hmeichhia leh mipa tan pawh a danglam hle.

• Mipa tan: Ni khatah standard drink pali vel emaw, kar khatah drink 14 aia tam emaw in thin.
• Hmeichhia tan: Ni khatah glass thum vel emaw, kar khatah glass 7 aia tam emaw in thin.

Zu in nasa lutuk pawh hi a chhan a ni. Mipain vawi khatah glass 5 aia tam an in a, hmeichhiain glass 4 aia tam an in bawk a, hetiang hian thla khatah vawi nga tal i tih chuan chu pawh chu zu in nasa takah ngaih a ni. Hetianga hun rei lote chhung, thla ruk chhung ang chiah hian in pawhin he natna hi i vei theihna a tipung hle.

Engtin nge doctor hian he natna hi dik taka a hriat theih ang?

Doctor i pan hunah i hriselna chanchin leh zu i hman dan a zawt hmasa ang. Zu in chungchangah harsatna i neih nia an rinhlelh chuan taksa peng dang a nghawng em tih an enfiah ang. Hemi atana pui turin test engemaw zat tih theih a awm.

• Thisen test: Thisen chhiar kim (CBC) chuan damdawi lam dinhmun hrang hrang a screen thei a. Liver function test pawh tih a ni a, liver enzymes sang tak tak a awm leh awm loh enfiah a ni bawk.
• Imaging test: Ultrasound, FibroScan®, CT scan, emaw MRI scan ang chi test hmangin liver a hring emaw, a chhiat emaw enfiah theih a ni.
• Liver biopsy: A then phei chuan doctor chuan liver atanga tissue te tak te tak te la chhuakin microscope hmangin a enfiah a ngai mai thei a, natna hi a finfiah theih nan.

Engtin nge enkawl a nih?

He natna atana direct-a pek theih damdawi bik a awm lo. Enkawlna awmchhun leh tha ber chu zu in hi bansan vek hi a ni.

Mahse, mahni chauha zu in chawlhsan thut chu a hlauhawm thei hle. Taksaah side effect na tak (withdrawal symptoms) a thlen thei a ni. Chuvang chuan hei hi i tih tur a niDamdawi lam enkawlna hnuaiah .

I doctor chuan zu in loh nan a pui ang che, chutih rualin, a vanga harsatna awm thei apiang chu a enkawl bawk ang.

Enkawlna dangte chu:

• Nutritional therapy: Zu in leh thin (liver) tihchhiatna hian ei duh lohna leh rilru hahna ang chi thil a thlen thei a, chu chuan ei leh in lama harsatna a thlen thei a ni. I doctor chuan ei leh in leh nutritional supplement dik tak a pe ang che. A nasat chuan damdawi inah tube feeding pek i ni thei bawk.
• Hun rei lote chhunga hman tur steroid: Nausen na tak tak thenkhat chu hun rei lote chhung atan steroid pek an ni a, hei hian thin (liver) a hring (swelling) a tihziaawm bakah cell te chu a siam thar leh theih nan a pui thin.

He dinhmun hi tihdanglam theih a ni em? Eng chen nge a dam leh theih ang?

Ni e, hei hi a tam thei ang berin tihdam theih a ni. Mahse, a condition pakhat chauh a awm. Chu chu zu in bansan vek tur a ni.

Natna a na lutuk loh chuan zu a chawlhsan hnuah thin (liver) a lo dam leh thei a ni. Zu in chawlhsan lote chuan cirrhosis leh liver failure an nei chhunzawm thei a, chu chu liver a chhiat vek hun a ni. Liver-a scar tissue lo awm tawh chu tihdanglam theih a ni lo. Mahse chhiatna dang chu i titawp thei a, i liver dang zawng zawng chu i chhanhim thei bawk.

A tlangpuiin, natna an hmuhchhuah hnua zu in tawh lote chuan thla 6 atanga thla 12 chhungin an hriselnaah nasa takin hma an sawn thin . Mild case te chu a dam kim thei a ni.

Zu avanga hepatitis leh cirrhosis hi eng nge an danglamna?

An pahnih hi tibuai suh. Cirrhosis hi liver natna stage hnuhnung ber, na ber a ni.

A awlsam zawngin sawi ila, hun rei tak chhunga hepatitis (inflammation) hian liver cells te chu a thi chhunzawm zel a, scar tissue in a thlak danglam thin. Hetiang scar tissue hian liver hmun zau tak a khuh chuan chu natna chu cirrhosis an ti a ni. He scar tissue hian liver-a thisen kal dan a tichhe a, chu chuan nutrients a process tha thei lo va, toxins a filter thei lo bawk. A tawpah chuan liver chu a chhe vek thei a, a thi hial thei bawk.

Alcoholic hepatitis hi cirrhosis kalkawngah chuan chawlhna hlauhawm tak a ni. Reversible a ni a, mahse ngaihthah a nih chuan a dawt leh tur chu irreversible cirrhosis a ni.