I thin (liver) hian zu a tuar em? Vawiin hian Alcohol-Induced Hepatitis chungchang hi han sawi ila!

Zu hi taksa tan a tha lo tih kan hre vek. Mahse a châng chuan, hlimthla tlem a\anga \anin, kan tih danah a lo chang thei a, kan taksaah harsatna nasa tak a thlen thei a, kan hriat lohvin. Zu avanga kan thin (liver)-a natna khirh tak thleng thei pakhat chu ‘Alcohol-Induced Hepatitis’ an ti a. A hming hi a buaithlak deuh nachungin, a awlsam zawngin sawi ila, zu avanga thin (liver) a hring emaw, a hring emaw tihna a ni.

Engtin nge zu hian hetiang hian kan thin a tihchhiat?

Kan thin (liver) hi kan taksaa factory lian tak angin han ngaihtuah teh. Kan ei leh in zawng zawng hi he factory kaltlang hian tihfai leh tihfai vek turin kan kal vek a ni. Liver hian nutrients a thliar hrang a, taksa atanga toxin tha lo tak tak a paih chhuak thin. Chuvangin zu kan in hian he liver-ah hian a kal nghal a ni. Mahse zu hi thin (liver) tan chuan toxin a ni. Nutrition engmah a pe lo va, a lehlamah a chhe vek a, taksa tana tha lo chemical a siam chhuak bawk.

Tunah chuan, mi pakhatin zu a in tam chhunzawm zel a nih chuan, emaw, zu hmansualna a neih chuan, an liver hian toxin leh thau zawng zawng a process thei lo. Liver chu a overload ta hle mai. Chuti a nih chuan eng nge thleng? Heng toxins leh thau te hi liver-ah an pungkhawm tan a, a tichhe tan thin. Hetiang chhiatna hian inflammation , chu chu a hring chhuak a ni. He swelling hi a takah chuan taksain a tihdam a tumna leh chhiatna a thlen belh loh nan a ni.

Khawsik i neih lai ang bawkin he hliam hi hun eng emaw chen atan a ni tur a ni. Mahse zu avanga liver pressure a awm reng chuan a hring chhuak chhunzawm zel a ni. Liver chu tui ang maiin tuiin a khat a, a hring chhuak thin. He swelling hi a nasat a, rei tak a awm chuan liver tissue te chu a chhe zauh zauh a, liver cells te chu an thi tan thin.

Tute nge Alcohol-Induced Hepatitis vei tam zawk?

Kum tam tak chhung zu in nasa tawhte chu an hlauhawm ber tlangpui. Mahse, he natna vei zawng zawng hi hetiang hi an ni vek lo. Mi thenkhat chu zu hi an sensitive hle. A tlangpuiin an in pawhin liver reaction an nei thei. Mi dangte chuan an in tam zawk thei a, he hepatitis natna hi an nei lo thei bawk.

Hei hi genetic difference in a nghawng thei a ni . I chhungkuaa mi pakhatin zu insualna emaw, thin natna emaw a neih chuan , i hlauhawmna pawh a sang deuh thei bawk. Gender hian hmun a chang bawk. Mipa hian zu in hi an tuar thiam deuh deuh thin.

Mahse, mi zawng zawng hi kan inang vek lo. Damdawi lamah chuan ‘hei hi zu hi a him ber’ kan ti thei lo. Mi thenkhat chuan zu in pawh ngaihtuah phak loh khawpa zu in pawhin zu ruih vanga hepatitis leh cirrhosis an nei thei a ni.Chutiang dinhmun hnuaia awm chu.

Hetiang natna (Alcohol-Induced Hepatitis) hi eng nge a lan chhuah?

Hepatitis na lo tak emaw, a hma deuh emaw i neih chuan symptoms i nei lo mai thei. Mahse natna a zual zel chuan hetiang hi i hre tan thei a, i hmu tan thei bawk:

• I pum dinglam chunglam, i liver awmna hmuna natna emaw pressure emaw hriatna .
• Liver chu hmuh theiha a hring emaw a lian emaw ang maia hriatna .
• A pum zau tak, pum chu tuiin a khat ang maiin .
• Chaw ei duh lohna leh taksa rihna tlahniam .
• Luhai .
• Pale, tui tak tak stools .

Tunah chuan he hepatitis hi a na zual a, liver hnathawh a tibuai tan chuan harsatna dang symptoms i hmu tan ang. Entir nan:

• Khawsik .
• Heart rate sang (fast heart rate) .
• Mit dum hring hring - chu chu jaundice tihna a ni .
• Vunah awlsam taka hliam leh thisen chhuak (thrombocytopenia) .
• Thluak hnathawh that lohna, dementia (hepatic encephalopathy) ang chi .
• Chauh lutuk leh nunna nei lo .

Hetiang dinhmun thleng tur hian engzat nge in tur?

Zu hi mi zawng zawng a nghawng dan inang chiah chiah a awm lo. Mahse statistics atanga a lan dan chuan hun rei tak chhung i in nasa chuan a hlauhawmna a sang zawk. Heavy drinking hi hmeichhia leh mipa tan chuan a danglam deuh hlek a. Mipa tan chuan ni khatah standard drink pali vel a ni a, kar khatah unit 14 aia tam a ni. Hmeichhia tan chuan ni khatah unit thum vel a ni a, kar khatah unit 7 aia tam a ni.

Zu in nasa lutuk hi a chang chuan zu in tam lutuk tihna a ni thei - hei hi ‘binge drinking’ tia hriat a ni. Mipa tan zan khata zu unit nga aia tam in leh hmeichhia tan unit li aia tam in tihna a ni. Thla khatah vawi nga tal hetiang zat in hi zu in nasa lutuk anga ngaih a ni bawk. Hun rei lote chhung, thla ruk chhung emaw zu i in a nih pawhin zu in vei theihna chu nasa takin a pung a ni. Hetiang natna vei tam zawk hi chu kum nga emaw a aia tam emaw zu in tawh, hun engemaw chen zu in tawh lo, zu in tan leh tawhte an ni.

He natna hi kai theih a ni em?

No. He alcoholic hepatitis hi hepatitis chi dang thenkhat angin virus a ni lo. He natna hi virus angin mi dang hnenah i thehdarh thei lo. Mahse, chronic heavy drinking hi khawtlang thlirna atang chuan ‘virus’ ang a ni thei. Ṭhiante leh chhungte an inkhawm a, zu an in nasa hian zu ruih vanga hepatitis thlen thei thil tih ang chiah hi nei turin an infuih tawn a ni.

Engtin nge hei hi hriat chhuah a nih?

I doctor chuan i hriselna chanchin a zawt hmasa ang a, zu i hman dan pawh a zawt hmasa ang. Zu hmansualna a rinhlelh chuan, a kaihhnawih taksa peng chhiatna a awm leh awm loh a enfiah ang che. Hei hian test engemaw zat a huam thei a, entirnan:

• Thisen test neih a ni . Damdawi lam dinhmun hrang hrang enfiah nan complete blood count (CBC) ang chi test te hman a ni. Liver function test, a bik takin liver enzyme te hmangin zu a sang em tih enfiah a ni bawk. Tunlai hian thisen leh zun a zu awm leh awm loh enfiah nan ``phosphatidyl ethanol'' leh ``urine ethyl glucuronide'' tih ang chi test te pawh an hmang nasa hle.
• Imaging test hmangin i liver enfiah a, a hring emaw a chhe emaw a awm leh awm loh enfiah thin. Entirnan, ultrasound scan, FibroScan® (a awmna hmunah), CT scan, emaw MRI scan te.
• Liver biopsy a ni a . I doctor chuan i liver tissue sample lak a ngai mai thei a, chu chu lab-a test nan a ni. Hei hi i liver-ah needle te tak te dahin tih a ni.

Hei hi eng enkawlna nge ni?

Zu ruih vanga hepatitis hi damdawi a awm lo. Enkawlna tha ber chu zu in hi tihtawp vek hi a ni . Amaherawhchu, damdawi lam enkawlna hnuaia tih a tha ber. Zu in bansan nghal hian withdrawal symptoms leh side effect hlauhawm tak tak a thlen thei a ni.

Zu in loh atanga i dam chhung hian i doctor chuan supportive care a pe thei che a ni. Zu in lama harsatna nei enkawlna hmunah a refer thei bawk che. Zu in leh hepatitis avanga harsatna awm ṭhenkhat enkawlnaah pawh a pui thei bawk.

Enkawlna dangte chu:

• Nutritional therapy hmanga enkawlna . Zu in leh thin (liver) tihchhiatna te hian ei leh in tha lo a thlen thei a ni. Hei hi ei duh lohna, rilru hahna, leh nutrients tha taka process theih lohna ang chi thil vang a ni. Malnutrition hian heng dinhmun atanga harhchhuah a ti harsa thei hle. I doctor chuan i dam leh theih nân ei leh in thlak danglam te, ei leh in lama tihpunna te, leh ei duhna tipung thei damdawi te a pe thei che a ni. A nasat chuan damdawi ina i awm chhungin enteral nutrition (tube feeding) pek i ni thei bawk.
• Hun rei lote chhunga steroid hman thin . Zu ruih vanga hepatitis natna khirh tak tak thenkhatah chuan doctor-te chuan hun eng emaw chen atan steroid an pe thei a, chu chuan liver-a hliam a tihziaawm bakah liver cell-te chu a lo thang leh thei a ni.

Hetiang dinhmun hi tihdanglam theih a ni em?

Ni e, natna hi a zual lutuk lo a nih chuan zu in bansanin a let leh thei a ni. Zu in chawlhsan lote chuan cirrhosis leh liver failure an nei chhunzawm zel a ni . I liver-a scar tissue lo awm tawh chu a let leh thei lo. Mahse, zu in loh chuan chhiatna dang i veng thei a, i thin (liver) la awm chu i humhim thei bawk. I in chu i chawlhsan vek a ngai ang, a tawp thlengin , mahse i dam leh thei.

A dam leh theih nan eng chen nge hun a duh?

Mite chu an natna hmuhchhuah hnua zu in tawh lote chuan thla ruk atanga thla sawm leh pahnih (6-12) chhungin hmasawnna nasa tak an nei thin. A nasat lo zawkte chu an dam vek tlangpui. Natna khirh zawkte chu kum engemaw zat hnuah a ṭha chho zauh zauh thei a ni. Liver thenkhatah chuan permanent scarring a awm thei a, mahse zu i inthiarfihlim vek chhung chuan chhiatna rei tak a awm lo.

Hetiang dinhmun hi eng chen nge i dam theih ang?

Diagnosis hnua zu in i chawlhsan loh chuan i dam rei zawng a tlahniam ang. Mipa zu in bansan lote hian kum nga dam theihna chance 70% an nei a. Hmeichhia zu in bansan lote chuan 30% chance an nei. Zu ruih vanga hepatitis na tak leh liver natna zual zel nei tan chuan a rah chhuah chu a chhe zawk a ni. Zu ruih vanga hepatitis na tak nei zinga 40% vel chu an hmuhchhuah atanga thla ruk chhungin an thi thin.

Hei hi ngaihtuah tak tak tur a ni. Zu bânsan hian danglamna nasa tak a thlen tih i hmu thei lo em ni?

Zu vanga hepatitis leh zu in vanga hepatitis hi thil inang an ni em?

Ni lo, thumal pahnih hian dinhmun inang a kawk a ni: zu in avanga thin (liver) inflammation. ‘Zu in’ tih thumal hi hman a ni a, a chhan chu ‘zu’ tih thumal hi a stigmatizing deuh a, a dinhmun a sawifiah tak tak loh vang a ni. Mi tin taksa hi a danglam vek avangin mi thenkhat chuan zu ruih vanga harsatna nei lovin zu ruih vanga hepatitis an nei thei a ni. Mahse, heng dinhmun pahnih hi hmuh dun a ni tlangpui.

Chuti a nih chuan zu avanga hepatitis leh cirrhosis hi eng nge an danglamna?

Cirrhosis hi thin natna hnuhnung ber a ni . Chronic inflammation, hepatitis tia hriat bawk hian hun kal zelah liver a tihchhiat hian a thleng thin. Inflamed tissue-a cell-te an thih chuan, chu hmunah chuan scar tissue chu a lo pung zau zauh zauh a. Liver hmun pawimawh takah hliam a awm chuan cirrhosis an ti a ni. Khawthlang ramah chuan zu ruih vanga hepatitis hi cirrhosis vei zawng zawng zinga 50% a ni.

Cirrhosis hian a tawpah chuan i liver chu a thawk tha tawh lo. Liver tissue hrisel tak takte chu scar tissue-in a thlak avangin thisen kal dan a tikhawlo a, liver-in nutrients a process theihna leh toxins a filter theihna a ti tlem bawk. Hei hian harsatna tam tak a thlen thei a, chu chu ei leh in lama harsatna, thisen toxicity, liver failure, leh thihna te pawh a ni . Khawthlang ramah chuan zu kaihhnawih thin natna hi liver toxicity vanga thi zawng zawng zinga 80% vel a ni.

Alcoholic hepatitis hi zawi zawiin a lo awm a, a tam zawkah chuan symptoms a awm lo. Mi tam tak chuan zu in nasa lutuk hian an liver a tihchhiat theih dan hi an hre lo. Mahse, zu ruih vanga hepatitis natna thlen dan tur tihdanglamna kawng tha ber chu a hmaa hriatchhuah a ni. Zu in nasa tak i neih tawh leh/ emaw, thin natna lanchhuahna i neih chuan doctor pan nghal rawh. I liver chu a enfiah thei a, a chhiatna chu a teh thei a, i hriselna tichangtlung thei tur i tih danah inthlak danglamna siam turin a pui thei bawk che a ni.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

Okay, kan sawi tawh atanga i ngaihtuah tur thenkhat chu hetiang hi a ni:

• Zu hi thin (liver) tana poison a ni: Hlimna atan tlem tal i in a nih pawhin, i in tam chuan thin (liver) a tichhe thei a ni. Liver hi a lo hring thei a, ``Alcohol-Induced Hepatitis'' tih natna a nei thei bawk.
• Mi zawng zawng hi kan inang vek lo: Mi thenkhat chuan zu tlem an in hnuah pawh harsatna an nei thei. ‘Zu in hi a him’ tih hi a awm lo.
• Symptoms fimkhur rawh: I pum dinglamah natna, ei duhna hloh, jaundice ang chi symptoms i neih chuan doctor pan ngei ngei tur a ni.
• Bansan hi a damdawi tha ber a ni: He natna enkawlna tha ber chu zu in loh vek hi a ni. Doctor thurawn anga tih hi a finthlak hle.
• Hriat hmasak chu tihdam theih a ni: Natna hi a nasat hmaa hriatchhuah a nih chuan, zu hi tihtawp a nih chuan thin (liver) chhiatna chu a tam zawkin a tidanglam thei a, chhiatna dang pawh a veng thei bawk. Mahse, vawi khat chu hliam na tak, cirrhosis ang chi a lo awm chuan a let leh a harsa thin.

I liver hi i nunah taksa peng pawimawh tak a ni. I enkawl tur chu nangmah thu a ni. Zu vangin i nunna hi hlauhawmah dah suh.

` Liver inflammation, zu ruih, thin natna, cirrhosis, hepatitis, zu in loh, thin chhia