I pum a lian chho zel em? Fluid buildup (ascites) vang pawh a ni thei.

I pum chu a puak mai mai a, a rit hle a, i thawmhnaw hak chu rang takin a tight ang tih i hre ngai em? Ni engemaw zat chhungin i taksa rihna chu kilo khat emaw kilo hnih emaw in a pung nghal mai thei. Hei hi a punna pangngai a ni lo, hei hi ‘ascites’ an tih natna vang pawh a ni thei a, chu chu pum chhung tuiin a khat thin. Hei hi kan taksaa natna khirh tak dang chhinchhiahna angin a lang fo thin. Chuvangin vawiin hian he thu hi han sawi mai ila.

Ascites chu eng nge ni tak tak?

A awlsam zawngin, ascites chu i pum chhunga tui tam lutuk, emaw, i pum chhunga tui tam lutuk awmkhawmna a ni. Hei hi zawi zawiin a thleng thei a, a nih loh leh vawi khatah a thleng vek thei bawk.

Ngaihtuah teh, kan pum chhunga taksa peng hrang hrang, pum, ril, thin, leh kal (kidney) te hi a chhehvelah hian membrane te tak te a awm a. Hei hi peritoneum kan ti a. Layer hnih a nei a. A tlangpuiin heng layer pahnih inkarah hian tui tlemte chauh a awm a, chuvang chuan taksa peng hrang hrangte chu inbual lovin awlsam takin an kal thei a ni. Mahse ascites a nih chuan heng layer pahnih inkarah hian tui awm dan pangngai lo tak a awm khawm thin. Chutah chuan pum chu a lian a, pum chhungah tui ball awm ang maiin a awm ta a ni.

Nang pawhin heng mizia hi i nei em tih en rawh.

Ascites chhinchhiahna ber chu ni hnih atanga ni thum chhunga taksa rihna a san thut a ni. Mi thenkhat chuan ke ruh (edema) an nei thei bawk.

Engvangin nge ka pum hi tuiin a khat em em? A chhan berte chu engte nge ni?

Ascites thlentu ber leh awm tam ber chu cirrhosis of the liver a ni . Chumi awmzia chu liver cells te chu a chhe vek a, a aiah fibrous tissue (scars) a awm a, chu chuan liver a thawk tha thei lo tihna a ni. Mahse hei chauh hi a chhan a ni lo.

A chhan dang pawh a awm thei:

• Congestive heart failure a awm thin
• Kidney tha lo a awm
• Pum leh pelvic organs-a cancer awm thei
• Tuberculosis natna a ni
• A tlem hle a, kal natna nephrotic syndrome an tih pawh hi a chhan a ni thei bawk.

Engtin nge liver cirrhosis vangin ascites hi a lo awm?

Hei hian sawifiahna tlem a mamawh a ni. Kan thin kal tlanga thisen phurtu vein lian tak, portal vein an tih chu a awm ang tih han ngaihtuah teh. Liver a cirrhotic a nih chuan, chu chu liver a scar a awm chuan heng thisen kalna kawngte hi a block ta a ni. Tichuan he vein chhunga thisen sang hi nasa takin a sang chho ta a ni. Damdawi lamah chuan hei hi portal hypertension an ti a.

Hetiang pressure a san chuan kan kal (kidney) hian taksaah chi (sodium) leh tui a vawng reng turin signal dik lo a hmu thin. Hun a kal zel a, chutianga chi leh tui vawn tlat chu, chu pressure sang tak avang chuan thisen kalna atang chuan a chhuak tan a, pum chhungah a pung khawm ta a ni. Hetiang hian pum hi tuiin a khat thin.

Tute nge ascites vei theihna chance sang zawk?

Cirrosis thlen thei liver chhiatna nei apiang chu ascites vei theihna a sang hle. Chutiang dinhmunte chu:

• Fatty liver nena inzawm natna (Metabolic dysfunction-associated steatohepatitis - MASH) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
• Zu in hmansualna
• Hepatitis B leh Hepatitis C virus kai te a ni
• Taksa immune system-in thin a beih natna (Autoimmune hepatitis) .
• Genetic liver natna, hemochromatosis leh Wilson natna te hi a ni

Ascites avanga harsatna awm thei te chu engte nge ni?

Ascites hi pum chhunga natna mai a ni lo. Hriselna lama harsatna lian tham dang a thlen thei bawk.

Engtin nge doctor hian hei hi a hmuh theih?

Doctor i pan hunah i natna lan chhuah dan a zawt hmasa ang che a, i pum a enfiah ang. I kut zungtang hmanga tap hian pum chhungah tui a awm leh awm loh chu rough idea i nei thei ang.

Tichuan, a dinhmun dik tak finfiah nan a hnuaia test te hi tih theih a ni ang:

• Ultrasound emaw CT scan: Heng scan chi hrang hrang hmang hian pum chhunga tui awm zat leh thin (liver) dinhmun te chiang takin a lang thei.
• Paracentesis: Hei hi pum chhungah needle te tak te tak te dah luh a, pum atanga tui tlem te lak chhuah a ni. He tui hi cancer cell emaw bacteria emaw a awm em tih test theih a ni. He test hi ascites awm chhan dik tak hriat nan a pawimawh hle.

Ascites enkawlna tur engte nge ni?

Ascites enkawl huna tum ber chu pum chhunga tui awm zat tihtlem a, a awm leh tawh loh nan a ni.

Enkawl dan bulpui ber berte

• Chi (sodium) control dan): Doctor-te chuan chi i ei zat tihtlem turin an fuih hmasa ber. Ni khatah chi milligram 2000 aia tlem i ei tur a ni i ti thei ang. Chumi awmzia chu i chaw ei tur chi i dah zat tihtlem a, chi thup nei ei tur, thei hring, pickles, sauce, sausage, dawr atanga lei leh bungrua dah te chu i pumpelh vek tur a ni tihna a ni.
• Diuretics (water pills): Heng damdawi te hian kal (kidney) hian taksa atanga tui leh chi tam lutuk chu zun hmangin a paih chhuak thin.
• Natna hnuaia awm enkawl dan: Ascites thlentu chu cancer a nih chuan enkawl hian pum chhunga tui awm zat pawh a tihtlem phah bawk ang.

A chang chuan he enkawlna hi a tawk lo mai thei...

Mi thenkhat chuan chi intake leh tui in tur pills an control hnuah pawh an stomach acid control harsa an ti thin. Chutiang hunah chuan enkawlna dang an hmang a ngai a ni.

• Paracentesis: Hei hi test leh enkawlna a ni vek. Hetiang hian needle hmangin pum atanga tui tam tak a paih chhuak thin. Hei hian hahdamna rang tak pe mah se, tui chu a lo awm leh theih avangin tih nawn leh a ngai mai thei.
• TIPS (Transjugular intrahepatic portosystemic shunt) tih dan: Hei hi a buaithlak deuh hlek a ni. Pressure sang tak hnuaia awm portal vein leh liver atanga thisen phur vein dang inkarah bypass (shunt) te tak te siam a ni. Hei hian thisen chu liver kaltlangin kawng thar a zawh thei a, congestion chu a bypass a, hei hian pressure a tihhniam bakah pum chhunga tui awm zat a ti tlem bawk.
• Liver transplant: Liver cirrhosis na tak nei tan chuan a hnuhnung ber atan liver transplant a ngai mai thei.

Engtikah nge Doctor i hmuh ang?

Cirrhosis of the liver ang chi natna i neih chuan a hnuaia symptoms te hi i neih chuan doctor pan nghal rawh:

• I taksa rihna a lo sang nghal a nih chuan.
• I pum a lian chho zel ang tih i hriat chuan.
• Thâwk harsa i neih chuan.

A hnuaia symptoms te hi a lo lang a nih chuan damdawi in Emergency Treatment Unit (ETU)-ah kal nghal tur a ni.

• Khawsik
• Pum natna nasa tak a ni