I pum a hring, thawmhnaw a hrual a, tuiin a khat ang maiin i awm tawh em? A chang chuan hei hi thil pangngai a ni a, a chang chuan hriselna lama harsatna lian tham a awm tih chhinchhiahna a ni thei bawk. Vawiin hian chutiang dinhmun pakhat, "Ascites" chungchang kan sawi dawn a ni. Hei hi kan pum chhunga taksa peng hrang hrang chhehvel hmun ruakah tui, a nih loh leh tui mai mai a awm khawm hian a ni.
Ascites hi eng nge ni tak tak?
A awlsam zawngin sawi ila, ascites chu pum chhung (peritoneum) leh pum chhunga taksa peng hrang hrang inkar hmuna tui awmkhawm dan pangngai lo a ni. Hei hi mi hrisel takah chuan a awm tlangpui lo. Pum chhunga tui tlem a awm vang mai mai chuan ascites a ni tihna a ni lo. Doctor-te chuan he natna hi ascites tiin an sawi a , chu chu tui milliliter 25 (0.8 ounces) tal a awm chuan a ni.
Hetiang dinhmun hi thin natna khirh tak nei te zingah a tam ber. Ascites vei zinga 80% vel chuan cirrhosis of the liver an nei a ni. Tin, ascites hi natna dang, cancer, thinlung natna, TB, leh kal natna te pawhin a thlen thei bawk.
Hetiang natna lan chhuah dan hi engte nge ni?
Ascites hian a tir lamah chuan symptom lian tham a nei lo mai thei. A chhan chu pum chhunga tui awm khawm hi a tlem avangin i hre lo mai thei. Mahse tui a khawlkhawm zawi zawiin a pung zel a, i pum chu a lian chho zel a, a puak darh zel tih i hmu ang. I pants chu a tight tan ang.
A hnuaia tarlan te hi he natna hi chiang taka hriat theihna tur symptom thenkhat tarlan a ni. Chung zinga pakhat emaw, a aia tam emaw i neih leh neih loh en rawh.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Bloating leh taksa rihna sang | I pum chu chhan awm lovin a lian chho zel ang maia inhriatna leh rang takin a thau chho ta a ni. |
| Thâwk harsa | Pum chu tuiin a khat chuan lungah pressure a siam a, thawk harsa a ti hle. |
| Ke leh ke ruh a hring chhuak | Taksa chhunga tui awm khawm vangin ke a hring thei. |
| Chaw ei chak lohna leh rilru hahna | Chaw ei i duh lo mai thei, a chhan chu i chaw ei duh loh vang a ni. I rilru pawh a na thei. |
| Pum na leh nuam lo | Pum chhunga tightness, discomfort emaw na emaw hriatna. |
| Hernia a ni | Pum chhunga pressure sang lutuk avanga navel emaw groin area atanga intestine thenkhat rawn chhuak. |
A pawimawh ber chu heng symptoms te hi i neih chuan doctor pan nghal mai tur a ni. Ascites hi i liver a fail tih chhinchhiahna a ni fo thin. Mit leh vun sen hring (yellowing) Jaundice hi thin (liver) tihchhiatna chhinchhiahna dang a ni bawk.
Ascites thlentu berte chu engte nge ni?
Kan sawi tawh ang khan a chhan ber chu cirrhosis of the liver a ni. Mahse, engtin nge hetiang hi a lo thlen?
Kan liver hi filter angin han ngaihtuah teh. Taksa thisen tithianghlimtu ber a ni. Liver-a thisen thlentu vein lian ber chu Portal Vein an ti a. Cirrhosis vanga liver a chhiat chuan he vein kaltlanga thisen kal hi a tikhawlo thin. Tui pipe a laiah a tlakbuak ang bawkin thisen chu liver kaltlangin a luang thei lo va, pressure a sang chho zel bawk.
Hetianga pressure sang hian hun kal zelah kal (kidney) a nghawng thei bawk. Kidney-in taksa atanga chi (salt) a tam zawk chu uluk taka a paih chhuah theih loh chuan taksaah tui a pungkhawm tan thin. Chu tui dang chu thisen kalna aṭangin a chhuak a, pum chhungah a pung khawm ta a ni.
A chhan dangte chu:
- Cancer: Pum chhunga cancer thenkhat lo awm hian pum chhungah tui a khawlkhawm thei bawk. Cancer cells te ngei pawh hian pum chhungah tui an chhuah tir thin.
- Heart failure: Heart failure na tak tak thenkhatah chuan heart hian thisen a pump tling thei lo. Chumi hnuah taksa chuan hormone a siam chhuak a, chu chuan tui chu vawn reng tumin a bei a ni. He tui hi pum chhungah pawh a awm khawm thei bawk.
Engtin nge he natna hi kan hriat theih ang?
Doctor i pan hunah a enfiah ang che a, i symptoms te a zawt ang che. Tichuan, a dinhmun finfiah nan test engemaw zat a ti mai thei.
- Paracentesis: Hei hi doctor chuan a pum chhungah needle na tak tak a dah a, chutah chuan tui tlemte a khawlkhawm chu test nan a la a ni. He fluid hi infection emaw cancer cell emaw a awm leh awm loh test theih a ni.
- Thisen test: Hengte hian damdawi lam harsatna dang i neih leh neih loh, zunthlum emaw, natna hrik i neih leh neih loh emaw a hriat theih nan a pui thei a ni.
- Imaging test: X-ray, ultrasound scan emaw CT scan emaw hmangin pum chhunga taksa peng hrang hrangte dinhmun chiang takin a hmu thei a.
- SAAG test: Hei hi test bik a ni. I thisena protein albumin an tih leh i pum chhunga tui awm zat a khaikhin a ni. Albumin hi thin (liver) atanga siam protein chi khat a ni. He value hi a san chuan liver-a thisen thlentu veins-a pressure a sang tihna a ni.
Ascites enkawlna tur engte nge ni?
Enkawlna chu ascites awm chhan a innghat a ni. Mahse, a tum tlangpui chu pum chhunga tui awm zat tihtlem a ni.
1. Sodium reduction: Chi (salt) hi taksaa tui awm rengtu lian tak a ni. I doctor emaw nutritionist emaw chuan chi tlem ei tur chungchangah thurawn a pe ang che.
- Chaw bungrua dah, dawr atanga lei leh sauce te chu a theih ang anga tihtlem thin ang che.
- Thlai leh thei thar ei tam zawk rawh.
- Chaw thlum nan chi aiah thil rimtui (turmeric, pepper, cumin) hmang ang che.
2. Diuretics: I doctor chuan i taksaa tui leh chi tam lutuk chu zun hmanga paih chhuahna tur damdawi a pe ang che. A hman tam ber pahnih chu Furosemide (Lasix) leh Spironolactone (Aldactone) te an ni. Hengte hi damdawi lam enkawlna hnuaiah chauh lak tur a ni.
3. Paracentesis: Hei hi test leh enkawlna a ni vek. Pum chhunga tui tam tak a awm chuan a hring (swelling) tihziaawmna turin needle hmangin tui chu paih chhuah a ni. Mahse, hei hian tui chu a tipung leh thei a ni.
4. Shunts leh surgery: Damdawi dangin a natna hi a thunun theih loh chuan i doctor chuan hengte hi a hmang thei ang.
- TIPS (Transjugular intrahepatic portosystemic shunt): Hei hi thisen kal awlsam zawk nan liver chhunga vein chhungah mesh tube (stent) te tak te dah a ni.
- Liver transplant: Cirrhosis vangin liver chu a thawk tha lo vek tawh a nih chuan a hnuhnung ber chu liver hrisel tak transplant a ni.
Engtin nge he dinhmun hi venhim leh thunun theih ang?
Ascites lo awm lo tur leh a natna a awm chuan a zual zel dan tur control nan thil engemaw zat i tih theih a ni.
- Zu in hi bansan vek rawh:Zu hi thin (liver) tichhetu ber a ni.
- Chi tihtlem: Doctor-te chuan ni khatah chi miligram 2,000-4,000 aia tam ei loh turin an fuih.
- I taksa rihna hrisel tak vawng reng rawh: Thau lutuk hi ascites vei theihna tur risk factor a ni. Ascites i neih chuan zing tin i rit zawng teh la, i rit zawng record rawh. Ni thum chhung a zawnin ni khatah kilogram 1 (pound 2.2) aia tam i pung emaw, rang taka kilogram 4.5 (pound 10) aia tam i pung emaw chuan doctor hnenah hrilh nghal rawh.
- Nun hrisel: Ei leh in inthlau tak ei la, exercise la la, meizuk loh la.
- Safe sex: Viral infection, Hepatitis B leh C te hi a awm thei. Hengte hian thin (liver) a tichhe thei a, cirrhosis a thlen thei bawk.
Engtikah nge doctor i hmuh ang?
Heng symptoms te hi i neih chuan doctor rawn la nghal rawh:
- I taksa rihna a lo pung nghal a nih chuan
- Pum a lian chho zel a nih chuan
- Pum natna thar emaw, na zual emaw i neih chuan
- Khawsik i neih chuan
A hnuaia natna khirh tak takah hian damdawi in pakhat Emergency Department (ETU)-ah kal nghal tur a ni:
- Thâwk harsatna nasa tak i neih chuan
- Thisen emaw coffee ground ang maia lang emaw i chhuah chuan
Ascites hi natna khirh tak a ni. I liver a thawk tha lo tihna a ni. Chuvangin a symptoms te hi ngaihthah suh. Enkawlna dik leh nunphung thlak danglam chuan he natna hi i thunun thei a, harsatna awm thei te chu i veng thei a, hrisel takin i awm thei bawk.
Take-Home Thuchah a ni
- Ascites chu pum chhunga tui awmkhawmna a ni. Hei hi thin natna na tak chhinchhiahna a ni fo thin.
- Sawifiah loha puar, taksa rihna sang, thawk harsa tih ang chi symptom i neih chuan ngaihthah suh. Doctor pan nghal rawh.
- Enkawlna bulpui ber chu zu tihtawp leh ei leh in chhunga chi (salt) control hi a ni.
- Doctor-in damdawi a pek ang chiah kha hman a, a thupek zawm a pawimawh hle.
- Thisen i luak emaw, thawk harsatna nasa tak i neih chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.
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