I pum chu tuiin a khat ang maiin a lian chho zel em? He pum na (ascites) chungchang hi han sawi ila .

I pum chu tui balloon ang maiin a lian nghal vat a, i thau zual ang maiin i inhriat ngai em? I thawmhnaw hak pawh a tight tan... Hei hi bloating pangngai mai a ni lo. Hetiang dinhmun hi a na thei hle. Damdawi lam hawi chuan hei hi ascites, a nih loh leh ascites kan ti a. Vawiin hian he thu hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.

He pum chhunga tui (ascites) hi eng nge ni?

A awlsam zawngin, ascites chu i pum chhunga tui tam lutuk, tui ang chi, i pum chhunga, chu chu i pum chhunga tui awmkhawmna a ni. Tunah chuan engtin nge i pum chhungah tui a luh theih tih i ngaihtuah mai thei.

Ngaihtuah teh, kan pum chhunga taksa peng pawimawh tak tak, thin, intestines, leh kidney te vel ah hian "peritoneum" an tih membrane te tak te tak a awm a. Thlai chi hrang hranga polythene sheet khuh ang mai a ni. Layer hnih a nei a. A tlangpuiin heng layer pahnih inkarah hian tui tlemte chauh a awm a, chu chuan taksa peng hrang hrangte chu an kal kual hunah an inhnaih loh nan a ni. Mahse ascites a nih chuan heng layer pahnih inkar hmun hi tui tam lutukin a khat ta a ni. Tichuan pum chu a lo hring a, watermelon emaw basketball emaw a ei tawh ang maiin a lang. Hei hian kea kal emaw, ṭhut emaw pawh a ti harsa hle.

Engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?

Khawvela ascites thlentu ber leh awm tam ber chu cirrhosis of the liver a ni . Cirrhosis hi thil chi hrang hrang, a bik takin zu ruih vang te, virus infection thenkhat (Hepatitis B, C), leh thin thau avanga thin a chhiat leh hliam a awm thin a ni. Liver chu lungpui ang maiin a khauh a, a khauh bawk a, a thawk tha thei lo.

Tunah chuan cirrhosis hian pum chhunga tui a tihkhawtlai dan hi han en ila.

Thisen kalna kawng bulpui pakhat a awm a, chu chuan kan chhungril atanga thisen tha tak tak awmna thisen chu thin (liver)-ah a phur a. Hei hi Portal Vein an ti a. Cirrhosis avanga thin (liver) a khauh chuan he thisen kalna hian thisen a phur tha thei lo. Tichuan he vein chhunga thisen sang hi a sang lutuk a ni. Hei hi Portal Hypertension kan ti a ni .

He pressure sang hian kidney-ah signal dik lo a thawn a, chu chuan taksain chi (sodium) leh tui a mamawh niin an ngai a, hnawhchhuah ai chuan an vawng tlat tan ta a ni. Hun a kal zel a, hetianga chi leh tui tam zawk lo pungkhawm chu pressure sang vangin thisen kalna atang hian pum chhungah a luang lut tan thin. Hei hi ascites a lo awm dan chu a ni.

Cirrhosis bakah hian ascites thlentu dang a awm bawk.

Ascites natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

Hetiang natna vei hian a hriat nghal theih leh a hmuh theih tur symptom engemaw zat a awm.

• Pum hring leh thau chak lutuk: Hei hi a lan chhuah dan ber a ni. Hun rei lote chhungin kilo khat emaw, kilo hnih emaw vel i tipung thei a, ni thum pawh a ni mai thei.
• Ke a hring: A hring, a bik takin kekawr bul velah a hring. Hei hi (Edema) kan ti a.
• Thâwk harsa: Pum tui a khat chuan rilruah a nawr chho a. Hei hian lungte chu a inflate tha a ti harsa hle. I kal emaw, stairs i chhoh emaw pawhin i thawk hah lo thei a, thawk pawh i thawk harsa thei bawk.
• Digestive system lama harsatna: Pum hi tuiin a khat a, intestines a pressure a siam avangin bloating, pum na, ei duh lohna leh constipation a awm thei.
• Back pain: Pum chhunga rit lutuk hian hnungzang a ti pressure a, hnungzang na a thlen thei bawk.
• Chauhna: Taksa lama harsatna leh damdawi lam dinhmun hnuaia awm avang hian i chau reng thei.

Hetiang dinhmun avanga harsatna awm thei te chu engte nge ni?

Ascites hi pumpui lian zawka awm mai mai a ni lo. Enkawl that loh chuan harsatna lian tham tak a thlen thei a ni.

• Infection: Pum chhunga tui lo awm tawhah hian natna hrik a lut a, natna a thlen theihna chance a sang hle. Hei hi (Spontaneous Bacterial Peritonitis) kan ti a. Tichuan khawsik leh pum na nasa tak i nei thei a ni. Hei hi emergency a ni a, nunna atana hlauhawm pawh a ni thei.
• Hepatic Hydrothorax: A chang chuan pum atanga tui lo chhuak chu rilruah a luang lut a, lung vel a khawlkhawm thei a, thawk a harsa zawk.
• Hernias: Pum chhunga pressure a san chuan pum chhunga hmun chak lo (e.g., navel) hmangin intestines a rawn chhuak thei a ni. Hei hi hernia kan ti a.
• Kidney failure: Liver cirrhosis a nasat chuan kal hnathawh a tichhe thei bawk a, kal chak lohna pawh a thlen thei bawk.

Engtin nge doctor hian hei hi a hmuh theih?

Heng symptoms te hi i neih chuan Doctor i hmuh hunah eng emaw zat a la ang a, i natna hi a finfiah ang.

1. Taksa endik: A hmasa berin i doctor chuan a enfiah ang che. I pum chu an hre ang a, tui a awm leh awm loh an check ang. I liver leh ke-ah a hring em tih an enfiah bawk ang.

2. Thisen test: Thisen test eng emaw zat neih a ni ang a, hei hian thin leh kal (kidney) hnathawh dan leh thisena chi (salt) awm zat enfiah a ni ang.

3. Scans: Ultrasound scan emaw CT scan emaw hmangin pum chhungah tui engzat nge awm tih chiang takin, thin (liver) dinhmun leh harsatna dang a awm leh awm loh hriat theih a ni.

4. Paracentesis: Hei hi test pawimawh tak a ni. Chutah chuan pum vun chu a numb a, a pum chhungah needle te tak te dahin, a tui khawlkhawm sample lak a, laboratory-ah thawn a ni. Hei hian a chhan chu cancer nge infection tih hriat nan a pui thei a ni.

Ascites enkawlna tur engte nge ni?

Enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu pum chhunga tui awm zat tihtlem nan a ni a, pakhat chu ascites thlentu natna hnuaia awm enkawl nan a ni.

Enkawlna hmasa ber

Doctor ten hengte hi enchhin hmasa phawt ang che.

• Salt (sodium) controlling: Hei hi enkawlna pawimawh ber leh number one a ni.. Chi (salt) hi taksaa tui awm rengtu ber a ni. Chuvangin, ni khata chi (salt) ei zat hi 2000 milligram aia tlem lova tihhniam a tha. Chumi awmzia chu i chaw ei tur chi i dah zat tihtlem a ngai tihna a ni a, chi thup tamna ei tur, sangha hring, pickles, sauce, pickles, sausage, leh dawr atanga lei soup te ei kha i bansan vek a ngai tihna a ni.
• Diuretics (or "water pills"): Kan taksain tui leh chi tam lutuk a paih chhuah theihna tura puitu "diuretics" an tih damdawi kan pe tlangpui.

Enkawl dan hmasawn tak tak

A châng chuan chi ei tam lutuk tihtlem leh tui pill ei pawhin pum chhunga tui awm zat a tihtlem lo thei. Chutiang hunah chuan enkawlna dang a ngai mai thei.

• Paracentesis: Hei hi test leh enkawlna a ni vek. Pum chhunga tui tam tak (a chang chuan litre 5-10 vel) chu needle hmangin lakchhuah theih a ni. Hei hian hahdamna rang tak a pe a ni. Hei hi a tul chuan tih nawn leh theih a ni.
• Transjugular Intrahepatic Portosystemic Shunt (TIPS): Hei hi a enkawl dan a buaithlak deuh a ni. Liver kal tlanga thisen kal theihna tur kawng thar (shunt) siam a ni. Traffic jam bypass tur chuan bypass ang mai a ni. Hei hian liver-a pressure a tihziaawm bakah fluid buildup a control bawk. Damdawi dang hmanga control thei lo tan chuan a tha hle.
• Liver Transplant: Cirrhosis na tak nei leh enkawlna dang dawng lo tan chuan liver transplant hi a solution awmchhun a ni thei.

Engtikah nge Doctor ka hmuh ang?

Heng thilte hi i fimkhur hle a ngai a ni.

Hetiang dinhmun hi ven leh enkawl dan tur eng nge ka tih theih ang?

Ascites laka invenna tha ber chu i liver enkawl hi a ni.

• Zu in loh: Zu in hi tihtawp vek tur a ni. Zu hi thin (liver) tichhetu ber a ni.
• Chi ei tam loh tur: Kan sawi tawh ang khan chi ei tam lutuk loh hi ascites control nan a pawimawh hle.
• Taksa rihna hrisel tak vawng reng rawh: Taksa rihna control hian fatty liver a veng thei.
• Exercise: Nitin taksa tihchakna engemaw zat neih a pawimawh.
• Hepatitis B leh C lakah inveng rawh: Hengte hi thin (liver) tichhe thei virus an ni. Hepatitis B vaccine a awm a, heng lakah hian himna dan zawmin i inveng thei a ni.

Ascites i neih tawh chuan heng thilte hi ti ngei ang.

• Nitin in rit rawh: Zing tin a hun khatah, puan tel lovin emaw, thawmhnaw inangah emaw in rit la, lehkhabuah ziak rawh. Ni thum chhung a zawnin ni khatah kilogram khat aia tam i pung chuan doctor hnenah hrilh rawh.
• Painkiller-ah fimkhur rawh: Non-steroidal anti-inflammatory drugs (NSAIDs), ibuprofen, diclofenac, leh aspirin te hman loh tur a ni a, hengte hian taksaa tui leh chi (salt retention) a tipung thei a ni. Eng natna pawh damdawi ei a ngai a nih chuan doctor zawt la.