Naupai lai hian zanah i kutphah leh kephah chu tuar theih loh khawpin a na em? Mahse i en chuan hmuh theih chhiatna a awm lo em ni? Hei hi itch mai a ni lo. A tam zawkah chuan hei hi naupai laiin liver nena inzawm natna bik a ni thei. Hei hi Cholestasis of Pregnancy kan ti a. Ngaihtuah buai suh, thumal awlsam takin engkim kan sawi dawn a ni.
Naupai lai hian Cholestasis chu eng nge ni?
A awlsam zawngin sawi ila, hei hi naupai hnu lama lo awm thin liver condition a ni. Taksa zawng zawngah na takin a ti na a, a bik takin kutphah leh kephah ah a na hle. Mi thenkhat chuan `Intrahepatic Cholestasis of Pregnancy (ICP)` an ti bawk.
Hetiang dinhmunah hian i liver function chu rei lo te chhung atan a tlahniam thin. Chuvang chuan thin atanga siam chhuah bile an tih chu taksa atanga tha taka chhuah ai chuan thin leh thisenah a khawlkhawm tan ta a ni.
He bile hi eng nge a nih hi han ngaihtuah teh. Bile hi thin (liver) siam a, gallbladder-a dahkhawm a ni. Chaw kan ei hian, a bik takin ei tur thau tak tak kan ei hian he bile hian chu thau te chu a ti chhe vek a, a ei zo thei a ni. Dish soap ang mai a ni. Chuvangin he bile hi thisenah a awm khawm a, a level hian level engemaw zat a pelh chuan he tuar theih loh khawpa natna hi i nei tan thin.
Hetiang dinhmun hian nang leh i naute tan pawh harsatna a thlen thei a ni. Chuvangin heng symptoms te hi i neih chuan i doctor chuan i naupai tawp thlengin uluk takin a lo en reng ang che.
Hetiang dinhmun hi a lo awm a nih chuan eng nge thleng ang?
Naupai lai hian i naute hian a thisen atanga bawlhhlawh paih chhuah nan i thin (liver) a rinchhan a. Chuvangin i liver hian hna a thawk tha lo a nih chuan i thisena bile level a sang thei a, chu chuan i naute thin chu pressure engemaw zat a siam thei a ni. Kan taksa atanga bawlhhlawh paih chhuaktu ber chu liver a nih avangin a chhiat chuan a tha lo.
Mahse, ngaihtuah buai a ngai lo. I doctor chuan nang leh i naute chu a enfiah fo ang a, he natna hian harsatna a thlen loh nan a tul zawng zawng a ti ang.
Hetiang dinhmun hi a awm fo em?
Hei hi a takah chuan thil awm lo tak a ni. Hmeichhe naupai 1,000 zinga pakhat emaw pahnih emaw vel a nghawng a ni. Researcher-te chuan eng thil nge a thlen tih hre chiang lo mah se, thlasik lai hian a tam zawk. Hnam thenkhatah pawh a tam zawk.
Engvangin nge hetiang hi a lo awm? A chhan ber chu eng nge ni?
A chhan ber chu naupai laiin taksaa hormone a pung a, a bik takin estrogen leh progesterone a pung a ni.Hormone level pawh a sang hle. Heng hormone te nghawng avang hian liver hian taksa pum puiah bile a phur tha thei lo. Chumi awmzia chu bile luang chhuak a tikhawlo tihna a ni.
Chuti a nih chuan eng nge thleng? Bile hi liver-ah a pung khawm a, thisenah a luang lut tan thin. Heng bile salt thisen a awm khawm te hi i vun a nasat chhan ber a ni.
Hetiang dinhmun hi naupai kum thumna , kar 28 vel a ni tlangpui. Hei hi a chhan chu he hun chhung hian hormone level a sang ber a ni. A châng chuan genetic influence vang pawh a ni thei. Chumi awmzia chu i nu emaw i chhungte zinga tu emaw hian he natna hi a nei tawh a nih chuan nang pawhin i vei theihna a sang zawk tihna a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
A lan chhuah dan ber leh langsar ber chu tuar theih loh khawpa natna hi a ni. Hei hi damdawi lam tawngin `Pruritus` kan ti bawk. He itching chungchangah hian thil chiang tak tak engemaw zat a awm a:
- Itching hi ke kutphah leh kephah atanga tan a ni.
- Chumi hnuah chuan zawi zawiin taksa peng dangah a darh thei a ni.
- Zanah a itching hi a na zual thin. Mi thenkhat chuan an scratch nasa lutuk a, mut pawh an muhil thei lo.
- A pawimawh ber chu vunah hian rash i hmu lovang.
He main feature bakah hian feature dang hmuh tur awm lo tak tak a awm bawk. Anni hi ngun zawkin han thlir ila.
| Symptom a ni | Hrilhfiahna |
|---|---|
| A lan chhuah dan ber: a natna nasa tak | Harsa lo, itchy rash, kutphah leh kephah atanga intan a, zanah a na zual thin. |
| Luhai | Nauseous tih hriatna. |
| Zun rawng dum | Urine rawng chu a tlangpui aia dum/brown a lo ni ta. |
| Stool rawng hring hring | Stool chu a rawng chu a dum hring emaw, a sen hring emaw a lo ni ta a ni. |
| Chauhna nasa tak a awm | Taksa hah lutuk leh hah lutuk. |
| Chaw chakna | Ei duhna a tlahniam. |
| Pum dinglam chunglam a na | Liver area-a natna emaw, nuam lo emaw engemaw chen hriat. |
| Jaundice a awm | Vun sen leh mit var. |
Engtin nge hei hi i hriat chian tak?
I doctor hian he natna hi a hriat theih nan thisen test a ti ber ang.
Thisen sample lak a ni ang a, liver function test leh serum bile acid level te enfiah a ni ang.
Thisen a bile acid level zawng zawng chu litre khatah micromoles 10 aia tam a nih chuan cholestasis a awm tih a nemnghet a ni.
Diagnosis a nih hnuah i doctor chuan i naupai chhung zawngin heng thisen test hmang hian i bile level chu a enfiah reng ang. A châng chuan, i thisen zam theihna (prothrombin time test) emaw, i liver leh bile ducts en emaw nân ultrasound scan i neih a ngai thei bawk.
Hei hi eng enkawl dan leh enkawl dan nge ni?
He natna enkawlna atana doctor-te hman thin damdawi ber chu Ursodeoxycholic acid (UDCA) a ni. He damdawi hian i liver function a tichak a, i thisena bile level a tihhniam bawk.
Mahse, itching ang chi symptoms control nan thil i tih theih a awm a:
- Itching damdawi: I doctor zawt la, a ointment emaw damdawi emaw a pek chu hmang rawh. Damdawi ei duh i neih apiang hmang ngai suh.
- Thawmhnaw nem, loose-fitting ha rawh: Cotton ang chi thawmhnaw hnim hring, tight lo ha rawh.
- Chawlh hahdam: Taksa chawlhna pek a pawimawh.
- Tui lum-a inbual: Hei hian taksa a tihlum avangin itching tlem a tihziaawm thei.
A châng chuan damdawiin bile level a thunun theih loh chuan doctor chuan naute chu a hma deuh deuh, kar 37 emaw, kar 38 emaw vêlah nau neih a rel thei a ni . A chhan chu chutianga tih chuan naute tan harsatna a thlen theihna a ti tlem thei a ni.
Naute hi a pian hma chuan naute lung a puitlin theih nan steroid injection pek theih a ni a, thisen chhuah tam lutuk tur venna atan vitamin K supplement pek theih a ni bawk.
Hetiang dinhmun avang hian eng harsatna nge awm thei?
Hetiang dinhmun hi control a nih loh chuan nu leh naute pawhin harsatna engemaw zat an tawk thei a ni.
| Tute nge a nghawng? | Harsatna awm thei te |
|---|---|
| Nu hnenah (nangmah hnenah) . |
|
| Nausen pum chhunga awm hnenah |
|
Heng thilte hi hlau suh. Hengte hi risk awm thei te chu a ni. I doctor hian heng hlauhawmnate hi a hre chiang a, a venna atan a tul angin hma a la ang. Tlem a hma deuha naute neih tura thutlukna siam pawh hi heng hlauhawmnate tihziaawmna tur a ni.
Hetiang natna nei hian naute hrisel tak neih theih a ni em?
Ni e, i ti thei ngei ang! Cholestasis i neih vang mai mai chuan i naute chu a hrisel lo tihna a ni lo. Damdawi lam enkawlna leh enkawlna mumal tak an neih chuan nu tam zawk chuan naute hrisel tak tak an hring thin.
Hetiang natna vei hian a ei leh inah a fimkhur tur em ni?
Hetiang dinhmun hi ei leh in bik a awm lo. Mahse, i dinhmun azirin i doctor chuan ei tur thenkhat chu tihtlem turin a fuih thei che a ni. Naupai apiang ang bawkin ei leh in inthlau tak ei a pawimawh. Thlai, thlai, sa thau lo, leh protein tamna ei tum.
He dinhmun hi nau neih hnuah a bo dawn em ni?
Awle. Hei hi chanchin tha ber a ni. He natna hi naute pian hnu ni engemaw zat chhungin a bo vek ang. I thisen bile level chu a normal leh ang. Chumi hnuah chuan damdawi engmah ei a ngai tawh lovang.
Mahse, hriat reng tur a awm. I naupai leh hunah he natna hi i neih leh theihna chance 60% vel i nei a ni. Tun ṭumah hian case na zawk i neih chuan a dawt leha i neih leh theihna chance chu 90%-ah a pung thei.
Hei hi ven theih a ni em? Risk factors te chu engte nge ni?
Vanduaithlak takin he natna hi a lo awm loh nan hian ven theih a ni lo. Mahse risk factor thenkhat a awm. Heng risk te hi i neih chuan tlem tal i fimkhur a ngai a ni.
- Chhungkaw zingah hian hetiang dinhmun hi an nei tawh a nih chuan.
- Hetiang dinhmun hi naupai hmaa a lo awm tawh a nih chuan.
- Twins emaw triplets emaw i phur a nih chuan.
- Tun hmaa thin natna emaw, Hepatitis C ang chi natna emaw i neih tawh chuan.
- Liver a chhiat chuan.
- Bile siam emaw hman emaw tichhe thei genetic condition i neih chuan.
Engtikah nge Doctor ka hmuh ang?
Naupai lai chuan, .
- I hliam na tak, a bo lo tur i neih chuan, a bik takin i kutphah leh i kephah hnuaiah,
- I vun emaw i mit emaw a sen a nih chuan, .
Doctor hmu nghal rawh. Heng symptoms te hi ngaihthah suh. A rang thei ang bera damdawi lam thurawn lak hi i himna atan leh i naute himna atan pawh a pawimawh hle.
Take-Home Thuchah a ni
- Naupai laia natna nasa tak, a bik takin kutphah leh kephah te hi thil pangngai anga ngaih tur a ni lo. Cholestasis of Pregnancy chhinchhiahna a ni thei bawk.
- Hetiang dinhmun a lo awm chhan chu naupai hormone-te hian thin (liver) chhunga bile kal dan a tibuai vang a ni.
- Damdawi lam enkawlna leh enkawlna dik tak a awm chuan nu leh naute tana hlauhawm tam tak chu thunun theih a ni.
- He natna hi naute pian hnu ni engemaw zat chhungin a dam vek ang.
- Hemi chungchangah hian rinhlelhna i neih chuan tihkhawtlai suh la, doctor rawn la, thurawn la rawh.











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