Naupai lai hian tuar theih loh khawpa natna i nei bawk em? Hei hi Cholestasis of Pregnancy a ni thei!

Nu tam tak chuan naupai laiin harsatna chi hrang hrang an tawk thin. A châng chuan hnim hring tih hi thil pangngai a nih laiin, a châng chuan ngaihtuahawm tak a ni thei bawk. A bik takin i naupai tawp lam, i kutphah leh kephah atanga tan a, i taksa zawng zawnga i natna i hmuh chuan i thunun theih loh khawpa i natna i hmuh chuan Cholestasis of Pregnancy tih hming pu natna chhinchhiahna a ni thei. Hemi chungchang hi vawiinah hian chipchiar takin kan sawi dawn em ni? Ngaihtuah buai suh, hei hi fimkhur a pawimawh hle.

Cholestasis of Pregnancy hi eng nge ni tak tak?

A awlsam zawngin, naupai laia cholestasis hi liver tichhe thei natna a ni . Naupai thla thumnaah a awm tam ber a, kar 28 vel a ni. Mi thenkhatah chuan a hma deuhin a thleng thei. Doctor-te chuan ``Intrahepatic Cholestasis of Pregnancy (ICP)`` emaw ``Obstetric Cholestasis`` emaw an ti bawk. Doctor i hmuh hian heng thumalte hi i hre tawh mai thei.

Hetiang dinhmunah hian hmeichhe naupai thenkhat chuan rei lo te chhungin liver function a tlahniam thin. Tichuan, kan taksaa bile an tih hi a luang tha lo va, thin leh thisenah a awm khawm tan ta a ni.

Bile chu eng nge ni?

Bile hi kan thin (liver) atanga tui chhuak, gallbladder-a dahkhawm a ni. Kan ei apiangin he bile hian kan eitur chhunga thau awmte chu min digest tir thin. Chuvangin, thisena he bile level hian a mamawh level a pelh chuan chu itch rapthlak tak chu i nei tan thin.

Hetianga cholestasis natna hian nang leh i naute piang lai tan harsatna a thlen thei a ni. Chuvangin i doctor chuan he natna hi i nei nia a rinhlelh chuan i naupai chhung zawng hian nang leh i naute hi uluk takin an enkawl ang.

Naupai laiin cholestasis ka neih chuan eng nge thleng?

Hei hi hriatthiam tur a ni. Naupai lai hian i naute hian a taksa atanga bawlhhlawh paih chhuah nan i thin (liver) a rinchhan a. Chuvangin, i liver a thawk tha lo a nih chuan chu bile level ka sawi tawh kha hlauhawm takin a sang thei a ni. Hei hian i naute liver-ah pawh pressure engemaw zat a siam thei bawk. Kan taksa peng pawimawh ber pakhat chu thin (liver) hi a ni. Taksain bawlhhlawh a paih chhuahna hmunpui ber a ni. Chuvangin a thawk tha lo a nih chuan harsatna a awm theihna chance a awm.

Mahse, lungngai suh . I doctor chuan nang leh i naute chu a enfiah fo ang a, cholestasis hian in pahnih hian a tichhe lo tih a chiang ang.

Naupai laiin cholestasis hi engtiang chiahin nge a awm?

He natna hian naupai 1,000 zinga pakhat atanga pahnih a vei a ni. Chutiang chuan a awm lo tihna a ni. Researcher-te chuan a chhan dik tak chu la hre lo mah se, data atanga a lan dan chuan thlasik laiin a tam zawk. Hispanic leh Swedish hnam chhuakte pawhin an vei tam zawk niin an sawi bawk.

Cholestasis awm chhan ber chu eng nge ni?

Kan sawi tawh ang khan bile hi liver siam, gallbladder-a dahkhawm a ni. Chaw ei laiin thau a ti chhe thei a ni. Naupai lai hian i taksaa hormone estrogen leh progesterone level chu nasa takin a pung a ni. Heng hormone level sang tak takte hian liver-in bile a phurh dan tur dik tak a nghawng a ni. A awlsam zawngin sawi ila, bile hi taksa pum puiah a kal lo va, chu ai chuan liver-ah a pung khawm a, chutah chuan thisenah a back up leh thin. Thisenah bile a lo awm khawm chuan chu tuar theih loh itch chu i nei thin.

Naupai lai hian cholestasis hi a tam ber chu third trimester, kar 28 vel a ni. Hei hi a chhan chu he hun chhung hian naupai hormone level a sang ber a ni. A châng chuan, genetic . Chumi awmzia chu i nu leh pate khan cholestasis an nei a nih chuan nang pawhin i vei theihna a hlauhawm tihna a ni.

Naupai laiin cholestasis natna lan chhuah dan engte nge ni?

Hetiang natna lan chhuahna ber leh langsar ber chu natna khirh tak (pruritus) a ni . He natna hi ke kutphah leh kephah atanga intan hmasa ber a ni. Tichuan zawi zawiin taksa peng dangah a darh thei a ni. Mi tam tak tan chuan he itching hi zan lamah a na zawk . An hrual nasa lutuk a, an muhil thei lo. Itching condition dang ang lo takin cholestasis hian vun a ti na lo tlangpui . Hei hi a pawimawh hle.

Itching bakah hian symptom dang engemaw zat a awm thei bawk. Mahse, mi zawng zawng hian hengte hi kan tawng vek lo:

• Luhai
• Zun dum
• Light gray emaw pale brown emaw poop a awm
• Chau lutuk
• Ei duhna a tlahniam
• I pum dinglam chunglam a na
• Jaundice - Hei hian i vun leh i mit var chu a sen vek tihna a ni.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor lam pan nghal a tha ber.

Naupai kar engtikah nge cholestasis hi a intan?

Naupai cholestasis hi naupai atanga kar 28 hnuah a intan tlangpui. Mahse, ka sawi tawh ang khan mi thenkhat chuan he natna hi an nei hmasa thei a ni. Chuvangin a itching hi hriat a pawimawh hle.

Naupai lai hian engtin nge cholestasis hi hmuhchhuah a nih?

I doctor chuan taksa enfiahna leh thisen test hmangin he natna hi a hre thei ang. Heng test te hian i liver hnathawh dan a tarlang thei a ni. I thisena bile acid awm zat tehna atan serum bile acid test an ti bawk ang.

Heng test te hian bile acid level zawng zawng chu liter khatah micromoles 10 (`liter khatah micromoles 10`) emaw a aia tam emaw a nih chuan he natna hi a nemnghet thei a ni. Micromoles hi medical test thenkhatah chuan tehna unit a ni. I naupai chhung zawngin i bile acid level enfiah nan thisen test reng reng i nei thei bawk.

Chu bakah, i doctor chuan i thisen a khalh that dan enfiah turin prothrombin time test neih a rawt thei bawk a, i bile duct leh liver enfiah turin ultrasound neih a rawt thei bawk.

Naupai lai hian cholestasis hi engtin nge enkawl a nih?

He natna enkawlna atana doctor-te hman thin damdawi ber chu Ursodeoxycholic acid (UDCA) a ni. `(ursodiol)` emaw `(Actigall®)` emaw tia hriat a ni bawk. He damdawi hian i liver function a tichak a, i thisena bile level a tihhniam bawk.

Tin, cholestasis symptoms, a bik takin itching na tak te control dan tur enkawlna a awm bawk:

• Itching damdawi: (Mahse, hre reng ang che, damdawi eng pawh i ei hmain i doctor i zawt hmasa tur a ni.)
• Thawmhnaw nêm, hrual lo ha rawh: Thawmhnaw tight ha chuan itching a tizual thei. Chuvangin, cotton ang chi puan nem tak atanga siam, loose-fitting thawmhnaw ha tur a ni.
• Chawlh hahdam: Chawlh hahdam tawk neih hi a pawimawh hle bawk.
• Tui lum-a inbual: Tui lum takah rei vak lo inbual hian i hrual atanga a reh deuh thei.

A châng chuan damdawi ei hian i bile level a tihhniam loh chuan i doctor chuan i naute chu tlem a hma deuh, i nau neih hun hmaa nau neih a rawt thei bawk. Inducing labor, a tlangpuiin kar 37 emaw 38 vel a nih chuan cholestasis avanga harsatna awm thei chu a ti tlem thei a ni. I doctor chuan i naute a dam tha em tih enfiah nan test, biophysical profile emaw nonstress test emaw a ti bawk ang.

Naute hi a pian hma chuan naute lung a puitlin theih nan steroid pek theih a ni a, chhungril thisen chhuak tur venna atan vitamin K supplement pek theih a ni bawk.

Naupai laiin cholestasis avanga harsatna awm thei te chu engte nge ni?

Naupai lai cholestasis hian harsatna a thlen thei a ni. Vitamin K hi i ei harsa thei a, chu chuan i chhungril thisen chhuah tam lutuk theihna a tipung a ni. Preeclampsia (naupai laiin thisen sang) leh gestational diabetes ang chi natna nen pawh a inzawm thei bawk .

Naute chunga harsatna awm thei te chu:

• Hun hmaa nau neih
• Stillbirth - Hei hi mi tam takin an hlauh em em a ni. Mahse, damdawi lam enkawlna dik tak a awm chuan he hlauhawmna hi nasa takin a tlahniam thei a ni.
• Fetal distress - Hei hian nausen pum chhungah harsatna a tawk tihna a ni.
• Meconium aspiration - Nausen pum chhunga bawlhhlawh pass a, chu chu a thawk chhuak.

Hetiang harsatna awm thei tur tihtlem nan hian i doctor chuan a chang chuan naute chu tlem a hma deuhin nau neih a tum thin.

Naupai laiin cholestasis i neih chuan naute hrisel tak neih theih a ni em?

Ni e, i ti thei ngei ang! Naupai lai khan cholestasis i neih vang mai mai chuan i naute chu a hrisel dawn 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. Chuvangin tul lova lungngai suh.

Cholestasis ka neih lai hian ka ei loh tur thil a awm em?

I doctor chuan i dinhmun a zirin ei tur thenkhat chu tihtlem turin a fuih thei che a ni. Mahse, naupai laiin cholestasis i neih chuan i zawm tur diet plan (standard diet) bik a awm lo. A pawimawh ber chu naupai laiin ei leh in inthlau tak ei hi a ni. Hei hian thei, thlai, sa thau lo emaw protein awmna dang emaw ei tihna a ni. Hemi chungchang hi i doctor nen sawiho la, thurawn tam zawk la rawh.

Naupai lai hian cholestasis hi ven theih a ni em?

Vanduaithlak takin naupai lai hian cholestasis ven dan tur a awm lo . Mahse, genetic testing hian i fate hnena natna kai theihna tur hlauhawmzia hriatthiamna a pe thei a ni.

Naupai laiin cholestasis vei theihna tur risk factors te chu engte nge ni?

Naupai laiin cholestasis vei theihna i nei sang zawk a, chu chu:

• I chhungkuaa mi pakhatin hetiang dinhmun hi a lo nei tawh a nih chuan (Chhungkaw member pakhatin he natna hi nei rawh).
• Naupai hmaa cholestasis (ICP) i neih tawh chuan.
• Twins, triplets emaw a aia tam emaw i beisei a nih chuan.
• Liver disease emaw hepatitis C emaw i neih tawh chuan.
• Liver chhiatna history i neih chuan.
• I taksain bile a siam dan leh a hman dan tichhe thei genetic condition i neih chuan.

Heng risk factors te hi i neih chuan naupai laiin rashes lakah fimkhur hle ang che.

Naupai laia cholestasis nei tan eng prognosis nge ni?

Hei hi chanchin tha ber a ni! Naupai cholestasis hi naute pian hnu ni engemaw zat chhungin a bo tlangpui . I thisen bile level chu a normal leh ang. I bile level a normal leh chuan i damdawi ei kha i chawlhsan thei tawh ang.

Mi tam zawk chuan he natna atang hian a hnuah liver problem an nei lo va, naupai leh an nih loh chuan. Vawi khat cholestasis i neih chuan, .Naupai hnua a lo awm leh theihna chance 60% a awm. Mahse, cholestasis natna khirh tak i neih chuan a hnua naupaiah a lo awm leh theihna chance chu 90%-ah a pung thei a ni.

Engtikah nge ka doctor ka hmuh ang?

Naupai laiin tuar theih loh khawpa natna i neih chuan a reh lo vang emaw, i vun emaw, i mit var emaw a rawn lang a nih chuan (jaundice chhinchhiahna) doctor pan nghal rawh. Heng symptoms te hi cholestasis vang a ni hauh lo mai thei a, mahse check out a tha ber.

Doctor hnenah eng zawhna nge ka zawh ang?

Naupai lai hian cholestasis i vei tih hmuhchhuah a nih chuan i doctor hnenah hetiang zawhna hi i zawt mai thei:

• Naupai lai hian cholestasis hi engtiang chiahin nge a nasat?
• Eng enkawlna kawng nge ka neih?
• Keimah leh ka naute venhim nan eng nge ka tih theih ang?
• Cholestasis (ICP) ka lo vei tawh a nih chuan nakin lawka naupai tur chungchangah eng nge ka hriat tur?

Hetiang zawhna zawh hi hlau suh. I doctor chu i tanpui tur leh rinhlelhna i neih apiang tifai turin a awm reng a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Cholestasis of pregnancy hi naupai laia natna nasa tak thlentu a ni. Hei hian hlauthawng suh. I doctor chuan nang leh i naute chu uluk takin a enkawl ang a, a tul angin enkawlna a pe ang che. He natna hi nau neih hnuah a reh vek a, a tlangpuiin nunna atana hlauhawm a ni lo. A châng chuan in pahnih himna tûrin i doctor chuan i naute chu tlem a hma deuhin nau neih a tum mai thei.

A pawimawh ber chu hemi chungchangah hian zawhna, rinhlelhna, hlauhna i neih chuan i doctor nen sawiho rawh. I thusawi ngaithla turin an awm a, nang leh i naute himna tura a tul ang ang ti turin an awm a ni. Nangmah chauh i ni lo va, he zinkawng zawh tura pui theitu doctor an awm bawk.

Chuvangin, he thu hi in tan a tangkai ngei ka beisei. Naupai hrisel leh nau neih hrisel duhsakna kan hlan e!

` Naupai laia cholestasis, naupai laia itching, thin natna, ICP, naupai hriselna, bile pungkhawm, naute hriselna