“Bile blockage” emaw “gallstones” emaw tih hi i hre tawh em? Mi thenkhat mit leh vun a sen thin i hmu tawh mai thei. Chûng thilte chu eng nge ni tak tak a, engvângin nge a lo awm tih i ngaihtuah ngai em? Vawiin hian chutiang dinhmun chu kan sawi dawn a ni. Damdawi lamah chuan cholestasis an ti a. Ngaihtuah buai suh, awlsam takin han sawifiah teh ang.
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Cholestasis chu eng nge ni?
A awlsam zawngin sawi ila, cholestasis chu i liver atanga bile luang chhuak chu a tlahniam emaw, a tawp vek emaw a ni. Kan taksaa factory tenau tak ang maiin han ngaihtuah teh. Bile tih hming pu thil a siam chhuak thin . He bile hian kan ei tur, a bik takin ei tur thau tak takte chu min digest thei a ni.
Liver hian he bile hi a siam chhuak a , kan digestive system ah hian tube te tak te network hmangin bile ducts an ti a . Heng bile duct thenkhat hi liver chhungah (intrahepatic ducts) a awm a, thenkhat chu liver pawnah (extrahepatic ducts) a awm bawk. He system of ducts hian liver, gallbladder, pancreas , leh small intestine te a thlunzawm a ni. Chûngte chu an inzawm khawm chuan biliary system an siam a ni .
Tunah chuan han ngaihtuah teh, he bile duct system-ah hian khawi emaw laiah blockage emaw blockage emaw a awm a nih chuan eng nge thleng ang? Tui pipe khar ang mai a ni. Bile a luang tha thei lo. Tichuan he bile hi bile duct leh a kaihhnawih taksa peng hrang hrang liver-ah te a awm tan ta a ni. Hei hian chu tissue te chu a tichhia thei a, an hnathawh pawh a tibuai thei bawk. Chu mai pawh ni lovin, he bile pungkhawm hi zawi zawiin thisenah a luang lut tan ta a ni. Hei hi taksa tan a pawi a, a rimchhia bawk . Hei hian natna lan chhuah dan nuam lo tak tak a thlen thei a, hun kal zelah natna chi hrang hrang a thlen thei bawk. Cholestasis hi a chang chuan hun eng emaw chen atana harsatna a ni thei a, a nih loh leh zawi zawiin a pung zel a, a kal zel a ni thei bawk.
Hei hian engtin nge i taksa a nghawng?
Cholestasis hian i taksa hi kawng hrang hrangin a nghawng thei a ni.
Hun rei lote chhunga nghawng a neih dan:
A nghawng hmasa ber chu i biliary system chhunga taksa peng hrang hrangte hi a ni. Bile a punkhawm hian liver, gallbladder, pancreas, emaw bile duct te chu a ti hring thei a, a ti na thei bawk . Hei hian pum na leh riltam ang chi symptoms a thlen thei a ni. Tin, hri kai theihna a tipung bawk.
Tin, small intestine hian bile a hmu tlem avangin i ei tur thau te hi a digested tha lo hle bawk. Hei hian bloating, indigestion, leh diarrhea a thlen thei a ni.
Hun rei tak chhunga nghawng a neih dan:
Hetiang dinhmun hi a kal zel chuan harsatna tam zawk a lo chhuak thei a ni.
- Thisenah bile a pungkhawm hian jaundice , mit leh vun a ti sen a, zun dum a thlen thei bawk.
- Mi thenkhat chuan natna khirh tak (pruritus) an nei thei bawk . Hei hi thisen a bile salt hian nerve a tichak avangin a ni.
- Liver ang chi taksa peng hrang hrangte rei tak inflammation hian hliam a thlen thei a, hnathawh a tichhe vek thei bawk. Hei hi cirrhosis an ti bawk .
- Fat-soluble vitamins, vitamin A , D, E, leh K te hi taksain a hip tha tawk lo. Hei hian malnutrition a thlen thei a ni. Hei hi a bik takin naupang tê tête tan chuan ṭhan chak lohna thlentu a ni thei.
A bik takin hre reng ang che!
Naupai laiin obstetric cholestasis hian nu leh nausen tan pawh nunna atana hlauhawm harsatna a thlen theihna a tipung a ni. Chung zingah chuan preeclampsia, nau piang hma leh nau thi tawh te pawh a tel. Chuvang chuan naupai laia heng symptoms te hi i neih chuan doctor rawn nghal vat a pawimawh.
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Check Availability →Hei hi a chhan berte chu engte nge ni?
Cholestasis hi a chhan tam tak a awm a. A tlangpuiin harsatna chi hnih a awm a, chungte chu:
| Chhan leh sawifiahna |
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| 1. Intrahepatic avanga lo awm |
Liver tichhe thei chhan hrang hrang a awm a:Liver natna rei tak: 1.1.Hun rei tak chhunga thin natna hian thin tissue-ah hliam a siam thei a, chu chu cirrhosis an ti a ni. He scarring hian liver chhunga bile ducts te chu a ti tawi thei a, bile kalna tur a tikhawlo thei a ni.
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Acute hepatitis natna: 1.1.Tun hnaia, hun eng emaw chen a awm chuan liver-ah a hring thei a, chu chuan bile kal dan a tikhawlo thei a ni. Toxin hrang hrang leh infection hrang hrang hian bile siamtu cell te chu a tichak lo thei bawk.
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Naupai lai:Hmeichhe thenkhat chuan naupai kum thum chhungin he natna hi an nei thei a, chutih lai chuan estrogen level a sang ber a ni. Hei hi obstetric cholestasis an ti a. Estrogen level sang hian liver hian bile a tichhuak thei lo. Hetiang dinhmun hi nau neih hnuah a insiamrem tlangpui. |
Parenteral Nutrition (TPN) zawng zawng: 1.1.Vein (IV) hmanga direct-a nutrition i pek chuan digestive system zawng zawng chu bypass a ni. Tichuan, small intestine hian bile siamna tur ei tur a nei tlem hle a, chuvangin liver hian bile chhuah theihna signal a hmu lo mai thei. Hei hian liver-ah bile a tipung thei a ni. |
Damdawi thenkhat:Damdawi thenkhat hian liver-ah bile a tipung thei bawk. Heng damdawi te hi liver hian a metabolize tha thei lo a nih chuan toxic a ni thei.
Pawimawh: Hetiang damdawi hian harsatna a thlen niin i ngai a nih pawhin, Doctor rawn hmasa lovin damdawi ei kha bansan ngai suh. |
| 2. Extrahepatic avanga lo awm |
Hengte hi bile ducts blockage emaw narrowing emaw avanga lo awm a ni ber.Biliary stricture a awm chuan:Hun rei tak chhunga bile ducts inflammation hian scarring leh ducts a ti tawi thei hle.
Biliary atresia natna: 1.1.Hei hi nau piang tharte zingah a awm fo thin. Bile ducts a lo thang tha lo a nih chuan a thleng thin. Bile duct tihkhawtlai te: 1.1.Bile ducts hi a chhung lam emaw pawn lam atang emaw hian taksa lamah a block thei a ni.
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Cholestasis natna lan chhuahna chu engte nge ni?
Hetiang dinhmunah hian symptoms engemaw zat hmuh tur a awm a:
- Jaundice: I vun sen leh i mit var hi i thin (liver) a thawk tha lo tih hriattirna hmasa ber a ni fo thin. Hei hi thisenah bile a pungkhawm vang a ni. A bik takin, bile-a pigment bilirubin an tih hian he rawng sen hi a siam a ni. A chang chuan bilirubin pawh zun ah a chhuak a, chu chuan zun chu dark yellow/brown color ah a chantir thei bawk.
- Light-colored poop: Hei hi a chhan chu bile hi intestines kaltlangin a kal tha lo a, chu chuan stool a tidanglam thei a ni. Thau ei theihna tur bile a awm loh chuan thau chu bawlhhlawh nen a pass chhuak thin. Hetiang poop hi a var a, leilung rawng a ni. Tin, he rawng eng hi bilirubin tlakchham vang a ni (a tlangpuiin, bilirubin vangin bawlhhlawh chu a sen a ni). Chungte chu tuiah an leng thei a, rimtui tak tak an nei thei bawk.
- Pruritus: Hei hi cholestasis natna lan chhuah dan tlangpui dang a ni. Bile nena inzawm itching hi thisenah bile salt emaw bile acid emaw a awm khawm a, peripheral nervous system nerve a tihchak hian a awm thin. He itching hian engmah a ti lo. Mi thenkhat chuan heng bile salt te hi an sensitive zawk thin. Mi thenkhat chuan itching an nei tlem zawk a, thenkhat erawh chuan an nei tam hle thung. A natna hi kutphah, kephah leh ke ruh ah a awm tam zawk thei a, taksa pum pui pawh a na thei bawk.
Heng symptom lian ber berte bakah hian cholestasis awm chhan a zirin symptom dang pawh a awm thei bawk.
- Pum natna
- Nausea leh luak chhuak
- Chau
Engtin nge hei hi i hriat chian?
Cholestasis symptoms i neih chuan doctor-in a tih hmasak ber tur chu i thisen sample test a ni ang.
- Thisen test dan: 1.1.Hei hian bilirubin leh bile salts level sang leh sang a enfiah thin. Cholesterol sang leh liver enzyme thenkhat, gamma-glutamyl transferase (GGT) leh alkaline phosphatase (ALP) te pawh a enfiah bawk. Chûngte chuan natna thlentu hriatna engemaw chen a pe thei a ni.
- Imaging test: Thisen test-ah natna a awm tih a hriat chuan a dawt leh tur chu imaging test neih a, i biliary system enfiah a ni. Chungte chu test awlsam tak, non-invasive test atanga tan theih a ni a, chu chu abdominal ultrasound emaw abdominal CT scan emaw a ni. Hengte hian bile duct-a taksa inkharkhip leh taksa peng hrang hranga hring (swelling) te a zawng thei a ni.
- Exploratory exams: Cholestasis awm chhan thenkhatah chuan a chhan zawng chhuah leh enkawl nan internal examination neih a ngai thin. Doctor chuan bile ducts a enfiah emaw, liver atanga tissue te tak te (liver biopsy) a lak a ngai mai thei a, lab-a test a ngai mai thei. ERCP (Endoscopic Retrograde Cholangiopancreatography) -ah hian doctor-te chuan bile duct-a harsatna awmte chu an zawng thei a, an enkawl thei bawk.
Engtin nge enkawl a nih?
Cholestasis enkawl dan hi a chhan bulpuiah a innghat a ni.
- Acute causes: A chhan thenkhat chu awlsam takin enkawl theih a ni. Harsatna thlentu damdawi te hi damdawi dang hmanga thlak theih a ni. Infection tan antibiotics emaw antiviral emaw pek theih a ni. Bile duct obstruction te hi ERCP ang chi endoscopic procedure hmangin tihbo theih a ni.
- Chronic causes: Thin natna thlentu rei tak chu enkawl harsa tak a ni thei. Natna \henkhatah chuan damna nghet an nei lo va, thin (cirrhosis)-a hliam (scarring) awm chu tihdanglam theih a ni lo. Mahse, nunphung tihdanglamna, ei leh in, exercise, leh zu in loh te hian thin natna tam tak kal zel dan tur a thunun thei a ni. Chutih lai chuan i doctor chuan i natna avanga side effects awmte enkawl chu a ngaih pawimawh ber ang.
Enkawlna hrang hrangte chu:
- Nutrition: Ei leh in thlak danglam leh nutritional supplement te hian ei leh in tha lo leh vitamin tlakchhamna a veng thei a ni.
- Ursodeoxycholic acid hmanga siam a ni a:He damdawi hi gallstones tihthianghlim nan hman a ni tlangpui a, mahse a chang chuan cholestasis a pui thei bawk a, bile siam chhuah a tipung a, thisena bile salt tam lutuk avanga nghawng a tihziaawm bawk.
- Naltrexone: He opioid antagonist hi a chang chuan natna khirh tak enkawlna atan an hmang thin. Thisen chhunga bile acid-in a tihchak nerve pathways block-in hna a thawk a ni.
- Cholestyramine: He cholesterol tihhniamna damdawi hian cholesterol chu intestine-a bile salt nen a thlunzawm a, chu chuan a tam zawk chu stool-ah a paih chhuak thei a ni.
A tawp berah chuan thil hriat reng tur
Cholestasis hi a buaithlak deuh a, mahse a hriat chian a pawimawh hle.
- I mit emaw, i vun emaw a sen a, i zun a dum a, i ek a hring a, a nih loh leh i hrual nasa (a bik takin vun rawng a awm lo) a nih chuan cholestasis chhinchhiahna a ni thei.
- If you notice any of these symptoms , hun khawhral suh la, damdawi lam thurawn zawng nghal rawh. A hmaa hriatchhuah leh enkawl hian harsatna tam tak a veng thei a ni.
- Heng symptoms te hi ngun takin ngaihven la, a bik takin naupai lai hian .
- I doctor-in a tih ang chiah khan enkawl dan tur chu zawm rawh. Damdawi ei kha chawlhsan ngai suh la, doctor thurawn tel lovin a dose pawh thlak ngai suh.
- Nunphung hrisel (ei leh in tha, exercise, leh zu in loh) zawm hi thin hriselna atan a pawimawh hle.
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