Cirrhosis chungchang hi i zir belh leh ang u: liver hmelma ngawi reng!

Kan taksa peng tam tak kan sawi thin a ni lawm ni? Heart , kidneys... Mahse, liver hi chutiang chuan kan ngaihtuah em? Liver hi kan taksaah factory lian tak ang mai a ni. Ngawi rengin a hna a thawk thin. Mahse he liver hi a chhiat tan chuan cirrhosis an tih natna hi a na deuh deuh thin. Hei hi lo thanglian nghal mai a ni lo va, kum tam tak chhunga lo thang zauh zauh thin thil a ni. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Cirrhosis hi eng nge ni tak tak?

A awlsam zawngin sawi ila, cirrhosis chu liver cell hrisel tak takte chu scar tissue-in a thlak a ni. Hetiang hian han ngaihtuah teh, kan vunah hliam kan neih hian hliam a lo awm ang bawkin, liver a chhiat chhunzawm zel chuan a insiam that a tum thin. Hetiang a nih lai hian he scar tissue hi a lo piang chhuak thin. He hliam hi a lo pung zel a, liver hian a hna pangngai, thisen atanga toxins filter te, ei tur ei tur siamtu enzyme siam te, leh chakna khawlkhawm te hi a thawk thei tawh lo.

Kan taksaah hian thin (liver) hi hnathawktu a ni. A tel lo chuan kan nung thei lo. Chuvangin he dinhmun hi kan hriat chian a pawimawh hle.

Cirrhosis natna lan chhuah dan chu engte nge ni?

Hetah hian harsatna lian ber chu a tir lamah chuan symptoms a awm lo . A chang chuan liver 75% vel a chhiat hma chuan engmah i hre lo mai thei. Mahse natna a nasat deuh deuh chuan danglamna engemaw zat i hmu tan mai thei.

Cirrhosis natna thlentu berte chu engte nge ni?

Cirrhosis hi natna dang emaw, harsatna dang emaw avanga thin a nghawng fo thin a ni. A chhan lian tak tak engemaw zat a awm.

• Zu ruih buai: Hei hi a chhan tam ber a ni. Hun rei tak chhung zu in tam lutuk hian thin (liver) nasa takin a tichhe thei a ni.
• Metabolic fatty liver disease (MASLD): Hei hi a hmain non-alcoholic fatty liver disease an ti thin a. Diabetes, thau lutuk, cholesterol sang, leh thisen sang te hian liver-ah thau a tipung thei a, a tawpah chuan cirrhosis a thlen thei a ni. Tunah chuan Sri Lanka-ah hian he natna hi a hluar hle tawh a ni.
• Hepatitis B leh C natna (Hepatitis B & C): 1.1.Heng virus infection pahnih hian liver a ti na thei a, cirrhosis a thlen thei bawk.
• A chhan dangte chu:
• Genetic natna thenkhat (e.g. Wilson natna, hemochromatosis).
• Immune system lama harsatna (Autoimmune hepatitis) avanga thin (liver) bei thei natna.
• Damdawi thenkhat ei avanga natna khirh tak tak.
• Bile ducts (bile ducts) a block.

Engtin nge doctor hian hei hi a hriat theih?

Doctor i pan hunah i natna lan chhuah dan te, zu i hman dan te, leh chhungkaw damdawi lam chanchin te a zawt ang. Tichuan i taksa, a bikin i pum chu an enfiah ang.

Tin, a hnuaia test te hi tih theih a ni bawk.

• Thisen test: Liver function endik te, liver enzyme level te, bilirubin level te, etc. te enfiah thin a ni.
• Imaging test: Ultrasound scan emaw MRI scan emaw hmangin liver dinhmun, a lian leh te, leh scar tissue a awm leh awm loh enfiah theih a ni.
• Liver Biopsy: A chang chuan, a natna hriat chian nan leh a chhiatna a thlen dan dik tak hriat nan, liver atanga tissue te tak te tak tak chu needle te tak te hmangin lakchhuah a ni a, enfiah thin a ni.

Engtin nge enkawl a nih?

Vanduaithlak takin cirrhosis vanga thin (liver) chhiatna hi a letling vek thei lo. Mahse, chhiatna nasa zawk tihtawp theihna tur leh harsatna awmte control theihna tur enkawlna a awm thung. Enkawlna chu cirrhosis awm chhan leh natna nasat danah a innghat a ni.

Enkawlna atana thil tum ber berte

1. A chhan enkawl dan:

• Zu vang a nih chuan: Zu in hi i bansan vek tur a ni . Chumi atan chuan i doctor chuan counseling service emaw treatment program emaw dik takah a refer ang che.
• Hepatitis vang a nih chuan: Virus control nan antiviral drugs pek thin a ni.
• If fat is deposited , taksa rihna tihtlem, exercise, diet control, leh zunthlum leh cholesterol control hi a pawimawh hle.

2. Harsatna awm thei enkawl dan:

• Ascites tan: Diuretics leh chi tlem ei a tha.
• Varicose veins: Enkawlnaah hian thisen chhuah loh nan damdawi emaw endoscopy hmanga bandaging emaw pek a ni.
• Encephalopathy: Thisen a toxin awm zat tihtlem nan damdawi pek thin a ni.

3. Liver Transplant tih tur: 1.1 .

Liver a fail vek (liver failure) a nih chuan a hnuhnung ber chu liver transplant hrisel tak a ni. Hei hi operation lian tak ni mahse, i nunna chhanhimna tur solution tha ber a ni thei.

Engtin nge i in enkawl theih ang?

Enkawlna rual hian i nunphung tihdanglam hi a pawimawh hle.

• Zu in hi bansan vek rawh: Tuk khat pawh in suh.
• Chaw hrisel ei: Chi, hriak leh sugar te tihtlem. Protein tamna ei tur, thlai, thei, legumes, sa thau lo, leh sangha te ei thin ang che. Raw shellfish ang chi ei tur ei loh tur.
• Exercise: I doctor nen inbia la, i duh ang exercise plan siam rawh.
• Damdawi lakah fimkhur rawh: Doctor rawn hmasa lovin natna tidamtu (e.g. Panadol, Aspirin, Ibuprofen) emaw, damdawi dang emaw, herbal products pawh ei loh tur. Hengte hi liver tan chuan process harsa tak a ni thei a, a dinhmun a tichhe thei bawk.
• Vaccine la rawh: I immune system a chak lo thei a, hepatitis A, B, pneumonia, leh common cold (flu) te laka vaccine la rawh.