Liver-a cirrhosis tih hi eng nge ni? He dinhmun khirh tak hi thu awlsam takin han sawi ila.

Liver hi kan taksa peng mak tak a ni. Factory lian tak ang mai a ni. Hna pawimawh tam tak a thawk a, chu chu toxins filter out, ei tur digest pui, leh energy dahkhawm te hi a ni. Mahse, he thin hlu tak hi chhan hrang hrang avangin a chhe thei a ni. Hun kal zelah liver a chhiat chhunzawm zel chuan cell hrisel ai chuan scar tissue a lo awm tan thin. Chu chu cirrhosis kan tih chu a ni.

Cirrhosis hi eng nge ni tak tak?

I vunah hliam dam leh hliam i neih chuan han ngaihtuah teh, a dik em? Chu chu liver-ah a thleng thin. Liver-ah hian inflammation a awm rei chuan liver hian a dam leh a tum thin. Hetiang a nih avang hian liver tissue hrisel leh nem tak ai chuan scar tissue khauh tak, a thawk tha lo a lo awm ta a ni.

A awlsam zawngin sawi ila, cirrhosis hi chronic liver disease stage hnuhnung ber a ni. Hetih lai hian liver hmun hrisel tam zawk chu a hliam a ni. He scar tissue hi a lo pun zel chuan liver hian a hna pangngai, thisen tihfai leh nutrients processing chu a thawk thei tawh lo. A tâwpah chuan, hei hian liver failure a thlen thei a ni .

Cirrhosis hi stage hrang hrang a awm em?

Ni e, cirrhosis pawh hi a zual zauh zauh bawk. Stage lian pahnih-ah then ila, i sawi dawn nia.

1. Compensated Cirrhosis: Hei hi a hmasa ber a ni. Hetiang dinhmunah hian thin chu chhiat tawh mahse, thin hrisel la awmte chuan a chhiatna chu a la phuhruk thei a, a nih loh leh ‘a rul’ thei a, taksa chu a thawk chhunzawm zel thei a ni. Hei vang hian symptoms engmah i nei lo mai thei. Mi tam tak chuan he natna hi an nei tih pawh an hre lo.

2. Decompensated Cirrhosis: Hun a kal zel a, Liver-a scar tissue a pun zel chuan liver hian a chhiatna chu a siam tha thei tawh lo. Hei hi symptoms a lan tan hun a ni. Hetiang dinhmunah hian pum chhunga tui awm leh mit leh vun sen ang chi symptoms hmuh tur a awm. Hei hi natna a nasat ber lai a ni.

Eng symptom nge kan fimkhur tur?

Cirrhosis symptoms hi a lang nghal lo. Natna a na zual hnuah chauh an lo lang fo thin. A hnuaia mi ang hian a hma leh a hnu lama a lan dan hi i thliar hrang ang u.

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

Natna khirh tak eng pawh hian hun rei tak chhung liver a ti na thei a, a tawpah chuan cirrhosis a thlen thei a ni. Hengte hi kan ram leh khawvela a chhan langsar zual thenkhat an ni.

1. Zu in tam lutuk (Alcohol-induced Hepatitis) .

Hei hi a chhan hriat hlawh ber leh hriat hlawh ber a ni. Hun rei tak chhung zu in tam lutuk hian thin (liver) a tichhe nasa hle. Hei hian thin (liver) a ti na a, chu chuan hun kal zelah cirrhosis a thlen thei a ni.

2. Thin thau natna (MASH) .

Hei hi a hming kimchang chu Metabolic dysfunction-associated steatohepatitis (MASH) a ni. A awlsam zawngin sawi ila, zu in lote thin (liver)-a thau awmkhawm avanga natna khirh tak a ni. Metabolic factors, zunthlum, cholesterol sang, thisen sang, thau lutuk nei te hi an hlauhawm zawk.

3. Chronic hepatitis B leh C virus kai te

Hepatitis hi damdawi lam hming a ni a, thin (liver) inflammation tih hi a ni. Hepatitis C virus kai hi mi tam takah chuan natna rei tak a lo ni thei a. Tunah hian hei hi enkawl dan tha tak tak awm tawh mah se, mi tam tak chuan hri hi an vei tih pawh an hre lo. Hepatitis B virus hi mi thenkhatah chuan a rei thei hle bawk. Virus pahnih hian rei tak an awm chuan thin (liver) a tichhe thei a, cirrhosis a thlen thei bawk.

A chhan dang awm lo zawk

A chunga kan sawi takte bakah hian chhan dang tam lo zawk pawh a awm a:

• Autoimmune Disease: A chang chuan keimahni immune system hian liver cells te hi a bei sual thin. Entirnan, `(Autoimmune Hepatitis)` leh `(Primary Biliary Cholangitis)` ang chi natna te.
• Genetic Disorders: Hriselna atanga lo piang natna thenkhat chuan thin (liver)-ah thil tha lo (toxic substances) a khawlkhawm a, chhiatna a thlen thei a ni. Heng natna entir nan `(Wilson Disease)` leh `(Cystic Fibrosis)` te hi a ni.
• Damdawi leh toxin thenkhat (Toxic Hepatitis): Natna tidamtu damdawi thenkhat (NSAIDs, Acetaminophen) rei tak hman emaw, boruak chhunga chemical tha lo thenkhat nena inzawmna emaw hian thin a tichhe thei a ni.
• Cardiovascular Disease: Congestive Heart Failure (CHF) hian thisen a tlakchham vang emaw, thin a thisen a thlen tlem vang emaw a tichhia thei a ni.

Doctor-te hian engtin nge hei hi an hmuh?

Cirrhosis symptoms i neih nia i hriat chuan doctor pan ngei ngei tur a ni. A enfiah ang che a, i damdawi lam chanchin te, damdawi i ei dan te, leh nunphung te a zawt ang che. Tichuan, an natna hriat chian nan test eng emaw zat an ti thei ang.

1. Thisen Test: Liver Function Test hian liver chhiatna a awm leh awm loh leh a nasat zia hriat theih a ni. Thisen zam theihna tlahniam leh awm loh an enfiah bawk.

2. Imaging Tests: Ultrasound scan hmangin liver lian leh te, a pianzia leh a dinhmun te a en thei a. Scan chi khat bik elastography an tih hian liver a khauhzia a teh thei a, chu chu scar tissue awm zat a ni.

3. Liver section tenau tak enfiah (Liver Biopsy):A tul reng reng lo nain, a then phei chuan liver atanga tissue te tak te tak te chu needle te tak te hmangin lak a ni a, microscope hmangin an enfiah a, natna hi chiang takin an finfiah a, a chhan an hmu chhuak thin.

Enkawlnate chu engte nge ni?

Cirrhosis vanga hliam hi tihdanglam theih ni lo mah se, enkawlna hian thil tum lian tak pahnih a nei a ni. Pakhat chu liver chhiatna nasa zawk tihtawp a ni. A pahnihna chu natna avanga harsatna awmte enkawl a ni.

A chhan enkawl

• Damdawi: Tunah hian hepatitis C ang chi virus infection tidam vek thei antiviral damdawi a awm tawh a, hepatitis B control na tur damdawi a awm tawh a, autoimmune natna hi immune system control thei damdawi hmanga enkawl a ni.
• Zu in enkawl dan: Zu hi cirrhosis thlentu a nih chuan a enkawl dan awmchhun leh tha ber chu zu in loh tawp mai hi a ni. Hei hian specialized counselling leh treatment a mamawh thei a ni.
• Metabolic factors enkawl dan: Natna hi thau liver avanga lo awm a nih chuan cholesterol, zunthlum, leh taksa rihna tihtlem te hi control a pawimawh hle.

Ei leh in leh nunphung inthlak danglamna

Tin, ei leh in hrisel ei a pawimawh bawk a, i taksa rihna control a pawimawh a, doctor-in a tih angin nutritional supplement tul tak tak ei a pawimawh bawk.

Harsatna awm thei enkawlna

Natna a nasat huna complication lo awm thin te pawh enkawl a ngai bawk.

• Pum chhunga tui (`(Ascites)`) a khat chuan syringe (`(Paracentesis)`) hmangin tui chu lakchhuah a ni.
• Thisen i luak a nih chuan thisen chhuahna kawng chu endoscopy (Endoscopy) leh sclerotherapy (Sclerotherapy) hmangin tihtawp a ni.
• Kidney failure ang chi dinhmunah chuan dialysis hi a ngai mai thei.

Liver Transplantation tih a ni

Enkawlna dang zawng zawng a hlawhchham a, liver failure vek theihna a awm chuan, a hnuhnung ber ngaihtuah tur chu liver transplant a ni. Hei hian thin natna chu la chhuakin, a hrisel zawka thlak a huam a ni.

He natna nen hian nunna atana beiseina neih theih a ni em?

Hei hi thil sensitive tak a ni. Cirrhosis vei dam rei zawng hi thil tam takah a innghat a ni. Natna a nasat zia te, eng harsatna nge lo awm tawh te, i taksain enkawlna a dawn dan te, leh i hriselna zawng zawng te ang chi te.

Doctor-te chuan natna nasat dan leh nakin lawka a hmalam hun tur hriat theihna turin ``Child-Turcotte-Pugh (CTP)'' leh ``Model for End-Stage Liver Disease (MELD)'' te ang chi scoring system an hmang thin.

A pawimawh ber chu natna hi a hma (compensated stage) atanga hriatchhuah a, a chhan dik taka enkawl hi a ni.Enkawlna leh nunphung tihdanglam a nih chuan mi tam tak chuan natna a zual zel tur chu an titawp thei a, nun pangngaiin hun rei tak an hmang thei a ni. Chuvangin beiseina bansan suh. Damdawi lam thurawn dik tak zawm a pawimawh hle.