I liver hi a hlauhawm em? Cirrosis of the liver chungchang zawng zawng hi a awlsam zawngin

Liver hi kan taksa peng pawimawh tak a ni a, a ni lawm ni? Kan taksaah factory te tak te ang mai a ni. Mahse he thin hian natna a nei thei bawk. A chang chuan "liver a khauh", "liver a chhia" tih ang chi thawnthu i hre fo thin. Chutiang natna khirh tak pakhat chu cirrhosis of the liver an ti a. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, a chhan chu hei hi hriat chian a pawimawh em em a ni.

Cirrosis of the liver tih hi eng nge a nih kan en hmasa ang.

A awlsam zawngin, cirrhosis of the liver hi liver chu hun rei tak a chhiat tawhna leh liver cell hrisel tak takte chu scar tissue -in a thlak tawhna a ni Hliam kan neih hian kan vunah hliam a lo awm ang bawkin, liver-ah inflammation a awm chhunzawm zel a nih chuan, emaw, hepatitis kan tih ang chi hi, he scar tissue hi liver-in a tihdam a tum angin a lo awm thin. Mahse he scar tissue hi a lo punkhawm chuan liver hian hna a thawk tha thei lo. Hei hi liver a fail zauh zauh (chronic liver failure ) hnuhnung ber a ni.

Cirrhosis hi stage hrang hrang a awm em?

Ni e, cirrhosis hi thil thleng nghal mai a ni lo. Zawi zawiin a lo thang lian a, hun kal zelah.

• Early stage (Compensated Cirrhosis): Hetiang dinhmunah hian i liver function a tlahniam deuh a, mahse i taksa chuan a insiamrem a, chuvangin symptom lian tham i nei lo mai thei. I hre lo pawh a ni thei.
• A hnu lama (Decompensated Cirrhosis): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Liver chhiatna a pun zel chuan liver function a tlahniam lehzual thin. Chutah chuan symptom chiang tak i hmu tan ta a ni. Hei hi a pawi deuh deuh.

Cirrhosis vangin liver leh taksaah eng nge thleng?

Liver-a he scar tissue hian thisen leh oxygen kalna tur a tikhawlo a ni. Chuti a nih chuan eng nge thleng?

• Liver hian thisen a tithianghlim thei a, nutrients a process thei a, toxins a filter thei bawk.
• Liver atanga siam bile leh thisen protein pawimawh tak tak siamchhuahna a tlahniam a.
• He scar tissue hian liver chhunga thisen kalna kawngte chu a compress thei a ni. A bik takin vein pawimawh tak tak, portal vein system te chu compress a nih chuan portal hypertension an tih condition a awm thei a ni. Hei hi cirrhosis natna avanga thil thleng pawi tak a ni bawk.

Cirrosis hi engtiang chiahin nge a awm?

Cirrhosis hi natna tlanglawn tak a ni. Damdawi ina dah leh thihna thlentu lian ber nia ngaih a ni a, a bik takin kum chanve vel hnuah a ni. Hei hi a pung chak em em vang a ni. Entirnan, United States-ah chuan puitling 0.25% vel leh kum 45 leh 54 inkar puitling 0.50% velin cirrhosis an nei nia sawi a ni. Hetiang dinhmun hi Sri Lanka ramah hian ngaihthah theih a ni lo. Khawvel pumah hian cirrhosis hi hriselna lama harsatna lian tak a ni.

Liver cirrhosis natna lanchhuahna chu engte nge ni?

Cirrhosis symptoms hi natna nasat danah a innghat a ni. A tir lamah chuan symptoms a awm lo thei. A nih loh leh natna dang nena inmil, chhinchhiahna chiang lo tlemte chauh a awm thei bawk. Liver function a tlahniam chuan symptoms a langsar zual thin. Entirnan, bile a luang tha lo a, taksa hmun dangah a pungkhawm a, a lan chhuah dan a awm.

Cirrhosis natna lan chhuahna hmasa berte chu engte nge ni?

A tir lamah chuan hetiang hian symptoms i hmu thei a:

• Nausea emaw ei duh lohna emaw .
• Chauhna , hahna.
• Malaise hi a tlangpuiin hrisel lohna a ni.
• Pum chunglam a na a, a bik takin dinglam a na.
• Spider angiomas hi thisen kalna kawng, vunah spider web ang maia lang a ni.
• Kutphah sen (palmar erythema) a awm.

Natna a zual zel a, a lan chhuah dante chu engte nge ni?

Cirrhosis a lo zual zel angin symptoms lo lang thin chu chi hnih ah then theih a ni: liver function tlahniam avanga symptoms leh portal hypertension avanga symptoms te.

Liver function tlahniam avanga natna lan chhuah dan:

• Vun leh mit sen (yellowing) hi jaundice an ti a.
• Vun na (Pruritus) (rash chiang tak awm lo).
• Zun dum leh bawlhhlawh light.
• Chaw ei lama harsatna, a bik takin ei tur thau tak takte nen.
• Vun emaw mitmeng emaw-a thau sen (yellow fat deposit) te tak te lo lang.
• Sawifiah loha taksa rihna tlahniam leh taksa ruh tihchhiat.
• Thluak hnathawh dan (Hepatic Encephalopathy) – hriatrengna hloh, buaina, leh rilru inthlak danglamna te.
• Motor dysfunction – a inher, a khur.
• Hmeichhiaah chuan thlasik hun chhung mumal lo a awm.
• Mipaah ​​hnute lian leh testicular shrinkage.

Portal Hypertension avanga natna lan chhuah dan:

• Pum hring, tui tlakchham (ascites).
• Kut, ke, ke leh/ emaw hmai a hring (edema).
• Thisen chhuah awlsam leh hliam (coagulopathy).
• Thisen chhuah emaw, ek chhunga thisen kal emaw.
• Zun chhuah tlem (chronic kidney failure vang pawh a ni thei).
• Thâwk harsa (chronic respiratory failure vang pawh a ni thei).

Liver cirrhosis hi engte nge ni?

Cirrhosis hi chronic inflammation avanga liver-a hliam zawi zawia awm thin a ni. Natna eng pawh hian thin (chronic hepatitis) a ti na thei a, chu chuan cirrhosis a thlen thei a ni. A chhan lian ber thenkhat chu:

• Zu in vanga hepatitis: Hun rei tak chhunga zu in tam lutuk avanga thin (liver) chhiatna. Zu hi cirrhosis thlentu ber ni mah se, zu ni lo chhan tam tak a awm.
• Non-alcoholic steatohepatitis (NASH): Liver-a thau tam lutuk avanga chhiatna rei tak awm thin . Metabolic factors, thisen thau sang, thisen sugar level sang (zunthlum ang chi), leh thisen sang vang a ni.
• Chronic hepatitis C infection: Hepatitis C hi hri kai a ni. Mi tam tak tan chuan natna khirh tak a lo ni ta a ni. Tunah chuan antiviral damdawi hmanga enkawl theih a ni tawh. Mahse mi tam tak chuan an nei tih an hre lo.
• Chronic hepatitis B infection: Hepatitis B hi hri kai a ni bawk. Mi tlemteah chuan chronic a ni thei. Chutiang a nih chuan damchhung a ni. Enkawlna a awm a, mahse a dam kim thei lo.

A tam loh chhan pawh a awm:

• Autoimmune biliary disease: Autoimmune natna thenkhat hian thin (liver) a ti na rei thei hle. Entirnan, autoimmune hepatitis, primary biliary cholangitis, leh primary sclerosing cholangitis te hi a ni.
• Genetic disorders: Hriselna atanga lo piang natna thenkhat chuan thin a tichhe thei a, chu chuan liver-ah toxin a lo pungkhawm thei a ni. Entirnan, glycogen dahkhawmna natna, cystic fibrosis, leh Wilson natna te hi a ni.
• Toxic hepatitis: Hun rei tak chhung environment toxin thenkhat nena inzawmna emaw, damdawi thenkhat (over-the-counter painkillers pawh) hman chhunzawm zel emaw hian thin a tichhe thei a ni.
• Cardiovascular disease: Liver chhiatna hi liver-a thisen inzawmkhawmna natna (congestive heart failure ang chi) emaw, thisen liver thleng thei lo natna (chronic ischemia ang chi) vang pawh a ni thei.

Hetiang dinhmun hi tute nge hlauhawm ber?

I tih chuan cirrhosis of the liver vei theihna i nei sang zawk thei a ni:

• Kum 50 aia upa i nih chuan.
• Zu in nasa tawhna history i neih chuan.
• Chronic viral hepatitis infection i neih chuan.
• Metabolic syndrome ( i.e., thau lutuk, thisen sang, thisen sugar sang, leh cholesterol sang ang chi dinhmun inzawmkhawm) i neih chuan.

Cirrhosis natna hian eng harsatna nge a thlen?

Cirrhosis leh portal hypertension vang hian side effect tam tak a awm a.

Harsatna awm fo thin:

• Taksa chhunga toxins awm khawm avanga natna, chau, leh rilru lama vur tlak loh anga inhriatna.
• Immunity tlahniam, hliam dam rei.
• Thisen kalna kawng atanga tui chhuak avanga hliam.
• Hormone inthlauhna leh tlakchhamna.
• Chaw ei lama harsatna, ei leh in tha lo, leh ei leh in tha lo.
• Thluak hnathawhna lama harsatna tenau leh taksa ruh (muscle control) lama harsatna awm.

Harsatna na tak tak, nunna atana hlauhawm thei:

• Gastrointestinal varices leh chaw kawng atanga thisen chhuak.
• Bacteria atanga lo chhuak peritonitis.
• Kal tha lo (Hepatorenal syndrome) a awm.
• Thluak lama harsatna (Hepatopulmonary syndrome) a awm.
• Chronic liver failure a awm thin.
• Liver cancer a ni.

Engtin nge cirrhosis of the liver hi an hriat theih?

Doctor chuan taksa lamah a enfiah hmasa ang che, cirrhosis chhinchhiahna a awm leh awm loh a enfiah ang. Engtik atanga i natna lan chhuah tan nge tih leh hun kal zelah a danglam tawh em tih zawhna an zawt ang che. I damdawi lam chanchin te, damdawi, thing leh mau leh supplement i ei te, i ei leh in te, leh i nunphung te pawh an zawt bawk ang. Liver natna emaw, thin chhiatna emaw chhinchhiahna an zawng ang.

Chumi hnuah chauh chuan cirrhosis a awm leh awm loh hriat chian nan medical test neih a ni ang. Chûng zîngah chuan:

• Thisen test dan: 1.1.Liver function test-ah hian liver natna leh liver failure chhinchhiahna a awm thei. Hengte hian liver enzyme, protein, leh bilirubin level ang chi thil a teh thin. Thisen test-ah pawh thisen zam tlahniam ang chi thil a lang thei bawk.
• Imaging test: Abdominal ultrasound, CT scan, MRI ang chi test-ah hian liver lian leh te, a pianzia leh a dinhmun a lang thei. Special imaging test elastography tih hian liver-a stiffness emaw fibrosis emaw a teh thei a ni.
• Liver biopsy: Hei hi thil tenawm tak a ni. Liver atanga tissue sample te tak te lak a ni a, laboratory-ah enfiah a ni. He sample hi hollow needle hmanga lak a ni tlangpui. A tul reng reng lo nain, biopsy hian cirrhosis hi a nemnghet thei a, a chhan pawh a hmuchhuak thei bawk.

Liver cirrhosis hi tihdanglam theih emaw, tihdam theih emaw a ni em?

Mahse, cirrhosis natna lo zual zel chu tihtawp emaw, thunun emaw theih a ni . Natna thlentu, enkawl theih dan leh enkawlna i chhân lêt danah a innghat a ni.

Doctor-te hian engtin nge cirrhosis hi an enkawl?

Cirrhosis enkawlnaah hian:

• A theih chuan natna thlentu control (a chhiatna tihtlem emaw tihtawp emaw).
• Liver-a harsatna awm thei tihziaawmna turin ei leh in leh nunphung awlsam tak thlak danglam a ni .
• Cirrhosis natna (complications) enkawl emaw, screening emaw .
• A tawp berah chuan liver transplantation .

A chhan enkawl

Thin natna thenkhat chu damdawi hmanga enkawl theih a ni. Entirnan, antivirals hian chronic hepatitis C a tidam thei a, mahse chronic hepatitis B erawh chu control theih chauh a ni (dam lo). Corticosteroid leh immunosuppressants te hian autoimmune natna thenkhat control nan a pui thei a ni.

Zu emaw, toxin dang emaw avanga liver a chhiat chuan a enkawlna awmchhun chu chu toxins te chu i nun atanga paih chhuah hi a ni. Mi thenkhat chuan ruihhlo hmansualna (substance use disorders) avanga enkawl an ngai mai thei bawk. Zu ni lo (NASH ang chi) avanga liver a chhiat chuan metabolic factors cholesterol, thisen sugar, leh taksa rihna tam lutuk control hian a pui thei a ni.

Ei leh in leh nunphung

I thin natna hi thil dang vang pawh ni se, zu leh ruihhlo, thin tana tha lo ei loh chuan i thin hi rei zawk a venghim thei a ni. Metabolic stressor pawh chutiang bawk chu a ni. Doctor-te chuan thin natna chi hrang hrang nei apiangin ei leh in hrisel ei a, taksa rihna hrisel tak vawn reng tum turin an fuih a ni. Mi thenkhat chuan ei leh in lama harsatna an tawhte tihziaawm nan dietary supplement an ei a ngai thei bawk.

Harsatna awm thei enkawl dan

I doctor-in cirrhosis a neih thu a hriat veleh a side effect awm fo tawh leh awm loh an enfiah bawk ang. Portal hypertension hi a side effect tam ber a ni. Tin, harsatna hrang hrang a nei bawk a, chungte chu enkawlna bik a ngai vek a ni.

Hetiang thil hi i mamawh mai thei:

• Thisen chhuak vein seal na tur procedure tenau tak.
• Thisen cell count siam that leh nan thisen pek a ni.
• Kidney dialysis tih a ni.
• Oxygen hmanga enkawlna a ni.
• Paracentesis leh antibiotics hmanga pum chhunga tui paih chhuah (ascites).
• Laxatives hian ei leh in atanga toxins te chu a hip lut a, a paih chhuak thei bawk.

Liver cancer a ni

Hepatocellular carcinoma hi cirrhosis natna hlauhawm dang a ni bawk. Cirrhosis vei zawng zawng hian liver cancer an nei vek dawn lo a, mahse liver cancer vei tam tak chuan cirrhosis an nei ve tho. Cirrhosis nena cancer a lo awm chuan cancer enkawlna radiation emaw chemotherapy emaw pek theih a ni. A nih loh leh, i doctor chuan liver transplant chu a tha ber a ni tih a rel mai thei bawk.

Liver Transplantation tih a ni

Doctor-te chuan liver transplant loh chuan i hriselna a chhe zawk dawn nia an ngaih laiin liver transplant an rawt a ni. Hei hi active liver failure, liver cancer, leh/ emaw i liver natna enkawlna i dawn loh chuan a ni thei. Liver transplant i nih chuan national waiting list-ah dah i ni ang.

Cirrhosis hi ven theih a ni em?

Liver natna hi cirrhosis thlenga a kal loh nan a hmaa tihdam theih a ni fo . I hriat chian leh hriat loh leh a venna atana i tih theih danah a innghat a ni. Mi tam takin a tir lamah symptom an neih loh avangin routine health checkup-ah hmuhchhuah theih a ni. Hei hian inthlak danglamna pawimawh tak siam emaw, enkawlna tan emaw theihna hun remchang a pe che a ni.

Cirrhosis hnuah liver hi a dam leh thei ang em?

Vawikhat cirrhosis i neih chuan i liver a tha lo. Mahse a na zual zel lo bawk . Symptoms (compensated cirrhosis) i la neih chuan chutiang chuan rei vak lo i awm thei. Cirrhosis thlentu inflammation hi i tihtawp emaw, i tihtlem emaw theih chuan natna hi decompensated stage-ah a kal lo mai thei. Mahse i liver chu i dam chhung zawng i enkawl a ngai dawn a ni.

Cirrhosis natna vei kan nih hian engzat nge dam rei zawng?

Cirrhosis natna vei huna dam rei zawng hi thil tam tak a zirin a inang lo:

• Natna nasat dan (compensated emaw decompensated emaw).
• Complication i neih mek te hi.
• Enkawlna dam khawchhuahna leh hlawhtlinna.
• I hriselna zawng zawng emaw, natna dang i neih leh neih loh emaw.

Doctor-te chuan Child-Turcotte-Pugh (CTP) system leh Model for End-Stage Liver Disease (MELD) te ang chi scoring system hmangin i dinhmun an zirchiang a, liver transplant waiting list-a i hmun an hriat theih nan an hmang a ni.

``Compensated cirrhosis`` natna bul tan tirh lamah chuan kum 15 aia tam dam rei theih a ni. Portal hypertension a lo awm chuan chhungril lama thisen chhuah theihna a awm avangin dam rei zawng a ti tlem a ni. ``decompensated cirrhosis`` dam rei zawng hi kum sarih vel a ni. He hun hi natna khirh tak, tihdam theih loh leh harsatna dang vangin a tawi zawk thei bawk. Mi thenkhat tan chuan kum hnih aia rei lo pawh a ni thei. Mahse heng statistics te hi mi zawng zawng tan a inang vek lo tih hriat reng a pawimawh.

Cirrhosis of the liver natna vei lai hian engtin nge ka in enkawl ang?

Heng thilte hian i liver dam chhung a ti rei thei a ni:

• Chaw hrisel, pum pui leh protein tha lo ei rawh .
• Zu te, zuk leh hmuam te, damdawi lam thurawn tel lova ei te chu a theih ang anga inthiarfihlim tur a ni .
• Damdawi hi doctor-in a tih ang chauhin ei thin ang che. Damdawi i ei apiang chu i doctor nen sawiho rawh.
• Medical test ruahman sa leh harsatna awm thei screening neih loh tur.