I liver-ah hian thau a awm em? Steatotic/Fatty Liver Disease chungchang hi chiang takin i zawng chhuak ang u.

'Fatty Liver' tih hi i hre ngai em? I scan report-ah a awm a, i hlau hle mai thei. Mi tam tak chuan hei hi natna hlauhawm tak niin an ngai. Mahse, he liver-a thau awmkhawm hi eng nge ni tak tak? Hlauh tur thil a ni em? A tir atang khan i sawi vek ang u, awlsam takin.

Steatotic Liver Disease hi eng nge ni?

A awlsam zawngin, hei hi i liver chhunga thau, a nih loh leh oil awmkhawmna a ni. Doctor-te chuan hei hi ‘steatosis’ an ti. Liver hrisel, tha taka thawk pawh hian thau tlem a nei a. Chu chu thil pangngai a ni. Mahse he thau khawlkhawm hian liver rit zawng 5% aia tam a nih chuan chuta tang chuan buaina hi a intan a ni.

Kan kitchen sink-a pipe ang maiin han ngaihtuah teh. Tui tlem a luh chuan a pawi lo, mahse oil a pungkhawm a, pipe-ah a tang a nih chuan chu chu buaina a ni lo maw? Chutiang chuan thau tam lutuk chu liver-ah a pung khawm thin.

Engvangin nge ‘Fatty Liver Disease’ tih hming hi ‘Steatotic Liver Disease’ tia thlak a nih?

Tun hma chuan he dinhmun hi ‘Fatty Liver’ kan ti vek thin. Mahse kum 2023 khan damdawi lam mithiamte an rawn inkhawm a, he hming hi thlak an tum ta a ni. Chumi chhan lian tak pahnih a awm a.

1. A chhan sawifiah rawh: Miten ‘Fatty Liver’ tih thumal an hriat hian mi tam tak chuan hetiang hi mi thau lutuk te chungah chauh a thleng niin an ngai. Mahse chu chu thudik a ni lo. Taksa rihna nena inzawmna nei lo chhan dang tam tak avangin liver-ah thau a awm khawm thei bawk. Hming thar hian hetiang thil thlen thei thil hrang hrangte hi a dik zawkin a hriat theih a ni.

2. Hmuhchhiatna leh mualphona tihbo: ‘Fatty’ tih thumal hi mi thau tan chuan sawiselna leh mualphona tlem a ni thei. Damdawi lam dinhmun chungchang sawi dawnin chutiang rilru put hmang siamtu thumal hman loh a tha zawk, a dik em? Chuvang chuan a hming pawh an thlak ta a ni.

Fatty liver chi hrang hrangte chu engte nge ni?

Doctor-te chuan fatty liver hi a chhan a zirin chi hrang hrangah an ṭhen a. Eng nge an nih i en ang u. Hei hi hriatthiam awlsam zawk nan dawhkan te tak te ka siamsak ang che.

Hei hi harsatna lian tak a ni tak tak em?

A tam zawkah chuan early fatty liver disease hian harsatna lian tham a thlen lo va, liver hnathawh dan pangngai pawh a tibuai lo.

He natna hi enkawl loh a nih chuan mi thenkhatah chuan zawi zawiin a na zual thei a ni. Stage hrang hrangah a thleng thin:

1. Hepatitis: Thau khata khat thin thin chu a lo hring a, a sen a, a hring bawk. Hei hi `Steatohepatitis` an ti a. Hetiang hian MASLD chu MASH a lo ni ta a ni.

2. Fibrosis: Inflammation hian thin tissue a tichhe thin. A chhe lai hmunah hian scar tissue a lo awm tan thin. Kan vun hliam a nih chuan hliam a lo awm ang bawkin. He scarring hian liver chu a ti khauh deuh a, a rough deuh bawk.

3. Cirrhosis: He scar tissue hi a thang chhunzawm zel a, liver tissue hrisel chu scar tissue hmangin a thlak a ni. Hei hi natna khirh tak, cirrhosis an tih a ni. Cirrhosis hi enkawl loh chuan liver failure a thlen thei a, liver cancer ang chi thihna thlen thei dinhmun pawh a thlen thei bawk.

Chuvangin he natna hi a tir lamah hriatchhuah a, a chhan hriatchhuah a, a tul anga enkawlna zawn a pawimawh hle.

He natna lan chhuah dan engte nge ni?

Hemi chungchanga harsatna lian ber chu a tir lamah chuan symptoms a lantir lo fo thin . Danglamna i hre lo mai thei. Mahse mi thenkhat chuan hetiang symptom hi an nei thei a ni:

• Pum dinglam chunglam a nuam lo emaw, a rit emaw tih hriatna.
• Chauhna chu hah lutuk leh hah lutuk, chhan awm lova lo awm hi a ni.

Natna chu cirrhosis thlenga a lo zual tawh chauhvin a lan chhuah dan chiang tak a lo lang tan fo thin. Chutiang hunah chuan hetiang hi i hmu mai thei:

• Nausea leh luak chhuak.
• Chaw chu a thlum lo.
• Chhan awm lovin taksa rihna tihtlem.
• Mit leh vun dum (jaundice) a rawn sen (jaundice).
• Pum natna, tui tlakchhamna (Ascites).
• Ke, ke ruh leh kut a hring (Edema).

Fatty liver awm chhan ber leh risk factors te chu engte nge ni?

Hei hi a chhan awm thei engemaw zat a awm. Mahse a bulpui ber chu metabolic risk factors kan sawi tawh leh zu in te hi a ni. Heng thil pakhat emaw a aia tam emaw i neih chuan he natna hi i vei theihna a sang zawk:

• Zu ruih hmang emaw, zu in tam emaw, zu in nasa emaw.
• Metabolic Syndrome: Hei hi risk factor engemaw zat inzawmkhawm a ni. Chu chu insulin resistance, thisen sang, cholesterol sang leh triglyceride level sang tihna a ni.
• Type 2 Diabetes a ni a .
• Thau lutuk (BMI 25 leh 29.9 inkar) emaw thau lutuk (BMI 30 aia tam) emaw a ni thei.
• Hmeichhia tanA rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a.
• Mut theih lohna (obstructive Sleep Apnea) .
• Thyroid hormone tlahniam (Hypothyroidism) .
• Hypopituitarism (pituitary hormone level hniam) .
• Sex hormone level hniam (Hypogonadism) .
• Damdawi thenkhat (e.g. Amiodarone, Diltiazem, Tamoxifen, Steroids) avanga side effect angin a awm thei bawk.

Engtin nge hei hi kan hriat theih ang?

A tam zawkah chuan hei hi thil thleng mai maia hmuhchhuah a ni. Condition dang thisen test i neih chuan i doctor chuan i liver enzymes a sang tih a hmu mai thei. Chu chu clue hmasa ber a ni.

Chumi hnuah chuan natna hriat chian nan a hnuaia test te hi i en thei ang:

• I damdawi lam chanchin leh i enfiah dan: I doctor chuan i damdawi lam dinhmun te, zu in dan te, leh damdawi i ei dan te a zawt ang che. Tin, taksa enfiahna a nei bawk ang a, liver inflammation leh cirrhosis chhinchhiahna a awm leh awm loh a enfiah ang.
• Scan: Ultrasound, CT Scan emaw MRI hmangin liver-a thau awm leh awm loh enfiah theih a ni. Ultrasound scan bik FibroScan tih hian liver-a thau leh stiffness (scarring) awm zat a teh thei bawk.
• Liver Biopsy: A then phei chuan liver tissue te tak te tak tak lak a ni a, microscope hmangin an enfiah a, natna nasat dan hriat theih a ni. Hei hi MASLD leh MASH dik taka thliar hran theihna kawng tha ber a ni.

Engtin nge enkawl a nih? Hei hi tihdam theih a ni em?

Hei hi damdawi chiang tak a la awm lo. Mahse, lungngai suh. Enkawlna atan doctor-te chuan a thlentu risk factors control-na lam an ngaihtuah ber a ni. Chu chu kan nunphung hrisel taka inthlâk danglam tihna a ni.

I doctor chuan hetiang thil hi tih turin a fuih thei che a ni:

• Zu in hi bansan rawh: I liver-a thau awm zat hi zu vang ni lo mah se, zu in khap tlat chu i thin tan a tha hle.
• I taksa rihna tihtlem: Exercise, nutritionist-te thurawn anga ei leh in thlak danglam, leh damdawi thenkhat (GLP-1RA ang chi) te hian i taksa rihna tihtlem nan a pui thei che a ni. Bariatric surgery pawh i ngaihtuah thei bawk.
• Damdawi lam thil dang enkawl rawh: Zunthlum, cholesterol sang, leh thisen sang ang chi natna tan i damdawi ei tur chu a tih angin ei thin ang che. A then phei chuan vitamin E ang chi supplement ei pawh a tha thei bawk.
• Hepatitis A leh B laka vaccine la rawh:He virus infection hi liver damage engemaw zat nei tawh tan chuan a hlauhawm hle thei a ni. Chuvangin he vaccine hi lak hi himna atana fimkhur a ni.

Hetiang dinhmun lakah hian engtin nge i inven theih ang?

Hetiang dinhmun lo thleng tur venna tha ber chu nunphung hrisel zawng zawng neih hi a ni.

• Exercise neih fo: Ni khatah minute 30 tal thawmhnaw tichhe thei exercise tih hi a tha hle.
• Zu in hi tihtlem emaw tihtawp vek emaw .
• I san zawng atan taksa rihna hrisel tak vawng reng rawh.
• Ei leh in inthlau tak ei: Thlai, thei, legumes, nut leh whole grains ei tam rawh. Oil, sugar, flour, fast food, leh sa sen (bawngsa, vawk sa) te kha tihtlem la. Sugary drinks aiah tui thianghlim in thin ang che.
• Zunthlum emaw thisen sang emaw ang chi natna i neih chuan damdawi pek dik tak hmang rawh .

I doctor nen inbia la, i tan eng nun hrisel nge a tha tih thurawn lak a tha ber.