A châng chuan kan inbiak huna kan thawk rimchhia chu kan zak hle ṭhin. Eng ang pawhin ha kan silfai a, hmui silfai kan hmang a, tihbo nan theihtawp kan chhuah pawhin a rim a bo lo a nih chuan thil pangngai a ni lo mai thei. A bik takin i thawk hian rim mak tak tak, a thlum deuh, thei ro ang chi, emaw, rulhut ro ang chi a neih chuan, chu chu liver lama harsatna lian tak i neihna chhinchhiahna a ni thei. Damdawi lam hawi chuan he natna hi Fetor Hepaticus kan ti a ni. Vawiin hian awlsam takin kan sawi dawn a ni.
Fetor Hepaticus chu eng nge ni?
A awlsam zawngin sawi ila, Fetor Hepaticus hi damdawi lam thil avanga i liver a thawk tha lo a nih chuan i thawk atanga lo chhuak rimtui bik a ni. Kan taksa chhunga filter lian ber chu thin (liver) a ni. Thisen atanga toxins, kan ei leh in leh damdawi kan ei te a filter thin.
Mahse liver a natna a lo chhuah chuan he filtering process hian hna a thawk tha lo. Tichuan, thisen atanga paih chhuah tur chemical tha lo thenkhat chu paih chhuah ai chuan thisenah a pung khawm thin. Chumi hnuah chuan heng toxin khawlkhawmte hi kan thawk nen an rawn chhuak leh thin. A chang chuan he rim hi i thawmhnaw leh zun atang pawhin a lo chhuak thei bawk.
A pawimawh ber chu, hei hi hmui faina \ha lo avanga thawk rimchhia mai a ni lo. Hei hi i taksa chhunga natna khirh tak hnuaia awm tih hriattirna pawimawh tak a ni.
He rim hi eng ang chiah nge ni? Engtin nge rim dang nen a danglam?
He rim hi hriat chian a harsa deuh thei a, mi zawng zawngin a nihna an hriat dan a inang lo thei a ni. Mahse hetiang hian doctor-te sawi dan chu a ni:
- Mold ang maiin a rim a nam.
- A thlum mak tak mai a nei.
- A chang chuan bawlhhlawh rim a nam thei bawk.
- Egg ro leh garlic nena inzawm rimtui.
- Thinghnah thar rimtui.
Damdawi dangin rimchhia a thlen thei a, mahse Fetor Hepaticus erawh a danglam thung. He danglamna hi chiang takin i hrethiam ang u.
| A rim awm dan | Description leh a kaihhnawih damdawi lam dinhmun |
|---|---|
| Hepatic rimchhia a ni | Egg/onion ang maia rimtui, thlum, ro tawh. HeiLiver natna khirh tak nen a inzawm. |
| Trimethylaminuria (nga rimtui) 1.1. | Nga rimtui tak mai. Hei hi metabolic condition dang a ni bawk. |
| Uremic Fetor (ammonia rim) rimtui tak hi a ni. | Ammonia emaw bleach emaw ang chi rimtui. Hei hi kidney failure chhinchhiahna a ni . |
| Keto Thâwk (Thlai rim) . | Acetone rimtui, thei emaw nail polish remover ang chi. Hei hi diabetic ketoacidosis-ah a thleng thei a ni. |
Engvangin nge hetiang hian a rim a chhuah?
He rim bik hi kan taksaa chemical compound siam chhuah `Dimethyl sulfide` (garlic rim) leh `methyl mercaptan` (rotten egg/cabbage rim) te vang a ni ber. Hengte hi `Volatile Organic Compounds` (VOC) tia hriat a ni bawk.
A tlangpuiin hengte hi kan metabolism atanga lo chhuak byproduct an ni. Thisen kaltlangin liver-ah an kal a, chutah chuan an filter a, an paih chhuak thin. Mahse thin (liver) a natna a lo chhuah chuan an filter thei lo va, thisenah an level a sang chho zel a ni. Chutah chuan he rim hi thawk atang hian a chhuak tan ta a ni.
Hei hi chhan lian tak pahnih a awm thei a, chungte chu:
1. Liver Failure: Liver cells a chhiat (e.g. cirrhosis vang) a liver hian a filtering function a thawk tha thei lo.
2. Portosystemic Shunt neih: Portal vein hi kan digestive system atanga thisen kal chhuak thin vein lian ber a ni. A chang chuan he vein hi bypass theih a ni a, toxic thisen chu taksa normal circulation-ah direct-in a luang lut thei bawk. Hei hi taksain thisen a kal loh nan shunt a siam vang a ni.
Fetor Hepaticus nen hian eng symptom dang nge awm?
Fetor Hepaticus i neih chuan underlying liver disease emaw Portal Hypertension vangin symptom dang a awm thei bawk. Heng symptoms te pawh hi hriat a pawimawh hle.
| Symptom dang fimkhur tur | |
|---|---|
| Liver failure natna lan chhuah dan tlangpui | |
| Vun leh mit sen (Jaundice) . | Vun sen leh mit var. |
| Pum dinglam chunglam a na | Liver area ah natna a awm. |
| Zun leh bawlhhlawh inthlak danglamna | Zun dum (tea ang chi) leh bawlhhlawh light (lei ang chi) te. |
| Vun a na | Taksa pum puiah hmuh theih loh leh vun rawng awm lovin a hmin. |
| Thisen chhuak leh hliam tuar | Hliam tenau tak tak atanga pawh awlsam taka tawp thei lo thisen chhuak leh taksa chu a tul lovah a hliam thin. |
| Portal Hypertension natna lan chhuah dan | |
| Pum leh ke a hring chhuak | Abdominal distension (abdominal fluid accumulation) leh ke leh ke ruh a hring. |
| Thisen chhuah emaw, ek chhunga thisen kal emaw | Hei hi thil hmanhmawhthlak tak leh pawi tak a ni. |
| Hriatrengna leh nungchang a inthlak danglam thin | Thluak a toxic effect avanga buaina, mutthilh leh hriatna hloh. (Hepatic Encephalopathy natna a awm) tih a ni. |
Hei hi doctor pan nghal tur a ni tih hriattirna a ni em?
Ni e, a dik ngei ang! Fetor Hepaticus hi vaukhânna chhinchhiahna pawi tak a ni a, damdawi lam pan nghal tur a ni a, liver natna i nei tih i hriat tawh emaw hriat loh emaw pawh ni se.
He chhinchhiahna hian i liver dinhmun a chhe zual zel tih a tilang a ni. I thisena toxin awm khawmte chu an thawk chhuah theihna tur hmun a thleng tawh a, chu chu chu toxins te chuan i thluak leh nervous system a nghawng tan tawh mai thei tihna a ni.
Enkawl loh chuan he natna hian harsatna nasa tak a thlen thei a ni.
- Digestive tract atanga thisen chhuak thunun theih loh.
- Kal tha lo (Hepatorenal syndrome) a awm.
- Thluak lama harsatna (Hepatopulmonary syndrome) a awm.
- Thluak hnathawh that lohna (Hepatic encephalopathy).
Tun hma chuan he dinhmun hi "mitthi thawk" an ti bawk. Chu chuan hei hi nunna atana hlauhawm tak a nihzia a tilang chiang hle. Mahse, hlau suh. Tunlai hian damdawi lam hi a changkang hle. Liver transplant ang chi enkawlna a awm a, a natna lan chhuah dan control nan enkawlna tha tak tak a awm bawk.
A pawimawh ber chu heng symptoms te hi i hriat veleh doctor pan nghal tur a ni. Ani chuan a enfiah ang che, a tul anga test a ti ang a, i tana enkawlna \ha ber a pe ang che.
Take-Home Thuchah a ni
- Fetor Hepaticus hi thawk atanga rimtui, musty rimtui tak a ni. Thin natna khirh tak chhinchhiahna a ni.
- Hei hi hmui faina \ha lo vanga thawk \ha lo pangngai a ni lo.
- Nangmah emaw, i hriat emaw chuan he natna hi i neih chuan, vaukhânna pawi tak angin ngai rawh .
- A rang thei ang bera doctor rawn la, tihkhawtlai lova.
- Liver natna i vei tih hmuhchhuah tawh pawh nise, doctor thurawn lak leh a pawimawh hle a, he symptom thar hian i dinhmun a chhe zual zel tih a tilang a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Swollen Testicles tih hi eng nge ni?
Hei hi thil pangngai a ni lo! Hei hi mipa ‘Testicles/Scrotum’ pakhat emaw pahnih emaw chu a danglam bik taka lian/a hring (Scrotal swelling) a lo awm thut a, a chang chuan tuar theih loh khawpa natna (a chang chuan natna nei lo) nen a ni. Hei hi hernia, fluid buildup, emaw scrotum chhunga malignant/cancerous damage awm thei tur hriattirna lian tak a ni.
💬 Mipa testicles rang taka a hring/a lian chhan berte chu engte nge ni?
Hei hi a chhan lian tak tak engemaw zat a awm a, chungte chu: 1) ‘Hydrocele’ - testicle vel a tuiin a khat sac a lian (painless) a ni. 2) Inguinal Hernia - scrotum chhunga herniated disc a awm. 3) ‘Epididymitis’ - zun kawng infection/STI a awm a, chu chuan testicle a ti ro (khawsik nen a na). 4) A chhan hlauhawm ber: Lungpui ang chi hnah te tak te, khauh tak, natna nei lo a lo lang a nih chuan ‘Testicular Cancer’ a ni ngei ang!
💬 ‘Testicular Torsion’, nunna atana hlauhawm emergency, testicular swelling nena lo awm chu eng nge ni? Engvangin nge damdawi in pan nghal vat a ngaih?
Hlauhawm ber leh pawi ber chu ‘Testicular Torsion’ hi a ni! Chumi awmzia chu i mut/infiam lai hian testicle chhunga thisen kalna chu a inher nghal a, a knot ta a ni. Tichuan, second khat chhung chu tuar theih loh, au thawm ri/swelling a awm ta! Chutiang a nih chuan darkar 6 chhungin damdawi inah kal la, knot kha phelh turin operation nei rawh, testicle chu a dum ang a, a ro vek ang a, chatuan atan a tan a ngai ang (Gangrene/Loss of testicle)!
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