Gallbladder lama harsatna i nei bawk em? (Gallbladder Disease) Hemi chungchang hi chiang takin i zawng chhuak ang u!

I pum dinglam chunglam, a bik takin i dinglam rib cage hnuaiah natna nasa tak i nei tawh em? A nih loh leh i pum thlengin i na emaw, chaw thau tak i ei hnuah i rilru a na emaw? Hengte hi i gallbladder a harsatna awm chhinchhiahna a ni thei . Chuvangin vawiin hian gallbladder natna chungchang hi han sawi ila.

Gallbladder Disease hi eng nge ni?

A awlsam zawngin, gallbladder natna hi i gallbladder hriselna tichhe thei dinhmun eng pawh a ni. Kan chaw ei kawngah hian gallbladder hi taksa peng te tak te a ni tih i hria em ? Bag te tak te ang mai a ni. A hna ber chu kan thin atanga bile siam chhuah thenkhat dahkhawm a, chutah chuan kan ei zawhah kan ei tur ei tur siam chhuahna tura puih a ni a, chu bile chu zawi zawiin small intestine-ah a thawn chhuak a ni Hei hi tui pipe ang maia awm bile duct system hmanga thleng a ni.

Ngaihtuah teh, gallbladder-ah emaw, a nena inzawm bile duct-ah emaw infection emaw blockage emaw a awm chuan gallbladder a nghawng thei a ni. A chhan chu gallbladder hi heng bile duct hmang hian taksa peng dang tam tak, liver leh pancreas te nen a inzawm tlat a ni. Chuvangin gallbladder-ah natna a awm chuan taksa peng dang pawh a nghawng thei a ni.

Gallbladder tichhe thei damdawi lam harsatna lian ber berte chu engte nge ni?

Damdawi lam thil engemaw zat a awm a, chu chuan gallbladder a tichhe thei a ni. A bulpui berte han thlir ila.

1. Gallstones (Gallstones / Cholelithiasis) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Hei hi gallbladder natna tlanglawn ber a ni. Mahse mi zawng zawng hian gallstone chungchangah harsatna kan nei vek lo. Gallstone hi bile chhunga thil awmte, a bik takin cholesterol te chu gallbladder-ah an lo awm khawm a, lump te te an siam hian a lo awm thin. Heng lumps te hi hun kal zelah a lian chho zel thei a ni. Mi thenkhat chuan symptoms an nei lo mai thei a, gallstone an nei tih pawh an hre lo mai thei. Mahse, heng lungte hian gallbladder emaw bile duct-a bile luang chhuak tur a tihkhawtlai hian harsatna a awm tan thin.

Tui pipe-a lung a tlak ang maiin han ngaihtuah teh. Tichuan tui chu a luang lo ang. Chutiang bawkin bladder a che thei lo chuan natna leh symptom dang a lo lang tan thin.

2. Gallbladder natna (Cholecystitis) .

Gallbladder inflammation, a nih loh leh cholecystitis hi gallbladder natna lan chhuah dan tlangpui dang a ni. Hei hi symptom a ni a, harsatna dang pawh a thlen thei bawk. Cholecystitis hi gallbladder infection, gallstones, gallbladder dysfunction, emaw, a tlem berah chuan cancer vang emaw a ni thei. A tam zawkah chuan a chhan chu gallstones vang a ni a, chu chuan bile kalna a tikhawlo a ni.Inflammation hi rei tak a awm chuan gallbladder tissue-ah hliam a awm thei a, a tawpah chuan tissue thihna (gangrene) a thlen thei a, gallbladder-ah pawh perforation a awm thei bawk.

3. Biliary dyskinesia (Biliary dyskinesia) a awm thin

Hei hi `(Functional gallbladder disorder)` an ti bawk. `(Biliary dyskinesia)` hi gallbladder chetna, a nih loh leh bile chhuah chhuah leh bile duct chhunga nawr luh theihna lama harsatna a ni. A dik tak chuan hei hi gallbladder ruh emaw nerve emaw-a mechanical problem engemaw vang a ni thei. Hei hi gallstone a tlakbuak huna thil thleng nen a inang hle. Bile hian gallbladder a chhuahsan lo va, a pung khawm a, chu chuan gallbladder chu a ti hring a, hun kal zelah a inflamed ta a ni.

4. Gallbladder tissue (Gangrene) thihna .

Gangrene hi chronic cholecystitis natna hlauhawm tak a ni . Gallbladder a lo hring chhunzawm zel a, a lo zau zel chuan a tawpah chuan tissue chu a chhe a, a thi tan ta a ni. He tissue thi hi a rupture duh zawk. Gallbladder wall a chhe a nih chuan, chu natna chu pum chhung hmun dangah a darh thei a, chu chuan natna hlauhawm tak peritonitis tih a thlen thei a ni. Chuvang chuan cholecystitis hi kan ngaihthah tur a ni lo.

5. Gallbladder cancer a ni

Gallbladder cancer hi natna awm lo mahse na tak a ni . Gallbladder cancer chhinchhiahna hi natna a darh hma chuan a lang lo fo thin a, chuvangin gallbladder cancer vei theihna chance tlemte a awm chuan doctor-te chuan enkawl turin hma an la ang. Gallbladder-a polyp tam zawk hi chu a hlauhawm lo. Mahse, i gallbladder-ah polyp lian zawk i neih chuan i doctor chuan a him lam a nih theih nan paih chhuah a rawt mai thei.

6. Bile ducts natna (Cholangiopathy) .

`(Cholangiopathy)` tih hian bile duct-a natna eng pawh a awm tihna a ni. A tlangpuiin bile ducts inflammation `(Cholangitis) atanga tan a ni.` A chhan chu hun eng emaw chen infection, blockage, emaw autoimmune disease `(Primary biliary cholangitis) ang chi emaw a ni thei.` Bile ducts inflammation hi rei tak a awm chuan bile ducts chu a hliam a, a tawi thei bawk (Biliary stricture). Tichuan bile chu a luang tha lo va, gallbladder leh liver-ah a back up tan ta a ni.

Gallbladder natna hi engtiang chiahin nge a awm?

Gallstone hian mipui 15% vel a nghawng nia sawi a ni. Mahse, heng lung nei zinga 20% chauh hian harsatna emaw, symptom emaw an nei thin. Gallbladder natna dang, gallstone nena inzawm lo chu a tlem hle.

Tute nge gallbladder natna vei tam zawk? (Risk factor hrang hrang) 1.1.

Gallstone i neih chuan gallbladder natna i vei a rinawm zawk. Risk factor lian ber berte han thlir ila:

• Cholesterol tamna ei leh in:Gallstone tam zawk hi cholesterol tam lutuk, gallbladder-a awm khawm atanga siam a ni. Chuvangin, oil leh thau tamna ei fo thinte chu an hlauhawm zawk.
• Thau lutuk leh thau lutuk: I thau chhoh zel chuan i taksain cholesterol a siam tam zawk a, a bik takin i body mass index (BMI) 30 aia tam a nih chuan.
• Kum 60 chunglam: Kum upat deuh deuh chuan gallstones vei theihna a sang chho zel. Hei hi extra substance te hian hun kal zelah bile-ah hun an nei tam zawk vang pawh a ni thei.
• Hmeichhia nih: Hmeichhia hian mipa aiin gallstone an nei tam zawk a, a let hnih zetin an nei tam zawk. Taksaa estrogen tam lutuk (a bik takin naupai lai) hian cholesterol level a tisang a, gallbladder empty a ti slow bawk.
• Chhungkaw zingah gallbladder natna vei tawh: Gallbladder natna vei zinga 25% vel chu thlahtute atanga lo chhuak an ni thei. Scientist-te chuan he thila inrawlh gene 12 vel an hmuchhuak a ni.
• American Indian emaw Mexican American hnam chhuak: Heng hnam hrang hranga mite hian gallstone vei theihna chance 30% atanga 70% vel an nei a. Dietary leh genetic factors pahnih hian hei hi a thlen thei a ni.
• Zunthlum: Zunthlum vei te hi a let hnih atanga a let thum velin gallstone an nei tam zawk. Hei hi fatty acid level sang vang pawh a ni thei.
• Crohn natna: Crohn natna vei te hian an gallbladder hian bile salt a hip thei lo a, chu chuan cholesterol a tithianghlim thei a, hei hian gallstones an vei theihna hi a let hnih in a sang zawk a ni.
• Cirrhosis of the liver: Hei hi thin natna hnuhnung ber a ni. Hetiang dinhmunah hian liver atanga gallbladder-a bile kal chu a tlahniam a, bile a pungkhawm thei a ni.
• Sickle cell disease: Hetiang dinhmun hian gallbladder-ah bilirubin a khawlkhawm a, chu chuan pigmented gallstones a siam a, chu chu a tlangpuiin hmuh tur a tlem hle.
• Total parenteral nutrition: Damdawi lam thil engemaw avanga vein kaltlanga liquid nutrition pek thinte tan chuan chaw ei chakna a tlahniam avangin gallbladder-ah bile a pungkhawm thei a ni.
• Cholesterol tihhniamna damdawi \henkhat: Heng damdawi te hian thisen cholesterol chu ti tlem mah se, gallbladder-ah cholesterol a khawlkhawm bawk.

Gallbladder natna "5 Fs" te hi engte nge ni?

"5 Fs" hi doctor-te'n gallbladder natna vei theihna tur common risk factors an hriatrengna shorthand a ni. F pangate hi: Fair (vun dum), Hmeichhia (hmeichhia), Thau (thau lutuk), Fertile (nau neih theih kum tling hmeichhia), leh sawmli (kum sawmli) te an ni.Hengte hi statistics atanga chhut ni mah se, tunlai hian hemi chungchangah hian inhnialna a awm a. A chhan chu hei hi box pakhat category pakhata dah ang a nih vang a ni. Doctor-te chuan gallbladder natna an hriat chhuah hunah a lan dan leh a lan dan engemaw zat an zawn chuan, a fit lo damlote chu an hmu lo thei a, a fit lo damlote chu natna dang an hmu lo thei bawk.

Mahse, heng "5 Fs"-a thil tarlan te hi a takah chuan risk factor tlangpui a ni.

• "Fair" tih hi mipa hringte hian gallstone an nei tam zawk tih atanga siam a ni. Hei hi genetic influence bakah khawthlang lam ei leh in vang pawh a ni thei.
• "Hmeichhia" tih awmzia chu "hmeichhia" tihna a ni a, a chhan chu hmeichhiate hian he natna hi a let hnih zetin an vei tam zawk a ni.
• "Fat" tih hi cholesterol tamna ei tur ei thin leh zunthlum vei thei te sawina tlangpui a ni.
• "Fertile" tih hi hmeichhia naupai tawh emaw, naupai tawh emaw chuan hormone estrogen a nghawng nasa zawk vang a ni.
• "Sawmli" tih awmzia chu kum upat rualin a hlauhawmna a sang chho zel a, chuvangin kum sawmli chunglamte chuan he natna hi an vei tam zawk tihna a ni.

Engtin nge gallbladder natna hian i taksa a nghawng?

Gallbladder hian a hna a thawk tha thei lo a nih chuan bile chu thisenah a lo pungkhawm tan a, chu chu small intestine-ah kal lovin ei tur a digest thei ta zawk a ni. Small intestine-a bile hi thau ei chhuahna atana pawimawh a nih avangin ei tur , a bik takin thau ei tur ei harsa i ti thei. Tin, bile hian liver atanga toxins a paih chhuah theih avangin thisenah bile a awm khawm chuan i na thei bawk. Gallbladder natna nei hian natna nasa tak a thlen thei bawk .

Gallbladder natna tam tak hi operation hmanga enkawl theih a ni. Gallstones te chu lakchhuah emaw, gallbladder te chu lakchhuah emaw a ni thei. Surgeon-te chuan bile ducts chu liver atanga small intestine-ah direct-in an thlunzawm a, gallbladder chu an bypass a ni. Chutiang chuan chaw chu a pangngaiin i ei chhunzawm thei a, gallbladder tel lovin i nung tha thei bawk. Mahse, gallbladder natnain taksa peng dang a tihchhiat theih dan hian hriat hmasak a, enkawl hmasak loh chuan hun rei tak chhung nghawng a nei thei a ni.

Gallbladder natna avanga harsatna awm thei te chu engte nge ni?

Gallbladder natna hian i bile duct, liver emaw pancreas emaw a nghawng thei a ni.

1. Cholangitis natna a ni

Gallbladder natna hian inflammation, infection, leh/ emaw bile ducts blockage (cholangitis) a thlen thei. Hei hi a bik takin gallstone pakhat chu gallbladder atanga bile ducts-a a kal chuan a thleng thei a ni. Thil pakhat a lo thlen chuan thil dangin a zui ve bawk. Hun a kal zel a, hei hian bile duct-ah hliam a siam thei a, a tizau thei a, hun rei tak chhung bile flow-ah harsatna a thlen thei bawk.

2. Thin natna (Cirrhosis) a awm

Gallbladder, bile ducts emaw, a pahnih emawa harsatna avanga bile chu liver-ah a back up a nih chuan liver a ti hring thei a, a tawpah chuan a hliam thei bawk. Hei hi cirrhosis an ti a . Hei hian hun rei tak chhung liver hnathawh a tichhe thei a ni. Cirrhosis hian taksa peng dangah pawh harsatna a thlen thei bawk.

3. Pancreatitis natna a ni

Gallstone pakhat chu gallbladder atanga bile duct hnuai lam pan a, pancreatic duct bul tanna hmunah a block a nih chuan bile chu pancreatic duct leh pancreas-ah a back up tir thei a ni. Hei hi pancreatitis thlentu tlangpui a ni . Pancreatitis hi a nasat emaw, a rei emaw chuan hun rei tak chhung pancreas a tichhe thei a ni.

Gallbladder natna lan chhuah dan chu engte nge ni?

Gallbladder natna lan chhuah dan hi chi hrang hrangah then theih a ni.

1. Pum natna (Biliary colic) .

Hei hi pum chhung lam atanga lo chhuak natna, `(Biliary colic)` a ni. A tlangpuiin, hei hi gallbladder-a harsatna a awm chuan symptom hriat hmasak ber a ni. A hming ngei pawh hian bile ducts pawh a inrawlh tih a tilang. Dik tak chuan direct emaw indirect emaw pawh ni se, an inzawm tlat a ni. Gallbladder emaw bile duct emaw-ah blockage a awm chuan a pahnih a pressure a sang chho zel a ni. Vawi tam tak chu a chhan chu gallstone a ni. Mahse, natna hrik vanga a hring emaw, bile ducts a tawi te `(Biliary stricture)` emaw, gallbladder empty process-a harsatna a awm chuan pressure a sang thei a ni. He pressure nen hian natna hi a inzat (proportional) a ni.

• It may first start as a dull, aching pain that comes and goes , a bik takin chaw ei zawhah gallbladder a inzawm chuan.
• He natna hi i pum dinglam chunglam, i dinglam rib cage hnuaiah , i gallbladder awmnaah i hre thin.
• Pum lai takah pawh hriat theih a ni a, a natna chu ke dinglam thlengin a radiate thei bawk.
• He natna hi natna leh riltamna nen a awm fo thin .
• He natna hi darkar tlemte chhung a awm tlangpui. A thleng reng reng lo, mahse a chang chuan a thleng fo thin. Hei hian gallbladder a inzawm khawm a, gallbladder a relax chuan a tlahniam a, mahse a famkim lo va, a chang chuan a awm fo thin blockage a kawk a ni.

2. Acute cholecystitis a awm thei

Acute cholecystitis, chu chu persistent blockage, infection emaw, gallbladder-a tumor awm vang emaw a ni thei a, biliary colic natna aiin a na zawk thei.

• Nausea leh vomiting hi khawsik leh khawsik a awm thei bawk .
• A natna chu a awm reng a, a châng chuan a na lutuk a, emergency room-a kal a ngai ṭhin .
• Chaw ei zawh ang chi gallbladder a inzawm khawm chuan heart rate a sang thei a, a nih loh leh thisen sang a tlahniam nghal thei bawk.
• Bile tang chu thisenah a lo awm tan chuan pawn lam atanga lo lang, jaundice (mit leh vun sen), zun dum, leh bawlhhlawh dum (pale stools) te a lo lang thei a ni.

3. Chronic cholecystitis natna awm thei

Chronic, hun rei tak chhunga awm tihna a ni a, acute symptoms aiin a na lo zawk. Hun rei tak chhung chu hriat theih loh an ni mai thei. Digestive discomfort chauh i nei thei. Entirnan, puak chhuak, chaw ei zawha chaw ei, gas awm reng, luak chhuak, emaw ril\am.Chutiang thil chu. Heng symptoms te hi chhan dang tam tak a awm theih avangin gallbladder problem anga ngaih a ni hauh lo. Gallbladder cancer pawh nise, natna awm lovin jaundice na lo tak nen hun rei tak chhung inflammation a awm thei. Heng symptoms te hi a chiang lo em em a, natna nasa tak a awm loh avangin chronic cholecystitis hi hmuhchhuah lohvin a awm thei a, hun rei tak chhung chhiatna a thlen thei bawk.

Gallbladder natna hi engte nge ni?

Gallbladder lama harsatna thlentu ber chu gallstones a ni. Amaherawhchu, harsatna an thlen fo lo. An tih hian a tlangpuiin gallbladder, bile duct emaw a pahnih emawa bile kal dan an block vang a ni. Chu bakah, a tlem berah chuan bile ducts-ah hian gallbladder a hring chhuak slow vang emaw, damdawi lam thil dang vang emaw a awm thei bawk. Hetianga bile backflow hi cholecystitis thlentu ber a ni. Mahse a chang chuan inflammation hi infection hran vang pawh a ni thei. Inflammation hian gallbladder a ti na a, a chhunga pressure a ti sang hle. Hei hian secondary effect angin bile a back up thei bawk.

Gallbladder natna hi engtin nge kan hriat theih ang?

Natna dang ang bawkin, i doctor chuan i medical history leh symptoms te a zawt hmasa ang . I vital signs (heart rate, thisen sang, taksa lumna - khawsik a awm em, etc.) te an enfiah ang. Chumi hnuah taksa enfiahna an nei ang a, jaundice chhinchhiahna leh pum chhunga hliam awm leh awm loh an enfiah ang. Gallbladder awmna hmun chu an palpate thei bawk. Gallbladder a hmin chuan a hring tihna a ni. I khawih hian natna a awm leh awm loh chuan gallstones nena inzawm acute inflammation leh cancer nena inzawm chronic inflammation te chu a thliar hrang thei a ni. Hemi hnu hian thisen test leh imaging test an order ang.

Diagnostic test te hi engte nge ni?

• Thisen chhiar kimchang: Hei hian thisen var level a enfiah thin. An sang a nih chuan infection emaw inflammation emaw a awm tih a tilang.
• Liver function test: Heng thisen test te hian bile duct-a blockage awmte hriatchhuah nan a pui thin.
• Pancreas function test: Heng thisen test te hian pancreatic duct chhunga blockage awm chu a hriat theih nan a pui thin.
• Abdominal ultrasound: Hei hi natna nei lo, pawn lam imaging test a ni a, gallbladder emaw bile ducts-a thil hring, blockage, tumor awm te chu a hriat theih a ni.
• HIDA scan (HIDA scan / Cholescintigraphy scan): He imaging test hian gallbladder atanga bile chu small intestine-a a chhuah dan leh bile duct kaltlanga bile kal dan a teh thin.
• Endoscopic Retrograde Cholangiopancreatography (ERCP) hmanga enfiah a nih chuan:Hei hi endoscopy (tube te tak te, camera nei) leh X-ray hmanga inzawmkhawmna test a ni. Endoscope, ril hnuai lama dah chu pum chhunga taksa peng hrang hrangte en theih a ni. Special X-ray (fluoroscopic X-ray) hmangin bile duct te chu chiang takin a lang thei. Test neih chhunga blockage hmuh a nih chuan doctor chuan endoscope kaltlangin instrument te te a kalpui thei a ni.
• Endoscopic Ultrasound (EUS): Hei hian ultrasound technology leh endoscopy a thlunzawm bawk. Endoscope tip-ah hian ultrasound device an dah a. Hei hi ril kaltlangin dah a ni a, pum chhung peng hrang hrang, a bik takin bile duct, pancreas, gallbladder leh liver te chu chiang takin a lang thei a ni. Thil dik lo eng emaw hmuh a nih chuan test dang emaw, enkawlna dang emaw a ngai mai thei.

Gallbladder natna hi engtin nge enkawl a nih?

• Painkillers: Natna nasa tak, ``Biliary colic'', aka "gallbladder attack" ang chi a awm chuan, a natna control nan doctor-in a pek painkillers a ngai mai thei. I doctor chuan i medical history leh symptoms a zirin damdawi tha ber tur a ruat ang.
• Antibiotics: Infection i neih chuan i doctor chuan a enkawl nan antibiotics a pe ang. Hei hi operation hmaa first-line treatment chauh a ni fo thin.
• Endoscopic intervention: Operation hmain i doctor chuan gallbladder lama harsatna tenau te chu endoscope hmangin a enkawl thei mai thei. Endoscopic retrograde cholangiopancreatography (ERCP) leh/ emaw endoscopic ultrasound (EUS) hmangin blockage, tumor leh lung te hriat theih a ni. Heng test neih chhung hian endoscope tawp lama instrument hmangin gallstones te chu lakchhuah theih a ni a, bile ducts inhawng reng turin stent dah theih a ni a, tissue sample lak theih a ni bawk (biopsies).
• Surgery: Gallbladder natna awm reng tur solution awmchhun leh tangkai ber chu cholecystectomy a ni. Hei hi enkawl dan tlanglawn tak a ni. Gallbladder tel lovin i nung tha thei. Mi tam tak chuan laparoscopic surgery ( incision tenau tlemte chauh hmanga tih surgery) hmangin an gallbladder chu lakchhuah an ni thei. Thil buaithlak tak tak, infection emaw gallbladder cancer emaw-ah chuan open surgery neih a ngai mai thei.

Engtin nge gallstone natna vei theihna ka tihtlem theih ang?

Risk factor zawng zawng kan control thei lo. Mahse, ei leh in leh nunphung hrisel tak i neih chuan i gallbladder chu i hrisel thei a ni . Tunlai khawthlang lam ei leh in hian thau leh cholesterol a pai tam a, fiber a pai tlem bawk a, chu chuan taksa atanga thau tam lutuk a paih chhuak thei a ni. Fiber tamna thei leh thlai ei tam tum la, ei tur thau tak tak, processed foods ei tlem rawh . Exercise neih reng pawh a pawimawh.Risk tihziaawmna a pui a, a chhan chu i chaw ei kawng chhunga taksa peng hrang hrangte motility - chu chu regular contractions - a tichak a ni.

Gallbladder natna ka neih chuan eng nge ka beisei theih ang?

Gallbladder harsatna tam zawk hi a tawpah chuan operation (gallbladder lakchhuah) hmangin a tawp thin. Mahse chutiang a nih chuan nangmah chauh i ni lo, mi tam takin hetiang hi an paltlang thin. Mi tam zawk chu an dam thuai a, operation hnuah pawh hun rei tak chhung side effect an nei lo . I dam chhung hian hun eng emaw chen chu chaw ei lama harsatna engemaw zat i nei thei. I taksa chu gallbladder-ah a awm tawh loh avangin, i taksain a insiamrem hma loh chuan ei tur thau tak takte chu rei lo te chhung i tihtlem a ngai mai thei. Thla engemaw zat hnuah chuan mi tam zawk chuan ei leh in pangngai, mahse hrisel, ei leh inah an kir leh thei tawh a ni.

Gallbladder natna hi i hriat loh pawhin a na thei hle. Symptoms i neih hunah chuan a na tawh mai thei. Vanneihthlak takin gallstone tam zawk hi awlsam takin operation tenau tak hmangin enkawl theih a ni. A pawimawh ber chu damdawi lam thurawn lak hi a ni a, a natna lan chhuah dan chu a na lo hle a nih pawhin. Biliary pain na lo tak, a hun takah i nei thei a, chu chu a mah chauhin a bo ang maiin a lang thei. Mahse, buaina awm reng, hmasawn zel a ni thei. Acute cholecystitis emaw, chronic cholecystitis avanga hun rei tak chhunga chhiatna thleng emaw vaukhânna chhinchhiahna na tak i neih hma chu nghak suh. I doctor chuan routine outpatient test neih laiin gallstones harsatna awmte chu a hmu thei a, a paih chhuak thei bawk.

A tawp berah chuan thil hriat reng tur

Gallbladder natna hi fimkhur tur a ni. He thuziaka kan sawi tawh ang chi i neih chuan, a bik takin chaw thau ei hnua i pum na emaw, i pum dinglam chunglam natna awm reng emaw i neih chuan doctor i pan ngei tur a ni A hmaa hmuhchhuah a nih chuan enkawl a awlsam zawk a, harsatna a awm loh nan a veng thei bawk. Ei leh in hrisel vawn reng leh nunphung tha tak neih hi chutiang natna laka invenna tha ber a ni.

` Gallbladder, gallstones, cholecystitis, cholesterol, jaundice, chaw ei dan, surgery tih te