I mit chu a chang chuan a sen thin em? Gilbert Syndrome a ni thei!

A chang chuan i mit var chu a sen deuh niin i hria em? A nih loh leh i ṭhian pakhatin, "Engvangin nge ka mit hi a sen?"? Chutiang thil a lo thlen chuan hlauhna i nei nghal a, "Aw, kei pawhin jaundice ka nei em?" A chhan chu mit sen (yellowing) hi thin (liver) lama harsatna engemaw zat a awm thei tih kan hre vek a ni. Mahse jaundice zawng zawng hi thin natna khirh tak avanga lo awm a ni lo. Vawiin hian mi tam takin an neih thin condition kan sawi dawn a, mahse chu chu hlauh lutuk tur a ni lo. Chu chu Gilbert Syndrome a ni.

A awlsam zawngin Gilbert Syndrome hi eng nge ni?

Gilbert Syndrome hi natna khirh tak a ni lo. Genetic condition tlanglawn tak a ni a, thlah khat atanga thlah dangah a kal zel a ni. Kan taksaa thisen sen (red blood cells) te hi hun kal zelah an thi mai ang tih han ngaihtuah teh. Tichuan, an chhiat chuan bawlhhlawh sen (yellow waste product) bilirubin an tih chu a lo chhuak ta a ni. Green waste chhe mek ang mai a ni. Kan thin hnathawh ber pakhat chu he bawlhhlawh bilirubin an tih hi taksa atanga paih chhuah hi a ni.

Gilbert’s Syndrome vei te hian bilirubin hi an paih chhuak zawi zawk a. Hei hi an liver-ah hian hetiang thil ti thei tur enzyme level hniam zawk a awm vang a ni. Hei hi tibuaitu gene chu `UGT1A1` an ti a. Hetiang dinhmun i neih theih nan hian he gene danglam tak hi copy pahnih i rochun a ngai a, pakhat chu i nu hnen atangin leh pakhat chu i pa hnen atangin a ni.

A awlsam zawngin, liver-a factory ang mai a ni a, chutah chuan bawlhhlawh bilirubin chu a thawk slow deuh a ni. Chuvangin a chang chuan he thil sen bilirubin an tih hi thisenah a awm khawm thin. Chutah chuan mit leh vun chu a sen angin a lang. Hei hi jaundice kan ti bawk . Mahse, Gilbert’s Syndrome hi thin (liver) tichhe thei natna a ni lo va, hlauh tur a ni lo tih hre reng ang che.

Eng nge a lan chhuah dan? Engvangin nge an lo lang thut?

A tam zawkah chuan Gilbert’s Syndrome vei te hian symptom an nei lo. He enzyme hian an taksaa bilirubin level control turin a tawk a ni.

Mahse special case thenkhatah chuan thisenah bilirubin level a sang deuh thin. Chutah chuan mit leh vun var te chu a sen a lo ni ta a ni. Hei hi jaundice kan ti a. Hetiang yellowing hi i hmuh chuan doctor pan ngei ngei tur a ni a, a chhan lian tham dang a awm leh awm loh hriat nan.

A châng chuan, he yellowing hi lu na, hahna leh pum natna te nen a inzawm thei bawk.

Chuti a nih chuan engvangin nge he bilirubin level hi a san nghal? A nghawng chhan bik engemaw zat a awm. Eng nge an nih i en ang u.

Engtin nge doctor hian hei hi a hmuh theih?

Vawi tam tak chu mi pakhatin Gilbert’s Syndrome hi accident-in a vei tih hmuhchhuah a ni. Condition dang thisen test i neih lai hian i doctor chuan i bilirubin level chu a tlangpui aia a sang deuh tih a hmu mai thei. Chu chu an rinhlelh lai a ni.

Natna hriat theih nan hengte hi zawm a ni tlangpui:

• Thisen test dan: 1.1.Bilirubin level an enfiah thin. Liver function test pawh tih thin a ni a, liver function endik a ni bawk. Hei hian liver natna khirh tak dangte chu a paih chhuak thei a ni.
• Ultrasound Scan: A chang chuan thin (liver)-ah harsatna dang (lung emaw thau awm ang chi) a awm loh nan scan pawh tih theih a ni.
• Gene Tests: He test hi `UGT1A1` gene ah mutation a awm leh awm loh finfiah nan tih theih a ni. Amaherawhchu hei hi tih a ni ngai lo.
• Liver Biopsy: Hei hi Gilbert Syndrome enfiah nan tih a ni tlem hle. Natna khirh tak dang rinhlelhna a awm phawt chuan tih a ni.

Gilbert Syndrome enkawl dan tur a awm em? Engtin nge kan tih ang?

Hetah hian chanchin lawmawm chu a awm e. Gilbert’s Syndrome hi natna enkawl ngai a ni lo. A sen (yellowing) (jaundice) hian i taksaah hun rei tak chhung harsatna a thlen dawn lo.

Chuvangin kan tih tur chu a hmaa kan sawi tawh ang khan bilirubin level tisangtu triggers atanga a theih ang anga hla taka awm hi a ni.

• Chaw ei hi skip suh. A hun takah chaw ei rawh.
• Tui tam tak in thin ang che. Ni khatah tui litre 2-3 tal in a pawimawh hle.
• Stress tihziaawm rawh. Ngaihtuahna hmangin, music ngaihthlakin, a nih loh leh i hobby nuam tak tih hmangin i rilru ti hahdam rawh.
• Mut tha rawh. Ni khatah darkar 7-8 tal mut thin ang che.
• Zu in khap emaw, bansan emaw .
• Taksa tibuaitu exercise hi pumpelh rawh. Regular walking leh yoga ang chi thil hi a tha hle.

Thil ngaihtuahawm tak a ni!

Hei hi i ngaihtuah ber tur a ni. Kan liver-a bilirubin tichhe thei enzyme tho hian taksa atanga damdawi thenkhat a paih chhuak thei bawk. Chu enzyme chuan Gilbert’s Syndrome vei tan chuan hna a thawk slow deuh avangin, chu damdawi te chu taksaah rei zawk a awm a, side effect a thlen tam zawk bawk.

Entirnan, damdawi hman tlanglawn tak tak acetaminophen (Panadol, Paracetamol) te hi he category-ah hian an tel ve a ni. Tin, cancer natna atana hman thin `Irinotecan` leh HIV leh Hepatitis C tana hman thin `Protease inhibitor` ang chi damdawi te pawh a tel bawk.

Chuvangin doctor pan dawnin, "Gilbert Syndrome ka nei a ni," tih hi a pawimawh hle. Tichuan doctor chuan damdawi a pek hunah chu chu a ngaihtuah ang.