I mitmeng var te chu a sen deuh niin i hria ngai em? A nih loh leh i vun hian yellow tint tlem a nei tihna em ni? Khawsik i neih lai te, exam chungchanga i stress lai te, chaw ei tlem lai te pawhin a langsar zawk mai thei. Mi tam tak chuan hei hi an hmuh chuan an hlauthawng nghal a, "Aw, ka thin a na tak tak em?" Mahse hei hi a pawi reng reng lo. Vawiin hian Gilbert’s Syndrome kan sawi dawn a, hei hi natna tlanglawn tak, heng natna lan chhuahna, mahse a tlangpuiin hlauhawm lo tak a ni.
A awlsam zawngin Gilbert-a Syndrome hi eng nge ni?
Gilbert’s syndrome hi genetic condition a ni a, kan thin (liver) a nghawng a ni. Natna khirh tak aiin kan taksa hnathawh danah inthlak danglamna tenau tak a ni zawk. Kan taksain bilirubin an tih thil a tih that theih loh hian a thleng thin.
Tunah chuan he bilirubin hi eng nge a nih i ngaihtuah mai thei. Ngaihtuah teh, kan taksaa thisen sen (red blood cells) te hian dam chhung hun engemaw chen an nei bawk. Heng thisen sen hlui te hi an chhiat chuan byproduct angin thil sen (yellow substance) a lo piang ta a ni. Chu chu bilirubin kan tih chu a ni.
A tlangpuiin mi hrisel takah chuan he bilirubin hi thin atanga lak chhuah a ni a, bile nen a inzawm a, taksa atanga lakchhuah a ni. Kan taksa ‘barbage management system’ ang mai a ni. Mahse, Gilbert’s syndrome vei tan chuan liver hian he hna thawk thei enzyme hi a siam chhuak tawk lo. A chhan chu taksain chu enzyme siam turin a hrilhtu gene (`UGT1A1` gene)-ah hian inthlak danglamna tlemte a awm vang a ni. Chumi avang chuan thisenah bilirubin thenkhat a awm khawm a, chu chu taksa atanga lakchhuah kim theih a ni lo. Hetianga thisen a bilirubin a punna hi damdawi lam chuan hyperbilirubinemia an ti a . Thisen a bilirubin extra a awm khawm hian mit leh vun a ti sen a ni.
Thil pawimawh tak chu Gilbert’s syndrome hi thin (liver) tichhe thei emaw, hna thawk tawh lo emaw a ni lo. Liver hnathawh danglamna tlemte, hlauhawm lo tak mai a ni.
Hetiang dinhmun hi khawtlang nunah a awm fo em?
Awle. Mi tam takin an hre ngai lo nain, Gilbert-a syndrome hi i ngaihtuah aiin a tam zawk a ni. Report thenkhatin a tarlan dan chuan khawvel puma mi 100 zinga 3 atanga 7 inkar chuan he natna hi an nei thei a ni. Chumi awmzia chu i chhehvela mi engemaw zatin an nei thei tihna a ni. Thil tam takah chuan heng mite hian an hre lo pawh a ni thei.
Hetiang dinhmun hi hmeichhia aiin mipaah a tam zawk tlangpui. Kum leh chi eng pawh a nghawng thei a ni.
Gilbert’s syndrome natna lan chhuah dan chu engte nge ni?
Heta mak tak mai chu Gilbert’s syndrome vei mi pathum zinga pakhat vel hian symptom an nei lo. Doctor-in chhan dang avanga thisen test an neih hunah an bilirubin level a sang deuh tih a sawi hian an hre thei chauh a ni.
A lan chhuah dan langsar ber leh langsar ber chu jaundice a ni . Chu chu,
- Mit dum hring hring (yellowing) a lo awm.
- Vun a sen (yellowing) thin.
He rawng sen hi ni engemaw zat chauh a awm tlangpui. A lo kal a, a kal zel bawk. Taksa tan harsatna a thlen lo. A hmel a thlak danglam deuh avangin a nuam lo deuh mai thei a, mahse hriselna atana hlauhawm a ni lo.
A tlem berah chuan mi thenkhat chuan he symptom lian ber bakah hian harsatna tenau dang an nei thei bawk. Chungte chu a hnuaia table-ah hian tarlan a ni.
| Symptom dang, a lo lang tlem thei | A sawifiahna awlsam tak |
|---|---|
| Zun dum emaw, leilung rawng hring emaw | Bilirubin level a san chuan zun rawng a danglam thei. |
| Chau | Chhan bik nei lovin chau reng reng. |
| Digestive system lama harsatna awm thei | Pum na, luak chhuak, puak, etc. |
| Inremna siam harsat | Thil engemaw takah ngaihtuahna seng harsa tih hriat. |
| Lu na leh luak chhuak | Mi thenkhat chuan hetiang symptom hi an report thei bawk. |
Mit a sen zual chhante chu engte nge ni?
Gilbert’s syndrome vei chuan bilirubin level a sang ngai lo. Thil thenkhat chuan heng level te hi rei lo te chhungin a tisang thei a, mit leh vun a ti langsar zawk (jaundice). Chungte chu ‘triggers’ an ti a. Hetiang dinhmun hi i neih chuan heng thilte hi hriat chian a pawimawh.
| Ti per | Hei hian engtin nge bilirubin a tihpun? |
|---|---|
| Tui tlakchhamna (dehydration). | Nilengin tui i in tam loh chuan thisenah bilirubin concentration a sang chho zel a ni. |
| Chaw nghei emaw chaw ei loh emaw | Chaw ei lova rei tak i kal chuan i taksain chakna a neih theih nan kawng dang a hmang thin. Hetiang a nih chuan bilirubin level a sang chho zel a ni. |
| Natna leh hri kai te | Natna eng pawh, khawsik emaw, flu emaw hian taksaah stress a siam thin. He stress hian liver-a bilirubin processing process a ti slow thei a ni. |
| Rimtawng | Exam, hnathawh harsatna leh mimal thila stress awm hian taksa hormone a nghawng thei bawk a, bilirubin level a tisang thei bawk. |
| Thawhrim lutuk | Exercise tam lutuk leh exercise tam lutuk hian bilirubin level chu hun eng emaw chen a tisang thei bawk. |
| Hmeichhiaah thlasik hun a awm | Hmeichhe thenkhatah pawh thlasik laiin hormone inthlak danglam vangin bilirubin level a sang thei bawk. |
Engtin nge doctor hian he natna hi a hriat theih ang?
Gilbert’s syndrome hi pianpui natna ni mah se, tleirawl lai emaw, puitling tleirawl lai emawa hriat chhuah a ni fo. Hei hi a chhan chu puitlin huna hormone inthlak danglamna hian bilirubin siam chhuah a tipung thei a, chu chuan a vawi khat nan symptom a rawn lang thei a ni.
A tam zawkah chuan hei hi thil thleng mai maia hmuhchhuah a ni. Chhan dang avanga thisen test a nih chuan doctor chuan bilirubin level chu a pangngai aia a sang deuh tih a hmuchhuak a.
Tichuan, he bilirubin level sang tak (e.g., hepatitis ang chi liver natna) chhan lian tak dang a awm leh awm loh hriat tumin test eng emaw zat an ti leh a.
- Liver Function Tests: Hengte hian liver hriselna chungchangah ngaihdan tha tak a pe thei a ni. Gilbert’s syndrome-ah chuan bilirubin tih loh chu engkim hi a pangngai vek a ni.
- Genetic Tests: A then phei chuan a natna hriat chian nan a tul chuan `UGT1A1` gene-a mutation awm leh awm loh enfiah nan genetic test tih theih a ni. Mahse, hei hi a tul reng reng lo.
Test result dang zawng zawng chu a pangngai vek a, symptom na tak dang i neih loh chuan doctor chuan Gilbert’s syndrome i nei tih a sawi chhuak ang.
Hetiang dinhmun hi enkawl a ngai em? Hun rei tak chhunga nghawng a nei em?
Hetah hian i hriat tur pawimawh ber chu hetiang hi a ni:
Gilbert’s syndrome hi natna hlauhawm lo tak a ni a, enkawl ngai lo a ni.
Ni e, i hre dik khawp mai. Hei hian damdawi leh enkawlna bik a mamawh lo. A chhan chu hun rei tak chhung i thin emaw i taksa peng dang emaw a tichhe lo. Gilbert’s syndrome vei chu he natna nei lo ang bawkin hrisel tak, dam rei tak a nung thei a ni.
Mit sen hi en a nuam lo deuh thei a, mahse hriselna atana hlauhawm a awm lo. A chunga kan sawi tak trigger te hi pumpelh la, mit sen fo thin chu i control thei ang.
Chuti a nih chuan engtik laiin nge doctor ka hmuh ang?
Gilbert’s syndrome hi hlauhawm lo mah se, mit sen (jaundice) chhinchhiahna hi thin natna khirh tak dang chhinchhiahna a ni thei bawk. Chuvangin,A vawi khatna atana mit sen i hmuh emaw, a hnuaia symptoms te hi i neih chuan doctor lam pan a pawimawh hle. Hei hian Gilbert’s syndrome emaw, natna dang emaw i neih leh neih loh hriat theih nan a pui ang.
Doctor i hmuh hun tur chu:
- I vun emaw i mit emaw a sen (jaundice) hriat theiha a lo awm chuan.
- I pum na emaw, rilru hah emaw i neih fo chuan.
- Taksa chu a chau hle tih a hriat chuan.
- Zun rawng chu dark brown/cola a nih chuan.
- Khawsik leh khawsik ang chi symptom i neih chuan.
Heng symptoms te hi natna dang chhinchhiahna a nih theih avangin ngaihthah tur a ni lo. I doctor chuan test tul tak tak a ti ang a, thurawn \ha ber ber a pe ang che.
Take-Home Thuchah a ni
- Gilbert's Syndrome hi hlauh tur a ni lo. Chhungkaw hrang hranga kal zel, hlauhawm lo tak a ni.
- Hei hi a chhan chu liver hian bilirubin an tih thil chu a rate pangngaia a process theih loh vang a ni.
- A lan chhuah dan ber chu mit leh vun sen (jaundice) a ni. Hei hi a lo thleng a, a kal zel bawk. Tin, taksa tan harsatna a thlen lo.
- He yellow color hi stress, natna, leh eitur skip te ang chi thil avang hian rei lo te chhung atan a pung thei a ni.
- Hetiang dinhmun hi enkawl ngai a ni lo. Nun hrisel tak i hmang thei a ni.
- Mit sen i neih hmasak ber emaw, natna dang danglam tak i neih emaw chuan i doctor pan ngei ngei tur a ni a, dik taka hriat theih a ni.
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