Liver hi kan taksa peng pawimawh tak leh pawimawh tak a ni. Kan taksaa filter ang mai a ni. Liver hian hna pawimawh tak tak tam tak a thawk a, chu chu thisen atanga toxins filter leh paih chhuah leh cholesterol level control te hi a ni. Mahse, eng emaw chhan vanga i liver chu a tlangpui aia a hring a nih chuan, chu chu a lian zawk a nih chuan liver swelling kan ti a, damdawi lamah chuan `(Hepatomegaly)` kan ti a ni. Hei hi damdawi lam dinhmun dang hnuaia awm chhinchhiahna a ni fo thin.
Liver swelling hi a na tak em?
Dik tak chuan hei hi kan ngaihthah tur a ni lo. Mahse a pawizia chu he hliam hi eng thil nge ni tih ah a innghat a ni. A châng chuan emergency a ni thei bawk. A châng dangah chuan natna eng emaw vaukhânna chhinchhiahna a ni thei bawk. Chuvangin, i doctor-in a tul anga test a tih hma loh chuan chiang takin kan sawi thei lo.
A châng chuan, hun rei lote chhûnga natna, infection ang chi a nih chuan liver chu a lo hring chhuak a, chu chu a dam leh chuan a pangngaiin a lo awm leh ṭhin. Mahse, a châng chuan hun rei tak natna avanga thin chu a chhe zauh zauh thei a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
A tam zawkah chuan nangmah chauhin thin (liver) a hring tih i hre lo ang. Mahse, a nasat zawkah chuan i pum dinglam, liver awmnaah chuan a khat , a nausea , a nih loh leh na i nei thei a ni.
Mahse, hei hi i doctor-in a enfiah che hian a hmuchhuak fo thin. I pum a palpate laiin i liver-ah inthlak danglamna a hriat chuan i ringhlel mai thei.
Liver swelling hi liver disease symptom a nih chuan a kaihhnawih symptom dang pawh a awm thei bawk.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chau | Chhan awm lovin a chau hle tih hriat. |
| Nausea leh ei duh lohna | Luak chhuak ang maia inhriatna leh ei duhna zawng zawng hloh. |
| Jaundice a awm | Vun sen leh mit var. |
| Zun leh bawlhhlawh inthlak danglamna | Zun dum (tea ang chi) leh bawlhhlawh dum (clay-colored) te. |
| Vun a na (Pruritus) . | Chhan bik awm lovin taksa pum puiah a itching. |
| Splenomegaly a ni | Spleen lian tham, pum veilam sir chunglam a awm. |
Liver swelling awm chhan berte chu engte nge ni?
A awlsam zawngin, i liver a inflamed theihna tur kawng lian pali a awm a:
1. Inflammation: Liver-in natna hrik emaw, toxin (e.g. zu) tam lutuk emaw, tuar theih loha a tawrh chuan a hring chhuak thin.
2. Thau: Liver-ah thau tam lutuk a awm khawm.
3. Thisen: Liver kal tlanga thisen kalna kawngkhar a block emaw, a luang chhuak emaw.
4. Growths: Lump lo lang, cancer emaw cancer ni lo emaw pawh nise.
Hei hi a nghawng chhan tlangpui leh hmuh tur awm lo engemaw zat a awm.
A chhan tlangpui
- Zu in kaihhnawih hepatitis: Zu in tam lutuk avanga thin (liver) chhia.
- Toxic hepatitis: Hei hi damdawi thenkhat ei tam lutuk vang a ni thei. Miin overdose a ei a nih chuan damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal tur a ni. A tul chuan doctor-te chuan Colombo National Hospital-a National Poisons Information Center aṭangin thurawn an la ang .
- Viral hepatitis: Hepatitis A, B, C ang chi virus atanga kai a ni.
- Fatty liver disease: Zu in vang emaw, metabolic problems, zunthlum leh thau lutuk vang emaw a ni thei.
- Mononucleosis: Viral infection awm fo a ni.
A chhan awm lo
Hengte hi a tam lo hle a, mahse thin (liver swelling) a thlen thei.
| Chhanna category a ni | Entirnan |
|---|---|
| Genetic natna te | Hemochromatosis, Wilson natna, leh Gaucher natna te ang chi natna te. |
| Liver tumor a awm | Liver cyst, benign tumor, thin cancer te a awm bawk. |
| Cancer chi dang | Thisen cancer te, leukemia leh lymphoma te. |
| Gallbladder leh bile ducts natna te | Bile ducts block emaw inflammation emaw a awm. |
| Lung natna leh thisen kalna kawng lama harsatna a awm | Congestive heart failure leh Budd-Chiari syndrome ang chi natna te. |
Hei hi engtin nge enkawl a nih?
I doctor chuan eng nge liver swelling thlentu dik tak hriat a tum hmasa ang. Hei hian thisen test leh scan (ultrasound scan ang chi) te pawh a huam thei. A châng chuan, chu natna chu a na zâwk nia ngaih a nih chuan, liver biopsy neih an rawt thei a, chu chu liver aṭanga tissue te tak te la chhuakin, enfiah a ngai a ni.
A pawimawh ber chu liver swelling hi enkawlna bik a awm lo. Enkawlna chu a hring chhuaktu dinhmun (underlying condition) lam hawia tih a ni.
A chhan hriat chhuah a nih veleh i doctor chuan a enkawl dan tur dik tak a hrilhfiah ang che.
Liver swelling hi tihdanglam theih a ni em?
Ni e, ṭhenkhatah chuan a ti thei. Liver hian a insiam thar theihna mak tak a nei a. Mahse chutiang a nih theih nan chuan liver tissue hrisel tak tak a la awm a ngai a ni.
Thil awm nghal vanga liver a lo hring a nih chuan a chhan enkawl chuan liver chu dam theihna hun a pe ang.
Tin, he natna hi hun rei tak chhunga thin natna avanga lo awm a nih chuan nunphung tihdanglam hian he natna hi a thunun thei a, a chang chuan a tidam vek thei bawk.
- Zu ruihhlo ngawlvei i nih chuan damdawi lam thurawn zawng la, chu chu paih bo turin tanpui nghal rawh.
- Non-alcoholic fatty liver disease i neih chuan i doctor nen i tan a tha tur thau hrisel tak i neih theih dan tur sawipui rawh.
- Thisen sang, cholesterol sang, leh thisen sugar level sang te control .
- While eating nutritious foods , nitin exercise engemaw zat neih thin ang che.
Engtikah nge Doctor ka hmuh ang?
I pum dinglam chunglam chu a hring, nausea , emaw, na emaw i neih chuan doctor pan ngei ang che. Chu bâkah, a hnuaia natna khirh tak tak emaw, thil danglam tak emaw i neih chuan damdawi lam pan vat rawh :
- Fever awm reng.
- Buaina emaw, hriat lohna emaw.
- Chak lo lutuk leh luak chhuak nasa tak anga inhria.
- Mit emaw vun emaw a sen (yellowing) thin.
- Zun emaw, zun emaw rawng inthlak danglamna chiang tak.
Liver swelling hi natna tam tak chhinchhiahna a ni. An vai hian emergency an nih loh laiin, damdawi lam pan ngai vek an ni. Chuvangin hetiang symptom hi i rinhlelh chuan check out tir a tlai lo.
Take-Home Thuchah a ni
- Hepatomegaly hi natna a ni lova, natna dang chhinchhiahna a ni.
- A pawimawh ber chu he natna hrik awm chhan dik tak hriatchhuah a, enkawl hi a ni.
- Pum dinglamah natna, vun hring, mit sen ang chi symptoms te hi ngaihthah ngai suh.
- Nunphung tihdanglamna, zu in bansan te, ei leh in hrisel te, leh exercise lak teLiver hriselna a venghim thei a ni.
- Ringhlelna emaw, symptom emaw i neih chuan doctor rawn la, thurawn la hreh ngai suh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Lovastatin (Lovastatin / Mevacor) tablet hi eng natna atan nge an pek?
Hei hi khawvela ‘High Cholesterol/Hyperlipidemia’ (Statin) damdawi hmuhchhuah hmasak ber a ni! Hei hian ‘bad cholesterol (LDL)’ a tihziaawm bakah lung natna leh heart attack/stroke (Cardiovascular Events) a veng bawk. Hei hi fungus bik (Aspergillus) an tih atanga siam a ni a, he damdawi hi upa tawh mahse tun thlengin doctor-te chuan hlawhtling takin an la hmang reng a ni.
💬 He cholesterol pill hmasa ber (Lovastatin) hian kan taksaa cholesterol tha lo a luh hian engtin nge a tihthianghlim?
Kan taksa liver-a cholesterol siamtu machine ber chu ‘HMG-CoA Reductase’ an ti a. He pill hi taksaa a luh chuan chemical dang (Active Metabolite)-ah a inthlak a, kan thin (liver)-ah a kal ta a ni. Chu cholesterol machine chu 100% in a block/close a, a lock bawk. Machine off a nih chuan liver hian kan thisena cholesterol/LDL tha lo chu a hip lut a, a tihchhiat mai loh chu duhthlan tur dang a nei lo.
💬 He cholesterol pill (Lovastatin) i ei dawna i hriat tur ‘thatna hlauhawm’ (black urine) te chu engte nge ni?
Hemi atanga hlauhawm ber chu ‘Myopathy/Rhabdomyolysis’ a ni! Muscle cramps/chak lohna leh zun thim i neih chuan damdawi inah kal nghal rawh, chuti lo chuan kal (kidney failure) vangin i thi mai thei! Tin, damdawi dang (Clarithromycin ang chi) i ei emaw, ‘Grapefruit/Grapefruit juice’ i in emaw a nih chuan he damdawi hi taksa tan 100% toxic a ni thei a, thihna hial a thlen thei bawk.
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