Liver natna chungchang hi i zir belh ang u! Hemi chungchang hi han sawi ila!

Liver hi i taksa peng pawimawh tak a ni. Kan taksaah filter ang maiin hna a thawk a. Thisen atanga toxins te a filter a, a paih chhuak thin. Mahse, he filter hian eng nge a handle theih tih hi a huam chin a awm a ni lawm ni? A châng chuan, he hna tak hian liver a tichhe thei . Chuvangin vawiinah hian thin natna chungchang hi han sawi ila.

Liver Disease hi eng nge ni?

‘Liver disease’ kan tih hian doctor-te chuan liver tichhe zauh zauh, hun kal zelah, emaw, chronic . Chûngte chu virus infection , toxin chi hrang hrang, a nih loh leh metabolic condition ṭhenkhat avânga lo awm thei a ni. Thil mak tak chu liver hian a insiamthat theihna mak tak a nei a ni. Mahse hman reng a nih chuan chu theihna chu a tlahniam zauh zauh thin.

Chronic liver disease hi eng stage nge ni?

Liver natna hi hun rei tak atanga lo awm tawh, stage lian pali a awm tlangpui. Eng nge an nih i han thlir teh ang.

Stage 1: Hepatitis natna (Hepatitis) a ni

A hmasa ber chu hepatitis a ni. A awlsam zawngin hei hi liver tissue swelling a ni. Khawi emaw laiah hliam kan tuar a, a hring ang bawkin, liver a chhiat emaw, a rimchhia emaw a nih chuan, chu chu chhanna atan he hliam hi a lo awm thin. Hei hi natna hrik tihbo nan leh damna kalpui tan nan a thleng thin. Hei hi rang taka, rei lo te chhunga hring (acute hepatitis) a awm chuan a reh thei. Mahse chhiatna emaw, rimchhia emaw a awm chhunzawm zel chuan a hring chhunzawm zel a ni. Hetiang hun rei tak chhunga hepatitis (chronic hepatitis) natna avang hian, hun kal zelah liver hian a dam leh a tum angin, a tawpah chuan scarring (fibrosis) a lo awm tan thin.

Stage 2: Fibrosis natna (fibrosis) a awm

Stage hnihna chu fibrosis a ni. Hei hi liver-ah scar tissue a lo awm zauh zauh a, chu chuan a ti nghet a, a ti nghet bawk. Rag hlui ang mai a ni. He scar tissue hian thisen kalna a ti tlem a, chu chuan oxygen leh nutrients te chu liver-ah a thlen tlem tihna a ni. Hei hi liver hian zawi zawiin a hnathawh a hloh tan dan a ni. Mak tak maiin he fibrosis thenkhat hi a let leh thei a ni. Chu chu a chhiatna chu a tlem tawk a nih chuan liver cells te chu an lo piang thar leh thei a, scar tissue te pawh a tlahniam thei tihna a ni.

Stage 3: Cirrhosis natna (Cirrhosis) natna (Cirrhosis) a ni

Stage pathumna chu cirrhosis a ni a, chu chu na tak, tihdanglam theih loh, liver-a hliam awm reng a ni.Hei hi fibrosis chu tihdanglam theih lohna hmun a ni. Liver hian hna thawk thei tur cell hrisel tak tak a hloh chuan tissue chu a lo piang thar thei tawh lo. Mahse, tun dinhmunah pawh hian chhiatna chu tihtawp emaw, tihziaawm emaw theih dan a awm. Cirrhosis hian liver function a nghawng tan tirh chuan a tir lamah danglamna lian tham i hmu lo mai thei, i taksain a hloh chu rulh a tum avangin.

Stage 4: Liver a tha lo

Stage hnuhnung ber, a nih loh leh palina chu liver failure a ni. Hei hi taksa mamawh phuhruk tura thin (liver) a thawk thei tawh loh lai a ni. Hei hi decompensated cirrhosis an ti bawk – chu chu taksain liver hloh chu a khum thei tawh lo tihna a ni. Liver hnathawh a chhe zauh zauh chuan i taksa pum puiah a nghawng chu i hre tan ta a ni. Chronic liver failure hi zawi zawiin a awm a, mahse liver transplant tel lo chuan a tawpah thihna a thlen thei a ni. Kan dam khawchhuah theih nan thin (liver) kan mamawh tih hre reng ang che.

Engtiang chiahin nge thin natna hi a hluar?

He thin natna hi a hluar zia kan sawi chuan khawvel pumah kum khatah mi maktaduai 2 vel thihna a thlen thin. Chu chu thi zawng zawng zinga 4% vel a ni. Thihna tam zawk hi cirrhosis natna avanga harsatna awm vang a ni. Hmeichhia aiin mipa hian he natna hi a let hnih velin an vei tam zawk a ni.

Liver natna lan chhuah hmasak berte chu engte nge ni?

A tam zawkah chuan heng thin natna khirh tak takte hian a tir lamah chuan symptom lian tham an nei lo. Mahse, a chang chuan, hepatitis rang tak, acute hepatitis angin a intan thei bawk. Entirnan, viral hepatitis infection i neih chuan a chronic hmain acute phase a awm thin. Chumi chhung chuan ni engemaw zat chhung chu khawsik, pum na, leh luak chhuak i nei thei a ni. Immune system-in a do theih loh chuan natna khirh tak a lo ni ta a ni.

Liver natna thlentu dang thenkhat pawh hian a tir lamah hetiang symptoms rang tak hi a thlen thei bawk. Liver natna lan chhuah hmasak dan hi a langsar vak lo tlangpui. An zingah hian:

• Upper abdominal na a awm.
• Nausea emawChaw ei chu a thlum lo .
• Fatigue leh malaise (a tlangpuiin chau leh hrisel lo anga inhria).

A hnu lama liver natna lan chhuah dante chu engte nge ni?

I liver a thawk tlem tan chuan symptoms tam zawk i hmu tan thei. Hei hi thin natna a zual ber lai a ni. Liver failure avanga side effect hmasa ber pakhat chu bile flow a block thin hi a ni. Liver hian bile a siam tha thei tawh lo va, small intestine-ah a pump thei tawh lo bawk. Chu ai chuan bile chu thisenah a leak tan ta zawk a ni. Hei hian symptom bik engemaw zat a thlen thei a:

• Jaundice (mit leh vun var a sen vek).
• Zun dum .
• Passing light-colored stool .
• Chaw ei harsa, a bik takin ei tur thau.
• Weight loss leh muscle tihchhiat.
• Musty-smelling thaw chhuak.
• Thluak hnathawh that lohna (hepatic encephalopathy) tlemte.
• Pruritus (vunah vun rawng awm lovin a hring mai mai).

Liver natna a zual zel chuan i thisen kal dan, hormone leh ei leh in dinhmun a nghawng thei a ni. Hei hi kawng hrang hrangin a lang thei. I vun leh nail-ah hetiang symptom hi i hmu thei ang:

• Nail spoon hmanga siam a ni.
• Terry-a nail (nail chu a pale a, a tips chauh pink a ni).
• Nail clubbing chu nail base a hring leh a curling a ni.
• Spider angiomas a awm thin.
• Vun ah hian dots sen te te ``(petechiae)`` a awm.
• Vun emaw mitmeng emaw-ah oil sen (yellow oil) a awm a, chu chu bump te tak te angin a lang.
• A awlsam zawnga hliam leh thisen chhuak .
• Kutphah a sen vek.

Thisen kalna kawng atanga tui chhuak leh taksa hmun hrang hranga tui awm khawm chhinchhiahna i hmu thei bawk:

• Pum a hring (ascites) a awm.
• Ke ruh, ke, kut leh hmai a hring (edema).

Hmeichhia leh mipa chi hrang hranga mizia

Hmeichhia hian thin natna avang hian hetiang symptom hi an nei thei a:

• Menstrual cycle mumal lo.
• Fa neih harsa (Hmeichhia nau pai theih lohna).

Mipa hian symptoms an nei thei a, chungte chu:

• Testicles a tlahniam.
• Mipa hnute tissue lian zawk.

End-stage liver disease avanga harsatna awm thei

End-stage liver disease hi liver chu a insiamtha thei lo va, zawi zawiin a thawk tha lo a, decompensated cirrhosis leh liver failure an ti a ni. Hetiang dinhmunah hian side effect na ber pahnih chu portal hypertension leh hepatocellular carcinoma te an ni . Heng natna pahnih avanga harsatna awm hi cirrhosis leh liver failure vei te damdawi ina dah leh thihna thlentu ber a ni.

Portal atanga lo chhuak a ni

Portal hypertension hi liver-a scarring awm vang a ni a, chu chuan portal vein-ah pressure a siam a ni. Portal vein-a pressure a san chuan taksain thisen chu a inzawm vein dang lamah a divert thin. Chumi hnuah chuan vein te chu a lian a, a inzawm khawm a, a hring bawk. Heng vein te hi a leak thei a, a puak thei a, thisen a chhuak thei bawk. He chhungril lama thisen chhuak hi rang takin, na tak leh nunna atana hlauhawm tak a ni thei.

A tlem hle nachungin, harsatna dang pawh a awm thei:

• Spleen lian leh hyperactivity (hypersplenism) a awm.
• Thluak lam hnathawh that lohna `(hepatopulmonary syndrome)`.
• Kidney tha lo (hepatorenal syndrome) a awm thei.

Liver Cancer a ni

Hun rei tak chhunga thin natna nei zawng zawng hian hepatocellular carcinoma an nei vek lo nain, thin cancer vei tam tak chuan hun rei tak chhung thin natna an nei a ni. Inflammation, healing leh scarring cycle hian liver cells te chu a inthlak danglam a, cancer a nih theihna a tipung a ni. Doctor-te chuan a bik takin chronic hepatitis virus hian liver cell DNA pawh a nghawng thei niin an ngai.

Liver natna thlentu te chu engte nge ni?

Liver natna chi hrang hrang 100 chuang a awm a, mahse subgroup lian engemaw zatah an inthen a ni. A chhan hrang hrangte chu:

• Viral infection: Hun rei tak chhung viral infection, hepatitis B leh hepatitis C te hian chronic hepatitis a thlen thei.
• Zu in vanga hepatitis: Zu in tam lutuk hian acute emaw chronic hepatitis emaw a thlen thei. Chutianga a kal zel chuan cirrhosis leh liver failure a thlen thei a ni. Hei hi kan ramah hian thil awmze nei tak a ni.
• Toxic hepatitis: Acute emaw chronic emaw hepatitis hi hun rei tak chhunga thil tha lo, industrial chemical emaw damdawi emaw ei avanga lo awm thei a ni.
• Non-alcohol related fatty liver disease (NAFLD): Thau lutuk, thisen sugar level sang, leh thisen lipid (thau) level sang nena inzawm metabolic conditions hian liver-ah thau tam lutuk a tipung thei a ni. Hei hian inflammation (non-alcohol related steatohepatitis – NASH) a thlen thei a ni. Hetiang dinhmun hi tunlai hian mi tam takah pawh hmuh tur a awm a, a bik takin ei leh in \ha lo vang a ni.
• Biliary stasis: Pianpui natna thenkhat, biliary atresia leh cystic fibrosis te hian bile a khawlkhawm thei a, bile duct kaltlanga bile kal tur a tikhawlo emaw, a tikhawlo emaw a, liver a tichhe thei a ni. Nau piang hnua awm chhan hrang hrangte chu biliary stricture leh gallstones te hi a ni.
• Autoimmune natna: Autoimmune natna, autoimmune hepatitis, primary biliary cholangitis, leh primary sclerosing cholangitis te hian hun rei tak chhung liver emaw bile duct emaw a ti na thei a, a ti na thei bawk.
• Inherited metabolic disorders: Thisenah toxins awmkhawmna tur natna , glycogen storage disease (GSD), Wilson disease, hemochromatosis, leh Gaucher disease te hian thin hi hun rei tak chhung a tichhe thei a ni.
• Cardiovascular diseases: Liver leh a kal tlanga thisen kal dan tichhe thei dinhmun , Budd-Chiari syndrome, ischemia, coronary artery disease, leh right-sided heart failure te hian hun rei tak chhung liver a tichhe thei a ni.

Liver natna vei theihna tur risk factors te chu engte nge ni?

Liver natna i vei theihna a sang zawk thei a, chu chu:

• Zu i in tam lutuk chuan.
• Vein hmanga damdawi i ei chuan ``intravenous drugs'' an ti a.
• Painkiller aspirin emaw paracetamol emaw i hman fo chuan (a bik takin damdawi lam thurawn tel lova a tam zawk chuan).
• Metabolic syndrome (thau lutuk, thisen sang, thisen sugar sang, leh cholesterol level hrisel lo inzawmkhawm) i neih chuan .
• Chemical tha lo tak tak i tawrh fo chuan.
• Midang (e.g. healthcare worker, tattoo artist) thisen emaw taksa tui emaw i tawrh fo chuan.

Engtin nge thin natna hi kan hriat theih ang?

Liver natna enfiah mek doctor chuan taksa lamah a enfiah hmasa ang che. A chhinchhiahna leh chhinchhiahna te an zawng ang a, i natna lan chhuah dan te an zawt ang. I ei leh in, nunphung, leh hriselna chanchin te pawh an zawt thei bawk. Tichuan, lab test leh imaging scan hmangin liver natna i neih leh neih loh an hre thei ang. Chûng zîngah chuan:

• Thisen test: Liver function test hrang hrangah hian liver disease symptoms, natna nasat dan leh liver failure chhinchhiahna te a lang thei. Hengte hian liver enzyme, protein, leh bilirubin level ang chi thil a teh thin. Thisen test hian side effects a nei thei bawk a, chu chu swelling, natna bik, emaw thisen zam tlahniam te hi a ni.
• Imaging test: Abdominal ultrasound, CT scan (computed tomography scan), emaw MRI (magnetic resonance imaging) scan hmangin liver lian leh te, a pianzia leh a dinhmun a hriat theih. Hei hian swelling, nodules, leh fibrosis te hriatchhuahna kawngah a pui thei a ni.
• Elastography: Hei hi special imaging test a ni a, ultrasound emaw MRI technology hmangin liver a stiffness, a nih loh leh fibrosis level tehna a ni.
• Endoscopy hmanga enfiah: 1.1.I doctor hian i bile duct system chhung lam a en duh chuan endoscopy an tih imaging procedure an hmang a ngai dawn a ni. Hei hian i hmuiah camera te tak te (endoscope) dahin i chaw ei kawngah i pass a ngai a ni. Chumi hnuah chuan bile ducts chu EUS (endoscopic ultrasound) emaw ERCP (endoscopic retrograde cholangiopancreatography) emaw hmangin en theih a ni.
• Nuclear medicine imaging: Hei hian taksaah thil hlauhawm lo radioactive substance inject a, gamma camera hmanga hriatchhuah a ni. I liver-in chu thil chu a hip luh dan azirin a hnathawh that lohna hmun a lantir thei a ni.
• Liver biopsy: Hei hi thil tenawm tak a ni. Liver atanga tissue sample te tak te lak a ni a, laboratory-ah test a ni. He sample hi hollow needle hmanga lak a ni tlangpui. Liver biopsy hmangin cancer a awm leh awm loh enfiah theih a ni a, cirrhosis a awm leh awm loh finfiah theih a ni a, a chhan hriat theih a ni bawk.

Engtin nge thin natna hi enkawl a nih?

Liver natna chi thenkhat chuan damdawi lam enkawlna bik an nei a. Entirnan, virus hepatitis tan antivirals pek a ni a, autoimmune natna tan corticosteroid leh immunosuppressant pek a ni bawk. Mahse a tam zawkah chuan nunphung thlak danglam hi thin natna enkawlna ber a ni. Liver-a toxins lut zat tihtlem hi thin natna eng pawh tan a pawimawh hle. Hei hi thau tam lutuk, zu emaw, toxin dang emaw avanga thin natna tan a pawimawh hle.

Mahse, liver natna chu a tawp thlenga chhiatna a thlen hmaa tha taka enkawl nan a hmaa hriatchhuah a pawimawh hle. Vanduaithlak takin natna hi reversible a nih lai hian mi zawng zawng hi an vei vek lo. Cirrhosis emaw liver failure emaw i neih tawh chuan portal hypertension emaw liver cancer emaw ang chi harsatna i neih chuan enkawlna dang i mamawh mai thei. I liver chu a dam thei lo mai thei a, a tawpah chuan liver transplant i mamawh mai thei bawk.

Engtin nge thin natna hlauhawmna tihziaawm theih ang?

Liver natna laka inven nan hengte hi i ti thei ang:

• Vaccine lak: Viral hepatitis A leh B laka invenna vaccine a awm.
• Faina tha: Toilet hman zawha kut sil te, him taka ei tur buatsaih te, him taka needle hman te hian natna hrik darh tur venna kawngah a pui thei a ni.
• Zu in khap la, a tih angin damdawi ei rawh: Substance use disorder (e.g., `Substance Use Disorder – SUD`) i neih chuan, enkawlna i hmuh hian toxins avanga hepatitis lo awm tur venna kawngah a pui thei a ni.
• Metabolic factors thisen lipids (thau) leh thisen sugar control dan: Hei atan hian doctor hnen atangin tanpuina i dawng thei ang.

Liver natna hi a lo let leh thei em?

Liver natna hmasa ber chu a chhan hriatchhuah a nih a, nang leh i medical team te thawhhona tha taka tihbo emaw, control emaw a nih chuan a lo let leh thei a ni. Hei hi a chhan leh enkawl theih danah a innghat a ni. Cirrhosis i neih chuan chhiatna thleng tawh chu i reverse thei lo. Mahse chhiatna dang i veng thei a, i ti slow thei bawk. Chronic liver failure hi tihdanglam theih a ni lo a, mahse a na zual theih nan kum tam tak a ngai thei.

Liver natna hi tihdam theih a ni em?

Thin natna chi hrang hrang hi tihdam theih a ni. Toxins leh zu avanga liver natna hi chu toxins i tawn tawh loh chuan a tha tlangpui. Non-Alcohol related fatty liver disease hi ei leh in leh nunphung tihdanglamna hmanga tihdam theih a ni. Thin natna chi dang thenkhat chu tihdam theih a ni lo va, damdawi hmanga enkawl theih a ni. Hriselna atanga lo piang natna thenkhat, autoimmune natna, leh virus infection te hian dam chhung enkawl a ngai thei a ni.

Liver natna neia ka nun hian eng nge ka tih ang?

Liver natna i neih chuan i thin enkawl nan hengte hi ti rawh:

• Ei leh in hrisel tak vawng reng rawh: Chaw pum, thei leh thlai, leh protein tha lo te chu dah pawimawh ber rawh.
• BMI hrisel (Body Mass Index) neih reng: Hemi chungchangah hian doctor rawn rawh.
• Zu, zuk leh hmuam, leh damdawi lei theih loh ei loh tur: Zu in bânsan tûrin i doctor hnênah ṭanpuina dîl rawh.
• Damdawi pek ang chauhin ei rawh: Damdawi thar i ei apiang chu i doctor nen sawiho rawh.
• Infection laka invenna: Faina tha leh sex hman dan him tak hmanga liver phurrit belh zel tur ven.
• Doctor appointment-te chu zawm zel ang che: Checkup neih fo la, harsatna awmte chu hriat hmasak phawt ang che.