Liver hi kan taksaa hnathawk reh ber leh buai ber zinga mi a ni. Kan hriat loh pawhin hna tam tak a thawk a ni. Chaw ei tura puih atanga taksa atanga toxins paih chhuah thlengin a hnathawh tur list a sei hle. Chuvangin a chang chuan he thawkrim thin liver-ah hian thil dik lo a awm em tih te, a chau em tih te, a hna a thawk tha em tih te kan enfiah a ngai thin. Vanneihthlak takin thisen test awlsam tak hmangin hemi chungchang hi kan hre tam thei hle. Vawiin hian mi zawng zawngin LFT tia an hriat ‘Liver Function Tests’ chungchang kan sawi dawn a ni.
A awlsam zawngin sawi ila, he Liver Function Test (LFT) hi eng nge ni?
A awlsam khawp mai. LFTs hi test hrang hrang a ni a, i kut zungtang vein atanga thisen sample te tak te lak a ni. I thin atanga thil chi hrang hrang (enzyme leh protein ang chi) siam chhuah emaw, i thin a chhiat huna i thisena awm khawm zat emaw an teh thin.
I car chu service turin i hruai lut ang tih han ngaihtuah teh. Mechanic hian engine dinhmun hriat theih nan engine oil leh coolant ang chi thil a teh thin a ni lawm ni? Chutiang bawkin doctor chuan i thisenah heng thil awm zat hi a enfiah a, i liver hriselna leh hnathawh dan tur ngaihtuahna pawimawh tak a nei thei a ni.
Engvangin nge doctor chuan he LFT hi ti turin a hrilh ang che?
I doctor-in he test hi a rawt chhan hrang hrang a awm thei.
- Liver natna nia rinhlelh i neih leh neih loh enfiah: Jaundice, mit sen, i pum dinglam na, emaw, i rilru hahna ang chi i neih chuan hepatitis emaw natna dang emaw i rinhlelh avangin he test hi tih tir i ni thei.
- Liver natna awm tawhte enfiah: Liver natna (entir nan, cirrhosis) i neih tawh chuan he test hi tih fo thin a ni a, a awm dan te, natna a zual em tih te, control theih a nih leh nih loh te.
- Enkawlna a hlawhtling em tih en rawh: He test hian thin natna damdawi pekte chu a thawk tha em tih leh natna a tha em tih hriat nan a pui bawk.
- Damdawi i ei mekte side effects te enfiah thin ang che: Damdawi thenkhat, cholesterol tihhniamna damdawi leh hun rei tak chhunga natna tidamtu te hian thin a tichhe thei a ni. Chuvangin, chutiang damdawi i hman hian doctor-te pawhin he LFT hi an ti a, liver-ah nghawng a nei em tih an enfiah thin.
LFT-a thil pawimawh ber berte chu engte nge ni?
LFT report i en chuan English letter leh number tam tak i hmu ang. A hmasa berah chuan a buaithlak deuhin a lang thei a, mahse heng number tin hian liver hnathawh dan hrang hrang a hrilh che a ni. Heng thil pawimawh tak takte hi eng nge ni tih hi han thlir ila.
| Test Hming | Hei hian eng nge a awmzia? |
|---|---|
| Liver Enzymes te hi a awm ALT, AST, ALP, GGT te an ni | Hengte hi hriat lar ber berte an ni. Liver cells a chhiat emaw, a hliam emaw, a inflamed emaw chuan heng enzyme te hi thisenah a chhuak thin. Chuvangin thisenah an level a sang a nih chuan liver chu stress engemaw zat hnuaiah a awm tihna a ni. |
| Protein leh Albumin zawng zawng a awm | Liver hian kan taksa mamawh protein tam tak a siam a. Chutiang protein pawimawh tak pakhat chu Albumin hi a ni. Liver hian hna a thawk tha lo a nih chuan he protein siamchhuah hi a tlahniam thin. Hei hian thisenah protein level a ti hniam thei a ni. |
| Bilirubin a ni | Hei hi yellow waste product a ni a, thisen sen (red blood cells) a chhiat chuan a lo awm thin. Liver hrisel chuan he bilirubin hi a la a, bile nen a inzawm khawm a, taksa atangin a paih chhuak thin. Liver-in harsatna a neih chuan he hna hi a thawk tha lo. Tichuan bilirubin chu thisenah a pung khawm a, mit leh vun chu a sen vek a ni. Hei hi ‘yellow fever’ kan ti bawk. |
| Prothrombin hun chhung (PT) 1.1. | Liver hian thisen zam tura puitu protein bik (clotting factors) a siam bawk. PT test hian i thisen a inzawm hun chhung a teh thin. Liver a chhiat chuan heng protein siam chhuah hi a tlahniam a ni. Hei hian thisen zam hun chhung a tipung a ni. |
He thisen test hi tih a har em?
Ni miah lo. Hei hi a awlsam hle a, minute tlemte chhungin tih theih a ni.
Damdawi in emaw lab emaw i kal chuan nurse emaw technician emaw chuan i elbow bulah i kut ah vein a hmu ang a, chu hmun chu a tifai ang. Tichuan, needle te tak te hmangin thisen tlemte chu vial-ah an la khawm ang. Tlemte chuan stinging sensation i nei thei a, mahse a reh thuai ang. Thisen an lak zawh chuan sample chu lab-ah thawn a ni. A result a lo chhuah leh theih nan darkar tlemte emaw ni khat emaw ni hnih emaw a la ngai thei.
A pawimawh ber chu he test hma hian chaw nghei a ngai em tih doctor zawt hmasa phawt ang che. A chang chuan, test dang nena inzawma tih a nih avangin chaw nghei tura tih i ni thei bawk.
Report-a hlutna awmte hi engtin nge kan hriatthiam ang? (Range pangngai) 1.1.
I report i dawn hunah test tin i score i hmu ang a, chubakah ‘Normal Range’ pawh i hmu bawk ang. Mahse hetah hian thil pawimawh tak pakhat hriat reng tur a awm .
He report-a hlutna i hmuh hian hlauthawng suh la, natna i nei tih thutlukna siam suh. I doctor chauhvin hei hi dik takin a hrethiam thei a, i dinhmun ang zela thutlukna siam thei a ni.
A chhan chu normal range of value hi lab hrang hrangah a inang lo deuh thei a ni. Heng value te hi kum leh mipa leh hmeichhia te a zirin a danglam thei bawk.
Value range hman tlanglawn thenkhat chu hetiang hi a ni:
| Fiahna | Normal Range a ni |
|---|---|
| Alanine transaminase (ALT) hmanga tihdam theih a ni. | 0 atanga 45 IU/L thleng a ni |
| Aspartate transaminase (AST) hmanga siam a ni. | 0 atanga 35 IU/L thleng a ni |
| Alkaline phosphatase (ALP) hmanga siam a ni. | 30 atanga 120 IU/L thleng a ni |
| Bilirubin a ni | 2 atanga 17 micromoles/L thleng a ni |
| Prothrombin hun chhung (PT) 1.1. | Second 10.9 atanga 12.5 thleng a ni |
| Albumin a ni | 40 atanga 60 g/L thleng a ni |
ALT leh AST level sang hian eng nge a awmzia?
LFT report-a mi tam zawkin an ngaihven hmasak ber chu enzyme level pahnih ALT leh AST te hi a ni. Hengte hi a san chuan liver cells-ah chhiatna engemaw zat a awm tih a tilang a ni.
Mahse, doctor-te chuan heng value pahnih ratio hi an en bawk. Entirnan, AST value hi ALT value aiin a let hnih velin a sang a nih chuan zu in avanga liver chhiatna a awm tih a tilang fo thin . Value pahnih hi a inang tlangpui a nih chuan chhan dang (entir nan, virus infection) vang pawh a ni thei.
LFT hian eng ang natna nge a kawh?
Hei hi kan hriatthiam a ngai a ni. LFT test hi diagnostic journey-a hmalakna hmasa ber chauh a ni. Detective-in clue a hmuh hmasak ber ang mai a ni. He test result ringawt pawh hian natna a awm tih chiang takin a nemnghet thei lo. Mahse, doctor hnenah harsatna chu khawiah nge a awm tih leh a hnua a tih tur chungchangah kaihhruaina tha tak a pe a ni.
LFT result a dik lo a nih chuan test dang neih belh a ngai thei a, chu chu ultrasound scan, thisen test dang specialized, leh liver biopsy te pawh a ni thei.
LFT test-in a tarlan theih tur condition thenkhat chu:
- Fatty Liver Natna a awm
- Toxins (Toxic Hepatitis) avanga thin (liver) a chhiat avangin .
- Viral hepatitis (Viral Hepatitis A, B, emaw C emaw) a awm thei.
- Taksa ngeiin a taksa a venghimtu (immune system) hian thin (liver) a bei a (Autoimmune Hepatitis) .
- Cirrhosis - thin (liver) a hliam leh a hring (shrinkage) a awm
- Bile duct lama harsatna a awm
- Liver Cancer a ni
- Hereditary natna chi hrang hrang, hemochromatosis ang chi te
Take-Home Thuchah a ni
- Liver Function Test (LFT) hi thisen test awlsam tak leh him tak a ni a, i liver hriselna chungchang tam tak a pe thei a ni.
- He test result i hmuh hnu hian internet-a thu awmte hmanga thutlukna siamah zuang lut suh. Chu chuan hlauhna tul lo tak a siam mai dawn a ni.
- I report-a value awmte chu i natna lan chhuah dan leh damdawi lam chanchin dangte nena khaikhin chuan i doctor chauhvin hrilhfiahna dik tak a pe thei che a ni.
- LFT value a san apiangin natna khirh tak a awm tihna a ni lo. A châng chuan a chhan awlsam tak a ni thei a, chu chu damdawi i ei emaw, hun eng emaw chen atana natna kai vang emaw pawh a ni thei. Mahse chhui chian a pawimawh.
- Liver hi taksa peng hlu tak a ni a, ngawi rengin hna a thawk a ni. Chuvang chuan Doctor-in a recommend a nih chuan hetiang test hi neih a pawimawh em em a, thin hriselna endik a pawimawh hle.
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