A châng chuan chhan awm lovin a danglam bîk takin i chau tih i inhria em? A nih loh leh i vun i hrual mai mai em ni? Mi tam zawk chuan heng thilte hi kan ngaihven vak lo. Mahse hengte hi kan sawi tam loh, ngawi renga liver tichhe thei dinhmun chhinchhiahna hmasa ber a ni thei. Vawiin hian chutiang dinhmun pakhat, `(Primary Biliary Cholangitis)`, a tawi zawngin PBC emaw kan sawi dawn a ni. This is a bit of a scary name, once you understand it correctly , enkawl chu i ngaihtuah angin a harsa lo.
A awlsam zawngin PBC chu eng nge ni?
Kan liver hi factory lian tak angin han ngaihtuah teh. He factory chhungah hian taksa tana thil pawimawh tak tak tam tak siam chhuah a ni a, taksa a toxin tha lo tak tak te pawh paih chhuah a ni bawk. He hnathawhna atana puitu pawimawh ber chu "bile" tih a ni. He bile hi liver atanga siam a ni. Chungte chu pipe ang chi channel te tak te, chu chu bile duct ang mai an ni. He bile hian kan eitur a thau awmte chu a tithianghlim a, taksaah vitamin te a hip lut a, taksa atanga cholesterol leh toxins tha lo tak tak te chu a paih chhuak thin.
Tunah chuan PBC an tih dinhmunah hian kan taksa hriselna (immune system cell) te hian tihsual takin heng liver-a bile duct te te hi an rawn bei tan ta a ni. Kan ram chhung hmun pawimawh tak kan defence force-te'n an beih ang mai a ni. He attack hian bile ducts a tichhia a, zawi zawiin a tichhia a ni. Tichuan bile chu a luang tha thei lo va, liver chhungah a tang ta a ni. He stuck bile hian liver cells a tichhia tan thin. Hun a kal zel a, he chhiatna hian thin (liver)-ah hliam a siam thei a ni. Hei hi `(cirrhosis)` kan ti a.
Engtin nge PBC hi a kal zel?
PBC hi a lo thang nghal lo. Kum tam tak chhunga zawi zawia lo awm thin natna a ni. Chuvangin a tir lamah chuan symptom a awm lo mai thei. Kum tam tak chhung chu inthlak danglamna engmah i hriat lohvin a liam thei a ni.
Mi thenkhat chuan natna an neih tirh lamah hahna leh vun natna ang chi symptoms an nei thei. Mi dangte chuan natna an neih hnuah heng symptoms te hi an nei thei a ni. Heng symptoms nasat dan pawh hi mi hrang hrangah a inang lo. Mahse, doctor-te chuan natna lan chhuah tirh lamah a nasat chuan natna a zual chak zawk a rinawm tih a tilang thei tih an hmuchhuak.
Mahse a pawimawh ber chu he natna hi hriat hmasak a nih a, enkawl dan dik tak tan a nih chuan , natna zual zel dan hi nasa takin control theih a ni. Mi tam tak chu natna khirh tak laiah kal lovin nun pangngai an hmang thei a.
PBC natna stage lian pali te
Doctor leh zirchiangtute chuan PBC hi stage lian paliah an ṭhen a, hei hi liver chhiatna zau zawng a zirin a ni. Stage hmasa berah eng nge thleng tih hi han thlir ila.
Stage 1: Portal Stage tih a ni
Hei hi natna bul tanna ber a ni. Hetih lai hian i liver chhunga bile duct te te chu a chhe tan chauh a ni.
- engnge ni ta?
T cells, a nih loh leh T lymphocytes hi thisen var chi khat, natna laka kan taksa venhimtu a ni. A tlangpuiin taksaa hrik lutte chu an dodal thin. Mahse, PBC-ah chuan heng T cells te hian liver chhunga bile duct cell hrisel tak takte chu "hmêlma" tiin an hre sual a, an bei tan ta a ni. Hei hian bile ducts vel ah inflammation a siam thin. Hetiang chhiatna hi liver hmun bik portal area an tihah a thleng a, chutah chuan thisen kalna kawng leh bile duct te chu an inzawm a ni.
- Symptoms a awm em?
Vawi tam tak chu, he initial stage-ah hian symptom engmah i nei lo mai thei. Chuvangin he natna hi i vei tih pawh i hre lo mai thei. He silent phase hi kum tam tak chhung chu a la awm zel thei.
Kum 5 emaw kum 10 emaw hnuah chauh symptoms a lang lo thei. Symptoms a lo lan tan chuan mi pangngai chuan kum 10 vel chu natna nen hian an dam thei a ni. Mahse, liver transplant hlawhtling taka tih a nih chuan kum 10 chhunga damchhuah zat chu 65%-ah a pung a ni.
Stage hnuhnung zawk (Stage hnuhnung zawk - 2, 3 & 4) .
Stage hmasa ber hnuah natna hi zawi zawiin stage hnihna, pathumna leh palina thlengin a kal zel a.
- Stage 2: Bile ducts chhiatna a pung.
- Stage 3: Liver-ah hliam a awm tan. Hei hi fibrosis an tih natna bul tanna a ni.
- Stage 4: Liver-ah hian hliam na tak a awm a, chu chuan natna khirh tak, cirrhosis an tih chu a thlen thin. Hetih lai hian liver chu a thawk tha thei tawh lo.
Heng dinhmun hrang hrangte hi i doctor chauhvin a hrilhfiahna tha ber a pe thei che a, chu chu i dinhmun bik a zirin a ni.
Eng symptoms nge kan ngaihven tur?
PBC nen hian symptom engemaw zat a awm thei. Hengte hi mi zawng zawng tan a thleng dan inang lo. Mahse heng symptoms te hi hriat chian a pawimawh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chau | Hei hi hahna pangngai mai a ni lo. Engtiang taka mut pawh ni ila, hahdam taka awm ang maia inhriatna a ni. I chau lutuk a, nitin i function thei lo mai thei. |
| Vun a na | Itching a awm thei a, a bik takin kutphah leh kephah ah a awm thei. A châng chuan he itching hi tuar theih loh a ni thei. |
| Mit leh hmui a vawt | Hei hi damdawi lam natna dang, ``Sjögren's syndrome'' nena lo awm thei symptom a ni. |
| Ruh leh ruh natna | Hun a kal zel a, ruh chak lohna (osteoporosis) ang chi natna a lo awm thei a ni. |
| A hnu lama a lan chhuah dan | Natna a zual zel chuan vun leh mit sen (jaundice), pum chhunga tui awm, ke hring, vun hnuaia thau awm (xanthomas) te chu natna a zual zel angin hmuh tur a awm thei. |
Heng symptoms pakhat emaw a aia tam emaw i neih chhunzawm chuan doctor pan vat a, thurawn lak a pawimawh. Chauhna emaw vun vawt emaw chauh a ni tih ngaihtuah mai suh.
A hmaa hriat chhuah chuan nun a tidanglam thei!
PBC chungchang kan sawi dawnin kan hlau tur a ni lo va, kan fimkhur tur a ni. A chhan chu i hmalam hun hriselna chu he natna hi i hriat chhuah thuai a, enkawl tan danah a innghat a ni.
Natna hi a hmaa hriatchhuah a, damdawi dik tak ei tan chuan thin (liver) chhiatna chu nasa takin a thunun thei a ni. Chumi awmzia chu natna hi a nasat ber a thlen hma loh chuan tihtawp emaw, tihkhawtlai emaw theih a ni tihna a ni. Tichuan i nitin hnathawhnaah nghawng lian tham nei lovin nun hrisel takin i nung thei tawh ang.
Mahse natna hi hriat tlai a nih chuan, emaw, natna khirh zawk, chak zawka kal zel i neih chuan thin chu nasa takin a chhe thei a, thin pawh a thawk tha lo thei bawk. Chutiang hunah chuan liver transplant hi i nunna chhanhimna awmchhun a ni. Chuvangin, hemi kawngah hian a hmaa hriat chian hi a pawimawh ber a ni.
Take-Home Thuchah a ni
- PBC hi natna zual zel a ni a, liver-a bile ducts a tichhia a ni.
- A tir lamah chuan symptoms a awm lo mai thei a, mahse sawifiah theih loha hahna leh vun na tak hi a hmasa ber a ni thei.
- He natna hi a hmaa hriatchhuah a pawimawh hle a, a chhan chu natna kal zel dan tur control-na atan a pui thei a ni.
- Symptom rinhlelh awm tak tak i neih chuan i doctor hnena sawi chu a tlai ngai lo.
- Enkawlna dik tak a awm chuan PBC vei tam zawk chuan hrisel, nun pangngai an hmang thei a ni.
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