Primary Biliary Cholangitis ( PBC ) , emaw, doctor-te sawi angin emaw i vei tih hmuhchhuah a ni tawh em? Chutiang a nih chuan enkawlna i tan tawh ngei ang. Mahse, i damdawi ei hian i ngaihtuah angin a pui lo niin i hria em, natna chu a awm dan ang chiah a ni tih i hria em? Chutianga inhriat chu thil pangngai a ni a, ngaihtuah buai suh. Vawiin hian i PBC enkawlna a thawk tha lo a nih chuan eng nge thleng tih te, i hriat theih dan tur te, a hnua i tih tur te kan sawi dawn a ni.
A hmasa berah chuan PBC hi a awlsam zawngin eng nge ni?
Kan liver hi kan taksaa factory lian ber pakhat angin han ngaihtuah teh. He factory-a tui pawimawh tak siam chhuah chu ‘bile’ an ti a. He bile hian kan ei tur kan digest theih nan min pui thin. He bile hi liver atang hian tube te tak te ( bile ducts ) system nalh tak tak hmangin a kal chhuak thin.
PBC an tih dinhmunah chuan kan taksa hriselna (immune system)-a chhiatna pakhat hian heng bile duct nalh tak takte hi a rawn bei a, a chhung lam atangin a lo hring chhuak thin. Tui pipe a inkhar ang mai a ni. Tichuan, bile chu a luang tha thei lo va, liver chhungah a pung khawm tan ta a ni.
A tir lamah chuan symptoms a awm lo thei. Mahse he bile hi hun kal zelah a lo pung zel a, liver cells a tichhia a, hliam a siam bawk. Hetiang dinhmun hi a nasat chuan cirrhosis . Enkawl that loh chuan liver failure pawh a thlen thei . Chuvang chuan a rang thei ang bera enkawl tan a pawimawh hle.
Doctor-in damdawi a pek hmasak ber - UDCA
PBC i vei tih i hriat chuan i doctor-in damdawi a ei tan hmasak ber tur chu Ursodeoxycholic acid a ni. A hming sei tak hriat reng a harsat avangin a tawi zawngin UDCA kan ti vek a.
He UDCA damdawi hian a tih chu liver-a bile awm khawm chu awlsam zawka luang chhuak turin a pui a ni. Hei hian thin (liver) chhiatna a ti tlem a ni. Mahse, kan hriat chian ngai pawimawh tak pakhat a awm.
He UDCA damdawi hian PBC a tidam kim thei lo. Amaherawhchu, natna a zual chak lohna tur a titawp thei a, thin (liver) chhiatna a thunun thei a, nun pangngaia i nun theih nan a pui thei bawk.
Mahse buaina chu, he damdawi hian mi zawng zawng tan hna a thawk inang lo. Mi thenkhat chuan an beisei ang result an hmu lo.
Damdawi hian hna a thawk lo tih engtin nge i hriat theih ang?
Zirna hrang hrangah chuan UDCA ei thin zinga 40% vel emaw, mi sawm zinga pali vel emaw chuan he damdawi atanga hlawkna beisei ang an hmu lo tih hmuhchhuah a ni. Mi tlemte chuan side effects, pum na leh riltam te an nei a, hei vang hian damdawi hman chhunzawm a harsa hle.
I enkawlna hian hna a thawk tha lo a nih chuan heng ang symptoms hi i nei chhunzawm zel thei a, a na zual thei bawk.
| Symptom a ni | Engtin nge a awm tih |
|---|---|
| Chauhna nasa tak awm reng | Mut that leh engmah tih loh hnu pawha nunna nei lo anga inhriatna. |
| Vun a hrual chhuak | Taksa zawng zawngah tuar theih loh khawpa natna, a bik takin zan lamah. |
| Vun leh mit a sen (yellowing) thin | Mit leh vun var chu jaundice ang bawkin a sen a ni. |
| Mit leh hmui a vawt | Kawng a vawt reng a, mit a vawt ang maia a vawt tih hriatna. |
| Pum dinglam chunglam a na | Liver area atanga lo chhuak dull pain, chu chu pum dinglam, ruh hnuai lam atanga lo chhuak. |
| Ke leh ke ruh leh pum a hring | A bik takin ke, ke ruh, leh a hnua pum chhunga a hring. |
Tute nge UDCA ei lo duh zawk?
Doctor-te chuan mi thenkhat chuan UDCA avanga result tlahniam an nei thei tih an hmuchhuak. Chung zingah chuan:
- Mite chu cirrhosis of the liver vei tawhte tan.
- Mite chu an thisenah liver enzyme gamma-glutamyl transferase leh alkaline phosphatase an tih te a tam hle.
- Mipa (PBC hi hmeichhiaah a tam zawk mah se, mipaah a na zawk thei).
- Hmeichhia kum 45 an tlin hmaa PBC vei hmuhchhuah te.
Engtin nge hei hi i nemnghet theih ang, doctor?
I natna lan chhuah dan chu a la awm reng a nih pawhin doctor chuan "damdawi chu a thawk lo" tih a rel nghal dawn lo. Hriat chian theih dan a awm.
Enkawl i tan veleh i doctor chuan a lo en reng ang che. Thla 3 atanga thla 6 danah thisen test an order tlangpui ang. Mahse , he damdawi hian i tan a thawk tak tak em tih chiang taka hriat theih nan kum khat vel a ngai fo thin.
Heng thisen test te hian i liver enzyme level a en ber a, a bik takin Alkaline Phosphatase (ALP) leh Bilirubin te hi a en thin. Thla engemaw zat UDCA ei hnuah pawh heng level te hi a tlangpui aia nasain a la sang a nih chuan, beisei angin enkawlna a thawk lo tih chhinchhiahna a ni thei.
Chutiang a nih chuan i doctor chuan i UDCA-ah damdawi thar dah belh emaw, enkawlna dang chungchang sawipui emaw a tum mai thei.
Chuti a nih chuan engtin nge ka tih ang?
Hei hi he thuziak atanga i hriat tur pawimawh ber a ni.
I doctor nen inhawng tak leh rinawm taka inbiakna neihpui.
I natna lan chhuah dan a ṭhat loh emaw, a zual zel ang tih emaw a nih chuan, i doctor i hmuh leh hunah i sawi ngei ngei tur a ni. Thu hriat thup suh, "Hei hi thil pangngai a ni ngei ang," emaw, doctor a tibuai ang tih ngaihtuah suh. Enkawlna chungchanga thutlukna siam hunah thil tenawm i hriat apiang hi a pawimawh vek a ni.
Damdawi hmasa ber khan hna a thawh loh vang mai mai chuan a tawp vek tihna a ni lo tih hre reng ang che. Damdawi lam hian hma a sawn nasa hle. I dinhmun enkawlna atana puitu tur duhthlan tur tam zawk leh damdawi thar a awm bawk. A pawimawh ber chu nang leh i doctor team anga in thawh hi a ni.
Take-Home Thuchah a ni
- PBC hi natna a ni a, liver-a bile phurtu fine tube te a tichhia a ni. A enkawl that loh chuan hun kal zelah liver chhiatna nasa tak a thlen thei a ni.
- UDCA hi PBC enkawlna main leh first-line a ni a, mahse mi zawng zawng tan a thawk tha tawk lo.
- Damdawi hmang chung pawha hah fo, vun hring, mit sen ang chi symptoms te chu a la awm reng a nih chuan enkawlna chu i tan a tha lo tihna a ni thei.
- I natna lan chhuah dan leh i rilru put hmang chungchang doctor nena inbiakna neih hi i hriselna atana i tih theih tha ber a ni.
- Enkawlna pakhatin hna a thawk lo a nih pawhin i dinhmun enkawl dan tur leh damdawi dang a awm bawk. Chuvangin hlau leh hlauthawng suh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh