Kan taksa peng pawimawh leh lian berte zinga mi chu thin (liver) hi a ni. Kan taksa chhungah factory lian tak ang maiin hna a thawk a. Liver hian hna pawimawh tak tak a thawk a, chu chu taksa chhunga toxins lutte filter chhuakin, chaw ei kawngah a pui a, chakna a khawlkhawm bawk. Mahse, nitin damdawi kan ei \henkhat, zu kan in emaw, kan taksaa kan taksaa kan luhchilh \hin chemical \henkhatte hian he thawkrim tak thin (liver) hi a tichhe thei a, chu chu ‘poisoned’ a ni thei tih i hria em? Vawiin hian he natna khirh tak, damdawi lama ‘Toxic Hepatitis’ an tih, thin (liver poisoning) chungchang kan sawi dawn a ni.
A awlsam zawngin, Toxic Hepatitis hi eng nge ni?
Toxic Hepatitis, a nih loh leh liver poisoning tih hi toxin, kan taksa tana chhiatna thlen thei thil pakhatin thin cell a tichhia a, thin a ti na a ni. Damdawi lamah chuan he natna hi ``inflammation`` kan ti a.He thil tha lo tak hi kan taksaah hian kawng hrang hrangin a lut thei a ni.
- Chaw ei: Damdawi kan ei \henkhat ei tam lutuk emaw, zu in emaw, chemical dang ei emaw hmangin.
- Inhalation hmanga: Factory thenkhat, garage, a nih loh leh paint dawr thenkhata boruaka inhmeh chemical tha lo tak takte thawk chhuah hian.
- Vun hmanga insiam (absorption) hmangin: Chemical chak tak tak, pesticide thenkhat ang chi te hi vun inhnawh tawnna hmangin taksaah a lut thei a ni.
Hei hi kan thin (liver) hian taksaa lut tur toxins te chu filter chhuah tumin a chhiat dan a ni. Hun kal zelah hetiang chhiatna hi a lo thlen chuan liver pawh a thawk tha lo thei vek a ni.
Toxic Hepatitis chi hrang hrang a awm em?
Ni e, he dinhmun hi a lo awm dan azirin chi hnih lian takah then theih a ni.
- Acute Toxic Hepatitis: Hei hi a lo awm nghal mai thin a ni. Toxic substance ei atanga darkar engemaw zat emaw ni engemaw zat emaw chhungin symptoms a lang tan thin. Entirnan, damdawi i ei tam lutuk (overdose) chuan he natna hi a awm thei.
- Chronic Toxic Hepatitis: Hei hi hun kal zelah zawi zawiin a lo awm thin a ni. A châng chuan a lan chhuah theih nân kar tam tak, thla tam tak, kum tam tak pawh a ngai thei. Hun rei tak zu in thinte chuan he natna hi an nei tam zawk.
Tin, he natna thlen chhan atanga thlirin classification a awm bawk. A hnuaia table hmang hian chiang takin kan hre thei ang.
| Toxic Hepatitis chi hrang hrang (a chhan) . | A sawifiahna awlsam tak |
|---|---|
| Damdawi avanga hepatitis a awm | Doctor-in damdawi a pek, damdawi dawr atanga natna tidamtu lei, vitamin, Ayurvedic/herbal damdawi hman tam lutuk emaw, dik lo emaw avanga lo awm a ni. |
| Zu in avanga hepatitis a awm | Zu in tam lutuk leh rei tak in hian direct-in liver a tichhia a, chu chuan liver inflammation a thlen thei a ni. |
| Chemical hmanga hepatitis a awm | Factory-a hman tur chemical tha lo tak tak, solvent, pesticide, leh herbicide te ei avanga lo awm a ni. |
Liver chhiatna chhinchhiahnate chu engte nge ni?
Liver natna lan chhuahna ber leh hriat lar ber chu mit leh vun sen a ni. Hei hi jaundice kan ti bawk a, damdawi lam hawi chuan ``Jaundice'' an ti bawk.Hemi bakah hian chhinchhiahna dang engemaw zat a awm thei bawk.
- Pum dinglam, ruh hnuai lam a na
- Chauhna leh hahna
- Chaw chakna
- Nausea leh luak chhuak
- Khua a hniam
- Dark yellow emaw brown emaw zun
- Abdominal distension, emaw ascites emaw a awm thei
- A hring (Pruritus) 1.1.
- Vunah hian purple spot emaw patches emaw a awm
A pawimawh ber chu, a chang chuan, a bik takin `Chronic Toxic Hepatitis`-ah chuan, thin (liver) nasa taka a chhiat hma loh chuan a lan chhuahna a awm thei lo. Chuvangin risk factors a awm a nih chuan fimkhur reng a pawimawh.
Toxic Hepatitis natna thlentu berte chu engte nge ni?
Kan sawi tawh ang khan a chhan hrang hrang a awm. Tlem a chipchiar deuhin han thlir ila.
Damdawi leh vitamin (Drug-induced hepatotoxicity) .
Hei hi hmuh tur awm tak a ni.
- Painkillers: Painkiller thenkhat, a bik takin damdawi dawr atanga counter atanga lei theih te, entirnan, `(Acetaminophen)` (Sri Lanka rama damdawi `Panadol` ang chi damdawiah hmuh tur) leh `(NSAIDs)` (Nonsteroidal anti-inflammatory drugs) (e.g. `Ibuprofen`, `Diclofenac`) te hi a tam lutuk chuan liver a tichhia thei a ni a recommended dose a ni.
- Damdawi prescription: Damdawi thenkhat, cholesterol tihhniamna damdawi, epilepsy damdawi, antibiotics te pawhin mi thenkhat thin liver a nghawng thei bawk. Mahse hei vang hian i damdawi ei kha bansan suh. Thil ngaihtuah tur i neih chuan i doctor nen sawiho rawh.
- Herbal leh Ayurvedic damdawi: Khawtlang nunah ‘Sinhala damdawi’ emaw, ‘traditional thil’ emaw hian chhiatna a thlen lo tih ngaihdan a awm a. Mahse chu chu a dik vek lo. Herbal damdawi thenkhatah hian thin tana tha lo tur thil a awm thei. Chuvangin hengte hi doctor thiam thurawn tel lova hman hi a risky hle.
- Vitamins: Vitamin thenkhat, vitamin A ang chi ei tam lutuk hi thin (liver) tan pawh toxic a ni thei bawk.
Acetaminophen poisoning chungchang chiang takin zir rawh
`Acetaminophen` hi khawsik leh taksa na tan kan hman tlanglawn tak a ni. Sri Lanka-ah chuan `Panadol` leh `Paramol` tih hmingin a awm a. Hei hi damdawi him tak ni mah se, ei tam lutuk chuan thin (liver) nasa takin a tichhe thei a ni.
Ngaihtuah teh, mi pakhatin lu na vangin Panadol tablet pahnih a ei a. Darkar tlemte hnuah chuan damdawi dawr atang chuan khawsik atan packet dang an la leh a. Chu packet-ah chuan Acetaminophen pawh a awm tih an hre lo. Chutiang chuan an hriat lohvin ni khata an dose sang ber an pel thei a ni.
A tlangpuiin puitling chuan darkar 24 chhungin acetaminophen (chu chu 8 500mg tablets) milligram 4,000 aia tam ei loh tur a ni. Liver natna i neih tawh chuan he zat hi a tlem zawk tur a ni. Damdawi i ei tam lutuk a, symptoms nei lo mah la, damdawi in emergency department (ETU) pan nghal mai tur a ni. A tul chuan National Hospital-a National Poisons Information Center-ah pawh thurawn dil theih a ni bawk.
Zu in hman (Zu vanga toxic hepatitis) .
Zu in tam lutuk hi thin (liver) tihchhiatna thlentu lian tak a ni. Zu hi liver cell-ah direct poison a ni. Zu hi hun rei tak kan in chuan thin (liver)-ah thau a awm khawm a, chu chu a lo hring leh a, a tawpah chuan liver chu a hliam vek thei a, a thawk thei lo (Cirrhosis) a ni.
He natna hi tute nge vei theihna chance sang zawk?
Tu pawhin `Toxic Hepatitis` vei thei mah se, mi thenkhat chu an hlauhawm zawk.
- Hmeichhia tan: Hmeichhia taksa hi mipa taksa aiin a metabolize danglam avangin damdawi leh zu thenkhat avanga thin (liver) tihchhiat theihna chance a sang deuh hlek a ni.
- Zu in nasa lutuk te tan.
- Liver natna dang (e.g. Hepatitis B, Hepatitis C, Fatty Liver) nei tawh tan chuan.
- Damdawi eng emaw zat a ruala hmang thinte tan.
- Chemical hmanga hnathawkte tan (e.g. paint industry, plastics industry, dry cleaning services).
- Genetic natna thenkhat (e.g. `Alpha-1 antitrypsin tlakchhamna`, `Hemochromatosis`) nei tan .
Hei hi a hlauhawm thei ang em? Eng harsatna nge a awm?
Ni e, Toxic Hepatitis hi enkawl vat a nih loh a, a tha lo chu paih chhuah a nih loh chuan harsatna lian tham a thlen thei a ni. A harsatna ber chu liver-a cirrhosis a ni.
Cirrhosis hi liver cell hrisel tak takte tihchhiat a, scar tissue hmanga thlak a ni. Hei hian liver hnathawh dan pangngai a tibuai vek a ni. A tâwpah chuan hei hian liver failure a thlen a ni . Chutiang hunah chuan nunna chhanhim theihna awmchhun chu liver transplant a ni thei .
Engtin nge doctor hian hei hi a hmuh theih?
Doctor i pan dawn chuan i natna lan chhuah dan te, damdawi i ei dan te, zu i in leh in loh te, i eizawnna chungchang te zawhna tam tak a zawt hmasa ang che. Tichuan i taksa chu a enfiah ang. A natna hmuhchhuah finfiah nan test thenkhat pawh a ti thei bawk.
- Thisen test dan: 1.1.
- Liver Function Test: Hengte hian liver enzyme level a check thei a, liver chhiatna a awm leh awm loh a enfiah thei.
- Comprehensive Metabolic Panel `(CMP)`: He test hian taksaa metabolic process leh organ function chungchang hriatthiamna kimchang tak neih a pui a ni.
- Zu emaw ruihhlo dang emaw a awm leh awm loh test.
- Test dangte chu:
- Scans: CT scan emaw MRI scan emaw hmangin liver dinhmun chu mitin a enfiah thei a.
- Liver Biopsy: A then phei chuan liver atanga tissue te tak te te chu needle te tak te hmangin lakchhuah a ni a, microscope hmangin an enfiah thin. Hei hian chhiatna a thlen dan dik tak hriat theih nan a pui thei a ni.
Engtin nge enkawl a nih? Hei hi tihdam theih a ni em?
`Toxic Hepatitis` enkawlna tha ber chu thin tichhe thei thil hi pumpelh nghal hi a ni. Enkawlna chu thin (liver) a tihchhiat nasat danah a innghat a ni.
- Damdawi \ha lo tihtawp: I doctor-in damdawi emaw vitamin emaw pakhatin thin a tichhe nia a rinhlelh chuan, a ei loh vat turin a fuih ang che.
- Zu in tihtawp vek.
- Hnathawhna hmuna inthlak danglamna:Hetiang dinhmun hi chemical avanga lo awm a nih chuan hnathawhna hmunah invenna hmanrua (mask, gloves) i bun a ngai thei a, hna dangah sawn i ni thei bawk.
- Acetaminophen overdose tan: Damdawi inah antidote bik pek thin a ni. Rang taka pek a nih chuan hei hian thin (liver) chhiatna tam tak chu a veng thei a ni.
Thu lawmawm tak chu kan thin hian siam thar theihna mak tak a nei a ni. A chhiatna a nasat loh a, a chhiatna thlentu chu a bo vek a nih chuan kar tlemte emaw thla engemaw zat chhungin thin (liver) chu a dam thei a ni. Mahse, chhiatna chu cirrhosis thlenga a lo kal tawh chuan tihdanglam a harsa hle.
Engtikah nge Doctor i hmuh nghal tur?
A hnuaia symptom na tak tak te hi a lo awm a nih chuan liver failure tak tak chhinchhiahna a ni thei. Chuvangin , damdawi in hnai ber Emergency Department (ETU)-ah tlai lovin kal rawh.
- Thisen chhuak.
- Stool dum, tarry tak tak a awm.
- Taksa zawng zawngah hliam ang chi hmun a lo lang nghal.
- A sen nasa hle (Jaundice).
- Anorexia na tak a ni.
- Delirium, thil tihsual (delusional state) a ni.
- Kal harsat.
Take-Home Thuchah a ni
- Kan thin (liver) hi kan taksa detoxify tu ber ni mahse, thil thenkhatah chuan a sensitive hle.
- Painkiller hman tlanglawn tak pawh hi a rawt aia tam ei a nih chuan liver chhiatna nasa tak a thlen thei a ni. Label ngun takin chhiar la, damdawi i hman hunah a thupek zawm rawh.
- Zu hi thin (liver) hmelma lian ber pakhat a ni. Zu in tlem emaw, tihtawp vek emaw hi thin hriselna atan a pawimawh hle.
- ‘Herbal’ emaw ‘natural’ emaw tia vuah zawng zawng hi a him vek lo. Supplement emaw vitamin emaw i hman hmain doctor nen inbiakna neih hmasak phawt ang che.
- Damdawi i ei tam lutuk nia i rinhlelh emaw, natna lanchhuahna na tak i neih chuan damdawi in Emergency Department (ETU) pan vat tur a ni.
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