Doctor hnenah routine check-up nei turin i kal a, i thisen test result i la ta ang u. Report entu doctor chuan, "I liver enzyme te hi a sang deuh a ni," a ti a. I report-a letter pahnih ALT leh AST hmaa value awm chu a tlangpui aia sang zawk tih i hmu a. Hetiang thil a thlen hian hlauhna tlem a awm hi thil pangngai a ni. Mahse, hlauthawng suh. Vawiin hian ``Transaminitis'' tih dinhmun kan sawi dawn a, chutah chuan liver enzymes a sang hle.
A awlsam zawngin Transaminitis hi eng nge ni?
`Transaminitis` hi damdawi lam natna pawi tak a ni lo. I thisenah hian enzyme thenkhat `transaminases` an tih level chu nasa takin a pung tihna a ni. Enzyme lian ber pahnih chu `Alanine Transaminase (ALT)` leh `Aspartate Transaminase (AST)` te an ni.
I liver hi factory lian tak angin ngaihtuah rawh. Heng enzyme te hi chu factory chhunga cell chhunga thawktute an ni. A tlangpuiin heng hnathawkte hi factory chhungah an awm thin. Mahse, thin chu eng emaw zat pressure, chhiatna emaw, stress emaw hnuaia a awm chuan liver cell te chu a chhia a, heng hnathawk thenkhat hi an leak chhuak a, chu chu kan thisenah an leak chhuak a ni. Thisen test report hmangin thisenah enzyme awm zat kan teh thin.
A tam zawkah chuan he dinhmun hi thil thleng mai maia hmuhchhuah a ni. Thisen test-naah hian chhan dang vangin ALT leh AST level sang tak hmuh a ni. Mahse, mi thenkhat tan chuan jaundice, mit leh vun sen, emaw, pum dinglam chunglam natna ang chi symptom an neih chuan doctor chuan heng test te hi a ti a, a bik takin liver function endik nan a ti thin.
Heng enzyme te hi tihsan a hlauhawm em?
He harsatna hi mi tam takin an neih a ni. `Transaminitis` hi thin cell-ah chhiatna engemaw zat a awm tih hriattirna hmasa ber a ni. Car-a `check engine` light rawn eng ang mai a ni. Car-ah hian thil dik lo a awm tih a hrilh che a, chu chu i enfiah a ngai a ni. Tin, hei pawh hi chutiang bawk chu a ni.
Hei hi a nasat dan chu a chhan bulpuiah a innghat a ni .
- Hun eng emaw chen atana chhan: Heng enzyme te hi damdawi thenkhat ei lai emaw, hun eng emaw chen infection vang emaw hian a sang thei hle. A chhan a bo chuan liver chu a lo dam leh a, enzyme level pawh a normal leh ta a ni.
- Hun rei tak chhunga a chhan: Amaherawhchu, natna khirh tak avanga he chhiatna hi a la awm zel chuan hun kal zelah a nasat phah thei a ni. Kan thin hian dam theihna mak tak a nei a, mahse a chhiat zel chuan chu theihna chu a hloh a, liver failure an tih dinhmun a thlen thei a ni.
Chuvangin, hei hi number pakhat chauh a ni lo. I hriselna zawng zawng hriat theihna tur indicator pawimawh tak a ni.
Transaminitis awm chhan awm thei te chu engte nge ni?
Hei hi chhan tam tak a awm thei. Hengte hi chi hnih ah then ila: a chhan awm tam ber leh a chhan awm lo deuh te.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| A chhan tlangpui | |
| Fatty Liver Natna a awm | Tunah hian Sri Lanka-ah hian a awm fo tawh a ni. A bik takin, natna pakhat , Metabolic dysfunction-associated steatotic liver disease (MASLD) tih hi a ni. Metabolic factors, ei leh in tha lo, taksa rihna sang, zunthlum, leh cholesterol sang te hian hei hi a thlen thin. |
| Zu in tam lutuk (Alcohol-induced Hepatitis) . | Zu in tam lutuk hian direct-in thin a tichhia a, chu chuan hun eng emaw chen emaw, hun rei tak emaw chhung chu thin a tichhia thei a ni. |
| Viral Infection (Viral Hepatitis) te hi a awm thei lo. | Virus hepatitis A, B, C, D, leh E te hian thin (liver) a ti na thei a ni. Hei hian chronic hepatitis B leh C a thlen thei a ni. |
| Damdawi hmanga nghawng a neih (Toxic Hepatitis) . | Painkiller thenkhat, cholesterol tihhniamna damdawi, TB damdawi leh damdawi dangte hian thin (liver) a nghawng thei a ni. Hei hi doctor chuan a lo thlir reng thin. |
| A chhan awm lo zawk | |
| Chhan dang | Immune system lama harsatna (autoimmune hepatitis), thlahtute natna (hemochromatosis, Wilson natna), heart attack, jaundice, thyroid natna, leh liver cancer a awm tlem hle. |
AST hi ALT aiin a sang zawk a nih chuan thil danglam bik a awm em?
A tlangpuiin liver a chhiat chuan heng enzyme pahnih hi an pung dun a ni. Enzyme ALT hi liver tan a bik zawk a ni. Chu chu liver-ah a awm ber tihna a ni. Mahse, enzyme AST hi thin (liver) bakah hian heart muscle, skeletal muscle, leh tissue dang dangah pawh a awm bawk.
Chuvangin, AST value chu ALT value aiin a sang zawk a nih chuan doctor chuan thil dang pawh a ngaihtuah ang. Entir nan:
- Zu avanga thin natna: Hetiang dinhmunah hian AST/ALT ratio a sang chho thin.
- Cirrhosis: Hetiang pattern hi natna a zual zel pawhin hmuh theih a ni.
- Extrahepatic causes: AST level hi myocardial ischemia emaw muscle chhiatna nasa tak (rhabdomyolysis) ang chi te pawhin a sang thei bawk.
A pawimawh ber: Hengte hi tips mai a ni. I report atanga i diagnose tum suh. Chu chu i doctor-in a tih ngei ngei tur a ni.
Hei hi Doctor hian engtin nge a enkawl?
A hmasa berah chuan `Transaminitis` hi direct damdawi a awm lo tih hre reng ang che. A chhan chu natna a ni lo va, symptom a nih vang a ni. Chuvangin, doctor in a tum ber chu enzyme sang lutuk chhan zawng chhuakin chu chhan chu enkawl a ni.
Enkawl dan chu hetiang hian a kal tlangpui a:
1. Medical history: Doctor chuan i nunphung (ei leh in, exercise, zu hman dan), damdawi i ei dan, leh i chhungkaw damdawi lam dinhmun eng pawh a zawt ang che.
2. Test dang: A chhan finfiah nan test tam zawk tih tura tih a ni ang.
- Thisen test nawn leh tur a ni.
- Hepatitis B leh C virus awm leh awm loh test.
- Abdominal ultrasound hmanga enfiah a ni.
- A tul chuan thisen test dang specialised.
3. A chhan azira enkawl dan: A chhan an hmuh hnuah enkawl dan tur an rel thin.
- Fatty Liver: Nunphung thlak danglam hi a pawimawh ber. Ei leh in hrisel , exercise neih fo , leh taksa rihna tihtlem te hi a pawimawh hle.
- Zu vang a nih chuan: A chinfel dan awmchhun chu zu hman tawh loh vek hi a ni .
- Damdawi pakhat vang a nih chuan: Doctor chuan damdawi thlak tur nge tihhniam tur tih a rel ang.
- Virus vang a nih chuan: Chu virus enkawl tan a ni ang.
A tam zawkah chuan a chhan bulpui chu uluk taka enkawl a nih chuan liver chhiatna chu a tawp a, enzyme level pawh a pangngaiin a awm leh thin.
Take-Home Thuchah a ni
- Transaminitis (elevated liver enzymes) hi i liver chu stress engemaw zat a awm tih hriattirna a ni. I hmuh hunah hlauthawng suh.
- Hei hi chhan tam tak a awm thei. Fatty liver, zu in, virus infection, leh damdawi thenkhat te hi a chhan tlangpui a ni.
- Enzyme level-ah enkawl a ni lo va, a tihsan chhan underlying condition-ah a ni zawk.
- I thisen test-naah ALT leh AST level sang tak i hmuh chuan ngaihthah ngai suh. Thurawn leh enkawlna dik tak dawng turin doctor pan ngei ngei tur a ni.
- Thil tam takah chuan nunphung hrisel (ei leh in tha, exercise) hman hi thin hriselna vawng nung turin a pui hle.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Syncope / Fainting tih hi eng nge ni?
Hei hi mutthilh/bored moment mai a ni lo! Damdawi lama ‘Syncope’ hi damdawi lam emergency hlauhawm tak a ni a, thil hlauhawm tak tak, thihna thlen thei emaw, rang tak emaw avanga thluaka thisen leh oxygen kal chu second tlemte chhung a tawp vek (Temporary loss of blood flow to the brain), chu chuan mi chu rang takin leiah a tla thla (Loss of consciousness/Postural tone collapse) a ti a, hriatna a hloh ta a ni!
💬 Miin a ding/kal laiin a hriatna a hloh thut (Syncope/Fainting) chhan lian ber berte chu engte nge ni?
Hei hi a chhan lian ber 4 a awm a, chungte chu: 1) ‘Cardiogenic Syncope’ - Lungphun a reh thut/heart attack a neih chuan thinlungin thluaka thisen a pump thei lo va, hriatna a hloh phah a ni! 2) Hypoglycemia (zunthlum vei zingah). 3) Vasovagal syncope - Natna tuar theih loh/thisen hmuh avanga/hlauhna nasa tak avanga nerve shock avanga hriatna hloh. 4) Seizures/Epilepsy natna a awm thei.
💬 Mi a faint hian eng nge ‘fatal/emergency situations’, damdawi ina dah nghal ngai, a hmaiah tui leih mai mai a, in lama awm mai mai ai chuan?
Second tlemte chhunga i tlu a, i tho a nih chuan/mut hnua i tlu a nih chuan tui/sugar tlem tal pek tum ang che. Mahse, a hlauhawm ber chu! I hriatna hloh a, i tlu hma, i 1) i rilru a na/heart attack emaw thawk harsatna i neih chuan, 2) i tlu laiin i taksa pum a khur a, i hmuiah a convulse/foam (seizures/fits), 3) i tlu a, thu pakhat mah i sawi lo/minute engemaw zat coma-ah i awm a nih chuan, ambulance ko nghal vat la, damdawi inah hruai nghal tur a ni!
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