I nu, i pa, i pi, i pi, i pi upa tawh tak takte chuan thil an theihnghilh tan tawh em? A nih loh leh an nungchang emaw, an thusawiah emaw inthlâk danglamna i hmu em? Hetiang thil kan hmuh hian kan rilruah hlauhna lo lang hmasa ber chu, "Aw, he mi pawh hian dementia a vei tan tawh em?" A tam zawkah chuan chutiang chuan kan ngaihtuah a, lungngai takin kan awm a, mahse, enkawl theih loh thil niin kan ngai a, kan bânsan a ni. Mahse, vawiinah hian thawnthu pawimawh tak ka rawn sawi dawn a ni. A châng chuan, he hriatrengna hloh hi dementia a ni lo thei a, mahse, enkawl leh tihchangtlun theih natna dang a ni thei.
Hetiang dinhmun, dementia anga ngaih sual hi eng nge ni?
Tun hnaia zirchianna lian tak pakhatah chuan dementia vei nia hriat zinga 10% leh 13% inkar chuan damdawi lam natna dang an nei tak tak tih hmuhchhuah a ni. He dinhmun hi kan taksa peng pawimawh tak liver nen a inzawm tlat a ni.
A awlsam zawngin, hei hi a thleng thin:
1. Liver chhiatna (Cirrhosis): Liver hi kan taksaa factory ang mai a ni. Liver hian hna pawimawh tak tak a thawk a, chu chu kan chaw ei tur a hmin a, taksa mamawh protein a siam a, thisen atanga toxins a paih chhuak a ni. Amaherawhchu, chhan hrang hrang (entir nan, zu in tam lutuk, virus infection thenkhat, zunthlum avanga thin thau) avangin he liver hi a chhe a, a chhungah scar tissue a lo piang a, a hnathawh a tlahniam zauh zauh thin. Hei hi damdawi lama cirrhosis kan tih chu a ni.
2. Hepatic Encephalopathy: Tunah chuan liver factory-in hna a thawk tha lo a, taksaa toxin lo chhuak, a bik takin ammonia ang chi thil te chu a filter tha lo a, a paih chhuak ta a ni. Heng toxins te hi thisenah an pung khawm a, thisen kalna nen thluak lamah an kal nghal a ni. Thluak hian heng toxins te hi a tuar theih loh chuan thluak cell te hnathawh a tibuai tan thin. Chuvangin Hepatic Encephalopathy kan ti a ni .
Chumi awmzia chu liver problem vangin thluak a buai tihna a ni. A natna lan chhuah dan hi dementia nen a inang em em avangin doctor-te chuan a chang chuan an hmu lo thei a ni.
Engvangin nge heng dinhmun pahnih hi a inzawm tlat?
Dementia leh Hepatic Encephalopathy te symptom pahnih hi a inang tlang hle. Chuvang chuan an inhnial fo thin. He inthlauhna hi tlem tal i hrethiam zawk ang u.
| Symptom a ni | Dementia natnaah a lan dan | Hepatic Encephalopathy-a hmuh theih dan |
|---|---|---|
| Hriatrengna leh ngaihvenna | Hriatrengna chu a tlahniam zauh zauh a, a awm reng bawk. Hun kal zelah a dinhmun a chhe zual zel. | Hriatrengna leh ngaihvenna (attention spans) a inthlak danglam thin. Ni engemaw zat chu i dam tha a, ni engemaw zat chu i buai hle bawk. Thil ngaihtuah reng a harsa hle. |
| Mut dan tur | Mut danah hian inthlak danglamna engemaw zat a awm thei. | Mut dan chu a inthlak danglam vek a ni. Nilengin i muhil a, zanah i muhil thei lo. |
| Nungchang leh mize | Hun kal zelah mize inthlâk danglamna i hmu mai thei. I nihna ang kha ni lo ang maiin i inhria mai thei. | Thinrim, buai, emaw, ngawi renga awm nghal mai. Nungchang inthlak danglamna hi hriat chian thuai theih a ni. |
| Taksa mizia | A tir lamah chuan taksa lam ziarang bik a tlem tlangpui. | A natna lan chhuah dan chu kut phar a nih chuan a fluttering tremor, thawkna rimtui emaw, musty emaw a awm a, vun leh mit a sen (jaundice) te a ni. |
Engvangin nge he thil hi hriat chian a pawimawh em em?
He danglamna hriat hi a hlutzia hi han ngaihtuah teh, a chhan chu heng natna pahnih enkawlna leh a kal zel dan hi a danglam vek a ni.
Dementia hi a zual zel a, a let leh theih loh a ni fo thin. Amaherawhchu, Hepatic Encephalopathy hi natna a ni a, enkawl dan mumal tak hmanga thunun theih a ni a, a natna lan chhuah dan a bo a, nun pangngaiah a kir leh thei a ni.
Hei hi hetah hian a pawimawh ber a ni.Hepatic encephalopathy hi enkawl theih a ni! Doctor-te chuan thin (liver) hi an enkawl thei a, thisenah toxin awm zat tihhniam nan damdawi bik an pe thei bawk. He enkawlna hi an tan tawh chuan thluak hnathawh tibuaitu symptoms te chu a bo zauh zauh thin. Damlo chuan chiang takin a ngaihtuah leh thei a, a hriatrengna a nei leh thei bawk.
Chu mai pawh ni lovin, liver-a cirrhosis hmuhchhuah hmasak hian natna hlauhawm dangte pawh a veng thei a, a chhan chu enkawl loh chuan cirrhosis hi liver cancer ang chi natna khirh takah a lo chang thei a ni
Chuti a nih chuan eng nge kan tih ang?
He thuziak i chhiar zawh hnu hian i rilruah zawhna lian tak chu, "Tunah engtin nge kan tih ang?" Tih ngai chu a awlsam hle.
1. Ringhlel i neih chuan doctor pan nghal rawh: I chhungkuaa mi tu emaw, a bik takin kum upa zawkin hriatrengna hloh emaw, nungchang inthlak danglam emaw ang chi symptoms a neih chuan ‘Dementia’ tiin hnawl mai suh. I chhungkaw doctor hmu nghal la, sawipui rawh.
2. Liver chungchang zawt rawh: Doctor nena inbiak hian heng symptoms te hi sawi hlau suh la, "Doctor, heng symptoms te hi liver problem vang a ni thei ang em? Liver function test pawh kan ti tur a ni lo em ni?"
3. Specialist dik tak hnena refer: I doctor chuan a tul chuan hepatologist/gastroenterologist emaw neurologist emaw hnenah a refer ang che.
4. Test hlau suh: Liver function endik nana test hi a awlsam hle. A tlangpuiin, thisen test (Liver Function Tests) leh ultrasound scan ang chi thil hmangin thu tam tak hriat theih a ni.
Kan hmangaihte hriselna enkawl hi kan mawhphurhna a ni tih hre reng ang che. Dementia tih thumal hian natna enkawl theih atanga hlauthawng suh. Diagnosis dik hi enkawlna dik tak neih theihna tura hmalakna hmasa ber leh pawimawh ber a ni.
Take-Home Thuchah a ni
- Kum upat ruala hriatrengna hloh zawng zawng hi dementia a ni vek lo.
- Hepatic encephalopathy, thin (cirrhosis of the liver) avanga natna vei hian hriatrengna a tichhe thei bawk.
- He natna, Hepatic Encephalopathy tia koh hi damdawi tha tak hmanga enkawl a nih chuan a dam vek thei a ni.
- I chhungkuaa puitling pakhatin hriatrengna a hloh emaw, nungchang a thlak danglam emaw a nih chuan doctor pan la, an liver function enfiah tir rawh.
- Diagnosis dik tak chuan nunna a chhanhim thei a, nunphung a tichangtlung thei bawk.
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