I mit chu a sen vek tawh em? Gilbert-a Syndrome a ni thei!

I mit leh vun var te chu a sen deuh deuh niin i hria ngai em? Chu chu hmuh chu a hlauhawm deuh a ni lawm ni? Liver natna chi khat niin i ngai mai thei. Hei hi a chhan awm thei pakhat chu Gilbert’s syndrome an tih hi a ni. Mahse a hming i hriat chuan hlau suh, i ngaihtuah angin a hlauhawm lo. Dik tak chuan natna aiin genetic condition a ni zawk.

A awlsam zawngin Gilbert-a syndrome hi eng nge ni?

Gilbert’s syndrome hi kan chhungkuaah a awm fo thin a, chu chu thlahtute atanga lo chhuak a ni tihna a ni. Hetiang vei hian an thisenah bawlhhlawh bilirubin an tih chu a tam lutuk a.

Tunah chuan bilirubin hi eng nge a nih i ngaihtuah tawh mai thei. A awlsam khawp mai. Kan taksaa thisen sen (red blood cells) te hian dam chhung hun an nei bawk. Chu dam chhung chu a tawp chuan an chhe vek thin. Bilirubin hi yellow pigment, a nih loh leh bawlhhlawh a ni a, thisen sen (red blood cells) a chhiat chuan a lo awm thin. A tlangpuiin kan thin hian he bilirubin hi a la a, a process a, bile hmangin taksa atangin a paih chhuak thin.

Mahse Gilbert’s syndrome vei teah chuan liver hian he hna thawk thei enzyme bik a siam chhuak tlem hle. Chuvangin bilirubin hi a tifai vek thei lo va, a then chu thisenah a awm reng bawk. Thisen a bilirubin level a san chuan a chang chuan mit leh vun a sen thin. Hei hi jaundice kan ti bawk .

Hetiang dinhmun a lo awm chhan hi eng nge ni?

Hei hi kan genes a danglamna tlemte vang a ni. Kan nu leh pate hnen atanga vun rawng leh sam hring ang chi thil kan rochun ang bawkin hei pawh hi a dik a ni.

Kan taksaah hian gene pakhat UGT1A1 a awm a . He gene hian a hmaa ka sawi tawh ang khan bilirubin tifai thei liver enzyme siam turin min hrilh a ni. Gilbert’s syndrome hi he gene-a mutation tenau vang a ni.

Hetiang dinhmun hi i neih theih nan chuan mutated gene copy pahnih i neih a ngai a ni. Hei hian i nu leh i pa te hnen atangin gene hi i rochun a ngai tihna a ni . Mahse, gene pahnih nei mah la, mi zawng zawngin Gilbert’s syndrome symptoms an lantir vek dawn lo. Tin, hmeichhia aiin mipaah ​​he natna hi a tam zawk bawk.

Gilbert’s syndrome natna lan chhuah dan chu engte nge ni?

Dik tak chuan, Gilbert’s syndrome vei tam zawk chuan symptoms an nei lo . An taksaa bilirubin level control turin liver enzyme an nei tling a ni.

A lan chhuahna ber leh a châng chuan a lan chhuahna awmchhun chu mit leh vun var, jaundice tia hriat a ni. Mit sen i neih chuan doctor pan a pawimawh a, checkup neih a pawimawh , a chhan dang a awm thei bawk.

Mi thenkhat chuan mit sen rual hian a hnuaia symptoms te hi an nei thei a ni:

• Luak chhuak leh pum na
• Pum natna
• Chau lutuk tih hriatna (chau) .
• Zun dum

Engvangin nge ka mit hi a chang chuan a sen mai mai a, a sen vek loh?

Hei hi zawhna tha tak a ni. Kan bilirubin level tisang thei thil engemaw tak a awm. Hei hi mit sen (yellowing) kan hmuh tlangpui hun a ni.

Engtin nge he dinhmun hi kan hriat theih ang?

Gilbert’s syndrome hi pianpui natna ni mah se, kum 20 emaw kum 30 emaw velah hian hmuhchhuah a ni fo. Chu pawh chu thil thleng mai mai a ni.

Chhan dang vangin thisen test i nei niin han ngaihtuah teh. Tichuan i doctor chuan i thisena bilirubin level chu a pangngai aia a sang deuh tih a hmu a. Tichuan Gilbert-a syndrome i nei tih a ringhlel mai thei.

Tichuan, thin natna hlauhawm dang a awm loh nan doctor chuan test eng emaw zat a ti thei a, chungte chu:

• Liver Function Tests (LFT): Hei hi thisen test hman tlanglawn tak a ni.
• Liver Ultrasound: Liver lama harsatna dang awm leh awm loh enfiah nan.
• Gene Tests: UGT1A1 gene mutation i neih leh neih loh finfiah rawh.
• Liver Biopsy: Hei hi tih a tlem hle.

Enkawlna leh keimahni ngeiin kan tih theihte

Thu lawmawm tak chu Gilbert’s syndrome vei tam zawk chuan enkawlna engmah an mamawh lo , i mit a sen chuan hun rei tak chhung harsatna a thlen lo vang.

Chuvangin kan tih tur chu a hmaa ka sawi tawh, bilirubin level tisangtu thilte atanga a hla thei ang bera awm hi a ni.

• Chaw ei hi skip suh, a bik takin chaw nghei lai hian.
• Tui leh tui tam tak in thin ang che. I taksa chu tui tlakchham tir suh.
• Stress hi enkawl rawh. Ngaihtuahna, music ngaihthlak, emaw, i hobby nuam tak tih ang chi thil hahdam tak ti rawh.
• Mut tha rawh. Ni khatah darkar 7-8 tal mut thin ang che.
• Zu in khap emaw, bansan emaw .
• Exercise hahthlak lutuk hi pumpelh rawh. Exercise tlem lutuk hi a tha a, mahse i theihna chin piah lamah in nawr luih suh.

Damdawi ei huna i hriat tur chu!

Hei hi a pawimawh hle. Gilbert’s syndrome i neih chuan damdawi thar i ei hmain hei hi i hriat hmasak a ngai a ni.

Kan thin a bilirubin tifai tu enzyme tho hian taksa atanga damdawi thenkhat a tichhia a, a paih chhuak bawk. Chuvangin, Gilbert’s syndrome i neih avangin chu enzyme hnathawh chu a tlahniam deuh a ni. Chuvangin, chutiang damdawi i ei chuan taksaah a tam lutukin a pungkhawm thin.Side effect a awm theihna a sang hle.

Entirnan, heng damdawi te hi han en teh:

• Acetaminophen - (Panadol, Paracetamol te a awm) a ni.
• Irinotecan - cancer enkawlna atana hman thin damdawi a ni
• HIV leh hepatitis C damdawi thenkhat (Protease inhibitors) .