Mf©ve¯'vq RwÛm I Avcbvi Kibxq

wjfvi dvD‡Ûkb Ae evsjv‡`k / Bbdi‡gkb mvwf©m / Ryb 2008

Mf©ve¯’vq RwÛm I Avcbvi Kibxq RwÛm wK ? i‡³ wewji“we‡bi gvÎv †e‡o wM‡q †PvL, cÖmªve Ges Mv‡qi is njy` n‡j, Zv‡K RwÛm e‡j|

Mf©ve¯’vq RwÛm wK ? Mf©eZx gv‡q‡`i RwÛm n‡j Zv‡K Mf©ve¯’vq RwÛm e‡j| GKRb Mf©eZx gv wewfbœ Kvi‡b RwÛ‡m Avµvš— n‡Z cv‡ib, hv Zvi wb‡Ri kvixwiK ¶wZ Ges ev”Pvi ¶wZi Kvib n‡q `uvov‡Z cv‡i|

Mf©ve¯’vq RwÛ‡mi Kvib mg~n kZKiv cÖvq cÂvk fvM †¶‡Î wewfbœ †ncvUvBwUm fvBivm| †hgb - †ncvUvBwUm-G, we, wm, wW, B Ges wR| Gi g‡a¨ Bb‡dKk‡bi Rb¨ Mf©eZx gv‡q‡`i RwÛm n‡q _v‡K| Gi g‡a¨ †ncvUvBwUm-B fvBivm RwbZ Bb‡dKkb me‡P‡q gvivZ¥K| hv Mf©avi‡bi ‡k‡li 3 gv‡m n‡j, nVvr K‡i wjfv‡ii Kvh©KvwiZv eÜ n‡q †h‡Z cv‡i (Acute Fulminant Hepatic failure)| Aci ¸i“Z¡ fvBivm n‡jv, †ncvUvBwUm-we fvBivm| GB fvBivm gv‡qi †_‡K beRvZ‡Ki g‡a¨ msµwgZ nq| †h mg¯— gv‡q‡`i HBeAg c‡RwUf i‡q‡Q ev kix‡i †ncvUvBwUm-we fvBivm Av‡Q, Gi evn‡K cwibZ kZKiv 90 fv‡Mi †¶‡ÎB Zv‡`i beRvZKiv †ncvUvBwUm-we fvBivm nq|

Mf©ve¯’vq RwÛ‡mi Ab¨vb¨ Kvib mg~n •

B›Uªv‡ncvwUK †Kv‡jm‡Uwmm (Intra Hepatic Cholastasis) ev RwÛm hv kix‡i PzjKvbx m„wó K‡i|

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Mf©ve¯’vq Uw·wgqv (Toxemia of Pregnancy, Preeclampsia & Eclampsia), GwUI Mf©ve¯’vq GKwU gvivZ¥K mgm¨v| GB †iv‡M Mf©eZx gv‡qi wLPzbx, Ávb †jvc cvIqvi gZ Ae¯’v †`Lv w`‡Z cv‡i| hv wjfv‡ii Kvh©KvwiZv wewNœZ K‡i, gv‡qi g„Zz¨I NUv‡Z cv‡i|

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HELLP Synd G‡Z i³ KwbKv AwZwi³ †f‡½, wjfv‡ii GbRvB‡gi cwigvb evwo‡q w`‡Z cv‡i Ges i‡³

†c−BwU‡jU Kwg‡q w`‡q Mf©ve¯’vq GK gvivZ¥K Ae¯’vi m„wó Ki‡Z cv‡i| •

wcËbvjxi I wcË_jxi Bb‡dKkb Ges wcËbvjx‡Z cv_i AvUKv‡bvi d‡j, evavRwbZ RwÛmI n‡Z cv‡i|

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Mf©Kv‡ji c~‡e©i we`¨gvb wjfvi †iv‡Mi e¨cKZv Mf©KvjxY Ae¯’vq †e‡o †h‡Z cv‡i|

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Mf©KvjxY wewfbœ Jl‡ai cvk¦© cÖwZwµqvi Rb¨ wjfvi †ivM I RwÛm n‡Z cv‡i|

wjfvi dvD‡Ûkb Ae evsjv‡`k (Gj Gd we)

170, KjvevMvb, 2q †jb, avbgwÛ Av/G, XvKv - 1205, evsjv‡`k ‡dvb : 06662606260, 01715 254386 , 01556322095 B-‡gBj : [email protected] , I‡qe mvBU : www.liver.org.bd

wjfvi dvD‡Ûkb Ae evsjv‡`k / Bbdi‡gkb mvwf©m / Ryb 2008

Mf©ve¯’vq RwÛm n‡j Kibxq Mf©ve¯’vq RwÛm‡K mwVK fv‡e †gvKvwejv Ki‡Z n‡e| Kvib G‡Z gv I wkï DfqB ¶wZMÖ¯— n‡Z cv‡i| G‡Z cÖvq 10% †_‡K 45% gv‡qi g„Zy¨| Acwic° I Kg IR‡bi wkïi Rb¥ (Premature Low birth wt.Baby) Ges wkïi KviwbK‡Uivm (Kericterus) nq, hv gw¯—‡¯‹ ¯’vqx ¶wZ Ki‡Z cv‡i| ZvB RwÛ‡mi Kvib mwVK fv‡e wbi“cY Ki‡Z n‡e| ev”Pv I gv‡qi Rxeb i¶v‡_© `ª“Z Ges Dchy³ e¨e¯’v wb‡Z n‡e| wjfvi we‡klÁ I ¯¿x †ivM we‡kl‡Ái ZË¡veav‡b _vKv DwPr| ‡h mg¯— Mf©eZx gv †ncvUvBwUm-we fvBiv‡m Avµvš— Ges we‡kl K‡i hviv HBeAg cwRwUf (kix‡i †ncvUvBwUm-we fvBivm Av‡Q) †m mg¯— beRvZK ‡K R‡b¥i ci ciB †ncvUvBwUm-we BwgD‡bv‡M−vweDwjb w`‡Z n‡e (HBIG)| Gi mv‡_ †ncvUvBwUm-we f¨vKwmb Gi cÖ_g †WvR w`‡Z n‡e| cieZ©x‡Z Zv‡K Ab¨vb¨ †WvR w`‡q †Kvm©wU m¤ú~b© Ki‡Z n‡e|

Mf©ve¯’vq RwÛm n‡j wK Ki‡eb bv Svo-dzK, cvwb cov, UzUKv I A‰eÁvwbK wPwKrmv †_‡K weiZ _vK‡Z n‡e| GB mg¯— wPwKrmv †ivMxi ARv‡š— g~j †ivMwU‡K evo‡Z w`‡q A_ev wjfv‡ii gvivZ¥K ¶wZ mvab K‡i, †ivMxi I Zvi beRvZK mš—v‡bi Rxeb wecbœ Ki‡Z cv‡i| mwVK Kvib wbY©q Ki“b Ges mwVK mgq wPwKrm‡Ki civgk© wbb|

wjfvi dvD‡Ûkb Ae evsjv‡`k (Gj Gd we)

170, KjvevMvb, 2q †jb, avbgwÛ Av/G, XvKv - 1205, evsjv‡`k ‡dvb : 06662606260, 01715 254386 , 01556322095 B-‡gBj : [email protected] , I‡qe mvBU : www.liver.org.bd