Monday, October 20, 2014

298.0 Penyakit Hati / Liver

Saya terpanggil untuk memaparkan masalah penyakit hati atau hepatitis kerana baru-baru ini saya menerima berita sedih tentang dua kematian akibat penyakit hati. Pertama, pada 6 Oktober 2014, anak kepada rakan sesekolah saya bernama Faiz Anwar bin Haji Azmi berusia 32 tahun telah kembali ke rahmatullah setelah menjalani perubatan penyakit hati sejak bulan Mac 2014 di Hospital Selayang, KL. Kedua, rakan se pejabat saya, Miswar bin Ahmad juga telah kembali ke rahmatullah pada 16 Oktober 2014 lalu kerana penyakit kanser hati yang dikesan pada bulan Jun lalu di Hospital Selayang juga.  Allah merahmati ruh kedua-dua mereka, Amiin.

A/yarham Faiz Anwar bin Haji Azmi
Ajal maut telah ditetapkan Allah.

Majlis tahlil untuk A/Y Faiz Anwar - berdiri: Haji Azmi, rakan sekolah saya.

A/Yarham Miswar bin Ahmad (berbaju biru), rakan se pejabat.
Orangnya sentiasa senyum dan periang.

Kami, rakan2 se pejabat di Pulau Pinang sempat pergi melawat A/Yarham 
di rumahnya di Gombak, KL pada 23 Sept 2014

16 Okt 2014 - suasana hiba di rumah ibumertuanya
Kita dari Allah dan kepada Allah kita semua dikembalikan.

Kebiasaannya, penyakit ini tidak menunjukkan tanda-tanda awal hinggalah pesakit mencapai tahap serius di mana ianya tidak boleh disembuhkan kecuali ada penderma organ yang bersesuaian.  Kebiasaannya juga doktor memberi tempoh hayat di antara 3 hingga 6 bulan mengikut pengalamannya.  Apapun, Allah berkuasa di atas setiap sesuatu.

Functions of your liver

Your liver is one of the largest and most important organs in your body. It is located in the upper right part of your abdomen and is involved in almost every process happening in your body.
liver functions

Your liver is a hardworking food processor:

It converts the food you eat into energy and produces chemicals your brain and spinal cord need.

It produces bile, a substance that helps you digest your food and absorb the important nutrients.

It controls the production and excretion of cholesterol.

Your liver is a strong defender:

It helps to resist infections by producing immune factors and removing bacteria from the blood.

It controls blood clotting.

Your liver is an effective detox centre:

It filters and neutralises drugs, alcohol, and environmental toxins that enter your body.

Your liver is an efficient storage facility:

It stores vitamins, minerals and sugars, and releases them in the blood when your body needs them.
It regulates fat stores.

For additional information on the liver and what it can do, click on this link.
British Liver Trust

Tips on liver care

Your liver takes care of your overall health, but it also depends on you to take care of it so that it can do its job properly. However, it seldom complains when it is injured…until the damage has reached an advanced stage. So it needs your help every day to keep it healthy.
Eat right.
Eat a balanced diet rich in different types of vegetables, fruits and proteins. Avoid excess fats and carbohydrates as they can cause fat deposits in the liver. Eat smaller meals as they are easier to digest and are less of a burden to the liver.

Mind the alcohol.

Drink moderately or stop altogether. This covers beer, wine, cocktails, champagne and liquor in any other form.
Do not abuse drugs.

Even seemingly harmless medicines can damage the liver. Follow your doctor's prescribed treatment strictly. Do not indulge in recreational drugs.
Avoid environmental pollutants

When using insecticides, mildew sprays or spray paints, make sure the room is well-ventilated, or wear a suitable mask.
Beware of herbal supplements

Be careful what you take. Not everything "natural" is safe. Some herbal remedies are reported to cause liver toxicities.

Observe practices that lessen the risk of infection to the liver.

Wash your hands properly after using the toilet and before eating, practice safe sex and consider vaccination for viral hepatitis.
Stay active.

Exercise regularly to increase muscle mass and reduce body fat. There is good evidence that gradual weight loss coupled with increased exercise will also reduce the fat deposits in the liver.
De-stress regularly.

Make time for hobbies, meditation, tai chi, yoga or whatever that helps you relax and unwind. The less stress on you, the less stress on your liver.

Symptoms Questionnaire

The symptoms of liver disease are often not obvious. Symptoms can be non-specific such as tiredness, a general feeling of being unwell and mild weight loss. As these may also be present for many reasons, liver disease can be overlooked, especially in its early stages.

Below is a list of symptoms associated with liver problems. If you feel you have any number of these symptoms, you may wish to see your doctor. If your symptoms are associated with a liver problem, Essentiale® may be appropriate for you.

Do you have:

[ ] Acne, blemishes hives or itchy skin?

[ ] Discolouration in eyes (particularly yellowish blips)?

[ ] Haemorrhoids or varicose veins?

[ ] Hormonal imbalances (PMS, menstrual or menopausal concerns)

[ ] Heat in upper body such as warm face or hot eyes?

[ ] Light coloured stools?

[ ] Gas, bloating, nausea, especially after eating fatty foods?

[ ] Difficulty digesting fats?

[ ] Tiredness or sleepiness after eating?

[ ] Weak tendons, ligaments or muscles?

[ ] Mild frontal headaches?

[ ] Tendency to loss of appetite or other eating disorder?

[ ] Weight gain, or difficulty controlling your weight?

[ ] Tendency to wake around 1am to 3am?

[ ] Pain under right shoulder blade?

[ ] Outbursts of anger, irritability or rage?

[ ] Depression that isn't necessarily related to life events?

[ ] High bilirubin levels?

[ ] Elevated liver enzymes (SGOT, SGPT)?

* Disclaimer: This questionnaire is not a replacement for a medical check-up and is not intended to diagnose any type of liver disease.


Self Assessment

You may have asked yourself, "What does liver disease have to do with me?" Just because you don't smoke, don't drink alcoholic drinks or don't eat unhygienic seafood doesn't mean that your liver is healthy and normal. There are many factors that affect liver health. A busy lifestyle without enough leisure time to de-stress, lack of sleep and exercise can eventually damage the liver.

Take the liver health check below and find out whether you belong to this high risk group. This assessment can't give you a diagnosis of liver damage, but it can help you evaluate your risk, so you can seek treatment if necessary.

Do you have these problems or illnesses?

[   ] Obesity (Body Mass Index or BMI (mass kg/height m2 ) of 25 or above, especially those with abdominal obesity, i.e men with waist measurement above 35 inches or women with waist measurement above 31 inches)
Yes No
[   ] Diabetes Yes No
[   ] High blood pressure / cholesterol Yes No
[   ] Habitual drinker Yes No
[   ] Overwork, lack of rest (Works more than 10 hours, sleeps less than 6 hours daily) Yes No
[   ] Hepatitis virus carrier Yes No
[   ] Mother/spouse is a hepatitis virus carrier Yes No

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