Kodi mumamwa mowa wambiri? Tiyeni tiphunzire zomwe zimachitika ku chiwindi! (Matenda a Chiwindi Okhudzana ndi Mowa)

Kodi mukudziwa kuti mowa womwe timamwa chifukwa chosangalala, kusangalala, komanso nthawi zina chifukwa cha chizolowezi ungawononge pang'onopang'ono chiwalo chofunikira kwambiri m'thupi lathu? Inde, ndikunena za chiwindi. Anthu ena amaganiza kuti kumwa pang'ono sikuvulaza chilichonse, koma kodi ndi zoonadi? Tiyeni tiwone zomwe zimachitika ku chiwindi chifukwa cha mowawu.

Kodi Matenda a Chiwindi Okhudzana ndi Mowa ndi Chiyani?

Mwachidule, mukapitiriza kumwa mowa wambiri, mafuta amayamba kusonkhana m'chiwindi chanu ndikuchiwononga, chomwe timachitcha kuti 'Matenda a Chiwindi Okhudzana ndi Mowa' . Uwu kwenikweni ndi mtundu wa matenda a chiwindi otchedwa 'matenda a chiwindi a steatotic'. Kale, madokotala ankatchanso vutoli kuti 'matenda a chiwindi a mowa'.

Chomwe chimachitika n'chakuti mukamwa mowa wochuluka kuposa momwe chiwindi chanu chingagwiritsire ntchito, mafuta ochulukirapo amasonkhana m'maselo a chiwindi chanu. Taganizirani ngati fakitale yodzaza ndi mafuta. Matendawa amatchedwa `steatosis` , komwe ndi kuchuluka kwa mafuta m'chiwindi.

Pali magawo atatu a matendawa...

Kuwonongeka kwa chiwindi komwe kumachitika chifukwa cha mowa sikukula kwambiri nthawi imodzi. Pali magawo atatu akuluakulu omwe angadziwike:

1. Matenda a chiwindi otchedwa steatotic omwe amabwera chifukwa cha mowa: Iyi ndi gawo loyamba. Chomwe chimachitika apa ndi chakuti mukapitiriza kumwa mowa wambiri, chiwindi chimasonkhanitsa mafuta ambiri kuposa momwe chimatha kupirira. Nthawi zambiri, palibe zizindikiro zazikulu zomwe zimawonekera pagawoli.

2. Kuchuluka kwa mafuta m'chiwindi komwe kumakhudzana ndi mowa: Kuchulukana kwa mafuta kumeneku kumayambitsa kutupa, kapena kutupa, m'chiwindi. Izi ndi zoopsa pang'ono. Kutupa kumeneku kungayambitse kuwonongeka kwakukulu kwa chiwindi ndipo pambuyo pake kungayambitse matenda oopsa otchedwa cirrhosis .

3. Matenda a chiwindi obwera chifukwa cha mowa: Iyi ndi nthawi yoopsa kwambiri. Apa ndi pomwe maselo a chiwindi amafa ndipo amalowedwa m'malo ndi minofu ya zipsera. Zipsera izi zimapangitsa kuti chiwindi chitaye mphamvu zake zonse zogwirira ntchito. Izi ndi kuwonongeka kosatha , zomwe zikutanthauza kuti sizingabwezeretsedwe.

Kodi zizindikiro zake ndi ziti? Kodi mumazindikira bwanji?

Mwatsoka, anthu ambiri omwe ali ndi matendawa sasonyeza zizindikiro zilizonse kumayambiriro. Nthawi zina chinthu choyamba chomwe mumazindikira ndikumva kutopa nthawi zonse . Koma matendawa akamakula, mungazindikire zizindikiro monga:

• Malungo
• Kuchulukana kwa madzi m'mimba (madokotala amatcha izi kuti 'ascites ') kapena kutupa kwa miyendo (kotchedwa 'edema ')
• Chilakolako cha chakudya
• Kusanza, mwina kusanza magazi
• Kuoneka kwachikasu kwa maso ndi khungu (izi zimatchedwa jaundice )
• Kuchepetsa thupi

Ngati muli ndi zizindikiro izi, makamaka ngati ndinu chidakwa, muyenera kuonana ndi dokotala, chifukwa vutoli likhoza kukhala loopsa ngati silinyalanyazidwa.

N’chifukwa chiyani matendawa amapezeka? Kodi chifukwa chachikulu n’chiyani?

Chifukwa chachikulu komanso chokhacho cha izi ndi kumwa mowa kwambiri kwa nthawi yayitali . Matendawa nthawi zambiri amakula mwa anthu omwe akhala akumwa mowa kwambiri kwa zaka zisanu mpaka khumi.

Tsopano mwina mukudabwa kuti 'kumwa mowa kwambiri' ndi kuchuluka kotani. Zimasiyana pang'ono kutengera jenda:

• Kwa amuna: Kumwa mowa kwambiri kumatanthauzidwa ngati kumwa mowa katatu kapena kuposerapo (nthawi zambiri mowa wopepuka) patsiku, kapena kumwa mowa 21 kapena kuposerapo pa sabata. Pa zakumwa zoledzeretsa monga vinyo, whiskey, kapena mowa, kuchuluka kwa zakumwa kumakhala kochepa kwambiri.
• Kwa akazi: Kumwa mowa wambiri kapena kuposerapo kawiri patsiku, kapena kumwa mowa 14 kapena kuposerapo pa sabata, kumaonedwa kuti ndi kumwa mowa kwambiri.

Kafukufuku wasonyeza kuti 90% ya anthu omwe amamwa mowa kwambiri amadwala matenda a chiwindi onenepa (steatosis). Mafuta amenewa ndi oopsa ku chiwindi. Angayambitse kutupa, matenda a chiwindi, komanso khansa ya chiwindi. Komabe, si aliyense amene amadwala matendawa kwambiri.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Vuto lalikulu ndi kukhala ndi vuto lotchedwa Alcohol Use Disorder (AUD) . Kutanthauza kuti, kumwa mowa mopitirira muyeso kwa zaka zosachepera zisanu motsatizana. `AUD` ndi vuto lomwe simungathe kuwongolera kumwa kwanu, mukufuna kumwa mowa nthawi zonse, ndipo mumavutika kusiya.

Kuphatikiza apo, matenda a chiwindi awa angayambitsidwenso ndi kumwa mowa wambiri nthawi imodzi (`Kumwa mowa wambiri` - kutanthauza kumwa mowa wambiri nthawi yochepa). Ngati muli kale ndi matenda ena a chiwindi (monga hepatitis B kapena C), kuwonongeka kwa chiwindi chanu chifukwa cha mowa kumakhala kwakukulu.

Kodi ndi mavuto otani oopsa omwe angabwere chifukwa cha matendawa?

Ngati matenda a chiwindi omwe amayamba chifukwa cha mowa afika poipa kwambiri, angayambitse mavuto omwe angaike moyo pachiswe. Nazi zitsanzo zingapo:

• Kutuluka magazi m'mitsempha yamagazi ndi kutuluka magazi m'mimba ( Kutuluka magazi m'mimba kapena kutuluka magazi m'mimba ), mwachitsanzo, kusanza magazi.
• Kuwonongeka kwa chiwindi ku ubongo ( Hepatic encephalopathy ). Izi zingayambitse kugona kwambiri masana, kusokonezeka, komanso ngakhale kukomoka.
• Khansa ya chiwindi ( Hepatocellular carcinoma ).
• Kulephera kwa impso ( hepatorenal syndrome ).
• Kulephera kupuma (`Hepatopulmonary syndrome` (matenda a hepatopulmonary).
• Matenda a bakiteriya m'mimba ( Spontaneous bacterial peritonitis) .

Izi ndi zoopsa kwambiri, choncho ndikofunikira kwambiri kusamala ndi mowa.

Kodi madokotala amazindikira bwanji matendawa?

Mukapita kukaonana ndi dokotala, adzakuyesani kaye mwakuthupi. Adzakufunsani za mbiri yanu ya thanzi. Chofunika kwambiri ndikufunsani kuchuluka kwa mowa womwe mumamwa. Mungamve kusamasuka kuyankha funsoli. Mwina simungayankhe bwino za momwe mumamwa mowa. Komabe, mfundo zenizeni zomwe mungapereke zithandiza dokotalayo kupeza matenda olondola. Chonde nenani zoona. Dokotalayo sakukuweruzani, ali pano kuti akuthandizeni.

Komanso, dokotala akhoza kuchita mayeso monga:

• Kuchuluka kwa magazi (CBC ): Kuyeza magazi m'thupi (kuchepa kwa magazi) kapena kuchuluka kwa ma platelet m'magazi.
• Mayeso a `CT scan` , `MRI test` kapena `Ultrasound` : Izi zitha kuwona momwe chiwindi chilili, ngati mafuta achuluka, kapena ngati pali zizindikiro za `cirrhosis`.
• Mayeso a ntchito ya chiwindi : Izi zingathandize kudziwa ngati chiwindi chawonongeka.
• Mayeso a alcohol biomarker: Izi zimatha kuzindikira kupezeka kwa mowa m'magazi kapena mkodzo wanu. Mayeso ena a alcohol biomarker amatha kuzindikira kumwa mowa kwambiri ngakhale miyezi ingapo mutamwa mowa.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo chachikulu komanso chothandiza kwambiri cha matenda a chiwindi omwe amabwera chifukwa cha mowa kapena matenda a chiwindi omwe amabwera chifukwa cha mowa ndi kusiya kumwa mowa. Izi zingathandize kubwezeretsa kuwonongeka kwa chiwindi.

Tikudziwa kuti izi n'zosavuta kunena, koma n'zovuta kuchita. Matenda a chiwindi amenewa nthawi zambiri amapezeka mwa anthu omwe ali ndi vuto la kugwiritsa ntchito mowa (`Alcohol Use Disorder - AUD`). Ngati muli ndi `AUD`, dokotala wanu angakulangizeni njira izi:

• Chithandizo cha khalidwe: Mu izi, mutha kugwira ntchito ndi alangizi a zizolowezi kapena akatswiri a zamaganizo. Adzakuthandizani kusintha khalidwe lanu la kumwa mowa. Izi zimathandizidwa kudzera m'njira zosiyanasiyana zochiritsira.
• Mankhwala: Pali mankhwala omwe amachepetsa chilakolako chomwa mowa komanso amachepetsa zizindikiro zosiya kumwa mowa.

Matenda a chiwindi omwe amabwera chifukwa cha mowaChithandizo cha vutoli chimasiyana malinga ndi thanzi lanu. Mwachitsanzo, mankhwala okhawo a cirrhosis ndi kusamutsidwa kwa chiwindi . Komabe, si aliyense amene akufuna chiwindi chathanzi amene angapeze. Pali zinthu zina zomwe ziyenera kutsatiridwa. Ngati muli ndi cirrhosis, funsani dokotala wanu ngati kusamutsidwa kwa chiwindi ndi koyenera kwa inu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti mukumwa mowa wambiri nthawi zonse kapena mukuvutika kuwongolera kumwa kwanu, ndikofunikira kulankhula ndi dokotala. Madokotala amadziwa kuti kugawana zambiri zanu, monga kumwa mowa, sikophweka nthawi zonse. Adzakambirana za mavuto anu ndikuyesa thanzi lanu popanda kukuweruzani.

Mungathe kufunsa dokotala mafunso monga awa:

• Kodi ndingathe kusintha vutoli?
• Kodi vuto langa lidzaipiraipira?
• Kodi pali mankhwala aliwonse omwe sindiyenera kumwa chifukwa chiwindi changa chawonongeka ndi mowa? (Zinthu zina monga mankhwala ochepetsa ululu zimatha kuvulaza chiwindi.)

Ngati ndili ndi matendawa, ndiyenera kuyembekezera chiyani?

Mkhalidwe wa aliyense ndi wosiyana. Matenda a chiwindi omwe amayambitsidwa ndi mowa amatha kuchiritsidwa kwathunthu patatha milungu isanu ndi umodzi mutasiya kumwa mowa. Izi zikutanthauza kuti chiwindi chanu chikhoza kukhalanso ndi thanzi labwino.

Koma ngati muli ndi matenda a chiwindi (cirrhosis), zinthu zimakhala zosiyana. Ngati musiya kumwa mowa, mutha kupewa matendawa kuti asakule kwambiri ndikutalikitsa moyo wanu. Koma kuwonongeka kosatha kwa chiwindi sikungathetsedwe. Mankhwala okha ndi kuikidwa chiwindi.

Kodi munthu amene ali ndi matendawa amakhala ndi moyo wautali bwanji?

Munthu amene ali ndi matenda ofooka akhoza kukhala ndi moyo wabwinobwino ngati atasiya kumwa mowa, monga momwe amachitira munthu amene alibe matendawa. Koma zimenezi zimadalira kwambiri munthu amene wasiya kumwa mowa.

Munthu amene ali ndi matenda a chiwindi amatha kukhala ndi moyo wautali kwambiri. Avereji ya nthawi yomwe munthu amadwala matenda a chiwindi amatha kukhala ndi moyo wautali kwambiri akapezeka ndi matendawa ndi zaka ziwiri mpaka khumi ndi zisanu, koma izi zimadalira zinthu zambiri, kuphatikizapo kuopsa kwa matendawa, mavuto ake, komanso kusiya kumwa mowa. Ngati muli ndi matenda a chiwindi amtunduwu, dokotala wanu ndiye amene angakupatseni chidziwitso chabwino kwambiri. Iye adzadziwa mtundu wa matenda a chiwindi omwe muli nawo komanso momwe amakukhudzirani.

Pomaliza, ndiyenera kunena izi ...

Zingakhale zovuta kuvomereza kuti mumamwa mowa wambiri nthawi zonse. Zingakhale zovuta kwambiri kuuza dokotala kuchuluka kwa mowa womwe mumamwa komanso kangati. Koma kugawana zomwe mwadziwa n'kofunika. Ndicho chomwe chimathandiza dokotala wanu kuzindikira molondola kuwonongeka kwa mowa komwe kwachitika pachiwindi chanu.

Ngati mutazindikira matendawa msanga ndikusiya kumwa mowa, mutha kupewa matendawa kuti asakule kwambiri.N'zotheka kusintha kuwonongeka kwa chiwindi komwe kumachitika chifukwa cha mowa.

Madokotala amadziwa kuti kusiya kumwa mowa sikophweka. Alipo kuti akuthandizeni, osati kukuweruzani. Gawo loyamba kuti muchiritse ndikulankhula momveka bwino za kumwa kwanu mowa. Choncho, musachite mantha kapena kuchita manyazi kulankhula ndi dokotala za vutoli. Chiwindi chanu chidzakuthokozani! Kumbukirani, kupempha thandizo ndi chizindikiro cha mphamvu, osati kufooka.

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