Tiyeni tiphunzire zambiri zokhudza matenda a cirrhosis: mdani wosalankhula wa chiwindi!

Timalankhula za ziwalo zambiri m'thupi lathu, sichoncho? Mtima , impso... Koma kodi timaganizira kwambiri za chiwindi ? Chiwindi chili ngati fakitale yayikulu m'thupi lathu. Chimagwira ntchito yake mwakachetechete. Koma chiwindi ichi chikayamba kuwonongeka, matenda otchedwa cirrhosis amakhala oopsa kwambiri. Ichi si chinthu chomwe chimayamba mwadzidzidzi, koma chinthu chomwe chimayamba pang'onopang'ono pakapita zaka zambiri. Lero, tikambirana izi mosavuta, m'njira yomwe mungamvetse.

Kodi matenda a cirrhosis ndi chiyani kwenikweni?

Mwachidule, matenda a cirrhosis ndi pamene maselo a chiwindi abwino amalowedwa m'malo ndi minofu ya zipsera. Taganizirani motere, monga momwe chipsera chimapangikira tikavulala pakhungu lathu, pamene chiwindi chimawonongeka nthawi zonse, chimayesa kudzichiritsa chokha. Minofu ya zipsera iyi imapangika panthawiyi. Pamene zipsera izi zikuchulukirachulukira, chiwindi sichingathenso kuchita ntchito zake zachizolowezi, monga kusefa poizoni m'magazi, kupanga ma enzyme omwe amathandiza kugaya chakudya, ndikusunga mphamvu.

Chiwindi chimagwira ntchito m'thupi lathu. Sitingathe kukhala popanda icho. Chifukwa chake, ndikofunikira kwambiri kudziwa za vutoli.

Kodi zizindikiro za cirrhosis ndi ziti?

Vuto lalikulu apa ndilakuti palibe zizindikiro kumayambiriro . Nthawi zina simungazindikire chilichonse mpaka pafupifupi 75% ya chiwindi chawonongeka. Koma matendawa akakula pang'ono, mungayambe kuwona kusintha kwina.

Kodi zifukwa zazikulu za cirrhosis ndi ziti?

Matenda a cirrhosis nthawi zonse amayamba chifukwa cha matenda ena kapena vuto lina lomwe limakhudza chiwindi. Pali zifukwa zingapo zazikulu zomwe zimayambitsa.

• Kumwa mowa mopitirira muyeso: Ichi ndi chifukwa chofala kwambiri. Kumwa mowa mopitirira muyeso kwa nthawi yayitali kungawononge chiwindi kwambiri.
• Matenda a chiwindi odzaza ndi mafuta m'thupi (MASLD): Izi kale zinkatchedwa matenda a chiwindi odzaza ndi mafuta osamwa mowa. Matenda monga matenda a shuga, kunenepa kwambiri, cholesterol yambiri, ndi kuthamanga kwa magazi zingayambitse mafuta kudziunjikira m'chiwindi, zomwe pamapeto pake zingayambitse matenda a chiwindi. Matendawa tsopano ndi ofala kwambiri ku Sri Lanka.
• Matenda a chiwindi cha mtundu wa B ndi C (Hepatitis B ndi C):Matenda awiriwa a mavairasi angayambitse kutupa kosatha kwa chiwindi ndikuyambitsa matenda a cirrhosis.
• Zifukwa zina:
• Matenda ena a majini (monga matenda a Wilson, hemochromatosis).
• Matenda omwe amakhudza chiwindi chifukwa cha mavuto a chitetezo chamthupi (Autoimmune hepatitis).
• Kuyankha kwambiri mankhwala ena.
• Kutsekeka kwa njira zotulutsira ndulu.

Kodi dokotala amazindikira bwanji izi?

Mukapita kukaonana ndi dokotala wanu, adzakufunsani za zizindikiro zanu, kumwa mowa, ndi mbiri ya matenda a m'banja lanu. Kenako adzafufuza thupi lanu, makamaka mimba yanu.

Kuphatikiza apo, mayeso otsatirawa akhoza kuchitidwa:

• Mayeso a magazi: Kuyang'ana momwe chiwindi chikugwira ntchito, kuchuluka kwa ma enzyme a chiwindi, kuchuluka kwa bilirubin, ndi zina zotero.
• Mayeso ojambulira: Kujambula kwa ultrasound kapena MRI kungayang'ane momwe chiwindi chilili, kukula kwake, komanso ngati pali minofu ya chilonda.
• Kufufuza Chiwindi: Nthawi zina, kuti atsimikizire matenda ndi kudziwa kuchuluka kwa kuwonongeka, chidutswa chaching'ono kwambiri cha minofu ya chiwindi chimatengedwa pogwiritsa ntchito singano yaying'ono ndikuwunikidwa.

Kodi imachiritsidwa bwanji?

Mwatsoka, kuwonongeka kwa chiwindi komwe kumachitika chifukwa cha matenda a cirrhosis sikungathe kuthetsedwa kotheratu. Komabe, pali njira zochizira matenda ena ndikuwongolera mavuto ena. Chithandizo chimadalira chomwe chimayambitsa matenda a cirrhosis ndi kuopsa kwa matendawa.

Zolinga zazikulu za chithandizo

1. Kuchiza chifukwa:

• Ngati ndi chifukwa cha mowa: Muyenera kusiya kumwa mowa kotheratu . Pachifukwa ichi, dokotala wanu adzakutumizirani ku chithandizo choyenera cha uphungu kapena pulogalamu ya chithandizo.
• Ngati ndi chifukwa cha matenda a chiwindi: Mankhwala oletsa mavairasi amaperekedwa kuti achepetse kachilomboka.
• Ngati mafuta achuluka , kuchepetsa thupi, kuchita masewera olimbitsa thupi, kuwongolera zakudya, komanso kuwongolera matenda a shuga ndi cholesterol ndikofunikira.

2. Chithandizo cha mavuto:

• Kwa ascites: Zakudya zopatsa mphamvu komanso zakudya zopanda mchere wambiri zimalimbikitsidwa.
• Mitsempha ya Varicose: Chithandizo chimaphatikizapo mankhwala kapena bandeji kudzera mu endoscopy kuti mupewe kutuluka magazi.
• Encephalopathy: Mankhwala amaperekedwa kuti achepetse poizoni m'magazi.

3. Kusamutsa Chiwindi:

Ngati chiwindi chalephera kugwira ntchito (kulephera kugwira ntchito kwa chiwindi), njira yomaliza ndiyo kuyika chiwindi chathanzi. Ngakhale kuti iyi ndi opaleshoni yaikulu, ingakhale njira yabwino kwambiri yopulumutsira moyo wanu.

Kodi mungadzisamalire bwanji?

Pamodzi ndi chithandizo, kusintha kwa moyo wanu ndikofunikira kwambiri.

• Siyani kumwa mowa kotheratu: Musamwe ngakhale dontho limodzi.
• Idyani zakudya zabwino: Chepetsani mchere, mafuta, ndi shuga. Idyani zakudya zokhala ndi mapuloteni ambiri monga ndiwo zamasamba, zipatso, nyemba, nyama yopanda mafuta ambiri, ndi nsomba. Pewani zakudya monga nkhono zosaphika.
• Kuchita Masewera Olimbitsa Thupi: Lankhulani ndi dokotala wanu ndipo pangani dongosolo lochita masewera olimbitsa thupi lomwe likuyenererani.
• Samalani ndi mankhwala: Musamwe mankhwala ochepetsa ululu (monga Panadol, Aspirin, Ibuprofen) kapena mankhwala ena aliwonse, ngakhale mankhwala ochokera ku zitsamba, popanda kufunsa dokotala wanu. Izi zingakhale zovuta kuti chiwindi chizigwira ntchito ndipo zingawonjezere vutoli.
• Katemerani: Popeza chitetezo chanu cha mthupi chikhoza kufooka, katemerani matenda a chiwindi A, B, chibayo, ndi chimfine.