Kodi muli mafuta m'chiwindi chanu? Tiyeni tidziwe bwino za matenda a chiwindi otchedwa Steatotic/Fatty Liver Disease.

Kodi mudamvapo za 'Fatty Liver'? Mwina zinali pa lipoti lanu la scan ndipo munachita mantha. Anthu ambiri amaganiza kuti uwu ndi matenda oopsa kwambiri. Koma kodi kuchulukana kwa mafuta m'chiwindi ndi chiyani kwenikweni? Kodi ndi chinthu choopa? Tiyeni tikambirane zonsezi kuyambira pachiyambi, mwachidule.

Kodi Matenda a Chiwindi a Steatotic ndi Chiyani?

Mwachidule, uku ndi kuchulukana kwa mafuta, kapena mafuta, mkati mwa chiwindi chanu. Madokotala amatcha izi 'steatosis'. Ngakhale chiwindi chathanzi komanso chogwira ntchito bwino chimakhala ndi mafuta ochepa. Zimenezo ndi zachilendo. Koma ngati kuchulukana kwa mafuta kumeneku kupitirira 5% ya kulemera kwa chiwindi, ndi pomwe vuto limayambira.

Taganizirani ngati chitoliro chomwe chili mu sinki yathu yakukhitchini. Palibe vuto ngati madzi pang'ono alowa. Koma ngati mafuta asonkhana ndikukhala mu chitolirocho, vuto ndi limenelo, sichoncho? Umu ndi momwe mafuta ochulukirapo amasonkhana mu chiwindi.

N’chifukwa chiyani dzina lakuti ‘Matenda a Chiwindi Chonenepa’ linasinthidwa kukhala ‘Matenda a Chiwindi Chonenepa’?

Kale, tonse tinkatcha vutoli kuti 'Fatty Liver'. Koma mu 2023, akatswiri azachipatala adagwirizana ndipo adaganiza zosintha dzinali. Panali zifukwa ziwiri zazikulu zomwe zidapangitsa zimenezo.

1. Fotokozani chomwe chimayambitsa: Anthu akamva mawu oti 'Chiwindi Chonenepa', anthu ambiri amaganiza kuti izi zimachitika kwa anthu onenepa kwambiri okha. Koma si zoona. Mafuta amathanso kusonkhana m'chiwindi pazifukwa zina zambiri zomwe sizikugwirizana ndi kulemera kwa thupi. Dzina latsopanoli limapereka lingaliro lolondola la zinthu zosiyanasiyana zomwe zingayambitse izi.

2. Chotsani manyazi ndi manyazi: Mawu oti 'Anthu Onenepa' akhoza kukhala manyazi ndi manyazi pang'ono kwa anthu onenepa. Ndi bwino kusagwiritsa ntchito mawu omwe amapangitsa munthu kumva choncho akamalankhula za matenda, sichoncho? Ndicho chifukwa chake dzinalo linasinthidwa.

Kodi mitundu ikuluikulu ya chiwindi chonenepa ndi iti?

Madokotala amagawa chiwindi chamafuta m'magulu akuluakulu angapo kutengera chomwe chimayambitsa. Tiyeni tiwone zomwe zili. Kuti izi zikhale zosavuta kumvetsetsa, ndikupangirani tebulo laling'ono.

Kodi ili ndi vuto lalikuludi?

Nthawi zambiri, matenda a chiwindi onenepa msanga samayambitsa mavuto akulu, komanso sasokoneza magwiridwe antchito a chiwindi.

Ngati vutoli silichiritsidwa, pang'onopang'ono limatha kukhala lalikulu kwambiri mwa anthu ena. Limachitika m'magawo angapo:

1. Chiwindi cha chiwindi: Chiwindi, chomwe chimadzaza ndi mafuta, chimatupa, chimafiira, komanso chimatupa. Izi zimatchedwa `Steatohepatitis`. Umu ndi momwe MASLD imakhalira MASH.

2. Fibrosis: Kutupa kumawononga minofu ya chiwindi. Minofu imayamba kupangika m'malo owonongeka. Monga momwe chilonda chimapangikira khungu lathu likavulala. Chilondachi chimapangitsa chiwindi kukhala cholimba komanso cholimba pang'ono.

3. Matenda a Cirrhosis: Minofu ya chilonda ichi imapitirira kukula, ndikulowa m'malo mwa minofu ya chiwindi yathanzi ndi minofu ya chilonda. Uwu ndi matenda oopsa otchedwa cirrhosis. Ngati cirrhosis sichitha kuchiritsidwa, ingayambitse kulephera kwa chiwindi komanso matenda oopsa monga khansa ya chiwindi.

Ndicho chifukwa chake ndikofunikira kwambiri kuzindikira vutoli pachiyambi, kudziwa chomwe chimayambitsa, ndikupeza chithandizo chofunikira.

Kodi zizindikiro za matendawa ndi ziti?

Vuto lalikulu ndi izi ndilakuti nthawi zambiri siziwonetsa zizindikiro zilizonse kumayambiriro . Simungamve kusiyana kulikonse. Koma anthu ena angakumane ndi zizindikiro monga izi:

• Kumva kusasangalala kapena kulemera m'mimba pamwamba pa kumanja.
• Kutopa ndi kutopa kwambiri komanso kutopa komwe kumachitika popanda chifukwa.

Ndi pokhapokha ngati matendawa afika pamlingo wa cirrhosis pomwe zizindikiro zomveka bwino zimayamba kuonekera. Pa nthawi yotere, mutha kuwona zinthu monga:

• Kusanza ndi kusanza.
• Chakudyacho sichikoma.
• Kuchepetsa thupi popanda chifukwa.
• Kuoneka kwachikasu kwa maso ndi khungu (jaundice).
• Kutupa m'mimba, kusunga madzi m'thupi (Ascites).
• Kutupa kwa miyendo, akakolo ndi manja (Edema).

Kodi zifukwa zazikulu ndi zoopsa za chiwindi chamafuta ndi ziti?

Pali zifukwa zingapo zomwe zingayambitse izi. Koma zazikulu ndi zinthu zomwe zimayambitsa matenda a kagayidwe kachakudya zomwe takambirana kale komanso kumwa mowa. Muli ndi mwayi waukulu wopeza vutoli ngati muli ndi chimodzi kapena zingapo mwa izi:

• Kuledzera mowa kapena kumwa mowa kwambiri pafupipafupi.
• Matenda a Kagayidwe ka Thupi: Uku ndi kuphatikiza kwa zinthu zingapo zomwe zimayambitsa matenda. Izi ndi monga kukana insulin, kuthamanga kwa magazi, cholesterol yambiri ndi triglycerides.
• Matenda a Shuga a Mtundu Wachiwiri .
• Kunenepa kwambiri (BMI pakati pa 25 ndi 29.9) kapena kunenepa kwambiri (BMI yoposa 30).
• Kwa akaziMatenda a ovary a Polycystic (PCOS).
• Kulephera Kugona Bwino .
• Kuchepa kwa mahomoni a chithokomiro (Hypothyroidism) .
• Hypopituitarism (kuchepa kwa mahomoni a pituitary) .
• Kuchepa kwa mahomoni ogonana (Hypogonadism) .
• Zitha kuchitikanso ngati zotsatira zoyipa za mankhwala ena (monga Amiodarone, Diltiazem, Tamoxifen, ndi Steroids).

Kodi mungazindikire bwanji izi?

Nthawi zambiri, izi zimapezeka mwangozi. Mukayesedwa magazi chifukwa cha vuto lina, dokotala wanu angazindikire kuti ma enzymes a chiwindi chanu ali pamwamba. Ndicho chizindikiro choyamba.

Pambuyo pake, mutha kuyesedwa ngati awa kuti mutsimikizire matendawa:

• Mbiri yanu yachipatala ndi kuyezedwa kwanu: Dokotala wanu adzakufunsani za matenda anu, kumwa mowa, ndi mankhwala omwe mumamwa. Iyenso adzakuyesani thupi kuti aone ngati pali zizindikiro za kutupa kwa chiwindi ndi matenda a chiwindi.
• Kujambula: Ultrasound, CT Scan kapena MRI zingagwiritsidwe ntchito pofufuza ngati pali mafuta ambiri, kutupa ndi zipsera m'chiwindi. Kujambula kwapadera kwa ultrasound kotchedwa FibroScan kungathenso kuyeza kuchuluka kwa mafuta ndi kuuma (zipsera) m'chiwindi.
• Kufufuza Chiwindi: Nthawi zina, chidutswa chaching'ono kwambiri cha minofu ya chiwindi chimatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti adziwe kuopsa kwa matendawa. Iyi ndiyo njira yabwino kwambiri yosiyanitsira molondola pakati pa MASLD ndi MASH.

Kodi chimachiritsidwa bwanji? Kodi ichi chingachiritsidwe?

Palibe mankhwala enieni a izi pakadali pano. Koma musadandaule. Monga chithandizo, madokotala amayang'ana kwambiri pakuwongolera zoopsa zomwe zimayambitsa izi. Izi zikutanthauza kusintha moyo wathu moyenera.

Dokotala wanu angakulangizeni kuchita zinthu monga:

• Siyani kumwa mowa kotheratu: Ngakhale mafuta omwe ali m'chiwindi mwanu sakuyambitsidwa ndi mowa, kusiya kumwa mowa kotheratu ndikwabwino kwambiri pa chiwindi chanu.
• Kuchepetsa thupi: Kuchita masewera olimbitsa thupi, kusintha zakudya monga momwe katswiri wa zakudya amalangizira, ndi mankhwala ena (monga GLP-1RA) zingakuthandizeni kuchepetsa thupi. Mungaganizirenso opaleshoni ya bariatric.
• Sinthani matenda ena: Imwani mankhwala anu a matenda monga matenda a shuga, cholesterol yambiri, ndi kuthamanga kwa magazi monga momwe mwalangizidwira. Nthawi zina, zakudya zowonjezera monga vitamini E zingakulimbikitseninso.
• Pezani katemera wa chiwindi cha chiwindi A ndi B:Matenda a kachilomboka akhoza kukhala oopsa kwambiri kwa munthu amene kale ali ndi vuto la chiwindi. Choncho kulandira katemerayu ndi njira yodzitetezera.

Kodi mungadziteteze bwanji ku vutoli?

Njira yabwino yopewera vutoli ndikukhala ndi moyo wathanzi.

• Kuchita masewera olimbitsa thupi nthawi zonse: Ndi bwino kuchita masewera olimbitsa thupi opangitsa thukuta kwa mphindi zosachepera 30 patsiku.
• Chepetsani kapena siyani kumwa mowa kwathunthu .
• Khalani ndi kulemera koyenera malinga ndi kutalika kwanu.
• Idyani zakudya zoyenera: Idyani ndiwo zamasamba, zipatso, nyemba, mtedza, ndi tirigu wonse. Chepetsani mafuta, shuga, ufa, chakudya chofulumira, ndi nyama yofiira (ng'ombe, nkhumba). Imwani madzi oyera m'malo mwa zakumwa zotsekemera.
• Ngati muli ndi matenda monga matenda a shuga kapena kuthamanga kwa magazi, gwiritsani ntchito mankhwala omwe mwapatsidwa .

Ndi bwino kulankhula ndi dokotala wanu kuti akupatseni upangiri pa moyo wathanzi womwe ungakuyenerereni.