Chimachitika ndi chiyani chiwindi chikasiya kugwira ntchito? (Kulephera kwa chiwindi)

Tonsefe tikudziwa kuti ziwalo zina m'thupi lathu n'zofunika kwambiri. Chiwindi ndi chimodzimodzi. Chiwindi chimagwira ntchito ngati fakitale yayikulu m'thupi lathu. Chiwalo chaching'onochi chimagwira ntchito zambiri zofunika. Ndiye taganizirani zomwe zingachitike ngati chiwindichi mwadzidzidzi kapena pang'onopang'ono chikasiya kugwira ntchito. Ndicho chimene timachitcha 'Kulephera kwa Chiwindi '. Mwachidule, chiwindi sichingathe kugwira ntchito mokwanira kuti chikwaniritse zosowa za thupi lanu. Uwu ndi vuto lalikulu kwambiri. Tiyeni tidziwe lero.

Kodi kulephera kwa chiwindi n'chiyani?

Kulephera kwa chiwindi sikuchitika mwadzidzidzi. Ndi njira. Nthawi zina zimatha kuchitika mwachangu kwambiri, m'masiku ochepa kapena masabata. Zitha kuchitikanso pang'onopang'ono, kwa miyezi kapena zaka. Pamene chiwindi chanu chikutaya mphamvu yake yogwira ntchito pang'onopang'ono, mudzayamba kuzindikira zizindikiro.

Kulephera Kwambiri kwa Chiwindi

Izi ndi zomwe timatcha `Acute Liver Failure` . Izi zimachitika pamene chiwindi mwadzidzidzi chimawonongeka kwambiri komanso kupsinjika maganizo. Kunena zoona, zimakhala ngati `poizoni`. Nthawi zina, zimathanso kuchitika chifukwa cha matenda oopsa a kachilombo. Pankhaniyi, chiwindi chimayamba kusiya kugwira ntchito mwachangu kwambiri, kotero zizindikiro zimawonekera mwachangu. Ichi ndi vuto ladzidzidzi lomwe limafuna thandizo lachipatala mwachangu.

Kulephera kwa Chiwindi Chosatha

Mtundu uwu ndi wofala kwambiri. Kulephera kwa Chiwindi Chosatha ndi vuto lomwe limachitika pamene chiwindi chawonongeka kwa nthawi yayitali ndipo kuwonongekako kwafika poti sichingathenso kubwezeretsedwa. Izi nthawi zambiri zimachitika chiwindi chikayamba kuvulala kwambiri, matenda otchedwa cirrhosis . Minofu ya chilondachi imalepheretsa chiwindi kugwira ntchito yake bwino.

Kodi magawo a kulephera kwa chiwindi ndi ati? (Makamaka pa gawo la 'Chronic')

Madokotala ambiri amanena kuti kulephera kwa chiwindi kosatha ndi gawo lomaliza la matenda osatha a chiwindi. Matenda a chiwindi amapitirira m'magawo angapo. Komabe, ndikofunikira kukumbukira kuti n'kovuta kusiyanitsa bwino magawo awa. Mwachitsanzo, munthu amene ali ndi zipsera za chiwindi (`Fibrosis`) akhozanso kukhala ndi matenda a chiwindi .

Kodi zizindikiro za kulephera kwa chiwindi ndi ziti?

Zizindikiro zomwe mumakumana nazo zimatha kusiyana malinga ndi momwe chiwindi chanu chalephera kugwira ntchito komanso mavuto omwe achitika.

Zizindikiro zoyambirira:

Izi zitha kukhala zizindikiro zoyambirira za kulephera kwa chiwindi kwa nthawi yayitali kapena kwadzidzidzi:

• Kupweteka m'mimba (makamaka kumtunda kumanja)
• Kutopa ndi kutopa
• Kusanza , kusanza , ndi kusowa chilakolako cha chakudya

Zinthu zomwe zimakhudza chiwindi:

Pambuyo pa izi, zizindikiro zenizeni za matenda a chiwindi zingawonekere. Chiwindi chikawonongeka ndipo sichingathe kugwira ntchito, ndulu ndi poizoni wina zimasonkhana m'magazi, ndipo izi ndi zizindikiro:

• Jaundice ( kuyera kwa maso ndi khungu)
• Zotsatira pa ubongo (`Hepatic Encephalopathy`) (kusintha kwa mkhalidwe wamaganizo - kulephera kuyang'ana kwambiri, kuiwala, kusintha kwa khalidwe)
• Kutupa ( kuyabwa pakhungu popanda ziphuphu zowonekera)
• Mkodzo wakuda ndi/kapena ndowe zowala

Zizindikiro zina zomwe zingawonekere mu matenda a chiwindi osatha (`Kulephera kwa Chiwindi Chosatha`):

Izi zitha kuwonetsedwa m'njira yocheperako pang'ono:

• Coagulopathy : Kutupa ndi kutuluka magazi mosavuta.
• Mitsempha yamagazi yomwe imaoneka ngati ukonde wa akangaude kapena madontho ang'onoang'ono pakhungu
• Ziphuphu zazing'ono, zachikasu zonenepa pakhungu kapena m'maso
• Mavuto a m'mimba, makamaka ndi zakudya zonenepa
• Kuchepetsa thupi ndi kuchepa kwa minofu
• Mpweya wonunkha ngati uchi

Zizindikiro zina zazikulu:

Izi ndi zizindikiro zomwe zimasonyeza matenda aakulu kwambiri:

• Ascites (kutupa m'mimba)
• Kutupa kwa akakolo, miyendo, manja, kapena nkhope ( Edema )
• Kusanza magazi kapena kusanza komwe kumaoneka ngati khofi
• Mavuto a minofu (kugwedezeka, kunjenjemera)
• Kuchepa kwa kukodza
• Kuvuta kupuma

Kodi zizindikiro zimasiyana malinga ndi jenda?

Inde, kulephera kwa chiwindi kungakhudze mahomoni anu ogonana. Izi zikutanthauza kuti mahomoni a estrogen ndi testosterone amatha kusalinganika. Izi zingayambitse zizindikiro zosiyanasiyana mwa amuna ndi akazi.

• Kusamba kwa akazi kumatha kukhala kosasinthasintha kapena kutha kwathunthu.
• Machende a amuna amatha kufooka ndipo minofu ya m'mawere imatha kukula.

Kodi thupi limamva bwanji chiwindi chikalephera kugwira ntchito?

Chiwindi chanu chikalephera kugwira ntchito, poizoni amasonkhana m'magazi mwanu. Zimenezi zingakhale zovuta kwambiri. Chiwindi chanu chikalephera kusefa poizoni m'magazi mwanu, mumayamba kumva nseru, kutopa, komanso kufooka. Ma poizoni amenewa angakhudzenso ubongo wanu . Mutha kukhala ndi mavuto okhudzana ndi kuganizira mozama, kukwiya, nkhawa, kugona, kapena kugwira ntchito kwa minofu.

Kodi zifukwa za kulephera kwa chiwindi ndi ziti?

Ngakhale kuti kulephera kwa chiwindi mwadzidzidzi komanso kosatha kumachitika m'njira zosiyanasiyana, zonsezi zimachitika chifukwa cha kupsinjika kwambiri pachiwindi. Ma poizoni ndi matenda ena angayambitse kupsinjika pachiwindi mwadzidzidzi kapena pakapita nthawi, kutengera kuopsa kwa vutoli.

Kodi mavuto otani omwe amabwera chifukwa cha kulephera kwa chiwindi?

Chifukwa chiwindi chanu chimagwira ntchito zambiri zofunika, chikalephera kugwira ntchito bwino, thupi lonse limamva zotsatira zake. Mwachitsanzo:

• Thupi lopanda moyo, kutopa, chisokonezo, ndi chizungulire.
• Zotsatira za poizoni pa ubongo, dongosolo la mitsempha, ndi ntchito ya minofu.
• Mavuto a m'mimba, kusayamwa bwino zakudya, komanso kusowa zakudya m'thupi.
• Kuchepa kwa magazi kuundana, kuphwanya mosavuta komanso kutuluka magazi mosavuta.
• Kuchepa kwa chitetezo chamthupi komanso matenda opatsirana pafupipafupi.

Kumbukirani, kuthamanga kwa magazi kwa portal komwe kumachitika chifukwa cha cirrhosisVutoli ndi lomwe limayambitsa imfa zambiri mwa anthu omwe ali ndi vuto la chiwindi. Limayambitsa zinthu monga kutupa m'mimba ndi kusanza magazi.

Kodi mumazindikira bwanji vuto la chiwindi? (Kuzindikira)

Ngati muli ndi zizindikiro za kulephera kwa chiwindi, dokotala adzakuyesani kangapo kuti atsimikizire izi. Izi zingaphatikizepo:

• Kuyesa Magazi: Kuyesa kwa ntchito ya chiwindi kumayesa kuchuluka kwa zinthu zosiyanasiyana za chiwindi m'magazi mwanu kuti muwone momwe chiwindi chanu chikugwira ntchito bwino. Kuyesa kwa magazi kungathandizenso kuzindikira chomwe chimayambitsa kulephera kwa chiwindi ndi mavuto ena, monga kuchepa kwa magazi kapena kuchepa kwa magazi m'thupi.
• Mayeso Ojambula: Mayeso monga ma ultrasound scan ndi ma MRI a chiwindi amatha kusonyeza zizindikiro za matenda a chiwindi, monga kutupa, zipsera, kapena madzi m'mimba (ascites). Elastography ndi mayeso apadera ojambulira omwe amagwiritsa ntchito ultrasound kapena MRI kuyeza kuchuluka ndi kuopsa kwa zipsera (fibrosis) m'chiwindi.
• Kufufuza Chiwindi: Iyi ndi opaleshoni yaying'ono. Kachidutswa kakang'ono ka minofu kamatengedwa kuchokera ku chiwindi ndikuyesedwa mu labotale. Chitsanzo cha minofu iyi nthawi zambiri chimatengedwa pogwiritsa ntchito singano yopanda kanthu. Kufufuza chiwindi kungathandize kutsimikizira matenda a chiwindi ndikupeza chomwe chimayambitsa matenda a chiwindi.

Kodi mankhwala otani a kulephera kwa chiwindi?

Zinthu zofunika kuziganizira pochiza matenda a chiwindi:

• Kuthana ndi mavuto ake.
• Ngati n'kotheka, chizani chomwe chayambitsa matendawa.
• Ngati pakufunika, kuyika chiwindi .

Mankhwala othandizira omwe angathandize kukhazikika kwa vuto lanu angaphatikizepo:

• Madzi olowa m'mitsempha (madzi a m'mitsempha)
• Zakudya zopatsa thanzi m'mitsempha (`zakudya za m'mitsempha`)
• Kuyang'anira kuchuluka kwa shuga m'magazi ndi kupereka shuga ngati pakufunika kutero
• Mankhwala opha tizilombo kapena maantibayotiki
• Kuika Magazi mu Plasma kapena m'magazi
• Kuchiza ndi mpweya kapena mpweya wabwino wa makina
• Mankhwala a Vasopressor
• Mankhwala kapena mankhwala omwe amaletsa kutuluka magazi mkati mwa thupi
• Kutsegula m'mimba ngati impso zalephera kugwira ntchito

Mankhwala ochizira chifukwa cha kulephera kwa chiwindi angaphatikizepo:

• Chithandizo cha Kuchuluka kwa Poizoni: Palibe mankhwala ochizira mwachindunji poizoni ambiri omwe amayambitsa kulephera kwa chiwindi mwadzidzidzi. Komabe, pali mankhwala ochizira poizoni wa acetaminophen . Amatchedwa acetylcysteine.Mankhwala ena ochizira poizoni woopsa ndi monga mankhwala otseretsa ululu, kuthirira m'mimba kapena kusamba m'mimba, ndi makala oyambitsa ntchito.
• Mankhwala a matenda osatha: Ngati muli ndi vuto la chiwindi chifukwa cha matenda osatha, mankhwala angathandize kuchepetsa kuwonongekako. Mwachitsanzo, corticosteroids ndi immunosuppressants zimagwiritsidwa ntchito pa matenda odziteteza okha.

Gulu lanu lachipatala lidzayang'anira vuto lanu ndikuchiza mavuto aliwonse akamabuka. Ngati akuganiza kuti vuto lanu lidzaipiraipira popanda kuikidwa chiwindi, adzakulangizani kuti muyikepo.

Kodi mungapewe bwanji kulephera kwa chiwindi?

Kulephera kwa chiwindi mwangozi n’kosowa, koma ngakhale chochitika chimodzi choipa chingayambitse vutoli. Nazi njira zosavuta zodzitetezera zomwe mungachite kuti mupewe izi:

• Dzitetezeni ku zinthu zoopsa: Valani magolovesi kapena chophimba nkhope mukamagwiritsa ntchito mankhwala oopsa monga mankhwala ophera tizilombo, fungicides, zinthu zotsukira, utoto, ndi mankhwala opopera a aerosol.
• Dzitetezeni ku magazi: Musagwiritse ntchito zinthu zanu zomwe zingaipitsidwe ndi magazi, monga singano za anthu ena, malezala, ndi maburashi a mano. Musakhudze mabala a anthu ena.
• Samalani ndi chitetezo cha chakudya: Musadye bowa wakuthengo wosadziwika. Pewani kudya zakudya zosaphika mukakhala paulendo wakunja. Sambani m'manja bwino musanakonze chakudya.
• Katemera wa matenda a chiwindi: Pali katemera wa matenda a chiwindi A ndi B.
• Gwiritsani ntchito mankhwala okha monga momwe mwalangizidwira: Ngakhale mutagula mankhwala ochepetsa ululu ku pharmacy, musamwe mankhwala opitirira muyeso womwe mwalangizidwa. Musamwe mankhwala okhala ndi mowa.
• Nthawi zonse funsani dokotala mukakhala ndi pakati: Mavuto omwe amayambitsa kulephera kwa chiwindi mwadzidzidzi ndi osowa. Koma ngati muli ndi zizindikiro zachilendo, musazengereze kufunafuna chithandizo.

Kupewa kulephera kwa chiwindi kwa nthawi yayitali kumadalira kwambiri moyo wanu wonse. Matenda a chiwindi kwa nthawi yayitali amatenga nthawi yayitali kuti apitirire kukhala olephera. Ngati muyamba matenda a chiwindi, kusintha moyo wanu msanga kungachedwetse, kuyimitsa, komanso mwina kusintha njirayo.

• Pitani kuchipatala nthawi zonse: Anthu ambiri sadziwa kuti ali ndi matenda a chiwindi mpaka atayamba kusonyeza zizindikiro. Kuyezetsa kuchipatala kumatha kuzindikira msanga.
• Samalani thanzi lanu la kagayidwe kachakudya: Zinthu monga kuchuluka kwa shuga m'magazi, cholesterol yambiri, ndi kuchuluka kwa thupi (BMI) zimaika chiwindi pamavuto. Zakudya zabwino komanso masewera olimbitsa thupi zingathandize.
• Musagwiritse ntchito mopitirira muyeso mankhwala omwe mumagula ku pharmacy:Kumwa mankhwala ochepetsa ululu kwambiri monga NSAIDs kapena Acetaminophen kungawononge chiwindi. Funsani upangiri kwa dokotala ngati ululu upitirira.
• Chepetsani kapena siyani kumwa mowa ndi fodya: Mowa ndi fodya zonse ndi poizoni ku chiwindi. Ngati muli ndi matenda a chiwindi, ndi bwino kupewa kuzigwiritsa ntchito.

Kodi n'zotheka kuchira ku vuto la chiwindi?

Kulephera kwa chiwindi mwachangu kungabwezeretsedwe, koma n'kovuta kunena motsimikiza. Kulephera kwa chiwindi kosatha sikungabwezeretsedwe, koma chifukwa ndi njira yopitira pang'onopang'ono, nthawi zina kungachedwetsedwe. Kawirikawiri, ngati pali chithandizo chapadera cha vuto lanu ndipo muyamba chithandizo msanga, mwayi wanu wochira umakhala waukulu.

Kodi munthu amene ali ndi vuto la chiwindi angakhale ndi moyo kwa nthawi yayitali bwanji?

Kulephera kwa chiwindi mwachangu kumatha kupha munthu mkati mwa masiku, milungu, kapena miyezi. Kulephera kwa chiwindi kosatha kumatha kupitirira miyezi mpaka zaka. Kutalika kwa nthawi yomwe izi zimatenga kumadalira zinthu zambiri:

• Chifukwa cha matendawa ndi momwe amakhudzira kwambiri chiwindi.
• Kaya zingathe kuchepetsedwa kapena kusinthidwa ndi chithandizo.
• Kukula kwa kuwonongeka komwe kwachitika kale.
• Thanzi lanu lonse ndi zinthu zomwe zingakuthandizeni kuchira.

Ngati ndili ndi vuto la chiwindi, ndingadzisamalire bwanji?

Kulephera kwa chiwindi mwachangu ndi vuto ladzidzidzi. Ngati mukuganiza kuti mwina muli nalo, muyenera kupita kuchipatala nthawi yomweyo. Kulephera kwa chiwindi kosatha si vuto ladzidzidzi, koma ndi vuto lalikulu lomwelo. Ngati mwapezeka ndi vuto la chiwindi chosatha, mutha kuthandiza chiwindi chanu mwa kudya zakudya zabwino komanso moyo wabwino.

• Chepetsani kugwiritsa ntchito mankhwala osokoneza bongo: Pewani mowa ndi fodya, imwani mankhwala okhawo monga mwalangizidwira, ndipo yesetsani kupewa mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala. Funsani dokotala wanu za zitsamba kapena zowonjezera zomwe mumamwa.
• Idyani zakudya zabwino komanso zopatsa thanzi: Shuga ndi mafuta ambiri m'magazi angayambitse mavuto pa chiwindi. Ngati muli ndi vuto la kuchepa kwa zakudya chifukwa cha kulephera kwa chiwindi, ndi bwino kufunsa katswiri wa zakudya, makamaka kuti apange dongosolo la nthawi yayitali.
• Tetezani chitetezo chanu chamthupi: Kulephera kwa chiwindi kumachepetsa chitetezo chanu chamthupi, ndipo matenda opatsirana ndi mavairasi ndi mabakiteriya amatha kubweretsa mavuto ena pachiwindi. Onetsetsani kuti mwadziteteza nthawi ya chimfine. Funsani dokotala wanu za katemera woyenera.