Kodi chimachitika n'chiyani chiwindi chikasiya kugwira ntchito? (Kulephera kwa Chiwindi) | Nirogi Lanka

Tonsefe tikudziwa kuti matupi athu ali ndi ziwalo zina zomwe ndizofunikira kwambiri kuti munthu akhale ndi moyo. Chiwindi chanu ndi chimodzi mwa izo. Mutha kuchiganizira ngati fakitale yayikulu, yogwira ntchito bwino m'thupi lanu, yomwe imagwira ntchito zambiri zofunika tsiku lililonse. Ndiye, taganizirani zomwe zingachitike ngati fakitale iyi mwadzidzidzi—kapena pang'onopang'ono—isiya kugwira ntchito. Izi ndi zomwe timatcha kulephera kwa chiwindi . Mwachidule, zikutanthauza kuti chiwindi chanu sichingathenso kuchita ntchito zofunika kuti thupi lanu lizigwira ntchito bwino. Ili ndi vuto lalikulu lachipatala, choncho tiyeni tiwone bwino zomwe limaphatikizapo.

Kodi kulephera kwa chiwindi n'chiyani?

Kulephera kwa chiwindi sikuchitika usiku wonse; nthawi zambiri kumakhala njira yopitira patsogolo. Nthawi zina, zimatha kuchitika mofulumira, kwa masiku kapena milungu ingapo. Nthawi zina, zimakula pang'onopang'ono kwa miyezi kapena zaka. Pamene ntchito ya chiwindi chanu ikuchepa pang'onopang'ono, mudzayamba kuzindikira zizindikiro zofanana.

Kulephera Kwambiri kwa Chiwindi

Izi ndi zomwe timatcha kulephera kwa chiwindi mwachangu . Zimachitika pamene chiwindi chawonongeka mwadzidzidzi, kapena kupsinjika maganizo, monga poizoni wambiri kapena matenda opatsirana mwadzidzidzi komanso oopsa a kachilombo. Chifukwa chiwindi chimataya mphamvu yake yogwira ntchito nthawi yomweyo, zizindikiro zimawonekera mwachangu. Iyi ndi ngozi yayikulu yachipatala yomwe imafuna chisamaliro cha akatswiri kuchipatala chapafupi kapena dipatimenti yadzidzidzi (imbani 911).

Kulephera kwa Chiwindi Chosatha

Imeneyi ndi njira yofala kwambiri. Kulephera kwa chiwindi kosatha kumachitika pamene chiwindi chawonongeka kwa nthawi yayitali, pamapeto pake kufika poti kuwonongekako sikungatheke. Izi nthawi zambiri zimachitika chifukwa cha zipsera zazikulu za chiwindi, matenda otchedwa cirrhosis . Zipsera zimenezi zimalepheretsa chiwindi kugwira ntchito zake zofunika kwambiri.

Kodi magawo a kulephera kwa chiwindi ndi ati? (Makamaka pazochitika zosatha)

Akatswiri ambiri azachipatala amaona kuti kulephera kwa chiwindi kosatha ndi gawo lomaliza la matenda a chiwindi kwa nthawi yayitali. Matenda a chiwindi nthawi zambiri amapitirira m'magawo angapo, koma kumbukirani kuti magawo awa nthawi zina amatha kuphatikizika. Mwachitsanzo, munthu amene ali ndi zipsera za chiwindi ( fibrosis ) nthawi yomweyo amatha kukhala ndi kutupa kwa chiwindi (hepatitis).

Kodi zizindikiro za kulephera kwa chiwindi ndi ziti?

Zizindikiro zimasiyana malinga ndi kuopsa kwa kulephera ndi mavuto enaake omwe abuka.

Zizindikiro zoyambirira:

Izi zitha kuchitika mu kulephera kwa chiwindi kwa nthawi yayitali komanso koopsa:

• Kupweteka m'mimba (makamaka mbali yakumanja yakumtunda)
• Kutopa kwambiri komanso kumva kudwala (malaise)
• Kusanza , kusanza , ndi kusowa chilakolako cha chakudya

Zizindikiro zenizeni za matenda a chiwindi:

Pamene chiwindi chikulimbana, ndulu ndi poizoni zosiyanasiyana zimayamba kudziunjikira m'magazi, zomwe zimapangitsa kuti pakhale zizindikiro zinazake:

• Jaundice (kutuluka kwachikasu pakhungu ndi maso oyera)
• Hepatic Encephalopathy (kusintha kwa malingaliro monga chisokonezo, kuiwala, kapena kusintha kwa khalidwe)
• Kuyabwa pakhungu (Pruritus) (popanda ziphuphu zooneka)
• Mkodzo wakuda ndi/kapena ndowe zotumbululuka

Zizindikiro zina za kulephera kwa chiwindi kwa nthawi yayitali:

Zizindikiro izi zitha kukula pang'ono:

• Coagulopathy: Kutupa ndi kutuluka magazi mosavuta.
• Mitsempha yamagazi yaying'ono yooneka ngati kangaude pakhungu.
• Mafuta ang'onoang'ono, achikasu pakhungu kapena m'zikope.
• Mavuto a m'mimba, makamaka zakudya zamafuta.
• Kuchepetsa thupi kosamveka bwino komanso kuchepa kwa minofu.
• Mpweya wonunkha ngati uchi.

Zizindikiro zoopsa:

Zizindikiro zotsatirazi ndi zovuta zazikulu zachipatala:

• Ascites (madzimadzi omwe amachititsa kutupa m'mimba)
• Edema (Kusunga madzi m'thupi komwe kumabweretsa kutupa m'mabondo, miyendo, manja, kapena nkhope)
• Kusanza magazi kapena zinthu zomwe zimaoneka ngati khofi
• Mavuto olamulira minofu (monga kunjenjemera kapena kugwedezeka)
• Kuchepa kwa mkodzo
• Kuvuta kupuma

Kodi zizindikiro zimasiyana malinga ndi jenda?

Inde, kulephera kwa chiwindi kungakhudze mahomoni anu ogonana. Chifukwa chiwindi chanu chimagwiritsa ntchito mahomoni monga estrogen ndi testosterone, kulephera kwake kungayambitse kusalingana, zomwe zimayambitsa zizindikiro zosiyanasiyana kwa amuna ndi akazi.

• Kwa akazi, nthawi ya msambo ingakhale yosakhazikika kapena kutha kwathunthu.
• Mwa amuna, mungamve kupweteka kwa ma testicular ndi kukula kwa minofu ya m'mawere.

Kodi kulephera kwa chiwindi kumamveka bwanji?

Chiwindi chanu chikalephera kugwira ntchito, poizoni amasonkhana m'magazi mwanu, zomwe zimakupangitsani kumva kuti simuli bwino. Chifukwa chiwindi chanu sichingathenso kusefa poizoniyu bwino, mutha kukhala ndi nseru, kutopa kwambiri, komanso kufooka. Kuphatikiza apo, poizoniyu amatha kukhudza ubongo wanu (hepatic encephalopathy), zomwe zimapangitsa kuti musokonezeke, mukwiye, mudandaule, mugone tulo tofa nato, kapena mavuto olamulira minofu.

Kodi n’chiyani chimayambitsa kulephera kwa chiwindi?

Ngakhale kulephera kwa chiwindi mwachangu komanso kosatha kumapita patsogolo mosiyana, zonsezi zimachitika chifukwa cha kupsinjika kwambiri pachiwindi. Kutengera ndi kuopsa kwake, poizoni kapena matenda ena amatha kuwononga mwadzidzidzi kapena pang'onopang'ono kwa nthawi yayitali.

Kodi mavuto otani omwe amabwera chifukwa cha kulephera kwa chiwindi?

Chifukwa chiwindi chanu chimagwira ntchito zambiri zofunika, kulephera kwake kumakhudza thupi lanu lonse. Mwachitsanzo:

• Kufooka kwa thupi lonse, kutopa, chifunga cha maganizo, komanso kuchepa kwa tcheru la maganizo.
• Poizoni amakhudza ubongo wanu, dongosolo lanu la mitsempha, ndi ntchito ya minofu.
• Mavuto a m'mimba, kusayamwa bwino kwa michere (kusayamwa bwino kwa zakudya), komanso kusowa zakudya m'thupi.
• Kuchepa kwa mphamvu ya magazi kuundana, zomwe zimapangitsa kuti magazi azituluka mosavuta komanso kuti magazi azituluka mosavuta.
• Chitetezo cha mthupi chimafooka, zomwe zimapangitsa kuti munthu azitha kudwala matenda.

Ndikofunikira kukumbukira kuti matenda a Portal Hypertension (kuthamanga kwa magazi m'mitsempha ya chiwindi) omwe amayamba chifukwa cha matenda a chiwindi ndi omwe amachititsa kuti odwala omwe ali ndi vuto la chiwindi asamagwire bwino ntchito nthawi yayitali agonekedwe m'chipatala komanso kufa. Izi nthawi zambiri zimakhala chifukwa chachikulu cha mavuto monga ascites ndi kutuluka magazi mkati mwa thupi.

Kodi kulephera kwa chiwindi kumazindikirika bwanji?

Ngati mukuwonetsa zizindikiro za kulephera kwa chiwindi, dokotala wanu adzachita mayeso kuti atsimikizire matendawo, omwe angaphatikizepo:

• Mayeso a Magazi:Mayeso a Ntchito ya Chiwindi (LFTs) amayesa mapuloteni ndi ma enzyme osiyanasiyana kuti awone thanzi la chiwindi chanu. Mayeso a magazi amathandizanso kuzindikira chomwe chikuyambitsa kulephera ndikupeza mavuto monga kuchepa kwa magazi m'thupi kapena matenda otsekeka magazi.
• Mayeso Ojambula: Ma ultrasound scan kapena ma MRI amatha kuzindikira kutupa, zipsera, kapena kuchulukana kwa madzi m'mimba. Elastography ndi njira yapadera yojambula yomwe imagwiritsidwa ntchito panthawi ya ultrasound kapena MRI kuyeza kuuma kapena kuchuluka kwa zipsera (fibrosis) m'chiwindi chanu.
• Kufufuza Chiwindi: Kachidutswa kakang'ono ka minofu kamatengedwa, nthawi zambiri pogwiritsa ntchito singano yopanda kanthu, kuti kawunikidwe m'ma laboratories. Kufufuza ndi kofunikira kuti kutsimikizire matenda a chiwindi ndi kudziwa chomwe chimayambitsa kuwonongeka kwa chiwindi.

Kodi kulephera kwa chiwindi kumachiritsidwa bwanji?

Madokotala aku Nirogi Lanka amaika patsogolo njira zotsatirazi pochiza:

• Kuthana ndi mavuto.
• Kuchiza chifukwa chenicheni nthawi iliyonse yomwe zingatheke.
• Kuwunika kufunika kwa kuyika chiwindi .

Chithandizo chothandizira kuti mukhazikitse bwino vuto lanu chingaphatikizepo:

• Madzi olowa m'mitsempha (IV)
• Zakudya za m'mitsempha yamagazi
• Kuyang'anira ndi kuyang'anira kuchuluka kwa shuga m'magazi
• Mankhwala opha tizilombo kapena maantibayotiki
• Kuthira magazi kapena plasma
• Kuchiza ndi mpweya kapena mpweya wabwino wa makina
• Mankhwala a Vasopressor othandizira kuthamanga kwa magazi
• Mankhwala kapena njira zochepetsera kutuluka magazi mkati mwa thupi
• Dialysis ngati impso zanu zikulephera kugwira ntchito

Mankhwala a zifukwa zinazake angaphatikizepo:

• Chithandizo cha kumwa mankhwala ochulukirapo: Ngakhale kuti poizoni wambiri alibe mankhwala enieni, poizoni wa Acetaminophen amatha kuchiritsidwa ndi Acetylcysteine . Njira zina zadzidzidzi zochizira poizoni zingaphatikizepo kutsuka m'mimba (kupopa m'mimba) kapena makala oyaka.
• Mankhwala a matenda osatha: Ngati kulephera kwanu kuli chifukwa cha matenda osatha, mankhwala angathandize kuchepetsa kuwonongekako. Mwachitsanzo, corticosteroids ndi immunosuppressants zimagwiritsidwa ntchito pothana ndi mavuto a chiwindi okhudzana ndi chitetezo chamthupi.

Gulu lanu lachipatala lidzayang'anira momwe mukupitira patsogolo. Ngati ataona kuti vuto lanu likulephera kuchira ndipo thanzi lanu likuchepa, angakuikeni pamndandanda wa anthu ofunikira kwambiri kuti mupatsidwe chiwindi.

Kodi mungapewe bwanji kulephera kwa chiwindi?

Kulephera kwa chiwindi mwachangu ndi vuto losowa koma loopsa. Ngakhale vuto limodzi losasangalatsa lingayambitse vutolo. Mutha kudziteteza potsatira njira zosavuta izi zodzitetezera:

• Dzitetezeni ku poizoni: Mukamagwiritsa ntchito mankhwala oopsa monga mankhwala ophera tizilombo, fungicides, mankhwala oyeretsera, utoto, kapena mankhwala opopera a aerosol, nthawi zonse gwiritsani ntchito magolovesi oteteza ndi zophimba nkhope.
• Pewani kukhudzana ndi magazi: Musamagawane zinthu zanu zomwe zingakhale ndi magazi, monga singano, malezala, kapena burashi ya mano. Pewani kukhudzana mwachindunji ndi mabala a ena.
• Ikani patsogolo chitetezo cha chakudya: Pewani kudya bowa wakuthengo pokhapokha ngati ndinu katswiri wodziwa bwino bowawo. Mukapita kudziko lina, samalani ndi chakudya chosaphika. Nthawi zonse muzisamba m'manja bwino musanakonze chakudya.
• Pezani katemera wa matenda a chiwindi: Pali katemera wa matenda a chiwindi A ndi chiwindi B. Kambiranani izi ndi dokotala wanu.
• Gwiritsani ntchito mankhwala monga mwalangizidwira: Musapitirire mlingo woyenera, ngakhale pa mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala. Pewani kusakaniza mowa ndi mankhwala.
• Khalani pafupi ndi dokotala wanu panthawi ya mimba: Ngakhale kuti mavuto omwe amayambitsa kulephera kwa chiwindi ndi osowa, musazengereze kufunafuna upangiri wa dokotala ngati mukukumana ndi zizindikiro zachilendo.

Kupewa kulephera kwa chiwindi kwa nthawi yayitali kumadalira kwambiri njira zomwe mumasankha pa moyo wanu. Matenda a chiwindi kwa nthawi yayitali amapitirira kwa nthawi yayitali. Ngati mwapezeka ndi matenda a chiwindi, kusintha kwa moyo wanu msanga kungachepetse, kuyimitsa, kapena nthawi zina kusintha njirayo.

• Konzani nthawi yoti muyezedwe: Anthu ambiri sadziwa kuti ali ndi matenda a chiwindi mpaka zizindikiro zitayamba kuonekera. Kuyezetsa magazi nthawi zonse kungathandize kuzindikira mavuto msanga.
• Sinthani thanzi lanu la kagayidwe kachakudya: Shuga wambiri m'magazi, cholesterol yokwera, ndi BMI yapamwamba zimaika pachiwopsezo chachikulu pachiwindi. Zakudya zabwino komanso kuchita masewera olimbitsa thupi nthawi zonse ndiye chitetezo chanu chabwino kwambiri.
• Samalani ndi mankhwala ogulitsidwa kunja kwa chipatala: Kugwiritsa ntchito kwambiri mankhwala ochepetsa ululu monga NSAIDs kapena acetaminophen kungawononge chiwindi. Funsani dokotala wanu ngati mukuvutika ndi ululu wosatha.
• Chepetsani kapena siyani kumwa mowa ndi fodya: Zonsezi ndi poizoni ku chiwindi. Ngati muli ndi matenda a chiwindi, kusiya kumwa mowa ndi njira yabwino kwambiri.

Kodi mungachiritse vuto la chiwindi?

Kuchira pambuyo pa kulephera kwa chiwindi mwachangu n'kotheka, ngakhale kuti zotsatira zake zimasiyana malinga ndi momwe zinthu zilili pa munthu aliyense. Kulephera kwa chiwindi kosatha sikungathe kubwezeretsedwa kwathunthu, koma chifukwa chakuti kumapita pang'onopang'ono, chithandizo chamankhwala chingachedwetse kwambiri kupita patsogolo kwake. Kawirikawiri, ngati pali chithandizo china cha matenda anu ndipo mukufuna thandizo mwamsanga, mwayi wochira umakhala wokwera kwambiri.

Kodi munthu angakhale ndi moyo wautali bwanji ndi vuto la chiwindi?

Kulephera kwa chiwindi mwachangu kumatha kupha munthu pakatha masiku, milungu, kapena miyezi ingapo. Kulephera kwa chiwindi kosatha kumatha kupitirira kwa miyezi mpaka zaka. Kupita patsogolo kwake kumadalira zinthu zingapo:

• Kuopsa kwa chomwe chimayambitsa kuwonongeka kwa chiwindi.
• Kugwira ntchito bwino kwa mankhwala pochepetsa kapena kubweza kuwonongeka.
• Kukula kwa kuwonongeka kwa chiwindi komwe kulipo.
• Mkhalidwe wanu wonse wa thanzi komanso mwayi wopeza zinthu zachipatala.

Kodi ndiyenera kuchita chiyani ngati chiwindi changa chikulephera kugwira ntchito?

Kulephera kwa chiwindi mwachangu ndi vuto ladzidzidzi. Ngati mukuganiza kuti mukukumana ndi izi, funani thandizo ku chipinda chapafupi chadzidzidzi nthawi yomweyo. Ngakhale kuti kulephera kwa chiwindi kosatha si vuto ladzidzidzi nthawi zonse, ndi vuto lalikulu kwa nthawi yayitali. Ngati mwapezeka ndi matenda, mutha kuthandizira chiwindi chanu mwa kudya zakudya zabwino komanso moyo wodzisunga.

• Chepetsani kugwiritsa ntchito mankhwala osokoneza bongo: Pewani mowa ndi fodya, imwani mankhwala okhawo omwe mwalandira, ndipo funsani dokotala musanagwiritse ntchito zitsamba kapena zowonjezera zilizonse.
• Khalani ndi zakudya zoyenera: Kuchuluka kwa shuga m'magazi ndi mafuta m'thupi kumawonjezera nkhawa m'chiwindi. Ngati muli ndi vuto la kusowa zakudya chifukwa cha vuto la chiwindi, funsani katswiri wa zakudya kuti apange dongosolo loyenera kwa nthawi yayitali.
• Tetezani chitetezo chanu chamthupi: Kulephera kwa chiwindi kumafooketsa chitetezo chanu chamthupi, zomwe zimakupangitsani kukhala pachiwopsezo chachikulu cha matenda opatsirana ndi mavairasi ndi mabakiteriya. Dzitetezeni nthawi ya chimfine ndipo funsani dokotala wanu za katemera woyenera.