Chiwindi chanu ndi chiwalo chodabwitsa. Chimapanga madzi otchedwa 'bile' omwe amatithandiza kugaya zakudya zamafuta zomwe timadya. Koma mwa munthu amene ali ndi vuto lotchedwa Primary Biliary Cholangitis (PBC), njira zofewa zomwe zimanyamula bile iyi zimawonongeka. Izi zimapangitsa kuti bile isayende bwino ndikutsekeka mkati mwa chiwindi. Pakapita nthawi, bile yotsekeka iyi imatha kuuma kukhala miyala ndikuyambitsa matenda. Pamapeto pake, bile iyi imabwerera m'mbuyo ndikuyambitsa zipsera mkati mwa chiwindi. Ichi ndiye chikhalidwe chachikulu cha PBC.
Koma musadandaule. Pali mankhwala abwino omwe angathandize kuchotsa ndulu m'chiwindi ndikuchepetsa mapangidwe a zipsera izi. Komabe, ngati simuchiza PBC moyenera, kapena ngati matendawa akukula pang'ono, mavuto ena angachitike. Lero, tikambirana za mavuto ofala kwambiri a PBC ndi momwe tingawathanitsire.
Matenda a chiwindi, matenda oopsa
Matenda a cirrhosis ndi pamene maselo abwino m'chiwindi mwanu amalowedwa m'malo ndi minofu ya zipsera. Mwachidule, chiwindi chimalimba pang'onopang'ono kukhala mwala. Vutoli limachitika kumapeto kwa PBC. Pofika nthawi imeneyi, chiwindi chimakhala chitawonongeka kale kwambiri.
Matenda a cirrhosis ndi matenda oopsa omwe tiyenera kuwadziwa, chifukwa angayambitse matenda aakulu monga kulephera kwa chiwindi ndi khansa ya chiwindi.
Kale, matenda a PBC ankatchedwa 'primary biliary cirrhosis'. Izi zili choncho chifukwa cha kugwirizana kwa matenda a cirrhosis ndi matendawa.
Kodi izi zimachiritsidwa bwanji?
Dokotala wanu adzakupatsani mankhwala oletsa vutoli.
- Kawirikawiri, chithandizo choyamba chimakhala mankhwala otchedwa ursodeoxycholic acid (Ursodiol) . Izi zimagwira ntchito pochotsa ndulu m'chiwindi ndikuchepetsa kuwonongeka kwa chiwindi.
- Ngati simukumva bwino ndi mankhwalawa okha, dokotala wanu angakulangizeni kuti mumwe mankhwala otchedwa obeticholic acid (Ocaliva) kuwonjezera pa mankhwalawa.
- Kuphatikiza apo, mankhwala atsopano monga elafibranor (Iqirvo) ndi seladelpar (Livdelzi) tsopano avomerezedwa kuti agwiritsidwe ntchito pamodzi ndi ursodeoxycholic acid.
- Njira ina ndi mtundu wa mankhwala otchedwa fibrates . Ngakhale kuti mankhwalawa amavomerezedwa kuti achepetse mafuta m'magazi (lipids), apezeka kuti amagwira ntchito bwino kwambiri kwa odwala a PBC omwe sayankha bwino ku ursodeoxycholic acid. Mwanjira imeneyi, dokotala akagwiritsa ntchito mankhwala enaake pa vuto lina losiyana ndi lomwe adavomerezedwa, timawatcha kuti 'osagwiritsidwa ntchito'.
Komabe, kaya mugwiritse ntchito mankhwala otani, ngati chilonda m'chiwindi chakula kwambiri ndipo chiwindi sichikugwira ntchito bwino, njira yokhayo yothetsera vutoli ndi kungochiika chiwindi.Chokhacho. Chomwe mumachita kumeneko ndikuchotsa chiwindi chanu chowonongeka ndikuchiyika ndi chiwindi chochokera kwa wopereka wathanzi.
Kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha ya chiwindi (Portal Hypertension)
Ichi ndi vuto lina lalikulu. Tiyeni timvetse izi. Tili ndi mtsempha waukulu wamagazi womwe umabweretsa magazi ku chiwindi chathu. Ichi ndi chomwe timachitcha 'mtsempha wa portal'.
Tsopano, pamene minofu ya chilonda imapanga mkati mwa chiwindi chifukwa cha matenda a chiwindi omwe tidakambirana kale, kuyenda kwa magazi kudzera mu 'mtsempha wa portal' kumatsekedwa. Monga momwe magalimoto ambiri amachitikira pamsewu, magazi sangayende bwino ndipo amamatira mkati mwa mtsemphawo. Pamene magazi akusonkhana motere, kuthamanga kwa magazi mkati mwa mtsemphawo kumawonjezeka pang'onopang'ono. Madokotala amatcha vutoli portal hypertension .
Chifukwa chiyani izi zili zoopsa? Kuthamanga kwambiri kumeneku kungayambitse kuphulika kwa mitsempha yamagazi yofewa mkati mwa thupi, zomwe zimapangitsa kuti magazi atuluke mkati . Chifukwa chake, ndikofunikira kwambiri kuchiza izi mwachangu.
Tiyeni timvetse mavuto awiriwa kuchokera pa tebulo ili m'munsimu.
| Mavuto | Mwachidule... | Chiwopsezo Chachikulu |
|---|---|---|
| Matenda a chiwindi | Kupanga minofu ya chilonda m'malo mwa minofu ya chiwindi yathanzi (miyala ya chiwindi). | Kulephera kwa Chiwindi ndi Khansa ya Chiwindi. |
| Kuthamanga kwa Magazi Pachimake | Matenda a chiwindi amachititsa kuti mitsempha yomwe imatumiza magazi ku chiwindi izitseke, zomwe zimapangitsa kuti magazi azithamanga kwambiri. | Kutuluka magazi mkati. |
Kodi mankhwala ochizira izi ndi otani?
Dokotala wanu angakulembereni mankhwala, monga beta-blockers, kuti achepetse kuthamanga kwa magazi mu 'mtsempha wa portal' uwu. Izi zitha kulamulira kuthamanga kwa magazi kwakanthawi.
Koma kumbukirani, chithandizo chokhacho komanso chokhazikika chomwe chingathetseretu kuthamanga kwa magazi kwa portal ndi kuikidwa chiwindi.Chokha. Chifukwa chomwe chimayambitsa izi ndi kuwonongeka kwa chiwindi komwe kumachitika chifukwa cha matenda a chiwindi. Popeza kuwonongekako sikungatheke, njira yomaliza ndiyo kuchotsa chiwindi chomwe chawonongeka ndikuchiyika china chatsopano.
Matenda a PBC ndi matenda omwe angathe kuthetsedwa bwino ndi chithandizo choyenera chamankhwala ndi upangiri. Chifukwa chake, ngati muli ndi matendawa, musachite mantha, lankhulani ndi dokotala nthawi zonse, ndipo tsatirani bwino malangizo omwe aperekedwa. Imeneyi ndiyo njira yabwino kwambiri yodzitetezera ku mavuto otere.
Uthenga Wopita Nawo Kunyumba
- Matenda a Primary Biliary Cholangitis (PBC) ndi matenda omwe amawononga misempha yofewa ya chiwindi yomwe imanyamula ndulu.
- Ngati matendawa sanachiritsidwe bwino, mavuto aakulu monga cirrhosis ndi portal hypertension angachitike.
- Matenda a cirrhosis ndi matenda omwe minofu ya chilonda imasonkhana m'chiwindi, zomwe zimapangitsa kuti chiwindi chisagwire bwino ntchito komanso ngakhale khansa.
- Kuthamanga kwa magazi m'thupi (portal hypertension) ndi kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha komwe kumanyamula magazi kupita ku chiwindi. Izi zingayambitse kutuluka magazi m'thupi.
- Ngati muli ndi matenda a PBC, nthawi zonse lankhulani ndi dokotala wanu za chilichonse chomwe chikukudetsani nkhawa . Ndikofunikira kwambiri kumwa mankhwala anu monga momwe mwalangizidwira ndikutsatira malangizo a dokotala wanu.
- Nthawi zambiri, njira yomaliza yothetsera vutoli ingakhale kuyika chiwindi.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu