Dokotala wanu akakuuzani kuti muli ndi vuto la chiwindi lotchedwa PBC, kapena `Primary Biliary Cholangitis`, mungakhale mukumva mantha kwambiri komanso kuda nkhawa. "Kodi chidzachitike ndi chiyani ku chiwindi changa? Kodi ndiyenera kuikidwa chiwindi?" Mwina mukudabwa. Koma musadandaule. Ndipotu, si aliyense amene ali ndi PBC amene amafunika kuikidwa chiwindi. M'nkhaniyi, tikambirana za nthawi yomwe kuikidwa chiwindi kumafunika, zifukwa zake ndi ziti, komanso momwe dokotala wanu amapangira chisankhochi.
Choyamba, tiyeni tiwone chifukwa chake si odwala onse a PBC omwe amafunika kuikidwa chiwindi.
Mwachidule, matenda a PBC ndi matenda omwe amakula pang'onopang'ono . Makamaka ngati mutachira msanga ndikutsatira malangizo a dokotala wanu, zingatenge zaka 15 mpaka 20 kuti matendawa afike pachimake. Anthu ambiri amatha kuthana ndi zizindikiro zawo ndi mankhwala oyenera ndikukhala moyo wabwinobwino kwa zaka zambiri popanda zotsatirapo zoyipa.
Izi zikutanthauza kuti palibe chifukwa choopera kuikidwa chiwindi chifukwa chakuti muli ndi PBC. Chimafunikira anthu ochepa okha omwe ali ndi matenda oopsa komanso osachiritsika.
Tangoganizirani, ngati mwapezeka ndi matendawa mochedwa pang'ono, kapena ngati muli ndi matenda oopsa omwe amafalikira mofulumira, ndi pamene muyenera kuganizira za kuikidwa chiwindi.
Ndiye, ndi liti pamene muyenera kuganizira zoika chiwindi?
Dokotala wanu ndi gulu lanu lachipatala adzayang'ana zinthu zingapo kuti asankhe ngati mukufunikira kuikidwa chiwindi. Ichi si chisankho chongochitika kamodzi kokha. Adzapitiriza kuyang'anira matenda anu ndikupeza yankho.
Tiyeni tiwone zifukwa zazikulu zimenezo zomwe zili mu tebulo ili m'munsimu.
| Chifukwa chotumizira munthu kukaikidwa chiwindi | Kodi izi zikutanthauza chiyani? |
|---|---|
| Kulephera kwa chithandizo | Ngati matendawa sangathe kuthetsedwa ndi mankhwala omwe mwapatsidwa, mwachitsanzo , Ursodeoxycholic acid (UDCA) ndi Obeticholic acid (OCA) , ndipo kuwonongeka kwa chiwindi kukupitirirabe. |
| Kulephera kwa Chiwindi | Ngati chiwindi chayamba kuvulala kwambiri (izi zimatchedwa cirrhosis ) ndipo chiwindi sichingathe kuchita ntchito zake zazikulu, monga kuyeretsa magazi ndikupanga mapuloteni ofunikira m'thupi, |
| Kupezeka kwa mavuto ena akuluakulu | Ngati PBC imayambitsa mavuto ena akuluakulu azaumoyo omwe angawopseze moyo, monga kutuluka magazi m'mimba mwanu (GI tract) kapena khansa ya chiwindi, mungafunike kuganizira zomuika munthu wina. |
| Zizindikiro zosapiririka | Nthawi zina, ngakhale chiwindi sichinalephere kugwira ntchito, ngati zizindikiro monga kuyabwa kosalekeza kapena kutopa kwambiri sizingathe kuthetsedwa ndi mankhwala, mungalimbikitse kuyika chiwalo china kuti mukhale ndi moyo wabwino. |
Zizindikiro zomwe dokotala amasamala kwambiri
Kuwonjezera pa zinthu zazikulu izi, dokotala wanu adzafunanso zinthu zina. Mwachitsanzo:
- Kodi maso ndi khungu lanu likusintha kukhala lachikasu (jaundice)?
- Kodi mimba imadzaza ndi madzi (ascites)?
- Kodi mukusanza magazi?
- Kodi kukumbukira ndi kuzindikira zimasokonekera (Hepatic encephalopathy)?
Zizindikiro zimenezi zikutanthauza kuti chiwindi chikuvutika kugwira ntchito yake bwino. Nthawi zina, ngakhale zizindikiro zanu sizili zazikulu, dokotala wanu angasankhe kukutumizirani kuti mukaikidwe chiwindi.
Kodi njira yotumizira munthu ku malo oti akaikidwe chiwindi imachitika bwanji?
Dokotala wanu adzakutumizani kwa dokotala wa chiwindi , dokotala yemwe ndi katswiri wa matenda a chiwindi ndi ndulu. Ngati atafufuza bwino vuto lanu ndikupeza kuti ndikofunikira kumuika munthu wina, mudzatumizidwa ku chipatala chapadera chomwe chimachita opaleshoni yoika munthu wina.
Iyi ndi njira yayitali pang'ono.
1. Kukumana ndi gulu la akatswiri: Mudzayesedwa ndi gulu lalikulu kuphatikizapo madokotala opanga opaleshoni, akatswiri a chiwindi, anamwino, ndi ogwira ntchito zachitukuko.
2. Mayeso: Zinthu zambiri monga kuyezetsa magazi ndi ma scan zimachitika kuti zione ngati thupi lanu lingathe kupirira opaleshoni yaikulu yotereyi.
3. Kuikidwa pa mndandanda wa oyembekezera: Ngati chilichonse chili choyenera, mudzaikidwa pa mndandanda wa dziko lonse woyembekezera kuti mudikire chiwindi.
Zingatenge miyezi ingapo, nthawi zina nthawi yayitali, kuti chiwindi chipezeke. Chiwindi chimapezeka kuchokera kwa wopereka yemwe wamwalira, kapena kuchokera kwa munthu wamoyo, monga wachibale, amene amapereka gawo la chiwindi chake.
Chofunika kwambiri ndichakuti kungoti dokotala wanu wakutumizani kuti mukachite opaleshoni sikukutanthauza kuti mudzachitidwa opaleshoni mawa. Kungotanthauza kuti mwayamba kukonzekera bwino mtsogolo, ngati pakufunika kutero.
Kodi nditani?
Chofunika kwambiri ndichakuti musamachite mantha komanso kuti muzilankhulana nthawi zonse ndi dokotala wanu.
- Pitani kuzipatala nthawi yake: Musamapite ku chipatala chilichonse. Ndikofunikira kuyang'anira momwe mulili.
- Imwani mankhwala anu monga momwe dokotala wanu wanenera: Imwani mankhwala anu panthawi yoyenera, mu mlingo woyenera.
- Moyo Wathanzi: Siyani kumwa mowa kotheratu. Idyani zakudya zopatsa thanzi. Funsani dokotala wanu kuti akupatseni malangizo ena pankhaniyi.
- Funsani mafunso: Kambiranani momasuka ndi dokotala wanu za mantha anu, kukayikira kwanu, ndi nkhawa zanu. Musaope kufunsa mafunso monga, "Dokotala, malipoti anga ali bwanji? Kodi ndiyenera kuganizira zomuika wodwalayo?"
Kukhala ndi matenda a PBC kungakhale kovuta, koma kumbukirani, ndi mankhwala apamwamba a masiku ano, anthu ambiri amatha kuthana ndi vutoli bwino ndikukhala ndi moyo wabwino.
Uthenga Wopita Nawo Kunyumba
- Si aliyense amene ali ndi PBC amene angafunike kuikidwa chiwindi. Nthawi zambiri matendawa amakula kwambiri.
- Kuika chiwindi kuyenera kuganiziridwa pokhapokha ngati chithandizo sichikuyenda bwino, ngati chiwindi sichingathe kuchira (kulephera kwa chiwindi), kapena ngati pachitika mavuto ena akuluakulu.
- Chisankho chomaliza chokhudza ngati mukufuna kuikidwa chiwalo china chidzapangidwa ndi dokotala wanu waluso, kutengera mayeso a magazi anu, zizindikiro zanu, komanso thanzi lanu lonse.
- Chinthu chabwino kwambiri chomwe mungachite ndikutsatira malangizo a dokotala wanu, kumwa mankhwala anu monga mwalangizidwira, ndikupita kuzipatala.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo zokhudza matenda anu.
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