Matenda a chiwindi oopsa: Samalani ndi mankhwala, mowa, ndi mankhwala!

Chiwindi ndi chimodzi mwa ziwalo zofunika kwambiri komanso zazikulu m'thupi lathu. Chimagwira ntchito ngati fakitale yayikulu mkati mwa thupi lathu. Chiwindi chimagwira ntchito zambiri zofunika, monga kusefa poizoni wolowa m'thupi, kuthandiza kugaya chakudya, ndikusunga mphamvu. Koma kodi mukudziwa kuti mankhwala ena omwe timamwa tsiku lililonse, mowa womwe timamwa, kapena mankhwala ena omwe timalowa m'thupi mwathu mosadziwa amatha kuwononga chiwindi chogwira ntchito molimbika ichi, kutanthauza kuti, chimakhala 'poizoni'? Lero tikulankhula za vuto lalikulu ili lotchedwa 'Toxic Hepatitis' mu mankhwala, lomwe ndi poizoni m'chiwindi.

Mwachidule, kodi matenda a chiwindi otchedwa Toxic Hepatitis ndi chiyani?

Hepatitis yoopsa, kapena poizoni wa chiwindi, ndi pamene poizoni, chinthu chomwe chimavulaza thupi lathu, chimawononga maselo a chiwindi ndikupangitsa chiwindi kutupa. Mu zamankhwala, timatcha kutupa uku kuti "kutupa." Mankhwala owopsa awa amatha kulowa m'thupi lathu m'njira zingapo.

• Mwa kumeza: Mwa kumwa mankhwala ena ambiri omwe timamwa, mwa kumwa mowa, kapena mwa kumeza mankhwala ena.
• Kupuma mpweya: Kupuma mankhwala oopsa omwe amasakanizidwa mumlengalenga m'mafakitale ena, m'magalaji, kapena m'masitolo opaka utoto.
• Kudzera mu kuyamwa kudzera pakhungu: Mankhwala amphamvu, monga mankhwala ena ophera tizilombo, amatha kulowa m'thupi kudzera mu kukhudzana ndi khungu.

Umu ndi momwe chiwindi chathu chimawonongeka pamene chikuyesera kusefa poizoni amene amalowa m'thupi. Kuwonongeka kumeneku kukachitika pakapita nthawi, chiwindicho chingakhale chosagwira ntchito bwino kwamuyaya.

Kodi pali mitundu ikuluikulu ya matenda a chiwindi otchedwa Poison Hepatitis?

Inde, vutoli lingagawidwe m'magulu awiri akuluakulu kutengera momwe limachitikira.

• Matenda a chiwindi oopsa: Uwu ndi matenda omwe amabwera mwadzidzidzi. Zizindikiro zimayamba kuonekera patangopita maola ochepa kapena masiku ochepa kuchokera pamene mankhwala oopsawo alowetsedwa. Mwachitsanzo, vutoli likhoza kuchitika ngati mutamwa mankhwala ochulukirapo (overdose).
• Matenda a chiwindi oopsa: Uwu ndi matenda omwe amayamba pang'onopang'ono pakapita nthawi. Nthawi zina zimatenga milungu, miyezi, kapena zaka kuti zizindikiro ziwonekere. Anthu omwe amamwa mowa kwa nthawi yayitali amakhala ndi mwayi waukulu wopeza matendawa.

Komanso, pali gulu lochokera ku chomwe chayambitsa vutoli. Gome ili pansipa lingagwiritsidwe ntchito kumvetsetsa bwino izi.

Kodi zizindikiro za kuwonongeka kwa chiwindi ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha matenda a chiwindi ndi chikasu cha maso ndi khungu. Timachitchanso kuti jaundice , ndipo m'mawu azachipatala chimatchedwa "Jaundice." Kuphatikiza pa izi, zizindikiro zina zingapo zimatha kuchitika.

• Ululu kumbali yakumanja ya mimba, pansi pa nthiti
• Kutopa ndi kutopa
• Chilakolako cha chakudya
• Kusanza ndi kusanza
• Malungo ochepa
• Mkodzo wakuda wachikasu kapena bulauni
• Kutupa kwa m'mimba, kapena ascites
• Kuyabwa (Pruritus)
• Madontho kapena mabala ofiirira pakhungu

Kodi zifukwa zazikulu za matenda a chiwindi otchedwa Poison Hepatitis ndi ziti?

Monga tafotokozera kale, pali zifukwa zingapo. Tiyeni tiwone mwatsatanetsatane.

Mankhwala ndi mavitamini (Kuopsa kwa chiwindi komwe kumabwera chifukwa cha mankhwala)

Ichi ndi chinthu chofala kwambiri kuchiwona.

• Mankhwala oletsa ululu: Mankhwala ena oletsa ululu, makamaka omwe angagulidwe pa sitolo ya mankhwala, mwachitsanzo, `(Acetaminophen)` (omwe amapezeka m'mankhwala monga `Panadol` ku Sri Lanka) ndi `(NSAIDs)` (mankhwala osagwiritsa ntchito ma steroid oletsa kutupa) (monga `Ibuprofen`, `Diclofenac`) angayambitse kuwonongeka kwa chiwindi ngati atengedwa mopitirira muyeso woyenera.
• Mankhwala olembedwa ndi dokotala: Mankhwala ena, monga mankhwala ochepetsa mafuta m'thupi, mankhwala a khunyu, ndi maantibayotiki, angakhudzenso chiwindi mwa anthu ena. Koma musasiye kumwa mankhwala anu chifukwa cha izi. Ngati muli ndi nkhawa iliyonse, lankhulani ndi dokotala wanu za izi.
• Mankhwala azitsamba ndi Ayurvedic: Pali lingaliro m'gulu la anthu kuti 'mankhwala achiSinhala' kapena 'zinthu zachikhalidwe' sizimayambitsa vuto lililonse. Koma zimenezo si zoona kwenikweni. Mankhwala ena azitsamba angakhale ndi zosakaniza zomwe zingawononge chiwindi. Chifukwa chake, ndi zoopsa kugwiritsa ntchito izi popanda upangiri wa dokotala wodziwa bwino ntchito.
• Mavitamini: Kudya mavitamini ena mopitirira muyeso, monga vitamini A, kungakhalenso koopsa ku chiwindi.

Dziwani bwino za poizoni wa Acetaminophen

`Acetaminophen` ndi mankhwala omwe nthawi zambiri timagwiritsa ntchito pa malungo ndi kupweteka kwa thupi. Ku Sri Lanka, amapezeka pansi pa mayina monga `Panadol` ndi `Paramol`. Ngakhale kuti mankhwalawa ndi otetezeka kwambiri, amatha kuwononga chiwindi kwambiri ngati atamwedwa mopitirira muyeso.

Tangoganizirani, wina akumwa mapiritsi awiri a Panadol chifukwa cha mutu. Patatha maola angapo, amatenga paketi ina kuchokera ku pharmacy chifukwa cha chimfine. Sakudziwa kuti paketiyo ilinso ndi Acetaminophen. Mwanjira imeneyi, amatha kupitirira mlingo waukulu wa tsiku ndi tsiku mosadziwa.

Kawirikawiri, munthu wamkulu sayenera kumwa mankhwala opitilira 4,000 milligrams a acetaminophen (ndiye mapiritsi 8 500mg) m'maola 24. Ngati muli kale ndi matenda a chiwindi, kuchuluka kumeneku kuyenera kutsika kwambiri. Ngati mwamwa mankhwala ochulukirapo mwangozi, ngakhale mutakhala kuti mulibe zizindikiro zilizonse, pitani ku dipatimenti yadzidzidzi ya chipatala (ETU) nthawi yomweyo. Ngati pakufunika kutero, mutha kuyimbiranso National Poisons Information Center ku National Hospital kuti akupatseni upangiri.

Kugwiritsa ntchito mowa (hepatitis yoopsa yomwe imabwera chifukwa cha mowa)

Kumwa mowa mopitirira muyeso ndi chifukwa chachikulu chomwe chimayambitsa kuwonongeka kwa chiwindi. Mowa ndi poizoni mwachindunji ku maselo a chiwindi. Mowa ukamwedwa kwa nthawi yayitali, mafuta amasonkhana m'chiwindi, kenako chimatupa, ndipo pamapeto pake chiwindi chimatha kukhala ndi zipsera zonse ndikulephera kugwira ntchito (Cirrhosis).

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale aliyense akhoza kudwala matenda a 'Toxic Hepatitis', anthu ena ali pachiwopsezo chachikulu.

• Kwa akazi: Popeza matupi a akazi amagayidwa mosiyana ndi a amuna, ali pachiwopsezo chachikulu cha kuwonongeka kwa chiwindi ndi mankhwala ena ndi mowa.
• Kwa iwo omwe amamwa mowa mopitirira muyeso.
• Kwa iwo omwe ali kale ndi matenda ena a chiwindi (monga Hepatitis B, Hepatitis C, Fatty Liver).
• Kwa iwo omwe amagwiritsa ntchito mankhwala angapo nthawi imodzi.
• Kwa iwo omwe amagwira ntchito ndi mankhwala (monga makampani opanga utoto, makampani opanga mapulasitiki, ntchito zotsukira zouma).
• Kwa anthu omwe ali ndi matenda enaake a majini (monga `Alpha-1 antitrypsin deficiency`, `Hemochromatosis`).

Kodi izi zingakhale zoopsa? Kodi mavuto ake ndi otani?

Inde, ngati matenda a chiwindi oopsa sanachiritsidwe mwachangu ndipo mankhwala owopsawo sanachotsedwe, angayambitse mavuto aakulu. Vuto lalikulu ndi matenda a chiwindi otchedwa cirrhosis.

Matenda a chiwindi otchedwa cirrhosis ndi matenda omwe maselo a chiwindi abwino amawonongeka ndikusinthidwa ndi minofu ya chilonda. Izi zimasokoneza kwathunthu magwiridwe antchito a chiwindi. Pamapeto pake, izi zimapangitsa kuti chiwindi chilephere kugwira ntchito . Pazochitika zotere, njira yokhayo yopulumutsira moyo ingakhale kuyika chiwindi .

Kodi dokotala amapeza bwanji izi?

Mukapita kukaonana ndi dokotala, choyamba adzakufunsani mafunso ambiri okhudza zizindikiro zanu, mankhwala omwe mumamwa, ngati mumamwa mowa, komanso ntchito yanu. Kenako adzafufuza thupi lanu. Akhozanso kuchita mayeso ena kuti atsimikizire matendawa.

• Mayeso a magazi:
• Mayeso a Ntchito ya Chiwindi: Izi zimatha kuwona kuchuluka kwa ma enzyme a chiwindi kuti ziwone ngati pali kuwonongeka kwa chiwindi.
• Comprehensive Metabolic Panel `(CMP)`: Kuyesa kumeneku kumathandiza kumvetsetsa bwino momwe kagayidwe ka thupi ka thupi komanso momwe ziwalo zimagwirira ntchito.
• Kuyezetsa ngati muli ndi mowa wambiri kapena mankhwala ena osokoneza bongo.
• Mayeso ena:
• Kujambula: Kujambula kwa CT kapena MRI kungathe kuwona momwe chiwindi chilili.
• Kufufuza Chiwindi: Nthawi zina, chidutswa chaching'ono cha minofu chimatengedwa kuchokera ku chiwindi pogwiritsa ntchito singano yaying'ono kwambiri ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Izi zingathandize kudziwa kuchuluka kwa kuwonongeka komwe kwachitika.

Kodi chimachiritsidwa bwanji? Kodi ichi chingachiritsidwe?

Chithandizo chabwino kwambiri cha 'Toxic Hepatitis' ndikupewa nthawi yomweyo chinthu chomwe chikuwononga chiwindi. Chithandizocho chimadalira kukula kwa kuwonongeka kwa chiwindi.

• Kusiya mankhwala owopsa: Ngati dokotala wanu akukayikira kuti mankhwala enaake kapena vitamini ikuwononga chiwindi, iye adzakulangizani kuti musiye kumwa nthawi yomweyo.
• Kusiya kumwa mowa kwathunthu.
• Kusintha kwa malo ogwirira ntchito:Ngati vutoli layamba chifukwa cha mankhwala, mungafunike kuvala zida zodzitetezera (zophimba nkhope, magolovesi) kuntchito kapena kusinthidwa kupita kuntchito ina.
• Ngati munthu wamwa mankhwala ochulukirapo a acetaminophen: Mankhwala apadera amaperekedwa kuchipatala. Ngati aperekedwa mwachangu, izi zitha kupewa kuwonongeka kwakukulu kwa chiwindi.

Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?

Ngati pali zizindikiro zoopsa zotsatirazi, zikhoza kukhala chizindikiro cha kulephera kwa chiwindi kwathunthu. Chifukwa chake , pitani ku chipatala chapafupi cha Emergency Department (ETU) mwachangu.

• Kusanza magazi.
• Chidendene chakuda, chokhazikika.
• Kuoneka mwadzidzidzi kwa mabala ngati mikwingwirima thupi lonse.
• Kutuluka kwachikasu kwambiri (Jaundice).
• Kusowa chakudya chokwanira.
• Kusokonezeka maganizo, mkhalidwe wosokonezeka maganizo.
• Kuyenda movutikira.