Kodi chiwindi chanu chingaphedwe? (Toxic Hepatitis) Tiyeni tidziwe bwino lomwe kuti ichi ndi chiyani!

Chiwindi ndi chimodzi mwa ziwalo zofunika kwambiri m'thupi lathu. Monga fyuluta, ntchito yaikulu ya chiwindi ndikuchotsa poizoni m'thupi ndikuyeretsa magazi . Komabe, nthawi zina chiwindi chimathanso kuwonongeka ndi poizoni. Lero tikambirana za vuto lotere, lomwe ndi Toxic Hepatitis . Mwina simunamvepo izi kale. Koma ichi ndi chinthu chomwe tonsefe tiyenera kudziwa.

Kodi matenda a chiwindi otchedwa Poison Hepatitis ndi chiyani kwenikweni?

Mwachidule, matenda a chiwindi oopsa ndi pamene chiwindi chathu chimatupa. Kutupa kumeneku kumachitika chifukwa chokumana ndi chinthu chakupha (poizoni) . Izi zikutanthauza kuti:

• Ngati mukhudza chinthu chakupha.
• Ngati mupuma mpweya woipa.
• Ngati mwameza chinthu chakupha.

Izi zingayambitse kutupa kwa chiwindi. Sikuti kokha, komanso ngati mumwa mankhwala enaake ambiri kapena kumwa mowa wambiri, zingawonongenso chiwindi ndikuyambitsa vutoli. Ngati chiwindi chatupa chonchi kwa nthawi yayitali, chingawonongenso chiwindi kwamuyaya. Taganizirani ngati tipitiliza kuthira madzi odetsedwa mu fyuluta yathu yamadzi kunyumba, idzakhala yodetsedwa.

Kodi n’chiyani kwenikweni chimachitika ku chiwindi chathu?

Chiwindi ndi chimodzi mwa ziwalo zazikulu kwambiri m'thupi lathu. Chili ngati malo oyeretsera thupi lathu. Chiwindi chimatsuka magazi athu ndikuchotsa poizoni ndi zinthu zosafunikira zomwe zimalowa m'thupi. Ngati sichikugwira ntchito bwino, thupi lathu lonse likhoza kusagwira ntchito bwino.

Kodi pali mitundu yosiyanasiyana ya matenda a chiwindi oopsa?

Inde, tingathe kuona matenda oopsa a chiwindi m'njira ziwiri zazikulu:

• Matenda a chiwindi oopsa kwambiri: Uwu ndi matenda omwe amapezeka mwadzidzidzi . Zizindikiro zimatha kuwoneka nthawi yochepa kapena mwachangu kwambiri mutagwiritsa ntchito mankhwala oopsa.
• Matenda a chiwindi oopsa: Mtundu uwu umatenga nthawi kuti uyambe kukula. Sipangakhale zizindikiro kwa milungu kapena miyezi. Chiwindi ndi chomwe chimawonongeka pakapita nthawi.

Kuwonjezera pa mitundu iwiriyi, madokotala amaikanso vutoli m'magulu malinga ndi chomwe chimayambitsa.

• Matenda a chiwindi oyambitsidwa ndi mankhwala: Izi zimachitika chifukwa chomeza, kupuma, kapena kukhudza mankhwala. Anthu ogwira ntchito m'mafakitale ena akhoza kukhala pachiwopsezo.
• Matenda a chiwindi oyambitsidwa ndi mankhwala: Matendawa amatha kuchitika ngati mutamwa mankhwala enaake mopitirira muyeso , mwachitsanzo , acetaminophen (yomwe imadziwikanso kuti Panadol, paracetamol), mankhwala ochepetsa ululu monga mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) , kapena mankhwala ena omwe dokotala wakupatsani.
• Matenda a chiwindi oyambitsidwa ndi mowa:Imeneyi ndi vuto lomwe limapezeka mwa anthu omwe amamwa mowa nthawi zonse, makamaka omwe ali ndi vuto la kugwiritsa ntchito mowa mopitirira muyeso (Alcohol use disorder). Chiwopsezochi chimakhala chachikulu kwa iwo omwe nthawi zina amamwa mowa ndi mankhwala ena.

Kodi zizindikiro za poizoni wa chiwindi ndi ziti?

Chimodzi mwa zizindikiro zazikulu za mavuto a chiwindi ndi chikasu cha khungu ndi maso (Jaundice) . Ichi ndi chinthu chomwe anthu ambiri amachidziwa bwino. Komabe, pakhoza kukhala zizindikiro zina kuwonjezera pa izi:

• Kupweteka m'mimba , makamaka kumtunda kwa kumanja kwa mimba.
• Kumva ngati mimba yanu yatupa chifukwa cha madzi omwe amasonkhana m'mimba (ascites) .
• Kumva kutopa nthawi zonse komanso kusowa moyo `(Kutopa)` .
• Malungo .
• Chakudya chilibe kukoma .
• Kusanza ndi kusanza .
• Kusintha kwa mtundu wa mkodzo , makamaka mkodzo wachikasu wakuda kupita ku mtundu wa tiyi.

Anthu ena amatha kukhala ndi ziphuphu pakhungu zotchedwa "Toxic hepatitis rash" . Izi zimapangitsa kuti pakhungu pawoneke mawanga ang'onoang'ono ofiirira kapena mawanga. Khungu likhozanso kuyabwa (pruritus) .

Kodi zifukwa zazikulu za matenda a chiwindi oopsa ndi ziti?

Monga tafotokozera kale, chifukwa chachikulu cha matendawa ndi kumwa mankhwala enaake kapena mankhwala enaake. Zizindikiro zimatha kuonekera nthawi yomweyo, kapena zimatha kuonekera patatha milungu kapena miyezi ingapo.

Koma chofunika kwambiri kukumbukira ndichakuti si aliyense amene ali ndi vutoli amene adzadwala matenda oopsa a chiwindi. Thupi la aliyense limayankha mosiyana.

Tiyeni tione zifukwa zazikulu zingapo:

Kuopsa kwa chiwindi chifukwa cha mankhwala

Izi zimachitika chifukwa cha mankhwala ena ndi zowonjezera zomwe timamwa.

• Zowonjezera zina za zitsamba : Timakhulupirira kuti Ayurveda ndi mankhwala achikhalidwe sizowopsa. Komabe, zitsamba zina, ngati zitagwiritsidwa ntchito molakwika, zitha kuvulaza chiwindi.
• Mankhwala oletsa kutupa osagwiritsa ntchito steroidal (NSAIDs) : Si bwino kugwiritsa ntchito mankhwala ochepetsa ululu monga ibuprofen nthawi zonse kapena mopitirira muyeso.
• Mankhwala olembedwa ndi dokotala: Mankhwala ena olembedwa ndi madokotala (monga mankhwala a chifuwa chachikulu, mankhwala ena a khunyu) angakhudze chiwindi ngati satengedwa monga momwe adalangizidwira.

Chiwindi cha chiwindi choopsa chomwe chimayambitsa mowa

Kumwa mowa wambiri n’koipa kwambiri pa chiwindi. Ngati mukuvutika kuchepetsa kumwa mowa, ndikofunika kuonana ndi dokotala kuti akupatseni malangizo.

Nanga bwanji ngati mwamwa acetaminophen yochuluka?

Ngakhale acetaminophen (monga Tylenol®, Panadol, Paracetamol), yomwe nthawi zambiri timagwiritsa ntchito pa malungo ndi kupweteka kwa thupi, ikhoza kukhala poizoni ku chiwindi ngati itamwedwa mopitirira muyeso. Akuluakulu ambiri ayenera kukumbukira zinthu izi:

• Mamiligalamu opitilira 4000 a acetaminophen patsiku (maola 24)Musamwe. (Zikutanthauza mapiritsi opitilira 8 a Panadol wamba).
• Musamwe acetaminophen kwa masiku opitilira 10 (popanda upangiri wa dokotala).

Ngati muli kale ndi vuto la chiwindi, kumwa acetaminophen yochuluka kungakhale koopsa kwambiri. Ngati mukuganiza kuti mwamwa mopitirira muyeso woyenera, pitani kwa dokotala nthawi yomweyo . Dokotala wanu angachitenso mayeso a acetaminophen kuti awone kuchuluka kwa acetaminophen m'magazi mwanu.

Nanga bwanji ngati vitamini A ikuwonjezeka?

Vitamini A ndi yofunika kwambiri m'thupi. Komabe, kumwa mavitamini A opitilira 40,000 IU (International Units) patsiku kungayambitse poizoni m'chiwindi. Chifukwa chake, ndi bwino kulankhula ndi dokotala za vitamini kapena zowonjezera zilizonse zomwe mumamwa.

Kodi matenda a chiwindi oopsa amafalikira kuchokera kwa munthu wina kupita kwa wina?

Ayi. Matenda a chiwindi oopsa si matenda omwe amatha kufalikira kuchokera kwa munthu wina kupita kwa wina. Ndi matenda osapatsirana. Chifukwa chake, simungawatenge chifukwa chokhala pafupi ndi munthu amene ali ndi matendawa.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Aliyense akhoza kudwala matenda a chiwindi oopsa. Komabe, anthu ena ali pachiwopsezo chachikulu:

• Kwa akazi (chifukwa cha momwe amachitira ndi mankhwala enaake).
• Kwa anthu omwe ali ndi vuto la kumwa mowa (vuto la kugwiritsa ntchito mowa) .
• Anthu omwe ali kale ndi matenda a chiwindi , mwachitsanzo, omwe ali ndi Hepatitis B kapena Hepatitis C.
• Kwa iwo omwe amagwiritsa ntchito mankhwala enaake olembedwa ndi dokotala kapena mankhwala ogulitsidwa kunja kwa ofesi ya dokotala (makamaka mankhwala ambiri nthawi imodzi).
• Kwa iwo omwe amagwira ntchito kapena omwe amakumana ndi mankhwala enaake nthawi zambiri (monga zosungunulira) .

Komanso, anthu omwe ali ndi matenda enaake a majini ali pachiwopsezo chachikulu. Zitsanzo:

• Kusowa kwa alpha-1 antitrypsin .
• Hemochromatosis (kuchuluka kwa chitsulo m'thupi).

Kodi ndi mavuto otani omwe angayambitse matenda a chiwindi oopsa?

Ngati vutoli silinachiritsidwe bwino, lingayambitse kuwonongeka kwakukulu kwa chiwindi. Izi zingayambitse matenda monga cirrhosis (kuuma ndi kuchepa kwa chiwindi) ndipo pamapeto pake chiwindi chimalephera kugwira ntchito bwino . Ngati zimenezo zitachitika, mungafunike kuikidwa chiwindi . Choncho si bwino kungonyalanyaza.

Kodi madokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro, dokotala adzakufunsani kaye za zizindikiro zanu ndi moyo wanu (monga mankhwala omwe mumamwa, kumwa mowa, ntchito zomwe mumachita). Kenako adzakuyesani thupi . Angakuyezeninso kuti atsimikizire ngati muli ndi matenda oopsa a chiwindi.

Kuyezetsa magazi

Pachifukwa ichi, mayeso angapo a magazi amachitidwa makamaka:

• Comprehensive metabolic panel (CMP) : Izi zingapereke lingaliro la momwe mankhwala ndi ziwalo zosiyanasiyana zimagwirira ntchito m'thupi.
• Mayeso a chiwindi : Izi zimawunika momwe chiwindi chikugwira ntchito komanso ngati pali kuwonongeka kulikonse kwa chiwindi.

Kuphatikiza apo, ngati dokotala akufuna, akhoza kuchita mayeso a BAC (magazi) kapena mayeso kuti aone ngati pali mankhwala ena ogwiritsidwa ntchito molakwika. Izi zitha kuzindikirika kudzera mu mayeso a magazi ndi mkodzo.

Mayeso ena

Ngati pakufunika kudziwa zambiri zokhudza momwe chiwindi chilili, dokotala angachitenso mayeso monga:

• Mayeso ojambulira : Mwachitsanzo, CT scan kapena MRI scan . Izi zimatenga zithunzi za mkati mwa chiwindi ndikuchiyang'ana.
• Kufufuza chiwindi : Kachidutswa kakang'ono ka minofu kamatengedwa kuchokera ku chiwindi ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti awone mtundu wa kuwonongeka kwa chiwindi. Izi nthawi zambiri zimachitika ngati mayeso ena sakudziwika.

Kodi chithandizo cha izi ndi chiyani?

Chithandizo cha matenda a chiwindi oopsa chimadalira kuchuluka kwa kuwonongeka kwa chiwindi chanu. Dokotala akamaliza kufufuza chiwindi chanu, angakulangizeni izi:

• Amauzidwa kuti asiye kumwa mankhwala kapena zakudya zina zomwe zili ndi poizoni ku chiwindi.
• Amakuuza kuti usiye kumwa mowa kotheratu .
• Ngati mukukumana ndi mankhwala kuntchito, lankhulani ndi mkulu wanu za izi ndipo yesani kusamutsa ntchito yanu kupita ku ina .
• Ngati sizingatheke, amalimbikitsa kuvala zida zoyenera zodzitetezera (monga zophimba nkhope ndi magolovesi) mukamagwiritsa ntchito mankhwala.

Chofunika kwambiri ndi kuchotsa chomwe chawononga chiwindi. Izi zimapatsa chiwindi mwayi wodzichiritsa chokha.

Kodi matenda a chiwindi oopsa angachiritsidwe kwathunthu?

Nthawi zambiri, inde, matenda a chiwindi oopsa amatha kuchiritsidwa . Chiwindi chathu chili ndi mphamvu zodabwitsa zochotsa maselo owonongeka ndikupanga atsopano. Izi zikutanthauza kuti chiwindi chili ndi mphamvu zobweza kuwonongeka komwe kwachitika. Komabe, ngati mutakhala ndi matenda aakulu a chiwindi, monga cirrhosis , muli pachiwopsezo cholephera kugwira ntchito ya chiwindi. Ngati zimenezo zitachitika, gulu lanu lachipatala lingakambirane nanu za kuikidwa chiwindi.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi yomwe imatenga kuti munthu achire matenda a chiwindi oopsa imadalira zinthu zingapo:

• Kodi mwakhala ndi vutoli kwa nthawi yayitali bwanji?
• Kuchuluka kwa kuwonongeka kwa chiwindi chanu.

Ngati kuwonongekako kuli kochepa kapena pang'ono, zingatenge milungu ingapo kapena miyezi ingapo kuti chiwindi chikonze ndikuchiritsa maselo owonongeka.

Kodi tingadziteteze bwanji ku izi?

Pali zinthu zingapo zomwe tingachite kuti tidziteteze ku matenda oopsa a chiwindi:

• Pewani kukhudzana ndi mankhwala a mafakitale omwe angawononge chiwindi.
• Musagwiritse ntchito mankhwala osokoneza bongo (cocaine, chamba, ndi zina zotero) .
• Chepetsani kuchuluka kwa mowa womwe mumamwa , apo ayi ndi bwino kusiya kwathunthu.
• Ngakhale mutagula mankhwala ku pharmacy, imwani monga momwe mwalangizidwira, mu mlingo woyenera .
• Lankhulani ndi dokotala musanamwe zakudya zowonjezera .

Kodi mungachepetse bwanji chiopsezo cha kuwonongeka kwa chiwindi? Kodi mungasunge bwanji chiwindi kukhala chathanzi?

Mungathandize chiwindi chanu kukhala ndi thanzi labwino mwa kusintha moyo wanu. Ngakhale kuti palibe zakudya zinazake zoopsa za chiwindi, mungathandize chiwindi chanu kugwira ntchito bwino mwa kudya ndi kumwa zinthu zomwe mungathe kuchita. Yesani izi:

• Imwani madzi ndi zakumwa zambiri . Musalole kuti madzi atuluke m'thupi.
• Idyani zakudya zambiri zokhala ndi ulusi wambiri (monga nyemba, nandolo zobiriwira, ndi tirigu wonse monga mpunga wofiirira).
• Chepetsani kudya zakudya zokhala ndi mafuta ambiri komanso shuga wambiri .
• Chepetsani kugwiritsa ntchito mchere .

Kodi mungayembekezere chiyani ngati muli ndi matenda oopsa a chiwindi?

Lankhulani ndi dokotala wanu za thanzi la chiwindi chanu. Tsatirani malangizo a dokotala wanu mosamala okhudza momwe mungadzisamalire nokha pamene mukuchira matenda oopsa a chiwindi.

Kodi muyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zoopsa za kulephera kwa chiwindi, kapena ngati muli ndi zizindikiro za kulephera kwa chiwindi, pitani kwa dokotala nthawi yomweyo . Izi zikuphatikizapo:

• Chimbudzi chakuda, chochedwa .
• Delirium (chisokonezo, kusokonezeka).
• Ngati jaundice (kutuluka kwachikasu kwa khungu ndi maso) kukuwonjezeka.
• Ngati chilakolako chikupitirira.
• Ecchymosis ndi mawonekedwe a mawanga ofanana ndi mikwingwirima pa thupi .
• Kuvuta kusuntha thupi .
• Kusanza magazi .

Matenda a chiwindi oopsa amatha kuyamba pakapita nthawi. Simungazindikire zizindikiro zilizonse mpaka chiwindi chanu chitawonongeka. Komabe, kusintha moyo wanu kungathandize chiwindi chanu kuchira. Lankhulani ndi dokotala wanu za zomwe zimayambitsa poizoni m'chiwindi ndi momwe mungakulitsire thanzi la chiwindi chanu. Ngati chiwindi chanu chawonongeka kwambiri ndi matenda a chiwindi oopsa, dokotala wanu adzakufotokozerani njira zamankhwala zomwe zilipo kuti zikuthandizeni kuchira.

Tenga uthenga kunyumba

Choncho, tikukhulupirira kuti tsopano mwamvetsa tanthauzo la matenda a chiwindi oopsa, zomwe zimayambitsa, zizindikiro, ndi chithandizo chake. Kumbukirani, chiwindi chathu ndi chiwalo chamtengo wapatali kwambiri . Ndi udindo wathu kuchiteteza.

• Musamwe mankhwala popanda chifukwa . Musapitirize kugwiritsa ntchito mankhwala aliwonse popanda upangiri wa dokotala.
• Pewani kumwa mowa momwe mungathere .
• Tsatirani zakudya zabwino komanso moyo wathanzi .
• Ngati muli ndi zizindikiro zachilendo zokhudzana ndi chiwindi chanu, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo .

Ngati titachita zinthu izi, tingadziteteze kwambiri ku kuwonongeka kwa chiwindi. Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala.

Chiwindi , matenda oopsa a chiwindi, kuwonongeka kwa chiwindi, poizoni wa chiwindi, matenda a chiwindi, mowa, mankhwala osokoneza bongo