Unonwa doro rakawandisa here? Ngatidzidzei zvinoitika kuchiropa! (Doro-Associated Liver Disease)

Waizviziva here kuti doro ratinonwa nekuda kwekunakidzwa, kunakidzwa, uye dzimwe nguva nekuda kwetsika rinogona kukuvadza zvishoma nezvishoma nhengo inokosha mumuviri wedu? Ehe, ndiri kutaura nezvechiropa. Vamwe vanhu vanofunga kuti kunwa zvishoma hakukuvadzi chero chinhu, asi ndizvo zvazviri here? Ngationei zvinoitika kuchiropa nekuda kwedoro iri.

Chii chinonzi chirwere chechiropa chinokonzerwa nedoro?

Zvichitaurwa zviri nyore, kana ukaramba uchinwa doro rakawandisa, mafuta anotanga kuungana muchiropa chako uye ochikuvadza, izvo zvatinodaidza kuti 'Chirwere cheChiropa Chine Alcohol-Associated Liver' . Ichi chaizvoizvo rudzi rwechirwere chechiropa chinonzi 'chiropa chesteatotic'. Kare, vanachiremba vaidanawo chirwere ichi kuti 'chiropa chealcoholic'.

Chinoitika ndechekuti kana ukanwa doro rakawanda kupfuura rinogona kugadziriswa nechiropa chako, mafuta akawandisa anoungana mumasero echiropa chako. Funga nezvazvo sefekitori yakazara nemafuta. Chirwere ichi chinonzi `steatosis` , kunova kuunganidzwa kwemafuta muchiropa.

Kune matanho matatu echirwere ichi...

Kukuvadzwa kwechiropa kunokonzerwa nedoro hakukurumidzi kupararira panguva imwe chete. Matanho matatu makuru anogona kuzivikanwa:

1. Chirwere chechiropa chine steatotic chinokonzerwa nedoro: Iri ndiro danho rekutanga. Chinoitika pano ndechekuti kana ukaramba uchinwa doro rakawandisa, chiropa chinounganidza mafuta akawanda kupfuura zvachinokwanisa. Kazhinji, hapana zviratidzo zvikuru zvinoonekwa padanho iri.

2. Kuora kwechiropa kunokonzerwa nedoro: Kuunganidzwa kwemafuta uku kunokonzera kuzvimba, kana kuzvimba, muchiropa. Izvi zvakakomba zvishoma. Kuzvimba uku kunogona kukonzera kukuvara kukuru kwechiropa uye kunogona kuzokonzera chirwere chine njodzi chinonzi cirrhosis .

3. Kuoma kwechiropa kunokonzerwa nedoro: Iyi ndiyo nhanho ine njodzi zvikuru. Apa ndipo panofa masero echiropa uye anotsiviwa nemavanga. Mavanga aya anoita kuti chiropa chirasikirwe zvachose nekugona kwacho kushanda. Uku kukuvara kusingaperi , zvichireva kuti hakugone kudzoserwa shure.

Zviratidzo zvacho ndezvipi? Unozviziva sei?

Zvinosuwisa kuti vanhu vazhinji vane chirwere ichi havaratidzi zviratidzo pakutanga. Dzimwe nguva chinhu chekutanga chaunoona kunzwa kuneta nguva dzese . Asi sezvo chirwere ichi chichikura, unogona kuona zviratidzo zvakaita seizvi:

• Kupindwa nechando
• Kuungana kwemvura mudumbu (vanachiremba vanoti izvi zvinonzi 'ascites' ) kana kuzvimba mumakumbo (zvinonzi 'edema' )
• Kuda kudya
• Kurutsa, pamwe kurutsa ropa
• Kutsvuka kwemaziso neganda (izvi zvinonzi jaundice )
• Kuderedza huremu

Kana uine chimwe chezviratidzo izvi, kunyanya kana uri munhu anonwa doro zvakanyanya, unofanira kuona chiremba, sezvo chirwere ichi chinogona kuva nengozi kana chikasateererwa.

Sei chirwere ichi chichiitika? Chii chinonyanya kukonzera chirwere ichi?

Chikonzero chikuru uye chega cheizvi kushandiswa kwedoro rakawandisa kwenguva yakareba . Chirwere ichi chinowanzoonekwa muvanhu vanga vachinwa doro rakawandisa kwemakore mashanu kusvika gumi.

Zvino ungangove uchishamisika kuti 'kunwa doro zvakanyanya' kunorevei. Zvinosiyana zvishoma zvichienderana nekuti munhurume kana mukadzi ndeupi:

• Kuvarume: Kunwa doro zvakanyanya kunotsanangurwa sezvinwiwa zvitatu kana kupfuura zvedoro (kazhinji doro diki) pazuva, kana zvinwiwa makumi maviri nerimwe kana kupfuura pasvondo. Kune zvinwiwa zvine simba zvakaita sewaini, whisky, kana doro, huwandu hwezvinwiwa hwakatoderera.
• Kuvakadzi: Kunwa doro kaviri kana kupfuura pazuva, kana mabhodhoro gumi nemana kana kupfuura pasvondo, kunoonekwa sekunwa doro zvakanyanya.

Ongororo yakaratidza kuti 90% yevanhu vanonwa doro zvakanyanya vanorwara nechirwere chechiropa chine mafuta (steatosis). Mafuta aya ane chepfu kuchiropa. Anogona kukonzera kuzvimba, cirrhosis, uye kunyange kenza yechiropa. Zvisinei, havasi vese vanorwara nechirwere ichi zvakanyanya.

Ndiani ari panjodzi huru yekubatwa nechirwere ichi?

Chinhu chikuru chinokonzera njodzi iyi ndechekuva nechirwere chinonzi Alcohol Use Disorder (AUD) . Kureva kuti, kunwa doro zvakanyanya kwemakore mashanu akatevedzana. `AUD` chirwere chausingakwanise kudzora kunwa kwako, unoda kuramba uchinwa, uye unonetseka kurega.

Pamusoro pezvo, chirwere ichi chechiropa chinogonawo kukonzerwa nekunwa doro rakawanda panguva imwe chete ('Kunwa doro zvakanyanya' - kureva kuti, kunwa doro rakawanda munguva pfupi). Kana uchitova nechimwe chirwere chechiropa (chakadai sehepatitis B kana C), kukuvara kwechiropa chako nekuda kwedoro kwakatokura.

Ndezvipi zvinetso zvine njodzi zvinogona kuitika nekuda kwechirwere ichi?

Kana chirwere cheitsvo chinokonzerwa nedoro chikakura, chinogona kukonzera matambudziko anogona kuisa hupenyu pangozi. Heano mimwe mienzaniso:

• Kubuda ropa mumitsipa yeropa ( Varices yemudumbu kana kubuda ropa mudumbu ), semuenzaniso, kurutsa ropa.
• Kukuvadzwa kwechiropa kuuropi ( Hepatic encephalopathy ). Izvi zvinogona kukonzera hope dzakanyanya masikati, kuvhiringidzika, uye kutoita coma.
• Kenza yechiropa ( Hepatocellular carcinoma ).
• Kukundikana kweitsvo ( hepatorenal syndrome ).
• Kutadza kufema (`Hepatopulmonary syndrome` (chirwere chehepatopulmonary syndrome).
• Utachiona hwebhakitiriya mudumbu ( Spontaneous bacterial peritonitis) .

Aya mamiriro ezvinhu ane njodzi, saka zvakakosha kungwarira doro.

Vanachiremba vanoongorora sei chirwere ichi?

Paunoenda kunoona chiremba, anotanga akuongorora muviri wako. Achakubvunza nezvenhoroondo yehutano hwako. Chinhu chakakosha ndechekubvunza kuti unonwa doro rakawanda sei. Unganzwa usina kugadzikana kupindura mubvunzo uyu. Ungasada kutaura nezvetsika dzako dzekunwa doro. Zvisinei, ruzivo rwakarurama rwaunopa ruchabatsira chiremba kuti aone kana uine chirwere chacho. Ndapota taura chokwadi. Chiremba haasi kukutonga, aripo kuti akubatsire.

Pamusoro pezvo, chiremba anogonawo kuita bvunzo dzakadai se:

• Kuverengwa kweropa rose (CBC ): Kuongororwa kweanemia (kuverengwa kweropa kwakaderera) kana kuti kuverengwa kwemaplatelet kwakaderera.
• `CT scan` , `MRI test` kana `Ultrasound` bvunzo: Izvi zvinogona kutarisa mamiriro echiropa, kana paine mafuta akawanda, kana kuti pane zviratidzo zve`cirrhosis`.
• Kuongororwa kwebasa rechiropa : Izvi zvinogona kuona kana chiropa chakakuvara.
• Kuongororwa kwedoro : Izvi zvinogona kuona kuti doro riri muropa rako kana weti. Kumwe kuongororwa kwedoro kunogona kuona kuti wanwa doro rakawandisa kunyangwe mwedzi yakati wandei mushure mekunge wanwa doro.

Ndezvipi zvinorapwa izvi?

Kurapa kukuru uye kunoshanda zvakanyanya kwechirwere chechiropa chine steatotic chinokonzerwa nedoro kana hepatic steatosis kunokonzerwa nedoro ndiko kurega zvachose kunwa doro. Izvi zvinogona kubatsira kuderedza kukuvara kwechiropa.

Tinoziva kuti izvi zviri nyore kutaura, asi zvakaoma kuzviita. Chirwere ichi chechiropa chinowanzoitika kuvanhu vane dambudziko rekushandisa doro (`Alcohol Use Disorder - AUD`). Kana uine `AUD`, chiremba wako anogona kukupa mazano ekurapa aya:

• Kurapa Maitiro: Muizvi, unogona kushanda nevapi vemazano ekupindwa muropa kana vanachiremba vepfungwa. Vachakubatsira kuchinja maitiro ako ekunwa doro. Izvi zvinotsigirwa kuburikidza nekurapa kwakasiyana-siyana.
• Mishonga: Kune mishonga inoderedza chishuwo chekunwa doro uye inoderedza zviratidzo zvekurega doro.

Kuoma kwemoyo kunokonzerwa nedoroKurapwa kwechirwere ichi kunosiyana zvichienderana nehutano hwako. Semuenzaniso, mushonga wega wechirwere ichi kuisirwa chiropa . Zvisinei, havasi vese vanoda chiropa chine hutano vanogona kuchiwana. Pane zvimwe zvinodiwa zvinofanira kuzadzikiswa. Kana uine chirwere ichi, bvunza chiremba wako kana kuisirwa chiropa kwakakunakira.

Ndinofanira kuona chiremba rini?

Kana uchifunga kuti uri kunwa doro rakawandisa nguva dzose kana kuti uri kunetseka kudzora kunwa kwako, zvakakosha kutaura nachiremba. Vanachiremba vanoziva kuti kugovana ruzivo rwako, senge kushandisa kwako doro, hazvisi nyore nguva dzose. Vachataura nezvematambudziko ako uye vachaongorora hutano hwako vasingakutonge.

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Ndingagadzirisa mamiriro ezvinhu aya here?
• Ko mamiriro angu achatowedzera kuipa here?
• Pane mishonga yandisingafaniri kutora here nekuti chiropa changu chakakuvadzwa nedoro? (Zvimwe zvinhu zvakaita semishonga inoderedza marwadzo zvinogona kukuvadza chiropa.)

Kana ndine chirwere ichi, chii chandinofanira kutarisira?

Mamiriro ezvinhu evanhu akasiyana. Chirwere chechiropa chine chekuita nedoro chinogona kurapwa zvachose mukati memavhiki matanhatu mushure mekunge warega kunwa doro. Izvi zvinoreva kuti chiropa chako chinogona kuva neutano hwakanaka zvakare.

Asi kana uine cirrhosis, mamiriro acho ezvinhu akasiyana. Kana ukarega kunwa doro, unogona kudzivirira chirwere ichi kuti chisawedzere kuipa uye worarama kwenguva refu. Asi kukuvara kwechiropa zvachose hakugone kuchinjwa. Mushonga chete ndeyekuisirwa chiropa.

Munhu ane chirwere ichi anotarisirwa kurarama hupenyu hwakadii?

Munhu ane chirwere chisina kunyanya kuoma anogona kurarama hupenyu hwakajairika kana akarega kunwa doro zvachose, kungofanana nemunhu asina chirwere chacho. Asi izvozvo zvinoenderana chete nemunhu akarega kunwa doro.

Nguva yekurarama yemunhu ane chirwere checirrhosis ipfupi zvikuru. Avhareji yehupenyu hunotarisirwa mushure mekuonekwa kuti une chirwere ichi inguva iri pakati pemakore maviri negumi nemashanu, asi izvi zvinoenderana nezvinhu zvakawanda, kusanganisira kuoma kwechirwere ichi, matambudziko, uye kurega kunwa doro. Kana uine chirwere chechiropa cherudzi urwu, chiremba wako ndiye anonyanya kukupa ruzivo. Iye ndiye achaziva rudzi rwechirwere chechiropa chaunacho uye kuti chinokubata sei.

Pakupedzisira, ndinofanira kutaura izvi...

Zvinogona kuoma kubvuma kuti unonwa doro rakawandisa nguva dzose. Zvinogona kutonyanya kuoma kuudza chiremba kuti unonwa doro rakawanda sei uye kangani. Asi kugovana ruzivo irworwo kwakakosha. Ndiko kunobatsira chiremba wako kuona nemazvo kukuvara kwakaita doro kuchiropa chako.

Kana ukaona chirwere ichi nekukurumidza worega kunwa doro, unogona kudzivirira chirwere ichi kuti chisawedzere kuipa.Zvinokwanisika kugadzirisa kukuvara kunokonzerwa nechiropa nedoro.

Vanachiremba vanoziva kuti kurega kunwa doro hakusi nyore. Varipo kuti vakubatsire, kwete kukutongera. Danho rekutanga rekupora nderekutaura pachena nezvekushandisa kwako doro. Saka, usatya kana kunyara kutaura nachiremba nezvazvo. Chiropa chako chichakutenda! Yeuka, kukumbira rubatsiro chiratidzo chesimba, kwete kushaya simba.

Doro , chiropa, chirwere chechiropa, Chirwere cheChiropa Chine Kubatanidzwa neDoro, cirrhosis, steatosis, kurega doro, mafuta echiropa, mafuta echiropa, kudhakwa