Chiropa chako inhengo inoshamisa. Chinogadzira mvura inonzi 'bile' inotibatsira kugaya chikafu chine mafuta chatinodya. Asi kune munhu ane chirwere chinonzi Primary Biliary Cholangitis (PBC), migero yakapfava inotakura bile iyi inokuvadzwa. Izvi zvinoita kuti bile isafambe zvakanaka uye ivharike mukati mechiropa. Nekufamba kwenguva, bile iyi inogona kuoma kuita matombo uye kukonzera hutachiona. Pakupedzisira, bile iyi inodzokera kumashure uye inokonzera mavanga mukati mechiropa. Uku ndiko kunowanzoita PBC.
Asi musazvidya moyo. Kune mishonga yakanaka inogona kubatsira kubvisa nyongo muchiropa uye kuderedza kuumbwa kwemavanga aya. Zvisinei, kana mukasarapa PBC zvakanaka, kana chirwere chikawedzera kuipa, mamwe matambudziko anogona kuitika. Nhasi, tichataura nezvematambudziko anowanzoitika ePBC uye maitiro ekuagadzirisa.
Cirrhosis, chirwere chakakomba
Cirrhosis inyaya yekuti masero ane hutano muchiropa chako anotsiviwa nemavanga. Zvichitaurwa zviri nyore, chiropa chinooma zvishoma nezvishoma kuita dombo. Izvi zvinoitika padanho rekupedzisira rePBC. Panguva ino, chiropa chatove chakakuvara zvakanyanya.
Chirwere cheCirrhosis chirwere chakakomba chatinofanira kuziva, sezvo chinogona kukonzera zvirwere zvakakomba zvakaita sekutadza kushanda kwechiropa uye kenza yechiropa.
Kare, chirwere chePBC chainzi 'primary biliary cirrhosis'. Izvi zvinokonzerwa nekuti kuoma kwechirwere ichi kwakabatana sei nechirwere ichi.
Izvi zvinorapwa sei?
Chiremba wako achakupa mishonga yekudzivirira chirwere ichi.
- Kazhinji, mushonga wekutanga unonzi ursodeoxycholic acid (Ursodiol) . Izvi zvinoshanda nekubvisa bile kubva muchiropa uye kuderedza kukuvara kwechiropa.
- Kana usinganzwe zviri nani nemushonga uyu wega, chiremba wako anogona kukurudzira kuti utore mushonga unonzi obeticholic acid (Ocaliva) pamusoro pawo.
- Pamusoro pezvo, mishonga mitsva yakaita seelafibranor (Iqirvo) uye seladelpar (Livdelzi) ikozvino yatenderwa kushandiswa pamwe chete neursodeoxycholic acid.
- Imwe nzira ndeyemhando yemishonga inonzi fibrates . Kunyangwe iyi ichitenderwa kuderedza mafuta muropa (lipids), yakawanikwa ichishanda zvakanaka muvarwere vePBC vasingapindure zvakanaka ku ursodeoxycholic acid. Nenzira iyi, kana chiremba achishandisa mushonga wechirwere chisiri icho chakatenderwa, tinouti 'kushandiswa kwekunze kwechiratidzo'.
Zvisinei, zvisinei nekurapa kwaunoshandisa, kana mavanga ari muchiropa akanyanya kuwanda uye chiropa chikatadza kushanda, mhinduro chete ndeyekuisirwa chiropa.Chete. Chaunoita ikoko kubvisa chiropa chako chakakuvara wochiisa pamwe chete nechiropa chakabva kune mumwe munhu ane hutano.
Kuwedzera kwekumanikidzwa mutsinga iri muchiropa (Portal Hypertension)
Iri idambudziko guru. Ngatinzwisisei izvi. Tine tsinga huru yeropa inoendesa ropa kuchiropa chedu. Izvi ndizvo zvatinodaidza kuti 'mutsinga wepamuromo'.
Zvino, kana mavanga aumbwa muchiropa nekuda kwechirwere checirrhosis chatakataura nezvacho kare, kuyerera kweropa kuburikidza ne'portal vein' iyi kunovharika. Kungofanana nekuzara kwemotokari mumugwagwa, ropa harigone kuyerera zvakanaka uye rinonamira mukati metsinga iyoyo. Sezvo ropa richiungana seizvi, kumanikidzwa mukati metsinga iyoyo kunowedzera zvishoma nezvishoma. Vanachiremba vanodana chirwere ichi kuti portal hypertension .
Sei izvi zvine njodzi? Kumanikidzwa kwakanyanya uku kunogona kukonzera tsinga dzeropa dzakapfava dziri mumuviri kuti dzibude, zvichikonzera kubuda ropa mukati memuviri . Saka, zvakakosha kurapa izvi nekukurumidza.
Ngatingonzwisisai matambudziko maviri aya kubva patafura iri pazasi.
| Dambudziko | Zvichitaurwa zviri nyore... | Njodzi Huru |
|---|---|---|
| Kurwara neCirrhosis | Kuumbwa kwenyama ine mavanga pachinzvimbo chenyama ine hutano yechiropa (matombo echiropa). | Kukundikana kweChiropa uye Kenza yeChiropa. |
| Kukwira Kweropa Kwepasuo | Kurwara kweropa kunoita kuti tsinga dzinoendesa ropa kuchiropa dzivharike, zvichiita kuti kumanikidzwa kweropa kuwedzere. | Kubuda ropa mukati. |
Ndezvipi zvinorapwa izvi?
Chiremba wako anogona kukupa mishonga, yakadai se beta-blockers, yekuderedza kumanikidzwa kweropa mu 'portal vein' iyi. Izvi zvinogona kudzora kumanikidzwa kweropa kwenguva pfupi.
Asi yeuka, mushonga wega uye unogara kwenguva refu unogona kumisa zvachose BP yemudumbu ndeyekuisirwa chiropa.Chete. Nekuti chikonzero chikuru cheizvi kukuvara kwechiropa kunokonzerwa nechirwere chechiropa chinonzi cirrhosis. Sezvo kukuvara ikoko kusingagone kugadziriswa, nzira yekupedzisira ndeyekubvisa chiropa chakakuvara wochitsiva nechimwe chitsva.
PBC chirwere chinogona kudzorwa zvakanaka nekurapwa kwakakodzera uye mazano ekurapa. Saka, kana uine chirwere ichi, usavhunduka, ramba uchigara uchionana nachiremba wako, uye tevera mirairo yakanyorwa nemazvo. Ndiyo nzira yakanakisisa yekudzivirira matambudziko akadaro.
Mharidzo Yekuenda Nayo Kumba
- Chirwere chePrimary Biliary Cholangitis (PBC) chirwere chinokuvadza migero yakapfava iri muchiropa inotakura bile.
- Kana chirwere ichi chikasarapwa nemazvo, matambudziko akakomba akadai se cirrhosis uye portal hypertension anogona kuitika.
- Cirrhosis chirwere chinokonzerwa nekuvadzwa kwemavanga muchiropa, zvichikonzera kutadza kushanda kwechiropa uye kenza.
- Kukwira kweropa mumuviri (portal hypertension) kunokonzerwa nekuwedzera kweropa mutsinga inotakura ropa kuenda kuchiropa. Izvi zvinogona kukonzera kubuda ropa mumuviri.
- Kana uine chirwere chePBC, taura nachiremba wako nguva dzose nezvechero chauri kunetseka nacho . Zvakakosha kutora mishonga yako sezvawakarairwa uye kutevedzera mirairo yachiremba wako.
- Kazhinji, mushonga wekupedzisira ungave wekuisirwa chiropa.
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