Wakamboonekwa uine chirwere chePrimary Biliary Cholangitis ( PBC ) , kana kuti sematauriro anoita vanachiremba here? Kana zvakadaro, pamwe watotanga kurapwa. Asi dzimwe nguva unonzwa sekuti mishonga yauri kutora haisi kubatsira zvakanyanya sezvaunofunga, uye kuti chirwere chacho chakafanana here? Zvakajairika kunzwa saizvozvo, uye usazvidya mwoyo nazvo. Nhasi, tichataura nezvezvinoitika kana kurapwa kwako kwePBC kusiri kushanda, kuti ungakuziva sei, uye zvekuita zvinotevera.
Kutanga, chii chinonzi PBC mumashoko akareruka?
Funga nezvechiropa chedu seimwe yemafekitori makuru mumuviri wedu. Mvura inokosha inogadzirwa mufekitori iyi inonzi 'bile'. Bile iri rinotibatsira kugaya chikafu chatinodya. Bile iri rinoburitswa kubva muchiropa kuburikidza nehurongwa hwakapfava hwemachubhu madiki ( bile ducts ).
Muchirwere chinonzi PBC, kusashanda zvakanaka kwemuviri wedu kunorwisa migero yenyongori iyi uye kunoita kuti izvimbe kubva mukati. Zvinoita sepaipi yemvura yavharika. Zvadaro, nyongori haigone kuyerera zvakanaka uye inotanga kuungana muchiropa.
Pakutanga, panogona kunge pasina zviratidzo. Asi sezvo nyongo iyi ichiungana nekufamba kwenguva, inokuvadza masero echiropa uye inokonzera mavanga. Kana chirwere ichi chikanyanya kuipa, chinonzi cirrhosis . Kana chikarapwa zvakanaka, chinogona kutokonzera kutadza kwechiropa . Ndosaka zvichikosha kutanga kurapwa nekukurumidza.
Mushonga wekutanga unopihwa nachiremba - UDCA
Kana wangoonekwa uine PBC, mushonga wekutanga waunowanzo kutanga kushandisa chiremba wako iUrsodeoxycholic acid . Sezvo zvakaoma kurangarira zita refu iri, tese tinoridaidza kuti UDCA muchidimbu.
Zvinoitwa nemushonga uyu weUDCA kubatsira nyongo yakaungana muchiropa kuti ibude zviri nyore. Izvi zvinoderedza kukuvara kwechiropa. Asi pane chinhu chimwe chete chakakosha chatinofanira kunzwisisa tese.
Mushonga uyu weUDCA haugone kurapa PBC zvachose. Zvisinei, unogona kumisa chirwere ichi kuti chisakurumidze kukura, kudzora kukuvara kwechiropa, uye kukubatsira kurarama hupenyu hwakajairika.
Asi dambudziko nderekuti, mushonga uyu haushande zvakafanana kune wese munhu. Vamwe vanhu havawani mhedzisiro yavanotarisira kubva mauri.
Unoziva sei kana mushonga wacho usiri kushanda?
Ongororo dzakawana kuti vanhu vanosvika 40% vanotora UDCA, kana kuti vanhu vana pavanhu gumi, havawani mabhenefiti anotarisirwa kubva pamushonga uyu. Vanhu vashoma vanowana migumisiro yakaipa yakadai sekurwadziwa mudumbu uye manyoka, zvichiita kuti zviomere kuramba uchishandisa mushonga uyu.
Kana kurapwa kwako kusiri kushanda nemazvo, unogona kuramba uine zviratidzo zvakaita seizvi kana kuti zvikawedzera kuipa.
| Chiratidzo | Zvinonzwa sei |
|---|---|
| Kunzwa kuneta kwakanyanya nguva dzose | Kunzwa sekuti hapana chauchararama kunyangwe warara zvakanaka usingaite chinhu. |
| Kukwenya ganda | Kukwenya kusingatsungiririki muviri wese, kunyanya husiku. |
| Kutsvuka kweganda nemaziso | Machena emaziso neganda anoshanduka kuita yero, sezvakaita jaundice. |
| Maziso nemuromo zvakaoma | Muromo wakaoma nguva dzose uye kunzwa kuoma, sejecha mumaziso. |
| Kurwadziwa mudumbu rekumusoro kurudyi | Kurwadziwa kusingafadzi kunobva munzvimbo yechiropa, ndiko kuti, kurudyi kwedumbu, pasi pembabvu. |
| Kuzvimba kwemakumbo nedumbu | Kunyanya kuzvimba mumakumbo, muzvitsitsinho, uye mudumbu. |
Ndiani angangotadza kutora UDCA?
Vanachiremba vakaona kuti vamwe vanhu vanogona kuwana mhedzisiro yakaderera kubva kuUDCA. Izvi zvinosanganisira:
- Vanhu vane chirwere chechiropa chatova nechirwere ichi.
- Vanhu vane ma enzymes echiropa akawanda anonzi gamma-glutamyl transferase uye alkaline phosphatase muropa ravo.
- Varume (kunyange zvazvo PBC yakajairika muvakadzi, inogona kuva yakanyanya kuipa muvarume).
- Vakadzi vakaonekwa vaine chirwere chePBC vasati vasvitsa makore 45.
Ungasimbisa sei izvi, chiremba?
Kunyangwe zviratidzo zvako zvikaramba zviripo, chiremba haazobva angosarudza kuti "mushonga wacho hausi kushanda." Pane nzira yekuziva chokwadi.
Kana wangotanga kurapwa, chiremba wako achakutarisa nguva nenguva. Vanowanzo raira kuti ropa riongororwe mwedzi mitatu kusvika mitanhatu yega yega. Asi dzimwe nguva zvinogona kutora kusvika gore kuti uzive zvechokwadi kana mushonga uyu uri kukubatsira zvechokwadi.
Kuongororwa kweropa uku kunonyanya kutarisa huwandu hweenzyme yechiropa chako, kunyanya Alkaline Phosphatase (ALP) neBilirubin . Kana huwandu uhwu huchiri hwakakwira zvakanyanya kupfuura zvakajairika mushure memwedzi yakati wandei yekutora UDCA, zvinogona kuva chiratidzo chekuti kurapwa hakusi kushanda sezvaitarisirwa.
Kana izvozvo zvikaitika, chiremba wako angasarudza kuwedzera mushonga mutsva kuUDCA yako kana kutaura newe nezveimwe nzira yekurapa.
Saka ndoita sei?
Ichi ndicho chinhu chakakosha chaunofanira kuziva kubva muchinyorwa chino.
Kutaura pachena uye nekuvimbika nachiremba wako.
Kana zviratidzo zvako zvikasavandudzika kana kuti zvichiratidza kunge zviri kuwedzera kuipa, iva nechokwadi chekuti waudza chiremba wako nezvazvo nguva inotevera yaunomuona. Usavanza ruzivo, uchifunga kuti, "Izvi zvinofanira kunge zvakajairika," kana kufunga kuti zvichanetsa chiremba. Chinhu chidiki chega chega chaunonzwa chakakosha pakusarudza kurapwa.
Yeuka, kungoti mushonga wekutanga hauna kushanda hazvirevi kuti wapera. Mishonga yafambira mberi zvakanyanya. Kune dzimwe nzira dzakawanda nemishonga mitsva yekubatsira kugadzirisa dambudziko rako. Chinhu chinonyanya kukosha ndechekuti iwe nachiremba wako mushande pamwe chete.
Mharidzo Yekuenda Nayo Kumba
- PBC chirwere chinokuvadza machubhu madiki anotakura bile kuenda kuchiropa. Kana chikarapwa zvakanaka, chinogona kukonzera kukuvara kwechiropa zvakanyanya nekufamba kwenguva.
- UDCA ndiyo nzira huru uye yekutanga yekurapa PBC, asi haishande zvakaenzana kune wese munhu.
- Kana zviratidzo zvakaita sekuneta nguva nenguva, ganda rinokwenya, uye maziso achitsvuka-tsvuka pasinei nekushandisa mishonga, zvinogona kureva kuti kurapwa kwacho hakuna kukodzera iwe.
- Kutaura nachiremba wako nezvezviratidzo zvako uye manzwiro ako ndicho chinhu chakanakisa chaunogona kuitira hutano hwako.
- Kunyangwe kana mushonga mumwe chete usingashande, kune dzimwe nzira nemishonga yekurapa chirwere chako. Saka usatya kana kutya.
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