Ingaba usela utywala kakhulu? Masifunde ngento eyenzekayo kwisibindi! (Isifo Sesibindi Esinxulumene Notywala)

Ubusazi na ukuba utywala esibuselayo ngenxa yolonwabo, ulonwabo, kwaye ngamanye amaxesha ngenxa nje yokusela nje bunokonakalisa kancinci kancinci ilungu elibalulekileyo emzimbeni wethu? Ewe, ndithetha ngesibindi. Abanye abantu bacinga ukuba ukusela kancinci akuyi kulimaza nto, kodwa ngaba kunjalo ngokwenene? ​​Makhe sibone ukuba kwenzeka ntoni kwisibindi ngenxa yolu tywala.

Yintoni isifo sesibindi esinxulumene notywala?

Ngamafutshane, xa uqhubeka usela utywala obuninzi, amafutha aqala ukuqokelelana esibindini sakho aze asonakalisa, nto leyo esiyibiza ngokuba yi-'Alcohol-Associated Liver Disease' . Olu luhlobo lwesifo sesibindi esibizwa ngokuba yi-'steatotic liver disease'. Ngaphambili, oogqirha babesibiza le meko ngokuba yi-'alcoholic liver disease'.

Kwenzeka ntoni kukuba xa usela utywala obuninzi kunokuba isibindi sakho sinokubusebenzisa, amafutha amaninzi ayaqokelelana kwiiseli zesibindi sakho. Cinga ngayo njengomzi-mveliso ogcwele i-stock. Le meko ibizwa ngokuba yi-'steatosis' , oku kukuqokelelana kwamafutha esibindini.

Kukho izigaba ezintathu zesi sifo...

Umonakalo kwisibindi obangelwa butywala awubi mkhulu ngaxeshanye. Amanqanaba amathathu aphambili anokuchongwa:

1. Isifo sesibindi esibangelwa yi-steatotic esibangelwa butywala: Eli linqanaba lokuqala. Okwenzekayo apha kukuba xa uqhubeka usela utywala obuninzi, isibindi siqokelela amafutha amaninzi kunokuba sinokuwathwala. Kwiimeko ezininzi, akukho zimpawu zibalulekileyo kweli nqanaba.

2. I-hepatic steatosis enxulumene notywala: Oku kuqokelelana kwamafutha kubangela ukudumba, okanye ukudumba, kwisibindi. Oku kunzulu kancinci. Oku kudumba kunokubangela umonakalo omkhulu kwisibindi kwaye kamva kunokukhokelela kwimeko eyingozi ebizwa ngokuba yi-cirrhosis .

3. I-cirrhosis enxulumene notywala: Eli lelona nqanaba liyingozi kakhulu. Kulapho iiseli zesibindi zifa khona kwaye zithathelwa indawo ziithishu zesilonda. Olu xinzelelo lubangela ukuba isibindi siphelelwe ngamandla aso okusebenza. Oku kukonakala okungapheliyo , oko kuthetha ukuba akunakubuyiselwa umva.

Zithini iimpawu? Uzibona njani?

Okubuhlungu kukuba, abantu abaninzi abanale sifo ababonisi zimpawu kwasekuqaleni. Ngamanye amaxesha into yokuqala oyiqaphelayo kukuziva udiniwe ngalo lonke ixesha . Kodwa njengoko isifo sisiya sisiba mandundu, unokubona iimpawu ezifana nezi:

• Ifiva
• Ukwanda kolwelo esiswini (oogqirha babiza oku ngokuba yi-'ascites' ) okanye ukudumba emilenzeni (okubizwa ngokuba yi-'edema' )
• Umnqweno wokutya
• Ukuhlanza, mhlawumbi ukuhlanza igazi
• Ukutyheli kwamehlo nolusu (oku kubizwa ngokuba yi-jaundice )
• Ukuhla ukusinda

Ukuba unayo nayiphi na kwezi mpawu, ingakumbi ukuba ungumntu onxilileyo, ngokuqinisekileyo kuya kufuneka ubone ugqirha, kuba imeko inokuba yingozi ukuba ayihoywa.

Kutheni esi sifo senzeka? Yintoni eyona nto ibangela esi sifo?

Eyona nto iphambili neyimbangela yoku kukusebenzisa utywala kakhulu ixesha elide . Esi sifo sidla ngokukhula kubantu abasele utywala kakhulu kangangeminyaka emihlanu ukuya kwelishumi.

Ngoku usenokuba uzibuza ukuba 'ukusela kakhulu' kungakanani. Kuyahluka kancinci ngokuxhomekeke kwisini:

• Kumadoda: Ukusela kakhulu kuchazwa njengeziphuzo ezintathu okanye ngaphezulu zotywala (ngokuqhelekileyo ibhiya elula) ngosuku, okanye iziselo ezingama-21 nangaphezulu ngeveki. Kwiziselo ezinamandla njengewayini, iwhiskey, okanye utywala, inani leziselo liphantsi nangakumbi.
• Kwabasetyhini: Iziselo ezimbini okanye ngaphezulu ngosuku, okanye iziselo ezili-14 okanye ngaphezulu ngeveki, kuthathwa njengokusela kakhulu.

Uphando lubonise ukuba ama-90% abantu abasela kakhulu banesifo sesibindi esinamafutha (i-steatosis). La mafutha ayingozi kwisibindi. Angakhokelela ekuvuvukeni, kwi-cirrhosis, kwanasekubeni nomhlaza wesibindi. Nangona kunjalo, ayinguye wonke umntu ofumana iimeko ezinzima zesi sifo.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Eyona nto iphambili ebangela umngcipheko kukuba nesifo esibizwa ngokuba yi -Alcohol Use Disorder (AUD) . Oko kukuthi, ukusela utywala ngokugqithisileyo ubuncinane iminyaka emihlanu ilandelelana. I-'AUD' yimeko apho ungakwazi ukulawula ukusela kwakho, ufuna ukusela rhoqo, kwaye unobunzima bokuyeka.

Ukongeza, esi sifo sesibindi sinokubangelwa kukusela utywala obuninzi ngaxeshanye (`Ukusela kakhulu` - oko kukuthi, ukusela utywala obuninzi ngexesha elifutshane). Ukuba sele unesinye isifo sesibindi (esifana ne-hepatitis B okanye i-C), umonakalo kwisibindi sakho ngenxa yotywala mkhulu nangakumbi.

Ziziphi iingxaki ezinobungozi ezinokubakho ngenxa yesi sifo?

Ukuba isifo sesibindi esibangelwa butywala siba sibi kakhulu, sinokukhokelela kwiingxaki ezinokuba yingozi ebomini. Nazi imizekelo embalwa:

• Ii-varice zemithambo yegazi kunye nokopha kwindlela yokugaya ukutya ( ii-varice zesisu okanye ukopha kwesisu ), umzekelo, ukuhlanza igazi.
• Ukonakala kwesibindi ebuchotsheni ( Hepatic encephalopathy ). Oku kunokubangela ukozela kakhulu emini, ukudideka, kwanokungakhuli kakuhle.
• Umhlaza wesibindi ( i-Hepatocellular carcinoma ).
• Ukungaphumeleli kwezintso ( i-hepatorenal syndrome ).
• Ukungaphumeleli kokuphefumla (`isifo se-hepatopulmonary` (isifo se-hepatopulmonary).
• Usulelo lwebhaktheriya kwisisu ( i-Spontaneous bacterial peritonitis) .

Ezi ziimeko eziyingozi kakhulu, ngoko ke kubaluleke kakhulu ukulumka ngotywala.

Oogqirha bayixilonga njani le sifo?

Xa usiya kugqirha, uza kuqala akuhlole ngokwasemzimbeni. Uza kukubuza ngembali yakho yempilo. Eyona nto ibalulekileyo kukubuza ukuba usela utywala obungakanani. Ungaziva ungakhululekanga ukuphendula lo mbuzo. Usenokuba mathidala ukuthetha ngemikhwa yakho yokusela. Nangona kunjalo, ulwazi oluchanekileyo olunikayo luya kunceda ugqirha ukuba afumane uxilongo oluchanekileyo. Nceda uthethe inyani. Ugqirha akakugwebi, ulapha ukukunceda.

Ukongeza, ugqirha angenza iimvavanyo ezifana nezi:

• Ubalo lwegazi olupheleleyo (CBC ): Ukuhlolwa kwe-anemia (ubalo lwegazi oluphantsi) okanye inani eliphantsi leeplatelet.
• Uvavanyo lwe-`CT scan` , `MRI test` okanye `Ultrasound` : Olu vavanyo lunokujonga imeko yesibindi, nokuba kukho ukuqokelelwa kwamafutha, okanye ukuba kukho iimpawu ze-`cirrhosis`.
• Uvavanyo lokusebenza kwesibindi : Olu vavanyo lunokuqinisekisa ukuba isibindi sonakele na.
• Uvavanyo lwe-alcohol biomarker: Olu vavanyo lunokufumanisa ubukho botywala egazini okanye emchameni wakho. Ezinye iimvavanyo ze-alcohol biomarker zinokufumanisa ukusela kakhulu nangona sele iinyanga usele utywala.

Zithini iindlela zonyango zoku?

Unyango oluphambili nolusebenzayo lwesifo sesibindi esibangelwa yi-alcohol-associated alcohol-associated hepatic steatosis kukuyeka ngokupheleleyo ukusela utywala. Oku kunokunceda ukubuyisela umva umonakalo wesibindi.

Siyazi ukuba kulula ukukuthetha oku, kodwa kunzima ukukwenza. Esi sifo sesibindi sidla ngokuvela kubantu abanengxaki yokusebenzisa utywala (`Alcohol Use Disorder - AUD`). Ukuba une-`AUD`, ugqirha wakho unokucebisa olu nyango:

• Unyango lokuziphatha: Kule nto, ungasebenzisana nabacebisi bokusela utywala okanye iingcali zengqondo. Baza kukunceda utshintshe indlela oziphatha ngayo xa usela. Oku kuxhaswa ziindlela ezahlukeneyo zonyango.
• Amayeza: Kukho amayeza anciphisa umnqweno wokusela utywala aze anciphise iimpawu zokurhoxa.

Isifo sokuqina kwesibindi esibangelwa butywalaUnyango lwesi sifo luyahluka ngokuxhomekeke kwimeko yakho yempilo. Umzekelo, unyango olulodwa lwe-cirrhosis kukufakelwa isibindi . Nangona kunjalo, ayinguye wonke umntu ofuna isibindi esisempilweni onokufumana esinye. Kukho imiqathango ethile ekufuneka ifezekiswe. Ukuba une-cirrhosis, buza ugqirha wakho ukuba ukufakelwa isibindi kukulungele na.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba usela utywala obuninzi rhoqo okanye unengxaki yokulawula ukusela kwakho, kubalulekile ukuthetha nogqirha. Oogqirha bayazi ukuba ukwabelana ngolwazi lomntu siqu, olufana nokusebenzisa kwakho utywala, akulula rhoqo. Baza kuthetha ngeengxaki zakho baze bahlole impilo yakho ngaphandle kokukugweba.

Ungabuza ugqirha imibuzo efana nale:

• Ndingayitshintsha le meko?
• Ngaba imeko yam iya kuba mandundu?
• Ngaba kukho amayeza endingafanele ndiwasebenzise kuba isibindi sam sonakaliswe butywala? (Ezinye izinto ezifana neepilisi zokuthomalalisa iintlungu zinokuba yingozi kwisibindi.)

Ukuba ndinesi sifo, ndimele ndilindele ntoni?

Imeko yomntu wonke yahlukile. Isifo sesibindi esibangelwa butywala sinokunyangeka ngokupheleleyo kwiiveki ezintandathu emva kokuba uyekile ukusela utywala. Oku kuthetha ukuba isibindi sakho singaphila kwakhona.

Kodwa ukuba une -cirrhosis, imeko yahlukile. Ukuba uyeka ukusela utywala, unokuthintela isifo ukuba singabi mandundu kwaye wongeze ubomi bakho. Kodwa umonakalo osisigxina kwisibindi awunakuguqulwa. Unyango kuphela kukufakelwa isibindi.

Ingakanani iminyaka yobomi bomntu onesi sifo?

Umntu onesifo esincinci unokuphila ubomi obuqhelekileyo ukuba uyeka ngokupheleleyo ukusela, njengomntu ongenaso esi sifo. Kodwa oko kuxhomekeke ngokupheleleyo kumntu oyekayo ukusela.

Ixesha lokuphila komntu onesifo sesibindi lifutshane nangakumbi. Ixesha eliqhelekileyo lokuphila emva kokufunyaniswa ukuba unesifo liphakathi kweminyaka emibini ukuya kwelishumi elinesihlanu, kodwa oku kuxhomekeke kwizinto ezininzi, kuquka ubukhali besifo, iingxaki, kunye nokuyekiswa kotywala. Ukuba unolu hlobo lwesifo sesibindi, ugqirha wakho ngoyena mthombo wakho wolwazi. Uya kwazi ukuba loluphi uhlobo lwesifo sesibindi onaso kunye nendlela esikuchaphazela ngayo.

Okokugqibela, kufuneka nditsho oku...

Kunokuba nzima ukuvuma ukuba usela utywala obuninzi rhoqo. Kunokuba nzima nangakumbi ukuxelela ugqirha ukuba usela kangakanani kwaye kangaphi. Kodwa ukwabelana ngaloo lwazi kubalulekile. Yiyo enceda ugqirha wakho ukuba afumanise ngokuchanekileyo umonakalo owenziwe butywala kwisibindi sakho.

Ukuba ufumanisa isifo kwangethuba uze uyeke ukusela utywala, unokuthintela ukuba isifo singabi sibi.Kunokwenzeka ukubuyisela umva umonakalo obangelwe sisibindi ngenxa yotywala.

Oogqirha bayazi ukuba ukuyeka ukusela akulula. Bakho ukuze bakuncede, kungekhona ukukugweba. Inyathelo lokuqala lokuchacha kukuthetha ngokukhululekileyo malunga nokusebenzisa kwakho utywala. Ngoko ke, ungoyiki okanye ube neentloni zokuthetha nogqirha ngako. Isibindi sakho siya kukubulela! Khumbula, ukucela uncedo luphawu lwamandla, kungekhona ubuthathaka.

Utywala , isibindi, isifo sesibindi, isifo sesibindi esinxulumene notywala, isifo sesibindi, i-steatosis, ukuyeka utywala, amafutha esibindi, ioyile yesibindi, ukunxila