Indlela ingxaki yesibindi echaphazela ngayo ingqondo: Masithethe ngeHepatic Encephalopathy ngamazwi alula

Ngaba wakha wambona umntu kusapho lwakho, mhlawumbi utata wakho, umalume wakho, okanye umntu omaziyo, ngequbuliso esenza izinto ezingaqhelekanga? Ngaba kukulahlekelwa yinkumbulo nje, ukudideka kancinci, ukucaphuka zizinto ezincinci, okanye ukuhlala ulele emini? Sihlala sicinga ngezi zinto njengezinto eziqhelekileyo ezenzeka njengoko sikhula. Nangona kunjalo, ngamanye amaxesha oku kunokubangelwa yingxaki enkulu yesibindi sakhe. Yiloo nto siyibiza ngokuba yi-'Hepatic Encephalopathy' ngokwezonyango. Nangona eli gama lisenokuvakala lisoyikisa, masithethe ngalo ngokulula.

Ngamafutshane, yintoni iHepatic Encephalopathy?

Kulula kakhulu ukuyiqonda le nto. Igama elithi “Hepatic” lithetha ‘ukusebenza kwesibindi’. Igama elithi “Encephalopathy” lithetha ‘ukusebenza kwengqondo okungasebenzi kakuhle’. Ngoko ke xa uzidibanisa zombini ezi zinto, oko kuthetha ukuba ingqondo ichaphazeleka kukusebenza kwesibindi okungasebenzi kakuhle.

Khawucinge nje ukuba eyona 'filter' okanye 'filter' inkulu emzimbeni wethu sisibindi. Omnye wemisebenzi ephambili yesibindi kukucoca iityhefu, ezifana ne-ammonia, egazini emva kokuba sityile ukutya esikutyayo nesikuselayo. Khawucinge nje, kwenzeka ntoni ukuba esi sihluzo asisebenzi kakuhle? Ezo tyhefu ('Neurotoxins') azihluzwa kwaye zingena ngqo egazini. Eli gazi liyityhefu lihamba emzimbeni wonke kwaye ekugqibeleni lifikelela ebuchotsheni. Iiseli zengqondo azikwazi ukumelana nezi tyhefu. Kulapho ingqondo iqala ukusebenza ngendlela engaqhelekanga. Yiyo loo nto zonke ezo mpawu ziqala ukubonakala.

Zithini iimpawu zale meko?

Iimpawu zingahluka kumntu nomntu. Abanye abantu banokuzibona ngequbuliso, ngelixa abanye banokuziveza kancinci kancinci. Kwezinye iintsuku, iimpawu zisenokuphela, kodwa zisenokuvela kwakhona. Nazi iimpawu zakho:

• Isimo sengqondo kunye nobuntu
• Ukuziphatha kunye nolawulo lokushukuma
• Ukuze inkumbulo, ingqalelo kunye nokucinga
• Ukuqonda kunye neendlela zokulala
• Imisebenzi yokulungelelanisa kunye neyokuhamba kwemoto

Ingachaphazela. Oogqirha bayahlula le meko ibe ngamanqanaba ahlukeneyo ngokuxhomekeke kubukhali bezi mpawu. Makhe sibone ukuba zeziphi ezo zigaba.

Amanqanaba eempawu (Inkqubo yokulinganisa)

Indlela eqhelekileyo esetyenziswayo ukufumanisa oku yi-"West Haven Criteria." Le ndlela ihlulahlula amanqanaba ukusuka ku-0 ukuya ku-4.

Kutheni oku kusenzeka? Zithini izizathu?

Njengoko besitshilo ngaphambili, unobangela oyintloko kukungakwazi kwesibindi ukucoca iityhefu. Zininzi iindlela oku okunokwenzeka ngazo. Oogqirha bahlula iHepatic Encephalopathy kwiintlobo ezintathu ngokusekelwe kwezi zizathu.

Uhlobo A

Oku kubangelwa kukusilela kwesibindi ngesiquphe (`Ukusilela kwesibindi okukhawulezileyo`). Oku kuthetha ukuba isibindi somntu ongazange abe nesigulo ngaphambili ngequbuliso siyeka ukusebenza kwiintsuku ezimbalwa. Oku kunokubangelwa zezi:

• Usulelo lweentsholongwane (umz. i-hepatitis A, B)
• Ukuthatha amayeza amaninzi kakhulu , ingakumbi i-paracetamol, yeyona nto ibangela oku. Ukuba wena okanye umntu omaziyo uyisebenzise kakhulu le mithi, fowunela iZiko leSizwe loLwazi ngeTyhefu kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko uze umse esibhedlele.
• Ityhefu, njengeentlobo ezithile zeekhowa.

Le yimeko engxamisekileyo nenzima kakhulu.

Uhlobo B

Oku kunzima kancinci. Ngamafutshane, igazi ekufanele liye esibindini ukuze licocwe lidlula isibindi lize liye ngqo kwi-circulation yomzimba ngendlela eyahlukileyo (i-'portosystemic shunt'). Oku kuvumela ukuba iityhefu ezisegazini ziye engqondweni ngaphandle kokuhluzwa.

Uhlobo C

Olu lolona hlobo luxhaphakileyo. Oku kwenzeka xa isibindi singasebenzi kancinci kancinci ngenxa yesifo sesibindi esihlala ixesha elide (`Isifo sesibindi esinganyangekiyo`). Isizathu esiphambili soku yi -cirrhosis. I-Cirrhosis yimeko apho isibindi sonakala ngokuhamba kwexesha, sibe namanxeba, size sibe nzima kwaye singakwazi ukusebenza kakuhle. Oku kunokubangelwa zezi zinto zilandelayo:

• Ukusela utywala kakhulu ixesha elide.
• Iintsholongwane ezingapheliyo ezifana ne-hepatitis B kunye ne-C.
• Isifo sesibindi esinamafutha.

Iziganeko Ezibangela Ukuqala

Umntu onesifo sesibindi esinganyangekiyo, esifana ne-cirrhosis, unokuphila ubomi obuqhelekileyo ukuya kuthi ga kwinqanaba elithile. Nangona kunjalo, iimpawu ze-'Hepatic Encephalopathy' zinokuvela ngequbuliso. Oku kubangelwa sisiganeko esibeka umthwalo onzima kwisibindi. Sibiza ezo ziganeko ngokuba 'ziiTriggers'.

• Ukuqhinwa: Xa ukuqhinwa kusenzeka, iityhefu zihlala emathunjini ixesha elide, nto leyo ebangela ukuba zifunxwe ngakumbi egazini.
• Ukuphelelwa ngamanzi emzimbeni: Xa kungekho manzi aneleyo emzimbeni, ukusebenza kwezintso nako kuyawohloka, nto leyo enciphisa ukususwa kweetyhefu.
• Usulelo: Naluphi na usulelo emzimbeni (umz. usulelo lomchamo, usulelo lwemiphunga) lubeka uxinzelelo olukhulu esibindini.
• Ukopha okuphuma kwinkqubo yokwetyisa: Ukuba kukho ukopha, okufana nokuphuma kwisilonda esiswini, kuveliswa iityhefu ezininzi ezifana ne-ammonia njengoko igazi ligaywa emathunjini.
• Ukusela amayeza anobungozi kwisibindi, njengeepilisi zokulala kunye neepilisi zokudambisa iintlungu.
• Ukusela utywala obuninzi ngaxeshanye.

Ugqirha uyixilonga njani le nto?

Xa usisa umntu omthandayo kugqirha onezi mpawu, into yokuqala aza kuyenza kukubuza wena nesigulana ngezi mpawu. Emva koko, baza kwenza uvavanyo lomzimba. Baza kujonga ukuba akukho zimpawu zokungcangcazela na.

Ukongeza, kunokwenziwa iimvavanyo ezininzi ukuze kufunyanwe unobangela ochanekileyo:

• Uvavanyo lwegazi: Olu vavanyo lunokulinganisa amanqanaba eeenzyme zesibindi, amanqanaba e-ammonia egazini, kwaye lunike umfanekiso opheleleyo wokusebenza kwesibindi.
• I-ultrasound scan: Jonga imeko yesibindi kunye nemithambo yegazi ejikeleze sona.
• Iskeni yobuchopho (i-CT scan okanye i-MRI): Ukujonga ukudumba okanye ezinye iingxaki engqondweni.
• Uvavanyo lwe-EEG: Lulinganisa umsebenzi wombane wengqondo ukuze kubonwe ukuba kukho naziphi na iingxaki.

Zithini iindlela zonyango zoku?

Kukho iinjongo ezintathu eziphambili zonyango:

1. Ukulawula imeko kaxakeka: Ukufumana nokunyanga into ebangela ukuba kubekho isifo (umz., usulelo, ukuqhina kwesisu) ebangele ukwanda ngequbuliso kweempawu.

2. Ukunyanga unobangela oyintloko: Ukucwangcisa unyango olusekelwe kwisizathu sesifo sesibindi.

3. Ukunciphisa izinga leetyhefu egazini: Le yeyona nto ibalulekileyo.

Kukho iintlobo ezimbini eziphambili zamayeza anikwa ukunciphisa amanqanaba etyhefu egazini:

• I-Lactulose: Eli liyeza elilulwelo elithathwa ngomlomo. Lisebenza ngokucoca isisu nokususa ngokukhawuleza iityhefu emathunjini. Likwalawula neentsholongwane ezivelisa iityhefu emathunjini.
• I-Rifaximin: Le yi-antibiotic. Isebenza ngokubulala iintsholongwane eziyingozi emathunjini kwaye inciphise ukuveliswa kwetyhefu.

Olu nyango lunokulawula kakhulu iimpawu. Nangona kunjalo, ukuba isifo sesibindi esisisiseko asinyangwa, imeko inokuphinda ivele. Ukuba isibindi asiphumelelanga ngokupheleleyo, ukufakelwa isibindi kusenokuba sisisombululo sodwa.

Ndingaphila njani nale meko?

Ukuphila nesifo sesibindi esinganyangekiyo kunye ne-Hepatic Encephalopathy kunzima. Nangona kunjalo, ngolawulo olufanelekileyo, ungaphila ubomi obuhle.

• Hlala unxibelelana nogqirha wakho: Yiya kwiikliniki ngexesha. Sela amayeza akho ngexesha. Ukuba ubona naluphi na utshintsho kwiimpawu zakho, yazisa ugqirha wakho ngoko nangoko.
• Fumana uncedo kusapho: Ekubeni aba baguli benokulibala ezinye izinto, uncedo lwelungu losapho lubaluleke kakhulu kwizinto ezifana nokunika amayeza nokuwasa kugqirha.
• Lumka ngendlela otya ngayo: Yitya ukutya okunesondlo esifanelekileyo. Nxibelelana nogqirha wakho malunga nobungakanani benyama omele uyitye.
• Ukuthintela ukuqhina kwesisu:Sela amanzi amaninzi yonke imihla, yitya ukutya okunefayibha eninzi (iziqhamo, imifuno). Sela iyeza le-'Lactulose' njengoko ugqirha emyalele.
• Yeka ukusela utywala ngokupheleleyo: Akulunganga ukusela nokuba yithontsi elinye.
• Kuphephe ukuqhuba: Ukuqhuba kuyingozi kakhulu ukuba unale meko, nokuba incinci, kuba kunokuphazamisa ukugxilisa ingqondo kwakho kunye nokukwazi kwakho ukwenza izigqibo.

Xa le meko ikuchaphazela wena okanye umntu omthandayo, inokuba buhlungu kakhulu. Kodwa khumbula, ngonyango olufanelekileyo nothando nenkathalo yosapho lwakho, ungaphila nale meko.