Isibindi sisitho esibalulekileyo nesibaluleke kakhulu emzimbeni wethu. Sifana nesihluzo emzimbeni wethu. Isibindi senza imisebenzi emininzi ebaluleke kakhulu, njengokucoca nokususa iityhefu egazini nokulawula amanqanaba e-cholesterol. Nangona kunjalo, ukuba ngesizathu esithile isibindi sakho sidumba ngaphezu kwesiqhelo, oko kukuthi, ukuba siba sikhulu, sibiza ngokuba kukudumba kwesibindi, okanye ngokwezonyango `(Hepatomegaly)`. Oku kudla ngokuba luphawu lwenye imeko yezonyango engaphantsi.
Ingaba ukudumba kwesibindi kuyingozi kakhulu?
Enyanisweni, oku akuyonto esifanele siyithathe lula. Kodwa ubunzulu bayo buxhomekeke kwinto ebangela oku kudumba. Ngamanye amaxesha kunokuba yingxamiseko. Ngamanye amaxesha, kunokuba luphawu lwesilumkiso sesifo esithile. Ngoko ke, asinakukwazi ukuqiniseka de ugqirha wakho enze uvavanyo olufunekayo.
Ngamanye amaxesha, isibindi siyadumba ngenxa yemeko yexesha elifutshane, njengosulelo, size sibuyele esiqhelweni xa imeko ipholile. Nangona kunjalo, ngamanye amaxesha, isibindi sinokonakala ngokuthe ngcembe ngenxa yesifo sexesha elide.
Zithini iimpawu zale meko?
Ixesha elininzi, awuyi kuva isibindi sidumbile wedwa. Nangona kunjalo, kwiimeko ezinzima ngakumbi, unokuziva uzele , isicaphucaphu , okanye intlungu kwicala lasekunene lesisu sakho, apho isibindi sikhoyo.
Nangona kunjalo, oku kudla ngokufunyaniswa xa ugqirha wakho ekuxilonga. Ukuba uziva utshintsho kwisibindi sakho ngelixa echukumisa isisu sakho, usenokuba ukrokrela.
Ukuba ukudumba kwesibindi luphawu lwesifo sesibindi, nezinye iimpawu ezinxulumene noko zinokubakho.
| Uphawu | Inkcazo |
|---|---|
| Ukudinwa | Ukuziva udiniwe kakhulu ngaphandle kwesizathu. |
| Isicaphucaphu kunye nokulahlekelwa ngumdla wokutya | Ukuziva ngathi uhlanza kwaye uphelelwe ngumnqweno wokutya. |
| I-Jaundice | Ukutyheli kwesikhumba kunye namehlo amhlophe. |
| Utshintsho kumchamo nakwisitulo | Umchamo omnyama (njengeti) kunye nendle engwevu (enombala wodongwe). |
| Ulusu olurhawuzelelayo (Pruritus) | Ukurhawuzelela umzimba wonke ngaphandle kwesizathu esithile. |
| I-Splenomegaly | Ukwanda kwespleen, ekwicala eliphezulu lasekhohlo lesisu. |
Zithini izizathu eziphambili zokudumba kwesibindi?
Ngamafutshane, kukho iindlela ezine eziphambili ezinokudumba isibindi sakho:
1. Ukudumba: Ukudumba okwenzeka xa isibindi sichaphazeleka kusulelo okanye iityhefu ezininzi kakhulu (umz. utywala) ukuba azikwazi ukumelana nazo.
2. Amafutha: Ukuqokelelwa kwamafutha amaninzi esibindini.
3. Igazi: Ukuvaleka okanye ukugcwala kwegazi kwimithambo yegazi edlula esibindini.
4. Ukukhula: Ukubonakala kwamaqhuqhuva, nokuba anomhlaza okanye akangomhlaza.
Kukho izizathu ezininzi eziqhelekileyo nezingaqhelekanga ezichaphazela oku.
Izizathu eziqhelekileyo
- I-hepatitis enxulumene notywala: Ukonakala kwesibindi okubangelwa kukusebenzisa utywala kakhulu.
- I-hepatitis enobuthi: Oku kunokubangelwa zizinto ezifana nokuthatha amayeza athile ngokugqithisileyo. Ukuba umntu uthabathe amayeza agqithisileyo, kufuneka asiwe kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngoko nangoko. Ukuba kuyimfuneko, oogqirha baya kufuna ingcebiso kwiZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
- I-hepatitis ebangelwa yintsholongwane: Usulelo olubangelwa ziintsholongwane ezifana ne-hepatitis A, B, okanye C.
- Isifo sesibindi esinamafutha: Sinokubangelwa kukusetyenziswa kotywala okanye iingxaki zemetabolism ezifana nesifo seswekile kunye nokutyeba kakhulu.
- I-Mononucleosis: Usulelo oluqhelekileyo lwentsholongwane.
Izizathu ezingaqhelekanga
Ezi azixhaphakanga kangako, kodwa zinokubangela ukudumba kwesibindi.
| Udidi lwesizathu | Imizekelo |
|---|---|
| Izifo zofuzo | Iimeko ezifana ne-hemochromatosis, isifo sikaWilson, kunye nesifo sikaGaucher. |
| Iithumba zesibindi | Iintsholongwane zesibindi, iithumba ezingenobungozi, umhlaza wesibindi. |
| Ezinye iintlobo zomhlaza | Umhlaza wegazi ofana ne-leukemia kunye ne-lymphoma. |
| Izifo ze-gallbladder kunye ne-bile ducts | Ukuvaleka okanye ukudumba kwemibhobho yenyongo. |
| Isifo sentliziyo kunye neengxaki zemithambo yegazi | Iimeko ezinje ngokusilela kwentliziyo kunye neBudd-Chiari syndrome. |
Iphathwa njani le nto?
Ugqirha wakho uza kuqala azame ukufumanisa ukuba yintoni kanye kanye ebangela ukudumba kwesibindi. Oku kungabandakanya uvavanyo lwegazi kunye neeskeni (ezifana ne-ultrasound scan). Ngamanye amaxesha, ukuba imeko icingelwa ukuba imbi kakhulu, banokucebisa ukuba kwenziwe i-biopsy yesibindi, equka ukuthatha iqhekeza elincinci lesicwili esibindini uze ulihlolisise.
Into ebalulekileyo kukuba akukho nyango luthile lokudumba kwesibindi. Unyango lujoliswe kwimeko ebangela ukudumba.
Nje ukuba unobangela ufunyanwe, ugqirha wakho uza kukuchazela iindlela ezifanelekileyo zonyango.
Ngaba ukudumba kwesibindi kungaguqulwa?
Ewe, kwezinye iimeko iyakwazi. Isibindi sinamandla amangalisayo okuzivuselela. Kodwa ukuze oko kwenzeke, kufuneka kubekho izicubu zesibindi ezisempilweni ezaneleyo eziseleyo.
Ukuba isibindi sidumbile ngenxa yemeko engalindelekanga, ukunyanga unobangela kuya kunika isibindi ithuba lokuphiliswa.
Kwakhona, ukuba le meko ibangelwa sisifo sesibindi esihlala ixesha elide, utshintsho kwindlela yokuphila lunokunceda ekulawuleni le meko, kwaye ngamanye amaxesha lude luyinyange ngokupheleleyo.
- Ukuba ukhotyokiswe butywala, funa ingcebiso kagqirha kwaye uncede ngoko nangoko ukuze uluyeke.
- Ukuba unesifo sesibindi esinamafutha esinganxilisi utywala, thetha nogqirha wakho malunga nendlela yokugcina ubunzima obusempilweni obufanelekileyo kuwe.
- Lawula uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, kunye namanqanaba aphezulu eswekile egazini.
- Ngelixa usitya ukutya okunesondlo , yenza umthambo yonke imihla.
Ndifanele ndimbone nini ugqirha?
Ukuba ufumana ukudumba, isicaphucaphu , okanye intlungu kwinxalenye ephezulu ngasekunene yesisu sakho, qiniseka ukuba ubona ugqirha. Ukongeza, funa uncedo lwezonyango ngokukhawuleza ukuba unezinye zezi mpawu zilandelayo ziqatha okanye ezingaqhelekanga:
- Umkhuhlane ongapheliyo.
- Ukudideka okanye ukungazi nto.
- Ukuziva ubuthathaka kakhulu kwaye unesiyezi.
- Ukutyheli kwamehlo okanye ulusu.
- Utshintsho olucacileyo kumbala womchamo okanye wendle.
Ukudumba kwesibindi luphawu lweemeko ezininzi. Nangona kungengazo zonke ezingxamisekileyo, zonke zifuna unyango. Ngoko ke ukuba ukrokrela uphawu olufana nolu, akukabi lixesha lokuba uluhlole.
Umyalezo Wokuya Ekhaya
- I-Hepatomegaly ayisosifo, luphawu lwesinye isifo.
- Eyona nto ibalulekileyo kukuchonga ngokuchanekileyo unobangela wokudumba nokunyanga.
- Ungaze ungazihoyi iimpawu ezifana nentlungu kwicala lasekunene lesisu, ukudumba, kunye nokutyheli kwamehlo.
- Utshintsho kwindlela yokuphila, njengokuyeka ukusebenzisa utywala, ukutya okunempilo, kunye nokuzilolongaIngakhusela impilo yesibindi.
- Ukuba unamathandabuzo okanye iimpawu, ungaze ungathandabuzi ukubonana nogqirha wakho ukuze akunike icebiso.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zeziphi izifo ezibekelwe iipilisi zeLovastatin (Lovastatin / Mevacor)?
Eli liyeza lokuqala 'le-High Cholesterol/Hyperlipidemia' (Statin) elifunyenweyo ehlabathini! Eli yehlisa 'i-cholesterol embi (LDL)' kwaye lithintela izifo zentliziyo kunye nokuhlaselwa yintliziyo/stroke (Cardiovascular Events). Eli lenziwe ngefungus ekhethekileyo ebizwa ngokuba yi-(Aspergillus), kwaye nangona eli yeza lidala, lisasetyenziswa ngempumelelo kakhulu ngoogqirha nanamhlanje.
💬 Le pilisi yokuqala ye-cholesterol (iLovastatin) iyinyibilikisa njani i-cholesterol embi xa ingena emizimbeni yethu?
Umatshini oyintloko owenza i-cholesterol kwisibindi somzimba wethu ubizwa ngokuba yi-'HMG-CoA Reductase'. Xa le pilisi ingena emzimbeni, iguqulwa ibe yenye ikhemikhali (i-Active Metabolite) ize iye kwisibindi sethu. Iyayivala/iyayivala kwaye iyitshixe loo matshini we-cholesterol nge-100%. Xa umatshini ucinyiwe, isibindi asinalo elinye ithuba ngaphandle kokufunxa nokutshabalalisa i-cholesterol/LDL embi egazini lethu.
💬 Zeziphi 'iingozi ezibulalayo' (umchamo omnyama) ekufuneka uzazi xa uthatha le pilisi ye-cholesterol (iLovastatin)?
Eyona ngozi iyingozi kakhulu koku yi-'Myopathy/Rhabdomyolysis'! Ukuba unezihlunu ezibuhlungu/ubuthathaka kunye nomchamo omnyama, yiya esibhedlele ngoko nangoko, okanye ungafa ngenxa yokungasebenzi kakuhle kwezintso! Kwakhona, ukuba usela amanye amayeza (afana neClarithromycin) okanye usela i-'Grapefruit/Grapefruit juice', eli yeza linokuba yityhefu eyi-100% emzimbeni kwaye linokubangela nokufa.
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