Sonke siyazi ukuba amanye amalungu emzimbeni wethu awabalulekanga. Kunjalo nangesibindi. Isibindi sisebenza njengomzi-mveliso omkhulu emzimbeni wethu. Amakhulu emisebenzi ebalulekileyo yenziwa leli lungu lincinci. Ngoko ke, khawucinge ngento enokwenzeka ukuba esi sibindi siyeka ukusebenza ngequbuliso okanye kancinci kancinci. Yiloo nto siyibiza ngokuba yi -'Liver Failure' . Ngamafutshane, isibindi asikwazi ukusebenza ngokwaneleyo ukuhlangabezana neemfuno zomzimba wakho. Le yimeko embi kakhulu. Ngoko ke masazi ngayo namhlanje.
Yintoni ukungasebenzi kakuhle kwesibindi?
Ukungasebenzi kakuhle kwesibindi akwenzeki ngobusuku obunye. Yinkqubo. Ngamanye amaxesha kunokwenzeka ngokukhawuleza, kwiintsuku okanye kwiiveki ezimbalwa. Kunokwenzeka kancinci, kwiinyanga okanye kwiminyaka. Njengoko isibindi sakho siphelelwa ngamandla aso okusebenza kancinci kancinci, uza kuqala ukuqaphela iimpawu.
Ukusilela Kwesibindi Okubukhali
Oku kubizwa ngokuba yi -'Acute Liver Failure' . Oku kwenzeka xa isibindi ngequbuliso sifumana umonakalo omkhulu kunye noxinzelelo olunzima. Ukuchaneka, kufana 'nobuthi'. Ngamanye amaxesha, oku kunokwenzeka ngenxa yosulelo olukhulu lwentsholongwane. Kwimeko enjalo, isibindi siqala ukuyeka ukusebenza ngokukhawuleza, ngoko ke iimpawu zibonakala ngokukhawuleza. Le yimeko engxamisekileyo efuna unyango olukhawulezileyo.
Ukusilela Kwesibindi Okungapheliyo
Olu lolona hlobo luxhaphakileyo. Ukusilela kwesibindi okungapheliyo yimeko eyenzeka xa isibindi sonakele ixesha elide kwaye umonakalo ekugqibeleni ufikelele kwinqanaba apho singasakwazi ukubuyiselwa khona. Oku kwenzeka rhoqo emva kokuba isibindi sibe namanxeba amaninzi, imeko ebizwa ngokuba yi-cirrhosis . Le tissue yamanxeba ithintela isibindi ekwenzeni umsebenzi waso ngokufanelekileyo.
Ngawaphi amanqanaba okungasebenzi kakuhle kwesibindi? (Ingakumbi kwinqanaba 'leSifo Esingapheliyo')
Oogqirha abaninzi bathi ukungasebenzi kakuhle kwesibindi sisigaba sokugqibela sesifo sesibindi esingapheliyo. Isifo sesibindi siqhubeka ngamanqanaba aliqela. Nangona kunjalo, kubalulekile ukukhumbula ukuba kunzima ukwahlula ngokucacileyo phakathi kwala manqanaba. Umzekelo, umntu onezibazi zesibindi (`Fibrosis`) unokuba ne -hepatitis .
| Inqanaba kunye nemeko | Inkcazo |
|---|---|
| Inqanaba 1: Ukudumba (`Isibindi`) | Olu luhlobo lokudumba okanye ukwenzakala kwesibindi. Umonakalo wexesha elide uqala xa kukho ukudumba okuqhubekayo kwesibindi (`i-hepatitis engapheliyo`) ngenxa yesifo sesibindi sexesha elide. Ukudumba ngokwenene kuqala inkqubo yokulungisa iiseli zesibindi. Kodwa ukuba ukudumba kuyaqhubeka, kukhokelela ekuqhekekeni (`i-Fibrosis`). |
| Inqanaba lesi-2: Ukuvaleka (`iFibrosis`) | Oku kukukrweleka kwezicubu zesibindi. Kanye njengokuba ikrweleka yenzeka eluswini emva kokwenzakala. Oku kungenxa yokudumba okuqhubekayo. Oku kukrweleka kuyanda kancinci kancinci kwaye isibindi siba lukhuni. Nangona kunjalo, oku kunokuguqulwa ngandlela thile. Ukuba ukudumba kuyayeka, iiseli zesibindi zinokuphila. |
| Inqanaba lesi-3: Isifo sokuqina kwesibindi | Oku kuthetha ukuba isibindi sibe nezibazi kangangokuba asikwazi ukuphinda sibuyele esiqhelweni. Nangona isibindi sethu sinamandla amangalisayo okuphinda sikhule, sidinga inani elithile lezicubu eziphilileyo ukuze senze njalo. I-Cirrhosis yimeko ehlala ihleli, kodwa kwanakweli nqanaba, inkqubo inokucothiswa okanye imiswe. |
| Inqanaba lesi-4: Ukusilela kwesibindi | Ukusilela Kwesibindi Okungapheliyo (Chl) kuqala xa isibindi siba buthathaka kakhulu ukuba singawenzi umsebenzi waso obalulekileyo ngenxa yesifo sesibindi. Njengoko isibindi singasebenzi, iingxaki ezahlukeneyo ziqala ukwenzeka emzimbeni wonke. Ukusilela kwesibindi okungapheliyo akwenzeki ngequbuliso, kodwa ukuba ukufakelwa kwesibindi akwenziwa, ekugqibeleni kunokukhokelela ekufeni. |
Zithini iimpawu zokungasebenzi kakuhle kwesibindi?
Iimpawu ozibonayo zinokwahluka ngokuxhomekeke ekubeni isibindi sakho siye sahluleka kangakanani kwaye zeziphi iingxaki ezenzekileyo.
Iimpawu zokuqala:
Ezi zinokuba ziimpawu zokuqala zokungasebenzi kakuhle kwesibindi okungapheliyo okanye okukhawulezileyo:
- Intlungu yesisu (ingakumbi kwicala eliphezulu lasekunene)
- Ukudinwa kunye nesifo sengqondo esingapheliyo
- Isicaphucaphu , ukuhlanza , kunye nokuphelelwa ngumdla wokutya
Iimpawu ezithile zesibindi:
Emva koku, iimpawu ezithile zesifo sesibindi zinokuvela. Xa isibindi sonakele kwaye singakwazi ukusebenza, inyongo kunye nezinye iityhefu ziyaqokelelana egazini, kwaye ezi ziimpawu:
- I-Jaundice ( ukutyheli kwamhlophe emehlweni naselusu)
- Iziphumo kwingqondo (`Hepatic Encephalopathy`) (utshintsho kwisimo sengqondo - ukungakwazi ukugxininisa, ukulibala, utshintsho kwindlela yokuziphatha)
- Ukurhawuzelela ( ukurhawuzelela kwesikhumba ngaphandle kokubonakala kwerhashalala)
- Umchamo omnyama kunye/okanye indle ekhanyayo
Ezinye iimpawu ezinokubonakala kwisifo sesibindi esinganyangekiyo (`Ukusilela kwesibindi okungapheliyo`):
Ezi zinokuboniswa ngendlela engabonakaliyo kancinci:
- I-Coagulopathy : Ukukruquka okulula nokopha.
- Imithambo yegazi efana ne-spider webs okanye amachaphaza amancinci eluswini
- Amaqhuma amancinci, amthubi anamafutha eluswini okanye kwiinkophe
- Iingxaki zokugaya ukutya, ingakumbi xa kutyiwa ukutya okunamafutha
- Ukunciphisa umzimba kunye nokulahlekelwa yimisipha
- Umphefumlo onuka uthuli
Ezinye iimpawu ezinzulu:
Ezi ziimpawu ezibonisa iimeko ezinzulu ngakumbi:
- Ii-Ascites (ukudumba kwesisu)
- Ukudumba (ukudumba kwamaqatha, imilenze, izandla, okanye ubuso)
- Ukuhlanza igazi okanye ukuhlanza okufana nekofu
- Iingxaki zokusebenza kwemisipha (ukushukuma, ukungcangcazela)
- Ukuncipha kokuchama
- Ubunzima bokuphefumla
Ngaba iimpawu ziyahluka ngokuxhomekeke kwisini?
Ewe, ukungasebenzi kakuhle kwesibindi kunokuchaphazela iihomoni zakho zesini. Oku kuthetha ukuba iihomoni ze-estrogen kunye ne-testosterone zinokungalingani. Oku kunokubangela iimpawu ezahlukeneyo kumadoda nakubafazi.
- Imijikelo yokuya exesheni yabasetyhini isenokuba yinto engaqhelekanga okanye iyeke ngokupheleleyo.
- Amasende amadoda anokuncipha kwaye izicubu zamabele zinokwanda.
Umzimba uziva njani xa isibindi singasasebenzi?
Xa isibindi sakho singaphumeleli, iityhefu ziyaqokelelana egazini lakho. Oko kunokuba nzima kakhulu. Xa isibindi sakho singakwazi ukucoca iityhefu egazini lakho, uqala ukuziva unesicaphucaphu, udiniwe, kwaye ubuthathaka. Ezi tyhefu zinokuchaphazela nengqondo yakho . Unokuba neengxaki zokugxila, ukucaphuka, ixhala, ukozela, okanye ukusebenza kwemisipha.
Zithini izizathu zokungasebenzi kakuhle kwesibindi?
Nangona ukungasebenzi kakuhle kwesibindi ngokukhawuleza nangokungapheliyo kwenzeka ngeendlela ezahlukeneyo, zombini zibangelwa kuxinzelelo olugqithisileyo esibindini. Ezinye iityhefu kunye nezifo zinokubangela uxinzelelo esibindini ngequbuliso okanye ngokuhamba kwexesha, kuxhomekeke kubunzima bemeko.
| Izizathu eziphambili zokungasebenzi kakuhle kwesibindi | |
|---|---|
| Isizathu | Imizekelo |
| Izizathu ezibukhali | Ukugqithisa amayeza (ingakumbi i-Acetaminophen - iPanadol), usulelo olukhulu lwentsholongwane (iHepatitis A, B, E), ukutya amakhowa anetyhefu, iingxaki ngexesha lokukhulelwa. |
| Izizathu ezingapheliyo | Ukusetyenziswa kakhulu kotywala , usulelo olungapheliyo lweHepatitis B no-C, isifo sesibindi esinamafutha (MASH/MASLD), izifo zokuzikhusela komzimba. |
Zithini iingxaki zokungasebenzi kakuhle kwesibindi?
Ngenxa yokuba isibindi sakho senza imisebenzi emininzi ebalulekileyo, xa singasebenzi kakuhle, umzimba wonke uyayiva imiphumo yoko. Umzekelo:
- Umzimba ongenabomi, ukudinwa, ukudideka, kunye nesiyezi.
- Imiphumo yetyhefu engqondweni, kwinkqubo yemithambo-luvo, nakwimisebenzi yemisipha.
- Iingxaki zokugaya ukutya, ukungafunxwa kakuhle kwezondlo, kunye nokungondleki kakuhle.
- Ukuncitshiswa kwegazi, ukudumba nokuphuma kwegazi lula.
- Ukuncipha komzimba kunye nosulelo oluqhelekileyo.
Khumbula, uxinzelelo lwegazi oluphezulu lwe-portal olubangelwa yi-cirrhosisLe meko yeyona nto iphambili ebangela ukulaliswa esibhedlele nokufa kubantu abaneengxaki zesibindi ezingapheliyo. Ibangela izinto ezifana nokudumba kwesisu kunye nokuhlanza igazi.
Uyixilonga njani ingxaki yesibindi? (Ukuxilongwa)
Ukuba uneempawu zokungasebenzi kakuhle kwesibindi, ugqirha uya kwenza uvavanyo oluninzi ukuqinisekisa oko. Ezi zingabandakanya:
- Uvavanyo lweGazi: Uvavanyo lokusebenza kwesibindi lulinganisa amanqanaba eemveliso ezahlukeneyo zesibindi egazini lakho ukuze kubonwe ukuba isibindi sakho sisebenza kakuhle kangakanani na. Uvavanyo lwegazi lunokunceda ekuchongeni unobangela wokungasebenzi kakuhle kwesibindi kunye neengxaki ezithile, ezinje ngokuncipha kokujiya kwegazi okanye i-anemia.
- Uvavanyo Lomfanekiso: Uvavanyo olufana nee-ultrasound scans kunye nee-MRI zesibindi zinokubonisa iimpawu zesifo sesibindi, ezifana nokudumba, amanxeba, okanye ulwelo esiswini (ascites). I-Elastography luvavanyo olukhethekileyo lomfanekiso olusebenzisa i-ultrasound okanye i-MRI ukulinganisa ubungakanani kunye nobunzima bezilonda (fibrosis) esibindini.
- I-Biopsy yeSibilini: Olu lutyando oluncinci. Iqhekeza elincinci lesicubu lithathwa esibindini lize livavanywe kwilebhu. Le sampuli yesicubu idla ngokuthathwa kusetyenziswa inaliti engenanto. I-biopsy yesibindi inokunceda ukuqinisekisa i-cirrhosis kunye nokufumanisa unobangela wesifo sesibindi.
Ziziphi iindlela zonyango zokungasebenzi kakuhle kwesibindi?
Izinto ekufuneka ziqwalaselwe xa unyanga ukungasebenzi kakuhle kwesibindi:
- Ukulawula iingxaki zayo.
- Ukuba kunokwenzeka, nyanga unobangela wesifo.
- Ukuba kuyimfuneko, ukufakelwa isibindi .
Unyango oluxhasayo olunokukunceda uzinzise imeko yakho lungabandakanya:
- Ulwelo olufakwa emthanjeni (ulwelo lwe-IV)
- Isondlo esifakwa kwimithambo yegazi (`isondlo se-IV`)
- Ukubeka iliso kumanqanaba eswekile egazini kunye nokunika iswekile ukuba kuyimfuneko
- Ii-antibiotics okanye ii-antivirals
- Utofelo-gazi okanye iPlasma
- Unyango lweoksijini okanye umoya ophuma ngomatshini
- Amayeza e-Vasopressor
- Amayeza okanye unyango oluthintela ukopha ngaphakathi
- I-Dialysis xa izintso zingasebenzi kakuhle
Unyango lwesizathu sokungasebenzi kakuhle kwesibindi lungabandakanya:
- Unyango Lokusebenzisa Ityhefu Ngokugqithisileyo: Akukho chiza lithe ngqo kwiityhefu ezininzi ezibangela ukungasebenzi kwesibindi ngequbuliso. Nangona kunjalo, kukho iyeza lokutyhefa i-acetaminophen . Libizwa ngokuba yi -acetylcysteine.Ezinye iindlela zonyango zokunyanga ubuthi obukhawulezileyo ziquka amayeza okuhambisa isisu, ukunkcenkceshela amathumbu okanye ukuhlamba isisu, kunye ne-activated charcoal.
- Amayeza ezifo ezingapheliyo: Ukuba unesifo sesibindi esingapheliyo ngenxa yesifo esingapheliyo, amayeza anokunceda ekunciphiseni umonakalo. Umzekelo, ii-corticosteroids kunye ne-immunosuppressants zisetyenziselwa izifo ezihlasela umzimba.
Iqela lakho lezonyango liza kujonga imeko yakho lize linyange naziphi na iingxaki xa zivela. Ukuba bacinga ukuba imeko yakho iza kuba mandundu ngaphandle kokufakelwa isibindi, baza kukucebisa ukuba wenze esinye.
Ungayithintela njani isibindi ukuba singaphumeleli?
Ukusilela kwesibindi okukhawulezileyo kunqabile, kodwa nesiganeko esinye esibi sinokukhokelela kuko. Nazi ezinye iindlela ezilula zokhuseleko onokuzithatha ukuze uthintele oku:
- Zikhusele kwizinto ezinobungozi: Nxiba iiglavu okanye imaski yobuso xa usebenza ngeekhemikhali ezinobungozi ezifana nezibulali zinambuzane, izibulali zinambuzane, iimveliso zokucoca, iipeyinti kunye nezitshizi ze-aerosol.
- Zikhusele egazini: Musa ukusebenzisa izinto zakho zobuqu ezinokuba zingcoliswe ligazi, njengeenaliti zabanye abantu, iireyiza, kunye neebrashi zamazinyo. Musa ukuchukumisa amanxeba abanye abantu.
- Lumka ngokhuseleko lokutya: Musa ukutya amakhowa asendle angaziwayo. Kuphephe ukutya ukutya okuluhlaza xa usiya kwelinye ilizwe. Hlamba izandla zakho kakuhle phambi kokuba ulungiselele ukutya.
- Gonyelwa i-hepatitis: Kukho imijovo ye-hepatitis A kunye ne-hepatitis B.
- Sebenzisa amayeza kuphela njengoko kuyalelwe: Nokuba yipilisi yokunciphisa iintlungu oyithengayo kwikhemesti, musa ukuthatha ngaphezu komlinganiselo ocetyisiweyo. Musa ukuthatha amayeza anotywala.
- Soloko ubonana nogqirha ngexesha lokukhulelwa: Iingxaki ezikhokelela ekuphelelweni kwesibindi ngequbuliso azixhaphakanga. Kodwa ukuba uneempawu ezingaqhelekanga, ungathandabuzi ukufuna unyango.
Ukuthintela ukungasebenzi kakuhle kwesibindi kuxhomekeke kakhulu kwindlela ophila ngayo. Isifo sesibindi esingapheliyo sithatha ixesha elide ukuba siqhubekele kwimeko yokusilela. Ukuba unesifo sesibindi, ukwenza utshintsho kwindlela ophila ngayo kwangethuba kunokucothisa, kumise, kwaye mhlawumbi kuguqule inkqubo.
- Fumana uhlolo lwezonyango rhoqo: Abantu abaninzi abazi ukuba banesifo sesibindi de baqale ukubonisa iimpawu. Uhlolo lwezonyango lunokusibona kwangethuba.
- Lumka impilo yakho yemetabolism: Izinto ezifana namanqanaba aphezulu eswekile egazini, i-cholesterol ephezulu, kunye ne-high body mass index (BMI) zibeka uxinzelelo kwisibindi. Ukutya okunempilo kunye nokuzilolonga kunokunceda.
- Musa ukuyigqithisa imithi oyithengayo kwikhemesti:Ukusela kakhulu amayeza okudambisa iintlungu afana ne-NSAIDs okanye i-Acetaminophen kunokonakalisa isibindi. Funa ingcebiso kagqirha xa unentlungu engapheliyo.
- Nciphisa okanye uyeke ukusebenzisa utywala necuba: Utywala necuba ziyingozi kwisibindi. Ukuba unesifo sesibindi, kungcono ukungazisebenzisi.
Ngaba kunokwenzeka ukuba uphile emva kokungasebenzi kakuhle kwesibindi?
Ukungasebenzi kakuhle kwesibindi kunokuguqulwa, kodwa kunzima ukuqiniseka. Ukungasebenzi kakuhle kwesibindi okungapheliyo akunakuguqulwa, kodwa kuba yinkqubo eyenzeka kancinci kancinci, ngamanye amaxesha kunokuncitshiswa. Ngokubanzi, ukuba kukho unyango oluthile kwimeko yakho kwaye uqala unyango kwangethuba, amathuba akho okuchacha aphezulu.
Umntu onesifo sesibindi angaphila ixesha elingakanani?
Ukusilela kwesibindi ngokukhawuleza kunokubulala kwiintsuku, iiveki, okanye iinyanga. Ukusilela kwesibindi okungapheliyo kunokuthatha iinyanga ukuya kwiminyaka. Ukuba le nkqubo ithatha ixesha elingakanani kuxhomekeke kwizinto ezininzi:
- Unobangela wesi sifo kukuba sichaphazela kakhulu kangakanani isibindi.
- Nokuba ingancitshiswa okanye iguqulwe ngonyango.
- Ubungakanani bomonakalo osele wenziwe.
- Impilo yakho iyonke kunye nezixhobo zokuchacha.
Ukuba ndine-hepatic effect, ndingazinyamekela njani?
Ukungasebenzi kakuhle kwesibindi yimeko engxamisekileyo. Ukuba ucinga ukuba unokuba nayo, kuya kufuneka uye esibhedlele ngoko nangoko. Ukungasebenzi kakuhle kwesibindi akuyonto ingxamisekileyo, kodwa kukwayinto engxamisekileyo. Ukuba ufunyaniswe ukuba unesifo esingapheliyo sesibindi, ungasinceda isibindi sakho ngokugcina ukutya okunempilo nendlela yokuphila enempilo.
- Nciphisa ukusetyenziswa kweziyobisi: Kuphephe utywala necuba, thatha amayeza kuphela njengoko uyalelwe, kwaye zama ukuphepha iintlungu ezithengiswa ngaphandle kwemvume kagqirha. Buza ugqirha wakho malunga namayeza okanye izongezo ozithathayo.
- Yitya ukutya okunempilo nokunokulinganisela: Iswekile eninzi kunye namafutha egazini kunokubangela uxinzelelo kwisibindi. Ukuba uneengxaki zesondlo ngenxa yokungasebenzi kakuhle kwesibindi, kungcono ukubonisana nengcali yesondlo, ingakumbi ukuze uphuhlise isicwangciso sexesha elide.
- Khusela amasosha omzimba wakho: Ukungasebenzi kakuhle kwesibindi kwenza amasosha omzimba wakho abe buthathaka, kwaye usulelo oluqhelekileyo lweentsholongwane kunye neebhaktheriya lunokubangela uxinzelelo olongezelelekileyo kwisibindi. Qiniseka ukuba uyazikhusela ngexesha lomkhuhlane. Buza ugqirha wakho malunga nokugonywa okucetyiswayo.
Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Isibindi sakho sesona sitho sikhulu emzimbeni wakho. Oko kubonisa ukubaluleka kwaso ebomini bakho. Xa isibindi sakho siqala ukuyeka ukusebenza, unokusiva ngeendlela ezininzi. Ngethamsanqa, isibindi sakho asiyeki ukusebenza ngokupheleleyo ngaxeshanye. Nokuba unesifo sesibindi esibuhlungu okanye esingapheliyo, ukufunyaniswa kwangethuba kunye nonyango kunokwandisa ubomi besibindi sakho. Kwinqanaba lokugqibela, ukufakelwa isibindi kunokusindisa ubomi bakho. Ngoko ke, nyamekela isibindi sakho kwaye ungalibazisi ukufuna iingcebiso zonyango ukuba uneempawu.
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