Xa ugqirha wakho ekuxelela ukuba unesifo esibizwa ngokuba yiPrimary Biliary Cholangitis ( PBC ), usenokuziva usoyika kancinci. Yinto eqhelekileyo leyo. Siyazi ukuba ukuhlala nesi sifo esihlala ixesha elide esifana nesi akulula. Ngamafutshane, sisifo esonakalisa imibhobho yenyongo esibindini sakho. Akukho nyango okwangoku, kodwa ungakhathazeki. Kukho unyango oluninzi oluhle kunye namayeza afumanekayo namhlanje anokukunceda ulawule esi sifo, unciphise iimpawu, kwaye uphile ubomi obungcono.
Le meko ye-PBC ibuchaphazela njani ubomi bakho?
Iimpawu ze-PBC zinokuchaphazela ubomi bakho bemihla ngemihla kunye nemisebenzi yakho . Khawuthelekelele uvuka kusasa unentlungu ezingalweni zakho, emilenzeni nasemalungeni. Kuvakala ngathi awukwazi ukwenza nawuphi na umsebenzi wasekhaya okanye wasegadini. Kwabanye abantu, le meko inokwenza kube nzima ukwenza imisebenzi yabo ngokufanelekileyo kwaye kwenze kube nzima ukufumana ixesha lezinto ozithandayo .
Uphando lufumanise nokuba nangaphambi kokuba i-PBC ibe nzima, iimpawu ezifana neentlungu zamalungu kunye nokudinwa zinokuba nefuthe elikhulu kubomi babantu. Oku kuthetha ukuba esi sifo sinokuba nefuthe elikhulu kubomi bakho bemihla ngemihla, kubudlelwane bakho nosapho, nasemsebenzini wakho.
Kodwa eyona nto ibalulekileyo kukuba akufuneki ulwe nezi mpawu wedwa. Zininzi iindlela zokuzilawula.
Ziziphi iindlela zonyango ze-PBC?
Kukho iinjongo eziphambili ezininzi zokunyanga i-PBC.
- Ukuyeka okanye ukucothisa ukuqhubela phambili kwesi sifo.
- Ukulawula iimpawu (ezifana nokurhawuzelela , ukudinwa, iintlungu zamalungu).
- Ukuthintela ezinye iingxaki zempilo ezinokuvela ngenxa yesi sifo.
Oku kwenziwa kakhulu ngamayeza . Kusenokufuneka wenze utshintsho oluthile kwindlela ophila ngayo . Kwiimeko ezinzima kakhulu, oku kuthetha ukuba isibindi sonakele kakhulu ( i-liver cirrhosis).), kusenokufuneka ukuba utyandwe isibindi. Kodwa uninzi lwabantu aluyidingi loo nto. Esi sifo sinokulawulwa kakuhle ngonyango olufanelekileyo.
Eyona nto ibalulekileyo kukuba ugqirha wakho akhethe isicwangciso sonyango esifanelekileyo kuwe. Kungoko ke, kubaluleke kakhulu ukuthetha naye ngokukhululekileyo ngale nto kwaye umxelele ngokungonwabi okuvayo.
Iindidi eziphambili zamayeza asetyenziselwa ukulawula i-PBC
Kukho iintlobo ezahlukeneyo zamayeza anokunikwa ukulawula i-PBC kunye nokunciphisa umonakalo wesibindi. Ugqirha wakho uza kukhetha elikulungeleyo. Makhe sijonge kafutshane la mayeza.
| Igama leziyobisi | Ngamafutshane, kuthetha ukuthini oku? |
|---|---|
| I-Ursodeoxycholic acid (UDCA) (Actigall, Urso) | Eli liyeza lokuqala elinikwayo. Lisebenza ngokwenza kube lula ukuba inyongo ihambe esibindini. Oku kuphucula ukusebenza kwesibindi kwaye kunciphisa umonakalo wesibindi (izibazi). |
| I-Obeticholic acid (i-Ocaliva) | Ngamanye amaxesha eli yeza linikwa kunye ne-UDCA okanye kwabo bangaphenduliyo kwi-UDCA. Oku kuphucula ukusebenza kwesibindi kwaye kunciphisa ukonakala kwesibindi. |
| I-Budesonide | Kufunyenwe ukuba ineziphumo ezilungileyo kwezinye izigulana xa idityaniswe ne-UDCA, kodwa ukhuseleko lwayo lwexesha elide lusaphandwa. |
| Udidi lwamayeza olubizwa ngokuba yi-PPAR Agonists | |
| I-Elafibranor (Iqirvo) | Eli yeza linciphisa ubungakanani benyongo eveliswa emzimbeni kwaye likwanceda ekunciphiseni ukudumba esibindini. |
| I-Fenofibrate (iTricor) | Xa ithathwa kunye ne-UDCA, kufunyaniswe ukuba inceda ekunciphiseni ukudumba kwesibindi kunye nokurhawuzelela kolusu. Nangona eli yeza limiselwe ezinye iimeko, oogqirha balisebenzisa nakwizigulana ze-PBC. |
| ISeladelpar (eLivdelzi) | Oku kunciphisa nobungakanani benyongo eveliswa sisibindi. Kukwanceda ekunciphiseni amanqanaba e-enzyme ebizwa ngokuba yi-alkaline phosphatase (ALP) egazini. Ukwanda kwe-ALP luphawu lokuba isifo sesibindi siya sibi. |
Ayikokuphela nje amayeza, kodwa notshintsho kwindlela yokuphila lubalulekile!
Ewe, amayeza yinxalenye nje yedabi. Ukwenza utshintsho oluncinci kwindlela ophila ngayo kunokunceda kakhulu ekulawuleni iimpawu kunye nokugcina impilo yakho iyonke.
- Ukutya okunesondlo: Musa ukutya ukutya okunetyuwa eninzi, iswekile, namafutha amaninzi kangangoko unako. Faka imifuno, iziqhamo, kunye neenkozo ezipheleleyo ekutyeni kwakho.
- Yeka ukusela utywala ngokupheleleyo: Utywala buyingozi kwisibindi. Ukuba une-PBC, kufuneka uyeke ukusela utywala ngokupheleleyo . Oku kuyimfuneko.
- Ukuzilolonga: Kungcono ukucela ugqirha wakho ukuba akunike umthambo olula (njengokuhamba okanye i-yoga) ofanelekileyo kuwe yonke imihla. Oku kuya kunceda ukunciphisa ukudinwa nokwandisa ukuguquguquka kwamalungu.
- Phumla ngokwaneleyo: Enye yezona ngxaki zinkulu nge-PBC kukudinwa kakhulu. Ngoko ke mamela umzimba wakho. Ukuba uziva udiniwe, thatha ikhefu. Xa ucwangcisa usuku lwakho, zinike ixesha lokuphumla.
- Amayeza okulungisa ulusu olukrwada: Ukuba ulusu lwakho lukrwada, musa ukulugcina lomile. Sebenzisa i-moisturizer. Kuphephe ukuhlamba emanzini ashushu. Thetha nogqirha wakho ngale nto.
Umyalezo Wokuya Ekhaya
- Nangona iPrimary Biliary Cholangitis (PBC) sisifo sesibindi esihlala ixesha elide, ngonyango olufanelekileyo sinokulawulwa kakuhle kwaye ungaphila ubomi obuqhelekileyo.
- Kubaluleke kakhulu ukusela amayeza achazwe ngugqirha wakho ngokuchanekileyo, ngexesha elifanelekileyo, nangedosi efanelekileyo. Musa ukuyeka ukuwasela phakathi.
- Ukongeza kumayeza, ukutya ukutya okunesondlo, ukuyeka ngokupheleleyo utywala, kunye nokwenza umthambo olula kuya kunceda kakhulu impilo-ntle yakho.
- Musa ukoyika ukuthetha nogqirha wakho malunga nazo naziphi na iimpawu okanye ukungakhululeki onokuba nakho. Uza kukunceda.
- Awuwedwa kolu hambo. Unentsapho, abahlobo, kunye noogqirha abanokukunceda.
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