Ingabe uphuza utshwala obuningi kakhulu? Ake sifunde ngalokho okwenzeka esibindini! (Isifo Sesibindi Esihlotshaniswa Notshwala)

Ubuwazi ukuthi utshwala esibuphuzayo ukuze sijabule, sijabule, futhi ngezinye izikhathi ngenxa nje yokujwayela bungalimaza kancane kancane isitho esibaluleke kakhulu emzimbeni wethu? Yebo, ngikhuluma ngesibindi. Abanye abantu bacabanga ukuthi ukuphuza kancane ngeke kulimaze lutho, kodwa ingabe kunjalo ngempela? Ake sibone ukuthi kwenzekani esibindini ngenxa yalolu tshwala.

Iyini Isifo Sesibindi Esihlotshaniswa Notshwala?

Kalula nje, uma uqhubeka nokuphuza utshwala obuningi, amafutha aqala ukunqwabelana esibindini sakho futhi asilimaze, okuyilokho esikubiza ngokuthi 'Isifo Sesibindi Esihlobene Notshwala'. Empeleni lolu uhlobo lwesifo sesibindi olubizwa ngokuthi 'isifo sesibindi se- steatotic'. Esikhathini esidlule, odokotela babesibiza nangokuthi 'isifo sesibindi esibangelwa utshwala'.

Okwenzekayo ukuthi uma uphuza utshwala obuningi kunalokho isibindi sakho esingakusebenzisa, amafutha amaningi ayanqwabelana emaseli esibindi sakho. Cabanga ngakho njengefektri egcwele isitokwe. Lesi simo sibizwa ngokuthi i-'steatosis' , okuwukunqwabelana kwamafutha esibindini.

Kunezigaba ezintathu zalesi sifo...

Umonakalo esibindini obangelwa utshwala awubi mkhulu ngasikhathi sinye. Izigaba ezintathu eziyinhloko zingabonakala:

1. Isifo sesibindi esibangelwa ukuphuza utshwala: Lesi yisigaba sokuqala. Okwenzekayo lapha ukuthi uma uqhubeka nokuphuza utshwala obuningi, isibindi siqoqa amafutha amaningi kunalawo esingawathwala. Ezimweni eziningi, azikho izimpawu ezinkulu kulesi sigaba.

2. I-hepatic steatosis ehlobene notshwala: Lokhu kuqongelela kwamafutha kubangela ukuvuvukala, noma ukuvuvukala, esibindini. Lokhu kubi kakhulu. Lokhu kuvuvukala kungabangela umonakalo omkhulu esibindini futhi kamuva kungaholela esimweni esiyingozi esibizwa ngokuthi i-cirrhosis .

3. I-cirrhosis ehambisana notshwala: Lesi yisigaba esiyingozi kakhulu. Yilapho amangqamuzana esibindi efa khona futhi athathelwa indawo yizicubu zesibazi. Lokhu kubanga kwenza isibindi silahlekelwe ngokuphelele amandla aso okusebenza. Lokhu kuwumonakalo waphakade , okusho ukuthi akunakuguqulwa.

Ziyini izimpawu? Uzibona kanjani?

Ngeshwa, abantu abaningi abanalesi sifo ababonisi zimpawu ezigabeni zokuqala. Ngezinye izikhathi into yokuqala oyiqaphelayo ukuzizwa ukhathele ngaso sonke isikhathi . Kodwa njengoba lesi sifo siba sibi kakhulu, ungase uqaphele izimpawu ezifana nalezi:

• Imfiva
• Ukwakheka koketshezi esiswini (odokotela bakubiza ngokuthi 'ama-ascites ') noma ukuvuvukala emilenzeni (okubizwa ngokuthi 'i-edema ')
• Isifiso sokudla
• Ukuhlanza, mhlawumbe ukuhlanza igazi
• Ukuphuzi kwamehlo nesikhumba (lokhu kubizwa ngokuthi i-jaundice )
• Ukwehlisa isisindo

Uma unezinye zalezi zimpawu, ikakhulukazi uma ungumuntu ophuza utshwala, kufanele nakanjani ubone udokotela, njengoba lesi simo singaba yingozi uma singanakwa.

Kungani lesi sifo senzeka? Iyini imbangela eyinhloko?

Imbangela eyinhloko newukuphela kwayo yalokhu ukusetshenziswa kakhulu kotshwala isikhathi eside . Lesi sifo sivame ukuvela kubantu asebephuze kakhulu iminyaka emihlanu kuya kweyishumi.

Manje ungase uzibuze ukuthi 'ukuphuza ngokweqile' kungakanani. Kuyahlukahluka kancane kuye ngobulili:

• Kwabesilisa: Ukuphuza kakhulu kuchazwa njengeziphuzo ezintathu noma ngaphezulu zotshwala (ngokuvamile ubhiya olula) ngosuku, noma iziphuzo ezingu-21 noma ngaphezulu ngesonto. Eziphuzweni ezinamandla njengewayini, i-whisky, noma utshwala, inani leziphuzo liphansi nakakhulu.
• Kwabesifazane: Iziphuzo ezimbili noma ngaphezulu ngosuku, noma iziphuzo ezingu-14 noma ngaphezulu ngesonto, kubhekwa njengokuphuza kakhulu.

Ucwaningo lukhombisile ukuthi ama-90% abantu abaphuza kakhulu bathola isifo sesibindi esinamafutha (i-steatosis). La mafutha anobuthi esibindini. Angaholela ekuvuvukeni, ekuqineni kwesibindi, ngisho nasemdleni wesibindi. Kodwa-ke, akuwona wonke umuntu othola izimo ezimbi kakhulu zalesi sifo.

Ubani osengozini enkulu yokuthola lesi sifo?

Isici esiyinhloko sengozi ukuba nesimo esibizwa ngokuthi i-Alcohol Use Disorder (AUD) . Okusho ukuthi, ukuphuza utshwala ngokweqile okungenani iminyaka emihlanu ilandelana. I-'AUD' yisimo lapho ungakwazi ukulawula khona ukuphuza kwakho, ufuna ukuphuza njalo, futhi uba nobunzima bokuyeka.

Ngaphezu kwalokho, lesi sifo sesibindi singabangelwa nokuphuza utshwala obuningi ngesikhathi esisodwa (`Ukuphuza ngokweqile' - okungukuthi, ukuphuza utshwala obuningi ngesikhathi esifushane). Uma usuvele unesinye isifo sesibindi (njenge-hepatitis B noma C), umonakalo esibindini sakho ngenxa yotshwala mkhulu nakakhulu.

Yiziphi izinkinga eziyingozi ezingase zivele ngenxa yalesi sifo?

Uma i-cirrhosis ebangelwa utshwala iba yimbi kakhulu, ingaholela ezinkingeni ezingaba yingozi empilweni. Nazi izibonelo ezimbalwa:

• Ukuvaleka kwemithambo yegazi kanye nokopha emgudwini wokugaya ukudla ( ukuvaleka kwemithambo yegazi emathunjini noma ukopha kwesisu ), isibonelo, ukuhlanza igazi.
• Ukulimala kwesibindi ebuchosheni ( Hepatic encephalopathy ). Lokhu kungabangela ukozela ngokweqile emini, ukudideka, ngisho nokuquleka.
• Umdlavuza wesibindi ( i-Hepatocellular carcinoma ).
• Ukwehluleka kwezinso ( i-hepatorenal syndrome ).
• Ukwehluleka kokuphefumula (`i-hepatopulmonary syndrome` (i-hepatopulmonary syndrome).
• Ukutheleleka ngamagciwane esiswini ( i-Spontaneous bacterial peritonitis) .

Lezi yizimo eziyingozi ngempela, ngakho-ke kubaluleke kakhulu ukuqaphela utshwala.

Odokotela basithola kanjani lesi sifo?

Uma uya kudokotela, uzokuhlola ngokomzimba kuqala. Uzokubuza ngomlando wempilo yakho. Into ebaluleke kakhulu ukukubuza ukuthi uphuza utshwala obungakanani. Ungase uzizwe ungakhululekile ukuphendula lo mbuzo. Ungase unqikaze ukukhuluma ngemikhuba yakho yokuphuza. Kodwa-ke, ulwazi oluqondile olunikezayo luzosiza udokotela ukuthi athole ukuxilongwa okunembile. Sicela ukhulume iqiniso. Udokotela akakwahluleli, ulapha ukuzokusiza.

Ngaphezu kwalokho, udokotela angenza nezivivinyo ezifana nalezi:

• Ukubalwa kwegazi okuphelele (i-CBC ): Ukuhlolwa kwe-anemia (inani eliphansi legazi) noma inani eliphansi lama-platelet.
• Ukuhlolwa kwe-`CT scan` , `MRI test` noma `Ultrasound` : Lokhu kungahlola isimo sesibindi, ukuthi kukhona yini ukunqwabelana kwamafutha, noma ukuthi kukhona yini izimpawu ze-`cirrhosis`.
• Ukuhlolwa kokusebenza kwesibindi : Lokhu kunganquma ukuthi isibindi sonakele yini.
• Ukuhlolwa kwe-alcohol biomarker: Lokhu kungathola ukuthi kukhona utshwala egazini noma emchameni wakho. Ezinye izivivinyo ze-alcohol biomarker zingathola ukuthi uphuze kakhulu ngisho nangemva kwezinyanga uphuze utshwala.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa okuyinhloko nokuphumelela kakhulu kwesifo sesibindi esibangelwa ukuphuza utshwala noma i-hepatic steatosis ukuyeka ngokuphelele ukuphuza utshwala. Lokhu kungasiza ekubuyiseleni emuva umonakalo wesibindi.

Siyazi ukuthi kulula ukukusho lokhu, kodwa kunzima ukukwenza. Lesi sifo sesibindi sivame ukwenzeka kubantu abanenkinga yokusebenzisa utshwala (`Alcohol Use Disorder - AUD`). Uma une-`AUD`, udokotela wakho angase asikisele lezi zindlela zokwelapha:

• Ukwelashwa Kokuziphatha: Kulokhu, ungasebenzisana nabeluleki bokulutheka noma ochwepheshe bezengqondo. Bazokusiza ukuthi ushintshe ukuziphatha kwakho kokuphuza utshwala. Lokhu kusekelwa ngezindlela ezahlukene zokwelapha.
• Imithi: Kunemithi enciphisa isifiso sokuphuza utshwala futhi inciphise izimpawu zokuhoxa.

I- cirrhosis ebangelwa utshwalaUkwelashwa kwalesi simo kuyahlukahluka kuye ngesimo sakho sempilo. Isibonelo, okuwukuphela kwendlela yokwelapha i-cirrhosis ukufakelwa isibindi . Kodwa-ke, akuwona wonke umuntu odinga isibindi esinempilo ongathola sona. Kunezindlela ezithile okufanele zihlangatshezwe. Uma une-cirrhosis, buza udokotela wakho ukuthi ukufakelwa isibindi kukulungele yini.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi uphuza utshwala obuningi njalo noma unenkinga yokulawula ukuphuza kwakho, kubalulekile ukukhuluma nodokotela. Odokotela bayazi ukuthi ukwabelana ngolwazi lomuntu siqu, njengokusebenzisa kwakho utshwala, akulula ngaso sonke isikhathi. Bazokhuluma ngezinkinga zakho futhi bahlole impilo yakho ngaphandle kokukwahlulela.

Ungabuza udokotela imibuzo efana nale:

• Ngingakwazi yini ukuguqula lesi simo?
• Ingabe isimo sami sizoba sibi kakhulu?
• Ingabe ikhona imithi okungafanele ngiyithathe ngoba isibindi sami sonakaliswe utshwala? (Ezinye izinto ezifana nemithi yokunciphisa ubuhlungu zingaba yingozi esibindini.)

Uma nginalesi sifo, yini okufanele ngiyilindele?

Isimo sawo wonke umuntu sihlukile. Isifo sesibindi esibangelwa utshwala singelapheka ngokuphelele cishe emavikini ayisithupha ngemva kokuyeka ukuphuza utshwala. Lokhu kusho ukuthi isibindi sakho singaphinde sibe nempilo enhle.

Kodwa uma une -cirrhosis, isimo sihlukile. Uma uyeka ukuphuza utshwala, ungavimbela lesi sifo ukuthi singabi sibi kakhulu futhi wandise impilo yakho. Kodwa umonakalo ohlala njalo esibindini awunakuguqulwa. Ukuphela kokwelapha ukufakelwa isibindi.

Ingakanani iminyaka yokuphila komuntu onalesi sifo?

Umuntu onesifo esincane angaphila isikhathi esijwayelekile uma eyeka ngokuphelele ukuphuza, njengomuntu ongenaso lesi sifo. Kodwa lokho kuncike ngokuphelele kumuntu oyeka ukuphuza.

Isikhathi sokuphila somuntu onesifo sokuqina kwesibindi sifushane kakhulu. Isikhathi sokuphila esimaphakathi ngemva kokuxilongwa siphakathi kweminyaka emibili neyishumi nanhlanu, kodwa lokhu kuncike ezintweni eziningi, okuhlanganisa nobunzima besifo, izinkinga, kanye nokuhoxa kotshwala. Uma unalolu hlobo lwesifo sesibindi, udokotela wakho ungumthombo wakho wolwazi ongcono kakhulu. Uzokwazi ukuthi hlobo luni lwesifo sesibindi onaso nokuthi sikuthinta kanjani.

Ekugcineni, kufanele ngisho lokhu...

Kungaba nzima ukuvuma ukuthi uphuza utshwala obuningi njalo. Kungaba nzima nakakhulu ukutshela udokotela ukuthi uphuza obungakanani nokuthi kangaki. Kodwa ukwabelana ngalolo lwazi kubalulekile. Yilokho okusiza udokotela wakho ukuthi ahlole ngokunembile umonakalo owenziwe utshwala esibindini sakho.

Uma usheshe uxilonge lesi sifo bese uyeka ukuphuza utshwala, ungasivimbela lesi sifo ukuthi singabi sibi kakhulu.Kungenzeka ukulungisa umonakalo obangelwe utshwala esibindini.

Odokotela bayazi ukuthi ukuyeka ukuphuza akulula. Bakhona ukukusiza, hhayi ukukwahlulela. Isinyathelo sokuqala sokululama ukuvuleleka ngokusebenzisa kwakho utshwala. Ngakho-ke, ungesabi noma ube namahloni okukhuluma nodokotela ngakho. Isibindi sakho sizokubonga! Khumbula, ukucela usizo kuwuphawu lwamandla, hhayi ubuthakathaka.

Utshwala , isibindi, isifo sesibindi, Isifo Sesibindi Esihlobene Notshwala, i-cirrhosis, i-steatosis, ukuyeka utshwala, amafutha esibindi, uwoyela wesibindi, ukudakwa