Abantu abaningi bacabanga ukuthi ukuphuza kancane ngosuku, noma ukuphuza nabangani kanye ngesonto, kulungile. Kodwa uyazi ukuthi lokho kuphuza utshwala okuncane kungenza umonakalo ongakanani esisebenzini somzimba wakho esithule, isibindi? Namuhla sikhuluma ngokuvuvukala kwesibindi okubangelwa utshwala, isimo esaziwa ngokwezokwelapha ngokuthi 'i-Alcohol-Induced Hepatitis'.
Kuyini i-hepatitis ebangelwa utshwala?
Kalula nje, 'i-Hepatitis' ukuvuvukala kwesibindi. Lokhu kufana nokubomvu nokuvuvukala okwenzeka lapho silimele emzimbeni wethu. Lokhu kuvuvukala kusho ukuthi kube nomonakalo othile kumaseli esibindi noma ukutheleleka. Kungaba nezizathu eziningana zalokhu. Izinhlobo ezahlukene zamagciwane, ubuthi obuyingozi emzimbeni, njll. Ukuphuza utshwala ngokweqile nakho kuyimbangela enkulu yalokhu.
Ngezinye izikhathi kungaba yisimo sesikhashana esenzeka ngemva kokuphuza kakhulu ngolunye usuku. Kodwa-ke, uma lokhu kuba yisimo esingamahlalakhona kumuntu oqhubeka nokuphuza utshwala, kungenzeka kakhulu ukuthi kubangele umonakalo omkhulu esibindini ongenakulungiseka.
Kungani utshwala bukwenza lokhu esibindini?
Cabanga ngakho, konke okudlayo nokuphuzayo kuhlanzwa futhi kucutshungulwe yisibindi sakho ngaphambi kokuba kungene emzimbeni wakho. Isibindi sifana nesihlungi emzimbeni wethu. Senza konke lokhu, sihlukanisa izakhamzimba futhi sisuse ubuthi.
Uma uphuza utshwala, buya kulesi sibindi. Kodwa utshwala abuyona isakhi sesibindi, buyi-toxin eqondile . Njengoba isibindi siphula utshwala, kukhiqizwa amanye amakhemikhali anobuthi.
Uma uphuza utshwala obuningi isikhathi eside, okungukuthi, kumuntu onenkinga yokusebenzisa utshwala, isibindi siyakhungathekiswa yilobu buthi. Uma isibindi singakwazi ukusingatha amafutha amaningi kanye nobuthi, buqala ukulimaza amangqamuzana esibindi. Ngenxa yalo monakalo, umzimba ukhiqiza ukuvuvukala okukhulunywe ngakho ngenhla. Empeleni kuwumzamo womzimba wokwelapha inxeba nokuvimbela umonakalo owengeziwe.
Kodwa inkinga iwukuthi, njengoba utshwala buqhubeka nokugwinywa, lokhu kuvuvukala kuyaqhubeka. Njengoba isibindi siqhubeka nokuvuvukala, amangqamuzana aso aqala ukufa.
Ubani osengozini enkulu yalesi simo?
Abantu asebephuze kakhulu iminyaka eminingi bavame ukuba sengozini enkulu. Kodwa akubona bonke abantu abathola lesi sifo abawela kuleso sigaba. Imizimba yabanye abantu isheshe ithinteke kakhulu otshwaleni. Basengalimaza isibindi sabo noma ngabe baphuza isilinganiso esijwayelekile. Abanye bangase bangasitholi lesi simo noma ngabe baphuza kakhulu.
Izinguquko zofuzo zalokhuKungathinta. Uma othile emndenini wakho enomlando wotshwala noma isifo sesibindi, nawe usengozini enkulu. Ubulili nabo budlala indima lapha. Amadoda ngokuvamile abekezelela utshwala kancane kunabesifazane.
Kodwa akekho kithi ongathi ngokwezokwelapha, "Kulungile ukuphuza leli nani." Ngoba kwabanye abantu, ngisho nenani elincane kakhulu lotshwala lingabangela lesi simo esibi esibizwa ngokuthi i-hepatitis kanye ne-cirrhosis.
Ziyini izimpawu zalesi sifo?
Uma unalesi sifo ekuqaleni, ungase ungabi nazimpawu. Kodwa njengoba isimo siba sibi kakhulu, uzoqala ukuzizwa lezi zinto.
| Ukuhlukaniswa kwezimpawu | |
|---|---|
| Izimpawu ngaphambi kokuba isifo sibe sibi kakhulu (isigaba sokuqala) | |
| Ukuzwa ubuhlungu noma ingcindezi engxenyeni ephezulu kwesokudla yesisu, lapho isibindi sitholakala khona. | Isibindi singase sizwakale sivuvukile futhi sikhukhumele noma singase sibonakale. |
| Isisu esiphumayo sisho umuzwa wokugcwala esiswini. | Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo. |
| Isicanucanu. | Ukuchitha indle enamanzi enombala okhanyayo. |
| Izimpawu ezenzeka lapho isimo siba sibi kakhulu futhi sithinta ukusebenza kwesibindi | |
| Imfiva. | Ukushaya kwenhliziyo. |
| Ukuphuzi kwamehlo amhlophe (i-jaundice). | Ukopha kalula ngisho noma kubangelwa ukulimala okuncane futhi kube luhlaza okwesibhakabhaka ezindaweni ezithile emzimbeni (thrombocytopenia). |
| Ukuphazamiseka kwenkumbulo kanye nokuqwashisa (i-hepatic encephalopathy). | Ukuzizwa njalo ukhathele kakhulu futhi ukhathele. |
Udinga ukuphuza okungakanani ukuze uthole lesi sifo?
Ayikho ifomula eyodwa efanela wonke umuntu yalokhu. Kodwa izibalo zibonisa ukuthi abantu abaphuza kakhulu nsuku zonke isikhathi eside basengozini enkulu. Lokho okushiwo "ukuphuza kakhulu" kuhlukile futhi kwabesilisa nabesifazane.
- Kwabesilisa: Ukuphuza cishe iziphuzo ezine ezijwayelekile ngosuku noma iziphuzo ezingaphezu kwezingu-14 ngesonto.
- Kwabesifazane: Ukuphuza cishe izingilazi ezintathu ngosuku noma ngaphezulu kwezingilazi eziyisikhombisa ngesonto.
Ukuphuza ngokweqile nakho kuyimbangela yalokhu. Amadoda aphuza izingilazi ezingaphezu kwezi-5 ngesikhathi, kanti abesifazane baphuza ezingaphezu kwezi-4. Uma ukwenza lokhu okungenani izikhathi ezinhlanu ngenyanga, lokho kubhekwa njengokuphuza kakhulu. Ngisho nokuphuza ngale ndlela isikhathi esifushane, njengezinyanga eziyisithupha, kwandisa kakhulu ingozi yakho yokuthola lesi sifo.
Udokotela usithola kanjani lesi sifo ngokunembile?
Uma uya kudokotela, uzoqala ngokubuza ngomlando wakho wempilo kanye nokusebenzisa utshwala. Uma besola ukuthi unenkinga yokusebenzisa utshwala, bazohlola ukuthi ngabe ezinye izitho zomzimba zithintekile yini. Kunezivivinyo eziningana ezingenziwa ukusiza ngalokhu.
- Ukuhlolwa kwegazi: Ukubalwa kwegazi okuphelele (i-CBC) kungahlolwa izimo zezokwelapha ezahlukahlukene. Ukuhlolwa kokusebenza kwesibindi kwenziwa futhi ukuhlola ama-enzyme esibindi aphezulu.
- Ukuhlolwa kwezithombe: Ukuhlolwa okufana ne-ultrasound, i-FibroScan®, i-CT scan, noma i-MRI scan kungenziwa ukuze kuhlolwe ukuvuvukala noma umonakalo wesibindi.
- Ukuhlolwa kwesibindi: Kwezinye izimo, udokotela kungadingeka athathe ingxenye encane kakhulu yezicubu esibindini ayihlole ngaphansi kwe-microscope ukuqinisekisa isifo.
Iphathwa kanjani?
Akukho muthi othize onganikezwa ngqo ngalesi sifo. Ukwelashwa okuwukuphela kwawo nongcono kakhulu ukuyeka ngokuphelele ukuphuza utshwala.
Kodwa ukuyeka utshwala ngokuzumayo ngokwakho kungaba yingozi. Kungabangela imiphumela emibi kakhulu (izimpawu zokuhoxa) emzimbeni. Yingakho kufanele wenze lokhuNgaphansi kokuqashwa kwezokwelapha .
Nakuba udokotela wakho ezokusiza ukuthi uyeke utshwala, uzophinde elaphe noma yiziphi izinkinga ezingase zivele ngenxa yalo.
Ukwelashwa okwengeziwe kufaka phakathi:
- Ukwelashwa Kokudla Okunempilo: Ukusetshenziswa kotshwala kanye nokulimala kwesibindi kungabangela izinto ezifana nokulahlekelwa yisifiso sokudla kanye nesicanucanu, okungaholela ekungondleki kahle. Udokotela wakho uzokunikeza ukudla okufanele kanye nezithasiselo zokudla okunempilo. Ezimweni ezimbi kakhulu, ungase unikezwe ukudla ngamapayipi esibhedlela.
- Ama-steroid esikhathi esifushane: Amanye amacala anzima anikezwa ama-steroids isikhathi esifushane ukuze kuncishiswe ukuvuvukala kwesibindi futhi kusize amaseli ukuthi aphinde avuseleleke.
Ingabe lesi simo singalungiswa? Kuzothatha isikhathi esingakanani ukuphulukiswa?
Yebo, lokhu kungelapheka ngezinga elikhulu. Kodwa kunesimo esisodwa kuphela salokho. Lokho ukuyeka ngokuphelele ukuphuza utshwala.
Uma lesi sifo singesibi kakhulu, isibindi singalulama ngemva kokuyeka ukuphuza. Abantu abangayeki ukuphuza bangaqhubeka nokuba nesifo sokuqina kwesibindi kanye nokwehluleka kwesibindi, okuyilapho isibindi sonakala khona ngokuphelele. Izicubu zesilonda esezivele zakhekile esibindini azikwazi ukuguqulwa. Kodwa ungamisa umonakalo owengeziwe futhi usindise ingxenye esele yesibindi sakho.
Lokhu kudinga ukuyekiswa ngokuphelele, impilo yakho yonke. Uma wenza lokho, uzolulama nakanjani.
Ngokuvamile, abantu abayeka ukuphuza utshwala ngemva kokuxilongwa babonisa intuthuko enkulu empilweni yabo zingakapheli izinyanga eziyi-6 kuya kweziyi-12 . Amacala amancane angelapheka ngokuphelele.
Uyini umehluko phakathi kwe-hepatitis ebangelwa utshwala kanye ne-cirrhosis?
Ungadidanisi lokhu okubili. I-cirrhosis yisigaba sokugcina nesinzima kakhulu sesifo sesibindi.
Kalula nje, i-hepatitis yesikhathi eside (ukuvuvukala) kubangela ukuthi amangqamuzana esibindi aqhubeke nokufa futhi athathelwe indawo yizicubu zesibazi. Lapho indawo enkulu yesibindi imbozwe yilolu hlobo lwezicubu zesibazi, lesi simo sibizwa ngokuthi i-cirrhosis. Lesi sibazi senza igazi lingakwazi ukucubungula kahle izakhamzimba nokuhlunga ubuthi. Ekugcineni, isibindi singahluleka ngokuphelele futhi sife.
I-hepatitis ebangelwa utshwala iyisithiyo esiyingozi endleleni eya ekuqineni kwesibindi. Iyalungiseka, kodwa uma inganakwa, isinyathelo esilandelayo yi-cirrhosis engalungiseki.
Umlayezo Wokuya Nawe Ekhaya
- I-hepatitis ebangelwa utshwala ukuvuvukala kwesibindi okubangelwa ukuphuza utshwala ngokweqile. Uma lokhu kuba yisifo esingamahlalakhona, kungabangela ukulimala kwesibindi unomphela.
- Ezigabeni zokuqala, izimpawu zifaka phakathi ukulahlekelwa yisifiso sokudla kanye nobuhlungu ohlangothini lwesokudla lwesisu, kodwa njengoba siqhubeka, kuvela izimpawu ezinzima kakhulu njenge-jaundice, isikhumba esiluhlaza okwesibhakabhaka, kanye nokulahlekelwa ukwazi.
- Ukwelashwa okuwukuphela futhi okungcono kakhulu kwalesi sifo ukuyeka ngokuphelele ukuphuza utshwala. Lokhu kufanele kwenziwe ngaphansi kweseluleko sikadokotela.
- Uma uyeka ukuphuza, isibindi singalulama uma lesi sifo singesibi kakhulu. Kodwa-ke, uma uqhubeka nokuphuza, uzobhekana nezimo ezibulalayo njenge-cirrhosis.
- Uma wena noma othile omaziyo enenkinga yokusebenzisa utshwala ngokweqile kanye nezimpawu ezibalwe lapha, bona udokotela ngokushesha . Ukutholwa kusenesikhathi kanye nokwelashwa kungasindisa impilo yakho.
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