Ake sifunde kabanzi ngesifo sokuqina kwesibindi: isitha esithule sesibindi!

Sikhuluma ngezitho eziningi emzimbeni wethu, akunjalo? Inhliziyo , izinso... Kodwa ingabe sicabanga kakhulu ngesibindi ? Isibindi sifana nefektri enkulu emzimbeni wethu. Senza umsebenzi waso buthule. Kodwa lapho lesi sibindi siqala ukonakala, isimo esibizwa ngokuthi i-cirrhosis siba sibi kakhulu. Lokhu akuyona into ekhula ngokuzumayo, kodwa into ekhula kancane kancane eminyakeni edlule. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini ngempela isifo sokuqina kwesibindi?

Kalula nje, i-cirrhosis yilapho amangqamuzana esibindi aphilile ethathelwa indawo yizicubu zesibazi. Cabanga ngale ndlela, njengoba nje isibazi sakheka lapho sithola isibazi esikhumbeni sethu, lapho isibindi sonakala njalo, sizama ukuzelapha. Lesi sibazi sakheka phakathi nale nqubo. Njengoba lesi sibazi sikhula, isibindi asisakwazi ukwenza imisebenzi yaso evamile, njengokuhlunga ubuthi egazini, ukwenza ama-enzyme asiza ekugayeni ukudla, nokugcina amandla.

Isibindi siyisisebenzi emizimbeni yethu. Asikwazi ukuphila ngaphandle kwaso. Ngakho-ke, kubaluleke kakhulu ukuqaphela lesi simo.

Ziyini izimpawu ze-cirrhosis?

Inkinga enkulu lapha ukuthi azikho izimpawu ezigabeni zokuqala . Ngezinye izikhathi ungase ungaboni lutho kuze kube yilapho cishe u-75% wesibindi sonakele. Kodwa uma lesi sifo sibi kakhulu, ungase uqale ukubona izinguquko ezithile.

Yiziphi izimbangela eziyinhloko ze-cirrhosis?

I-cirrhosis ihlala ibangelwa esinye isifo noma inkinga ethinta isibindi. Kunezimbangela eziningana eziyinhloko.

• Ukuphazamiseka kokusebenzisa utshwala: Lena imbangela evame kakhulu. Ukuphuza utshwala obuningi isikhathi eside kungalimaza kakhulu isibindi.
• Isifo sesibindi esinamafutha e-Metabolic (MASLD): Lesi sasibizwa ngokuthi isifo sesibindi esinamafutha esingenalo utshwala. Izimo ezifana nesifo sikashukela, ukukhuluphala ngokweqile, i-cholesterol ephezulu, kanye nomfutho wegazi ophezulu zingabangela ukwakheka kwamafutha esibindini, okungagcina kuholele ekuqineni kwesibindi. Lesi simo manje sesivame kakhulu eSri Lanka.
• Ukutheleleka kwe-Hepatitis B no-C (i-Hepatitis B no-C):Lezi zifo ezimbili ezibangelwa amagciwane zingabangela ukuvuvukala kwesibindi okungapheli futhi kuholele ekuqineni kwesibindi.
• Ezinye izizathu:
• Ezinye izifo zofuzo (isib. isifo sikaWilson, i-hemochromatosis).
• Izifo ezihlasela isibindi ngenxa yezinkinga ngesimiso somzimba sokuzivikela (i-Autoimmune hepatitis).
• Ukusabela okukhulu kwemithi ethile.
• Ukuvaleka kwemigudu yenyongo.

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela wakho, uzobuza ngezimpawu zakho, ukusebenzisa kwakho utshwala, kanye nomlando wezokwelapha womndeni. Ngemuva kwalokho bazohlola umzimba wakho, ikakhulukazi isisu sakho.

Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo:

• Ukuhlolwa kwegazi: Hlola ukusebenza kwesibindi, hlola amazinga e-enzyme yesibindi, amazinga e-bilirubin, njll.
• Ukuhlolwa kwezithombe: I-ultrasound scan noma i-MRI scan ingahlola isimo sesibindi, ubukhulu baso, nokuthi ngabe kukhona yini izicubu zesilonda.
• Ukuhlolwa Kwesibindi: Ngezinye izikhathi, ukuqinisekisa ukuxilongwa nokunquma izinga eliqondile lomonakalo, kuthathwa ingcezu encane kakhulu yezicubu ezivela esibindini kusetshenziswa inalithi encane bese ihlolwa.

Iphathwa kanjani?

Ngeshwa, umonakalo esibindini obangelwa yi-cirrhosis awunakuguqulwa ngokuphelele. Kodwa-ke, kunezindlela zokwelapha zokuvimba umonakalo owengeziwe nokulawula izinkinga. Ukwelashwa kuncike embangela ye-cirrhosis kanye nobunzima besifo.

Imigomo eyinhloko yokwelashwa

1. Ukwelapha imbangela:

• Uma kungenxa yotshwala: Kufanele uyeke ngokuphelele ukuphuza utshwala. Ngenxa yalokhu, udokotela wakho uzokudlulisela enkonzweni efanele yokwelulekwa noma ohlelweni lokwelashwa.
• Uma kungenxa yesifo sokusha kwesibindi: Kunikezwa imithi yokulwa namagciwane ukulawula igciwane.
• Uma amafutha enqwabelene , ukwehlisa isisindo, ukuvivinya umzimba, ukulawula ukudla, kanye nokulawula isifo sikashukela kanye ne-cholesterol kubalulekile.

2. Ukwelashwa kwezinkinga:

• Kwabanesifo sofuba: Kunconywa ukudla ukudla okune-diuretics kanye nokudla okunosawoti omncane.
• Imithambo ye-Varicose: Ukwelashwa kuhlanganisa imithi noma ukubopha nge-endoscopy ukuvimbela ukuphuma kwegazi.
• I-Encephalopathy: Imithi inikezwa ukunciphisa ubuthi egazini.

3. Ukufakelwa Kwesibindi:

Uma isibindi sehluleka ngokuphelele (ukwehluleka kwesibindi), inketho yokugcina ukufakelwa isibindi okunempilo. Nakuba lokhu kuwukuhlinzwa okukhulu, kungaba yisisombululo esingcono kakhulu sokusindisa impilo yakho.

Ungazinakekela kanjani?

Kanye nokwelashwa, izinguquko endleleni yakho yokuphila zibaluleke kakhulu.

• Yeka ukuphuza utshwala ngokuphelele: Ungaphuzi ngisho neconsi elilodwa.
• Yidla ukudla okunempilo: Nciphisa usawoti, uwoyela, noshukela. Yidla ukudla okucebile ngamaprotheni njengemifino, izithelo, ubhontshisi, inyama engenamafutha kanye nenhlanzi. Gwema ukudla okufana ne-shellfish eluhlaza.
• Ukuzivocavoca: Khuluma nodokotela wakho bese udala uhlelo lokuzivocavoca olukufanele.
• Qaphela ngemithi: Ungaphuzi imithi yokubulala izinhlungu (isib. iPanadol, i-Aspirin, i-Ibuprofen) noma eminye imithi, ngisho nemikhiqizo yamakhambi, ngaphandle kokubonisana nodokotela wakho. Lokhu kungaba nzima ngesibindi ukukucubungula futhi kungenza isimo sibe sibi kakhulu.
• Goma: Njengoba amasosha akho omzimba engase abe buthaka, goma i-hepatitis A, B, i-pneumonia, kanye nomkhuhlane ovamile (umkhuhlane).