Wake wezwa 'nge-Fatty Liver'? Mhlawumbe bekusembikweni wakho we-scan futhi wesaba. Abantu abaningi bacabanga ukuthi lesi yisifo esiyingozi kakhulu. Kodwa kuyini ngempela lokhu kuqongelela kwamafutha esibindini? Ingabe kuyinto okufanele uyesabe? Ake sixoxe ngakho konke kusukela ekuqaleni, kalula nje.
Kuyini Isifo Sesibindi Esibangelwa Yi-Steatotic?
Kalula nje, lokhu kuwukuqongelela kwamafutha, noma uwoyela, ngaphakathi kwesibindi sakho. Odokotela bakubiza lokhu ngokuthi 'i-steatosis'. Ngisho nesibindi esinempilo nesisebenza kahle sinamafutha amancane. Lokho kuvamile. Kodwa uma lokhu kuqongelela kwamafutha kudlula u-5% wesisindo sesibindi, yilapho inkinga iqala khona.
Cabanga ngakho njengepayipi elisesinkini sethu sasekhishini. Kulungile uma kungena amanzi amancane. Kodwa uma uwoyela uqoqana bese ubhajwa epayipini, lokho kuyinkinga, akunjalo? Yileyo ndlela amafutha amaningi aqoqana ngayo esibindini.
Kungani igama elithi 'Isifo Sesibindi Esinamafutha' lashintshwa laba 'Isifo Sesibindi Esinamafutha'?
Esikhathini esidlule, sonke sasibiza lesi simo ngokuthi 'i-Fatty Liver'. Kodwa ngo-2023, ochwepheshe bezokwelapha bahlangana banquma ukushintsha leli gama. Kwakunezizathu ezimbili eziyinhloko zalokho.
1. Chaza imbangela: Lapho abantu bezwa igama elithi 'Isibindi Esinamafutha', abantu abaningi bacabanga ukuthi lokhu kwenzeka kubantu abakhuluphele kuphela. Kodwa akulona iqiniso lelo. Amafutha angaqongelela esibindini ngenxa yezizathu eziningi ezingahlobene nesisindo somzimba. Igama elisha linikeza umbono onembile wezici ezahlukahlukene ezingabangela lokhu.
2. Susa ukucwaswa kanye namahloni: Igama elithi 'Amafutha' lingaba yihlazo kanye namahloni kubantu abakhuluphele. Kungcono ukungasebenzisi amagama adala lowo muzwa lapho ukhuluma ngesimo sempilo, akunjalo? Yingakho igama lashintshwa.
Yiziphi izinhlobo eziyinhloko zesibindi esinamafutha?
Odokotela bahlukanisa isibindi esinamafutha sibe izinhlobo eziningana eziyinhloko kuye ngokuthi imbangela iyini. Ake sibone ukuthi siyini. Ukuze lokhu kube lula ukukuqonda, ngizokwenzela itafula elincane.
| Uhlobo lwesifo (Uhlobo lwe-SLD) | Incazelo elula |
|---|---|
| Isifo sesibindi esibangelwa utshwala (ALD) | Isizathu esiyinhloko salokhuUkuphuza utshwala ngokweqile. Njengoba utshwala bucutshungulwa yisibindi, bulimaza amangqamuzana esibindi. Ngokuqhubeka nokuphuza utshwala ngokweqile, isibindi asikwazi ukulungisa lo monakalo bese siqala ukuqongelela amafutha. |
| I-Metabolic syndrome (MASLD) | Lokhu kwakubizwa ngokuthi isifo sesibindi esinamafutha angenalo utshwala. Lapha, amafutha esibindini awabangelwa utshwala, kodwa abangelwa yizinto eziyingozi ze-cardiometabolic ezifana nesifo sikashukela, ukukhuluphala ngokweqile, umfutho wegazi ophakeme, kanye ne-cholesterol ephezulu . |
| I-Metabolic syndrome (MASH) | Lolu uhlobo olubi kakhulu lwesimo se-MASLD okukhulunywe ngaso ngenhla. Okwenzekayo lapha ukuthi amafutha anqwabelana esibindini, okube sekwenza isibindi sivuvuke futhi sivuvuke. Bese izicubu zesibindi ziqala ukonakala futhi zibe nezibazi. |
| I-MASLD kanye nokusetshenziswa kotshwala ngokweqile (i-MetalALD) | Lokhu kwenzeka uma umuntu enezici eziyingozi ze-metabolic ezishiwo ngenhla (isib. isifo sikashukela) futhi ephuza utshwala obuningi kakhulu. Lapha, zombili lezi zinto ziyahlangana zilimaze isibindi. |
| Ezinye izinhlobo ze-SLD | Eminye imithi nezinye izifo nazo zingabangela ukwakheka kwamafutha esibindini. Ngezinye izikhathi, akukho sizathu esicacile esingatholakala . Lokhu kubizwa ngokuthi 'i-Cryptogenic SLD'. |
Ingabe lokhu kuyinkinga enkulu ngempela?
Ezimweni eziningi, isifo sesibindi esinamafutha ekuqaleni asibangeli izinkinga ezinkulu, futhi asiphazamisi ukusebenza kahle kwesibindi.
Kodwa lokhu kuyinto okudingeka icatshangelwe, 'njengesiginali yesexwayiso' . Kufana nokukhanya okuphuzi esibanini somgwaqo esivuliwe. Uma sithatha isinyathelo ngaleso sikhathi, singakulawula lokhu ngaphambi kokuba ukukhanya okubomvu kuvuleke, okungukuthi, ngaphambi kokuba kuvele isimo esibucayi.
Uma lesi simo singelashwa, singaba sibi kakhulu kancane kancane kwabanye abantu. Senzeka ngezigaba eziningana:
1. I-Hepatitis: Isibindi, esigcwele amafutha, siyavuvukala, sibe bomvu, futhi sivuvuke. Lokhu kubizwa ngokuthi 'i-Steatohepatitis'. Yile ndlela i-MASLD eba yi-MASH ngayo.
2. I-Fibrosis: Ukuvuvukala konakalisa izicubu zesibindi. Izicubu zezibazi ziqala ukwakheka ezindaweni ezonakele. Njengoba nje kwakheka isibazi lapho isikhumba sethu silimele. Lokhu kuzibazi kubangela isibindi ukuba siqine futhi sibe lukhuni kancane.
3. I-Cirrhosis: Le zicubu zesibazi ziyaqhubeka nokukhula, zithatha indawo yezicubu zesibindi ezinempilo ngezicubu zesibazi. Lesi yisimo esibi esibizwa ngokuthi i-cirrhosis. Uma i-cirrhosis ingelashwa, ingaholela ekuhlulekeni kwesibindi ngisho nasezimweni ezibulalayo njengomdlavuza wesibindi.
Yingakho kubaluleke kakhulu ukuhlonza lesi simo kusenesikhathi, ukuthola ukuthi siyini imbangela, bese ucela ukwelashwa okudingekayo.
Ziyini izimpawu zalesi sifo?
Inkinga enkulu ngalokhu ukuthi ngokuvamile akubonisi zimpawu ezigabeni zokuqala . Ungase ungezwa mehluko. Kodwa abanye abantu bangase babe nezimpawu ezinjengalezi:
- Umuzwa wokungakhululeki noma isisindo engxenyeni engenhla kwesokudla yesisu.
- Ukukhathala ukukhathala ngokweqile kanye nokukhathala okwenzeka ngaphandle kwesizathu.
Kuphela uma lesi sifo sesiqhubekele phambili saze saba nesifo sokuqina kwesibindi lapho izimpawu ezicacile zivame ukuqala ukubonakala khona. Ngaleso sikhathi, ungase ubone izinto ezinjengalezi:
- Isicanucanu nokuhlanza.
- Ukudla akunambitheki.
- Ukwehlisa isisindo ngaphandle kwesizathu.
- Ukuphuzi kwamhlophe kwamehlo nesikhumba (i-jaundice).
- Ukuvuvukala kwesisu, ukugcinwa koketshezi (ama-Ascites).
- Ukuvuvukala kwemilenze, amaqakala kanye nezandla (i-Edema).
Yiziphi izimbangela eziyinhloko kanye nezici eziyingozi zesibindi esinamafutha?
Kunezimbangela eziningana ezingaba khona zalokhu. Kodwa eziyinhloko yizici eziyingozi ze-metabolic esixoxe ngazo ngaphambilini kanye nokusetshenziswa kotshwala. Kungenzeka kakhulu ukuthi ube nalesi simo uma unesinye noma ngaphezulu salezi zinto:
- Ukulutheka kotshwala noma ukuphuza kakhulu njalo.
- I-Metabolic Syndrome: Lokhu kuyinhlanganisela yezici eziningana eziyingozi. Okungukuthi, ukumelana ne-insulin, umfutho wegazi ophakeme, i-cholesterol ephezulu kanye namazinga e-triglyceride.
- Isifo Sikashukela Sohlobo 2 .
- Ukukhuluphala ngokweqile (i-BMI ephakathi kuka-25 no-29.9) noma ukukhuluphala ngokweqile (i-BMI engaphezu kuka-30).
- KwabesifazaneI-Polycystic ovary syndrome (i-PCOS).
- Ukuphelelwa Yisikhathi Kokulala Okungavinjelwe .
- Ukwehla kwama-hormone e-thyroid (i-Hypothyroidism) .
- I-Hypopituitarism (amazinga aphansi ama-hormone e-pituitary) .
- Amazinga aphansi ama-hormone ocansi (i-Hypogonadism) .
- Kungaba futhi umphumela omubi wemithi ethile (isib. i-Amiodarone, i-Diltiazem, i-Tamoxifen, ne-Steroids).
Ungakuxilonga kanjani lokhu?
Esikhathini esiningi, lokhu kutholakala ngengozi. Uma uhlolwa igazi lesinye isimo, udokotela wakho angase aqaphele ukuthi ama-enzyme esibindi sakho aphakeme. Leso yisona sizathu sokuqala.
Ngemuva kwalokho, ungabheka izivivinyo ezilandelayo ukuqinisekisa lesi sifo:
- Umlando wakho wezokwelapha kanye nokuhlolwa: Udokotela wakho uzokubuza ngezimo zakho zezokwelapha, ukusebenzisa utshwala, kanye nemithi oyiphuzayo. Uzokwenza nokuhlolwa ngokomzimba ukuhlola izimpawu zokuvuvukala kwesibindi kanye ne-cirrhosis.
- Ama-scan: I-Ultrasound, i-CT Scan noma i-MRI ingasetshenziswa ukuhlola ukugcinwa kwamafutha, ukuvuvukala kanye nezibazi esibindini. I-ultrasound scan ekhethekile ebizwa ngokuthi i-FibroScan ingalinganisa nenani lamafutha kanye nokuqina (izibazi) esibindini.
- Ukuhlolwa Kwesibindi: Kwezinye izimo, kuthathwa ingxenye encane kakhulu yezicubu zesibindi bese ihlolwa ngaphansi kwe-microscope ukuze kutholakale ukuthi lesi sifo sibucayi kangakanani. Lena yindlela engcono kakhulu yokuhlukanisa ngokunembile phakathi kwe-MASLD ne-MASH.
Ilashwa kanjani? Ingabe lokhu kungelapheka?
Akukho ukwelashwa okuqondile kwalokhu okwamanje. Kodwa ungakhathazeki. Njengokwelashwa, odokotela bagxila ekulawuleni izici eziyingozi ezibangele lokhu. Lokho kusho ukwenza izinguquko ezinempilo endleleni yethu yokuphila.
Udokotela wakho angase akucebise ukuthi wenze izinto ezifana nalezi:
- Yeka ukuphuza utshwala ngokuphelele: Ngisho noma amafutha asesibindini sakho engabangelwa utshwala, ukuyeka ngokuphelele ukuphuza utshwala kuhle kakhulu esibindini sakho.
- Ukwehlisa isisindo: Ukuzivocavoca umzimba, izinguquko zokudla njengoba kwelulekwa uchwepheshe wezokudla, kanye nemithi ethile (njenge-GLP-1RA) kungakusiza ukwehlisa isisindo. Ungase ucabangele nokuhlinzwa kwe-bariatric.
- Phatha ezinye izimo zezokwelapha: Thatha imithi yakho yezimo ezifana nesifo sikashukela, i-cholesterol ephezulu, kanye nomfutho wegazi njengoba kuyalelwe. Kwezinye izimo, izithasiselo ezifana ne-vitamin E nazo zinganconywa.
- Thola igciwane le-Hepatitis A kanye ne-B:Lokhu kutheleleka ngegciwane kungaba yingozi kakhulu kumuntu osevele enomonakalo esibindini. Ngakho-ke ukuthola lo muthi wokugomela kuyisinyathelo sokuphepha.
Isibindi sethu siyisitho esimangalisayo. Sinekhono elimangalisayo lokuzilungisa ngezinga elithile. Uma ulandela imiyalelo kadokotela wakho ngqo, unganciphisa amafutha nokuvuvukala esibindini sakho, umise umonakalo owengeziwe, futhi ngezinye izikhathi ubuyisele emuva umonakalo owenzekile kwasekuqaleni.
Ungazivikela kanjani kulesi simo?
Indlela engcono kakhulu yokuvimbela lesi simo ukuthi singabi khona ukugcina indlela yokuphila enempilo iyonke.
- Vivinya umzimba njalo: Kuhle kakhulu ukwenza okungenani imizuzu engama-30 yokuzivocavoca okubangela ukujuluka ngosuku.
- Nciphisa noma uyeke ngokuphelele ukusebenzisa utshwala .
- Gcina isisindo esinempilo ngobude bakho.
- Yidla ukudla okulinganiselayo: Yidla imifino eminingi, izithelo, ubhontshisi, amantongomane, kanye nokusanhlamvu okuphelele. Nciphisa uwoyela, ushukela, ufulawa, ukudla okusheshayo, kanye nenyama ebomvu (inyama yenkomo, ingulube). Phuza amanzi ahlanzekile esikhundleni seziphuzo ezinoshukela.
- Uma unezifo ezifana nesifo sikashukela noma umfutho wegazi ophakeme, sebenzisa imithi oyinikezwe udokotela ngqo .
Kungcono ukukhuluma nodokotela wakho bese uthola iseluleko mayelana nendlela yokuphila enempilo efanele wena.
Umlayezo Wokuya Nawe Ekhaya
- Isibindi esinamafutha yisimo lapho isibindi sinamafutha angaphezu kuka-5%. Lesi yisimo esivame kakhulu.
- Izinto ezinjengokusebenzisa utshwala, isifo sikashukela, ukukhuluphala ngokweqile, kanye ne-cholesterol ephezulu yizona ezibangela lokhu.
- Ngokuvamile, azikho izimpawu ezigabeni zokuqala, ngakho-ke kungaba 'isifo esingabonakali'.
- Uma lesi simo singanakwa, ngokuhamba kwesikhathi singaholela ezimweni ezimbi kakhulu njenge-cirrhosis kanye nomdlavuza wesibindi.
- Kodwa ungakhathazeki! Lesi simo singalawulwa, futhi mhlawumbe singelapheke ngokuphelele, ngokushintsha indlela yokuphila enempilo (ukwehlisa isisindo, ukuvivinya umzimba, ukunciphisa utshwala, kanye nokudla okulinganiselayo).
- Uma unokungabaza ngalokhu, qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
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