Isibindi siyisitho esibalulekile nesibaluleke kakhulu emzimbeni wethu. Sifana nesihlungi emzimbeni wethu. Isibindi senza imisebenzi eminingi ebaluleke kakhulu, njengokuhlunga nokususa ubuthi egazini nokulawula amazinga e-cholesterol. Kodwa-ke, uma ngesizathu esithile isibindi sakho sivuvukala ngaphezu kokujwayelekile, okungukuthi, uma siba sikhulu, sikubiza ngokuthi ukuvuvukala kwesibindi, noma ngokwezokwelapha `(Hepatomegaly)`. Lokhu kuvame ukuba uphawu lwesinye isimo sezokwelapha esiyisisekelo.
Ingabe ukuvuvukala kwesibindi kuyingozi kakhulu?
Empeleni, lokhu akuyona into okufanele siyithathe kalula. Kodwa ubucayi bayo buxhomeke kulokho okubangela lokhu kuvuvukala. Ngezinye izikhathi kungaba yisimo esiphuthumayo. Ngezinye izikhathi, kungaba uphawu oluyisixwayiso sesifo esithile. Ngakho-ke, asikwazi ukusho ngokuqinisekile kuze kube yilapho udokotela wakho enza izivivinyo ezidingekayo.
Ngezinye izikhathi, isibindi siyavuvukala ngenxa yesimo sesikhashana, njengokutheleleka, bese sibuyela esimweni esijwayelekile uma isimo sesipholile. Kodwa-ke, ngezinye izikhathi, isibindi singalimala kancane kancane ngenxa yokugula kwesikhathi eside.
Ziyini izimpawu zalesi simo?
Esikhathini esiningi, ngeke uzizwe uvuvukele isibindi ngokwakho. Kodwa-ke, ezimweni ezimbi kakhulu, ungase uzizwe ugcwele , unesicanucanu , noma ubuhlungu ohlangothini lwesokudla lwesisu sakho, lapho isibindi sikhona khona.
Kodwa-ke, lokhu kuvame ukutholakala lapho udokotela wakho ekuxilonga. Uma ezwa ushintsho esibindini sakho ngenkathi ethinta isisu sakho, ungase ube nokungabaza.
Uma ukuvuvukala kwesibindi kuyisibonakaliso sesifo sesibindi, kungase kube nezinye izimpawu ezihlobene naso.
| Isibonakaliso | Incazelo |
|---|---|
| Ukukhathala | Ukuzizwa ukhathele kakhulu ngaphandle kwesizathu. |
| Isicanucanu nokulahlekelwa yisifiso sokudla | Ukuzizwa sengathi uhlanza futhi ulahlekelwe yisifiso sokudla. |
| I-Jaundice | Ukuphuzi kwesikhumba kanye nokumhlophe kwamehlo. |
| Izinguquko kumchamo kanye nendle | Umchamo omnyama (njengetiye) kanye nendle ekhanyayo (enombala wobumba). |
| Isikhumba esilumayo (i-Pruritus) | Ukuluma umzimba wonke ngaphandle kwesizathu esithile. |
| I-splenomegaly | Ukukhula kwe-spleen, etholakala ohlangothini oluphezulu lwesobunxele lwesisu. |
Yiziphi izimbangela eziyinhloko zokuvuvukala kwesibindi?
Kalula nje, kunezindlela ezine eziyinhloko isibindi sakho esingavuvukala ngazo:
1. Ukuvuvukala: Ukuvuvukala okwenzeka lapho isibindi sibhekene nokutheleleka noma ubuthi obuningi kakhulu (isib. utshwala) obungamelana nakho.
2. Amafutha: Ukuqongelela kwamafutha ngokweqile esibindini.
3. Igazi: Ukuvaleka noma ukugcwala kwegazi emithanjeni yegazi edlula esibindini.
4. Ukukhula: Ukuvela kwamaqhubu, kungakhathaliseki ukuthi anomdlavuza noma awawona umdlavuza.
Kunezizathu eziningana ezivamile nezingavamile ezithinta lokhu.
Izimbangela ezivamile
- I-hepatitis ehlobene notshwala: Ukulimala kwesibindi okubangelwa ukuphuza utshwala ngokweqile.
- I-hepatitis enobuthi: Lokhu kungabangelwa yizici ezifana nokuthatha imithi ethile ngokweqile. Uma umuntu ethathe imithi ethile ngokweqile, kufanele ayiswe eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Uma kudingeka, odokotela bazofuna iseluleko eSikhungweni Solwazi Lwezobuthi Sikazwelonke eSibhedlela Sikazwelonke saseColombo .
- I-hepatitis ebangelwa yigciwane: Ukutheleleka ngamagciwane afana ne-hepatitis A, B, noma C.
- Isifo sesibindi esinamafutha: Singabangelwa ukusetshenziswa kotshwala noma izinkinga ze-metabolic ezifana nesifo sikashukela kanye nokukhuluphala ngokweqile.
- I-Mononucleosis: Ukutheleleka okuvamile kwegciwane.
Izimbangela ezingavamile
Lokhu akuvamile, kodwa kungabangela ukuvuvukala kwesibindi.
| Isigaba sesizathu | Izibonelo |
|---|---|
| Izifo zofuzo | Izimo ezifana ne-hemochromatosis, isifo sikaWilson, kanye nesifo sikaGaucher. |
| Izimila zesibindi | Ama-cyst esibindi, izimila ezingengozini, umdlavuza wesibindi. |
| Ezinye izinhlobo zomdlavuza | Umdlavuza wegazi njenge-leukemia kanye ne-lymphoma. |
| Izifo ze-gallbladder kanye ne-bile ducts | Ukuvaleka noma ukuvuvukala kwemisele yenyongo. |
| Izifo zenhliziyo nezinkinga zemithambo yegazi | Izimo ezinjengokwehluleka kwenhliziyo okubangelwa ukuminyana kanye nesifo se-Budd-Chiari. |
Kuphathwa kanjani lokhu?
Udokotela wakho uzoqala azame ukuthola ukuthi yini ngempela ebangela ukuvuvukala kwesibindi. Lokhu kungafaka phakathi ukuhlolwa kwegazi kanye nokuskena (njengokuskena kwe-ultrasound). Ngezinye izikhathi, uma isimo sicatshangwa ukuthi sibi kakhulu, bangase batuse i-biopsy yesibindi, okuhilela ukuthatha ingxenye encane yezicubu esibindini bese uyihlola.
Into ebalulekile ukuthi akukho ukwelashwa okuqondile kokuvuvukala kwesibindi. Ukwelashwa kuqondiswe esimweni esiyisisekelo esibangele ukuvuvukala.
Uma imbangela isitholakele, udokotela wakho uzokuchazela izindlela zokwelapha ezifanele.
Ingabe ukuvuvukala kwesibindi kungaguqulwa?
Yebo, kwezinye izimo kungenzeka. Isibindi sinekhono elimangalisayo lokuzivuselela. Kodwa ukuze lokho kwenzeke, kumele kube nezicubu zesibindi ezanele ezinempilo ezisele.
Uma isibindi sivuvukele ngenxa yesimo esingazelelwe, ukwelapha imbangela kuzonikeza isibindi ithuba lokuphulukiswa.
Futhi, uma lesi simo sibangelwa yisifo sesibindi sesikhathi eside, izinguquko zendlela yokuphila zingasiza ekulawuleni lesi simo, futhi ngezinye izikhathi zize zisiqede ngokuphelele.
- Uma umlutha wotshwala, funa iseluleko sezokwelapha futhi usize ngokushesha ukuze uluqede.
- Uma unesifo sesibindi esinamafutha esingenalo utshwala, khuluma nodokotela wakho mayelana nendlela yokugcina isisindo esinempilo esifanele wena.
- Lawula umfutho wegazi ophakeme, i-cholesterol ephezulu, kanye namazinga kashukela aphezulu egazini.
- Ngesikhathi udla ukudla okunomsoco , vivinya umzimba nsuku zonke.
Kufanele ngimbone nini udokotela?
Uma uzwa ukuvuvukala, isicanucanu , noma ubuhlungu engxenyeni engenhla kwesokudla yesisu sakho, qiniseka ukuthi ubona udokotela. Ngaphezu kwalokho, funa usizo lwezokwelapha ngokushesha uma unezinye zezimpawu ezilandelayo ezinzima noma ezingavamile:
- Umkhuhlane oqhubekayo.
- Ukudideka noma ukungazi lutho.
- Ukuzizwa ubuthakathaka kakhulu futhi unesizungu.
- Ukuphuzi kwamehlo noma isikhumba.
- Ushintsho olucacile embala womchamo noma wendle.
Ukuvuvukala kwesibindi kuyisibonakaliso sezimo eziningi. Nakuba kungezona zonke eziphuthumayo, zonke zidinga usizo lwezokwelapha. Ngakho-ke uma usola uphawu olufana nalolu, akusephuzile ukuluhlola.
Umlayezo Wokuya Nawe Ekhaya
- I-Hepatomegaly akuyona isifo, iyisibonakaliso sesinye isifo.
- Into ebaluleke kakhulu ukuhlonza kahle imbangela eyinhloko yalokhu kuvuvukala bese uyelapha.
- Ungalokothi ungazinaki izimpawu ezifana nobuhlungu ohlangothini lwesokudla lwesisu, ukuvuvukala, kanye nokuphuzi kwamehlo.
- Izinguquko zendlela yokuphila, njengokuyeka ukusebenzisa utshwala, ukudla okunempilo, kanye nokuzivocavoca umzimbaKungavikela impilo yesibindi.
- Uma unemibuzo noma izimpawu, ungalokothi unqikaze ukubonisana nodokotela wakho ukuze akunike iseluleko.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Yisiphi isifo esinqunyelwe amaphilisi e-Lovastatin (Lovastatin / Mevacor)?
Lona umuthi wokuqala 'we-High Cholesterol/Hyperlipidemia' (Statin) otholakale emhlabeni! Lokhu kunciphisa 'i-cholesterol embi (LDL)' futhi kuvimbela izifo zenhliziyo kanye nokuhlaselwa yinhliziyo/uhlangothi (Imicimbi Yenhliziyo). Lona wenziwe ngesikhunta esikhethekile esibizwa ngokuthi (i-Aspergillus), futhi yize lo muthi umdala, usasetshenziswa ngempumelelo kakhulu odokotela nanamuhla.
💬 Leli philisi lokuqala le-cholesterol (i-Lovastatin) liyincibilikisa kanjani i-cholesterol embi uma ingena emizimbeni yethu?
Umshini oyinhloko owenza i-cholesterol esibindini somzimba wethu ubizwa ngokuthi 'i-HMG-CoA Reductase'. Uma leli philisi lingena emzimbeni, liguqulwa libe elinye ikhemikhali (i-Active Metabolite) bese liya esibindini sethu. Livimba/livala futhi livale lowo mshini we-cholesterol ngo-100%. Uma umshini ucinyiwe, isibindi asinayo enye indlela ngaphandle kokumunca nokubhubhisa i-cholesterol/LDL embi egazini lethu.
💬 Yiziphi 'izingozi ezibulalayo' (umchamo omnyama) okudingeka uzazi uma uthatha leli philisi le-cholesterol (i-Lovastatin)?
Ingozi eyingozi kakhulu kulokhu yi-'Myopathy/Rhabdomyolysis'! Uma unemisipha ebuhlungu/ubuthakathaka kanye nomchamo omnyama, hamba esibhedlela ngokushesha, noma ungase ufe ngenxa yokwehluleka kwezinso! Futhi, uma uthatha eminye imithi (njenge-Clarithromycin) noma uphuza i-'Grapefruit/Grapefruit juice', lo muthi ungaba yingozi engu-100% emzimbeni futhi ungabangela nokufa.
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