Isibindi singesinye sezitho ezibaluleke kakhulu emzimbeni wakho. Eqinisweni, asinakuphila ngaphandle kwaso. Njengefektri enkulu ngaphakathi emzimbeni wethu, isibindi senza imisebenzi eminingi. Ngakho-ke cabanga, kwenzekani uma le fektri ingakwazi ukwenza umsebenzi wayo kahle? Ukusebenza komzimba wonke kuyaphazamiseka, akunjalo? Yingakho sikubiza nje ngokuthi i-Liver Failure. Kusho ukuthi isibindi sakho asisakwazi ukusebenza kahle ngokwanele ukuhlangabezana nezidingo zomzimba wakho.
Ingabe lokhu kuzokwenzeka ngesikhathi esisodwa? Noma kuzokwenzeka kancane kancane?
Ukwehluleka kwesibindi akwenzeki ngesikhathi esisodwa. Kuyinqubo. Kungenzeka ngokushesha noma kancane. Ngakho-ke, sikhuluma ngezinhlobo ezimbili eziyinhloko.
- Ukwehluleka Kwesibindi Okukhulu: Lokhu kuyinto eyenzeka ngokushesha okukhulu, ezinsukwini noma emavikini ambalwa. Ngokuvamile kwenzeka lapho isibindi sigcwele into efana nobuthi obukhulu. Ngezinye izikhathi kungabangelwa ukutheleleka okukhulu kwegciwane. Lesi yisimo esibucayi esidinga ukwelashwa okuphuthumayo .
- Ukwehluleka Kwesibindi Okungapheli: Lolu uhlobo oluvame kakhulu. Kwenzeka kancane kancane, kancane kancane, ezinyangeni, ngezinye izikhathi iminyaka. Kubangelwa ukulimala kwesibindi isikhathi eside. Ekugcineni, umonakalo awusalungiseki.
Uhambo oluya ekuhlulekeni kwesibindi: izigaba ezi-4 eziyinhloko
Isifo sesibindi esingamahlalakhona siqhubeka ngezigaba eziningana eziholela ekuhlulekeni kwesibindi. Kufana nokukhwela isitebhisi. Kodwa khumbula, lezi zigaba azihlukene ngokuphelele. Umuntu osesigabeni esisodwa angase abe nezimpawu zesinye isigaba.
| Isiteji | Kalula nje... |
|---|---|
| 1. Isifo Sokusha Kwesibindi | Yilapho isibindi sivuvukala noma sivuvukala. Yilapho isifo sesibindi esingamahlalakhona siqala khona. Njengoba nje ukulimala emzimbeni kubangela ukuvuvukala, ukuvuvukala kwenzeka nalapho isibindi sonakele. Kodwa uma lokhu kuqhubeka, kuqhubekela esigabeni esilandelayo. |
| 2. I-Fibrosis | Lokhu kungenxa yokuthi isibindi sinesibazi. Njengoba nje inxeba esikhumbeni sethu liphola, isibazi sihlala. Njengoba ukuvuvukala kuqhubeka, izibazi ziqala ukwakheka ezicutshini zesibindi. Lokhu kwenza isibindi sibe lukhuni kancane kancane. Kodwa ngisho nakulesi sigaba, uma imbangela yomonakalo imiswa, isibindi singalulama ngezinga elithile. |
| 3. Isifo Sokuqaqamba Kwesibindi | Lesi yisigaba lapho inani lezibazi esibindini liye landa khona laze lafika ezingeni lapho lingenakulungiseka khona. Nakuba isibindi sinekhono elimangalisayo lokuzilungisa, kumele kube nezicubu ezinempilo ezisele ukuze zisebenze. I-Cirrhosis ihlala njalo, kodwa ngisho nakulesi sigaba, izinga lomonakalo lingancishiswa noma limiswe. |
| 4. Ukwehluleka Kwesibindi | Lesi simo siqala lapho isibindi singakwazi ukwenza imisebenzi yaso ebalulekile ngenxa yesifo sokuqina kwesibindi. Njengoba ukusebenza kwesibindi kuyawohloka, izinkinga ziqala ukwenzeka emzimbeni wonke. Nakuba lokhu kungabulali ngokushesha, kungagcina kusongela impilo uma ukufakelwa isibindi kungenziwa. |
Yiziphi izimpawu zokuthi isibindi sisengozini?
Izimpawu zokwehluleka kwesibindi zingahluka kuye ngokuthi isifo sinzima kangakanani kanye nezinkinga eziye zenzeka. Ezinye izimpawu ziqala ukubonakala, kanti ezinye zivele ngemva kwesikhashana.
Izici ezivamile eziza kuqala
Lokhu kungabonakala nakwezinye izifo, ngakho-ke ungase ungazinaki kakhulu.
- Ubuhlungu besisu (ikakhulukazi ohlangothini oluphezulu, kwesokudla)
- Ukukhathala okukhulu kanye nobuthakathaka
- Isicanucanu, ukuhlanza, nokulahlekelwa yisifiso sokudla
Izimpawu zesixwayiso eziqondene nesibindi
Ngemva kwezimpawu ezingenhla, kungase kuvele izimpawu ezithile zesifo sesibindi. Lezi zikhombisa ukuthi ubuthi isibindi esingenakubuhlunga buqoqana egazini.
- I-Jaundice: Ukuphuzi kwamhlophe kwamehlo nesikhumba.
- Izinguquko ekusebenzeni kobuchopho (Hepatic Encephalopathy): Ukudideka, ukukhohlwa, ukozela.
- Ukukhwehlela: Ukulunywa kwesikhumba okuqhubekayo ngaphandle kokudala umonakalo.
- Umchamo omnyama kanye nendle ekhanyayo.
Uma amehlo noma isikhumba sakho siphenduka sibe phuzi, kungenzeka ukuthi kuyinkinga yesibindi. Ezimweni ezinjalo,Udinga ukubona udokotela ngokushesha ngaphandle kokulibala.
Ezinye izimpawu ezingase zibonakale ekuhlulekeni kwesibindi okungapheli
Lokhu kungavela kancane kancane.
- Ukopha ngisho noma kubangelwa ukulimala okuncane kanye nokushayeka kalula.
- Imithambo yesicabucabu noma amachashazi amancane abomvu esikhumbeni.
- Ukuvela kwamaqhubu amancane aphuzi anamafutha esikhumbeni noma emaqabungeni.
- Izinkinga zokugaya ukudla, ikakhulukazi ngokudla okunamafutha.
- Ukwehlisa isisindo kanye nokulahlekelwa yimisipha.
- Iphunga elingavamile elivela emoyeni.
Izimpawu esimweni esibucayi
Lokhu kubonisa ukuthi isimo siya siba sibi kakhulu.
- Ukuvuvukala kwesisu (ama-Ascites): Ngenxa yokuqongelela koketshezi esiswini.
- Ukuvuvuka: Ukuvuvukala kwamaqakala, izinyawo, izandla, noma ubuso, njengokungathi kugcwele amanzi.
- Ukuhlanza igazi noma ukuhlanza okufana nekhofi.
- Izinkinga zokulawula imisipha (ukuthuthumela, ukudikiza).
- Ukwehla kokukhishwa komchamo.
- Ubunzima bokuphefumula.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Izimbangela zokwehluleka kwesibindi ziyahlukahluka kuye ngokuthi kwenzeka ngokuzumayo (okukhulu) noma ngokuhamba kwesikhathi (okungamahlalakhona).
Izimbangela zokwehluleka kwesibindi ngokuzumayo (Ukwehluleka kwesibindi okubukhali)
Lokhu kuvame ukwenzeka kumuntu ongakaze abe nesifo sesibindi ngaphambili. Kubangelwa yinto ebangela umonakalo omkhulu esibindini ngokuzumayo.
- Ukutheleleka ngegciwane: Amagciwane afana ne-Hepatitis A, B, D, kanye no-E.
- Ukweqisa Imithi: Ukweqisa i-paracetamol yimbangela eyinhloko yalokhu. Futhi, ukuphuza kakhulu imithi yokubulala izinhlungu (ama-NSAID) kanye nama-antibiotic nakho kuyingozi.
- Izinkinga zokukhulelwa: Ezinye izinkinga ezinkulu zokukhulelwa azivamile.
- Ubuthi: Ukudla uhlobo olungaziwa lwekhowe . Uma usola ukuthi udle ubuthi, iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Uma kudingeka, ungashayela ne-National Poison Information Center e-Colombo National Hospital ukuze uthole iseluleko.
- Ezinye izimbangela: Izinto ezifana nomdlavuza, ukushaqeka kwe-septic, noma ukushisa.
Izimbangela zokwehluleka kwesibindi okungapheli
Lokhu kuwumphumela we-cirrhosis. Lezi yizimbangela eziyinhloko ze-cirrhosis.
- Ukutheleleka ngegciwane okungamahlalakhona: Ukutheleleka ngegciwane le-Hepatitis B kanye ne-C kuhlala isikhathi eside.
- Ukuphuza utshwala ngokweqile: Ukuphuza utshwala ngokweqile isikhathi eside kungalimaza kakhulu isibindi.
- Isifo Sesibindi Esinamafutha: Izimo ezinjengokukhuluphala ngokweqile, isifo sikashukela, kanye ne-cholesterol ephezulu zingabangela ukuba amafutha aqongelelane esibindini, okungagcina sekuphenduke isifo sokuqina kwesibindi.
- Isifo Sokuzivikela Emzimbeni:Izifo lapho amasosha omzimba ehlasela khona isibindi.
- Izifo Ezizuzwa Ngofuzo: Ezinye izifo zofuzo nazo zingabangela ukulimala kwesibindi.
Udokotela uthola kanjani ukuthi lokhu kunjalo?
Uma unezimpawu zesifo sesibindi, udokotela uzokuyala ukuhlolwa okuningana ukuqinisekisa isimo.
- Ukuhlolwa kwegazi: Ukuhlolwa kokusebenza kwesibindi kungahlola ukuthi isibindi sisebenza kahle kangakanani.
- Ukuhlolwa kwezithombe: I-ultrasound noma i-MRI scan ingahlola ukuvuvukala, izibazi, noma uketshezi esibindini.
- Ukuhlolwa Kwesibindi: Lokhu kuhilela ukuthatha ingxenye encane yezicubu esibindini usebenzisa inaliti encane kakhulu. Lokhu kungaqinisekisa i-cirrhosis futhi kutholakale imbangela yesifo.
Ingabe kukhona ukwelashwa? Kwenziwani?
Ukwelashwa kuncike ezingeni lokulimala kwesibindi kanye nembangela yesifo. Kunezinhloso ezintathu eziyinhloko:
1. Ukuphatha izinkinga ezivele.
2. Ukwelapha imbangela eyinhloko yalesi sifo.
3. Ukufakelwa isibindi, uma kudingeka.
Esimweni esiphuthumayo, ukunakekelwa okusekelayo kunikezwa esibhedlela. Lokhu kuhlanganisa i-IV saline, ukudla okunomsoco, ama-antibiotic okutheleleka, kanye nokumpontshelwa igazi uma kudingeka.
Kubaluleke kakhulu futhi ukwelapha imbangela yalesi sifo. Isibonelo, ngokudla ubuthi be-paracetamol, kukhona umuthi othize wokulwa nalesi sifo. Uma kungenxa yotshwala, utshwala kufanele bumiswe ngokuphelele. Uma kuyigciwane elibangelwa amagciwane, kunikezwa imithi efanele.
Ezigabeni zokugcina, inketho engcono kakhulu yokusindisa impilo yakho kungaba ukufakelwa isibindi, udokotela wakho azochaza kabanzi.
Izinto esingazenza ukuvikela isibindi
Kunezinto eziningi esingazenza ukuvimbela ukwehluleka kwesibindi, ikakhulukazi lesi simo esingamahlalakhona.
- Lawula ukuphuza kwakho utshwala: Uma kungenzeka, yeka ngokuphelele. Uma kungenjalo, phuza ngobuningi obuncane kakhulu.
- Yidla ukudla okunempilo: Nciphisa ukudla okunamafutha amaningi, ushukela, nosawoti. Yidla imifino eminingi, izithelo, kanye nemifino eluhlaza.
- Gcina isisindo esinempilo: Ukulawula isisindo somzimba wakho kungasiza ekuvimbeleni ukunqwabelana kwamafutha esibindini. Vivinya umzimba njalo .
- Sebenzisa imithi ngokucophelela: Gwema ukuthatha imithi engadingekile, njengemithi yokuqeda ubuhlungu, ngaphandle kweseluleko sikadokotela. Thatha noma yimuphi umuthi kuphela ngesilinganiso esinqunyiwe.
- Gomela i-hepatitis: Kunemithi yokugomela i-hepatitis A kanye ne-B.
- Qaphela: Ungasebenzisi izinsingo, izinaliti, njll. ezisetshenziswe abanye. Lokhu kungasakaza izifo ezithwalwa igazi (i-Hepatitis B, C).
Umlayezo Wokuya Nawe Ekhaya
- Isibindi siyisitho esibaluleke kakhulu emzimbeni wethu. Kungumsebenzi wethu ukusivikela.
- Ukwehluleka kwesibindi kungenzeka ngokuzumayo (okuphuthumayo) noma ngokuhamba kwesikhathi (okungapheli).
- Ungazinaki izimpawu ezivamile njengokukhathala okungazelelwe kanye nokulahlekelwa yisifiso sokudla.
- Ukuphuzi kwamehlo noma isikhumba (i-jaundice) kuyisibonakaliso esiyisixwayiso esikhulu. Uma lokhu kwenzeka, bona udokotela ngokushesha.
- Utshwala, izindlela zokudla ezingaphilile, kanye nokukhuluphala yizitha eziyinhloko zesibindi.
- Uma unenkinga ngempilo yesibindi sakho, khuluma nodokotela womndeni wakho ngakho.
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