Sonke siyazi ukuthi ezinye izitho zomzimba wethu zibalulekile. Kunjalo nangesibindi. Isibindi sisebenza njengefektri enkulu emzimbeni wethu. Amakhulu emisebenzi ebalulekile yenziwa yilesi sitho esincane. Ngakho-ke, cabanga ukuthi bekuzokwenzekani uma lesi sibindi singayeka ukusebenza ngokuzumayo noma kancane kancane. Yilokho esikubiza ngokuthi 'Ukwehluleka Kwesibindi '. Kalula nje, isibindi asikwazi ukusebenza ngokwanele ukuhlangabezana nezidingo zomzimba wakho. Lesi yisimo esibucayi ngempela. Ngakho-ke ake sazi ngakho namuhla.
Kuyini ukwehluleka kwesibindi?
Ukwehluleka kwesibindi akwenzeki ngobusuku obubodwa. Kuyinqubo. Ngezinye izikhathi kungenzeka ngokushesha okukhulu, ezinsukwini noma emavikini ambalwa. Kungaphinde kwenzeke kancane kancane, ezinyangeni noma ngisho neminyaka. Njengoba isibindi sakho silahlekelwa kancane kancane amandla aso okusebenza, uzoqala ukuqaphela izimpawu.
Ukwehluleka Kwesibindi Okukhulu
Yilokhu esikubiza ngokuthi `Ukwehluleka Kwesibindi Okukhulu` . Lokhu kwenzeka lapho isibindi sibona umonakalo omkhulu kakhulu kanye nokucindezeleka okungamelana nakho. Uma sikhuluma iqiniso, kufana `nobuthi`. Ngezinye izikhathi, kungenzeka futhi ngenxa yokutheleleka okukhulu kwegciwane. Kulesi simo, isibindi siqala ukuyeka ukusebenza ngokushesha okukhulu, ngakho-ke izimpawu zivela ngokushesha. Lesi yisimo esiphuthumayo esidinga ukunakekelwa kwezokwelapha ngokushesha.
Ukwehluleka Kwesibindi Okungapheli
Lolu uhlobo oluvame kakhulu. Ukwehluleka Kwesibindi Okungapheli yisimo esenzeka lapho isibindi sonakele isikhathi eside futhi umonakalo usufinyelele eqophelweni lapho singasakwazi ukubuyiselwa khona. Lokhu kuvame ukwenzeka ngemva kokuba isibindi sesibe nezibazi ezinkulu, isimo esibizwa ngokuthi i-cirrhosis . Lesi sicubu sesibazi sivimbela isibindi ekwenzeni umsebenzi waso ngendlela efanele.
Yiziphi izigaba zokwehluleka kwesibindi? (Ikakhulukazi esigabeni 'sesingapheli')
Odokotela abaningi bathi ukwehluleka kwesibindi okungapheli kuyisigaba sokugcina sesifo sesibindi esingamahlalakhona. Isifo sesibindi siqhubeka ngezigaba eziningana. Kodwa-ke, kubalulekile ukukhumbula ukuthi kunzima ukuhlukanisa ngokucacile phakathi kwalezi zigaba. Isibonelo, umuntu onezibazi zesibindi (`Fibrosis`) angase abe ne -hepatitis .
| Isigaba nesimo | Incazelo |
|---|---|
| Isigaba 1: Ukuvuvukala (`Isibindi`) | Lolu uhlobo lokuvuvukala noma ukulimala kwesibindi. Umonakalo wesikhathi eside uqala lapho kukhona ukuvuvukala okuqhubekayo kwesibindi (`i-hepatitis engapheli`) ngenxa yesifo sesibindi sesikhathi eside. Ukuvuvukala empeleni kuqala inqubo yokulungisa amangqamuzana esibindi. Kodwa uma ukuvuvukala kuqhubeka, kuholela ekuqhekekeni (`i-Fibrosis`). |
| Isigaba 2: Ukushaqeka (`I-Fibrosis`) | Lokhu kuyisibazi sezicubu zesibindi. Njengoba nje isibazi sakheka esikhumbeni ngemva kokulimala. Lokhu kuwumphumela wokuvuvukala okuqhubekayo. Lokhu kuyisibazi kuyanda kancane kancane futhi isibindi siba siqinile. Kodwa-ke, lokhu kungaguqulwa ngezinga elithile. Uma ukuvuvukala kuyeka, amangqamuzana esibindi angalulama. |
| Isigaba 3: I-Cirrhosis | Lokhu kusho ukuthi isibindi sesibe nezibazi kangangokuthi asisakwazi ukuhlehliswa. Nakuba isibindi sethu sinekhono elimangalisayo lokuvuselela, sidinga inani elithile lezicubu ezinempilo ukuze senze kanjalo. I-Cirrhosis yisimo esihlala njalo, kodwa ngisho nakulesi sigaba, inqubo ingancishiswa noma imiswe. |
| Isigaba 4: Ukwehluleka Kwesibindi | Ukwehluleka Kwesibindi Okungapheli (Chl) kuqala lapho isibindi siba buthakathaka kakhulu ukwenza imisebenzi yaso ebalulekile ngenxa yesifo sokuqina kwesibindi. Njengoba isibindi sehluleka, kuvela izinkinga ezahlukahlukene emzimbeni wonke. Ukwehluleka kwesibindi okungapheli akwenzeki ngokuzumayo, kodwa uma ukufakelwa isibindi kungenziwa, kungagcina kuholele ekufeni. |
Ziyini izimpawu zokwehluleka kwesibindi?
Izimpawu ozibonayo zingase zihluke kuye ngokuthi ukwehluleka kwesibindi sakho kuqhubeke kangakanani nokuthi yiziphi izinkinga ezenzekile.
Izimpawu zokuqala:
Lezi kungaba izimpawu zokuqala zokwehluleka kwesibindi okungapheli noma okubukhali:
- Ubuhlungu besisu (ikakhulukazi ohlangothini oluphezulu kwesokudla)
- Ukukhathala kanye nobuthakathaka
- Isicanucanu , ukuhlanza , kanye nokulahlekelwa yisifiso sokudla
Izici ezithile zesibindi:
Ngemva kwalokhu, kungase kuvele izimpawu ezithile zesifo sesibindi. Uma isibindi sonakele futhi singakwazi ukusebenza, i-bile kanye nobunye ubuthi buyanqwabelana egazini, futhi lezi yizimpawu:
- I-jaundice ( ukuphuzi kwamhlophe kwamehlo nesikhumba)
- Imiphumela ebuchosheni (`I-Hepatic Encephalopathy`) (izinguquko esimweni sengqondo - ukungakwazi ukugxilisa ingqondo, ukukhohlwa, izinguquko ekuziphatheni)
- Ukukhwehlela ( ukulunywa kwesikhumba ngaphandle kokuqubuka okucacile)
- Umchamo omnyama kanye/noma indle enombala okhanyayo
Ezinye izimpawu ezingase zibonakale esifweni sesibindi esingamahlalakhona (`Ukwehluleka Kwesibindi Okungalapheki`):
Lokhu kungaboniswa ngendlela ecashile kancane:
- I-Coagulopathy : Ukuphuka okulula nokopha.
- Imithambo yegazi efana ne-spider webs noma amachashazi amancane esikhumbeni
- Amaqhubu amancane, aphuzi anamafutha esikhumbeni noma emaqabungeni
- Izinkinga zokugaya ukudla, ikakhulukazi ngokudla okunamafutha
- Ukwehlisa isisindo kanye nokulahlekelwa yimisipha
- Umoya onuka kabi
Ezinye izimpawu ezinkulu:
Lezi izimpawu ezibonisa izimo ezibucayi kakhulu:
- Ama-Ascites (ukuvuvukala kwesisu)
- Ukuvuvukala (ukuvuvukala kwamaqakala, imilenze, izandla, noma ubuso)
- Ukuhlanza igazi noma ukuhlanza okufana nekhofi
- Izinkinga zokusebenza kwemisipha (ukushukuma, ukuthuthumela)
- Ukuncipha kokuchama
- Ubunzima bokuphefumula
Ingabe izimpawu ziyahlukahluka kuye ngobulili?
Yebo, ukwehluleka kwesibindi kungathinta ama-hormone akho ocansi. Lokhu kusho ukuthi ama-hormone i-estrogen ne-testosterone angangalingani. Lokhu kungabangela izimpawu ezahlukene kokubili kwabesilisa nabesifazane.
- Imijikelezo yokuya esikhathini kwabesifazane ingase ingabi njalo noma ime ngokuphelele.
- Amasende amadoda angancipha futhi izicubu zamabele zingakhula.
Umzimba uzizwa kanjani uma isibindi singasebenzi?
Uma isibindi sakho sihluleka, ubuthi buyanqwabelana egazini lakho. Lokho kungaba yinto engakhululekile ngempela. Uma isibindi sakho singakwazi ukuhlunga ubuthi egazini lakho, uqala ukuzizwa unesicanucanu, ukhathele, futhi ubuthakathaka. Lobu buthi bungathinta nobuchopho bakho . Ungase ube nezinkinga zokugxila, ukucasuka, ukukhathazeka, ukozela, noma ukusebenza kwemisipha.
Yiziphi izimbangela zokwehluleka kwesibindi?
Nakuba ukwehluleka kwesibindi okubukhali nokungapheli kwenzeka ngezindlela ezahlukene, kokubili kubangelwa ukucindezeleka ngokweqile esibindini. Ezinye izinto ezinobuthi nezifo zingabangela ukucindezeleka esibindini ngokuzumayo noma ngokuhamba kwesikhathi, kuye ngokuthi isimo sibi kangakanani.
| Izimbangela eziyinhloko zokwehluleka kwesibindi | |
|---|---|
| Isizathu | Izibonelo |
| Izimbangela ezibukhali | Ukweqisa izidakamizwa (ikakhulukazi i-Acetaminophen - i-Panadol), izifo ezibangelwa amagciwane ezinzima (i-Hepatitis A, B, E), ukudla amakhowe anobuthi, izinkinga ngesikhathi sokukhulelwa. |
| Izimbangela Ezingapheli | Ukusebenzisa utshwala ngokweqile , izifo ezingamahlalakhona ze-Hepatitis B no-C, isifo sesibindi esinamafutha (i-MASH/MASLD), izifo zokuzivikela komzimba. |
Yiziphi izinkinga zokwehluleka kwesibindi?
Ngenxa yokuthi isibindi sakho senza imisebenzi eminingi ebalulekile, uma singasebenzi kahle, umzimba wonke uzwa imiphumela. Isibonelo:
- Umzimba ongenampilo, ukukhathala, ukudideka, kanye nesiyezi.
- Imiphumela yobuthi ebuchosheni, ohlelweni lwezinzwa, kanye nokusebenza kwemisipha.
- Izinkinga zokugaya ukudla, ukungamuncwa kahle izakhamzimba, kanye nokungondleki kahle.
- Ukuncipha kokujiya kwegazi, ukuphuka kalula nokopha.
- Ukwehla kwamasosha omzimba kanye nokutheleleka njalo.
Khumbula, umfutho wegazi ophezulu we-portal obangelwa yi-cirrhosisLesi simo siyimbangela ehamba phambili yokulaliswa esibhedlela nokufa kubantu abanesifo sesibindi esingamahlalakhona. Sibangela izinto ezifana nokuvuvukala kwesisu nokuhlanza igazi.
Ukuthola kanjani ukwehluleka kwesibindi? (Ukuxilongwa)
Uma unezimpawu zokwehluleka kwesibindi, udokotela uzokwenza izivivinyo eziningana ukuze akuqinisekise. Lokhu kungafaka:
- Ukuhlolwa Kwegazi: Ukuhlolwa kokusebenza kwesibindi kulinganisa amazinga emikhiqizo ehlukahlukene yesibindi egazini lakho ukuze kubonwe ukuthi isibindi sakho sisebenza kahle kangakanani. Ukuhlolwa kwegazi kungasiza futhi ekuboneni imbangela yokwehluleka kwesibindi kanye nezinkinga ezithile, njengokuncipha kokujiya kwegazi noma i-anemia.
- Ukuhlolwa Kwezithombe: Ukuhlolwa okufana nokuskena kwe-ultrasound kanye ne-MRI yesibindi kungabonisa izimpawu zesifo sesibindi, njengokuvuvukala, izibazi, noma uketshezi esiswini (ascites). I-Elastography ukuhlolwa okukhethekile kwezithombe okusebenzisa i-ultrasound noma i-MRI ukukala inani kanye nobunzima bezibazi (fibrosis) esibindini.
- Ukuhlolwa Kwesibindi: Lokhu kuyindlela encane yokuhlinzwa. Kuthathwa ingxenye encane yezicubu esibindini bese kuhlolwa elabhorethri. Le sampula yezicubu ivame ukuthathwa kusetshenziswa inaliti engenalutho. Ukuhlolwa kwesibindi kungasiza ekuqinisekiseni ukuqina kwesibindi nokuthola imbangela yesifo sesibindi.
Yiziphi izindlela zokwelapha ukwehluleka kwesibindi?
Izinto okufanele uzicabangele lapho welapha ukwehluleka kwesibindi:
- Ukuphatha izinkinga zayo.
- Uma kungenzeka, yelapha imbangela yalesi sifo.
- Uma kudingeka, ukufakelwa isibindi .
Izindlela zokwelapha ezisekelayo ezingasiza ekuqiniseni isimo sakho zingafaka:
- Uketshezi olufakwa emthanjeni (uketshezi lwe-IV)
- Ukudla okunomsoco okufakwe emthanjeni (`ukudla okunomsoco we-IV`)
- Ukuqapha amazinga kashukela egazini kanye nokunikeza ushukela uma kudingeka
- Ama-antibiotic noma ama-antiviral
- Ukumpontshelwa Nge-Plasma Noma Ngegazi
- Ukwelashwa nge-oxygen noma ukuphefumula ngomshini
- Imithi yokucindezela i-vasopressor
- Imithi noma ukwelashwa okuvimba ukopha kwangaphakathi
- I-Dialysis uma kwenzeka ukwehluleka kwezinso
Ukwelashwa kwembangela yokwehluleka kwesibindi kungafaka:
- Ukwelashwa Kokusebenzisa Ushevu Ngokweqile: Ayikho ikhambi eliqondile lezinto eziningi ezinobuthi ezibangela ukungasebenzi kahle kwesibindi ngokuzumayo. Kodwa-ke, kukhona umuthi wokusebenzisa ubuthi be -acetaminophen . Ubizwa ngokuthi i-acetylcysteine.Ezinye izindlela zokwelapha ubuthi obuyingozi zifaka phakathi imithi yokuhlanza isisu, ukuchelela ngamathumbu noma ukuhlanza isisu, kanye ne-activated charcoal.
- Imithi yezifo ezingamahlalakhona: Uma unesifo sesibindi esingapheli ngenxa yesifo esingamahlalakhona, imithi ingasiza ekunciphiseni umonakalo. Isibonelo, ama-corticosteroids kanye nama-immunosuppressants asetshenziselwa izifo ezizimele.
Ithimba lakho lezokwelapha lizoqapha isimo sakho futhi lelaphe noma yiziphi izinkinga njengoba zivela. Uma becabanga ukuthi isimo sakho sizoba sibi kakhulu ngaphandle kokufakelwa isibindi, bazokutusa ukuthi usifake.
Ungakuvimbela kanjani ukwehluleka kwesibindi?
Ukwehluleka Kwesibindi Okukhulu akuvamile, kodwa ngisho nesenzakalo esisodwa esibi singaholela kukho. Nazi ezinye izindlela zokuphepha ezilula ongazithatha ukuze ukuvimbele:
- Zivikele ezintweni ezinobuthi: Gqoka amagilavu noma imaski yobuso uma usebenza ngamakhemikhali anobuthi njengezibulala-zinambuzane, izibulala-fungi, imikhiqizo yokuhlanza, upende, kanye nezifutho ze-aerosol.
- Zivikele egazini: Ungasebenzisi izinto zakho siqu ezingase zingcoliswe yigazi, njengezinaliti zabanye abantu, izinsingo zokushefa, kanye namabhulashi amazinyo. Ungathinti amanxeba abanye abantu.
- Qaphela ukuphepha kokudla: Ungadli amakhowe asendle ongawajwayele. Gwema ukudla ukudla okuluhlaza uma uhamba phesheya. Geza izandla zakho kahle ngaphambi kokulungisa ukudla.
- Gomela i-hepatitis: Kunemithi yokugomela i-hepatitis A kanye ne-hepatitis B.
- Sebenzisa imithi kuphela njengoba kuyalelwe: Ngisho noma kuyisidakamizwa sokuqeda izinhlungu osithenga ekhemisi, ungathathi ngaphezu kwenani elinconyiwe. Ungathathi imithi enotshwala.
- Njalo thintana nodokotela ngesikhathi sokukhulelwa: Izinkinga eziholela ekuhlulekeni kwesibindi ngokuzumayo azivamile. Kodwa uma unezimpawu ezingavamile, ungangabazi ukufuna ukwelashwa.
Ukuvimbela ukwehluleka kwesibindi okungapheli kuncike kakhulu endleleni yakho yokuphila iyonke. Isifo sesibindi esingapheli sithatha isikhathi eside ukuqhubekela esimweni sokwehluleka. Uma uba nesifo sesibindi, ukwenza izinguquko endleleni yokuphila kusenesikhathi kunganciphisa, kumise, futhi mhlawumbe kuguqule inqubo.
- Thola ukuhlolwa njalo kwezokwelapha: Abantu abaningi abazi ukuthi banesifo sesibindi baze baqale ukukhombisa izimpawu. Ukuhlolwa kwezokwelapha kungasithola kusenesikhathi.
- Nakekela impilo yakho ye-metabolic: Izinto ezifana namazinga aphezulu kashukela egazini, i-cholesterol ephezulu, kanye ne-high body mass index (BMI) kubeka ingcindezi esibindini. Ukudla okunempilo kanye nokuzivocavoca kungasiza.
- Ungayisebenzisi ngokweqile imithi oyithenga ekhemisi:Ukuthatha imithi eminingi yokudambisa izinhlungu njenge-NSAID noma i-Acetaminophen kungalimaza isibindi. Funa iseluleko sezokwelapha ngobuhlungu obuqhubekayo.
- Nciphisa noma uyeke ukusebenzisa utshwala nogwayi: Kokubili utshwala nogwayi kuyingozi esibindini. Uma unesifo sesibindi, kungcono ukugwema ukukusebenzisa.
Kungenzeka yini ukululama ekuhlulekeni kwesibindi?
Ukwehluleka kwesibindi okunamandla kungaguqulwa, kodwa kunzima ukusho ngokuqinisekile. Ukwehluleka kwesibindi okungapheli akunakuguqulwa, kodwa ngoba kuyinqubo ehamba kancane kancane, ngezinye izikhathi kungancishiswa ijubane. Ngokuvamile, uma kukhona ukwelashwa okuthile kwesimo sakho futhi uqala ukwelashwa kusenesikhathi, amathuba akho okululama aphezulu.
Umuntu onesifo sesibindi angaphila isikhathi esingakanani?
Ukwehluleka kwesibindi okunamandla kungabulala zingakapheli izinsuku, amasonto, noma izinyanga. Ukwehluleka kwesibindi okungapheli kungahlala izinyanga kuya eminyakeni. Ukuthi le nqubo ithatha isikhathi esingakanani kuncike ezintweni eziningi:
- Imbangela yalesi sifo ukuthi sithinta kakhulu kangakanani isibindi.
- Kungakhathaliseki ukuthi kungancishiswa noma kuguqulwe ngokwelashwa.
- Ubukhulu bomonakalo osuvele wenziwe.
- Impilo yakho iyonke kanye nezinsiza zokululama.
Uma nginesifo sesibindi, ngingazinakekela kanjani?
Ukwehluleka kwesibindi okungapheli kuyisimo esiphuthumayo. Uma ucabanga ukuthi ungase ube nakho, kufanele uye esibhedlela ngokushesha. Ukwehluleka kwesibindi okungapheli akuyona into ephuthumayo, kodwa kuyinto embi ngendlela efanayo. Uma utholakale unesifo sokwehluleka kwesibindi okungapheli, ungasiza isibindi sakho ngokugcina ukudla okunempilo nendlela yokuphila enempilo.
- Nciphisa ukusetshenziswa kwezidakamizwa: Gwema utshwala nogwayi, thatha imithi njengoba uyalelwe kuphela, futhi zama ukugwema imithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela. Buza udokotela wakho nganoma yimaphi amakhambi noma izithasiselo ozithathayo.
- Yidla ukudla okunempilo nokulinganiselayo: Ushukela namafutha amaningi egazini kungalimaza isibindi. Uma unezinkinga zokudla okunempilo ngenxa yokwehluleka kwesibindi, kuwumqondo omuhle ukubonisana nochwepheshe wezokudla, ikakhulukazi ukuze wakhe uhlelo lwesikhathi eside.
- Vikela amasosha omzimba wakho: Ukwehluleka kwesibindi kwenza amasosha omzimba wakho abe buthaka, futhi izifo ezivamile ezibangelwa amagciwane kanye namagciwane zingabeka ingcindezi eyengeziwe esibindini. Qiniseka ukuthi uyazivikela ngesikhathi somkhuhlane. Buza udokotela wakho ngemigomo enconyiwe.
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Isibindi sakho siyisitho esikhulu kunazo zonke emzimbeni wakho. Lokho kubonisa ukuthi kubaluleke kangakanani empilweni yakho. Lapho isibindi sakho siqala ukuyeka ukusebenza, ungasizwa ngezindlela eziningi. Ngenhlanhla, isibindi sakho asiyeki ukusebenza ngokuphelele ngesikhathi esisodwa. Kungakhathaliseki ukuthi unesifo esibi noma esingamahlalakhona sesibindi, ukutholakala kusenesikhathi kanye nokwelashwa kungandisa isikhathi sokuphila kwesibindi sakho. Ezigabeni zokugcina, ukufakelwa isibindi kungasindisa ngisho nokuphila kwakho. Ngakho-ke, nakekela isibindi sakho futhi ungalibali ukufuna iseluleko sezokwelapha uma unezimpawu.
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