Okudingeka ukwazi ngesifo sesibindi esinamafutha! 🧠

USuneth (oneminyaka engu-45) ufike emtholampilo wami ngoLwesithathu olwedlule esesimweni sokudideka. USuneth ungumphathi webhange ongaphuzi utshwala nhlobo futhi owenza umsebenzi wakhe ngendlela efanele. Kodwa-ke, ngesikhathi sokuhlolwa kwakhe kwezokwelapha kwaminyaka yonke, ama-enzyme esibindi sakhe (AST/ALT) ayephezulu kakhulu, kanti ukuhlolwa kwe-ultrasound esiswini kubonise ukuthi unesibindi esinamafutha kakhulu.

"Dokotela Priya, angikaze ngiphuze ngisho neconsi elilodwa lotshwala empilweni yami. Isibindi sami singagcwala kanjani amafutha futhi sibe nesifo sesibindi? Angikwazi ngisho nokukucabanga lokhu," kubuza uSuneth ngezwi lokwesaba.

Ngachazela uSuneth ngomoya ophansi. "Suneth, hhayi wena wedwa, kodwa nabantu abaningi eSri Lanka bacabanga ukuthi isifo sesibindi senzeka kuphela uma uphuza utshwala. Kodwa ngisho nabantu abangaphuzi utshwala bangakhuluphala esibindini sabo. Kwezokwelapha, lokhu sikubiza ngokuthi i -Non-alcoholic Fatty Liver Disease (NAFLD) . Isigaba esibi kakhulu nesivuvukele kakhulu saso sibizwa ngokuthi i-Non-alcoholic Steatohepatitis (NASH) . Namuhla, ake sixoxe ngalokhu ngamagama alula."

🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo

Nakuba i-NASH ingase ingabangeli zimpawu ezigabeni zokuqala, izimpawu ezilandelayo zingavela uma iqhubekela phambili ekuhlulekeni okukhulu kwesibindi. Ezimweni ezinjalo, kudingeka ukulaliswa esibhedlela ngokushesha:

• Ukuphuzi kwesikhumba kanye nokumhlophe kwamehlo (i-jaundice).
• I-Ascites yisimo lapho isisu sivuvukala futhi sivuvukale ngenxa yokunqwabelana koketshezi okungavamile esiswini esingezansi kanye nasesinqeni.
• Ukuhlanza igazi elibomvu noma ukuphuma umnyama, indle ephuzile (uphawu lokopha ngaphakathi).
• Ukuzwa njalo ukozela okukhulu, ukungakwazi ukuqonda inkulumo, noma ukudideka okukhulu (i-Hepatic Encephalopathy).
• Ukuphuka kalula noma ukuphuma kwegazi esikhumbeni.

Uyini umehluko phakathi kwe-NAFLD ne-NASH?

Isifo sesibindi esinamafutha kubantu abangenalo utshwala singahlukaniswa ngezigaba ezimbili eziyinhloko:

1. Isibindi Esilula Esinamafutha (NAFLD): Kulesi simo, yize amafutha ehlala esibindini, akukho monakalo noma ukuvuvukala kwamaseli esibindi. Lokhu ngokuvamile akubangeli izinkinga ezinkulu.
2. I-steatohepatitis engeyona eyotshwala (i-NASH): Lesi yisimo esibi kakhulu. Kulesi simo, amafutha amaningi esibindini abangela ukuba amangqamuzana esibindi avuvuke futhi abhujiswe. Lokhu kubangela inqubo ebizwa ngokuthi i-fibrosis, ebangela izibazi esibindini. Uma ingelashwa, lokhu kungaholela ku -cirrhosis, isimo lapho isibindi siba lukhuni ngokuphelele futhi siyeke ukusebenza.

Izimbangela eziyinhloko kanye nezici eziyingozi ze-NASH

Izinkinga ze-metabolic emzimbeni zibangela ukunqwabelana kwamafutha okungadingekile esibindini. Izici eziyinhloko ezithinta lokhu yilezi:

• Ukukhuluphala Okuphakathi: Ukuqongelela kwamafutha amaningi esiswini.
• Isifo Sikashukela Sohlobo 2: Ukungakwazi ukulawula amazinga kashukela egazini ngendlela efanele.
• Ukumelana ne-insulin: Ukungakwazi kwamaseli ukusebenzisa i-hormone i-insulin ngendlela efanele.
• Amafutha aphezulu egazini: Amazinga aphezulu e-cholesterol kanye ne-triglycerides.
• Imikhuba emibi yokudla: Ukudla njalo iziphuzo ezinoshukela ezenziwe ngokwenziwa, ukudla okusheshayo, kanye nokudla okunesitashi esiningi.

Indlela yokuxilonga lesi sifo

Odokotela benza izivivinyo ezilandelayo ukuze bahlole ukuthi kukhona i-NASH:

• Ukuhlolwa kwegazi (Ukuhlolwa Kokusebenza Kwesibindi - LFT): Kala amazinga e-enzyme yesibindi (ALT, AST).
• I-Ultrasound Scan: Ibona ngokubonakalayo ukuba khona kwamafutha esibindini.
• I-FibroScan: Ukuhlolwa okulula kokulinganisa izibazi zesibindi (i-fibrosis) kanye nokuqina kwaso.
• I-Biopsy Yesibindi: Ukuhlolwa okuthatha ingxenye encane yesibindi ukuqinisekisa ngokunembile lesi sifo.

Izixazululo zokulawula i-NASH nokuvikela isibindi

Nakuba imithi ethile enikezwe i-NASH ilinganiselwe, izinguquko zendlela yokuphila zingasiza ekuguquleni ngokuphelele amafutha esibindi:

1. Yehlisa isisindo (isixazululo esiyinhloko):

Ngokunciphisa kancane kancane phakathi kuka-7% no-10% wesisindo sakho samanje, ungaqeda cishe ngokuphelele amafutha nokuvuvukala esibindini.

2. Ukudla okunempilo:

• Gwema ukudla okuqukethe i-fructose: Ushukela we-fructose otholakala eziphuzweni ezinoshukela ezenziwe ngokwenziwa, i-soda, amabhisikidi amnandi, kanye namajusi ezithelo asemathinini uphenduka ngqo amafutha esibindini.
• Thola amafutha amahle: Faka amafutha anempilo ekudleni kwakho, njengamafutha omnqumo, amantongomane, nenhlanzi.

3. Ukuzivocavoca kwansuku zonke:

Ukuzivocavoca okungenani imizuzu eyi-150 ngesonto (imizuzu engama-30 ngosuku, izinsuku ezi-5 ngesonto) njengokuhamba noma ukugibela ibhayisikili kwandisa ukuzwela kwe-insulin esibindini futhi kusiza ekushiseni amafutha.

Okumele Ukwenze Nokungafanele Ukwenze

Imithombo yesayensi (Izinkomba)

• 📚 Isifo sesibindi esinamafutha angenalo utshwala (i-NAFLD) - i-NHS
• 📚 I-steatohepatitis engeyona eyotshwala: Isibuyekezo esibuyekeziwe esiphelele sezinto eziyingozi, izimpawu, kanye nokwelashwa - i-PMC