Uma udokotela wakho ekutshela ukuthi unesifo esibizwa ngokuthi i-Primary Biliary Cholangitis ( PBC ), ungase uzizwe wesaba kancane. Lokho kuvamile. Siyazi ukuthi ukuphila nesimo sesikhathi eside esinjengalesi akulula. Kalula nje, yisifo esonakalisa imigudu yenyongo esibindini sakho. Akukho ukwelashwa okwamanje, kodwa ungakhathazeki. Kunezindlela eziningi zokwelapha ezinhle nemithi etholakalayo namuhla engakusiza ukuphatha lesi simo, unciphise izimpawu, futhi uphile impilo engcono.
Lesi simo se-PBC siyithinta kanjani impilo yakho?
Izimpawu ze-PBC zingathinta impilo yakho yansuku zonke kanye nemisebenzi yakho . Cabanga uvuka ekuseni unezinhlungu ezingalweni zakho, emilenzeni nasemalungeni. Kuzwakala sengathi awukwazi ukwenza noma yimuphi umsebenzi wasekhaya noma wasegcekeni. Kwabanye abantu, lesi simo singenza kube nzima ukwenza imisebenzi yabo kahle futhi kwenze kube nzima ukuthola isikhathi sezinto zokuzilibazisa .
Ucwaningo luye lwathola nokuthi ngisho nangaphambi kokuba i-PBC ibe nzima, izimpawu ezifana nobuhlungu bamalunga nokukhathala kungaba nomthelela omkhulu empilweni yabantu. Lokhu kusho ukuthi lesi sifo singaba nomthelela omkhulu empilweni yakho yansuku zonke, ebuhlotsheni bakho nomndeni, kanye nasemsebenzini wakho.
Kodwa into ebaluleke kakhulu ukuthi akudingeki ulwe nalezi zimpawu wedwa. Kunezindlela eziningi zokuzilawula.
Yiziphi izindlela zokwelapha i-PBC?
Kunemigomo eminingana eyinhloko yokwelapha i-PBC.
- Ukuvimba noma ukunciphisa ijubane lokuqhubeka kwalesi sifo.
- Ukulawula izimpawu ( njengokulunywa , ukukhathala, ubuhlungu bamalunga).
- Ukuvimbela ezinye izinkinga zempilo ezingase zivele ngenxa yalesi sifo.
Lokhu kwenziwa kakhulu ngemithi . Kungase kudingeke wenze izinguquko ezithile endleleni yakho yokuphila . Ezimweni ezimbi kakhulu, lokhu kusho ukuthi isibindi sonakele kakhulu ( i-liver cirrhosis).), kungadingeka ukuthi ufakwe isibindi. Kodwa abantu abaningi abasidingi. Lesi sifo singalawulwa kahle ngokwelashwa okufanele.
Into ebaluleke kakhulu ukuthi udokotela wakho uzonquma uhlelo lokwelashwa olufanele wena. Ngakho-ke, kubaluleke kakhulu ukukhuluma naye ngokukhululekile ngalokhu futhi umtshele ngokungakhululeki okuzwayo.
Izinhlobo eziyinhloko zemithi esetshenziswa ukulawula i-PBC
Kunezinhlobo eziningana zemithi enganikezwa ukulawula i-PBC nokunciphisa ukulimala kwesibindi. Udokotela wakho uzokhetha ekufanele. Ake sibheke kafushane le mithi.
| Igama Lomuthi | Kalula nje, kuhilelani lokho? |
|---|---|
| I-Ursodeoxycholic acid (UDCA) (Actigall, Urso) | Lona ngokuvamile umuthi wokuqala onikezwayo. Usebenza ngokwenza kube lula ukuthi inyongo ihambe esibindini. Lokhu kuthuthukisa ukusebenza kwesibindi futhi kunciphisa ukulimala kwesibindi (izibazi). |
| I-Obeticholic acid (i-Ocaliva) | Ngezinye izikhathi lo muthi unikezwa kanye ne-UDCA noma kulabo abangaphenduli ku-UDCA. Lokhu kuthuthukisa nokusebenza kwesibindi futhi kunciphisa ukulimala kwesibindi. |
| I-Budesonide | Kutholakale ukuthi inemiphumela emihle kwezinye iziguli uma ihlanganiswa ne-UDCA, kodwa ukuphepha kwayo kwesikhathi eside kusacwaningwa. |
| Uhlobo lwezidakamizwa olubizwa ngokuthi ama-PPAR Agonists | |
| I-Elafibranor (Iqirvo) | Lo muthi unciphisa inani lenyongo ekhiqizwa emzimbeni futhi usiza ekunciphiseni ukuvuvukala esibindini. |
| I-Fenofibrate (Tricor) | Uma ithathwa ne-UDCA, kutholakale ukuthi isiza ekunciphiseni ukuvuvukala kwesibindi kanye nokulunywa kwesikhumba. Nakuba lo muthi empeleni unqunyelwe ezinye izimo, odokotela bawusebenzisela neziguli ze-PBC. |
| I-Seladelpar (i-Livdelzi) | Lokhu kunciphisa nenani le-bile elikhiqizwa yisibindi. Kuphinde kusize ekunciphiseni izinga le-enzyme ebizwa ngokuthi i-alkaline phosphatase (ALP) egazini. Ukwanda kwe-ALP kuyisibonakaliso sokuthi isifo sesibindi siya siba sibi kakhulu. |
Akuyona imithi kuphela, kodwa nezinguquko zendlela yokuphila nazo zibalulekile!
Yebo, imithi iyingxenye nje yempi. Ukwenza izinguquko ezincane endleleni yakho yokuphila kungasiza kakhulu ekulawuleni izimpawu nasekulondolozeni impilo yakho iyonke.
- Ukudla okunomsoco: Gwema ukudla okunosawoti omningi, ushukela namafutha amaningi ngangokunokwenzeka. Faka imifino eminingi, izithelo, kanye nokudla okusanhlamvu okuphelele ekudleni kwakho.
- Yeka ukuphuza utshwala ngokuphelele: Utshwala buyingozi esibindini. Uma une-PBC, kufanele uyeke ukuphuza utshwala ngokuphelele . Lokhu kuyimfuneko.
- Ukuzivocavoca: Kungumqondo omuhle ukucela udokotela wakho ukuthi akunike isimiso sokuzivocavoca esilula (njengokuhamba noma i-yoga) esifanele wena nsuku zonke. Lokhu kuzosiza ekunciphiseni ukukhathala futhi kwandise ukuguquguquka kwamalunga.
- Phumula ngokwanele: Enye yezinkinga ezinkulu nge-PBC ukukhathala okukhulu. Ngakho-ke lalela umzimba wakho. Uma uzizwa ukhathele, thatha ikhefu. Uma uhlela usuku lwakho, zinike isikhathi sokuphumula.
- Izindlela zokwelapha isikhumba esilumayo: Uma unesikhumba esilumayo, ungasigcini somile. Sebenzisa i-moisturizer. Gwema ukugeza ngamanzi ashisayo. Khuluma nodokotela wakho ngalokhu futhi.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba i-Primary Biliary Cholangitis (PBC) iyisifo sesibindi sesikhathi eside, ngokwelashwa okufanele ingalawulwa kahle futhi ungaphila impilo evamile.
- Kubaluleke kakhulu ukuthatha umuthi udokotela wakho awunikezayo ngqo, ngesikhathi esifanele, nangesilinganiso esifanele. Ungayeki ukuwuthatha phakathi nesikhathi.
- Ngaphezu kwemithi, ukudla ukudla okunempilo, ukuyeka ngokuphelele utshwala, kanye nokuzivocavoca umzimba okulula kuzosiza kakhulu inhlalakahle yakho.
- Ungesabi ukukhuluma nodokotela wakho nganoma yiziphi izimpawu noma ukungakhululeki okungenzeka ukuthi unakho. Uzokusiza.
- Awuwedwa kulolu hambo. Unemindeni, abangani, nodokotela abazokusekela.
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