Isibindi singesinye sezitho ezibaluleke kakhulu nezinkulu emzimbeni wethu. Sisebenza njengefektri enkulu ngaphakathi emzimbeni wethu. Isibindi senza imisebenzi eminingi ebalulekile, njengokuhlunga ubuthi obungena emzimbeni, sisize ekugayeni ukudla, futhi sigcine amandla. Kodwa bewazi ukuthi eminye yemithi esiyiphuza nsuku zonke, utshwala esibuphuzayo, noma amanye amakhemikhali esingena emzimbeni wethu ngokungazi angalimaza lesi sibindi esisebenza kanzima, okungukuthi, sibe 'nobuthi'? Namuhla sikhuluma ngalesi simo esibi esibizwa ngokuthi 'i-Toxic Hepatitis' kwezokwelapha, okuwubuthi besibindi.
Kalula nje, iyini i-Hepatitis enobuthi?
I-Hepatitis enobuthi, noma ubuthi besibindi, yilapho ubuthi, into eyingozi emizimbeni yethu, ilimaza amangqamuzana esibindi futhi ibangele isibindi sivuvuke. Kwezokwelapha, lokhu sikubiza ngokuthi "ukuvuvukala." Lobu buhlungu bungangena emizimbeni yethu ngezindlela eziningana.
- Ngokugwinya: Ngokuphuza imithi eminingi kakhulu esiyiphuzayo, ngokuphuza utshwala, noma ngokugwinya elinye ikhemikhali.
- Ngokuphefumula: Ngokuphefumula amakhemikhali anobuthi axutshwe emoyeni kwamanye amafektri, emagaraji, noma ezitolo zokupenda.
- Ngokumunca ngesikhumba: Amakhemikhali anamandla, njengezibulala-zinambuzane ezithile, angangena emzimbeni ngokuthinta isikhumba.
Yile ndlela isibindi sethu esonakala ngayo njengoba sizama ukuhlunga ubuthi obungena emzimbeni. Uma lokhu kulimala kwenzeka ngokuhamba kwesikhathi, isibindi singase singasebenzi kahle unomphela.
Ingabe zikhona izinhlobo eziyinhloko ze-Hepatitis enobuthi?
Yebo, lesi simo singahlukaniswa sibe izinhlobo ezimbili eziyinhloko kuye ngokuthi senzeka kanjani.
- I-Acute Toxic Hepatitis: Lesi yisimo esenzeka ngokuzumayo. Izimpawu ziqala ukuvela zingakapheli amahora noma izinsuku ezimbalwa ngemva kokuba into enobuthi idliwe. Isibonelo, lesi simo singavela uma uphuza umuthi omningi kakhulu (ukudlula umthamo).
- I-Hepatitis Enobuthi Engapheli: Lesi yisimo esikhula kancane ngokuhamba kwesikhathi. Ngezinye izikhathi kungathatha amasonto, izinyanga, noma ngisho neminyaka ukuthi izimpawu zibonakale. Abantu abaphuza utshwala isikhathi eside banamathuba amaningi okuthola lesi simo.
Futhi, kukhona ukuhlukaniswa okusekelwe esibangweni salesi simo. Ithebula elingezansi lingasetshenziswa ukuqonda lokhu ngokucacile.
| Uhlobo lwe-Hepatitis enobuthi (ngembangela) | Incazelo elula |
|---|---|
| I-hepatitis ebangelwa izidakamizwa | Kubangelwa ukusetshenziswa ngokweqile noma okungalungile kwemithi enqunywe udokotela, imithi yobuhlungu ethengwe ekhemisi, amavithamini, noma imithi ye-Ayurvedic/herbal. |
| I-hepatitis ebangelwa utshwala | Ukuphuza utshwala ngokweqile nokuqhubeka isikhathi eside kulimaza isibindi ngqo, okungaholela ekuvuvukeni kwesibindi. |
| I-hepatitis ebangelwa amakhemikhali | Kubangelwa ukumuncwa kwamakhemikhali anobuthi njengezixazululo, izibulala-zinambuzane, kanye nemithi yokubulala ukhula esetshenziswa emafektri. |
Ziyini izimpawu zokulimala kwesibindi?
Uphawu oluyinhloko nolujwayelekile kakhulu lwesifo sesibindi ukuphuzi kwamehlo nesikhumba. Lokhu sikubiza nangokuthi i-jaundice , futhi ngokwezokwelapha kuthiwa "i-Jaundice." Ngaphezu kwalokhu, kungase kube nezinye izimpawu eziningana.
- Ubuhlungu ohlangothini lwesokudla lwesisu, ngaphansi kwezimbambo
- Ukukhathala nokukhathala
- Isifiso sokudla
- Isicanucanu nokuhlanza
- Umkhuhlane ophansi
- Umchamo ophuzi omnyama noma onsundu
- Ukuvuvukala kwesisu, noma ama-ascites
- Ukuluma (Pruritus)
- Amabala noma amabala ansomi esikhumbeni
Into ebalulekile ukuthi ngezinye izikhathi, ikakhulukazi uma kwenzeka i-'Chronic Toxic Hepatitis', azikho izimpawu ezingase zivele kuze kube yilapho isibindi sonakele kakhulu. Ngakho-ke, kubalulekile ukuqaphela njalo uma kunezici eziyingozi.
Yiziphi izimbangela eziyinhloko ze-Hepatitis enobuthi?
Njengoba sixoxile ngaphambili, kunezizathu eziningana. Ake sizibheke ngemininingwane ethe xaxa.
Imithi namavithamini (Ubuthi besibindi obubangelwa yimithi)
Lokhu kuyinto evamile kakhulu ukuyibona.
- Ama-Painkiller: Amanye ama-painkiller, ikakhulukazi lawo angathengwa ekhemisi, isibonelo, `(Acetaminophen)` (atholakala emithini efana ne-`Panadol` eSri Lanka) kanye ne-`(NSAIDs)` (imithi engeyona eye-steroidal yokulwa nokuvuvukala) (isb. `Ibuprofen`, `Diclofenac`) angabangela ukulimala kwesibindi uma ephuzwa ngaphezu komthamo onconywayo.
- Imithi kadokotela: Eminye imithi, njengemithi yokwehlisa i-cholesterol, imithi yokuwa, kanye nama-antibiotic, ingathinta isibindi kwabanye abantu. Kodwa ungayeki ukuthatha imithi yakho ngenxa yalokhu. Uma unenkinga, khuluma nodokotela wakho ngakho.
- Imithi yamakhambi kanye neyase-Ayurvedic: Kukhona umbono emphakathini wokuthi 'imithi yesiSinhala' noma 'izinto zendabuko' azibangeli monakalo. Kodwa lokho akulona iqiniso ngokuphelele. Eminye imithi yamakhambi ingaba nezithako eziyingozi esibindini. Ngakho-ke, kuyingozi ukuyisebenzisa ngaphandle kweseluleko sikadokotela oqeqeshiwe.
- Amavithamini: Ukudla ngokweqile amavithamini athile, njengevithamini A, kungaba yingozi esibindini.
Funda ngqo ngobuthi be-Acetaminophen
I-'Acetaminophen' umuthi esivame ukuwusebenzisa ekwelapheni umkhuhlane kanye nobuhlungu bomzimba. ESri Lanka, itholakala ngamagama anjenge-'Panadol' kanye ne-'Paramol'. Nakuba lo umuthi uphephile kakhulu, ungabangela ukulimala okukhulu kwesibindi uma uthathwa ngokweqile.
Cabanga nje, othile uthatha amaphilisi amabili ePanadol ngenxa yekhanda elibuhlungu. Ngemva kwamahora ambalwa, bathatha elinye iphakethe ekhemisi ngenxa yomkhuhlane. Abazi ukuthi lelo phakethe liqukethe ne-Acetaminophen. Ngale ndlela, bangakwazi ukudlula umthamo omkhulu wansuku zonke ngokungazi.
Ngokuvamile, umuntu omdala akufanele athathe ama-milligram angaphezu kuka-4,000 e-acetaminophen (okungukuthi amaphilisi angu-8 500mg) emahoreni angama-24. Uma usuvele unesifo sesibindi, leli nani kufanele libe ngaphansi nakakhulu. Uma ngengozi uthatha umuthi omningi kakhulu, noma ngabe awunazo izimpawu, hamba uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha. Uma kudingeka, ungashayela ne-National Poisons Information Center e-National Hospital ukuze uthole iseluleko.
Ukusetshenziswa kotshwala (i-hepatitis enobuthi ebangelwa utshwala)
Ukuphuza utshwala ngokweqile kuyimbangela enkulu yokulimala kwesibindi. Utshwala buwubuthi obuqondile emangqamuzaneni esibindi. Uma utshwala buphuzwa isikhathi eside, amafutha aqoqana esibindini, bese buvuvukala, futhi ekugcineni isibindi singaba nezibazi ngokuphelele futhi singakwazi ukusebenza (i-Cirrhosis).
Ubani osengozini enkulu yokuthola lesi simo?
Nakuba noma ubani angaba ne-'Toxic Hepatitis', abanye abantu basengozini enkulu.
- Kwabesifazane: Ngenxa yokuthi imizimba yabesifazane ishintshashintsha ngendlela ehlukile kweyabesilisa, basengozini enkulu yokulimala kwesibindi ngenxa yemithi ethile notshwala.
- Kulabo abaphuza utshwala ngokweqile.
- Kulabo asebevele benesifo sesibindi (isib. i-Hepatitis B, i-Hepatitis C, i-Fatty Liver).
- Kulabo abasebenzisa imithi eminingana ngesikhathi esisodwa.
- Kulabo abasebenza ngamakhemikhali (isib. imboni yokupenda, imboni yepulasitiki, izinsizakalo zokuhlanza izinto ezomile).
- Kubantu abanezifo ezithile zofuzo (isib. `ukuntuleka kwe-Alpha-1 antitrypsin`, `i-Hemochromatosis`).
Ingabe lokhu kungaba yingozi? Yiziphi izinkinga?
Yebo, uma i-Toxic Hepatitis ingelashwa ngokushesha futhi into eyingozi ingasuswa, ingaholela ezinkingeni ezinkulu. Inkinga enkulu yi-cirrhosis yesibindi.
I-cirrhosis yisimo lapho amangqamuzana esibindi aphilile ebhujiswa khona bese kufakwa izicubu zesibazi. Lokhu kuphazamisa ngokuphelele ukusebenza okuvamile kwesibindi. Ekugcineni, lokhu kuholela ekuhlulekeni kwesibindi . Ezimweni ezinjalo, okuwukuphela kwendlela esindisa impilo kungaba ukufakelwa isibindi .
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzoqala ngokukubuza imibuzo eminingi mayelana nezimpawu zakho, imithi oyiphuzayo, ukuthi uyaphuza yini utshwala, nokuthi umsebenzi wakho uyini. Ngemuva kwalokho uzohlola umzimba wakho. Angase futhi enze ezinye izivivinyo ukuqinisekisa ukuthi unesifo.
- Ukuhlolwa kwegazi:
- Ukuhlolwa Kokusebenza Kwesibindi: Lokhu kungahlola amazinga e-enzyme yesibindi ukuze kubonakale ukuthi kukhona yini ukulimala kwesibindi.
- Iphaneli Ephelele Ye-Metabolic `(CMP)`: Lokhu kuhlolwa kusiza ekutholeni ukuqonda okuphelele kwezinqubo zomzimba ze-metabolic kanye nomsebenzi wezitho zomzimba.
- Ukuhlolwa kwamazinga otshwala noma ezinye izidakamizwa.
- Ezinye izivivinyo:
- Ukuskena: Ukuskena kwe-CT noma i-MRI kungahlola isimo sesibindi ngamehlo.
- Ukuhlolwa Kwesibindi: Kwezinye izimo, kuthathwa ingxenye encane yezicubu esibindini kusetshenziswa inaliti encane kakhulu bese ihlolwa ngaphansi kwe-microscope. Lokhu kungasiza ekutholeni izinga eliqondile lomonakalo.
Ilashwa kanjani? Ingabe lokhu kungelapheka?
Ukwelashwa okungcono kakhulu kwe-'Toxic Hepatitis' ukugwema ngokushesha into elimaza isibindi. Ukwelashwa kuncike ekutheni umonakalo wesibindi ungakanani.
- Ukuyeka umuthi oyingozi: Uma udokotela wakho esola ukuthi umuthi othile noma ivithamini kubangela ukulimala kwesibindi, uzokweluleka ukuthi uyeke ukuwuthatha ngokushesha.
- Ukuyeka ngokuphelele utshwala.
- Izinguquko endaweni yokusebenza:Uma lesi simo sibangelwa amakhemikhali, kungadingeka ugqoke izinto zokuzivikela (izifihla-buso, amagilavu) emsebenzini noma udluliselwe komunye umsebenzi.
- Uma uphuza i-acetaminophen ngokweqile: Kunikezwa umuthi okhethekile esibhedlela. Uma unikezwa ngokushesha, lokhu kungavimbela umonakalo omkhulu esibindini.
Izindaba ezinhle ukuthi isibindi sethu sinekhono elimangalisayo lokuzivuselela. Uma umonakalo ungemkhulu kakhulu futhi into eyingozi isusiwe ngokuphelele, isibindi singaziphulukisa sona phakathi namasonto noma izinyanga ezimbalwa. Kodwa-ke, uma umonakalo usuqhubekele ezingeni le-cirrhosis, kunzima ukuwubuyisela emuva.
Kufanele ubonane nodokotela ngokushesha nini?
Uma kuvela noma yiziphi izimpawu ezilandelayo ezinzima, kungaba uphawu lokwehluleka kwesibindi ngokuphelele. Ngakho-ke , hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Ukuhlanza igazi.
- Izihlalo ezimnyama, ezihlala isikhathi eside.
- Ukuvela ngokuzumayo kwamabala afana nokuphuka emzimbeni wonke.
- Ukuphuzi okukhulu (i-Jaundice).
- I-anorexia enzima.
- Ukuphambana kwengqondo, isimo sokuphambuka.
- Ubunzima bokuhamba.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba isibindi sethu siyisitho esiyinhloko esikhipha ubuthi emzimbeni wethu, sibucayi kakhulu kwezinye izinto.
- Ngisho nomuthi ovamile wokuqeda izinhlungu ungadala umonakalo omkhulu esibindini uma uphuzwa ngaphezu komthamo onconywayo. Funda ilebula ngokucophelela bese ulandela imiyalelo lapho usebenzisa umuthi.
- Utshwala lungenye yezitha ezinkulu zesibindi. Ukunciphisa noma ukuyeka ngokuphelele ukuphuza utshwala kubaluleke kakhulu empilweni yesibindi.
- Akuyona yonke into ebizwa ngokuthi 'i-herbal' noma 'yemvelo' ephephile. Khuluma nodokotela wakho ngaphambi kokusebenzisa noma yiziphi izithasiselo noma amavithamini.
- Uma usola ukuthi uphuze umuthi omningi kakhulu noma uma uba nezimpawu ezinzima, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
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