Isifo sesibindi esidakayo

Isifo sesibindi esidakayo singumonakalo wesibindi nomsebenzi waso ngenxa yokusebenzisa kabi utshwala.

Isifo sesibindi esidakayo senzeka ngemuva kweminyaka yokuphuza ngokweqile. Ngokuhamba kwesikhathi, izibazi kanye ne-cirrhosis kungenzeka. I-Cirrhosis yisigaba sokugcina sesifo esidakayo sesibindi.

Isifo sesibindi esidakayo asitholakali kubo bonke abaphuza ngokweqile. Amathuba okuthola isifo sesibindi akhuphuka uma usuphuze isikhathi eside futhi uphuza kakhulu utshwala. Akudingeki udakwe ukuze kwenzeke lesi sifo.

Lesi sifo sivamile kubantu abaphakathi kweminyaka engama-40 nengama-50 ubudala. Amadoda maningi amathuba okuba nale nkinga. Kodwa-ke, abesifazane bangasithola lesi sifo ngemuva kokuchayeka kancane otshwaleni kunabesilisa. Abanye abantu bangaba nengozi ezuzwe njengefa yalesi sifo.

Kungase kungabikho zimpawu, noma izimpawu zingafika kancane. Lokhu kuya ngokuthi isibindi sisebenza kahle kanjani. Izimpawu zivame ukuba zimbi kakhulu ngemuva kwesikhathi sokuphuza kakhulu.

Izimpawu zokuqala zifaka:

• Ukuphela kwamandla
• Ukudla okungekuhle nokulahlekelwa isisindo
• Isicanucanu
• Ubuhlungu besisu
• Imithambo yegazi emincane, ebomvu efana nesicabucabu esikhunjeni

Njengoba ukusebenza kwesibindi kubi, izimpawu zingafaka:

• Ukwakhiwa kwamanzi kwemilenze (edema) nasesiswini (ascites)
• Umbala ophuzi esikhunjeni, ulwelwesi lwamafinyila, noma amehlo (i-jaundice)
• Ububomvu ezintendeni zezandla
• Emadodeni, ukungabi namandla, ukuncipha kwamasende, nokuvuvukala kwamabele
• Ukulimala okulula nokopha okungavamile
• Ukudideka noma izinkinga zokucabanga
• Izitulo ezinombala ophuzi noma ezinobumba

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba ukuze afune:

• Isibindi esikhulisiwe noma ubende
• Izicubu zamabele ezeqile
• Isisu esivuvukile, ngenxa yoketshezi oluningi
• Izintende ezibomvu
• Imithambo yegazi ebomvu efana nesicabucabu esikhumbeni
• Amasende amancane
• Imithambo enwetshiwe odongeni lwesisu
• Amehlo aphuzi noma isikhumba (i-jaundice)

Uvivinyo ongahle ube nalo lubandakanya:

• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kokusebenza kwesibindi
• Izifundo ze-Coagulation
• I-biopsy yesibindi

Ukuhlolwa kokukhipha ezinye izifo kubandakanya:

• Iskena se-CT esiswini
• Ukuhlolwa kwegazi kwezinye izimbangela zezifo zesibindi
• I-Ultrasound yesisu
• I-ultrasound elastography

IZINGUQUKO ZOKUPHILA

Ezinye izinto ongazenza ukusiza ukunakekela isifo sakho sesibindi yilezi:

• Yeka ukuphuza utshwala.
• Yidla ukudla okunempilo okungenawo usawoti omningi.
• Gomela izifo ezifana nomkhuhlane, i-hepatitis A ne-hepatitis B, ne-pneumococcal pneumonia.
• Khuluma nomhlinzeki wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi amakhambi nezithako zokudla kanye nemithi yokuthenga ngaphandle kwamanani.

IMITHI ESUKA KUDOKOTELA WAKHO

• "Amaphilisi amanzi" (isisu) ukuqeda ukwanda ketshezi
• Uvithamini K noma imikhiqizo yegazi ukuvimbela ukopha ngokweqile
• Imithi yokudideka kwengqondo
• Ama-antibiotic wezifo

EZINYE UKWELASHWA

• Ukwelashwa kwe-Endoscopic yemithambo ekhulisiwe ku-esophagus (esophageal varices)
• Ukususwa koketshezi esiswini (paracentesis)
• Ukubekwa kwe-transjugular intrahepatic portosystemic shunt (AMACEBISO) ukulungisa ukugeleza kwegazi esibindini

Lapho i-cirrhosis iqhubekela phambili ekugcineni kwesifo sesibindi, ukufakelwa kwesibindi kungadingeka. Ukufakelwa kwesibindi kwesifo sesibindi esinotshwala kubhekwa kuphela kubantu abagweme ngokuphelele utshwala izinyanga eziyisithupha.

Abantu abaningi bayazuza ngokujoyina amaqembu okusekela ukuphuza ngokweqile noma isifo sesibindi.

Isifo sesibindi sotshwala siyelapheka uma sibanjwa ngaphambi kokuba sidale umonakalo omkhulu. Kodwa-ke, ukuqhubeka nokuphuza ngokweqile kunganciphisa isikhathi sakho sempilo.

I-cirrhosis iyaqhubeka nokuba nzima isimo futhi ingaholela ezinkingeni ezinkulu. Uma kwenzeka umonakalo omkhulu, isibindi asikwazi ukuphola noma ukubuyela emsebenzini ojwayelekile.

Izinkinga zingafaka:

• Izinkinga zokopha (coagulopathy)
• Ukwakhiwa koketshezi esiswini (ama-ascites) kanye nokutheleleka koketshezi (i-bacterial peritonitis)
• Imithambo ekhulisiwe emgodini, esiswini, noma emathunjini aphuma kalula (ama-esophageal varices)
• Ukwanda kwengcindezi emithanjeni yegazi yesibindi (i-portal hypertension)
• Ukuhluleka kwezinso (hepatorenal syndrome)
• Umdlavuza wesibindi (i-hepatocellular carcinoma)
• Ukudideka kwengqondo, ushintsho ezingeni lokwazi, noma i-coma (hepatic encephalopathy)

Xhumana nomhlinzeki wakho uma:

• Thuthukisa izimpawu zesifo esidakayo sesibindi
• Thuthukisa izimpawu ngemuva kwesikhathi eside sokuphuza ngokweqile
• Ukhathazekile ngokuthi ukuphuza kungahle kulimaze impilo yakho

Thola usizo lwezimo eziphuthumayo ngokushesha uma une:

• Ubuhlungu besisu noma besifuba
• Ukuvuvukala kwesisu noma i-ascites okusha noma ngokungazelelwe kuba kubi kakhulu
• Umkhuhlane (izinga lokushisa elingaphezu kuka-101 ° F, noma u-38.3 ° C)
• Uhudo
• Ukudideka okusha noma ushintsho ekuxwayeni, noma kuba kubi kakhulu
• Ukuphuma kwegazi, igazi elihlanzayo, noma igazi emchameni
• Ukuphelelwa umoya
• Ukuhlanza ngaphezu kwesisodwa ngosuku
• Isikhumba noma amehlo aphuzi (i-jaundice) entsha noma eba kubi ngokushesha

Khuluma ngokukhululekile nomhlinzeki wakho mayelana nokuphuza kwakho utshwala. Umhlinzeki angakweluleka ngokuthi ungakanani utshwala obuphephile kuwe.

Isifo sesibindi ngenxa yotshwala; I-cirrhosis noma i-hepatitis - utshwala; Isifo sokuqina kwesibindi sikaLaennec

• I-cirrhosis - ukukhipha

• Uhlelo lokugaya ukudla
• I-anatomy yesibindi
• Isibindi esinamafutha - i-CT scan

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Chalasani NP. I-steatohepatitis engaphuzi nophuzo oludakayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 143.

IHaines EJ, i-Oyama LC. Ukuphazamiseka kwesibindi kanye nepheshana le-biliary. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 80.

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