Isifo sesibindi esinamafutha angenalo utshwala

Isifo sesibindi esinamafutha se-Nonalcoholic (NAFLD) yinqwaba yamafutha esibindi angadalwa ukuphuza kakhulu utshwala. Abantu abanayo abanawo umlando wokuphuza ngokweqile. I-NAFLD ihlobene kakhulu nokukhuluphala ngokweqile.

Kubantu abaningi, i-NAFLD ayibangeli zimpawu noma izinkinga. Uhlobo olubi kakhulu lwalesi sifo lubizwa ngokuthi i-non-alcoholcohol steatohepatitis (NASH). I-NASH ingadala ukwehluleka kwesibindi. Kungadala nomdlavuza wesibindi.

I-NAFLD ingumphumela wamadiphozithi angaphezu kwesilinganiso esivamile esibindini. Izinto ezingakubeka engcupheni zifaka noma yikuphi okulandelayo:

• Ukhuluphele ngokweqile noma ukukhuluphala ngokweqile. Uma ukhuluphele kakhulu, ingozi iba nkulu.
• I-Prediabetes (ukumelana ne-insulin).
• Thayipha 2 sikashukela.
• I-cholesterol ephezulu.
• Ama-triglycerides aphezulu.
• Umfutho wegazi ophakeme.

Ezinye izinto ezinobungozi zingafaka:

• Ukuncipha kwesisindo okusheshayo nokungondleki kahle
• Ukuhlinzwa kokudlula esiswini
• Isifo samathumbu
• Imithi ethile, efana ne-calcium channel blocker kanye neminye imithi yomdlavuza

I-NAFLD nayo iyenzeka nakubantu abangenazo izinto eziyingozi.

Abantu abane-NAFLD kaningi abanazo izimpawu. Lapho izimpawu zivela, okuvame kakhulu kufaka:

• Ukukhathala
• Ubuhlungu esiswini esingenhla kwesokudla

Kubantu abane-NASH abanokulimala kwesibindi (i-cirrhosis), izimpawu zingafaka:

• Ubuthakathaka
• Ukuphelelwa isifiso sokudla
• Isicanucanu
• Isikhumba esiphuzi namehlo (i-jaundice)
• Ukulunywa
• Ukwanda kwamanzi nokuvuvukala emilenzeni nasesiswini
• Ukudideka kwengqondo
• Ukopha kwe-GI

I-NAFLD ivame ukutholakala ngesikhathi sokuhlolwa kwegazi okujwayelekile okusetshenziselwa ukubona ukuthi isibindi sisebenza kahle kangakanani.

Ungaba nokuhlolwa okulandelayo ukukala ukusebenza kwesibindi:

• Qedela ukubalwa kwegazi
• Isikhathi se-Prothrombin
• Izinga le-albhamu album

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda izivivinyo ezithile ze-imaging, kufaka phakathi:

• I-Ultrasound ukuqinisekisa ukuxilongwa kwe-NAFLD
• Ukuskena iMRI neCT

I-biopsy yesibindi iyadingeka ukuqinisekisa ukuxilongwa kwe-NASH, ifomu elibi kakhulu le-NAFLD.

Akukho ukwelashwa okuqondile kwe-NAFLD. Umgomo ukuphatha izici zakho zobungozi kanye nanoma yiziphi izimo zezempilo.

Umhlinzeki wakho uzokusiza uqonde isimo sakho kanye nezinqumo ezinempilo ezingakusiza unakekele isibindi sakho. Lokhu kungafaka:

• Ukwehlisa isisindo uma ukhuluphele ngokweqile.
• Ukudla ukudla okunempilo okungenawo usawoti omningi.
• Ukungaphuzi utshwala.
• Ukuhlala usebenza ngokomzimba.
• Ukuphatha izimo zezempilo ezinjengesifo sikashukela nomfutho wegazi ophezulu.
• Ukuthola ukugonyelwa izifo ezifana ne-hepatitis A ne-hepatitis B.
• Ukwehlisa amazinga akho e-cholesterol ne-triglyceride.
• Ukuthatha imithi njengokuyalelwa. Khuluma nomhlinzeki wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi amakhambi nezithako zokudla kanye nemithi yokuthenga ngaphandle kwamanani.

Ukwehla kwesisindo nokuphatha isifo sikashukela kunganciphisa noma kwesinye isikhathi kuguqule idiphozi yamafutha esibindi.

Abantu abaningi abane-NAFLD abanazinkinga zempilo futhi abaqhubeki nokuthuthukisa i-NASH. Ukwehla kwesisindo nokwenza izinqumo zokuphila ngendlela enempilo kungasiza ekuvimbeleni izinkinga ezinkulu kakhulu.

Akucaci ukuthi kungani abanye abantu behlakulela i-NASH. I-NASH ingaholela ku-cirrhosis.

Iningi labantu abane-NAFLD abazi ukuthi banalo. Bona umhlinzeki wakho uma uqala ukuba nezimpawu ezingavamile njengokukhathala noma ubuhlungu besisu.

Ukusiza ukuvimbela i-NAFLD:

• Gcina isisindo esinempilo.
• Yidla ukudla okunempilo.
• Vocavoca umzimba njalo.
• Nciphisa ukusetshenziswa kotshwala.
• Sebenzisa imithi ngendlela efanele.

Isibindi esinamafutha; I-steatosis; I-stealine hepatitis; NASH

• Isibindi

Chalasani N, Younossi Z, Lavine JE, et al. Ukuxilongwa nokuphathwa kwezifo zesibindi ezinamafutha angenalo utshwala: zijwayeze ukuholwa yi-American Association ngokutadisha izifo zesibindi. I-hepatology. 2018; 67 (1): 328-357. I-PMID: 28714183 www.ncbi.nlm.nih.gov/pubmed/28714183.

I-National Institute of Diabetes kanye newebhusayithi yezifo zeDigestive and Kidney. Ukudla, ukudla, kanye nokudla okunomsoco kwe-NAFLD ne-NASH. www.niddk.nih.gov/health-information/liver-disease/nafld-nash/eating-diet-nutrition. Kubuyekezwe ngoNovemba 2016. Kufinyelelwe ngo-Ephreli 22, 2019.

ITorres DM, iHarrison SA. Isifo sesibindi esinamafutha angenalo utshwala. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 87.