I-Cirrhosis Yesibindi Esidakayo

-Delile

• Yiziphi Izimpawu Ezihlotshaniswa Nale Cirrhosis Yesidakwa?
• Yini Ebangela Ukudakwa Kwesibindi Sotshwala?
• Ngabe Kukhona Amaqembu Abantu Abasethubeni Lokuthola Lesi Simo?
• Udokotela AngakuHlola Kanjani Nge-Cirrhosis Yesibindi?
• Yiziphi Izinkinga Ezingadala Isifo Sotshwala Esibangelwa Utshwala?
• Selashwa Kanjani Isibindi Sokuqina Kwesibindi?
• Umbono nge-Alcohol Liver Cirrhosis

Kuyini Isibindi Sokuphuza Utshwala?

Isibindi isitho esikhulu esinomsebenzi obalulekile emzimbeni wakho. Ihlunga igazi lobuthi, yephula amaprotheni, futhi yenze inyongo ukusiza umzimba ukuthi uthathe amafutha. Lapho umuntu ephuza utshwala ngokweqile ngokuhamba kwamashumi eminyaka, umzimba uqala ukufaka izicubu ezinempilo zesibindi ngezicubu ezibomvu. Odokotela babiza lesi simo njenge-cirrhosis yesidakwa.

Njengoba lesi sifo siqhubeka, futhi izicubu zakho eziningi zesibindi ezinempilo zithathelwa indawo izicubu ezibomvu, isibindi sakho sizoyeka ukusebenza kahle

Ngokusho kwe-American Liver Foundation, amaphesenti aphakathi kuka-10 no-20 abaphuza ngokweqile azoba nesifo sokuqina kwesibindi. I-cirrhosis yesibindi esinotshwala yindlela ehamba phambili kakhulu yesifo sesibindi esihlobene nokuphuza utshwala. Lesi sifo siyingxenye yokuqhubekela phambili. Kungaqala ngesifo esinamafutha wesibindi, bese kudlulela ekuqunjeni kwesibindi kohlobo oludakayo, bese kuba yi-cirrhosis yotshwala. Kodwa-ke, kungenzeka ukuthi umuntu angaba nesibindi sokuqina kwesibindi ngaphandle kokuthola isifo sokusha kwesibindi.

Yiziphi Izimpawu Ezihlotshaniswa Nale Cirrhosis Yesidakwa?

Izimpawu zesifo sokuqina kwesibindi sokuphuza ngokweqile zivame ukukhula lapho umuntu ephakathi kweminyaka yobudala engama-30 nengama-40. Umzimba wakho uzokwazi ukunxephezela ukusebenza okulinganiselwe kwesibindi sakho ezigabeni zokuqala zesifo. Njengoba lesi sifo siqhubeka, izimpawu zizobonakala kakhulu.

Izimpawu zesifo sokuqina kwesibindi sokuphuza utshwala ziyefana nezinye izinkinga zesibindi ezihlobene notshwala. Izimpawu zifaka:

• i-jaundice
• umfutho wegazi ophakeme, okwandisa umfutho wegazi emthanjeni ohamba phakathi kwesibindi
• ukulunywa kwesikhumba (pruritus)

Yini Ebangela Ukudakwa Kwesibindi Sotshwala?

Ukulimala ekuphuzeni ngokweqile okuphindaphindayo futhi ngokweqile kuholela ekuqhumeni kwesibindi kotshwala. Lapho izicubu zesibindi ziqala ukuba nesibazi, isibindi asisebenzi kahle njengakuqala. Ngenxa yalokho, umzimba awukwazi ukukhiqiza amaprotheni anele noma ukuhlunga ubuthi egazini njengoba kufanele.

I-cirrhosis yesibindi ingenzeka ngenxa yezimbangela ezahlukahlukene. Kodwa-ke, ukuqina kwesibindi kotshwala kuhlobene ngqo nokuphuza utshwala.

Ngabe Kukhona Amaqembu Abantu Abasethubeni Lokuthola Lesi Simo?

Ingozi ebaluleke kakhulu yesifo sesibindi sotshwala ukusetshenziswa kabi kotshwala. Imvamisa, umuntu uphuze kakhulu okungenani iminyaka eyisishiyagalombili. INational Institute on Alcohol Abuse and Alcoholism ichaza ukuphuza ngokweqile njengokuphuza iziphuzo ezinhlanu noma ngaphezulu ngosuku olulodwa okungenani izinsuku ezinhlanu kwezingu-30 ezedlule.

Abesifazane nabo basengozini enkulu yezifo zesibindi sotshwala. Abesifazane abanawo ama-enzyme amaningi esiswini sabo wokwephula izinhlayiya zotshwala. Ngenxa yalokhu, utshwala obuningi buyakwazi ukufinyelela esibindini bese benza izicubu ezibomvu.

Isifo sesibindi esidakayo singaba nezici ezithile zofuzo. Isibonelo, abanye abantu bazalwa benenkinga yama-enzyme asiza ukuqeda utshwala. Ukukhuluphala ngokweqile, ukudla okunamafutha amaningi, nokuba nesifo sokusha kwesibindi kohlobo C nakho kungandisa amathuba okuthi umuntu abe nesifo sesibindi sotshwala.

Udokotela AngakuHlola Kanjani Nge-Cirrhosis Yesibindi?

Odokotela bangakwazi ukuxilonga i-cirrhosis yesibindi sokuphuza utshwala ngokuqala ngokuthatha umlando wezokwelapha nokuxoxa ngomlando womuntu wokuphuza. Udokotela uzophinda enze ezinye izivivinyo ezingaqinisekisa ukuxilongwa kwesifo sokuqina kwesibindi. Le miphumela yalezi zivivinyo ingakhombisa:

• i-anemia (amazinga aphansi egazi ngenxa yensimbi encane kakhulu)
• izinga eliphezulu le-ammonia yegazi
• amazinga aphezulu kashukela egazini
• leukocytosis (inani elikhulu lamaseli amhlophe egazi)
• izicubu zesibindi ezingenampilo lapho isampula isuswa ku-biopsy futhi ifundwa elebhu
• ukuhlolwa kwegazi kwe-enzyme okukhombisa ukuthi izinga le-aspartate aminotransferase (AST) liphindwe kabili kunele-alanine aminotransferase (ALT)
• amazinga aphansi we-magnesium egazi
• amazinga aphansi we-potassium egazi
• amazinga egazi aphansi
• umfutho wegazi ophezulu wengosi

Odokotela bazophinde bazame ukukhipha ezinye izimo ezingathinta isibindi ukuqinisekisa ukuthi i-cirrhosis ikhulile.

Yiziphi Izinkinga Ezingadala Isifo Sotshwala Esibangelwa Utshwala?

I-cirrhosis yesibindi esinotshwala ingadala izinkinga ezinkulu. Lokhu kwaziwa njenge- cirrhosis ebolile. Izibonelo zalezi zinkinga zifaka:

• ascites, noma i-fluid eyakhekayo esiswini
• i-encephalopathy, noma ukudideka kwengqondo
• ukopha kwangaphakathi, okwaziwa ngokuthi ama-varices wokopha
• i-jaundice, eyenza isikhumba namehlo abe nombala ophuzi

Labo abanalesi simo esibi kakhulu se-cirrhosis ngokuvamile badinga ukufakelwa kwesibindi ukuze baphile.Ngokusho komtholampilo waseCleveland, iziguli ezine-cirrhosis yesibindi esiphuze utshwala ezithola ukufakelwa kwesibindi zinezinga lokuphila leminyaka emihlanu ngamaphesenti angama-70.

Selashwa Kanjani Isibindi Sokuqina Kwesibindi?

Odokotela bangahlehlisa ezinye izinhlobo zezifo zesibindi ngokwelashwa, kepha i-cirrhosis yesibindi esinotshwala imvamisa ayinakubuyiselwa emuva. Kodwa-ke, udokotela wakho angancoma ukwelashwa okunganciphisa ukuqhubeka kwesifo futhi kunciphise izimpawu zakho.

Isinyathelo sokuqala ekwelashweni ukusiza umuntu ayeke ukuphuza. Labo abane-cirrhosis yesibindi sokuphuza utshwala bavame ukuncika otshwaleni kangangokuthi bangabhekana nezinkinga ezinzima zempilo uma bezama ukuyeka ngaphandle kokuya esibhedlela. Udokotela angancoma isibhedlela noma indawo yokwelashwa lapho umuntu angaqala khona uhambo olubheke ekuzondeni.

Ezinye izindlela udokotela angazisebenzisa zifaka:

• Imithi: Eminye imithi odokotela abangayinikeza ihlanganisa i-corticosteroids, i-calcium channel blockers, i-insulin, izithasiselo ze-antioxidant, kanye ne-S-adenosyl-L-methionine (SAMe).
• Ukwelulekwa ngokudla okunempilo: Ukuphuza ngokweqile kungaholela ekungondlekeni.
• Amaprotheni angeziwe: Iziguli zivame ukudinga amaprotheni angeziwe ngezinhlobo ezithile ukusiza ukunciphisa amathuba okuba nesifo sobuchopho (i-encephalopathy).
• Ukufakelwa kwesibindi: Umuntu uvame ukuthi abe nesizotha okungenani izinyanga eziyisithupha ngaphambi kokuba abhekwe njengofanelekela ukufakelwa isibindi.

Umbono nge-Alcohol Liver Cirrhosis

Umbono wakho uzoncika empilweni yakho isiyonke nokuthi ngabe uke waba nezinkinga ezihlobene nokuqina kwesibindi. Lokhu kuyiqiniso ngisho noma umuntu eyeka ukuphuza.