I-Cirrhosis ikuthinta kanjani ukulindela impilo?

-Delile

• Ukuqonda ukuqina kwesibindi
• Isikhathi sokuphila sinqunywa kanjani?
• Isikolo se-CPT
• Isikolo se-MELD
• Kusho ukuthini amaphuzu esikhathini sokuphila?
• Ishadi lesilinganiso se-CPT
• Ishadi lesikolo le-MELD
• Ngabe kukhona okungakhuphula iminyaka yokuphila?
• Ngingabhekana kanjani nokuxilongwa kwesifo sokuqina kwesibindi?
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• Okubalulekile

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukuqonda ukuqina kwesibindi

I-cirrhosis yesibindi ingumphumela wesigaba sesikhathi sesifo sesibindi. Kubangela ukulimala nokulimala esibindini. Lesi sibazi singagcina sivimbele isibindi ekusebenzeni kahle, okuholele ekuhlulekeni kwesibindi.

Izinto eziningi zingagcina ziholele ku-cirrhosis, kufaka phakathi:

• ukuphuza ngokweqile
• i-hepatitis ezenzakalelayo
• i-hepatitis C engapheli
• izifo
• isifo sesibindi esingenawo utshwala
• amapayipi e-bile angakhiwe kahle
• i-cystic fibrosis

I-Cirrhosis yisifo esiqhubekayo, okusho ukuthi siba sibi ngokuhamba kwesikhathi. Uma usuphethwe yisifo sokuqina kwesibindi, ayikho indlela yokusihlehlisa. Esikhundleni salokho, ukwelashwa kugxile ekunciphiseni ukuqhubeka kwayo.

Ngokuya ngokuthi inzima kangakanani, i-cirrhosis ingaba nomthelela esikhathini sokuphila. Uma unesifo sokuqina kwesibindi, kunamathuluzi amaningi udokotela wakho angakusebenzisa ukukunikeza ukuqonda okungcono kombono wakho.

Isikhathi sokuphila sinqunywa kanjani?

Kunezindlela eziningana zokusiza ukunquma isikhathi sokuphila esingaba khona somuntu onesifo sokuqina kwesibindi. Okubili okuthandwa kakhulu amaphuzu eChild-Turcotte-Pugh (CTP) kanye nemodeli yeModel for End-stage Isifo Sesibindi (MELD).

Isikolo se-CPT

Odokotela basebenzisa isilinganiso somuntu se-CPT ukunquma ukuthi banesifo sokuqina kwesigaba A, B, noma C. I-cirrhosis yesigaba A imnene futhi inesikhathi eside kakhulu sokuphila. Isifo sokuqina kwesifo seClass B silinganisela ngokwengeziwe, kuyilapho isigaba C cirrhosis sinzima.

Funda kabanzi mayelana nesikolo se-CPT.

Isikolo se-MELD

Uhlelo lwe-MELD lusiza ukunquma ubungozi bokufa kubantu abanezifo zesibindi sokugcina. Isebenzisa amanani kusukela ekuhlolweni kwelabhoratri ukwenza amaphuzu we-MELD. Izilinganiso ezisetshenziselwe ukuthola isikolo se-MELD zifaka i-bilirubin, i-serum sodium, ne-serum creatinine.

Izikolo ze-MELD zisiza ukunquma inani lokufa lezinyanga ezintathu. Lokhu kubhekisa emathubeni okuthi umuntu afe zingakapheli izinyanga ezintathu. Yize lokhu kusiza ekunikezeni odokotela umbono ongcono wesikhathi sokuphila komuntu, kusiza nokubeka phambili labo abalinde ukufakelwa isibindi.

Kumuntu one-cirrhosis, ukufakelwa kwesibindi kungangeza iminyaka esikhathini sokuphila kwabo. Isilinganiso somuntu ophakeme se-MELD, maningi amathuba okuthi bafe kungakapheli izinyanga ezintathu. Lokhu kungabashukumisela phezulu phezulu ohlwini lwalabo abalinde ukufakelwa kwesibindi.

Kusho ukuthini amaphuzu esikhathini sokuphila?

Uma ukhuluma ngokulindela impilo, kubalulekile ukukhumbula ukuthi kuyisilinganiso. Ayikho indlela yokwazi kahle ukuthi umuntu onesifo sokuqina kwesibindi uzophila isikhathi esingakanani. Kepha amaphuzu we-CPT ne-MELD angasiza ukunikeza umbono ojwayelekile.

Ishadi lesilinganiso se-CPT

Ishadi lesikolo le-MELD

Ngabe kukhona okungakhuphula iminyaka yokuphila?

Ngenkathi ingekho indlela yokubuyisela emuva i-cirrhosis, kunezinto eziningana ongazenza ukuzama ukusiza ukubambezela ukuqhubeka kwayo nokugwema ukulimala kwesibindi okwengeziwe.

Lokhu kufaka phakathi:

• Ukugwema utshwala. Ngisho noma i-cirrhosis yakho ingahlobene notshwala, kungcono ukuthi ubuyeke ngoba utshwala bungalimaza isibindi sakho, ikakhulukazi uma sebuvele bonakele.
• Nciphisa usawoti. Isibindi se-cirrhotic sinzima ukugcina uketshezi egazini. Ukudla usawoti kuphakamisa ubungozi bokugcwala ngokweqile koketshezi. Akudingeki ukuthi ususe ekudleni kwakho ngokuphelele, kodwa zama ukuziqhelelanisa nokudla okwenziwe futhi ugweme ukufaka usawoti omningi ngenkathi upheka.
• Nciphisa ubungozi bokutheleleka. Kunzima ukuthi isibindi esonakele senze amaprotheni asiza ukulwa nezifo. Geza izandla zakho njalo bese uzama ukunciphisa ukuxhumana kwakho nabantu abananoma yiluphi uhlobo lwesifo esisebenzayo, kusuka emkhuhlaneni ojwayelekile kuya emkhuhlane.
• Sebenzisa izidakamizwa ezithengelwe ngokucophelela. Isibindi sakho siyi-processor eyinhloko yanoma imaphi amakhemikhali noma imishanguzo oyisebenzisayo. Qiniseka ukuthi utshela udokotela wakho nganoma imiphi imishanguzo ongayithola e-counter, ama-supplements, noma amakhambi owasebenzisayo ukuze uqiniseke ukuthi awabeki umthwalo esibindini sakho.

Ngingabhekana kanjani nokuxilongwa kwesifo sokuqina kwesibindi?

Ukutholakala une-cirrhosis noma ukutshelwa ukuthi une-cirrhosis enamandla kungazizwa kukhungathekisa. Futhi, ukuzwa ukuthi isimo asibuyiseki kungathumela abanye abantu ethukile.

Uma ungaqiniseki ukuthi wenzeni ngokulandelayo, cabanga ngalezi zinyathelo:

• Joyina iqembu lokusekela. Izibhedlela nezindawo zokunakekelwa kwezempilo zivame ukuxhumanisa amaqembu okusekela abantu abanezimo ezingalapheki, kufaka phakathi isifo sesibindi nokuqina kwesibindi. Buza ihhovisi likadokotela wakho noma umnyango wezemfundo wesibhedlela sendawo ukuthi banezincomo zeqembu yini. Ungabheka futhi amaqembu asekelwa online nge-American Liver Foundation.
• Bheka onguchwepheshe. Uma ungakayiboni eyodwa, yenza i-aphoyintimenti yokubona i-hepatologist noma i-gastroenterologist. Laba ngodokotela abagxile ekwelapheni izifo zesibindi nezimo ezihlobene nazo. Bangakunikeza umbono wesibili futhi bakunikeze imininingwane ethe xaxa mayelana nezinhlelo zokwelashwa ezizokusebenzela kangcono kakhulu.
• Gxila esikhathini samanje. Lokhu kulula ukukusho kunokukwenza, noma ngabe unesimo sempilo esingapheli noma cha. Kodwa ukuhlala ekuxilongweni kwakho noma ukuzibeka icala ngakho ngeke kushintshe lutho. Zama ukuhambisa ukunaka kwakho kulokho osengakwenzela impilo yakho nekhwalithi yempilo, noma ngabe lokho kudla usawoti omncane noma ukuchitha isikhathi esithe xaxa nabantu obathandayo.

• "Unyaka Wokuqala: Isifo Sokusha Kwesibindi" umhlahlandlela walabo abasanda kutholakala. Lokhu kuyindlela enhle uma usafunda ngalesi simo nokuthi ukuxilongwa kwakho kusho ukuthini ngekusasa lakho.
• “Induduzo Yasekhaya Yezifo Ezingapheli Zesibindi” yincwadi yokuqondisa abanakekeli kubantu abanesifo sesibindi esithuthukile kanye nokuqina kwesibindi.

Okubalulekile

I-Cirrhosis yisimo esingelapheki esinganciphisa isikhathi sokuphila somuntu. Odokotela basebenzisa izilinganiso ezimbalwa ukuthola umbono womuntu one-cirrhosis, kepha lokhu kunikeza kuphela izilinganiso. Uma une-cirrhosis, udokotela wakho angakunika umbono ongcono wombono wakho nokuthi yini ongayenza ukuyithuthukisa.