Kuyini i-hepatic encephalopathy, izinhlobo kanye nokwelashwa

-Delile

• Izimpawu ze-hepatic encephalopathy
• Izimbangela eziyinhloko
• Ukwelashwa kwe-hepatic encephalopathy

I-hepatic encephalopathy yisifo esivezwa ukungasebenzi kahle kobuchopho ngenxa yezinkinga zesibindi njengokuhluleka kwesibindi, isimila noma ukuqina kwesibindi.

Omunye wemisebenzi yesibindi ukuhlunga igazi elivela ekugayeni ngoba libhekene nokuxuba izinto ezithathwa njengezinobuthi kwezinye izitho. Lapho isibindi singakwazi ukulihluza kahle leli gazi, ezinye izinto ezinobuthi ezifana ne-ammonia zifinyelela ebuchosheni nasenhlanganweni emaphakathi yezinzwa ebangela i-hepatic encephalopathy.

Ukuhlukaniswa kwe-hepatic encephalopathy yile:

• Thayipha i-hepatic encephalopathy: ngokuhluleka kwesibindi okukhulu;
• Thayipha i-hepatic encephalopathy: nge-encephalopathy ehambisana nokudlula kwe-port-systemic;
• Thayipha i-hepatic encephalopathy: lapho ihlotshaniswa ne-cirrhosis kanye ne-portal hypertension.

I-hepatic encephalopathy nayo ingaziveza ngezikhathi ezithile, iphikelele noma incane. Ukuba yilokho:

• I-encephalopathy ye-hepatic engavamile: okuzenzekelayo, okuzenzekelayo nokuphindaphindiwe;
• Ukuqhubeka kwe-hepatic encephalopathy: imnene, inzima, incike ekwelashweni;
• I-encephalopathy ye-hepatic encane: ukubonakaliswa kwangaphambi kwemitholampilo okudinga izindlela ezikhethekile zokuxilongwa. Ngaphambili kwakubizwa ngokuthi yi-latent encephalopathy kanye ne-sub-clinical encephalopathy.

Izimpawu ze-hepatic encephalopathy

Izimpawu ze-hepatic encephalopathy zingaba:

• Ukuphuza ukucabanga;
• Ubuthakathaka;
• Ukuthuthumela;
• Ukungahambisani kwezimoto;
• Izinkinga zokuziphatha;
• Isikhumba esiphuzi namehlo;
• Isisu esivuvukile;
• Ukuphefumula kabi;
• Ukukhohlwa njalo;
• Ukudideka kwengqondo;
• Worsens ngokubhala.

Lezi zimpawu zingavela kancane kancane futhi zivele ngokuzumayo, kubantu abanokukhubazeka kwe-hepatic.

Ngokuthola isifo se-hepatic encephalopathy, kufanele kwenziwe ukuhlolwa kwegazi okuningana, i-computed tomography, imaging resonance imaging kanye ne-electroencephalogram.

Izimbangela eziyinhloko

Izimbangela ze-hepatic encephalopathy zihlobene nokungasebenzi kahle kwesibindi. Ezinye izimo ezingadala i-hepatic encephalopathy yilezi:

• Ukusetshenziswa ngokweqile kwamaprotheni;
• Ukudla okunganele kwe-diuretics;
• Ukuguqulwa kwama-electrolyte egazini njengoba kungenzeka esimweni se-bulimia noma ukwehla emzimbeni;
• Ukopha kusuka emphinjeni, esiswini noma emathunjini;
• Ukuphuza ngokweqile iziphuzo ezidakayo;
• Isifo sezinso.

Ukusetshenziswa kabi kwemithi nakho kungadala lesi sifo, ikakhulukazi kubantu abanezinkinga zesibindi.

Ukwelashwa kwe-hepatic encephalopathy

Ukwelashwa kwe-hepatic encephalopathy ukuthola imbangela yayo bese uyiqeda. Kungadingeka ukwehlisa ukudla kwakho kwamaprotheni futhi umuthi kufanele uphuzwe kahle. Eminye imithi engasetshenziswa yilena: iLactulose, neomycin, rifaximin. Thola eminye imininingwane nokuthi kunjani ukudla okufanele kwalesi sifo.