Ukuhlolwa okuyinhloko ukuhlola isibindi

-Delile

• 1. Ukuhlolwa kwegazi: AST, ALT, Gamma-GT
• 2. Ukulingisa izivivinyo
• 3. Isidumbu

Ukuhlola impilo yesibindi, udokotela anga-oda ukuhlolwa kwegazi, i-ultrasound ngisho ne-biopsy, njengoba lokhu kungukuhlolwa okunikeza imininingwane ebalulekile mayelana nezinguquko kuleso sitho.

Isibindi sibamba iqhaza ekugayeni nasekuguqulweni kokudla futhi, ngaphezu kwalokho, kungenxa yaso lapho imithi efakiwe idlula, ngokwesibonelo. Ngakho-ke, lapho kunokungasebenzi kahle esibindini, umuntu angaba nobunzima obukhulu ekugayeni kahle amafutha, edinga ukulandela ukudla okukhethekile, ngaphezu kokugwema ukusebenzisa imithi ngaphandle kokuyalelwa ngudokotela. Hlola imisebenzi yesibindi.

Ukuhlolwa okungenziwa udokotela wakho ukuhlola impilo yakho yesibindi kufaka:

1. Ukuhlolwa kwegazi: AST, ALT, Gamma-GT

Noma nini lapho udokotela edinga ukuhlola impilo yesibindi uqala ngoku-oda ukuhlolwa kwegazi okubizwa ngeHepatogram, okuhlola: AST, ALT, GGT, albumin, bilirubin, lactate dehydrogenase kanye nesikhathi seprothrombin. Lezi zivivinyo zivame uku-oda ndawonye futhi zinikeze imininingwane ebalulekile ngesimo sesibindi, ziyashintshwa lapho kukhona ukulimala, njengoba kungamaki abucayi kakhulu. Funda ukuthi ungakuqonda kanjani ukuhlolwa kwe-ALT nokuhlolwa kwe-AST.

Lezi zivivinyo zingabuye zi-odolwe lapho umuntu enezimpawu zokubandakanyeka kwesibindi njengesikhumba esiphuzi, umchamo omnyama, ubuhlungu besisu noma ukuvuvukala endaweni yesibindi. Kodwa-ke, udokotela futhi anga-oda lezi zivivinyo lapho edinga ukuhlola isibindi somuntu ophuza imishanguzo nsuku zonke, ophuza iziphuzo eziningi zotshwala noma onesifo esimthinta ngqo noma ngokungaqondile.

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2. Ukulingisa izivivinyo

I-Ultrasonography, i-elastography, i-computed tomography kanye ne-magnetic resonance ingakhombisa ngemifanekiso eyenziwe kukhompyutha ukuthi ukwakheka kwesibindi kutholakala kanjani, okwenza kube lula ngongoti ukukhomba ubukhona bama-cysts noma izimila. Kungasiza futhi, kwezinye izimo, ukuhlola ukudlula kwegazi esithweni.

Imvamisa, udokotela uyala lolu hlobo lokuhlolwa lapho ukuhlolwa kwegazi kungavamile noma lapho isibindi sesivuvukele kakhulu. Kungakhonjiswa futhi ngemuva kwengozi yemoto noma yezemidlalo lapho kusolwa ukulimala komzimba.

3. Isidumbu

I-Biopsy ivame ukucelwa lapho udokotela esethole izinguquko ezibalulekile emiphumeleni yokuhlolwa, njengokunyuka kwe-ALT, i-AST noma i-GGT, futhi ikakhulukazi lapho kutholakala isigaxa noma i-cyst esibindini ngesikhathi se-ultrasound.

Lokhu kuhlolwa kungakhombisa ukuthi ngabe amaseli wesibindi ajwayelekile yini, athinteka kakhulu izifo, ezinjenge-cirrhosis, noma uma kukhona amangqamuzana omdlavuza, ukuze kutholakale ukuxilongwa futhi kuqale ukwelashwa okufanele. I-biopsy yenziwa ngenaliti engena esikhunjeni ize ifinyelele esibindini, bese kususwa izingcezu ezincane zomzimba, ezithunyelwa elabhorethri bese zihlaziywa ngokubona ngaphansi kwesibonakhulu. Bona ukuthi kwenzelwe ini nokuthi kwenziwa kanjani i-biopsy yesibindi.