Isifo Sesibindi Esinamafutha

-Delile

• Isifinyezo
• Siyini isifo sesibindi esinamafutha?
• Siyini isifo sesibindi esinamafutha angenalo utshwala (NAFLD)?
• Siyini isifo sesibindi esinamafutha?
• Ngubani osengozini yokuthola isifo sesibindi esinamafutha?
• Ziyini izimpawu zesifo esinamafutha sesibindi?
• Sitholakala kanjani isifo esinamafutha?
• Yiziphi izindlela zokwelapha izifo zesibindi esinamafutha?
• Yiziphi ezinye izinguquko zendlela yokuphila ezingasiza ngezifo zesibindi ezinamafutha?

Isifinyezo

Siyini isifo sesibindi esinamafutha?

Isibindi sakho isitho esikhulu kunazo zonke emzimbeni wakho. Isiza umzimba wakho ukugaya ukudla, igcine amandla, futhi isuse ubuthi. Isifo sesibindi esinamafutha yisimo lapho amanoni akhela khona esibindini sakho. Kunezinhlobo ezimbili eziyinhloko:

• Isifo sesibindi esinamafutha se-nonalcoholic (NAFLD)
• Isifo sesibindi esinamafutha otshwala, esibizwa nangokuthi i-steatohepatitis

Siyini isifo sesibindi esinamafutha angenalo utshwala (NAFLD)?

I-NAFLD uhlobo lwesifo sesibindi esinamafutha esingahlobene nokusetshenziswa kotshwala obunzima. Kunezinhlobo ezimbili:

• Isibindi esinamafutha esilula, lapho unamafutha esibindi sakho kepha ukuvuvukala okuncane noma okungekho nhlobo noma ukulimala kweseli lesibindi. Isibindi esinamafutha esilula ngokuvamile asibi sibi ngokwanele ukudala ukulimala kwesibindi noma izinkinga.
• I-Nonalcoholic steatohepatitis (NASH), lapho unokulimala nokulimala kwamangqamuzana wesibindi, kanye namafutha esibindi sakho. Ukuvuvukala nokulimala kweseli lesibindi kungadala i-fibrosis, noma isibazi, sesibindi. I-NASH ingaholela ekucineni kwesibindi noma umdlavuza wesibindi.

Siyini isifo sesibindi esinamafutha?

Isifo sesibindi esinamafutha otshwala kungenxa yokusetshenziswa kotshwala obunzima. Isibindi sakho siphula iningi lotshwala obuphuzayo, ngakho-ke bungasuswa emzimbeni wakho. Kepha inqubo yokuyidiliza ingakhiqiza izinto eziyingozi. Lezi zinto zingalimaza amangqamuzana wesibindi, zikhuthaze ukuvuvukala, futhi zenze buthakathaka izivikelo zemvelo zomzimba wakho. Lapho uphuza kakhulu utshwala, kulimala isibindi sakho ngokwengeziwe. Isifo sesibindi esinamafutha otshwala yisigaba sokuqala sesifo sesibindi esihlobene notshwala. Izigaba ezilandelayo yi-hepatitis enotshwala kanye ne-cirrhosis.

Ngubani osengozini yokuthola isifo sesibindi esinamafutha?

Ayaziwa imbangela yesifo sesibindi esinamafutha (i-NAFLD). Abaphenyi bayazi ukuthi kuvame kakhulu kubantu

• Unesifo sikashukela sohlobo 2 nama-prediabetes
• Yiba nokukhuluphala
• Baphakathi kweminyaka yobudala noma ngaphezulu (yize izingane zingayithola nayo)
• Ingabe amaSpanishi, alandelwa ngabamhlophe abangewona abaseSpanishi. Akuvamile kakhulu kubantu base-Afrika baseMelika.
• Yiba namafutha aphezulu egazini, njenge-cholesterol ne-triglycerides
• Yiba nomfutho wegazi ophezulu
• Thatha izidakamizwa ezithile, njenge-corticosteroids kanye neminye imithi yomdlavuza
• Unezinkinga ezithile ze-metabolic, kufaka phakathi i-metabolic syndrome
• Yiba nesisindo esisheshayo ngokushesha
• Yiba nezifo ezithile, njenge-hepatitis C
• Sivezwe obunye ubuthi

I-NAFLD ithinta cishe abantu abangama-25% emhlabeni. Njengoba amazinga okukhuluphala ngokweqile, thayipha isifo sikashukela se-2, kanye ne-cholesterol ephezulu ekhuphuka e-United States, kanjalo nezinga le-NAFLD. I-NAFLD yisifo esivame kakhulu sesibindi esingalapheki e-United States.

Isifo sesibindi esinamafutha otshwala senzeka kuphela kubantu abaphuza ngokweqile, ikakhulukazi labo asebenesikhathi eside bephuza. Ingozi iphezulu kulabo abaphuza ngokweqile abangabesifazane, abanesisindo sokukhuluphala, noma abanezinguquko ezithile zofuzo.

Ziyini izimpawu zesifo esinamafutha sesibindi?

Kokubili i-NAFLD nesifo esinamafutha esinotshwala imvamisa kuyizifo ezithule ezinezimpawu ezimbalwa noma ezingekho nhlobo. Uma unezimpawu, ungazizwa ukhathele noma ungakhathazeki ohlangothini olungakwesokudla esiswini sakho.

Sitholakala kanjani isifo esinamafutha?

Ngoba kaningi azikho izimpawu, akulula ukuthola isifo sesibindi esinamafutha. Udokotela wakho angasola ukuthi unayo uma uthola imiphumela engajwayelekile ekuhlolweni kwesibindi obukade unezinye izizathu. Ukwenza ukuxilongwa, udokotela wakho uzokusebenzisa

• Umlando wakho wezokwelapha
• Ukuhlolwa ngokomzimba
• Ukuhlolwa okuhlukahlukene, kufaka phakathi ukuhlolwa kwegazi nezithombe, kwesinye isikhathi nokuhlolwa komzimba

Njengengxenye yomlando wezokwelapha, udokotela wakho uzokubuza ngokusetshenziswa kwakho kotshwala, ukuthola ukuthi amafutha asesibindi sakho awuphawu lwesifo sesibindi esinamafutha noma isibindi esinamafutha (i-NAFLD). Uzobuza nokuthi imiphi imishanguzo oyiphuzayo, ukuzama ukuthola ukuthi ngabe umuthi ubangela i-NAFLD yakho.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzohlola umzimba wakho futhi abheke isisindo sakho nokuphakama kwakho. Udokotela wakho uzobheka izimpawu zesifo esinamafutha sesibindi, njenge

• Isibindi esikhulisiwe
• Izimpawu zesifo sokuqina kwesibindi, njenge-jaundice, isimo esibangela isikhumba sakho nabamhlophe bamehlo akho ukuthi baphuzi

Ungahle ube nokuhlolwa kwegazi, kufaka phakathi ukuhlolwa kokusebenza kwesibindi nokuhlolwa kwesibalo segazi. Kwezinye izimo ungahle ube nokuhlolwa kwe-imaging, njengaleyo ehlola amafutha esibindini nokuqina kwesibindi sakho. Ukuqina kwesibindi kungasho i-fibrosis, okuyisibazi sesibindi. Kwezinye izimo ungadinga futhi i-biopsy yesibindi ukuqinisekisa ukutholakala, nokuhlola ukuthi umonakalo wesibindi umbi kangakanani.

Yiziphi izindlela zokwelapha izifo zesibindi esinamafutha?

Odokotela batusa ukuncipha kwesibindi esingenamafutha. Ukwehla kwesisindo kunganciphisa amafutha esibindi, ukuvuvukala, ne-fibrosis. Uma udokotela wakho ecabanga ukuthi umuthi othile uyimbangela ye-NAFLD yakho, kufanele uyeke ukuthatha lowo muthi. Kepha buza nodokotela wakho ngaphambi kokumisa umuthi. Ungadinga ukwehla kancane kancane emithini, futhi kungadingeka ukuthi ushintshele komunye umuthi.

Ayikho imithi evunyelwe ukuphatha i-NAFLD. Ucwaningo luphenya ukuthi umuthi othile wesifo sikashukela noma uVitamin E ungasiza, kepha kudingeka izifundo eziningi.

Ingxenye ebaluleke kakhulu yokwelapha isifo sesibindi esinamafutha e-alcohol ukuyeka ukuphuza utshwala. Uma udinga usizo lokwenza lokho, ungahle uthande ukubona owelapha noma ubambe iqhaza ohlelweni lokuthola kabusha utshwala. Kukhona nemithi engasiza, ngokunciphisa izifiso zakho noma ukukwenza uzizwe ugula uma uphuza utshwala.

Kokubili isifo sesibindi esinamafutha otshwala kanye nohlobo olulodwa lwesifo sesibindi esinamafutha angenalo utshwala (i-nonalcoholic steatohepatitis) kungaholela ku-cirrhosis. Odokotela bangelapha izinkinga zezempilo ezibangelwa ukuqina kwesibindi ngemithi, ngokuhlinzwa, nangezinye izinqubo zokwelashwa. Uma i-cirrhosis iholela ekuhlulekeni kwesibindi, ungadinga ukufakelwa kwesibindi.

Yiziphi ezinye izinguquko zendlela yokuphila ezingasiza ngezifo zesibindi ezinamafutha?

Uma unanoma yiziphi izinhlobo zezifo zesibindi ezinamafutha, kunezinguquko ezithile zendlela yokuphila ezingasiza:

• Yidla ukudla okunempilo, unciphise usawoti noshukela, kanye nokudla izithelo, imifino nezinhlamvu eziningi
• Thola imigomo yesifo sokusha kwesibindi kohlobo A no-B, umkhuhlane kanye nesifo se-pneumococcal. Uma uthola i-hepatitis A noma i-B kanye nesibindi esinamafutha, kungenzeka ukuthi kuholele ekuhlulekeni kwesibindi. Abantu abanezifo ezingapheli zesibindi basemathubeni amaningi okuthola izifo, ngakho-ke eminye imigomo emibili nayo ibalulekile.
• Zivocavoce njalo, okungakusiza wehlise isisindo futhi wehlise amafutha esibindini
• Khuluma nodokotela wakho ngaphambi kokusebenzisa izithako zokudla, njengamavithamini, noma yimiphi imithi ehambisanayo noma ehlukile noma izindlela zokwelapha. Amanye amakhambi angalimaza isibindi sakho.