Isibindi esivuvukile (hepatomegaly): kuyini, izimpawu nokuthi kufanele welashwe kanjani

-Delile

• Yelashwa kanjani
• Izimpawu eziyinhloko
• Izimbangela ezingenzeka zesibindi sokuvuvukala

Isibindi esivuvukile, esaziwa nangokuthi i-hepatomegaly, sibonakala ngokwanda kosayizi wesibindi, ongafakwa ngaphansi kwembambo ngakwesokunene.

Isibindi singakhula ngenxa yezimo eziningana, njenge-cirrhosis, isibindi esinamafutha, ukwehluleka kwenhliziyo okucinana futhi, kaningi, umdlavuza.

I-hepatomegaly imvamisa ayibangeli zimpawu futhi ukwelashwa kwenziwa ngokufanele. Endabeni yokwandiswa kwesibindi ngenxa ye-hepatic steatosis, isibonelo, ukwelashwa kuqukethe ukwenza imisebenzi yomzimba nokwamukela ukudla okwanele. Funda ukuthi ungadla kanjani amafutha wesibindi.

Yelashwa kanjani

Ukwelashwa kwesibindi kuhlose ukukhomba nokuqeda imbangela futhi kufanele kwenziwe ngokuya ngezincomo zezokwelapha. Ezinye izincomo ezibalulekile ekwelashweni kwesibindi esivuvukile yilezi:

• Hlakulela indlela yokuphila enempilo, ugcine isisindo esifanele;
• Yenza izivivinyo zomzimba nsuku zonke;
• Ungaphuzi iziphuzo ezidakayo;
• Sebenzisa ukudla okunothe ngezithelo, imifino, imifino kanye namakhambi;
• Ungathathi imishanguzo ngaphandle kweseluleko sezokwelapha;
• Ungabhemi.

Ukusetshenziswa kwemithi kufanele kwenziwe kuphela ngaphansi kokuqondiswa kwezokwelapha. Bheka ezinye izinketho ezenziwe ekhaya zezinkinga zesibindi.

Izimpawu eziyinhloko

Isibindi esivuvukile asivame ukudala izimpawu, kepha lapho kungenzeka ukuthi uzwe isibindi, kubalulekile ukuya kudokotela.

Lapho i-hepatomegaly ingenxa yesifo sesibindi, ngokwesibonelo, kungahle kube nobuhlungu besisu, ukungathandi ukudla, isicanucanu, ukuhlanza, ukukhathala kanye nesikhumba namehlo aphuzi. Uma ukuvuvukala kwenzeka ngokuzumayo, umuntu uzwa ubuhlungu ngokushaya ngamandla. Imvamisa udokotela unquma usayizi nokuthungwa kwesibindi ngokusishaya ngodonga lwesisu, akwazi, ukusuka lapho, ukubikezela ukuthi hlobo luni lwesifo umuntu anaso.

Endabeni yesifo sokusha kwesibindi esibucayi, i-hepatomegaly ivame ukuhambisana nobuhlungu futhi ibe nobushelelezi futhi bushelelezi, kuyilapho ku-hepatitis engapheli iba nzima futhi iqine ku-cirrhosis, lapho ubuso bungalingani. Ngaphezu kwalokho, ekuhlulekeni kwenhliziyo eminyene, isibindi sinobuhlungu futhi i-lobe yangakwesokudla ikhulisiwe impela, kanti ku-schistosomiasis isibindi sivuvuke kakhulu ohlangothini lwesobunxele.

Ukuxilongwa kwe-hepatomegaly kwenziwa yi-hepatologist noma udokotela ojwayelekile ngokuhlolwa komzimba kanye nokuhlolwa kwe-imaging, njenge-ultrasound kanye ne-tomography yesisu, ngaphezu kokuhlolwa kwegazi. Bona ukuthi yikuphi ukuhlolwa okuhlola ukusebenza kwesibindi.

Uma ucabanga ukuthi ungaba nezinkinga zesibindi, hlola izimpawu onazo:

1. 1. Ingabe uzwa ubuhlungu noma ukungahambi kahle engxenyeni engakwesokudla esiswini sakho?
2. 2. Ingabe uzizwa ugula noma unesiyezi njalo?
3. 3. Ingabe uphathwa yikhanda kaningi?
4. 4. Ingabe uzizwa ukhathele kalula?
5. 5. Unamabala amaningana ansomi esikhunjeni sakho?
6. 6. Ngabe amehlo noma isikhumba sakho siphuzi?
7. 7. Ngabe umchamo wakho umnyama?
8. 8. Wake wazizwa uswele ukudla?
9. 9. Ingabe indle yakho iphuzi, mpunga noma imhlophe?
10. 10. Ngabe uyezwa ukuthi isisu sakho sivuvukile?
11. 11. Ingabe uzizwa ulunywa emzimbeni wonke?

Izimbangela ezingenzeka zesibindi sokuvuvukala

Imbangela enkulu ye-hepatomegaly yi-hepatic steatosis, okungukuthi, ukuqoqwa kwamafutha esibindi okungaholela ekuvukeleni kwesitho futhi, ngenxa yalokho, ukuvuvukala kwaso. Ezinye izimbangela ze-hepatomegaly yilezi:

• Ukuphuza ngokweqile iziphuzo ezidakayo;
• Ukudla okunothe ngamafutha, ukudla okusemathinini, iziphuzo ezithambile nokudla okuthosiwe;
• Izifo zenhliziyo;
• I-hepatitis;
• Ukuqina kwesibindi;
• Umdlavuza wegazi;
• Ukungakwazi ukusebenza kwenhliziyo;
• Ukushoda kokudla okunempilo, njenge-marasmus ne-kwashiorkor, ngokwesibonelo;
• Isifo seNiemann-Pick;
• Ukutheleleka ngama-parasites noma ama-bacteria, isibonelo;
• Ubukhona bamafutha esibindi ngenxa yesifo sikashukela, ukukhuluphala ngokweqile kanye ne-triglycerides ephezulu.

Imbangela engajwayelekile yesibindi esivuvukile ukuvela kwesimila esibindini, esingabonakala ngokuhlolwa kwe-imaging njenge-tomography yesisu noma i-ultrasound.