Isibindi steatosis: kuyini, izimpawu, amadigri kanye nokwelashwa

-Delile

• Iziqu ze-hepatic steatosis
• Izimpawu eziyinhloko
• Izimbangela eziyinhloko ze-hepatic steatosis
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Ukuhlolwa kolwazi
• Isibindi esinamafutha: hlola ulwazi lwakho!

Ukuqoqwa kwamafutha esibindini, ngokwezinga elithile kubizwa ngokuthi isibindi esinamafutha, kuyinkinga ejwayelekile kakhulu engadalwa yizinto eziyingozi njengokukhuluphala, isifo sikashukela, i-cholesterol ephezulu nokusetshenziswa ngokweqile kweziphuzo ezidakayo.

Yize zingekho njalo izimpawu, kungenzeka ukuthi abanye abantu bezwa ubuhlungu ohlangothini lokunene lwesisu, isisu esivuvukele, isicanucanu, ukuhlanza nokugula okujwayelekile. Lapho kukhona lezi zimpawu, kufanele kuboniswane nodokotela wezifo zengqondo ukuze kwenziwe izivivinyo ezihlola ukusebenza kwesibindi nobukhulu besifo. Bheka ezinye zezivivinyo ezihlola impilo yesibindi.

Amafutha wesibindi angalawulwa ngezinguquko ekudleni nasekuzivocavoca umzimba njalo, kubalulekile ukulandela ukwelashwa okufanele ukugwema izinkinga ezifana ne-cirrhosis.

Iziqu ze-hepatic steatosis

Amafutha wesibindi angahlukaniswa ngokobukhulu bawo abe:

• Ibanga 1 noma i-steatosis elula ye-hepatic: Amafutha amaningi ngokweqile kubhekwa njengokungenangozi. Imvamisa azikho izimpawu futhi inkinga itholakala kuphela ngokuhlolwa kwegazi okujwayelekile;
• Ibanga lesi-2 noma i-hepatic steatosis engadakwa utshwala: ngaphezu kwamafutha amaningi, isibindi siyavuvuka, okungaholela ekubonakaleni kwezimpawu ezithile ezinjengobuhlungu ohlangothini lwesokunene sesisu nesisu esivuvukile;
• Ibanga lesi-3 noma i-hepatic fibrosis: kunamafutha nokuvuvukala okubangela izinguquko esithweni nasemithanjeni yegazi ezungezile, kodwa isibindi sisasebenza ngokujwayelekile;
• Ibanga lesi-4 noma i-cirrhosis yesibindi: kuyisigaba esibi kakhulu sesifo futhi kuvela ngemuva kweminyaka yokuvuvukala, okubonakala ngokushintshwa kwesibindi sonke okubangela ukwehla kobukhulu baso futhi kushiye isimo saso esingajwayelekile. I-Cirrhosis ingaqhubekela phambili kumdlavuza noma ekufeni kwesibindi, okudinga ukufakelwa komzimba.

Ngakho-ke, ngaphezu kokuhlola inani lamafutha esithweni, kubalulekile nokuhlola ubukhona bokuvuvukala, ngoba kuyimbangela enkulu yokufa kwamaseli alelunga. Ukuhlola ukuqhubeka kwesifo, udokotela angakhombisa ukusebenza kwe-elastography ye-hepatic, okuwukuhlolwa okusheshayo nokungenabuhlungu futhi okusebenza kakhulu ekuqapheni umuntu onesifo sesibindi. Qonda ukuthi i-elastography yesibindi yenziwa kanjani.

Izimpawu eziyinhloko

Imvamisa, ngesikhathi sokuqala kwalesi sifo, asikho isibonakaliso futhi, ngakho-ke, i-steatosis ivame ukutholakala ngephutha ngokuhlolwa ukuthola ezinye izifo.

Kodwa-ke, ezigabeni ezithuthuke kakhulu, ubuhlungu bungavela ohlangothini olungaphezulu kwesokudla sesisu, ukuncipha kwesisindo okungachazeki, ukukhathala kanye nokugula okujwayelekile, ngesicanucanu nokuhlanza, ngokwesibonelo. Ezimweni ze-cirrhosis, ezinye izimpawu zingavela, njengesikhumba esiphuzi namehlo, umzimba olumayo nokuvuvukala esiswini, emilenzeni nasemaqakaleni. Bheka uhlu oluphelele lwezimpawu zesibindi esinamafutha.

Izimbangela eziyinhloko ze-hepatic steatosis

Izimbangela zamafutha esibindi azikaqondakali kahle, kepha indlela eholela ekuqaleni kwalesi sifo iyisihloko sabaphenyi abaningi namuhla. Kukholakala ukuthi ukunqwabelana kwamafutha esibindi kuhlobene nokungalingani phakathi kokusetshenziswa nokuhlanganiswa kwamafutha ngumzimba nokusetshenziswa kwawo nokuqedwa kwawo. Lokhu kungalingani, nakho, kungahle kuhlobane nezakhi zofuzo, zokudla okunempilo nezemvelo.

Yize izimbangela zingakaziwa okwamanje, ubungozi bokuthola amafutha esibindini bukhulu kakhulu kubantu abaphuza iziphuzo ezidakayo, futhi bangezelelwa uma kunezinye izinto eziyingozi, njenge:

• Ukukhuluphala;
• Thayipha isifo sikashukela sesi-2;
• Ingcindezi ephezulu;
• I-cholesterol ephezulu;
• Ubudala ngaphezu kweminyaka engama-50;
• Ukuba ngumuntu obhemayo;
• Yiba ne-hypothyroidism.

Ngaphezu kwalokho, ukuhlinzekwa nge-bariatric nezinye izinqubo zokwehlisa isisindo kwandisa ingozi yokuthola amafutha esibindi ngenxa yezinguquko emzimbeni ezenziwa ukuncipha ngokushesha kwesisindo. Kodwa-ke, le nkinga ingavela nakubantu abangenazo izinto eziyingozi, futhi ingathinta nezingane nabesifazane abakhulelwe.

Ungakuqinisekisa kanjani ukuxilongwa

Izinguquko esibindini zingatholwa ekuqaleni ngokuhlolwa kwegazi okuhlola izinto ezikhiqizwa yileso sitho. Futhi, uma kunamanani ashintshiwe, akhombisa ukuthi isibindi asisebenzi kahle, udokotela anga-oda izivivinyo ezengeziwe ezifana ne-ultrasound, tomography, isibindi elastography, imaging resonance imaging noma i-biopsy.

Kodwa-ke, kubalulekile ukuthi uqaphele ukuthi amanoni asesibindi awabangeli ngaso sonke isikhathi izinguquko ekuhlolweni kwegazi, okungabambezela ukutholakala kwalesi sifo kuze kube yilapho isiguli sine-ultrasound scan ukuphenya ezinye izinkinga.

Yelashwa kanjani

Ukwelashwa kwamafutha esibindi kwenziwa ikakhulukazi ngezinguquko ekudleni, ukuzivocavoca umzimba njalo nokuqeda ukusetshenziswa kotshwala. Ngaphezu kwalokho, kuyadingeka futhi ukwehlisa isisindo nokulawula izifo ezenza inkinga ibe yimbi kakhulu, njengesifo sikashukela, umfutho wegazi ophakeme kanye ne-cholesterol ephezulu, ngokwesibonelo. Nasi isibonelo sokuthi ukudla okunamafutha wesibindi kufanele kubukeke kanjani.

Azikho izixazululo ezithile zokwelapha isifo sesibindi esinamafutha, kepha udokotela wakho angancoma imishanguzo yokusha kwesibindi kohlobo B ukuvimbela izifo eziningi zesibindi. Amanye amakhambi asekhaya angasetshenziselwa ukwelashwa, njenge-thistle tea noma itiye ye-artichoke, kubalulekile ukuthi uqale ucele imvume kudokotela wakho ngaphambi kokuyisebenzisa.

Ividiyo elandelayo inikeza amathiphu avela kusazi sethu sokudla ukulawula nokunciphisa amafutha wesibindi:

Ukuhlolwa kolwazi

Thatha ukuhlolwa kwethu kolwazi okusheshayo ukuthola ukuthi uyakwazi yini ukusinakekela kahle isibindi esinamafutha:

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• 2
• 3
• 4
• 5

Isibindi esinamafutha: hlola ulwazi lwakho!

Qala isivivinyo Ukudla okunempilo kwesibindi kusho:

• Yidla ilayisi eliningi noma isinkwa esimhlophe, nabaqhekezi abagxishiwe.
• Yidla kakhulu imifino nezithelo ezintsha ngoba zinothe nge-fiber futhi zinamafutha amancane, kunciphisa ukusetshenziswa kokudla okusetshenzisiwe.

Ungabona ukuthi isibindi siyathuthuka lapho:

• I-cholesterol, i-triglycerides, umfutho wegazi nokuncipha kwesisindo;
• Ayikho i-anemia.
• Isikhumba siba sihle ngokwengeziwe.

Ukuphuzwa kukabhiya, iwayini noma yisiphi isiphuzo esidakayo:

• Kuvunyelwe, kepha ngezinsuku zephathi kuphela.
• Kuvinjelwe. Ukusetshenziswa kotshwala kufanele kugwenywe ngokuphelele esimweni sesibindi esinamafutha.

Enye yezindlela ezinhle kakhulu zokusiza isibindi sakho ukuthi silulame yile:

• Ukudla ukudla okunamafutha amancane ukunciphisa isisindo kuzokwehlisa ne-cholesterol, i-triglycerides kanye ne-insulin ukumelana.
• Thola ukuhlolwa kwegazi ne-ultrasound njalo.
• Phuza amanzi amaningi akhanyayo.

Ukudla okungafanele kudliwe ukusiza ukubuyiselwa kwesibindi yile:

• Ukudla okunamafutha amaningi njengesoseji, isoseji, amasoso, ibhotela, inyama enamafutha, ushizi ophuzi kakhulu nokudla okusetshenzisiwe.
• Izithelo ze-citrus noma ikhasi elibomvu.
• Amasaladi namasobho.

Langaphambilini Okulandelayo