Kuyini ukusha kwesibindi kohlobo oludakayo, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ukuxilongwa kwe-hepatitis enotshwala
• Yelashwa kanjani
• 1. Ukudeda otshwaleni
• 2. Ukunakekela ukudla
• 3. Ukusetshenziswa kwemithi
• 4. Ukufakelwa kwesibindi

Isifo sokusha kwesibindi kohlobo oludakayo luhlobo lwesifo sokusha kwesibindi esidalwa ukusetshenziswa isikhathi eside futhi ngokweqile kophuzo oludakayo oluthi ngokuhamba kwesikhathi lubangele ushintsho esibindini futhi luholele ekubonakaleni kwezimpawu ezinjengobuhlungu besisu, isicanucanu, ukugabha nokuphelelwa isifiso sokudla, isibonelo.

Isifo sokusha kwesibindi esidakayo siyelapheka, ezimweni eziningi, inqobo nje uma umuntu eyeka ukuphuza utshwala bese elashwa ngemithi enikezwe i-hepatologist noma udokotela ojwayelekile, ukuze kugwenywe izinkinga ezinkulu, ezifana ne-cirrhosis noma ukwehluleka kwesibindi.

Izimpawu eziyinhloko

Izimpawu nezimpawu ezisemqoka ze-hepatitis yotshwala zingabandakanya:

• Ubuhlungu besisu ngakwesokunene;
• Isikhumba namehlo aphuzi, isimo esibizwa nge-jaundice;
• Ukuvuvukala komzimba, ikakhulukazi esiswini;
• Ukuphelelwa isifiso sokudla;
• Ukukhathala ngokweqile;
• Isicanucanu nokuhlanza;
• Ukwehla kwesisindo ngaphandle kwesizathu esisobala;
• Ukwandiswa kwesibindi nobende, okungabonwa ngokwandisa ivolumu yesisu.

Imvamisa, abantu abakhombisa izimpawu nezimpawu zesifo sokusha kwesibindi esidakayo futhi abangaqali ukwelashwa okwanele, banesilinganiso sezinyanga eziyisithupha sokusinda ngemuva kokuvela kwezimpawu zokuqala. Ngakho-ke, kubaluleke kakhulu ukubonisana nodokotela be-hepatologist ngokushesha okukhulu lapho kuvela izimpawu zezinkinga zesibindi.

Ukuxilongwa kwe-hepatitis enotshwala

Ukuxilongwa kwe-hepatitis yotshwala kwenziwa ngudokotela wezifo zengqondo noma udokotela ojwayelekile ngokuhlolwa kwelabhorethri, njengezilinganiso ze-enzyme ezihlola ukusebenza kwesibindi nokubala okuphelele kwegazi. Ngaphezu kwalokho, udokotela angancoma ukwenza izivivinyo ze-imaging, njenge-ultrasound yesisu, ukuhlola ushintsho esibindini nasesipilini.

Ngaphezu kwezivivinyo, udokotela kufanele acabangele umlando wesiguli ngesikhathi sokuxilongwa, futhi kubalulekile ukwazi ukuthi ngabe umuntu ubesebenzisa yini uphuzo oludakayo, imvamisa nobuningi.

Yelashwa kanjani

Ukwelashwa kwe-hepatitis enotshwala kufanele kuqondiswe yi-hepatologist noma i-gastroenterologist, futhi kungahluka ngokuya ngobukhulu besifo. Esinye sezinkomba eziyinhloko zokwelashwa kwesifo sokusha kwesibindi kohlobo oludakayo wukungaphuzi utshwala, ngoba lokhu kunciphisa ukuvuvukala kwesibindi, kuqeda izimpawu futhi kuvimbele ukuqhubeka kwesifo.

Kodwa-ke, izindlela eziyinhloko zokwelapha i-hepatitis yotshwala zifaka:

1. Ukudeda otshwaleni

Ukuyeka iziphuzo ezidakayo, ukuyeka utshwala, kuyisinyathelo esikhulu ekwelapheni isifo sokusha kwesibindi. Ezimweni eziningi, kunokuthuthuka okuphawulekayo kokuvuvukala nokuqongelelwa kwamafutha esibindini, okungathi kwesinye isikhathi kwanele ukwelapha i-hepatitis.

Kodwa-ke, kwezinye izimo, ukuvuvukala kungathuthuka kuphela, ngokuqhubeka kwesifo sesibindi, kudinga ukuhlangana kwezinye izindlela ngudokotela. Nakulezi zimo, ukuyeka ukuphuza utshwala kubalulekile ukuze lesi sifo siqhubeke kancane futhi sandise isikhathi sokuphila.

Funda kabanzi ngezifo eziphambili ezibangelwa utshwala.

2. Ukunakekela ukudla

Ukungondleki, nokuntuleka kwama-calories, amaprotheni namavithamini, kuvamile kubantu abane-hepatitis yotshwala.

Ngale ndlela, kubaluleke kakhulu ukweluleka isazi sokudla okunempilo, esingakhombisa ukudla okunothile ngamakhalori adingekayo, okufanele abe ngama-kcal angama-2 000 ngosuku, ukudla ama-amino acid kanye namaprotheni kanye nokwengeza amavithamini namaminerali afana ne-thiamine, i-folic acid, uvithamini A, uvithamini D, i-pyridoxine ne-zinc, isibonelo.

Bona ezinye izincomo kuvidiyo engezansi:

3. Ukusetshenziswa kwemithi

Eminye imishanguzo ethile ingakhonjiswa ngudokotela ekwelapheni i-hepatitis enotshwala, njenge-corticosteroids, enesenzo sokulwa nokuvuvukala, evikela amangqamuzana esibindi esenzweni esinobuthi sotshwala.

Kungakhonjiswa ezinye izidakamizwa ezinamasosha omzimba, njenge-anti-TNF, noma imishanguzo yokujikeleza kwegazi, njengePentoxifylline. Ngaphezu kwalokho, amakhambi anjenge-ursodeoxycholic acid, i-S-Adenosyl-L-Methionine nePhosphatidylcholine abukeka anemiphumela ye-hepatoprotective.

Ezinye izindlela zokwelashwa zivivinyiwe noma zingabekelwa amacala athile wesifo sokusha kwesibindi kohlobo oludakayo, futhi kufanele ngaso sonke isikhathi siboniswe ngudokotela wesibindi noma wesibindi.

4. Ukufakelwa kwesibindi

Abaqokelwa ukufakelwa isibindi kungaba yiziguli ezinesifo sesibindi esifinyelela esigabeni esithuthukile, ezingathuthuki ngokwelashwa kwemitholampilo noma eziqhubekela ekuhlulekeni kwesibindi kanye nokuqina kwesibindi.

Ukufaka ulayini wokufakelwa kabusha, kubalulekile ukuyeka ukuphuza utshwala nemikhuba efana nokubhema. Thola ukuthi ukululama kanjani ekufakweni kwesibindi nokunakekelwa okudingekayo.