Isifo sokusha kwesibindi ngokugcwele: siyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu ze-hepatitis egcwele
• Izimbangela eziyinhloko
• Injani impatho

I-Fulminant hepatitis, eyaziwa nangokuthi ukwehluleka kwesibindi ngokugcwele noma i-hepatitis enamandla, ifana nokuvuvukala okukhulu kwesibindi kubantu abanesibindi esijwayelekile noma isifo esilawulwa isibindi lapho isibindi singasasebenzi khona, okungadala ukufa ezinsukwini ezimbalwa .

Izimpawu zesifo sokusha kwesibindi esiphelele ziyafana nalezo zesinye isifo sokusha kwesibindi, kepha izimpawu zalolu hlobo lwe-hepatitis zingathuthuka ngokushesha, ngomchamo omnyama njalo, isikhumba esiphuzi namehlo, umkhuhlane ophansi kanye nokugula okuvamile. Lezi zimpawu zithuthuka ngokushesha ngenxa yokubandakanyeka kwesibindi okuqhubekayo.

Kubalulekile ukuthi ukuxilongwa nokwelashwa kwe-hepatitis egcwele ngokugcwele kwenziwe ngokushesha okukhulu ukuze izimpawu zilawulwe futhi kungabikho ukulahleka okuphelele kokusebenza kwesibindi, lapho kudingeka ukuthi umuntu ahlale esibhedlela ukuze kwenziwe ukwelashwa.

Izimpawu ze-hepatitis egcwele

Izimpawu zesifo sokusha kwesibindi esiphelele ziyavela futhi ziguquke ngokushesha ngenxa yokukhubazeka okungapheli kwesibindi, okungashiya umuntu ebuthakathaka kakhulu emahoreni ambalwa. Izimpawu nezimpawu eziyinhloko zesifo sokusha kwesibindi ngokuphelele:

• Umchamo omnyama;
• Amehlo nesikhumba esiphuzi, isimo esibizwa nge-jaundice;
• Ukugula okuvamile
• Umkhuhlane ophansi;
• Isicanucanu nokuhlanza;
• Ubuhlungu ohlangothini lwesokunene sesisu;
• Ukuvuvukala kwesisu;
• Ukungasebenzi kahle kwezinso;
• Ukopha kakhulu.

Lapho umuntu ehlehliswa kakhulu, i-hepatic encephalopathy iyakhula, eyenzeka lapho ukuvuvukala kufinyelela ebuchosheni, kubangele ushintsho ekuziphatheni, ukuphazamiseka kokulala, ukudideka, kanye nokuquleka, okubonisa isigaba esithuthukile sesifo.

Ngokuthola i-hepatitis egcwele, udokotela kufanele abheke isiguli bese ecela ukuhlolwa kwe-laboratory kanye ne-biopsy yezicubu zesibindi ezivumela ukuqina kwezilonda futhi kwesinye isikhathi izimbangela zesifo zitholakale. Bona ukuthi yiziphi izivivinyo ezihlola isibindi.

Izimbangela eziyinhloko

I-hepine ye-Fulminant ivame ukwenzeka kubantu abanesibindi esijwayelekile, kepha kungenzeka nakwabantu abalawule izinguquko zesibindi, ngokwesimo se-hepatitis A no-B, ngokwesibonelo. Ngakho-ke, ezimweni eziningi, i-hepatitis egcwele iwumphumela wezinye izimo, okuyizona eziyinhloko:

• Izifo ezizimele njenge-Reye's syndrome nesifo sikaWilson;
• Ukusetshenziswa kwemithi, isikhathi esiningi njengomphumela wokuzelapha wena;
• Ukusetshenziswa kwetiye zokwehlisa isisindo ngokweqile nangaphandle kokuholwa;
• Ukuntuleka komoya-mpilo ezicutshini zesibindi;
• Amafutha amaningi esibindini ngesikhathi sokukhulelwa.

Uma noma yisiphi salezi zimo sikhona, isibindi somuntu singathinteka kakhulu, singabe sisakwazi ukuhlunga igazi ukuze lisuse ukungcola kwalo nokugcina amavithamini namaminerali, okuholele ekubonakaleni kwezimpawu nezimpawu zesifo sokusha kwesibindi ngokuphelele.

Lapho ukwelashwa kungaqalwa ngokushesha, isibindi siyayeka ukuguqula i-ammonia ibe yi-urea bese isifo siqhubeka sithinta ubuchopho, siqale isimo esibizwa ngokuthi yi-hepatic encephalopathy, esingalandelwa ukwehluleka noma ukwehluleka kwezinye izitho ezinjengezinso noma amaphaphu, nekhoma .

Injani impatho

Ukwelashwa kwe-hepatitis egcwele kwenziwa esibhedlela futhi kuqukethe ukusetshenziswa kwemithi yokuqeda ubuthi esibindini. Kubalulekile ukuthi umuntu azile isikhathi esithile bese ethola ukudla okwanele, okungenamafutha. Kwesinye isikhathi i-dialysis yokuhlanza igazi iyadingeka.

Kodwa-ke, lokhu akwanele ngaso sonke isikhathi ukwelapha i-hepatitis egcwele, ngoba ukuvuvukala kwesibindi kuvame ukubanzi futhi alikho ithuba lokuhlehla. Ngakho-ke, ukufakelwa kwesibindi kunganconywa ukuze kutholakale ikhambi. Qonda ukuthi ukufakelwa kwesibindi kwenziwa kanjani.

Kodwa-ke, njengoba i-hepatitis egcwele ingumphumela wezinye izinguquko, kubalulekile ukuthi imbangela yayo ikhonjwe futhi yelashwe, ivimbele ukulimala kwesibindi.