Isifo Sesibindi Esingadli Ngotshwala

-Delile

• Izimpawu
• Izimbangela
• Izici zobungozi
• Kutholakala kanjani
• Ingabe isifo sesibindi esinamafutha angenalo utshwala singadala izinkinga?
• Izinketho zokwelashwa
• Uyini umbono wezifo zesibindi ezinamafutha angenalo utshwala?

Siyini isifo sesibindi esinamafutha angenalo utshwala?

Ukuphuza kakhulu utshwala kungadala inqwaba yamafutha esibindini sakho. Kungaholela ekunqandeni izicubu zesibindi, ezaziwa ngokuthi i-cirrhosis. Umsebenzi wesibindi uyancipha kuye ngokuthi kungakanani ukusikeka okwenzekayo. Izicubu ezinamafutha nazo zingakha esibindini sakho uma uphuza utshwala obuncane noma ungabuphuzi nhlobo. Lokhu kwaziwa njengesifo sesibindi esinamafutha angenalo utshwala (NAFLD). Kungadala nesifo sokuqina kwesibindi.

Izinguquko zokuphila zivame ukusiza i-NAFLD ukuthi ingabi kubi kakhulu. Kepha, kwabanye abantu, lesi simo singaholela ezinkingeni zesibindi ezisongela impilo.

I-NAFLD nesifo sesibindi sotshwala (ALD) ziwela ngaphansi kwesikhathi sesambulela sesifo esinamafutha sesibindi. Isimo sichazwa njenge-hepatic steatosis lapho amaphesenti amahlanu kuya kwayi-10 esisindo sesibindi singamafutha.

Izimpawu

Ezimweni eziningi ze-NAFLD, azikho izimpawu ezibonakalayo. Uma izimpawu zikhona, zivame ukufaka:

• ubuhlungu ohlangothini olungaphezulu kwesokudla sesisu
• ukukhathala
• isibindi esikhulisiwe noma ubende (okuvame ukubonwa ngudokotela ngesikhathi sokuhlolwa)
• ascites, noma ukuvuvukala esiswini
• i-jaundice, noma ukuphuzi kwesikhumba namehlo

Uma i-NAFLD iqhubekela phambili ku-cirrhosis, izimpawu zingafaka:

• ukudideka kwengqondo
• ukopha ngaphakathi
• ukugcinwa koketshezi
• ukulahlekelwa ukusebenza kwesibindi okunempilo

Izimbangela

Izimbangela eziqondile ze-NAFLD aziqondakali kahle. Kubonakala kunokuxhumana phakathi kwalesi sifo nokuphikiswa kwe-insulin.

I-insulini iyihomoni. Lapho imisipha yakho nezicubu zakho zidinga i-glucose (ushukela) ukuthola amandla, i-insulin isiza ukuvula amaseli ukuthi athathe i-glucose egazini lakho. I-insulin ibuye isize isibindi ukugcina i-glucose eyeqile.

Lapho umzimba wakho uqala ukumelana ne-insulin, kusho ukuthi amaseli akho awaphenduli ku-insulin ngendlela okufanele enze ngayo. Ngenxa yalokho, amanoni amaningi agcina esibindi. Lokhu kungaholela ekuvukeleni nasekuqhekekeni kwesibindi.

Izici zobungozi

I-NAFLD ithinta amaphesenti alinganiselwa ku-20 wabantu. Ukuphikiswa kwe-insulin kubonakala kuyingozi enkulu kunazo zonke, noma ungaba ne-NAFLD ngaphandle kokumelana ne-insulin.

Abantu okungenzeka bahlakulele ukumelana ne-insulin kufaka phakathi abantu abakhuluphele ngokweqile noma abaphila impilo yokuzihlalela.

Ezinye izinto ezinobungozi ze-NAFLD zifaka:

• isifo sikashukela
• amazinga aphezulu e-cholesterol
• amazinga aphezulu we-triglyceride
• ukusetshenziswa kwama-corticosteroids
• ukusetshenziswa kwemithi ethile yomdlavuza, kufaka phakathi i-Tamoxifen yomdlavuza webele
• ukukhulelwa

Imikhuba emibi yokudla noma ukunciphisa umzimba ngokungazelelwe kungaphakamisa ingozi ye-NAFLD.

Kutholakala kanjani

I-NAFLD imvamisa ayinazo izimpawu. Ngakho-ke, ukuxilongwa kuvame ukuqala ngemuva kokuthi ukuhlolwa kwegazi kuthole amazinga aphakeme kakhulu kunokujwayelekile ama-enzyme wesibindi. Ukuhlolwa kwegazi okujwayelekile kungaveza lo mphumela.

Izinga eliphakeme lama-enzyme wesibindi lingaphakamisa nezinye izifo zesibindi. Udokotela wakho uzodinga ukulawula ezinye izimo ngaphambi kokuthola i-NAFLD.

I-ultrasound yesibindi ingasiza ukuveza amafutha amaningi esibindini. Olunye uhlobo lwe-ultrasound, olubizwa ngokuthi i-elastography yesikhashana, lilinganisa ukuqina kwesibindi sakho. Ukuqina okukhulu kuphakamisa ukusikeka okukhulu.

Uma lezi zivivinyo zingahambelani, udokotela wakho angancoma i-biopsy yesibindi. Kulesi sivivinyo, udokotela ususa isampula elincane lezicubu zesibindi ngenaliti efakwe esiswini sakho. Isampula lifundelwa ebhodini lezimpawu zokuvuvukala kanye nesibazi.

Uma unezimpawu ezinjengobuhlungu besisu esiswini sangakwesokudla, i-jaundice, noma ukuvuvukala, bheka udokotela.

Ingabe isifo sesibindi esinamafutha angenalo utshwala singadala izinkinga?

Ingozi enkulu ye-NAFLD yi-cirrhosis, enganciphisa amandla akho wesibindi okwenza umsebenzi wawo. Isibindi sakho sinemisebenzi eminingana ebalulekile, kufaka phakathi:

• ukukhiqiza i-bile, okusiza ukudiliza amafutha nokususa imfucuza emzimbeni
• ukugcoba imithi nobuthi
• kulinganisa amazinga oketshezi emzimbeni ngokukhiqizwa kwamaprotheni
• icubungula i-hemoglobin nokugcina insimbi
• iguqula i-ammonia egazini lakho ibe yi-urea engenabungozi ekukhishweni
• ukugcina nokukhulula i-glucose (ushukela) njengoba kudingeka ngamandla
• ukukhiqiza i-cholesterol, edingekayo empilweni yeselula
• kususa amagciwane egazini
• kuveza izici zokuzivikela ezifweni ukulwa nezifo
• elawula ukujiya kwegazi

I-cirrhosis kwesinye isikhathi ingathuthukela kumdlavuza wesibindi noma ukwehluleka kwesibindi. Kwezinye izimo, ukwehluleka kwesibindi kungaphathwa ngemithi, kepha imvamisa ukufakelwa kwesibindi kuyadingeka.

Amacala amancane we-NAFLD angeke aholele ezinkingeni ezinkulu zesibindi noma ezinye izinkinga. Ezimweni ezimnene, ukuxilongwa kusenesikhathi kanye nezinguquko endleleni yokuphila kubalulekile ekulondolozeni impilo yesibindi.

Izinketho zokwelashwa

Ayikho imithi ethile noma inqubo yokwelapha i-NAFLD. Esikhundleni salokho, udokotela wakho uzoncoma izinguquko ezimbalwa ezibalulekile zokuphila. Lokhu kufaka phakathi:

• ukuncipha uma ukhuluphele noma ukhuluphele ngokweqile
• ukudla ukudla kwezithelo, imifino, nezinhlamvu ezigcwele
• ukuzivocavoca okungenani imizuzu engama-30 nsuku zonke
• ukulawula amazinga akho e-cholesterol neglucose yegazi
• ukugwema utshwala

Kubalulekile futhi ukulandela isikhathi sokuqokwa kodokotela futhi ubike noma yiziphi izimpawu ezintsha.

Uyini umbono wezifo zesibindi ezinamafutha angenalo utshwala?

Uma ungenza ushintsho lwendlela yokuphila enconywayo kusenesikhathi, ungakwazi ukugcina impilo enhle yesibindi isikhathi eside. Ungase ukwazi ngisho nokuguqula ukulimala kwesibindi ezigabeni zokuqala zesifo.

Noma ungazizwa zivela ku-NAFLD, lokho akusho ukuthi isibazi sesibindi asivele sivele. Ukunciphisa ubungozi bakho, landela indlela yokuphila enempilo futhi wenze umsebenzi wegazi ojwayelekile, kufaka phakathi ukuhlolwa kwe-enzyme yesibindi.