Ilashwa kanjani i-cirrhosis yesibindi

-Delile

• 1. Ukusetshenziswa kwemithi
• 2. Ukudla kwesibindi
• 3. Ukwelashwa kwemvelo
• 4. IHemodialysis
• 5. Ukufakelwa kwesibindi
• Izinkinga zesibindi sokuqina kwesibindi

Ukwelashwa kwesibindi sokuqina kwesibindi kuboniswa yi-hepatologist ngokusho kwezimpawu nobukhulu be-cirrhosis, nokusetshenziswa kwemithi, ukudla okwanele noma ukufakelwa kwesibindi ezimweni ezinzima kakhulu, ngokwesibonelo, kunganconywa.

I-cirrhosis yesibindi yisifo esiqhubekayo sesibindi, esivela njengomphumela wezimo eziholela ekubhujisweni okuhamba kancane nokuqhubekayo kwamaseli wesibindi, njengokuphuza ngokweqile noma i-hepatitis, isibonelo. Funda ngezinye izimbangela zesibindi sokuqina kwesibindi.

Ukufakelwa kwesibindi kukhonjiswa lapho ukuqina kwesibindi kubola, kuthandwa ukubonakala kwezinkinga, njenge-ascites, i-varicose digestive hemorrhage, i-hepatic encephalopathy kanye ne-bacterial peritonitis ezenzakalelayo. Ngakho-ke, kubalulekile ukuthi ukwelashwa kwesibindi sokuqina kwesibindi kwenziwe ngokushesha okukhulu, ukunciphisa ukuqhubeka kwesifo nokuvikela izinkinga.

Ngakho-ke, ukwelashwa kwesibindi sokuqina kwesibindi kunezinketho ezilandelayo:

1. Ukusetshenziswa kwemithi

Ukwelashwa kwezidakamizwa kwesibindi sokuqina kwesibindi kuhlose ukulawula ezinye izimpawu zesifo sokuqina kwesibindi, njengokusha kwesisu nokuqunjelwa okuqhamuka kuma-ascites, okuwukuqoqwa koketshezi esiswini, nokusetshenziswa kwamakhambi okwehlisa isisu okusiza ukuqeda okweqile kungakhonjiswa ngudokotela. oketshezi. Thola kabanzi ukuthi yini i-ascites nokuthi yiziphi izimpawu.

Uma kwenzeka i-hepatic encephalopathy, inkinga ye-cirrhosis lapho kwenzeka khona ukungasebenzi kahle kobuchopho, eminye imishanguzo efana ne-laxatives kanye ne-antibiotics, efana ne-lactulose neomycin noma i-rifaximin, ingabekwa ukusiza ukuqeda ubuthi emathunjini, ukuvimbela lezi zinto kuphazamise ukusebenza ubuchopho. Njengoba i-cirrhosis yesibindi inyusa ingcindezi yomthambo wesibindi, nemithi efana ne-beta-blockers yokwehlisa umfutho wegazi nayo ingakhonjiswa.

Ukwelashwa kwemithi yesibindi sokuqina kwesibindi kufanele kuboniswe kuphela yi-gastroenterologist noma i-hepatologist, ngokusho kwezimo zomtholampilo nezimpawu ezethulwe ngumuntu. Kwezinye izimo, ukugomela i-hepatitis A no-B kunconywa ukuvimbela ukulimala kwesibindi okuqhubekayo.

2. Ukudla kwesibindi

Ukudla kwesibindi sokuqina kwesibindi kufanele kuboniswe ngongoti wezokudla futhi kusekelwe ekudleni okunosawoti omningi, futhi kufanele kuthathelwe indawo ezinye izinongo ezifana neparsley noma ulamula, isibonelo. Kunconywa futhi ukuthi kudle ukudla okune-fiber enamaprotheni amancane, ikakhulukazi uma umuntu ene-ascites noma i-hepatic encephalopathy. Bona imenyu nokudla okuningi kokudla kwesibindi.

Ukwelashwa kokudla okunomsoco kwesibindi sokuqina kwesibindi kufaka phakathi isincomo sokuthi ungadli ukudla okunamafutha nokugxilisiwe, kanye nokungasebenzisi izidakamizwa, ikakhulukazi utshwala, okungenye yezimbangela eziyinhloko zalesi sifo, ngoba zingaqhubeka zilimaze isibindi. Ngakho-ke, ekwelapheni i-cirrhosis yesidakwa, ukuyeka utshwala kubalulekile.

3. Ukwelashwa kwemvelo

Ukwelashwa kwemvelo kwesibindi sokuqina kwesibindi akufanele kuthathe indawo yokwelashwa okubonisiwe futhi kufanele kwenziwe ngaphansi kokuqondisa kukadokotela, futhi eminye imikhiqizo yemvelo ikhonjiswa njengetiye le-elderberry noma i-uxi ephuzi okuthi, ngenxa yokuxoshwa kwayo nokuhlanzwa kwezakhiwo zayo, kungasiza ukukhulula izimpawu zesifo sokuqina kwesibindi. Funda ukuthi ungazilungiselela kanjani amakhambi asekhaya we-cirrhosis.

Ezimweni lapho i-cirrhosis yesibindi ingazange ibangelwe utshwala obuningi, obubizwa ngokuthi i-non-alcohol alcohol cirrhosis, kunganconywa ukusetshenziswa kwezithako ze-zinc ne-vitamin E, njengoba kunesenzo sokulwa nokuvuvukala, ukunciphisa izimpawu zalesi sifo.

4. IHemodialysis

I-Hemodialysis ikhonjiswa kubantu abahlukumezeke ngenxa yezinso ngenxa yezinkinga zesibindi sokuqina kwesibindi, njengobuthi obukhulayo emzimbeni, njengoba isibindi singakwazi ukumunca nokuqeda lezi zinto, kanye nokukhuphuka kwengcindezi yegazi noma ukungahambi kahle kwegazi emzimbeni. ezinso.

Le nqubo kumele yenziwe esibhedlela noma emtholampilo futhi iqukethe ukwelashwa ukuhlunga igazi, kususe ubuthi nosawoti, okungukuthi, kwenziwa ngomshini owenza imisebenzi efanayo nezinso. Bona okuningi mayelana nokuthi i-hemodialysis isebenza kanjani.

5. Ukufakelwa kwesibindi

Ukufakelwa kwesibindi kukhonjiswa udokotela ezimweni ezinzima kakhulu, lapho isibindi sesibindi sesibolile, isibindi sengozini enkulu futhi siyeka ukusebenza kahle, noma lapho ukwelashwa ngezidakamizwa kungasebenzi. Lolu hlobo lwezokwelapha lungakhonjiswa nasezimweni lapho kuthinteka khona isibindi ngesimila.

Ngemuva kokukhombisa le nqubo, kuyadingeka ukuthi ulinde kulayini wokunikela, ngoba kungemva kokuthola umnikeli kuphela lapho kuzohlelwa khona ukuhlinzwa kokufakelwa kabusha. Qonda ukuthi ukufakelwa kwesibindi kusebenza kanjani nokuthi kululama kanjani.

Izinkinga zesibindi sokuqina kwesibindi

I-cirrhosis yesibindi kufanele ilashwe ngokushesha nje lapho kutholakala ukuxilongwa, ngoba kungadala izinkinga ezifana ne-ascites, okuwukuqoqwa koketshezi esiswini futhi okuqubuka ngoba ingcindezi esemthanjeni wesibindi iyanda, okwenza imithambo yegazi icindezeleke . Ukubuyisela emuva le nkinga, ukusetshenziswa kwemithi kanye ne-paracentesis kuyadingeka. Bona okuningi ukuthi i-paracentesis yenziwa kanjani.

Ezinye izinkinga zesibindi sokuqina kwesibindi kungaba ama-esophageal varices, avela ngenxa yokuqhekeka kwemithambo yegazi endaweni yomlomo, ebangelwa yingcindezi eyandayo, ne-peritonitis, okuwukuvuvukala kolwelwesi olumboze isisu. Izinkinga zobuchopho namaphaphu nazo zingavela ngenxa yokwehla komoya-mpilo osegazini.