Isibindi

I-Cirrhosis inqabile kwisibindi kunye nokusebenza kakubi kwesibindi. Yinqanaba lokugqibela lesifo esingapheliyo sesibindi.

I-Cirrhosis ihlala isisiphumo sokulimala kwesibindi okungapheliyo okubangelwa sisifo sesibindi sexesha elide (esingapheliyo). Izizathu eziqhelekileyo zesifo esingapheliyo sesibindi eUnited States zi:

• I-Hepatitis B okanye usulelo lwe-hepatitis C.
• Ukusetyenziswa gwenxa kotywala.
• Amanqatha esibindi angabangelwa kukusela utywala kakhulu (esibizwa ngokuba sisifo sesibindi esinamafutha [i-NAFLD] kunye ne-nonalcoholic steatohepatitis [NASH]). Inxulumene kakhulu nokutyeba kakhulu, ukuba noxinzelelo lwegazi, isifo seswekile okanye isifo seswekile, kunye ne-cholesterol ephezulu.

Izizathu eziqhelekileyo eziqhelekileyo ze-cirrhosis ziquka:

• Xa iiseli zamajoni omzimba zenze impazamo kwiiseli eziqhelekileyo zesibindi zabahlaseli eziyingozi kwaye zibahlasele
• Ukuphazamiseka kwendlela yokubila
• Amanye amayeza
• Izifo zesibindi zidlulile kwiintsapho

Kungangabikho mpawu, okanye iimpawu zinokufika kancinci, kuxhomekeke ekusebenzeni kwesibindi. Rhoqo, ifunyanwa ngengozi xa i-x-ray yenziwe ngesinye isizathu.

Iimpawu zokuqala zibandakanya:

• Ukudinwa kunye nokuphelelwa ngamandla
• Ukutya okungalunganga kunye nokwehla kobunzima
• Isicaphucaphu okanye isisu esibuhlungu
• Incinci, imithambo yegazi ebomvu efana nesigcawu kulusu

Njengoko umsebenzi wesibindi ukhula, iimpawu zingabandakanya:

• Ulwakhiwo lwamanzi emilenzeni (edema) nakwisisu (ascites)
• Umbala otyheli kulusu, inwebu yangaphakathi, okanye amehlo (i-jaundice)
• Ububomvu ezintendeni zezandla
• Emadodeni, ukungabi namandla, ukuncipha kwamasende kunye nokudumba kwamabele
• Ukutyumza ngokulula kunye nokuphuma gazi ngokungaqhelekanga, amaxesha amaninzi kuvela kwimithambo edumbileyo kwindlela yokugaya
• Ukudideka okanye iingxaki zokucinga
• Ipeyinti okanye izitulo ezinombala wodongwe
• Ukopha kumacandelo emathumbu aphezulu okanye asezantsi

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba ukukhangela:

• Isibindi esandisiweyo okanye udakada
• Izicubu zamabele ezingaphezulu
• Ukudumba kwesisu, ngenxa yolwelo oluninzi
• Iintende ezibomvu
• Imithambo yegazi ebomvu efana nolusu olubomvu kulusu
• Amatyhalarha amancinci
• Imithambo ebanzi eludongeni lwesisu
• Amehlo aphuzi okanye ulusu (i-jaundice)

Unokuba novavanyo olulandelayo ukulinganisa ukusebenza kwesibindi:

• Gcwalisa ubalo lwegazi
• Ixesha leprothrombin
• Uvavanyo lomsebenzi wesibindi
• Inqanaba le-albhamuin yegazi

Olunye uvavanyo lokujonga ukonakala kwesibindi kubandakanya:

• Ikhompyuter ye-tomography (CT) yesisu
• Imagnetic resonance imaging (MRI) yesisu
• I-Endoscopy ukujonga imithambo engaqhelekanga kwi-esophagus okanye esiswini
• I-Ultrasound yesisu

Unokufuna i-biopsy yesibindi ukuqinisekisa ukuxilongwa.

UTSHINTSHO KWIMPILO

Ezinye zezinto onokuzenza ukunceda ukukhathalela isifo sesibindi zezi:

• Musa ukusela utywala.
• Yitya ukutya okusempilweni okunetyuwa eninzi, amafutha kunye neecarbohydrate ezilula.
• Gonyelwa izifo ezifana ne-influenza, i-hepatitis A kunye ne-B, kunye ne-pneumococcal pneumonia.
• Thetha nomboneleli wakho ngawo onke amayeza owathathayo, kubandakanya amayeza kunye nezongezo kunye namayeza awathengisayo.
• Zilolonge.
• Lawula iingxaki zakho zemetabolism, ezinje ngoxinzelelo lwegazi, isifo seswekile, kunye necholesterol ephezulu.

AMAYEZA ASEKUGQIRHA WAKHO

• Iipilisi zamanzi (i-diuretics) zokuphelisa ulwelo olwakhiweyo
• Vitamin K okanye iimveliso zegazi ukuthintela ukopha kakhulu
• Amayeza okudideka kwengqondo
• Amayeza okubulala iintsholongwane

OLUNYE UNYANGO

• Unyango lwe-Endoscopic yemithambo eyandisiweyo kwi-esophagus (varices)
• Ukususwa kolwelo esiswini (paracentesis)
• Ukubekwa kwe-transjugular intrahepatic portosystemic shunt (TIPS) ukulungisa ukuhamba kwegazi esibindini

Xa i-cirrhosis iqhubela phambili ukuya esiphelweni sesifo sesibindi, ukufakelwa kwesibindi kunokufuneka.

Unako ukunciphisa uxinzelelo lokugula ngokujoyina iqela lenkxaso yesifo sesibindi elinamalungu abelana ngamava aqhelekileyo kunye neengxaki.

I-Cirrhosis ibangelwa kukunqongophala kwesibindi. Kwiimeko ezininzi, isibindi asinakuphulukisa okanye sibuyele ekusebenzeni kwesiqhelo xa umonakalo ubukhali. I-Cirrhosis inokukhokelela kwiingxaki ezinkulu.

Iingxaki zinokubandakanya:

• Iingxaki zokopha
• Ukwakhiwa kolwelo esiswini (ascites) kunye nosulelo kulwelo (ibacterial peritonitis)
• Iimvumba ezandisiweyo kwi-esophagus, isisu, okanye amathumbu aphuma lula (i-esophageal varices)
• Ukonyusa uxinzelelo kwimithambo yegazi yesibindi (i-portal hypertension)
• Ukusilela kwezintso (hepatorenal syndrome)
• Umhlaza wesibindi (hepatocellular carcinoma)
• Ukudideka kwengqondo, utshintsho kwinqanaba lokuqonda, okanye ikhoma (i-hepatic encephalopathy)

Shayela umnikezeli wakho ukuba uhlakulela iimpawu ze-cirrhosis.

Fumana uncedo lwezonyango ngokukhawuleza ukuba unayo:

• Intlungu esiswini okanye esifubeni
• Ukudumba kwesisu okanye i-ascites entsha okanye ngesiquphe iba mandundu
• Umkhuhlane (ubushushu obungaphezulu kwe-101 ° F okanye ama-38.3 ° C)
• Urhudo
• Ukudideka okanye utshintsho kulumkiso, okanye kuya kusiba mandundu
• Ukopha okungafunekiyo, ukugabha igazi, okanye igazi kumchamo
• Ukuqhawukelwa ngumphefumlo
• Ukuhlanza ngaphezulu kwesinye ngosuku
• Isikhumba esimthubi okanye amehlo (jaundice) amatsha okanye aba mandundu ngokukhawuleza

Musa ukusela utywala. Thetha nomboneleli wakho ukuba ukhathazekile kukusela kwakho. Thatha amanyathelo okuthintela ukufumana i-hepatitis B okanye i-C okanye ukuyidlulisela kwabanye abantu.

I-cirrhosis yesibindi; Isifo sesibindi esinganyangekiyo; Isifo sesibindi sokugqibela; Ukungaphumeleli kwesibindi - i-cirrhosis; Ascites - ukuqina

• Isibindi - ukubhobhoza

• Inkqubo yokugaya ukutya
• Inkqubo yokwetyisa
• Isibindi sokuqina kwesibindi-CT scan

UGarcia-Tsao G. Cirrhosis kunye nokulandelelana kwayo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 144.

Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH. Isikhokelo seKlinikhi ye-ACG: isifo sesibindi esinxilisayo. NdinguJ Gastroenterol. Ngo-2018; 113 (2): 175-194. IINKCUKACHA: 29336434 pubmed.ncbi.nlm.nih.gov/29336434/.

UWilson SR, uyabuna CE. Isibindi. Ku: iRumack CM, uLeviine D, ii-eds. Uxilongo lwe-Ultrasound. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 4.