Isifo sesibindi esinxilisayo

Isifo sesibindi esinxilisayo sonakalisa isibindi kunye nomsebenzi waso ngenxa yokusetyenziswa gwenxa kotywala.

Isifo sesibindi esinotywala senzeka emva kweminyaka yokusela kakhulu. Ixesha elingaphezulu, ukubola kunye nokuqina kwesibindi kunokwenzeka. I-Cirrhosis sisigaba sokugqibela sesifo sesibindi esinxilisayo.

Isifo sesibindi esinxilisayo asenzeki kubo bonke abantu abasela kakhulu. Amathuba okufumana isifo sesibindi akhuphuka ixesha elide usela kunye notywala obuninzi obuselayo. Akunyanzelekanga ukuba unxile ukuze kwenzeke esi sifo.

Esi sifo siqhelekile ebantwini abaphakathi kweminyaka engama-40 ukuya kwengama-50 ubudala. Amadoda kunokwenzeka ukuba abe nale ngxaki. Nangona kunjalo, abasetyhini banokuphuhlisa esi sifo emva kokungabikho kakhulu kotywala kunamadoda. Abanye abantu banokuba semngciphekweni wokufumana esi sifo.

Kungangabikho mpawu, okanye iimpawu zinokufika kancinci. Oku kuxhomekeke ekusebenzeni kwesibindi. Iimpawu zihlala zisiba mbi emva kwexesha lokusela kakhulu.

Iimpawu zokuqala zibandakanya:

• Ukuphelelwa ngamandla
• Ukutya okungalunganga kunye nokwehla kobunzima
• Isicaphucaphu
• Intlungu yesisu
• Incinci, imithambo yegazi ebomvu efana nesigcawu kulusu

Njengoko umsebenzi wesibindi ukhula, iimpawu zingabandakanya:

• Ulwakhiwo lwamanzi emilenze (edema) nasesiswini (ascites)
• Umbala otyheli kulusu, inwebu yangaphakathi, okanye amehlo (i-jaundice)
• Ububomvu ezintendeni zezandla
• Emadodeni, ukungabi namandla, ukuncipha kwamasende kunye nokudumba kwamabele
• Ukutyumza ngokulula kunye nokopha okungaqhelekanga
• Ukudideka okanye iingxaki zokucinga
• Ipeyinti okanye izitulo ezinombala wodongwe

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)

Uvavanyo onokuthi ubandakanye:

• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lomsebenzi wesibindi
• Izifundo zokuqina
• Isibindi se-biopsy

Uvavanyo lokulawula ezinye izifo lubandakanya:

• Ukuskena kwe-CT esiswini
• Uvavanyo lwegazi kwezinye izizathu zesifo sesibindi
• I-Ultrasound yesisu
• I-Ultrasound elastography

UTSHINTSHO KWIMPILO

Ezinye zezinto onokuzenza ukunceda ukukhathalela isifo sesibindi zezi:

• Yeka ukusela utywala.
• Yitya ukutya okusempilweni okunetyuwa encinci.
• Gonyelwa izifo ezinje ngomkhuhlane, i-hepatitis A kunye ne-hepatitis B, kunye ne-pneumococcal pneumonia.
• Thetha nomboneleli wakho ngawo onke amayeza owathathayo, kubandakanya amayeza kunye nezongezo kunye namayeza awathengisayo.

AMAYEZA ASEKUGQIRHA WAKHO

• "Iipilisi zamanzi" (i-diuretics) ukulahla ulwakhiwo olunamanzi
• Vitamin K okanye iimveliso zegazi ukuthintela ukopha kakhulu
• Amayeza okudideka kwengqondo
• Amayeza okubulala iintsholongwane

OLUNYE UNYANGO

• Unyango lwe-Endoscopic yemithambo eyandisiweyo kwi-esophagus (esophageal 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. Ukufakelwa kwesibindi sesifo sesibindi esinxilisayo kuthathwa kuphela kubantu abaye banqanda ngokupheleleyo utywala kwiinyanga ezi-6.

Abantu abaninzi bayazuza ngokujoyina amaqela enkxaso yotywala okanye isifo sesibindi.

Isifo sesibindi esinotywala siyanyangeka ukuba siyabanjwa ngaphambi kokuba sibangele umonakalo omkhulu. Nangona kunjalo, ukuqhubekeka nokusela kakhulu kunokubufutshane ubomi bakho.

I-Cirrhosis iya isiba mandundu imeko kwaye inokukhokelela kwiingxaki ezinkulu. Kwimeko yokonakaliswa kakhulu, isibindi asinakuphola okanye sibuyele emsebenzini oqhelekileyo.

Iingxaki zinokubandakanya:

• Ukuphazamiseka kwegazi (coagulopathy)
• 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)

Nxibelelana nomboneleli wakho ukuba:

• Ukuphuhlisa iimpawu zesifo sesibindi esinxilisayo
• Phuhlisa iimpawu emva kwexesha elide lotywala
• Ngaba ukhathazekile ukuba ukusela kunokuba yingozi kwimpilo yakho

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 okutsha okanye utshintsho kulumko, 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

Thetha ngokukhululekileyo kumboneleli wakho malunga notywala bakho. Umboneleli unokukucebisa malunga nokuba butywala kangakanani na obukhuselekileyo kuwe.

Isifo sesibindi ngenxa yotywala; Ukuqina okanye hepatitis - ezinxilisayo; Isifo sokuqina kwesibindi sikaLaennec

• Isibindi - ukubhobhoza

• Inkqubo yokwetyisa
• I-anatomy yesibindi
• Isibindi esinamafutha-i-CT scan

UCarithers RL, uMcClain CJ. Isifo sesibindi esinxilisayo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 86.

Chalasani NP. Utywala kunye notywala obunxilisayo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 143.

IHaines EJ, iOyama LC. Ukuphazamiseka kwesibindi kunye ne-biliary tract. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 80.

IHübscher SG. Isifo sesibindi esibangelwa butywala. Ku: Saxena R, ed. I-Hepatic Pathology esebenzayo: Indlela yokuChonga. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 24.