Isifo sesibindi esinamafutha

Isifo sesibindi esinamafutha esinganyanzelekanga (NAFLD) sisakha samafutha esibindini esingabangelwa kukusela utywala kakhulu. Abantu abanayo abanayo imbali yokusela kakhulu. I-NAFLD inxulumene ngokusondeleyo nokutyeba kakhulu.

Kubantu abaninzi, i-NAFLD ayibangeli zimpawu okanye zingxaki. Uhlobo olubi kakhulu lwesifo lubizwa ngokuba yi-non-alcohol alcohol steatohepatitis (NASH). I-NASH inokubangela ukusilela kwesibindi. Inokubangela nomhlaza wesibindi.

I-NAFLD sisiphumo esingaphezulu kweedipozithi eziqhelekileyo zesibindi. Izinto ezinokukubeka emngciphekweni zibandakanya nayiphi na kwezi zilandelayo:

• Ukutyeba kakhulu okanye ukutyeba kakhulu. Okukhona utyeba kakhulu, kokukhona umngcipheko ophakamileyo uyanda.
• Isifo seswekile (ukumelana ne-insulin).
• Uhlobo lwe-2 yeswekile.
• Cholesterol ephezulu.
• I-triglycerides ephezulu.
• Igazi elonyukayo.

Eminye imingcipheko inokubandakanya:

• Ukukhawuleza ukunciphisa umzimba kunye nokutya okungafanelekanga
• Utyando lokudlula esibelekweni
• Isifo sesisu
• Amayeza athile, anje nge-calcium channel blocker kunye nezinye iziyobisi zomhlaza

I-NAFLD ikwenzeka nakubantu abangenabungozi.

Abantu abane-NAFLD bahlala bengenazo iimpawu. Eyona nto ixhaphakileyo zibandakanya iimpawu,

• Ukudinwa
• Intlungu kwisisu esisekunene

Kubantu abane-NASH abanomonakalo wesibindi (i-cirrhosis), iimpawu zinokubandakanya:

• Ubuthathaka
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu
• Isikhumba esimthubi namehlo (jaundice)
• Ukurhawuzelela
• Ulwakhiwo lwamanzi kunye nokudumba emilenzeni nasesiswini
• Ukudideka kwengqondo
• Ukopha kwe-GI

I-NAFLD ihlala ifunyanwa ngexesha lovavanyo lwegazi oluqhelekileyo olusetyenziselwa ukubona ukuba isibindi sisebenza njani.

Unokuba novavanyo olulandelayo ukulinganisa ukusebenza kwesibindi:

• Gcwalisa ubalo lwegazi
• Ixesha leprothrombin
• Inqanaba le-albhamuin yegazi

Umboneleli wakho wezempilo unokuyalela iimvavanyo ezithile zokucinga, kubandakanya:

• I-Ultrasound yokuqinisekisa ukuxilongwa kwe-NAFLD
• Ukuskena iMRI kunye neCT

I-biopsy yesibindi iyadingeka ukuqinisekisa ukuxilongwa kwe-NASH, uhlobo olubi kakhulu lwe-NAFLD.

Akukho lonyango oluthile lwe-NAFLD. Injongo kukulawula umngcipheko kunye nayo nayiphi na imeko yezempilo.

Umboneleli wakho uya kukunceda uqonde imeko yakho kunye nokukhetha okunempilo okunokukunceda unakekele isibindi sakho. Oku kunokubandakanya:

• Ukwehla kobunzima ukuba utyebile.
• Ukutya ukutya okusempilweni okunetyuwa encinci.
• Ukungaseli tywala.
• Ukuhlala usebenza ngokwasemzimbeni.
• Ukulawula iimeko zempilo ezinje ngeswekile kunye noxinzelelo lwegazi.
• Ukufumana ugonyo lwezifo ezifana nehepatitis A kunye nehepatitis B.
• Ukunciphisa amanqanaba akho e-cholesterol kunye ne-triglyceride.
• Ukuthatha amayeza njengoko kuyalelwe. Thetha nomboneleli wakho ngawo onke amayeza owathathayo, kubandakanya amayeza kunye nezongezo kunye namayeza awathengisayo.

Ukuphulukana nobunzima kunye nokulawula isifo seswekile kunokucotha okanye ngamanye amaxesha kuguqule idiphozithi yamafutha esibindini.

Abantu abaninzi abane-NAFLD abanazo iingxaki zempilo kwaye abaqhubeki nokuphuhlisa i-NASH. Ukuphulukana nobunzima kunye nokwenza ukhetho olusempilweni lokuphila kunokunceda ukuthintela iingxaki ezinzulu.

Akucaci ukuba kutheni abanye abantu bephuhlisa i-NASH. I-NASH inokukhokelela kwi-cirrhosis.

Uninzi lwabantu abane-NAFLD abazi ukuba banalo. Jonga umboneleli wakho ukuba uqala ukuba neempawu ezingaqhelekanga njengokukhathala okanye iintlungu zesisu.

Ukunceda ukuthintela i-NAFLD:

• Gcina ubunzima obusempilweni.
• Yitya ukutya okusempilweni.
• Zilolonge rhoqo.
• Nciphisa ukusela utywala.
• Sebenzisa amayeza ngokufanelekileyo.

Isibindi esinamafutha; Inyamakazi; Ukuqina kwesibindi; NASH

• Isibindi

Chalasani N, Younossi Z, Lavine JE, okqhubekayo. Ukuchongwa kunye nolawulo lwezifo zesibindi ezinamafutha ezingatyisi: qhelisela isikhokelo kuMbutho waseMelika malunga nesifo sesibindi. Isifo seHepatology. 2018; 67 (1): 328-357. IINKCUKACHA: 28714183 www.ncbi.nlm.nih.gov/pubmed/28714183.

IZiko leLizwe leSwekile kunye neWebhusayithi kunye neZifo zeZintso. Ukutya, ukutya, kunye nesondlo se-NAFLD kunye ne-NASH. www.niddk.nih.gov/health-information/liver-disease/nafld-nash/eating-diet- Nutrition. Ukuhlaziywa kweyeNkanga ngo-2016. Kufikeleleke ngo-Epreli 22, 2019.

I-Torres DM, iHarrison SA. Isifo sesibindi esinamafutha. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 87.