Utywala beSibindi seCirrhosis

Umxholo

• Zeziphi Iimpawu eziNxulunyaniswa nesi sifo sokuqina kwesibindi?
• Yintoni Ebangela Isibindi Sotywala?
• Ngaba kukho amaQela aBantu aBona kunokwenzeka ukuba bafumane le meko?
• Ngaba uGqirha unokukuchonga njani une-Cirrhosis yoTywala?
• Zeziphi iingxaki ezinokubangela isibindi seCirrhosis yoTywala?
• Sinyangwa Njani Isibindi sokudumba kwesibindi?
• Umbono kwi-Cirrhosis yesiselo esinxilisayo

Yintoni i-Cirrhosis yesibindi?

Isibindi lilungu elikhulu elinomsebenzi obalulekileyo emzimbeni wakho. Icoca igazi leetyhefu, iphule iiproteni, kwaye yenze inyongo ukunceda umzimba ukuba ubambe amafutha. Xa umntu esela utywala kakhulu kule minyaka ingamashumi, umzimba uqala ukubuyisela izicwili ezisempilweni zesibindi ngezicwili ezibomvu. Oogqirha babiza le meko kukuqina kwesibindi.

Njengoko esi sifo siqhubeka, kwaye izicwili zakho ezisempilweni zibekwa endaweni yezicwili, isibindi sakho siza kuyeka ukusebenza kakuhle

Ngokwe-American Liver Foundation, phakathi kwe-10 ne-20 pesenti yabantu abasela kakhulu bayakhula isifo sokuqina kwesibindi. Isifo sokuqina kwesibindi esinxilisayo yeyona ndlela iphambili yesifo sesibindi esinxulumene nokusela utywala. Esi sifo siyinxalenye yokuqhubela phambili. Inokuqala ngesifo esinamafutha esibindi, emva koko iqhubele kwi-hepatitis enotywala, emva koko iye kwi-cirrhosis enxilisayo. Nangona kunjalo, kunokwenzeka ukuba umntu akwazi ukuhlakulela i-cirrhosis yesibindi ngaphandle kokufumana i-hepatitis enxilisayo.

Zeziphi Iimpawu eziNxulunyaniswa nesi sifo sokuqina kwesibindi?

Iimpawu zesifo sokuqina kwesibindi esinxilisayo zihlala zikhula xa umntu ephakathi kweminyaka engama-30 nengama-40. Umzimba wakho uya kuba nakho ukuhlawulela isibindi sakho esilinganiselweyo kumanqanaba okuqala esi sifo. Njengoko isifo siqhubeka, iimpawu ziya kubonakala ngakumbi.

Iimpawu zesibindi sokuqina kwesibindi ziyafana nezinye iingxaki ezinxulumene notywala. Iimpawu zibandakanya:

• inyongo
• Uxinzelelo lwe-portal, olonyusa uxinzelelo lwegazi kumthambo ohamba ngesibindi
• ukurhawuzelela ulusu (pruritus)

Yintoni Ebangela Isibindi Sotywala?

Umonakalo ophindaphindiweyo kunye nokusetyenziswa gwenxa kotywala gwenxa kukhokelela kwisibindi sokuqina kwesibindi. Xa izicwili zesibindi ziqala ukuba bomvu, isibindi asisebenzi njengokuba besisenza ngaphambili. Ngenxa yoko, umzimba awunako ukuvelisa iiproteni ezaneleyo okanye ukucoca ityhefu egazini njengoko kufanelekile.

I-Cirrhosis yesibindi inokwenzeka ngenxa yezizathu ezahlukeneyo. Nangona kunjalo, i-cirrhosis yesibindi esinxilisayo inxulumene ngqo nokusela utywala.

Ngaba kukho amaQela aBantu aBona kunokwenzeka ukuba bafumane le meko?

Eyona nto ibangela umngcipheko wesifo sesibindi esinxilisayo kukusetyenziswa gwenxa kotywala. Ngokwesiqhelo, umntu usele kakhulu iminyaka esibhozo. IZiko likaZwelonke lokuSetyenziswa gwenxa kotywala kunye notywala lichaza ukusela kakhulu njengokuselwa kweziselo ezintlanu nangaphezulu ngosuku olunye ubuncinci kwiintsuku ezingama-30 ezidlulileyo.

Abasetyhini nabo basemngciphekweni wesifo sesibindi esinxilisayo. Abasetyhini abanazo ii-enzymes ezininzi esiswini sabo zokuphula amasuntswana otywala. Ngenxa yoku, utywala obuninzi buyakwazi ukufikelela kwisibindi kunye nokwenza izicwili ezibomvu.

Isifo sesibindi esinxilisayo sinokuba nezinto ezithile zemfuza. Umzekelo, abanye abantu bazalwa benesiphene kwii-enzymes ezinceda ukuphelisa utywala. Ukutyeba kakhulu, ukutya okunamafutha aphezulu, kunye nokuba ne-hepatitis C kunokuphinda kwandise amathuba okuba umntu abe nesifo sesibindi esinotywala.

Ngaba uGqirha unokukuchonga njani une-Cirrhosis yoTywala?

Oogqirha banokuchonga isifo sokuqina kwesibindi esinxilisayo ngokuqala bathathe imbali yezonyango kwaye baxoxe ngembali yomntu yokusela. Ugqirha uya kuqhuba ezinye iimvavanyo ezinokuqinisekisa isifo sokuqina kwesifo. Ezi ziphumo zolu vavanyo zingabonisa:

• i-anemia (amanqanaba aphantsi egazi ngenxa yentsimbi encinci)
• inqanaba eliphezulu le-ammonia yegazi
• amazinga aphezulu eswekile yegazi
• leukocytosis (isixa esikhulu iiseli ezimhlophe zegazi)
• izihlunu zesibindi ezingenampilo xa isampulu isuswe kwi-biopsy kwaye ifundwe elebhu
• Uvavanyo lwegazi lwe-enzyme ebonisa inqanaba le-aspartate aminotransferase (AST) iphindaphindwe kabini kune-alanine aminotransferase (ALT)
• amanqanaba emagniziyam egazi asezantsi
• amanqanaba e-potassium ephantsi
• amanqanaba esodium ephantsi
• Uxinzelelo lwe-portal

Oogqirha baya kuzama ukulawula ezinye iimeko ezinokuchaphazela isibindi ukuqinisekisa ukuba i-cirrhosis ikhule.

Zeziphi iingxaki ezinokubangela isibindi seCirrhosis yoTywala?

Isifo sokuqina kwesibindi esinxilisayo kunokubangela iingxaki ezinkulu. Oku kwaziwa njenge- cirrhosis ebolileyo. Imizekelo yezi ngxaki ibandakanya:

• i-ascites, okanye i-fluid eyakha isisu esiswini
• i-encephalopathy, okanye ukudideka kwengqondo
• ukopha ngaphakathi, okwaziwa ngokuba kukuvuza kwegazi
• i-jaundice, eyenza ulusu namehlo abe nombala otyheli

Abo banolu hlobo lwe-cirrhosis elomeleleyo bahlala befuna ukufakelwa isibindi ukuze baphile. NgokweKlinikhi yaseCleveland, abaguli abanesibindi sokubola kwesibindi abanesifo sokufumana isibindi baneminyaka emihlanu yokuphila kwiipesenti ezingama-70.

Sinyangwa Njani Isibindi sokudumba kwesibindi?

Oogqirha banokuguqula ezinye iintlobo zesifo sesibindi ngonyango, kodwa i-cirrhosis yesibindi esinxilisayo ngokuqhelekileyo ayinakuguqulwa. Nangona kunjalo, ugqirha wakho unokucebisa unyango olunokucothisa inkqubela phambili yesifo kunye nokunciphisa iimpawu zakho.

Inyathelo lokuqala kunyango kukunceda umntu ayeke ukusela. Abo bane-cirrhosis yesiselo esinxilisayo bahlala bexhomekeke etywaleni kangangokuba banokufumana ubunzima bempilo xa bezama ukuyeka ngaphandle kokubhedlele. Ugqirha unokucebisa isibhedlele okanye indawo yonyango apho umntu anokuthi aqale uhambo oluya ekuphuzeni.

Olunye unyango ugqirha anokusebenzisa lubandakanya:

• Amayeza: Olunye unyango amayeza anokumisela abandakanya i-corticosteroids, i-calcium channel blockers, i-insulin, izongezo ze-antioxidant, kunye ne-S-adenosyl-L-methionine (SAMe).
• Iingcebiso ngezondlo: Ukusetyenziswa gwenxa kotywala kunokubangela ukungondleki.
• Iprotein eyongezelelweyo: Izigulana zihlala zifuna iiprotheyini ezongezelelweyo kwiindlela ezithile ukunceda ukunciphisa amathuba okuphuhlisa isifo sengqondo (i-encephalopathy).
• Ukufakelwa kwesibindi: Umntu uhlala kufuneka ahlaziye ubuncinci iinyanga ezintandathu ngaphambi kokuba athathwe njengomgqatswa wofakelo lwesibindi.

Umbono kwi-Cirrhosis yesiselo esinxilisayo

Umbono wakho uya kuxhomekeka kwimpilo yakho iphela nokuba uphuhlise naziphi na iingxaki ezinxulumene nokuqina kwesibindi. Oku kuyinyaniso naxa umntu eyeka ukusela.