Isifo seCirrhosis sikuchaphazela njani ukuLindelwa koBomi?

Umxholo

• Ukuqonda ukuqina kwesibindi
• Imiselwa njani iminyaka yobomi?
• Amanqaku e-CPT
• Amanqaku e-MELD
• Athetha ntoni amanqaku kulindelo lobomi?
• Itshathi yamanqaku e-CPT
• Itshathi yamanqaku e-MELD
• Ngaba ikhona into enokonyusa ixesha lokuphila?
• Ndinokuhlangabezana njani nokuchongwa kwesifo sokuqina kwesibindi?
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• Umgca wezantsi

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ukuqonda ukuqina kwesibindi

I-Cirrhosis yesibindi sisiphumo sokugqibela sesifo sesibindi. Kubangela amanxeba kunye nomonakalo esibindini. Oku kuqhekeza kunokugcina isibindi ekusebenzeni ngokuchanekileyo, sikhokelela ekusileleni kwesibindi.

Izinto ezininzi zinokukhokelela kwisibindi, kubandakanya:

• utywala obungapheliyo
• hepatitis yomzimba
• hepatitis C engapheliyo
• usulelo
• isifo sesibindi esinamafutha esingatyisi
• imibhobho yenyongo eyakhiwe kakubi
• icystic fibrosis

I-Cirrhosis sisifo esiqhubela phambili, esithetha ukuba siya sisiba mandundu ngokuhamba kwexesha. Nje ukuba unesibindi, akukho ndlela yokuyibuyisela umva. Endaweni yoko, unyango lujolise ekunciphiseni ukuqhubela phambili.

Kuxhomekeke kubunzima bayo, i-cirrhosis inokuba nefuthe kubude bexesha lokuphila. Ukuba une-cirrhosis, kukho izixhobo ezininzi ugqirha anokuzisebenzisa ukuze akunike ukuqonda okungcono kwimbono yakho.

Imiselwa njani iminyaka yobomi?

Zininzi iindlela zokunceda ukumisela ixesha lokuphila lomntu onesifo sokuqina kwesibindi. Ezimbini zezona zidume kakhulu ngamanqaku oMntwana-iTurcotte-Pugh (CTP) kunye nenqaku leModeli yokuGqibela kwesigaba seSifo seSibindi (MELD).

Amanqaku e-CPT

Oogqirha basebenzisa amanqaku omntu we-CPT ukumisela ukuba baneklasi ye-A, B, okanye C cirrhosis. Iklasi A ukuqina kwesibindi ithambile kwaye inexesha elide lokuphila. I-cirrhosis yeklasi B iphakathi kakhulu, ngelixa iklasi C yesibindi ibanzima.

Funda ngakumbi malunga nenqaku le-CPT.

Amanqaku e-MELD

Inkqubo ye-MELD inceda ukumisela umngcipheko wokufa kwabantu abanesifo sesibindi sokugqibela. Isebenzisa amaxabiso kuvavanyo lwaselebhu ukwenza amanqaku eMELD. Imilinganiselo esetyenzisiweyo yokufumana amanqaku e-MELD ibandakanya i-bilirubin, i-serum sodium, kunye ne-serum creatinine.

Amanqaku e-MELD anceda ukumisela iinyanga ezintathu zokufa kwabantu. Oku kubhekisa kumathuba okuba umntu afe kungaphelanga iinyanga ezintathu. Ngelixa oku kunceda ukunika oogqirha uluvo olungcono lokuphila komntu, kuyanceda ukubeka phambili abo balinde ukufakelwa kwesibindi.

Umntu one-cirrhosis, ukufakelwa isibindi kungongeza iminyaka kubomi babo. Amanqaku aphezulu e-MELD aphezulu, kunokwenzeka ukuba bafe ngaphakathi kweenyanga ezintathu. Oku kunokubahambisa phezulu phezulu kuluhlu lwabo balinde ukufakelwa kwesibindi.

Athetha ntoni amanqaku kulindelo lobomi?

Xa uthetha ngokulindela ubomi, kubalulekile ukukhumbula ukuba luqikelelo. Akukho ndlela yokwazi ngokuthe ngqo ukuba umntu onesifo sokuqina uza kuphila ixesha elingakanani. Kodwa amanqaku e-CPT kunye ne-MELD anokunceda ukunika umbono ngokubanzi.

Itshathi yamanqaku e-CPT

Itshathi yamanqaku e-MELD

Ngaba ikhona into enokonyusa ixesha lokuphila?

Nangona kungekho ndlela yokuguqula i-cirrhosis, kukho izinto ezininzi ongayenza ukuze uzame ukunceda ukuqhubela phambili kunye nokuphepha ukulimala kwesibindi.

Oku kubandakanya:

• Ukuphepha utywala. Nangona i-cirrhosis yakho ingahambelani notywala, kungcono ukuyeka kuba utywala bunokonakalisa isibindi sakho, ngakumbi ukuba sele sonakalisiwe.
• Nciphisa ityuwa. Isibindi se-cirrhotic sinobunzima bokugcina ulwelo egazini. Ukutya ityuwa kuphakamisa umngcipheko wokugcwala kwamanzi. Akunyanzelekanga ukuba uyisuse ekutyeni kwakho ngokupheleleyo, kodwa zama ukuhlala kude nokutya okucutshungulwayo kwaye uphephe ukongeza ityuwa eninzi ngelixa upheka.
• Ukunciphisa umngcipheko wosulelo. Kunzima isibindi esonakeleyo ukwenza iiproteni ezinceda ukulwa usulelo. Hlamba izandla zakho rhoqo kwaye uzame ukunciphisa unxibelelwano lwakho nabantu abanalo naluphi na uhlobo losulelo olusebenzayo, ukusuka kumkhuhlane oqhelekileyo ukuya kumkhuhlane.
• Sebenzisa ngononophelo iziyobisi. Isibindi sakho yiprosesa ephambili yazo naziphi na iikhemikhali okanye amayeza owasebenzisayo. Qinisekisa ukuxelela ugqirha wakho malunga nawaphi na amayeza e-counter-counter-counter, supplements, okanye imifuno oyisebenzisayo ukuqinisekisa ukuba abayi kubeka umthwalo kwisibindi sakho.

Ndinokuhlangabezana njani nokuchongwa kwesifo sokuqina kwesibindi?

Ukufumanisa ukuba une-cirrhosis okanye ukuxelelwa ukuba une-cirrhosis ebukhali kunokuziva kunzima. Kwaye ukuva ukuba imeko ayinakuguqulwa kungathumela abanye abantu ukuba boyike.

Ukuba awuqinisekanga ukuba wenzeni ngokulandelayo, qaphela la manyathelo:

• Joyina iqela lenkxaso. Izibhedlele kunye neendawo zononophelo lwempilo zihlala zilungelelanisa amaqela enkxaso kubantu abaneemeko ezingapheliyo, kubandakanya isifo sesibindi kunye nokuqina kwesibindi. Buza iofisi yakho kagqirha okanye isebe lezemfundo lasekuhlaleni ukuba banazo naziphi na iingcebiso zeqela. Unokujonga kwakhona amaqela enkxaso kwi-Intanethi ngeAmerican Liver Foundation.
• Jonga ingcali. Ukuba awukayiboni enye, yenza idinga lokuba ubone i-hepatologist okanye i-gastroenterologist. Aba ngoogqirha abagxile ekunyangeni isifo sesibindi kunye neemeko ezinxulumene nazo. Banokunika uluvo lwesibini kwaye bakunike ulwazi oluthe kratya malunga nezicwangciso zonyango eziza kusebenza kakuhle kuwe.
• Gxila ngoku. Oku kulula ukutsho kunokuba kwenziwe, nokuba unayo imeko yezempilo engapheliyo. Kodwa ukuhlala kwisifo sakho okanye ukuzigxeka ngokwakho akuyi kutshintsha nantoni na. Zama ukuhambisa ingqalelo yakho kwizinto osakwaziyo ukuzenzela impilo yakho kunye nomgangatho wobomi, nokuba kukutya ityuwa encinci okanye ukuchitha ixesha elininzi nabantu obathandayo.

• "Unyaka wokuqala: Isifo sokuqina kwesibindi" sisikhokelo sabasanda kufunyaniswa. Olu lukhetho olukhulu ukuba usafunda malunga nale meko kunye nokuba isifo sichaza ntoni ngekamva lakho.
• "Intuthuzelo yeKhaya lezifo ezingapheliyo zesibindi" yincwadi yesikhokelo yabanonopheli kubantu abanesifo sesibindi kunye ne-cirrhosis.

Umgca wezantsi

I-Cirrhosis yimeko engapheliyo enokunciphisa ixesha lokuphila komntu. Oogqirha basebenzisa imilinganiselo eliqela ukumisela imbonakalo yomntu onesifo sokuqina kwesibindi, kodwa ezi zibonelela kuphela ngengqikelelo. Ukuba une-cirrhosis, ugqirha wakho unokukunika umbono ongcono wombono wakho kunye nento onokuyenza ukuyiphucula.