Qonda ukuba kutheni amanqatha esibindi ngexesha lokukhulelwa enzulu

Umxholo

• Iimpawu
• Uxilongo
• Unyango
• Imiba yomngcipheko

I-hepatic steatosis ekhulelweyo, engokubonakala kwamafutha kwisibindi somfazi okhulelweyo, yinto enqabileyo nenobuzaza edla ngokubonakala kwikota yesithathu yokukhulelwa kwaye izisa umngcipheko wobomi kumama nosana.

Le ngxaki ihlala ivela ikakhulu ekukhulelweni kokuqala, kodwa inokwenzeka nakwabasetyhini abasele benabantwana, ngaphandle kwembali yeengxaki zokukhulelwa kwangaphambili.

Iimpawu

I-steatosis yesibindi ekukhulelweni ihlala ivela phakathi kwe-28 kunye ne-40 yeveki yokukhulelwa, ibangela iimpawu zokuqala zesicaphucaphu, ukugabha kunye nokuqaqanjelwa, okulandelwa ziintlungu zesisu, intloko ebuhlungu, iintsini ezophayo kunye nokuphelelwa ngamanzi emzimbeni.

Emva kweveki yokuqala yesi sifo, iimpawu ze-jaundice zivela, apho ulusu namehlo ajika abe tyheli. Ukongeza, kwezinye iimeko umfazi okhulelweyo unokufumana uxinzelelo lwegazi kunye nokudumba emzimbeni.

Nangona kunjalo, njengoko zonke ezi mpawu zihlala zenzeka kwizifo ezininzi, kunzima ukufumana isifo ngamanqindi esibindini, nto leyo eyonyusa amathuba okuba mandundu kwengxaki.

Uxilongo

Ukuxilongwa kwale ngxaki kunzima kwaye kuhlala kwenziwa ngokuchongwa kweempawu, uvavanyo lwegazi kunye nesibindi se-biopsy, esivavanya ubukho bamafutha kweli lungu.

Nangona kunjalo, xa kungenakwenzeka ukwenza i-biopsy ngenxa yempilo yomfazi okhulelweyo, iimviwo ezinje nge-ultrasound kunye nekhompyuter ye-tomography inokunceda ekuchongeni ingxaki, kodwa azisoloko zinika iziphumo ezinokuthenjwa.

Unyango

Ngokukhawuleza ukuba kufunyanwe isifo se-hepatic steatosis sokukhulelwa, lo mfazi kufuneka amkelwe ukuze aqalise unyango lwesifo, esenziwa ngokupheliswa kokukhulelwa ngokunikezelwa ngesiqhelo okanye ngoqhaqho, kuxhomekeke kubukrakra becala.

Xa iphathwa kakuhle, umfazi uphucula phakathi kweentsuku ezi-6 ukuya kwezingama-20 emva kokubeleka, kodwa ukuba ingxaki ayichongwanga kwaye inyangwa kwangethuba, iingxaki ezinje nge-pancreatitis ebukhali, ukuxhuzula, ukudumba esiswini, i-edema yemiphunga, isifo seswekile i-insipidus, ukuphuma kwamathumbu emathunjini okanye kwi isisu kunye ne-hypoglycemia.

Kwiimeko ezinzima kakhulu, ukungaphumeleli kwesibindi kunokuvela ngaphambi okanye emva kokubeleka, apho isibindi siyeke ukusebenza, ukuphazamisa ukusebenza kwamanye amalungu kunye nokwandisa umngcipheko wokufa. Kwiimeko ezinjalo, kungafuneka ukuba kufakelwe isibindi emva kokubeleka, ukuba ilungu elo liyaqhubeka nokubonisa ukuphucuka.

Imiba yomngcipheko

Isibindi steatosis sinokuvela kwanaxa ukhulelwe usempilweni, kodwa ezinye izinto zonyusa umngcipheko wokuphuhlisa le ngxaki, njenge:

• Ukukhulelwa kokuqala;
• Pre eclampsia;
• Umbungu wamadoda;
• Ukukhulelwa amawele.

Kubalulekile ukuba abasetyhini abakhulelweyo abanezi zinto zinomngcipheko bazi ngazo naziphi na iinguqu eziviweyo kwitrimester yokugqibela yokukhulelwa, ukongeza kukhathalelo lwangaphambi kokubeleka kunye nokulandela okufanelekileyo ukulawula i-pre-eclampsia.

Ukongeza, abasetyhini abanesibindi se-steatosis kufuneka babekwe iliso rhoqo ekukhulelweni okulandelayo, njengoko benobutyebi obandileyo bokuphucula le ngxaki kwakhona.

Ukuthintela iingxaki ngexesha lokukhulelwa, bona:

• Iimpawu zepreeclampsia
• Ukurhawuzela izandla xa ukhulelwe kunokuba nzima
• Isifo seHELLP