Isifo sesibindi esinamafutha

Umxholo

• Isishwankathelo
• Siyintoni isifo sesibindi esinamafutha?
• Yintoni isifo esinesibindi esinamafutha (NAFLD)?
• Siyintoni isifo sesibindi esinamafutha?
• Ngubani osemngciphekweni wezifo zesibindi ezinamafutha?
• Zithini iimpawu zesifo esinamafutha sesibindi?
• Sifumana njani isifo se-fatty disease?
• Luthini unyango lwezifo ezinamanqatha?
• Zeziphi ezinye zeendlela zokuphila ezinokunceda kwisifo esinamafutha esibindi?

Isishwankathelo

Siyintoni isifo sesibindi esinamafutha?

Isibindi sakho lelona lungu likhulu emzimbeni wakho. Inceda umzimba wakho ukuba uchithe ukutya, ugcine amandla, kwaye ususe ityhefu. Isifo sesibindi esinamafutha yimeko apho amanqatha akha khona kwisibindi sakho. Zimbini iintlobo eziphambili:

• Isifo sesibindi esinamafutha (i-NAFLD)
• Isifo sesibindi esinamafutha esinxilisayo, ekwabizwa ngokuba yi-alcohol

Yintoni isifo esinesibindi esinamafutha (NAFLD)?

I-NAFLD luhlobo lwesifo sesibindi esinamafutha esingahambelani nokusetyenziswa kotywala kakhulu. Zimbini iintlobo:

• Isibindi esinamafutha esilula, apho unamafutha kwisibindi sakho kodwa kukungabikho kokudumba okuncinci okanye ukungabikho komonakalo okanye ukonakala kweseli yesibindi. Isibindi esinamafutha esilula ngokwesiqhelo asibi mbi ngokwaneleyo ukuba sinokubangela ukonakala kwesibindi okanye iingxaki.
• I-Nonalcoholic steatohepatitis (NASH), apho unokudumba kunye nomonakalo weseli yesibindi, kunye nenqatha esibindini sakho. Ukuvuvukala kunye nomonakalo weseli yesibindi kunokubangela i-fibrosis, okanye ukunqanqatheka, kwesibindi. I-NASH inokukhokelela kwisifo sokuqina kwesibindi okanye umhlaza wesibindi.

Siyintoni isifo sesibindi esinamafutha?

Isifo sesibindi esinamafutha sinotywala ngenxa yokusetyenziswa kotywala kakhulu. Isibindi sakho siphula uninzi lotywala obuselayo, ke bunokususwa emzimbeni wakho. Kodwa inkqubo yokuyichitha inokwenza izinto eziyingozi. Ezi zinto zinokonakalisa iiseli zesibindi, zikhuthaze ukudumba, kwaye zenze buthathaka ukhuseleko lwendalo lomzimba wakho. Okukhona usela kakhulu, kokukhona usonakalisa isibindi sakho. Isifo sesibindi esinamafutha anxilisayo sisigaba sokuqala sesifo sesibindi esinxulumene notywala. Amanqanaba alandelayo yi-hepatitis enxilisayo kunye ne-cirrhosis.

Ngubani osemngciphekweni wezifo zesibindi ezinamafutha?

Isizathu sesifo sesibindi esinamafutha (i-NAFLD) asaziwa. Abaphandi bayazi ukuba kuqheleke kakhulu ebantwini abo

• Uhlobo lwe-2 lweswekile kunye ne-prediabetes
• Unobunzima
• Ngaba uneminyaka ephakathi okanye ngaphezulu (nangona abantwana banokuyifumana)
• Ngaba amaSpanishi, alandelwa ngabamhlophe abanga-Hispanic. Akuqhelekanga kumaAfrika aseMerika.
• Unamafutha aphezulu egazini, anjenge cholesterol kunye ne triglycerides
• Yiba noxinzelelo lwegazi oluphezulu
• Thatha iziyobisi ezithile, ezinje nge-corticosteroids kunye nezinye iziyobisi zomhlaza
• Unengxaki yokuphazamiseka emzimbeni, kubandakanya isifo se-metabolic syndrome
• Ukwehla kobunzima ngokukhawuleza
• Unesifo esithile, njenge-hepatitis C
• Ndivezwe ezinye iityhefu

I-NAFLD ichaphazela malunga neepesenti ezingama-25 zabantu ehlabathini. Njengamazinga okutyeba kakhulu, uhlobo lwe-2 yeswekile, kunye ne-cholesterol ephezulu inyuka e-United States, kunjalo ke nakwinqanaba le-NAFLD. I-NAFLD sisifo sesifo esinganyangekiyo esixhaphakileyo eUnited States.

Isifo sesibindi esinamafutha esinxilisayo senzeka kubantu abasela kakhulu, ngakumbi abo bebesela ixesha elide. Umngcipheko uphezulu kubantu abasela kakhulu ababhinqileyo, abatyebe kakhulu, okanye baneenguqulelo ezithile kwimfuza.

Zithini iimpawu zesifo esinamafutha sesibindi?

Zombini i-NAFLD kunye nezifo ezinesibindi ezinamafutha zihlala zizilonda ezingenazimpawu. Ukuba unayo impawu, unokuziva udiniwe okanye ungonwabanga kwicala lasekunene lesisu sakho.

Sifumana njani isifo se-fatty disease?

Kuba kuhlala kungekho zimpawu, akukho lula ukufumana isifo sesibindi esinamafutha. Ugqirha wakho unokurhanela ukuba unayo xa ufumana iziphumo ezingaqhelekanga kuvavanyo lwesibindi obukhe unazo ezinye izizathu. Ukwenza uxilongo, ugqirha uya kusebenzisa

• Imbali yakho yonyango
• Uvavanyo lomzimba
• Uvavanyo olwahlukeneyo, kubandakanya uvavanyo lwegazi kunye nemifanekiso, kwaye ngamanye amaxesha i-biopsy

Njengengxenye yembali yonyango, ugqirha wakho uya kubuza malunga nokusetyenziswa kotywala, ukufumanisa ukuba amanqatha esibindi sakho ngumqondiso wesifo sesibindi esinamafutha okanye isibindi esinamafutha (NAFLD). Uya kubuza nokuba ngawaphi amayeza owathathayo, ukuzama ukumisela ukuba amayeza abangela i-NAFLD yakho.

Ngexesha lovavanyo lomzimba, ugqirha wakho uza kuvavanya umzimba wakho kwaye ujonge ubunzima bakho kunye nokuphakama. Ugqirha wakho uya kujonga iimpawu zesifo esinamafutha sesibindi, njenge

• Isibindi esandisiweyo
• Iimpawu ze-cirrhosis, ezinjenge-jaundice, imeko ebangela ulusu lwakho kunye nabamhlophe wamehlo akho ajike abe tyheli

Uya kuba novavanyo lwegazi, kubandakanya uvavanyo lwesibindi kunye nokuvavanywa kokubalwa kwegazi. Ngamanye amaxesha unokuba novavanyo lokucinga, njengaleyo ekhangela amanqatha esibindi kunye nokuqina kwesibindi sakho. Ukuqina kwesibindi kunokuthetha i-fibrosis, enesiva esibindini. Kwezinye iimeko unokufuna i-biopsy yesibindi ukuqinisekisa ukuxilongwa, kunye nokujonga ukuba umonakalo wesibindi ungakanani.

Luthini unyango lwezifo ezinamanqatha?

Oogqirha bancomela ukwehla kobunzima besibindi esingatyebanga esinxilisayo. Ukunciphisa umzimba kunokunciphisa amanqatha esibindi, ukuvuvukala kunye ne-fibrosis. Ukuba ugqirha wakho ucinga ukuba iyeza elithile lingunobangela we-NAFLD yakho, kuya kufuneka uyeke ukuthatha la mayeza. Kodwa jonga ugqirha wakho ngaphambi kokuyeka iyeza. Kuya kufuneka uphume kancinci kancinci kunyango, kwaye endaweni yoko unokutshintshela kwelinye iyeza.

Akukho mayeza avunyelwe ukunyanga i-NAFLD. Izifundo ziphanda ukuba ingaba amayeza athile eswekile okanye uVitamin E anganceda, kodwa kufuneka izifundo ezingaphezulu.

Elona candelo libalulekileyo kunyango olunxulumene nesifo sesibindi esinamafutha kukuyeka ukusela utywala. Ukuba ufuna uncedo ngokwenza oko, unokufuna ukubona ugqirha okanye uthathe inxaxheba kwinkqubo yokubuyisela utywala. Kukwakho namayeza anokukunceda, kungokunciphisa iminqweno yakho okanye kukwenze uzive ugula xa usela utywala.

Zombini izifo ezinesibindi ezinamafutha kunye nolunye uhlobo lwesifo sesibindi esinamafutha (nonalcoholic steatohepatitis) singakhokelela kwisifo se-cirrhosis. Oogqirha banokunyanga iingxaki zempilo ezibangelwa kukuqina kwesibindi ngamayeza, ukusebenza, kunye nezinye iinkqubo zonyango. Ukuba i-cirrhosis ikhokelela ekusileleni kwesibindi, unokufuna ukufakelwa kwesibindi.

Zeziphi ezinye zeendlela zokuphila ezinokunceda kwisifo esinamafutha esibindi?

Ukuba unayo nayiphi na yeentlobo zesifo sesibindi esinamafutha, kukho utshintsho oluthile kwindlela yokuphila enokunceda:

• Yitya ukutya okusempilweni, ukunciphisa umda ityuwa kunye neswekile, kunye nokutya iziqhamo ezininzi, imifuno, kunye neenkozo ezipheleleyo
• Fumana ugonyo lwe-hepatitis A kunye no-B, umkhuhlane kunye nesifo se-pneumococcal. Ukuba ufumana i-hepatitis A okanye i-B kunye nesibindi esinamafutha, kunokwenzeka ukuba kukhokelele ekusileleni kwesibindi. Abantu abanesifo sesibindi esinganyangekiyo kunokwenzeka ukuba basulelwe, ngoko ke ezinye izitofu ezibini zogonyo nazo zibalulekile.
• Yenza umthambo rhoqo, onokukunceda ukunciphisa umzimba kunye nokunciphisa amanqatha esibindini
• Thetha nogqirha wakho ngaphambi kokusebenzisa izongezo zokutya, ezinje ngeevithamini, okanye nawaphi na amayeza ahambelanayo okanye amanye okanye amayeza. Amanye amayeza e-herbal angonakalisa isibindi sakho.