Ukudumba kwesibindi (hepatomegaly): yintoni, iimpawu kunye nendlela yokunyanga

Umxholo

• Unyango lwenziwa njani
• Iimpawu eziphambili
• Izizathu ezinokubangela ukudumba kwesibindi

Isibindi esidumbileyo, esikwabizwa ngokuba yi-hepatomegaly, sibonakaliswa kukukhula kubungakanani besibindi, esinokuthi sibethwe ngaphantsi kwembambo ngasekunene.

Isibindi sinokukhula ngenxa yeemeko ezininzi, ezinje ngokuqina kwesibindi, isibindi esinamafutha, ukungaphumeleli kwentliziyo kunye nokungahlali rhoqo komhlaza.

I-Hepatomegaly ihlala ingabangeli zimpawu kwaye unyango lwenziwa ngokufanelekileyo. Kwimeko yokwandiswa kwesibindi ngenxa ye-hepatic steatosis, umzekelo, unyango lubandakanya ukwenza imisebenzi yomzimba kunye nokwamkela ukutya okwaneleyo. Funda ngendlela yokutya amanqatha esibindi.

Unyango lwenziwa njani

Unyango lwesibindi lujolise ekuchongeni nasekususeni unobangela kwaye kufuneka lwenziwe ngokweengcebiso zonyango. Ezinye iingcebiso ezibalulekileyo kunyango lwesibindi esidumbileyo zezi:

• Sebenzisa indlela yokuphila esempilweni, ugcine ubunzima obufanelekileyo;
• Yenza imithambo yomzimba yonke imihla;
• Musa ukusela iziselo ezinxilisayo;
• Yamkela ukutya okunotye iziqhamo, imifuno, imifuno kunye ne-wholegrains;
• Sukuthatha amayeza ngaphandle kwengcebiso yezonyango;
• Musa ukutshaya.

Ukusetyenziswa kwamayeza kufuneka kwenziwe kuphela phantsi kolawulo lwezonyango. Jonga ezinye iindlela zokwenza iingxaki zesibindi.

Iimpawu eziphambili

Isibindi esidumbileyo asihlali sibangela iimpawu, nangona kunjalo xa kunokwenzeka ukuba uve isibindi, kubalulekile ukuba uye kugqirha.

Xa i-hepatomegaly ibangelwa sisifo sesibindi, umzekelo, kunokubakho iintlungu zesisu, ukungabikho komdla, isicaphucaphu, ukugabha, ukudinwa kunye nolusu olumthubi kunye namehlo. Ukuba ukudumba kwenzeka ngesiquphe, umntu uziva iintlungu ngokubetha. Ngokwesiqhelo ugqirha umisela ubungakanani kunye noburhabaxa besibindi ngokusicofa eludongeni lwesisu, ekwazi, ukusuka apho, ukuqikelela ukuba loluphi uhlobo lwesifo umntu anaso.

Kwimeko ye-hepatitis ebukhali, i-hepatomegaly ihlala ihamba neentlungu kwaye igudile kwaye igudile, ngelixa kwi-hepatitis engapheliyo iba nzima kwaye iqine kwi-cirrhosis, xa umphezulu ungalingani. Ukongeza, ukusilela kwentliziyo yokuxinana, isibindi sinobuhlungu kwaye i-lobe yasekunene iyandiswa, ngelixa kwi-schistosomiasis isibindi sidumbile kwicala lasekhohlo.

Ukuxilongwa kwe-hepatomegaly kwenziwa yi-hepatologist okanye ugqirha ngokubanzi ngokuvavanya ngokwasemzimbeni kunye novavanyo lwe-imaging, njenge-ultrasound kunye nesisu esiswini, ukongeza kuvavanyo lwegazi. Jonga ukuba loluphi uvavanyo oluvavanya ukusebenza kwesibindi.

Ukuba ucinga ukuba unokuba neengxaki zesibindi, jonga iimpawu onazo:

1. 1. Ngaba uziva iintlungu okanye ungonwabanga kwindawo ephezulu yesisu sakho?
2. 2. Ngaba uziva ugula okanye unesiyezi rhoqo?
3. 3. Ngaba ukhe ube nentloko rhoqo?
4. 4. Ngaba uziva udinwe ngokulula?
5. 5. Ngaba unawo amabala amfusa kulusu lwakho?
6. 6. Ngaba amehlo okanye ulusu lwakho lumthubi?
7. 7. Ngaba umchamo wakho umnyama?
8. 8. Ukhe waziva ungenawo umdla wokutya?
9. 9. Ngaba ilindle lakho limthubi, lingwevu okanye mhlophe?
10. 10. Uyaziva ukuba isisu sidumbile?
11. 11. Ngaba uziva urhawuzelelwa umzimba wonke?

Izizathu ezinokubangela ukudumba kwesibindi

Esona sizathu siphambili se-hepatomegaly yi-hepatic steatosis, oko kukuthi, ukuqokelelwa kwamafutha esibindini anokukhokelela kukudumba kwelungu kwaye, ngenxa yoko, kukudumba. Ezinye izinto ezinokubangela i-hepatomegaly zezi:

• Ukusela kakhulu iziselo ezinxilisayo;
• Ukutya okunotyebileyo kumanqatha, ukutya okusemathinini, iziselo ezibandayo kunye nokutya okuthosiweyo;
• Izifo zentliziyo;
• Hepatitis;
• Ukudumba;
• Wegazi;
• Ukungoneli kwentliziyo;
• Ukunqongophala kwezondlo, njenge-marasmus kunye ne-kwashiorkor, umzekelo;
• Isifo seNiemann-Pick;
• Usulelo lwee-parasites okanye ibhaktheriya, umzekelo;
• Ubukho bamafutha esibindini ngenxa yeswekile, ukutyeba kakhulu kunye ne-triglycerides ephezulu.

Isizathu esingaqhelekanga rhoqo sesibindi esidumbileyo kukubonakala kwesisu esibindini, esinokuthi sichongwe kusetyenziswa iimvavanyo zokucinga ezifana nesisu se-tomography okanye i-ultrasound.