Isibindi steatosis: yintoni, iimpawu, izidanga kunye nonyango

Umxholo

• Amanqanaba e-hepatic steatosis
• Iimpawu eziphambili
• Izizathu eziphambili ze-hepatic steatosis
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani
• Uvavanyo lolwazi
• Isibindi esityebileyo: vavanya ulwazi lwakho!

Ukuqokelelwa kwamafutha esibindini, ekuthiwa sisibindi esinamafutha, yingxaki exhaphakileyo enokubangelwa yimingcipheko efana nokutyeba kakhulu, isifo seswekile, icholesterol ephezulu kunye nokusela kakhulu iziselo ezinxilisayo.

Nangona kungekho zimpawu zihlala zikhona, kunokwenzeka ukuba abanye abantu bafumane iintlungu kwicala lasekunene lesisu, isisu esidumbileyo, isicaphucaphu, ukugabha kunye nokuqaqamba ngokubanzi. Kubukho bezi mpawu, kufuneka kuboniswane nesifo se-hepatologist ukwenza uvavanyo oluvavanya ukusebenza kwesibindi kunye nobungqongqo besifo. Jonga ezinye zeemvavanyo ezivavanya impilo yesibindi.

Amafutha esibindi anokulawulwa ngokutshintsha kwindlela otya ngayo kunye nokuzilolonga rhoqo, kubalulekile ukuba ulandele unyango olufanelekileyo ukunqanda iingxaki ezinje ngokuqina kwesibindi.

Amanqanaba e-hepatic steatosis

Amafutha esibindi anokuhlelwa ngokobunzima bawo kwi:

• IBakala 1 okanye i-hepatic steatosis elula: Ukutyeba kakhulu kuthathwa njengokungenabungozi. Ngokuqhelekileyo akukho mpawu kwaye ingxaki ifunyanwa kuphela kuvavanyo lwegazi oluqhelekileyo;
• IBakala 2 okanye i-hepatic steatosis: Ukongeza kumanqatha amaninzi, isibindi siyadumba, esinokukhokelela ekubonakaleni kweempawu ezithile ezinjengeentlungu kwicala lasekunene lesisu kunye nesisu esidumbileyo;
• IBakala 3 okanye i-hepatic fibrosis: kukho amanqatha kunye nokudumba okubangela utshintsho kwilungu nakwimithambo yegazi ejikelezileyo, kodwa isibindi sisasebenza ngokwesiqhelo;
• IBakala 4 okanye i-cirrhosis yesibindi: sesona sigaba siqatha sesi sifo kwaye sivela emva kweminyaka yokudumba, siphawulwa lutshintsho kwisibindi siphela esibangela ukunciphisa ubungakanani baso size sishiye ubume baso obungaqhelekanga. I-Cirrhosis inokuqhubela phambili kumhlaza okanye ekufeni kwesibindi, efuna ukufakelwa komzimba.

Ke, ukongeza kuvavanyo lwenqatha kwilungu, kubalulekile ukujonga ubukho botshiso, kuba ngoyena nobangela wokufa kweeseli zeli lungu. Ukuvavanya ukuqhubela phambili kwesi sifo, ugqirha angabonisa ukusebenza kwe-elastography ye-hepatic, eluvavanyo olukhawulezayo nolungenazintlungu nolusebenza kakhulu ekubekeni iliso umntu onesifo sesibindi. Qonda ukuba yenziwa njani i-elastography yesibindi.

Iimpawu eziphambili

Ngokwesiqhelo, kumanqanaba okuqala esi sifo, akukho bonakaliso konke konke kwaye, ke, i-steatosis ihlala ifunyanwa ngengozi kuvavanyo lokufumanisa ezinye izifo.

Nangona kunjalo, kumanqanaba aphambili, iintlungu zinokubonakala kwicala lasekunene lesisu, ukuncipha okungachazwanga, ukudinwa kunye nokuqaqamba ngokubanzi, umzekelo, isicaphucaphu nokugabha. Kwiimeko zesifo sokuqina kwesibindi, ezinye iimpawu zinokuvela, ezinje ngesikhumba esimthubi namehlo, ukurhawuzelela umzimba kunye nokudumba esiswini, emilenzeni nasemagqeni. Jonga uluhlu olupheleleyo ngakumbi lweempawu zesibindi esinamanqatha.

Izizathu eziphambili ze-hepatic steatosis

Isizathu sokutyeba kwesibindi asikaqondakali kakuhle, kodwa indlela ekhokelela ekuqalekeni kwesi sifo yimeko yophando oluninzi namhlanje. Kukholelwa ukuba ukufumba kwamafutha esibindini kunxulumene nokungalingani phakathi kokusetyenziswa kunye nokuhlanganiswa kwamafutha ngumzimba kunye nokusetyenziswa kunye nokupheliswa. Oku kungalingani, kunokunxulunyaniswa nemfuza, isondlo kunye nemeko yokusingqongileyo.

Nangona izizathu zingakaziwa, umngcipheko wokukhula kwamafutha esibindini uphakame kakhulu kubantu abatya iziselo ezinxilisayo, kwaye unokwandiswa xa kukho ezinye izinto ezinobungozi, ezinje:

• Ukutyeba kakhulu;
• Uhlobo lwe-2 yeswekile;
• Uxinzelelo oluphezulu;
• Cholesterol ephezulu;
• Ubudala ngaphezu kweminyaka engama-50;
• Ukuba ngumsi;
• Unayo i-hypothyroidism.

Ukongeza, utyando lwe-bariatric kunye nezinye iinkqubo zokuphulukana nobunzima zonyusa umngcipheko wokukhula kwamafutha esibindi ngenxa yotshintsho kwimetabolism ebangelwa kukwehla komzimba ngokukhawuleza. Nangona kunjalo, le ngxaki inokuvela nakubantu abangenazo izinto ezinobungozi, kwaye inokuchaphazela abantwana kunye nabasetyhini abakhulelweyo.

Indlela yokuqinisekisa ukuxilongwa

Utshintsho esibindini lunokufunyanwa okokuqala kuvavanyo lwegazi oluvavanya izinto eziveliswe lelo lungu. Kwaye, ukuba kukho amaxabiso atshintshiweyo, abonisa ukuba isibindi asisebenzi kakuhle, ugqirha unokuyalela iimvavanyo ezongezelelweyo ezinje nge-ultrasound, tomography, isibindi elastography, imaging resonance imaging okanye i-biopsy.

Nangona kunjalo, kubalulekile ukuba uqaphele ukuba amanqatha asesibindini akasoloko ebangela utshintsho kwiimvavanyo zegazi, ezinokulibazisa ukuxilongwa kwesi sifo de isigulana sivavanywe nge-ultrasound ukuphanda ezinye iingxaki.

Unyango lwenziwa njani

Unyango lwamanqatha esibindi lwenziwa ikakhulu ngotshintsho kwindlela otya ngayo, ukuzilolonga rhoqo kunye nokupheliswa kotywala. Ukongeza, kuyafuneka ukunciphisa umzimba kunye nokulawula izifo ezenza mandundu ingxaki, ezinje ngeswekile, uxinzelelo lwegazi kunye ne-cholesterol ephezulu, umzekelo. Nanku umzekelo wento yokutya okunamafutha esibindi ekufuneka ubukeka ngayo.

Akukho ndlela zonyango zokunyanga isifo sesibindi esinamafutha, kodwa ugqirha unokucebisa izitofu ze-hepatitis B zokuthintela isifo sesibindi. Amanye amayeza asekhaya anokusetyenziselwa ukunceda unyango, olunje ngokhula lweti okanye iti ye-artichoke, kubalulekile ukuba uqale ucele imvume kugqirha wakho ngaphambi kokuzisebenzisa.

Le vidiyo ilandelayo ibonelela ngeengcebiso ezivela kwisondlo sethu ukulawula nokunciphisa amanqatha esibindi:

Uvavanyo lolwazi

Thatha uvavanyo lwethu olukhawulezayo lolwazi ukufumana ukuba uyazi ukuba ungasikhathalela njani isibindi esinamafutha:

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Isibindi esityebileyo: vavanya ulwazi lwakho!

Qalisa uvavanyo Ukutya okunempilo kwesibindi kuthetha:

• Yitya irayisi eninzi okanye isonka esimhlophe, kunye nabaqhekezi
• Yitya imifuno kunye neziqhamo ezisandula ukwenziwa kuba zityebile kwifayibha kwaye zinamafutha asezantsi, ukunciphisa ukutya okusetyenzisiweyo.

Unokuxela ukuba isibindi siyaphucuka xa:

• I-cholesterol, i-triglycerides, uxinzelelo lwegazi kunye nokunciphisa ubunzima;
• Akukho anemia.
• Ulusu luye lube mhle ngakumbi.

Ukusela ibhiya, iwayini okanye nabuphi na utywala yile:

• Kuvunyelwe, kodwa kuphela ngeentsuku zetheko.
• Uthintelwe. Ukusetyenziswa kotywala kufuneka kuthintelwe ngokupheleleyo kwimeko yesibindi esinamafutha.

Enye yeendlela ezilungileyo zokunceda ukubuyisela isibindi sakho yile:

• Ukutya ukutya okunamafutha asezantsi ukunciphisa umzimba kuya kunciphisa i-cholesterol, i-triglycerides kunye ne-insulin.
• Fumana uvavanyo lwegazi kunye ne-ultrasound rhoqo.
• Sela amanzi amaninzi ahlwahlwazayo.

Ukutya okungafanele kutyiwa ukunceda ukubuyela kwesibindi zezi:

• Ukutya okunamafutha aphezulu njengesoseji, isoseji, iisosi, ibhotolo, inyama enamafutha, itshizi etyheli kakhulu kunye nokutya okugqityiweyo.
• Iziqhamo zeCitrus okanye i-red peel.
• Isaladi kunye neesuphu.

Edlulileyo Elandelayo