Yintoni i-hepatitis enotywala, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• Uxilongo lwe-hepatitis enotywala
• Unyango lwenziwa njani
• 1. Ukuzikhwebula etywaleni
• 2. Ukunyamekela ukutya
• 3. Ukusetyenziswa kwamayeza
• 4. Ukufakelwa kwesibindi

Utywala i-hepatitis luhlobo lwe-hepatitis olubangelwa kukusetyenziswa kotywala ixesha elide kunye nokugqithisa okudala ukutshintsha kwesibindi kwaye kukhokelele ekubonakaleni kweempawu ezinje ngesisu esibuhlungu, isicaphucaphu, ukugabha kunye nokuphelelwa ngumdla, umzekelo.

I-hepatitis enxilisayo iyanyangeka, kwiimeko ezininzi, okoko umntu eyeka ukusela utywala kwaye anyange amayeza amiselwe ngugqirha wezifo zengqondo okanye ugqirha jikelele, ukuthintela iingxaki ezinje, njenge-cirrhosis okanye ukusilela kwesibindi.

Iimpawu eziphambili

Iimpawu eziphambili kunye neempawu zesifo sokudakumba hepatitis zingabandakanya:

• Iintlungu zesisu kwicala lasekunene;
• Isikhumba esimthubi namehlo, imeko ebizwa ngokuba yi-jaundice;
• Ukudumba komzimba, ngakumbi esiswini;
• Ukuphelelwa ngumdla wokutya;
• Ukudinwa kakhulu;
• Isicaphucaphu nokugabha;
• Ukuthoba umzimba ngaphandle kwesizathu;
• Ukwandiswa kwesibindi kunye ne-spleen, engabonwa ngokunyusa umthamo wesisu.

Ngokwesiqhelo, abantu ababonisa iimpawu kunye neempawu zesifo sokudumba kwesibindi kwaye abangaluqali unyango olwaneleyo, banenqanaba leenyanga ezi-6 lokusinda emva kokubonakala kweempawu zokuqala. Ke ngoko, kubaluleke kakhulu ukubonisana ne-hepatologist ngokukhawuleza xa kuvela iimpawu zeengxaki zesibindi.

Uxilongo lwe-hepatitis enotywala

Ukuxilongwa kwe-hepatitis enxilisayo kwenziwa yi-hepatologist okanye ugqirha ngokubanzi kuvavanyo lweelebhu, njengemilinganiselo ye-enzyme evavanya ukusebenza kwesibindi kunye nokubala okupheleleyo kwegazi. Ukongeza, ugqirha unokucebisa ngokwenza iimvavanyo zokucinga, ezinje nge-ultrasound esiswini, ukujonga utshintsho kwisibindi kunye nodaka.

Ukongeza kwiimviwo, ugqirha kufuneka athathele ingqalelo imbali yesigulana ngexesha lokuchongwa, kwaye kubalulekile ukwazi ukuba umntu ebesebenzisa utywala, ukuphindaphindeka kunye nobungakanani.

Unyango lwenziwa njani

Unyango lwe-hepatitis enotywala kufuneka ikhokelwe yi-hepatologist okanye i-gastroenterologist, kwaye inokwahluka ngokobunzima besifo. Esinye sezibonakaliso eziphambili kunyango lwe-hepatitis enotywala kukuzibamba etywaleni, kuba oku kunciphisa ukudumba kwesibindi, ukukhulula iimpawu kunye nokuthintela ukuqhubela phambili kwesi sifo.

Nangona kunjalo, iindlela eziphambili zokunyanga i-hepatitis enotywala zibandakanya:

1. Ukuzikhwebula etywaleni

Ukuyeka iziselo ezinxilisayo, ukuyeka ukuba likhoboka lotywala, lelona nyathelo liphambili lokunyanga ihepatitis. Kwiimeko ezininzi, kukho ukuphucuka okubonakalayo kokudumba kunye nokufumba kwamafutha esibindini, ngamanye amaxesha anokwanela ukunyanga i-hepatitis.

Nangona kunjalo, kwezinye iimeko, ukudumba kunokuphucula kuphela, ngokuqhubeka kwesifo sesibindi, kufuna ukudibana kolunye unyango ngugqirha. Kwezi meko, ukushiya ukusela utywala kubalulekile ukuba isifo siqhubele phambili kancinci kwaye sandise ixesha lokuphila.

Funda ngakumbi ngezifo eziphambili ezibangelwa butywala.

2. Ukunyamekela ukutya

Ukungondleki, kunye nokunqongophala kweekhalori, iiproteni kunye neevithamini, kuxhaphakile kubantu abane-hepatitis enotywala.

Ngale ndlela, kubaluleke kakhulu ukucebisa isondlo, esinokubonisa ukutya okunotye kakhulu kwiikhalori eziyimfuneko, ekufuneka ibe malunga ne-2,000 kcal ngosuku, ukutya ii-amino acid kunye neeproteni kunye nokongezwa kweevithamini kunye neeminerali ezinjenge thiamine, folic acid, ivithamini A, ivithamin D, pyridoxine kunye ne-zinc, umzekelo.

Bona ezinye iingcebiso kwividiyo engezantsi:

3. Ukusetyenziswa kwamayeza

Amanye amayeza athile anokuboniswa ngugqirha kunyango lwe-hepatitis enotywala, njenge-corticosteroids, ene-anti-inflammatory action, ekhusela iiseli zesibindi ngokuchasene nesenzo esinetyhefu.

Amanye amachiza anamajoni omzimba, anjenge-anti-TNF, okanye amayeza ajikelezayo, anjengePentoxifylline, anokuboniswa. Ukongeza, amayeza afana ne-ursodeoxycholic acid, S-Adenosyl-L-Methionine kunye nePhosphatidylcholine zibonakala zineziphumo ze-hepatoprotective.

Olunye unyango luye lwavavanywa okanye lungagcinelwa iimeko ezithile ze-hepatitis enotywala, kwaye kufuneka luhlale luboniswa sisigulana okanye isifo sobuchwephesha.

4. Ukufakelwa kwesibindi

Abagqatswa abafakelwa ukufakelwa isibindi inokuba zizigulana ezinesifo sesibindi esifikelela kwinqanaba eliphambili, ezingaphuculiyo kunyango lweklinikhi okanye eziqhubela phambili ukusilela kwesibindi kunye nokuqina kwesibindi.

Ukungena kulayini wokufakelwa, kubalulekile ukuba uyeke ukusela utywala kunye nemikhwa enjengokutshaya. Fumanisa ukuba kwenzeka njani kwakhona ukusuka kufakelo lwesibindi kunye nononophelo oluyimfuneko.