Ukusilela kwesibindi: yintoni, unobangela, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Uxilongo lwenziwa njani
• Uvavanyo lwe-Intanethi lweengxaki zesibindi
• Unyango lwenziwa njani
• 1. Ukusetyenziswa kwamayeza
• 2. Yenza utshintsho kwindlela otya ngayo
• 3. Ukufakelwa kwesibindi
• Iingxaki ezinokwenzeka
• Indlela yokuthintela

Ukungaphumeleli kwesibindi sisona sifo sesibindi esibi kakhulu, apho ilungu lingenako ukwenza imisebenzi yalo, njengokuveliswa kwenyongo ekucoleni amafutha, ukupheliswa kwetyhefu emzimbeni okanye ukulawulwa kwegazi, kukhokelela kuthotho zeengxaki ezinzulu ezinje ngeengxaki zokunqanda igazi, i-edema yobuchopho okanye ukusilela kwezintso.

Ngokwexesha kunye nokuvela kweempawu, ukusilela kwesibindi kunokuhlelwa:

• Ngamandla: kwenzeka ngesiquphe, ngeentsuku okanye iiveki, kubantu abasempilweni, kungekho sifo sesibindi sangaphambili. Ngokuqhelekileyo kubangelwa yintsholongwane ye-hepatitis okanye ukusetyenziswa ngokungachanekanga kwamanye amayeza, njengeparacetamol;
• Ixesha: Iimpawu zingathatha iinyanga okanye iminyaka ukuba ivele, kwaye kuyenzeka xa isibindi sihlaselwa rhoqo ngenxa yeemeko ezifana nokusetyenziswa gwenxa kotywala, i-hepatitis okanye amanqatha esibindini.

Xa kukrokreleka ukusilela kwesibindi, kubalulekile ukudibana nengcali yesifo sephepha ukuze ichaze isifo, ichaze unobangela kwaye iqalise ngonyango olufanelekileyo, olunokubandakanya ukusetyenziswa kweyeza okanye ukufakelwa isibindi.

Iimpawu eziphambili

Kwinqanaba lokuqala, ukusilela kwesibindi kungangabonakalisi zimpawu, nangona kunjalo zinokukhula ngeentsuku okanye iminyaka embalwa:

• Ulusu omthubi kunye inwebu yangaphakathi;
• Ukurhawuzelela umzimba;
• Ukudumba esiswini;
• Ubuhlungu kwicala lasekunene lesisu;
• Ukudumba emilenzeni;
• Isicaphucaphu okanye ukugabha ngegazi;
• Urhudo;
• Ukuphelelwa ngumdla wokutya;
• Ukuhla ukusinda;
• Uvakalelo lwe-malaise ngokubanzi;
• Ndiziva ndihluthi nasemva kokutya okuncinci;
• Ukulala kakhulu;
• Ukudideka kwengqondo okanye ukudideka;
• Ukuphefumla ngephunga elimnandi;
• Umchamo omnyama;
• Izibane ezikhanyayo okanye ezimhlophe;
• Ifiva;
• Ukopha okanye ukopha emathunjini;
• Ukulula kokopha okanye ukugruzuka.

Phambi kwezi mpawu, kubalulekile ukuba ubonane nogqirha ngokukhawuleza okanye ufune igumbi elikhawulezileyo elikufutshane, kuba esi sifo sinokukhawuleza sibe mandundu kwaye sibangele ukopha okanye izintso ezinzima okanye iingxaki zengqondo, zibeke ubomi bakho emngciphekweni.

Uxilongo lwenziwa njani

Ukuxilongwa kokungaphumeleli kwesibindi kwenziwa ngokusekwe kwimbali yeklinikhi kunye negazi elilinganisela ixesha lokuvala igazi kunye nee-enzyme zesibindi ezinje nge-ALT, AST, GGT, alkaline phosphatase kunye ne-bilirubin. Ukongeza, uvavanyo lwe-imaging olufana nekhompyuter ye-tomography okanye imaging resonance imaging, kunye ne-biopsy yesibindi kunokufuneka ukuba ubone ukuba kutheni eli lungu lingasebenzi. Jonga zonke iimvavanyo zokuvavanya ukusebenza kwesibindi.

Uvavanyo lwe-Intanethi lweengxaki zesibindi

Ukufumanisa ukuba unokusilela kwesibindi, jonga indlela oziva ngayo:

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?

Unyango lwenziwa njani

Unyango lokungaphumeleli kwesibindi luxhomekeka kwizizathu kunye nenqanaba lesi sifo kwaye kubandakanya:

1. Ukusetyenziswa kwamayeza

Amayeza anokuchazwa yi-hepatologist ukunyanga ukusilela kwesibindi kuxhomekeke kwinto ebangelwe sisifo, umzekelo, ukuba sibangelwe yityhefu yi-paracetamol okanye i-mushroom yasendle, amayeza kufuneka asetyenziselwe ukuguqula iziphumo zawo, okanye ukuba unobangela wosulelo kufuneka ukunyangwa ngamayeza okubulala iintsholongwane okanye okubulala iintlungu.

Ukongeza, ugqirha usenokubonisa amanye amayeza ngokweempawu ezikhoyo.

2. Yenza utshintsho kwindlela otya ngayo

Ukutya okungaphumeleli kwesibindi kufuneka kwenziwe phantsi kweliso lwe-hepatologist kunye nesondlo sezonyango, njengoko izikhokelo zixhomekeka kwimeko yempilo yomntu kunye nesigaba esikuyo isifo.

Ngokubanzi, kuya kufuneka ulawule inani lamanzi afakiweyo, thintela ityuwa yakho ukuba ibe ngaphantsi kwe-2g ngemini ukunqanda ukudumba okanye ukuqokelelana kolwelo esiswini sakho kwaye ungazisebenzisi iziselo ezinxilisayo, njengoko zinokwenza mandundu iimpawu kwaye zisenze mandundu esi sifo.

3. Ukufakelwa kwesibindi

Ukufakelwa kwesibindi kukuhlinzwa okususa isibindi esingasasebenzi kakuhle kwaye sithathe indawo yesibindi esisempilweni kumnikeli ongasekhoyo okanye inxalenye yesibindi esempilweni esivela kumnikeli ophilayo.

Olu nyango, xa lwenziwe ngexesha, lunokubuyisela ukusebenza kwesibindi, nangona kunjalo aluboniswanga kuzo zonke iimeko, njengokungaphumeleli kwesibindi okubangelwa yi-hepatitis, njengoko intsholongwane inokuhlala kwisibindi esifakelweyo. Fumanisa ukuba kwenziwa njani ukufakelwa isibindi.

Iingxaki ezinokwenzeka

Iingxaki zokusilela kwesibindi zinokuvela kwakamsinya emva kweempawu zokuqala zesifo okanye xa isifo sikwinqanaba eliphambili kwaye zibandakanya:

• Ukudumba kobuchopho;
• Ukopha emathunjini;
• Usulelo ngokubanzi;
• Ukwanda komngcipheko wokungenwa yimiphunga kunye nomchamo;
• Ukungonelanga kwezintso.

Ezi ngxaki kufuneka zinyangwe ngokukhawuleza, kuba ukuba azibuyiswanga umva okanye zilawulwe ngexesha, zingasongela ubomi.

Indlela yokuthintela

Amanye amanyathelo anokunceda ukuthintela okanye ukunciphisa umngcipheko womonakalo wesibindi onokubangela ukusilela kwesibindi, njenge:

• Kuphephe ukuthatha amayeza ngaphandle kwengcebiso zonyango;
• Kuphephe ukusebenzisa izityalo ezingamayeza ngaphandle kokukhokelwa yingcali yezempilo;
• Kuphephe ukusela iziselo ezinxilisayo;
• Gonya ngokuchasene ne-hepatitis;
• Ziqhelise ukwabelana ngesondo okukhuselekileyo;
• Kulumkele ukusebenzisa iziyobisi ezingekho mthethweni kunye nokwabelana ngeesirinji;
• Gcina ubunzima busempilweni.

Ukongeza, xa usebenzisa isibulali zinambuzane kunye nezinye iikhemikhali eziyityhefu, kubalulekile ukugubungela ulusu ngeiglavu, iiovaroli ezinemikhono emide, umnqwazi kunye nemaski, ukuthintela ukufunxeka kweemveliso ngolusu ezinokubangela ukusilela kwesibindi.