Isifo sesibindi esinamanqatha esingenaTywala

Umxholo

• Iimpawu
• Oonobangela
• Imiba yomngcipheko
• Kufunyaniswa njani
• Ngaba isifo sesibindi esinamafutha esingatyisi sinokubangela iingxaki?
• Izinketho zonyango
• Yintoni imbonakalo yesifo sesibindi esinamafutha esingatyisi?

Zithini izifo ezinesibindi ezinamafutha?

Ukusela kakhulu utywala kunokubangela amanqatha amaninzi kwisibindi sakho. Ingakhokelela ekunqandeni izicubu zesibindi, ezaziwa njenge-cirrhosis. Umsebenzi wesibindi uyancipha kuxhomekeke kubuninzi bokuba kunqabile. Amanqatha anokwakha kwisibindi sakho ukuba usele kancinci okanye awuseli tywala. Oku kwaziwa ngokuba sisifo sesibindi esinamafutha (NAFLD). Inokubangela nesibindi.

Utshintsho kwindlela yokuphila lunokunceda i-NAFLD ukuba ingabi mandundu. Kodwa, kwabanye abantu, le meko inokukhokelela kwiingxaki zesibindi ezisongela ubomi.

I-NAFLD kunye nesifo sesibindi esinxilisayo (ALD) siwela phantsi kwexesha lesambulela sesifo esinamafutha sesibindi. Imeko ichazwa njenge-hepatic steatosis xa i-5 ukuya kwi-10 leepesenti yesisindo sesibindi sinamafutha.

Iimpawu

Kwiimeko ezininzi ze-NAFLD, akukho zimpawu zibonakalayo. Xa iimpawu zikhona, zihlala zibandakanya:

• iintlungu kwicala elingasekunene lesisu
• ukudinwa
• isibindi esandisiweyo okanye udakada (uhlala ubonwa ngugqirha ngexesha loviwo)
• ascites, okanye ukudumba esiswini
• i-jaundice, okanye utyheli kolusu namehlo

Ukuba i-NAFLD iqhubela phambili kwi-cirrhosis, iimpawu zingabandakanya:

• ukudideka engqondweni
• ukopha ngaphakathi
• ukugcinwa kolwelo
• Ukuphulukana nokusebenza kwesibindi okunempilo

Oonobangela

Izizathu ezichanekileyo ze-NAFLD aziqondwa kakuhle. Kubonakala ngathi kukho unxibelelwano phakathi kwesi sifo kunye nokunganyangeki kwe-insulin.

I-insulin yincindi yedlala. Xa izihlunu zakho kunye nezicubu zifuna iswekile (iswekile) yamandla, i-insulin inceda ukuvula iiseli ukuba zithathe iswekile egazini lakho. I-insulin ikwanceda ukugcina i-glucose engaphezulu kwesibindi.

Xa umzimba wakho ukhula ukunganyangeki kwe-insulin, oko kuthetha ukuba iiseli zakho aziphenduli kwi-insulin ngendlela ebekufanele. Ngenxa yoko, amanqatha amaninzi aphelela esibindini. Oku kunokukhokelela kukukrala kunye nokuqhekeka kwesibindi.

Imiba yomngcipheko

I-NAFLD ichaphazela iipesenti ezingama-20 zabemi. Ukuxhathisa kwe-insulin kubonakala ngathi yeyona nto yomngcipheko, nangona unokuba ne-NAFLD ngaphandle kokumelana ne-insulin.

Abantu ekunokwenzeka ukuba bakhulise ukunganyangeki kwe-insulin kubandakanya abantu abatyebe kakhulu okanye abakhokelela kukuhlala phantsi.

Eminye imingcipheko ye-NAFLD ibandakanya:

• isifo seswekile
• amanqanaba aphezulu e-cholesterol
• amanqanaba aphezulu e-triglyceride
• Ukusetyenziswa kwee-corticosteroids
• ukusetyenziswa kwamayeza athile omhlaza, kubandakanya iTamoxifen yomhlaza wamabele
• ukukhulelwa

Ukutya kakubi okanye ukulahleka kwesisindo ngokukhawuleza kunokuphakamisa umngcipheko we-NAFLD.

Kufunyaniswa njani

I-NAFLD ihlala ingenazo iimpawu. Ke, ukuxilongwa kuhlala kuqala emva kokuba uvavanyo lwegazi lufumana amanqanaba aphezulu kunalawo aqhelekileyo ee-enzyme zesibindi. Uvavanyo lwegazi oluqhelekileyo lunokuveza esi siphumo.

Amanqanaba aphezulu e-enzyme zesibindi anokuphakamisa nezinye izifo zesibindi. Ugqirha wakho uya kufuna ukulawula ezinye iimeko ngaphambi kokufumanisa i-NAFLD.

I-ultrasound yesibindi inokunceda ukutyhila amanqatha amaninzi esibindini. Olunye uhlobo lwe-ultrasound, ebizwa ngokuba yi-elastography edlulayo, ilinganisa ukuqina kwesibindi sakho. Ukuqina okukhulu kuphakamisa ukonakala okukhulu.

Ukuba ezi mvavanyo azihambelani, ugqirha wakho unokucebisa i-biopsy yesibindi. Kolu vavanyo, ugqirha ususa isampulu encinci yeethishu zesibindi ngenaliti efakwe kwisisu sakho. Isampulu ifundwa kwilebhu ngeempawu zokudumba kunye nokuqunjelwa.

Ukuba uneempawu ezinje ngecala lasekunene leentlungu esiswini, i-jaundice, okanye ukudumba, bona ugqirha.

Ngaba isifo sesibindi esinamafutha esingatyisi sinokubangela iingxaki?

Umngcipheko ophambili we-NAFLD yi-cirrhosis, enokunciphisa isibindi sakho ekwenzeni umsebenzi wayo. Isibindi sakho sinemisebenzi ebalulekileyo, kubandakanya:

• ukuvelisa i-bile, enceda ekuqhekekeni amafutha nokususa inkunkuma emzimbeni
• Ukucoca amayeza kunye neetyhefu
• Ukulinganisa amanqanaba olwelo emzimbeni ngokuvelisa iiproteni
• Ukulungiswa kwehemoglobin kunye nokugcinwa kwentsimbi
• eguqula i-ammonia egazini lakho ibe yingozi urea yokukhupha
• ukugcina kunye nokukhupha iswekile (iswekile) njengoko kufuneka amandla
• ukuvelisa i-cholesterol, eyimfuneko kwimpilo yeselula
• ukususa iintsholongwane egazini
• ukuvelisa izinto zokuzikhusela kwizifo ukulwa nosulelo
• ukumisela ukujiya kwegazi

I-Cirrhosis ngamanye amaxesha inokuqhubela phambili kumhlaza wesibindi okanye ukusilela kwesibindi. Kwezinye iimeko, ukusilela kwesibindi kunokunyangwa ngamayeza, kodwa ngesiqhelo ukufakelwa isibindi kuyafuneka.

Amatyala amancinci e-NAFLD awanakho ukukhokelela kwiingxaki ezinzima zesibindi okanye ezinye iingxaki. Kwimeko ezinobulali, ukuxilongwa kwangoko kunye notshintsho kwindlela yokuphila kubalulekile ekugcineni impilo yesibindi.

Izinketho zonyango

Akukho mayeza athile okanye inkqubo yokuphatha i-NAFLD. Endaweni yoko, ugqirha wakho uza kuncoma utshintsho oluthile kwindlela yokuphila. Oku kubandakanya:

• ukunciphisa umzimba ukuba utyebe kakhulu okanye utyebe kakhulu
• ukutya ukutya okuninzi kweziqhamo, imifuno, kunye neenkozo ezipheleleyo
• umthambo ubuncinci imizuzu engama-30 yonke imihla
• ukulawula i-cholesterol yakho kunye namanqanaba eglucose egazini
• ukuphepha utywala

Kwakhona kubalulekile ukulandela ukuqeshwa koogqirha kwaye uxele naziphi na iimpawu ezintsha.

Yintoni imbonakalo yesifo sesibindi esinamafutha esingatyisi?

Ukuba unokwenza utshintsho lwendlela yokuphila olucetyiswayo kwangethuba, unokukwazi ukugcina impilo entle yesibindi ixesha elide. Unokwazi nokuguqula umonakalo wesibindi kwizigaba zokuqala zesifo.

Nokuba awuziva naziphi na iimpawu ezivela kwi-NAFLD, oko akuthethi ukuba ukonakala kwesibindi akukenzeki. Ukunciphisa umngcipheko, landela indlela yokuphila esempilweni kwaye wenze umsebenzi wegazi rhoqo, kubandakanya uvavanyo lwe-enzyme yesibindi.