Yintoni Ebangela iTransaminitis?

Umxholo

• Izizathu eziqhelekileyo zetransaminitis
• Isifo sesibindi esinamafutha
• Intsholongwane yesibindi
• Amayeza, izongezo, kunye namayeza
• Izizathu ezimbalwa eziqhelekileyo zetransaminitis
• Isifo seHELLP
• Izifo zemfuzo
• I-hepatitis engasebenziyo
• Usulelo lwentsholongwane
• Umgca wezantsi

Yintoni i-transaminitis?

Isibindi sakho siphula izakhamzimba kwaye sihluza iityhefu emzimbeni wakho, ezenza ngoncedo lwee enzymes. I-Transaminitis, ngamanye amaxesha ibizwa ngokuba yi-hypertransaminasemia, ibhekisa ekubeni namanqanaba aphezulu ee-enzyme ezithile zesibindi ezibizwa ngokuba zii-transaminases. Xa unee-enzymes ezininzi kwisibindi sakho, ziqala ukuhamba ziye kwigazi lakho. I-Alanine transaminase (ALT) kunye ne-aspartate transaminase (AST) zezona zinto ziqhelekileyo zixhaphakileyo kwi-transaminitis.

Uninzi lwabantu abane-transaminitis abazi ukuba banalo de benze uvavanyo lwesibindi. I-Transaminitis ngokwayo ayivelisi naziphi na iimpawu, kodwa ihlala ibonisa ukuba ikhona enye into eyenzekayo, ke oogqirha bayayisebenzisa njengesixhobo sokuqonda isifo. Abanye abantu banamaxeshana aphezulu e-enzyme zesibindi ngaphandle kwesizathu. Nangona kunjalo, ngenxa yokuba i-transaminitis inokuthi ibe ngumqondiso weemeko ezinzima, ezifana nesifo sesibindi okanye i-hepatitis, kubalulekile ukulawula naziphi na izizathu ezinokubangela.

Izizathu eziqhelekileyo zetransaminitis

Isifo sesibindi esinamafutha

Isibindi sakho ngokwendalo sinamafutha, kodwa okuninzi kwawo kunokubangela isifo sesibindi esinamafutha. Ihlala inxulunyaniswa nokusela izixa ezikhulu zotywala, kodwa isifo sesibindi esinamafutha esingesiso isiya sixhaphake. Akukho mntu uqinisekile ukuba yintoni kanye kanye ebangela ukungatyisi okunesifo sesibindi, kodwa iimeko eziqhelekileyo zomngcipheko zibandakanya:

• ukutyeba kakhulu
• cholesterol ephezulu

Isifo sesibindi esinamafutha asihlali sibangela naziphi na iimpawu, kwaye uninzi lwabantu alwazi ukuba lunalo de lufumane uvavanyo lwegazi. Nangona kunjalo, abanye abantu banokudinwa, iintlungu zesisu esincinci, okanye isibindi esandisiweyo ugqirha wakho anokuziva ngexesha lovavanyo lomzimba. Ukunyanga isifo sesibindi esinamafutha kuhlala kubandakanya utshintsho kwindlela yokuphila, njengokuphepha utywala, ukugcina ubunzima obunempilo, kunye nokutya ukutya okunezondlo.

Intsholongwane yesibindi

IHepatitis ibhekisa kukudumba kwesibindi. Kukho iintlobo ezininzi ze-hepatitis, kodwa eyona ixhaphakileyo yi-hepatitis yentsholongwane. Ezona ntlobo zixhaphakileyo ze-hepatitis yentsholongwane ebangela ukuba i-transaminitis yi-hepatitis B kunye ne-hepatitis C.

I-Hepatitis B kunye no-C babelana ngeempawu ezifanayo, ezibandakanya:

• ulusu ngombala omthubi namehlo, abizwa ngokuba yi-jaundice
• umchamo omnyama
• isicaphucaphu nokugabha
• ukudinwa
• iintlungu esiswini okanye ukungaphatheki kakuhle
• iintlungu ezidibeneyo kunye nezihlunu
• ifiva
• Ukuphelelwa ngumdla wokutya

Thetha nogqirha wakho ukuba unayo nayiphi na impawu zentsholongwane hepatitis yentsholongwane. Ukuba ishiywe inganyangwa, inokubangela ukonakala kwesibindi ngokusisigxina, ngakumbi ukuba une-hepatitis C.

Amayeza, izongezo, kunye namayeza

Ukongeza ekuncedeni umzimba wakho ukwenziwa kokutya, isibindi sakho sikwaphula nantoni na oyithathayo ngomlomo, kubandakanya amayeza, izongezo, kunye namayeza. Ngamanye amaxesha ezi zinokubangela i-transaminitis, ngakumbi xa zithathwa ngeedosi eziphezulu.

Amayeza anokubangela i-transaminitis abandakanya:

• amayeza eentlungu ezingaphaya kwamayeza, njenge-acetaminophen (iTylenol) okanye ibuprofen (Advil, Motrin)
• ii-statins, ezinjenge-atorvastatin (Lipitor) kunye ne-lovastatin (Mevacor, Altocor)
• amayeza enentliziyo, njenge-amiodarone (Cordarone) kunye nehydralazine (Apresoline)
• i-cyclic antidepressants, enje nge-desipramine (Norpramin) kunye ne-Imipramine (Tofranil)

Izixhasi ezinokubangela i-transaminitis zibandakanya:

• ivithamini A

Imifuno eqhelekileyo enokubangela i-transaminitis ibandakanya:

• isahluko
• kava
• senna
• ukakayi
• ephedra

Ukuba uthatha nayiphi na kwezi, xelela ugqirha wakho malunga naziphi na iimpawu ezingaqhelekanga onazo. Unokufuna ukuba igazi lakho livavanywe rhoqo ukuqinisekisa ukuba azichaphazeli isibindi sakho. Ukuba kunjalo, kuya kufuneka ulinciphise inani olithathayo.

Izizathu ezimbalwa eziqhelekileyo zetransaminitis

Isifo seHELLP

I-HELLP syndrome yimeko enzima echaphazela iipesenti ezi-5 ukuya kwezi-8 zokukhulelwa. Ibhekisa kwiqela leempawu ezibandakanya:

• Hukukhutshwa
• UEL: ii-enzymes zesibindi eziphakamileyo
• I-LPUbalo lweplatelet ephantsi

Ihlala inxulunyaniswa ne-preeclampsia, ebangela uxinzelelo lwegazi oluphezulu kubafazi abakhulelweyo. I-HELLP syndrome inokubangela ukonakala kwesibindi, iingxaki zokopha, kunye nokufa xa ingalawulwa kakuhle.

Iimpawu ezongezelelweyo ze-HELLP syndrome zibandakanya:

• ukudinwa
• isisu esibuhlungu
• isicaphucaphu nokugabha
• intlungu zesisu
• iintlungu zamagxa
• intlungu xa uphefumla ngokunzulu
• ukopha
• ukudumba
• utshintsho kumbono

Ukuba ukhulelwe kwaye uqala ukuqaphela nayiphi na kwezi mpawu, nxibelelana nogqirha wakho ngokukhawuleza.

Izifo zemfuzo

Izifo ezininzi ezizuzwe njengelifa zinokubangela i-transaminitis. Ziqhelekileyo iimeko ezichaphazela iinkqubo zomzimba wakho.

Izifo zemfuza ezinokubangela i-transaminitis zibandakanya:

• hemochromatosis
• isifo se-celiac
• Isifo sikaWilson
• ukuswela i-alpha-antitrypsin

I-hepatitis engasebenziyo

I-autoimmune hepatitis kunye ne-hepatitis enotywala zizinto ezimbini eziqhelekileyo ze-hepatitis ezingezizo ezesifo ezinokubangela i-transaminitis. I-hepatitis engasebenziyo ivelisa iimpawu ezifanayo ne-hepatitis yentsholongwane.

I-autoimmune hepatitis yenzeka xa amajoni akho omzimba ehlasela iiseli kwisibindi sakho. Abaphandi abaqinisekanga ukuba yintoni ebangela oku, kodwa izinto zemfuza nezokusingqongileyo zibonakala ngathi zidlala indima.

Utywala i-hepatitis ibangelwa kukusela kakhulu utywala, ngesiqhelo kwisithuba seminyaka emininzi. Ukuba unesifo sokudumba kwesibindi, kufuneka uyeke ukusela utywala. Ukungakwenzi oko kungakhokelela kwiingxaki ezinzulu, kubandakanya nokufa.

Usulelo lwentsholongwane

Ezona zifo zixhaphakileyo zentsholongwane ezibangela i-transaminitis sisifo esosulelayo se-mononucleosis kunye ne-cytomegalovirus (CMV).

I-mononucleosis echaphazelekayo isasazeka ngamathe kwaye ingabangela:

• iitoni ezidumbileyo kunye nee-lymph node
• umqala obuhkungu
• ifiva
• udakada odumbileyo
• intloko ebuhlungu
• ifiva

Usulelo lwe-CMV luxhaphake kakhulu kwaye lunokusasazeka kulwelo oluninzi lomzimba, kubandakanya amathe, igazi, umchamo, amadlozi, kunye nobisi lwebele. Uninzi lwabantu alunamava ngaphandle kokuba anamajoni omzimba abuthathaka. Xa usulelo lweCMV lubangela iimpawu, zihlala zifana nezo zesifo se-mononucleosis.

Umgca wezantsi

Izinto ezahlukeneyo, ukusuka kwizifo ezinzulu ukuya kutshintsho olulula kumayeza, kunokubangela ii-enzyme zesibindi eziphakamileyo, ezaziwa ngokuba yi-transaminitis. Akuqhelekanga nakwabanye abantu ukuba banee-enzyme zesibindi okwethutyana. Ukuba uvavanyo lwegazi lubonisa ukuba une-transaminitis, kubalulekile ukusebenza nogqirha wakho ulawule naziphi na izizathu ezinokubangelwa kukuba uninzi lwazo lunokukhokelela kumonakalo omkhulu wesibindi kwaye nokusilela kwesibindi ukuba kungashiywanga kunganyangwa.