Uphathwa njani isifo sokuqina kwesibindi

Umxholo

• 1. Ukusetyenziswa kwamayeza
• 2. Ukutya ukutya kwesibindi
• 3. Unyango lwendalo
• 4. IHemodialysis
• 5. Ukufakelwa kwesibindi
• Iingxaki zesibindi sokuqina kwesibindi

Unyango lwe-cirrhosis yesibindi luboniswa yi-hepatologist ngokweempawu kunye nobungqongqo besifo sokuqina kwesibindi, kunye nokusetyenziswa kwamayeza, ukutya okwaneleyo okanye ukufakelwa isibindi kwiimeko ezinzima kakhulu, umzekelo, kunokucetyiswa.

Isibindi sokuqina sisifo esiqhubela phambili esibindini, esivela ngenxa yeemeko ezikhokelela ekutshabalaliseni kancinci kunye nokuqhubela phambili kweeseli zesibindi, njengokusebenzisa kakhulu utywala okanye ihepatitis, umzekelo. Funda ngezinye izinto ezibangela i-cirrhosis yesibindi.

Ukufakelwa kwesibindi kuboniswa xa ukubola kwesibindi kubola, kuthandwa kukuvela kweengxaki ezinje nge-ascites, varicose digestive hemorrhage, hepatic encephalopathy kunye ne-bacterial peritonitis. Ngoko ke, kubalulekile ukuba unyango lwe-cirrhosis yesibindi luqhutywe ngokukhawuleza, ukunciphisa ukuqhubela phambili kwesi sifo nokukhusela iingxaki.

Ke, unyango lwesibindi sokudumba luqukethe ezi ndlela zilandelayo:

1. Ukusetyenziswa kwamayeza

Unyango lweziyobisi zesibindi sokuqina lujolise ekulawuleni ezinye zeempawu zesifo sokuqina kwesibindi, njengokutsha kwesisu kunye nokudumba okuvela kwi-ascites, oko kukuthi, ukuqokelelana kolwelo esiswini, kunye nokusetyenziswa kwamayeza okuchama anceda ukuphelisa ukugqitha kungaboniswa ngugqirha. Ulwelo. Fumanisa ngakumbi ukuba yintoni i-ascites kwaye zithini iimpawu.

Kwimeko ye-hepatic encephalopathy, ingxaki ye-cirrhosis apho ukungasebenzi kakuhle kwengqondo kwenzeka, amanye amayeza anje nge-laxatives kunye ne-antibiotics, njenge-lactulose kunye neomycin okanye i-rifaximin, anokumiselwa ukunceda ukuphelisa ityhefu emathunjini, ukuthintela ezi zinto kuphazamise ukusebenza ingqondo. Njengoko i-cirrhosis yesibindi inyusa uxinzelelo lomthambo esibindini, amayeza afana ne-beta-blockers ukunciphisa uxinzelelo lwegazi nawo anokuboniswa.

Unyango lwe-Pharmacological yesibindi sokuqina kwesibindi kufuneka luboniswe kuphela yi-gastroenterologist okanye i-hepatologist, ngokweemeko zeklinikhi kunye neempawu ezibonakaliswa ngumntu. Kwezinye iimeko, ukugonywa ngokuchasene nehepatitis A kunye no-B kuyacetyiswa ukuthintela ukonakala komonakalo wesibindi.

2. Ukutya ukutya kwesibindi

Ukutya kwesibindi sokuqina kwesibindi kufuneka kuboniswe ngusondlo kwaye kusekwe kukutya okunomthamo omncinci wetyuwa, kwaye kufuneka kutshintshwe ngezinye izinongo ezifana neparsley okanye ilamuni, umzekelo. Kukwacetyiswa ukuba kudliwe ukutya okunotye kwifayibha kunye neeprotein ezisezantsi, ngakumbi ukuba umntu une-ascites okanye encephalopathy ye-hepatic. Bona ngakumbi imenyu kunye nokutya ukutya kwe-cirrhosis.

Unyango lwesondlo sokuqina kwesibindi lukwabandakanya nengcebiso yokuba ungatyi ukutya okunamafutha kunye nokutya okufakwe ngaphakathi, kunye nokungasebenzisi iziyobisi, ngakumbi utywala, yenye yezona zinto zibangela esi sifo, kuba zinokuqhubeka nokwenzakalisa isibindi. Ke, kunyango lwe-cirrhosis enotywala, ukuyeka utywala kubalulekile.

3. Unyango lwendalo

Unyango lwendalo lwe-cirrhosis yesibindi akufuneki ithathe indawo yonyango oluchaziweyo kwaye kufuneka lwenziwe phantsi kwesikhokelo sikagqirha, kwaye ezinye iimveliso zendalo zibonisiwe njenge-elderberry iti okanye i-uxi etyheli ethi, ngenxa yokuchithwa kwayo kunye nokucoca iipropathi, inokunceda ukukhulula iimpawu zesifo sokuqina kwesibindi. Funda indlela yokulungisa amayeza asekhaya e-cirrhosis.

Kumatyala apho isibindi sesibindi singakhange sibangelwe kukusela kakhulu, okubizwa ngokuba yi-cirrhosis yesibindi esingesiso esinxilisayo, kunokucetyiswa ukusetyenziswa kwezinc kunye nevithamin E, njengoko inento yokulwa nokudumba, ukunciphisa iimpawu zesi sifo.

4. IHemodialysis

IHemodialysis ibonakalisiwe kubantu abaye bafumana ukonzakala kwezintso ngenxa yeengxaki zesibindi sokuqina kwesibindi, ezinje ngee-toxins emzimbeni, njengoko isibindi singakwazi ukufunxa nokuphelisa ezi zinto, kunye nokunyusa uxinzelelo lwegazi okanye ukungahambi kakuhle kwegazi. kwizintso.

Le nkqubo kufuneka yenziwe esibhedlele okanye eklinikhi kwaye inonyango lokucoca igazi, isuse ityhefu kunye neetyiwa, oko kukuthi, yenziwa ngomatshini owenza imisebenzi efanayo nezintso. Bona ngakumbi malunga nokusebenza kwehemodialysis.

5. Ukufakelwa kwesibindi

Ukufakelwa kwesibindi kuboniswa ngugqirha kwiimeko ezinzima kakhulu, xa i-cirrhosis yesibindi ibola, isibindi sithinteka kakhulu kwaye siyeke ukusebenza kakuhle, okanye xa unyango ngamachiza lungasebenzi. Olu hlobo lonyango lunokuboniswa kwimeko apho isibindi sichaphazeleka ngenxa yethumba.

Emva kokubonisa le nkqubo, kufuneka ulinde kulayini womnikelo, kuba kusemva kokufumana umnikeli apho utyando lotyando luya kucwangciswa. Qonda ukuba ukufakelwa isibindi kusebenza njani kwaye kuchacha njani.

Iingxaki zesibindi sokuqina kwesibindi

Isibindi se-cirrhosis kufuneka sinyangwe kwakamsinya nje ukuba kufunyaniswe isifo, kuba oko kunokubangela iingxaki ezinje nge-ascites, oko kukuthi, ukuqokelelana kolwelo esiswini kwaye olukhula kuba uxinzelelo kumthambo wesibindi lonyuka, lubangela ukuba imithambo yegazi icinezeleke. . Ukubuyisa umva le ngxaki, ukusetyenziswa kwamayeza kunye neparacentesis ziyafuneka. Bona ngakumbi ukuba yenziwa njani paracentesis.

Ezinye iingxaki zesifo sokuqina kwesibindi zinokuba zi-esophageal varices, ezenzeka ngenxa yokuqhekeka kwemithambo yegazi kwi-esophagus, ebangelwa luxinzelelo olonyukayo, kunye ne-peritonitis, kukudumba kwenwebu egubungele isisu. Ubunzima beBongo kunye nemiphunga bunokuvela ngenxa yokwehla kweoksijini egazini.