Isifo Sesibindi Esingapheli: Izimpawu, Izimbangela kanye Nokwelashwa

Isibindi singesesibili ngobukhulu futhi singesinye sezitho ezibaluleke kakhulu emzimbeni. Ilele ngakwesokudla somzimba futhi isiza ekumunceni nasekukhipheni izakhamzimba. Ikhiqiza into ebizwa ngokuthi i-bile juice ekhipha ubuthi emzimbeni futhi isize ukugaya. Kodwa-ke, kunezikhathi lapho ukusebenza kwayo kuphazanyiswa yisifo esithile, kudala inkinga yezokwelapha. Enye yezinkinga ezinjalo zezokwelapha zesibindi Izifo Zesifo Esingahlala Nesifo Esingajwayelekile (CLD).

Izifo Zesifo Esingahlala Nesifo Esingajwayelekile yisimo sezempilo esilimaza isibindi futhi sithinte imisebenzi yaso. Isifo sesibindi eside sibangela isifo sokusha kwesibindi, isimo lapho amangqamuzana esibindi anempilo ethathelwa indawo izicubu ezibaziyo.

Siyini Isifo Sesibindi Esingamahlalakhona?

Isifo sesibindi esingamahlalakhona sibhekisela ezifweni lapho ukulimala kwesibindi kuqhubeka khona ngokuhamba kwesikhathi, okuvame ukuphumela ekuqineni kwesibindi nokuncipha kokusebenza kwesibindi. Ukusetshenziswa ngokweqile kotshwala, ukungenwa yisifo sokusha kwesibindi kohlobo B noma u-C, isifo sesibindi esinamafutha, izifo ezivikela umzimba kumasosha omzimba, noma izinkinga zofuzo yizona zimbangela ezingase zibe khona. Ukukhathala, i-jaundice, ukuvuvukala kwesisu, nokudideka yizimpawu ezingenzeka. Uma ingelashwa, ingaholela ekuhlulekeni kwesibindi noma imiphumela efana ne-portal hypertension nomdlavuza wesibindi, edinga ukwelashwa kanye nezinguquko endleleni yokuphila.

Izimpawu Zezifo Zesibindi Ezingamahlalakhona 

Izimpawu zezifo zesibindi ezingamahlalakhona zingahluka kuye ngembangela ewumsuka. Isibonelo, lesi sifo singabangela i-jaundice kwezinye iziguli. I-jaundice ikhombisa izimpawu ezifana nokuba phuzi kwesikhumba nengxenye emhlophe yamehlo.

Ezinye izimpawu zalesi sifo zihlanganisa: 

• Ubuhlungu besisu - ubuhlungu ngakwesokudla kwesisu
• Indle ephaphathekile, emnyama nenegazi 
• Umbala womchamo oshintshile
• Ukudabuka noma ukuhlanza 
• Ukukhathala
• I-Edema - Ukuqoqwa koketshezi emilenzeni noma ezingalweni
• Isisu esikhulisiwe
• Ukushintsha kokulala, imizwa kanye nokuqonda

Izimbangela Zezifo Zesibindi Ezingamahlalakhona 

Ezinye izimbangela zezifo zesibindi ezingapheli zingabandakanya:

• Izifo - Amagciwane, amabhaktheriya kanye nama-parasites angalimaza isibindi ngokubangela ukuvuvukala nokunciphisa imisebenzi yaso. Igciwane lingasakazwa ngamanzi angcolile noma ukudla, isidoda, igazi noma ukuthintana nomuntu onaleli gciwane. Izifo eziningi zesibindi zibangelwa amagciwane e-hepatitis, njenge-hepatitis A, B no-C. 
• amasosha omzimba - Ukuphazamiseka kwe-Autoimmune yizifo lapho amasosha omzimba ehlasela ngephutha isibindi somzimba womuntu. Ezinye izibonelo zezifo zesibindi ezizimele yi-autoimmune hepatitis, i-primary sclerosing cholangitis, kanye ne-primary biliary cholangitis.
• Ufuzo - Isakhi sofuzo esingajwayelekile esivela kumzali oyedwa noma bobabili singabangela ukwakheka kwezinto ezinobuthi esibindini okuholela ekulimaleni. Ezinye izifo zesibindi zofuzo zihlanganisa isifo sikaWilson, i-Hemochromatosis, ukuntuleka kwe-Alpha-1 antitrypsin, njll. 
• Cancer - Ukukhula kwesimila esibindini kuholela umdlavuza wesibindi. Lokhu kwenzeka lapho amangqamuzana angejwayelekile noma angenwe yileli gciwane anda. Lezi zimila zingaba zimbi (izimila ezibhebhetheka esibindini) noma zibe nobungozi (izimila ezingasabalali esibindini). 
• Ukusetshenziswa Kobuthi - Ukusetshenziswa kotshwala ne-nicotine kungase kubangele isifo sesibindi esinamafutha ngenxa yokunqwabelana kwamafutha esibindini.

Yiziphi Izigaba Zezifo Zesibindi Ezingamahlalakhona?

Isifo sesibindi esingamahlalakhona siqhubeka ngezigaba ezahlukahlukene:

• Ukuvuvukala: Esigabeni sokuqala nokuvuvukala kwesibindi ngenxa yokulimala noma ukutheleleka.
• I-Fibrosis: Ukulimala kwesibindi okuqhubekayo kuholela ku-fibrosis esicutshini sesibindi.
• I-Cirrhosis: Izibazi ezithuthukisiwe noma i-fibrosis kanye nokuhlanekezeka kwesakhiwo sesibindi, kunomthelela ekusebenzeni kwaso.
• Ukwehluleka Kwesibindi: Lesi yisigaba sokugcina lapho isibindi singasakwazi ukusebenza kahle, okuholela ezinkingeni ezinkulu kanye nesidingo esingaba khona sokufakelwa.

Ukuxilongwa Kwezifo Zesibindi Ezingamahlalakhona 

Udokotela angancoma ukuhlolwa okulandelayo ukuze ahlole izifo zesibindi ezingapheli. 

• Ukuhlolwa Kwezithombe - Ukuhlolwa kwesithombe njenge-ultrasound, i-CT scan, noma i-MRI ibheka izimpawu zomonakalo namathumba esibindini. I-Fibroscan, uhlobo olukhethekile lwe-ultrasound, ingasiza ekunqumeni izinga lezibazi nokunqwabelana kwamafutha esibindini. 
• Ukuphika kwesibindi - Ku-biopsy yesibindi, udokotela ufaka inaliti encane ukuze aqoqe isampula yezicubu zesibindi futhi azihlaziye ukuze athole izimpawu ezibangela izifo. 
• Izivivinyo zegazi - Lezi zivivinyo zikala amazinga ama-enzyme akhiqizwa isibindi egazini. Izinga le-enzyme elingavamile libonisa ukungahambi kahle ekusebenzeni kwesibindi.

Ukwelashwa Kwezifo Zesibindi Ezingamahlalakhona

Ukwelashwa kwezifo zesibindi ezingapheli kuncike ohlotsheni lwesifo nokuqhubeka kwaso. Ezinye izinketho zokwelashwa kwezifo zesibindi ezingapheli zihlanganisa: 

• Ukufakelwa Kwesibindi: Lena indlela yokwelapha engcono kakhulu okufanele icatshangelwe lapho isifo sifinyelela izinga eliphezulu futhi sithuthukisa amathuba okungasebenzi kwesibindi. Kule nqubo, isibindi esinempilo esitholakala kumnikeli sithatha indawo yesibindi esithintekile. 
• Imithi: Imithi isiza ekudambiseni izimpawu kanye nokwelapha ukwehluleka kwesibindi okuhambisana ne-hepatitis. 
• Izinguquko Zendlela Yokuphila: Kubantu abahlushwa izifo zesibindi esinamafutha, ukunciphisa ama-calories namafutha, ukugwema utshwala nokwandisa ukumuncwa kwe-fiber kungasiza. Izifo ezihambisana notshwala zingelashwa ngokuyeka utshwala noma ukunciphisa ukuphuza utshwala.

Ukuvimbela Izifo Zesibindi Ezingamahlalakhona

Ukuvimbela izifo zesibindi ezingapheli kungenziwa ngokulandela amathiphu anikeziwe.

• Nciphisa noma Yehlisa Ukusetshenziswa Kotshwala - Ukuphuza kakhulu kungase kubangele izifo zesibindi. Ngakho-ke, ngaso sonke isikhathi kuyelulekwa ukuthi unciphise ukuphuza utshwala. 
• Yamukela indlela yokuphila enempilo - Gcina isisindo esinempilo, udle ukudla okunempilo, futhi ube namandla ngokomzimba. 
• Hlola isibindi njalo.

Isiphetho

Isifo Sesibindi Esingamahlalakhona silimaza ukusebenza kwesibindi okuba nomthelela empilweni yonke yomzimba. Lesi sifo siza nezimpawu ezahlukahlukene, noma kunjalo, imbangela eqondile ingaqinisekiswa kuphela ngokuhlolwa kokuxilonga. Abantu abahlangabezana nezimpawu ezihlobene bayatuswa ukuthi bafune usizo lochwepheshe.