Ingabe isifo sesibindi esinamafutha esigaba 1 siyalungiseka?

Yebo, isifo sesibindi esinamafutha ebanga loku-1 ngokuvamile siyashintshwa ngezinguquko zendlela yokuphila njengokuncipha kwesisindo, ukudla okunempilo, ukuvivinya umzimba njalo, nokuyeka utshwala. Lezi zinyathelo zinganciphisa amafutha esibindi futhi zithuthukise impilo yesibindi.

Isibindi Esinamafutha Ebanga Lokuqala: Izimpawu, Izimbangela, Ukwelashwa kanye Namathiphu Okudla

Kubuyekezwe ngomhla ka-21 February 2024

Esinye sezigaba zokuqala nesithambile kakhulu sesifo sesibindi esinamafutha saziwa ngokuthi yi-grade 1, noma i-mild hepatic steatosis. Nakuba ngokuvamile singabonisi ukubonakaliswa komtholampilo okusobala ekuqaleni, isibindi esinamafutha ebanga loku-1 siphawula isinyathelo sokuqala sokungasebenzi kahle kwe-metabolic yesibindi. Ngaphandle kokungenelela okufika ngesikhathi, ingaqhubekela phambili buthule ibe ukuvuvukala okukhulu kakhulu isifo sesibindi ngaphezu kweminyaka.

Le bhulogi inikeza ulwazi olubanzi lwesibindi esinamafutha ebanga loku-1. Sizoxoxa ngayo yonke into kusukela kuzimpawu zayo ezicashile kanye nezizathu eziyisisekelo kuya ekudleni okusebenzayo kwendlela yokuphila kanye namathiphu okukuxazulula.

I-Grade 1 Isibindi Esinamafutha

Yisigaba sokuqala nesincane kakhulu se-non-alcoholic fat fat disease NAFLD. Lokhu ngokuvamile kwaziwa ngokunqwabelana kwamafutha ku-5% kuya ku-10% we-hepatocyte. Ngakho-ke, ukuxilongwa kusenesikhathi kanye nokwelashwa kuyisihluthulelo sokuqeda ukuqhubekela phambili ezigabeni ezithuthuke kakhulu.

I-Grade 1 Izimpawu Zesibindi Esinamafutha

Abantu abaningi abanesifo sesibindi esinamafutha ebanga loku-1 abazibonisi izimpawu ezicacile. Nokho, ezinye izimpawu ezicashile okufanele uziqaphele zihlanganisa:

Ukukhathala nokubuthakathaka
Ukungakhululeki kwesisu esiphezulu
Ama-enzyme esibindi aphakanyisiwe
Amazinga aphezulu e-triglyceride
Ukukhula kwesisindo okungachazeki
Ukulawula ushukela wegazi okuphazamisekile

Yini Ebangela Futhi Yandisa Izingozi Zesibindi Esinamafutha Ebanga Lokuqala?

Ezinye izimbangela ezivamile zesibindi esinamafutha ebanga loku-1 yilezi:

Ukukhuluphala
Ukumelana ne-insulin nesifo sikashukela i-mellitus
Dyslipidemia
Imikhuba yokudla engenampilo
Ukulahlekelwa isisindo ngokushesha kakhulu
Imithi ethile ehlanganisa i-corticosteroids, izidakamizwa ze-chemotherapy, imishanguzo ye-antiretroviral
Isakhi sofuzo

Ukwengeza, labo abasengozini enkulu yokuba ne-grade 1 yesibindi esinamafutha bahlanganisa labo:

Have umzimba syndrome noma izingxenye zayo ngazinye njengokukhuluphala, umfutho wegazi ophakeme, i-hyperglycemia, i-dyslipidemia.
Impilo yokunganyakazi
Yidla ama-carbohydrate agayiwe, ushukela, nokudla okunamafutha amaningi.

Izinketho zokwelapha

Ukwelashwa kwezikhungo zesibindi esinamafutha ebanga loku-1 mayelana nokuthuthukiswa kwendlela yokuphila. Amasu abalulekile afaka:

Ukunciphisa Isisindo: Ukulahlekelwa ngu-3 kuya ku-5% wesisindo somzimba ngokusebenzisa ukudla okunempilo nokuzivocavoca kuhamba ibanga elide ekunciphiseni amafutha esibindi.
Izinguquko Zokudla: Ukushintshela ekudleni kwesitayela saseMedithera okunezithelo eziningi, imifino, okusanhlamvu, okusanhlamvu, inhlanzi namafutha anempilo kuyilapho kunciphisa ushukela, okusanhlamvu okucolisisiwe namafutha angenampilo.
Ukuzivocavoca umzimba: Ukuthola imizuzu eyi-150-300 yokuzivocavoca umzimba okunamandla okumaphakathi ngesonto kusiza ukwehla kwesisindo kanye nempilo ye-metabolic.
Nciphisa Utshwala: Ukugwema ukuphuza kakhulu kuvumela isibindi ukuthi silulame.
Yelapha Izimo Eziyisisekelo: Ukufuna ukuphathwa kwezokwelapha kwezinkinga zezempilo ezihambisanayo ezifana nesifo sikashukela, i-cholesterol ephezulu kanye umfutho wegazi ophakeme kuvimbela ukuqhubeka kokulimala kwesibindi.
Ezimweni eziningi, lezi zinyathelo ezingenhla zixazulula ngempumelelo isibindi esinamafutha ebanga loku-1. Nokho, uma lesi sifo sithuthuka naphezu kokungenelela kwendlela yokuphila, kungase kudingeke imithi.

Uzoyibona Nini Udokotela

Xhumana no-a i-gastroenterologist noma i-hepatologist ngokushesha uma uhlangabezana nezimpawu zesibindi esinamafutha noma unezici eziyingozi njengokukhuluphala kanye nezinkinga ze-metabolic. Ukutholwa kusenesikhathi kuvumela ukumisa noma ukuhlehlisa ukulimala kwesibindi lapho kusesezigabeni zaso zakuqala.

Odokotela bangaqinisekisa ukuxilongwa besebenzisa ukuhlolwa kwegazi, izifundo ze-imaging futhi ngezinye izikhathi biopsy yesibindi. Bangase futhi baqale izinqubo ezifanele zokuqapha nokwelashwa ngokusekelwe ebucayi besifo.

Ukudla kwe-1st Grade Fatty Liver

Ukudla okunempilo nokudla okunomsoco kuyingxenye enkulu yokwelashwa kwesibindi esinamafutha ebanga I. Landela le mihlahlandlela ukuze uthuthukise indlela odla ngayo:

Gxila ekudleni kwezitshalo: Okokuqala, beka kuqala izithelo, imifino, okusanhlamvu, amantongomane, imbewu nemifino ecebile ngamafutha amahle, i-fibre, amaminerali amavithamini kanye nama-antioxidants asiza ukulungisa isibindi.
Khetha imithombo yamaprotheni engenawo amandla: Engeza izinhlanzi ezinamafutha, izinkukhu ezingenasikhumba, imikhiqizo yesoya, okusanhlamvu, ubisi olunamafutha aphansi namaqanda ukuze usekele impilo yesibindi sakho.
Yithi cha ekudleni okuthosiwe okujulile: Gwema ukudla okuthosiwe kakhulu noma ukudla okugaywe kakhulu
Ukusetshenziswa kancane kukashukela: Lawula ukumelana ne-insulin ngokunciphisa iziphuzo ezinoshukela, izithelo ezifakwe ethini isiraphu enoshukela nama-carbohydrate acolisisiwe, (njengeziphuzo ezinoshukela)
Khulisa ukudla omega-3: Yidla ama-omega-3 fatty acids amaningi ezinhlanzini; imbewu ye-chia, ama-walnuts kanye nama-flaxseeds ngoba anemiphumela eqeda ukuvuvukala esibindini.
Zigcine unamanzi: Phuza uketshezi olwanele, ikakhulukazi amanzi. Faka ilamula ukuze uvikele ama-antioxidants. Nciphisa ukusetshenziswa kotshwala.

Ukuxilongwa kwe-Grade 1 Isibindi Esinamafutha

Ukuhlonza isibindi esinamafutha ebanga loku-1 kuvame ukwenzeka ngaphandle kwezimpawu eziphawulekayo futhi kungase kutholakale phakathi nokuhlolwa okuvamile kwezokwelapha noma lapho kuhlolwa ezinye izizathu zempilo. Uma ukukhubazeka kwesibindi kutholwa nge-ultrasound noma uma ukuhlolwa kwe-enzyme yesibindi kubonisa ukungahambi kahle, ukuhlolwa okwengeziwe kokuxilonga kuvame uku-oda ukuze kuqinisekiswe ubukhona futhi kuhlolwe ubulukhuni besifo sesibindi esinamafutha.

Ukunquma nokuhlola isifo sesibindi esinamafutha, odokotela basebenzisa izivivinyo zokuxilonga ezihlukahlukene:

Ukuhlolwa Kwegazi: Lokhu kubandakanya ukuhlolwa kwe-enzyme yesibindi (ukuhlolwa kokusebenza kwesibindi), ukubala kwegazi okuphelele (CBC), ukuhlolwa kwegciwane lesandulela ngculazi. isifo sofuba, ukuhlolwa kwesifo se-celiac, amazinga kashukela egazini lokuzila ukudla, ukuhlolwa kwe-hemoglobin A1C, kanye nephrofayili ye-lipid.
Izinqubo Zokucabanga: Lezi zingabandakanya i-magnetic resonance elastography kanye ne-elastography yesikhashana ukukala ukuqina kwesibindi, kanye ne-ultrasound yesisu, i-CT scan, noma i-MRI.
I-Liver Biopsy: Ezimeni lapho okunye ukuhlola kunganikezi imiphumela ewujuqu, i-biopsy yesibindi ingase inconywe. Lokhu kuhilela ukuthola isampula lethishu elincane esibindini kusetshenziswa inaliti, bese ihlolwa ngesibonakhulu ukuze kutholwe izimpawu zokuvuvukala nezibazi.

Amasu Okuvimbela Nokuhlehlisa EBangeni 1 Isibindi Esinamafutha

Njengamanje, azikho izindlela zokwelapha ezimisiwe noma zokuhlinzwa eziqondiswe ngqo esibindini esinamafutha. Nokho, akhona amasu okuvimbela nokubuyisela emuva angasiza ekwehliseni imiphumela yawo.

Uma unesibindi esinamafutha, nazi izenzo ezinconyiwe:

Zibekele ukwehlisa isisindo kancane kancane, uqondise uhhafu ukuya kukhilogremu eyodwa (ikhilogremu elilodwa kuya kwamabili) ngesonto.
Yehlisa amazinga e-triglyceride ngokushintsha ukudla, imithi, noma inhlanganisela yakho kokubili.
Gwema ngokuphelele utshwala ukusetshenziswa.
Lawula isifo sikashukela ngempumelelo uma sitholakele.
Thola ukudla okunomsoco okunosawoti omncane noshukela, okugcizelela izithelo, imifino, nokusanhlamvu.
Khulisa amazinga okusebenza komzimba.
Hlela ama-aphoyintimenti avamile nochwepheshe besibindi.
Ngaphambi kokusebenzisa noma yiziphi izithasiselo zokudla noma amakhambi e-herbal, thintana nomhlinzeki wakho wezempilo.

Ngakho-ke, indlela ephumelela kunazo zonke yokuvimbela isifo sesibindi esinamafutha ihilela ukugcina isisindo esinempilo, ukuzivocavoca umzimba njalo, ukunciphisa ukuphuza utshwala, nokunamathela ekwelashweni okunqunyiwe.

Izinkinga zeBanga 1 Isibindi Esinamafutha

Uma siyekwa singelashwa, isibindi esinamafutha ebanga loku-1 singaholela ezinkingeni ezinkulu:

Isifo sesibindi esingamahlalakhona singadlulela ku-cirrhosis yesibindi, lapho ukuvuvukala kubangela ukwakheka kwezicubu ezibomvu (fibrosis) esibindini, kuphazamise ukusebenza kwaso.
Ukunqwabelana koketshezi esiswini, okwaziwa ngokuthi ama-ascites, kungenzeka.
Ukuvuvukala kwemithambo kumphimbo (imithambo yomminzo) kungakhula, okungase kuholele ekuqhumeni kanye ukuphuma.
I-Hepatic encephalopathy, ebonakala ngokudideka, ukozela, kanye inkulumo ehlehlisiwe, kungase kuphakame.
Kukhona ingozi eyengeziwe umdlavuza wesibindi.
Ekugcineni, isibindi esinamafutha esingalashiwe singase sibangele ukwehluleka kwesibindi, okubangelwa ukwehluleka kwesibindi.

Ingabe isibindi esinamafutha ebanga loku-1 siyingozi?

Isibindi esinamafutha ebanga loku-1, noma i-hepatic steatosis emaphakathi, ngokuvamile asibhekwa njengeyingozi ngokwaso. Kubonisa ukunqwabelana kwamafutha esibindini ngaphandle kokulimala okukhulu. Kodwa-ke, uma ingalawulwa ngokushintsha kwendlela yokuphila, ingathuthukela ezimweni zesibindi ezinzima kakhulu ngokuhamba kwesikhathi. Ukuqapha njalo kanye nemikhuba enempilo kubalulekile ekuvimbeleni izinkinga.

Isiphetho

Ukufingqa, isibindi esinamafutha ebanga loku-1 sibonisa isigaba sokuqala se-NAFLD esibonakala ngokunqwabelana kwamafutha athambile esibindini. Izinto eziyingozi ezijwayelekile zihlanganisa ukukhuluphala, ukumelana ne-insulin, amafutha egazi aphezulu kanye nokudla okungenampilo. Izimpawu zingase zibe mnene noma zingabibikho ekuqaleni. Nokho, ukutholwa kusenesikhathi kanye nokuthatha isinyathelo ngokushesha kunikeza ithuba elingcono kakhulu lokuhlehlisa umonakalo. Ngokungenelela kwendlela yokuphila okufika ngesikhathi, abantu bangamisa futhi bahlehlise isibindi esinamafutha ebanga loku-1 ukuze babuyisele impilo nokusebenza kwesibindi okuvamile.

Imibuzo Evame Ukubuzwa

1. Ingabe isibindi esinamafutha ebanga loku-1 siyingozi?

Cha, isibindi esinamafutha ebanga loku-1 asiyona ingozi ngokwaso. Imele isigaba sokuqala nesimnene kunazo zonke se-NAFLD esinamafutha amancane athinta ngaphansi kwe-10% yamaseli esibindi. Kulesi sigaba, akukho ukuvuvukala kwesibindi noma izibazi. Kodwa-ke, ngaphandle kokungenelela kwendlela yokuphila, ingathuthukela buthule iye ezimeni ezibucayi kakhulu zokuvuvukala njenge-NASH, i-cirrhosis, nokwehluleka kwesibindi phakathi neminyaka kuya emashumini eminyaka.

2. Ingabe isibindi esinamafutha ebanga loku-1 sijwayelekile?

Cha, noma yiliphi izinga lokunqwabelana kwamafutha esibindi kuthathwa njengokungajwayelekile. Ngisho nesibindi esinamafutha ebanga loku-1 sibonisa amafutha angasebenzi i-metabolism kanye nokumelana ne-insulin futhi kudinga ukunakwa.

3. Ngingasinciphisa kanjani isibindi sami esinamafutha ebanga loku-1?

Ukulahlekelwa ngu-3-5% wesisindo somzimba ngokuzivocavoca njalo nokudla okunempilo kungaxazulula ngempumelelo isibindi esinamafutha ebanga loku-1 ezimweni eziningi. Ukunciphisa utshwala, ukunciphisa ushukela/ama-carbs acolisisiwe, ukwandisa i-fibre, ukuphuza amanzi amaningi kanye nokulawula izimo ezifana nesifo sikashukela kanye nephezulu cholesterol futhi ukusekela impilo yesibindi.

4. Yini ongayidli ngesibindi esinamafutha?

Ukudla okufanele ukugweme ngesibindi esinamafutha kufaka ukudla okusheshayo, izinto ezithosiwe, ubisi olunamafutha agcwele, inyama egayiwe, iziphuzo ezinoshukela, okusanhlamvu okucolisisiwe, notshwala okushayela ukunqwabelana kwamafutha esibindi. Gxila ekudleni okuphelele okuvimbela ukuvuvukala njengemifino, izithelo, okusanhlamvu, amantongomane, nezinhlanzi ezinamafutha ukuze kuvikelwe isibindi.

5. Ingabe ukuphuza utshwala kungaba nomthelela esifweni sesibindi esinamafutha ebanga loku-1?

Yebo, ukuphuza utshwala ngokweqile kungabangela ukuthuthukiswa kwesifo sesibindi esinamafutha, kuhlanganise nebanga 1. Kungaholela ekuqoqweni kwamafutha emangqamuzaneni esibindi, ngisho nangaphandle kokuvuvukala okuphawulekayo noma ukulimala.

6. Uyini umehluko phakathi kwebanga loku-1 kanye nebanga lesi-2 nesifo sesibindi esinamafutha?

Isibindi esinamafutha ebanga loku-1 (i-hepatic steatosis emaphakathi) sibandakanya ukunqwabelana kwamafutha amancane kumaseli esibindi ngaphandle kokuvuvukala noma izibazi. Isibindi esinamafutha ebanga lesi-2 (i-hepatic steatosis emaphakathi) sibonisa izinga eliphezulu lokunqwabelana kwamafutha, okungenzeka kube nokuvuvukala okuncane.

7. Ingabe isifo sesibindi esinamafutha ebanga 1 siyalungiseka?

Yebo, isifo sesibindi esinamafutha ebanga loku-1 ngokuvamile siyashintshwa ngokushintsha kwendlela yokuphila njengokuncipha kwesisindo, ukudla okunempilo, okuvamile. Ukuvivinya, nokuzithiba otshwaleni. Lezi zinyathelo zinganciphisa amafutha esibindi futhi zithuthukise impilo yesibindi.

8. Sisho ukuthini isibindi esinamafutha ebanga loku-1?

Isibindi esinamafutha ebanga loku-1 sisho ukuthi kukhona ukunqwabelana kwamafutha amancane kumaseli esibindi ngaphandle kokuvuvukala okuphawulekayo noma ukulimala kwesibindi. Ivamise ukutholwa ngengozi ngesikhathi sokuhlolwa kwezempilo noma ukuhlolwa kwesithombe.

9. Ingabe isibindi esinamafutha ebanga loku-1 nesifo sikashukela sihlobene?

Yebo, kukhona ubudlelwano phakathi kwesibindi esinamafutha ebanga loku-1 nesifo sikashukela. Ukumelana ne-insulin, okuvame kakhulu thayipha 2 sikashukela, kungaba nomthelela ekuqoqweni kwamafutha emangqamuzaneni esibindi, okuholela ekuguleni kwesibindi esinamafutha.

10. Yiziphi izimpawu ezinkulu zesibindi esinamafutha ebanga loku-1?

Isibindi esinamafutha ebanga loku-1 ngokuvamile asibangeli zimpawu kubantu abaningi. Nokho, abanye bangase babe nokukhathala, ukungakhululeki engxenyeni engenhla yesisu kwesokudla, noma ukwanda kancane kwesibindi.

11. Ingabe amanzi okuphuza ayasikhipha isibindi?

Amanzi okuphuza kubalulekile empilweni yonke, kuhlanganise nokusebenza kwesibindi, kodwa abukhiphi ngokuqondile ubuthi obuvela esibindini. Ukuhlala u-hydrated kusekela ukusebenza kwesibindi ngokusiza ekukhipheni udoti nokukhuthaza impilo yonke.