Izifo Eziphezulu Zesibindi Eziyi-5 Nezimbangela Zazo

Isibindi siyisitho esiqinile esikhulu kunazo zonke emzimbeni womuntu. Lenza inqwaba yemisebenzi ebalulekile futhi esekela ukuphila. I-Metabolic, immunologic, synthetic, kanye ne-detoxifying ezinye zalezi. Uma ingasebenzi kahle noma iyeka ukusebenza, ingaba nemiphumela emibi kuwo wonke umzimba. Kunezifo eziningi neziyaluyalu ezihlobene nesibindi futhi kunezizathu eziningana zesifo sesibindi esingaba yingozi empilweni. Isifo sesibindi igama elivamile elibhekisela kunoma yisiphi isimo esithinta isibindi sakho esingalimaza isibindi sakho kanye/noma sithinte ukusebenza kwaso.

Izifo Ezinhlanu Eziphezulu Zesibindi Nezimbangela Zazo:

1. I-Hepatitis

ukusha kwesibindi kohlobo ukuvuvukala kwesibindi. Kungabangelwa ama-ejenti athathelwanayo noma angatheleleki. Izifo ezithathelwanayo ezivamile yi-Hepatitis virus (A, B, C, D & E). Izimbangela ezingezona ezithathelwanayo ze-hepatitis zihlanganisa ukuphuza ngokweqile utshwala, amafutha esibindi, imithi ethile, imithi, nobuthi. Izifo ze-autoimmune nazo zingadala i-hepatitis. I-Hepatitis iphazamisa ukusebenza okuvamile kwesibindi futhi ibangele izimpawu ezifana nemfiva, jaundice, ubuhlungu besisu, ubuthakathaka, isicanucanu, nokuhlanza. Amagciwane abangela i-hepatitis angasakazeka esuka komunye umuntu aye komunye ngokusebenzisa:

I-hepatitis A kanye no-E kwenzeka ngenxa yokusetshenziswa kokudla noma amanzi angcolile. Ukugezwa okungafanele kwezithelo nemifino, ukuphuza amanzi angcolile, nokuphatha ukudla ngezandla ezingcoliswe indle yizona zimbangela ezivamile zokutheleleka nge-Hepatitis A no-E.

I-Hepatitis B, C, kanye no-D isakazwa ngokuchayeka oketshezini lomzimba, njengegazi, ukukhishwa kwesitho sangasese sowesifazane, nesidoda. Ukumpontshelwa igazi ngegazi elinegciwane elingakahlolwa kwakuvame ukuba yimbangela evamile yokudluliselwa kwezifo. Ukwabelana ngezinaliti zokubhoboza umzimba, ukudweba imifanekiso emzimbeni, kanye nokusebenzisa izidakamizwa ze-IV nakho kuyimbangela evamile yokudluliselwa kwalawa magciwane. Ukusetshenziswa kwama-blade ajwayelekile lapho kushefa kuvamile ezindaweni ezithile zasemaphandleni. Izindlela ezingavikelekile nezingaphephile zokuthintana nocansi nazo ziyindlela evamile yokudlulisela izifo.

2. Isifo sesibindi esinamafutha

Isifo sesibindi esinamafutha sibangelwa ukunqwabelana kwamafutha esibindini. Izinhlobo ezimbili zezifo zesibindi ezinamafutha zihlanganisa:

• Isifo sesibindi esinamafutha e-Alcohol- Sibangelwa ukuphuza kakhulu utshwala

• Isifo sesibindi esinamafutha angenaso utshwala- esibonakala kubantu abakhuluphele, abanesifo sikashukela, kanye nabantu abane-metabolic syndromes.

Isibindi esinamafutha siyinkinga yezempilo evelayo eNdiya. Kokubili ukuphuza kakhulu utshwala kanye nezinga elikhulayo lokukhuluphala kanye nesifo sikashukela kunomthelela esifweni sesibindi esinamafutha. Cishe i-20-30% yabantu abaningi baseNdiya banesifo sesibindi esinamafutha. Uma ingelashwa ingaholela ekulimaleni kwesibindi, i-cirrhosis, nokwehluleka kwesibindi. Imikhuba yokuphila enempilo ingasiza ekunciphiseni kakhulu le nkinga yezempilo. Okudingekayo wukudla okuhle, ukuzivocavoca umzimba, nokungaphuzi/ukuphuza utshwala okulinganiselwe.

I-3. I-Cancer

Isibindi siyindawo evamile yezifo eziyingozi eziyinhloko nezesibili. Umdlavuza noma yikuphi emzimbeni unomkhuba wokusabalala uye esibindini futhi ngaleyo ndlela isibindi singahileleka kumdlavuza webele, wesisu, ukoloni, njll. Umdlavuza oyinhloko oyinhloko wesibindi i-Hepatocellular carcinoma. Isifo sesibindi esingamahlalakhona, isifo sokusha kwesibindi kohlobo olungapheli, utshwala, nobuthi yizona zimbangela ezivamile zomdlavuza wesibindi.

4. I-Cirrhosis

I-Cirrhosis yizibazi zesibindi ezivela izifo zesibindi ezingamahlalakhona ngenxa yokulimala. Utshwala, i-Hepatitis B I-Hepatitis C kanye ne-NASH (isifo sesibindi esinamafutha) yizimbangela ezivamile ze-cirrhosis yesibindi eNdiya Izicubu zesibindi zingabuyisela ekuphenduleni umonakalo, kodwa inqubo iphumela ekuthuthukisweni kwezicubu ezibomvu. Ukukhula kwezicubu ezibomvu kwenza kube nzima ukuthi isibindi sisebenze kahle. Ukungasebenzi kahle kwesibindi kungabangela i-jaundice, ukopha okungavamile, nokunqwabelana koketshezi ezithweni nasesiswini. Ezigabeni zakamuva, ezinye izinhlelo emzimbeni zingathinteka futhi zibangele ukulimala ezinso, ubuchopho, inhliziyo namaphaphu.

I-Cirrhosis ivame ukulapheka ezigabeni zokuqala ngokwelapha imbangela nokulawula izimpawu ngemithi. Kodwa uma singalawulwa ngokwelashwa okufanele noma uma isifo siqhubeka khona-ke singaholela kwezinye izinkinga futhi sibe yingozi empilweni. Ingathuthukela ekuhlulekeni kwesibindi okungapheli.

5. Ukwehluleka kwesibindi

Uma ingxenye ebalulekile yesibindi ilimala ngenxa yanoma iyiphi imbangela ayikwazi ukusebenza kahle. Lesi simo saziwa ngokuthi ukwehluleka kwesibindi. Ukwehluleka kwesibindi kungaba kubi noma okungamahlalakhona. Ukungasebenzi kahle kwesibindi kuvame ukubangelwa i-Hepatitis A & E, ukweqisa izidakamizwa (i-paracetamol, imishanguzo elwa ne-TB, njll), kanye nobuthi obuthile (i-ratol). Izimbangela ezivamile zokwehluleka kwesibindi okungapheli utshwala, i-Hepatitis B & C, i-NASH, njll. Izimpawu ezivamile zokuhluleka kwesibindi i-jaundice, ukopha ezinsini nasemathunjini, ukozela kanye ne-coma, njll. Ukwehluleka kwesibindi kuyisimo esisongela ukuphila esidinga ukunakekelwa okujulile esibhedlela esibhedlela esingcono kakhulu sokwelashwa kwesibindi. Ukwehluleka kwesibindi kudinga ukunakekelwa okukhethekile ophikweni olukwazi ukuphatha iziguli ezinjalo. Uma ukuphathwa kwezokwelapha kwehluleka khona-ke ukufakelwa kwesibindi kungase kudingeke ezimweni ezinjalo

Izimpawu Zezinkinga Zesibindi

Izinkinga zesibindi zingabonakala ngezimpawu ezihlukahlukene, nakuba ezinye izimo zesibindi zingase zingabonisi izimpawu eziphawulekayo ezigabeni zokuqala. Kodwa-ke, lapho kuvela izimpawu, zingase zihlanganisa:

1. I-jaundice (isikhumba esiphuzi kanye nabamhlophe bamehlo)
2. Ubuhlungu besisu nokuvuvukala
3. Ukukhathala
4. I-nausea nokuhlanza
5. Ukuncipha okukhulu kwendlala noma intshisekelo yokudla.
6. Ukulahlekelwa kwesisindo esingachaziwe
7. Isikhumba esinamahloni
8. Ukushintsha komchamo kanye nombala wendle.
9. Ukuvuvukala emilenzeni nasemaqakaleni
10. Ukulimala okulula nokopha
11. Ukudideka, ukugxilisa ingqondo enkingeni, noma izinkinga zenkumbulo.

Kubalulekile ukuqaphela ukuthi lezi zimpawu zingabonisa izinkinga ezihlukahlukene zesibindi, okuhlanganisa i-hepatitis, i-cirrhosis, isifo sesibindi esinamafutha, izifo zesibindi, noma umdlavuza wesibindi. Uma uba nezimpawu eziphikelelayo noma eziya ziba zimbi kakhulu ezihlobene nesibindi sakho noma usola noma yiziphi izinkinga zesibindi, kuhle ufune usizo lwezokwelapha ngokushesha ukuze uxilongwe kahle futhi ulashwe.

Ukwelashwa

Ukwelashwa kwezinkinga zesibindi kuncike esimweni esithile kanye nembangela yaso eyisisekelo. Nazi ezinye izindlela ezijwayelekile ezisetshenziswa ekulawuleni izindaba zesibindi:

1. Imithi: Kuye ngesimo sesibindi, imithi ingase inqunywe ukulawula izimpawu, ukunciphisa ukuvuvukala, ukulawula izifo ezibangelwa amagciwane (ezimeni zokusha kwesibindi), noma ukubhekana nezinkinga ezithile ezihlobene nesibindi.
2. Izinguquko zendlela yokuphila: Ukwamukela indlela yokuphila enempilo kungaba nomthelela omkhulu empilweni yesibindi. Lokhu kuhlanganisa nokugcina ukudla okunomsoco okuphansi kokudla okugayiwe kanye namafutha agcwele, ukunciphisa ukuphuza utshwala, ukuhlala ungenawo amanzi, nokuzivocavoca okuvamile.
3. Ukwelashwa kwezimbangela eziwumsuka: Uma inkinga yesibindi isukela esimweni esiwumsuka njengesifo sokusha kwesibindi, ukusha kwesibindi, isifo sesibindi esinamafutha, noma umdlavuza wesibindi, ukwelashwa okuqondile okuhloselwe ukuphatha noma ukubhekana nalezi zimo kuzosetshenziswa. Isibonelo, imishanguzo ye-antiviral ye-hepatitis, ukuguqulwa kwendlela yokuphila yesifo sesibindi esinamafutha, noma ukuhlinzwa komdlavuza wesibindi.
4. Ukufakelwa kwesibindi: Ezimweni ezimbi kakhulu lapho isibindi silimele kakhulu futhi kungekho okunye ukwelashwa okusebenzayo, ukufakelwa kwesibindi kungase kucatshangelwe. Lokhu kuhilela ukuhlinzwa esikhundleni sesibindi esigulayo ufake isibindi esinempilo esivela kumnikeli.
5. Ukuphathwa kwezinkinga: Uma izinkinga zesibindi ziholela ezinkingeni ezifana ne-ascites (ukunqwabelana koketshezi lwesisu), i-hepatic encephalopathy (ukudideka ngenxa yokungasebenzi kahle kwesibindi), noma ukuphazamiseka ukopha, izindlela zokwelapha ezithile noma izinqubo ezisetshenziswayo ukuphatha lezi zinkinga.
6. Ukuqapha nokulandelela okuvamile: Ezimweni zesibindi ezingapheli, ukuhlolwa nokuqapha njalo kubalulekile ukulandelela ukuqhubeka kwesifo, ukuhlola ukusebenza kwesibindi, nokulungisa izinhlelo zokwelashwa ngendlela efanele.

Kubalulekile ukuthintana nochwepheshe bezokunakekelwa kwempilo noma uchwepheshe wesibindi (i-hepatologist) ukuze uthole ukuxilongwa okunembile kanye nohlelo olufanele lokwelapha oluhambisana nesimo sakho sesibindi kanye nezidingo zempilo. Amasu okwelapha angahluka kakhulu kuye ngesimo sempilo yomuntu, ubunzima benkinga yesibindi, kanye nembangela yaso.

Isiphetho

Izifo zesibindi zidinga ukunakekelwa okufanele kwezokwelapha futhi uma zinganakwa, zingakufaka enkingeni enkulu yempilo. Kunemithi yokugomela izinhlobo ezithile zesifo sokusha kwesibindi kohlobo oluthile, kodwa uma kungenjalo, kufanele uqaphele ukuthi ungafaki isibindi sakho engozini ngokulandela indlela yokuphila enempilo (ukudla, ukuvivinya umzimba nokudla). Uma unezinye zezimpawu eziphakamisa noma yisiphi isifo sesibindi, kufanele uthathe ngokushesha iseluleko sezokwelapha esibhedlela sokwelapha isibindi e-Hyderabad futhi usilandele njalo.