21 August 2023
Isifo sesibindi esihambisana ne-Metabolic Associated Fatty (MAFLD) yisimo esenzeka lapho amafutha enqwabelana esibindini, okungase kuholele ekulimaleni kwesibindi nezinye izinkinga ezinkulu zempilo. Ukukhuluphala kuye kwabonakala njengengozi enkulu ye-MAFLD, futhi ukuqonda le nhlangano kubalulekile ekuvimbeleni imiphumela yayo emibi empilweni yesibindi.
UDkt. M. Asha Subba Lakshmi, Umqondisi Womtholampilo kanye Nenhloko - I-Gastroenterology (Medical), Izibhedlela ze-CARE, i-HITEC City, i-Hyderabad uthi, "Ucwaningo oluningi selusungule ukuxhumana okuqinile phakathi kokukhuluphala ngokweqile ne-MAFLD. Abantu abakhuluphele noma abakhuluphele ngokweqile basengozini enkulu yokuba nalesi simo sesibindi uma kuqhathaniswa nalabo abanesisindo esinempilo. Amafutha amaningi angathuthwa esibindini futhi ahanjiswe ku-fatty fat, adluliselwe esibindini kanye ne-MAFLD. Ukwengeza, ukukhuluphala ngokweqile kungabangela ukuvuvukala okungapheli, okubuye kube nomthelela ekulimaleni kwesibindi nasekukhuleni kwesibindi esinamafutha.
I-India ibona ukwanda kokubili kokukhuluphala kanye namacala e-MAFLD. NgokweWorld Health Organization (WHO), cishe u-35% wabantu abadala baseNdiya bakhuluphele ngokweqile noma bakhuluphele ngokweqile. Lokhu kubhebhetheka kulindeleke ukuthi kwenyuke kufinyelele ku-45% ngo-2030. Ngasikhathi sinye, isibindi esinamafutha sesiphenduke ukukhathazeka okukhulayo, okuthinta ingxenye enkulu yabantu baseNdiya.
"I-MAFLD ikhona ku-spectrum, kusukela ezimweni ezincane ezinezimpawu ezincane kuya kumafomu anzima kakhulu, njenge-non-alcoholic steatohepatitis (NASH). Ezinyangeni zayo zokuqala, isibindi esinamafutha singase singabangeli izimpawu eziphawulekayo, okwenza kube inselele ukuxilonga ngaphandle kokuhlolwa kwezokwelapha. Kodwa-ke, njengoba isimo siqhubeka, abantu ngabanye bangase babhekane nokukhathala, isicanucanu, i-dysfunctions yesisu, "kusho uDkt. Lakshmi.
NgokukaDkt. Lakshmi, "Uma ingelashwa, i-MAFLD ingaholela ekulimaleni okukhulu kwesibindi kanye nezinkinga. I-NASH, isigaba esithuthuke kakhulu sesibindi esinamafutha, singaholela ekuqineni kwesibindi, ukwehluleka kwesibindi, futhi ekugcineni, isidingo sokufakelwa kwesibindi. Imiphumela engaba khona igcizelela ukubaluleka kokutholakala kusenesikhathi nokuphathwa kwesibindi esinamafutha."
Nakuba lingekho ikhambi le-MAFLD, lingaphathwa ngempumelelo. Ukugxila okuyinhloko kokwelashwa kuhilela ukulahlekelwa isisindo kanye nokuguqulwa kwendlela yokuphila. Ngisho nokuncipha okuncane kwesisindo somzimba kungaholela ekuthuthukisweni okuphawulekayo empilweni yesibindi. Ukwamukela ukudla okunempilo, okucebile ngezithelo, imifino, okusanhlamvu okuphelele, namaprotheni angenalutho, kuyilapho kunciphisa amafutha agcwele kanye nama-trans, kubalulekile. Ukuzivivinya okuvamile, njengokuvivinya umzimba kwe-aerobic nokuqeqeshwa kwamandla, nakho kungaba nomthelela ekusebenzeni okungcono kwesibindi.
"Kubantu abakhuluphele noma abasengozini ye-MAFLD, ukuxilongwa kusenesikhathi kubalulekile. Ukuhlolwa kwezempilo okuvamile, ukuhlolwa kokusebenza kwesibindi, kanye nezifundo ze-imaging kungasiza ekutholeni isibindi esinamafutha ezigabeni zaso zokuqala. Ukungenelela kusenesikhathi kanye nokulungiswa kwendlela yokuphila kubalulekile ukuvimbela ukuqhubeka kwe-MAFLD ezimweni ezinzima kakhulu. Ngokusho kweNational Family Health Survey), cishe abantu abadala base-Indian 4% noma ngaphezulu kwe-NFHS 34.2% base-Indianweight. Ukukhuluphala ngokweqile Ukwanda kwesibindi esinamafutha eNdiya kulinganiselwa ukuthi kuphakathi kuka-10% kuya ku-20%, kuyilapho i-NASH kukholakala ukuthi ithinta u-2% kuya ku-5% wabantu abadala," kusho uDkt. Lakshmi.
Ukuhlangana phakathi kokukhuluphala kanye nesifo sesibindi esinamafutha kusungulwe kahle, kuqokomisa ukubaluleka kokulawulwa kwesisindo ekugcineni impilo yesibindi. Indlela yokuphila enempilo, ukuxilongwa kusenesikhathi, nokungenelela okufika ngesikhathi kungavikela impilo yesibindi futhi kunciphise umthwalo wesifo sesibindi esinamafutha empilweni yomphakathi. Ukuqwashisa nokukhuthaza imikhuba enempilo kuyizinyathelo ezibalulekile ekulweni nalokhu kukhathazeka kwezempilo okukhulayo. Ukulahlekelwa okungenani kwe-10% yesisindo somzimba ezigulini ezikhuluphele nge-NAFLD kungasiza ekunciphiseni isibindi esinamafutha. Ukugwema utshwala kuyadingeka.