Kungani Izimpawu Zesifo Sesibindi Zivame Ukunganakwa Kwabesifazane? - UDkt Akash Chaudhary

Abantu bavame ukucabanga ngesifo sesibindi njengesimo esihlobene nokuphuza ngokweqile, ukuthola isifo sokusha kwesibindi, noma ukukhuluphala ngokweqile. Kodwa abantu abaningi abangakwazi ukuthi isifo sesibindi sithinta abesifazane ngendlela ehlukile kunabesilisa, futhi izimpawu zabo zivame ukugejwa noma zinikezwe ukuxilongwa okungalungile.

Kusukela ekushintsheni kwamahomoni kuya ezimeni ezifana nezinkinga zesibindi ezibangelwa ukukhulelwa, abesifazane banezinkinga ezikhethekile ezenza kube nzima ukuzixilonga nokuyiphatha.

Kungani Abesifazane Abanesifo Sesibindi Bevame Ukungahlonzwa?

Abesifazane abanesifo sesibindi mancane amathuba okuthi babonakale ngoba izimpawu zabo zivame ukucashile futhi zidideke nezinye izinkinga zempilo.

Ukukhathala, ukuqunjelwa, ukucanuzela kwenhliziyo, nokushintsha kwemizwa yizimpawu ezivamile zesibindi esingasebenzi kahle, kodwa ngokuvamile kwenziwa iphutha nokuxineka, izinguquko zamahomoni, noma izinkinga zokugaya ukudla. Futhi, ukuhlolwa okujwayelekile kokusebenza kwesibindi kungase kungabonisi ngaso sonke isikhathi ukugula kwabesifazane, okungabambezela ukuxilongwa.

Enye inkinga inkolelo engamanga yokuthi isifo sesibindi sihlasela kakhulu amadoda ngoba amadoda maningi amathuba okuthola isifo sesibindi ngokuphuza. Kodwa ucwaningo lubonisa ukuthi abesifazane basengozini enkulu yokulimala kwesibindi kunabantu besilisa ngenxa yotshwala, imithi, kanye nezimo ze-metabolic, ngisho nalapho bechayeke ngamanani amancane.

Kungani Ukukhulelwa, i-PCOS, Nokunqamuka kokuya esikhathini kukubi Empilweni Yesibindi

Kuyo yonke impilo yowesifazane, izinguquko kuma-hormone akhe zingaba nomthelela oqondile endleleni isibindi sakhe esisebenza ngayo, okungase ngezinye izikhathi kubangele noma kubhebhethekise isifo sesibindi. Ake sibheke ezinye ezibaluleke kakhulu:

Lokhu kumayelana "nokukhulelwa nesifo sesibindi."

Kunezinkinga zesibindi ezikhethekile ezingenzeka ngesikhathi sokukhulelwa ezingaba yingozi uma zingabanjwa kusenesikhathi. Nazi ezinye zazo:

• I-Intrahepatic Cholestasis of Pregnancy (ICP) yisifo lapho ukugeleza kwe-bile kuncipha khona. Lokhu kungabangela ukulunywa okukhulu, umchamo omnyama, kanye nengozi enkulu yokubeletha kusenesikhathi noma kungafiki nhlobo.
• I-HELLP Syndrome iwumphumela ongathi sína we-preeclampsia ohlanganisa izinkinga zesibindi, inani eliphansi lamaplatelet, kanye ne-hemolysis, okuwukuwohloka kwamangqamuzana abomvu egazi. Kungaba ukuphila engozini.
• I-Acute Fatty Liver of Pregnancy (AFLP) yisifo esingandile kodwa esibucayi lapho amafutha enqwabelana esibindini futhi angabangela ukuba singaphumeleli uma singelashwa ngokushesha.

Abantu bavame ukungaziboni izifo zesibindi ezihlobene nokukhulelwa kuze kube kubi kakhulu ngoba zibukeka njengezimpawu zokukhulelwa ezivamile njengokuzizwa ugula nokukhathala.

I-PCOS kanye Nezifo Zesibindi

Abantu abaningi bayazi ukuthi i-Polycystic Ovary Syndrome (PCOS) ingathinta i-metabolism kanye nenzalo, kodwa hhayi abantu abaningi abazi ukuthi ingadala nesifo sesibindi.

Ngenxa yokumelana ne-insulin kanye nezinkinga ze-metabolic, abesifazane abane-PCOS banamathuba amaningi okuthola isifo sesibindi esinamafutha angenalo utshwala (NAFLD).

Ukukhuluma ngokuqondile, kufika ku-70% wabesifazane abane-PCOS bangaba nesibindi esinamafutha, okubenza babe mathubeni amaningi okuthola isifo sokuqina kwesibindi nesibindi esikhathini eside.

Ukunqamuka kokuya esikhathini kanye Nempilo Yesibindi

Ngaphandle kokuvikela ukusebenza kwesibindi, i-estrogen isiza futhi ekulawuleni umzimba wamafutha kanye nokuvuvukala. Ngemva kokunqamuka kokuya esikhathini, amazinga e-estrogen ayehla, okwenza abesifazane babe maningi amathuba okuba babhekane nakho:

• Isifo sesibindi esinamafutha
• I-Liver fibrosis (ukulimala kwezicubu zesibindi)
• Ama-enzyme esibindi aphakeme, angase abonise ukulimala kwesibindi

Lokhu kusho ukuthi abesifazane abangemva kokuya esikhathini abanesifo sesibindi bangase babe nezinkinga ezingathi sína ezifana ne-cirrhosis ngokushesha okukhulu, ngisho nangaphandle kwezinto eziyingozi ezinkulu.

Abesifazane Abanesifo Sesibindi Babonisa Izimpawu Ezihlukene

Ngaphezu kokuhluka kwezinto eziphilayo, izimpawu zesifo sesibindi kwabesifazane zivame ukuhluka kwezamadoda, okwenza ukuxilonga kusenesikhathi kube nzima kakhulu. Ukwehlukanisa okubalulekile kuhlanganisa:

• I-jaundice engabonakali kakhulu: Abesifazane bangase babhekane nokuluma njengophawu lokuqala esikhundleni sokuba isikhumba sibe phuzi.
• Ukukhathala okubonakala kakhudlwana: Abesifazane bavame ukubika ukukhathala okukhulu okuthinta imisebenzi yansuku zonke, okungenzeka kubangelwe kabi ukucindezeleka noma i-anemia.
• Ingozi ephezulu yezifo zesibindi ezizimele: Abesifazane bathambekele kakhulu ezimeni ezifana ne-primary biliary cholangitis (PBC) kanye ne-autoimmune hepatitis, engatholwa ngokungeyikho njenge-thyroid noma izifo ze-rheumatologic.
• Ukusabela okuhlukile otshwaleni nemithi: Isibindi sabesifazane sigaya izidakamizwa notshwala ngendlela ehlukile, okubenza babe sengozini yokulimala kwesibindi ngisho nalapho bechayeka kancane.

Kungani ukuxilongwa kusenesikhathi nokuqwashisa kubaluleke kangaka

Njengoba ukugula kwesibindi kungase kungabonakali iminyaka, kubaluleke kakhulu ukukuthola kusenesikhathi ukuze ugweme ukulimala unomphela. Ukugcina izibindi zabo ziphilile, abesifazane bangenza lokhu okulandelayo:

• Yazi izici zakho eziyingozi: Uma une-PCOS, umlando wezinkinga zesibindi ngesikhathi sokukhulelwa, khuluma nodokotela wakho mayelana nokuhlolwa kwesibindi.
• Ungazinaki Izimpawu: Akufanele uzibe izimpawu ezifana nokukhathala okuqhubekayo, ukulunywa, ukuqunjelwa noma ukugula.
• Ukuhlola Okuvamile: Ukuhlolwa kwegazi, ama-ultrasounds, kanye ne-FibroScan (ukuhlolwa okungahlaseli kokuqina kwesibindi) kufanele kwenziwe njalo ukuze kusize ukuthola isifo sesibindi kusenesikhathi.
• Indlela Yokuphila Enempilo: Ukukhetha indlela yokuphila enempilo, njengokudla kahle, ukuzilolonga njalo, nokuzithiba ophuzweni oludakayo, kunganciphisa amathuba okulimala kwesibindi.

Impilo yesibindi yabesifazane ibinganakwa isikhathi eside, kodwa imfundo eyengeziwe kanye nokuhlolwa kusenesikhathi kungasiza ekugwemeni izinkinga ezinkulu. Uma sazi ukuthi ukukhulelwa, i-PCOS, ukuya esikhathini, nezinye izinto kuthinta kanjani ukusebenza kwesibindi, singaqiniseka ukuthi abesifazane abaningi bathola ukuhlolwa nokunakekelwa okufanele ngesikhathi esifanele.

Uma wena noma othile omaziyo ezizwa ekhathele, eluma, noma enezinkinga zesisu ngaphandle kwesizathu esicacile, ungesabi ukucela ukuhlolwa kwesibindi. Ukuthola usizo lwesifo sesibindi ngokushesha kungenza umehluko.

Isixhumanisi Esiyisethenjwa

https://health.medicaldialogues.in/health-topics/liver-health/why-are-liver-disease-symptoms-often-overlooked-in-women-dr-akash-chaudhary-146896