Isibindi Esinamafutha

Izifo eziningi ezixhunyaniswe ne-steatosis esibindini zibizwa ndawonye ngokuthi yi-steatotic liver disease (SLD), eyaziwa ngokuthi yi-FLD noma isifo sesibindi esinamafutha. Lapho umuntu enamafutha amaningi esibindi ngenxa yotshwala noma ezinye izizathu, isibindi sonakaliswa kakhulu futhi sidinga ukunakekelwa ngokushesha. Uma ukunqwabelana kwamafutha kudlula u-5% wesisindo sesibindi sakho, kuba yinkinga ebucayi.

Siyini Isifo Sesibindi Esinamafutha?

Isibindi esinamafutha, esaziwa nangokuthi I-Hepatic i-steatosis, iqala lapho isibindi sinqwabelanisa amafutha amaningi. Isibindi siyisitho sesibili ngobukhulu emzimbeni wakho. Inesibopho sokuhlunga ubuthi obuyingozi egazini lakho, ngaphezu kokusiza ekucubunguleni izakhi ekudleni naseziphuzweni. 

Amafutha amaningi ngokweqile angaholela ekuvuvukeni kwesibindi, okungalimaza futhi kubangele isibindi. Ukuvuvukala kwesibindi okukhulu kungase kubangele izimo ezihlukahlukene zesibindi, njengomdlavuza wesibindi kanye ne-cirrhosis. 

Ubani osengozini yesifo sesibindi esinamafutha?

Abantu abane-metabolic syndrome nabo abaphethwe yilezi zimo ezilandelayo banamathuba amaningi okuba nesifo sesibindi esinamafutha -

• Ukumelana ne-insulin nesifo sikashukela
• Iphaneli ye-Lipid iyadida
• Khulisa usayizi wesisu
• Umfutho wegazi ophezulu
• Uthole isisindo

Noma ubani oke wafakelwa isibindi angase abe nesifo sesibindi esinamafutha. Lokhu kungase kubangele-

• Izimo zenhliziyo nemithambo yegazi
• Ukuvuvukala kwesibindi
• I-carcinoma yesibindi 

Izinhlobo Zezifo Zesibindi Ezinamafutha

Kunezinhlobo ezimbili zezifo zesibindi esinamafutha - 

I-NAFLD noma I-Non-Alcoholic Fatty Liver Disease 

Imbangela ye-NAFLD ayaziwa, kodwa ukukhuluphala nesifo sikashukela kungase kwandise amathuba okungenwa yikho. Kunezinhlobo ezimbili zesifo sesibindi esinamafutha angenaso utshwala, njengoba kunikezwe ngezansi:

• Isibindi esinamafutha alula, okuwukuba khona kwamafutha esibindini ngaphandle kokulimala noma ukuvuvukala kwengqamuzana lesibindi. Ngokuvamile, ayibi kakhulu noma ibangele izinkinga zesibindi.
• I-NASH, noma i-steatohepatitis engeyona utshwala, isifo sesibindi esibangela ukuthi isibindi sivuvuke futhi siholele ekuvuvukeni. Lokhu kungaholela ezinkingeni ezinkulu, ezinjengomdlavuza wesibindi, i-cirrhosis yesibindi, ne-fibrosis, okungase kudinge ukufakelwa kwesibindi.

Isifo Sesibindi Esidakayo

Lesi yisimo esidalwa ukuphuza utshwala. Uma umuntu eqhubeka nokuphuza ngaphezu kwalokho isibindi esingakwazi ukusisingatha, i-ALD ingase ibangele izinkinga ezinkulu. Eminye yemiphumela emikhulu ye-ALD yilezi: 

• Ubuhlungu noma ukungaphatheki kahle ohlangothini olungaphezulu kwesokudla sesisu, nakuba izimpawu zingavamile ukuba khona.
• Ukwanda kwesibindi okungase kubangele imfiva, isicanucanu, ukuhlanza, ubuhlungu besisu, kanye ne-jaundice (amehlo aphuzi nesikhumba).
• I-cirrhosis yesibindi ukunqwabelana kwesibindi kwezicubu ezibomvu. Kanye nezimpawu ezifanayo njengesifo sokusha kwesibindi kotshwala, kungase futhi kubangele ukunqwabelana koketshezi olukhulu esiswini sakho, umfutho wegazi ophakeme we-hepatic, ukopha kwangaphakathi, ukuguquguquka kokuziphatha, ubende olwandisiwe, nokunye okuningi.

Isifo sesibindi esinamafutha esihambisana notshwala ngokuvamile siba sibi kakhulu futhi sikhule sibe isifo sokusha kwesibindi kotshwala. Kungase kukhule ku-cirrhosis yotshwala ngokuhamba kwesikhathi.

Izimpawu Zesifo Sesibindi Esinamafutha

Nazi izimpawu ezimbalwa zesifo sesibindi esinamafutha - 

• Abantu abakhuluphele
• Noma ubani ophethwe isifo sikashukela
• Abantu abane-cholesterol ephezulu
• Abesifazane abadlula ekunqamukeni kokuya esikhathini 
• Abantu abanamafutha amaningi esiswini
• Abantu abanomfutho wegazi ophezulu

Izimbangela Zesibindi Esinamafutha

Izinkinga zesibindi esinamafutha e-alcoholic zibangelwa ngokuyinhloko ukuchithwa kwamafutha ngokweqile kumaseli esibindi, isimo esingavela ezimweni ezihlukahlukene. Ukusetshenziswa ngokweqile kotshwala kungaholela ku-AFLD, kuguqule ukusebenza kwe-metabolic yesibindi.

Imbangela ehamba phambili yezinkinga zesibindi esinamafutha kubantu abangabuphuzi utshwala namanje akwaziwa. Kodwa-ke, kungashiwo ukuthi imizimba yalaba bantu ikhiqiza amafutha amaningi noma ayiwasebenzisi kahle amafutha. Abantu abaphuza utshwala obuncane kodwa babe nesifo sesibindi esinamafutha bangase bathintwe yisici esisodwa noma ngaphezulu kwalezi ezilandelayo:

• Amafutha amaningi
• Uhlobo lwesifo sikashukela i-2 insulin ukumelana
• Amazinga aphezulu wamafutha egazi, ikakhulukazi ama-triglycerides

Okulandelayo ezinye izimbangela zesibindi esinamafutha - 

• Imiphumela emibi yemithi ehlukahlukene ngesikhathi ukukhulelwa
• Amagciwane afana ne-hepatitis C kanye nezifo ezimbalwa ezingavamile zofuzo

Sifo

Isifo sesibindi esinamafutha ngokuvamile sibonakala ngaphandle kwezimpawu ezibonakalayo. Ngakho-ke, umhlinzeki wezempilo angase enze umsebenzi wegazi ukuze ahlonze isimo. Amazinga aphakeme ama-enzyme esibindi emiphumeleni yokusebenza kwegazi asikisela ukuvuvukala kwesibindi ngenxa yokunqwabelana kwamafutha. Ukuxilonga isibindi esinamafutha, udokotela angase acele ukuhlolwa okulandelayo:

• Ukufanekisa Kwesibindi: I-CT Scan, i-MRI, noma izikena ze-ultrasound.
• I-Liver Biopsy: Isicubu esivela esibindi siyathathwa ukuze kutholakale ubucayi besifo sesibindi.
• I-Hepatic Elastography Fibroscan: Lokhu kuhlola kukala inani lamafutha, izinga lokulimala kwesibindi, kanye nenani lezicubu ezibomvu kusetshenziswa i-ultrasound ekhethekile). Njengoba lokhu kungenakuhlasela, kuvame ukusetshenziswa ngokushintshana ne-biopsy yesibindi.

Ukwelashwa

Akukho ukwelashwa okuqondile kwesifo sesibindi esinamafutha. Kodwa-ke, udokotela angase asikisele ushintsho oluthile endleleni yokuphila, okungase kusize ngokuvamile ukubuyisela isifo sesibindi esinamafutha. Ngokwesibonelo, udokotela angase atuse ukuba- 

• Gwema utshwala
• Yenza izinguquko zokudla
• Zibandakanye nokuzivocavoca umzimba ukuze unciphise isisindo 
• Ukuhlala kude nezithako nezidakamizwa eziyingozi esibindini sakho

Ungalulekwa ukuthi uyeke utshwala ngokuphelele uma une-AFLD. Ukwengeza, uma ubhekene nenkinga yokusebenzisa utshwala, udokotela wakho angase ancome ukwelulekwa nokubamba iqhaza ohlelweni lokuqeda ubuthi.

Izifo eziningana ezibangelwa amagciwane ezifana ne-Hep A, B, no-C zingase zilimaze futhi zidale isifo sesibindi esinamafutha. Ngakho-ke, udokotela angancoma ukuthi kutholwe imigomo ye-hepatitis A kanye ne-hepatitis B ukuze kuvikelwe isibindi. Ukwengeza, bangase beluleke ukuhlolwa kwe-hepatitis C okujwayelekile ngokusekelwe esimweni sesiguli. Lokhu kusiza udokotela ukuba ahlele ikhambi lesifo sesibindi esinamafutha.

Izifo Zesibindi Ezinamafutha Eziyingozi

Ngokocwaningo, abesilisa abaneminyaka esukela kweyi-10 kuya kweyi-12 abasebenzisa utshwala obungama-40-80 gm ngosuku nabesifazane abaneminyaka engaphezu kuka-20-40 abaphuza utshwala obungamagremu angu-20 kuya ku-40 ngosuku banamathuba amaningi okuba nesifo sesibindi esinamandla otshwala. Ezinye izici eziyingozi ze-AFLD ngaphandle kokuphuza ngokweqile zimi kanje: 

• Ubudala
• Ukukhuluphala
• Ufuzo
• Ukubhema
• Ukuba nomlando wezinye izifo, njenge-hepatitis C.

Okulandelayo yizici eziyingozi zesifo sesibindi esinamafutha angenatshwala -

• Thayipha i-2 sikashukela 
• Ukungabekezelelani kwe-insulin 
• umzimba syndrome
• Ukukhuluphala noma ukukhuluphala ngokweqile
• I-cholesterol ephezulu, i-triglycerides, ne-triglycerides

Nazi ezinye izici ezengeziwe zengozi yesifo sesibindi esingeyona utshwala -

• I-apnea yokulala 
• Ukwehla kwesisindo kungazelelwe
• Ukulala okuvimbelayo
• Ukuba nomlando womndeni wesifo sesibindi
• Ukuchayeka ezintweni ezingcolile ezingase zilimaze isibindi
• Umlando wezokwelapha wezifo ezithile, njenge-PCOS noma i-hepatitis C
• Izifo ezingavamile zofuzo, njenge-hypobetalipoproteinemia noma isifo sikaWilson
• Ukuthatha izidakamizwa ezithile, njenge-amiodarone (Pacerone), tamoxifen (Nolvadex), ne-methotrexate (Trexall)

Kubalulekile ukubonana nodokotela mayelana nezinyathelo zokuvimbela uma unezimpawu zesifo sesibindi esisodwa noma ngaphezulu sezifo zesibindi, njengokuthi - ukuvuvukala kwesisu, isikhumba esilumayo, ukuchama okuphuzi namehlo, izintende ezibomvu, isicanucanu, ubuthakathaka, njll. 

Ukuvimbela Isibindi Esinamafutha

Kubalulekile ukugcina indlela yokuphila enempilo futhi kubalulekile ekuvimbeleni isifo sesibindi esinamafutha kanye nanoma yiziphi izinkinga ezihlobene. Imihlahlandlela eminingi ejwayelekile yokuvimbela ihlanganisa lokhu okulandelayo:

• Ukukhawulela noma ukungaphuzi utshwala
• Ukulawula isisindo sakho ngokudla ukudla okunezakhamzimba eziningi kanye nama-carbs agayiwe aphansi, amafutha e-trans, namafutha agcwele
• Ukuvivinya umzimba okungenani imizuzu engama-30 izinsuku eziningi zesonto kuyilapho unamathela ohlelweni lokwelapha isibindi esinamafutha olusikiselwa udokotela wakho lwesifo sikashukela nokulawula ushukela wakho wegazi, i-triglyceride, kanye namazinga e-cholesterol.

Ngaphandle kwalokhu, umhlinzeki wezokunakekelwa kwempilo angase aphakamise imithi ethile yesifo sesibindi esinamafutha engase isize isibindi sihlehlise umonakalo, sisenze sibe nempilo futhi sibe ngcono. 

Isiphetho

Ukunqwabelana kwamafutha esibindi kuholela esifweni sesibindi esinamafutha angenatshwala kanye nesifo sesibindi esinamafutha anotshwala, okubangela ukuba isibindi singasebenzi kahle. Ukukhathala, ukungakuthandi ukudla, nokuncipha kwesisindo ezinye zezinkomba umuntu okufanele azibheke, njengoba lezi zimo ngokuvamile azinazo izimpawu zesifo sesibindi esinamafutha. Ama-FLD kufanele alashwe ngokushesha, noma angase akhule abe yi-jaundice, ukulunywa, nokuvuvukala - okungase kubangele isifo sokusha kwesibindi kanye ne-fibrosis. 

Nakuba isifo sesibindi esinamafutha singelashwa kalula, singase sigwenywe ngokudla ukudla okulinganiselayo, ukugcina isisindo esifanele, ukuvivinya umzimba njalo, nokugwema ukuphuza utshwala. Futhi, kubalulekile ukuhlola isibindi esijwayelekile ukuze uqinisekise ukuthi isibindi sinempilo.

Imibuzo Evame Ukubuzwa

1. Ingabe isibindi esinamafutha siyinkinga enkulu?

Izimpendulo. Isibindi esinamafutha singadala izinkinga ezinzima, njengokucindezelwa kwesibindi nomdlavuza, uma singelashwa kusenesikhathi. 

2. Kuyini ukudla okuhle okumele ukulandele nge-SLD?

Izimpendulo. Ukudla okuhle okufanele kulandelwe ne-SLD ukudla okulinganiselayo kwamaprotheni angenalutho, izithelo nemifino, ama-oatmeals, amantongomane kanye nembewu, njll. 

3. Ingabe isibindi esinamafutha singabuyela kwesijwayelekile?

Izimpendulo. Uma kuthathwa izinyathelo ezifanele zokuvikela ukulawula isibindi esinamafutha, umonakalo ungahlehliswa, futhi isibindi singabuyela esimweni esivamile. 

4. Ngingasinciphisa kanjani isibindi sami esinamafutha?

Izimpendulo. Ukudla ukudla okunempilo nokuzivocavoca umzimba, ngaphezu kokunciphisa utshwala, kungasiza ekunciphiseni isibindi esinamafutha. 

5. Yini ongayidli ngesibindi esinamafutha?

Izimpendulo. Kunconywa ukuthi ungakudli ukudla okuthosiwe, inyama, ushukela, amafutha agcwele, nanoma yiziphi iziphuzo ezinoshukela omningi. 

6. Yini okufanele udle ngesibindi esinamafutha?

Izimpendulo. Odokotela bavame ukutusa ukudla ukudla okufana - amantongomane, okusanhlamvu, ukudla kwasolwandle, okusanhlamvu, imifino, amafutha omnqumo, njll. Lokhu kudla kusiza ekwehliseni isibindi esinamafutha. 

CARE Medical Team

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