Matenda a chiwindi

Cirrhosis ndi khungu la chiwindi komanso chiwindi chosagwira bwino ntchito. Ndi gawo lomaliza la matenda a chiwindi.

Matenda a chiwindi nthawi zambiri amakhala chifukwa chomaliza cha kuwonongeka kwa chiwindi komwe kumachitika chifukwa cha matenda a chiwindi a nthawi yayitali. Zomwe zimayambitsa matenda a chiwindi ku United States ndi awa:

• Hepatitis B kapena matenda a hepatitis C.
• Kumwa mowa kwambiri.
• Mafuta owonjezera m'chiwindi omwe samayambitsidwa chifukwa chomwa mowa wambiri (wotchedwa nonalcoholic fatty liver disease [NAFLD] ndi nonalcoholic steatohepatitis [NASH]). Zimakhudzana kwambiri ndi kunenepa kwambiri, kukhala ndi kuthamanga kwa magazi, matenda ashuga kapena matenda ashuga, komanso cholesterol.

Zomwe zimayambitsa matenda a chiwindi ndi izi:

• Maselo oteteza thupi akamalakwitsa maselo abwinobwino a chiwindi kukhala olowerera owopsa ndikuwaukira
• Matenda osokoneza bongo
• Mankhwala ena
• Matenda a chiwindi amadutsa m'mabanja

Mwina sipangakhale zizindikiro, kapena zizindikilo zimatha kubwera pang'onopang'ono, kutengera momwe chiwindi chikugwirira ntchito. Nthawi zambiri, imapezeka mwangozi pamene x-ray yachitika pa chifukwa china.

Zizindikiro zoyambirira zimaphatikizapo:

• Kutopa ndi kutaya mphamvu
• Kulakalaka kudya komanso kuwonda
• Nsautso kapena kupweteka m'mimba
• Mitsempha yaying'ono yofiira ngati kangaude pakhungu

Pamene chiwindi chikukula, zizindikilo zingaphatikizepo:

• Kutsekemera kwamadzimadzi m'miyendo (edema) ndi m'mimba (ascites)
• Mtundu wachikaso pakhungu, mamina, kapena maso (jaundice)
• Kufiira pazanja zamanja
• Mwa amuna, kusowa mphamvu, kuchepa kwa machende, ndi kutupa kwa m'mawere
• Kuvulaza kosavuta komanso magazi osazolowereka, nthawi zambiri amachokera m'mitsempha yotupa m'mimba
• Kusokonezeka kapena mavuto kuganiza
• Zojambula zofiirira kapena zadongo
• Kutuluka magazi kuchokera kumtunda kapena kumunsi kwamatumbo

Wothandizira zaumoyo wanu adzayesa mayeso kuti ayang'ane:

• Kukulitsa chiwindi kapena ndulu
• Kuchuluka kwa mawere
• Kutupa pamimba, chifukwa chamadzi ambiri
• Mitengo yakuda
• Mitsempha yofiira ngati kangaude pakhungu
• Machende ang'onoang'ono
• Mitsempha yotakata mu khoma la pamimba
• Maso achikaso kapena khungu (jaundice)

Mutha kukhala ndi mayeso otsatirawa kuti muyese chiwindi:

• Kuwerengera kwathunthu kwa magazi
• Nthawi ya Prothrombin
• Kuyesa kwa chiwindi
• Mulingo wama albumin wamagazi

Mayesero ena kuti awone kuwonongeka kwa chiwindi ndi awa:

• Computed tomography (CT) ya pamimba
• Kujambula kwamaginito (MRI) pamimba
• Endoscopy kuti ayang'ane mitsempha yachilendo m'mimba kapena m'mimba
• Ultrasound pamimba

Mungafune chiwindi cha chiwindi kuti mutsimikizire matendawa.

ZINTHU ZIMASINTHA

Zinthu zina zomwe mungachite kuti musamalire matenda anu a chiwindi ndi:

• Musamwe mowa.
• Idyani chakudya chopatsa thanzi chomwe sichikhala ndi mchere wambiri, mafuta, komanso chakudya chambiri.
• Pezani katemera wa matenda monga chimfine, hepatitis A ndi B, ndi pneumococcal pneumonia.
• Lankhulani ndi omwe amakupatsani zamankhwala onse omwe mumamwa, kuphatikiza zitsamba ndi zowonjezera komanso mankhwala osagulitsika.
• Chitani masewera olimbitsa thupi.
• Sungani mavuto anu amadzimadzi, monga kuthamanga kwa magazi, matenda ashuga, komanso cholesterol.

MANKHWALA OCHOKERA KWA DOTOLO WANU

• Mapiritsi amadzi (okodzetsa) kuti athetse zakumwa zamadzimadzi
• Vitamini K kapena zopangira magazi kuti muchepetse magazi ambiri
• Mankhwala osokoneza bongo
• Maantibayotiki opatsirana

CHithandizo CHINA

• Mankhwala osakanikirana ndi mitsempha yowonjezera m'mimba (varices)
• Kuchotsa madzimadzi kuchokera pamimba (paracentesis)
• Kukhazikitsidwa kwa transjugular intrahepatic portosystemic shunt (MALANGIZO) kukonza magazi m'magazi

Matenda a chiwindi akamakula mpaka kumapeto kwa matenda a chiwindi, kumuwonjezera chiwindi kungafunike.

Nthawi zambiri mutha kuchepetsa kupsinjika kwa matenda polowa nawo gulu lothandizira matenda a chiwindi omwe mamembala ake amagawana zomwe akumana nazo pamavuto.

Cirrhosis imayamba chifukwa cha kufooka kwa chiwindi. Nthawi zambiri, chiwindi sichimatha kuchira kapena kubwerera kuntchito yake zikawonongeka kwambiri. Cirrhosis imatha kubweretsa zovuta zazikulu.

Zovuta zingaphatikizepo:

• Kusokonezeka kwa magazi
• Kupanga kwamadzi m'mimba (ascites) ndi matenda amadzimadzi (bacterial peritonitis)
• Mitsempha yowonjezera m'mimba, m'mimba, kapena m'matumbo omwe amatuluka magazi mosavuta (esophageal varices)
• Kuwonjezeka kwapanikizika m'mitsempha yamagazi ya chiwindi (portal hypertension)
• Impso kulephera (hepatorenal syndrome)
• Khansa ya chiwindi (hepatocellular carcinoma)
• Kusokonezeka kwa malingaliro, kusintha kwa msinkhu wa chidziwitso, kapena kukomoka (hepatic encephalopathy)

Itanani omwe akukuthandizani ngati mukudwala matenda enaake.

Pezani thandizo lachipatala nthawi yomweyo ngati muli:

• Kupweteka m'mimba kapena pachifuwa
• Kutupa m'mimba kapena ascites komwe kwatsopano kapena mwadzidzidzi kumakula
• Malungo (kutentha kwakukulu kuposa 101 ° F kapena 38.3 ° C)
• Kutsekula m'mimba
• Kusokonezeka kapena kusintha kwa kukhala tcheru, kapena kumangokulira
• Kutuluka magazi, kusanza magazi, kapena magazi mkodzo
• Kupuma pang'ono
• Kusanza kangapo patsiku
• Khungu loyera kapena maso (jaundice) omwe ndi atsopano kapena amakula msanga

MUSAMWE mowa. Lankhulani ndi omwe akukuthandizani ngati mukudandaula zakumwa kwanu. Tengani njira zothandizira kupewa matenda a chiwindi a B kapena C kapena kupitilira kwa anthu ena.

Chiwindi matenda enaake; Matenda a chiwindi; Mapeto siteji matenda chiwindi; Chiwindi kulephera - matenda enaake; Ascites - matenda enaake

• Matenda enaake - kumaliseche

• Zakudya zam'mimba ziwalo
• Dongosolo m'mimba
• Chiwindi cha chiwindi - CT scan

Garcia-Tsao G. Cirrhosis ndi sequelae yake. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 144.

Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH. Maupangiri Achipatala a ACG: Matenda a chiwindi. Ndine J Gastroenterol. 2018; 113 (2): 175-194. PMID: 29336434 pubed.ncbi.nlm.nih.gov/29336434/.

Wilson SR, Akufota CE. Chiwindi. Mu: Rumack CM, Levine D, eds. Kuzindikira Ultrasound. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 4.