Matenda a chiwindi

Matenda a chiwindi amayamba kuwononga chiwindi komanso magwiridwe antchito chifukwa chomwa mowa kwambiri.

Matenda a chiwindi amayamba pambuyo pomwa mowa kwambiri zaka zambiri. Popita nthawi, mabala ndi chiwindi zimatha kuchitika. Cirrhosis ndiye gawo lomaliza la matenda a chiwindi.

Matenda a chiwindi amowa samapezeka mwa onse omwa mowa mwauchidakwa. Mwayi wodwala matenda a chiwindi umakwera nthawi yayitali yomwe mwakhala mukumwa komanso mowa wambiri womwe mumamwa. Simuyenera kuchita kuledzera kuti matendawa achitike.

Matendawa amapezeka kwa anthu azaka zapakati pa 40 ndi 50. Amuna nthawi zambiri amakhala ndi vutoli. Komabe, azimayi amatha kudwala matendawa atamwa pang'ono mowa kuposa amuna. Anthu ena atha kukhala pachiwopsezo chotengera matendawa.

Sipangakhale zizindikiro, kapena zizindikilo zimatha kubwera pang'onopang'ono. Izi zimadalira momwe chiwindi chikugwirira ntchito. Zizindikiro zimakhala zovuta pambuyo poti munthu wamwa kwambiri.

Zizindikiro zoyambirira zimaphatikizapo:

• Kutaya mphamvu
• Kulakalaka kudya komanso kuwonda
• Nseru
• Kupweteka kwa m'mimba
• Mitsempha yaying'ono yofiira ngati kangaude pakhungu

Pamene chiwindi chikukula, zizindikilo zingaphatikizepo:

• Kutulutsa kwamadzi kwamiyendo (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 ndi magazi osazolowereka
• Kusokonezeka kapena mavuto kuganiza
• Zojambula zofiirira kapena zadongo

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)

Mayeso omwe mungakhale nawo ndi awa:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Kuyesa kwa chiwindi
• Maphunziro a coagulation
• Chiwindi

Kuyesa kuthana ndi matenda ena ndi awa:

• M'mimba mwa CT scan
• Kuyezetsa magazi pazomwe zimayambitsa matenda a chiwindi
• Ultrasound pamimba
• Ultrasound zojambula

ZINTHU ZIMASINTHA

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

• Siyani kumwa mowa.
• Idyani chakudya chopatsa thanzi chomwe chili ndi mchere wochepa.
• Pezani katemera wa matenda monga chimfine, hepatitis A ndi hepatitis B, ndi pneumococcal pneumonia.
• Lankhulani ndi omwe amakupatsani zamankhwala onse omwe mumamwa, kuphatikiza zitsamba ndi zowonjezera komanso mankhwala osagulitsika.

MANKHWALA OCHOKERA KWA DOTOLO WANU

• "Mapiritsi amadzi" (okodzetsa) kuti athetse kuchuluka kwa madzi
• Vitamini K kapena zopangira magazi kuti muchepetse magazi ambiri
• Mankhwala osokoneza bongo
• Maantibayotiki opatsirana

CHithandizo CHINA

• Mankhwala osakanikirana ndi mitsempha yowonjezera m'mimba (esophageal 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. Kuika chiwindi kwa matenda a chiwindi amamwa kokha mwa anthu omwe apeweratu mowa kwa miyezi 6.

Anthu ambiri amapindula ndikulowa nawo magulu othandizira pakumwa uchidakwa kapena matenda a chiwindi.

Matenda a chiwindi amachiritsidwa ngati atagwidwa asanawonongeke kwambiri. Komabe, kupitiriza kumwa mopitirira muyeso kungafupikitse moyo wanu.

Cirrhosis imakulitsanso vuto ndipo imatha kubweretsa zovuta zazikulu. Ngati chiwindi chikuwonongeka kwambiri, chiwindi sichingachiritse kapena kubwerera mwakale.

Zovuta zingaphatikizepo:

• Matenda a magazi (coagulopathy)
• 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)

Lumikizanani ndi omwe akukuthandizani ngati:

• Khalani ndi zizindikilo za matenda a chiwindi
• Khalani ndi zizindikilo pambuyo pakumwa nthawi yayitali
• Mukuda nkhawa kuti kumwa kumatha kuvulaza thanzi lanu

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 kwatsopano kapena kusintha kwa kukhala tcheru, kapena kukuipiraipira
• Kutuluka magazi, kusanza magazi, kapena magazi mkodzo
• Kupuma pang'ono
• Kusanza kangapo patsiku
• Khungu loyera kapena maso (jaundice) omwe ndi atsopano kapena amakula msanga

Lankhulani momasuka ndi omwe amakupatsani zakumwa kwanu. Woperekayo angakulangizeni za momwe mowa ungakhalire wabwino kwa inu.

Chiwindi matenda chifukwa cha mowa; Matenda enaake kapena chiwindi - chidakwa; Matenda a Laennec

• Matenda enaake - kumaliseche

• Dongosolo m'mimba
• Matenda a chiwindi
• Chiwindi chamafuta - CT scan

Amakhala ndi RL, McClain CJ. Matenda a chiwindi. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 86.

Chalasani NP. Mowa wosachedwa kumwa mowa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 143.

Haines EJ, Oyama LC. Matenda a chiwindi ndi biliary thirakiti. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 80.

Hübscher SG. Matenda a chiwindi omwe amayamba chifukwa cha mowa. Mu: Saxena R, mkonzi. Yothandiza Hepatic Pathology: Njira Yodziwitsa. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: chap 24.