Matenda a chiwindi cha Nonalcoholic

Matenda a chiwindi cha Nonalcoholic fatty (NAFLD) ndi kuchuluka kwa mafuta m'chiwindi omwe SAYAMBITSO chifukwa chomwa mowa kwambiri. Anthu omwe ali nawo alibe mbiri yakumwa kwambiri. NAFLD imakhudzana kwambiri ndi kunenepa kwambiri.

Kwa anthu ambiri, NAFLD sichimayambitsa matenda kapena mavuto. Matenda owopsa kwambiri amatchedwa nonatoxic steatohepatitis (NASH). NASH itha kuyambitsa chiwindi kulephera. Ikhozanso kuyambitsa khansa ya chiwindi.

NAFLD ndi zotsatira za mafuta ochulukirapo m'chiwindi. Zinthu zomwe zitha kukuikani pachiwopsezo ndi izi:

• Kulemera kwambiri kapena kunenepa kwambiri. Mukakhala wonenepa kwambiri, chiwopsezo chimakula.
• Prediabetes (insulin kukana).
• Type 2 matenda ashuga.
• Cholesterol wokwera.
• Mkulu triglycerides.
• Kuthamanga kwa magazi.

Zina mwaziwopsezo zingaphatikizepo:

• Kutaya thupi mwachangu komanso kusadya bwino
• Opaleshoni yodutsa m'mimba
• Matenda matumbo
• Mankhwala ena, monga ma calcium blockers ndi mankhwala ena a khansa

NAFLD imapezekanso mwa anthu omwe alibe zoopsa.

Anthu omwe ali ndi NAFLD nthawi zambiri alibe zizindikiro. Zomwe zimachitika, zomwe zimafala kwambiri ndi monga:

• Kutopa
• Ululu m'mimba chapamwamba kumanja

Mwa anthu omwe ali ndi NASH omwe ali ndi chiwindi chowonongeka (cirrhosis), zizindikilo zimatha kuphatikizira izi:

• Kufooka
• Kutaya njala
• Nseru
• Khungu lachikaso ndi maso (jaundice)
• Kuyabwa
• Kutulutsa kwamadzimadzi ndi kutupa m'miyendo ndi pamimba
• Kusokonezeka kwamaganizidwe
• Kutuluka kwa GI

NAFLD nthawi zambiri imapezeka pamayeso amwazi omwe amagwiritsidwa ntchito kuti awone momwe chiwindi chikugwirira ntchito.

Mutha kukhala ndi mayeso otsatirawa kuti muyese chiwindi:

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

Wothandizira zaumoyo wanu amatha kuyitanitsa mayeso ena azithunzi, kuphatikiza:

• Ultrasound kutsimikizira matenda a NAFLD
• Kujambula kwa MRI ndi CT

Kufunika kwa chiwindi kumatsimikizira kuti NASH, yomwe ndi yolimba kwambiri ya NAFLD.

Palibe mankhwala enieni a NAFLD. Cholinga ndikuthetsa zovuta zomwe muli pachiwopsezo ndi matenda aliwonse.

Wothandizira anu adzakuthandizani kumvetsetsa momwe muliri komanso zosankha zabwino zomwe zingakuthandizeni kusamalira chiwindi chanu. Izi zingaphatikizepo:

• Kuchepetsa thupi ngati muli wonenepa kwambiri.
• Kudya chakudya chopatsa thanzi chomwe chili ndi mchere wochepa.
• Osamwa mowa.
• Kukhala wokangalika.
• Kusamalira zathanzi monga matenda ashuga komanso kuthamanga kwa magazi.
• Kupeza katemera wa matenda monga hepatitis A ndi hepatitis B.
• Kuchepetsa mafuta anu a cholesterol ndi triglyceride.
• Kumwa mankhwala monga mwa malangizo. Lankhulani ndi omwe amakupatsani zamankhwala onse omwe mumamwa, kuphatikiza zitsamba ndi zowonjezera komanso mankhwala osagulitsika.

Kuchepetsa thupi komanso kuyang'anira matenda ashuga kumachedwetsa kapena nthawi zina kumasintha mafuta omwe ali m'chiwindi.

Anthu ambiri omwe ali ndi NAFLD alibe mavuto azaumoyo ndipo samapitiliza kupanga NASH. Kuchepetsa thupi ndikupanga zisankho zoyenera pamoyo wanu kumathandiza kupewa mavuto ena ambiri.

Sindikudziwika bwinobwino chifukwa chake anthu ena amapanga NASH. NASH itha kubweretsa matenda a chiwindi.

Anthu ambiri omwe ali ndi NAFLD sakudziwa kuti ali nawo. Onani omwe amakupatsani ngati mutayamba kukhala ndi zizolowezi zachilendo monga kutopa kapena kupweteka m'mimba.

Kuthandiza kupewa NAFLD:

• Pitirizani kulemera bwino.
• Idyani chakudya chopatsa thanzi.
• Chitani masewera olimbitsa thupi nthawi zonse.
• Chepetsani kumwa mowa.
• Gwiritsani ntchito mankhwala moyenera.

Chiwindi chamafuta; Steatosis; Matenda osokoneza bongo; NASH

• Chiwindi

Chalasani N, Younossi Z, Lavine JE, et al. Kuzindikira ndikuwongolera matenda a chiwindi osakhala mowa: chitani malangizo kuchokera ku American Association kuti muphunzire za matenda a chiwindi. Matenda a chiwindi. 2018; 67 (1): 328-357. PMID: 28714183 www.ncbi.nlm.nih.gov/pubmed/28714183.

National Institute of Diabetes ndi tsamba la Digestive and Impso Diseases. Kudya, zakudya, ndi zakudya za NAFLD ndi NASH. www.niddk.nih.gov/health-information/liver-disease/nafld-nash/eating-diet-nutrition. Idasinthidwa Novembala 2016. Idapezeka pa Epulo 22, 2019.

Torres DM, Harrison SA. Matenda a chiwindi cha Nonalcoholic. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 87.