Mowa Wauchidakwa Cirrhosis

Zamkati

• Kodi Ndi Zizindikiro Ziti Zomwe Zimalumikizidwa Ndi Mowa Wa Chiwindi Cirrhosis?
• Nchiyani Chimayambitsa Mowa Chiwindi Chiwindi?
• Kodi Pali Magulu Aanthu Omwe Amakhala Ndi Izi Kwambiri?
• Kodi Dokotala Angakuzindikireni Motani Ndi Chiwindi Cham'mimba Cirrhosis?
• Kodi Ndizovuta Zotani Zomwe Mowa Wa Chiwindi Ungayambitse?
• Kodi matenda a chiwindi amamwa bwanji?
• Mawonekedwe pa Mowa Wa chiwindi Cirrhosis

Kodi Chiwindi Cha Mowa Ndi Chiyani?

Chiwindi ndi chiwalo chachikulu chokhala ndi ntchito yofunikira mthupi lanu. Imasefa magazi a poizoni, imaphwanya mapuloteni, ndikupanga ya ndulu yothandizira thupi kuyamwa mafuta. Munthu akamamwa mowa kwambiri kwa zaka makumi angapo, thupi limayamba kuchotsa minofu yathanzi ya chiwindi ndi zilonda zipsera. Madokotala amatcha vutoli chidakwa cha chiwindi.

Matendawa akamakula, ndipo minofu yanu yambiri ya chiwindi imalowetsedwa ndimabala ofiira, chiwindi chanu chimasiya kugwira ntchito moyenera

Malinga ndi American Liver Foundation, pakati pa 10 ndi 20 peresenti ya omwa mowa mwauchidakwa amatha kudwala matenda enaake. Mowa woledzeretsa wa chiwindi ndiye mtundu wapamwamba kwambiri wamatenda a chiwindi omwe amakhudzana ndi kumwa mowa. Matendawa ndi gawo lakukula. Angayambe ndi matenda a chiwindi, kenako n'kuyamba matenda a kutupa chiwindi otchedwa hepatitis, kenaka mpaka kuyamba kuledzera. Komabe, ndizotheka kuti munthu atha kukhala ndi chiwindi cha chiwindi choledzeretsa osadwala matenda a chiwindi.

Kodi Ndi Zizindikiro Ziti Zomwe Zimalumikizidwa Ndi Mowa Wa Chiwindi Cirrhosis?

Zizindikiro za kuledzera kwa chiwindi chakumwa choledzeretsa nthawi zambiri zimayamba munthu ali ndi zaka zapakati pa 30 ndi 40. Thupi lanu lizitha kubwezera kuchepa kwa chiwindi chanu poyambira matendawo. Matendawa akamakula, zizindikiro zake zimayamba kuonekera kwambiri.

Zizindikiro za kuledzera kwa chiwindi cha chiwindi ndizofanana ndi zovuta zina zokhudzana ndi chiwindi. Zizindikiro zake ndi izi:

• jaundice
• Matenda oopsa, omwe amachititsa kuti magazi aziyenda bwino mumitsempha yomwe imadutsa pachiwindi
• kuyabwa pakhungu (pruritus)

Nchiyani Chimayambitsa Mowa Chiwindi Chiwindi?

Kuwonongeka kwa kumwa mowa mobwerezabwereza komanso mopitirira muyeso kumabweretsa chiwindi cha chiwindi. Matenda a chiwindi akayamba kufooka, chiwindi sichimagwira ntchito monga kale. Zotsatira zake, thupi silimatha kupanga mapuloteni okwanira kapena kusefa poizoni m'magazi momwe amayenera.

Cirrhosis ya chiwindi imatha kuchitika chifukwa cha zifukwa zosiyanasiyana. Komabe, kuledzera kwa chiwindi cha chiwindi chimakhudzana mwachindunji ndikumwa mowa.

Kodi Pali Magulu Aanthu Omwe Amakhala Ndi Izi Kwambiri?

Choopsa chachikulu cha chiwindi chauchidakwa ndikumwa mowa mwauchidakwa. Nthawi zambiri, munthu wamwa mowa kwambiri kwa zaka zosachepera zisanu ndi zitatu. National Institute on Alcohol Abuse and Alcoholism imamasulira kuti kumwa kwambiri ndikumwa zakumwa zisanu kapena kupitilira apo tsiku limodzi m'masiku osachepera asanu mwa masiku 30 apitawa.

Amayi nawonso ali pachiwopsezo chotenga matenda a chiwindi. Amayi alibe ma enzyme ambiri m'mimba mwawo kuti athyole tinthu tating'onoting'ono ta mowa. Chifukwa cha izi, mowa wambiri umatha kufikira chiwindi ndikupanga minofu yofiira.

Matenda a chiwindi amowa amathanso kukhala ndi zina zobadwa nazo. Mwachitsanzo, anthu ena amabadwa ali ndi vuto la michere yomwe imathandiza kuthetsa mowa. Kunenepa kwambiri, kudya mafuta kwambiri, komanso kukhala ndi chiwindi cha C kungathandizenso kuti munthu akhale ndi matenda a chiwindi.

Kodi Dokotala Angakuzindikireni Motani Ndi Chiwindi Cham'mimba Cirrhosis?

Madokotala amatha kudziwa matenda a chiwindi a chiwindi mwa kuyamba atenga mbiri yazachipatala ndikukambirana za mbiri yakumwa kwa munthu. Dokotala amayesanso mayeso ena omwe angatsimikizire kuti munthu ali ndi matenda enaake. Zotsatira za mayesowa zitha kuwonetsa:

• kuchepa kwa magazi (magazi ochepa chifukwa chachitsulo chochepa kwambiri)
• msinkhu wa ammonia wamagazi
• shuga wambiri wamagazi
• leukocytosis (kuchuluka kwa maselo oyera amwazi)
• minofu yopanda thanzi ya chiwindi pomwe nyemba imachotsedwa pa biopsy ndikuphunzira ku labotore
• kuyezetsa magazi m'chiwindi cha chiwindi komwe kumawonetsa kuchuluka kwa aspartate aminotransferase (AST) ndi kawiri kuposa alanine aminotransferase (ALT)
• magulu otsika a magazi
• misinkhu potaziyamu magazi
• magazi otsika kwambiri
• matenda oopsa

Madokotala ayesetsanso kuchotsa zinthu zina zomwe zingakhudze chiwindi kuti zitsimikizire kuti chiwindi chayamba.

Kodi Ndizovuta Zotani Zomwe Mowa Wa Chiwindi Ungayambitse?

Kuledzera kwa chiwindi kumatha kubweretsa zovuta zazikulu. Izi zimadziwika kuti decompensated cirrhosis. Zitsanzo za mavutowa ndi monga:

• ascites, kapena kuchuluka kwa madzimadzi m'mimba
• encephalopathy, kapena kusokonezeka kwamaganizidwe
• kutuluka kwamkati, komwe kumatchedwa magazi otuluka
• jaundice, yomwe imapangitsa khungu ndi maso kukhala ndi khungu lachikasu

Omwe ali ndi matenda otupa chiwindi nthawi zambiri amafunika kumuika chiwindi kuti apulumuke. Malinga ndi chipatala cha Cleveland, odwala omwe amadwala chiwindi omwe amadwala chiwindi amakhala ndi zaka zisanu peresenti 70%.

Kodi matenda a chiwindi amamwa bwanji?

Madokotala amatha kusintha mitundu ina ya matenda a chiwindi ndi chithandizo, koma chidakwa cha chiwindi chowawa nthawi zambiri sichingasinthidwe. Komabe, dokotala wanu angakulimbikitseni chithandizo chomwe chingachedwetse matendawa komanso kuchepetsa zizindikilo zanu.

Gawo loyamba la chithandizo ndikuthandizira munthu kusiya kumwa. Omwe ali ndi vuto la chiwindi cha chiwindi nthawi zambiri amadalira mowa kwambiri ndipo amatha kudwala ngati atayesetsa kusiya kuchipatala. Dokotala amalangiza chipatala kapena malo azachipatala pomwe munthu angayambitse ulendo wopita ku kudziletsa.

Mankhwala ena omwe dokotala angagwiritse ntchito ndi awa:

• Mankhwala: Mankhwala ena omwe madokotala angakupatseni ndi corticosteroids, calcium channel blockers, insulin, antioxidant supplements, ndi S-adenosyl-L-methionine (SAMe).
• Uphungu Waumoyo: Kuledzera kungayambitse kusowa kwa zakudya m'thupi.
• Mavitamini owonjezera: Odwala nthawi zambiri amafuna mapuloteni owonjezera m'njira zina kuti athe kuchepetsa kuthekera kokhala ndi matenda am'magazi (encephalopathy).
• Kuika Chiwindi: Nthawi zambiri munthu amayenera kukhala wodekha kwa miyezi isanu ndi umodzi asanawonekere kuti ndi woyenera kumuika chiwindi.

Mawonekedwe pa Mowa Wa chiwindi Cirrhosis

Maganizo anu amadalira thanzi lanu lonse komanso ngati mwakhalapo ndi zovuta zina zokhudzana ndi matenda enaake. Izi zimachitika ngakhale munthu atasiya kumwa mowa.