Kodi Cirrhosis Amakhudza Bwanji Kutalika Kwa Moyo?

Zamkati

• Kumvetsetsa cirrhosis
• Kodi chiyembekezo cha moyo chimatsimikiziridwa bwanji?
• Malingaliro a CPT
• MELD mphambu
• Kodi ziwerengerozi zikutanthauza chiyani pakukhala moyo?
• Tchati cha CPT
• Tchati cha MELD
• Kodi pali chilichonse chomwe chingakulitse chiyembekezo cha moyo?
• Kodi ndingatani kuti ndithane ndi matenda a chiwindi?
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• Mfundo yofunika

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kumvetsetsa cirrhosis

Cirrhosis ya chiwindi ndi zotsatira zakuchedwa kwa matenda a chiwindi. Zimayambitsa zipsera ndi kuwonongeka kwa chiwindi. Izi zimalepheretsa chiwindi kugwira bwino ntchito, zomwe zimapangitsa chiwindi kulephera.

Zinthu zambiri zimatha kubweretsa matenda enaake, kuphatikiza:

• kumwa mowa mopitirira muyeso
• matenda a chiwindi
• matenda otupa chiwindi a C.
• matenda
• matenda osakwanira mafuta a chiwindi
• ma ducts osapangidwa bwino
• cystic fibrosis

Cirrhosis ndi matenda opita patsogolo, kutanthauza kuti amawonjezeka pakapita nthawi. Mukadwala matenda enaake, palibe njira yosinthira. M'malo mwake, chithandizo chimayang'ana pakuchepetsa kukula kwake.

Kutengera ndi kulimba kwake, matenda enaake amatha kukhala ndi chiyembekezo chokhala ndi moyo. Ngati muli ndi matenda a chiwindi, pali zida zingapo zomwe dokotala angagwiritse ntchito kuti akupatseni lingaliro labwino.

Kodi chiyembekezo cha moyo chimatsimikiziridwa bwanji?

Pali njira zingapo zothandizira kudziwa chiyembekezo cha moyo wa munthu wodwala matenda enaake. Zina mwazodziwika kwambiri ndi mphotho ya Child-Turcotte-Pugh (CTP) ndi mtundu wa Model for End-stage Liver Disease (MELD).

Malingaliro a CPT

Madokotala amagwiritsa ntchito mphotho ya CPT ya wina kuti adziwe ngati ali ndi matenda a cirrhosis a kalasi A, B, kapena C. Matenda a chiwindi a m'kalasi A ndi wofatsa ndipo amakhala ndi moyo wautali kwambiri. Cirrhosis ya m'kalasi B imakhala yocheperako, pomwe Class C cirrhosis ndiyolimba.

Dziwani zambiri za mphotho ya CPT.

MELD mphambu

Ndondomeko ya MELD imathandizira kudziwa kuopsa kwaimfa mwa anthu omwe ali ndi matenda a chiwindi omaliza. Zimagwiritsa ntchito zoyeserera kuchokera kumayeso a labotale kuti ipange gawo la MELD. Miyeso yomwe amagwiritsira ntchito kupeza MELD imaphatikizapo bilirubin, serum sodium, ndi serum creatinine.

Zambiri za MELD zimathandizira kudziwa kuchuluka kwa miyezi itatu yakufa. Izi zikutanthauza mwayi woti wina afa mkati mwa miyezi itatu. Ngakhale izi zimathandiza kupatsa madotolo lingaliro la chiyembekezo cha moyo wa munthu, zimathandizanso kuika patsogolo omwe akudikirira chiwindi.

Kwa munthu amene ali ndi matenda a chiwindi, kumuika chiwindi kumatha kuwonjezera zaka zomwe amakhala ndi moyo. Chiwerengero cha MELD cha wina wamkulu ndichakuti, amatha kufa pasanathe miyezi itatu. Izi zitha kuwapangitsa kukhala okwera kwambiri pamndandanda wa omwe akuyembekezera kubzala chiwindi.

Kodi ziwerengerozi zikutanthauza chiyani pakukhala moyo?

Mukamayankhula za kutalika kwa moyo, ndikofunikira kukumbukira kuti ndi kuwerengera. Palibe njira yodziwira kutalika kwa nthawi yomwe munthu amene ali ndi matenda enaake amakhala ndi moyo. Koma kuchuluka kwa CPT ndi MELD kumatha kuthandiza kupereka lingaliro.

Tchati cha CPT

Tchati cha MELD

Kodi pali chilichonse chomwe chingakulitse chiyembekezo cha moyo?

Ngakhale palibe njira yothetsera matenda a chiwindi, pali zinthu zingapo zomwe mungachite kuti muthandizire kuchepetsa kukula kwake ndikupewa kuwonongeka kowonjezera kwa chiwindi.

Izi zikuphatikiza:

• Kupewa mowa. Ngakhale chiwindi chanu sichikugwirizana ndi mowa, ndibwino kuti musamwe chifukwa mowa ungawononge chiwindi, makamaka ngati chawonongeka kale.
• Chepetsani mchere. Chiwindi cha cirrhotic chimakhala chovuta kusunga madzi m'magazi. Kudya mchere kumadzetsa chiopsezo chodzaza madzi. Simuyenera kuchotseratu pazakudya zanu, koma yesetsani kukhala kutali ndi zakudya zopangidwa ndikupewa kuwonjezera mchere wambiri mukamaphika.
• Kuchepetsa chiopsezo chanu chotenga matenda. Zimakhala zovuta kuti chiwindi chowonongeka chipange mapuloteni omwe amathandiza kulimbana ndi matenda. Sambani m'manja pafupipafupi ndipo yesetsani kuchepetsa kucheza kwanu ndi anthu omwe ali ndi matenda aliwonse amtundu uliwonse, kuyambira chimfine mpaka chimfine.
• Gwiritsani ntchito mankhwala osokoneza bongo mosamala. Chiwindi chanu ndiye purosesa yayikulu yamankhwala kapena mankhwala omwe mumamwa. Onetsetsani kuti muuze dokotala za mankhwala aliwonse owonjezera, owonjezera, kapena zitsamba zomwe mumagwiritsa ntchito kuti muwonetsetse kuti sizikulemetsani pachiwindi.

Kodi ndingatani kuti ndithane ndi matenda a chiwindi?

Kupezeka ndi matenda enaake kapena kukuwuzani kuti muli ndi vuto la chiwindi kumatha kukhala kovuta. Kuphatikiza apo, kumva kuti vutoli silikubwezeretsanso kumatha kuchititsa anthu ena kuchita mantha.

Ngati simukudziwa choti muchite kenako, ganizirani izi:

• Lowani nawo gulu lothandizira. Mzipatala ndi zipatala nthawi zambiri zimayang'anira magulu othandizira anthu omwe ali ndi matenda osachiritsika, kuphatikiza matenda a chiwindi ndi matenda enaake. Funsani ofesi ya dokotala kapena dipatimenti yophunzitsa kuchipatala yakwanuko ngati ali ndi malingaliro pagulu. Muthanso kuyang'ana magulu othandizira pa intaneti kudzera mu American Liver Foundation.
• Onani katswiri. Ngati simukuwonapo kale, pangani nthawi yoti mukaonane ndi hepatologist kapena gastroenterologist. Awa ndi madokotala omwe amakhazikika pochiza matenda a chiwindi ndi zina zokhudzana nazo. Atha kupereka lingaliro lachiwiri ndikukupatsani zambiri zamankhwala omwe angakuthandizeni kwambiri.
• Ganizirani zamakono. Izi ndizosavuta kuzichita kuposa kuzichita, ngakhale mutakhala ndi thanzi labwino kapena ayi. Koma kumangoganizira za matenda anu kapena kudziimba mlandu chifukwa cha izi sikungasinthe chilichonse. Yesetsani kusunthira chidwi chanu pazomwe mungachite kuti mukhale ndi thanzi labwino komanso moyo wabwino, ngakhale ndikudya mchere wochepa kapena kuthera nthawi yambiri ndi okondedwa.

• "Chaka Choyamba: Cirrhosis" ndi chitsogozo cha omwe atulukiridwa kumene. Iyi ndi njira yabwino ngati muphunzirabe za vutoli komanso zomwe matenda anu amatanthauza mtsogolo mwanu.
• "Chitonthozo Cha Kunyumba Kwa Matenda a Chiwindi Chosatha" ndi buku lothandizira osamalira anthu omwe ali ndi matenda opitilira chiwindi ndi matenda enaake.

Mfundo yofunika

Cirrhosis ndi matenda osachiritsika omwe amatha kufupikitsa moyo wamunthu. Madokotala amagwiritsa ntchito miyeso ingapo kuti adziwe malingaliro a munthu wodwala matenda enaake, koma izi zimangowerengera. Ngati muli ndi matenda a chiwindi, dokotala wanu akhoza kukupatsani malingaliro abwino ndi zomwe mungachite kuti muwongolere.