Kutha Kwamphamvu Kwambiri

Zamkati

• Kodi zizindikilo ziti za matenda a chiwindi omwe amatha?
• Nchiyani chimayambitsa kuwonongeka kwa chiwindi?
• Kodi matenda opatsirana pogonana amadziwika bwanji?
• Kodi matenda opatsirana pogonana amachiritsidwa bwanji?
• Kodi zimakhudza bwanji chiyembekezo cha moyo?
• Mfundo yofunika

Kodi kuwonongeka kwa chiwindi ndi chiyani?

Matenda owonongeka ndi mawu omwe madokotala amagwiritsa ntchito pofotokoza zovuta za matenda opitilira chiwindi. Anthu omwe ali ndi chiwindi cholipidwa nthawi zambiri samakhala ndi zizindikilo chifukwa chiwindi chawo chikugwirabe ntchito bwino. Pamene chiwindi chimachepa, chimatha kuwonongeka.

Anthu omwe ali ndi chiwindi chofooka ali pafupi kutha kwa chiwindi ndipo nthawi zambiri amakhala ofuna kumuika chiwindi.

Pemphani kuti mumve zambiri za kuwonongeka kwa chiwindi, kuphatikizapo zizindikilo zake komanso zomwe zimakhudza chiyembekezo cha moyo.

Kodi zizindikilo ziti za matenda a chiwindi omwe amatha?

Matenda a chiwindi nthawi zambiri samayambitsa zizindikilo zake m'mbuyomu. Koma ikamakulirakulirabe m'mimba, imatha kuyambitsa:

• jaundice
• kutopa
• kuonda
• Kutuluka magazi kosavuta ndi mabala
• Mimba yotupa chifukwa chamadzi amadzimadzi (ascites)
• miyendo yotupa
• chisokonezo, mawu osalankhula, kapena kugona (hepatic encephalopathy)
• nseru ndi kusowa kwa njala
• Mitsempha ya kangaude
• kufiira m'manja mwathu
• kuchepa kwa machende ndi kukula kwa mawere mwa amuna
• Kuwuma kosadziwika

Nchiyani chimayambitsa kuwonongeka kwa chiwindi?

Matenda otupa chiwindi ndi gawo lotsogola la matenda enaake. Cirrhosis amatanthauza kufooka kwa chiwindi. Cirrhosis yofooka imachitika pamene kufooka kumeneku kumakhala koopsa kotero kuti chiwindi sichitha kugwira bwino ntchito.

Chilichonse chomwe chimawononga chiwindi chimatha kubweretsa zipsera, zomwe pamapeto pake zimatha kukhala kuwonongeka kwa chiwindi. Zomwe zimayambitsa kufooka kwa chifuwa ndi:

• Kutalika kwa nthawi yaitali, kumwa mowa kwambiri
• matenda a hepatitis B osachiritsika kapena hepatitis C
• kuchuluka kwa mafuta m'chiwindi

Zina mwazomwe zimayambitsa matenda a chiwindi ndi izi:

• chitsulo
• cystic fibrosis
• mkuwa wambiri
• ma ducts osapangidwa bwino
• Matenda osokoneza bongo a chiwindi
• kuvulala kwa ndulu
• matenda a chiwindi
• kumwa mankhwala ena, monga methotrexate

Kodi matenda opatsirana pogonana amadziwika bwanji?

Nthawi zambiri, madokotala amakupezani ndi matenda am'mimba omwe mumatha kuyamba matenda am'mimba, monga jaundice kapena kusokonezeka kwamaganizidwe. Nthawi zambiri amatsimikizira matendawa poyesa magazi kuti adziwe momwe chiwindi chimagwirira ntchito.

Angathenso kutenga zitsanzo za seramu kuti apeze mtundu wa gawo lomaliza la matenda a chiwindi (MELD). Chiwerengero cha MELD ndichida chodziwikiratu chomwe chimagwiritsidwa ntchito pozindikira matenda amtsogolo a chiwindi. Zambiri zimayambira 6 mpaka 40.

Madokotala nthawi zina amapanganso chiwindi, chomwe chimaphatikizapo kutenga pang'ono paziwindi ndikuzifufuza. Izi ziwathandiza kumvetsetsa kuwonongeka kwa chiwindi chanu.

Angagwiritsenso ntchito mayeso angapo ojambula kuti ayang'ane kukula ndi mawonekedwe a chiwindi ndi ndulu yanu, monga:

• Kujambula kwa MRI
• mayendedwe
• Kujambula kwa CT
• magnetic resonance elastography kapena elastography yopitilira, yomwe ndi kuyesa koyerekeza komwe kumawunika kuwuma kwa chiwindi

Kodi matenda opatsirana pogonana amachiritsidwa bwanji?

Pali njira zochepa zochizira matenda opatsirana pogonana. Pakadali pano matenda a chiwindi, nthawi zambiri sizotheka kusintha vutoli. Koma izi zikutanthauzanso kuti anthu omwe ali ndi chiwindi chosafooka nthawi zambiri amakhala ofuna kulandira chiwindi.

Ngati muli ndi chizindikiro chimodzi chokha cha kuwonongeka kwa chiwindi ndi MELD mphambu 15 kapena kupitilira apo, kupatsidwa chiwindi kumalimbikitsidwa kwambiri.

Kusintha kwa chiwindi kumachitika ndi chiwindi chochepa kapena chathunthu kuchokera kwa woperekayo. Minofu ya chiwindi imatha kubwereranso, kotero kuti wina akhoza kulandira gawo la chiwindi kuchokera kwa woperekera moyo. Chiwindi chobzalidwa chonse ndi chiwindi cha woperekayo chimasinthanso miyezi ingapo.

Ngakhale kuika chiwindi ndi njira yabwino, ndi njira yayikulu yokhala ndi mbali zambiri zofunika kuziganizira. Nthaŵi zambiri, dokotala amatumiza wodwalayo kumalo opatsirana, komwe gulu la akatswiri azachipatala limawunika momwe wodwalayo angachitire ndi kumuika.

Awona:

• siteji matenda chiwindi
• mbiri yazachipatala
• thanzi lamaganizidwe ndi malingaliro
• dongosolo lothandizira kunyumba
• kuthekera ndi kufunitsitsa kutsatira malangizo a posturgery
• mwayi wopulumuka pa opaleshoniyi

Poyesa zonsezi, madokotala amagwiritsa ntchito mayesero osiyanasiyana, monga:

• mayeso a thupi
• kuyezetsa magazi kambiri
• kuwunika kwamaganizidwe ndi chikhalidwe
• mayeso owunika kuti muwone thanzi la mtima wanu, mapapo, ndi ziwalo zina
• mayesero ojambula
• Kuwunika mankhwala osokoneza bongo ndi mowa
• Mayeso a HIV ndi hepatitis

Anthu omwe ali ndi matenda a chiwindi okhudzana ndi mowa kapena mankhwala osokoneza bongo ayenera kuwonetsa kuti ali ndi thanzi labwino. Nthawi zina, izi zitha kuphatikizira kuwonetsa zolembedwa zochokera kuchipatala.

Mosasamala kanthu kuti wina akuyenerera kumuika, dokotala angalimbikitsenso zotsatirazi kuti akhale ndi moyo wabwino komanso kupewa zovuta zina:

• kutsatira chakudya chamchere wochepa
• osagwiritsa ntchito mankhwala osokoneza bongo kapena mowa
• kutenga okodzetsa
• kumwa mankhwala oletsa tizilombo toyambitsa matenda kuti athetse matenda a chiwindi a B kapena C
• kuchepetsa kumwa madzi
• kumwa maantibayotiki kuti muchepetse matenda aliwonse omwe angayambitse matenda kapena kupewa atsopano
• kumwa mankhwala othandizira magazi kuundana
• kumwa mankhwala othandizira kuti magazi aziyenda bwino mpaka pachiwindi
• akuchita njira yochotsera madzi ena m'mimba

Kodi zimakhudza bwanji chiyembekezo cha moyo?

Cirrhosis yochepetsedwa imatha kuchepetsa chiyembekezo cha moyo wanu. Nthawi zambiri, kukweza kwanu MELD, kumachepetsa mwayi wanu wopulumuka miyezi itatu.

Mwachitsanzo, ngati muli ndi gawo la 15 kapena kutsika kwa MELD, muli ndi mwayi wokhala ndi 95% kwa miyezi itatu. Ngati muli ndi chiwerengero cha MELD cha 30, kupulumuka kwanu kwa miyezi itatu ndi 65 peresenti. Ichi ndichifukwa chake anthu omwe ali ndi gawo lokwera kwambiri la MELD amapatsidwa chidwi pamndandanda wazopereka ziwalo.

Kupatsirana chiwindi kumawonjezera chiyembekezo cha moyo. Ngakhale kuti nkhani iliyonse ndi yosiyana, anthu ambiri amabwerera kuzinthu zawo pambuyo powaika chiwindi. Kupulumuka kwa zaka zisanu ndi pafupifupi 75%.

Mfundo yofunika

Cirrhosis yofooka ndi mtundu wopitilira muyeso womwe umakhudzana ndi kufooka kwa chiwindi. Ngakhale kulibe njira zambiri zochiritsira, kumuika chiwindi kumatha kukhala ndi chiyembekezo chachikulu pakukhala ndi moyo.

Ngati mwapezeka kuti muli ndi matenda enaake owonongeka, lankhulani ndi dokotala wanu za kuyenerera kwanu kumuika. Angathenso kukutchulani kwa hepatologist, yemwe ndi mtundu wa dokotala yemwe amachita bwino pochiza chiwindi.