Pachimake pa matenda a chiwindi: chimene chiri, zizindikiro, zimayambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Pamene zingakhale zovuta
• Itha kudzaza
• Zomwe zimayambitsa
• Momwe mungatsimikizire

Chiwindi cha chiwindi chimafotokozedwa ngati kutupa kwa chiwindi komwe nthawi zambiri kumayamba mwadzidzidzi, kumatenga milungu ingapo. Pali zifukwa zingapo zomwe zimayambitsa matenda a chiwindi, kuphatikiza matenda a virus, kugwiritsa ntchito mankhwala, uchidakwa kapena chitetezo chamthupi.

Ngakhale zimayambitsa zifukwa zosiyanasiyana, zizindikilo zomwe zimayambitsidwa ndi hepatitis pachimake nthawi zambiri zimakhala zofanana, kuphatikizapo malaise, kupweteka mutu, kutopa, kusowa kwa njala, nseru, kusanza, khungu lachikaso ndi maso. Nthawi zambiri, kutupa uku kumachitika modekha, ndikupereka chithandizo pakatha milungu ingapo kapena miyezi ingapo, komabe, milandu ina imatha kukhala yayikulu, ndipo imatha mpaka kufa.

Chifukwa chake, nthawi zonse kumakhala kofunikira kuti, pamaso pazizindikiro zomwe zikusonyeza kuti ali ndi matenda a chiwindi, munthuyo ayenera kukayezetsa kuchipatala, kukayezetsa kuchipatala ndikupempha kukayezetsa, monga kuyeza kwa michere ya chiwindi (ALT ndi AST) ndi ultrasound m'mimba. Chithandizocho chimaphatikizapo kupumula, kuthirira madzi ndi kugwiritsa ntchito mankhwala pazochitika zina, malinga ndi chifukwa.

Zizindikiro zazikulu

Ngakhale zimatha kusiyanasiyana kutengera chomwe chimayambitsa, zizindikilo zazikulu za hepatitis ndi izi:

• Kutopa kapena kutopa;
• Kutaya njala;
• Malungo;
• Ululu m'malo olumikizirana mafupa ndi minofu;
• Malaise;
• Mutu;
• Nseru;
• Kusanza.

Patatha masiku angapo kuchokera pomwe madandaulo adayamba, nthawi zina khungu limatuluka chikaso ndi maso otchedwa jaundice, limodzi kapena ayi ndi khungu loyabwa, mkodzo wamdima ndi mipando yoyera. Pambuyo pake, zimakhala zachilendo kutsatira nthawi yobwezeretsa, ndikuchepa kwa zizindikilo, zomwe zimasinthika pafupipafupi kuchiritsa matendawa.

Nthawi zina, njira yotupa ya hepatitis imatha kupitilira miyezi isanu ndi umodzi, ndikusandukira chiwindi. Dziwani zambiri za matenda a chiwindi.

Pamene zingakhale zovuta

Ngakhale sizofala, matenda a chiwindi aliwonse owopsa amatha kukhala ovuta, makamaka ngati sapezeka msanga komanso ngati mankhwala sayambika bwino. Ngati matenda a chiwindi atha kukhala okhwima, amatha kusokoneza magwiridwe antchito a chiwindi ndi ma ndulu am'mimba, omwe amachititsa kuti magazi aziyenda bwino, amasokoneza kupanga mapuloteni kapena chitetezo cha mthupi ndipo chitha kukhudza kugwira ntchito kwa ziwalo zina m'thupi.

Kuphatikiza apo, panthawi yovuta kwambiri ya matenda a chiwindi, pakhoza kukhala kufooka koopsa kwa chiwindi, komwe kuyenera kupezedwa mwachangu ngati chithandizo chofulumira, monga kumuika chiwindi, kungakhale kofunikira.

Itha kudzaza

Matenda otupa chiwindi am'mimba amadziwikanso kuti chiwindi cholephera kwambiri, ndipo amapezeka pokhapokha ngati chiwindi cha chiwindi chimayamba kusintha kwambiri ndikusokoneza kagayidwe kathupi kathupi. Ndi amodzi mwamatenda owopsa pachiwindi, ndipo amatha kufa mu 70 mpaka 90% ya odwala, chiopsezo chikuwonjezeka kutengera msinkhu.

Zizindikiro zoyambirira za chiwindi chotupa kwathunthu ndizofanana ndi matenda a chiwindi, omwe amawonjezera kupezeka kwa mkodzo wamdima, maso achikaso, kusokonezeka tulo, mawu osamveka bwino, kusokonezeka kwamaganizidwe ndi kuganiza mozama, pachiwopsezo cha zovuta monga ziwalo zingapo zolephera. Zovuta izi zimatha kubweretsa imfa, ndipo ndikofunikira kufunafuna chithandizo chamankhwala pakawonekera zizindikiro zosonyeza matendawa. Dziwani zambiri pazomwe zimayambitsa ndi chithandizo cha matenda otupa chiwindi.

Zomwe zimayambitsa

Zina mwa zifukwa zazikulu za matenda a chiwindi a pachimake ndi awa:

• Kutenga kachirombo ka hepatitis A, B, C, D kapena E. Dziwani njira zopatsirana komanso momwe mungapewere matenda a chiwindi;
• Matenda ena, monga cytomegalovirus, parvovirus, herpes, yellow fever;
• Kugwiritsa ntchito mankhwala, monga maantibayotiki ena, antidepressants, ma statins kapena anticonvulsants. Dziwani zambiri za zomwe zingayambitse matenda a chiwindi;
• Kugwiritsa ntchito Paracetamol;
• Matenda omwe amadzimitsa okha, momwe thupi limatulutsa ma antibodies mosayenera motsutsana nalo;
• Zosintha zamkuwa ndi chitsulo kagayidwe;
• Kusintha kwazungulira;
• Pachimake biliary kutsekeka;
• Kukula kwa matenda a chiwindi;
• Kusokonezeka kwamafuta amthupi;
• Khansa;
• Mankhwala oopsa, monga mankhwala osokoneza bongo, kukhudzana ndi mankhwala kapena kumwa tiyi wina.

Kuphatikizanso apo, pali matenda otchedwa hepatitis opatsirana, omwe amayamba chifukwa cha matenda omwe samachitika mwachindunji m'chiwindi, koma amatsagana ndi matenda opatsirana kwambiri, monga septicemia.

Onerani vidiyo yotsatirayi, zokambirana pakati pa katswiri wazakudya Tatiana Zanin ndi Dr. Drauzio Varella za momwe mungapewere ndikuchizira mitundu ina ya matenda a chiwindi:

Momwe mungatsimikizire

Pofuna kutsimikizira matenda a chiwindi, kuphatikiza pakuwunika chithunzi cha munthu, dotolo amatha kuyitanitsa mayeso oti athe kudziwa zotupa m'minyewa ya chiwindi kapena kusintha kwa magwiridwe antchito a chiwindi ndi ma ndulu am'mimba, monga alanine aminotransferase (ALT , yemwe kale ankatchedwa TGP), aspartate aminotransferase (AST, yemwe kale ankatchedwa TGO), gamma GT, alkaline phosphatase, bilirubins, albumin ndi coagulogram.

Kuphatikiza apo, kuyerekezera kulingalira kungapemphedwe kuti muwone momwe chiwindi chikuwonekera, monga ultrasound kapena tomography ndipo, ngati matendawa sanafotokozeredwe, ndizotheka kupanga chiwindi cha chiwindi. Dziwani zambiri za mayeso omwe amayesa chiwindi.