Matenda a Chiwindi Opanda Mafuta

Zamkati

• Zizindikiro
• Zoyambitsa
• Zowopsa
• Momwe amadziwika
• Kodi matenda osakwanira mafuta a chiwindi angayambitse mavuto?
• Njira zothandizira
• Kodi matenda a chiwindi osakhala mowa ndi otani?

Kodi matenda a chiwindi osagwiritsa ntchito mowa ndi chiyani?

Kumwa mowa kwambiri kumayambitsa mafuta ambiri m'chiwindi. Zingayambitse zilonda za chiwindi, zotchedwa cirrhosis. Ntchito ya chiwindi imachepa kutengera kuchuluka kwa zipsera. Minofu yamafuta itha kumanganso m'chiwindi chanu ngati mumamwa pang'ono kapena osamwa konse. Izi zimadziwika kuti nonalcoholic fatty hep disease (NAFLD). Ikhozanso kuyambitsa matenda a chiwindi.

Kusintha kwa moyo kumatha kuthandiza NAFLD kuti isakule kwambiri. Koma, kwa anthu ena, vutoli limatha kubweretsa mavuto pachiwindi.

NAFLD ndi matenda a chiwindi (ALD) amagwera pansi pa ambulera yamafuta a chiwindi. Matendawa amatchedwa hepatic steatosis pomwe 5 mpaka 10 peresenti ya kulemera kwa chiwindi ndi mafuta.

Zizindikiro

Nthawi zambiri NAFLD, palibe zizindikiro zowonekera. Zizindikiro zikapezeka, nthawi zambiri zimaphatikizapo:

• kupweteka kumtunda chakumanja kwa pamimba
• kutopa
• kukulitsa chiwindi kapena nthenda (yomwe nthawi zambiri imawonedwa ndi dokotala poyesa)
• ascites, kapena kutupa m'mimba
• jaundice, kapena chikaso cha khungu ndi maso

Ngati NAFLD ikupita ku cirrhosis, zizindikilo zingaphatikizepo:

• kusokonezeka m'maganizo
• kutuluka magazi mkati
• posungira madzimadzi
• kuchepa kwa chiwindi chathanzi

Zoyambitsa

Zomwe zimayambitsa NAFLD sizikumveka bwino. Zikuwoneka kuti pali kulumikizana pakati pa matendawa ndi kukana kwa insulin.

Insulini ndi mahomoni. Minofu ndi minofu yanu ikamafuna shuga (shuga) kuti akhale ndi mphamvu, insulini imathandiza kutsegula ma cell kuti atenge shuga m'magazi anu. Insulin imathandizanso kuti chiwindi chizisunga shuga wambiri.

Thupi lanu likayamba kulimbana ndi insulini, zikutanthauza kuti maselo anu samayankha insulini momwe amayenera kukhalira. Zotsatira zake, mafuta ambiri amathera pachiwindi. Izi zitha kubweretsa kutupa komanso kufooka kwa chiwindi.

Zowopsa

NAFLD imakhudza pafupifupi 20 peresenti ya anthu. Kukanika kwa insulin kumawoneka kuti ndiye chiwopsezo chachikulu kwambiri, ngakhale mutha kukhala ndi NAFLD popanda kulimbana ndi insulin.

Anthu omwe amatha kukhala ndi insulini amalimbana ndi anthu onenepa kwambiri kapena omwe amangokhala.

Zina mwaziwopsezo za NAFLD ndizo:

• matenda ashuga
• kuchuluka kwama cholesterol
• milingo yayikulu ya triglyceride
• kugwiritsa ntchito corticosteroids
• Kugwiritsa ntchito mankhwala ena a khansa, kuphatikiza Tamoxifen ya khansa ya m'mawere
• mimba

Kudya moperewera kapena kuchepa mwadzidzidzi kungapangitsenso chiopsezo cha NAFLD.

Momwe amadziwika

NAFLD kawirikawiri sichikhala ndi zizindikiro. Chifukwa chake, kuzindikira nthawi zambiri kumayambira pambuyo poti kuyezetsa magazi kumapeza michere yoposa yachibadwa ya michere ya chiwindi. Kuyezetsa magazi kovomerezeka kumatha kuwonetsa zotsatirazi.

Kutalika kwa michere ya chiwindi kungatanthauzenso matenda ena a chiwindi. Dokotala wanu adzafunika kuthana ndi mavuto ena asanawone NAFLD.

Ultrasound m'chiwindi imathandizira kuwulula mafuta owonjezera m'chiwindi. Mtundu wina wa ultrasound, wotchedwa elastography wosakhalitsa, umayesa kuuma kwa chiwindi chanu. Kuuma kwakukulu kumapereka zipsera zazikulu.

Ngati mayeserowa ndi osakwanira, dokotala akhoza kukulangizani za chiwindi. Pakuyesa uku, adotolo amachotsa pang'ono zazing'ono zamtundu wa chiwindi ndi singano yolowetsedwa m'mimba mwanu. Chitsanzocho chimaphunziridwa mu labu pazizindikiro za kutupa ndi zipsera.

Ngati muli ndi zizindikiro monga kupweteka kwa m'mimba kumanja, jaundice, kapena kutupa, pitani kuchipatala.

Kodi matenda osakwanira mafuta a chiwindi angayambitse mavuto?

Kuopsa kwakukulu kwa NAFLD ndi matenda a chiwindi, omwe angachepetse chiwindi chanu kugwira ntchito yake. Chiwindi chanu chili ndi ntchito zingapo zofunika, kuphatikizapo:

• kupanga bile, yomwe imathandizira kuwononga mafuta ndikuchotsa zinyalala mthupi
• Kugwiritsa ntchito mankhwala ndi poizoni
• kulinganiza misinkhu yamadzimadzi mthupi kudzera pakupanga mapuloteni
• pokonza hemoglobin ndikusunga chitsulo
• kutembenuza ammonia m'magazi anu kukhala urea yopanda phindu
• kusunga ndi kumasula shuga (shuga) pakufunika kwamphamvu
• kupanga mafuta m'thupi, omwe amafunikira thanzi lamagulu
• kuchotsa mabakiteriya m'magazi
• kupanga zinthu zoteteza kulimbana ndi matenda
• malamulo magazi clotting

Cirrhosis nthawi zina imatha kupita ku khansa ya chiwindi kapena kulephera kwa chiwindi. Nthawi zina, kulephera kwa chiwindi kumatha kuchiritsidwa ndi mankhwala, koma nthawi zambiri pamafunika kumuika chiwindi.

Matenda ofatsa a NAFLD sangayambitse mavuto aakulu a chiwindi kapena zovuta zina. Pazovuta zochepa, kuzindikira koyambirira ndi kusintha kwa moyo ndizofunikira kuti thanzi la chiwindi lisungidwe.

Njira zothandizira

Palibe mankhwala kapena njira yothandizira NAFLD. M'malo mwake, dokotala wanu amalangiza masinthidwe angapo ofunikira. Izi zikuphatikiza:

• kuonda ngati wonenepa kapena wonenepa kwambiri
• kudya zakudya zopatsa zipatso, ndiwo zamasamba, ndi mbewu zonse
• kuchita masewera olimbitsa thupi osachepera mphindi 30 tsiku lililonse
• kuyendetsa mafuta anu a m'magazi ndi magazi m'magazi
• kupewa mowa

Ndikofunikanso kutsata maudindo a adotolo ndikufotokozera zatsopano.

Kodi matenda a chiwindi osakhala mowa ndi otani?

Ngati mutha kusintha moyo woyenera msanga, mutha kukhala ndi thanzi labwino kwa nthawi yayitali. Muthanso kuthana ndi kuwonongeka kwa chiwindi koyambirira kwa matendawa.

Ngakhale simukumva zizindikiro zilizonse kuchokera ku NAFLD, sizitanthauza kuti kufooka kwa chiwindi sikuchitika kale. Kuti muchepetse chiopsezo chanu, tsatirani moyo wathanzi ndikukhala ndi magazi nthawi zonse, kuphatikiza kuyesa ma enzyme a chiwindi.