Chiwindi matenda enaake: chimene icho chiri, zizindikiro, zimayambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zingayambitse
• 1. Matenda a hepatitis B ndi C
• 2. Kumwa zakumwa zoledzeretsa
• 3. Kusokonezeka kwa kagayidwe kake
• 4. Chiwindi chamafuta
• 5. Kugwiritsa ntchito mankhwala
• 6. Matenda a cholestasis
• Momwe mankhwalawa amachitikira

Cirrhosis ya chiwindi ndikutupa kosatha kwa chiwindi komwe kumadziwika ndi mapangidwe a mitsempha ndi minofu ya fibrotic, yomwe imalepheretsa ntchito ya chiwindi.

Kawirikawiri matenda enaake amaonedwa kuti ndi gawo lotsogola pamavuto ena a chiwindi, monga hepatitis kapena steatosis, chifukwa ndikofunikira kuti pamakhala kuvulala pafupipafupi pakuwonekera kwa matenda enaake. Kuphatikiza pa mavutowa, matenda a chiwindi amathanso kukula chifukwa chomwa mowa kwambiri, kugwiritsa ntchito mankhwala ena kwa nthawi yayitali komanso chifukwa cha matenda ena a ma virus.

Cirrhosis ya chiwindi ilibe mankhwala ndipo, chifukwa chake, mankhwala nthawi zambiri amachitidwa ndikusintha kwa zakudya, komanso kugwiritsa ntchito mankhwala kuti athetse zina mwazizindikiro. Milandu yovuta kwambiri, kuchitidwa opaleshoni yoperekera chiwindi ndikofunikira.

Zizindikiro zazikulu

Kumayambiriro, matenda enaake samayambitsa zizindikiro, komabe, monga zotupa za chiwindi zikukula, zizindikilo monga:

• Kufooka ndi kutopa kwambiri;
• Matenda ambiri;
• Nseru pafupipafupi;
• Kutaya njala;
• Mawanga ofiira pakhungu, okhala ndi mitsempha yaying'ono ya kangaude;
• Kuchepetsa thupi.

M'magazi otsogola kwambiri, sizachilendo kuwona zikwangwani monga khungu lachikaso ndi maso, mimba yotupa, mkodzo wakuda kwambiri, mipando yoyera komanso kuyabwa mthupi lonse.

Pozindikira zizindikiro zilizonse zomwe zingasonyeze vuto la chiwindi, ndikofunikira kukaonana ndi a hepatologist kapena dokotala wamba, chifukwa matendawa atangopezekanso, mankhwalawo azikhala osavuta.

Momwe mungatsimikizire matendawa

Kuzindikira kwa chiwindi cha chiwindi kumayamba ndikuwunika zizindikilo zomwe zawonetsedwa, komanso moyo wamunthu komanso mbiri yazaumoyo wake. Kuphatikiza apo, kuyezetsa labotale komwe kumayesa chiwindi, ntchito ya impso ndi kutseka kwa magazi kumalamulidwanso, komanso kuyesa serological kuti adziwe matenda opatsirana.

Kuyesa kwakukulu kwa labotale komwe dokotala amalamula ndi muyeso wa michere ya chiwindi TGO ndi TGP, yomwe imakwezedwa pomwe chiwindi chili ndi zotupa. Kuphatikiza apo, dokotala nthawi zambiri amapempha kuchuluka kwa gamma-GT, yemwenso ndi enzyme yomwe imapangidwa m'chiwindi ndipo yomwe imatha kukulirakulira ikakhala ndi vuto la chiwindi. Onani mayeso akulu omwe amayesa chiwindi.

Dotolo amathanso kufunsa kuyeserera koyeserera kwa kujambula monga computed tomography kapena imaginous resonance imaging kuti athe kuyesa chiwindi ndi m'mimba, kuthekera kuzindikira madera ovulala ndikuwonetsa kufunikira kwa biopsy, mwachitsanzo. Chiwindi cha chiwindi sichinachitike kuti munthu adziwe matenda ake, koma kuti adziwe kuopsa kwake, kukula kwake komanso chifukwa cha matenda enaake.

Zomwe zingayambitse

Zomwe zimayambitsa matenda a chiwindi zimatha kukhala zosiyanasiyana, koma zomwe zimafala kwambiri ndi izi:

1. Matenda a hepatitis B ndi C

Hepatitis B ndi C ndi matenda omwe amayamba makamaka ndi ma virus ndipo amapatsirana kudzera mukugonana kapena kugawana zinthu zowononga, monga singano zowola, ma syringe, mapiritsi a manicure kapena zida za tattoo. Mitundu ya hepatitis imakhudza ma cell amchiwindi ndipo ikapanda kuchiritsidwa imatha kuyambitsa kutupa kosatha, komwe kumayambitsa matenda a chiwindi. Dziwani zambiri za mtundu uwu wa chiwindi komanso momwe mungapewere.

2. Kumwa zakumwa zoledzeretsa

Kugwiritsa ntchito zakumwa zoledzeretsa mopitirira muyeso kumatha kukhala ndi zotsatira m'thupi, monga zovuta kukhalabe olimba komanso kusagwirizana. Komabe, ngati chakumwa chimapangidwa masiku ambiri pa sabata komanso pamlingo wopitilira 60 g wa mowa patsiku, mwa amuna, kapena 20 g, mwa akazi, zimatha kuyambitsa chiwindi cha chiwindi.

3. Kusokonezeka kwa kagayidwe kake

Zovuta zina zamagetsi zimatha kubweretsa chiwindi cha chiwindi, monga matenda a Wilson. Matendawa ndi osowa, amabadwa ndipo alibe mankhwala ndipo amadziwika ndi kulephera kwa thupi kupukuta mkuwa, ndikudziunjikira ziwalo zingapo, makamaka ubongo ndi chiwindi, zomwe zitha kuwononga ziwalozi. Dziwani zambiri pazizindikiro za matenda a Wilson.

4. Chiwindi chamafuta

Chiwindi chamafuta, chomwe chimadziwika ndi sayansi kuti chiwindi chamafuta, ndimkhalidwe womwe mafuta amasonkhana m'chiwindi chifukwa chodya moperewera. Matendawa samayambitsa zizindikiro ndipo, nthawi zambiri, amapezeka mosavuta. Komabe, ngati sanalandire chithandizo, chiwindi chamafuta chimatha kuyambitsa kutupa kwa chiwindi, ndikuwonjezera chiopsezo cha matenda enaake. Onani zomwe zimapangitsa mafuta kudzikundikira m'chiwindi.

5. Kugwiritsa ntchito mankhwala

Mankhwala ena akagwiritsidwa ntchito mopitilira muyeso ndipo nthawi zambiri amatha kuyambitsa kutupa kwa chiwindi, chifukwa akakhala ochuluka mthupi, chiwindi sichimatha kupukusa zinthuzi mwachangu. Zitsanzo zina za mankhwala omwe angayambitse chiwindi cha chiwindi ndi isoniazid, nitrofurantoin, amiodarone, methotrexate, chlorpromazine ndi sodium diclofenac.

6. Matenda a cholestasis

Matenda a cholestasis ndi vuto lomwe bile silingathe kunyamulidwa kuchokera pachiwindi kupita mbali yamatumbo, yomwe imatha kukhala chifukwa chotsekeka kwamatope a ndulu chifukwa chakupezeka kwa zotupa, miyala ya ndulu kapena chifukwa chosowa kwa ndulu. Matenda a cholestasis amatha kudwala matenda a chiwindi ndipo amapezeka kwambiri kwa anthu omwe ali ndi zilonda zam'mimba, zomwe ndimatenda otupa.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda enaake chimasiyana malinga ndi chifukwa, ndipo chitha kuchitika poyimitsa mankhwala kapena mowa, mwachitsanzo. Kuphatikiza apo, ndikofunikira kukhala ndi chakudya chokwanira chomwe chimaphatikizapo kuwonjezera mavitamini, chifukwa chifukwa cha kuwonongeka kwa chiwindi, munthuyo amatha kuvutika kugaya mafuta moyenera. Dziwani momwe zakudya za cirrhosis ziyenera kukhalira.

Kutengera ndi zomwe zawonetsedwa, a hepatologist amathanso kulamula kuti azigwiritsa ntchito mankhwala ena, monga okodzetsa, antihypertensives kapena mafuta a khungu loyabwa, kuti apititse patsogolo moyo wamunthu wodwala matenda enaake.

M'mavuto ovuta kwambiri, pomwe pali zotupa zambiri za chiwindi, njira yokhayo yothandizira imatha kukhala kumuika chiwindi, komwe kumachitika pochotsa chiwindi ndi matenda enaake ndikuyika chiwindi chathanzi kuchokera kwa woperekayo. Onani zambiri za njira zazikulu zochiritsira matenda a chiwindi.