Kodi matenda a chiwindi amachiritsidwa bwanji
Zamkati
- 1. Kugwiritsa ntchito mankhwala
- 2. Zakudya za chiwindi
- 3. Chithandizo chachilengedwe
- 4. Kutsekemera kwa magazi
- 5. Kuika chiwindi
- Zovuta za chiwindi cha chiwindi
Chithandizo cha chiwindi cha chiwindi chikuwonetsedwa ndi a hepatologist molingana ndi zizindikilo komanso kuuma kwa matendawa, komanso kugwiritsa ntchito mankhwala, chakudya chokwanira kapena kumuika chiwindi m'malo ovuta kwambiri, mwachitsanzo, kungalimbikitsidwe.
Cirrhosis ya chiwindi ndi matenda opitilira chiwindi, omwe amabwera chifukwa cha zomwe zimayambitsa kuwonongeka pang'onopang'ono kwa maselo a chiwindi, monga kumwa mowa mopitirira muyeso kapena matenda a chiwindi, mwachitsanzo. Phunzirani pazomwe zimayambitsa chiwindi cha chiwindi.
Kuika chiwindi kumawonetsedwa pomwe chiwindi cha chiwindi chimatha, chimakondedwa ndi mawonekedwe azovuta, monga ascites, varicose digestive hemorrhage, hepatic encephalopathy and bacterial peritonitis. Chifukwa chake, ndikofunikira kuti chithandizo cha chiwindi cha chiwindi chikuchitika posachedwa, kuti muchepetse kukula kwa matendawa ndikupewa zovuta.
Choncho, chithandizo cha matenda a chiwindi chimakhala ndi zotsatirazi:
1. Kugwiritsa ntchito mankhwala
Mankhwala othandizira chiwindi cha chiwindi cholinga chake ndi kuwongolera zizindikilo zina, monga kutentha m'mimba ndi kuphulika komwe kumachokera ku ascites, komwe kumadzaza madzimadzi m'mimba, komanso kugwiritsa ntchito njira zochotsera zomwe zimathandizira kuthana ndi zochulukirapo zitha kuwonetsedwa ndi adotolo. zamadzimadzi. Pezani zambiri za ascites ndi zizindikiro zake.
Pakadwala matenda am'mimba, vuto la matenda enaake momwe ubongo umagwirira ntchito, mankhwala ena monga mankhwala ofewetsa tuvi tolimba ndi maantibayotiki, monga lactulose ndi neomycin kapena rifaximin, atha kuperekedwa kuti athetse poizoni kudzera m'matumbo, kuteteza zinthu izi kusokoneza magwiridwe antchito ubongo. Pamene chiwindi cha chiwindi chikuwonjezera kuthamanga kwa mitsempha m'chiwindi, mankhwala monga beta-blockers ochepetsa kuthamanga kwa magazi amathanso kuwonetsedwa.
Chithandizo chamankhwala cha chiwindi cha chiwindi chiyenera kuwonetsedwa ndi gastroenterologist kapena hepatologist, kutengera matenda ndi zizindikilo zomwe zimaperekedwa ndi munthu. Nthawi zina, katemera wa hepatitis A ndi B amalimbikitsidwa kupewa kuwonongeka kwa chiwindi.
2. Zakudya za chiwindi
Zakudya za chiwindi zotupa ziwonetsedwe ndi katswiri wazakudya ndipo zimadalira zakudya zomwe zimakhala ndi mchere wochepa, ndipo zimayenera kusinthidwa ndi zonunkhira zina monga parsley kapena mandimu, mwachitsanzo. Ndikulimbikitsanso kudya zakudya zokhala ndi michere yambiri komanso mapuloteni ochepa, makamaka ngati munthu ali ndi ascites kapena hepatic encephalopathy. Onani zambiri zamakudya ndi zakudya za matenda enaake.
Mankhwala othandizira chiwindi a chiwindi amaphatikizanso malingaliro oti musadye zakudya zamafuta ndi zophatikizidwa, komanso osagwiritsa ntchito mankhwala, makamaka mowa, chomwe ndi chimodzi mwazomwe zimayambitsa matendawa, chifukwa amatha kuvulaza chiwindi. Chifukwa chake, pochiza chiwindi cha chiwindi, kumwa mowa ndikofunikira.
3. Chithandizo chachilengedwe
Chithandizo chachilengedwe cha chiwindi cha chiwindi sichiyenera kulowa m'malo mwa mankhwalawa ndipo chikuyenera kuchitidwa motsogozedwa ndi dokotala, ndipo zinthu zina zachilengedwe zimawonetsedwa monga tiyi wa elderberry kapena uxi wachikasu womwe, chifukwa chakuwononga ndikuyeretsa, ungathandize kuthetsa zizindikiro za matenda enaake. Phunzirani momwe mungakonzekerere mankhwala apanyumba a cirrhosis.
Pazifukwa zomwe chiwindi cha chiwindi sichinayambitsidwe ndi mowa wochuluka, wotchedwa non-alcohol chiwindi matenda enaake, kugwiritsa ntchito zinc ndi vitamini E zowonjezera kungalimbikitsidwe, popeza kuli ndi njira yotsutsa-yotupa, kuchepetsa zizindikilo za matendawa.
4. Kutsekemera kwa magazi
Hemodialysis imawonetsedwa kwa anthu omwe avulala ndi impso chifukwa cha zovuta za chiwindi cha chiwindi, monga kuwonjezeka kwa poizoni mthupi, chifukwa chiwindi sichitha kuyamwa ndikuchotsa zinthuzi, komanso kuwonjezeka kwa magazi kapena kusayenda bwino kwa magazi. mu impso.
Njirayi iyenera kuchitika kuchipatala kapena kuchipatala ndipo imakhala ndi mankhwala osefa magazi, kuchotsa poizoni ndi mchere, ndiye kuti, zimachitika kudzera pamakina omwe amagwira ntchito zofananira ndi impso. Onani zambiri za momwe hemodialysis imagwirira ntchito.
5. Kuika chiwindi
Kuika chiwindi kumawonetsedwa ndi dokotala pamavuto owopsa, pomwe chiwindi cha chiwindi chimatha, chiwindi chimasokonekera kwambiri ndipo chimasiya kugwira ntchito bwino, kapena ngati mankhwala omwe ali ndi mankhwala sakuyenda bwino. Mankhwalawa amathanso kuwonetsedwa ngati chiwindi chimakhudzidwa ndi chotupa.
Pambuyo posonyeza njirayi, ndikofunikira kudikirira pamzere wa zopereka, chifukwa pokhapokha kukapeza woperekayo ndi kumene opareshoni yokonzedweratu idzakonzedwere. Mvetsetsani momwe kuziika kwa chiwindi kumagwirira ntchito komanso momwe akuchira.
Zovuta za chiwindi cha chiwindi
Matenda a chiwindi ayenera kuthandizidwa akangodziwa, chifukwa zimatha kuyambitsa zovuta monga ascites, komwe kumadzaza madzi m'mimba ndipo zimayamba chifukwa kukakamira kwamitsempha ya chiwindi kumakulirakulira, kupangitsa kuti mitsempha ya magazi ipanikizike . Kuti athetse vutoli, kugwiritsa ntchito mankhwala ndi paracentesis kumafunika. Onani zambiri momwe paracentesis amapangidwira.
Zovuta zina za chiwindi cha chiwindi zitha kukhala zotupa zam'mimba, zomwe zimachitika chifukwa cha kutuluka kwa mitsempha yam'mimbayo, komwe kumachitika chifukwa cha kukakamizidwa kwambiri, ndi peritonitis, komwe ndiko kutupa kwa nembanemba komwe kumaphimba pamimba. Mavuto aubongo ndi mapapo amathanso kuchitika chifukwa cha kuchepa kwa mpweya m'magazi.