Le nto ibuhlungu kodwa imeko eyaziwa ngokuba yi-Fulminant Hepatitis
Ukuba wena okanye umntu obathandayo unesifo se- hepatitis , kufuneka uqaphele ukuba ukungaphumeleli kwesibindi sisisiphumo esinqabileyo kodwa esinokuthi siphumelele.
Yintoni Enobungqina Bokuphelelwa Kwebindi?
Ukungaphumeleli kwesibindi esilungileyo kukuphucula ngokukhawuleza kwonyango. Le meko iphinde ibhekiswe njengokuhluleka kwe-hepatic, i-hecatic necrosis, i-hepatic necrosis ene-hepatic ne-hepatitis epheleleyo.
Kwenzeka xa iiseli zesibindi zalimala ngokukhawuleza kangangokuba ilungu alinakuzilungisa ngokukhawuleza. Ingxenye yesibindi ifa okanye iqalisa ukusebenza. Isiganeko esinjalo sinokubangela isibindi ukuba siyeke ukusebenza ngokupheleleyo, kubangele iingxaki kwezinye iindawo zomzimba.
Ngenxa yokuba isibindi siyingxenye ebalulekileyo yomzimba, xa ibonakaliswe, ezinye izitho zichaphazelekayo, nazo. Ingqondo ingenye yezitho ezibalulekileyo ezichaphazelekayo ngexesha lokungaphumeleli kwesibindi, kwaye ukulimala kwengqondo kubangela imeko ebizwa ngokuba yi-encephalopathy.
Ukungaphumeleli kwesibindi ngokuqhelekileyo kuthathwa njengento eqhelekileyo kunokuba kungapheliyo xa ukuqala kokugula kwenzeka zingaphantsi kwamaviki angama-26.
Izibonakaliso zokungaphumeleli kwesibindi
Ngaphambi kokuba ugqirha angakwazi ukufumanisa i-hepatitis fulminant, isigulane kufuneka sibonise iimpawu zokuphelelwa kwe- encephalopathy , isifo sengqondo. Izimpawu eziphambili zi:
- Ukudideka
- Shintsha ku ziphatha
- Sitshintsha ekuqaphelweni
- Ubunzima ukusebenza ngeenkqubo zengqondo
Ezi zimpawu zingakhokelela ekubeni i-coma kunye nokufa xa ukuhluleka kwesibindi kungaguquki.
Ezinye iimpawu zokuhluleka kwesibindi esilula ziquka:
- Ukukhathala / i-malaise
- Lethargy
- Anorexia
- Isihlunu kunye / okanye ukuhlanza
- Intlungu ephezulu ye-quadrant
- Ukutshiza
- Jaundice
- Ukukhupha kwamathumbu
Ukuhluleka kwesibindi esiqhekezayo kuxhomekeke kwizinto ezingaqhelekanga kwiimvavanyo zesibindi (njenge-test ye-bilirubin level test), i-encephalopathy ye-hepatic kunye nexesha elide le-prothrombin, elithatha ixesha elithathayo ukuze i-plasma yegazi iphele.
Iingxaki Zobunzima bebindi
Ukuhluleka kwesibindi esilungileyo ngenye yeengxaki ezinzulu zentsholongwane ka-hepatitis. Enyanisweni, wonke ugqirha unenkxalabo engqondweni yabo xa unyanga izigulane ezine-viral hepatitis.
Ukuhluleka kwesibindi esiqhekezayo kunqabile kakhulu. Xa kwenzeka, ixhaphake kakhulu kwi-hepatitis A kunye nosulelo lwe-hepatitis B. Nangona kunjalo, ngaphantsi kwe-1 ekhulwini labantu abanentsholongwane ye-hepatitis B, kunye nepesenti ezincinci zabantu abane-hepatitis A baya kuba ne-hepatitis epheleleyo.
I-Hepatitis E inokubangela ukuba i-fover failure, nangona le ntsholongwane ayifumaneki kwi-US
Enye imbangela ebalulekileyo yokungaphumeleli kwesibindi, ikakhulukazi e-US, yi-acetaminophen isxicity. I-Acetaminophen, eyaziwa ngokuba yiTylenol, isilwanyana esixubileyo esifana ne-aspirin kwaye singathengwa ngaphandle kwemithi. Uninzi lwale mveliso luya kulimaza isibindi kwaye lunokubangela ukuhluleka kwesibindi. Abantu abavame ukusela utywala obunzima kwaye bathathe i-acetaminophen kakhulu kunokuba babekho mngcipheko wokwehluleka kwesibindi.
Zininzi ezinye izizathu ezibangelwa ukuhluleka kwesibindi esikhulu, kuquka i-idiosyncratic (ezingalindelekanga) ukuphendula kwezidakamizwa, i-hepatitis autoimmune, isifo se-Wilson kunye ne-poisonous mushrooms.
Unyango kunye nePrognosis
Abantu abanokuphelelwa kwesibindi esilungileyo kufuneka baphathwe kwimeko yokukhathalela ebhedlele esibhedlele.
Injongo kukugcina isigulane siphila ixesha elide ukwenzela ukuba ixesha lomzimba lizilungise ngokwabo, okanye ade isiguli sitshintshwe. Ngelishwa, ukuguqulwa kwesibindi akuyilungelelwanga ngamanqaku kuwo wonke umntu kwaye ngamanye amaxesha akukho ziqhamo ezikhoyo ukutshintshwa.
Ukungaphumeleli kwesibindi esibangelwa yi-viral hepatitis, unyango lwe-anti-virus lungakunceda ukuphepha ukufunwa kwesibindi.
Kuqikelelwa ukuba iipesenti ezingama-40 zezigulane ezinokukhubazeka kwesibindi ziya kubuya ngaphandle kokutshintshwa xa zifumana unyameko.
Kwizigulane ezithobela isibindi esitsha, umlinganiselo wonyaka owodwa ophezulu kunama-80 ekhulwini.
Imithombo:
Ukungaphumeleli kwesibindi kubantu abadala: i-Etiology, ukubonakaliswa kweklinikhi kunye nokuxilongwa. Isemgangathweno. Agasti 12, 2015.
Ukungaphumeleli kwesibindi esipheleleyo kubantu abadala: Ulawulo kunye nokuhlaziya. Isemgangathweno. NgoJanuwari 5, 2016.
I-Fontana, i-RJ epheleleyo yokusilela kwesibindi. Sleisenger & Fordtran's Gastrointestinal and Liver Disease, 8e . Philadelphia, u-Elsevier, ngo-2006. Amaphepha 1993-2002.
Dienstag, JL Acute Viral Hepatitis. Imigaqo yeHarrison ye-Medicine yangaphakathi, 17e . ENew York, kuMcGraw-Hill, ngo-2008. Amaphepha 1944-1945.