Ingqwalasela yeSifo se-Hepatitis
Enye yezona zinto ziphazamisayo malunga nokusuleleka kwe-hepatitis-ngokukodwa kwintsholongwane ye- virus ye-hepatitis -iyo impawu ingabelana nayo yonke into esuka kwisifo esifutshane, esifana nesifo sengculazi ukuya kwimeko eqhubekayo, esongela ubomi. Enyanisweni, kwiimeko ezininzi, akuyi kuba nempawu okanye iimpawu zaso naziphi na uhlobo, kwaye intsholongwane ihlanjululwe ngaphandle komzimba kungabikho ubungqina (okanye ukuqonda) ukuba isifo senzeke.
Nangona kunjalo, kulabo bafumana iimpawu ze-hepatitis, kukho ezinye ezinokuthi zicatshangelwe "njengeklasiki," ngokukodwa kwimigqaliselo yexesha elide kunye nelokugqibela. Ukuze siqonde kangcono izizathu zolu, kufuneka siqale ukuhlula phakathi kwento ebizwa ngokuba yintsholongwane echaphazelekayo kunye nokusuleleka kwexesha elingapheliyo .
Iimpawu eziqhelekileyo ze-Hepatitis
Ngaphakathi kwentsholongwane ye-virus ye-virus ye-viral hepatitis, isifo esinokutheleleka sisifo sinokuchazwa njengento enye yokuzinqanda.
Iqala ngokukhawuleza ngenxa yempendulo yomzimba kwintsholongwane yaye iza kuzinyulula ngokwayo.
Iimpawu ze-hepatitis ezinzulu, xa zikhona, ziya kuqala ziqale ukuvela emva nje kokutshala kwithuba lesigaba- xa intsholongwane sele iqalile ukuphinda iphendule ngokugqithisileyo kwaye isasazeka kwiiseli zesibindi (ezibizwa ngokuthi i-hepatocytes). Ekukhuseleni ukukhusela umzimba, umzimba uya kuphendulwa ngokunyanzela ukuze unqande intsholongwane. Le mpendulo, edla ngokukhawuleza, ingabonakalisa ngeempawu ezifana neyo mkhuhlane, ihamba kunye nempawu ezibonisa ukuba isifo esiswini okanye isifo esithinta isibindi, kuquka:
- Ukudinwa ngokubanzi okanye ukukhathala
- Intlungu yesisu ( myalgia )
- Intlungu ehlangeneyo ( arthralgia )
- Intloko
- Fever
- I sizathu
- Ukuvutha
- Ukuphelelwa kwesidlo
- Ubuhlungu kwisahlulo sokunene sesisu (ngokuqhelekileyo kancinci kodwa rhoqo)
- Olubomvu, ophakanyisiweyo ophakanyisiweyo (oqhelekileyo obonakalayo nge- hepatitis B )
- Utshintsho kwindlela izinto ezithandekayo okanye ukuvumba (ababhemayo baya kubakho ukuphazamiseka ngokukhawuleza kwee-cigarettes)
Kwiintsuku eziliqela zeempawu zangaphambili-ngexesha elibizwa ngokuba yi- ischemic stage -isifo sokusasazeka siza kubangela ukwakheka kwe-compound ebizwa nge- bilirubin . I-Bilirubin yimibala ye-orange-yellow eveliswa xa isibindi siphula iiseli zegazi ezibomvu zamandulo, ezifihlakeleyo kwi-bile ye-digestive emagqabini (izitulo).
Ngethuba lokusuleleka kwintsholongwane ye-hepatitis, i-bilirubin iyakwazi ukuqokelela ngokukhawuleza emzimbeni, ibonakalise "ngolu hlobo" lweempawu ze-hepatitis njenge:
- I-jaundice (ukuluphuka kolusu kunye namehlo)
- I-Choluria (ubumnyama bomchamo, obangelwa yi-bile emgqeni)
- Izigxoba zombala okanye zobumba (ezibangelwa ukunciphisa i-bile emanzini)
Ngokuqhelekileyo iimpawu zibe zibi kakhulu (kunye, mhlawumbi, ngaphandle kwe- hepatitis D apho umonakalo omkhulu wesibindi kuqhelekileyo), nangona ukugqithwa kunokuqhubeka iiveki kwaye, kwezinye iimeko, kwinyanga.
Kwiimeko ezininzi, nangona kunjalo, iimpawu ezinzima zixazulula malunga neeveki ezine ukuya kwezi-ezisibhozo.
Kwezinye iintlobo ze-virus ye-virus ye-viral hepatitis, ebizwa ngokuba yi- hepatitis A , iimpawu aziyi kuqhubela phambili ngaphaya kwesigaba esichukumisayo. Kwezinye iindidi, nangona kunjalo, isifo esiyingozi siya kucaca ngokukhawuleza, singashiyi nayiphi intsholongwane yegciwane kwintsholongwane naphina, okanye siphikelele kwizinto esizibiza ngokuba yi- HIV.
Iimpawu zokugula ezingapheliyo
Ukusuleleka kwintsholongwane engapheliyo yintsholongwane ye-hepatitis yinto enye intsholongwane engacacisi ngokukhawuleza kodwa ngokuqhubekayo iyaqhubeka iphinda iphinde iphendule, rhoqo "ngokucwaka" ngaphandle komntu kwadazi. Ngokuxhomekeka kwintsholongwane yentsholongwane, ukusuleleka kwintsholongwane engapheliyo kunokuqhubeka iminyaka kunye nangamashumi eminyaka ngaphambi kokuba kukho impawu zokugula. Kwiimeko ezininzi, lesi sifo asize siphumelele.
Xa i-hepatocytes yalimala ngexesha lokusuleleka kwintsholongwane engapheliyo, i-immune system iya kubangela ukuphendula okuvuthayo okukhuthaza ukuveliswa kwe-collagen nezinye izinto. Ezi zinto, ezibhekiselelwe ekuqiniseni ukwakhiwa kwangaphakathi kwesibindi, ngokukhawuleza ziqala ukwakha ngokukhawuleza kunokuba umzimba ungabhidliza.
Ngokuhamba kwexesha, le nkqubo ibangela ukuqhubela phambili kweethambo eziluhlaza, ezaziwa ngokuba yi- fibrosis .
I-Fibrosis ayiqhubeki kwinqanaba elifanayo kubo bonke abantu, kwaye, kwezinye iimeko, zihlala zizinzile okanye zize zilungele ixesha. I-Fibrosis ijolise ukuqhubela phambili ngokukhawuleza kumadoda kunabasetyhini nakwabantu abangaphezu kweminyaka engama-50 okanye abo batywala kakhulu okanye baninzi .
Kwamanye, i-fibrosis inokuqhubela phambili kwimeko ebizwa ngokuba yi-cirrhosis, apho inqabana ininzi kakhulu ekunciphiseni igazi lokubambisa igazi, ngaloo ndlela liphazamise umsebenzi oqhelekileyo. Izimpawu ze-Cirrhosis ziyahluka, kuxhomekeke kwinqanaba lokuqhubela phambili. Kwiimeko apho isibindi sisasebenza kunye nomonakalo omncinci wokumodareyitha, isi sifo siya kubalwa njenge- cirrhosis ehlawulwa. Ukuba umonakalo ububanzi kwaye isibindi sithathwa kungekhona ukusebenza, ugqirha uya kuchaza oku njenge -cirrhosis ehlawulwe.
I-cirrhosis ehlawuliswayo iqala ukubonakalisa ngembalwa, ukuba kukho na, iimpawu. Ukuba kukho, abanqabile ukukhubazeka kwaye kunzima kunzima ukunika isifo sesibindi sodwa.
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I-Hepatitis ithinta njani i-Enzyme ye-Digestive System?
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Inkqubo ye-Digestive ye-Anatomy yeengxaki zezeMpilo eziphumo ezivela kwi-Hepatitis
Imiqondiso enokwenzeka iquka:
- Ukusabalala okuqhubekayo okanye ukukhathala
- Ukuphazamiseka kwisahlulo sokunene sesisu
- I sizathu
- Intlungu ehlangeneyo okanye emisipha
- Ukutshitshiswa okungavamile okanye ukuvutha komlilo (paresthesia)
- Iintlungu "ezikhonkwane kunye neenaliti" inzwa (inzululwazi ye-neuropathy)
- Amehlo anomileyo ahamba kunye nomlomo owomileyo (sicca syndrome)
- Iimvumba zengxantathu, ngokuyinhloko kwi-trunk kunye nobuso
- Isikhumba esikhulayo (pruritus)
- Ubomvu kwiintendelezo zezandla (i-erythema yesundu)
- Ukuqhekeza ngokulula okanye ukuphuma ngokwemvelo (i-variceal bleeding)
- Ukwakhiwa kwamanzi kunye namainyawo (i- edema )
- Ukungabikho kwengxaki kunye nenkumbulo
- Ukuphelelwa kwesidlo
- Ukuhla ukusinda
- Ukwehla kwamathambo (i-testicular atrophy)
- I-Erectile ukungasebenzi okanye ukulahleka kwe-libido
- Ukunyanzeliswa kotywala.
I-cirrhosis ehlukunyezwayo, ngokuchaseneyo, ibonisa ngokugqithiseleyo iimpawu ezibangelwa ukuhluleka kwesibindi, ziba nzima xa isifo sifana. Iimpawu zingabandakanya:
- Jaundice
- Iigumbi zokulinda okanye igazi
- Ukuqokelela umkhuhlane kwisisu esiswini, kubangele ukuvuvukala nokukhupha (ukhuphuka)
- I-"sweet-musty" eyahlukeneyo "kwiqanda elibolile" elivumba umoya
- Ukuqhayisa okanye ukuphuma
- Ukunciphisa ngokwemvelo umchamo
- Ukutshintsha komntu, ukudideka, okanye ukuthuthumela
- Ukwandisa ukulala
- Ukulahleka kwemizimba
- Ukutshatyalaliswa kweMhlophe okanye "iindawo zobisi" kwiisoni (leukonychia)
- Ukuvuthwa kwegazi
I-cirrhosis ehlukunyezwayo ichazwa njengesifo sesibindi sokugqibela. Ukufakelwa kwesibindi kuthathwa njengendlela efanelekileyo yokwenza unyango.
I-Hepatocellular carcinoma (i-HCC) uhlobo lomhlaza wesibindi okhula ngokubambisana kunye ne-cirrhosis kwizigulane ezine-hepatitis B okanye i- hepatitis C. Iimpawu ze-HCC zifana nezo ze-cirrhosis ezixhaswe kwaye zingabandakanya:
- Ukukhathala okuqhubekayo
- Jaundice
- Ukuhlanganiswa kwamanzi emzimbeni kwisisu esiswini (ascites)
- Ukuqhwala okungavumelekanga nokuphuma kwamanzi
- Ukungenzi ngokuzithandela, ukulahlekelwa ubunzima obukhulu
- Ukuphelelwa kwesidlo
- Ukuziva uzele emva kokutya kuphela
- I-Delirium, ukudideka, okanye "ukugubha" ukunyakaza kwemizimba
Njenge-cirrhosis ehlawulwayo, i-HCC ikwajongwa njengesifo sesibindi sokugqibela.
> Umthombo:
> Isizwe seSizwe seSifo seswekile kunye neeNtsholongwane zeNtsholongwane kunye neNtsholongwane (iNIDDK). "I-Hepatitis enobuNtsholongwane: I-E nge-E ne-Beyond." EBethesda, eMaryn; Agasti 20, 2016.