Ukubandezeleka kunaluphi na uhlobo lokugula lunokubangela ingxaki ngamanye amaxesha. Kukho izinto ezininzi ongenakuzenza okanye ezingavunyelwe ngenxa ye-conundrum yakho. Ngokomzekelo, ukuphela komkhuhlane kukukhusela ekubeni ucinge ngokuthe ngqo kwaye usebenze ngamandla. Ngoko ke unomthwalo onjani oza kuwufumana xa ungumntu obhekene nesifo esibulalayo kunye nesifo esingapheliyo njengesihepatitis okanye ingozi yexinzelelo?
Ezi zifo zithatha ixesha lokuphilisa, ngoko ke kufuneka ulahle ezinye zezinto oqhele ukuzenza.
I-hepatitis kunye nomfutho wegazi ophezulu zizifo eziqhelekileyo ezichaphazela abantu emhlabeni wonke. Abantu abachaphazelekayo kwezi ntlupheko bafanele bahlale bephila rhoqo kunye neyeza zabo ukuba bakwazi ukufikelela kwezi zifo. Ukunganakwa kuya kubangela ukuba ezi zifo zingapheliyo okanye, ngakumbi nakakhulu, ukuba zenzele ubomi babo ngokupheleleyo.
Yintoni iHepatitis?
Ngokwemiqathango ye-layman, i-hepatitis yintlupheko eqhelekileyo yesibindi ehlukaniswe kwi- hepatitis A ukuya kwi-E, A, B, C, eyona nto ixhaphakileyo phakathi kwezi ezintlanu, ngelixa isayensi, i-hepatitis ibonakala njengesimo apho kukho ukuvutha kwesibindi ngenxa ubukho beeseli ezivuthayo kumzimba wesibindi. Le meko ingenzeka ngaphandle okanye ngeempawu ezinzima. Ngeempawu ezinzima, unokuhlangabezana nokukhathala ngokukhawuleza, ukudibana kunye okanye ukunyuka kwemisipha, umkhuhlane omncinci, ukuhlanza kunye nesicefe, intlungu yesisu kunye nokulahlekelwa yintliziyo.
Ehlabathini lonke, uhlobo olusisigxina kakhulu lwe-virus yesifo se-hepatitis yinto enxulumene noxhatshazo ngokwesondo. Enye imithombo ingabandakanya ukungena kwezinto ezinobungozi-ngakumbi utywala, amayeza aqhelekileyo njenge- acetaminophen , i-solvents ephucukisiwe yinkampani kunye nezifo ezizimele. Iimeko ze-hepatitis zithi zilukhuni xa zihlala zingaphantsi kweenyanga ezili-6 ngelixa zichazwa njengezingapheliyo xa isifo siphakathi komntu kwisithuba esingangeenyanga ezintandathu.
Ngaloo ndlela, i-hepatitis ingakhokelela kwi-fibrosis okanye ukusila kunye ne-cirrhosis.
Yintoni Ixinzelelo?
Uxinzelelo lwexinzelelo okanye uxinzelelo lwegazi oluphezulu, ngokuphindaphindiweyo lubhalwe njengengcinezelo yegazi, yintlupheko apho umntu engabonakali uxinzelelo lwegazi oluqhelekileyo. Oku kwenzeka xa izinga le-cholesterol emzimbeni linyuka ukusuka ekufundeni kwayo ngokuqhelekileyo. Ukuqonda okuqhelekileyo kukuba isigulane esiphezulu (esinezifo zesibindi) asinakucacisa okanye abakhathaleli malunga nokutya abazidlayo. Ukutya okwanelisiweyo, amafutha atshwayo, ama-trans-fat, okanye nawaphi na amafutha angcolileyo aphakathi kweefom zeoli ezixhunywe kwixinzelelo. Enye ingcamango yokuqwalasela yayiza kuba abantu ababalanga ngokutya kwabo kunye nomsebenzi wabo wenyama.
Yintoni i-Cirrhosis kunye nendlela ehambelana ngayo noxinzelelo lwengqondo?
I-cirrhosis , esoloko ibizwa ngokuba yi- hepatitis C , ivela xa izicubu zesibindi zinzima. Kulo lonke uchungechunge lokuqina nobunzima, isimiso somzimba sokuzivikela sisinomdla kakhulu. Nangona kunceda ukumisa ukubola kweso sifo, kukhawuleza inkqubo yokunqanda. I-Cirrhosis ishintsha kunye nezikrakra isakhiwo esiqhelekileyo sesibindi. Ekugqibeleni, oku kuya kunciphisa kakhulu amandla okuba isibindi sisebenze ngokufanelekileyo.
I-Cirrhosis inokuhlulwa njengokuba "ihlaziyekile" okanye ihlawulwe. Nangona isibindi singakwazi ukuqhubeka senza imisebenzi yaso eninzi nangona sibhekene nobunzima obuninzi kwisakhiwo sayo, sihamba "nge-cirrhosis ehlawulisiweyo," oko kuthetha ukuba isibindi sakho singayihlawula umonakalo ngokuvelisa umkhiqizo okanye ngezinye iindlela. Xa kwenzeka ukusebenza ngokuqhelekileyo kwesibindi kuchaphazeleka kakhulu ngenxa yokutshatyalaliswa kwesakhiwo, "i-cirrhosis ephuculweyo" iyenzeka. Kule nqanaba, enye yezona zibonakaliso ezinzima kakhulu "yi-portal hypertension."
Olu hlobo loxinzelelo lwengqondo lwenzeka xa igazi lingakwazi ukuhamba kakuhle ngokubakho kwesibindi kwaye kukho uxinzelelo oluninzi kwi-veal port eqondiswe kwiziko.
I-hypertension ye-Portal ingabandakanywa zizifo ezininzi, kodwa eziqhelekileyo zazo ziyi-hepatitis B kunye ne-C. Yiyo ndlela ezimbini (uxinzelelo oluphezulu lwegazi kunye ne-hepatitis) zidibene kunye.
Izigaba ezinzima zombini we-hepatitis kunye nomfutho wegazi ophezulu unokusingathwa lula kwaye ungaphumelela ngokusebenzisa ukusetyenziswa kwamachiza. Emva kokuba la mayeza ashiywa phantsi, izigaba ezingapheliyo kwezi zifo zingabonakalisa. Oko, okoku, kuya kubangela ukulimala kweenkqubo eziqhelekileyo zomzimba wakho. Inokuchaphazela ezinye zezitho zakho eziphambili emzimbeni, kwaye, ngenxa yoko, kubangele eminye imiba yempilo echaphazelekayo.
Iingcamango Zokuvala
Ukuba unesifo sofuba nesifo soxinzelelo, ufanele uthathe amanyathelo okuqapha okufunekayo ukuze ugweme iingxaki ezinzima. Akukho mntu uyazi umzimba wakho ngaphezu kwakho, ngoko qaphela impilo yakho. Xa uziva ungaqhelekanga njengesigulane se-hepatitis, kunye neyeza-counter-counter-medication zibonakala zingenakunceda, kufuneka udibane nodokotela wakho. Ukuze ungagcini ukwanda kwe-case ye-hepatitis yakho, udityaniswe nogqirha ucebise bonke abantu. Ecaleni elincinane lezinto: ukuphepha ukufumana izifo zesibindi, ugcine kwaye uphile ngendlela enempilo.
Imithombo:
U-Henriksen JH, uFuglsang S, uBendtsen F, uMoller S. Uxinzelelo lwengqondo kwi-Cirrhosis: Ukuthotyelwa kweArterial, Umthamo woBugcino, kunye ne-Central HH iemodynamics. Gut. 2006 Mar; 55 (3): 380-7.
I-Fontana RJ, iSanyal AJ, iMehta S, i-Doherty MC, i-Neuschwander-Tetri BA, i-Everson GT, i-Kahn JA, i-Malet PF, i-Sheikh YAM, i-Chung RT, i-Ghany MG, i-Gretch DR. I-Portal Hypertensive Gastropathy kwi-Hepatitis C engapheliyo Izigulane ezine-Bridging Fibrosis kunye ne-Cirrhosis ehlawulisiweyo: Iziphumo ezivela kwi-HALT-C. Am J Gastroenterol. 2006 ngoMeyi; 101 (5): 983-92.