Oonobangela kunye nezimpawu kwesibindi

Eli nqaku liza kuthetha iimpawu sohlobo utywala, kunye nezizathu ityala lakhe. ukusetyenziswa kakhulu utywala kuchaphazela umzimba uphela, kodwa ubukhulu becala kwesibindi nzima. Kuyo kukho utshintsho sisiba mandundu ukuba unako kwezinye iimeko nokubangela ukuqina loo mntu ukuphela ngokukhawuleza kungakhokelela ekugqibeleni. Ziziphi izinto ezibangela kwesibindi, iimpawu kunye nonyango lwesifo - zonke ezi imiba eza kuxutyushwa kweli nqaku ngokutsha.

Izinto ezibangela kwesibindi

Esona sizathu esibangela kwesibindi, kuyabonakala kanye igama sifo sele - na utywala, gxebe, kakubi. Ngokomthetho le zesifo ezithandwa otywala - abantu ukuxhomekeka etywaleni izinzile. Kukho ubungqina bokuba xa umntu kangangeminyaka eliqela, yonke imihla kuzisa kwi 100g emzimbeni wakho. ethyl utywala, ngoko ke usengozini. Enjalo isixa-ethanol iqulethe:

• Enye iglasi yevodka.
• 1.25 l. ezomileyo okanye semi-sweet iwayini amandla degrees 9-13.
• Ngeelitha 2.5. beer zakudala.

Ngaphezu koko, lo isahlakalo esi sifo ayibangelwa yi-ethanol, yaye ityhefu ezikhandelwa ngexesha ethanol processing emzimbeni. Le tyhefu - aldehyde okanye acetaldehyde. Yiyo le nto iphula Yindibanisela phospholipids esibindini. A phospholipids - le ulungelelwaniso, ukunceda kumasebe hepatic cellular umkhumbula oksijini kunye nezakhi kubalulekile.

Xa permeability okuqhelekileyo imifinya iseli kungaphazamiseka, ukhonza uphawu isiqalo asibambe inkqubo arhabaxa. Xa umzimba uqalisa ukuvelisa cytokines - markers nezo komtshiso oko. Xa ukudumba eqhelekileyo, inkqubo izihlunu omzimba, lifumene umyalelo ovela cytokine iqala ukuhlasela iiseli amazwe (iibhaktheriya, iintsholongwane). Kwimeko kwesibindi "nabaphambukeli" okukwazi kuthatha iiseli wesibindi inkqubo yenkxwaleko yabo.

Kwesibindi sisihluzo ephambili (kunye nezintso) nyulu igazi emzimbeni iimveliso inkunkuma evela ityhefu eziveliswa amagciwane iintsholongwane nasekwandiseni kwi eziphilayo ngexesha usulelo kwaye ziyenzeka iinkqubo zayo kulo arhabaxa. Ukuba lokucoca utsho uyayeka ukwenza imisebenzi yayo, oko kwenzeka self-ityhefu ephilayo.

Chronic kwesibindi: Iimpawu

Esi sifo kwabangcangcazelisayo kwesibindi, kwiimeko ezininzi, uvela kancinane. Kangangexesha elide abantu (iminyaka 5-8 okanye ngaphezulu) Kungenzeka ungawuboni nanini na iziphiwo sifo. Noko ke, ekuhambeni kwexesha, ukuqhubela phambili kwesifo, iimpawu kwesibindi aqalile ukukhula. Ahlale evule amehlo kufuneka ukuba mpawu zilandelayo:

• Ukozela, ubuthathaka, silale.
• Waqonda ukuhla yokusebenza.
• Ukuqunjelwa, isicaphucaphu, ukungabi namdla, kunye nokugabha.
• ukwehlisa uxinzelelo lwegazi.
• Yellowing le isifo ngomlomo kunye nesikhumba.
• Intlungu phantsi iimbambo ekunene.
• Ukwanda ubungakanani kwesibindi, ukubonwa Ngokucofa.
• Inkangeleko phezu kobuso kwigridi beempahla capillary.
• Anozizi iinyawo kunye neentende.

Ukuba umntu uphaphileyo kule iimpawu akunyanzelekanga ukuba yonke kunye, kodwa ubuncinane abathile kubo, yinto ithuba ukubona ugqirha ukuba ahlole okanye uqinisekise uxilongo - hepatitis. Iimpawu kwabasetyhini kunye namadoda baboniswa ukuba likhoboka lotywala, kuyo nayiphi na imeko, ukuba kuhoywa.

Lobushushu sikwinqanaba lokuqala sifo ayikwazi kwandiswa okanye ibanjelwe kumgangatho subfebrile. Kukho iimpawu kwesibindi, leyo aboniswa kwi-sex eyomeleleyo: yokulahlwa kwe manqatha phezu emathangeni, ukulahlekelwa kweenwele emzimbeni, uphuhliso erectile kwekhono, libambisene kunye mpawu zingasentla eziphambili - iimpawu zabantu ukuqina.

Ingaba kukho naziphi na umahluko izifo kwesibindi ngokwesini

Abasetyhini hayi nto kuthiwa ngesondo buthathaka, ngenxa yokuba buthathaka abantu ngeendlela ezininzi. Loo sifo, nto leyo kuxoxwa ngazo kweli nqaku, iphuhlise kwaye iqhubeka kuzo ngokukhawuleza. Eyona nto kukuba iienzymes eyodwa Nokwethisa utywala, ibe ngaphantsi kakhulu kunabantu emzimbeni ababhinqileyo. Kodwa iimpawu eziphambili ezithile sohlobo zotywala nabafazi ngokufanayo abantu.

zigaba ezintathu sifo

Kukho izigaba ezithathu eziphambili isifo sesibindi ezinxilisayo.

Okokuqala, steatosis, okanye ngamanqatha angakwazi umzimba. Le uphawu kwenzeka ngo-90% ngabantu kakubi utywala ixesha elide. Ngokuqhelekileyo, kwesi sigaba, bantu musa ugule kwaye musa ukrokrela ukuba ezisemngciphekweni ukuqina. Iimpawu, iimpawu zesifo incipient abalufumani ivezwe. Ezi ziquka:

• Ukwehla imnyama.
• Ukukhathala nokulahlekelwa namandla.
• Ukunyuka izihlunu adipose.
• Formation of amanxeba kakhulu eluswini, nkqu kunye nengcinezelo kancinane.

Kweli nqanaba, ngaphakathi iiseli isibindi i nenqatha esebenzayo kweeshelfu, kutheni ukuba adumbe kunye enyukayo like.

Okwesibini, - iqonga kwesibindi. utshintsho yezifo e esibindini chu phambili. Iqhuba inkqubo abanesigulo apho izihlunu oluqhelekileyo indawo ngokudibanisa emibi. Iimpawu kwesibindi aqalile ukuhluma. Kwicala lasekunene, phantsi isigulane iimbambo sinokufumana ebuhlungu kakhulu, isibindi inyuswe, nto leyo ziviwa kakuhle Ngokucofa. Umntu uqala ukwehlisa umzimba, uziva ubuthathaka rhoqo. Xa step hepatitis zingenzeka iingxaki ezifana peritonitis okanye ukopha lwemithambo.

Kwaye ke isigaba sokugqibela - ukuqina. hepatitis ezinxilisayo kwesibindi, iimpawu zisenokuvela sisifo kakhulu, badla landela omnye komnye, okt. E. Ayisafuni zibe kwesibindi hepatitis inyathelo. Kulo mzekelo, izigulana waphawula:

• luya Severe.
• Ascites (sokuzuza fluid em- esiswini, okwabangela esisu avuza ijongeka nemvelo).
• Xa umntu isibindi Ngokucofa lusiva intlungu kakhulu.
• senyongo zomlomo wakhe, hayi kuphela isikhumba kodwa sclera iliso.
• BP Portal.
• eziphilayo igazi olubi.

Umzimba yokufa ubunzima iiseli zesibindi ukwakha iindawo ezininzi zomzimba nokuqina, ukutshintsha ubume wesibindi kunye nokusebenza kwayo. Kwakhona waphawula kwizigulane nangecesina, Encephalopathy (ubuthi luvo Imicu iimveliso hepatic ukubola izakhiwo).

Iindlela kohlobo ezinxilisayo

Esi sifo kwenzeka kwenye iintlobo ezimbini:

1. ifomu umva. Kwimeko kwakudlula ngokupheleleyo utywala kunye nonyango kakuhle ekhethwe angase alungise yonke imisebenzi wesibindi hepatitis ezinxilisayo iimpawu ngokupheleleyo ngoko.
2. ifomu okuqhubekayo. Ngelishwa, kulo mzekelo, iimpawu ngcembe kwandisa kunye imeko yomguli ithe yonakale. Oku kungenxa yokuba iiseli isibindi senziwa similise kwizicwili, okt. E. In amalungu abalulekileyo akhiwa kwiindawo abafileyo musa ukwenza nawuphi na umsebenzi. Isibindi yandiswa kakhulu ngobukhulu, ngaloo ndlela ezama ukuba bavale ilahleko kusebenziso.

Ukwala ngokupheleleyo utywala, unyango zokunyanzelisa nokuphunyezwa zonke iingcebiso zikaGqirha wakho nokuba kukho uhlobo phambili zesi sifo, kusenokwenzeka nangoku ukufikelela sinjalo. Ukuba uyasilela ukwenza njalo, ngoko ngelishwa, kwesibindi ngendlela eqhubela phambili, ekugqibeleni iba kwesibindi okanye isibindi umhlaza.

Acute kwesibindi: Iimpawu

Yimeko oko kuyingozi kakhulu ubomi - hepatitis ngohlobo yayiyazi. Kwiimeko ezininzi, esi sifo kubonakala ngendlela emva kweminyaka kakubi iziselo eziqulathe utywala. Kodwa ke umzimba kwabantu ezahlukeneyo babe neempawu zabo, ngoko kukho amaxesha xa kusenzeka hepatitis etsolo ngosuku olulandelayo emva kokuba itheko elide ezininzi utywala (umzekelo, iiholide).

Nalu uluhlu lwe iimpawu zokuqala sohlobo ahlekise ezinxilisayo:

• Okrakra incasa imvakalelo emlonyeni.
• Isicaphucaphu kunye nokugabha olulandela sona.
• Ngokutsiba elibukhali lobushushu (elibekwe ngaphezu kwama- 38).
• Nokuqunjelwa.
• Ubuhlungu ikota yesangqa ephezulu ngasekunene.
• ukungakwazi ukuzibamba ngokwangasese.
• Ndindisholo wonyawo nolwimi.
• Ukwandisa buthathaka.
• ukuphazamiseka kwengqondo, ebonakalaliswe ukuziphatha engafanelekanga ndlongo unmotivated, njalo-njalo. D.
• A usuku okanye iintsuku ezimbini emva mpawu zingasentla, isikhumba kuthatha Tint elityheli.

Kufuneka kuqatshelwe ukuba hepatitis etsolo utywala angenzeka ngeendlela ezahlukeneyo, ezikunika iimpawu ezahlukeneyo. Yimeko ezinzulu kuhlala ukusuka kwiiveki ezintathu ukuya kwezintlanu.

iintlobo ezine sifo

1. ifomu Icteric. Ngokutsho manani, kwenzeka rhoqo. Kubonakala, inter umbala icteric ulusu, ubuthathaka eyomeleleyo, ukwehla kobunzima, ukuncitshiswa wokutya (ukugqiba ekungaphumelelini ukutya), isicaphucaphu nokugabha, nangecesina, wawandisa udakada. Ezantsi ungabona ukuba ikhangeleka ngathi senyongo, nto leyo ebangela kohlobo utywala. Iimpawu photo ubonisa ngokucacileyo kakhulu.
2. Ifom abagxothwa esi sifo. Kucingwa kuyingozi kakhulu, t. To. Inzuzo phantse ngaphandle iimpawu. Isigulane avakalelwa ngayo ekunene ikota yesangqa eliphezulu intlungu minor (hayi njalo), kunye nelahleko onombilini. Isibindi angandiswa (hayi kuzo zonke iimeko). Xa uvavanyo kwegazi zidla ibhaqwe anemia kunye leukocyte zanda.
3. ifomu Cholestatic. Kwiimeko ezininzi, kwayo ziindlela zokufa. Le obonwa miqondiso ilandelayo: endleni ukukhanya, umchamo, ukurhawuzelela, isikhumba unenxaxheba ithinti ngokukhawuleza emthubi yibilirubin egazini okanye umchamo lugqithe ngaphaya umda.
4. ifomu Fulminatnaya. Luphawulwa ngokwemvelo zezomzuzwana kwaye ngokukhawuleza ukuqhubela phambili kwesifo. imeko yesigulane kuguga, isikhumba ujika omthubi, ubushushu, isigulana ngokupheleleyo uyala ukuba adle, ikhalazela ukukhathala kakhulu kunye neentlungu phantsi ezimbanjeni kwicala lasekunene, uyakwazi ukuphuhlisa ukusilela kwezintso. Ngenxa ngokukhawuleza ukuqhubeka kwesifo kwiiveki ezimbini kamva umntu afe.

ekuxilongweni

Njengoko kubonakala ngentla apha, kwesibindi - isifo nzima yaye ngokufuthi kukuzalela isoyikiso ngqo kubomi babantu. Indlela ngokukhawuleza iya ngoxilongo, waza waqalisa unyango, kuxhomekeke ukuba ayaphumelela kwesi sifo. Ngoko ke musa ukuthandabuza isibheno ukuya kwagqirha xa sibona kwi iimpawu ukuqina.

Uxilongo kungaquka iimvavanyo kunye neenkqubo zilandelayo:

• Uhlalutyo Blood (ekwabelwana). On ityhileke ubukho kwegazi negazi leukocytes.
• ultrasound esiswini. Ultrasound ivumela ukubona utshintsho ezingaqhelekanga esibindini, ukuba ukuchonga iinkqubo ukudumba ulinganise sangqa umthambo portal, ubone ukuba babekho kule kwisisu kwaye ulwelo beqokelela t. D.
• Uhlalutyo Blood (ezinto). It ikuvumela ukuba ubone indlela walondoloza umsebenzi kwesibindi.
• Coagulation.
• Lipidogram.
• Izifundo ukujonga ixesha ithuba yokufakwa utywala.
• Urinalysis (notitshala).
• Coprogram.
• MR.
• Isibindi biopsy. Ngexesha inkqubo kwi isifundo kuthatha intwana encinane umzimba.
• Elastography. Ngelo xesha yesaveyi kuvavanywa imeko yesakhiwo zesibindi.

amayeza

Ukuqhubeka incoko malunga kohlobo utywala, iimpawu kunye nonyango lwesi sifo, singatsho ukuba impumelelo ikakhulu ixhomekeke yokuziphatha yesigulane, nekufuneka ukuba ukwala ukwamkela nkqu ngokwemithamo ezininzi owayenomgutyana utywala. Xa kufuneka unyango lwe isigulane ukubambelela ngokungqongqo imiyalelo kwi ulwamkelo amayeza. Xa oogqirha ukumisela kwesibindi:

• Iziyobisi wokulondoloza zivuse umsebenzi iseli kwesibindi, zibizwa ngokuba gepatoprotektory ( "Essentiale" "Karsil" "Geptral", njalo njalo).
• Imixube cholagogue kwaye lwaze izinto eziyityhefu kwaye ukuba nefuthe ukunciphisa.
• izakhiwo Vitamin ( "Duovit" "Undevit" "Dekamevit" "Oligovit", njalo njalo).
• Glucocorticoids.
• Imixube ukuba musa ukunika zomzimba kwasekwa nokuqina esibindini.
• Xa iintlobo kakhulu zesi sifo onyulwa kwiikhosi ze antibiotics.

unyango ngotyando

Kwimeko sohlobo sinxilisayo, oogqirha babhenele ungenelelo ngotyando, kuphela ukuba izitshanguba esibindini likhulu kangangokuba nothomalaliso isiyobisi engenamandla.

Kwiimeko ezinzima olunjalo ukunceda isibindi inxalenye nesalamane yesigulana. Kodwa oku akusoloko nako ukunceda, kuba ngamanye amaxesha umzimba lomguli liqala ukuba ukwala awafuneki.

kufuneka ibe yintoni yokudla yesigulane?

Sele ukwazi okuninzi malunga kohlobo kunye oyingozi ezinxilisayo. Iimpawu kunye nonyango ziye ziqwalaselwe kweli nqaku. Kodwa kukho nenye candelo ebalulekileyo ekulweni hepatitis. Izigulane compulsorily wabelwe ukutya kangangoko kunokwenzeka zingawucongi isibindi kwaye ivumela ukwaphula umzimba. Kakade ke, into yokuqala ekufuneka ukuba ube ngokupheleleyo utywala ngaphandle ukusuka ukutya okunamafutha. Ngoko ke kufuneka ukuba uyigcine le mithetho ilandelayo:

• Kukho ubuncinane amaxesha 5-6 ngosuku, iinxenye ezincinane, ukuzama ukuthobela ngamathuba alinganayo phakathi izidlo.
• Kubalulekile ukuba kuwanelisa ukutya ngemihla ngokulula protein ukutya.
• Ukondla isigulane kufuneka ibandakanye imali eyaneleyo iivithamini kunye neeminerali, umzimba kufuneka.

Kakade ke, nkqu ukubambelela ngokungqongqo kwizidlo ayikho nako ukunyanga esi sifo, ukutya okufanelekileyo lunciphisa kuphela umthwalo emzimbeni kwaye inceda wokuyikhangela.

zokuthintela izifo

Njengoko sibonile kweli nqaku, kwesibindi unako ukutshabalalisa umntu ngokukhawuleza kakhulu, yaye esi sifo unako kwixesha elifutshane ukunciphisa engcwabeni, nabantu abatsha womelele, ukuba kakubi utywala.

Kule sifo kunye njengeziqinisekiso iye Ndakushiya ngaphandle, kungcono ukunciphisa ukusetyenziswa kotywala ubuncinane, kwaye kungcono ukuba ashiye akatsho. Ezilungileyo impilo kwesibindi elungeleleneyo elungeleleneyo ukudla, isithintelo okanye ukwalela watshaya kutya, ezigcadiweyo ezinkonxiweyo nezingankonxwanga ekutyeni fat okanye ashushu kakhulu.

kwesibindi, iimpawu, ebangela, kunye neziphumo zabo ababili engenakususwa. Isibindi - ilungu emangalisayo ekwaziyo ngokutsha xa kuthe ukuba akukho lutshintsho zophendlo lwezifo bakhwelela kude kakhulu. Ngoko ke, ukuba umntu, ixesha yokuqala emva kokuba itheko kunye neminikelo kabi esibindini (ubunzima, ukuntlontlozela ecaleni kwakhe ngasekunene) kanye nokuba konke stop ukusela kwaye ziya ngqo yokudla, isibindi ivuselelwa akusayi ndinikhathaze kuye.

Umahluko phakathi kohlobo ezinxilisayo hepatitis legciwane

Amaxesha amaninzi kwi kwiiforam ezizodwa abantu bebuza lo mbuzo: "? Ziziphi iimpawu utshwala ihepatitis C kokubini amadoda nabafazi" Loo iphakamisa ethile ukudideka ukususela izifo ezifana hepatitis C, kunye hepatitis A, B, D, E, F, ngokungafaniyo kwesibindi (ityhefu), kwenziwa ziintsholongwane ezahlukeneyo labanjwa emzimbeni. isifo sesibindi wentsholongwane egazini kwenzeka naxa abantwana abancinane, kwaye ngandlela ukuba utywala akazange banukisile.

kuvela nehlazo ngenxa yokufana ezininzi iimpawu zokuqala zombini wentsholongwane egazini kunye hepatitis ityhefu. Le senyongo, intlungu hypochondrium ekunene, ubuthathaka, ifiva, ukungacoleki njalo njalo. D.

Kukho iimeko apho umntu hepatitis C, nayo uthatha utywala okanye usele kakhulu. Kulo mzekelo, esi sifo mandundu ngokuphindaphindiweyo, t. K. A isibindi imisebenzi protective bakhubazekile isifo wentsholongwane egazini kunye ezityiwa ethanol phantse akugqiba ilungu zizifo. Isimo sengqondo nje kwimpilo kunokukhokelela ekufeni ngokukhawuleza.

intetho lokuvala

Kaloku, ukuba yafikelela esiphelweni Inqaku lethu, apho etha malunga ezingapheliyo kunye hepatitis etsolo ezinxilisayo, iimpawu kunye nonyango lwesi sifo yingozi. Ukunxila utywala kuzisa abantu ezininzi ukubandezeleka zombini yokuziphatha ngokwasemzimbeni. Mhlawumbi, iyaziwa ukuba bonke abantu abadala. Kuyamangalisa ukuba nangona bezazi iziphumo eziyingozi zotywala emzimbeni womntu, abantu abaninzi jikelele basaqhubekeka ukusela. Kuyathenjwa ngokoyisa ngesizathu. Makhe ukuzinakekela ukuze sihlale obunentsebenzo nobunempilo!