Zolinga za matenda osiyanasiyana odwala zimadalira zifukwa zambiri, koma kufotokozera ndondomekoyi ndi gawo la chitukuko cha matendawa. Zowonjezereka ndizomwe zimakhala zotsika zaka zisanu ndikupulumuka. Choncho, chinthu choyamba chomwe odwala akufuna kudziwa kuti chiwerengero cha 4th digiritis chimapezeka bwanji ndi anthu ambiri omwe ali ndi matendawa, chifukwa chiwerengero chimenechi cha kupititsa patsogolo matenda chimadziwika ndi kutaya kwathunthu kwa ntchito za thupi.
Zizindikiro za chibwibwi cha digiri ya 4
Gawo ili la cirrhosis limatchedwanso decompensation. Izi zikutanthauza kuti chiwindi sizimagwira ntchito, chifukwa maselo ambiri a parenchyma (hepatocytes) amalowetsedwa ndi minofu yowonjezera.
Zizindikiro za matendawa:
- Matenda a m'mimba nthawi zonse;
- kutaya thupi mwamsanga;
- kufooka kwakukulu;
- kusanza;
- atrophy ya minofu ya malo ozungulira ndi malo apamwamba;
- matenda aakulu;
- kusowa kwa njala;
- kutentha kwa thupi;
- icterus wa khungu.
Kuphatikiza pa mawonetseredwe ofotokozedwa, matenda opatsirana a digiti ya 4 ikuphatikiza ndi mavuto ambiri, omwe:
- ascites;
- magazi;
- zilonda zakuthambo;
- ziphuphu za khansa;
- matenda;
- chidziwitso chodziletsa ;
- matenda amagazi a m'magazi;
- chisokonezo.
Gawo la kuchepa kwa ndalama limakula mofulumira, wodwala "amatha kusungunula", choncho amafunikira thandizo lachipatala.
Kuchiza kwa cirrhosis ya digiri ya 4
Njira yowonjezereka ikugwiritsidwa ntchito pochita ndondomeko ya matenda opatsirana. Munthu ayenera kusintha moyo wake wonse kuti adye zakudya zabwino komanso kukana zizolowezi zonse zoipa. Pa nthawi yomweyo, magulu angapo a mankhwala amalembedwa:
- hepatoprotectors (organic ndi kupanga);
- diuretics;
- mankhwala oteteza steroidal anti-inflammatory (hormonal);
- mavitamini ndi amino acid;
- phospholipids;
- antivirair (kupewa hepatitis).
Odwala omwe ali ndi matenda a cirrhosis pa siteji ya decompensation akulimbikitsidwa kuti azigonjetsa bedi komanso chakudya chapadera. Kuchokera ku zakudya zidzayenera kuchotsedwa:
- mowa;
- chakudya chamzitini;
- pickling;
- zonunkhira;
- nyama yochuluka ndi nsomba;
- zosuta;
- mchere;
- chakudya chokazinga;
- mkaka wonse;
- broths.
Lembetsani zosachepera:
- mazira;
- mafuta opangira mkaka;
- zipatso zowawa ndi zipatso (zokha ngati gawo la chakudya chokwanira ndi zakumwa);
- mchere;
- tiyi ndi khofi;
- shuga;
- zopangidwa ndi ufa.
Zokonda ziyenera kuperekedwa kwa:
- tirigu;
- "White" nsomba ndi nyama, ndi bwino mbalame;
- masamba msuzi;
- zakumwa zakumwa, compotes;
- mankhwala a zitsamba ndi kulowetsedwa;
- Maswiti a zachilengedwe (odzola, marshmallow, pastille, kupanikizana ndi ena).
Kutsata mwamphamvu komanso kosalekeza ndi zakudya kumathandizira kuti mukhale ndi thanzi labwino komanso moyo wabwino.
Ndikofunika kuzindikira kuti njira yolingalirayo siigwira ntchito kwa nthawi yayitali, pamapeto pake imasiya kugwira ntchito. Choncho, panthawi yachipatala nkofunika kukambirana ndi dokotala kuti athe kuchitidwa opaleshoni ya chiwindi. Lero njira iyi ndi yokhayo
Ndi angati omwe amakhala ndi chiwindi cha chiwindi mu magawo anayi?
Popeza kuti gawo la kuchepa kwadzidzidzi limakhalapo chifukwa cha kusagwirizana kwa chiwindi ndi chiwindi, chidziwitso cha matenda a chiwindikiro cha grade 4 ndi chokhumudwitsa. Zomwe zimapitirira zaka 5 sizipitirira 20%, oposa theka la odwala amwalira ngakhale kale, chaka choyamba kuyambira tsiku lachidziwitso, ena onse - kwa zaka ziwiri kapena zitatu. Chifukwa chachikulu cha imfa si matenda a chibwibwi okha, koma mavuto ake, makamaka zotupa zakupha, ascites ndi kupsinjika kwachisoni ndi confluence in coma.