Ndi kuwonongeka kwa chiwindi chowotcha, ntchito yake ili yovuta. Chifukwa chake, matenda a chiwindi amatha kupezeka. Kwa odwala omwe ali ndi matendawa, moyo umaphatikizidwa ndi zoperewera komanso zovuta kuzidziwitsa.
Chizindikiro cha matenda a chiwindi opatsirana
Matendawa amatha msanga. Pali mitundu itatu ya machitidwe ake odwala:
- Fomu ya kuwala siili yogwira ntchito. Kutupa kumawonedwa kokha m'matumba ojambula. Aminotransferase ili pafupi ndi zizindikiro zachilendo kapena pang'ono kuposa izo.
- Chiwindi choopsa cha matenda a shuga chimakhala ndi chithunzi chimodzimodzi monga chithokomiro champhamvu kwambiri komanso tizilombo toyambitsa matenda.
- Zovuta za mtundu wa chiwindi zimakhala ndi kupezeka kwa malo ndi foci ya necrosis.
Matenda a chiwindi, omwe sadziŵika bwino, amaphatikizapo chidziwitso . Njirayi imathandiza dokotala kumvetsa molondola ndi kupanga ndondomeko ya mankhwala. Komanso, malinga ndi zotsatira za chiwerengerochi, dokotala akhoza kufotokoza za matendawa. Mitundu yambiri imapezeka ndi matenda a hepatitis B, C, G ndi D. Matenda a gulu A kapena E sapita kudera lino. Komabe, mawonekedwe a kusintha kwa matendawa kuchokera ku mawonekedwe osiyanasiyana kupita ku wina sanaphunzirepo.
Matenda a chiwindi a chiwindi
Nthawi zambiri, matendawa amapezeka ali wamng'ono. Izi zimapangitsa kuti matendawa asapitirire. Kuopsa kwa matendawa kungawonjezereke ndi mavairasi, ku gulu limene hepatotropic liri nalo. Zinthuzi zikuwonjezeredwa ndi kumwa mowa ndi mowa mowa. Mwa kuchuluka kwa ntchito, kachilombo koyambitsa matenda a shuga , B, D ndi G akhoza kukhala ndi madigiri oterowo:
- mawu ochepa;
- kuwonekera kofooka;
- kuuma mopitirira malire;
- zochitika;
- matenda opatsirana.
Zomwe zimayambitsa matendawa ndi matope, magazi ndi chinsinsi cha m'mimba mwa munthu wodwala. Matenda amatha chifukwa cha mankhwala osamalidwa bwino, odula tsitsi, zipangizo zamagetsi kapena zowonongeka. Kuchokera apo matendawa akhoza kuchitika ndi kuikidwa magazi. Ana ambiri amakhala ndi kachilombo ka njira yoyambira: kuchokera kwa amayi odwala.
Matenda a hepatitis oopsa
Tsiku lililonse, pamodzi ndi zinthu zothandiza m'thupi la munthu, ziphe zimalowanso. Ambiri mwao ndi owopsa kwa maselo a chiwindi. Pogwiritsa ntchito zinthu zovulaza, matendawa amayamba. Matendawa amakwiya ndi magulu otsatirawa a "poizoni":
- phenols, arsenic, aldehydes, mankhwala ophera tizilombo ndi zina zotentha;
- mankhwala;
- mowa;
- masamba poizoni.
Kuzindikira ndi kudya matenda a shuga a shuga. Dzina lake lachiwiri ndi lachinsinsi. Matendawa amapezeka pamene anilingus. M'gululi pa chiopsezo chowonjezereka muli omvera amakono oletsa kugonana. Chifukwa cha matendawa ndikuti zidutswa zazing'ono zamtundu wodwala matenda a hepatitis ndi kukhudzana ndi mawu zimapita kwa munthu wathanzi.
Chronic Cryptogenic Hepatitis
Ndi njira yotupa yamaliseche yosadziwika yomwe imachitika pachiwindi kwa miyezi isanu ndi umodzi. Pazifukwa zisanu zilizonse, chifukwa cha chitukuko cha matendawa ngakhale atatha kufufuza mwatsatanetsatane sichidziwika. Cryptogenic hepatitis ili ndi chinthu chimodzi chodziwika: matendawa amasinthasintha mofulumira kukhala chiwindi kapena njira yoyamba ya khansa. Komabe, mtundu uwu wa kuwonongeka kwa chiwindi si chigamulo. Ngati matendawa amadziwika ndikuchiritsidwa molondola, akhoza kugonjetsedwa.
Matenda oopsa a chiwindi
Ndi matenda otupa, chiwindi chomwecho chimawonongedwa ndi chitetezo cha mthupi. Chofunika kwambiri chimaperekedwa ku chikhalidwe cholowetsa. Wothandizira aliyense amene alowetsa kuchokera kumalo ena akunja akhoza kukhala "chikhotho choyamba" pa chitukuko cha matenda. Komabe, ndidzidzidzi yekha wodwala matenda a shuga angathe kudziwika m'kupita kwanthawi. Nthendayi imakula mofulumira ndipo imayambitsa imfa.
Matenda a chiwindi otsekemera
Matendawa amayamba chifukwa cha kumwa mowa mopitirira muyeso kwa zaka 5-7 mzere. Komabe, mlingo wa chitukuko cha matendawa umakhudzidwa ndi zinthu zomwe zimatengera cholowa komanso thanzi labwino. Chiwindi chakumwa chowopsa chimapezeka chifukwa cha kuwonongeka kwa chiwindi kwa chiwindi ndi mankhwala owopsa - acetaldehyde. Chotsatira chake, m'malo mwa maselo wathanzi, amaoneka minofu, ndipo izi zimalepheretsa kugwira ntchito kwa thupi.
Chiwindi cha matenda opatsirana pogwiritsa ntchito mankhwala osokoneza bongo
Matenda oterewa amapezeka chifukwa cha kudya kwa magulu ena a mankhwala. Chithunzi cha kuchipatala n'chofanana ndi matenda opatsirana a chiwindi. Kulimbikitsa chitukuko cha matendawa potsatira mankhwala:
- anticonvulsants (phenytoin, carbamazepine, dantrolene);
- antithyroid (Carbimazole, Propylthiouracil);
- anti-inflammatory non-steroid (Diclofenac, Sulindac, Felden, Piroxicam, Propafenone);
- sulfonamides (Pyrimethamine, Cotrimoxazole);
- hormonal (thyrotropin, somatotropin).
Matenda a chiwindi otchedwa cholestatic
Ndi matendaŵa, intrahepatic ndi extrahepatic bile stasis amawonedwa. Izi zimayambitsa matenda a chiwindi ndi kupweteka. Ambiri okalamba amadwala matendawa. Pambuyo pa kachilombo kamene kamalowa m'magazi, zimakhala zokhudzidwa. Panthawi yomwe thupi limayamba kulimbana ndi matenda, chiwalo chamkati chikuwotcha ndipo chimakula kukula. Matendawa amachiritsidwa ngati mumamvetsera nthawiyo. Odwala omwe anasamutsa iwo amatenga chitetezo chokwanira.
Zizindikiro za Matenda a Chiwindi Oopsa
Kuthamanga kwa matendawa kumadalira mtundu wa munthu payekha. Zizindikiro za matenda aakulu a chiwindi ndi zokhudzana ndi zomwe zimayambitsa. Komabe, chithunzi chachikulu cha matendawa ndi chonchi:
- chiwalo chamkati chimakula kukula;
- pamene chiwindi cha chiwindi chili ndi ululu wowawa;
- kusowa kwa njala;
- Kumbuyo ndi masaya kumawonekera "nyenyezi";
- wodwalayo akuvutitsidwa ndi zochitika, kunyoza ndi kugwidwa;
- anasonkhanitsa mu matupi a bile acids kumutsutsa bradycardia;
- kusowa tulo;
- kukwiya ndi zizindikiro zina za kuwonongeka kwa maganizo;
- kulephera mu dongosolo la endocrine;
- kusokoneza magazi, ndi chifukwa chake mavulo amawoneka mwamsanga thupi ndipo wodwala nthawi zambiri amadwala;
- kuwunikira kwa zinyansi;
- mdima wa mkodzo.
Kodi mungachiritse bwanji matenda a chiwindi?
Asanayambe kumwa mankhwala osokoneza bongo, wodwala ayenera kudziŵa zambiri. Imodzi mwa njira zovuta kwambiri za ma laboratory zomwe zimakuthandizani kuti mudziwe bwinobwino ndikutumiza magazi kuyeza magazi. Pamene munthu ali ndi matenda a chiwindi, izi zimawoneka pa zotsatira za phunziroli. M'magazi muli kuchuluka kwa bilirubin ndi gamma globulin. Kuonjezera apo, ngati akudziwika kuti ali ndi matenda a chiwindi a mtundu wa B, chiwerengero cha chiwindi chimaperekedwa ndipo kufufuza kwa kachilomboka kumachitika. Pamene pali matenda a etiology osadziŵika, amaphunzira mwatsatanetsatane.
Kuchiza matenda a chiwindi cha matenda a hepatitis kumaphatikizapo kuchotsa zinthu zomwe zimachepetsa kukula kwa matenda. Komanso, mankhwalawa ndi awa:
- kuthetsa zifukwa za matendawa;
- kuthetsa kachilomboka;
- kuyeretsedwa kwa magazi.
Kuti normalize ntchito yamagetsi, Lactobacterin ndi Bifidumbacterin amalembedwa. Kuwonjezera apo, Mezim akhoza kupereka wodwalayo kuchokera ku machitidwe a ma enzyme. Omwe amavutika ndi kudzimbidwa, Dufalac akulimbikitsidwa. Pa nthawi yomweyi, amachititsa kuti matendawa asinthe. Zina mwazofala kwambiri ndi Essentiale, Ursosan, Heptral ndi ena. Mankhwalawa apangidwa kuti azigwiritsa ntchito nthawi yayitali: osachepera miyezi iwiri.
Ngati matenda a chiwindi amatha kupatsidwa, amatha kulandira chithandizo chapadera. Zimaphatikizapo kuphatikiza Ribavirin ndi Interferon. Chithandizochi chimaperekedwa pazomwezo, pamene zotsatira za kafufuzidwe zimatsimikizira kuti mavairasi ayambitsidwa. Momwemonso, zakudya zowonjezera ndi zotsatirazi zingagwiritsidwe ntchito:
- choleretic (yochokera mkaka nthula);
- mankhwala oletsa tizilombo toyambitsa matenda (mu chilembo chake pali St. John's wort ndi licorice);
- antispasmodic (yochokera ndi timbewu tonunkhira).
Poyeretsa magazi, wodwalayo amalembedwa ndi drops ndi Haemodesum. Njirayi imathandiza kuchotsa poizoni ndi zinthu zina zoopsa m'thupi kudzera mu impso. Ndi mankhwala omwe asankhidwa bwino, n'zotheka kukwaniritsa chikhululukiro chokhazikika, chifukwa cha nthawi yayitali matendawo sadzimveka okha. Komabe, chifukwa cha izi, nkofunika kuti wodwalayo atsatire malangizo a dokotala mosalekeza.
Kudya matenda a chiwindi
Kupambana polimbana ndi matenda kumadalira moyo wa wodwalayo. Zakudya zabwino za matenda a shuga ayenera kukhala ofatsa. Zakudya zolembedwera nambala 5. Cholinga cha zakudya zotere ndi kuchepetsa njira yotupa. Menyu ya tsiku ndi tsiku ikhale ndi zotsatirazi:
- mankhwala omwe ali ndi mapuloteni apamwamba (tchizi, nsomba, mafuta ochepa, ng'ombe, mkaka);
- Mafuta osakanika (uchi, kupanikizana, shuga);
- mafuta (makamaka azitona kapena mafuta a chimanga).
Chakudya chovomerezedwa ndi 5-6 pa tsiku. M'madyerero ayenera kukhala chakudya chambiri mavitamini a gulu B, mchere wa phosphorous, zinc, magnesium, potassium ndi cobalt. Komabe, ziyenera kuthetsedwa kwathunthu:
- mafuta;
- nyama yochuluka;
- chakudya chamzitini;
- zosuta;
- mitundu yambiri ya nsomba;
- zonunkhira;
- Mitundu;
- mowa;
- mbale zozizira ndi zina zotero.