Ngokuqhelekileyo, xa sisebenzisa utywala, siyazigweba ngokusela ngokukhawuleza kwaye kuncinci. Nangona kunjalo, i-20 g ye-ethanol ngosuku ingabangela i-cirrhosis yotywala kumabhinqa. Esi sibonakaliso-sibonisa inani lotywala otywalayo kunyaka, olwahlula ngenani leentsuku. Ngamanye amazwi, nokuba kunye nobudlelwane obunxilisayo kunye nabahlobo kanye ngeveki kunokususa isifo, ukusetyenziswa kotywala imihla ngemihla akuyimfuneko.
Iimpawu eziphambili ze-cirrhosis yesibindi
Utywala lwe-cirrhosis ludibaniswa nokusetyenziswa kotywala olude, i-ethanol ibhubhisa iiselingi zesibindi, kwaye zilahlekelwa amandla okubuyela ngokukhawuleza. Ngenxa yoko, kukho ukwanda kwesibalo, izicubu ezinobumba, ekugqibeleni zithatha indawo ye-lobe ephilileyo, ephilileyo. Le nkqubo ingaqwalaselwa ixesha elide - kuthatha iminyaka emihlanu ukuya kwe-15 yokusetyenziswa kotywala ukuqala i-cirrhosis. Ngokuphindaphindiweyo kwiibini kunye naye utywala obunxilisayo - ukuvuvukala kwiindawo ezithile zesibindi okanye iqumrhu lonke.
Iimpawu azibonakali ngokukhawuleza. Ngaphambi kokuba kukho iimpawu zangaphandle ze-cirrhosis yesibindi, ukukhuselwa kwesibindi esilwa ngotywala kunye nokukhula kwamathambo kufakile kuya kuthintela iimvavanyo zelabhoratri:
- ukuhlolwa kwegazi jikelele kuya kubonisa ukuhla kwe-erythrocyte kunye neeplatelets, i-leukocytosis;
- ukwanda kwe-gamma globulins egazini;
- I-De Ritis coefficient isetyenzisiweyo-umlinganiselo we-aspartate aminotransferase ku-alanine aminotransferase;
- Uxinzelelo lwegazi lwe-systolic luyehla;
- ipeni ekhulisiweyo;
- ikhuphuka i-ascites- fluid iqokelela kwisigxina esiswini;
- kukho ukunweba kweemvini zesisu, isisu somzimba nesipilisi.
Izimpawu zangaphandle ze-cirrhosis yobunxilongwane besibindi ziyahlukahluke kwiimpawu eziqhelekileyo ze-cirrhosis ne-hepatitis:
- amehlo e-yellowing sclera, isikhumba;
- ukubonakala kwamaplasilla ehlanjululwe kummandla wempumlo kunye neentloko zeentloko;
- i-erythrem (obomvu) yesikhumba seentendelezo kunye neenyawo, ngokuthe rhoqo-ngobuso;
- i-hypertrophy yeengqungquthela ze-stali kwingingqi yeendlebe;
- ukuthuthumela nokungaqhubeki ezintendeni;
- isifo se "gilasi zokubukela" kunye "neentonga zomdaka" weengalo;
- cachexia;
- asthenic syndrome.
Unyango lwe-cirrhosis yesibindi sokunxila, ukuxela
Xa ukuxilongwa kwe-cirrhosis yobunxilisayo yesibindi, ubuninzi balo buya kuphila buya kuxhomekeka kuphela ekubeni unqabe ukusela utswala kunye nempilo jikelele yesigulane. Abantu abavela kumaqela aphantsi asekuhlaleni bangabalelwa kwiinyanga ezili-16-20, abemi abanotyebi - kwiinyanga ezingama-20-60, ngaphandle kokuba bayeke ukusebenzisa utywala.
Ukuba isifo sifumaneka kwisigaba sokuqala, unokufikelela ekuxoxweni kwexesha elide, ukuyeka ngokupheleleyo inkqubo ye-cirrhosis. Kodwa oku kufuna umzamo omkhulu.
Unyango lwe-cirrhosis yobunxilisayo yesibindi lubonelela ngokukodwa ukusela utywala. Ngaphandle kwalokhu, onke amanyathelo okwelapha alandelayo ayinanto. Kwixesha elizayo, umsebenzi wokuqala uya kuba ukunciphisa i- bilirubin , kuba i-cirrhosis yotywala ngokuxhomekeke ngqo kule nqondiso. Umzantsi wezantsi we-bilirubin, ukukhawuleza isibindi sinakho ukuvuselela. Kule njongo, ukutya okukhethekileyo kukulungele, kuphakanyiswe ukwanda kwenani leprotheni ekudleni. Kwakhona, kufuneka ushiye amafutha atshintshe kunye nokutya okukhawulezileyo, utshintshe kwisondlo esinempilo. Ukuze
Iindidi ezinjalo zamachiza zonyulwa kwakhona:
- amalungiselelo e-adenformonine;
- amalungiselelo ursodeoxycholic;
- izakhiwo ze-multivitamin;
- glucocorticoids;
- inhibitors ye-angiothersin-ukuguqula i-enzyme;
- ii-inhibitors zeepisase zamathambo.