Lezi zimo ezimbi kodwa ziyaziwa njenge-Fulminant Hepatitis
Uma wena noma othandekayo unesifo sofuba sesifo sofuba , kufanele uqaphele ukuthi ukwehluleka kwesibindi esiwumphumela kuyisimo esingavamile kodwa esingathí sina esingase siphumelele sesifo .
Kuyini Ukuhluleka Kwebindi?
Ukuhluleka kwesibindi esiphezulu yisimo esiphuthumayo sezokwelapha esiphuthumayo. Lesi simo siphinde sibhekiswe ekuhlulekeni kwe-hepatic egcwele, i-necrosis enamandla ye-hepatic, i-necrosis ene-hepatic ne-hepatitis egcwele.
Kwenzeka lapho amangqamuzana esibindi elimala ngokushesha ukuze isitho singakwazi ukuzilungisa ngokushesha. Izingxenye zesibindi ziyafa noma ziqala ukusebenza. Isenzakalo esinjalo singabangela isibindi ukuba siyeke ukusebenza ngokuphelele, okuholela ezinkingeni kwezinye izindawo zomzimba.
Ngenxa yokuthi isibindi siyingxenye ebalulekile yomzimba, uma senakele, ezinye izitho zithinteka, futhi. Ubuchopho bungenye yezinhlaka ezibaluleke kakhulu ezithintekile ngesikhathi sokuhluleka kwesibindi, futhi ukulimala ebuchosheni kuphumela esimweni esibizwa ngokuthi i-encephalopathy.
Ukuhluleka kwesibindi ngokuvamile kubhekwa njengento eqondile kunokuba kungavamile uma kuqala ukugula kwenzeka ngaphakathi kwamasonto angama-26.
Izimpawu Zokuhluleka Kwebindi Okumangalisayo
Ngaphambi kokuba udokotela angathola ukuthi u-hepatitis fulminant, i-patient kufanele ibonise izimpawu zokuphelelwa yisifo senhliziyo, isifo sobuchopho. Izimpawu ezisemqoka yizo:
- Ukudideka
- Shintsha ekuziphatheni
- Shintsha ekuqapheleni
- Ukubunzima ukusebenza ngezinqubo zengqondo
Lezi zimpawu zingaholela ku-coma ngisho nokufa uma ukwehluleka kwesibindi kungaphenduki.
Ezinye izimpawu zokwehluleka kwesibindi esibi zihlanganisa:
- Ukukhathala / i-malaise
- I-Lethargy
- I-Anorexia
- I-nausea kanye / noma ukuhlanza
- Ubuhlungu obukhulu be-Quadrant
- Itching
- I-Jaundice
- Ukuvuvukala kwesisu
Ukuhluleka kwesibindi esitholakalayo kutholakala ngokusekelwe kokungajwayelekile ekuvivinyweni kwesibindi (njengokuhlolwa kwezinga le-bilirubin), ukucindezeleka okukhulu kwe-hepatic kanye nesikhathi eside se-prothrombin, esilinganiselwa isikhathi esithatha igazi le-plasma ukuze livale.
Izimbangela Zokuhluleka Kwebindi Okumnandi
Ukwehluleka kwesibindi esiyingozi kungenye yezinkinga ezinkulu kakhulu zokutheleleka kwesandulela ngculaza. Eqinisweni, wonke udokotela unokukhathazeka engqondweni yakhe lapho elapha iziguli ezine-hepatitis eziyingozi.
Ukuhluleka kwesibindi esivamile akuvamile. Uma kwenzeka, kuvame kakhulu ku-hepatitis A nokutheleleka kwe-hepatitis B. Ngisho ngaleso sikhathi, abantu abangaphansi kuka-1 abanesifo sofuba se-hepatitis B, kanti ngisho namaphesenti amancane abantu abane-hepatitis A bazokwakha ukushisa kwesibindi.
I-Hepatitis E ingabangela nokuhluleka kwesibindi esikhulu, nakuba lesi sifo singavamile e-US
Esinye isizathu esibalulekile sokuhluleka kwesibindi esikhulu, ikakhulukazi e-US, yi-acetaminophen toxicity. I-Acetaminophen, eyaziwa ngokuthi iTylenol, iyisidakamizwa esikhululekayo esibuhlungu esifana ne-aspirin futhi singathengwa ngaphandle kwemithi. Ukuningi kwalesi sidakamizwa kuzolimaza isibindi futhi kungaholela ekuhlulekeni kwesibindi. Abantu abavame ukuphuza utshwala obukhulu futhi bathathe i-acetaminophen kakhulu kungase kube yengozi enkulu yokuhluleka kwesibindi.
Kukhona ezinye eziningi ezingabangela ukwehluleka kwesibindi esikhulu, kufaka phakathi ukuphendula kwezidakamizwa ezingavumeleki (okungavumeleki), ukushisa kwesifo sofuba, isifo se-hepatitis, isifo se-Wilson nesifo se-mushroom.
Ukwelashwa nokubikezelwa
Abantu abanehluleka kakhulu kwesibindi kufanele baphathwe esimweni esibucayi sokunakekelwa esibhedlela esibhedlela.
Inhloso ukugcina isiguli siphila isikhathi eside ngokwanele ukunikeza isikhathi sesibindi sokuzilungisa, noma kuze kube yilapho isiguli singaba nokufakelwa kwesibindi. Ngeshwa, ukuguqulwa kwesibindi akulona okwelulekwa ngezokwelapha kuwo wonke umuntu futhi ngezinye izikhathi akukho ama-livers atholakalayo ukufakelwa.
Ngokuhluleka kwesibindi okubangelwa i-virus yesifo sofuba, ukwelashwa kwe-antiviral kungasiza ukugwema isidingo sokufakelwa kwesibindi.
Kulinganiselwa ukuthi amaphesenti angu-40 weziguli ezinokukhubazeka kwesibindi esibuhlungu zizophola ngaphandle kokufakelwa kabusha uma zithola ukunakekelwa okufanele.
Ezigulini ezithola isibindi esisha, izinga lokusinda konyaka elilodwa likhulu kunamaphesenti angu-80.
Imithombo:
Ukuhluleka kwesibindi esiphezulu kubantu abadala: i-Etiology, ukubonakaliswa kwemitholampilo, nokuxilongwa. Kusesikhathini. Agasti 12, 2015.
Ukuhluleka kwesibindi esiphezulu kubantu abadala: Ukuphathwa nokubikezela. Kusesikhathini. NgoJanuwari 5, 2016.
Fontana, RJ Ukwehluleka Kwebindi Okumangalisayo. Isifo Sengculazi Nezifo Zomzimba We-Sleisenger & Fordtran, 8e . Philadelphia, Elsevier, 2006. Amakhasi 1993-2002.
Dienstag, i-JL Acute Viral Hepatitis. Izimiso zikaHarrison ze-Internal Medicine, 17e . ENew York, McGraw-Hill, 2008. Amakhasi 1944-1945.