Uyini umehluko phakathi kwe-Hepatitis ne-Cirrhosis?
Uyini umehluko phakathi kwe-hepatitis ne-cirrhosis? Ziyini izimpawu zezifo ezimbili, izimbangela, kanye nezindlela zokwelapha ezihlukile futhi zifana kanjani?
Ukufanana Nokuhlukana Phakathi Kwezifo Ze-Hepatitis ne-Cirrhosis
I-hepatitis kanye ne- cirrhosis yizifo zombili ezichaphazela isibindi. Kukhona umehluko obalulekile, kodwa ngokuvamile, isibindi se-hepatitis singase siphendule noma singakwazi ukuguqulwa (ukuphulukiswa) kanti i-cirrhosis ibhekisela ekuqotheni kwesibindi unomphela, kaningi njengesiphelo sokuphela kwesifo sofuba esingapheli.
Njengoba i-hepatitis ne-cirrhosis zikhona ngezindlela eziningi ngokuqhubekayo kwezifo, izimpawu zingase zifane kakhulu. Yize ezinye izinhlobo ze-hepatitis zingase zifike ngokushesha kakhulu, i-cirrhosis ijwayele ukuthuthukisa kancane kancane.
Ake sibheke izimpawu ezingase zenzeke kuzo zombili izifo, incazelo yezinto eziyisisekelo zezifo, bese ucacisa ezinye zezinto ezifanayo kanye nokungafani.
Izimpawu Ezijwayelekile Zezifo Zobindi
Izimpawu zesifo sesibindi zingase zibe khona nge-hepatitis, cirrhosis, noma yiziphi ezinye izimo eziholela ekusebenziseni ukungasebenzi noma ukulimaza esibindi. Lokhu kungafaka:
- I-jaundice - i- Jaundice , noma i-discoloration ephuzi yesikhumba kanye nabamhlophe bamaso (i-sclera) yisifo esivamile sesifo sesibindi, kodwa kunezimbangela eziningi ezingenzeka. I-jaundice yenzeka ngenxa yokwakhiwa kwe- bilirubin , i-pigment ephuzi, egazini (hyperbilirubinemia.) (I-Jaundice nayo ivela ezinsaneni kepha lokhu kuyindlela evamile yokuphila.) I-jaundice ingathuthuka ngokushesha futhi ngokuphawulekayo (njengokuthi i-hepatitis noma i-bile ukuvinjelwa) noma esikhundleni sokuthuthukisa kancane kancane futhi ngokweqile.
- Amabele ekhulisiwe ezigulwini zesilisa - Amabele akhulisiwe, okuthiwa i-gynecomastia ajwayelekile nesifo sesibindi ngenxa yokwanda kwe-estrogen ebangelwa ukungasebenzi kwesibindi.
- Ukuhlunga isikhumba sakho - Ukuchithwa okungapheli ( pruritis ) kuvamile ngesifo sesibindi, futhi kungenxa ye-bile salts eyakha esikhumbeni. Lokhu kuhlaziya ngokuvamile kwenzeka ngaphandle kokushayeka.
- Ukuvuthwa kwegazi - Ukuvuthwa kwegazi kungahlobene nokugula kwesibindi ngezindlela eziningana. Enye yezinto ezimbi kakhulu eziyi-varophageal varices. Ama-varic esophageal yi-veichagus veins. Imivimbo ye-Varicose emilenzeni ithuthuka ngenxa yokugeleza kwegazi emilenzeni eyenza igazi libuyele emuva futhi likwazi ukugeleza, ukugeleza kwegazi kuze kube yilapho kunganciphisa ngenxa yokulimala kwesibindi okubangela ukugonywa kwegazi , nokukhushulwa kwegazi esibindi. I-hypertension ye-portal ivame kakhulu nge-cirrhosis kune-hepatitis, njengoba ukwesaba kusebenza ngokuthi "i-kink in hose" yemithambo yegazi ehamba esibindi.
- Izinsini zokuphuza.
- Isibindi esibanzi - Nge-hepatitis isibindi ngokuvamile siba nesineke futhi sikhuliswe futhi singazizwa ngaphansi kwezimbambo ezingezansi kwesineke sesisu. Nge-cirrhosis, isibindi ngokuvamile siba mncane futhi siqinile, futhi singase sibe nomuzwa wokuthi siyidwala uma izwa emathunjini angaphezulu.
- I-Edema noma ukuvuvukala kwemilenze yakho.
- I-peritonitis ye-bacterium - I-Peritonitis ibhekisela ekutheleleni kwesiguli esiswini.
- Ama-Ascite noma owaziwa njengoketshezi esiswini - Ama-Ascite angabangela ukuvuvukala kwesisu nesisu, futhi uma kunzima kakhulu, kungabangela ukuphefumula ngenxa yokucindezela kwesisu okuqhunyuka phezulu phezulu emgodini wesifuba.
- Ukuguqulwa kokulala nezinye izinkinga zokulala.
- Ukulahlekelwa kokwazi.
- Ukudideka kwengqondo noma ukukhohlwa - Omunye wemisebenzi eyinhloko yesibindi "ukuxosha" igazi, okungukuthi, ukususa ubuthi kanye nezinye izinto ezivela egazini. Uma umsebenzi wesibindi uphathwe kabi, lezi zidakamizwa zingakha egazini. Ukuxilongwa kwe-hepatic isimiso esibhekene nokuzithemba, ukudideka, ukunyakaza okungavamile kwe-muscle, i-amnesia, futhi ngokuvamile ukuguquka komuntu okuphawulekayo. Ngezinye izikhathi liphutha njenge-Alzheimer's disease, kodwa kwezinye izimo, okungenani liyingxenye eguquguqukayo.
- Ukukhathala - Ukukhathala okungapheli, uhlobo lokukhathala okungaphenduki ubusuku obuhle bokuphumula, luvame kakhulu kokubili kokushisa kwesifo sofuba nesifo se-cirrhosis.
Uhlu olukhulu lwezibonakaliso ezinzima zesifo sofuba luxoxa ngezibonakaliso ezingaphezu kwamathuba okushisa kwesibindi.
I-Hepatitis vs Cirrhosis
Ukuze uqonde ukufana okubalulekile kanye nokwahlukana phakathi kwe-hepatitis ne-cirrhosis, kuyasiza ukuthi uqale uchaze futhi uchaze lezi zimo ezimbili. Kukhona ukweqa okuphawulekayo phakathi kwalezi zimo ezimbili, okuzobe sekuphawulwe ngezansi.
I-hepatitis
I-hepatitis ukuvuvukala kwesibindi futhi kungabangelwa yizigciwane ezaziwa nje njenge-hepatitis B, kodwa ezinye izinto eziningi. Amafomu we-hepatitis ahlanganisa:
I-hepatitis esithathelwanayo - Kunezimbangela eziningi ezithathelwanayo zesifo sofuba. Lokhu kuhlanganisa isibindi A, B, C, D, no-E, kanye nezifo ezithathelwanayo njenge-infonous mononucleosis (i-Epstein-Barr virus) kanye ne-cytomegalovirus.
I-hepatitis eyenziwa yizidakamizwa - Kunezidakamizwa eziningi ezingabangela ukungasebenzi kwesibindi.
Ukushisa kwesifo sofuba - Utshwala lungathinta isibindi ngezindlela eziningi ezifana nesifo sofuba esibangelwa yi-alcoholic hepatitis, isibindi esinamafutha, nesifo se-cirrhosis.
Ukukhuluphala ngokweqile - Isifo sesibindi se-fatty non-alcoholic fat is isimo esanda e-United States esingathuthuka esibhedlela esibizwa ngokuthi i-NASH noma i-steatohepatitis engelona utshwala. Njengazo zonke izinhlobo eziningi ze-hepatitis, i-NASH ingathuthuka ekudleni (isibindi) sesibindi.
I-auto-immune hepatitis - Izifo ezizimela ngokuzenzakalelayo yilawo imizimba yethu yenza ama-antibodies ngokumelene nezicubu zethu.
I-Toxin / ukuchayeka kwamakhemikhali - Kunezinhlobo zamakhemikhali ezinobuthi obubangelwa isibindi kusuka ezinambuzaneni kuya kumakhemikhali atholakalayo kulabo abahlanzekile ekhaya.
I-cirrhosis yesibindi
I-cirrhosis yilahlekelwa isibindi. Isibindi sinehlukile kakhulu ekukwazi ukuvuselela emva kokulimala, kodwa ngokulimala okuphindaphindiwe noma izifo ezingapheli ezifana nesifo sofuba esingapheli, le nqubo iphazamisekile. Ekugcineni, isibindi sehluleka ukusebenza ngokuphumelelayo futhi ukuhlukana kuqala ukuqala.
Izimbangela ze-cirrhosis ziyizo zonke ezibangelwa ukushisa kwesibindi, kepha kunqobe ikhono lesibindi ukuziphilisa, njengokuthi ukuhlambalaza isibindi kuphindaphindiwe noma njengokungenwa kwezifo ezingapheli. Izimbangela ezivame kakhulu e-United States zihlanganisa izifo zesibindi sohlobo oludakayo nesifo sohlobo lwe-hepatitis C.
I-cirrhosis ingase ibangelwe nezimo ngaphandle kwe-hepatitis engenayo i-hemochromatosis (isifo esiyingozi ngokweqile ye-iron,) i-alpha-1-antitrypsin ukuntuleka, ukungabi nhlobo kwe-enzyme, nokuvinjelwa kwamakhelwane, njenge-congenital biliary atresia (lapho i-bile ducts azikho.)
Njengoba i-cirrhosis ikhula, umsebenzi wesibindi ulahlekile futhi, ngesikhathi esisodwa, isitho sincane futhi siqinisa. Uma unesibindi esingenampilo, uketshezi luqoqa emilenzeni nasesisu. Amanoni amakhekhe angakha kalula esikhumbeni angabangela i-jaundice futhi ithole. Ukweqa okuvela emithanjeni emikhulu yepheshana lakho le-GI nakho kungenzeka. Amakhomikhali angabuye aqoqe egazini okungabangela ukudideka nokuncipha kwengqondo. Kulabo bantu abane-cirrhosis ephakeme, okuwukuphela kweqiniso, okuphelele, ukwelashwa kwalesi sifo ukufakelwa kwesibindi . Ngeshwa, kunezinkinga eziningi ezikhona ze-cirrhosis kuhlanganise nokuhluleka kwesibindi nomdlavuza wesibindi.
I-cirrhosis iyisimo lapho izicubu ezinobindi ezinempilo zishintshwa khona ngezicubu ezingasebenzi. Lesi simo ngokuvamile sivela kubantu abangaboni ukudla kwabo utshwala. Ngokusho kocwaningo, akukho ukwelashwa kokwelashwa kwe-cirrhosis. Noma kunjalo, ukwelashwa okufanele kuzonciphisa ubunzima bezimpawu futhi kuphuthukise ukuqhubeka kwesifo. Isinyathelo sokuqala okufanele ucabange ngaso ukunciphisa izimpawu ze-cirrhosis ukuyeka ukuphuza utshwala. Uma uqhubeka uphuza utshwala, kungaholela ekulimaleni kwesibindi nokufa ngaphambi kwesikhathi. Ucwaningo olusha lubuka izindlela ezengeziwe zokuvimbela ukuqhuma kwesifo sofuba esibhedlela nesifo se-cirrhosis. Isibonelo, ama-statins anganciphisa ingozi ye-cirrhosis kubantu abanezifo zesibindi. Uma une-hepatitis noma usuqale i-cirrhosis, kubalulekile ukuthola isazi esazi kahle lezi zifundo.
Ukufana Phakathi Kwesifo Sesibindi Ne-Cirrhosis
- Kokubili isifo sofuba nesifo se-cirrhosis yizimo ezibandakanya isibindi esingabangela ukuhlolwa kokusebenza okungavamile kwesibindi kanye nezimpawu zesifo sokukhubazeka kwesibindi.
- Kokubili isifo sofuba nesibindi singabangela umdlavuza wesibindi, ukwehluleka kwesibindi, noma isidingo sokufakelwa kwesibindi.
Umehluko Phakathi Kwesifo Se-Hepatitis ne-Cirrhosis
Kukhona umehluko obalulekile phakathi kwe-hepatitis kanye ne-cirrhosis, yize kungase kubangelwe into efanayo.
- Ukubuyiselwa - Ngokuchazwa (ukushaya) i-cirrhosis ayinakuguqulwa, kanti isibindi se-hepatitis singaguqulwa ngokuphelele kuye ngokuthi imbangela.
- Ukuhlolwa kwegazi - Ama- enzyme e-liver (njenge-AST ne-ALT) avame ukuphakama kakhulu nge-hepatitis, ikakhulukazi i-hepatitis enamandla. Nokho, nge-cirrhosis, okungenani ezinkathini zokuqala, ukuhlolwa komsebenzi wesibindi kungase kube okungavamile nje kuphela.
- Izimo ngaphandle kwe-hepatitis zingadala ku-cirrhosis - Isibonelo, i- hemochromatosis , i-alpha-1-antitrypsin ukuntuleka, nokuningi kungabangela ukujikeleza kwe-cirrhosis.
- Ukwelashwa - Nge-hepatitis, umgomo uvame ukunciphisa lesi sifo, isibonelo, ukuphatha ukutheleleka, ukususa i-hepatitis ehlobene nezidakamizwa ezibangelwa izidakamizwa, noma ukunciphisa isisindo futhi ukwandise umfutho we-metabolism nge-NASH. Nge-cirrhosis, ukwesaba kunomphela futhi akukwazi ukuphathwa. Ngakho-ke, umgomo ukuphatha izimpawu ezihlobene ne-cirrhosis nokuvimbela noma yimuphi ukulimala kwesibindi.
- Izimpawu - I-Portal hypertension (bheka ngenhla) eholela ekutheni i-varophageal varices, i-spleen ekhulisiwe, inani leplatelet eliphansi, nezinga eliphansi leprotheyini egazini (okuholele kwezinye izinkinga) livame kakhulu ne-cirrhosis kune-hepatitis.
Ngaphansi Kokuhlukana Phakathi Kwezifo Ze-Hepatitis Ne-Cirrhosis
Ngezindlela eziningi, i-hepatitis kanye ne-cirrhosis kunezinqubo ezifanayo kodwa ngokuqhubekayo. Ngokujabulisayo, eziningi zezimbangela zokuvuvukala kwesibindi eziholela ku-cirrhosis ziguqulwa ezinkathini zokuqala ngokunakekelwa kahle kwezokwelapha. Isibonelo, ukuyeka ukuphuza kungenza umehluko omkhulu ekudakeni okuhlobene nokuphuza utshwala nokwelashwa kwesifo sofuba esingalapheki C kungasiza ekuvimbeleni i-cirrhosis nezinkinga eziningi ze-cirrhosis. Kutholakale ukuthi ukwelashwa kwesifo sofuba C kungabangela ukuxazulula okungenani okungamaphesenti angama-90 okutheleleka, kodwa abantu abaningi abazi ukuthi banesifo baze bahlakulele isifo se-cirrhosis. Manje kunconywa ukuthi akukhona nje kuphela abantu abanezinkinga zokuphefumula kwesifo sofuba , kodwa futhi noma ubani ozalwa phakathi kuka-1945 no-1965 kufanele ahlole ukuhlolwa kwesifo sofuba .
> Imithombo:
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> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Li, J., Chaung, K., Nguyen, P., Le, A., Hoang, J., noMnu Nguyen. Izinga eliphezulu Lokuthuthukiswa Kwesifo Se-Cirrhosis Esithathelweni Sokugula Okungapheli B (CHB) Iziguli ezinezinsana ezingenaso utshwala (FL). I-Gastroenterology . 2017. 152 (5): I-Suppl 1: S1081-1082.