Izinhlobo eziningana ezijwayelekile zemithi kanye nezithako ezihlobene nazo zihlobene nokulimala kwesibindi
Isibindi yilona isitho esikhulu kakhulu emzimbeni, futhi sidlala indima ebalulekile. Eqinisweni, umsebenzi wayo ubaluleke kakhulu kangangokuba ngaphandle kwalo, umzimba uzofa phakathi nosuku. Isibindi sisebenza njengesitshalo sokucubungula izakhi ezitholakala ekudleni kanye nesikhungo sokuxoshwa kwemithi.
Isibindi siyindlela yokuqala yokuzivikela ngokumelene ne-toxin engena emzimbeni: ibasusa egazini ngaphambi kokuba ifike kwezinye izitho futhi ibe yingozi.
Lokhu akusho ukuthi isibindi sikwazi ukucubungula i-toxin ngaphandle kwemiphumela emibi; ezinye izinto zizolimaza nesibindi futhi. Ezimweni ezingavamile kuphela ukuthi ukusebenzisa isikhathi eside imithi kubangelwa ukushisa kwesibindi noma ukulimala kwesibindi esingapheli. Kodwa-ke, kukhona imithi kanye nezithako zokuthi lapho kuthathwa yedwa, noma ixutshwe neminye imithi noma izinto, kungabangela ukulimala kwesibindi.
Ukuqaphela Ukulimala Kwebindi Emithonjeni
Ukulimala kwesibindi ekusetshenzisweni noma ukusebenzisa ngokweqile imithi noma izithako kungase kube yinselele ekutholeni. Ngokuvamile imbangela yesifo sesibindi esibangelwa izidakamizwa ibonakala kakhulu odokotela, kodwa kwezinye izimo, ezinye izimbangela zesifo sebindi, njenge- hepatitis , umdlavuza , isifo somzimba, noma isifo se-vascular, kungadingeka ukuba kukhishwe kuqala. Imithi noma ukwesekwa okusolakala ukuthi imbangela yesibindi sesibindi kuyodingeka imiswe ukuze kuqinisekiswe ukuxilongwa.
Izimpawu
Izimpawu nezimpawu zokulimala kwesibindi noma ukulimala kwemithi kufanele kuthathwe ngokungathí sina futhi uphenyo ngokushesha.
Lokhu kufaka:
- Ubuhlungu besisu nokuvuvukala
- Ukukhathazeka noma ukudideka
- Fever
- I-Jaundice (amehlo aphuzi nesikhumba, umchamo omnyama)
- I-nausea nokuhlanza
- Ukukhathala okukhulu noma ukulala
Imithi eyaziwa ukuthi ibangele ukulimala kwesibindi
Imithi ehlotshaniswa nokudala ukulimala kwesibindi ihlanganisa:
I-Acetaminophen : Lokhu kunciphisa ubuhlungu obukhulu kakhulu (amanye amagama omuthi ahlanganisa iTylenol ne-Excedrin) atholakala emilinini eminingi yomlomo ehlukene kanye nama-creams namafutha okuphumula okusizwa ubuhlungu be-muscle.
Iqiniso lokuthi liqukethe imikhiqizo eminingi kakhulu liphakamisa ingozi yokudlula ngokweqile nokulimala kwesibindi. Ukuthatha noma ukusebenzisa izidakamizwa ezingaphezu kweyodwa noma izidakamizwa ezinomuthi eziqukethe i-acetaminophen ngaphandle kokuqondiswa udokotela akunconywa, ngenxa yobungozi bokudakwa. Ukuphuza utshwala njalo uma uthatha i-acetaminophen kungandisa futhi umonakalo wokulimala kwesibindi.
Ama-anticonvulsants: Izidakamizwa ezisetshenziselwa ukwelapha isifo sofuba (kuhlanganise i-phenytoin, i-valproate, i-carbamazepine) nazo zihlotshaniswa nokulimala kwesibindi esibangwa izidakamizwa. Kodwa-ke, ngoba lezi zidakamizwa zisetshenziselwa ukuvimbela ukuwayeka, ingozi yokulimala kwesibindi ngokuvamile ibhekwa ukuthi ikhululekile yizinzuzo zokulawula izimpawu zesithuthwane.
Ama-antibiotics : Ama-antibiotics asetshenziselwa ukuphatha izifo, mhlawumbe ukuthi kungani imbangela ebangela ukulimala kwesibindi. Ezimweni eziningi umonakalo ubumnene, futhi izinto ezibeka ingozi zihlanganisa nokuba ngowesilisa, ukudala, ezinezinye izifo nezimo, nokulimala kwesibindi kusuka kwenye i-antibiotic.
I-Antituberculosis Izidakamizwa (Ama-Antibiotics): Imithi esetshenziselwa ukwelapha isifo sofuba (kuhlanganise i-isoniazid ne-rifampin) nayo itholakale ukuthi iyimbangela yokulimala kwesibindi esiswini.
Abantu abasebenzisa lezi zidakamizwa bavame ukuhlolwa ukuze baqinisekise ukuthi ama-enzyme e-isibindi ayaphumi ebangeni elivamile.
I-Methyldopa: Le mithi, esetshenziselwa ukwelapha umfutho wegazi ophakeme (umfutho wegazi ophezulu) , uyaziwa ukuthi ubangele ukulimala kwesibindi kwezinye izimo. Ama-anti-hypertensive asebenzayo aphephile futhi aphephile ayenayo, okuye kwaholela ekunciphiseni ukusetshenziswa kwalesi sidakamizwa. Ngokuvamile akunconywa ukuthi kusetshenziswe iziguli ezaziwa kakade ukuthi zinesifo senhliziyo.
Izitatimende : Lezi zidakamizwa, ezisetshenziselwa ukwelapha i- cholesterol ephezulu , zijwayele kakhulu, futhi ziyaziwa ukuthi zibangela amazinga e-enzyme ephakeme kwesibindi kwabanye abantu.
Ngokuvamile, inkinga iyaziphendulela lapho isidakamizwa simisiwe, futhi umonakalo awuhlali unomphela.
I-Vitamin A: Ngisho nemithi yokondliwa iyaziwa ngenxa yokulimala kwesibindi, kubandakanya i-vitamin A (acitretin, etretinate, isotretinoin ). Uma isetshenziselwa izikhathi ezingaphezu kuka-100 isabelo sokunconywa nsuku zonke, i-vitamin A ingabangela ukulimala kwesibindi. Lezi zidakamizwa ngezinye izikhathi zisetshenziselwa ukuphatha i- psoriasis noma i-acne eqinile.
I-Niacin : Leli fomu lamavithamini B lisetshenziselwa ukwelapha i-cholesterol ephezulu. Kungabangela amazinga e-enzyme yesibindi noma ukulimala kwesibindi ngamanani aphezulu (izikhathi eziningi umthamo wansuku zonke ophakanyisiwe) kwabanye abantu. Le mithi ivame ukuqala ngomthamo ophansi bese ikhula ngokuhamba kwesikhathi ukuze isibindi singabhekwa.
Kubalulekile ukuqaphela ukuthi ezinye izidakamizwa noma izithako ezingaphezu kwamalitha ezingabhalwanga lapha zingabangela nokuphakama kunamazinga e-enzyme yesibindi noma kubangele ukulimala kwesibindi.
Amathiphu Okugwema Ukulimala Kwebindi KuMithi
Kwezinye izimo, ukulimala kwesibindi kusuka emithini kanye nezithako kuyagwenywa. Qaphela ukuqonda izingozi ezingase zibe khona zemithi oyithathayo, ngisho nalapho echazwe udokotela.
Sebenzisa lawa macebiso ukuze usize ukugwema ukulimala kwesibindi esibangwa yizidakamizwa.
- Thatha imithi kanye nezithako kuphela (ngisho nalabo "abanokwemvelo") uma kudingeka ngempela.
- Ungathathi okungaphezu kwenani eliphakanyisiwe lanoma yimiphi imithi.
- Qinisekisa ukuthi bonke odokotela bakho bayayazi yonke imithi oyithathayo, ikakhulukazi labo abashiwo abanye odokotela, noma ama-vitamins ozithatha owodwa.
- Qaphela ukufunda amalebula ukuqinisekisa ukuthi awuthathi imithi engaphezu kweyodwa, ukhilimu, noma amafutha anesitokisi esine-acetaminophen ngesikhathi.
- Tshela bonke odokotela bakho uma unayo, noma unayo, isifo sesibindi noma umonakalo. Abantu abane-cirrhosis kufanele baphathwe yi-hepatologist (isazi sebindi).
Imithombo:
Amathieu R, Levesque E, Merle JC, et al. "Ukuhluleka kwesibindi esinamandla esiyingozi kakhulu: i-etiology kanye nokwelashwa." U-Ann Fr Anesth Reanim. 2013 Jun; 32: 416-21. i-doi: 10.1016 / j.annfar.2013.03.004. Epub 2013 Meyi 14. 4 Jun 2015.
I-American Liver Foundation. "Ukuphatha Imithi Yakho." I-LiverFoundation.org. 14 Jan 2015. 05 Jun 2015.
I-Devarbhavi H. "Isibuyekezo Sokulimala Kwezilonda Ezibangelwa Izidakamizwa." J Clin Exp Hepatol. 2012 Sep; 2: 247-259. Ishicilelwe ku-intanethi ngo-2012 Septhemba 21: itholakala: 10.1016 / jakhu 2012.05.002. 05 Juni 2015.