Uhlolo Olubanzi Lwezibonakaliso Ze-Hepatitis
Enye yezinto eziphazamisayo kakhulu mayelana nokutheleleka kwesifo sofuba-ikakhulukazi ukutheleleka kwesandulela ngculazi - yilokho izimpawu zingahle zivela kuzo zonke izifo ezincane, ukuguquka komkhuhlane ukuya esimweni esithuthuka kancane, esesongela ukuphila. Eqinisweni, ezimweni eziningi, ngeke kube khona izibonakaliso noma izimpawu zanoma yiluphi uhlobo, kanti igciwane lihlanza ngaphandle komzimba ngaphandle kobufakazi (noma nokuqaphela) ukuthi ukutheleleka kwenzekile.
Kodwa-ke, kulabo abathola izibonakaliso zesifo sofuba, kunezinye ezingase zibhekwe ngokuthi "zakudala," ikakhulukazi ezinyathelweni zokuqala zokutheleleka. Ukuze siqonde kangcono izizathu zalokhu, kudingeka siqale ukuhlukanisa phakathi kokubizwa ngokuthi ukutheleleka okunamandla nokutheleleka okungapheli isikhathi eside .
Izimpawu Zesifo Se-Hepatitis Esiyingozi
Ngaphakathi kwesifo se-hepatitis yegciwane, ukutheleleka okunzima kungachazwa njengomuntu owodwa wokuzivimbela.
Iqala ngokuzumayo ngenxa yempendulo yomzimba egazini futhi iyozixazulula ngokwayo.
Izimpawu zesifo sofuba esibhekene nesifo sofuba, lapho sikhona, sizoqala ukuvela ngemuva nje kokugubha isikhala ngesikhathi se- prodromal- lapho igciwane seliqale ngokuphindaphindiwe futhi lisakaze emasethini esibindi (okuthiwa i-hepatocytes). Ekukhuliseni ukuzivikela komzimba, umzimba uzothola impendulo yokuvuvukala ukuze kutholakale igciwane. Le mpendulo, evame ukuqina, ingabonakalisa ngezimpawu ezifana nalokho okhuhlane, kuhambisane nezibonakaliso ezithinta ukutheleleka kwamathumbu noma kwesibindi, kufaka phakathi:
- Ukukhathala okujwayelekile noma ukukhathala
- Ubuhlungu besisu ( myalgia )
- Ubuhlungu obuhlangene (i- arthralgia )
- Izinwele
- Fever
- I-nausea
- Ukuvota
- Ukulahlekelwa kwesifiso
- Ubuhlungu engxenyeni engakwesokudla kwesisu (ngokuvamile buthaka kodwa njalo)
- Ama-red, aphakanyisiwe (okuvame ukubonwa nge- hepatitis B )
- Izinguquko endleleni izinto ezizwakala ngayo noma ukuhogela (abokubhema bazovame ukuthuthukisa ukuphazamiseka okungazelelwe kwagwayi)
Ezinsukwini eziningana zalezi zibonakaliso zokuqala-ngesikhathi esibizwa ngokuthi isitechemic esiteji -ukutheleleka okuqhubekayo kuzosusa ukwakheka kwe-compound ebizwa nge- bilirubin . I-Bilirubin iyi-pigment e-orange-yellow ekhishwa lapho isibindi siphula phansi amangqamuzana egazi abomvu asele, abese efihlwa nge-bile digestive emanzini (izitokisi).
Ngesikhathi sokutheleleka kwesifo sofuba, i-bilirubin ingakwazi ukuqoqa ngokushesha emzimbeni, ibonakale ngezibonakaliso ezinjalo "zokutshela" njenge-hepatitis njenge:
- I-jaundice (i-yellowing yesikhumba namehlo)
- I-choluria (ubumnyama bomchamo, obangelwa ngokweqile kwe-bile emcinini)
- Izitshalo zamapale noma zobumba (obangelwa ukunciphisa i-bile emanzini)
Ngokuvamile izimpawu ziba nzima kakhulu (mhlawumbe, ngaphandle kwesifo sofuba D lapho ukulimala kakhudlwana kwesibindi kuvame kakhulu), nakuba ukukhathala kungaphikelela amasonto futhi, kwezinye izimo, ngisho nezinyanga.
Ezimweni eziningi, noma kunjalo, izimpawu ezinzima zixazulula cishe emavikini amane kuya kwangu-8.
Kwezinye izinhlobo ze-hepatitis ye-viral, okuyi- hepatitis A , izimpawu ngeke ziqhubekele phambili ngaphandle kwesigaba esibucayi. Kwezinye izinhlobo, noma kunjalo, ukutheleleka okunzima kuzosula ngokuzenzakalelayo, kungashiyi izinambuzane zofuzo noma kuphi, noma ukuphikelela kulokho esikubiza ngokuthi ukutheleleka okungapheli.
Izimpawu Ze-Hepatitis Ezingapheliyo
Ukutheleleka kwesifo sofuba esingapheli yilapho igciwane lingacacisi ngokuzenzakalelayo kepha liqhubeke liphindaphindiwe, ngokuvamile "ngokuthula" ngaphandle komuntu ngisho nokukwazi. Kuye ngohlobo lwe-viral, ukutheleleka okungapheli kungaphikelela iminyaka ngisho namashumi eminyaka ngaphambi kokuba kube khona izimpawu zokugula ezibonakalayo. Ezimweni eziningi, lesi sifo ngeke sithuthuke.
Uma i-hepatocyte ikalé ngesikhathi isifo esithathelwanayo, isimiso somzimba sokuzivikela samasosha sizokwenza impendulo yokuvuvukala ekhuthaza ukukhiqizwa kwe-collagen nezinye izinto. Lezi zinto, okuhloswe ngazo ukuqinisa ukwakhiwa kwangaphakathi kwesibindi, kancane kancane ziqala ukwakha ngokushesha kunokuba umzimba ungabhidliza.
Ngokuhamba kwesikhathi, le nqubo ibangele ukuqoqwa kwezicubu ezibomvu, okubizwa ngokuthi i- fibrosis .
I-Fibrosis ayiqhubeki ngesilinganiso esifanayo kubo bonke abantu, futhi, kwezinye izimo, ingahlala igxilile noma ibuye ivuselele isikhathi. I-Fibrosis ijwayele ukuqhubekela phambili ngokushesha emadodeni kunabesifazane kanye nabantu abangaphezu kweminyaka engama-50 noma labo abaphuza ngokweqile noma abakhuluphele kakhulu .
Kwamanye, i-fibrosis ingathuthukela esimweni esibizwa ngokuthi i-cirrhosis, lapho kunzima kakhulu ukuvimbela ukuhlinzeka ngegazi, ngaleyo ndlela kuphazamise umsebenzi ojwayelekile. Izimpawu ze-cirrhosis zingashintsha, kuye ngokuthi isigaba sokuqhubekela phambili. Ezimweni lapho isibindi sisasebenza khona ngokulimala okuncane okulinganiselwe, lesi sifo sizohlukaniswa njenge- cirrhosis ekhokhelwa. Uma umonakalo ukhululekile futhi isibindi sibhekwa njengokungasebenzi, udokotela uzokuchaza lokhu njenge- cirrhosis ekhokhelwayo.
I-cirrhosis ehlawulisiwe ijwayele ukubonakalisa ngezimbalwa, uma zikhona, izimpawu. Uma bekhona, bavame ukukhubazeka futhi ngokuvamile kunzima ukunikeza izifo zesibindi zodwa.
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I-Hepatitis ithinta kanjani ama-enzyme wokugaya umzimba?
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I-Anatomy System ye-digestive yezinkinga zezempilo ezibangelwa yisifo sofuba
Izimpawu ezinokwenzeka zihlanganisa:
- Ukukhathazeka okuqhubekayo noma ukukhathala
- Ukuphazamiseka engxenyeni engenhla kwesisu
- I-nausea
- Ubuhlungu obuhlangene noma obunamahloni
- I-tingling engavamile noma inzwa evuthayo (i-paresthesia)
- Ukungazweli "izikhonkwane-nezinaliti" inzwa (i-peripheral neuropathy)
- Amehlo anomile ahambisana nomlomo owomile (sicca syndrome)
- Izinambuzane ze-spider, ikakhulukazi esihlalweni nasesibusweni
- Isikhumba esinamahloni (pruritus)
- Ukubomvu ezintendeni zezandla (i-erythema yesundu)
- Ukulimala kalula noma ukuphuma okungavamile (variceal bleeding)
- Ukwakha-up of fluid emaqenjini nasezinyaweni (i- edema )
- Ukuhlushwa okuncane nokukhumbula
- Ukulahlekelwa kwesifiso
- Ukulahlekelwa kwesisindo
- Amathemikhali ahlazayo (atrophy testicular)
- Ukuhlukumeza kwe-Erectile noma ukulahlekelwa kwe-libido
- Ukungahambisani nokuphuza utshwala.
I-cirrhosis ehlukunyeziwe, ngokuphambene, ngokuvamile inikeza ngezibonakaliso eziningi ezihlukahlukene ngenxa yomphumela wokuhluleka kwesibindi, ukuwohloka njengoba lesi sifo siqhubeka. Izimpawu zingafaka:
- I-Jaundice
- Izitebe zokulinda noma zamanzi
- Ukwakheka kohlobo lwamanzi emgodini wesisu, okwenza ukuvuvukala nokuphazamiseka (ascites)
- A "sweet-musty" ehlukile "eqanda elibolile" iphunga lokuphefumula
- Ukulimaza ngokweqile noma ukuphuma
- Ukukhishwa komchamo ngokungavamile
- Ukushintsha komuntu, ukudideka, noma ukuthuthumela
- Ukulala ngokwanele
- Ukuhlukumeza ama-muscle
- Ukuchithwa okumhlophe noma "izindawo zobisi" ezipikili (leukonychia)
- Ukuvuthwa kwegazi
I-cirrhosis ehlukumeziwe ihlukaniswa njengesifo sesibindi sesiphetho. Ukufakelwa kwesibindi kubhekwa njengendlela yokwenza ukwelashwa kuphela.
I-hepatocellular carcinoma (i-HCC) uhlobo lomdlavuza wesibindi olwenzeka cishe kuphela ngokubambisana ne-cirrhosis kwiziguli ezine-hepatitis B noma i- hepatitis C. Izimpawu ze-HCC zifana nalezo ze-cirrhosis ezithintekayo futhi zingabandakanya:
- Ukukhathala okuqhubekayo
- I-Jaundice
- Ukwakhiwa kwamanzi abilayo emgodini wesisu (ascites)
- Ukulimaza okungavamile nokuphuma kwegazi
- Unintentional, ukulahlekelwa isisindo ngokweqile
- Ukulahlekelwa kwesifiso
- Ukuzwa ugcwele ngemuva kokudla kuphela imali encane
- I-Delirium, ukudideka, noma ukunyakaza kwe-muscle "okugubha"
Njengesifo se-cirrhosis esiphelile, i-HCC nayo ibhekwa njengesifo sesibindi sokugcina.
> Umthombo:
> Isikhungo seNational Diabetes and Digestive and Kidney Diseases (NIDDK). "I-Hepatitis Viral: A nge E and Beyond." I-Bethesda, e-Maryland; Agasti 20, 2016.