Ukudla okunempilo kunganciphisa ingozi yakho ye-NAFLD
Izifo ezingezona ezidakayo ezinobuthi, noma i-NAFLD, ziyanda e-United States ngenxa yokwanda okukhulu kwezinga lokukhuluphala ngokweqile eminyakeni engamashumi amathathu edlule. Emazweni athuthukile, amaphesenti angama-20 kuya kwangu-40 abantu abaningi anezifo ezithile zezifo zesibindi kanye namathuba okukhula okwenyukayo.
Ngokuqashelwa ngokomthetho njengesifo ekuqaleni kwawo-1980, isifo sesibindi esingenalo utshwala sihlupha umphakathi wezokwelapha.
Iziguli ezinesifo sikashukela nesifo sikashukela zinezinyimba ezinamandla zesibindi kanye nezimbisi ezikhulisiwe cishe ezifana nalabo ababonakala baboniswa utshwala, kodwa iningi lazo liphikelela ukuthi abaphuzi ngokweqile.
Umsebenzi Wezingqinamba Zezinso
Isibindi isakhi sakho sangaphakathi esikhulu kakhulu. Yenza amakhulu wemisebenzi kufaka:
- ukucubungula konke okudlayo nokuphuza
- ukudonsa amakhemikhali egazini lakho
- ukulwa nokutheleleka
- ukulawula amazinga kashukela egazini
- esiza ukwakha ama-hormone namaprotheni
Izimpawu
Isibindi ngokuvamile sinesisindo esingamakhilogremu amathathu. Uma amaphesenti angama-5 kuya ku-10 wesisindo sakho sebindi sinamafutha, unesifo "sesibindi esinamafutha." Nakuba amafutha amaningi e-fover, noma ama-steatosis, angabangeli izinkinga kwabanye, angabangela izimpawu zokukhubazeka kwesibindi, okufaka:
- ukukhathala
- isiyaluyalu
- ubuhlungu besisu
- ukuphuziza isikhumba noma amehlo (njenge-jaundice)
Ukuvuvukala okubangela ukulimala kuyisibonakaliso esiphawulekayo sokulimala kwesibindi emzimbeni wesibindi esingasetshenziselwa izidakamizwa, okungaholela ekubhubhiseni.
Uma ulimaza isibindi sakho, umzimba wakho ubeka phansi i-collagen ukuze uyilungise. I-Fibrosis noma ukuqina kwezicubu zesibindi bese kuqhubeka.
Njengoba isifo sesibindi esingenalo utshwala siqhubeka, cishe amaphesenti angu-10 amacala azokhula eminyakeni eyishumi ezayo ibe yi-NASH engathà sina noma i-steatohepatitis engavamile.
I-NASH ingaholela ku:
- i-cirrhosis noma ukuqina kwesibindi
- ukwehluleka kwesibindi
- umdlavuza wesibindi
- ukufa
Ukuxilongwa
Ukuxilongwa okunembile kwesifo sobindi okungewona utshwala yisinyathelo sokuqala sokwelapha lokhu, ngezinye izikhathi, isimo sempilo esibi kakhulu. Udokotela wakho uzovame ukuxilonga isifo sesibindi se-fat by:
- ukulawula ukuhlolwa ukuthola izinyimba ezinamandla zesibindi
- iyala i-ultrasound ukuthi inqume ukuthi unesibindi esandisiwe
- ukwenza i-biopsy yesibindi ukucacisa ukuthi unayo yini i-NASH noma isibindi esinamafutha alula
Izingozi Zezingozi
Nakuba izimbangela eziqondile ze-NAFLD aziwa, iziguli zinezimo ezithile ezikhona ngaphambili, kuhlanganise:
- ukukhuluphala
- uhlobo lwesifo sikashukela sesi-2
- ube nokuxilongwa kwe-syndrome ye-metabolic
Ngaphezu kwalokho, ukuqina kwe-NAFLD kwanda ngezinga lokukhuluphala, futhi amafutha esiswini noma esiswini kubonakala sengathi ukwandisa ingozi ye-NASH eyingozi, ngisho neziguli ezine-mass mass Index (BMI) ebangeni elivamile.
Ukucabangela kokudla
Okudlayo kanye nokudla okunikezayo kunomthelela ekwenzeni, ukuqhubeka, nokuphathwa kwe-NAFLD. Izinto zokudla ezikhuphula ingozi yakho zihlanganisa ukudla:
- ukudla okuphezulu kwekhalori
- ukudla okunomsoco wamafutha (i-trans)
- amaprotheni amaningi kakhulu avela emithonjeni yezilwane, okuholela ekudleni okukhulu kwamafutha agcwele kanye ne-cholesterol
- iziphuzo eziningi kakhulu eziphethwe yi-fructose high isiraphu yamabele
Izinto zokudla ezinciphisa ingozi ye-NAFLD zihlanganisa:
- ukudla amakholori ambalwa
- bedla amaprotheni kusuka emasimini noma emifino yemifino, esikhundleni sokudla nokudla
- ukulahlekelwa ngamaphesenti angu-3 ukuya kwangu-10 we-bodyweight yakho
- engeza i-fiber, itiye elihlaza, nekhofi ekudleni kwakho
Imithombo:
U-Angulo, uPaul, noLindor, uKeith. Izidakamizwa ezingezona utshwala ezinobuthi. Journal of Gastroenterology and Hepatology (2002) 17 (Suppl.) S186-S190.
Isifo Sezinsana Zamafutha. Iphepha le-Canadian Liver Foundation Information Public. Kufinyelelwe ngoDisemba 10, 2012.
I-Lazo, et al. "Izifo ezingenaso utshwala nezifo zokufa kwesibindi phakathi kwabantu abadala base-United States: ukutadisha amaqembu amaningi." BMJ. 2011 Nov 18; 343: d6891.
ULudwig, et al. I-nonalcoholic steatohepatitis: Okuhlangenwe nakho kweMayo Clinic ngesifo esingakaze sabizwa. I-Mayo Clin Proc 1980; 55: 434-8.
Izidakamizwa ezingezona utshwala ezinobuthi (NAFLD). I-American Liver Foundation Information Information Sheet. Kufinyelelwe ngoDisemba 10, 2012.
I-Nonalcoholic Steatohepatitis. Umnyango WezeMpilo WezeMpilo kanye Nemisebenzi Yomphakathi yase-US. Ifinyelele ngomhla kaDisemba 7, 2012.