Nakuba odokotela benamathuluzi amaningana anakho ukusiza ukuxilongwa kwesifo sofuba, amanye asetshenziswa ngaphezu kwamanye, kuye ngezimo ezihlukile zesiguli ngasinye. Kulesi sihloko, sizobe sibuka izivivinyo ezijwayelekile zokuxilongwa nge-hepatitis.
Izimpawu Nezibonakaliso Ze-Hepatitis
Ngokuvamile, udokotela wakho uzobuza imibuzo mayelana nezimpawu zakho njengalokho okukukhathazayo, uma uyiqaphele nokuthi bebuhlungu kanjani.
Uma udokotela wakho esolwa ngesifo sofuba, uyozibuza ngokuqondile mayelana nezimpawu eziwumkhuhlane noma emathunjini. Udokotela uzobe esehlola ukuhlolwa komzimba futhi afune izimpawu ezingase zikhomba imbangela yenkinga efana nesibindi esikhulisiwe noma ukuphuziza kwamehlo noma isikhumba sakho. Ngemuva kokuhlangana nawe, udokotela wakho cishe uzolinga enye yegazi lakho nganoma yiziphi izimpawu zesifo sokukhubazeka kwesibindi noma ukuvuvukala njengama-enzyme yesibindi.
Ukuhlolwa kwe-Enzyme yesibindi
I-enzyme iyiprotheni esiza ekusebenzeni kwamakhemikhali. Kuningi lawa maprotheni emzimbeni enza imisebenzi ehlukene. Isibindi sisebenzisa ezinye zazo ukusiza ngemisebenzi yaso ebalulekile, njengokukwakhiwa kwezinto, ukudiliza izinto nokulahla imikhiqizo ehlukene yemfucuza.
Ngokuvamile isibindi sigcina ukulawula okuqinile kwama-enzyme, kodwa uma isibindi sonakalisiwe, lezi zinkimbinkimbi zingaphumelela egazini. Izivivinyo zinganquma ukuthi lezi zinzyme zisegazini bese zitshela ukuthi ziningi kangakanani.
Ama-enzymes amathathu ajwayelekile kakhulu odokotela asebenzisa ukuhlola ukulimala kwesibindi yi-alanine aminotransaminase (ALT), i-aspartate aminotransferase (AST), ne-gamma-glutamyl transaminase (GGT).
Ukuvivinya ama-enzyme ye-foie ephakeme kuyindlela enhle, kodwa kunomphumela omkhulu. Ngenkathi ama-enzyme yesibindi angabonisa uma kukhona ukulimala kwesibindi, abakwazi ukudalula imbangela yomonakalo.
Uma udokotela wakho esola imbangela yegciwane, uzobe eyala ukuhlolwa okuhlukile kwegazi okubheka ama-antibodies ethize.
I-Antibody ivivinya
Isivikelo somzimba sokuzivikela komzimba senza ama-antibodies aqondene nesigciwane esithile. Ngokushesha nje lapho umzimba uveza ukutheleleka kwegciwane, uqala ukukhiqiza ama-antibodies e- IgM ukuze alwe negciwane elithile. Kamuva, ekupheleni kokutheleleka, umzimba uveza olunye uhlobo lwe-antibody olubizwa nge-IgG. Lokhu, futhi, kuyinto ecacile igciwane kodwa inikeza ukuzivikela okuzayo. Odokotela bangahlola i-IgM ne-IgG antibodies eqondene nesifo se-hepatitis A noma i- hepatitis B. Nge- hepatitis C , lesi simiso sinjalo kodwa odokotela bahlola ama-antibodies ahlukene.
Izinyathelo Eziqondile Zengculazi
Ama-antibodies uma ekhomba ubufakazi bokuthi i-hepatitis ye-viral, i-polymerase chain reaction reaction, noma i- PCR, ukuhlolwa kwe-hepatitis B ne-hepatitis C kungathunyelwa okuyizinyathelo eziqondile zegciwane egazini.
Izivivinyo ezithuthukisiwe
Ngokuvamile, ukuxilongwa kwesifo sofuba kwenziwa ngokusebenzisa ukuhlanganiswa kokuhlolwa kokuhlola. Ukuhlolwa okuphambili kungase kuhlanganise nokusebenzisa ubuchwepheshe bokucabanga njenge-ultrasound, ukucubungula kwe-axial tomography (CT) yekhompuyutha noma ukucabanga kwe-resonance magnetic (MRI), noma i-biopsy yesibindi, lapho udokotela esusa khona ingxenye encane yesibindi futhi ayithumele ebhokisatri ukuze aqhubeke ukuhlolwa.