Ukuhlupheka kunoma yiluphi uhlobo lokugula kungabangela ukukhathazeka ngezinye izikhathi. Kunezinto eziningi ongakwazi ukuzenza noma ezingavunyelwe ngenxa ye-conundrum yakho. Ngokwesibonelo, ukumane nje ukuba nomkhuhlane kukuvimbela ekucabangeni ngqo nasekusebenzeni ngamandla. Ngakho-ke ingabe uzothola umthwalo omkhulu kangakanani uma ungumuntu obhekene nesifo esibulalayo nesifo esingapheli njengesifo sofuba noma isifo sofuba?
Lezi zifo zithatha isikhathi sokuphulukisa, ngakho-ke kufanele ulahle ezinye izinto ozijwayele ukuzenza.
I-hepatitis ne- high blood pressure yizifo ezimbili ezijwayelekile ezibathinta abantu emhlabeni wonke. Abantu ababhekene nalezi zinkinga kufanele bahlale benomsoco kanye nemithi yabo ukuze bakwazi ukubhekana nalezi zifo. Ukunganaki kuyoholela kuphela lezi zifo ukuba zihlale zingapheli noma, ngisho nakakhulu, ukuba zithathele impilo yazo ngokuphelele.
Kuyini Ukushisa Kwesifo?
Ngokwamazwi omuntu, i-hepatitis iyisifo esivamile sesibindi esivela ku- hepatitis A kuya ku-E, i-A, B, i-C eyona ejwayelekile kunazo zonke ezinhlanu, kuyilapho ngokwesayensi, isifo sofuba sibonakala njengesimo lapho kukhona ukuvuvukala kwesibindi ngenxa ukutholakala kwamangqamuzana okuvuvukala emathisini esibindi. Lesi simo singenzeka ngaphandle noma ngezibonakaliso ezinzima. Ngenxa yezibonakaliso ezinzima, ungathola ukukhathala okungazelelwe, ukugoba okuhlangene noma kumisipha, umkhuhlane omncane, ukuhlanza nokuhlanza isisu, ubuhlungu besisu, nokufelwa kokudla.
Emhlabeni jikelele, uhlobo olujwayelekile kakhulu lokudlulisa igciwane lesandulela ngculaza lungomunye umuntu oxhumana naye ngokocansi. Eminye imithombo ingafaka ukungenisa izinto eziyingozi-ikakhulukazi utshwala, imithi ejwayelekile efana ne- acetaminophen , i-solvents ehlanjululwayo ngokwezentuthuko kanye nezifo ezizimele. Icala le-hepatitis kuthiwa lilukhuni uma lithatha izinyanga ezingaphansi kwezingu-6 ngenkathi kuthiwa lihlala lingelapheki lapho lesi sifo sikhona kumuntu isikhathi esingaphezu kwezinyanga eziyisithupha.
Uma kunjalo, ukushisa kwesibindi kungaholela ku-fibrosis noma ku-scarring ne-cirrhosis.
Kuyini ukucindezeleka komzimba?
Ukucindezeleka komfutho wegazi noma ukucindezeleka kwegazi, futhi ngezinye izikhathi okubizwa ngokuthi i-blood pressure, ingumkhuhlane lapho umuntu engabonisi ukucindezeleka kwegazi okuvamile. Lokhu kwenzeka uma izinga le-cholesterol emzimbeni linyuka kusuka ekufundeni okujwayelekile. Ukuqonda okuvamile ukuthi isiguli esinesifo sofuba (esinezifo zesibindi) asinandaba noma asikhathaleli ukudla abadlayo. Ukudla okugculisiwe, amafutha asetshenzisiwe, ama-trans-fat, noma yikuphi amafutha angenampilo aphakathi kwamafomu amafutha ahlobene ne-hypertension. Omunye umcabango okufanele ucatshangelwe ukuthi abantu ngeke bahlukanise ukudla kwabo nomsebenzi wabo wenyama.
Iyini i-cirrhosis nokuthi ihlobene kanjani ne-hypertension?
I-cirrhosis , evame ukubizwa ngokuthi i- hepatitis C , ivela lapho izicubu zesibindi zikhuni. Kulo lonke uchungechunge lokuqina nobunzima, amasosha omzimba anenendima enkulu kakhulu. Ngisho noma kusiza ukuvimbela ukulimala kwesifo, kuyashesha futhi inqubo yokuqeda. I-cirrhosis ishintsha futhi izibazi isakhiwo esijwayelekile sesibindi. Ekugcineni, lokhu kuzokwenza buthaka kakhulu isibindi sesibindi ukusebenza kahle.
I-cirrhosis ingahle ibekwe ngokuthi "ididekile" noma ihlawuliswe. Yize isibindi singakwazi ukuqhubeka senza imisebenzi yaso yonke naphezu kokulahlekelwa kwesakhiwo sayo, sibheka "isifo se-cirrhosis," okusho ukuthi isibindi sakho singakwazi ukukhokhela umonakalo ngokukhuphula umkhiqizo noma ngezinye izindlela. Uma kwenzeka ukusebenza okuvamile kwesibindi kuphazamiseka kakhulu ngenxa yokulimala kwesakhiwo, "i-cirrhosis ephuculisiwe" yenzeka. Kulesi sigaba, esinye sezibonakaliso ezinzima kakhulu "ingozi yokugonywa kwegazi."
Lolu hlobo lwe-hypertension lwenzeka uma igazi lingasakwazi ukugeleza kahle esibindi futhi kunengcindezi engaphezulu emzimbeni wesango oqondiswe esithombeni.
I-hypertension yama-portal ingabhekiswa yizifo eziningi, kodwa ezivame kakhulu zazo ziyizifo ezithathelwana nge-hepatitis B no-C. Yilokho okubili (ukucindezeleka kwegazi eliphezulu nesifo sofuba) kuxhunyaniswa ndawonye.
Izigaba ezinzima kokubili kwesifo sofuba nesifo somfutho wegazi ophezulu zingasetshenziswa kalula futhi zingaphumelela ngokusebenzisa imithi. Uma lezi zidakamizwa zishiywa indiva, izigaba ezingapheli zalesi sifo zingabonakala. Lokho kuzoholela ekulimazeni kwezinqubo ezivamile zomzimba wakho. Kungathinta ezinye zezitho zakho ezinkulu emzimbeni, futhi, ngenxa yalokho, kubangelwa kwezinye izindaba eziphathelene nempilo.
Imicabango yokuvala
Uma unesifo sofuba nesifo sofuba ngokweqile, kufanele uthathe izinyathelo zokuqapha ezidingekayo ukuze ugweme izinkinga ezimbi. Akekho owazi umzimba wakho ngaphezu kwakho, ngakho qaphela impilo yakho. Uma uzizwa ungalindelekile njengesiguli se-hepatitis, futhi imithi engaphezu kwe-counter-ayibalulekile, kufanele uthintane nodokotela wakho. Ukuze ugweme ukubhebhetheka kwesifo sakho se-hepatitis, ukubonisana nodokotela kuneluleka kakhulu kuwo wonke umuntu. Ehlangothini olucacile lwezinto: ukugwema ukuthola noma yikuphi izifo zesibindi nxazonke, ukubuka nokuphila ngendlela enempilo.
Imithombo:
U-Henriksen JH, u-Fuglsang S, uBendtsen F, uMoller S. Hypertension Arterial in Cirrhosis: Ukuvumelana Nokuvumelana, I-Volume Distribution, ne-Central HH aemodynamics. Gut. 2006 Mar; 55 (3): 380-7.
I-Fontana RJ, uSanyal AJ, Mehta S, Doherty MC, Neuschwander-Tetri BA, Everson GT, Kahn JA, Malet PF, Sheikh MY, Chung RT, Ghany MG, Gretch DR. I-Portal Hypertensive Gastropathy In Chronic Hepatitis C Iziguli Eziphethe I-Bridging Fibrosis ne-Cirrhosis Ekhokhelwa: Imiphumela Kusukela ku-Trial HALT-C. Am J Gastroenterol. 2006 May; 101 (5): 983-92.