Kodi Fatty Liver imatanthauza chiyani: Zizindikiro ndi malingaliro

Chiwindi chamafuta, chomwe chimadziwikanso kuti hepatic steatosis, ndi matenda ofala kwambiri omwe amakhudza anthu mamiliyoni ambiri padziko lonse lapansi. Amadziwika ndi kudzikundikira kwambiri kwamafuta m'maselo a chiwindi, omwe amatha kukhala ndi vuto lalikulu la thanzi ngati silinayankhidwe bwino.

M'nkhaniyi, tiwona mwatsatanetsatane chomwe chiri, zizindikiro zake zomwe zingatheke komanso malingaliro akuluakulu a kupewa ndi kuchiza. Kuchokera ku mphamvu yake yachete koma yofunikira kupita ku njira za moyo zomwe zingapangitse kusiyana, lowetsani mukuyang'ana mwatsatanetsatane mkhalidwe womwe uyenera kusamala, kuchitapo kanthu.

Kodi chiwindi chamafuta ndi chiyani?

Zimachitika pamene mafuta ambiri m'chiwindi. Ndizofala, makamaka mwa anthu odwala matenda ashuga komanso onenepa kwambiri. Ngakhale sizingayambitse zizindikiro zowoneka, zimatha kubweretsa mavuto akulu azaumoyo. Ndikofunikira kusintha moyo wanu kuti mupewe ndikuwongolera vutoli. Chiwindi ndi chiwalo chachikulu m'thupi chomwe chimayang'anira kukonza zakudya ndi zotayira.

Chiwindi chathanzi chimakhala ndi mafuta ochepa kwambiri kapena mulibe. Ngati mumamwa mowa kwambiri kapena kudya kwambiri, thupi lanu limasintha ma calories ena kukhala mafuta. Kuchuluka uku kumachulukana mu hepatocytes. Pamene mafuta akuyimira zoposa 5% mpaka 10% ya kulemera konse kwa chiwindi, mumakhala ndi chiwindi chamafuta. Matendawa akuchulukirachulukira pamene kudya shuga wowonjezera ndi mafuta kumawonjezeka. Pafupifupi munthu mmodzi mwa akuluakulu atatu aliwonse a ku Australia amadwala matendawa.

Kodi zizindikiro za chiwindi chamafuta ndi ziti?

Nthawi zambiri, hepatic steatosis sikuwonetsa zizindikiro zowonekera. Anthu omwe ali ndi zizindikiro akhoza:

• Kutopa kapena kusachita bwino
• Kusapeza bwino kumtunda kumanja kwa mimba
• Kuchepetsa thupi

Zizindikiro zosonyeza kuti mungakhale ndi matenda oopsa kwambiri ndi awa:

• Maso achikasu ndi khungu (jaundice)
• Mikwingwirima
• Mkodzo wakuda
• Mimba yotupa
• Kusanza magazi
• chimbudzi chakuda
• kuyabwa khungu

Ngati mukukumana ndi chimodzi mwa zizindikiro izi, ndikofunikira kuti mupite kuchipatala.

Zomwe zimayambitsa chiwindi chamafuta ndi chiyani?

Nthawi zambiri zimakhala chifukwa cha zinthu zosiyanasiyana pa nthawi yayitali.
Zifukwa zodziwika kwambiri zomwe zimayambitsa chiwindi chamafuta ndi:

• Kunenepa kapena kunenepa kwambiri, makamaka kuzungulira pamimba (mimba)
• Odwala amtundu wa 2 shuga mellitus kapena insulin kukana
• Kukhala ndi cholesterol yayikulu kapena triglycerides
• Kumwa mowa kwambiri

Zifukwa zina zosafala ndizo:

• chithokomiro chosagwira ntchito
• mankhwala ena
• Kudwala polycystic ovary syndrome (PCOS)

Anthu ena amathanso kudwala chifukwa cha zovuta zomwe zimachitika mochedwa kwambiri.

Pali mitundu iwiri ikuluikulu ya chiwindi chamafuta:

• mowa mafuta chiwindi
• metabolic mafuta chiwindi

Matenda okhudzana ndi metabolism ndi mtundu wofala kwambiri wa matenda a chiwindi chamafuta. Amadziwikanso kuti:

• Non-alcohol hepatic steatosis

Kuchulukana kwamafuta amtunduwu m'chiwindi ndi chifukwa cha:

• Kunenepa kwambiri kapena kunenepa kwambiri
• Kulephera kuchita masewera olimbitsa thupi
• Chiwindi chamafuta okhudzana ndi mowa

Matenda obwera chifukwa cha moŵa amayamba chifukwa cha kumwa mowa mopitirira muyeso kwa nthawi yaitali. Muli pachiwopsezo cha matenda a chiwindi chamafuta okhudzana ndi mowa ngati:

1. Imwani zakumwa zopitilira 10 pa sabata
2. Kumwa mopitirira muyeso (zakumwa zopitirira 4 pa tsiku)

Kodi matendawa amapezeka bwanji?

Dokotala wanu adzazindikira chiwindi chamafuta polankhula nanu poyamba ndikukuyesani.
Mutha kupemphedwa kuti muyezetse magazi otchedwa kuyesa ntchito ya chiwindi. Ndi icho, thanzi la chiwindi chanu lidzawunikidwa. Mutha kufunsidwanso kuti mupange sikani, mwachitsanzo:

• akupanga
• ndi MRI

Ngati mayeso akuwonetsa kuti muli ndi chiwindi chamafuta, mungafunike kuyezetsa kwina kuti mupitirize kuphunzira za thanzi lanu. Malingana ndi zotsatira za mayesero, dokotala wanu angakuuzeni kuti muwone gastroenterologist (dokotala wapadera). Zikavuta kwambiri, katswiri akhoza kukonza chiwindi biopsy kutsimikizira matenda. Izi zidzawathandizanso kudziwa kukula kwa matendawa.

Kodi chiwindi chamafuta chimachiritsidwa bwanji?

Palibe mankhwala ochizira matenda a chiwindi chamafuta. Chithandizo chimakhala ndi kusintha moyo. Zimenezi zingathandize kuti matendawa asinthe. Ngati muli ndi matenda a metabolic okhudzana ndi chiwindi chamafuta, mudzalangizidwa kuti:

1. Tsatirani zakudya zopatsa thanzi ndikupewa shuga
2. Kuchepetsa thupi
3. Muzichita masewera olimbitsa thupi nthawi zonse
4. Sungani shuga m'magazi
5. Tengani cholesterol yochuluka ngati muli nayo
6. Pewani mankhwala omwe angawononge chiwindi
7. Osamwa mowa kapena kumwa pang'ono komanso kusiya kusuta.

Ngati chiwindi chamafuta chimayamba chifukwa cha mowa, chinthu chofunikira kwambiri ndikusiya kumwa. Izi zidzateteza matenda anu kuti asapitirire. Kuti mudziwe zambiri, dokotala wanu angakulozereni kwa katswiri wa zakudya, uchidakwa kapena mankhwala osokoneza bongo.

Kodi matendawa angapewedwe?

Njira yopewera matenda a chiwindi amafuta okhudzana ndi metabolism ndikutsata upangiri womwewo wa moyo womwe umaperekedwa kwa anthu omwe ali nawo kale, kuphatikiza:

1. Tsatirani zakudya zopatsa thanzi zokhala ndi zipatso ndi ndiwo zamasamba, mbewu zonse ndi mafuta abwino
2. Khalani ndi thanzi labwino.
3. Osamwa mowa kapena kumwa pang'ono
4. Kuchita masewera olimbitsa thupi masiku ambiri a sabata kumalimbikitsidwa.
5. Ngati simuchita masewera olimbitsa thupi nthawi zonse, lankhulani ndi dokotala poyamba.

Zovuta za matenda a chiwindi chamafuta

Kwa anthu ambiri, chiwindi chamafuta chokha sichimayambitsa mavuto ambiri poyamba.
Zitha kuipiraipira pakapita nthawi. Kuchuluka kwamafuta m'chiwindi kumayambitsa kutupa kwa chiwindi, komwe kumapangitsa kuti chiwindi chikhale ndi zipsera (fibrosis). Zingayambitsenso matenda aakulu a chiwindi, monga cirrhosis kapena khansa ya chiwindi. Anthu ena omwe ali ndi vuto lalikulu la chiwindi amafunika kuwaika pachiwindi. Anthu omwe ali ndi vutoli amakhala ndi chiopsezo chowonjezeka cha matenda a mtima ndi sitiroko.