Kuthetha ukuthini i-Fatty Liver: Iimpawu kunye neengcebiso
Fumana ukuba yintoni na, iimpawu, izizathu, indlela yokuxilonga, unyango kunye nendlela yokukhusela isifo sesibindi esinamafutha
Isibindi esinamafutha, esaziwa ngokuba yi-hepatic steatosis, sisifo esixhaphakileyo sonyango esichaphazela izigidi zabantu kwihlabathi liphela. Ibonakaliswa ngokuqokelelwa ngokugqithisileyo kwamafutha kwiiseli zesibindi, ezinokuthi zibe nempembelelo enkulu kwimpilo ukuba ayilungiswanga kakuhle.
Kule nqaku, siza kuhlolisisa ngokucacileyo ukuba yintoni, iimpawu zayo ezinokwenzeka kunye neengcebiso eziphambili zokuthintela kunye nonyango. Ukusuka kwimpembelelo yayo ethe cwaka kodwa ebalulekileyo ukuya kwiindlela zokuphila ezinokuthi zenze umahluko, ngena kolu joliso lubanzi kwimeko efuna ukuqwalaselwa ngononophelo, nokukhawuleziswayo.
Yintoni isibindi esinamafutha?
Kwenzeka xa kukho amanqatha amaninzi esibindini. Ixhaphakile, ingakumbi kubantu abanesifo seswekile nabatyebe kakhulu. Nangona ingenakubangela iimpawu ezibonakalayo, inokukhokelela kwiingxaki zempilo ezibalulekileyo. Kubalulekile ukuhlengahlengisa indlela ophila ngayo ukuze uthintele kwaye uphucule le meko. Isibindi lilungu eliphambili kumzimba onoxanduva lokulungisa ukutya kunye nenkunkuma.
Isibindi esinempilo siqulethe amafutha amancinci okanye angabikho. Ukuba usela utywala kakhulu okanye utya kakhulu, umzimba wakho uguqula ezinye zeekhalori zibe ngamafutha. Le adiposity iqokelela kwi-hepatocytes. Xa amanqatha amele ngaphezu kwe-5% ukuya kwi-10% yobunzima obupheleleyo besibindi, unesibindi esinamafutha. Le meko ixhaphake ngakumbi njengoko ukusetyenziswa kweeshukela ezongezelelweyo kunye namafutha kwanda. Malunga nomntu omdala omnye kwaba-1 baseOstreliya ukhathazwa yiyo.
Ziziphi iimpawu zesibindi esinamafutha?
Ngokubanzi, i-hepatic steatosis ayibonisi zimpawu zicacileyo. Abantu abaneempawu banokuthi:
- Ukuziva udiniwe okanye ungaphilanga jikelele
- Ukungakhululeki kwindawo ephezulu ngasekunene kwesisu
- Ukunciphisa umzimba
Iimpawu zokuba unokuba nesifo esibi kakhulu ziquka:
- Amehlo atyheli kunye nolusu (jaundice)
- Imivumbo
- umchamo omnyama
- Isisu esidumbileyo
- Ukugabha igazi
- ilindle elimnyama
- ulusu olurhawuzelayo
Ukuba ufumana nayiphi na kwezi mpawu, kubalulekile ukuba ufune ukhokelo lonyango.
Zeziphi izizathu zesibindi esinamafutha?
Ngokuqhelekileyo kungenxa yendibaniselwano yezinto kwixesha elide.
Ezona zizathu ziqhelekileyo emva kwesibindi esinamafutha ziquka:
- Ukutyeba okanye ukutyeba kakhulu, ngakumbi malunga nesisu (isisu)
- Ukubandezeleka kuhlobo lwe-2 yeswekile mellitus okanye ukunganyangeki kwe-insulin
- Ukuba ne-cholesterol ephezulu okanye i-triglycerides
- ukusela utywala kakhulu
Abanye oonobangela abaqhelekileyo:
- idlala lengqula elingasebenziyo
- Amayeza athile
- Ukuxhatshazwa kwi-polycystic ovary syndrome (PCOS)
Abanye abantu banokuchaphazeleka kuyo ngenxa yeengxaki ezikhula emva kwexesha lokukhulelwa.
Kukho iindidi ezimbini eziphambili zesibindi esinamafutha:
- utywala obunamafutha esibindi
- isibindi esinamafutha
Isifo esinxulumene ne-Metabolism lolona hlobo luqhelekileyo lwesifo sesibindi esinamafutha. Kwaziwa njenge:
- I-hepatic steatosis engeyiyo utywala
Olu hlobo lokuqokelelwa kwamafutha esibindini sisiphumo soku:
- Ukutyeba kakhulu okanye ukutyeba
- Ukunqongophala kokusebenza komzimba
- Isibindi esinamafutha anxulumene notywala
Okunxulumene notywala kungenxa yokusela kakhulu utywala ixesha elide. Usemngciphekweni wesifo sesibindi esinamafutha anxulumene notywala ukuba:
- Sela ngaphezu kwe-10 iziselo eziqhelekileyo ngeveki
- Iziselo ezigqithisileyo (ngaphezu kwe-4 yeziselo eziqhelekileyo ngosuku)
Sifunyaniswa njani esi sifo?
Ugqirha wakho uya kuxilonga isibindi esinamafutha ngokuthetha nawe kuqala aze akuxilonge.
Usenokucelwa ukuba wenze uvavanyo lwegazi olubizwa ngokuba luvavanyo lokusebenza kwesibindi. Ngayo impilo yesibindi sakho iya kujongwa. Usenokucelwa ukuba wenze iskena, umzekelo:
- Ultrasound
- iMRI
Ukuba iimvavanyo zibonisa ukuba unesibindi esinamafutha, unokufuna ezinye iimvavanyo ukuze ufunde ngakumbi ngempilo yakho. Ngokuxhomekeke kwiziphumo zovavanyo, ugqirha wakho unokucebisa ukuba ubone i-gastroenterologist (ugqirha oyingcali). Kwiimeko ezinzima, ingcali inokucwangcisa i-biopsy yesibindi ukuqinisekisa ukuxilongwa. Oku kuya kubanceda bavavanye ubuzaza besi sifo.
Sinyangwa njani isibindi esinamafutha?
Akukho machiza akhoyo ukunyanga imeko yesibindi esinamafutha. Unyango lubandakanya ukuguqula indlela yokuphila. Oku kunokuphucula isifo kunye nokusibuyisela umva. Ukuba unesifo semetabolism esinxulumene nesibindi esinamafutha, uya kucetyiswa ukuba:
- Landela ukutya okunempilo kwaye ugweme iswekile
- Ukunciphisa umzimba
- Zilolonge rhoqo
- Lawula iswekile yegazi
- Nyanga i-cholesterol ephezulu ukuba unayo
- Gwema amayeza anokuchaphazela isibindi
- Musa ukusela utywala okanye ukusela kancinci kakhulu kwaye uyeke ukutshaya.
Ukuba isibindi esinamafutha sibangelwa butywala, eyona nto ibalulekileyo kukuyeka ukusela. Oku kuya kuthintela isigulo sakho ekubeni sibe mandundu. Ngolwazi oluthe vetshe, ugqirha wakho angakuthumela kwingcali yokutya, utywala okanye ingcali yeziyobisi.
Ngaba esi sifo sinokuthintelwa?
Indlela yokuthintela isifo sesibindi esinxulumene nemetabolism kukulandela ingcebiso yendlela yokuphila efanayo enikwa abantu abasele benayo, kubandakanya:
- Landela ukutya okunempilo okutyebileyo kwiziqhamo kunye nemifuno, ukutya okuziinkozo kunye namafutha anempilo
- Gcina ubunzima obusempilweni.
- Musa ukusela utywala okanye ukusela kancinci kakhulu
- Ukwenza umthambo womzimba iintsuku ezininzi zeveki kuyacetyiswa.
- Ukuba awuzilolongi rhoqo, thetha nogqirha wakho kuqala.
Iingxaki zesifo sesibindi esinamafutha
Kubantu abaninzi, isibindi esinamafutha sodwa asibangeli iingxaki ezininzi ekuqaleni.
Isenokuba mandundu kancinci ngokuhamba kwexesha. Amafutha amaninzi esibindini abangela ukudumba kwesibindi, nto leyo ekugqibeleni ekhokelela kwimivalo (fibrosis) yesibindi. Kwakhona kunokukhokelela kwisifo esibi kakhulu sesibindi, esifana ne-cirrhosis okanye umhlaza wesibindi. Abanye abantu abane-cirrhosis enzima yesibindi bafuna ukutshintshwa kwesibindi. Abantu abanale meko banomngcipheko owonyukileyo wokuhlaselwa sisifo sentliziyo kunye nestroke.