Izibikezelo zezifo ezihlukahlukene ezingapheli zithembele ezintweni eziningi, kepha umgomo wokuhlola ochazayo yisigaba sokuthuthukiswa kwesifo. Okuphakemeyo, ukwehlisa amathuba okuphila okuseneminyaka emihlanu. Ngakho-ke, into yokuqala ukuthi iziguli zinesithakazelo lapho i-cirrhosis ye-4th degree itholakala ukuthi yiyiphi iningi ephila ngokuxilongwa okunjalo, ngoba lesi sigaba sokukhula kwesifo sibonakala ngokulahlekelwa okuphelele kwemisebenzi yomzimba.
Izimpawu zesifo se-cirrhosis se-4th degree
Lesi sigaba se-cirrhosis sabizwa ngokuthi i-decompensation. Lokhu kusho ukuthi isibindi asisebenzi empeleni, ngoba iningi lamaseli we-parenchyma (i-hepatocytes) ithathwa esikhundleni sezicubu ezinama-fibrous connective.
Izimpawu zalesi sifo:
- Izifo eziqhubekayo zamathumbu;
- ukulahlekelwa okusheshayo kwesisindo somzimba;
- ubuthakathaka obuqinile;
- ukuhlanza;
- i-atrophy yemisipha yezikhala ze-intercostal nomkhakha ophezulu;
- isifo sobuhlungu obukhulu;
- ukulahlekelwa kwesifiso;
- ukushisa komzimba okuphakeme;
- icterus yesikhumba.
Ngaphezu kwezibonakaliso zemitholampilo ezibhalwe ohlwini, i-cirrhosis ye-4th degree ihambisana nezinkinga eziningi eziyingozi, phakathi kwazo:
- ascites;
- ukuphuma kwangaphakathi;
- izilonda ze-hepatogenic;
- izicubu zomdlavuza;
- ukutheleleka;
- ukuphefumula okungenangqondo ;
- ukuphazamiseka kwegazi kwegazi;
- i-confluence ku-coma.
Isiteji sokudonswa kwemali siphuthuma ngokushesha, isiguli sichaza "ngokoqobo", ngakho-ke sidinga ukwelashwa okuphuthumayo.
Ukwelashwa kwe-cirrhosis ye-4th degree
Indlela ephelele isetshenziselwa ukwelapha isigaba sokuchazwa kwesifo sempilo. Umuntu udinga ukuguqula ngokuphelele indlela yokuphila ngokudla okunempilo nokulahla yonke imikhuba emibi. Ngesikhathi esifanayo, amaqembu amaningana wemithi anqunywe:
- i-hepatoprotectors (i-organic and synthetic);
- i-diuretics;
- izidakamizwa zokulwa nokuvuvukala (steroidal anti-inflammatory (hormonal);
- amavithamini nama-amino acid;
- i-phospholipids ebalulekile;
- i-antiviral (ukuvimbela kwesifo sofuba).
Iziguli ezine-cirrhosis esiteji sokunciphisa ziyanconywa ukuba zihambisane nokuphumula kombhede nokudla okhethekile. Kusukela ekudleni kuzodingeka kususwe:
- utshwala;
- ukudla okusemathinini;
- ukukhethwa;
- izinongo;
- inyama enenhlanzi nenhlanzi;
- imikhiqizo yokubhema;
- ama-dessert;
- ukudla okuthosiwe;
- ubisi lonke;
- ama-broths.
Yehlisa ubuncane:
- amaqanda;
- imikhiqizo yobisi enomsoco;
- amajikijolo omuncu nezithelo (kuphela njengengxenye yokudla okudliwayo neziphuzo);
- usawoti;
- itiye nekhofi;
- i-glucose;
- imikhiqizo yefulawa.
Okuthandayo kufanele kunikwe:
- okusanhlamvu;
- "Inhlanzi" nenhlanzi "inhle", kungcono inyoni;
- umhluzi wemifino;
- izithelo iziphuzo, compotes;
- i-herbal decoctions kanye nokumnika;
- Amaswidi amvelo (i-jelly, i-marshmallow, i-pastille, i-jam nabanye).
Ukuhambisana okuqinile nokuqhubekayo nokudla kudinga ukuthuthukisa impilo yonke kanye nekhwalithi yokuphila.
Kubalulekile ukuthi uqaphele ukuthi indlela yokuzimela ingasebenzi kahle isikhathi eside, ekugcineni iphela ukusebenza. Ngakho-ke, ngesikhathi sokwelashwa kuyadingeka ukuba uxoxe nodokotela ukuthi kungenzeka ukuhlinzekwa kwesibindi sokufakelwa kwesibindi. Namhlanje le nqubo yiyona kuphela
Bangaki abahlala ne-cirrhosis yesibindi ngezigaba ezingu-4?
Njengoba kunikezwe ukuthi isigaba sokudonswa kwemali sibonakala ukungabi khona kwemisebenzi ye-hepatic nesifo esingasebenzi, isibalo se-cirrhosis sebanga lesi-4 sidumaza. Imingcele yeminyaka engu-5 yokusinda ayidluli ku-20%, ngaphezu kwengxenye yeziguli ezifa ngisho nangaphambili, kungakapheli ngonyaka wokuqala kusukela ngosuku lokuxilongwa, okunye - iminyaka emibili kuya kwemithathu. Isizathu esiyinhloko sokufa akusiyo isifo sociringi ngokwawo, kodwa izinkinga zayo, ikakhulukazi izicubu ezimbi, ama-ascites kanye nokuxilonga okukhulu kwe-hepatic ne-confluence e-coma.